At the INTER PROFI FORUM, an international professional forum on injection volumetric correction, a large number of highly qualified specialists had the opportunity to gain invaluable knowledge and exchange experience.
Plastic and reconstructive surgeon, Member of the Board of the European Association of Plastic Surgery (FEBOPRAS), member of the Lebanese Society of Plastic Surgery (LSPRAS) spoke about the dangerous areas of the face in cosmetology, as well as the main complications of injection procedures specifically for estet-portal.com ), member of the International Society for Plastic Surgery (ISAPS) Jameel Al Rai.
What are the most common complaints of young patients
D. AR: Naturally, the specifics of young patients' complaints have their own characteristics. If older patients apply because they want to look younger, then the main desire of young patients – look fresh.
Young patients are afraid of hypercorrection, they want to get the most natural result.One of the most common complaints among young patients – this is the appearance of nasolabial folds, which can occur after weight loss, or due to ptosis of the upper third of the face. Popular procedures among younger patients include nasolacrimal trough correction and lip augmentation.
I don't think there are hard and fast rules about what lips should look like - There is a patient, his preferences and desires. I have many young patients who want lip augmentation because of what they see on social media, looking at actors and models. There are also young patients who want to emphasize the jawline, which is also associated with the influence of media. They see models with pronounced angles of the lower jaw, and ask to inject the filler into the area of the cheeks, chin or jaw.
Is there a difference in facial correction between younger and older patients
D. AR: It all depends on the type of aging and the anatomical features of the face. Young patients come in for minor changes, they want to look natural and be fresher. Older patients are concerned about skin ptosis. They are indicated for surgical or non-surgical lifting. With the help of fillers, we add volume to the cheeks, eliminate marionette wrinkles, and correct the temporal region. For younger patients, we can recommend to make the cheekbones more pronounced or to correct the nasolabial folds.
Do complications after injection of fillers depend on the age of the patient
D. AR: Some complications are age related, such as bruising or swelling. They are more likely to occur in older patients who are taking anticoagulants such as aspirin. Younger patients are less likely to be prescribed these medications. The patient's skin type can also influence the appearance of hematomas. Other complications, especially vascular ones such as ischemia and necrosis, are not as common and are not affected by the age of the patient. They may depend on the area of correction, technique and precautions taken by the doctor.
Which facial correction areas are the most dangerous
D. A. R.: There are several most dangerous zones, first of all - this is the glabella. This area is supplied with blood by a large artery, so we are most afraid of necrosis resulting from the embolism of this vessel. The second dangerous zone – this is the area of the nasolabial folds. This is one of the most popular correction zones, and it is known for the highest number of complications. If during the injection we get into the artery, its thrombosis will occur, ischemic and necrotic complications will occur. Another danger zone – this is the nose, because non-surgical rhinoplasty has become a trend lately.
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Many doctors use fillers to eliminate the hump on the nose, or to make it more snub-nosed. Many do not know that the nose – this is a dangerous area, in order to work with which the doctor must know well at which points to inject. Some patients after surgical rhinoplasty come for additional nose correction, which is even more dangerous. When working with the temporal region, care must also be taken. At this point, the superficial temporal artery has branches that may be affected during injection. Correction of the nasolacrimal trough is also dangerous, since medially from it there is an anastomosis between the internal and external carotid arteries.Also, embolization of the artery supplying the lips can lead to their necrosis. Therefore, any area of the face can be dangerous. But vascular and necrotic complications are not so common. And by taking precautions, we can almost always avoid them. Therefore, it is very important that the doctor knows what to do in order to prevent and eliminate complications.
This was told by Dr. Jameel Al Rai estet-portal.com at the professional forum on injection volumetric correction INTER PROFI FORUM
What a doctor needs to know to avoid complications
D. AR: First of all, the doctor must know and understand what he is doing, as well as competently apply his knowledge in each area with which he works. Aesthetic medicine requires special delicacy. It is especially important that the doctor works at the right level. Because if I know that an artery in a certain area is superficial, I inject deeper, avoiding it.
Lip contouring is a mutually beneficial union of a cosmetologist and an orthodontist
I also like to use an injection cannula because it's much safer. You should collect a detailed history of the patient in such a way that you know if he has any concomitant diseases, whether he is taking drugs that affect blood clotting, such as aspirin or vitamin E. But the most important thing is to choose the necessary technique. I think that the occurrence of complications largely depends on the professionalism of the doctor and the technique chosen by him. When a doctor does his job right – he is the least likely to get complications.
Do you think it is useful for doctors to attend such events
D. A.R.: Yes, it's over! Firstly, I am delighted with the preparation of the event - everything is organized at the highest level. We are here to share experiences and learn. Even one question from the audience will be of great importance for the speaker himself and all his listeners. For this I love aesthetic medicine – we always have something to share with each other. Even very experienced people who work for many years have the opportunity to learn something new. Of course, not everything that a doctor learns at a conference should be applied the next day.
The largest number of complications occurs on the second day after the conference.All new knowledge needs to be passed through, analyzed, and only then applied. Because without having a full understanding of the procedure, you can make a mistake.
Recall that estet-portal.com talked to the doctor at the INTER PROFI FORUM, a professional forum on injectable volumetric correction by
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