Are there any areas of your face you’d want to be super-cautious about having injected with fillers? The answer is YES. Read more to find out what the top five danger zones for facial fillers area – and why you need an experienced anatomy-wise Injecting Clinician to minimise your dermal filler risks. Note: All invasive procedures carry risks and patient results will vary.
Here are the TOP FIVE danger zones for dermal filler injections and why you want a highly experienced Injecting Nurse Clinician.
Facial Contouring & Anti-ageing: Non-Surgical doesn’t mean Non-Serious
If you’ve read up on dermal fillers and how popular they have become for augmenting features and reducing facial lines and other signs of ageing – you’ll know that they are excellent for non-surgical facial contouring of the cheeks, jawline, nose and chin. They are the GO TO solution for non-surgical treatments and anti-ageing.
- Filler injections are designed to replace lost facial volume due to muscle deterioration, bone atrophy and skin ageing.
- But you’ll also want to know what the danger zones are for facial fillers or “dermal filler danger zones” and how to minimise your dermal filler injection risks.
- And remember, don’t fly right after getting dermal fillers!
Additionally, with advancing injectable strategies (and a choice of different filler types), dermal fillers can now be used in so many different ways.
- These include skin boosters and tear trough fillers and nose bridge enhancements (which carry extra risks)
- But not all filler types – or injecting strategies – are safe to use (it pays to ascertain the brand and supply chain of your injector to be sure it’s REAL)
Read on to become an educated consumer who fully understands the risks of dermal filler injections.
Also visit recommended reading and resource websites at the bottom of this page, for further information.
Despite popularity, dermal filler injection complications and facial damage can occur during non-surgical solutions. These include injectable fillers and muscle relaxing wrinkle treatments. Especially if you choose an inexperienced Clinician or one who works in a less-than-sterile environment.
- Even non-surgical solutions have some risks, including dermal fillers
- So become aware of what risks you’re choosing to take, and why.
** All invasive cosmetic procedures have risks. Also patient results can vary. Be sure you become an informed consumer and choose a skilled Clinician who has extensive experience and sound medical training in anatomy and facial injections. **
Dermal Filler Complications from Cosmetic Injectables may occur, for example:
When injections are performed by a Clinician or Surgeon who lacks extensive training & experience in their use
- you can lose your facial balance and end up looking ‘odd’ if your injector isn’t highly attuned to each patient’s individual facial anatomy
- you might end up with high levels of asymmetry in the hands of a less experienced injector
If the Injecting professional uses the wrong type of injectables
- there are notable quality differences in brands
- permanent fillers can cause long-term facial issues and our team believes permanent fillers are best avoided
If the wrong type of filler is used in an unsuitable area of the face
- the wrong injecting strategy can make you look older or worse
- too much filler gives an unnatural ‘over-done’ appearance
If a Clinician is ‘overly aggressive’ or too fast in their cosmetic injecting approach
- you’ll end up looking over-volumised (think puffer fish like lips or strange-looking chipmunk cheeks instead of natural looking enhancements)
- you may bruise extensively or have other complications
So you want to be super careful to choose a Cosmetic Injector who is highly experienced and very well informed about maximising the benefits of these treatments whilst minimising any dermal filler risks.
Fillers and Staying on Good Terms with Your Mirror
So dermal filler injections done well can leave you smiling at your mirror – but dermal fillers done improperly can leave you unhappy with the mirror – or sadly, even worse. Imagine having a disfigured or scarred face just because your injector used their needle (or cannula) in the wrong zone!
But before we talk about ‘Filler Danger Zones,’ lets firstly review how dermal fillers are used.
- Dermal Fillers are administered either as a stand-alone procedure (non-surgical) or
- They may be delivered in combination with facial enhancement surgery for a more thorough facial rejuvenation effect.
- They are injected into different areas of the face and different layers of the skin, using micro-fine needles or cannulas.
Dermal Fillers are essentially facial skin VOLUMISERS (liquid solutions) delivered into the dermis (skin) by micro-injections – so understanding facial anatomy is crucial. The difficulty lies in every person’s face having highly different anatomy.
