DERMAL FILLER: TOP 10 DANGER ZONES!
ฝัง
- เผยแพร่เมื่อ 24 ต.ค. 2018
- Keep Safe by Knowing the Danger Zones for Dermal Fillers!
As a peer to peer trainer and aesthetic specialist for the last 14 years, I have always been passionate about educating the patient and my peers. Here are the top 10 areas you and your injection specialist should know before they administer dermal fillers.
Asia Hankins RN
Queen of Liquid Facelifts®
www.NaturalAesthetica.com
Natural Aesthetica
1303 Avocado Ave.
Suite 110
Newport Beach, California 92660
Contact number 1-949-706-0810
#Dermalfiller #Restylane #Juvederm #Radiesse
Sooooo the whole face lol
Haha. Yeah, I was thinking how in the world does anyone inject without having a heart attack every time?
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.
Ultrasound machines are extremely expensive and also require training, meaning more costs. Also, ultrasound machines don't actually visualise all blood vessels accurately, especially upon movement.
If the goal of the video was to terrify women worldwide , job well done. Haha
Why?
Exactly what I was going to say!
I was like: “ok, I guess I can’t get it there... umm shoot not there either..” I guess I’m not getting fillers? Because basically all the face is a no-no. 😂
@@mariacontreras6652 I mean I rather know the truth! And it’s good to take calculated risks, personally I decided to not do fillers and I appreciate honest videos like this.
Wow, I've had fillers in a lot of these areas and was NEVER told of this danger.
When getting medical procedures, you should always be informed of possible risks.
The reason I never tried fillers is im afraid..........
That’s true,
Aesthetician and surgeon are not going to tell you the bad stuff I hv try asking those questions and they just change corversation and some get offended..Why is that?
Excellent!! Such an informative video. Thank you for sharing!!
Very correct of you to show this. Kudos!
Great video! Very informative. Awesome refresher! Thank you so much for this!
Thank you for this excellent safety information. Very educational.
I’m so glad you presented this topic! It is sooo necessary for all! Thank you once again! 👏👏👏👏👏👏
Been meaning to cover this topic for a couple years now, glad I finally did it. Whew! It is so very important! As an experienced injection specialist, this information was never given when I first started in 2006, it had to be researched and put together. I was not able to find any complete comprehensive information out there that covered all these areas. In the aesthetic industry, anyone who injects dermal fillers should be fully informed. Not only to protect the patients but also their own license.
I LOVE to watch your videos, Asia! You are quite simply the best I have ever seen with fillers - period. You are great to share your brains and talents on TH-cam! xoxo from Texas
Thank you for watching. I am very blessed to have a career I love!
An excellent tutorial is very professional.
Thank you very much.
God bless you.
Very Informative most People ignore such mapping which is crucial to Patient
Wonderful, informative video! Thank you! Do you have any book recommendations that really shows into details these danger zones and the blood vessel anatomy?
Always good to be safe, thank you!
Fabulous video Asia! So informative! Thank you for this.
Thank you Patricia, it is very important information. I appreciate your support. 💕
I am Dr.Saad otolaryngologist from Yemen you are amazing.... 👍👍👍
I think this vid has saved many people.
Super informative! Thank you!!
Asia You are a wonderful teacher! You knocked it out of the park!
Cheryl Hayes
Excellent explanations.
Thank you for your passion to educate. Brilliant , informative video.
Thank you watching!
Very informative! Thank you for all that you do!
Thank you Denise, I appreciate you watching.
Thank you!
Thank you..great info...
Thank you so much!!!
You teach so well. Honestly, it blows my mind. I'm a nurse but hospice and love all this stuff!
Sending you Love for the Beautiful service you provide. 💕🙏 It takes a very special person.
You are great.Thank you
How do nurses do this without fear of just hitting something? I’d be so terrified even with all my training
First thing ist ,your model is so beautiful and calm .Also love her smile and you r such a good teacher.
Thank you so much!
