POSTED UNDER Botox Reviews
Botox and Hourglass Deformity - Richland, WA
UPDATED FROM Rivergirl37
9 months post
Can't Find Doctor to Fix Temple Area
$560
So after posting my question to the RealSelf doctors I was reassured by all the doctors who said it was really simple to fix the temple area with fillers or implants. In real life though, I haven't been able to find a plastic surgeon who does it in Washington State. I'm having a lower face lift next week with a reputable PS in Seattle and figured we could just add it to the procedure I was already scheduled for, so I asked him. Nope. He doesn't do it because the area is full of nerves and veins and it isn't his specialty. He gave me a list of 5 PS's in Seattle who he would recommend and none of those that I called said they do injections, fat transfers, or implants to the temples either. I'm 9 months post injection and my temples are still quite sunken, I'm pretty bummed that this might be as good as it gets.
Replies (5)
June 30, 2015
Please do not take this wrong.. I had my face ruined by Dysport it has aged my face, hour glass deformity and more. I changed my hair style completely. Made more bangs and wear a lot shorter in length now. It helps cover up the deformity. Just a little idea to help you through your hard time. For me it covers up some of my ugly face now..
July 1, 2015
Thank You For This post,
I am worried too about DESPORT, what changes did you have exactly after the DESPORT and how soon after? Did it cause dents in your forehead as well?
I appreciate your help:)
I am worried too about DESPORT, what changes did you have exactly after the DESPORT and how soon after? Did it cause dents in your forehead as well?
I appreciate your help:)
November 3, 2015
Made my face uneven, the shape of my eyes are very different. One sunk in and the other looks more normal. My forehead and face fell. Bags very bad and more wrinkles than I had. I literally look 10 years older. Wear sunglasses when out and lots of makeup ( never wore much before this) try to stay off the site Bc it makes me depressed.. Chew gum do facial exercises face lotions and more - hope one day it will help..
November 6, 2015
Have you tried lymphatic drainage massage? Perhaps your body is retaining the botox toxin and this could be a way to help eliminate it. I did this and could feel the purging of it for days after. Also have you tried Facial Reposturing?
June 30, 2015
Hi, some doctors inject Voluma in the temples to help give the face a youthful heart shape. Good luck with everything !!!

June 30, 2015
That's what I keep hearing! I appreciate your optimism Adam, but I can't find one. Even if I did manage to find one that does injections, I'm leaning towards a more permanent solution because I'd rather not have to keep risking my face a doctor every few months/years/whatever just to fix what the Botox did to me by a doctor. Having to see a doctor periodically to temporarily fix an 11's problem over and over again is what got me into this mess to begin with. If I can find one who does fat transfers I've heard that's a good option.
July 1, 2015
The same doctor that I know who does the temple Voluma also does fat transfer. He has been voted Best of O.C for plastic surgery the last 2 or 3 years, but he is in Southern California. Good luck.
July 7, 2015
Hi there,
I was injected in the temple area for bruxism (teeth clenching) and I also experienced temple wasting (which I was not warned about either). The injecting doctor only put in 4units of botox either side but the wasting that caused was still very significant. I was very freaked out and afraid my temples would be hollow forever, but once I started chewing gum my temple area filled out again and looks exactly as it was prior to the botox injections. The temporal muscle is a very large chewing muscle, so try chewing a few pieces of gum for a few hours a day and I'm positive you will see improvement! It may take a month or so but if you keep it up this should help, if not solve your dilemma!! Wishing you all the best, keep us updated with any improvements Xx
I was injected in the temple area for bruxism (teeth clenching) and I also experienced temple wasting (which I was not warned about either). The injecting doctor only put in 4units of botox either side but the wasting that caused was still very significant. I was very freaked out and afraid my temples would be hollow forever, but once I started chewing gum my temple area filled out again and looks exactly as it was prior to the botox injections. The temporal muscle is a very large chewing muscle, so try chewing a few pieces of gum for a few hours a day and I'm positive you will see improvement! It may take a month or so but if you keep it up this should help, if not solve your dilemma!! Wishing you all the best, keep us updated with any improvements Xx

July 15, 2015
Did your doctor tell you that the temple wasting was from the Botox he injected? I'm surprised at the number of them that won't even admit that it CAN do that. It's been 9 months now, and I have been chewing gum. I see a little bit of improvement but unfortunately not enough to consider this situation solved. I'm not young and I didn't have a lot of volume there to lose so it's being resistant about fully filling in, but I appreciate your optimism.

