Voluma only lasted a few months in temples. Is there a different option that actually works? (Photo)

The temporal region can sometimes require several syringes of filler on each side.Some people do experience a faster rate of resorption that others when Hyaluronic acid fillers are used. A second option would be to use your own fat to add volume to this area. However, my recommendation would be to consider silicone temporal implants. They can be customized and placed below the fascia and will not need constant replacement like fillers. The incision is small and in the hairline and the look is natural. 

Thank you for your question and providing pictures.  I would suggest trying Bellafill for longer lasting results.  All the best!

As we age, the face naturally loses volume, specifically in areas like the temples and brow area. Soft tissue fillers like Radiesse are great for lifting the brow, filling out the temples, and making the face appear more youthful. Sculptra is an alternative. I suggest getting a formal consultation with a cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Hello and thank you for your question and pics. The number one reason people think filler does not last long for them is that they didn't get enough in the first place. Based on your pictures, you would still benefit from another syringe of Voluma per side, which means you needed at least 2 syringes per side for optimal correction. My patients usually get about 1.5-2 syringes per side on average. I often combine this with a collagen stimulator called Sculptra which provides a gradual, longer lasting result. Sculptra works very well for the temples and results can last 3-5 years. Make sure you see an experienced physician for an in-person consultation and evaluation. Best wishes.

Bjhsc,
Great question!  For longer lasting results, I like to use autogenous fat.  While some volume loss is expected after fat transfer, you will typically get a 50% improvement.  With a baseline improvement, additional fat can be used later, or "tweaking" can be performed with other fillers such as Voluma or Radiesse.  
As always, it is prudent to have an in-person evaluation by an expert with knowledge of the anatomy in the region to obtain safe and consistent results.
Cheer!
Dr. John R. Nesiba

Hello, and thank you for your inquiry! Another option for temple volume would be to do a few sessions of Sculptra. Sculptra is ground up dissolvable suture that stimulates collagen production. You can start with as little as one vial to start and re evaluate in one month. This can be done in conjunction with the Voluma. Good luck on your journey!

You can can do more hyaluronic acid filler. Sculptra will last longer by two to three years but usually requires a series of injections over several months. Radiesse is not a hyaluronic acid but is like Voluma in the sense that it is often promoted as having greater longevity than most hyaluronic acid fillers but typically does not. Properly performed fat transfer lasts for decades and is usually one procedure but has more swelling immediately after the treatment.

I use diluted Restylane Refyne or Restylane Defyne superficially in the temples or Sculptra deep in the temples. Of the 3 of them, Sculptra would last the longest although it also takes some time to see the results. 

Filler in the temples can be injected deeply with a needle or can be injected more superficially with a cannula.  I usually prefer the latter because I feel it is less invasive and you get more visible results using less product.  When filler is placed deep, you need more product for visible results. You might want to use a product with a higher G prime such as Restylane or Restylane Lyft. The most important thing is to see a skilled injector. Regards,Dr. Ort

Voluma is a very good option in the temple area.  It may be that you just need addtional product based on how much volume you lost.  Other options for injections into this area include radiesse, belafill or fat transfer which may give you more longevity.