Watching this makes me so glad that I’ve always been so careful in who I choose to see! Cosmetic injectables are not somewhere where you want to try and save a buck, ever. The lady I see is a little pricier than other places but it’s completely worth it - I know I won’t have to worry about major complications or results I’m not happy with. Watching this also made me even more confident in the lady I see. She’s one of the few people in the area who will do a liquid nose job and it’s made such a difference in my confidence. I’ve gotten it twice now and both times had no complications and minimal bruising/swelling.
Great comment! Thank you for sharing.
Well done
Thank you for this video. Ive subscribed to your channel
Awesome, thank you!
Can you please make a video on how to inject lips in depth. Thank you!
Nice video!!!!!👍🏻
Hello, love your video. Super informative. Just wondering if there is a blindness risk to derma-rolling at home and then applying moisturizer on top? Will the moisturizer’s ingredients get into any vessels or is the derma-rolling too superficial? Thank you
Thank you for watching 😍 Derma-rolling won’t compromise vessels.
Hello , thank you very much for this video, I would love to see a video how deep is possible to inject in different zones and how deep are vessels and nerves under the skin.
I have a question about mesotherapie. There are new needles Nanosoft, the depth of injection (0,6mm) is so low that we can inject everywhere. What is with other needles ? If I use a normal needle is it possible to inject everywhere 1-2mm, deposits with hyaluronic acid ( Redensity)? Where we can not go deeper then 1 mm ( with angle 45) ? Thank you in advance for you answer
Very authentic Information
Thank you Assad.
Thank you
Very nice video
I wish you were in Texas. You are very informative! Do you have anyone you recommend in Austin Texas?
Thank you for the very useful important information. I plan to do filler for my fat lose on my forehead. is it no no or possible to do?
tks for share
Thank you for this video! You pointed out the nose bridge as a dangerous place to get nose filler, especially if you’ve had a rhinoplasty. I’m curious about the tip of the nose and the area on the side of the tip. Is this just as dangerous and also a no-go zone?
Yes, Entire nose is a NoGo zone for dermal fillers after having a rhinoplasty. Delicate vessels can be compromised following a rhinoplasty making it too dangerous for fillers. Thanks for watching. 😀
Hi Asia, I will be injecting soon. Thx where do I get the tool for vessel mapping? Thank You
You are a pro...I would come to you for dermal filler if I would life in the staates
Good job on having that Accuvein!
Hello from France. I had skinbooster 6 months ago and I got injected between eyebrows. Your video sort of scared me. Do you think there could still be side effects ? By the way is it still possible im to do anti wrinkle face massages after having fillers done?
Hey asia which filler is best for under eye tear trough which stay more than 2 years atleast.plz recommend brand name.
HI Asia, can you please tell me what sort of dangers are associated with the Jet pressure pens when injecting dermal fill HA cross linked.. as jet fillers have NO needle thanks so much
Just because they do not have needles does not mean these products are not medical devices or that they can be used without risk. On September 13, 2019, the Canadian Department of Health issued a warning regarding these devices. It stated these injectors pose health risks and are not authorized for sale in Canada. In the U.S., they are not approved by the FDA and while no state has publicly commented on these devices yet, “administering medication,” no matter the method used, is part of the definition of each state’s “practice of medicine.” Therefore, these needle-free injection devices should be treated the same as traditional syringes. People wanting to perform these treatments still need to have the same type of professional license they would need to inject using a needle and syringe, and they will still need to work under the supervision of a physician or another appropriate professional. These pens work by creating a very narrow high-pressure jet of medication that is able to penetrate the skin; the jet is generated using gas or spring pressure to force the medicine through a small opening in a disposable vial. That kind of pressure has a higher propensity for intravascular penetration, and could create even higher risks than needles. Slow and steady injections at proper angles using proper equipment that's administered by a highly trained professional is your safest bet.
Oh dear I had tear trough filler today seemingly all in places this lady says is dangerous haha hope nothing bad happens
What is ur result as of now
What’s the risk of going blind from chin filler? I would love to make my face more pointy and v-shaped with chin filler but I’m scared of going blind 😭
so injecting below the zygomatic, where the vein is more superficial, what plain do you inject on?
what do you use for vessel mapping?
