Hyaluronic Acid for Frontal and Glabella Areas

  • Maritza L. Kummerfeldt


During the procedure of facial rejuvenation, there are injections of hyaluronic acid placed in the frontal and glabella region, with and in some instances without previous neuromodulators’ intervention.

It is imperative to obtain complete knowledge of the anatomy of the region, the differences between all types of hyaluronic acids available in the local market, and the different techniques to obtain the best results (Salasche et al., Forehead and temple. In: Surgical anatomy of the face, vol 14. Appleton & Lange, pp. 163–182, 1998)

Using the correct form of antisepsis, the chosen type of hyaluronic acid is injected using a deeper technique, in which blunt cannules are used or with a blanching skin technique all based on the specific needs of the patient.

Side effects and complications may occur as in any other region; for that reason, it is important to keep them in mind and take the proper precaution to immediately diagnose and treat the patient.


  1. 1.
    Kummerfeldt M. Rellenos Estéticos. In: Perez F, Enriquez J, editors. Dermatología Cosmética, vol. 11. Mexico: Elsevier; 2011. p. 307–26.Google Scholar
  2. 2.
    Carruthers J, Carruthers A, Dover JS, Alam M. Soft tissue augmentation. 3rd ed. London: Elsevier; 2013.Google Scholar
  3. 3.
    De Maio M, Rzany B. The male patient in aesthetic medicine. Berlin/Heidelberg: Springer; 2009.CrossRefGoogle Scholar
  4. 4.
    Jones D. Injectable fillers. Principles and practice. Chichester: Wiley-Blackwell; 2010.CrossRefGoogle Scholar
  5. 5.
    Sadick NS, Carniol PJ, Roy D, Wiest L. Ilustrated manual of injectable fillers. Informa Healthcare. 2011.Google Scholar
  6. 6.
    Glaich N, Cohen J, Goldberg L, et al. Injection necrosis of the glabella; protocol for prevention and treatment after use of dermal fillers. Dermatol Surg. 2006;32:276–81.PubMedGoogle Scholar
  7. 7.
    Solish N, Beer K. Hyaluronic acids: basic science. In: Jones D, editor. Injectable fillers, vol. 3. Hoboken: Wiley-Blackwell; 2010. p. 19–26.Google Scholar
  8. 8.
    Salasche SJ, Bernstein G, Senkari M. Forehead and temple. In: Perez F, Enriquez J, editors. Surgical anatomy of the face, vol. 14. Norwalk: Appleton & Lange; 1988. p. 163–82.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Maritza L. Kummerfeldt
    • 1
  1. 1.Clinic of DermatologyGuatemala CityGuatemala

Personalised recommendations