What is the Safer Option for Filling in Temples: Radiesse or Sculptra. Which is More Likely to Cause Bumps?

Diluting Radiesse with local anesthetic has been recommended in the literature for treating temples (just as it has recommended for treating the backs of the hands). The exact dilution can be individualized according to the specific need. I have found, however, that combining Radiesse with a smooth volumizing agent, such as Juvederm UltraXC, works well in the temple area and gives a smooth (non-lumpy bumpy) result with excellent durability.

I am not a big fan of Sculptra in general since several treatment sessions are typically required to achieve results, the results are not immediate (as they are with Radiesse and other volumizers), and the cost is relatively high.

I strongly suggest that you seek out a board certified aesthetic physician injector who has experience with all available injectable agents and is thoroughly familiar with the ways that they can modified in concentration, amounts injected, and injection techniques to better achieve the desired results in this important cosmetic region.

Thank you for your question.  Both Radiesse and Sculptra can cause bumps in the temple area because the tissues are so thin and immediately overlying bone in this area.  All fillers have this risk in this location.  Fat is a great option and some can usually be found on practically everyone.  A dilute Sculptra  injection would help but is costly and requires months to get significant improvement. Radiesse works immediately but requires some massage to soften the lumps.  Consider consulting a surgeon with experience treating lipoatrophy for the best results.  Best wishes.