Fillers between the eyes

Stephen Mandy, MD answers: 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?


Stephen Mandy, MD
4 months ago
By Stephen Mandy, MD - Miami Dermatologist

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 generally safer, but hyaluronic acid fillers can be used if they are injected superficially.  Botox, if it flattens out the muscles, may give sufficient improvement to avoid the fillers altogether.  The donut effect is usually caused by attempts at over correction. 

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