Wow this is very informative, I'm sure most doctors and beauty technicians don't have this understanding of the face. I have this annoying lump right over my left lip and I have no idea why anyone would put fillers there, since all I wanted was to do a filler on the lower jaw. My lips wee extremely smooth before this so now I look like I just acquired a new wrinkle and paid for it. Can have it desolved?
Hi there, thanks for watching 😄 Dermal fillers can be broke down by massaging them. Put some pressure using your pinky finger, on the raised area of concern a few times a day. Within a week or so the dermal filler will it will be flatten. Massage/pressure is way safer and way more predictable than chemically dissolving the filler. Hope that helps.
@@AsiaHankinsRN thank you so much. I do massage it at least twice a day when I apply cream. Sometimes it's more obvious than other times. Fillers last a very long time for me , it may take years before this goes away. I was told by the technician that it's a good thing but also bad if not done right 😳.
Good video. I was trying to get fat in my laughing lines but I will not do it. Where should I get the fat injected on my face so my laughing lines are gone? On the temples or cheeks ?
I'm starting to get malar bags I've been contemplating weather to get filler but after watching this I'm not sure. Especially as here in the uk when I've been to Doctors here most have never seen malar bags or dnt know how to fix them.Youve pointed out it's also a dangerous area, plus I've been told getting filler could make them more prominent which I definitely don't want.
Hi there, with prominent appearance of the upper malar, it is important to use the right product at the right depth to achieve natural looking results. I am currently working on a video with a patient that has loose skin right at the malar prominence. It should be uploaded in the next couple weeks. Natural looking results can safely be done.
@@AsiaHankinsRN Thank you ever so much for replying it's been bugging me for ages bt I'd love to watch the video in a few weeks see how its done. ❤
Why not just incise it?
Is Aqualyx equally dangerous for injecting or worse ?
Very Nice!))
What about if you want correct sunken in temples?
Hi lovely, i have a question. @1:33 for this model, i notice the left side under the cheek (her actual-right side) is sunken. What do you call that area? I notice nobody ever talks about that area. Hers is really sunken on her actual right. Do you ever use filler there at all? Thanks.
How about the "cleft chin" is that also a dangerous zone? Are arteries in the "hole" of the chin?
Great video! In your opinion, would it be safer to have multiple liquid nose jobs throughout the years or just one surgical nose job? At this point both of them scare me.
Hi Rora Rose, tough question... I’m not really sure.. they both have pros and cons. I would say it depends on what needs correcting. If it’s a simple bridge correction, I would do dermal filler. More complex cases I would do surgical. In terms of safety, as long as you are in the hands of highly trained, experienced providers, risks would be minimized in both scenarios.
Thank you for your help, yes it would be for bridge correction. I think I might try a liquid nose job first and see how it looks, and perhaps have the operation later on, I will keep looking into it, thank you.
Rora Rose the operators might ask you about having fillers prior so consider this too
I do skin boosters of HA in that area around the eye area but I think it’s different than putting filler?
Hi Asia I had dermal filler done two weeks ago just below my cheek bones I can still feel and see some lumps will it go away & is it common ?
Thank you for the education ...
Hi Rania, feeling the filler is normal. Seeing the filler in an unnatural way is not normal. Dermal fillers do take 3 weeks to yield final results. I would go back to the provider and have them take a look. Also, very important to know that Hyaluronic acid fillers can be massaged to flatten and break down vs. using a chemical to dissolve.
Asia Hankins RN thank you so much for taking the time to respond to my question😊 ....yes I've been massaging daily...there has been some improvement
Hi Asia! Great video! I am an RN and interested in getting into aesthetics, where did you receive your training?
Hi Cozette, I would suggest getting trained by the pharmaceutical companies who make the dermal fillers. (Allergan, Galderma, Merz) To access the trainings, you will need to be working with a Doctor that does dermal fillers. Find a good mentor that will take you under their wing. There are independent courses offered but I would be careful how much money you invest. Most courses are not fully comprehensive, have large audiences and not hands on.
