Injection necrosis of the glabella: Protocol for prevention and treatment after use of dermal fillers

Adrienne S. Glaich, Joel L. Cohen, Leonard H. Goldberg

Research output: Contribution to journalArticle

180 Scopus citations

Abstract

BACKGROUND: Injection of filler materials into the dermis is well tolerated with few mild and transient side effects. Injection necrosis is a rare but clinically important potential complication caused by interruption of the vascular supply to the area by compression, injury, and/or obstruction of the vessel(s). The glabella is a particular danger zone for injection necrosis regardless of the type of filler used. OBJECTIVE: We recommend a protocol that may be used to help prevent and treat injection necrosis of the glabella after injection with dermal fillers. CONCLUSION: Injection necrosis in the glabellar region may be prevented by a knowledge of the local anatomy and an understanding of its pathophysiology and treated by a suggested protocol.

Original languageEnglish (US)
Pages (from-to)276-281
Number of pages6
JournalDermatologic Surgery
Volume32
Issue number2
DOIs
StatePublished - Feb 2006

ASJC Scopus subject areas

  • Surgery
  • Dermatology

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