
Why do the temples become hollow ?
Over the years, three changes affect the temporal region, causing the temples to become hollow.
- Loss of temporal fat. This is the main cause of hollowing.
- Loss of tone and thickness of the temporalis muscle.
- Thinning of the skin.
What are the effects of ageing on the temples ?
Changes in the temples cause four aesthetic concerns :
- The appearance of a shadow : the temple, which reflects light in adolescent girls, becomes a shadowed area. The face then looks sad and tired.
- Drooping of the eyebrow tail, closing the gaze and worsening crow’s feet.
- Visibility of the upper and outer orbital rim, ageing the face, a change known as facial skeletonisation.
- Disruption of the facial curves typical of young women (facial feminisation).
Which factors can make hollow temples more pronounced ?
Hollow temples can become more pronounced because of :
- Volume loss in the cheeks : loss of cheek volume can make temples appear more hollow, as an additional hollow disrupts facial harmony.
- Skin laxity : when skin loses elasticity and firmness, hollow temples become more pronounced as folds and fine lines develop.
- Reduced bone density : bone resorption around the temples contributes to hollowing by reducing the underlying support structure.
- Loss of subcutaneous fat : age-related loss of fat beneath the skin or substantial weight changes can also accentuate hollow temples.
- Skin dehydration : poorly hydrated skin can look thinner, making hollow temples more noticeable.
- Dark circles : deep, pronounced dark circles can draw attention to the eye and temple region.
- Facial skeletonisation : general facial volume loss, known as skeletonisation, caused by ageing or strict diets can make the temples more hollow and the face more angular.

Treating hollow temples without cosmetic surgery
Temple filling is increasingly common, aiming to correct signs of ageing and restore a youthful, harmonious face.
Hyaluronic acid injections are an effective treatment to increase temple volume and redefine their contours.
Like any medical procedure, temple injections must be performed by an experienced doctor. Anatomical knowledge and technical expertise are essential to avoid important structures in this area : the superficial and deep temporal arteries, veins and temporal nerve.
It is essential to consult a qualified, experienced doctor to discuss the options best suited to your needs and expectations.
Why have temple injections ? Indications
Filling the temples with hyaluronic acid injections is intended for patients wishing to revitalise their gaze and restore facial harmony.
The main benefits of treatment are :
- Restoring facial volume : filling the temporal hollow reduces shadows and restores the face’s natural curves.
- Rebalancing contours : improving and redefining facial contours for a more harmonious result.
- Rejuvenating the gaze : the eyes appear more open in a subtle, natural way.
- Brightening the face.
- Eyebrow lifting : the eyebrow tail rises slightly, creating a lifting effect.
This treatment is particularly indicated for patients whose significant weight loss has caused a reduction in facial fat tissue.
What happens during a temple injection session
Hyaluronic acid can be injected superficially or deeply. Both techniques can be combined.
Deep injections are only possible in the lower part of the temple and along the temporal crest.
Dr Romano performs injections with a needle and uses a fairly firm hyaluronic acid. Thorough knowledge of the area’s anatomy is essential to avoid complications.
Superficial injections are performed with a cannula in the outer part of the temple. Dr Romano chooses a highly or moderately volumising product according to skin quality, previous temporal or facial facelifts and the amount of volume to restore.
Again, technical expertise is essential, particularly after a previous facelift.
Poorly performed injections cause visible surface lumps or excess product creating irregularities that become more pronounced when smiling.
Which type of hyaluronic acid is used for temple injections ?
The hyaluronic acid used has a high density, allowing volume loss to be filled without a risk of displacement and providing lasting results.


How is Sculptra injected into the temples ?
Sculptra injections in the temples are increasingly popular, especially in the USA and Brazil.
Used to restore facial volume, Sculptra, or polylactic acid, is a non-permanent, biocompatible, biodegradable injectable that stimulates collagen synthesis.
Only one vial is used on the day of injection, and a second session is sometimes needed three months later.
Mild swelling and redness around treated areas are normal after injections. These side effects are temporary and disappear in the following days.
Results last two years and become visible three months after the session, as the product gradually stimulates collagen production, making it appealing to people seeking a long-lasting solution.
Filling very hollow temples is not a suitable indication, as too much product would be needed.
Dr Romano therefore recommends starting Sculptra injections around the thirties, when the first signs of facial ageing appear.
What results can you expect after hyaluronic acid injections in the temples ?
Hyaluronic acid injections provide immediate results lasting around one year.
Filling the hollow removes the temple shadow and conceals the bone, treating facial skeletonisation.
The face is rejuvenated and its curves restored, creating a softer appearance.
The gaze looks less tired and the eyebrow tail is lifted.
What happens after a hyaluronic acid injection session to fill the temples ?