Just as she can identify the danger zones so does a good dermatologist or esthetician. They are trained for doing these procedures. Also it best to use hyaluronic acid for fillers because even if it's injected in an artery it can be reverse with hyaluronidase. I've been doing a lot of research on fillers.
Do yo guys do consultations, I didnt see an area to book a consultation on your site?
How called the machine that u used at the last minutes of the video?
Asia can you comming to my country as visiting to working here in my center 😊😊
I guess the earlobes are the only safe place left! 😆😅💕
No, You gotta be careful with ears too🙄 The whole face you have to be careful. The dots just highlight the extra cautious areas. 👌🏻😀
Isn't it much safer to use a canella when using fillers for glabellar/frown lines? I have one etched/deep frown line which Botox and microneedling probably will not eliminate.
A better option would be consistent (approximately every 4 months) of botox treatments and exfoliating the area once a week using products with RetinA. For some another great option is a co2 resurfacing laser treatment. Keeping the area in a state of relaxation and exfoliating off the dead skin will help rebuild the skin. A cannula would not increase the safety factor in this area because the filler would need to be placed with precision.
The hyaluron pen goes deep as the srynge?
Hi Asia !I had my rhinoplasty done 2 years ago ,my nose is really small ,too small for my face is there anyway that a good injector can help me with fillers or it’s better to go under another surgery ?
I think its better to go with another surgery but choose a good doctor 😊.
Hello 6 weeks ago a board certified plastic surgeon injected Belaterra to the 4th danger zone and it formed pouches and discoloration to both sides of my face. Will it ever go away. He said that the blood hardened and that it would eventually go away but nothing has changed 6 weeks. Do you think that it will go away by itself and what should I do?
Hi Caroline, to clarify, was it Bellafill or Belotero?
sooo your not suppose to get nose filler at all after a rhinoplasty? I got a septo/rhino plasty years ago and i got a small amount of filler just around my nose tip to lift my nose back to how it was right after my surgery.
Hi Asia. How about the chin? Any real dangers or possibilities of occlusions?
There is always a risk of vascular compromise anywhere on the face. This video points out the areas of higher risk and how to avoid them. As far as the chin, there are ways to safeguard patient safety by using techniques like aspiration, injecting slow and under low pressure. Seeking out an injection specialist with at least 10 years experience is the best advice.
Good to known all those danger areas are o.k. for 'Botox' and 'Mésotherapy products' right ?? Like we can do the 'Rabbit wrinkles on the nose' and méso too ?
Hi there just watched your video and you said the dorsum was an absolute no go for filler, if someone has had a previous Rhinoplasty why is this? Thank you
Because rhinoplasty moves the arteries
Does fat transfer are less risky ?
How do you vessel map?
So if there was a prior rhinoplasty one CANNOT get any fillers to the sides of the nose? I live locally, and considering tear trough fillers and cheek fillers but also have "dents" in the sides of my bridge from wearing glasses.
I was wondering the same. I've had septoplasty done to correct breathing issues but i now have a hump and my tip is droopy so i wanted fillers.
No not if had previous rhinoplasty. Too dangerous
If an occlusion were to occur, can you tell us as patients and injectors how immediate we would see or feel the adverse reaction? I have heard anything from immediate reaction (visual, pain and electrical zingers) as well as days later a patient feels numbness. Would you mind elaborating on this? I have seen the effects of an occlusion however I was not present during the injection or the days following. It’s an awful thing to see and therefore the more education for both the injector and patient is invaluable. Thank you!
Pain can be immediate or delayed depending on numbing techniques. Dental blocks will completely block feeling for an hour or two. Delaying pain is not recommend. You don’t want patients to be uncomfortable but you want them to be able to feel certain things. Like electrical zaps, intense burning.. That will be your first signal you are in wrong spot. PAIN
If too much pressure occurs constricting a vessel or an occlusion, blanching will occur and be dependent on the vessel. Is the vessel more superficial or deep and what tissue/muscle etc.. is the vessel feeding? Before you D/C a patient always do a check of both sides of their face. Blanching will first be on one side only (unless more than one vessel is affected) First check the opposite side. Get a baseline. Where is the blanching starting at? Look and Feel. Blanching will be cool to touch. Other side of face in same location as affected side, would be warmer.
