Temple Augmentation: Fillers, Sculptra and fat grafting improve hollow, sunken temples with no downtime

While you may be protecting your skin from harmful sun damage and sticking to your new daily skin care regimen, you cannot combat the effects of aging with serums and cleansers alone. Various areas of our face are prone to natural volume loss as we age, including the brow, cheeks, and the often ignored temples. Physically active and athletic individuals are especially prone to sunken temples, which give your face a thin, gaunt appearance and cause the eyebrows and upper face to sag prematurely.

Using injectable fillers, Sculptra injections, and/or autologous fat grafting, board-certified dermatologist, cosmetic surgeon, and facial sculpting specialist Dr. Jason Emer contours and restores volume to depressed, hollow, or sunken areas of the face. Using an anatomical and structural approach to temple augmentation, Dr. Emer addresses not only the temples but all areas of the face, including the cheeks, brow, and under the eyes, giving a complete facial rejuvenation that improves facial balance and structure, defines the ogee curve, and creates a healthier, more youthful, and more rested appearance.

How does it work?

Hyaluronic acid (HA) fillers use a substance that is naturally found in your body to replace lost volume, contour the temples, lift the brow, and create a softer profile from the forehead to the cheekbone. The temple area requires an ample amount of filler to obtain visible results, so Dr. Emer injects deeply into various quadrants of the temple to fill the hollows, improve upper facial balance, and lift the brow in a single, painless, no-downtime treatment. Depending on the patient’s unique needs and goals, Dr. Emer uses a range of HA fillers, including:

  • Belotero Balance, a thin, versatile, soft tissue filler that integrates nicely into the skin without any lumps or bumps.
  • Restylane Defyne, which has an inherent lifting ability and larger particles, making it an ideal filler for areas such as the temples, cheeks, chin, and jawline.
  • Juvederm Voluma, an instantly volumizing filler designed to correct age-related hollowness in the midface and surrounding areas.

For patients seeking additional or longer lasting improvement in the temple area, Dr. Emer may employ semi-permanent synthetic fillers such as:

  • Bellafill, an FDA-approved filler comprised of tiny polymethyl methacrylate (PMMA) microspheres, often used to treat facial volume loss, wrinkles and folds, acne scars, and facial asymmetry. Once injected, the collagen gel immediately volumizes the depressed area while the PMMA microspheres bind to the tissue and create a scaffold beneath the skin, promoting long-term collagen production. Results typically last up to 5 years for nasolabial folds and up to 12 months for acne scars.
  • Radiesse, a calcium-based filler that adds volume under the skin over time by stimulating your body’s own natural collagen.
  • Sculptra, an FDA-approved, injectable poly-L-lactic acid that is injected very deeply on the bone and stimulates collagen production over time. Used independently or in conjunction with injectable fillers, Sculptra is used to help build a foundation in the face as well as improve facial volume and reduce fine lines and wrinkles.

How can temple fillers improve the brow?

For patients with a droopy brow or eyelids, Dr. Emer uses injectable fillers to deliver a non-surgical, “no-Botox” Filler Brow Lift, resulting in an arched brow, elevation of the tissue, and a “gull wing” look for those seeking an “open eye” and contoured upper face.

 

Using a blunt-tipped cannula to reduce complications, bruising, and swelling, Dr. Emer injects the filler directly into the suprabrow fat pad behind the brow (which diminishes as we age) as well as various areas in the temples, upper eyes, and forehead to contour and lift the brow. While there is some immediate volumization, it typically takes one or two weeks to see the subtle but visible improvements from the treatment. Through proper technique and strategic placement of the fillers, Dr. Emer’s patients do not appear unnatural or overdone.

Are temple fillers for men, too?

When it comes to volume loss, men often age more rapidly than women. Male facial contouring involves treating not only the temple area but also under eye hollows and dark circles, the midface / cheek, jawline, chin, lips, and the lines, folds, and creases around the mouth. Dr. Emer is particularly skilled in the art of male facial sculpting; with subtle improvements, he is able to maintain a masculine look while improving volume, definition, and facial balance and creating a natural-looking, “modelesque” appearance for those seeking a contoured look.

Can fat injections be used in temple augmentation?

Yes! Facial fat grafting is a minimal-downtime procedure with long-term results that repurposes a patient’s fat to lift, contour, shape, and volumize. Dr. Emer gently extracts the fat from your own body (or uses donor fat and/or Renuva Adipose Matrix synthetic fat, as needed) and, through water-assisted harvesting methods, produces the cleanest, most viable fat. Once the fat is processed through Puregraft ultrafiltration and enriched with platelet-rich plasma (PRP) and growth factors from your own blood as well as A-cell stem cells, the fat is then artfully injected into the desired areas. Using a blunt-tipped cannula, Dr. Emer is able to reduce complications, bruising, and swelling.

As a complement to temple fillers (or when used in place of fillers), facial fat grafting can produce immediate, noticeable results, create a harmonious facial structure, and improve hollows, deep lines, wrinkles, sagging, irregularities, and volume loss in all areas of the face, such as the temples, cheeks, lips, chin, and earlobes.

How long do temple augmentation improvements last?

HA filler results often last up to 6 to 12 months at optimal correction with periodic maintenance to sustain the volume and shape. High-density temple fillers such as Radiesse, Bellafill, Juvederm Voluma, and Restylane Defyne are ideal for those with a fast metabolism as the effects tend to last longer. Sculptra injections typically offer longer lasting improvement with slower initial results as it takes time to stimulate collagen production.

Fat grafting results are permanent, but not all fat will survive. Dr. Emer’s advanced water-assisted harvesting methods vastly improve the longevity of the treatment by transferring only the most viable, sustainable fat cells.

Am I a good candidate for temple fillers?

There are a number of methodologies available for improving volume loss in the temples and throughout the face. To determine which methods are most effective for you, it is best to schedule a formal evaluation with a board-certified dermatologist and facial sculpting expert like Dr. Jason Emer who can assess your unique needs and develop a tailored treatment plan that addresses your aesthetic goals.

Are there risks involved with temple augmentation?

With an area like the temple (or around the eyes, where numerous blood vessels and nerves lie), it is critical that patients seek out an experienced and meticulous cosmetic dermatologist like Dr. Jason Emer. Only proper, strategic administration of fillers, Sculptra, and/or fat can deliver the intended outcomes with minimal risk of complications.

What is the downtime with temple augmentation?

There is no downtime involved with temple augmentation with injectable fillers or Sculptra. While you may experience some redness and/or swelling in the area for a few days following the procedure, you can return to your daily activities immediately following the treatment.

How do I schedule a consultation with Dr. Emer?

To schedule a consultation with Dr. Emer in Beverly Hills / Los Angeles / West Hollywood, California, please reach out to our concierge to schedule an appointment. Call 424-800-4140 or email us at appointments@jasonemermd.com.

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