Just wanted to summarise some of the methods that can be used to avoid arterial injection; - Use a cannula. A cannula is less likely to penetrate an artery wall in comparison to a needle - Inject threads rather than boluses when possible. Moving the tip of the cannula (or needle) is less likely to allow it to be kept in artery for any significant period of time, reducing any volume injected into an artery if entered - Inject super slow. If it takes 0.05 to .1mL to fill an artery, then take at least 10 seconds to inject these quantities whilst moving the cannula. Then it makes it so much harder to inject an adequate volume in the artery to occlude it. - understand your anatomy and inject at the right depth to avoid arteries - avoid risky areas like the nose/frown lines altogether.
Which type of cannula do you use? I'm wondering which size would be best for injecting the smallest amounts under the lowest pressure. 27G? 28G? Are the smallest gauge cannulas the best for this purpose?
Wow! I went from ....About to make an appointment for nose and under eye fillers straight to accepting myself for who i am lol!!! The blindness is not worth it. Nobody has ever changed my mind this quickly before! So no nose, cheek, undereye, or jaw fillers! Period! Check!
i lean well I’m in my 20’s and was told to do it to prevent wrinkles, I did it on my head a few times and once my eyes to stop making lines. Anyways the last time I saw a new girl, one my friend goes to and does a good job and she convinced me to do my eyes even though I didnt like how it was done before. She did it beside my eye and messed them up bad but I’m at 6 months now and I think I’m finally started to return to a bit more normal looking, I was seriously scared because my eyelid was all kinds of swollen and hooded. Its still a bit off but I’m seeing improvement. Moral of the story I wont be doing that again so young 😂 these things come with serious side effects if they go wrong and your injector will not give two fucks.
For some people a 1 in a million risk is still a risk NOT to go blind for your appearance . Thank you Doctor. This is very serious information for everybody to consider before going for a filler procedure. I wish my doctor had told me that
@@dand6520 better be dead than blind; also it's much easier to live with yourself if you got crippled while doing nessesary thing (like driving / having somebody drive you to work or school); but how would you live knowing that you lost your fcking eyesight for petty cosmetic reasons
@@g.yad.4758 then don’t watch a movie because the theatre might go on fire. Wouldn’t want to lose your life for petty entertainment reasons. See how dumb you sound? Don’t judge filler as petty cosmetic just because you don’t find it important. What’s important to you may not be important to others and vice versa.
@@NJ-lu6wu compare the chances also there's the general rule to not mess with your organs if nothing's wrong there's a difference between walking, sitting & watching moving pictures and putting some shit under your skin hoping it wouldn't migrate and ruin your face in the future
@@NJ-lu6wu also: slightly younger looking face is important in everyday life, but it's not that important to risk your fcking sight! again: compare the results with what you're risking
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.
Finally someone who is telling some good words !! Its 2020 and people still inject without any equipment and say « omg doing fillers can lead to blindness» but they are doing nothing for it. Do you know if some doctors are actually using this kind of machine for fillers ? Thanks
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
What a selflessly candid dr. A breath of fresh air to see a dr honor the ol’ school medical code of ethics vs putting the almighty dollar b4 his patients livelihood. So very rare today. Thank you ❣️
Wow, this is the most honest and informative video i've seen on fillers. Nice to see a Doctor actually honor the medical code of ethics instead of putting money before a patients well being. THANK YOU.
@@gemalyn6326 if you inject enough filler it is possible for it to go right around to the other side through the arterial connections. It would have to be a very large amount injected rather rapidly though.
OMG I had fillers done to my nose, why didn't my doctor tell me this. I even asked him if there was a possibility of being blind since I studied the head and neck anatomy in dental school, he said no. I am NOT getting it anymore.WOW super disappointed.
It's hard for a practitioner to say that as it sounds so bad - they probably don't want to put you off. But it is absolutely vital that all the risks are outlined before any procedure.
@@viccosmeticinstitute In Canada, when a treatment is not required (for aesthetic reasons) all the risks need to be outlined including the ones under 1%. A patient can not give clear consent if information is hidden. Thank you for your videos btw super informative doc :)
Francesca Nour Of course that would be a disaster, that may imply some legal sanction for the doctor since it can generate health problems, or even mental problems for patients.
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
Vascular complications, including blindness, are way more frequent than 1 on a million. Based on a recent study related to the Netherlands, vascular complications from fillers are 1:6600 with a confidence interval of (1:5300-1:8000). The study also finds that it doesn’t depend on the quality of the injector as some were top doctors. Also, I’m some cases the cannula was used. So there is no certainty whatever is the technique and whoever is the injector.
Thanks doctor. I was about to go for filler tomorrow but after this video I realised that I look great without them too. Thanks a lot for your true guidance.
The depth of knowledge you display about anatomy, physiology, contra-indications and possible complications is why I think it’s absolutely insane that in some countries non medics can legally perform dermal filler procedures- without a prescription or medic oversight! In the U.K. for instance, while Botox requires a prescription, and hence medic involvement, fillers do not! There are ‘training’ courses specifically for non medics! It’s outrageous, and I really hope the laws change soon.
Thank you. Thank you. I just canceled my appointment for fillers. I will still do it but I want to be more informed and your video is teaching me so much. I want to be a well-informed consumer/patient.
Informed consent requires doctors to share all the risks - yet so many don't share the risks - its good to see an honest , ethical doctor in the beauty industry 😃
I really wanted to get this procedure done because i've lost a lot of volume in my under eye so I look very tired an makes me look older, but seeing this video I'll keep my hallow eyes, risk is not worth it, even though it could be minimal
Wow... I had fillers under my eyes and the Dr. did it so fast and with force too!!! Needless to say I’m in awww... wow now I’m scared too!!! Thank you for this information Dr. Chan. 🙏🏽
I have an appointment tomorrow to get cheek fillers injected and after watching this, I think I’m cancelling it. Sucks cuz I already paid a deposit and I’m fairly sure I won’t be able to get it back, but I have a very hard time coming to terms with the fact that there IS a risk of me going blind, no matter how small. I’m not the luckiest person either so if it’s my luck I’m gonna end up being the 1 in the million who goes blind. That’s just so so scary to me and I don’t think I’d be able to live with myself knowing I’ve literally made myself blind just for very slightly fuller cheeks, especially when I haven’t even turned 20. I just can’t imagine losing my sight for something so superficial. Screw that. My cheeks are perfectly fine as they are, thank you very much. I’ll just spend the money on therapy if I ever feel I’m bitching too much about my appearance.
I have had filler twice in my nose and had no idea !!! that is the only "unnatural" thing I have ever done because I have always been insecure about my nose but had no idea of these risks.
@@ioannaeleftheriadi2160 I felt like it stayed for years and years. I would never do it again knowing the risks of filler now and knowing the risk of necrosis. I was never informed of any of these risks.
