TL;DR: Temple hollowing results from temporal fat pad atrophy, bone resorption of the temporal fossa, and muscle wasting. This creates a concave appearance that makes the upper face look skeletal and significantly aged.
Written by Dr. Waleerat Thaweebanchongsin, licensed aesthetic medicine specialist with over 10 years of specialized experience. VERZO CLINIC near BTS Ekkamai. Free consultations via LINE @verzo.
Last updated: April 2026
Temple hollowing results from temporal fat pad atrophy, bone resorption of the temporal fossa, and muscle wasting. This creates a concave appearance that makes the upper face look skeletal and significantly aged.
Most patients need 1-2cc of dense filler per side. Juvederm Voluma is commonly used due to its high G-prime and longevity. The filler is placed deep against the bone for natural-looking volume restoration.
Sculptra is excellent for temples because it builds volume gradually through collagen stimulation, creating very natural results that last 2+ years. However, it requires 2-3 sessions. Fillers provide immediate results but need repeating every 12-18 months.
Temple filler is safe when performed by experienced doctors who understand the vascular anatomy. The temporal region has important blood vessels that must be avoided. Dr. Waleerat uses cannula technique for temple injections to minimize risk.
Juvederm Voluma in the temples typically lasts 12-18 months, among the longest durations for facial filler. The temple area has minimal movement, which helps preserve the filler longer.
Threads alone cannot restore significant temple volume, but they can complement filler or Sculptra by providing structural support and additional collagen stimulation in the temporal region.
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