Services 》Temple & Forehead Augmentation

Temple and Forehead Augmentation 
by Dr. Lih-Ren Jong


Fat inside the temple is connected with the fat in cheek region.  When aging, the fat will be atrophic. So that sunken cheek associated with sunken temple will be noticed.  Below left showed the beautiful and fuller temple and forehead of a star.  Below right showed the appearance of sunken temple in old woman.  Her soft tissue in temple and forehead is atrophic, so that the bony structure of forehead and temple is clearly been seen.

There are two ways to augment temple.

  1. Fat injection: The fat is taken from thigh or abdomen through a tiny wound (0.2 cm).  The harvested fat is processed to select good fat particles.  The selected fat is put into syringe and injected into the atrophic parts.  Although some portion of injected fat will be absorbed, the survival fat usually can last for more than years.  Second section of fat injection may be needed if fuller temple and forehead is expected after first section of fat injection. 
  2. Silicone impantation: For cases with thin body fat and severe sunken temple, the other option is to insert silicone implant into temple.  Wounds (3 cm in length) will make inside the temple hairs.  According to the severity of depression, different thickness of implants can be choosed to augment temple.

Above right picture revealed the result of fat injection into temples on two years after fat injection.

Above right picture showed the result of temple augmentation with silicone implant. 

Fat is also a good material to augment forehead.  It is effective to correct irregularity of forehead and prominent eyebrow bone.  Below right pictures showed the result of fat injection to augment forehead and temple.  After surgery, temple and forehead is fuller and smoother.

Below right pictures showed the other cases of fat injection to augment forehead and temple.  A long wound will be needed to insert silicone implant to augment forehead, so that the procedure is usually not recommended.

Fillers, such as hyaluronic acid or Radiesse or Sculptra, is another choose to fill up minor depressions in forehead or temple.  But fillers last about 1-2 years.

  • 1. Take one pack of drugs (painkiller and antibiotic) after meals and before sleep. 

    2. Wipe the body on the day of the operation. If the pads which covered the wounds on liposuction area is wet , change the wet pad with sanitary pad. You can remove the gauze and pad on the next day. Then cover the wounds with OK band. When wounds are healed, tape on the scars. 

    3. You can ice packing on the treated area to reduce swelling and discomfort in first three days. Warm pack to reduce swelling and bruise since 3rd day later. If fat is injected into forehead, the weight of pack may compress on the fat and displace the fat. Do not ice or warm packing on forehead.  

    4. There is no need to massage the fat injection sites.  Message may affect the survival of fat. .

    5. Wearing compression garment on liposuction sites can reduce edema and bruising.

    6. Part of the fat will be absorbed, and it will take at least three months to stabilize. Please return to clinic for follow-up examination .

    7. When part of fat is preserved in the clinic, if needed, make an appointment to return to the clinic for preserved fat injection within one month

  • Q: I want to know that will I be found I have operation? Because I do not want my family to know I have the operation. Ismore than one session of fat injection needed? I am 25 years old, can I use my own fat to augment my earlobes? I have my ear pierced. Will the fat injection to earlobe be absorbed?
    A: Temple augmentation can be roughly divided into two methods.One is implanted with silicone model, and the other is injected with autologous fat. Some of fat will be absorbed, so that more fat should be injected. Temples will be bulge after surgery. If you do not hope to be known after surgery, less fat can be injected. But second sessions of fat injection will be needed.  The absorption of fat into earlobe is high, so that several sessions of fat injection are needed. 

    Q: How long does it take to implant the silicone to temple? Will it be swollen after the operation? How long does the swelling to be gone? Are there any sequelae? Will my bones grow into my implant ? Or will I feel strange at my temple? Will the silicone shift?
    A: If temple is implanted with silicone, the operation time is about one hour. Due to the operation, there will be swelling in the first three days around the temples and the eyes. The swelling will improve since the fourth day. Usually you will look fine on 1-2 weeks later.The sequelae were rare. The silicone will not fuse with the body. It will be surrounded by the body after two weeks, and will not move anymore. No patients felt weird after the operation.

    Q: Is it necessary to make two incisions if a silicone implant is placed on each side of the temple?
    A: Silicone model Feng Temple is used. The incision is made behind the temple hairline (hidden in the hair) during the operation. After creating a space under the temple's sarcolemma, place the silicone gel to complete. Put a silicone on one side, so there is a small cut on each side. It is suitable for patients whose temples are sunken, and there is not much body fat (not suitable for self-fat temples).

    Q: Because my forehead is full of concave, can I pad with silicone?
    A: You can use silicone for fat forehead or beat your own fat, depending on how much you need to add; the latter can be used for small amounts, and the former can be considered for large amounts. The latter can be done with an injection, but the silicone must be cut and the back of the hairline must be cut to put the solid silicone into the forehead.


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