Today, vascular complications are one of the most pressing issues in aesthetic medicine. This is due to the fact that the face has a pronounced blood supply. And, unfortunately, there are no methods yet that allow you to easily visualize the location of the vessels.
More details about the prevention of unwanted side effects from the vascular bed to readers of estet-portal.com were told by Ph.D., President of the Israeli Society of Dermatologists and Plastic Surgeons, Member of the Board of Directors of the International Society of Dermatologists and Plastic Surgeons, Member of the American Academy of Dermatologists , leading lecturer of the European and American Society of Dermatologists - Marina Landau.
What are the most common vascular complications
M.L.: When we talk about vascular complications, we are mainly talking about damage to the arterial bed.
If a doctor knows how to recognize a complication in time, and knows what the correct tactics of its management should be – negative consequences can be avoided.
If hyaluronic acid was injected into an artery, then naturally the blood flow in it will be blocked. As a result, tissue necrosis may occur, or an embolus may form, which can easily block the retinal artery or enter the vessels of the brain. Fortunately, these complications are extremely rare.
However, there is a lot of research being done into prevention and management of these unwanted side effects. Read also: How to avoid complications after minimally invasive cosmetic procedures
How to avoid the development of vascular complications when using fillers
ML: To avoid complications by 100%, in my opinion, is almost impossible. You can only reduce the risks. To do this, you need, firstly, to know the anatomy, since basically the arteries still have their permanent location, although no one has canceled individual anatomical features. To do this, you need to attend cadaver courses, and constantly flip through textbooks.
On the other hand, unfortunately, or fortunately, we are all different. This means that even after attending hundreds of such training courses, the doctor can never be completely sure of the anatomical location of the vessels in a particular patient. That is why we work with a cannula in dangerous areas of the face, use less filler, and act much more carefully.
The most important thing is to constantly monitor the patient's condition, and if there is the slightest doubt, do not administer the drug.
If the doctor had to deal with complications, then his main task is to guide the patient until the problem is completely resolved.
Bypassing Dangerous Zones: Filler Injection Points
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