Temple augmentation with hydroxyapatite, too good to be true? Desperate for second opinions!

Question

I am interested in a temple augmentation. I have found a single surgeon in Europe who does this. He uses BIOMET 3i’s Endobon Xenograft Granules which is a bovine-derive hydroxyapatite grafting material. I don't know if other surgeons know this material. He said once the external wounds healed there is no danger of infections and the bone grows through the graft. Is that true? Can't my body still reject the material after years? I am also scared of the material dissolving over time. Experiences?

Jason Emer, MD · Answer

In our practice, we use soft tissue fillers like Radiesse, Sculptra and/or fat grafting for lifting the brow, filling out the temples, and making the face appear more youthful. I use water-assisted fat harvesting which gives pure fat to transfer and combine with platelet rich plasma (PRP) to get the most viable and sustainable fat cells.
I suggest getting a formal consultation with a cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Zoran Potparic, MD · Answer

It seems to be a permanent filler. As such it provides volume that lasts for long time (forever?) but carries the risk of infection, foreign body reaction (granuloma) with irregularities, lumpiness. Another option is injection of fat grafts; it is your own tissue and will not create any problems by means of infection and rejection. In person evaluation is recommended.

Barry L. Eppley, MD, DMD · Answer

There are many ways to perform temporal augmentation and they differ in both implantation location (on the bone, in the muscle or on top of the muscle) as well as the materials used to do it. While all temporal augmentation methods provide some improvement they do not produce aesthetically similar results. What you are referring to is the use of a synthetic bone graft placed deep on the temporal bone surface. This approach has the least aesthetic improvement because it is very deep to the external surface with thick overlying soft tissue layers. It tales a lot of material to push outward to create much change. The use of synthetc bone granules 'pushed' or injected onto the temporal bone hollows is associated with irregularities and clumping because it is not a controlled placement. Creating a completely controlled shape and desired amount of augmentation is very difficult or impossible. When bone grows into the material it can be difficult to remove later should a revision be needed. I have removed such materials numerous times in patients in revisional surgery to replace it with a more controlled implantation method closer to the temporal  external surface. (subfascial muscle location)

Temple augmentation with hydroxyapatite, too good to be true? Desperate for second opinions!

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Temple augmentation with hydroxyapatite, too good to be true? Desperate for second opinions!

Answers (3)

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Everything you need to know about Facial Fat Transfer

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