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TEMPLE FILLER

Temples are very frequently a missed area by both patients and doctors. Hollowing of the temple is more common as you age and in slimmer patients.

It can make people appear older than they are and can also contribute to drooping of the tail of the eyebrows.

Treating this area of filler can rejuvenate your entire face and take back years without people being able to tell what you have had done. If you look at images of people as they age, especially slimmer patients, you will see that one of the classic signs is hollowing in the temples.

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duration

45 mins

results

12-18 months

no. of sessions

1-2

downtime

1-3 weeks swelling and bruising

FAQs

Please see our most commonly asked questions below

What kind of results can be achieved?
The temples are a structure on the sides of your forehead. If you have had hollowing here it can look ageing and and make you appear older than you are. It can also give a slightly harsh appearance to your face. By injecting filler in this area, we indirectly rejuvenate your whole face and take back years without anybody being able to point out why. It is an area that is often overlooked but when you start observing the faces of people as they age, this is a classic sign of ageing. Like all areas of the face, it is important not to overfill or attempt to flatten this area completely as it can make your face appear rounder. If the temple hollowing has contributed to drooping of the tail of the brow, replacing volume here can give a slight brow lift to the ends of the brows.
Who is this treatment suitable and not suitable for?
Temple fillers is only suitable for patients who have hollowing in this area. We do not recommend it for brow lift if you do not have volume loss here. It is best to come for a consultation so we can assess your face. If you have a history of anaphylaxis or allergy to wasp stings, fillers may not be suitable for you. This is because you are likely to be allergic to the filler dissolving enzyme. We always have to ensure we are able to dissolve the filler in an emergency (see below for risks and side effects).
How long does it last?
On average temple filler will last around a year. However, this is an average time and for some people, the filler may dissolve more quickly because of their metabolism and for some people it may last longer. We find that with subsequent treatments, the results often last longer. After the first 2 sessions you may find you do not need to come back for a few years.
What is the recovery/downtime?
Bruising and swelling can be significant for this area. There are many prominent vessels here which can also look very swollen immediately after treatment. This can last for a few days. It is normal for your face to feel tight and restricted and you may find it hurts to chew food. Please give it 2-3 weeks to settle. We advise you not to wear makeup for the first 4 hours and avoid intense exercise for the first 5 days. Please see the aftercare section for more details.
What are the side effects and risks?
Like all medical treatments, there are side effects and risks. Swelling and bruising are to be expected, as is some discomfort. It is also normal to have subtle bumps and irregularities when you first get fillers done, most of this is swelling and will resolve. It is important to follow the aftercare to minimise migration risk and ensure the results last as long as possible. If you have a history of cold sores, any needles to the face can trigger a breakout of it. So please inform us in advance if you have had any cold sores in the past year. There is a very small risk of filler entering a blood vessel and blocking off the blood supply to the skin. This is called a vascular occlusion. As a medical clinic, we have all the equipment and enzymes available to reverse this and dissolve the filler. It is a condition that either happens during the appointment or in the first 48 hours after. We give extensive aftercare advice and are available to get in touch within this period to dissolve it. We have also reviewed every single treatment we carry out in clinic to modify the techniques to minimise the risk.
How painful is the treatment?
We inject temple fillers with a cannula not a needle so you do not feel sharp pain. Most people describe it as discomfort and pressure. If you are apprehensive about pain or have a low threshold to pain, please ensure you take 1g of Paracetamol 1 hour before the procedure and inform the clinician so we can use numbing cream.
Duration
The appointment is 45 minutes long but the treatment itself takes 10-15 mins. If you have filler in multiple areas, the appointment will be longer. At No Filter Clinic we take our time assessing patients thoroughly, both at rest and with facial expressions so we can ensure the results integrate seamlessly with your features and your muscle movements. Our priority is to also ensure the treatment is safe and carried out to the highest standard.
No. of sessions
We are usually able to achieve the desired result in one session. We never like to inject more than what we think is suitable for your face and anatomy as this leads to a risk of it looking fake or migrating to other areas as there is only so much the skin can stretch. If you need further volume we normally recommend you come back after 1 month for a second treatment.
How will I look straight after?
You will see the results of temple filler immediately but there may be mild swelling and the vessels can look very dilated immediately after treatment which makes it difficult to appreciate the result immediately after. This will subside after a couple of weeks to reveal your final results.
Can it be reversed?
At No Filter Clinic London we only use fully reversible fillers. This is because they are safer than permanent fillers and we can dissolve them in the case of an emergency and if for whatever reason you are not happy with the result. This gives fillers a significant advantage over surgery as they are not permanent. This does not mean you should get fillers just to try them out as the dissolving is not a simple procedure. You should only get fillers done if you have researched them thoroughly, feel comfortable getting the procedure done and are happy accepting the small risks and side effects which are all manageable. If you have a history of anaphylaxis or allergy to wasp stings, fillers may not be suitable for you. This is because you are likely to be allergic to the filler dissolving enzyme (Hyaluronidase). We always have to ensure we are able to dissolve the filler in an emergency (see risks and side effects).
What is the aftercare?
We send a thorough aftercare email to all our patients but please find a summary below.

