Filler injection technique pdf

However, patients often express concern about pain with such procedures. Katz is an acclaimed international educator, inventor and creator of treatment protocols named on 5 medical patents. Photographic documentation of the treated area was recorded prior to and after injection. Certain individuals may develop swelling due to inflammation after the procedure, while in some cases, the filler, being a gel, may spread into the nasal bridge and alae during the process of absorption. Lip enhancement is a common injection treatment that may involve several different injection techniques based on the patients goals, expectations, and facial anatomy. Injection site erythema and injection site pain were reported for 4 and 2 subjects, respectively.

Blindness has been documented with fat and filler injections, especially in the upper face and periorbital areas. As to the injection technique the filler has been implanted withdrawing the needle while injecting along the lips. The mission of the physicians coalition for injectable safety is to provide the public with. The authors recommend cannula injection in the upper eyelid for optimal safety. Pdf facial assessment and injection guide irwan junawanto. Fillers behandling,lappforstoring med fillers telefon. Long term safety and effectiveness of sculptra aesthetic beyond 25 months after last injection have not been investigated in clinical trials. Injections to the lips will wear out a little faster than those to the nasolabial folds.

Full text a 10point plan for avoiding hyaluronic acid. Convenient online format learn from your home or office, while still obtaining the benefits of live interaction with dr. Vision loss is a rare but devastating complication of facial hyaluronic acid ha filler injection. The supratrochlear and supraorbital arteries are more superficial, approximately 2 cm above the orbital rim. Cosmetic facial assessment and injection guide for botulinum toxin and. Fourpoint injection technique for lip augmentation semantic scholar. The risk of alar necrosis associated with dermal filler. It is widely accepted that injection of softtissue filler material into the arterial system is.

They can be injected into areas with fine lines and wrinkles. The techniques for injection of ha for lip augmentation. Practical approach and safety of hyaluronic acid fillers. Lumen diameter of the needle or cannula used to inject the filler. Voluma injection sites mapped on the face elizabeth morgan, md, phd dr. It is the aesthetic providers professional judgment to determine which technique will provide the desired results. Lip injection technique you are correct that the exact technique of lip injection varies significantly from one physician to the next. The coverage includes guidance on injection procedures specific to different sites. Karan dhir takes us through the steps of his lip enhancement technique called the bow and arrow on his. Erythema and edema are routine after filler injections. Botulinum toxin injection for treatment of facial wrinkles is the most frequently performed cosmetic procedure in the united states, and it is one of the most common entry procedures for. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. The efficacy of artecoll injections for the augmentation of nipple projection in breast reconstruction.

Elizabeth morgan explains using a model her approach for injecting voluma, a facial filler used for the cheeks, under the eyes, and around the mouth. The aesthetic evaluation was performed at 3, 6, 9, and 12 months after injection. I agree with you that injecting the actual lip generally gives a more natural result, but sometimes injections in the vermillion can accentuate the. The injection technique is designed to minimize common but troublesome unwanted events, including erythema, edema, ecchymoses, and nodules. Multiple injection techniques are currently available for treating lip contour and volume, but a validation in the cadaveric model under the. Pdf fourpoint injection technique for lip augmentation. Although the safety profile is favorable, adverse events ae can occur, ranging from mild to severe in intensity. There are also subdermal fillers and those placed underneath the dermis in the subcutis. Lip injections with filler bow and arrow technique. Complications following injection of softtissue fillers. Lip augmentation with hyaluronic acid dermal fillers is a mini mally invasive procedure that has become increasingly popular in recent years 1. Edema severity is contingent on the filler quantity, thickness, and hygroscopic character. Other treatment site responses inflammation, hematoma, discomfort, and mass were reported for 1 subject each.

A dermal filler is a product that is injected or placed into the dermis. Care must be taken when injecting fat or any filler, for that matter in order to avoid inadvertent intravascular injection. One must take into consideration that the supraorbital vessel is aligned with the medial iris limbus, and the supratrochlear is. Furthermore, too superficial placement of the filler or an uneven distribution of the injected product may lead to visible, pale nodules in the skin. Needle used is a short 14 to 58 inch, fine gauge g2527. Filler injection enhances the projection of the reconstructed nipple. Minimally invasive cosmetic facial surgery procedures including injectable lip. Neurotoxins can help minimize the emergence of static wrinkles and selectively recontour the face. Bovine collagen was the first fdaapproved dermal filler in. Stepbystep instruction is then provided on how to identify a safe injection plane and on injection using the pinch technique. Methods in the fourpoint injection technique, the lips were divided equally into right side and left side. Syringe used is 1ml tuberculin syringe because of a very small amount of drug needed.