- Your Injecting Clinicians will use either super-fine needles (or micro-fine cannulas) to inject the temporary filler solution into your skin.
- They hence need to be able to assess where your arteries and veins actually are (and this varies from person to person) – that’s not always easily done.
- If the injectable goes into a vein or artery you can end up seriously harmed, and a few potential complications could be fatal.
- So DO understand the risks – and why it’s so important to choose an experienced injector with the proper training, experience, qualifications and expertise.
DOWNLOAD the FREE FACIAL REJUVENATION GUIDE.
How long do results of Injectables or Fillers Last? Treatment Duration
- The results from Dermal Fillers can last anywhere from a few months to up to 9 to 12 months.
- Read more about the LATEST trends for FILLERS for Facial Contouring & Rejuvenation and why they’re increasingly popular.
The Injecting Strategy that your Injector uses – such as type of filler, volume, delivery and injection locations – is crucial to getting a great outcome.
If your CROWS FEET lines are getting worse, or your eyelids are starting to DROOP, you may benefit most from EYELID SURGERY or a facelift, not just cosmetic injections.
What you need to know about FILLER substances used in AUSTRALIA (and fake injectables)
If you’ve done your homework and read our other blogs, you’ll also know that NOT ALL Filler Brands are alike.
Plus, there are numerous strategies as to WHERE – and HOW MUCH – dermal filler should be injected to get the results you’re seeking.
Additionally, there are fake fillers being sold to unsuspecting injecting clinics and beauty clinics. These are NOT approved for use in Australia and could be dangerous, especially permanent fillers.
It pays to be very cautious about who you let inject you.
The quality between brands of injectable dermal fillers can differ tremendously.
- There is great variety in brands and brand quality
- Within each brand, there are also consistency-differences that can be used for ‘facial sculpting’
- Some fillers are best for softer lips; others are firmer and can assist with a jawline or cheek area, especially if injected near the bone
- There are also dangers involved in fake or counterfeit injectable solutions penetrating the Australian market, which may be advertised as ‘cheap cosmetic injections’ and offered by untrained practitioners.
Plus, dermal fillers often have unique qualities and specific recommended uses.
So it’s always best to ask your Clinician WHAT quality, temporary filler brands they plan to use on your face; and don’t settle for anything less than a reputable, top brand that your injector has extensive experience using for facial contouring or skin rejuvenation.
- The best fillers and injectable solutions are temporary.
- Avoid permanent fillers as they are considered highly problematic and potentially disfiguring.
- Permanent fillers also don’t adapt to ageing; temporary ones have many other advantages including they can be adjusted as you age or as your volumisation needs or augmentation preferences change.
- With different properties and within-brand ranges of ‘filler styles’, they can be used to help better define, contour or plump certain aspects of your face.
Some injectables solutions are designed for lips, and others for cheek enhancement or crow’s feet reductions. A great injector will know just what to use and in what are of your face for best results.
Avoid a fake filler experience or a less experienced injector. Ask Questions.
- You can ask your Clinician what brand(s) they use during your initial consultation
- Beware anyone who uses one type of filler everywhere including lips
- Ask which Brands and product lines they would choose for different areas of your face
- Ask why your Clinician prefers these over other brand(s)
- Be sure your Injector has a proper medical qualification
- Look for Cosmetic Physician, Injecting Registered Nurse or Plastic Surgeon with substantial training and experience using injectables
- New patients need an assessment by a Cosmetic Doctor before they can have injections
- Avoid new injectors who are keen to learn – on your face – they may offer discount injectables, but these can be dangerous if used improperly
Many new injectors enter the market every day, and they may not know enough about the products or injecting strategies to get you safe results. Additionally, if your Injector isn’t investing in ongoing training and brand awareness, you may be getting less-than-wonderful injecting results or even be putting yourself at risk.
