Q 2 years post. How do Doctors avoid vascular occlusion?
A
There are several ways that practitioners try to reduce the risk of occlusion. Number one is being very aware of anatomy and where vessels typically lie in the plane of the skin. Number two is injecting slowly, especially in the lips, and avoiding bolus type injections in the lips. Number three is the option of using a blunt cannula to introduce the product. In some areas it is appropriate to aspirate (pull back pressure) before injecting to see if there is any flash of blood back into the hub of the needle. And finally observing for any symptoms of occlusion and educating the patient on symptoms to watch for, so that the patient might receive treatment to reverse quickly. If everything is done correctly, there is still the risk. Choose an experienced injector familiar with treating these issues in an emergent fashion.
Answered by Mary Anne AanestadOctober 4, 2018
Volbella
Q Still have soft lump 3 days after having Volbella dissolved. (photo)
A
It is difficult to determine from your picture. The use of hyaluronidase to dissolve ha fillers is not exact and sometimes it will need to be repeated to take care of the undesired effect. It sounds like your practitioner is trying to improve your outcome, return to the office for follow up and re-evaluation.
Answered by Mary Anne AanestadAugust 10, 2018
Dermal Fillers
Q My lip injections doesn’t look right. What wrong with them? (photos)
A
It would be beneficial to see your 'before' picture to judge the changes in the shape of the lip. At this phase, it appears you are still swollen, which is to be expected at day 3. Give it a little more time and follow up at the 10 day mark with your doctor.