Is it safe to add filler to hollow temples in this specific area? (Photo)

Question

In the photo you can see a hollow area above the cheekbone right beside the ear. Is it safe to inject filler into this area to reduce the hollowing? The area is under the sideburn hair above the cheekbone, next to the ear. The exact location is marked in the attached photo.

Jason Emer, MD · Answer

Yes, fillers (Juvederm, Radiesse), Sculptra or fat can be used for the temples. I recommend you see a facial sculpting expert for a formal evaluation. Best, Dr. Emer

Maurice M. Vick, Jr., MD · Answer

Yes it is safe in the temples. I prefer to inject Voluma deeply in that area for the best filling and lifting results. Care must be taken to avoid blood vessels in that area. It is a commonly treated site in my practice. Best Wishes, Maurice Vick MD

E. Ronald Finger, MD · Answer

Yes, it is safe to inject a filler into the temple area providing it is done by an experienced plastic surgeon. I highly suggest using a micro-cannula for the injections to avoid injury to arteries or veins in that area.Thank you fro your question and good luck.

Alim R. Devani, MD, FRCPC · Answer

Yes, this is very safe to do as long as you see an expert injector. These are advanced techniques so be sure to get an experienced cosmetic dermatologist consultation for recommendations and treatment options.

Gerald Pierone Jr., MD · Answer

Hello and thanks for posting.
This is a common area for volume loss and facial fillers injected into the temporal hollows work well. Many different types of facial fillers may be safely placed in this location. 
  
An HA filler such as Voluma or Juvederm Ultra Plus works well in this location. For a more durable filler, Sculptra or Radiesse would fit the bill. I have also used Bellafill in the off-label region. Bellafill is a hybrid product that contains PMMA, a permanent component. 
  
I hope that this information helps and best of luck to you!

Stephen Weber MD, FACS · Answer

Yes this area can be filled. A filler such as Radiesse can be placed beneath the temporalis muscle to fill the temporal hollow. The results look very natural and are safe. Most will experience mild jaw soreness for a couple of days. I've had this injection performed on myself and am very happy with the results. Best.

Renata Wix-Harris, MD · Answer

The temples are a common area to inject with fillers to improve hollowness. There are some important blood vessels in that area that should be avoided, but in the hands of an experienced physician it is a safe procedure. Make sure you see a board certified physician. Good luck!

Amanda Abramson Lloyd, MD · Answer

Yes! You most certainly can have filler placed there. There are two ways of replacing the list volume in the temples, either deep along bone or more superficially. The physician and the product used will determine where it is injected. Though hyaluronic acids are fabulous, Sculptra in a youn individual such as yourself is amazing. It naturally builds collagen to replace the volume you've lost. The one good/bad of Sculptra is that it takes 6-9 months to see results because you have to wait for your own natural collagen to grow. The most important thing is to find a board certified physician you trust and you both will work together to accomplish your rejuvenation goals!

Anna Avaliani, MD · Answer

It is very safe and you are a great candidate as your temple fat pad is very thin.  Your options are : Fat transfer, or dermal fillers such as Juvederm Voluma or Restylane Defyne  or collagen booster such as Sculptra esthetic.  I highly recommend to set with quickest and easiest option such ah dermal fillers before considering invasive options like fat grafting. I always use microcannula technique to decrease any chance of bruising, give less swelling and avoid injecting into a blood vessel.  Please seek an expert consultation for best option for you. Best, Dr.Avaliani

Alex Eshaghian, MD, PhD · Answer

Thank you for your question and for sharing your photograph mts808.
I understand your concern. Fillers are used to restore lost volume in and
enhance the appearance of the face.The temporal region is located on the upper side of the face just above an imaginary line going from the corners of the eyes to the ears. At birth there is a fat pad in this area but it is lost slowly over time; this is called temporal hollowing. Some conditions such as HIV lead to an acceleration of the loss of this area. Fortunately fillers such as Voluma can be placed in this area to restore lost volume. This will provide a smoother appearance of the upper outer face and decrease the appearance of bony protrusions of the cheek bones.Other products such as Radiesse and Sculptra can be placed in this area. But hyaluronic acid fillers such as Voluma  and Restylane Lyft (previously called Perlane) have the advantage of having a high safety profile as they can be dissolved in the event of an adverse effect. The most common adverse effects associated with injections in this area include redness, swelling, bruising, and tenderness. Very rare, but serious complications include vascular occlusion, which occurs when the product is inadvertently placed into a blood vessel, leading to loss of blood supply in the region. Consequences include temporary discoloration, scarring, and irreversible blindness. Such rare complications are much more easily managed when the product used can be dissolved.
Please consult with a doctor for specific
recommendations.  Good luck!

Is it safe to add filler to hollow temples in this specific area? (Photo)

Answers (10)

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