Is Sculptra for temples too risky?

Question

My temples have sunken (35+old) and am considering fillers for the temple areas. I’ve read some articles saying that temple injections are risky due to the blood vessels in that area, and the risks include blindness. I understand that unlike HA fillers, Sculptra cannot be dissolved, but in terms of potential risks, is Sculptra safer than the HA fillers? Also should Sculptra be injected deeply in the temple areas? Can a blunt cannular be used?

Jack Kolenda, MD, FRCS (C) · Answer

Sculptra is a very popular treatment for correcting hollow temples. If sculptra is injected safely and in the hands of an experienced injector then you should not be concerned.

Christopher Balgobin, MD · Answer

Hello,Sculptra is great for temporal hollows when used by a trained injector. Sculptra is my go to product for this area of the face.

Michael A. Zadeh, MD, FACS · Answer

I perform Sculptra for temple hollowing all the time and it's a great option for this area. It can be combined with Fillers to provide instant improvement that gradually improves with time. If you are under the care of an experienced physician who knows the anatomy well then the risk of complications is extremely low. Hope this helps.

Umang Mehta, MD · Answer

Thanks for the question. Sculptra is an excellent option for augmentation of the temples. The safest depth at which to inject it is quite deep, right at the level of the bone. Pulling back on the syringe prior to injection helps to ensure that the tip of the needle is not inside a blood vessel. With proper technique, the risk of side effects is extremely low. While it’s possible to use a cannula, a needle is just as safe at this depth. Sculptra provides the most cost effective filler choice for the temples, as 1-2 vials may provide as much correction as several syringes of a HA filler, with greater duration. The results should last 2+ years, though I’ve personally seen correction lasting 5 years in some cases. Be sure to visit an experienced injector. Kind regards,Dr. Mehta

Shareef Jandali, MD · Answer

Thank you for your question. Sculptra is a filler designed to last 2+ years and gives the appearance of naturally enhanced volume to the full face. It is common practice to treat the temple area with Sculptra and has show to correct the hollowing quite nicely. Be sure to schedule a consultation with an individual who is well trained in Sculptra injections such as a board certified plastic surgeon.

Manjula Jegasothy, MD · Answer

Both Sculptra® and HA fillers are used widely to fill the temples for over a decade, very safely. The important thing is that you seek treatment with an experienced boar-certified aesthetic dermatologist for a consultation.

Trilogy Medical Center - Midvale · Answer

Hi there. Thanks for your question. Sculptra is actually my favorite to use for temples! It's very safe when placed by an experienced injector and will help with the longterm hollowing of the temples. It's not the "quick fix" of HA fillers, so some of my patients choose to do both so that they have the instant gratification of the gels while treating the collagen production in the area.
Best,
@DrKatNP.trilogy

John R. Burroughs, MD · Answer

Sculptra is a great treatment for temporal volume loss. When done by medical provider with the proper training and experience it is very safe. This treatment can help pull the brows back up and over time provide a more youthful and full appearance to the temples and upper face.

Shaun Patel, MD · Answer

I commonly like to use Sculptra for treatment of the temporal fossa volume loss. In my opinion, this is a safe and effective treatment as long as it is performed by an experienced injector with a complete understanding of the anatomy of this part of the face and who uses a slow, low pressure injection technique with drawback confirmation that the needle is not in a vessel. HA fillers like Restylane can also be used in the temples and if this fillers. Fillers tend to be placed deep on bone in the temporal fossa to avoid injecting into important blood vessels.

Deborah Kessler Hudak, MD, MHA · Answer

As someone who has injected Sculptra in hundreds of people over the past 10+ years, I can say without reservation that Sculptra is an EXCELLENT product to help correct volume loss in the temples.  You do want to be certain the injector is very experienced with injecting it, reconstitutes it with plenty of injectable liquid, injects deeply, and knows their facial anatomy well to avoid the temporal artery.  Additionally, it is helpful to do small, frequent, moderately firm massages in the first week after injection, in order to keep the product evenly distributed in the temple area and lessen risk of a Sculptra nodule (which is a clump of collagen surrounding a clump of Sculptra).  Note: even if you get a nodule, which is pretty uncommon, it WILL go away with time, and goes away quicker with massage.
On my website and cosmetic procedure Youtube videos you can see many examples in which we have addressed temple hollowing with Sculptra.  People LOVE the naturally younger way it makes them look...and it is known to also improve skin texture and collagen amounts!

Is Sculptra for temples too risky?

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