Best option for hollow temples? Looking for NYC consultation!

Question

Hello! I have sunken temples and want them plumped out. I keep getting conflicting advice on fillers. I am also open to fat transfer but would like to know more about what that entails, including cost. Thank you!

Michael P. Morrissette, DDS, FACS · Answer

Fillers and/or autologous fat are a simple solution to this problem. However, this area requires several syringes of filler and is temporary. If you want a permanent solution, silicone temporal implants are a safe and permanent solution. They can be placed in the office under IV sedation. Good luck

Nima Shemirani, MD · Answer

Hi @peachykeen77. Juvederm Voluma and Sculptra are great options for the temple area. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Michael A. Zadeh, MD, FACS · Answer

This depends on your goals, how quickly you want to see results, and how long you want those results to last. The best options for hollow temples in my opinion are Sculptra and Fillers. Make sure you see an experienced physician injector for an in-person consultation and evaluation. Best wishes.

Omar Lazos, MD · Answer

The easiest way to solve this is with high density fillers, like Voluma from juvederm, that goes deep in the tissue above the periosteum. It's has excellent inmediate results. The other option is a more permanent method that is fat transfer. Hope this help's you on your questions, best regards!

Jason Emer, MD · Answer

if you want long term improvement you should do sculptra + fat or bellafill.  If you want more improvement but nothing substantially long use radiesse, voluma or lyft/defyne instead of fat or bellafill.  Always add sculptra.  Please see an expert the best improvements are in a series of treatments to optimal correction then mainteance 1-2 times a year. Best, Dr. Emer.

Juan Carlos Fuentes, MD · Answer

The easiest way to treat a hollow temple is with a hyaluronic acid based filler, like Juvederm Voluma, or Belotero Volume. The procedure takes about 20 minutes, with minimal discomfort and you can see the results right away, and they last for about 18 to 24 months. There are several advantages using a filler over fat grafting, the filler is reversible and if the patient does not like the result, you can get hyaluronidase to remove it, is minimal swelling and discomfort involved and the cost is very reasonable. The fat grafting is more expensive, invasive, more swelling and discoloration involved, more discomfort, is less predictable as in one side the fat may survive better than in the other side, and also the volume changes as the patient gains or loses weight. Consult with a very experienced Dermatologist, Plastic Surgeon or Facial Plastic Surgeon who performs this regularly and with good results.

Michele S. Green, MD · Answer

Sculptra will give you the best results for this area and can be safely used to fill this entire area.  It will take at least 3 treatments spaced one month apart and the results will last about two years in duration. There is no other filler that is a liquid and can treat this entire area. Please consult an expert in facial cosmetic injections for the best results.  Best, Dr. Green

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Based upon your photo, I believe you would benefit from a dermal filler such as Juvederm, however an in person consultation is the way to learn of the best treatment options for you.  Dermal fillers are temporary, however, the results are immediate and the procedure is quick.  If you like the results, you may opt for a more permanent solution down the road - such as fat grafting or temporal implants.  Definitely consult with a board certified facial plastic surgeon - who have training and experience specific to the face/head.  Best,Dr. S.