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In the last decade or more, fillers have become increasingly popular for noninvasive rejuvenation of the face, with a subsequent increasing number of adverse effects reported with rise in their use in the scientific literature.
The most serious complications of fillers include vascular complications (VO) and blindness. But how common is the most catastrophic side effect of all, blindness in one or both eyes, and who is most at risk?
With increased education and posts on social media of the side effects of medical aesthetics, especially fillers, comes necessary and healthy apprehension among patients, who should rightly be apprehensive. Medical aesthetics, often presented by marketing as “just beauty” is anything but, and carries rare but serious risk as well as significant limitations, so it is absolutely important patients are aware of these.
To better educate patients, it is imperative that your clinician keeps up to date with the latest data and protocols, so in this blog post, I went over 3 main articles looking to answer 3 main questions:
The 3 articles I used are listed below. A summary of their findings follows:
The conclusions reached by the articles:
So what are some mitigating factors you can use to stay safe if you decide to undergo full face rejuvenation with fillers?
If the idea scares you too much, it is perfectly reasonable not to have any fillers at all as long as you understand that volume replacement is not possible without fat or fillers. After all, none of these treatments is medically necessary and you should never feel pressured to proceed if you are undecided, nor should you ever pressure your clinician into a treatment they do not feel is best for you.
At Skin Essentials, Dr Joshi does not inject the glabella at all, and will only undertake highest risk areas such as forehead, nose and nasolabial folds in patients she has known for some time, and when it will make a significant difference to their outcome AND they understand the risks. These are not areas to undertake at a first consultation nor without a standing relationship. We take your safety, and our own, very very seriously.
Did you know of these high risk areas?
1. Dermatol Surg 2015 Oct;41(10):1097-117. doi: 10.1097/DSS.0000000000000486.
Avoiding and Treating Blindness From Fillers: A Review of the World . Literature
2. Aesthet Surg J 2019 May 16;39(6):662-674. doi: 10.1093/asj/sjz053. (Update on Avoiding and Treating
Blindness From Fillers: A Recent Review of the World Literature)
Ophthalmic artery occlusion after glabellar hyaluronic acid filler injection
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Skin Essentials will reopen the week beginning 11th October 2021.
Per NSW government regulations, only double vaccinated patients will be served when we reopen and we will be checking vaccination certificates for all patients upon booking. This requirement may change as of December 1st, and we will advise you accordingly.
Please email us (email@example.com) or text us (0413174654) your vaccination certificate as soon after booking as you can. We will not be able to see anyone for treatments or confirm appointments without this.
In the interest of full disclosure, transparency and patient safety, all patient facing staff will be fully vaccinated by the time of reopening. Please read our reopening FAQ for more information.