I am angry that my practitioner did not give me informed consent as is his duty and did not make me aware of these risks. Even if rare, patients need to know these things before consenting.
I had it done 4 times and have had no problems. I never knew it was so risky. In the future I hope they bring in ultrasound non surgical nose jobs. That way they will see exactly what the needle is about to be injected into and then fill. They can do ultrasounds by their personal phones now, so who knows what we have in the future.
Thank u so much Dr!! This is whar patiients need...an honest and great Dr! I watched a.previous video where u touch this subject and I was just going to have fat injected most on my tearthrough. Was scare to death, did my research abt drs. Chose one, I was the one to brought the subject, he didn't minimize it and we went through with the procedure. He was very conservative ( I think I scared him😝) Went well, but abt 50% is gone now. Was going to go back but after this video, unless u were my surgeon Im not doing it! So...what is ur opinion of HIFU?😊
Hi Banditas. The risk of blindness in the tear trough is a lot lower than the frown and nose, which makes it a very rare risk. But things like using a cannula could be good. Also, if you use a bit of adrenaline with the local anaesthetic in this area, this could constrict the blood vessels further causing less risk again. I do like HIFU - we have the Ulthera machine at our clinic. But it is super subtle in the results achieved. So it depends on what your concern is and how much you expect it to tighten your skin.
Last year, I really met the crisis! When I did the HA injection at the tear trough. when I did negative aspiration,I suddenly saw the blood come into my syringe!! I was quite lucky and I change my way of injection immediately and The patient did not know what happened and she left with a satisfied smile. Then I use cannula more and more in my clinic and I also warn my staff the crisis of occlusion.
@@業鈞 Thank you for your contribution Doctor! Great to hear of a possible save from aspirating. I am also a big fan of cannulas and I always use them for tear troughs as my standard. Way less bruising too!
EXCELLENT!! I SO APPRECIATE hearing about these *rare/unusual* cases where things {can} go wrong, ..so that I may make the best decisions for myself with cosmetic procedures. Better than NOT knowing what those (unlikely) possibilities are!
Hi Dr. Chan! I myself have fillers in the bridge of my nose and get them regurlarly done in the hospital. Before I got my fillers injected I asked them if they could check if there are any arteries in that area, he did with a machine (cant remember the name). Could you therefore say my risk of getting blind is non existing? Hope to hear from you soon! Greetings, A freaked out girl!
I'm pretty sure you have all arteries in all the right areas ;) there is variation in exact pkacement but not to the point of you missing normal parts of anatomy (think of the veins in the bend of your arm, everyone has them but not identical) . But hey, it would certainly be curious if that was the case and you didn't have them.
A Bc sadly no I don’t have the name of the machine.. i live in France and I don’t think that the practitians here use this kind of machine to perform a medical nosejob
A very timely and relevant video considering how common these procedures have become. You had mentioned in the previous video on the topic that it's best to inject the nose centrally and not laterally, am I correct? Also, how risky is injecting the Nasion/Radix?
So, basically any filler injection in the face is basically a shot in the dark, there is no way anyone can predict that it will hit an artery. Its a crazy big risk that we are willing to take.
yes, it is a 'blind' treatment, excuse the pun, but overall risk is extremely low if the right measures are taken during injection e.g slow injection, using cannulas, moving constantly rather than staying in the same position, and understanding your anatomy.
Thanks for the info, I know someone considering doing one of these fillers and they were looking up risks and came across this, these are my thoughts on the issue based on simple science and logic about the worst complications (blindness and brain damage). 1- I would think these complications should only arise when procedures are done by a non trained/certified person like in a beauty shop, is there any evidence where these adverse complications happened with a trained professional in a legit health center? 2- Yes the nose is close to eyes and brain but the arteries that get to it are small given they are at the end of the branches of the blood vessel tree. 3- Still on the nose, the arteries to the nose comes in from the top of the bridge and move down the bridge while getting smaller meaning the true higher risk area would be top part of the bridge and not lower, right? 4- Given that in some areas like the nose bridge you actually find artery endings and blood is flowing in smaller arteries away from the main arteries that go to the brain and eyes, it means for the filler to go against the direction of the blood flow, it must have been applied with fairly very high pressure to move all the way backwards and get to the main artery that also supplies the eyes and brain which could just mean either the surgeon has a motive to harm you or it's a really non trained person applying to much pressure to the syringe because they don't understand what they are doing, or you have really low blood pressure. 5- The blood vessel system is double sided (left and right), meaning you should technically get blind in one eye and never both both unless the person applying it is going too fast and makes 2 quick injections on both sides of the artery tree to end up effecting both eyes which again leaves me thinking they had a motive to harm you. To eliminate chances of these complications, I would think this is what you need to do: 1- First take one's blood pressure to make sure it's not low. 2- Isn't it possible to first apply the dissolving substance in retinal artery and artery that continues to the brain before injecting filler as a safe guard to block any chance of passage of the filler on it's way to the eyes and brain? 3- This being 2020, is there really no device that can show you blood vessels under the skin as you apply the filler? So you can avoid them, something along the lines of accuvein 4- Why can't they use an electronic syringe to push the filler after the surgeon makes the piercing because that way you would set it to a precise pressure to exert based on one's blood pressure. 5- Why not first make a test to locate the nearby arteries and their depth around the point of injection to avoid them and not go too deep enough to get to the skin layers with arteries?
The answer to all of those bottom questions is Cost. There's nothing stopping you from requesting this in a hospital, plenty of Drs have scanned for arteries -- but of course like any pre-emptive exam, it'll typically increase the price you've been quoted to up to twice the amount.
By far the best doctor on the internet! Iv always had bad nasolabial folds since my early 20s and now I’m in my 30s they are worst . But I have been to scared to get fillers. Has blindness happened from all areas ?
Dr. Chan, I had fillers right below my eyes due to some bags, and it was a remarkable positive result - made me look alive/rested vs tired as prior to. But after watching this, omg, I could have been one in a million to this blindness. Right?
Great video Gavin. For accurate aspiration, are you able to adjust the gauge sizes depending on the filler you use? I’ve read a paper on a new needle system that contains an inner needle, where the filler is administered, and an outer/guiding needle that detects blood reflow in the lumen of the blood vessel during the injection process (I think it has a small hole in the wall of the needle to allow air passage/ air pressure balance and basically the mechanism behind the whole system is similar to phlebotomy).
Hi Sophia. Thank you the information. I haven't heard of this special needle system you mention. Sounds interesting. In regards to aspirating, you could use a bigger needle for thicker fillers - that would potentially help reduce any false negative aspirations. But having a bigger needle or cannulas has disadvantages also - e.g more pain/trauma to the face, and also potentially faster injecting speeds which could be a risk factor for blindness also.
