Article Medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)
Templestowe Lower and Berwick Clinics
Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections.
The temples are located on the sides of the face, just behind the eyes. The upper edge of the temples meets with the forehead, the lower edge with the cheek. The tail of the eyebrows ends at the front edge of the temples. Under the skin of the temples, lies the temporalis muscle, one of the muscles involved in chewing. The temporal and sphenoid bones form the base of the temples.
Hollowing of the temples occurs naturally with ageing, with changes in the skeletal structure, fat volume, muscle, and the fascia (connective tissue). Weight loss or heavy exercise can further exacerbate fat loss in the temple region.
The temples are a highly vascular area, as significant facial arteries and veins run through it. The superficial temporal artery is a major artery that runs through the temples and supplies blood to various parts of the head. Practitioner knowledge of the anatomy of the arteries and veins and how to avoid these blood vessels is essential when treating the temples with dermal fillers.
Temple filling with dermal fillers
Hollowing of the temples can cause the face to appear gaunt and skeletal. They are often one of the first areas of the face to lose volume with weight loss. Often hair is styled (consciously or subconsciously) to cover hollow temples and hides volume loss in the area. Dermal fillers can be used to correct temple hollowing or concavities. Autologous fat transfer is another method of replenishing lost temple volume with one’s own fat. The objective of revolumising the temples is to fill any concavities to a more neutral or flat position. This may help to balance temple volume with the rest of the face, and help to smooth the transition between the forehead and the temples, and the cheeks and temples.
Needle or cannula for dermal fillers?
Temple filler can be performed with either a sharp needle or with a blunt micro-cannula. Specific techniques are used to avoid the blood vessels in the area;
- Sharp needle – this technique involves a single puncture with a sharp needle. The needle is passed through the top section of the temples just behind the lateral eyebrow, to a single point deep down on the bone. Dermal filler is injected at this single point and tracks downwards behind the temporalis muscle to smoothly fill the area. A device called an Accuvein is often used to visualise and avoid veins to bruising. Arteries (not detected on the Accuvein) are avoided through deep filler placement on the bone. The arteries do not traverse this deep level, and intra-arterial injection can be avoided by placing filler here.
- Blunt micro-cannula technique – by using a cannula with a blunt tip, it is possible to reduce the chance of perforating or entering an artery or vein. Being blunt, cannulas less easily pierce the vein or artery wall. The cannula enters through a hole that is made in the skin by a needle. Dermal filler is injected deep to the skin in threads across the temples. Although injected into a more superficial and therefore a more vascular area than with the needle technique, the cannula offsets the likelihood of entering a blood vessel by its ability to avoid or ‘push away’ blood vessels with its blunt tip.
Volume of dermal fillers required for filling temples
Typically 1 to 2mL of dermal fillers is required to fill temples (our pricelist for dermal filler treatments can be found here).
|Number of 1ml Syringes used in 1 session||Price|
The sharp needle technique injects filler deeper than the cannula technique and requires more filler to provide the same degree of apparent volumisation. Although, the cannula technique requires less product, it is more likely to cause irregularities due to the more superficial plane of injection.
There are various options available for dermal filler treatment of the temples. The most commonly used type of dermal filler in the temples are hyaluronic acid fillers. These are reversible and temporary fillers. Longevity will vary depending on the filler used, and vary from person to person.
|Filler name||Filler type||Longevity||Reversibility||Comment|
|Hyaluronic acid||temporary filler||6-12 months||Reversible with hyaluronidase||Very water loving, and can form irregularities after injection as it 'hydrates', although any lumps easily reversible with hyaluronidase|
|Radiesse||Collagen stimulator||12-18 months||Not reversible||Uses a methylcellulose carrier that dissipates over 3 months, and is then replaced by collagen|
|Poly L-Lactic Acid (PLLA)||Collagen stimulator||12-36 months||Not reversible.||Has been known to cause nodules (lumps) that can not always be removed. Not used at Victorian Cosmetic Institute.|
|Fat||Autologous (meaning your own)||permanent||Not reversible||For those looking for a natural and permanent solution. Requires liposuction to harvest fat, and multiple treatments for best results.|
Why choose Victorian Cosmetic Institute as your dermal filler provider?
Our dermal filler injectors have many years of experience. We allow you ample time to communicate your aesthetic goals to us, and use our expertise to help you achieve your desired outcome. Furthermore, we offer a large range of dermal fillers and we will be able to best advise which suits you best. The first step is simply contacting us for your initial dermal filler consultation, where we will discuss with you what is a realistic and achievable outcome, and what to expect from your treatment.
Our goals with your filler treatment are to;
- Provide you with a careful and honest aesthetic assessment
- Achieve the best aesthetic result possible
- Cause as little bruising and swelling as possible
- Ensure that your procedure is as comfortable as possible for you.
Making that first phone call about any cosmetic procedure can be a confronting task – many of our patients have preferred filling out our online enquiry form. We can then contact you with an understanding of the results you are hopeful of achieving and ensure the treatment is appropriate.
Otherwise, you can phone us directly on 1300 863 824.
For estimate volumes and costs for dermal filler and or anti-wrinkle injections please visit the Cosmetic consultation and treatments pricing page.