Skin mottling or livedo reticularis can and will occur. Skin looks like Purple lace. Not normal blood flow. Again checking the opposite side. Etc..
Patients should always be given written post instructions. Patients can be really nervous when they are getting a treatment. They can forget a lot of what they were told because of the nervousness. So, a good written post instructions should have everything they need to know. These are medical procedures.
Educate them on what to look for. A delayed reaction from the patient can and will occur if they are not educated. Also, I think every patient should be checked on the next day when they have fillers. Just like you would with any other medical treatment.
Hope this helps,
😀
Yes!! Such great information! What I’ve noticed is that patients don’t speak up because they don’t want to offend or they don’t want to be a bother. I ask my patients to give me honest feedback throughout treatment and follow up with them the next day. Thank you for always providing such great education!!!
Spread the info to colleagues. Injection specialists should all help each other. In the beginning 2005..2006 we didn’t have all this information. There are ways to do these treatments and keep patients safe and looking natural. I love my job! I couldn’t imagine doing anything else.
Asia Hankins RN
Hi I am also a Nurse from abroad I want to learn this procedure . Can you give me advice where to start. Thank you
PD B Wow! I wish that I could find an injector/office that treats patients/clients like that. In my experience they just want to up-sell me on more products and once they realize that they won’t be making more money than what I’ve already spent they just want me the heck out of there. Any chance that you are in Houston? 😁
How do you check for nasal arteries? I do my own injecting (I've had numerous training & experience in the field). One thing we aren't taught much about is to avoid arteries, because we are told complications are so rare.
I do my own nose fillers, but have been freaked out by these videos. What are some steps I can take to be safer?
Should we aspirate the syringe? (Tricky to do in some areas)
How can we tell where to avoid, where the artery anatomy lays on the nasal region?
I generally inject along the sides of the nose bridge (not in the centre), as that's where my problem areas are.
And also in the tip of the nose, down to the very base (septum).
I'd appreciate any helpful tips in remaining safe :)
Thank you!
The biggest myth is that aspiration means you're safer. You shouldn't be injecting yourself without any experience or understanding of arterial anatomy and pathology. Also, having someone else do the injections also ensures that they can more readily dissolve an area that may have been poorly injected.
My god how you havnt hit an artery yet injecting the side of the nose !! You must be mad!
So getting a cleft chin filler would be rather low risk? It's not one of the danger zones, and from what I can see it doesn't have any main vessels?
Hi Skye, cleft chin is considered a lower risk. However, on both sides of the chin there is a pair of nerves and vessels that supply the chin area. All precautions should be taken even in lower risk areas.
Hi im 20years rhinoplasty i can do derma filler ? Or hiko nose again?
What about filling acne scars which is more shallow? Are the between the eyebrows, above the brows, side of mouth and inner cheeks dangerous if you have the acne scars filled?
Hi there, in some areas like between eyebrows or forehead vessels can be very close to the surface. Vessels can also be very tiny with limited collateral circulation. Between the eyebrows/forehead should be avoided.
For cheeks and around the mouth acne scars can be safely done when using precautions like aspiration and vessel mapping.👍🏻👍🏻
On a side note: dermal filler between the eyebrows can make someone look like a caveman/cavewoman .. heavy inner brow.
Hi, what if I have a few acne scars right between the brows? Would bellafill be dangerous there? What other methods can you recommend for scars between the brows if fillers are not safe? Thanks so much!
Hi Asia! I have a rather strange question.
I have my lip filler appointment next saturday and I am terrified of vascular occlusion (more so because I want the russian lip technique).
So.. for the past 8 years I've used a "lip plumper", basically something that creates vacuum and made my lips a bit bigger for a couple of hours. I had small bruises just one time 8 years ago but I usually use it for 1 min or so and the change is not that big.
In addition to that, 10 years ago I used to bite my lips regularly and usually blood came out. That went on for 2 years maybe.
The question is if these things can somehow affect the lips and make the risk for vascular occlusion higher.
