Temples can become hollow for a number of reasons. One of the main reasons is the natural aging process. As we age, the skin loses elasticity and volume, which can cause the tissue around the temples to sag, creating a hollow appearance. In addition, the loss of subcutaneous fat that occurs with aging can also contribute to this phenomenon.Other factors can also play a role, such as genetics, weight fluctuations, stress, smoking and excessive sun exposure. Certain medical conditions, such as severe weight loss or certain hormonal disorders, can also lead to hollowing of the temples.Finally, lifestyle habits such as poor diet, lack of sleep and stress can contribute to accelerating the aging process of the skin, which can also be reflected in the appearance of the temples.

Lipofilling of the temples has the advantage of using the patient’s own fat, which reduces the risk of allergies or rejection. However, fat grafting in this region can be less effective than in other areas of the face, due to poor vascularization. For this reason, hyaluronic acid is also a popular option for temple volume, offering similar results with a less invasive procedure that does not require anesthesia and can be performed in the office.

The results of temple restoration using autologous fat or hyaluronic acid injections can be highly satisfactory. Both methods aim to restore or create harmonious volume between the cheekbone and the temple, improving the anatomical and aesthetic unity of this part of the face. The choice between using autologous fat and injecting hyaluronic acid will depend on the patient’s specific needs, the surgeon’s preferences, and the advantages and disadvantages of each technique.Autologous fat is harvested from a donor area of the patient, often the abdomen or thighs, then purified before being reinjected into the temples. This method offers long-lasting, natural results, as fat is a living tissue that integrates well with surrounding tissues.Hyaluronic acid injection is a less invasive option and can offer immediate results. Hyaluronic acid is a substance naturally present in the skin that helps maintain hydration and volume. This method may be preferred for its speed and convenience. However, results are not permanent and usually require regular touch-ups to maintain the desired appearance.