Hi Dr. Gavin, In one of your videos you mentioned that in your training days you used to inject arteries with cannulas. Doesn't that mean that using cannulas instead of needles gives a false sense of security? The theory is that using a cannula would be less likely to pierce an artery because it maneuvers around the artery with its rounded tip. But is that the case in practice? I'm guessing not, if they were successfully training you to inject arteries with a cannula. Despite all these precautions, my feeling is that whether or not an artery becomes occluded is a matter of russian roulette. Sure, it is rare to inject an artery with filler, no matter one's skill level. It is equally rare to inject an artery when you fully intend to and WANT to (such as with hyaluronidase to counteract an occluded artery). When something goes wrong, they are usually injecting the dissolver all over the place, hoping by chance it penetrates the affected artery (usually unsuccessfully). So it all seems very hit and miss. Perhaps I am incorrect in my understanding, but it still seems like it is a game of chance. If the tip of the needle/cannula happens to touch a blood vessel and the plunger is released at that moment- the force of that is going to pierce the vessel and inject filler into the vessel. Even with a light hand, the pressure of the blood flowing against the release of filler, is going to pierce it. Its just that the odds of those factors lining up and occurring are rare. The odds of an incident are low no matter what. I guess I'm still wondering if all this training and expertise really mitigates the risk, or if it truly is just a matter of chance. I sure wish they would come up with a device similar to the Accuvein...for arteries.
Wouldn't the practitioners be able to feel the pulse if they were just outside or inside an artery? If I can feel my pulse all over face using just my fingertips, you would think an injector could sense it even more if the cannula were in an artery. Since your fingertips can detect a pulse through all that skin, tissue, and fat...surely a cannula inside an artery (or touching the outside of an artery) would vibrate slightly to the pulse of the blood pumping. If an injector went slowly and quietly, and really paid attention to this, wouldn't they be able to feel it? Of course, it would require stillness, quiet, and make the process more tedious. Or would the sensation not travel through the cannula?
People shouldn't worry about nose bridge shape because they're all cute and give character. I can understand some tip modification sometimes though. Bravo Dr. for your practical and sane advice!!
I have had fillers done and was never told of the potential risks. I am due to have more done and I am a bit apprehensive. Is there a doctor in NY with your degree of expertise and experience that you can recommend.
My mothers friend whom is in her 60s recently woke up one morning and her vision was completely gone with no prior complications/signs of any problems. They put it down to all the filler she had had over the past 20 years and she needs to go through some pretty extensive operations to try and get some sort of vision back (no guarantees though)
@@viccosmeticinstitute could filler that’s already injected and there cause blindness? or is it just whilst being injected? should any filler get dissolved in order to make sure that nothing like this occurs?
I’ve had filler done in my laugh lines twice and both times, immediately after I felt very nauseous and almost blacked out. They said this was normal for some people, but since you mentioned nausea as one of the onsets of Derma blindness, I’m curious to ask if you know why this may be happening to me or if I was at risk of blindness both times.
This is quite informative. What's your opinion on saline fillers though? Can saline also cause blindness or skin death? I know that saline only lasts for a couple of hours, but it can be useful prior to a rhinoplasty for assessing how the nose can look after rhinoplasty.
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
You discuss fillers...I assume this risk does not exist for Botox (which is often injected into the high risk areas you showed), because botox is injected more superficially than fillers? Thanks.
@@viccosmeticinstitute What about for skin boosters? I'm sorry I asked another question on boosters in your other video too, you can tell what I've gotten 😂
Seeing the eyeball injection going behind the eye 👁 made me sick...I think I'll just stick to my face because I know other doctors don't care aren't likely to care like you do. Also I can't believe in the UK the government doesn't require any licensing for doing fillers when such complex horrible things like this can happen.
I developed premature hollowing and had eye fillers done. Will need to reconsider when it wears off. I’m sure the risks were written on all the waivers I signed that I did not thoroughly read over 🤦🏻♀️
Did you like the results? And how long did it last? I also developed premature hollowing because of a health condition and I wanted to do this procedure so bad but now I'm very scared... not sure it's worth risking my eyes...
@@rebeca_a With the right dr, the procedure is relatively safe in my opinion. However, it only lasted a year? I haven’t had it refilled but was also more conservative (didn’t want a super drastic change). It was ok while it lasted. I think I will always have deep hollows due to genetics, aging, and prior years of using last growth serums (hollowness is a potential side effect). Maybe I will have to learn to deal with it.
@@Joshow313 It's a pity that it lasted only a year. I have a friend who is a dermatologist and she told me the area around the eyes hold the fillers longer than other areas of the face. She told me the first time she had under eye filler it lasted 1 year and a half and the second time more than 3 years. I'm not sure the upper eyelid works the same way, but I wouldn't feel like having this type of procedure once a year too. Any way it seems the more fillers you get more they last on your face. I didn't knoe the lash serums can cause this type of problem. Thanks for sharing!
@@rebeca_a I was shocked when my dr told me hollowing/fat loss around the eyes was a side effect of lash serums. I researched it and he was right! Had I known, I never would’ve messed around with them in my 20s.
They have artery machine that can locate the veins and arteries. CAn these machines assist finding arteries to prevent avoiding injecting fillers into them?
I wonder if it would be a good solution for doctors to use some kind of ultrasound imaging during injection to make sure they avoid injecting into a blood vessel?
Bad experience happened to me I went for non surgical rhinoplasty, and doctor injected it into my artery on the tip of my nose, and suddenly it blocked blood supply, and a black circle started appearing on the tip of my nose... O my God, it was a nightmare to me. I totally freaked out and panicked The doctor started rubbing my nose to, then he injected hyaluronidase which is dissolving enzyme. Well a scar appeared however on my nose tip, which went away within three months. Thanks to Allah. But I still get in trauma when i I think that what if I would had get blind? Doctors should tell the risks... but they try to make money, that's why they dont tell the risks, which is not fair at all. Thanks to Allah that I didn't get in much trouble, but it was a traumatical experience of my life. Lesson: Dont go for dermal fillers at all. Dont put your life in risk and trouble. It's not worth it.
Thank you Dr Chan! Such good information to know about, and now that I know I would not take the risk, just not worth it! Are there fillers such as for the lips that are safe?
To be honest, any injection of filler in any part of the face has the potential for causing blindness. Lips are low risk in comparison to the nose/frown areas, but there have been a few reported cases of blindness from lip filler.
Doctor, do you think applying very high frequency, low force vibration to the general area of injection during and or after injection could further reduce the chance of blindness? Or maybe the contrary? Thanks
I don't think that would work. If yoiu perforate and enter the artery, the injection could still proceed despite the vibrations. I like your forward thinking though.
