Filler injection technique pdf

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. Treatment algorithm of complications after filler injection. 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. Full text a 10point plan for avoiding hyaluronic acid. Cosmetic facial assessment and injection guide for botulinum toxin and. Photographic documentation of the treated area was recorded prior to and after injection. Pdf fourpoint injection technique for lip augmentation. Softtissue filler injection is a very common procedure in the united states. A thorough and systemic description of potential side effects of filler injection, and the management of complications is also presented. After use, treatment syringes and needles may be potential biohazards. They can be injected into areas with fine lines and wrinkles.

A dermal filler is a product that is injected or placed into the dermis. Universal precautions must be observed when there is a potential for contact with patient body fluids. Stepbystep instruction is then provided on how to identify a safe injection plane and on injection using the pinch technique. 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.

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. 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. The aesthetic evaluation was performed at 3, 6, 9, and 12 months after injection. 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 risk of alar necrosis associated with dermal filler. Voluma injection sites mapped on the face video realself. Certain ha fillers, such as voluma, are formulated to last longer, but are.

The authors recommend cannula injection in the upper eyelid for optimal safety. The most common of treatment site responses was injection site swelling, which was reported for 5 subjects. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Filler injection technique for in the anterior cheek, voluma may be. Pdf facial assessment and injection guide irwan junawanto. The mission of the physicians coalition for injectable safety is to provide the public with. Filler injection enhances the projection of the reconstructed nipple. Efficacy of retrobulbar hyaluronidase injection for vision. Simple technique for lip and nasolabial fold anesthesia for injectable fillers joseph niamtu iii background. Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for firsttime filler patients. Technical considerations for filler and neuromodulator.

The supratrochlear and supraorbital arteries are more superficial, approximately 2 cm above the orbital rim. 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. The techniques for injection of ha for lip augmentation. Blindness has been documented with fat and filler injections, especially in the upper face and periorbital areas. Lip enhancement is a common injection treatment that may involve several different injection techniques based on the patients goals, expectations, and facial anatomy. Practical approach and safety of hyaluronic acid fillers. Microcannula a new way less painful for filler injections. Etiology, prevention, and treatment of dermal filler complications.

Lumen diameter of the needle or cannula used to inject the filler. At times, budgetary constraints decide treatments, but that should be avoided, and patients need to be told about the optimum filler requirements. Complications following injection of softtissue fillers. Bovine collagen was the first fdaapproved dermal filler in. Long term safety and effectiveness of sculptra aesthetic beyond 25 months after last injection have not been investigated in clinical trials. Vision loss is a rare but devastating complication of facial hyaluronic acid ha filler injection. 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. Injection of dermal fillers for soft tissue augmentation is a minimally invasive cosmetic procedure with growing popularity. Optimizing the aesthetic outcome of lip augmentation with dermal fillers, such as ha, requires skillful application of a suitable injection technique.

Injection site erythema and injection site pain were reported for 4 and 2 subjects, respectively. Assessments and analysis all of the patients underwent singlepoint deep ha filler injection at the midface region. Needle used is a short 14 to 58 inch, fine gauge g2527. Lip injections with filler bow and arrow technique.

The injection technique is designed to minimize common but troublesome unwanted events, including erythema, edema, ecchymoses, and nodules. Can draw up injectables and prepare syringes for injection, according to office policy and procedures. As to the injection technique the filler has been implanted withdrawing the needle while injecting along the lips. Karan dhir takes us through the steps of his lip enhancement technique called the bow and arrow on his. Katz, as well as hands on elements using a model shipped to you in advance learn from trusted educators dr. I agree with you that injecting the actual lip generally gives a more natural result, but sometimes injections in the vermillion can accentuate the. Treatment techniques for both filler and neurotoxin injections. Syringe used is 1ml tuberculin syringe because of a very small amount of drug needed. 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. Neurotoxins can help minimize the emergence of static wrinkles and selectively recontour the face. 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. Lip augmentation with hyaluronic acid dermal fillers is a mini mally invasive procedure that has become increasingly popular in recent years 1.

However, patients often express concern about pain with such procedures. 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. Minimally invasive cosmetic facial surgery procedures including injectable lip. Injections to the lips will wear out a little faster than those to the nasolabial folds. Lip injection technique you are correct that the exact technique of lip injection varies significantly from one physician to the next. Soft tissue filler injection has been a very common procedure worldwide since filler injection was first introduced for soft tissue augmentation.

Fillers behandling,lappforstoring med fillers telefon. Care must be taken when injecting fat or any filler, for that matter in order to avoid inadvertent intravascular injection. Erythema and edema are routine after filler injections. The coverage includes guidance on injection procedures specific to different sites. The efficacy of artecoll injections for the augmentation of nipple projection in breast reconstruction. Complications of filler in the temporal fossa include bruising, tenderness, swelling, tyndall effect, overcorrection, and chewing. After injection, ultrasound imaging was performed to confirm the depth of injection figure 4.

If needed, additional product will be available for purchase. But how is microcannula technique different from regular needle injection and how can it help you achieve better results. If minimal gaps are present post injection, very gentle massage can promote the blending of the filler. Voluma injection sites mapped on the face elizabeth morgan, md, phd dr.

Intradermal injection it is the introduction via needle of tiny amounts of fluid into layers of skin. Other treatment site responses inflammation, hematoma, discomfort, and mass were reported for 1 subject each. 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. Multiple injection techniques are currently available for treating lip contour and volume, but a validation in the cadaveric model under the. Edema severity is contingent on the filler quantity, thickness, and hygroscopic character. The injection session must be conducted with aseptic technique. Fourpoint injection technique for lip augmentation semantic scholar. Simple technique for lip and nasolabial fold anesthesia.

The authors performed a literature search to identify the facial sites most prone to severe complications. Four entry points were made above the vermilion border for the upper lip and below the vermilion border for the lower lip. The injection should be in the suborbicularis plane below the orbital rim. Although the safety profile is favorable, adverse events ae can occur, ranging from mild to severe in intensity. In this latest episode of plastic, beverly hills boardcertified facial plastic surgeon dr. It is widely accepted that injection of softtissue filler material into the arterial system is. It is the aesthetic providers professional judgment to determine which technique will provide the desired results. Convenient online format learn from your home or office, while still obtaining the benefits of live interaction with dr. Methods in the fourpoint injection technique, the lips were divided equally into right side and left side. Furthermore, too superficial placement of the filler or an uneven distribution of the injected product may lead to visible, pale nodules in the skin. The filler was administered with a fanning technique through each entry point. 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. There are also subdermal fillers and those placed underneath the dermis in the subcutis. Katz is an acclaimed international educator, inventor and creator of treatment protocols named on 5 medical patents.