Unattractive, flat temples and atrophy of sides of head. Treatments for volume loss across scalp, forehead and temples? (Photos)

Question

I have volume loss across my head and it significantly changed its shape. I have volume loss on temples and forehead (dents) but also the loss stretches from temples into the hairy part of my head on the sides. It feels like my head's width shrunk. This ruined the proportions of my face (now it's bottom heavy) and also my outer eyebrows droop(because there is literally no flesh there). What can be done? female, 33 (not me in pic, but it shows what I mean and the difference in attractiveness)

George Yang, MD · Answer

It is true the temples can be revolumized with injectable fillers, Sculptra, fat, or a silicone temple implant.
However, in this age of selfies with our smartphones, one thing to consider is that the smartphone selfies can cause a "fisheye" effect, because the lens of the camera on the phone is only 1-2 mm wide. This causes a photo which is from the point of view of an ant looking from a 1-2 mm spot on the phone from arms length, sometimes even closer. 
In these smartphone selfies, you will notice that the ears also look more pinned to the side of the head and the amount of skin showing outside of the eyebrows is less. 
Have a friend or set a timer on your phone to take a photo of yourself from at least 6-8 feet away. Then compare your arms length selfie photo to a photo from 6-8 feet away. If you are facing the camera straight on both photos you will notice that there is more skin showing outside the eyebrows and the temples appear fuller with the photo from far away. The ears will also appear to protrude further from the head.
The point of explaining this photographic distortion is to make sure you are not performing cosmetic procedures for the wrong reason. Perhaps you still would benefit from some revolumization of the temples, but not as much as you think.
If the temples are too full, that can make the person top heavy, like the character on Sponge Bob, called Squidward. 
The key is creating balance, and not focusing purely on making one area particularly full to fulfill a perceived defect.
Best,
Dr. Yang

Jonathan Kulbersh, MD · Answer

Hello and thank you for your question. If volume loss is your issue, it can be addressed using some injectable dermal filler in the temple area. There are a variety of filler options to consider, and the duration of your results will depend on the specific filler used and how quickly your body breaks down the filler. I encourage you to schedule a consultation with an experienced, qualified injector who can assess you in person and create a customized treatment plan based on your precise concerns and goals.

Jason Emer, MD · Answer

As we age, the face naturally loses volume, specifically in areas like the temples and brow area. Soft tissue fillers like Refyne and Defyne are great for lifting the brow, while more dense fillers Radiesse and BellaFill work to fill the hollows of the temples, making the face appear more youthful. Sculptra is also an alternative. I suggest getting a formal consultation with a cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Michael I. Echavez, MD · Answer

There are a variety of dermal fillers that could be used to add volume to the temples and areas of the forehead.  An examination or pictures of you would be needed to determine if you might be a good candidate for treatment.

Nitin Bawa, MD · Answer

Fillers can be used for loss of Volume in Temples. I like juvederm Voluma it is smooth yet thick and helps to volumize areas that have lost volume.

Somyos Kunachak, MD - Account Suspended · Answer

Hi HollowEyes987654321,

A good solution for fat volume loss is fat transfer and this can be done to the temple area in order to get the fullness back. The outer eyebrow drooping can be corrected either by botox, temple lift, or direct browlift.

Unattractive, flat temples and atrophy of sides of head. Treatments for volume loss across scalp, forehead and temples? (Photos)

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