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.