Temple Filler

Name: Temple Filler
Uploaded: 2025-08-05T21:27:42+00:00
Duration: 23 min 14 s
Channel: Gorgeously Aging

In this video I'm using both Tesoro Sub Q and Tesoro Deep filler from Acecosm.com discount code STACY10

This video is not medical advice or instruction. Filler of any kind requires understanding of facial anatomy and safety protocols. Please use this video as education and a jumping off point for your own research.

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00:00Hey friends, I'm Stacey and this is Gorgeously Aging and today I'm going to be doing a much

00:09needed temple filler using Tesoro SubQ with lidocaine. So you can see especially when I

00:14turn to the sides that since I've my weight loss my temples have gotten quite hollow. This is

00:20normal as we age but with extreme weight loss that can be more pronounced. Filling some of

00:26that temporal hollow can give a more youthful look and smooth the contrast between the zygoma,

00:33the cheekbone, the lateral cheekbone and the temporal hollow. There are definitely some

00:38safety concerns that need to be considered. This is considered more of a high risk area to inject.

00:44Before my weight loss I was managing the volume deficit in this area using threads which is a

00:49much safer option. If you have very mild to moderate deficit in volume in the temples you may want

00:56to consider some PDO threads, screw threads or triple threads work really well, twin threads,

01:02anything that will build collagen and fill some of that lost volume in that area can help for a really

01:08long time. Now for me I probably would keep doing threads but my deficit of volume in the temples is

01:15now more than really what threads can handle. I would describe mine as moderate to severe temporal

01:20hollowing. There's a pretty good dip here and I'm starting to get that dreaded peanut head is what

01:26they call it when the temples sink in and then the zygomatic sticks out. You kind of have that

01:31concavity here and that fullness here that creates kind of that peanut shape. So we're going to go

01:36through the steps. I've already washed my face thoroughly. I'm going to alcohol swab and then I'm

01:41going to apply some topical lidocaine. This isn't always necessary depending on your pain threshold

01:47but it does make it more comfortable. We want to make sure to get all the way from kind of the arch of

01:52brow up here down to where that upper cheekbone is and just get that all cleansed on both sides

02:00and then I'm going to use a 10% lidocaine. Everything I'm showing you is from acecosm.com

02:06discount code STACY10. Now of course this isn't medical advice or instruction. There are dangers in

02:14doing your own filler on your face no matter where you're injecting it but the temporal area is a little

02:19bit more complicated. Having said that anyone can learn anything and as long as you're willing to

02:25really study and learn and pay close attention to tutorials you definitely can learn how to do this.

02:34So I'm going to apply a liberal coating of this 10% lidocaine. There are other strengths of lidocaine

02:40available on Amazon that are weaker. I think over the counter you can get 5% but you can't get 10%

02:47through Amazon or through over-the-counter retailers.

02:52So we are going to be going over safe zones and how to map safely for a temple filler. I'm going to

02:59talk a little bit about the anatomy and some safety protocol. First I'm going to let the lidocaine sit

03:03on for about 15 to 20 minutes. For those who are sensitive you can go up to 30 minutes but definitely

03:09don't let the lidocaine sit on for a prolonged period of time. While the typical lidocaine is sitting

03:14on is a good time to prepare your syringes. I like to lay down a sheet of plastic and get my syringes

03:20ready. Now for the temples you're going to want about a half of a syringe per side or a full syringe

03:27per side. Because I have a lot of hollowing I may need both of these syringes but I'm going to start by

03:33using half a syringe or half of a cc and see how I'm feeling about that before I proceed to doing a whole

03:40cc of filler per side. My guess is that I'm going to need a full syringe per side which is not uncommon

03:46in temple filler. So the topical lidocaine has been on me for about 15 minutes so I'm going to go ahead

03:51and remove it. First I'm going to use a dry cloth paper towel or sterile gauze just to remove the

03:58lidocaine and then we're going to go ahead and use some alcohol just to ensure all of the topical

04:05lidocaine is removed and the skin is sanitized. Make sure your hands are washed and thoroughly

04:12sanitized before starting. Try to avoid touching anything else while you're working on your face

04:17including your cell phone. Touching other things after your hands are clean and sanitized can lead

04:22to cross-contamination and you can put bacteria on your face in your work area which we don't want

04:27to have happen. I'm going to go ahead and put on some gloves but I want to note that it's crucial

04:32to have some kind of dissolver on hand in case of an emergency. Never never do filler with hyaluronic

04:38acid without lipo race. This is an enzyme that dissolves hyaluronic acid filler and it's important

04:45to have in case of a vascular occlusion. Now we're going to take tons of safety precautions to avoid that

04:51but even so even the most confident injectors should have a dissolver on hand in case of an

04:58emergency. If an emergency were to occur I would add two mils of saline into this vial. It's a powder

05:05mix it up and inject into the area where there's an occlusion. I do have a more thorough video on this.