July 8, 2015
LOOK at my TEMPLES! same thing atrophy! OMG I thought I was aging badly but it was the botox effects!
UPDATED FROM Rivergirl37
7 months post
Side Effects of Botox - Why Temple Wasting is Not in Patient Literature
An interesting thing I was told while discussing all this with Allergan is that Allergan is not required to list any side effect that they did not observe during their clinical trials. I said, well what about the medical studies that have been done where doctors have noted this side effect 100% of the time when the temple muscles have been injected? She said it doesn't matter if 1,000 doctors discover and write about a side effect that they found, and attribute it directly to Botox, Allergan would still be under no legal obligation to add that side effect to their patient literature.
However, the Allergan rep told me that if enough patients contact Allergan and report the side effect then they CAN add it as a potential side effect (note that she didn't say how many people are "enough"). I asked her how many people had reported this problem already? She said nobody, then she said she wasn't sure, then she said that there was no way to know how many because they could be calling it temple muscle atrophy, or temple wasting, or forehead dents, or whatever, so it would be impossible to add them up because there are too many ways to describe this problem.
So that, my friends, is why this KNOWN side effect is not in the patient literature, according to Allergan.
However, the Allergan rep told me that if enough patients contact Allergan and report the side effect then they CAN add it as a potential side effect (note that she didn't say how many people are "enough"). I asked her how many people had reported this problem already? She said nobody, then she said she wasn't sure, then she said that there was no way to know how many because they could be calling it temple muscle atrophy, or temple wasting, or forehead dents, or whatever, so it would be impossible to add them up because there are too many ways to describe this problem.
So that, my friends, is why this KNOWN side effect is not in the patient literature, according to Allergan.
Replies (4)

May 1, 2015
Wow, good investigative work! Did Allergan contact you? I know you spoke with a rep last week.

May 1, 2015
I spoke with multiple people on multiple days with my questions. Mostly I was trying to get a copy of the report I'd made with them so I'd have it for documentation. I was curious what exactly gets reported to the FDA via this process when you call in. First I was told that I couldn't get a copy of my own report that I'd filed about myself with them. Then they told me nobody asks for that so they don't know if I can have a copy. Finally they decided that I could have a copy of the Medwatch report, that's what goes to the FDA, but as of yet I haven't seen it.

May 1, 2015
And no, Allergan did not contact me about the side effect that I reported, the only time they contacted me was when the rep let me know that I would be able to get a copy of the Medwatch report (yet to be seen).
May 2, 2015
Hey Rivergirl37 That just figures that they would cover their butt. "They are not required" to list side affects that were discovered in trials................GEE, All they have to do s NOT mention it then. I think THEY darn well know and I think SOME Doctors know.
Did you search FAT TRANSFER on here It says the can place it in the temples.

July 1, 2015
This is another lie by the rep. Any computer programmer would be able to enter the above issues and perform a search to identify others with the same problem. It's not difficult at all, if they're truly interested in learning the facts

July 1, 2015
I know dta, I'm a database programmer myself. I get the feeling that they are only collecting this information for the FDA because it's required of them. They have no interest in getting facts to the public if it will harm their bottom line in any way. If temple wasting was fatal it might have a chance at making it into their literature, but it isn't, so it won't.
July 1, 2015
I agree they're not that interested in learning ALL the facts. That would compromise their bottom line. I wish you all the best
July 2, 2015
Hi I've found a website http://www.botoxsupportcommunity.com/information. there are lots of people on this website that have suffered long term side effects from botox. they also have medical proof and documentation to prove that it's botox that is causing these problems. I hope this helps.
UPDATED FROM Rivergirl37
7 months post
Botox and Scuba Diving
It was suggested today at the injecting doctor's office that I caused this temple deformity to happen to myself because I flew to Hawaii a month later and went scuba diving. Somehow when you get Botox I guess it makes your temple area so fragile that the increased pressure from scuba diving (or just from flying) can make your head squish. Or something. She was serious.
Replies (5)
April 22, 2015
That's terrible!! Just what you need to hear, right? GRRR Sorry for all your troubles.

