Injectors Guide: Hyaluronidase for Emergency Treatments!
ฝัง
- เผยแพร่เมื่อ 7 ต.ค. 2024
- Gathering all the latest data, I’ve created a logical video on how to prepare and treat vascular occlusions.
This video is designed to 1. Update providers. 2. Advise and remind the general public that non surgical medical aesthetics accompany real risks. Ensure that your provider is certified and has the knowledge, skills and judgment necessary for procedures and risk management.
Serious about becoming an injector? Do you want to master techniques and strengthen your business? Be sure to visit my Patreon page for both full length medical aesthetics tutorials and entrepreneurial strategies to take your practice to the next level.
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⭐www.patreon.com/danestheticsmedical
⭐Instagram @danestheticsmedical
Disclaimer: This video is not intended to provide a diagnosis, treatment or medical advice. This is a critical thinking guide for providers. These videos are for educating the public and entertainment purposes. Medical treatment options should be provided to clients only after an appropriate medical history and physical assessment. Please consult a health care professional regarding any medical or health related concerns before undergoing any treatments.
All the best,
Daniel Julien, NP
![Haematoma Or Vascular Occlusion? How To Tell The Difference... [Aesthetics Mastery Show]](http://i.ytimg.com/vi/qjhb94CtaXQ/mqdefault.jpg)
![CAMPปลิ้น | EP.82[2/2] เมาท์มอยกับ 3 สาวเพื่อนซี้ ที่พร้อมขยี้พ่อหมีได้ทุกเมื่อ](http://i.ytimg.com/vi/Wwn7WnylNtQ/mqdefault.jpg)
Serious about becoming an injector? Do you want to master techniques and strengthen your business? Be sure to visit my Patreon page for both full length medical aesthetics tutorials and entrepreneurial strategies to take your practice to the next level.
⭐www.patreon.com/danestheticsmedical
⭐Instagram @danestheticsmedical
Hi dane,how to visit patroon page?i just want to get basic injector pass.what does it include?
You are amazing! I am a new injector and I am terrified of an occlusion. This video makes me feel more comfortable and confident.
This channel is great. There is a great course taught by Dr. Pearce about vascular occlusion.
good to know where injectors are getting their knowledge from
Only been injecting a year and Your teaching makes me feel less anxious about carrying out these procedures, if it ever happens.
I love his little closing statement. Literally wake up and watch at least one of these a day
I really really like your videos. Unlike most videos like this, you are short and succinct and to the point. You don’t bring your entire life story into play, and you are very knowledgeable. I think you’re right on target!
I am a Trainer and I have to say that your videos are so great and so scientifically sound. Appreciate your knowledge and willingness to share your skills and expertise. Best, Hannah
hannah zare Thanks Hannah!
Great job, never heard of using a cannula, love it! Of course this is all of our worst nightmare. Great video. Everyone should place a kit nearby and a poster of step by step directions to reduce your anxiety and help focus when it’s an emergency. ❤️ I love your channel.
U r a saviour Dan..
You know what I don't like about some of the injections courses is that I got level one of botox and filler and they tell you about the hyaluronidase but they never go into detail about how to use it thanks for the video
Now you know!
I am an aesthetic Dr in South Africa
Just came across your videos
So helpful💚
Great to hear. More to come!
Your videos are great! Keep the good work. Greetings from Portugal 🙏
Thanks!
You are absolutely right 🙌👌 in issue to work with filler we have to know the knowledge about risks and complications that coming with filler and learn how to addressing the problem 😘🙌 once again your videos are so rich of important information and very interesting. Thanks a lot 🙏❤️
Shojoon 83 my pleasure :)
This video is absolutely invaluable. Thank you for sharing. Honestly most of your videos are! You are the best !
Love your tip about mixing with lidocaine in the event of emergency not only for the anesthetic but for its vasodilatory properties. Thank you!
You have an amazing manner about you. I enjoyed listening to you. Thankyou
You are the BEST. You have the best videos, very informative and detailed explanations, thank youuuuuu so much!