Do your research don't just go to any idiot that knows how to do fillers. Make sure they are a nurse or a doctor and have never had any complications, there are a few very trust worthy places I've been too, viva skin care and kiss aestetic, I trust these two places very much and have had different treatment at both places, would never go anywhere else. And also never go for a cheap place, the price of fillers is high because of the training the nurse/doctor has taken to make sure everything is perfect and nothing goes wrong.
THANK YOU DOCTOR!!! YOU'RE AWESOME!!!! Thanks for informing us about the risks!! 🙏 I like all your videos; you make a VERY VERY PROFESSIONAL IMPRESSION! 👍
You cannot completely block the risk for ANYTHING unfortunately. Ways to decrease your risk are to go to a certified plastic surgeon who not only knows how to inject, but who also is intimiately familiar with the structures of the face underneath the skin.
Is aspiration (sucking back on the needle to check for blood vessel penetration prior to actually injecting the filler) part of the standard procedure?
1) Are smile line areas more risky than nose and frown line areas (using Sculptra)? 2) Any risk for Sculpta in the chest region? 3) I agreed to be a ‘model’ for a doctor who will be learning from an experienced nurse about how to work with Sculptra next week (she is giving me a big price reduction). She has been injecting regular dermal fillers for several years. This will be my first time with any kinda injections ever. She is a doctor although not a board certified dermatologist and her Yelp reviews related to injecting dermal fillers are all positive. When I was considering a regular dermal filler, she was a lil pushy abt using more product than I was comfy with (two syringes for my smile lines instead of my preference of one syringe) so I did not move forward. Recently she told me abt Sculptra and the heavy discount (I have a social work budget). She isn’t so big on informed consents with these risks and has expressed concern and impatience with my hesitations. All this to say, I’m curious what you would suggest? Do you think getting Sculptra from a doctor relatively experienced in dermal fillers but not Sculptra is a bad or good enough idea? I plan to go in with a firm boundary abt using a conservative amount (one vial for the smile lines). I would also like to review these prevention tips with her and the nurse but fear she might feel offended or slighted from this layperson because doctor knows best. So I guess I’m also curious to learn of good boundary setting communication techniques with doctors who might have some ego to contend with? Last, thank you Dr. Chan for your public service and empowering the public and doctors with your depth and breadth in this field. It’s clear you care more about others and humxnity than money and I wish more of this menschey sense of ethics and morals were respected by doctors. If you know of anyone that practices as ethically and safely as you in CA (ideally SF Bay Area, I would love to know). Thank you again, Ruby
Just wanted to summarise some of the methods that can be used to avoid arterial injection;
- Use a cannula. A cannula is less likely to penetrate an artery wall in comparison to a needle
- Inject threads rather than boluses when possible. Moving the tip of the cannula (or needle) is less likely to allow it to be kept in artery for any significant period of time, reducing any volume injected into an artery if entered
- Inject super slow. If it takes 0.05 to .1mL to fill an artery, then take at least 10 seconds to inject these quantities whilst moving the cannula. Then it makes it so much harder to inject an adequate volume in the artery to occlude it.
- understand your anatomy and inject at the right depth to avoid arteries
- avoid risky areas like the nose/frown lines altogether.
Thank you for your candor. You seem to be a very conscientious doctor! If I ever got up the nerve, I would definitely go to you.
Which type of cannula do you use? I'm wondering which size would be best for injecting the smallest amounts under the lowest pressure. 27G? 28G? Are the smallest gauge cannulas the best for this purpose?
Does this includes botox or not?
Wich is the right depht??
So we shouldn’t done our nose at all?
Wow! I went from ....About to make an appointment for nose and under eye fillers straight to accepting myself for who i am lol!!! The blindness is not worth it. Nobody has ever changed my mind this quickly before! So no nose, cheek, undereye, or jaw fillers! Period! Check!
Did he said jaw/chin?
🤣
I will get rhinoplasty instead.
You better not get out of your home then, there's a risk in everything
Jaw, chin and lips are fine
I've had fillers in these areas many times and was never told the risks.
This is not uncommon. One of the reasons why I made this video!
Victorian Cosmetic Institute thank God you care!!
Same for me with dysport, and now my eye sockets deformed and hooded at 26
Stacey Lee what were you trying to have fixed?
i lean well I’m in my 20’s and was told to do it to prevent wrinkles, I did it on my head a few times and once my eyes to stop making lines. Anyways the last time I saw a new girl, one my friend goes to and does a good job and she convinced me to do my eyes even though I didnt like how it was done before. She did it beside my eye and messed them up bad but I’m at 6 months now and I think I’m finally started to return to a bit more normal looking, I was seriously scared because my eyelid was all kinds of swollen and hooded. Its still a bit off but I’m seeing improvement. Moral of the story I wont be doing that again so young 😂 these things come with serious side effects if they go wrong and your injector will not give two fucks.
Thank you doctor. This information is much needed. I will keep my wrinkle.
😂😂😂😂🤣
@x moschino high nutrition low calorie diets have been known to slow down aging (but be careful) i dont promote this
😂😂😂 we will be wrinkly and elegant
👍👍👍👍👍👍bbbbb
😂😂😂😂😂😂
most adorable doctor ever, and way too far away! I have never found a doctor this sweet and honest, it's a dream doctor.
Hey, Nadia! I was thinking exactly the same thing!!! 😅😉😉
For some people a 1 in a million risk is still a risk NOT to go blind for your appearance . Thank you Doctor. This is very serious information for everybody to consider before going for a filler procedure. I wish my doctor had told me that
Then you might as well never drive again, there's a greater chance of dying from taking your car out for a drive than going blind from fillers.
@@dand6520 better be dead than blind; also it's much easier to live with yourself if you got crippled while doing nessesary thing (like driving / having somebody drive you to work or school); but how would you live knowing that you lost your fcking eyesight for petty cosmetic reasons
@@g.yad.4758 then don’t watch a movie because the theatre might go on fire. Wouldn’t want to lose your life for petty entertainment reasons. See how dumb you sound? Don’t judge filler as petty cosmetic just because you don’t find it important. What’s important to you may not be important to others and vice versa.
@@NJ-lu6wu compare the chances
also there's the general rule to not mess with your organs if nothing's wrong
there's a difference between walking, sitting & watching moving pictures and putting some shit under your skin hoping it wouldn't migrate and ruin your face in the future
@@NJ-lu6wu also: slightly younger looking face is important in everyday life, but it's not that important to risk your fcking sight! again: compare the results with what you're risking
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.
Finally someone who is telling some good words !!
Its 2020 and people still inject without any equipment and say « omg doing fillers can lead to blindness» but they are doing nothing for it.
Do you know if some doctors are actually using this kind of machine for fillers ?
Thanks
I don’t know why I watch these... but I find his channel really honest and interesting....
Geez, Dr. Chan you just scared the goodness out of me, lol....thank you for the good information though!
Hope I didn't scare you too much! Remember, risk is very rare.
