The photos demonstrate a predominance, particularly in the left temple of indented (sunken, atrophic, depresseed) boxcar and rolling scars. Prominence of the temporal bone on both sides highlights significant generalized volume loss in each of of the temples. Ice pick scars are present, but do not appear to predominate at least in the shots provided. A "field subcision" that involves both subcision and generalized volume repletion would likely go a long way to improving the general appearance of the temples, as well as improvement to the overlying scars by stretching them and making them less deep and less shadowed (i.e. by decreasing the shadowing, "craters on the moon" effect). If needed, subsequent individual subcisions for residual troubling scars and TCA CROSS for ice pick scars,(both of which are quick, simple and relatively inexpensive treatments) may be used to achieve further improvement. I would not suggest the use of permanent fillers, such as Bellafil, as permanent fillers can translate into permanent, very-difficult-to-treat complications, such as nodules and granulomas, which may occur not only immediately following treatment, but even five, ten or twenty years later. You would be well advised to seek consultation and treatment by a board certified aesthetic physician with a great deal of expenence, since the temples are a region filled with important blood vessels, and hence this is not a region that should be trusted to novice physicians and injectors. Best of luck to you.
