CHIN ANATOMY: How to avoid nasty vascular occlusion from chin augmentation [Aesthetics Mastery Show]

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  • เผยแพร่เมื่อ 25 ก.ค. 2024
  • Chin augmentation is often thought of as a relatively safe procedure.
    But Dr Tim has recently seen three serious vascular occlusions following chin augmentation, so in this week's show he gives us an chin anatomy refresher, and also outlines 5 steps to stay safe during chin augmentation.
    Dr Tim shares whether he uses needle or cannula for chins, and also explains the more complex reversal process that the clinicians had to go through following their submental artery vascular occlusions.
    Here's the 13 risky injection areas free download: drtimpearce.com/resources/the...
    More useful links:
    Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: www.aestheticcomplications.co...
    Podcast: open.spotify.com/show/20kUIxU...
    Facebook: / drtimpearce
    Instagram: / drtimpearce
    Website: drtimpearce.com/
    #dermalfiller #medicalaesthetics #aesthetics

ความคิดเห็น • 104

  • @kamidmisra4107
    @kamidmisra4107 2 ปีที่แล้ว +5

    Appreciate your work and dedication to the profession

  • @gigicoogler
    @gigicoogler 3 ปีที่แล้ว +13

    I appreciate your generous yet moral and honest information

  • @DrIndaMowett
    @DrIndaMowett 2 ปีที่แล้ว +1

    Thank you so much for the great information.

  • @reneearriaga7485
    @reneearriaga7485 3 ปีที่แล้ว +1

    Yes. Very good and helpful video.

  • @niazameni8444
    @niazameni8444 3 ปีที่แล้ว +1

    Wow very good information!

  • @shellahussain7416
    @shellahussain7416 3 ปีที่แล้ว +9

    You deserve at least a million subscribers Dr. Tim.

  • @whatdoyoucallem
    @whatdoyoucallem 3 ปีที่แล้ว +7

    Thank you so much! Absolutely incredible to see her journey unfold on the group and the amazing support she received. Outstanding nurse and demonstrates the importance of being proficient and supported in managing complications- still the best money I have spent on my training so far 💜💜💜💜

  • @lynquads5499
    @lynquads5499 3 ปีที่แล้ว +4

    Love your watching your podcast. Please keep them coming.

  • @pennycommerford7830
    @pennycommerford7830 3 ปีที่แล้ว +4

    Excellent reminder to be vigilant, to know both your immediate and adjacent anatomy, and never to rush a procedure. Well done for her prompt and considered action for her patient.

  • @charlenebarbour5079
    @charlenebarbour5079 3 ปีที่แล้ว +2

    Brilliant as usual dr Tim 🙌🏻

  • @masonmainpage4105
    @masonmainpage4105 2 ปีที่แล้ว +13

    As a patient looking for a good Dr., what kind of things can I ask that would give me a better idea of their skill level without sounding like Im questioning their competency? Clearly, there is much more then just injecting the substance to reduce the possibility of side effects or poor results. I had a chin implant done years ago without any complications but I was never completely satisfied and Im considering injections for additional results.

  • @hedanilopez5627
    @hedanilopez5627 3 ปีที่แล้ว +2

    Very useful! Thank you!🥰

  • @knowyouraestheticswithcons3804
    @knowyouraestheticswithcons3804 3 ปีที่แล้ว +8

    Amazing information and great commentary. Yes to smaller boluses!

  • @shama128
    @shama128 2 ปีที่แล้ว +9

    Great video! I saw a video like a month ago it was this doctor in Miami that using this device that shows all the veins, like a very small device when he turns it on on the area it shows all the veins so clear and then he starts injecting. What do you think about this kinda devices are they useful for this matter?

  • @farleighmedical7334
    @farleighmedical7334 2 ปีที่แล้ว +2

    Great video as always. Where can I join the support group?

