What can be done to replace lost volume in eye/temple areas? (Photos)

Thank you for your question and for providing photos for reference. Addressing volume loss in the eye and temple areas can significantly rejuvenate your appearance. Here are some options and considerations for non-surgical treatments to restore volume in these areas:

Understanding Volume Loss
Eye Area: Volume loss in the under-eye area can lead to hollowing, dark circles, and a tired appearance.
Temple Area: Volume loss in the temples can create a hollow, aged look and affect the overall facial contour.
Treatment Options
Dermal Fillers:

Under-Eye Area: Fillers like hyaluronic acid (e.g., Restylane, Juvederm) can be used to add volume and smooth out hollows. These fillers are specifically designed for delicate areas and can provide a natural look.
Temples: Fillers can also be used in the temple area to restore volume. Products like Radiesse or Sculptra are often used here because they provide good support and longevity.
Platelet-Rich Plasma (PRP):

PRP can improve skin texture and promote collagen production but may not provide the same volumizing effect as fillers. If PRP alone did not achieve the desired results, combining it with fillers might be more effective.
Fat Transfer:

This is a slightly more invasive procedure where fat is harvested from another part of your body and injected into the areas needing volume. It can provide a more permanent solution compared to fillers.
Skin Tightening Treatments:

Non-invasive treatments like radiofrequency or ultrasound can help tighten the skin and improve the appearance of volume loss, though they may not add volume directly.
Consultation with a Specialist
Find an Experienced Injector: Since your current injector does not treat these areas, it would be beneficial to consult with a board-certified dermatologist or plastic surgeon who has extensive experience with fillers in the eye and temple areas.
Discuss Your Goals: Make sure to convey your desire for a natural, youthful appearance without major surgery. An experienced provider can recommend the best combination of treatments tailored to your needs.
What to Ask For
Treatment Options: Ask about the specific types of fillers recommended for the under-eye and temple areas.
Safety and Risks: Inquire about the safety, potential risks, and side effects associated with fillers in these areas.
Longevity: Discuss how long you can expect the results to last and any maintenance treatments required.
Combination Treatments: Ask if combining fillers with PRP or other treatments could enhance your results.
Conclusion
Restoring volume in the eye and temple areas can be effectively achieved with the right fillers and techniques. Consulting with a skilled provider who specializes in these treatments will help you achieve natural-looking results and delay the need for more invasive procedures.

Best of luck with your treatments!

Best regards,

Thank you for submitting your question and photos. Temple volume loss can easily be addressed with hyaluronic acid fillers, biostimulatory fillers or facial fat grafting. I recommend for younger patients to start with hyaluronic acid fillers. These are not permanent and are reversible. The temples and, especially the area around the eyes, are high-risk areas for injecting fillers because of risk of vascular occlusion. It is very important to go to a skilled provider who has extensive understanding of facial anatomy. I hope this helps!

Dear Original583209,
Temple filler can be safely injected by experienced injector or under ultrasound guidance. It is a common area I treat my patients with as fuller temple is more youthful and also elevates the outer aspect of the brow. There are 2 ways to inject fillers to the temple: direct needle technique or cannula. It depends on the extent of loss of volume to determine which technique is best to be used. Oftentimes, both techniques need to be applied to achieve a satisfactory result. However, patient needs to be informed that any filler injection has risk of vascular occlusion which may lead to blindness, stroke, skin necrosis, etc.
Sincerely yours,Drkenbrito

Hello, it is Dr.Hong from Fresh PS clinic in Seoul, frankly speaking, based on pictures with filters and make up is difficult to judge (especially area under eyes). However, based on my experience and 2nd picture, I think your case for under eyes is fat pad problem, so solution is do under eye fat reposition. Filler or even fat transfer added to that area might make situation even worst. Temple and other face area can be easily treated by fat transfer. This method more natural and safe compare to filler.
Hope my answer will help ^^ Best Regards, Dr. Hong

Thank you for your question. You have a harmonious and beautiful face and as your injector refuses to do filler for the temples, my opinion will be the same. I would not do filler for your temples. Best luck!

Hello and thank you for your question. Various options exist for correcting volume deficiency. These include injectable fillers as well as autologous fat transfers. I would recommend a detailed consultation with a specialist who frequently practices in these procedures to ensure that your desired goals can be achieved.

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. To effectively replace lost volume in the eye and temple areas, a combination of treatments can be highly effective. Dermal fillers, such as hyaluronic acid-based products, are ideal for the undereye area where they can immediately restore volume, reduce hollowness, and smooth out the delicate skin. These fillers offer quick results and help to rejuvenate the appearance by filling in depressions and minimizing the appearance of dark circles. For the temples, Sculptra is a suitable choice as it works by stimulating the body’s natural collagen production over time. This gradual process helps to restore volume and improve the overall contour of the temple area, leading to a more youthful and harmonious appearance. Combining these treatments allows for targeted, comprehensive rejuvenation, addressing both immediate volume loss and long-term skin improvement. I hope this helps and best of luck!

Hello there O,
The good news is that there are great treatments to help you achieve your aesthetic goals. I treat temples and brows everyday with Sculptra and/or hyaluronic acid fillers that are long lasting. When treated by an expert physician injector, the treatment is very safe and effective. Please feel free to contact my office for an in person or virtual consultation. In the meantime enjoy Marina del Rey! Good luck and be well, look forward to speaking with you soon.
Michael Persky, MD
Encino, CA

You can consider Sculptra for the temple area to address volume loss. It takes a bit longer to see the effects, but will give a longer lasting result. Treatments such as Hydrafacial and microneedling can keep skin looking refreshed. I've included a video on Sculptra that I hope you find helpful.

Biostimulants such as hyperdilute Radiesse and Sculptra can be used in the temples to regenerate collage. You injector may recommend 2 or more treatments. You can also use HA fillers in the temples for an instant fill. Filling the temples and cheeks automatically improves the nasolabial folds or laugh lines and also improves the hollows under the eye.