Sculptra for temple hollows before or after under eye surgery? (photos)

Question

I’m 47 and wondering if I should wait until after I have a lower and maybe upper eye blephoraplasty before I have Sculptra injected to my temple hollows? I have a lot of excess skin and fat loss in my face - I’ve pretty much stayed the same weight my entire adult life except for pregnancies. I had tear trough filler in June of 2019 and it’s ok, but I see some bluish color underneath and it doesn’t take care of the excess skin. Thanks for your input.

Nelson Lee Novick, MD · Answer

Frankly, based upon the earlier photos provided, I would not have jumped to treating your tear troughs with fillers. There appeared to be a significant amount of volume depletion in the upper cheeks, which serve as an important support for the under eye region. My bet is that if the cheeks had been appropriately volumized with a volumizing filler, such as Voluma XC (which I would use in my NY office) or Stylage XXL (my choice for this in my Israel satellite facility, where a far greater number of regulatory agency approved injectable fillers are available) this region would have provided sufficient support to the under eye area so as to achieve significant secondary improvement in the infraorbital region. Despite the fact that the tear troughs had been treated first, I believe it is still worth discussing this approach with your physician before jumping to aggressive blepharoplasty surgery. As to the temples, this is a separate aesthetic zone and can be done alone or in combination with the above if so desired. My choice for volumizing filler here is Juvederm Ultra Plus XC (NY) and Princess Volume (Israel). Make sure that you are consulting with a board certified aesthetic physician with experience and expertise with injectable volumizing fillers (and not just with treating simple smile lines with ordinary Restylane or plain Juvederm). Be certain to ask to see his/her personal before and after photos. Best of luck.

John L. Burns Jr., MD · Answer

The temple is a separate anatomic region and could be done at the same time as your blepharoplasty.  However, it may worsen swelling if done at the same time.  Sculptra is not a filler in the strict sense as it is more of a collagen stimulant than a true filler.  Volume correction in the temples generally requires a significant volume of filler for full correction.  In addition to Sculptra other options would include:  Restylane Lyft, Voluma, Radiesse, and autologous fat transfer

Michael I. Echavez, MD · Answer

I think that the temples could be treated with Sculptra before or after eyelid surgery.  It is possible to get some swelling after eyelid surgery or Sculptra, so I would probably wait at least 2 weeks in between procedures though.

Dmitriy Schwarzburg, MD · Answer

I would recommend staying away from Sculptra in the temple region as it can create more swelling than necessary. With Sculptra, you need to be very careful as sometimes it can create more volume than expected and that may not look natural. There is no way to predict how your face will respond to Sculptra and it can’t be reversed. I would recommend doing a hyaluronic-based acid filler for that region. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Shaun Patel, MD · Answer

Your eyes could be treated either before or after your surgery. If it is after the surgery, you will need to wait until any swelling from the surgery has resolved. I would mention that you are having this treatment to your surgeon.

Leonard Grossman, MD · Answer

Instead of having surgery on your lower eyelid area, you should undergo autologous fat grafting. Fat can be grafted absolutely anywhere on your face including the temples, cheeks and lower eyelid area with natural and permanent results as long as it is performed by a plastic surgeon who is well-versed in fat grafting techniques. fat grafting should make your face look at least 15 to 20 years younger as well. I hope this helps and good luck from New York City

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi thereYou can do your Sculptra injections before your procedure with no issues. If you do after you would surely want to wait until all the swelling has subsided and as always discuss this with your surgeon.Best of luck...

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