I have an abnormally strong vasovagal response (get pins and needles in my eyes and can black out for eyedrops, dilation, and even when I got my lips injected). I want Voluma in my cheeks but am nervous because I heard their is an increased risk w/the blindness complication and while I know it is rare, I would just like to know how in the moment I can know if I'm having a complication or a simple vasovagal syncope like I might normally have.
Answer: Vasovagal vs Occlusion A vasovagal has very different symptoms to a potential occlusion. If you are treated by an experienced cosmetic practitioner, they will be able to tell the difference. Usually laying flat with elevated legs will alleviate a vasovagal response but not an occlusion. Warm Regards, Dr Glenn Murray, Absolute Cosmetic Medicine
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Answer: Vasovagal vs Occlusion A vasovagal has very different symptoms to a potential occlusion. If you are treated by an experienced cosmetic practitioner, they will be able to tell the difference. Usually laying flat with elevated legs will alleviate a vasovagal response but not an occlusion. Warm Regards, Dr Glenn Murray, Absolute Cosmetic Medicine
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November 9, 2019
Answer: Blindness after fillers Prevention of those complications should be first and foremost. When you are getting treatments make sure you are lying flat and fainting rarely occurs while in that position. Make sure your injector uses a 22 guage cannula to avoid placing filler in your arteries. Blindness after fillers is noticed immediately or sometimes delayed after the injections and won't go away quickly like when you faint. It would only occur on one side. If it occurs it should be treated as soon as possible and hopefully will go away.
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November 9, 2019
Answer: Blindness after fillers Prevention of those complications should be first and foremost. When you are getting treatments make sure you are lying flat and fainting rarely occurs while in that position. Make sure your injector uses a 22 guage cannula to avoid placing filler in your arteries. Blindness after fillers is noticed immediately or sometimes delayed after the injections and won't go away quickly like when you faint. It would only occur on one side. If it occurs it should be treated as soon as possible and hopefully will go away.
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Answer: The truth is that in the moment you can't tell. Vasovagal sensations, the feeling that you are going to pass out, are relatively common. When I treatment 100 patients, one or two may experience vasovagal symptoms. It is unpleasant. You feel very uncomfortable, anxious, light headed. These feels are disturbing and can evolve rapidly. When I sense this is going on, we simply stop treatment. I put the chair that my patient is in to a flat position. Laying flat, symptoms pass relatively quickly. Usually we will have them drink an apple juice because many of the individuals who are vagal forgot to eat or drink anything before their procedure. With the resolution of the vagal symptoms, the patient is sat up and the treatment is completed. If you are having an untoward event with a filler, you may not have vagal symptoms. What is common with patients who are having an interruption in circulation from filler is pain. The face hurts. Now how common is loss of vision from filler. Well no common. Last year there were something like 12 million filler services and perhaps 20 people went blind. The risk appears higher in South Asia and South Korea with perhaps 1/2 the cases related to these areas. That puts the risk of visual loss at 1 in a million. That is on par with the risk of getting on a commercial jet aircraft and it crashing. It does happen but it is so very rate that we get on commercial jet without worrying about it. Of course your risk of crossing the street and getting struck by a moving car is much higher by comparison. So if you decide to do Voluma what is your risk of loosing vision? So rare, that whatever you are experiencing it is much more likely to be vasovagal symptoms because it is 1000 time more likely. If you say that does not make you more comfortable, I would recommend not having filler treatments. It is safe but you need to do what feels right and that is not the same for everyone.
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Answer: The truth is that in the moment you can't tell. Vasovagal sensations, the feeling that you are going to pass out, are relatively common. When I treatment 100 patients, one or two may experience vasovagal symptoms. It is unpleasant. You feel very uncomfortable, anxious, light headed. These feels are disturbing and can evolve rapidly. When I sense this is going on, we simply stop treatment. I put the chair that my patient is in to a flat position. Laying flat, symptoms pass relatively quickly. Usually we will have them drink an apple juice because many of the individuals who are vagal forgot to eat or drink anything before their procedure. With the resolution of the vagal symptoms, the patient is sat up and the treatment is completed. If you are having an untoward event with a filler, you may not have vagal symptoms. What is common with patients who are having an interruption in circulation from filler is pain. The face hurts. Now how common is loss of vision from filler. Well no common. Last year there were something like 12 million filler services and perhaps 20 people went blind. The risk appears higher in South Asia and South Korea with perhaps 1/2 the cases related to these areas. That puts the risk of visual loss at 1 in a million. That is on par with the risk of getting on a commercial jet aircraft and it crashing. It does happen but it is so very rate that we get on commercial jet without worrying about it. Of course your risk of crossing the street and getting struck by a moving car is much higher by comparison. So if you decide to do Voluma what is your risk of loosing vision? So rare, that whatever you are experiencing it is much more likely to be vasovagal symptoms because it is 1000 time more likely. If you say that does not make you more comfortable, I would recommend not having filler treatments. It is safe but you need to do what feels right and that is not the same for everyone.
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August 8, 2019
Answer: Most Comfortable Voluma Injections....When getting Voluma, how can you immediately tell the difference between a bad reaction (b Hi LA Girl,The most important thing that you can do is make sure that you choose your facial filler injecting physician most carefully. With experience, knowledge of facial anatomy, skill, and natural artistic vision the injection of Voluma should be extremely safe and effective. We have treated hundreds of patients without adverse events or complications other than occasional minimal bruising. We would advise you to use relaxation breathing techniques during your Voluma treatment, if you show signs of a vasovagal reaction, we immediately stop injecting until you recover fully. We have many patients like yourself who were nervous and anxious at their first injection visit who have returned many times finding their treatment very easy and reminisce on how far they have come where the injections no longer bother them at all. Again, choose your injecting physician carefully and you should have nothing to worry about. Good luck and be well.Dr. P Encino, CA
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August 8, 2019
Answer: Most Comfortable Voluma Injections....When getting Voluma, how can you immediately tell the difference between a bad reaction (b Hi LA Girl,The most important thing that you can do is make sure that you choose your facial filler injecting physician most carefully. With experience, knowledge of facial anatomy, skill, and natural artistic vision the injection of Voluma should be extremely safe and effective. We have treated hundreds of patients without adverse events or complications other than occasional minimal bruising. We would advise you to use relaxation breathing techniques during your Voluma treatment, if you show signs of a vasovagal reaction, we immediately stop injecting until you recover fully. We have many patients like yourself who were nervous and anxious at their first injection visit who have returned many times finding their treatment very easy and reminisce on how far they have come where the injections no longer bother them at all. Again, choose your injecting physician carefully and you should have nothing to worry about. Good luck and be well.Dr. P Encino, CA
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August 7, 2019
Answer: Blindness with filler injection Hello and thank you for your question. Blindness is an extremely rare adverse event with filler injections around the nose and eyes. It would be sudden and painless. Vasovagal reaction is quite common with needles among other causes. A specially trained provider to perform your cosmetic procedures would be able to avoid poor outcomes and respond to them appropriately.
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August 7, 2019
Answer: Blindness with filler injection Hello and thank you for your question. Blindness is an extremely rare adverse event with filler injections around the nose and eyes. It would be sudden and painless. Vasovagal reaction is quite common with needles among other causes. A specially trained provider to perform your cosmetic procedures would be able to avoid poor outcomes and respond to them appropriately.
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