April 22, 2015
Thanks, I'm okay, I'm just wondering if they'll ever decide to look into what the real cause was so they can prevent this from happening again, right now they're pretty focused on convincing me that I did this to myself.
As soon as I saw that picture of the woman from the Guyuron study (the one I posted here) I knew that's what had happened to me. I was relieved actually because I had been terrified that something terrible was wrong with me. I'm not going to die from this, I just look weird. But like most people, I'd rather NOT look weird.
April 22, 2015
I hear you, I just hate that instead of looking for a cause, as you stated that they are immediately on the defense, like you did something wrong. I was just snorkeling in the Keys last week and that didn't happen to me. They should be doing research on this instead of trying to shift blame. Since the very nature of Botox is temporary, I'd be optimistic that it will resolve itself once it's all out of your system. Hang in there!
April 22, 2015
That's not true bc I went nowhere. Haven't travelled after my bad poison injection. They are trained to say its from everything else but the poison. You should of said you're kidding right. Then slap some sense into her.

April 22, 2015
Of course it's not true!!! And, I'm a little offended she thought there was even a remote shot at convincing me that her theory was anywhere within the realm of physical possibility.
April 22, 2015
Aloha Rivergirl,
I also have had major issues with Botox same thing but I am sick on top of it! I have dents in my face not only hollow temples but above my eyebrows that I have to put filler in to hide the dents it terrible especially now that I will not and have not gotten Botox going on about 7 months. This last year has been hell, I have kept notes & have noticed over this last year that when I did get a Botox treatment I got sick, I had like a flare up of every issue my body was going through, my digestive track has been hit the hardest I am seeing a specialist today, I had three treatments over the last year 2014 in November. I started asking questions I saw three separate DR's each one saying no way Botox is safe and it is your body. I finally found realself & read all of these horrifying stories & have realized that I have poisoned myself and these DRs are told to deny everything. You have the hollowing because of Botox and I do too! Its terrible I think it destroyed the surrounding muscle. Now my body is also feeling the effects if you read the new published warnings you will see that we are not alone in all of this and I am scared to see what will happen next. I am fighting every day for my health, I have good days and bad but the bad days have sent me to the ER I have what feels like my digestive track has been burned hard to eat I want to vomit acid this is just over the last year I had 3 attacks each one after Botox. I guess my body can't break the poison down anymore but for these Drs to blame us and tell us its your body its all you we know nothing is a lie! I hope you get better feel free to contact me if you wish but I plan to let as many people know so that we stop this or they admit that they are making us sick! Take Care!

April 22, 2015
Sorry you're going through all that, I just have the temple hollowing. Did you file a report with Allergan and the FDA?
April 23, 2015
I now plan to as I have a Dr behind me she is my Gastroenterologist who I saw today, I told her about what I was experiencing she is also a scientist and actually pulled up on her computer system all the side effects of Botox and said she had been very uneasy regarding Botox. She is running all kinds of labs blood work etc. to get to the bottom of what is happening to me. I love the fact that she did not brush me off she truly thinks that the Botox has caused some serious problems, we will soon know. My endoscopy is scheduled for next week but also wants me to see a few other Drs, She plans to write a letter to the board as she called it to bring the attention to the Drs that she is on the board with so I feel that it it will soon be or shall I say the Drs will have to inform us of all of the health problems prior to injecting people all that botox may cause! It is a great start.
Thank you for your nice reply. Keep me posted I am curious to know how long it will take for your temples to go back to how they were prior.
April 30, 2015
Thank you for your reviews, and I am glad you are sticking up for yourself. The way the doctor's office responds to you is unacceptable. I have noticed that botox results depend very highly on the skills and knowledge of the injector, and they vary widely. I am sorry you have to deal with this. I've had botox with a dermatology nurse, and she is wonderful. She gets botox herself, and does botox for her friends and colleagues, some of whom I met. That was the reason I trusted to use her. But I understand everyone does not have that luxury.

April 30, 2015
Thanks. I'm glad you're having good results. My advice to everyone is never become complacent about who is injecting you, Allergan lets practically anyone buy and inject it, and it IS a toxin that can cause harm. Just because someone is an MD doesn't mean they have been properly trained in all the ways you can screw up and injure a patient and how to prevent that.
April 30, 2015
r u serious ? that cant be true can it ?

DR H SHAH in Henderson NV does filler to the temples, he did mine with Restalyn and they look SOOOO much better. I will get more after the 4 TH to complete it. He mentioned the nerves in this area and had to place it very carefully, feeling my temples as he injected so not to damage any nerves. I have been very happy so far with all DR H SHAH has done.
Check Him out on here. Let me know if you have any questions because I know how you feel about dented in temples.
All The Best To You.