  • @nqobilenhlebela589
    @nqobilenhlebela589 2 ปีที่แล้ว +1

    Very educational

  • @TheFashionAbuelaPatyMcGuire
    @TheFashionAbuelaPatyMcGuire ปีที่แล้ว

    Thank you, doctor, for such valuable information, I am currently studying nursing in Houston, the United States, and when I finish my degree the first thing I will do is take a course to inject hyaluronic acid with you. You are a beautiful couple, and I am glad that you work together, a big hug and abundant blessings!

  • @celestetyrvinggipson1655
    @celestetyrvinggipson1655 2 ปีที่แล้ว +2

    NOW I AM SCARED TO DO MY OWN FACE EVEN WITH TOX A. I just had a good alert, thanks so much

  • @IceQeen1011
    @IceQeen1011 2 ปีที่แล้ว +1

    If I knew that a nurse or doctor had injected into an artergy but had managed to stay calm and rescue the patient completely, Id 100% put my life in their hands. Thank you for the video.

  • @goldcoastinjector
    @goldcoastinjector 3 ปีที่แล้ว +3

    Thank you! You’re over 20k!! 🙏🏼

    • @DrTimPearce
      @DrTimPearce  3 ปีที่แล้ว

      Ahh, thank you for the support Blanche ☺️

    • @mirandapearcemindset
      @mirandapearcemindset 3 ปีที่แล้ว

      Yey, thanks for that Blanche :-)

  • @stacysullivan4425
    @stacysullivan4425 ปีที่แล้ว +1

    Hello Dr. Tim. That was such a important video for me to see. I was originally considering filler in my nose but I decided that I couldn’t live with the risks. I assumed the chin was much safer so I’m glad I saw this. Before watching your video I saw method in which the Dr. did not aspirate at all and he was moving the needle around quickly and constantly under the skin on either side of the midline to create a middle point on a female patient. He was moving it around in a motion like that of liposuction and he emphasized that it needed to be moved around really quickly. Would you consider this a risky method, or would the constant motion mitigate a high volume occlusion? I can provide the link, but I wasn’t sure if providing another Dr.’s video/info would lead to a more diplomatic and less straightforward answer.

  • @kcstorytime4898
    @kcstorytime4898 3 ปีที่แล้ว +2

    great story to hear.

  • @kcstorytime4898
    @kcstorytime4898 2 ปีที่แล้ว +2

    I found this in my search again, so I want to ask can hyladaise cause any damage if it does get injected into a gland, vein, artery, nerve, muscle, fat, ligament?

  • @pinaesthetics4381
    @pinaesthetics4381 3 ปีที่แล้ว +2

    Brilliant 👏👏

  • @cemalettincihangir798
    @cemalettincihangir798 ปีที่แล้ว +1

    many thaks

  • @tornjordans5445
    @tornjordans5445 2 ปีที่แล้ว

    Hi Dr Tim! I'm trying to do research for a procedure on my chin I might have in the future. It's called PRF. Is there still a chance of VO with PRF in the chin? I watched the whole video but I'm guessing PRF and fillers aren't too similar. Thanks!

    • @ABa-ve3ul
      @ABa-ve3ul 2 ปีที่แล้ว

      I never heard that for the chin area. Do they do that in that area?

  • @adamcheong3626
    @adamcheong3626 3 ปีที่แล้ว +7

    Great video definitely going to make me more vigilant for VO , and symptoms such as pain on swallowing, as I do a lot of chin augmentation

    • @DrTimPearce
      @DrTimPearce  3 ปีที่แล้ว +1

      Thanks Adam, keep up the great work 👏

    • @ABa-ve3ul
      @ABa-ve3ul 2 ปีที่แล้ว +1

      @@DrTimPearce can a occlusion appear at a later point (days/weeks/months/years - possibly also due to migration)?
      Thank you very much in advance

    • @DrTimPearce
      @DrTimPearce  2 ปีที่แล้ว +1

      @@ABa-ve3ul No an occlusion will occurs at time of injection and usually symptoms start to develop from that point and develop over hours

    • @Esra-jv5fc
      @Esra-jv5fc 2 หลายเดือนก่อน

      Great help

  • @odettg9106
    @odettg9106 2 ปีที่แล้ว

    I have a round face my chin it's to short and small I want to make my face longer by giving my length to my chin I had 1ml in my chin but I think they just focus on my profile but not on my length so it didnt change nothing ..Do you think it's best to get implant or keep adding 1 or 2 ml more of filler..