Cosmetic injection techniques and the videos that accompany it provide all medical professionals in the field from beginners to experienced injectors with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll, nasal flare, platysmal banding, marionette lines, glabellar. Can draw up injectables and prepare syringes for injection, according to office policy and procedures. Complications of filler in the temporal fossa include bruising, tenderness, swelling, tyndall effect, overcorrection, and chewing. The filler was administered with a fanning technique through each entry point. In this latest episode of plastic, beverly hills boardcertified facial plastic surgeon dr. Treatment techniques for both filler and neurotoxin injections. Katz, as well as hands on elements using a model shipped to you in advance learn from trusted educators dr. The injection session must be conducted with aseptic technique. Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for firsttime filler patients. Anatomic strategy of filler injection dual plane technique since bone and fat aging progress in a rather predictable fashion, the goal of restoring volumes in the face should follow a quite standardized sequence, useful in targeting the different areas of evolving atrophy, in order to achieve a full face volumetric rejuvenation in multiple. After a filler rhinoplasty by the single layer technique, spreading of the filler in the glabellar region can sometimes create the appearance of a socalled avatar nose. Etiology, prevention, and treatment of dermal filler complications. If needed, additional product will be available for purchase.

After use, treatment syringes and needles may be potential biohazards. Injection of fillers such as juvederm, restylane, perlane, radiesse, sculptra, belotero and voluma is among the most effective and safest antiaging treatments that can undo the effects of years of aging within minutes. Soft tissue filler injection has been a very common procedure worldwide since filler injection was first introduced for soft tissue augmentation. Microcannula a new way less painful for filler injections. Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. After injection, ultrasound imaging was performed to confirm the depth of injection figure 4. Assessments and analysis all of the patients underwent singlepoint deep ha filler injection at the midface region. Voluma injection sites mapped on the face video realself. Technical considerations for filler and neuromodulator. At times, budgetary constraints decide treatments, but that should be avoided, and patients need to be told about the optimum filler requirements. A thorough and systemic description of potential side effects of filler injection, and the management of complications is also presented. Many techniques have been described to inject filler into the fossa including a fanned pattern of injections, highly diluted filler injection, and the method we describe using a three. Intradermal injection it is the introduction via needle of tiny amounts of fluid into layers of skin. Treatment algorithm of complications after filler injection.

Certain ha fillers, such as voluma, are formulated to last longer, but are. Universal precautions must be observed when there is a potential for contact with patient body fluids. Silicone requires a microdroplet technique, in which you inject a minute amount of product, wait for the results, and reinject after the results have presented themselves. The injection should be in the suborbicularis plane below the orbital rim. But how is microcannula technique different from regular needle injection and how can it help you achieve better results. Simple technique for lip and nasolabial fold anesthesia for injectable fillers joseph niamtu iii background. Efficacy of retrobulbar hyaluronidase injection for vision. Staining or discolouration of the injection site might be observed, especially when ha dermal filler is injected too superficially andor in thin skin tyndall effect.

Sculptra aesthetic has unique injection requirements, which include injection with tunneling technique in a grid pattern that is medial to the nasolabial fold contour defect that is to be corrected. The most common of treatment site responses was injection site swelling, which was reported for 5 subjects. The authors performed a literature search to identify the facial sites most prone to severe complications. Optimizing the aesthetic outcome of lip augmentation with dermal fillers, such as ha, requires skillful application of a suitable injection technique. Softtissue filler injection is a very common procedure in the united states. Lumpiness, nodules, or a bluish discoloration tyndall effect and other early complications may be attributed to poor injection technique by placing the filler too superficially. Injection of dermal fillers for soft tissue augmentation is a minimally invasive cosmetic procedure with growing popularity. Filler injection technique for in the anterior cheek, voluma may be.