Is there a way to correct the big temporal bone beside my eyes? (Photo)

Question

I have big temporal bone beside my eyes. It looks awkward, when I get buzz cut. Please help me. All I want to do is Naturally

Carl Truesdale, MD · Answer

The temporal area beside the eye is where the bony temporal ridge meets the soft tissue of the temple. When it looks prominent or unbalanced, the cause is usually one of two things &mdash; actual bony prominence or surrounding temple hollowing that makes the bone look more visible by comparison.
First, figure out which one you have:
If the temple area itself looks sunken or scooped, with the bone reading prominently against that hollow: you have temple hollowing, not bony prominence. Treatment is filler or fat grafting to fill the temple. Much less invasive than bone work.
If the bone genuinely projects outward and the surrounding tissue is normal: you have true bony prominence. Treatment is bony contouring (burring down the prominent area surgically).
If both: you have a combined situation that benefits from both filler/fat to the temple AND bone contouring if the bony component is significant enough.
How to self-assess:
Gently press the temple area with your fingertip. If you can press in 1 to 2 cm of soft tissue depth before hitting firm bone, you have temple hollowing as the primary issue. If you immediately feel bone right under the skin, the bony component is the primary issue.
Look at photos from your teens or early 20s if available. If the area looked similar then, this is anatomic structure rather than aging-related change. If the area looked fuller, you've lost soft tissue volume that filler or fat can replace.
Treatment options:
For temple hollowing (most common cause):
Hyaluronic acid filler (Voluma, RHA 4) placed deep in the temple compartment. Reversible, lasts 12 to 24 months. Risks include vascular complications in the temporal artery zone &mdash; only have this done by an experienced injector.
Autologous fat grafting to the temple. More durable (70 percent retention), looks more natural in the long term. Usually combined with other facial work.
Sculptra (collagen stimulator) for gradual volume restoration over multiple sessions. Less commonly used in the temple but possible.
For true bony prominence:
Temporal bone contouring (osteoplasty). Surgical procedure that burrs down the prominent bone through a small incision in the hairline. Done by craniofacial-trained surgeons. Recovery 2 to 3 weeks for visible swelling. Permanent.
This is the same family of procedures used in facial feminization surgery for forehead contouring &mdash; well-established but specialized.
For combined cases:
Staged approach. Treat the soft tissue first (filler/fat) to see how much that addresses the appearance. If still bothered after volume restoration, consider bone contouring as a second stage.
What the haircut comment tells me:
If the prominence shows up most with a buzz cut, the lack of hair coverage is amplifying the appearance. A slightly longer cut with more bulk on the sides can visually balance the area without any procedure. Worth considering as a no-cost first step.
Who to see:
For filler: experienced cosmetic injector with periorbital and temple experience.
For fat grafting: facial plastic surgeon or plastic surgeon comfortable with temporal anatomy.
For bone contouring: craniofacial-trained surgeon or facial plastic surgeon with specific osteoplasty experience.
Best move: start with consultation to figure out which of the three categories you're in. The treatment differs dramatically between hollow vs bony prominence &mdash; don't let any single specialty recommend their tool without confirming the diagnosis first.

Zoran Potparic, MD · Answer

Correction of the shape of forehead bones may be achieved by means of open approach, using incision(s) hidden in the hair. In same cases augmentation of surounding areas may be needed to achieve desired balance. Hope this helps. Good luck.

Is there a way to correct the big temporal bone beside my eyes? (Photo)

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