Oh my God I laughed so hard when you pulled out that dummy seemingly from your pocket! Hilarious!😂
Thank,you i wish u make a video of immediat signs of occulsion, i honestly couldn't find any picturesque, I'm new injector
honestly you are the best ever. thanks to you and Sarah 😍
Very informative instructions with amazing teaching skills. Thank you!
Love ALL your videos. Very informative
Thanks! I appreciate that.
Dan.
Your the best Dan. Thank you
Awesome instructive presentations always. Absolutely enjoy listening to you 😀😀
Your videos are so informative. Just what I needed. Thank you so much for sharing!
You are amazing with your knowledge. Please keep up the great work.
Hi Doctor, I love your videos and how clear it is in your explanations. A query, what do you think of the hialurompen?Now there are many people who use it to inject hyaluronic acid. And what are the risks of occlusion of veins or arteries with this device? Thank you. And greetings from Spain.
You’re amazing and so helpful thank you
I got filler on my nose once. And I noticed the tip was a little purple in about 40 minutes. However a had to scrub in to surgery and be the time I was done, the area was worst. I got hialuronidase inyected only once. There was a 4 hrs delay. Lucky after almost one week the skin started getting beter. It was a terrible experience.
Rene Ríos thank goodness you used a hyaluronic acid filler and having hyaluronidase on hand! Thanks for sharing.
Dan
So far so good Dan
I love all your videos and I love your attitude! Thank you for these videos!
Thanks!
I love your channel. And I love Canada! Keep it up!! Cheers from Brazil!
Love hearing that!
You are a life saver
I think I read a paper that shows that hyaluronidase did not permeate into the artery from the outside. Cannulating the artery would be more effective
so true. This is a must know video!
Hi Dan! Can we get an updated version of this video?!
GREAT video! Thx for the insight!!
great info! thanks Dan
Taylor my pleasure. Hope you found it helpful!
Dan
@@danestheticsmedical 😊😍
Thank you ! 🙂
Your the best 👌
So informative! Thank you for sharing
Beauty on a Budget with Cindy my pleasure. I really enjoyed doing this one. There’s minimal info out there.
Thank you so accurate ❤
This is great! Thank you!
My pleasure. All the best!
Thank you so much 💓
What happens if too much hyaluronidase is used. Will is eat tissue or cause permanent damage? I had vascular occlusion two days ago and 4500 units of Hyaluronidase was used. My face is swollen and feels like jelly around my lips. I'm so worried about my tissue. This was done at a spa. I have so much regret right now. I'm thankful to be okay tho.
Very informative..
Love the videos. Thank you!
I assume anyone with anaphylaxis to bee stings should be denied filler in the first place since hyaluronidase is contraindicated in those with hx of anaphylaxis due to bee stings?
Great question. It’s only a small chance they will react. If that client really wants filler, you should advise them of the small risk of an allergic reaction. They can have a patch text done in your office (make sure you’re prepped with an (epi-pen) or you can have them tested by an allergist.
And no one should practice without epi. It’s so unlikely but would anyone want to wait for ems?
Does hyaluronidase affect other areas of the body? Does it affect Ha in joints?
I had vascular occlusion the symptoms appeared immediately after injecting the tear trough with filler a net of white blueish discoloration appeared however i was injected 10 minutes later with hayaluronidase and was reapeated 3 times and twice next day. I have bruises and scars i wonder if my skin will heal completely? Kindly answer me thanks 🙏
Enjoy all your videos! I would like to know how (if possible) to make the mouth look wider (and not so narrow)? Thank you
Unfortunately, there’s not much you can do to widen a mouth. But, if your masseters are strong, you can slim them with botox. This could give the illusion of a wider mouth.
@@danestheticsmedical thank you for the reply. I don't have a strong jaw,but I think too narrow of a face. I appreciate the input🙂
Hi Dan- thank you!! Excellent information. I am writing my Hylenex protocol. This comes in 150u/ml. Is this equivalent to the 1500 u of Hyaluronidase?
