Facial vascular danger zones for filler injections

Dermatologic TherapyVolume 33, Issue 6 e14285 REVIEW ARTICLE Facial vascular danger zones for filler injections Uwe Wollina, Corresponding Author Uwe Wollina uwe.wollina@klinikum-dresden.de orcid.org/0000-0001-5933-2913 Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Dresden, Germany Correspondence Uwe Wollina, MD, Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Friedrichstrasse 41, 01067 Dresden, Germany. Email: uwe.wollina@klinikum-dresden.deSearch for more papers by this authorAlberto Goldman, Alberto Goldman Department of Plastic Surgery, Hospital São Lucas da PUCS, Porto Alegre, BrazilSearch for more papers by this author Uwe Wollina, Corresponding Author Uwe Wollina uwe.wollina@klinikum-dresden.de orcid.org/0000-0001-5933-2913 Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Dresden, Germany Correspondence Uwe Wollina, MD, Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Friedrichstrasse 41, 01067 Dresden, Germany. Email: uwe.wollina@klinikum-dresden.deSearch for more papers by this authorAlberto Goldman, Alberto Goldman Department of Plastic Surgery, Hospital São Lucas da PUCS, Porto Alegre, BrazilSearch for more papers by this author First published: 09 September 2020 https://doi.org/10.1111/dth.14285Citations: 4Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Filler injections are widely used for facial rejuvenation. The technique is safe as long as some precautions are respected. In this review we will focus on vascular anatomy in the upper, middle and lower face. We performed a PUBMED research on "facial danger zones" and "filler injections" and "hyaluronic acid" and "vascular compromise" with a focus on the last decade. This is of particular importance since vascular compromise is one of the most severe adverse events possibly leading to tissue necrosis and in rare cases to loss of vision. We describe the danger zones in these esthetic units and provide recommendations how to avoid severe adverse events. We report on temporal region, glabella and nose, infraorbital region, nasolabial folds and nasal triangle, lips, and chin. Although we focus on hyaluronic acid fillers, our recommendations will also scope other filler types and autologous adipose tissue transfer. We also take a closer look on innovations to improve the safety of facial filler injections. Facial rejuvenation with hyaluronic acid fillers is a popular method. It is safe if the facial danger zones are recognized and proper injection techniques and fillers are used. CONFLICT OF INTEREST The authors declare no conflicts of interest. Open Research DATA AVAILABILITY STATEMENT Data sharing not applicable to this article as no datasets were generated or analysed during the current study. Citing Literature Volume33, Issue6November/December 2020e14285 RelatedInformation