How would you know if you temple fillers harmed your eyes?

Question

I'm thinking about getting temple fillers, but am scared about eye damage. How would I know if there is damage? Is it immediate or something that happens days/weeks later and what are the symptoms? Thanks!

Eric M. Joseph, MD · Answer

Blindness after an injectable filler treatment is quite rare, and likely depends on the skill of your doctor. In our practice we prefer microdroplet Silikon1000, a permanent filler that works well for temple hollowing. Silikon1000 treatments are not associated with blindness, necrosis, infection, migration, or biofilm. Hope this helps. Dr Joseph

Hayley Brown, MD, FACS · Answer

Temple injectables can be safe and effective provided your injector is properly trained and experienced performing injections in this area. They need to know the anatomy and have the skills to perform safe injections. Risks to eye damage are rare. However if any filler is inadvertently injected into a vessel, damage to the optic nerve can cause blindness. A skilled and well trained injector understands these very rare and catastrophic complications and utilizes techniques to avoid this. You would know right away if something like this was happening.

Michele S. Green, MD · Answer

I prefer Sculptra for the temples since it is a liquid and that way has very few side effects, and certainly the ones that you mentioned.  If you had a filler injected incorrectly you would know almost  immediately that something was wrong. That's why it is so important to consult an expert in cosmetic injections for the best results. Best, Dr. Green

Shaun Patel, MD · Answer

Temple fillers can be safely performed by an experienced injector. Using a microcannula and slow low pressure injections in my opinion help minimize the risk of side effects. Blindness is very rare. Were it to occur, you almost certainly know relatively quickly.

WISH MedSpa - Nashville · Answer

Thank you so much for your question regarding injectable fillers.  It is 
difficult to accurately assess you without an in person consultation.  I
 recommend hyaluronic acid based dermal fillers. Hyaluronic acid occurs 
naturally in your body and HA based fillers are 
also reversible.  Juvederm and Restylane are both great HA products.  A highly skilled injector will have an in depth knowledge of anatomy and know the warning signs of an adverse event.  
I recommend an in person consultation with a board certified provider.  Hope this helps.

Best of luck!

Onir Spiegel, DDS, PhD · Answer

The temples and the tear trough area tend to be the most challenging areas for injections and the scariest for patients. They are also the most rewarding and can get you great results if done properly. It is extremely rare to get any visual problems due to filler injections in these areas. But, that possibility does exists. So do your research and pick well. If you were to have any reaction to the fillers you would notice change in vision right at the time of injection. Hope this helps. Regards from Boston, Dr. Onir

Jean M. Casello, MD · Answer

Injecting dermal fillers into the temple area requires skill and experience. This is a risky area to inject because of the the anatomy and potential complications.  The incidence of complications is actually quite low.  A skilled injector will be able to minimize the risk using good techniques and being able to recongnize problems and treat immediately.

Mehdi Sina, MD · Answer

Hi,There are a couple of different techniques for safely injecting fillers in the temples. Most people prefer to inject deep (on the bone) where damage to the blood vessels of the eye are minimal. The other technique involves injecting more superficially, but using a blunt cannula. Either way, knowledge of anatomy and the experience and skill of the injector are critical. There are also many signs during the treatment that something may be wrong that a skilled injector will be able to pick up on and remedy quickly. Best,

How would you know if you temple fillers harmed your eyes?

Answers (8)

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