05:12I'll link it in the description below. So now that we've cleaned, numbed, and alcohol swabbed the area

05:17I have my gloves on we're going to do some mapping and discuss safety and anatomy. So what we want to feel

05:22for is the temporal fusion line. That's basically where the frontalis ends and the temple begins.

05:29You can kind of feel a little bump there and if you open your mouth you can sometimes feel it even

05:35better by going...

05:40You can feel that temporal muscle there moving.

05:43So I have a pretty easy time finding my temporal fusion line. It's right here. So we're going to take an

05:50expo marker and I'm just going to show you how we determine our safe zone. Now the next point we're

06:00going to find is our zygoma. So the top of the cheekbone and we're going to mark that

06:07and then this I'm just going to also mark.

06:15So this is the temporal area. Now it's important to determine where the safe zone in the temple is

06:21because there are there is a lot of vasculature there. So we're going to mark this into quadrants.

06:28The middle here and in the middle here. Now the areas we want to avoid I'm going to mark in red like a stop sign.

06:37So in my case you can actually see one of my arteries pretty clearly through the skin. I don't

06:42know if you guys can see it. It kind of runs zigzag through here and down into here.

06:46So this is a stop sign area. No injection here. Stop sign area. No injection here. And here.

06:58So some of you may have heard of the one up one over technique. This is our go area but I'm going to show

07:04you the one up one over point. So if we go one centimeter up and one centimeter over this is our

07:13safe injection point. And if you feel it's very bony and when you go below this it's very it gets

07:21softer. We want to inject right in this area down to the periosteum. That means the bone.

07:26And this is our safe zone. I'm going to probably hit right above that black dot.

07:31Now something to note when doing this is you're going to go in hold steady and we're going to

07:36aspirate on an unprimed needle. So if we pushed filler up through the needle this would be primed.

07:43The filler would be going up there. Right now there's just air there. It's not primed.

07:48But by priming it you're making it harder to see if there's a vascular occlusion. So for an

07:53extra step of safety we're going to go into our spot and we're going to hold steady pull back

07:59count to ten on an unprimed needle because it'll be easier to see any blood that might come into the

08:04syringe. If blood comes into the syringe it means the tip of the needle is in an artery and then we

08:09don't want to inject there. So that is a very important safety measure. Not just with temple filler

08:15but with any filler. Even more safe is using a cannula but with a cannula you can't get down to the

08:21zygoma. Cannula injections into the temple region tend to lay a little more superficial and it can

08:26be a little lumpy bumpy. It's still very useful and a lot of injectors do use a cannula but you have

08:32to do it right to get good results. A combination of needle and cannula can also be used. So we have

08:38our markings. You can see where our green light in our safe zone for injection is. I'm just going to take

08:44some of that marking off here before I do the injection on this side. So I'm just going to take off a little

08:49bit of this marking here. It's really more of a visual aid for you guys but I don't want to push

08:56any of that marker into my skin. Another important safety measure is hold your finger and just feel

09:02for any pulsation in that area. Take your time and just allow yourself to feel. Right now I'm not feeling

09:08any pulsation which is good and another safety measure to take for temporal filler. Now I want to

09:14show you on my mannequin that there is a lot of vasculature. Now this doesn't necessarily show the

09:20depth. Some of it is more superficial and some of it is deeper in the face. But if we go to the temporal

09:25crest which is right where this frontalis muscle ends and we go to the base of that here, we go up

09:31and over. That's exactly where this is and you can see it's a safe zone free of any arteries or vessels.

