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Temple often overlooked in upper facial rejuvenation

Posted: 2:39 p.m. Thursday, May 9, 2013

By Anita Mandal, M.D.
Question: A plastic surgeon suggested fillers for my cheeks and temples. I saw him for sad, tired-looking eyes, but what is the benefit of filling my temples?

Answer: The temple area is commonly overlooked by both patients and surgeons in upper facial rejuvenation. As we age, we lose bone as well fat and develop poor skin elasticity. These changes cause hollowing of the cheeks, jaw area, eyelids and temple region, making us look tired, sad, angry and/or aged.

While cheek hollows are usually more obvious, there is less awareness of temple hollowing. The temples should be addressed with the cheeks since both can contribute to upper-face aging, as the temple is in continuity with the outer part of the cheek.

Hollow temples, even when partially covered by your bangs, give a bony appearance to the outer part of the eye socket, making the outer brow appear droopy. The eyes can also appear smaller.

Traditionally, surgery to remove baggy eyelids and to lift sagging brows has been the focus in upper facial rejuvenation. Yet, these procedures do not correct hollowing and, in fact, can make the hollows appear more pronounced. Additionally, surgery may not fully correct an outer sagging eyebrow.

The good news is that temple rejuvenation not only can make you look younger, but is often corrected without surgery, using injectable fillers. Although several types of fillers are available, my filler of choice is Sculptra, due to its superior ability to fill hollows, its high safety profile, and results that can last up to two to four years.

Whether you require temple rejuvenation for a more youthful appearance is best determined through careful consultation with your Facial Plastic Surgeon. Various factors need to be considered, including one’s individual anatomy and aging process in the brows, forehead, cheeks and eyelid area.


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