Why should I get temple fillers?

Temple fillers is a procedure that is less known as it is not as commonly performed as the other areas of the face. However, temple fillers can significantly take years off a patient who have volume loss around the temples.

Temporal volume loss can cause a dent around the temple area, breaking the usual smooth contours (called the Ogee curve) of a younger face. Temporal volume loss can make one look much older than he/she actually is. 

temple volume loss as we age

Some younger patients can also benefit from temple fillers to smoothen the contours of the face. It is desirable to have a heart-shaped face or “Gua-zi lian”. This makes the face look more proportionate, younger, and more feminine.

An additional benefit of temple fillers is that it can help lift the eyebrows as the temples become fuller. This effect helps the patient look more refreshed and younger. 

What can I expect?

A fuller, plumper temple area and a smooth facial contour, giving a younger look. In addition, eyes will be more lifted and refreshed. 

For patients who have a more prominent orbital rim (the protruding bone above the sides of the eyes) can look older and fiercer. A temple filler, sometimes in conjunction with a forehead filler, can smoothen this protrusion and give the patient a softer, more feminine and youthful look.

How much fillers will I need?

On average, 2-3ml (2-3 syringes) of filler will be needed for the temple area. This depends on the amount of volume loss.

The temples usually require more fillers than other areas as volume loss can be more prominent over a larger area.

Choice of temple fillers

The filler of choice for the temples depends on the technique of injection. At Mizu, we prefer using a cannula for temple fillers in order to minimise bruising and other side effects of fillers.

fillers suitable for temples

Fillers used for the temple area would be Restylane Volyme or Juvederm Voluma. As mentioned in our cheek filler page, both these fillers are excellent at replacing loss volume. They are also soft enough to not cause lumpiness under the skin in the long term. 

Radiesse is also a good option for the temples. However, it is recommended that Radiesse be mixed with normal saline solution with a ratio of 1:1. This is to allow it to spread easier and prevent lumpiness.


Frequently Asked Questions about Fillers

How long do fillers last? 

Fillers typically last for 12 months. Different type of fillers are designed for different areas of the face and have different longevity due to the filler material. 

Does it completely dissolve away?

Most fillers will dissolve away and gets broken down by the body into water. However, there are cases that we have seen before with fillers that last much longer that it was intended to. For these cases, the filler had to be dissolved by injecting a dissolver call hyalase which breaks down the filler into water.

Is it painful?

Most filler injections are not painful with numbing cream applied. There are some areas which are more sensitive, such as the lips, and can be more uncomfortable.

The skill and hands of a doctor also directly contributes to the amount of discomfort. An experienced and gentle doctor can mean much lesser discomfort during the procedure.

What are the side effects?

Like all medical procedures, there are always potential side effects during injectable procedures.

The more common side effects associated with injections are bruising and swelling. Bruising and swelling happens when a larger blood vessel under the skin gets injured during an injection. If present, bruising and swelling typically goes away after 4-7 days. 

The most serious side effect associated with filler injections is vessel occlusion. Vessel occlusion is when the filler is directly injected into an important blood vessel and blocks blood flow, potentially resulting in skin necrosis and even blindness. 

Some patients have heard about fillers causing blindness, in particular nose fillers. In actual fact, fillers performed at any part of the face can potentially lead to blindness. Blindness happens when the filler material travels up the blood vessel and blocks the blood flow to the optic nerve in the eye. Blindness is more often associated with nose fillers due to the blood vessels supplying the eye being close to the nose. Skin necrosis, which is the dying of skin cells, happens when the blood vessels supplying the area of skin affected gets occluded and blocked.

The risks of skin necrosis and blindness can be greatly reduced with a clear knowledge of the blood vessels in the face. Therefore, it is very important to go to an experienced doctor for filler injections. More than 90% of filler complications happen at illegal salons or beauty parlours which are not authorised to perform such procedures. 

How doctors reduce the risk of vessel occlusion?

  1. Use the appropriate equipment and filler for each area. The type of needle and needle size makes a difference in reducing the risk of vessel damage and occlusion.
  2. Specific techniques such as performing a drawback to ensure that the needle is not in a vessel, slow precise injections, and the depth of injections all help ensure that the filler is not being injected into a vessel.
  3. Most importantly, a good knowledge of the facial anatomy will allow the doctor to identify the areas where the major blood vessels are. Knowing which area to avoid and which areas are generally safe helps to greatly reduce the risk of injecting the filler into a vessel. 

What should I avoid after fillers?

Avoid strenuous exercise and alcohol for at least 24 hours. Avoid any facial massage for at least 2 weeks.