09:38And that is this point right here. The Tesoro Sub-Q with lidocaine does come with two needles

09:44to choose from. One has an orange cap and one has kind of a gray cap. The gray cap is a 27 gauge 13

09:50millimeter and the orange cap is a 25. So a little bit bigger opening. Now something that I'm planning

09:56to do, there is a bevel on every needle. I'm not sure that you'll be able to see this. If the bevel is

10:03let's see, facing you and it's the part where the filler comes out from. So when we put our bevel

10:11in, I want the bevel facing out, not this way. We want the bevel or the opening on the needle

10:18facing out and I'm going to have it facing this way and then as I inject I'm going to slowly twist

10:26so that the filler is getting moved a little bit into this area. So we have a more even distribution.

10:32It's important to go slowly and not to press hard on the plunger. Take your time in finding the right

10:38amount of pressure for a nice slow steady injection. So again, we're going one up, one over

10:48and I'm going to feel to make sure the periosteum is there. Visually inspect.

10:54And when I say one up, one over, I'm talking about a centimeter and we're going to lightly twist. You

10:58might hear a little like crunchy sound, snap, crackle, pop, I call it. And I can feel the tip

11:05down to the bone and we're going to very slowly pull back on this plunger. You want to keep the

11:14needle steady. You don't want to pull it away. We're going to pull back for about a count of 10.

11:22So I don't see any flash of red in there.

11:28And I'm going to grab, without moving the needle tip, you want to keep it down on the bone.

11:32And we're going to slowly find the right pressure. And it takes a minute to figure that out.

11:46And as it starts moving down that plunger, I'm going to keep a close eye on it.

11:54Not press hard, just press steady. And we're going to move the bevel. I'm starting to twist.

12:02And move like this as well. But you just don't want to pull that needle head back. You want to keep

12:11the tip on the bone. And I'm being patient. There is lidocaine in this. So as it goes in,

12:26it's continuing to numb the area inside, where the topical lidocaine, twisting a little more,

12:34where the topical lidocaine only really numbs the surface of the skin. This numbs a little deeper

12:40in the skin. I want to get about half of this syringe into this temple area.

12:46Nice and steady, not pressing too hard, finding that right amount of pressure.

13:02Okay, you can see that bolus there is there. And I'm going to

13:06start to press it down a little bit. Now, this one doesn't flow as much, but it's nice

13:14and thick and will stay in this area

13:19without sliding into areas it shouldn't be.

13:23I'm not pressing on the soft spot. I'm pressing above on that bony part to distribute this a little

13:29bit better. This also will help give a nice little brow lift and support. I'm going to take and roll

13:38just a little bit, not pressing too hard. Now I'm going to move my point of entry down just a little

13:45bit. It's still on the bone. It's still in that safe zone. I'm going to feel for any pulsation.

13:53Twist a little to go in. You hear a little cracking.

13:56I'm going to feel that I'm on the bone there. We're going to aspirate again,

14:01which should be done every time you reposition. And hold five to ten seconds.

14:15And I'm going to go and do the other half of the syringe, finding the right pressure.

14:27Little twist.

14:45Steady.

14:45Sometimes you can hear the filler going in a little bit.

15:01Okay, pulling out. I'm going to clean this whole side here.

15:06The marker kind of makes a mess. You certainly don't have to do that at home. That was more for

15:10demonstration. Now we can see how fast a full syringe goes in this temporal area, especially

15:17when you have a lot of volume deficit like I do with my 80-pound weight loss. So you can see that

15:22that gave some nice fullness through here. But we do still need to address this area, which may be

15:28safer to address with a cannula going from here and fanning this upward. The other option is to go in

15:35even slightly lower just at the low point of that safe zone with a filler that flows a little bit

15:42better. I do have the Tesoro Deep, which is not quite as thick as the Tesoro Sub-Q. You do want a

15:50filler that has some thickness to it. Otherwise, it's just not going to stay and give you the volume

15:55restoration that you want in those deeper areas where you're going down to the periosteum or the bone.

16:01So now I'm going to move on to Tesoro Deep with lidocaine and I'm going to use a cannula and go in

16:08and soften up some of this area here. So we have definitely volumized in this region and now I just

16:14want to kind of feather in some of this thinner Tesoro Deep just to kind of smooth everything out.