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes
He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
@@_UNIVERSALthingsEurope If you watch the video he said where the dangerous arteries are and they're not in your lips
This video totally freaked me out! 😱
👍👍👍👍👍👍bbbbb
What a selflessly candid dr. A breath of fresh air to see a dr honor the ol’ school medical code of ethics vs putting the almighty dollar b4 his patients livelihood. So very rare today.
Thank you ❣️
Wow, this is the most honest and informative video i've seen on fillers. Nice to see a Doctor actually honor the medical code of ethics instead of putting money before a patients well being. THANK YOU.
Thank god she still has vision in her other eye.
Yes, there has only been one case of bilateral (both eye) blindness. All the rest have been unilateral or one sided.
@@viccosmeticinstitute That is good to hear. I'm curious, do you know where the injection site was that caused the bilateral incident?
@@gemalyn6326 if you inject enough filler it is possible for it to go right around to the other side through the arterial connections. It would have to be a very large amount injected rather rapidly though.
OMG I had fillers done to my nose, why didn't my doctor tell me this. I even asked him if there was a possibility of being blind since I studied the head and neck anatomy in dental school, he said no. I am NOT getting it anymore.WOW super disappointed.
It's hard for a practitioner to say that as it sounds so bad - they probably don't want to put you off. But it is absolutely vital that all the risks are outlined before any procedure.
@@viccosmeticinstitute In Canada, when a treatment is not required (for aesthetic reasons) all the risks need to be outlined including the ones under 1%. A patient can not give clear consent if information is hidden. Thank you for your videos btw super informative doc :)
Francesca Nour Of course that would be a disaster, that may imply some legal sanction for the doctor since it can generate health problems, or even mental problems for patients.
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes
He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
@@_UNIVERSALthingsEurope all areas are risk
Not worth it, damn I thought fillers were safe because it was temporary
Yeah me too. Less dangerous than surgery but now I am not sure. Better to accept aging as just a part of getting older!
I just wanted to thank you for, as always, speaking to us intelligently.
Vascular complications, including blindness, are way more frequent than 1 on a million. Based on a recent study related to the Netherlands, vascular complications from fillers are 1:6600 with a confidence interval of (1:5300-1:8000). The study also finds that it doesn’t depend on the quality of the injector as some were top doctors. Also, I’m some cases the cannula was used. So there is no certainty whatever is the technique and whoever is the injector.
Do you have a source for this?
Thanks doctor. I was about to go for filler tomorrow but after this video I realised that I look great without them too. Thanks a lot for your true guidance.
great to hear I helped you realise this! thank you
The depth of knowledge you display about anatomy, physiology, contra-indications and possible complications is why I think it’s absolutely insane that in some countries non medics can legally perform dermal filler procedures- without a prescription or medic oversight! In the U.K. for instance, while Botox requires a prescription, and hence medic involvement, fillers do not! There are ‘training’ courses specifically for non medics! It’s outrageous, and I really hope the laws change soon.
yes, that's stupid, especially that botox is far less risky than fillers. so it should be the other way around.
Appreciate your honesty
important to hear a Dr, talk about what can go wrong, and how to avoid it.
Thank you. Thank you. I just canceled my appointment for fillers. I will still do it but I want to be more informed and your video is teaching me so much. I want to be a well-informed consumer/patient.
GOOD FOR YOU!
Informed consent requires doctors to share all the risks - yet so many don't share the risks - its good to see an honest , ethical doctor in the beauty industry 😃
Eeeeshhh! This is scary. Thank you Dr. Chan for being so honest.
I really wanted to get this procedure done because i've lost a lot of volume in my under eye so I look very tired an makes me look older, but seeing this video I'll keep my hallow eyes, risk is not worth it, even though it could be minimal
I’m glad I cancelled my first fillers appointment.
me too; glad for you!
Amy Utube me too
I’m doing the same thing right now 😂
Nothing is going to happen
I canceled mine too.
Wow... I had fillers under my eyes and the Dr. did it so fast and with force too!!! Needless to say I’m in awww... wow now I’m scared too!!! Thank you for this information Dr. Chan. 🙏🏽
I have an appointment tomorrow to get cheek fillers injected and after watching this, I think I’m cancelling it. Sucks cuz I already paid a deposit and I’m fairly sure I won’t be able to get it back, but I have a very hard time coming to terms with the fact that there IS a risk of me going blind, no matter how small. I’m not the luckiest person either so if it’s my luck I’m gonna end up being the 1 in the million who goes blind. That’s just so so scary to me and I don’t think I’d be able to live with myself knowing I’ve literally made myself blind just for very slightly fuller cheeks, especially when I haven’t even turned 20. I just can’t imagine losing my sight for something so superficial. Screw that. My cheeks are perfectly fine as they are, thank you very much. I’ll just spend the money on therapy if I ever feel I’m bitching too much about my appearance.
Oh wow, I had no idea aspiration can give a false sense of security!
Very knowledgable man , and honest too. No , or very few practitioners will inform their clients of this risk.
I've had this done many times with no issues and no I am scared out of my mind!!!
So scary 😱😱😱 Thank you for always pointing out the pros and cons of different procedures. 👍❤️
thank you for your comment Shen
Shen Says! 🙂 that’s what I appreciate the most about him I who’s he had s clone
Anatomy, Physiology back to Basic Science knowing where you are before injecting.Great lecture and information to prevent a disaster. Thank You
I have had filler twice in my nose and had no idea !!! that is the only "unnatural" thing I have ever done because I have always been insecure about my nose but had no idea of these risks.
did it stay for 1 year at least?;/
@@ioannaeleftheriadi2160 I felt like it stayed for years and years. I would never do it again knowing the risks of filler now and knowing the risk of necrosis. I was never informed of any of these risks.
I am angry that my practitioner did not give me informed consent as is his duty and did not make me aware of these risks. Even if rare, patients need to know these things before consenting.
I had it done 4 times and have had no problems. I never knew it was so risky. In the future I hope they bring in ultrasound non surgical nose jobs. That way they will see exactly what the needle is about to be injected into and then fill. They can do ultrasounds by their personal phones now, so who knows what we have in the future.
In short every area I wanted filler is going to be riskiest therefore I will not be getting any filler at all.
My dream of having a straightened nose have been ruined 😭 thanks for the info doc.
hahaha same
Same
Oh gosh it hurts 😂😭😭😭😭 I wanted it so bad
And I was watching many videos about nose fillers and I just saw that and it’s depressing 😢
There is still rhinoplasty, it’s permanent but it’s way more expensive and has other risks.
FR and it’s really sad because it would have boosted my confidence :(
Are the cheeks and lips considered low risk areas & are there any blindness cases from these areas ??
You are a very informative doctor and you tell the truth and that’s refreshing I wish you were in California!