- Cheap injecting offers are not always the bargain they seem to be
- If fillers or anti wrinkle injections are offered at a huge discount, be sure to ask why (and what Brand
- Do your homework and figure out where they might be cutting costs as well as quality
Please note: Australian laws prohibit the use of printing Injectable BRAND names but a great Injecting Clinician should have thorough knowledge of many different filler products – and be able to articulate WHY they are choosing specific ones for your facial enhancement
- Injected properly by an experienced and conservative Injecting Nurse/Clinician or Aesthetic Physician, fillers and anti-wrinkle injections can have a highly transformative impact on your facial features, such:
- nose/nose bridge
- nose tip
- around eyes/eyelids
- under eye areas
- Fillers can also help fill in some skin creases or acne scars – even facial dog bite scars
- Fillers can help add (or restore) volume to areas of the face that appear hollow or ‘sunken in’ due to atrophy of the bones or underlying tissues (as occurs with age or weight loss).
With women and men discovering just how much Dermal Fillers (dermal volumisers) can help improve their facial features and give their faces a younger, more harmonious appearance, there’s a lot more ‘filler use’ going on today than ever before.
- So how do you opt for the best injecting strategy that won’t leave you looking ‘over filled’?
- What can be done to reduce risks and optimise your results?
The answer is: Become an informed consumer, be educated about injecting risks and dermal fillers, and do your homework about your Injector. Don’t shop on price and discounts – you might be getting an inferior injector or even a counterfeit or “diluted” product.
Read our TOP COSMETIC TREATMENTS – INSIDER TIPS for how to help protect your face when getting dermal fillers.
7 Potential Dermal Filler Complications You Must Know!
No one wants to seek a facial improvement treatment and end up worse than they were before.
So here’s what you need to know, especially with so many ‘new’ injectors jumping into the delivery of fillers. And remember that, with FILLERS, whilst non-surgical procedures are relatively safe in the right Clinician’s hands, they can still have serious consequences if performed improperly – or when delivered by someone who lacks adequate experience or proper training and qualifications.
Wrong placement of dermal fillers
- Dermal fillers injected in the wrong spot can lead to some serious consequences.
- If a filler is injected into a vein or artery, it can lead to blindness or even an embolism (which can lead to death).
TIP: Ask your Clinician how much they know about fillers – and listen carefully to get a sense of how thorough their knowledge is.
With a continuous influx of newer varieties and brands of filler products, your Injecting Clinician’s understanding of the individual characteristics of each type of filler becomes an absolute necessity for getting you good results.
- In regards to complications, Filler treatments typically involve a potential for the following outcomes.
- Bruising – All filler use has the potential to cause bruising and this is, in part, an interaction dependent upon your skin’s natural reactions to injections and your injector’s specific technique .
- Edema (swelling)
- Skin discoloration (ranging from redness to hyper/hypo pigmentation)
- Infection– any implement that penetrates the skin carries a risk of infection
- Nodular masses – more commonly seen in thin-skinned areas of the face
- Paraesthesia – might result where there is direct nerve damage (fortunately this appears rare)
- Vascular compromise – an immediate reaction that might occurs when a needle punctures an artery, which can result in an embolism that hinders blood flow
So be sure you have a thorough discussion about your Injecting professional’s experience, qualifications and training during your consultation. And specifically ASK about what their injecting strategy will be – e.g., how they plan to get you the best FILLER results without increasing your risks of complications.
Top 5 Spots You Shouldn’t Get Facial Injections – or where you should be superbly cautious about who’s injecting
- Non-surgical techniques such as injectable treatments often have less risk, overall, than most surgical procedures. But that does NOT mean they are entirely risk free.
- All invasive procedures carry risks and some are serious; also, patient results can vary.
- If a less-trained Clinician administers dermal fillers or anti-wrinkle injections, they might even carry greater risks than a surgical procedure – because of less formal oversight of these cosmetic medicine procedures.
- That’s why choosing the right Injector is SO important for your results as well as your safety, as is having a Doctor assessment of your suitability as a candidate for dermal fillers, before you get injections.
- Our Cosmetic Doctor(s) and Injecting Team works alongside our Plastic Surgeons & they all have extensive experience and top qualifications.
- For Sydney Cosmetic Injections, explore your options with Dr Sackelariou.
Whilst adverse effects or serious complications occur quite rarely for most non-surgical techniques, they are still a possibility. Every invasive procedure carries risks and Cosmetic Injections and Dermal Fillers are no exception.
