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

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.