Have you had filler before? Were you told of the risks of blindness? Is it worth it for you? Tell us what you think.
Of course it’s not worth it
Thank u so much Dr!! This is whar patiients need...an honest and great Dr!
I watched a.previous video where u touch this subject and I was just going to have fat injected most on my tearthrough. Was scare to death, did my research abt drs. Chose one, I was the one to brought the subject, he didn't minimize it and we went through with the procedure. He was very conservative ( I think I scared him😝) Went well, but abt 50% is gone now. Was going to go back but after this video, unless u were my surgeon Im not doing it! So...what is ur opinion of HIFU?😊
Hi Banditas. The risk of blindness in the tear trough is a lot lower than the frown and nose, which makes it a very rare risk. But things like using a cannula could be good. Also, if you use a bit of adrenaline with the local anaesthetic in this area, this could constrict the blood vessels further causing less risk again. I do like HIFU - we have the Ulthera machine at our clinic. But it is super subtle in the results achieved. So it depends on what your concern is and how much you expect it to tighten your skin.
Last year, I really met the crisis! When I did the HA injection at the tear trough. when I did negative aspiration,I suddenly saw the blood come into my syringe!! I was quite lucky and I change my way of injection immediately and The patient did not know what happened and she left with a satisfied smile. Then I use cannula more and more in my clinic and I also warn my staff the crisis of occlusion.
@@業鈞 Thank you for your contribution Doctor! Great to hear of a possible save from aspirating. I am also a big fan of cannulas and I always use them for tear troughs as my standard. Way less bruising too!
You will always get pros and cons in everything we do.
Thank you for giving us this information and taking care of people. You are a beautiful person
EXCELLENT!! I SO APPRECIATE hearing about these *rare/unusual* cases where things {can} go wrong, ..so that I may make the best decisions for myself with cosmetic procedures. Better than NOT knowing what those (unlikely) possibilities are!
really good to know thank you very much I've had fillers in these areas 3 times and was never told the risks!!!
never commented on a video before on youtube, but this one i would like to thank you for, all your videos are so good and informative
Hi Dr. Chan! I myself have fillers in the bridge of my nose and get them regurlarly done in the hospital. Before I got my fillers injected I asked them if they could check if there are any arteries in that area, he did with a machine (cant remember the name). Could you therefore say my risk of getting blind is non existing?
Hope to hear from you soon!
Greetings,
A freaked out girl!
I'm pretty sure you have all arteries in all the right areas ;) there is variation in exact pkacement but not to the point of you missing normal parts of anatomy (think of the veins in the bend of your arm, everyone has them but not identical) . But hey, it would certainly be curious if that was the case and you didn't have them.
Do you remember the name of the machine that they used ?
A Bc sadly no I don’t have the name of the machine.. i live in France and I don’t think that the practitians here use this kind of machine to perform a medical nosejob
Hi I’m wondering if the machine they used is called a “Vein Finder” we use it to help start IV’s here in Texas. 😌
So weird... Most people associate blindness from fillers with getting it under the eyes. That's what I thought.
Is under the eye low risk?
Let me know thanks
A very timely and relevant video considering how common these procedures have become. You had mentioned in the previous video on the topic that it's best to inject the nose centrally and not laterally, am I correct? Also, how risky is injecting the Nasion/Radix?
So, basically any filler injection in the face is basically a shot in the dark, there is no way anyone can predict that it will hit an artery. Its a crazy big risk that we are willing to take.
yes, it is a 'blind' treatment, excuse the pun, but overall risk is extremely low if the right measures are taken during injection e.g slow injection, using cannulas, moving constantly rather than staying in the same position, and understanding your anatomy.
I would love to know your thoughts on PDO threads for the face and neck area.
Well heres the reason I never tried filler already very nearsighted after an accident many years ago im vain but not vain enough to dare trying:(
Great information, thank you! As someone with Glaucoma, I now would consider it too risky for me.
Watching this again to remind myself why I am not going to get a filler even though it’s been pushed on me for my nasolabial and under eye fat atrophy
You have to watch the videos on the channel that talk about why I don't fill tear troughs and why I don't fill nasolabial folds!
This is terrifying. But everyone is doing fillers now, even at a beauty salon.
All I could think about while watching this were all the people that I see trying to do at home fillers. I wonder how many have done this.
Thanks for the info, I know someone considering doing one of these fillers and they were looking up risks and came across this, these are my thoughts on the issue based on simple science and logic about the worst complications (blindness and brain damage).
1- I would think these complications should only arise when procedures are done by a non trained/certified person like in a beauty shop, is there any evidence where these adverse complications happened with a trained professional in a legit health center?
2- Yes the nose is close to eyes and brain but the arteries that get to it are small given they are at the end of the branches of the blood vessel tree.
3- Still on the nose, the arteries to the nose comes in from the top of the bridge and move down the bridge while getting smaller meaning the true higher risk area would be top part of the bridge and not lower, right?
4- Given that in some areas like the nose bridge you actually find artery endings and blood is flowing in smaller arteries away from the main arteries that go to the brain and eyes, it means for the filler to go against the direction of the blood flow, it must have been applied with fairly very high pressure to move all the way backwards and get to the main artery that also supplies the eyes and brain which could just mean either the surgeon has a motive to harm you or it's a really non trained person applying to much pressure to the syringe because they don't understand what they are doing, or you have really low blood pressure.
5- The blood vessel system is double sided (left and right), meaning you should technically get blind in one eye and never both both unless the person applying it is going too fast and makes 2 quick injections on both sides of the artery tree to end up effecting both eyes which again leaves me thinking they had a motive to harm you.
To eliminate chances of these complications, I would think this is what you need to do:
1- First take one's blood pressure to make sure it's not low.
2- Isn't it possible to first apply the dissolving substance in retinal artery and artery that continues to the brain before injecting filler as a safe guard to block any chance of passage of the filler on it's way to the eyes and brain?
3- This being 2020, is there really no device that can show you blood vessels under the skin as you apply the filler? So you can avoid them, something along the lines of accuvein
4- Why can't they use an electronic syringe to push the filler after the surgeon makes the piercing because that way you would set it to a precise pressure to exert based on one's blood pressure.
5- Why not first make a test to locate the nearby arteries and their depth around the point of injection to avoid them and not go too deep enough to get to the skin layers with arteries?
The answer to all of those bottom questions is Cost. There's nothing stopping you from requesting this in a hospital, plenty of Drs have scanned for arteries -- but of course like any pre-emptive exam, it'll typically increase the price you've been quoted to up to twice the amount.
By far the best doctor on the internet! Iv always had bad nasolabial folds since my early 20s and now I’m in my 30s they are worst . But I have been to scared to get fillers. Has blindness happened from all areas ?
Such an informative video. Thank you for sharing your wisdom.
