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?
Answer: Risk of blindness with fillers in upper face. Vision loss with filler injections is something that has been reported. It is very rare but obviously catastrophic if it happens, especially for an elective procedure. Your risk is exponentially reduced if the injector knows what they are doing. The temples are actually less risky than injecting frown lines between the eyes. When using a needle to inject, the filler should be injected on the bone where there are no blood vessels. Injections can be done more superficially but a blunt cannula should be used. The bigger the cannula, the less risk of penetrating a blood vessel. The injection should be performed very slowly. Aspirating before injecting is helpful, but not a very reliable way to avoid injecting into a vessel. Using a long lasting product like Bellafill or using your own fat will reduce the risk because you will not need to keep repeating the treatment. If you go to a doctor who is properly trained and very experienced, you need not fear getting fillers in the temples any more than you would fear getting on an airplane.
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Answer: Risk of blindness with fillers in upper face. Vision loss with filler injections is something that has been reported. It is very rare but obviously catastrophic if it happens, especially for an elective procedure. Your risk is exponentially reduced if the injector knows what they are doing. The temples are actually less risky than injecting frown lines between the eyes. When using a needle to inject, the filler should be injected on the bone where there are no blood vessels. Injections can be done more superficially but a blunt cannula should be used. The bigger the cannula, the less risk of penetrating a blood vessel. The injection should be performed very slowly. Aspirating before injecting is helpful, but not a very reliable way to avoid injecting into a vessel. Using a long lasting product like Bellafill or using your own fat will reduce the risk because you will not need to keep repeating the treatment. If you go to a doctor who is properly trained and very experienced, you need not fear getting fillers in the temples any more than you would fear getting on an airplane.
Helpful 5 people found this helpful
May 18, 2019
Answer: Safety of Temple Fillers Thank you for your question and pictures. Fillers are a great option for restoring volume in hollow temples. I often combine Fillers with Sculptra to provide a longer lasting result. In the right expert hands, with extensive knowledge of anatomy and use of proper technique the injections can be performed safely. Aspiration is not a guarantee that you're not in a vessel. Make sure you see an experienced physician for an in-person consultation and examination. Best wishes.
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May 18, 2019
Answer: Safety of Temple Fillers Thank you for your question and pictures. Fillers are a great option for restoring volume in hollow temples. I often combine Fillers with Sculptra to provide a longer lasting result. In the right expert hands, with extensive knowledge of anatomy and use of proper technique the injections can be performed safely. Aspiration is not a guarantee that you're not in a vessel. Make sure you see an experienced physician for an in-person consultation and examination. Best wishes.
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Answer: Temple Filler Hollow temples are the most commonly overlooked area. As we age subcutaneous tissue is lost leaving a “skeletal-like” appearance. Needle technique is one of the most important factors when it comes to Dermal Filler. What makes a physician an “Expert Injector” is the understanding of the facial anatomy to lower any risks.
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Answer: Temple Filler Hollow temples are the most commonly overlooked area. As we age subcutaneous tissue is lost leaving a “skeletal-like” appearance. Needle technique is one of the most important factors when it comes to Dermal Filler. What makes a physician an “Expert Injector” is the understanding of the facial anatomy to lower any risks.
Helpful
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.
Helpful
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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