Visage Clinic: Dr. Marc DuPéré
101-133 Hazelton Avenue
Yorkville, ON M5R 0A6
Phone: (416) 929-9800
Fax: (416) 368-3113
Toll Free: 1 (855) 8 VISAGE
Monday-Friday: 8:00 a.m.–5:00 p.m.

Visage Clinic: Dr. Marc DuPéré
114-13311 Yonge Street
Richmond Hill, ON L4E 3L6
Phone: (905) 773-9675
Fax: (416) 368-3113
Toll Free: 1 (855) 8 VISAGE
Monday–Friday: 8:00 a.m.–5:00 p.m.

"Peanut Head"? No Thank You!

temple implant Toronto, Toronto temple implant, correction of hollowed temple, temple implant, temporal implant

No matter how much we weigh as we get older, there are 2 areas in the face that always lose volume: the tear troughs and the temples.

I have solutions for both: facial implants. At my Toronto practice, in the Yorkville neighborhood, I’m seeing more patients interested in solutions that are more permanent than facial fillers.

Synthetic implants provide excellent outcomes for women and men concerned about losing volume in the temples.

Volume loss in the temples can be associated with 6 things, most of them not being really desirable:

1. Normal aging

2. Weight loss

3. Serious medical condition including terminal diseases

4. HIV-medication-induced (fat) lipoatrophy

5. Anorexia nervosa

6. Excessive cardiovascular exercises (the daily long-distance jogger, example, the so-called “jogger face”)

The hollowing of the temples is seen above the zygomatic arch and below the temporal-frontal crest, and between the outside of the orbit and the temporal hairline. In our internal world, we non-elegantly call this characteristic “peanut head.”

I’ve traditionally used — and still do — hyaluronic acid fillers such as JUVÉDERM® and Restylane®. Even though newer, longer-lasting, and safer fillers are now available, they remain temporary solutions and must be repeated over time. Some patients do prefer the injectable route, as it does not involve surgery nor downtime. I also recommend trying fillers to restore volume to the temples at least once to see if you would like the effects of more fullness.

A newer approach is the use of temporal silicone implants. I can insert them with relative ease via a scalp incision that hidden in the hair. The procedure doesn’t require any hair shaving. I secure the implants deep under the temporal tissue layers. Several models and sizes exist and I can carve and customize the solid implants.

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Temporal Implants

Cost varies slightly depending on the implant chosen and the type of anesthesia used during surgery.

Recovery is relatively simple, with minimal tenderness. Patients may want to avoid social settings because there is slight swelling and occasional bruising. Tenderness while chewing may also occur (the temporalis muscle where the implant is inserted is used in chewing).

Complications are very rare and include displacement, palpable edges, visible edges, infection, capsular contracture, hematoma, seroma, headache and tenderness with chewing in the immediate post-operative period.

Temple augmentation with implants is an excellent alternative for patients looking for a permanent solution to their temporal hollowing.

Dr. Marc DuPéré

8 Responses to "Peanut Head"? No Thank You!

  • Diane says:

    I want to inquire about lip reduction surgery. What ia the price range for the procedure? Is there a fee for a consultation?
    Thanks

    • Dr. Marc DuPéré says:

      Good morning, I will email you details about lip reduction surgery shortly. Are you looking for both upper and lower lip reduction, together? Dr. D.

    • Dr. Marc DuPéré says:

      Good morning and thank you for participating in my blog. Temple implant surgery is a relatively simple procedure. Complications are rare. The worse thing that could happen (and it has not yet happened!) would be an infection. I do treat my patient with antibiotics during the procedure and for 5-7 days post surgery. And we follow all the surgical protocol for a sterile technique. But a foreign material does not get blood vessels so antibiotics are not often helpful if it gets infected in the post-operative period. The implant may require removal, 3 months of healing, and then re-implantation with a new implant. This is the same risk as with other implants such as breast, buttocks, calf, hip and pectoral. Again, this is rare. Hope this helps! Kindest regards, Dr. D.

  • Maria says:

    Hello Dr. DuPéré.
    I know this is a very delicate question, but could you perhaps give a very rough estimate on how much a temple augmentation with long implants could cost? I know it is hard to give a standard answer, but what is a very rough range that a patient can count with? Furthermore, could you tell us how often you have performed temple augmentations in your life?
    Kind regards

    • Dr. Marc DuPéré says:

      Good morning, I have done many temple augmentations over 17 years – and I have not counted them. ;-). It was done long time ago with various biomedical material. Then we did it with dermal grafts, fat grafting, fillers, etc. The new temple silicone implants have made a come-back in the last few years to reduce cost of repeated fillers to temples. Temple augmentation with implants is a relatively simple procedure. My office will be emailing you more information. Dr. D.

    • Dr. Marc DuPéré says:

      Thank you for your enquiry on our blog. I can only show pictures of patients who approve the public use of their pictures. Most patients do not allow their face to show. All authorized pictures are posted in our photo gallery. Would you be interested in coming for a consultation? If so, please give us a call at 416-929-9800. Dr. D.

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