  • @clairethelwell3596
    @clairethelwell3596 ปีที่แล้ว

    My Go To .... when I just need a little reassurance x

  • @cderome1
    @cderome1 3 ปีที่แล้ว +5

    Thanks to inform us...is the 'Mental Crease labiomental' the one between the inferior lip and chin on the middle, dangerous to inject there to fill the hollow ?

    • @ABa-ve3ul
      @ABa-ve3ul 2 ปีที่แล้ว

      Did you get the answer to your question? I never even heard about this line being injected but I’m curious now 🤔

    • @cderome1
      @cderome1 2 ปีที่แล้ว +1

      @@ABa-ve3ul Nobody answered ! But I did inject there before, to make the chin more clear !

  • @christymas6988
    @christymas6988 3 ปีที่แล้ว +1

    Merci beaucoup.

  • @trinabolton765
    @trinabolton765 3 ปีที่แล้ว +2

    great info glad she ok

    • @lucillebennet4233
      @lucillebennet4233 3 ปีที่แล้ว +1

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    • @mirandapearcemindset
      @mirandapearcemindset 3 ปีที่แล้ว +1

      Thank you Trina

    • @trinabolton765
      @trinabolton765 3 ปีที่แล้ว +1

      @@mirandapearcemindset You are welcome

    • @trinabolton765
      @trinabolton765 3 ปีที่แล้ว

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    • @trinabolton765
      @trinabolton765 3 ปีที่แล้ว

      @@lucillebennet4233 might be good for everyone to take this . TY

  • @anmayo917
    @anmayo917 9 หลายเดือนก่อน

    What should the max bolus size be in the center of the chin?

  • @azminakoorji3120
    @azminakoorji3120 2 ปีที่แล้ว +1

    Are you worried about bio film with boluses ?

  • @lolita.not.lolita
    @lolita.not.lolita 9 หลายเดือนก่อน

    I had chin filler two years ago. It was really painful and got really red and swollen, it also felt like a stone. Two years after that, redness has reduced but it's still there, though it doesn't hurt. I don't know how to get rid of the redness!

  • @doctort8940
    @doctort8940 2 ปีที่แล้ว +1

    You deserve a million followers at least
    And I said only a million because I think there isn't too many injectors around the world 🤪

  • @wackity.7879
    @wackity.7879 3 ปีที่แล้ว +5

    Chance of blindness from a chin augmentation? It's hard to get a answer on this. I've had plastic surgeons just tell me theyve never heard of it

    • @DrTimPearce
      @DrTimPearce  3 ปีที่แล้ว +5

      All the vessels are connected, so it could happen, but it's probably less than the chances of getting struck by lighting.

  • @nD-zr3be
    @nD-zr3be ปีที่แล้ว

    I wanted to have chin fillers but now i am scared my dr said blindness wont occur and now i am confused

  • @apate4501
    @apate4501 2 ปีที่แล้ว

    Can you have a VO without having any damage to the skin? For example let's say a person had chin filler and suddenly became blind or their vision was impaired but nothing happened to skin or tisses.

    • @DrTimPearce
      @DrTimPearce  2 ปีที่แล้ว +1

      From chin location, highly unlikely.
      Kind regards Mary. Clinical advisor for Dr Tim.

  • @jacquerusso3600
    @jacquerusso3600 3 ปีที่แล้ว +4

    I did not see the 5 tips for safer chin injections as in your description

  • @choochd
    @choochd ปีที่แล้ว +1

    What do you do after a positive aspiration? Immediately remove, reorient, and reinject (blood included)? Also why does priming the syringe reduce the efficacy of aspiration?

