cerebral infarction(FAT). None recovered vision. Ozturk et al [5] in North America reported 61 cases of facial vascular occlusion by fillers other than Fat.12 had immediate blindness.Based on the world-wide literature, it has been suggested to bear in mind the following golden rules to avoid/minimize the chances of inadvertent intravascular injection of the filler agent and subsequent serious effects [1]. Firstly, aspiration each time before injection which is the most important maneuver. Secondly as regards to the injected material, taking more care in cases of fat injections versus not-fat substances (fat as a filler has highest risk) and the use of vasoconstrictor with each procedure in appropriate doses. The other important domain is the nature of the needles used, it is advisable to use blunt and smaller guage needles to avoid vessel penetration. The volume injected has not to be more than 0.5ccper pass with use of gentle force at each injection.