Temple filler is the classic treatment for volume loss in the upper face. As we age, our temples lose volume, creating a very hollow look. It is easy to replace the volume loss in the temples with dermal filler or with biostimulator. The reduction in volume of the temples causes that loss of roundness which typically starts in the mid 20s and becomes really obvious in the 40s. Those patients who keep themselves very lean are also the hardest hit in the temples. Runners and other heavy exercisers in particular can look much more gaunt in that area as they age.
As we age a large depression can occur in the temples causing the appearance of “peanut head” with a wide forehead, narrow temples and cheeks. This look can be exacerbated by injections into the cheeks
Temple filler can fill the depression in the temple, replacing the lost volume
Temple Filler Treatment
Choosing the dose of temple fillers
The dose required for dermal filler of the temples is variable. Some patients will be satisfied with 1ml between the 2 sides and, others will need 4 mls or more to get the results that they want.
Patients with lipoatrophy will need much bigger doses.
The doctor will assess the face and decide on the best dose after taking a history and examining the patient. If a patient has a history of complications with dermal fillers, or if their budget is small or if they want a more subtle result, then a smaller dose might be chosen to start with.
If dermal filler is used, typically a minimum of 1ml will be injected per treatment. Several mls may be required. Treatment could be performed every 4 weeks until the patient is satisfied with the amount of fill in the temple.
With temple biostimulator, usually 1 vial may be used for the temples. The results of this treatment won’t be seen for 8 weeks. At that time, a review will be booked and further biostimulator will be used. Biostimulator can last 2 years
Pain relief during temple filler treatment
A numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal) Glad wrap may be used over the numbing cream to increase its effect.
If a cannula is used, local anaesthetic may be used prior to the cannula being introduced into the skin
There is local anaesthetic in the dermal filler and the biosimulator
Ice is always used to decrease pain and to reduce the risk of bruising.
Nitrous oxide (happy gas) is available for patients to use
What happens during the injectables treatment itself?
The face will be cleaned with alcohol.
Ice will be applied to the area briefly before treatment. The doctor will inject using a fine needle. Then pressure with gauze will be applied.
If a cannula is used, a small injection of local anaesthetic is injected into the skin and then a needle makes a hole in the skin where the cannula is inserted.
How will I look after dermal filler in the temples?
There may be redness and swelling and bruising.
Side effects /risks with dermal fillers in the temples
Bruising occurs in a significant number of cases.
Headaches are common after temple biostimulator. Panadol should be taken to treat these.
Swelling in the injection area will occur. This will laser for 48 hours
Asymmetry: Sometimes one side is better treated than the other, this is usually because the patient is asymmetrical to start with.
Infection is a very rare complication, but always a possibility when the needle goes into the skin.
Necrosis (blood vessel being blocked, interfering with blood supply to the skin) is very rare. This could lead to scarring
Blindness There have been over 100 cases reported in the world, so it is very rare, but also very serious.
Need for further treatment: With temples, it will often take several syringes/vials of product to get to where the patient wants to be.
Instructions for care afterward
No makeup for 4 hours
No heavy exercise that day
No acid face products for 24 hours
No spas no saunas, no hot yoga for 1 week post treatment
What to expect after a temple filler /biostimulator treatment?
The effect of the dermal filler/biostimulator will be obvious immediately.
The biostimulator effect will reduce over the first few days and then gradually increase over the next 2 months.
Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.
What if I get asymmetry at some time before the 4-8 week point?
Temples are often very asymmetrical to start with, often our doctors will use different amounts in each temple to improve the symmetry. In the early stage after treatment, sometimes asymmetry will occur because one side is more swollen or bruised. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be examined at the review appointment. There is no point in coming in early for treatment of asymmetry as there is often swelling associated and so the final result cannot be seen until at least 4 weeks for filler and 8 weeks for biostimulator. Treating asymmetry too early could lead to further asymmetry
How long will the treatment last?
The answer to this is very individual and depends on the patient’s anatomy, metabolism, the dose, the placement, the product etc. Typically with our most commonly used dermal filler: If the patient is happy with the results at 1 month (ie there has been adequate fill) they should be treated at 6 months, then at 6 months and then once yearly. If the patient is not satisfied with the results at 1 month (ie more dermal filler is required to obtain the results that they desire), then further dermal filler should be injected every 1-3 months until the desired appearance has been reached, and then the patient should have treatment at 6 months, then 6 months, then once yearly
Cost of dermal filler in temples:
For temple filler, cost is starting from $720-$800 per ml
For temple biostimulator, cost is from $880 per vial