A quiet sinking at the temples that narrows the upper face as the years pass.
Temple hollowing is the gentle sinking of the soft tissue at the temple, just outside the brow and above the cheekbone, as the fat pad and underlying support thin with the decades. In a younger face the temple sits at a soft, gentle convexity, continuous with the brow and the cheek. As the structure thins, the area begins to read concave, and the upper face narrows visibly.
The change is subtle in any given year and unmistakable across a decade. It is one of the quieter signs of facial aging, often noticed by the patient later than the lower-face changes, but visible to the camera and to anyone looking from the side.
Treatment for temple hollowing suits the patient whose temples have begun to read concave, whose upper face has narrowed compared with earlier photographs, and who wants to restore the soft fullness the area once carried. The work is conservative by approach: small amounts placed carefully, often paired with treatment of the cheek and brow for a balanced result.
It also suits those willing to think of the upper face as one structure rather than as a collection of regions. Temple hollowing rarely arrives alone, and restoring it without addressing the surrounding changes can leave the upper face out of balance.
The principal causes are the same forces that drive volume loss generally. The fat pad of the temple thins steadily across the decades. The bone beneath resorbs subtly. The fascia and other supporting tissues lose their resilience. The result is a temple that no longer sits proud and full as it did, and an upper face that reads narrower than it once did.
Significant weight loss can dramatize the change, and it is often most visible in patients who have lost considerable weight rapidly. Chronic illness, stress, and certain medications contribute. Genetics decides the timing and the prominence of the change, and patients with naturally fuller faces tend to notice it later than those with naturally finer features.
You may notice:
Temple hollowing tends to arrive in the mid-forties for many patients and to deepen across the fifties and sixties. The arc is gradual, and the change is among the less noticed of the long aging shifts, partly because the temple is not where most patients are looking when they study their faces.
The arc steepens with significant weight loss, with the years immediately surrounding menopause, and with chronic stress or illness. Patients who have maintained stable weight and steady self-care tend to enter temple hollowing later and less visibly than those who have not.
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