When it comes to fillers being injected into certain areas (or potential DANGER ZONES) of your face, these risks may be higher.
So here’s what’s good to know about Facial Filler Danger Zones before you have a Dermal Filler Injections treatment.
Let’s focus on some of the sensitive spots on your face and what potential risks might be involved.
Danger Zone 1 for dermal fillers
- Glabella (between your eyebrows/just above the nose)
Injecting the Glabellar region of the face carries a risk of damaging the supraorbital and supratrochlear arteries. Supratrochlear, if occluded, may lead to the formation of a band-like area extending up to forehead (e.g., tissue damage).
Danger Zone 2 for dermal fillers
- Nasolabial grooves (smile lines; lines between the corner of your nose and your mouth)
- Another potential danger zone for injectable fillers involves the naso-labial groove area. This is a risky area for injecting because of the facial artery that runs close to the surface of the skin. If the flow of this facial artery is impeded, it could result in damaged skin around the nasolabial fold or even damage to the side and tip of the nose. Complications occur rarely in this location, and it is a frequent site for filler injectable treatments, but must be carefully administered to help minimise the risks.
Danger Zone 3 for dermal fillers
- Nasal augmentation (a “non surgical Rhinoplasty or Nose Job” or enhancing the bridge of the nose)
The non-surgical nose job is increasingly popular but carries greater injection treatment risks than many people currently realise. The procedure itself involves using filler for minor nose reshaping procedures; without surgery. This might be to reduce nose bumps or correct and reshape other minor nose imbalances through using ‘sculpted’ dermal fillers. If your nose isn’t quite in harmony with the rest of your face – and you want a more balanced or smoother bridge look, yet aren’t ready for a Rhinoplasty, then you MIGHT be an ideal candidate for a filler injection nose surgery. However, is having a temporary nose procedure worth risking the angular artery? Again, be sure to choose your injector very carefully and ask to see the before and after photos, speak with former patients, and ask about their complication rates. In addition to needing to choose your Injector carefully to help minimise your risks of experiencing complications with getting filler injections, what’s also important is your Injector’s choice of fillers (brands and quantity) for the particular feature (area of the face) being filled.
Danger Zone 4 for dermal fillers
- Tear trough or Nasojugal groove
A filler can work wonders if there is a true “tear trough” deformity that isn’t easy to cover 0p with makeup.
- If your Tear Trough area is a problem for you, it often means you’ll have:
- sunken-looking eyes
- dark shadow(s) over or around your lower eyelid
- a fatigued appearance
- For tear troughs, the depression can be filled using injectables and can reveal excellent results in the hands of the right injector.
- For crepey looking skin under the eyes, a skin booster series might help (select candidates only).
- However, if you are wanting to get rid of dark under-eye circles that relate to hyper-pigmentation or other issues, dermal filler may or may not be the right solution (ask for a thorough consultation).
If you’re getting a tear trough treatment, the artery your injector needs to be extremely cautious about is the infraorbital artery.
Complications that make the nasojugal groove a “danger zone” area for injectable fillers are categorised into immediate or delayed complications.
Immediate risks of tear trough treatments:
- Swelling and bruising
- Headache or Migraine
- Delayed complications/risks of tear trough treatments:
- Orange-brown skin colouration (skin staining) that might take months to resolve
- Puffiness in the area of the injections due to over-correction with filler products 
- Post-inflammatory hyper-pigmentation (skin discolouration is often a greater risk for people with more pigmented skin tones)
- The “Tyndall” effect (where a superficial injecting strategy results in a bluish discoloration of the skin)
- Blindness (Rare, but might occurs if an embolus travels through the central retinal artery)
Danger Zone 5 for dermal fillers
- Temple Area Injectables
- Facial changes related to skin, tissue and bone structure ageing include epidermal thinning, muscle loss, changes in elasticity (less elasticity and collagen), and other subcutaneous fat and bony changes .
