Blindness caused by Fillers. Is it worth the risk?
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- เผยแพร่เมื่อ 9 ก.ค. 2019
- Dr. Gavin Chan MBBS, General Registration (MED0001175745) discusses the causes of blindness as a result of dermal filler injections and asks the question of whether it is still worth the risk.
Just wanted to summarise some of the methods that can be used to avoid arterial injection;
- Use a cannula. A cannula is less likely to penetrate an artery wall in comparison to a needle
- Inject threads rather than boluses when possible. Moving the tip of the cannula (or needle) is less likely to allow it to be kept in artery for any significant period of time, reducing any volume injected into an artery if entered
- Inject super slow. If it takes 0.05 to .1mL to fill an artery, then take at least 10 seconds to inject these quantities whilst moving the cannula. Then it makes it so much harder to inject an adequate volume in the artery to occlude it.
- understand your anatomy and inject at the right depth to avoid arteries
- avoid risky areas like the nose/frown lines altogether.
Thank you for your candor. You seem to be a very conscientious doctor! If I ever got up the nerve, I would definitely go to you.
Which type of cannula do you use? I'm wondering which size would be best for injecting the smallest amounts under the lowest pressure. 27G? 28G? Are the smallest gauge cannulas the best for this purpose?
Does this includes botox or not?
Wich is the right depht??
So we shouldn’t done our nose at all?
Wow! I went from ....About to make an appointment for nose and under eye fillers straight to accepting myself for who i am lol!!! The blindness is not worth it. Nobody has ever changed my mind this quickly before! So no nose, cheek, undereye, or jaw fillers! Period! Check!
Did he said jaw/chin?
🤣
I will get rhinoplasty instead.
You better not get out of your home then, there's a risk in everything
Jaw, chin and lips are fine
Thank you doctor. This information is much needed. I will keep my wrinkle.
😂😂😂😂🤣
@x moschino high nutrition low calorie diets have been known to slow down aging (but be careful) i dont promote this
😂😂😂 we will be wrinkly and elegant
👍👍👍👍👍👍bbbbb
😂😂😂😂😂😂
most adorable doctor ever, and way too far away! I have never found a doctor this sweet and honest, it's a dream doctor.
Hey, Nadia! I was thinking exactly the same thing!!! 😅😉😉
I've had fillers in these areas many times and was never told the risks.
This is not uncommon. One of the reasons why I made this video!
Victorian Cosmetic Institute thank God you care!!
Same for me with dysport, and now my eye sockets deformed and hooded at 26
Stacey Lee what were you trying to have fixed?
i lean well I’m in my 20’s and was told to do it to prevent wrinkles, I did it on my head a few times and once my eyes to stop making lines. Anyways the last time I saw a new girl, one my friend goes to and does a good job and she convinced me to do my eyes even though I didnt like how it was done before. She did it beside my eye and messed them up bad but I’m at 6 months now and I think I’m finally started to return to a bit more normal looking, I was seriously scared because my eyelid was all kinds of swollen and hooded. Its still a bit off but I’m seeing improvement. Moral of the story I wont be doing that again so young 😂 these things come with serious side effects if they go wrong and your injector will not give two fucks.
Geez, Dr. Chan you just scared the goodness out of me, lol....thank you for the good information though!
Hope I didn't scare you too much! Remember, risk is very rare.
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes
He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
@@_UNIVERSALthingsEurope If you watch the video he said where the dangerous arteries are and they're not in your lips
This video totally freaked me out! 😱
👍👍👍👍👍👍bbbbb
What a selflessly candid dr. A breath of fresh air to see a dr honor the ol’ school medical code of ethics vs putting the almighty dollar b4 his patients livelihood. So very rare today.
Thank you ❣️
I just wanted to thank you for, as always, speaking to us intelligently.
I don’t know why I watch these... but I find his channel really honest and interesting....
For some people a 1 in a million risk is still a risk NOT to go blind for your appearance . Thank you Doctor. This is very serious information for everybody to consider before going for a filler procedure. I wish my doctor had told me that
Then you might as well never drive again, there's a greater chance of dying from taking your car out for a drive than going blind from fillers.
@@dand6520 better be dead than blind; also it's much easier to live with yourself if you got crippled while doing nessesary thing (like driving / having somebody drive you to work or school); but how would you live knowing that you lost your fcking eyesight for petty cosmetic reasons
@@g.yad.4758 then don’t watch a movie because the theatre might go on fire. Wouldn’t want to lose your life for petty entertainment reasons. See how dumb you sound? Don’t judge filler as petty cosmetic just because you don’t find it important. What’s important to you may not be important to others and vice versa.
