Facial danger zones: Techniques to maximize safety during soft-tissue filler injections

Jack F. Scheuer, David A. Sieber, Ronnie A. Pezeshk, Andrew A. Gassman, Carey F. Campbell, Rod J. Rohrich

Research output: Contribution to journalArticle

25 Scopus citations


Given the short recovery and immediate results, facial fillers have become a popular alternative to surgical rejuvenation of the face. Reported complications arising from facial filler injections include erythema, tissue loss, blindness, stroke, and even death. In this article, the authors describe their anatomically based techniques to minimize risk and maximize safety when injecting in the facial danger zones, including the glabella/brow, temporal region, perioral region, nasolabial fold, nose, and infraorbital region. Complications generally arise secondary to vasculature injury and/or cannulation with filler. The authors have outlined their preferred injection techniques in the facial danger zones with respect to the pertinent anatomy in an attempt to minimize risk and maximize results. Most importantly, the practitioner should be able to recognize complications and address them immediately.

Original languageEnglish (US)
Pages (from-to)1103-1108
Number of pages6
JournalPlastic and Reconstructive Surgery
Issue number5
StatePublished - May 1 2017


ASJC Scopus subject areas

  • Surgery

Cite this

Scheuer, J. F., Sieber, D. A., Pezeshk, R. A., Gassman, A. A., Campbell, C. F., & Rohrich, R. J. (2017). Facial danger zones: Techniques to maximize safety during soft-tissue filler injections. Plastic and Reconstructive Surgery, 139(5), 1103-1108. https://doi.org/10.1097/PRS.0000000000003309