Need solution for sunken temples (Photo)

Great question! Your best option to restore the temple contour and fill the volume defect is to have filler placed in the area of concern. In general there are two types of filler, synthetic off-the-shelf nonpermanent fillers (hyaluronic acid) such as juvederm or restylane, or semipermanent fat which is harvested from an inconspicuous area of your body, processed and injected into an area. Depending on the area the fat is transferred to, a variable amount of the fat will survive and can be anywhere from 0% to as high as 70%. Given the area of concern in your case is the temples, I would recommend synthetic filler which can last up to 18-24 months depending on the particular filler brand/type chosen. Although fat grafting (transfer) is an option, we know from published experience (as well as my own personal experience) that fat transferred to the temples typically has a low percentage "take" as most of the fat transferred is simply reabsorbed by the body after several months. Thus the results with fat transfer will likely be much shorter lived and definitely more unpredictable than synthetic fillers in your case.

Fillers and fat can accomplish the same thing, adding volume. However fat not only provides volume, it also adds stem cells which have huge benefits for your skin and surrounding tissue. Discuss these with your plastic surgeon. With regards to cost, it may vary between practices. See a few doctors and compare. Questions to ask include what donor site is used, how the fat is prepared, and how it is injected under the skin. I wish you the best!

Thanks for the questions. 
Fat grafting can be a good solution for restoring volume to the temples. Usually I have seen this in older patients who have lost volume due to fat atrophy over time. Fat grafting has the advantage of being a relatively straightforward procedure, done in the office, and it is your own tissues. The downside is that it will be more expensive than a single round of fillers, and it may take multiple rounds of grafting to get the result a patient desires. 
You may be a good candidate, but an in person exam is needed. Photos may not show the true extent of atrophy or lack of volume in a region. 
Pricing varies widely based on the physician performing it as well as the location. I often advise patients to 1. choose a qualified surgeon to do this procedure (not just any physician or PA who states they do it), and 2. do not let price be a determining factor. One place to not go cheap on is someone's own body!
Best wishes, 
Rohit Jaiswal, MD
Plastic Surgeon 

Dear Dottyliu,the cost of surgery depends on a lot of factors (type of surgery, number of treated areas, anesthesia fee, surgeon, facility fee, city, etc.). It would be the best to visit or call plastic surgery offices and ask for a price.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Temples can be improved with fillers (radiesse, voluma) or sculptra. Fat is an alternative. cost will vary. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Facial fat transfer, also known as facial fat grafting or lipoinjection, is a cosmetic procedure that involves injecting fat into the face to restore volume and improve the appearance of the skin: How it worksFat is extracted from another part of the body, usually the abdomen, thighs, or buttocks, using liposuction. The fat is then purified and injected into areas of the face that need volume, such as the cheeks, under the eyes, or around the lips. BenefitsFacial fat transfer can help to: Fill in sunken cheeks and the eye area Reduce the appearance of line folds and scars Enhance lip size Improve overall skin quality AlternativesFacial fat transfer can be an alternative to a more invasive facelift. It can also be combined with other treatments, such as dermal fillers or Botox, to create a more sculpted look. RecoveryAfter the procedure, patients can expect 7–10 days of swelling and some mild bruising. PermanenceWhile facial fat transfer is considered a permanent intervention, only about 60% of the injected fat is retained.

Hi, I have performed this procedure on several patients which has lasted for several years. It really depends on person to person, because not all patients have the same results. I personally think that fillers can help, but also that it is something that will have to be redone at some point. Fat transfer can last much longer. Again, this varies from individual to individual. Hope this helps. 
Good Luck

You are correct that fat is probably your best option but in my experience over  more than a decade of treating this area, it can be difficult to get a good take of the fat in this location..  You must factor unpredictability into the expense.  Permanent fillers such as Artefill have been used in this location but can be problematice with long term lumpiness and inflammation. Visit with a couple of board certified plastic surgeons who can show you their results with fat grafting then decide. 

The cost of fat grafting will be extremely high because it will NOT work in this area.
It will probably be more expensive than fillers and last three months at best
The area has no tissue to graft the fat into unless grafting into the temporalis muscle which I would be very reluctant to do.
In order for fat graft to survive they have to be grafted into a substantial layer of vascular I live in tissue.
If you can find a provider last experience grafting directly into the temporalis muscle with good long-term results that you may want to consider this.
Grafting fat below the skin will fail.
It's very important to understand the anatomy of this region do you understand why I'm certain treatment options would work while others would not do.
While deep send grafting it's in the muscle could potential he work so I put it custom-made implants as long as it's planted deep to the temporal parietal fascia.
For your particular situation I would consult for more board-certified plastic surgeon is in person then for most situations.
Best of luck,
Mats Hagstrom, MD

Thank you for the question and I would go on some complimentary consultations with experts and compare recommendations and fees and find your surgeon Dr Corbin