16:21Now it's always important on the temples to underfill rather than overfill. You definitely don't want

16:27this bulging. You want to underfill as opposed to overfill that area. This is a 22 gauge 50 millimeter

16:36cannula. We're going to go in right about here and then I'm going to use the cannula to feather in

16:42some of this Tesoro Deep. Tesoro Deep is a little bit softer than the Tesoro Sub-Q, but still has some

16:50body to it to volumize the temples. Using a cannula is much safer than using a needle because the tip

16:57of the cannula is blunt, meaning it's not going to puncture an artery. Now it still can, but it's really

17:04unlikely. So the cannula pack comes with a needle for piercing our entry hole. I'm going to set that

17:10aside. I'm going to take this Tesoro Sub-Q and we're going to twist this on. I already took the cap off

17:17that. Twist this on nice and tight and you can see that's a nice long cannula. I'm going to take this

17:25needle tip and we're going to make a pilot hole, but first I'm going to take an alcohol swab

17:31and swab this cheek area right about here and just go in at the same angle you plan to go in with your

17:47cannula. All right, so I'm going to take my Tesoro Deep with the cannula and we're going to go right

17:59into this area. Being patient, getting the tip in there, a little tiny twist and you don't want to force.

18:14You want to gently allow that to go into the tissue. I'm at about a 35 degree angle I'm guessing here.

18:23So we can see when we pull up where that tip of the cannula is.

18:38And I'm going to want to feather this in. I'm still going to aspirate a little bit,

18:43holding that for about five seconds,

18:51twisting, grabbing here and slow pressure, moving downward.

19:06And then I'm going to take pressure off the plunger while I reposition.

19:09repositioning again,

19:25not forcing.

19:35I'm going to pull that out here and we're going to gently work that in.

19:52I wanted to save the other half of this for the other side.

19:56So I put the one full syringe up here, doing a bolus,

20:00and then we kind of feather it in a little bit down lower with a cannula for safety.

20:06You can also supplement threads. So if you do some up higher and you want to supplement some threads

20:12down in here to build natural collagen, that's a great option.

20:17Not everybody feels comfortable with a cannula and threads are a very safe way to supplement filler

20:25in the temporal area. So I'm going to fill the other side off camera. So this video doesn't get too long.

20:30You can definitely rewatch this side and just really study that area. But I'm going to do this

20:36other side off camera and I'll be back to talk a little bit about how I'm feeling about how it looks

20:42and what I might tweak in the future. Okay, so you can see where I have treated this side of my face

20:48up here in that safe zone in two spots. One a little higher, one a little bit lower. One full mill,

20:55or one box, of tesoro. This one is the sub-Q. I had to look at the box to remember. Tesoro sub-Q with

21:03lidocaine. The whole syringe is up here in that primary temple area. Then I went in and made a pilot hole

21:10and took the cannula up here with some tesoro, the other half of that tesoro deep. That's the blue box.

21:18Tesoro deep. So with the cannula, I went up just to fill a little bit more of this area here. Only

21:25half a mill with the tesoro deep and a full mill of the tesoro sub-Q, both with lidocaine. Now I'm

21:32going to wait for about a week and reassess how this looks. I'll share some before and after pictures

21:38on my social medias. You guys can find me at Gorgeously Aging on Instagram, Facebook, Twitter.

21:46What else am I on? TikTok. You guys, I forgot. I'm on all socials pretty much. So just search for

21:52at Gorgeously Aging and you'll find me. I'll also share a follow-up with the before and afters.

21:57After this settles in and gets comfortable, I'll take a good look if I need more or maybe want to

22:04add or supplement some threads in the temple area. I can already tell it looks a lot better. I was

22:10definitely very hollow right here and that has filled in nicely. So I don't want to overdo it.

22:16It's always better to underdo the temples and reassess after a week or two and see what additional

22:23supplementation may be needed to restore volume. So are you guys seeing the difference already up in

22:28this area here? So there's still a little bit of hollow here, but again, it's better to err on

22:34underfilling than overfilling. Let me know what you think down in the comments and if you haven't

22:39already subscribed, please hit that subscribe button and feel free to ask questions in the comments.

22:45Thank you so much for watching. I will see you guys in my next video. Remember what I always

22:50say? Be good to yourselves and to others. I'll see you next time.

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shawnahydinger5 months ago

I just did my first plla in my temples, I've done my botox and a syringe of ha, and I think its safer to diy because u can feel it, and u learn ur face, also, we care more. So, do ur homework on anatomy and use universal precautions to prevent infection and i love doing it myself!

shawnahydinger5 months ago

Thank you for your information!

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