Wish you practiced in the US, in my city, lol :D
Dr. Chan, I had fillers right below my eyes due to some bags, and it was a remarkable positive result - made me look alive/rested vs tired as prior to. But after watching this, omg, I could have been one in a million to this blindness. Right?
Yes true but the area you had injected is relatively less risk than the nose.
@@viccosmeticinstitute Thank you for your reply - whew! I enjoy your videos and yes, we need doctors like you in Calif.
Great video Gavin. For accurate aspiration, are you able to adjust the gauge sizes depending on the filler you use?
I’ve read a paper on a new needle system that contains an inner needle, where the filler is administered, and an outer/guiding needle that detects blood reflow in the lumen of the blood vessel during the injection process (I think it has a small hole in the wall of the needle to allow air passage/ air pressure balance and basically the mechanism behind the whole system is similar to phlebotomy).
Hi Sophia. Thank you the information. I haven't heard of this special needle system you mention. Sounds interesting.
In regards to aspirating, you could use a bigger needle for thicker fillers - that would potentially help reduce any false negative aspirations. But having a bigger needle or cannulas has disadvantages also - e.g more pain/trauma to the face, and also potentially faster injecting speeds which could be a risk factor for blindness also.
I really wish I had seen this before getting it done, I got it done today😔
Did you have a problem?
Hi Dr. Gavin,
In one of your videos you mentioned that in your training days you used to inject arteries with cannulas. Doesn't that mean that using cannulas instead of needles gives a false sense of security? The theory is that using a cannula would be less likely to pierce an artery because it maneuvers around the artery with its rounded tip. But is that the case in practice? I'm guessing not, if they were successfully training you to inject arteries with a cannula.
Despite all these precautions, my feeling is that whether or not an artery becomes occluded is a matter of russian roulette. Sure, it is rare to inject an artery with filler, no matter one's skill level. It is equally rare to inject an artery when you fully intend to and WANT to (such as with hyaluronidase to counteract an occluded artery). When something goes wrong, they are usually injecting the dissolver all over the place, hoping by chance it penetrates the affected artery (usually unsuccessfully). So it all seems very hit and miss.
Perhaps I am incorrect in my understanding, but it still seems like it is a game of chance. If the tip of the needle/cannula happens to touch a blood vessel and the plunger is released at that moment- the force of that is going to pierce the vessel and inject filler into the vessel. Even with a light hand, the pressure of the blood flowing against the release of filler, is going to pierce it. Its just that the odds of those factors lining up and occurring are rare.
The odds of an incident are low no matter what. I guess I'm still wondering if all this training and expertise really mitigates the risk, or if it truly is just a matter of chance.
I sure wish they would come up with a device similar to the Accuvein...for arteries.
.
Wouldn't the practitioners be able to feel the pulse if they were just outside or inside an artery? If I can feel my pulse all over face using just my fingertips, you would think an injector could sense it even more if the cannula were in an artery. Since your fingertips can detect a pulse through all that skin, tissue, and fat...surely a cannula inside an artery (or touching the outside of an artery) would vibrate slightly to the pulse of the blood pumping. If an injector went slowly and quietly, and really paid attention to this, wouldn't they be able to feel it? Of course, it would require stillness, quiet, and make the process more tedious. Or would the sensation not travel through the cannula?
Really helpful to prepare a nurse injector. Thank you doctor!
What am I will to risk to look yuonger? Nothing. Thank you Dr. Chan
This is extremely rare.. if the professional doing the injecting knows what they're doing, it's not going to happen.
How can you be that sure accidents happens
You can reduce risks not eliminate them and based on recent research is not that rare
Idk many people don't have good a&p knowledge and inject like it's no big risk. In the UK you don't need any training to do facial fillers.
Whoaah... Thank you for opening my eyes & scaring me from getting eye lid fillers! Its definately not worth the risk!
People shouldn't worry about nose bridge shape because they're all cute and give character. I can understand some tip modification sometimes though. Bravo Dr. for your practical and sane advice!!
I have just seen this year's after post, brilliant advice doc
Hi Dr Chan. I love your Channel.
Could you please tell us if blindness could occur months or years after the injection ?
Thank you
I have had fillers done and was never told of the potential risks. I am due to have more done and I am a bit apprehensive. Is there a doctor in NY with your degree of expertise and experience that you can recommend.
Yes, Dr. Amiya Prasad.
What about the SF Bay Area?
Thank you so much for sharing this information, I’m sure not many docs are willing to talk about this. Great job 👍
My mothers friend whom is in her 60s recently woke up one morning and her vision was completely gone with no prior complications/signs of any problems. They put it down to all the filler she had had over the past 20 years and she needs to go through some pretty extensive operations to try and get some sort of vision back (no guarantees though)
This doesn't sound like it is from the fillers as filler blindness occurs immediately at the time of injection and not afterwards.
@@viccosmeticinstitute could filler that’s already injected and there cause blindness? or is it just whilst being injected? should any filler get dissolved in order to make sure that nothing like this occurs?
I’ve had filler done in my laugh lines twice and both times, immediately after I felt very nauseous and almost blacked out. They said this was normal for some people, but since you mentioned nausea as one of the onsets of Derma blindness, I’m curious to ask if you know why this may be happening to me or if I was at risk of blindness both times.
Its a vasovagal reaction
What filler was it?
This is quite informative. What's your opinion on saline fillers though? Can saline also cause blindness or skin death? I know that saline only lasts for a couple of hours, but it can be useful prior to a rhinoplasty for assessing how the nose can look after rhinoplasty.
yes any form of filler will cause embolism in the blood canals inside
My doctor said Blindness can be costs only if you correcting your nose or “mimic anger wrinkle “ in between eyes
He said if you’re doing lip fillers it’s impossible To be blind only thing you can have is bruises / swelling 👀 is that right ?
You discuss fillers...I assume this risk does not exist for Botox (which is often injected into the high risk areas you showed), because botox is injected more superficially than fillers? Thanks.
Dottiecassidy1 it’s not viscous enough or technical term is G prime, Botox is very close to the consistency of water
Dotty: legitimate question. Women should have it answered ASAP.
Drvirhot thanks for your quick response. Big sigh of relief!
The risk doesn't exist with Botox. Only dermal fillers and other thicker substances that can potentially occlude an artery.
@@viccosmeticinstitute What about for skin boosters? I'm sorry I asked another question on boosters in your other video too, you can tell what I've gotten 😂
Seeing the eyeball injection going behind the eye 👁 made me sick...I think I'll just stick to my face because I know other doctors don't care aren't likely to care like you do. Also I can't believe in the UK the government doesn't require any licensing for doing fillers when such complex horrible things like this can happen.
What about botox? Would injections into the masseter muscles potentially cause the same problems?
Is the under eye "bag" area high risk for blindness using hyaluronic acid filler?