Just curious how much I should plan on giving.
I was thinking of keeping 4 bottles on hand.
Thank you kindly for all your help.
Great video! Dan. Does ER carry hyuronic dase? How do you know if there is a ophthalmologist will do the procedure?
Do you do allergy test before giving hyuronidase ? Thanks so much!
1. No
2. You can partner with one. Call them and ask to keep them in call if needed.
3. If it’s or for emergencies, Yes. If it’s for an emergency, No.
Great questions!
Regards,
Dan.
Very informative. Thanks for sharing. 🥰
Hi doc, is there any side effects of using hyaluronidase for dissolving filler on eye bag? I heard it will also dissolve our natural collagen.
Sir, what's the trade name of hyaluronidase
Really helpful video, Thank you. Just a question though..if 500 units is required for 1 area...is this 500units...then another 500 units repeated in an hour and then repeated in another hour til resolution? Or is it 500 units total over several hours til resolution? This is the bit i get confused with. Many thanks.
tiger feet 500 units each time!
@@danestheticsmedical thanks so much! Was puzzling about this recently and wanted to be sure. 😀
Lovin your work , in the uK we mix with 1ml saline , not lidocaine
You’re too cute. Love the hand rubs.
Will the product eventually dissolve itself?
How long can you keep hyalase after it’s been reconstituted?
Hello. How long does it take for the skin to recover after hyaluronidase injections in the lip area?
Yikes. Deflated on one side? 😬 good to know.
I have been injecting for years. Your videos are Fantastic. Thank you. Do you have a VO worksheet you reference with your protocol and if so could you share if I provide my email? Thank you.
I don’t! I just take a lot of notes and ask a lot of questions when I’m at a conference.
Hi. So when do you realize the area is dying slowly. Can you tell immediately after injection or how long after?
what if you get hyaluronidase in an artery?
It will cause a Vascular Occlusion
Also, as a new injector residing in Canada I am curious where I can get more information on attending aesthetic/cosmetic conferences just to continue my learning and practice! All the best.
IMCAS is the largest. But there are numerous conferences throughout the world!
@@danestheticsmedical thank you so much! X
I already sent a question to their company but received no answer. So I have had many hyaluronidase units but filler is still there.. so I have a question . How long the Hyaluronic Acid Polyethylene Glycols-Cross-Linked hydrogel lasts? Can it be dissolved with hyaluronidase?
when it comes to dissolution to due unpleasant result.. since we dont know exactly in which layer the product was exactly placed before, can hyaluronidase spread itself through layers? or should hyaluronidase be injected in different depths?
@1:43 'The chances of you directly injecting filler into an artery is very slim probably about 1 in 100,000..so the chances of going back into that same artery with the dissolver such as hyaluronidase are much less than 1 in a million, so the beauty of hyaluronidase is that all we have to do is put the product around the vessel and it'll penetrate through and dissolve the filler'
Hi Dan, I don't quite get this about the statistics. Why is the statistic showing that it would it even harder to inject the dissolver into the artery (say the filler is blocking it)? If an injector knows exactly where she/he has injected the filler, then wouldn't it be quite easy to know where to inject the dissolver in?
I had a vessel occlusion occur just recently but our team was able to resolve it and have good perfusion. I'm wondering what the recovery is like for patients after being injected with hylenex. Is it just brusing? Swelling? Any other color changes? Thanks!
Do you give a nitrate to a patient with a VO as well?
What if the oclussion is already 3 days will this procedure still be effective?
It sometimes can help. It’s always worth it if there’s an occlusion
I've had hyaluronidase twice and it didn't burn at all. No point adding lidocaine to be honest.
Sometimes it does, other times it doesn’t. I can’t explain it.
@@danestheticsmedical I just had it done and it hurt and burned so bad I was crying I think my occlusion is bad
do you have to go deep with hylaurondise ?
Do you use Lido with or without Epi?
