Hollow appearance after cheek, chin and jaw filler - should I consider dissolving or should I add filler to temples? (photos)

Question

Hello I have a thin face (naturally) and then lost weight and it got thinner. I ended up getting filler for the first time (Restylane) to my cheeks (1 unit per cheek), a unit to my chin, and a unit to my jaw. Now I have a peanut looking face and my temples look scary and hollow. Do I get temple filler or get the cheek filler dissolved? I wanted fullness in my face but I look like a skeleton. Whats the safest way to add volume to my temples? I’m terrified of blindness.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. If you're experiencing a hollow appearance after receiving filler in the cheeks, chin, and jaw, it’s important to address this concern carefully to achieve a balanced and harmonious look. Instead of immediately considering dissolving the existing filler, which might be a more drastic approach, you might want to explore adding filler to the temples. This can help restore overall facial volume and create a more balanced appearance, as temples play a crucial role in framing the face and can influence how the other areas look. Additionally, trying Sculptra could be a valuable option. Sculptra stimulates your body’s natural collagen production, which can gradually restore volume and improve the appearance of hollow areas over time. Unlike traditional dermal fillers that provide immediate volume, Sculptra works gradually, making it a good choice for creating a more natural and lasting improvement. I use Sculptra all the time and absolutely love the results! I highly recommend. I hope this helps and best of luck!

Hung William Song, MD · Answer

Hi, dissolving the fillers should be a last resort. The limited view from your photo looks like your cheeks are not over filled so filling the temples would be the best approach. The temples do require quite a bit of volume so using just fillers would be not only costly, it would involve putting a lot of fillers into an area where it could migrate away. I like to do the AutoCorre treatment which combines a little bit of filler with a PRP gel to stimulate your natural fat pad and collagen. This will give you a natural look. If performed properly, the risk of vascular blindness is extremely low.

Anna Chacon, MD, FAAD · Answer

Hello,

I'm sorry to hear about your concerns following your recent filler treatments. Addressing volume loss in the face, especially when weight loss is a factor, can be challenging and requires a nuanced approach.

Given your description, it sounds like the fillers in your cheeks, chin, and jaw may not have provided the balanced volume you were hoping for, leading to a more pronounced hollow appearance in your temples. Here are a few considerations:

Consult with a Skilled Injector: It’s crucial to consult with an experienced dermatologist or plastic surgeon who specializes in facial aesthetics. They can assess your facial structure in person and recommend the best course of action.

Adding Filler to Temples: Temple fillers can indeed help in restoring a more balanced and youthful appearance. Hyaluronic acid fillers, like Restylane or Juvederm, are commonly used for this purpose. When performed by a skilled injector, the risk of complications, including blindness, is minimal. The key is to ensure that the procedure is done by someone with expertise in facial anatomy and filler techniques.

Dissolving Existing Fillers: If you are unhappy with the current fillers in your cheeks, chin, and jaw, you might consider dissolving them with hyaluronidase. This enzyme can dissolve hyaluronic acid-based fillers, allowing you to start fresh. Again, this should be done by a professional who can guide you through the process safely.

Comprehensive Facial Assessment: Sometimes, achieving the desired fullness and balance involves a combination of treatments. A comprehensive assessment can help determine if additional filler in other areas (like the temples) or a different approach to your cheeks, chin, and jaw might be more effective.

In summary, while adding filler to your temples can help address the hollow appearance, it's essential to do so under the guidance of a qualified and experienced practitioner. They can help you achieve a more harmonious and natural-looking result while minimizing risks.

Best of luck, and I hope you achieve the facial fullness and balance you desire.

Leonard Grossman, MD · Answer

Number one, stop being afraid of going blind. Blindness only occurs when the Plastic surgeon is using a needle rather than a blunt tip cannula. I think you would benefit a great deal from having fat grafting to the temples or any place else for that matter, as grafting produces natural impractically permanent results one done by a specialist Grafting techniques, Plastic surgeon.  I hope the self and good luck from Leonard Grossman, M.D. organic Plastic Surgery

Hollow appearance after cheek, chin and jaw filler - should I consider dissolving or should I add filler to temples? (photos)

Answers (4)

Answer: Treating hollow temples

Answer: Treating hollow temples

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Everything you need to know about Dermal Fillers

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Hollow appearance after cheek, chin and jaw filler - should I consider dissolving or should I add filler to temples? (photos)

Answers (4)

Answer: Treating hollow temples

Answer: Treating hollow temples

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.