I have significant volume loss in the temple region on both sides of my face, as seen in the picture. I’ve researched and it seems fillers are the only possible treatment. Is that correct? I worry about the blindness possibility that’s linked to fillers, though. Is there a way to know beforehand that the risk is eliminated? Does the “aspiration” test guarantee you’re not hitting a vessel?
May 21, 2019
Answer: Filler to temple safety Filler to the temples is relatively safe procecedure. By infiltrating with lidocaine with epinephrine and use of a blunt cannula in this region, I believe it is even safer. Fillers and fat grafting are options. Renuva might also be a good option, as it is a human derived filler with potential for longer lasting by ingrowth of your own fat cells. I have used Juvederm and Vollure, and done fat grafting. Fat grafting is the most economical for the amount sometimes needed. A practitioner should have hyaluronidase on hand if injecting fillers for emergencies.
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May 21, 2019
Answer: Filler to temple safety Filler to the temples is relatively safe procecedure. By infiltrating with lidocaine with epinephrine and use of a blunt cannula in this region, I believe it is even safer. Fillers and fat grafting are options. Renuva might also be a good option, as it is a human derived filler with potential for longer lasting by ingrowth of your own fat cells. I have used Juvederm and Vollure, and done fat grafting. Fat grafting is the most economical for the amount sometimes needed. A practitioner should have hyaluronidase on hand if injecting fillers for emergencies.
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May 18, 2019
Answer: Filler to temples In experienced hands, filler injection is a very safe procedure. Vascular compromise leading to blindness has been rarely reported after filler injections. Fortunately, this is a very rare side effect and very unlikely with good technique. (Not something that most injectors have encountered). Aspiration can be helpful but it is not a guarantee that you are not in a vessel. The most important decision is to choose your injector wisely. Risk cannot be completely eliminated but an experienced injector using good technique will help minimize any risks.Regards,Dr. Ort
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May 18, 2019
Answer: Filler to temples In experienced hands, filler injection is a very safe procedure. Vascular compromise leading to blindness has been rarely reported after filler injections. Fortunately, this is a very rare side effect and very unlikely with good technique. (Not something that most injectors have encountered). Aspiration can be helpful but it is not a guarantee that you are not in a vessel. The most important decision is to choose your injector wisely. Risk cannot be completely eliminated but an experienced injector using good technique will help minimize any risks.Regards,Dr. Ort
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