Recovery after hyaluronic acid injections in the temples is straightforward and allows an immediate return to everyday activities.
Mild redness, slight swelling or tenderness at injection sites are common in the hours after treatment. Small bruises may also appear but resolve spontaneously within a few days.
Following deep injections, the patient may feel pressure around the temple and pain when chewing for two or three days.
Following superficial injections, barely visible surface irregularities persist for a few days.
To optimise results, avoid strenuous exercise, intense heat (saunas, steam rooms, hot baths) and manipulation of the treated area for 24 to 48 hours after injections.
Results are immediately visible thanks to the volumising effect of hyaluronic acid, then gradually settle as the mild post-injection swelling resolves, usually within a few days.
Prices of temple injections : hyaluronic acid and Sculptra
Temple filling corrects hollowing often associated with ageing.
Two products are commonly used for this indication : hyaluronic acid and Sculptra.
The price of hyaluronic acid injections for the temples is 600 CHF per syringe. The number of syringes required can range from 1 to 5. Results are immediate.
Sculptra, injected more deeply, stimulates collagen production and acts gradually. A vial of Sculptra for the temples costs 900 CHF. One vial is used for both temples.
The total cost of temple treatment depends on the product chosen and the volume required, assessed during the initial consultation.
Hyaluronic acid injections were compared with no treatment for correcting hollow temples. At three months, 80.4% of treated patients showed an improvement of at least one grade, compared with 13.5% of controls. Correction and satisfaction remained high during follow-up, which extended beyond one year.
A publication involving fifty patients describes restoration of temple volume with hyaluronic acid injections between two fascial planes identified by ultrasound. Forty-nine patients reported being satisfied at three months. These results concern this technique and highlight the value of a precise understanding of temporal anatomy.
A synthesis of forty publications involving 881 patients reports reduced hollowing at the temples and improved satisfaction after filler injections. Hyaluronic acid was the most commonly used product. Products and techniques varied between studies. The choice of treatment should therefore take account of temple anatomy and the extent of volume loss.
Frequently asked questions about hollow temples in Geneva
How often should I repeat temple filling ?
The interval depends on the product used and the patient’s metabolism. Generally, one session every year or every two years is sufficient to maintain results.
What is temple volume loss ?
Temple volume loss is an age-related change characterised by hollowing of the temple region, giving the face a tired, aged appearance.
Are temple treatments painful ?
Treatments are painless. Patients generally experience slight discomfort rather than actual pain.
How long do temple injection results last ?
Hyaluronic acid injection results generally last between nine and twelve months, while Sculptra results last around two years. The exact duration depends on several factors, including the patient’s metabolism and the product used.
Is temple treatment safe ?
Yes, treatments are safe when performed by a trained, experienced doctor. Choosing an experienced doctor is important to avoid complications.
How should I choose the right treatment for my temples ?
The treatment choice depends on several factors : the extent of volume loss, the patient’s expectations, skin quality and facial anatomy. A medical consultation determines the most appropriate treatment.
Can temple treatment be reversed ?
For non-surgical treatments such as fillers, the effects are reversible. Hyaluronic acid can be dissolved with a specific enzyme if necessary. After surgery such as a temporal lift, results are permanent, although natural ageing continues.
What are the benefits of treating hollow temples ?
Treating hollow temples restores lost volume, harmonises facial contours and creates a younger, more rested appearance.
What treatments are available for hollow temples ?
Treatments are medical : hyaluronic acid, Sculptra or Radiesse injections, or surgical : autologous fat injections (lipofilling).
What are the possible side effects of temple injections ?
Side effects are : redness, bruising and mild swelling. These effects are temporary and disappear within a few days.
Are there contraindications to temple treatments ?
Contraindications include pregnancy, breastfeeding, certain autoimmune diseases and allergy to lidocaine. An initial consultation is needed to assess each patient’s eligibility.
What aftercare is needed following temple injections ?
After treatment, avoid strenuous physical activity, saunas and steam baths for a few days. It is also advisable to avoid touching or massaging the treated area to prevent product displacement.
Can I combine temple treatment with other aesthetic procedures ?
Yes, temple treatment can be combined with other aesthetic procedures, such as cheek or lip fillers, botulinum toxin injections and other facial rejuvenation techniques. This creates a harmonious overall result.
Articles about the temples
- At what age do the temples start to become hollow ?
- How much hyaluronic acid is needed for temple treatment ?
- How does hyaluronic acid restore temple volume ?
- Do hyaluronic acid injections in the temples change facial expression ?
- What is the average price of hyaluronic acid injections for the temples in Geneva ?
- Hyaluronic acid for temples Geneva reviews
- Hyaluronic acid for temples before after