Maybe I'm overthinking but I couldn't find any answers online.
Hi Denisa In my opinion, your past experience with lip plumping/ biting would not add to risk. However, the Russian lip technique can increase complications of migration and occlusion. Always go to reputable, skilled practitioners that will assess facial anatomy/vessels prior to injecting and have safety protocols in place should there be a problem.
@@AsiaHankinsRN thank you so much for your answer!!!
i have a question, if the injector always pulls back on the needle to check for blood (aspiration), does that make that injection site pretty much safe? i ask this cuz i have seen some doc never aspirate? and some do? i thought if you always aspirated you would be good if you knew you were not going into a vessel. i am talking about the full length of the needle being pushed in, then aspirate, if no blood you were safe and good to go. ???? is that wrong???
Hi there, aspiration is great tool for safety but it isn’t fool proof. Some vessels are so small that aspiration would be nearly impossible and the risk wouldn’t be direct occlusion but rather too much pressure around them which can cause collapse and compromise. For example, the vessels in the Glabella region (between eyebrows) are very delicate. Aspiration in the Glabella would not be good enough to proceed. Also, a colleague of mine recently posted a video showing an aspiration with a blood return after 12 seconds. It was in the nasal alar region that I described as one of my “no go” zones. Most aspiration techniques only occur for a second or two, not 12 seconds. Had she proceeded at 1-2 seconds, there could have been a problem. It is good to know that aspiration is a new technique that is being adopted in the industry. That is why you see some do and some don’t and older videos including mine not showing the technique. The industry is very new (2005) we are evolving and continue to learn. Thank you for the very important question.
@@AsiaHankinsRN thank you for answering. i used to have docs do my lips all of the time. i have had every filler i know of legal in the US. i always took a mirror and watched every detail. and from what you show there is so much risk of danger, BUT i swear i paid great attention, and not one of them seemed to be worried. it was grab some lip and stab, with fat grafting. he would take a 16 gauge 2 or 3 inch needle (HUGE) and go from one corner of lip, just stab, and squirt as he was pulling needle out. there is so much going on there. after watching you, i can say not one that i can remember treated any part of my face that was injected like there was much if any danger at all. i am not exaggerating. i would point out where i wanted some and about how much, and they just grabbed the lip and stuck me. that terrifies the heck out of me now, and i dont think i would go back. i really wish there was a really good implant. i looked at ???? i forgot a new one, but the mm sizes offered cant remember, but they were not big enuff for me. i like a
full pouty lip, top and bottom pillowed in middle and also bottom about 30 % larger that top. also lip the vermillion border done, but could live without that. the was a new filler, ? soft form maybe ?anywho it seemed like a good choice, but havent heard much in about ? 8-12 months, so i now wonder if they had issues again, and dont use it. i had a buddy back in 1992 that had gortex. her lips were perfect. as far as i was concerned, but i dont like that it grows into your tissue, have not seen her since 1995 so i dont know if she still has great lips. (lost touch). i didnt do it also at that time cuz she said when you kiss it is not the same, and back then i was a big kisser :) anywho. i wish they would come out with a really good implant. i would be first in line!
Great video! I’ve been thinking/researching having under eye fillers for my under eye hollowness. Do you suggest having an ocularplastic surgeon perform the injection?
Hi there, I recommend an experienced Injection Specialist with at least 10 years performing dermal filler treatments and at least 5 years doing very technical treatments like tear troughs. An ocular surgeon may or may not have experience injecting dermal fillers.
Asia Hankins RN okay, thank you!
Hello, is the chin a danger zone?
Are these danger zones when using the hyaluron pen and not a needle?