@@NJ-lu6wu compare the chances
also there's the general rule to not mess with your organs if nothing's wrong
there's a difference between walking, sitting & watching moving pictures and putting some shit under your skin hoping it wouldn't migrate and ruin your face in the future
@@NJ-lu6wu also: slightly younger looking face is important in everyday life, but it's not that important to risk your fcking sight! again: compare the results with what you're risking
important to hear a Dr, talk about what can go wrong, and how to avoid it.
Not worth it, damn I thought fillers were safe because it was temporary
Yeah me too. Less dangerous than surgery but now I am not sure. Better to accept aging as just a part of getting older!
I think filler injections to the face should be done with ultrasound guidance for safety and peace of mind.. In my opinion the Ultrasonography-guided Cannula Method for Hyaluronic Acid Filler would put a lot of worries to rest. And as a patient I would definitely opt for a doctor who has this equipment and uses this method. The technology exists so why aren’t all doctors using it? An ultrasound machine can’t be that expensive. I would pay extra for fillers to be safe and not risk my eyesight. Im sure others would agree.
Finally someone who is telling some good words !!
Its 2020 and people still inject without any equipment and say « omg doing fillers can lead to blindness» but they are doing nothing for it.
Do you know if some doctors are actually using this kind of machine for fillers ?
Thanks
Wow, this is the most honest and informative video i've seen on fillers. Nice to see a Doctor actually honor the medical code of ethics instead of putting money before a patients well being. THANK YOU.
Anatomy, Physiology back to Basic Science knowing where you are before injecting.Great lecture and information to prevent a disaster. Thank You
Thank you for giving us this information and taking care of people. You are a beautiful person
Very knowledgable man , and honest too. No , or very few practitioners will inform their clients of this risk.
You are a very informative doctor and you tell the truth and that’s refreshing I wish you were in California!
never commented on a video before on youtube, but this one i would like to thank you for, all your videos are so good and informative
really good to know thank you very much I've had fillers in these areas 3 times and was never told the risks!!!
Such an informative video. Thank you for sharing your wisdom.
Eeeeshhh! This is scary. Thank you Dr. Chan for being so honest.
Thank god she still has vision in her other eye.
Yes, there has only been one case of bilateral (both eye) blindness. All the rest have been unilateral or one sided.
@@viccosmeticinstitute That is good to hear. I'm curious, do you know where the injection site was that caused the bilateral incident?
@@gemalyn6326 if you inject enough filler it is possible for it to go right around to the other side through the arterial connections. It would have to be a very large amount injected rather rapidly though.
Thank you. Thank you. I just canceled my appointment for fillers. I will still do it but I want to be more informed and your video is teaching me so much. I want to be a well-informed consumer/patient.
GOOD FOR YOU!
EXCELLENT!! I SO APPRECIATE hearing about these *rare/unusual* cases where things {can} go wrong, ..so that I may make the best decisions for myself with cosmetic procedures. Better than NOT knowing what those (unlikely) possibilities are!
There is risk in any procedure, and as someone who has seen CRAOs in clinic, I have seen how profoundly devastating they can be to the patient, and they happen so quickly. Thanks for bringing this to our attention!
Wow... I had fillers under my eyes and the Dr. did it so fast and with force too!!! Needless to say I’m in awww... wow now I’m scared too!!! Thank you for this information Dr. Chan. 🙏🏽
Really helpful to prepare a nurse injector. Thank you doctor!
So scary 😱😱😱 Thank you for always pointing out the pros and cons of different procedures. 👍❤️
thank you for your comment Shen
Shen Says! 🙂 that’s what I appreciate the most about him I who’s he had s clone
The depth of knowledge you display about anatomy, physiology, contra-indications and possible complications is why I think it’s absolutely insane that in some countries non medics can legally perform dermal filler procedures- without a prescription or medic oversight! In the U.K. for instance, while Botox requires a prescription, and hence medic involvement, fillers do not! There are ‘training’ courses specifically for non medics! It’s outrageous, and I really hope the laws change soon.
yes, that's stupid, especially that botox is far less risky than fillers. so it should be the other way around.
