Can filler be placed in the medial portion of the eyebrow?

Question

I know fillers can be used to provide a non surgical brow lift. Most of what I've seen for eyebrow fillers have been for the lateral portion of the eyebrows. However, the part of my eyebrow that I need lifted is the medial section of my right eyebrow as it sits lower than my left brow and I want to make them more even. I know there's more vascularity in the medial brow due to the supraorbital and supratrochlear arteries so I was wondering if filler can be placed in the medial eyebrow?

Anna Chacon, MD, FAAD · Answer

Yes, filler can technically be placed in the medial portion of the eyebrow, but this area is considered high risk due to its rich vascular supply—specifically the supraorbital and supratrochlear arteries—which connect to the ophthalmic artery. Complications here, while rare, can be serious and include vascular occlusion or even vision-related issues.

Key considerations:

Anatomical caution: The medial brow area is in close proximity to critical blood vessels, requiring expert knowledge of anatomy and careful injection techniques.

Technique adjustments: If treated, it is typically done with very small amounts of filler, slow and low-pressure injections, and sometimes with the use of a cannula instead of a needle to minimize risks.

Alternatives: Depending on the degree of asymmetry, botulinum toxin injections, fat grafting, or surgical brow lift techniques may provide safer or more precise results.

Summary:
It is possible to use filler in the medial brow, but due to the heightened vascular risk, it should only be performed by an experienced injector familiar with advanced safety protocols.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. No, filler is generally not recommended for placement in the medial portion of the eyebrow. The medial brow area is particularly delicate and close to the orbital rim, making it a challenging area for filler injections. Injecting filler in this area carries a higher risk of complications, such as uneven results or migration of the filler. For enhancing the brow shape or addressing volume loss, other areas like the lateral brow or the surrounding regions may be more suitable for filler treatment. I hope this helps and best of luck!

Michael A. Persky, MD · Answer

Hello there HI,
As you noted, the medial brow is a danger area due to blood vessels that communicate with the eyes.  Any injection done in this area must be performed by an expert injecting physician.  I personally use only cannulas to inject this unforgiving region.  Make sure to choose your injecting physician very carefully if you decide to have this treatment.  Good luck and be well.
Michael Persky, MD
Encino, CA

Nelson Lee Novick, MD · Answer

Botox placed in the appropriate locations of the glabella region can help to elevate the medial eyebrows  and poses little to no risk at all to the vasculature in that area. The muscles there are responsible for the down-pulling of the inner brows. Hence, treating them with Botox allows for the muscles above to have a competitive advantage and hence the ability to pull the media brow upwards. You would be wise to consult with an experienced, board certified cosmetic dermatologist injector expert.

Kenneth Brito, MD · Answer

Dear HealthInfo101,
Medial brow is one of the most dangerous places to inject filler due to the neurovascular bundles present in that region. However, there are injectors who perform this procedure either by cannula technique or under ultrasound guidance.There are other safer ways to lift the brow such as using neuromodulator botulinum toxin or PDO lifting threads. However, results are often short-lived. Surgical brow lift can be considered if non-surgical techniques fail.
Sincerely yours,Drkenbrito

Camille Cash, MD · Answer

There are certain areas where filler carries a higher risk and the area you mentioned is one of them.  There may be better ways to address your concern that have lower risk. I encourage you to begin by visiting with a board certified plastic surgeon to discuss your concerns and learn more about your options.

Can filler be placed in the medial portion of the eyebrow?

Answers (6)

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