I wisch you are in czech republic :)
Is there any pharmacy i can hyaluronidase at better price. It quite expensive specifically for new to the business
Do you mix 1ml lidocaine or saline? In the uk we use saline
👍
Can I have online consultation
Bravo! Can we have a Vascular occlusion with BOTOX and MÉSOTHERAPY ?
Botox no. Mesotherapy unlikely, but anything is possible.
Total noob here but if hyaluronidase is 150IU per ml then 4ml is 600IU. 500IU is 3.33ml repeating, plus 1ml of lido is total 4.33ml in a 5ml syringe.
Bonjour
Est ce que le liporase peut être fait en superficiel.
En microneedling. Pour ne pas en enlever totalement.
Ce produit est il léger?
Merci de ton retour🥰
No 🤦🏻♀️
Not unless you’ve placed filler super superficial. Even at that you’d be better off to Meso in the area
Could Hialuron pen do a blidness?
Not sure. It’s not approved in Canada
Would this and added nitroglycerin, asprin, and viagra be overkill?
Idk but sounds like a fun night
❤❤
So the Hyaluronidase actually will unblock the artery / vein ? it goes in and dissolves any blockage? cause like you said you're not putting it directly into the same vein. Oh, but say,, you have other filler that was already there, and had no occlusion with that, will it dissolve ALL your filler there? so have to re-do everything?
Yes, it will dissolve the filler that’s occluding the blood vessel. Yes, it will dissolve all other surrounding HA.
@@danestheticsmedical Thank you. Good to know.
I stupidly did my own filler. I think iv vo but no one knows anything. My situation is really bad. I'm so desperate. Can anyone tell me who I could so we ask to for some help. Been to a&e theyv given me anti biotics both times
I deserve this for being so silly. My face is so swollen and it's swelling still
I'm in England UK . Long shot
@@Cosmicgypsie so sorry what did you end up doing my er here just gave me antibiotics too I already got them dissolve but I’m still have Terrible bruising white little pus dots and gone up my nose I called the ambulance two hours ago they came here and assessed me because I was literally having a panic attack they didn’t know what else to do about it !
@@sleigh1982 It went down pretty quickly, 3 days later. The antibiotics and steroids worked. Still got really dark circles under my eyes. Wish I could show you the photo. I looked like the guy in the goonies 😅🤣
@@Cosmicgypsie te lo hiciste solo? Ya estás mejor?
hey doc ,,, do you use some syremic medication to help in treatment in emrgency as viagra,betametasone.antibiotics or ASS and so on .....? thks
You could use these, but I generally only use hyaluronidase and warm compresses. Dilating a vessel with medications may only dislodge the filler and go somewhere much more dangerous (brain, heart, eye). If it’s an infection I’d use antibiotics. Granulomas: antibiotics + injectable steroid.
Hope this helps!
Dan
Btw, I’m an NP. Please call me, Dan :)
Can leftover Hyaluronidase be saved for later use?
Lily Medina as long as it’s not open, yes. My hyaluronidase has a shelf life of six months and has a rubber top. This allows me to extract some product with a needle, preserving the rest.
Hope this helps!
Dan
What do you think about utilizing topical nitro and heat along with Hyaluronidase?
Sure it may help. But think of the reasoning. All it’s doing is dilating/relaxing the artery. This may assist in dislodging the filler. But this also means that it may move the filler somewhere else. Such as eye, brain, heart...
@@danestheticsmedical 🧐🤔 Absolutely true. Thanks so much!
OK how long after the occlusion we could save the patient ?could we save the patient next day ?
Some people report saving the client up to 6 days later. But it’s rare. Sooner the better
What do you mean save the patient. From necrosis ? I’m so scared right now I don’t think my injector knows all this and I am in pain what do I do now ?
@@sleigh1982 i think you should go and see your doctor as soon as possible,and don't worry I'm sure he knows everything before being a certified injector.
live stream is not working here,, still buffing,,, but when you watch other yt videos and other yt live stream its working perfectly fine,, but not the huawei hdc,.,,, what is this?