Just because they do not have needles does not mean these products are not medical devices or that they can be used without risk. On September 13, 2019, the Canadian Department of Health issued a warning regarding these devices. It stated these injectors pose health risks and are not authorized for sale in Canada. In the U.S., they are not approved by the FDA and while no state has publicly commented on these devices yet, “administering medication,” no matter the method used, is part of the definition of each state’s “practice of medicine.” Therefore, these needle-free injection devices should be treated the same as traditional syringes. People wanting to perform these treatments still need to have the same type of professional license they would need to inject using a needle and syringe, and they will still need to work under the supervision of a physician or another appropriate professional. These pens work by creating a very narrow high-pressure jet of medication that is able to penetrate the skin; the jet is generated using gas or spring pressure to force the medicine through a small opening in a disposable vial. That kind of pressure has a higher propensity for intravascular penetration, and could create even higher risks than needles. Slow and steady injections at proper angles using proper equipment that's administered by a highly trained professional is your safest bet.
Oh no...now I'm really scared. I was and still want to do my marionette lines...in layman terms...Is this okay?
Dermal fillers are very safe when injected by skilled providers. Always go to someone who has at least five years of daily experience. In the area of jowl and marionette lines, I suggest minimal volumizing to keep it looking natural. Sometimes a combination of botox for jawline and filler along jawline is a better option to reduce the appearance of jowls. In terms of safety, there is a large vessel within the marionette lines that needs to be avoided.
How can u avoid brow drop with botox am scared now its happen twice on day 3 my eye brows are on my lids please can u tell what area to avoid for this thanks
If your brows dropped after getting botox then the dose was too high for your anatomy and or it needed a counterbalance with a treatment between your eyes brows and around the eyes near the tail of the eyebrow. Best way to brow lift is to avoid the forehead all together and just treat between eyebrows and around eyes. Also, injecting the forehead with low dose 4-5units and placed more in the middle avoiding the area right above the eyebrows will also help prevent a drop.
What about cannula?
Is using a cannula needle safe? I mean it cant inject in a bloodwessel??
It can inject into an artery and cause more damage than a needle
So I have some fine lines on the sides of my nose area it’s just one line on each side I think from sleeping on my face... could I have Botox put in that area since you said it’s a no go for filler? It’s the area literally right above the nostrils but the lines are on my face not my nose it’s the side right next to the nostrils.
Hi Reyna, the area you are talking about sounds like the Nasalis muscle. A few units of Botox in the Nasalis will help reduce fine lines. Another option is to exfoliate your skin once a month. I would definitely avoid filler in that area because of the facial and angular artery converging.
Asia Hankins RN thank you very much
would the vein finder be a solution?
Vein finder helps but not a perfect solution. A vein finder usually confirms a vessel location. Aspiration, vein finder, anatomy knowledge, proper training and technique are safe guards. As well as being prepared for adverse events.
Hi Asia. I'm wondering how come Botox doesn't have the same vision loss effects as filler?
Botox cannot clog the arteries it just spreads into the muscle
As you can imagine, fillers are volumizing. They are used to add volume and they are solid. That's why people have to use an enzyme to dissolve it if they want the effects to go away. Botox, like most other injections, is a liquid that delivers a chemical to perform an action. It doesn't bulk up like fillers. They are very different.
I'm scared to go get my Dysport now :(
I used to get Botox for my forehead frown lines - maybe 5 times total over the years. The last time, the day after my botox I got sicker than a dog. Didn't get out of bed all day, nauseous, headache, flu-like symptoms. I love the effects of botox, but It's been over 15 years, and I still think it was the botox that made me sick.
Please comment on the potential safety of injecting inside Hinderers Lines. Thank you for the video
Hi there, clarifying your question: injecting inside Hinderer’s lines or where they intersect?
If you are referring to where the Hinderer’s lines intersect I would caution injecting at the periosteum. The point of intersection is the most common area for volume loss. Thus, volume restoration is beautiful in the malar region. However, deep bolus injections can cause complications if too close or in the infraorbital foramen. I prefer layering filler in a linear-cross hatching technique within the deep and medial cheek fat compartments.
@@AsiaHankinsRN Merry Christmas Eve and thank you Asia. I was talking about the safety zones inside the hinderers lines. I have been doing deep boluses to periosteum always pinpointing the foramen and injecting just lateral. Couple of different well known Plastics have advised making sure that you are keeping the needle moving, that you inject slowly with small aliquots. I know we are learning so much more now is time is going by and these injections are becoming so popular.