I want to get my temples filled as there is a hollowness in that area. I was wondering what is safer for filling that area? The last time I had sculptra,, in the temples, it caused bumps that lasted for three years. I had Radiesse, that was diluted by 30%, and when the swelling went down, one siringe of Radiesse, really didn't help much. How much would be needed of both products, and which is less likely to cause bumps? I was told that fat trasfer is not an option for me because I am thin.
What is the Safer Option for Filling in Temples: Radiesse or Sculptra. Which is More Likely to Cause Bumps?
Doctor Answers (15)
Options for filling temples
Many fillers are used in the temple region and the "best" one depends on each patient's needs. Personally, I prefer Radiesse or Restylane in this region, or often a combination with Radiesse underneath and Resty on top of it. As long as you are visiting a good injector, you should get a good result. There are no counter products to either Radiesse or Sculptra, so if there are any bumps or lumpiness, these have to resolve on their own over time.
Safety of Radiesse vs. Sculptra in the Temples
The simple answer to your question is that both Radiesse and Sculptra are safe and effective in the temple region when injected properly, and when appropriate volume is injected. There are several differences between the two products. Sculptra, made of L-poly lactic acid, must be reconstituted with saline 5-7 days prior to injection, must be injected in a plane deep to the temporalis muscle, and must be allowed 4-6 weeks for appropriate volume to be generated. Sculptra may require several treatments in order to be efficacious, depending on the indications. Lumps and bumps in the temporal region are likely to have been related to inadequate reconstitution time, or a superficial injection. Radiesse, made from calcium hydroxylapatite, does not require reconstitution, and can be injected more superficially with immediate effect. If the patient has deep temple hollows and only receives one syringe of Radiesse, a lack of satisfaction is virtually inevitable.
Options for filling temples
Both Radiesse and Sculptra could be used to fill the temples. When used correctly, both of them should be very safe with a low chance of bumps. While bumps can occur with any filler, because Sculptra is longer lasting, bumps may last longer than with Radiesse. Without pictures, it's difficult to tell how much of either product would be recommended for you. With the Sculptra, I would say that you would need half a vial to a vial per treatment. With Radiesse, you might need between 0.8cc and 1.5cc.
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There is another answer that may be better than either Radiesse or Sculptura....
It is not only approved as a filler for facial fat loss but also to correct deep scars from acne.
What is the safer option for filling in the temples, Radiesse or Sculptra?
I generally like to use Radiesse for the temple. In the hands of an experienced specialist, Radiesse for this area yields a fantastic result. If the injections are not performed properly, this may result in a poor outcome. A board certified plastic surgeon, facial plastic surgeon, or dermatologist are all great options. I hope this helps, and I wish you the best of luck.
Radiesse or sculptra for Temples?
If you had lumps from Sculptra last time, you could try Radiesse this time. It is not likely to make lumps if injected correctly and they wouldn't last 3 years. Without seeing you I have no way to telling you how many syringes you would need but the minimum is usually 1 syringe per side. If temples are very hollow it could take 1 1/2 - 2 syringes per side.
Sculptra or Radiesse to the Temples
Sculptra and Radiesse can both produce bumps and can both be used. I must admit, however, that I have never seen an individual from whom I could not get enough fat for fat grafting to that area.
Radiesse Combined With Juvederm UltraPlus XC Works Well For Temple Augmentation
Diluting Radiesse with local anesthetic has been recommended in the literature for treating temples (just as it has recommended for treating the backs of the hands). The exact dilution can be individualized according to the specific need. I have found, however, that combining Radiesse with a smooth volumizing agent, such as Juvederm UltraXC, works well in the temple area and gives a smooth (non-lumpy bumpy) result with excellent durability.
I am not a big fan of Sculptra in general since several treatment sessions are typically required to achieve results, the results are not immediate (as they are with Radiesse and other volumizers), and the cost is relatively high.
I strongly suggest that you seek out a board certified aesthetic physician injector who has experience with all available injectable agents and is thoroughly familiar with the ways that they can modified in concentration, amounts injected, and injection techniques to better achieve the desired results in this important cosmetic region.
Sculptra and Radiesse both safe
When injected at the appropriate depth, deep to the temporalis muscle and away from the vessels, both products are safe with low risk for nodules or bumps. However, Sculptra probably has somewhat of an edge because it is easier to draw back into the syringe to ensure that the needle is not in a vessel before injecting. I have also used a technique of injecting diluted Restylane above the temporalis muscle with a cannula followed by vigorous massage with very nice results and no bumps. This technique requires an average of 2 syringes of Restylane and lasts up to one year.