    • @DrTimPearce
      @DrTimPearce  ปีที่แล้ว +4

      Remove the needle. Expel your blood stained filler, change you needle with different entry point / angle.
      Kindest regards Mary. Clinical advisor for Dr Tim

    • @choochd
      @choochd ปีที่แล้ว

      @@DrTimPearce Thanks Mary! Any idea about why it is not advised to prime the syringe prior to aspirating?

  • @JennyShuttleworth
    @JennyShuttleworth 2 ปีที่แล้ว

    Is this talking about chin filler ? Or having a surgical procedure on the chin. I have a small chill and thinking about filler I’m abit nervous tho now ...should I be ?

    • @DrTimPearce
      @DrTimPearce  2 ปีที่แล้ว +1

      This is regarding dermal filler. All areas of the face have risk when it comes to vessel occlusion. Take time choosing your practitioner and make sure they have a good understanding of the anatomy and what they’re going to do should such this circumstance occurs.

  • @aprilcloyce7426
    @aprilcloyce7426 ปีที่แล้ว +1

    After how much time after do you notice a vo can it be weeks

    • @DrTimPearce
      @DrTimPearce  ปีที่แล้ว +3

      No, it’s usually minutes to hours with tissue breakdown occurring at 24-48 hours or so.
      Kind regards Mary. Clinical advisor for Dr Tim

    • @aprilcloyce7426
      @aprilcloyce7426 ปีที่แล้ว

      @@DrTimPearce I had radio frequency microneedling around my eye. My inner eye aches constantly and swollen still after 11 months. The ophthalmologists don’t take me serious they don’t think it could cause nerve injury my neurologist said I have trigeneral neuralgia and Bell’s palsy. My eye swells and pain when I apply warm tea bag. My sight is off on injured eye. I have a tear on my cornea was given steroid eye drops. No one can help me. Do you know what could be causing my eye pain swelling and blurred vision. Was told I have low blood flow. I’m 43 fit and healthy.

  • @alexandra9985
    @alexandra9985 3 ปีที่แล้ว +2

    I tought the chin is not a danger area..i have dimple right in the middle in the chin..is this dangerous?

    • @DrTimPearce
      @DrTimPearce  3 ปีที่แล้ว +4

      The complete centre is probably the least dangerous, the factor I think that makes this area more potentially dangerous is the volume used... It's very rare to cause a VO, but if you do it with 0.5mls that's SO much worse than the 0.05 you might use in a single lip injection.

    • @ABa-ve3ul
      @ABa-ve3ul 2 ปีที่แล้ว

      @@DrTimPearce How much exactly is 1 syringe (of Restylane)? And how much would you recommend to inject to be on the safe(r) side? I’d truly appreciate a fast response 🙏as I’ve the appointm. tomorrow already. Thank you very much in advance

    • @DrTimPearce
      @DrTimPearce  2 ปีที่แล้ว +4

      @@ABa-ve3ul 1 syringe is usually 1ml of dermal filler. I can’t recommend unfortunately as every patient is different and different needs result in different quantities.
      Aspirating between each delivery of a small bolus of product to spread your volume into multiple boluses will decrease the risk and the potential for a more serious vascular occlusion from a single, large bolus delivery.

  • @EliEli-bu4zn
    @EliEli-bu4zn 3 หลายเดือนก่อน

    isn't it better to use ultrasounds first to check the location of vessel and the anatomy structure of the clients before performing something so serious?

  • @romeowandrainbow1040
    @romeowandrainbow1040 ปีที่แล้ว +1

    Dr Tim do you recommend a chin implant over fillers ? It seems like less can go wrong

    • @DrTimPearce
      @DrTimPearce  ปีที่แล้ว

      Can depend highly on what the implant is made from. One of the risks are granulomas with silicon based implants but yes they can get removed should complications arise. There is risk with both of course. And don’t go in with blinkers on. Go speak to a plastic surgeon that does filler too for a consultation and really ask those important questions.
      Kind regards Mary - Clinical advisor for Dr Tim

    • @romeowandrainbow1040
      @romeowandrainbow1040 ปีที่แล้ว

      @@DrTimPearce thank you. Does dr Tim do both ? If so how much is a consultation he seems to know what he’s doing and actually cares about peoples health too

  • @panan1504
    @panan1504 2 ปีที่แล้ว +1

    This video just seems like previous videos of on how to avoid VO and deal with complication. Not really specific to chin.

