How To Avoid Vascular Occlusion Lip Filler

Complications and risks associated with soft tissue fillers remain one of the biggest concerns for beginning practitioners in cosmetic medicine – and rightfully so! A healthy respect for percutaneous filler embolization and the resulting vascular embolism will help you put patient safety first in your practice. However, in our time Foundation Training, I still hear some students muttering “this has made me completely unable to do fillers” after seeing a photo of skin necrosis. Through our Level 7 Certificate in Injections courseHarley Academy aims to reach a group of students who are well equipped to avoid, recognize and manage such complications.

1. Know your anatomy

Get to know your veins and use the ‘class-based’ approach taught at Harley Academy to ensure you always inject your fillers in the safest plane, at the safest depth, and use safest technique. required for needles, especially when treating more ‘high risk’ areas, such as nasolabial folds, where increased caution and attention to depth and technique are key.

2. Aspiration

This may be a more controversial suggestion due to the risk of ‘false negative’ reassurances. However, most practitioners will have an anecdote or personal experience of positive aspiration, so the value of aspiration should not be overlooked. Low sensitivity should be considered to avoid practitioners becoming artificially assured of a negative behavior, and this technique should be used in combination with other techniques to maximize safety.

3. Small volume injection

Documentation suggests minimizing bolus volume to 0.1-0.3ml- depending on area. We recommend limiting subchondral injection to a maximum of 0.3ml per area. When injecting bone, techniques that use continuous needle tip motion such as countercurrent straightening and fan, together with injection volume restriction can reduce the risk of filler embolism even further.

4. Slow injection

When injecting an aphrodisiac, use a slow injection rate with low extrusion pressure on the plunger of the syringe. This will reduce the risk of large amounts of filler depositing in the lumen, or causing retrograde movement of the filler through the vessel against arterial or venous pressure.

5. Consider using a catheter

The use of a large catheter with a large bore (25G or less) may reduce (but not eliminate) the risk of perforation. Continuous movement and a gentle, non-forced technique will be used more with this tool.

6. Beware of scars or previous surgery

Areas of scarring from trauma, previous surgery, or multiple previous treatments may increase the risk of freezing. Vascular fixation from scar tissue can prevent arteries from ‘moving out of the way’ as they advance through soft tissue – even when using the catheter technique. Be careful with injecting in such areas and do a thorough history to determine the risk.

7. Product selection

Temporary dermal fillers based on Hyaluronic Acid have the advantage of being hydrolyzed with Hyaluronidase in case of occlusion or embolism. This will give players peace of mind, but does not provide a ‘safety blanket’ that leads to the promotion of careless, unsafe techniques. vessels in the injected area, potentially resulting in embolism due to the compressive pressure in that cavity.

8. Progress appropriately!

Practice within your limits. Of course, statistics may imply that if you do enough filler injections, you’re more likely to get clogged blood vessels during your cosmetic procedure. It can happen to anyone. However, following the steps above will ensure you are handling it responsibly, safely, and with caution, and reduce your odds of being at risk. Remember, the rare complication of filler treatment is mostly manageable, so taking care to prevent it is just as important as being prepared to recognize and manage it. short eLearning course in Prevention and management of dermal filler complications. This popular online training is led by case study and can be completed in your own time, at your own pace.Dr. Joanna HackneyDr. Joanna Hackney is an experienced esthetician and clinical consultant at Harley Academy. Before turning to advanced cosmetic medicine, Dr Hackney was an anesthesiologist and a member of the Royal College of Anesthesiology. She is known for her precision in her work, delivering well-balanced and natural looking results. Her approach addresses patient safety and each individual’s best interests.Read more: how to change the interface on kodi

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