How safe is Restylane between the eyes?

Bewteen my eyes I have atrophic scarring (tissue lost from cystic acne) made pronounced by frown lines; in other words, the depressed area makes the frown lines look deep. I plan to get Botox in this area first before I a filler. I read that filler between eyes can lead to necrosis, blindness, brain clot, etc. How common are these effects? How can they be avoided? Does the fact that I have a scar in that area make the risks more likely because the filler may settle around the scar ("donut" effect) as sometimes happens when using fillers for scars?

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8 answers to “How safe is Restylane between the eyes?”

A: Restylane around the eyes

Jeffrey E. Schreiber, MD

Restylane is great for filling in superficial areas around the eyes and between the eyes in the glabellar region.  Yes, there are potential complications with this, but they are very rare.  Be sure you are comfortable with the person who is doing your injections.  You may want to consider seeing... more

A: Fillers between the eyes

Ronald Shelton, MD

This is a dangerous area for thick fillers. Superficial placement of a filler that is not too viscous or thick, can be done; but, I would agree that the Botox should be done first. Give the Botox up to one month after injection to see its results

A: Injections into the glabellar region

Steven Wallach, MD

 Injecting fillers into the glabellar region such as with restylane or juvederm should be performed cautiously.  Yes, there have been reports of complications in this area, and you should use a very well trained doctor.

A: Restylane Safety When Injected Between the Eye Brows; Select Your Injecting Physician Carefully!

Michael A. Persky, MD

Hi Truckg, Injection of any filler in the glabellar area between the eyebrows must be performed carefully.  The injections should be superficial, and placed slowly.  As you have stated there have been reports of severe complications in this area, but they are extremely rare.  Your inquiry... more

A: Fillers between the eyes

Stephen Mandy, MD

Caution should always be the order of the day with fillers between the eyes as all of the frightening side effects you mentioned are possible.  They are much more likely if the fillers are injected deeply, bringing pressure on blood vessels in the area. Superficial fillers, like collagen are... more

A: restylane between the eyes

Richard Baxter, MD

You are correct to be concerned but in general the complications you describe are very rare. I think the bigger issue is that HA fillers, and any dermal filler for that matter, are not always ideal for filling in scars. The scar tissue can be too dense to allow the filler to expand the space and fill the... more

A: Restylane can be injected between eyes, but care is required

Kenneth D. Steinsapir, MD

Dear Truckg Injection into the glabellar area can disturb the circulation and cause localized damage to the skin. Generally this results when the material is placed too deep and too much is used. Embolization is certainly described with certain materials causing damage to distant structures including the... more

A: Tricky Area

Arnold R. Oppenheim, MD

    It is correct that one has to be very careful when injecting that region. This was true back in the day of collagen injections and holds true today with the hyaluronic fillers. It is felt that the material can compromise the blood vessels leading to the situation you describe, i.e. necrosis... more

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