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Avoiding the “Danger Zones” When Injecting Dermal Fillers and Volume Enhancers

Brennan, Connie RN, CPSN, CANS, CPC

doi: 10.1097/PSN.0000000000000053
Departments: Aesthetic Department

Aesthetic providers need to be aware of the serious potential complications that can result from occlusion of specific facial arterial and venous structures. This article focuses on the anatomical “danger zones” to avoid during dermal filler and volume enhancer injection procedures. Clinical pearls are provided on how to avoid these “danger zones” and what to do if a rare complication (e.g., skin necrosis or vision loss) does occur.

Connie Brennan, RN, CPSN, CANS, CPC, is currently the Director of Medical Aesthetic Education at the Center for Advanced Aesthetics at Life Time Fitness and President/Founder of Aesthetic Enhancement Solutions, LLC. Connie is a licensed registered nurse in 10 states and has earned advanced certifications in aesthetic injectables, laser resurfacing, skin care, sclerotherapy, and perioperative nursing over the course of 26 years in aesthetic medicine. Connie has worked as an expert alongside the ASPSN task force in creating the first certified aesthetic nurse specialist (CANS) examination.

Address correspondence to Connie Brennan, RN, CPSN, CANS, CPC, 5905 Troy Lane, N, Plymouth, MN 55446 (e-mail:

Conflicts of interest: The author is a consultant to Allergan, Inc., Medicis Aesthetics/Valeant Pharmaceuticals, and Nordson Micromedics, Inc., but has not received any funding to write or publish this article.

Copyright © 2014 by American Society of Plastic Surgical Nurses