Tag Archives: dermal fillers

Don’t Ignore the Temples as Part of Your Comprehensive Facial Rejuvenation

Loss of volume in the temple areas of the face contributes to a gaunt and wasted appearance. Fortunately, dermal fillers such as hyaluronic acid (HA) can counteract this loss of volume to achieve a more balanced and youthful appearance.

For themples, only the most experienced aesthetic dermatologists can skillfully combine the best filler for you with the injection technique that will meet your expectations with this treatment. In this regard, both Restylane® and Restylane® Lyft (formerly known as Perlane-L®) have been studied.

Rejuvenation of the temples with Restylane

In this study, 20 people were treated with Restylane injections. The injection technique was based on the provider’s expertise and experience. Following treatment, responses were recorded by the doctor who did the injecting. In addition, a physician who wasn’t involved in treatment did an evaluation using the Hollowness Severity Rating Scale. This scale is designed specifically to evaluate the temples. It is a 4-point scale, ranging from absent (1), mild (2), moderate (3), and severe (4).

Importantly, the people who were treated also completed questionnaires.

Here’s what they found

At weeks 4, 12, and 24, and month 12, everyone reported improvement overall in hollowness.

One year later, no touch-ups were needed in anyone, and any side effects were judged mild or moderate and resolved within 2 weeks.

Rejuvenation of the temples with Restylane Lyft

In this second study, another HA filler, Restylane® Lyft, was used. Among 16 patients treated, 13 were “very” or “moderately satisfied” and requested repeat treatment; whereas three were only “mildly satisfied” or “ambivalent.”

The bottom line

Volume loss in the temples occurs because of three key factors: changes in the bone resulting in a concave appearance, wasting away of underlying muscle, and a reduction in the fat pad. The good news is that research tells us that fillers can be used effectively to treat sunken temples. Injecting facial filler(s) in the temple area can actually help you regain a more youthful look to the entire face.

Caution, like all the other areas of the face, lack of skill leading to improper injecting technique or injecting the wrong filler product may result in less than satisfactory outcomes.

Before you get treated, be sure your provider is experienced and expert in the procedure. Some doctors are not keen to even try to put injectable fillers in the temple area. So, it’s important to speak with a qualified and experienced aesthetic dermatologist.

At Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D., we are experienced in providing our patients with this treatment as part of a comprehensive approach to facial rejuvenation. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475. Dr. Binstock, Dr. Layton, and Physician Assistant Stephanie Cullinane will answer your questions.



A Woman’s Lips and the Importance of First Impressions

A woman’s lips are the most attractive part of her body. During the first ten seconds after meeting a lady, the average man spends more than half his time gazing at her mouth.

Sue Leeson, who is marketing director of QVC, tell us, “It seems that no matter what your lips are like naturally, there is a solution for everybody.” So, it’s not surprising to learn that lip enhancement is one of the most frequently requested cosmetic procedures. It’s also technically demanding. To achieve the most aesthetically pleasing lips, the aesthetic dermatologist weaves art with science.

Getting Started

The goal for lip augmentation with dermal fillers like Restylane® Silk and Boletro® is to harmonize the appearance of the lips with other facial features. The process begins by applying the basic artistic principle known as DaVinci’s classic proportions—defined as PHI or the golden ratio.

Treatment targets as many as six anatomic areas: the philtrum columns, Cupid’s Bow, the vermilion-cutaneous junction, lower lip “pillows”, oral commissures, and the nasolabial creases. Each is shown in the photo.

Philtrum Columns 

Sculpted philtrum columns are in style. Yet, with age, these well-defined vertical columns are lost, leading to a flattened, unattractive upper lip. In such patients, it’s important to re-create them.

Cupid’s Bow

The pouty, Cupid’s Bow appearance of the central portion of the upper lip is considered sexy, desirable, and very much in fashion. Skilled placement of filler supports the projection of this area.

Vermillion Border

Precise injection technique is critical if this area is to be treated properly.

Careful! A common error that results from a poor understanding of the delicate features of the lip occurs when filler is placed too far along the border, leading to “sausage” or a “duck” lip.

Lower Lip “Pillows”

Adding volume to the areas has a sexy effect.

Oral Commissures

Proper injection technique here creates a natural looking pout.

Nasolabial Creases

Filling the nasolabial creases makes the upper lip turn outward for a natural looking pout.

The Bottom Line

Lips are one of the most sensual parts of a woman’s body and play a critical role in human sexual attraction, according to researcher, Dr. Geoff Beattie. Yet, each person has special needs and expectations—Caucasian women differ from African-American women, and from men, for that matter. There is no single prescription for a “perfect” lip, nor a “one size fits all” approach for lip augmentation.

In addition to a lip assessment, expect that your consultation with a member of our staff will include a discussion of treatment options, downtime after treatment, and medications you take and other conditions you may have. Photographs will aid before and after treatment assessments.

For a satisfactory aesthetic outcome, seek a board-certified aesthetic dermatologist who is experienced in evaluating and treating this complex soft tissue area. For consultation and more information about our approach to lip augmentation, contact Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D. Drs. Binstock, Layton, and Physician Assistant Cullinane will answer your questions. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.