Restoring Volume to Sunken Temples and Midface with Dermal Injectables

Restoring Volume to Sunken Temples and Midface with Dermal Injectables

As the face ages, one of the most significant changes occurs not on the surface, but in the deeper structural layers where fat pads diminish and bone density subtly shifts. Dermal fillers in Riyadh(حشوات الجلدية في الرياض) are increasingly utilized to address these hollowed areas, specifically the temples and the midface, which are often the first to lose their youthful "bounce." When the temples sink, they create a "peanut-shaped" head contour that can make an individual look tired or gaunted. Similarly, volume loss in the midface leads to sagging cheeks and the deepening of folds around the mouth. By strategically replenishing these areas with advanced injectables, practitioners can restore a smooth, continuous arc to the face, providing a non-surgical "lift" that rebalances facial proportions and restores a vibrant, healthy appearance.

The Anatomy of Hollowing: Why Temples and Midface Matter

The temples and midface serve as the structural pillars of the upper and middle thirds of the face. Understanding their role is key to a successful rejuvenation.

• The Temporal Fossa: Located at the sides of the forehead, the temples provide a transition between the brow and the hairline. When this area hollows out, the tail of the eyebrow can droop, and the bony ridges of the eye sockets become more prominent, creating an aged, skeletal look.

• The Midface Fat Pads: In youth, the cheeks are full and sit high on the cheekbones. As these fat pads shrink and descend due to gravity, the skin loses its underlying support. This results in "midface flatness," which contributes to the formation of under-eye bags and prominent nasolabial folds (smile lines).

• The "Lifting" Effect: Restoring volume to the temples and midface doesn't just fill holes; it creates tension. Filling the temples can subtly lift the lateral brow and eyes, while midface fillers provide an anchor that pulls the lower face upward, softening jowls.

Selecting High-Performance Fillers for Structural Support

Because the temples and midface require "lifting" rather than just "smoothing," the choice of injectable is critical. In Riyadh’s top clinics, practitioners favor products with high "G-Prime" (firmness).

1. Hyaluronic Acid (HA) Gels: Brands like Juvederm Voluma or Restylane Lyft are designed for deep injection. They have a thick, robust consistency that mimics the feel of natural bone and fat pads. They are ideal for immediate results and are fully reversible.

2. Biostimulators (PLLA and CaHA): For a more gradual transformation, products such as Sculptra or Radiesse are used. These act as a "scaffold," encouraging the body to produce its own new collagen. This is particularly effective in the temples, where a soft, natural filling effect is desired over time.

3. Longevity: Because the temples and cheeks are relatively static (they don't move as much as the mouth), these fillers tend to last longer. Most patients enjoy their restored volume for 12 to 24 months.

The Procedure: A Global Approach to Rejuvenation

Modern aesthetic medicine in Riyadh has moved away from treating isolated wrinkles toward "Global Facial Rejuvenation."

• Deep Placement: For the midface, fillers are often placed directly onto the cheekbone (periosteum) to provide maximum lift. For the temples, the filler is placed deep beneath the muscle or in the superficial fascia to ensure a smooth, even blend with the forehead.

• The Cannula Technique: To minimize the risk of bruising and increase safety in the vascular temple region, many specialists use a blunt-tipped micro-cannula. This allows the product to be spread evenly through a single, tiny entry point.

• Symmetry Check: During the procedure, the practitioner will view the face from multiple angles—including the 45-degree "profile" view—to ensure the transition from the forehead to the cheek is a seamless, convex curve.

Recovery and Aftercare for Optimal Results

The downtime for temple and midface fillers is remarkably short, but the "settling" phase is important.

• Initial Sensations: It is common to feel a sense of "tightness" or mild tenderness when chewing for 2–3 days after temple injections, as the temporal muscle adjusts to the new volume.

• Pressure Management: Avoid sleeping on your side or applying heavy pressure to the treated areas for at least 72 hours. This prevents the filler from shifting before it has fully integrated.

• Hydration: Since HA fillers are water-loving, staying well-hydrated in the week following your treatment will help the gel expand to its optimal volume and provide a smoother finish.

Conclusion

Restoring volume to the temples and midface is one of the most effective ways to refresh the entire face without changing one’s fundamental features. By addressing the structural "foundations" of the face, these dermal injectables erase the shadows of fatigue and replace them with the soft contours and light-reflecting surfaces of youth. In Riyadh, where aesthetic innovation meets high-end care, this sophisticated approach ensures that rejuvenation is both impactful and remarkably natural, allowing you to look as energetic as you feel.