Not sure. Likely a TH-cam glitch.
Hi Dan, I have a few pressing questions. I have been getting lip filler done since the summer of 2019. I have now had two vascular occlusions now at the hand of the same PA at the dermatology office I go to. The first occlusion occurred in April of 2021. The second just happened a few days ago. I’ve gone to other offices and nothing of the sort has ever happened. What are your thoughts on this matter?
That’s easy, duh, go somewhere else. Happening once, it happens. Odd of twice like that, nope 👎🏼
I don't understand how you're getting 500 units from drawing up 4ml if it's 150u/1mL? 4ml gives you 600 not 500.
Hi. I don't recognise my face after hyaluronidase. I had my third injection in the left nasolabial fold in September. And my cheeks on both sides have reduced, as well as my side temples and cheekbones. Looks like the contour of my face has completely changed and I look 5 years older. I just turned 24. I regret so much. It's been 3 months and not much improvement... She told me the doses after I emailed her multiple times about my concerns. First session in june 25iu in the left nasolabial fold and 20iu in the right. In july 35iu. And in September 40iu in the left nasolabial fold. To me this makes no sense. Why would you increase the dose of hyaluronidase when the quantity of hyaluronic acid should be smaller after each session.
There’s growing evidence that hyaluronidase in the mid face is causing similar issues for many clients. Sorry to hear that. Thanks for sharing.
@@danestheticsmedical Then why do doctors keep telling us it's safe??? We put our trust (and money) in their supposed "knowledge and skills" and we're left with damaged skin. I was told this is all due to weight loss. Again lies! I don't know what to believe. I'm so tired of this. I just want to know what can be done about it
Im having complications with my fillers.
I went to the ER this gave me antibiotics.
Can I desolve them while there is infection and inflammation?
Please help me.
I wish I could send you pictures of my face.
I am really scared at this point.
Sorry to hear that. Yes, I would go back to your provider. It never hurts to dissolve. You can always refill later on.
Thank you so much.
My inflammation is going down.
I am scheduled now to dissolve them.
You video is the only one I found so helpful.
Thanks again
If you were injected hyaluronidase already, how many days to see the result doc.?
You would see the results within 24 hrs. But hyaluronidase is active for up to 48hrs. For non emergency cases, such as dissolving a bubble or just an area that’s over filled, I would wait 2-3 days before adding more hyaluronidase.
@@danestheticsmedical if I feel pain during months after filler in tear trough and stay with a bump can have an injury of orbital nerve or permanent damadge? And if the filler was in a deep plan the hialuronidase can be done with a needle or should be with a canula?
@@danestheticsmedical i have 4 -5 lumps on each cheeks caused by HA volite skin booster and i am 25 if i want to dissolve how much dissolver do i need for each lump to do safley so it will not cause any damage to my skin
Hello.. Iam a dermatologist i just want to ask you a question doctor, once i injected filler to the cheek with a needle over the bone.. The girl experienced a blured vision and i looked at her pupil it was dilated.. I rashed to hyealorinades and i talled her that iam dissolving it she refused to desolve it and within seconds she said iam ok and her pupil constricted.. What do you think happend there??
I’ve never heard of anything like this. It sounds as though you may have hit the infraorbital nerve causing a sympathetic response. Make sense?
P.S. I’m a Nurse Practitioner. Glad you’re enjoying the content!
Huy que horror
if I mix up a bottle of hyloronadaise and only use half can I save the other half or do I need to throw it away? and does it need to be refrigerated?
As long as you don’t break the rubber seal, it’s reusable. It should have an expiration date. Mine is six months.
@@danestheticsmedical thanks so much I've been tossing half bottles for no reason. I thought the active ingredients die down after mixing it up(like botox).
Sarah is tired. 😬😂
👍👍🥰🥰
What if you are someone that DIY and has the Hyaluronidase , but no Lidocaine, to mix with it? Laura