Injectable facial correction is very popular among both patients and doctors. A wide range of drugs, constantly improving administration techniques and new opportunities allow the doctor to choose the most advantageous option for each patient, regardless of age and gender. But even such a simple, at first glance, procedure does not exclude the risk of complications, including late ones, which appear several years after the administration of the drug. Doctor Conrad de Boule (Belgium) spoke about the most common causes of such complications, precautions and rules for successful injection face correction in an exclusive interview for estet-portal.com.
Dr. Konrad de Boule (Koenraad De Boulle) – dermatologist, director of the private dermatological clinic "Dermatological Clinic Aalast" in Belgium, founder of the consulting company NV 4U Matibo. Dr. de Boule has over twenty years of experience with fillers and botulinum toxin, and has authored or co-authored over 50 peer-reviewed scientific publications in the field of medical cosmetology.
What knowledge and skills does a practitioner need to successfully perform injection correction?
When it comes to facial correction, the first thing every practitioner needs is – perfect knowledge of anatomy. Nothing without it.
Second – careful choice of drugs. There are many under-researched products on the market that doctors use in their practice and face many problems afterwards.
Third – carrying out such procedures makes it necessary to cooperate with the manufacturing company, which is always ready to help a specialist. That is, if something goes wrong, the manufacturer will not only not blame the doctor for what happened, but will also help resolve the situation with the product and the patient. This is one of the main advantages of the Allergan™ company, which is present all over the world. Allergan is committed to making sure patients look and feel good, and doctors can run a successful business and receive proper medical training. Therefore, the company is ready to lend a helping hand in any situation.
Perfect knowledge of anatomy, the right choice of preparation and support from the manufacturing company – three main components of successful injectable facial correction.
Which Allergan™ Do you prefer to use?
I think the real breakthrough was the introduction of Juvederm® Voluma™ (Juvederm Voluma). With this drug, we can achieve amazing results. For example, the 8–12-point facelift with Voluma, the essence of which is the introduction of small volumes of the product into different zones, allows you to adjust the contours of the face.
I recommend that my patients start correction as early as possible, because regular injections of a small amount of Juvederm®; Voluma™ allow you to forget about aging for 10, 15 or even 20 years. This product really stops time and provides great results for patients who need to improve their overall facial condition.
Tell us about the complications you face in your practice.
I am informed about the complications faced by practitioners around the world, so I am aware of all the problems. I can say that in most cases, the late appearance of nodules and other reactions after the introduction of fillers is associated with infection or exposure to the infectious agent in the early stages after the administration of the drug.
In most cases, the late appearance of nodules and other reactions after the injection of fillers is associated with infection or exposure to the infectious agent in the early stages after the administration of the drug.
Thus, due to insufficient purification, pathogenic organisms from the areas surrounding the injection site penetrate to the filler. As a result, a biofilm may form. And today we know that there is an association between infection and hypersensitivity: a few years after infection, patients may develop hypersensitivity, accompanied by late onset of nodules and other symptoms.
Therefore, it is very important before carrying out a procedure using not only Juvederm® Voluma™, but also any other drug, take all necessary precautions aimed at preventing infectious processes.
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