Thank you so much for sharing this information, I’m sure not many docs are willing to talk about this. Great job 👍
THANK YOU DOCTOR!!! YOU'RE AWESOME!!!! Thanks for informing us about the risks!! 🙏 I like all your videos; you make a VERY VERY PROFESSIONAL IMPRESSION! 👍
Appreciate your honesty
Informed consent requires doctors to share all the risks - yet so many don't share the risks - its good to see an honest , ethical doctor in the beauty industry 😃
Thanks doctor. I was about to go for filler tomorrow but after this video I realised that I look great without them too. Thanks a lot for your true guidance.
great to hear I helped you realise this! thank you
I have just seen this year's after post, brilliant advice doc
Thank you for this video, you have changed my mind about having filler done. I have had enough problems with my eyes already.
Thank you. That was very informative and helps my decision making.
A very timely and relevant video considering how common these procedures have become. You had mentioned in the previous video on the topic that it's best to inject the nose centrally and not laterally, am I correct? Also, how risky is injecting the Nasion/Radix?
By far the best doctor on the internet! Iv always had bad nasolabial folds since my early 20s and now I’m in my 30s they are worst . But I have been to scared to get fillers. Has blindness happened from all areas ?
This is great information but it's making rethink moving forward
Very good and informative video. Thank you.
Great information, thank you! As someone with Glaucoma, I now would consider it too risky for me.
You will always get pros and cons in everything we do.
Thank you for been honest !!!!
I really wanted to get this procedure done because i've lost a lot of volume in my under eye so I look very tired an makes me look older, but seeing this video I'll keep my hallow eyes, risk is not worth it, even though it could be minimal
Thank you for sharing this important info. What is recommended when using botox for medical reasons?
Dear Dr Chan, I just come across your video...great informative video! Thank you. Quick question, are dermal fillers for neck lines safe?
Thank you Dr for this much needed information. What about these new hyaluron pens, are they really as risk free as they claim them to be?
Oh wow, I had no idea aspiration can give a false sense of security!
I've had this done many times with no issues and no I am scared out of my mind!!!
Informative very useful..thank you.
Wow, no body have told me this. THANK YOU👍
I would love to know your thoughts on PDO threads for the face and neck area.
thank you for sharing this valuable information
Hi Dr Chan. I love your Channel.
Could you please tell us if blindness could occur months or years after the injection ?
Thank you
You're a great professional. I wish I had the chance to have an apointment with you.
Whoaah... Thank you for opening my eyes & scaring me from getting eye lid fillers! Its definately not worth the risk!
OMG I had fillers done to my nose, why didn't my doctor tell me this. I even asked him if there was a possibility of being blind since I studied the head and neck anatomy in dental school, he said no. I am NOT getting it anymore.WOW super disappointed.
It's hard for a practitioner to say that as it sounds so bad - they probably don't want to put you off. But it is absolutely vital that all the risks are outlined before any procedure.
@@viccosmeticinstitute In Canada, when a treatment is not required (for aesthetic reasons) all the risks need to be outlined including the ones under 1%. A patient can not give clear consent if information is hidden. Thank you for your videos btw super informative doc :)
Francesca Nour Of course that would be a disaster, that may imply some legal sanction for the doctor since it can generate health problems, or even mental problems for patients.
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes
He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
@@_UNIVERSALthingsEurope all areas are risk
Vascular complications, including blindness, are way more frequent than 1 on a million. Based on a recent study related to the Netherlands, vascular complications from fillers are 1:6600 with a confidence interval of (1:5300-1:8000). The study also finds that it doesn’t depend on the quality of the injector as some were top doctors. Also, I’m some cases the cannula was used. So there is no certainty whatever is the technique and whoever is the injector.
Do you have a source for this?
Great info. Thanks
Are the cheeks and lips considered low risk areas & are there any blindness cases from these areas ??
Thanks for sharing ...was thinking about getting rid of my eye troughs which make me look tired.
Thank you Dr.Chan ❤️
Great info. Thanks!
Great video Gavin. For accurate aspiration, are you able to adjust the gauge sizes depending on the filler you use?
I’ve read a paper on a new needle system that contains an inner needle, where the filler is administered, and an outer/guiding needle that detects blood reflow in the lumen of the blood vessel during the injection process (I think it has a small hole in the wall of the needle to allow air passage/ air pressure balance and basically the mechanism behind the whole system is similar to phlebotomy).
Hi Sophia. Thank you the information. I haven't heard of this special needle system you mention. Sounds interesting.
In regards to aspirating, you could use a bigger needle for thicker fillers - that would potentially help reduce any false negative aspirations. But having a bigger needle or cannulas has disadvantages also - e.g more pain/trauma to the face, and also potentially faster injecting speeds which could be a risk factor for blindness also.
Thank you so much for your honest and informative content.