What to do after treatment

Get some Arnica tablets from any pharmacy, this helps with bruising and swelling. Please do not wear make-up for 4 hours after treatment. In the evening of the treatment, you may gently wash your face and use your regular wash and lotions. Please skip any retinols or acids for the first night. Do not sleep with pressure on the face and try to sleep on your back for 1 week.

If you are uncomfortable with the swelling, please take Loratadine/Cetirizine (normally used for hayfever) to help decrease this. If there is excessive swelling you may contact the clinic to obtain a prescription for steroids to help resolve your inflammation more quickly; prescriptions drugs are not appropriate if the degree is swelling is within normal parameters. Aside from this, there is, unfortunately, no quicker way to resolve swelling as it is a normal bodily reaction to trauma. Wash your face very carefully, applying no pressure to areas treated for 4 weeks.

What NOT to do after treatment

- No strenuous exercise or gardening for at least 1 week.
- Do not massage the area treated for the first 4 weeks following treatment.
- No facials or waxing for the first 2 weeks.
- Do not take aspirin, ibuprofen or other anti-inflammatory medication for 24 hours after treatment as this may increase bruising. You may take paracetamol or codeine if you are uncomfortable.
- Do not consume alcohol for 24 hours after receiving treatment. This increases the risk of bruising.
- Do not have a sauna, hot tub or go in a tanning booth for 2 weeks after treatment.
- Do not have radiofrequency, IPL, laser or any other heat treatments near the treated area for 2 weeks.
How many mls do I need?
We usually use 1-2 mls in the temples depending on the volume loss.
Which fillers do you use?
We use all the premium brands available. We use a mixture of Teoxane RHA4/Ultradeep, Stylage XL/XXL, and Juvederm Voluma/Volux depending on the patient and their individual need. We only ever used hyaluronic acid based fillers as they are fully reversible. This is essential for your safety.
How do I prepare before the appt?
Before your Appointment

1. Please stop using topical Retinols, Glycolic Acid, Lactic Acids, Salicylic Acid and medication used to treat persistent or cystic acne 5 days before your treatment. This will minimise pain and bruising. However, you do not need to stop if you have been using these for a long time and your skin is likely to flare up without them. If you are on on prescription-grade cream to promote skin renewal and reduce breakouts, please get in touch before your appointment so we can discuss it and give individual advice.

2. Please stop using any Vitamin E supplements and Ibuprofen/Neurofen 5 days before your treatment. Please do not stop using any Aspirin (or any other medication) prescribed by your GP.

3. Laser treatments for the face, microneedling and chemical peels must be avoided 1 week before and after the treatment.

4. Please do not drink alcohol 24 hours before and after the procedure.

5. Make sure you eat something before your appointment and are well hydrated. This prevents feeling lightheaded during the procedure.

6. Taking 1 g of Paracetamol (2 tablets) 30 mins - 1 hour before your appointment is advisable as it will significantly reduce any discomfort during the procedure.

7. Please attend the appointment alone. There is limited space in the clinic and anybody with you will be asked to wait outside the building.

8. Please come to the appointment with makeup removed and minimal jewellery.

9. Please note, we cannot carry out any Dermal Filler treatments if you are due to fly in the next 3 days. This is because of the small risk of vascular occlusion in the first 48 hours. Wrinkle relaxing injections, Profhilo and Aqualyx are fine.
How does the pricing work?
There are different pricing structures. Please see price list for more information.

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