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How Safe is It to Use Restylane Between the Eyebrows?

asked 10 months ago by anon
Latest answer by Francis R. Palmer, III, MD
Question viewed 479 times
Tags: eyebrows, safety, swelling, vision

Could Restylane affect vision or cause a reaction or swelling in the eyelids?

16 answers to How Safe is It to Use Restylane Between the Eyebrows?

+1

How Safe is It to Use Restylane Between the Eyebrows?

The best way to soften unwanted lines and wrinkles in the Glabella (between the eyebrows) is with an injection of a neurotoxin like Botox, Dysport or Xeomin. Using any filler in this area runs the risk of the filler occluding the vein which can cause necrosis and scarring the size of a quarter in the center of the forehead. This is a well known complication that has been documented for years.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Can Restylane be used between the eyebrows?

Dysport and Botox are the first part of the treatment plan in relaxing the underlying condition (muscle contraction) that is leading to the lines, wrinkles, and furrows. If the lines are still present after two weeks, the lines may be considered "static" or permanent regardless of the muscles being put to rest. At that point, using smooth HA fillers ( Juvederm/Restylane) may be a good option to soften and fill these areas. Many injectors agree that a... more
Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon
+1

Restylane is safe for use between the eyebrows

With an experienced provider, Restylane and Juvederm are very safe in the glabellar area (the area between the eyebrows) to reduce the furrows some patients have between the eyebrows from repeated frowning or furrowing of the brow. Often, botulinum toxin (Botox or Dysport) is used to soften the lines as well.
Kristel D. Polder, MD

Dallas Dermatologic Surgeon
+1

Restylane - How Safe is It to Use Restylane Between the Eyebrows?

Reasonably safe, but not without potential complications - and it's not what I'd recommend for that area, anyway. First of all, I generally recommend Botox or Dysport for that area, as I believe that it addresses the major issues more effectively. Those lines are due primarily to the contraction of the glabellar muscles. Filling the lines is difficult and doesn't address the CAUSE of those lines. Botox or Dysport do and so, for that reason, that's what I'd... more
Alan Engler, MD

New York Plastic Surgeon
+1

Safety of restylane between the eyebrows

Most practitioners, including myself, will recommend that Botox or Dysport be performed first to treat the frown lines between the eyebrows (known as the glabella area), as these are dynamic or movement wrinkles. Once the movement of this area has been treated, then restylane or another hyaluronic acid filler (juvederm) can be used to fill in any remaining wrinkle that is still there. In regards to the safety of filler in this area, injector technique is... more
Angela Giancola Weatherall, MD

Boca Raton Dermatologic Surgeon
+1

Safety of Restylane between the eyebrows

It's safe, but you have to be careful. That is because the risk of embolizing (getting filler into a vessel) one of the small arteries that supplies the skin between the eyebrows seems to be higher in this area. If one of these vessels gets occluded by intravascular injection of restylane or any filler, an area of skin between the eyebrows will die, leaving a wound that has to be dealt with, obviously not a desirable situation. Many patients want that crease... more
Robert M. Lowen, MD

Bay Area Plastic Surgeon
+1

Fillers in non-FDA approved areas

Frown line injections are not uncomon and complications related to those injections are extremely rare. Filler products, just like botox receive FDA approval for particular sites of treatment. Restylane is approved for volume enhancement in the folds. Injecting into other areas is common medical practice but is, by the book, off label use of the product. With that being said, typical complications are essentially the same as filling other areas of the face - irregularity of fill,... more
Richard W. Westreich, MD

Manhattan Facial Plastic Surgeon
+1

How Safe is It to Use Restylane Between the Eyebrows?

Agree with Stephen Prendiville, MD, but make sure you fully understand the risks before having the injection done.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

The Safety of Restylane Injections Between the Eyebrows

Fortunately, it is extremely rare to see complications from filler injections into the glabellar area between the eyes. I frequently do filler injections into this area when necessary if the lines are too deep for Botox alone to work. In over 25 years of doing these injections I have never seen this complication and only heard about it rarely. I believe it is due to the physician injecting the filler much too deeply, thus reaching the level of the larger blood vessels. The risks of serious... more
Mitchell Schwartz, MD

South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

+1

Risk of adverse effects of Restylane injection in glabella is low

Dynamic (absent at rest, present during contration of muscles of facial expression) glabellar lines are best treated with Botox. When the lines become static, meaning the wrinkles are present when the face is at rest, they will not be smoothed out by just Botox alone. Here a combination of Botox and filler is best. In fact, when this combination is used the results tend to be more long lasting because Botox is preventing the muscle contraction that would eventually decrease... more
Emily Altman, MD

Short Hills Dermatologic Surgeon

www.advancedskinwisdom.com

+1

Restyalne Use in the Glabella is "Off- Label"

The glabella or central brow area has relatively superficial vessels which can be occluded (and cause skin necrosis) by injection with any filler. Therefore, great care is exercised whenever this area is treated with fillers. Generally speaking, the first line of therapy for such glabellar lines is Botox or Dysport, which minimize muscle activity and the ensuing vertical lines. Fillers can be applied only if Botox results are insufficient
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Restylane between the eyebrows

Botox is truly the treatment of choice for that area. Once the effects of Botox are seen, sometimes it is necessary to add filler to achieve the desired result. Restylane is fine to use, but there is always a risk of getting material in a blood vessel or compressing a blood vessel leading to an unsightly bruise or ulceration. These are uncommon side effects though.
Sheri G. Feldman, MD

Beverly Hills Dermatologist
+1

Restylane is safe between the eyebrows

Hyaluronic acid fillers such as Restylane and Juvederm are safe for use in many areas of the face, including between the eyebrows. Combining this with Botox or Dysport for relaxation of the muscles is a great way to treat deeper lines in the glabella (the area between the nose and forehead).
Jason Lichtenberger, MD

Bellingham Facial Plastic Surgeon
+1

Forehead lines

I would need to see pictures to be sure you are going the best route In general, Btox is the overall choice and fillers are added for resistant rhytids. Otherwise, with careful technique you will be ok. Rare instances of fillers getting into the circulation of tne eye have been reported
David A. Bray, Sr., MD

Los Angeles Facial Plastic Surgeon
+1

Restylane between the eyes?

Injections of ANY filler between the eyes is a challenge. There are blood vessels in that area that can be injured by filler and if this happens the skini can get bruised or develop an ulcer. The thicker the filler, the more risk and the old collagen (Zyplast) was known to have this occur a few times. The overall incidence is small but not zero. I do inject fillers in this area when I need to lift up a deep crease and fill out a line
Kenneth Beer, MD

Palm Beach Dermatologic Surgeon

www.palmbeachcosmetic.com

+1

Could Restylane Between the Brows affect vision or cause a reaction or swelling in the eyelids?

Yes - there have been a few cases in the literature of filler injections injected in the glabella (area between the brows) which were associated with blindness. The risk of this happening is extremely small but never zero. It is caused by injection of filler into a blood vessel;s which supplies the retina in the back of the eye. The risk can be significantly reduced by injecting the product superficially, using a blunt (not sharp) needle to avoid blood vessel penetration as the needle is... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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