I know this story is 1 year old but I’ve only just watched it. I have a question in regards to filler and vascular birthmarks.
I have been thinking of getting a little bit of filler in my lips to help soften some lip lines ( no I don’t smoke ) My birthmark covers the left side of my face . There is a tiny portion that runs close to my top lip but not on it . Would it be too high of a risk for me to have this treatment done?
Thank you ☺️
I have an appointment tomorrow to get cheek fillers injected and after watching this, I think I’m cancelling it. Sucks cuz I already paid a deposit and I’m fairly sure I won’t be able to get it back, but I have a very hard time coming to terms with the fact that there IS a risk of me going blind, no matter how small. I’m not the luckiest person either so if it’s my luck I’m gonna end up being the 1 in the million who goes blind. That’s just so so scary to me and I don’t think I’d be able to live with myself knowing I’ve literally made myself blind just for very slightly fuller cheeks, especially when I haven’t even turned 20. I just can’t imagine losing my sight for something so superficial. Screw that. My cheeks are perfectly fine as they are, thank you very much. I’ll just spend the money on therapy if I ever feel I’m bitching too much about my appearance.
Thank You for the useful infos ! Can LIP fillers causing any permanent damage in the eye?
Dr Chan do you have a video or recommend one the step by step instructions to approaching and treating an arterial occlusion caused by filler?
You are a genius!
Amazing information. Will pass on to my siblings. xox
Thank you for the information who. would have known.
Thank you Dr Chan! Such good information to know about, and now that I know I would not take the risk, just not worth it! Are there fillers such as for the lips that are safe?
To be honest, any injection of filler in any part of the face has the potential for causing blindness. Lips are low risk in comparison to the nose/frown areas, but there have been a few reported cases of blindness from lip filler.
Victorian Cosmetic Institute thank you
I had it done 4 times and have had no problems. I never knew it was so risky. In the future I hope they bring in ultrasound non surgical nose jobs. That way they will see exactly what the needle is about to be injected into and then fill. They can do ultrasounds by their personal phones now, so who knows what we have in the future.
Have you had filler before? Were you told of the risks of blindness? Is it worth it for you? Tell us what you think.
Of course it’s not worth it
Thank u so much Dr!! This is whar patiients need...an honest and great Dr!
I watched a.previous video where u touch this subject and I was just going to have fat injected most on my tearthrough. Was scare to death, did my research abt drs. Chose one, I was the one to brought the subject, he didn't minimize it and we went through with the procedure. He was very conservative ( I think I scared him😝) Went well, but abt 50% is gone now. Was going to go back but after this video, unless u were my surgeon Im not doing it! So...what is ur opinion of HIFU?😊
Hi Banditas. The risk of blindness in the tear trough is a lot lower than the frown and nose, which makes it a very rare risk. But things like using a cannula could be good. Also, if you use a bit of adrenaline with the local anaesthetic in this area, this could constrict the blood vessels further causing less risk again. I do like HIFU - we have the Ulthera machine at our clinic. But it is super subtle in the results achieved. So it depends on what your concern is and how much you expect it to tighten your skin.
Last year, I really met the crisis! When I did the HA injection at the tear trough. when I did negative aspiration,I suddenly saw the blood come into my syringe!! I was quite lucky and I change my way of injection immediately and The patient did not know what happened and she left with a satisfied smile. Then I use cannula more and more in my clinic and I also warn my staff the crisis of occlusion.
@@user-jn2yv2mf2j Thank you for your contribution Doctor! Great to hear of a possible save from aspirating. I am also a big fan of cannulas and I always use them for tear troughs as my standard. Way less bruising too!
Thank you so much doctor.
Thank you for all the information you are providing.👍👍👍❤️❤️❤️❤️❤️👏👏👏👏👏👏👍👍👍👍
Thank you for the info very scary but something to think about...
No worries!
Wish you practiced in the US, in my city, lol :D
Is the under eye "bag" area high risk for blindness using hyaluronic acid filler?
People shouldn't worry about nose bridge shape because they're all cute and give character. I can understand some tip modification sometimes though. Bravo Dr. for your practical and sane advice!!
Dr Chan
You are too far for me to travel.
Can you please give me any recommendations in the Uk please.
Your yourtube videos are so interesting and helpful. Thank you
What do you recommend for the nassolabial area doctor?
Hello could you please tell me if blindness is also a risk with skin boosters ? Thank you !
For the temporal filling, does contacting temporal bone reduce the risk? What technique do you use? Thank you.
Is there any way that doctors can check the closeness of the needle to these arteries to be sure that they don't hit one?