This is great information but it's making rethink moving forward
Well, I can say that I am no longer interested in having my nose tip or marionette lines filled.
I developed premature hollowing and had eye fillers done. Will need to reconsider when it wears off. I’m sure the risks were written on all the waivers I signed that I did not thoroughly read over 🤦🏻♀️
Did you like the results? And how long did it last? I also developed premature hollowing because of a health condition and I wanted to do this procedure so bad but now I'm very scared... not sure it's worth risking my eyes...
@@rebeca_a With the right dr, the procedure is relatively safe in my opinion. However, it only lasted a year? I haven’t had it refilled but was also more conservative (didn’t want a super drastic change). It was ok while it lasted. I think I will always have deep hollows due to genetics, aging, and prior years of using last growth serums (hollowness is a potential side effect). Maybe I will have to learn to deal with it.
@@Joshow313 It's a pity that it lasted only a year. I have a friend who is a dermatologist and she told me the area around the eyes hold the fillers longer than other areas of the face. She told me the first time she had under eye filler it lasted 1 year and a half and the second time more than 3 years. I'm not sure the upper eyelid works the same way, but I wouldn't feel like having this type of procedure once a year too. Any way it seems the more fillers you get more they last on your face. I didn't knoe the lash serums can cause this type of problem. Thanks for sharing!
@@rebeca_a I was shocked when my dr told me hollowing/fat loss around the eyes was a side effect of lash serums. I researched it and he was right! Had I known, I never would’ve messed around with them in my 20s.
They have artery machine that can locate the veins and arteries. CAn these machines assist finding arteries to prevent avoiding injecting fillers into them?
I wonder if it would be a good solution for doctors to use some kind of ultrasound imaging during injection to make sure they avoid injecting into a blood vessel?
Good idea, this is the first I've heard of this idea!
Dr Gavin you look so much younger than five years ago😊
Tell me what it was done?😍
Bad experience happened to me
I went for non surgical rhinoplasty, and doctor injected it into my artery on the tip of my nose, and suddenly it blocked blood supply, and a black circle started appearing on the tip of my nose...
O my God, it was a nightmare to me.
I totally freaked out and panicked
The doctor started rubbing my nose to, then he injected hyaluronidase which is dissolving enzyme.
Well a scar appeared however on my nose tip, which went away within three months. Thanks to Allah.
But I still get in trauma when i I think that what if I would had get blind? Doctors should tell the risks... but they try to make money, that's why they dont tell the risks, which is not fair at all.
Thanks to Allah that I didn't get in much trouble, but it was a traumatical experience of my life.
Lesson: Dont go for dermal fillers at all. Dont put your life in risk and trouble. It's not worth it.
Allah had nothing to do with it
If it was Sculptra that isn’t responsive to hyaluronidase, would there have been no hope and high probability of blindness in your case?
Thank Jesus, not allah
Is the under eye "bag" area high risk for applying hyaluronic acid filler?
Roxane IluvmyGSD that's my question too
Is Botox dangerous for those areas as well? Like bunny limes? I’m asking because once my nose started bleeding after bunny line injections.
Thank you Dr Chan! Such good information to know about, and now that I know I would not take the risk, just not worth it! Are there fillers such as for the lips that are safe?
To be honest, any injection of filler in any part of the face has the potential for causing blindness. Lips are low risk in comparison to the nose/frown areas, but there have been a few reported cases of blindness from lip filler.
Victorian Cosmetic Institute thank you
Doctor, do you think applying very high frequency, low force vibration to the general area of injection during and or after injection could further reduce the chance of blindness? Or maybe the contrary?
Thanks
I don't think that would work. If yoiu perforate and enter the artery, the injection could still proceed despite the vibrations. I like your forward thinking though.
I was thinking about filling my nasolabial folds. But now i'm scared :(
Any alternatives ? Plz
Same. Maybe we can try callogen In our smoothies. I'mma try it
facial exercises? (too many) carbs are also pretty ageing, high fat diet is good for youthful skin in my experience. good luck
Do your research don't just go to any idiot that knows how to do fillers. Make sure they are a nurse or a doctor and have never had any complications, there are a few very trust worthy places I've been too, viva skin care and kiss aestetic, I trust these two places very much and have had different treatment at both places, would never go anywhere else. And also never go for a cheap place, the price of fillers is high because of the training the nurse/doctor has taken to make sure everything is perfect and nothing goes wrong.
THANK YOU DOCTOR!!! YOU'RE AWESOME!!!! Thanks for informing us about the risks!! 🙏 I like all your videos; you make a VERY VERY PROFESSIONAL IMPRESSION! 👍
So basically there’s no way to completely block this risk yet?
You cannot completely block the risk for ANYTHING unfortunately. Ways to decrease your risk are to go to a certified plastic surgeon who not only knows how to inject, but who also is intimiately familiar with the structures of the face underneath the skin.
Is aspiration (sucking back on the needle to check for blood vessel penetration prior to actually injecting the filler) part of the standard procedure?
Whoa. This is scary.
Is there any way that doctors can check the closeness of the needle to these arteries to be sure that they don't hit one?
Thanks for sharing ...was thinking about getting rid of my eye troughs which make me look tired.
1) Are smile line areas more risky than nose and frown line areas (using Sculptra)?
2) Any risk for Sculpta in the chest region?
3) I agreed to be a ‘model’ for a doctor who will be learning from an experienced nurse about how to work with Sculptra next week (she is giving me a big price reduction). She has been injecting regular dermal fillers for several years. This will be my first time with any kinda injections ever. She is a doctor although not a board certified dermatologist and her Yelp reviews related to injecting dermal fillers are all positive. When I was considering a regular dermal filler, she was a lil pushy abt using more product than I was comfy with (two syringes for my smile lines instead of my preference of one syringe) so I did not move forward. Recently she told me abt Sculptra and the heavy discount (I have a social work budget). She isn’t so big on informed consents with these risks and has expressed concern and impatience with my hesitations.
All this to say, I’m curious what you would suggest? Do you think getting Sculptra from a doctor relatively experienced in dermal fillers but not Sculptra is a bad or good enough idea?
I plan to go in with a firm boundary abt using a conservative amount (one vial for the smile lines). I would also like to review these prevention tips with her and the nurse but fear she might feel offended or slighted from this layperson because doctor knows best. So I guess I’m also curious to learn of good boundary setting communication techniques with doctors who might have some ego to contend with?
Last, thank you Dr. Chan for your public service and empowering the public and doctors with your depth and breadth in this field. It’s clear you care more about others and humxnity than money and I wish more of this menschey sense of ethics and morals were respected by doctors. If you know of anyone that practices as ethically and safely as you in CA (ideally SF Bay Area, I would love to know). Thank you again, Ruby
Dr Chan do you have a video or recommend one the step by step instructions to approaching and treating an arterial occlusion caused by filler?