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<Insights> Top 5 Facial Injection Danger Zones for Dermal Fillers

In this week's newsletter, we would be touching on the topic regarding dermal fillers which is an injectable fillers into the skin to help in smoothening the aged skin to restore one's youthful appearance. There consist of natural and synthetic fillers, in which natural fillers usually contain hyaluronic acid which can last between 6-12months. Whereas synthetic fillers include poly-L-lactic acid (helps to stimulate collagen production) and calcium hydroxyapatite that last up to 1-2years.

Areas dermal fillers can be injected

The above picture shows areas in which the dermal fillers could be applied. Dermal fillers can help to fix a variety of facial issues which include those that are caused by ageing.

It is also of crucial knowledge to doctors to know the areas of the facial region to avoid injections to prevent fatal complications that could potentially cause harm to the patient.

Possible harmful effects due to unprofessional dermal filling by doctors

  • Bruising

  • Edema ( Swelling)

  • Skin Discolouration

  • Infection

  • Blindness

  • Nodular Masses

  • Paraesthesia ( Direct nerve damage)

  • Vascular compromise ( Punctures an artery)

Top 5 Facial Injection Danger Zones

1. Glabella (Between the eyebrows and just above the nose)

Recommended injection point into offending rhytides with a Low-G filler using a serial puncture technique. When injecting in the brow area, digital pressure should be used to occlude supraorbital and supratrochlear vessels along the rim to prevent back flow in the event of inadvertent injection of vasculature.

2. Temple area injectables

To maximise safety in this area, we generally mix filler in 1:1 ratio with 0.5% lidocaine with epinephrine. Starting at the pretrichial line, the injection proceeds lateral to medial in the superficial subcutaneous plane just below the dermis.

3. Nasolabial grooves (Lines between corner of nose and the mouth)

When injecting into the nasolabial grooves, use of cannula should be considered, given the close proximity to the facial artery and its potential location within the subcutaneous tissue. Injection into the deep dermis or superficial subcutaneous tissue should be performed un the inferior two-thirds with anterograde and retrograde linear thread technique.

4. Infraorbital region

Overall, when injecting deep into the mid-face, measurements should be kept in mind to avoid intravascular cannulation or vascular injury. Avoid direct deep injections into this area, going just lateral. Injections more medial, especially approaching the medial cants, should be avoided completely.

5. Nasal Augmentation

When injection in the nose, injections should be carried out deep to musculoaponeurotic layers in the preperichondrial and preperiosteal layers to avoid injury or cannulation of vessels. The vasculature in the nose is superficially located beneath dermis.



One of the hottest aesthetic procedure in 2018 is non-surgical eye rejuvenation which could be done using dermal fillers, PDL thread lifting techniques, botox, PRP, energy based devices and non-surgical blepharoplasty. Due to its instantaneous effect after the non-surgical procedure, it has become increasingly popular among cosmetic patients all over the world.

Watch the exclusive video below as our #IFAAS faulty, Dr Matthew Holman shares his dermal filling techniques on the temple area for the facial region

Hands-On Master Class

Advanced Non-Surgical Combination Therapy for Total Eye Rejuvenation:

Eye Bag Removal, Eye Lift & Non-Surgical Blepharoplasty using Botulinum Toxin, Fillers, PRP and Innovative Energy Based Devices

​28 July 2018

Sydney, Australia


Stay tuned for next week's newsletter for the advanced thread insertion techniques!

Learn more about the cutting-edge techniques and get the hands-on experience on real patients for Korean's latest aesthetic medicine trends by registering for:

IFAAS's Hands-On Master Class:

Korean Advanced Non-Surgical Face Lifting Using Aesthetic Injectables, Devices & Thread Lifting

June 9-10, 2018: Munich, Germany Program (Last 3 Seats)

June 17-18, 2018: London, United Kingdom Program (Selling Fast)

July 14-15, 2018: New Jersey, United States Program

July 28, 2018: Sydney, Australia Program (Newly Launched)

Aug 4-5, 2018: LA, California, United States Program

Aug 23-25, 2018: Seoul, South Korea Program

Sept 14-16, 2018: Singapore Program

Sept 22-23, 2018: Sydney, Australia Program

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