When we think of aging, we usually look at the lines around our mouth or the bags under our eyes. However, there is a “hidden” area that dramatically ages the face without us realizing it: the temples. In 2026, correcting temple filler for youthful look has become one of the most requested but under-discussed treatments at LIV Clinic.

A hollow temple can create a “peanut head” effect, where the forehead looks wide, the temples dip in, and the cheekbones poke out. This breaks the smooth, convex curve of youth. At LIV Clinic in Koh Samui, we specialize in restoring this structural balance. Whether you are battling weight-loss-induced hollowing or natural aging, correcting the temples is often the missing piece of the puzzle for a truly refreshed appearance.

Why You Can Trust LIV Clinic With Your Safety

The temple is considered a “danger zone” in facial anatomy due to the presence of the superficial temporal artery and complex vein networks. Injecting here requires more than just a certification; it requires mastery of anatomy.

Dr. Narathai Vichienkalayarut and Dr. Suchakan Rotsaranrom are experts in “layer-specific” injections. We understand exactly where the dangerous vessels lie and inject deep onto the bone or superficially with safety cannulas to avoid them entirely. In 2026, we have adopted the latest ultrasound-guided protocols for high-risk cases, ensuring that every injection is precise and safe. When you choose LIV Clinic, you are choosing medical rigor over quick fixes.

The “Peanut Head” Phenomenon: Why Temples Hollow Out

Why do we lose volume here? The temple is essentially a concave fossa (a bowl) filled with a muscle (the temporalis) and a fat pad. As we age, three things happen simultaneously:

1. Bone Resorption: The skull actually shrinks slightly, widening the “bowl.”

2. Muscle Atrophy: The chewing muscle becomes thinner.

3. Fat Loss: The protective fat pad dissolves or slides down.

This creates a shadow that creates a harsh transition between the forehead and the cheekbone, making the face look skeletal or gaunt.

Benefits of Temple Filler: More Than Just Volume

Filling this area does not just make the temple flat; it changes the light reflection of the entire face.

Restoring the “Oval” of Youth

By smoothing the dip between the forehead and cheekbone, we restore the “Ogee Curve”—the smooth, continuous line that defines a youthful face. This effectively treats the “peanut” shape, making the face look softer, healthier, and less angular.

The “Mini” Brow Lift Effect

One of the most loved side effects of a temple filler for youthful look is the brow lift. When we re-inflate the temporal hollow, it acts like a scaffold, physically propping up the tail of the eyebrow. This opens up the eyes and reduces the hooding of the upper eyelid without surgery.

Choosing the Right Product for 2026: HA vs. Biostimulators

In 2026, patients have more choices than ever. While Hyaluronic Acid (HA) fillers are still the gold standard for instant results, “Regenerative Aesthetics” using biostimulators is a massive trend.

• Hyaluronic Acid (HA) Fillers: Products like Restylane Lyft or Juvederm Voluma are used for immediate structural replacement. They mimic bone and muscle volume instantly.

• Biostimulators (Sculptra): Products containing Poly-L-Lactic Acid (PLLA) do not just fill; they stimulate your body to grow its own collagen over months. This is excellent for patients who want a gradual, natural restoration of the temporal area.

Comparison: Which Temple Treatment Suits You?

To help you navigate the 2026 landscape, we have compared the two primary approaches used at LIV Clinic.

Feature	Hyaluronic Acid (Restylane/Juvederm)	Biostimulator (Sculptra)
Primary Goal	Instant Structure & Lift	Long-term Collagen Growth
Results Visible	Immediately	Gradual (3-6 Months)
Longevity	12 – 18 Months	24+ Months
Reversibility	Yes (can be dissolved)	No (requires patience)
Texture	Firm Gel	Natural Tissue Growth
Best For	Deep hollows requiring instant lift	General thinning & skin quality

The Procedure: Needle or Cannula?

Safety is dictated by the tool we use.

• Deep Needle Technique: For HA fillers, we often place the product deep on the bone (periosteum) using a needle. This is actually the safest layer because there are no major arteries deep against the skull. It provides a natural lift without lumps.

• Cannula Technique: For superficial blending or biostimulators, we use a blunt-tipped cannula. This slides under the skin without cutting blood vessels, significantly reducing bruising and risk.

Safety First: Navigating the Danger Zone

We cannot stress this enough: Do not shop for the cheapest price for temple fillers. The temple contains the Superficial Temporal Artery. If an inexperienced injector hits this vessel, it can cause severe complications.

At LIV Clinic, we perform a “aspiration test” (checking for blood return) before every injection point and use low-pressure techniques to ensure total safety. We also keep a full emergency kit including Hyaluronidase on site at all times.

Aftercare and Recovery

Recovery for temple filler is surprisingly easy, but there is one unique side effect.

• Chewing Discomfort: Because the filler sits near or under the temporalis muscle (which you use to chew), you might feel a dull ache or pressure when eating for 2-3 days. This is normal and temporary.

• Vein Appearance: Sometimes, prominent veins in the temple may look slightly more visible due to the volume pressure. This usually settles as the swelling goes down.

• Sleep Position: Try to sleep on your back for 48 hours to prevent asymmetrical molding of the product.

Frequently Asked Questions

Will filling my temples make my head look fat?

No. This is a common fear. We do not overfill the area to make it bulge out. We simply fill it enough to be flat or slightly concave, restoring the smooth curve. It actually makes the face look slimmer by balancing the cheekbones.

Does it hurt?

The temple is a strange sensation but not painful. Patients often describe a “crunching” sound (which is just the sound of the tissue expanding near the ear) and a feeling of pressure. It is very tolerable with numbing cream.

How many syringes do I need?

The temporal fossa is a large deep bowl. Most patients need 1 syringe per side (2ml total) to see a significant difference. Mild hollowing may only require 0.5ml per side.

Can I combine this with Botox?

Yes. In fact, injecting Botox into the tail of the brow or the masseter muscle complements this treatment perfectly, enhancing the V-shape and lifting the eye further.

Is it safe to fly after temple filler?

Yes. You can fly the next day. The cabin pressure does not affect the filler placement. Just stay hydrated.

Contact Us

Ready to restore your facial balance and banish the “peanut” shape? Contact Dr. Narathai today for a safety-focused assessment.

• Phone: +66 65-996-4242

• Whatsapp: (+66) 65 996 4242

• Line Official: @Livclinic

• Email: Livclinic.samui@gmail.com

• Address: 1/63 Bophut, Koh Samui, Suratthani, Thailand, 84320

• Website: https://liv.clinic/

References

1. MDPI – Life Journal. (2026). An Expert Guide to Anatomy-Based Filler Injection for the Temple. Retrieved from https://www.mdpi.com/2075-1729/15/2/266

2. American Society of Plastic Surgeons. (2026). Plastic Surgery Trends for 2026: Regenerative Aesthetics. Retrieved from https://www.plasticsurgery.org/news/articles/looking-into-the-future-plastic-surgery-trends-for-2026

3. Journal of Aesthetic Nursing. (2026). Safety Considerations in Temporal Soft Tissue Augmentation. Retrieved from https://www.aestheticnursing.co.uk/

4. National Library of Medicine. (2024). Anatomy of the Temporal Region and Danger Zones. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC8564707/