Filler injections in the pre-auricular space: Be aware of the parotid gland

Leonie Schelke, Tamar Schoonen, Peter J. Velthuis*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Backgroud In recent years the pre-auricular area is increasingly used for filler injections. Aims Assessment of depth of the subcutaneous fat and the process of realtime filler injection. Materials & Methods Ultrasonographic data of two cases and a video are studied. Results These show how filler injections may very easily be delivered inside the parotid gland. This may go unnoticed by injector and client. Discussion This study and data from literature prove that filler injections in the pre-auricular area may end up inside or in the vicinity of the parotid gland, and this can lead to an inflammatory response. Conclusion It is recommended to be careful with filler injections in this area. Prior sonographic assessment of the subcutaneous depth in this area is advised.

Original languageEnglish
Pages (from-to)173-176
Number of pages4
JournalJournal of Cosmetic Dermatology
Issue number1
Early online date27 Aug 2022
Publication statusPublished - Jan 2023

Bibliographical note

Funding Information:
The authors gratefully acknowledge the help of Drs. A. Onderdijk and M. Hamer in discussing the patients.

Publisher Copyright:
© 2022 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.


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