Q: Dr. Eppley, I suffer from sever temporal wasting. It’s rather noticeable. I’ve heard fillers are recommended but are they for minor filling and not severe cases of hollowing of the temples? Can they really fill my temples?
A: While injectable fillers or fat can be very good for more minor or moderate cases of temporal wasting, they have limitations in deeper temporal depressions. When it comes to more severe wasting of the temporal regions, fillers do not do a good job of augmentation as they take a fair amount of volume (high cost) and are temporary anyway. Fat injections are often a problem in severe temporal wasting as the patients may have little fat to harvest on the rest of their body. There is also the issue of what caused the fat wasting in the first place which can work against any transplanted fat survival.
Synthetic mplants as part of a more complete treatment strategy for temporal wasting can be more effective and also are permanent. Different-sized temporal implants are available to fulfill various volumetric needs.