Noted Plastic Surgeon Discovers a Technique for Filling the Temples Smoothly

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A Recent Study, Authored by Val Lambros, M.D., FACS, Takes a Close Look at Fillers Used to Add Volume to Sunken Temples

Temple Fillers Pre-Op

The Temple Factor:
“Filling the temple area is a minimally-invasive procedure that can make a big difference in the patient’s efforts to minimize the appearance of aging,” Lambros said.

It is very common to see hollowing of the eyes, cheeks and temples with age. As the temples age and thin, the face changes shape...some people say their faces look like peanuts as the temples indent. The brows seem to shorten and descend as the tail of the brow falls into the temple hollow. Filling in the temples make a huge change in the apparent age and attractiveness of the face.

Many treatments for the telltale signs of aging in the upper face and brow have been tried, including implants, fat injections and off-the-shelf fillers. Although each method has its advocates, treatment of the temples remains difficult because the tissues in that area are thin and can show irregularities after injection.

Newport Beach plastic surgeon Val Lambros, M.D, FACS, has authored a study, published in February 2011 issue of Aesthetic Surgery Journal, in which highly diluted hyaluronic acid is substituted for the traditional mixture and injected into the temple are to fill and level any hollowed areas. In Lambros’ study, patients experienced improved results, with a much smoother appearance to the temple and brow than in the past.

Lambros treated 40 patients over 18 months with his technique, which involves highly diluting the Hyaluronic acid filler and injecting the temple as evenly as possible. As the saline component absorbs, the filling material is distributed more evenly in the temple than with undiluted filler, Lambros said.

“This is a minimally-invasive procedure that can make a big difference in the patient’s efforts to minimize the appearance of aging,” Lambros said, adding that there were no instances of complications requiring dissolution of treatment, and that patients reported a high degree of satisfaction.

In previously published articles, Lambros has demonstrated how gravity’s role in the aging process has been exaggerated and that the change of volume beneath the skin is what partly contributes to an aged appearance. In his presentations, Lambros shares early and recent photos of his mature adult patients -- (from teens twenties or thirties, to the present and, in the same pose, as they appear now. After aligning them perfectly, he tracks the movement of moles, wrinkles and other facial “landmarks” to demonstrate that only a few features shifted over time.

“As a person ages, their brows tend to fall slightly, their upper lips thin and, most notably, their jowls become more prominent,” Lambros said. “It’s a commonly accepted practice to reverse these noticeable effects of aging by pulling the skin back through a facelift. Although facelifts are great operations if you need them, this may be more surgery than the face needs. Many times the younger person just needs some filler to make things better.” There is no secret in this, although most doctors limit the use of fillers to the nasalobial folds and lips. Fillers can be used more creatively and effectively around the eyes, temples and jaw lines.

“In my practice, I emphasize giving my patients a natural-looking result that—in some cases—may call for fillers as opposed to surgery,” he added.

When these concepts are difficult for his patients to grasp, Lambros uses a local anesthetic to provide his patients with a preview of the aesthetic result of treatment with Hyaluronic Acid fillers to add volume to the brow and other areas of the face. This temporary effect usually lasts 20 minutes, Lambros said.

Most treatments are performed using Hyaluronic Acid fillers, which have the benefit of results that are reversible, long-lasting and cost effective. Lambros uses a fanning technique to inject small quantities of filler. “The use of these techniques results in a high degree of patient satisfaction,” Lambros said, adding, “Results lasting two years are common and we have seen it go three years or more in some patients.”

Dr. Lambros has been a leader in the field of plastic surgery for more than 20 years, during which time he has published numerous papers in respected medical journals and conducted presentations before his colleagues the world over. Lambros maintains an office near Fashion Island, 360 San Miguel, Suite, 406, Newport Beach, Calif., (949) 759-4733.

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Claudia Schou

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