    • @ABa-ve3ul
      @ABa-ve3ul 2 ปีที่แล้ว

      Which one? Do you have a link?

  • @peachy.chrissy
    @peachy.chrissy 2 ปีที่แล้ว +3

    i just got my first chin filler now i’m scared

    • @keniarod5434
      @keniarod5434 2 ปีที่แล้ว +1

      Same, how is going?

    • @peachy.chrissy
      @peachy.chrissy 2 ปีที่แล้ว +1

      @@keniarod5434 i see no difference

  • @thetruth8053
    @thetruth8053 9 หลายเดือนก่อน

    and what about botox for the chin....what happens when you fill a blood vessel with botox

  • @debbieharber6550
    @debbieharber6550 ปีที่แล้ว

    You say don’t do hundreds of injection …I have just watched a doctor do a chin with tiny drops of filler so you don’t get a vo and he must of done over a hundred tiny injections …so is this not the case you can still get a vo…

  • @ranadobedny1937
    @ranadobedny1937 4 หลายเดือนก่อน

    what about chin crease filling for example?...are there any vessels or arteries in that line? is the method from this video ok? th-cam.com/video/OxfQWjed3LI/w-d-xo.html

  • @ashfaqahmadkhan4406
    @ashfaqahmadkhan4406 ปีที่แล้ว

    There is no Illustration. Need Illustrations

  • @angelikagadzik5836
    @angelikagadzik5836 2 ปีที่แล้ว +1

    I don’t see the point of those videos nothing important aspiring yes we all know that anything else ? We need straight answer not just same talk over and over

  • @msnzbody3712
    @msnzbody3712 2 ปีที่แล้ว +2

    You love chin filler but you won't do it on your wife? She would certainly benefit from it. Just saying...:)

    • @kimgotaway6264
      @kimgotaway6264 ปีที่แล้ว +1

      Maybe she doesn't want chin filler omigosh

  • @msnzbody3712
    @msnzbody3712 3 ปีที่แล้ว +3

    There is something not likable about him. But I just can’t put my finger on what it is. He is definitely a Alpha male and you can tell she is submissive to him and she worships him, but I dont think that is it. Its something else. Oh Well…

    • @heidifranks2395
      @heidifranks2395 3 ปีที่แล้ว +19

      This comment says so much more about you than them...

    • @DrTimPearce
      @DrTimPearce  3 ปีที่แล้ว +35

      This is such a hilarious tangent on an anatomy video but, thank you 😂. I'm not an alpha male, more of a sigma and I'm very lucky to have a wife who adores me, I adore her back, I adore my kids, and that's more of who I am than anything you can see in tutorial but thanks for having a stab 😂

    • @mirandapearcemindset
      @mirandapearcemindset 3 ปีที่แล้ว +19

      Hi Ms Nobody. Thanks for watching the show and for pointing out how much I worship my husband, very perceptive of you. Am I submissive? Feel free to check out my Instagram to see how I roll and you can decide for yourself: instagram.com/mirandapearcemindset/ In the meantime, your musings on why exactly Tim is not 'likeable' are unhelpful. This channel is for education, not personal comments, so I'll invite you not to comment in this way again. Thank you, Miranda

    • @Joseph-zd7kg
      @Joseph-zd7kg 2 ปีที่แล้ว +1

      @@heidifranks2395 she has a slender petite face and body so next to a man with a square face who is athletic build she does come across as less dominant but does that mean she is submissive? Obviously not.

  • @nqobilenhlebela589
    @nqobilenhlebela589 2 ปีที่แล้ว

    So informative, thank you Team Pearce :)