Post-injection complications: how a doctor can correct a mistake

Complications is what every aesthetic medicine specialist fears. They can lie in wait for even the most experienced doctor. However, the real skill lies in preventing the occurrence of unwanted reactions, as well as being able to solve even the most difficult problem without panicking.

Very often, it is the choice of a quality drug that is the key to a successful correction. About how to prevent a catastrophe, as well as how to act in case of various side effects, estet-portal.com readers were told by Dr. Conrad de Boule (Belgium).

What are the main causes of post-injection complications

KB: We most often encounter two groups of complications. Some occur with the introduction of the drug into the vessel, while others are due to the extravascular injection of fillers based on hyaluronic acid. Of course, these adverse reactions occur, but we know how to avoid them, as well as how to deal with complications. Fortunately, almost all problems associated with hyaluronic acid fillers have a solution.

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How to avoid getting the filler into the vessel during injection

KB: If we are talking about intravascular complications, namely, occlusion of the vessel due to filler injection, the main thing is prevention, and knowledge of anatomy helps us in this. But, unfortunately, even the best and most experienced specialists can sometimes encounter these complications, since we must not forget about the individual characteristics of the anatomy of each patient.

To prevent intravascular complications, we can perform an aspiration test, as well as work on the surface of the bone, where the probability of introducing a filler into the vessel is much lower.

If we talk about other complications, then most of them are associated with a violation of sterility. And the infectious agent, by interacting with the Toll-like receptors of eosinophils, causes the occurrence of hypersensitivity, which is the cause of most delayed complications, such as the appearance of seals, persistent erythema, cysts, etc.

How to deal with intravascular post-injection complications

KB: If the vessel is blocked, the first thing you will see – this is a blanching of the area of \u200b\u200bthe skin, and besides, the patient will experience considerable discomfort. But, fortunately, if the doctor used a hyaluronic acid-based filler, he will always find a solution to the problem. After all, we have a drug that can fix everything - hyaluronidase. We inject it into the affected area in large doses. Also, if you can find the vessel into which you injected the filler, then hyaluronidase can be injected directly into it.

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Tell us more about the benefits of VYCROSS™

KB: Why does VYCROSS™ technology appeal to me so much? This is a whole new level of fillers that provide long-lasting, natural and pronounced results. I am also attracted by the opportunity to choose from a large number of different products. Such a wide arsenal of drugs covers all our needs, and allows us to realize the various wishes of patients.

My favorite drug is Juvderem^®Voluma by Allergan. I use it for reframing, recontouring and also for remodeling.

If I need the most versatile product, then I use Juvederm® Volift, which I most often use to correct nasolabial folds and lips.

Another favorite product of mine is Juvederm^® Volbella, which is ideal for correcting very fine lines in the glabella and crow's feet. We also use it to fill the nasolacrimal trough, thanks to which we get a very natural and beautiful result.

Allegan Original Products You can only purchase from an authorized distributor.