Perlane on Glabellar Lines?

If the blood vessels of this area are embolized, skin could die or worse.  Many fine doctors will not even inject this area at all. If you do have injections, your surgeon or dermatoligist should have great experience, a good artistic eye and a conservative attitude.

There have been concerns about using filler product in the glabella region, but I have used it on occasion and it works rather nicely.

Filler injections in the glabella have been reported to result in death of teh skin overlying the area that is injected. While it can be safely done in the area, any physician who performs filler injections into the glabella should have a protocol ready in case this complication is encountered.

While I generally agree that you need to be careful when injecting this area, I do not agree with the objections to the use of Perlane. If your doctor is not comfortable injecting the glabellar lines than he/she should simply not inject them. The risks that have been reported relate to small arteries that run near this area. If those arteries are injected there can be serious side effects. The arteries being talked about run under the skin in the subcutaneous tissue (fat). The injections... more

The most recent supplement to Plastic and Reconstructive Surgey discusses the consensus recommendations on this topic. Perlane is not mentioned as a recommended treatment for the glabellar lines. However, Restylane and Perlane are mentioned and specific recommended volumes are discussed. Combination use with Botox is also discussed to increase the duration of hyaluronic acid filler effect. The concerns expressed by the other responders to this question are also addressed.... more

I agree with the other physicians. Perlane is much too thick and should never be used in the glabellar area for filling. This area is best treated with Botox as the first measure. If the lines are significant and cannot be totally erased with Botox injections, then in some cases, a filler may be used. Typically, I use only Restylane or Juvederm in these areas and the treatments are extremely conservative. As stated previously, you have to be careful in this area because of the relatively... more

This is a high risk area for fillers. They can be used here but only with care and with a filler that should be placed superficially. Perlane is a filler that is meant to be placed in the deep dermis-upper subcutaneous region and is absolutely not a superficial filler. This area can be dangerous for a filler placement, since gangrene can result if the filler is not placed properly , either the wrong filler ( eg. Perlane), or placed too deeply or rapidly. What happens is the... more