- Temporal volume loss (or the gaunt appearance of the temple that occurs with age) is attributed to three key factors:
- Increasing concavity of temporal bone
- Atrophy of temporalis muscle
- Reduction in fat pad
- So Injecting facial filler(s) in the temple area can actually help you regain a more youthful look to the entire face. But like all the other danger zones, a lack of skill OR improper injecting technique (or the wrong filler products) may result in serious consequences.
- These can include the following complications:
- Bruising, swelling or localised tenderness
- The “Tyndall” effect
- Chewing discomfort
- Overcorrection problems (including too much volume or uneven filler volumisation)
- Skin infections
- Intravascular necrosis (the artery at risk in this facial zone is the superficial temporal artery)
- Potential Blindness (due to embolization) 
- Preventing Complications – How to Have Dermal Filler Wisdom
Now that you’re familiar with the top 5 danger zones for dermal filler injections and the types of complications that you might face, how can you prevent them?’
Although these procedures are often quickly performed, your choice of professional – and your professional’s choice of injectable products (dermal filler brands, types, volumes) as well as specific injection locations – plays a VITAL role in how well your procedure will be performed as well as your risks.
Not every filler is appropriate for your specific concern. And not every Injector will get you a great result. This is what your Injector should be able to explain to you extremely well:
- what dermal filler product range(s) they will use and where
- how much they plan to use
- specifically where they will be injecting these dermal fillers (and how)
- how many times they have performed the treatment for the areas of the face you’re having treated
- what the potential results will be – and what risks there are in the procedure
- how they would be able to handle any complications, if they were to occur
- whether or not the injectables can get you the results you’re wanting
An excellent Injector doesn’t ONLY aim at getting the cosmetic injecting procedure completed for you – they’ll also make sure that you have realistic expectations, are well-informed about each and every aspect of your procedure – and, when treating a RISKY facial ZONE – that you understand the risks and how these will be minimised or managed.
Whether it’s a surgical cosmetic procedure or a 20-minute non-surgical injectables treatment for your lips, please make sure you’re well informed and confident about your Injector before the procedure.
For more information, feel free to contact us and book an appointment with our expert Injecting Nurses or Cosmetic Physician.
Our Injecting Nurse (Sandra) & our Cosmetic Physician (Dr Tina Purdon) can devise a detailed filler treatment plan – based on your requirements – and taking into consideration your goals and other factors.
Our Injecting Team includes:
Dr Tina Purdon, Cosmetic Physician – available in Hawthorn East
Senior Nurse Injector – Sandra (Division 1 Registered Nurse) – available in Hawthorn East (convenient for patients living in Toorak, Kew, Balwyn and Camberwell)
They have an excellent understanding of the facial anatomy and vasculature and use only high-quality, temporary filler products – and they are well aware of the individual characteristics of different types of fillers and where they can best be used for great results.
Read our top-rated Plastic Surgery Blogs and our Coco Ruby Skin & Anti-Ageing Blogs on Injectable Treatments including:
- ‘Five Fibs about Fillers‘ and ‘Five Things to Know about Injectables and Makeup’
- Senior Injector’s blog on ‘Why Less is More’ (How Injectable Overuse Can Leave People Looking Older) and “Filler Over-Use Syndrome’
- Senior Injector Nurse Sandra’s blog on ‘A Faster Facelift: The Liquid Alternative’
- Our Coco Ruby Skin Team blogs on ‘Non-Surgical Facial Contouring Reaches New Levels’
- Excessive Sweating: Effective Injectables Treatments for Hyperhydrosis
Or Send us a confidential enquiry or call on (03) 8849 1400 to arrange your Confidential Consultation with one of our Coco Ruby team’s Senior Injectors or Aesthetic Physician.
Recommended reading and Source materials (not inclusive):
If you want a patient-safety-minded Clinic staffed by experienced and skilled Cosmetic Injectors or Cosmetic Doctors who are patient focused, call (03) 8849 1444 and ask about dermal filler treatment assessments with our Melbourne based Cosmetic Injecting Doctor (Hawthorn East) at Coco Ruby.
Coco Ruby Skin & Anti-Ageing is located in the same building as Cosmetic Surgery for Women & Men.
Originally published in July 2016. Page last updated on February 21, 2019.