Which is better: filler or Sculptra in the temple?

I have used Sculptra and all of the hyaluronics quite literally from their inception. I also do a great deal of fat grafting. The temples generally need a lot of volume. I very rarely treat temples HA's and almost always use either Sculptra or fat. I Other HA fillers cost a lot of money for a syringe that contains only 1cc. That is one fifth of a teaspoon. Temples almost always require more than 1cc for significant correction. There is no published study that can support my observation. However, I started and have continued using Sculptra since it was first approved in 2009. And I honestly believe and have told patients for decades that in MOST patients, a vial of Sculptra creates approximately 4-5 cc of volume. Plus, the collagen it produces lasts far longer than the two year FDA quote. And I have not had a patient challenge me on this expectation. It DOES take about nine months to fully proliferate, and response varies a little from patient to patient. Make SURE your injector is very experienced and is very well versed in terms of rare possible visual complications from intravascular injection.

Due to the concave nature of the temple, Sculptra would the be better option. You could use HA filler, however, it would take multiple syringes to try and fill the area. I hope that helps!

Hi HD,
I prefer using Sculptra in the temples of my patients as I find that the results are long lasting and the treatments are extremely safe. The filling is uniform and natural. There are many other fillers that can be used in the temple for immediate results, but for long term results I prefer Sculptra. Please feel free to contact me with any questions. Good luck and be well.
Michael Persky, MD
Encino, CA

However, fillers have a vast array of physical properties. The one you want for your temples has a high elastic modulus (which means it pushes against the tissue well). The one that has the highest is Radiesse, which is a mineral based filler. The more common fillers are hyaluronic acid based, and the one that works best for temples is Voluma or Restylane Define. Sculptra has a very low elastic modulus.

Hello HD. There is no correct answer, just different pros and cons. If you had a wedding this weekend, then we would say traditional dermal fillers because the results are immediate. If you wanted a longer duration, but along with it a higher price, then we would suggest Sculptra. Both options are good and we suggest hyaluronic acid based fillers like Restylane Lyft or Sculptra.