Temple Hollowing

Yes, it is very common to see a brow lift after having temple fillers. Though you shouldn’t expect an improvement for hooded eyes where the excess skin in the eyelid is the primary cause (because that tends to be due to loss of volume in the eyelid and loss of elasticity in that eyelid skin, which cannot be influenced too much by an area so far away as the temples).

There are different techniques to inject temple filler. The safest approach is injecting temple filler deeply close to the bone. With this technique it is rare for the temple filler to migrate. Migration occurs commonly with superficial injections, which are not indicated for this area, as they are more dangerous. Temple filler can move if it is injected too superficially. The patient may notice a lump of filler which can move (migrate) over time.

Choices of treatment for hollow temples include Hyaluronic Acid fillers such as Juvederm, Volbella or Restylane. Additionally, a bio-stimulatory filler such as Sculptra may be used. The other options for temple hollows, which are not recommended by our physicians, are fat transfer or Radiesse. The reason these are not recommended is that they are not reversible. In the event that there was a nodule, or you didn’t want them, they cannot be removed.

Temple fillers should only be injected by an experienced physician. It is not an area to be treated by non-physician practitioners such as physician assistants or nurses due to the risk of severe complications, when not injected properly. Knowledge of patient anatomy and experience is essential to a safe and effective result. The risk of a poor injection technique is intravascular occlusion, which means it was injected into a blood vessel. This can lead to severe complications in the skin as well as visual defects. The safest plane to inject temple filler is near the bone where blood vessels do not exist. In addition, we try to inject from an exact location on the skin where blood vessels are less likely to be.

Temple fillers generally last between 1-2 years and in some cases longer.

Sleeping on your side will not ruin the fillers placed in your temples, but it can flatten out dermal fillers (as well as the natural fat) on cheeks, especially shortly after your treatment. Sleeping on your side shortly after having cheek filler can not only cause the filler to depress, but can also cause it to migrate (move) to other areas.

Temple fillers are extremely comfortable, provided the physician injector is highly experienced and uses the proper technique.

Although many different fillers can be used in the temples, the “ideal” fillers are Voluma, Restylane Lyft, and Juvederm ultra plus. It is not advised to use Radiesse as a temple filler due to the fact that any potential complication cannot be reversed.

Temple fillers help improve the proportions of the face and notably help a patient to look more youthful and attractive. Furthermore, the effect from temple filler is “under the radar”, meaning people will notice you look better, but not what happened!