How Can I Get Rid Of My Concave Temples?
Q: Dr. Eppley, I’m not sure what is the best procedure for me but I want permanent filling of my concave or hollowed temple areas. I have tried injectabvle fillers but none even lasted a year. I loved the look to my face that made it look more symmetrical and younger but they just didn’t last. I also had fat injections done last year but that didn’t take either and I am still concave there. It was only one fat transfer procedure so maybe it takes more than pne? I’m starting to lose hope that there’s any way to fill in the temples permanently. I feel that this issue makes me look older and definitely doesn’t help my outer droopy eyelid area. I’m unsure what my options are for a permanent fix and appreciate any direction you can provide.
A:The only real permanent fix to most cases of temporal hollowing is to place a non-resorbable temporal implant, either that of a synthetic composition (silicone) or that of a collagen matrix. (dermal graft) These are placed under the temporalis muscle fascia and are tremendously effective…and are permanent.These implants are placed through a small incision in the temporal area, have minimal swelling or discomfort, and have virtually no discomfort. This would be the best solution given that you have tried all of the injectable approaches. I do not believe that repeat fat injections will work if they did not last the first time. While temporal implants can get rid of temporal hollowing, it does not lift up or provide any improvement to a droopy eyellid area. That is outside the influence of temporal augmentation.
Dr. Barry Eppley