Hello from France. Thank you for this video. I have discovered your channel during the lockdown. I am 35, I do facial yoga, I massage my face regularly, I eat healthy but... I have been using volume on my cheeks and I have dark circles. If I do injections of hyaluronic acide will I still be able to do my facial routine?
Also I have been considering tretinoine, is it something you would recommend ? If you would be in France you would definitely be my dermatologist!
Hey , where you live in France ?
Thanks for the info, I know someone considering doing one of these fillers and they were looking up risks and came across this, these are my thoughts on the issue based on simple science and logic about the worst complications (blindness and brain damage).
1- I would think these complications should only arise when procedures are done by a non trained/certified person like in a beauty shop, is there any evidence where these adverse complications happened with a trained professional in a legit health center?
2- Yes the nose is close to eyes and brain but the arteries that get to it are small given they are at the end of the branches of the blood vessel tree.
3- Still on the nose, the arteries to the nose comes in from the top of the bridge and move down the bridge while getting smaller meaning the true higher risk area would be top part of the bridge and not lower, right?
4- Given that in some areas like the nose bridge you actually find artery endings and blood is flowing in smaller arteries away from the main arteries that go to the brain and eyes, it means for the filler to go against the direction of the blood flow, it must have been applied with fairly very high pressure to move all the way backwards and get to the main artery that also supplies the eyes and brain which could just mean either the surgeon has a motive to harm you or it's a really non trained person applying to much pressure to the syringe because they don't understand what they are doing, or you have really low blood pressure.
5- The blood vessel system is double sided (left and right), meaning you should technically get blind in one eye and never both both unless the person applying it is going too fast and makes 2 quick injections on both sides of the artery tree to end up effecting both eyes which again leaves me thinking they had a motive to harm you.
To eliminate chances of these complications, I would think this is what you need to do:
1- First take one's blood pressure to make sure it's not low.
2- Isn't it possible to first apply the dissolving substance in retinal artery and artery that continues to the brain before injecting filler as a safe guard to block any chance of passage of the filler on it's way to the eyes and brain?
3- This being 2020, is there really no device that can show you blood vessels under the skin as you apply the filler? So you can avoid them, something along the lines of accuvein
4- Why can't they use an electronic syringe to push the filler after the surgeon makes the piercing because that way you would set it to a precise pressure to exert based on one's blood pressure.
5- Why not first make a test to locate the nearby arteries and their depth around the point of injection to avoid them and not go too deep enough to get to the skin layers with arteries?
The answer to all of those bottom questions is Cost. There's nothing stopping you from requesting this in a hospital, plenty of Drs have scanned for arteries -- but of course like any pre-emptive exam, it'll typically increase the price you've been quoted to up to twice the amount.
They have artery machine that can locate the veins and arteries. CAn these machines assist finding arteries to prevent avoiding injecting fillers into them?
omg so glad I found this I wanted to get filers to correct my nose with surgery and I wanted to get filler under the eyes to not look to tired but no I dont think I will get any filler anytime soon
Thank You greatly for your Video. Can you please tell me if the filler injection can cause retinal detachment -partial-_
I’m glad I cancelled my first fillers appointment.
me too; glad for you!
Amy Utube me too
I’m doing the same thing right now 😂
Nothing is going to happen
I canceled mine too.
Hi doctor thanks so much. what about the sides of nose ? I have a curve that should be fixed
Do you know if that one case of blindness was with a needle or cannula?
Is aspiration (sucking back on the needle to check for blood vessel penetration prior to actually injecting the filler) part of the standard procedure?
Do you know how much filler was used in the lips and what sort of technique was used to cause blindness or if not could you give a probable answer?, also love your ethics behind your company wish other company’s were more open and honest keep up the amazing work
I don't know of the exact details of the lip filler causing blindness case, but generally speaking, the lips are a lower risk area in comparison to the nose/frown areas. Thank you for your comments - much appreciated!
I think it’s worth it 💗 especially if you perform it
Doctor, do you think applying very high frequency, low force vibration to the general area of injection during and or after injection could further reduce the chance of blindness? Or maybe the contrary?
Thanks
I don't think that would work. If yoiu perforate and enter the artery, the injection could still proceed despite the vibrations. I like your forward thinking though.
This is quite informative. What's your opinion on saline fillers though? Can saline also cause blindness or skin death? I know that saline only lasts for a couple of hours, but it can be useful prior to a rhinoplasty for assessing how the nose can look after rhinoplasty.
yes any form of filler will cause embolism in the blood canals inside