Sometimes injectable fillers can cause blindness. Could xray devices like shown below protect customers from that? (Photo)
Doctor Answers 6
Injectable fillers for under the eyes and viewing veins NYC
The view finder is a good idea for finding veins. However, the arteries are the ones that can occluded and cause blindness. Best, Dr. Green
Veinfinder for filler injections to reduce blindness risk?
Filler safety and Reducing risks
This is a great question and good for you for being aware of the risks of filler in this area. To treat stubborn 11 lines, please always consider getting a toxin like Botox first in the area. Injecting filler in the 11 lines without toxin first is not very effective because the muscles that make the 11 lines will crunch out the filler as they move. Over time, getting Botox in the 11 lines will help smooth them out and make deep crevices less deep. If you still would like a smoother look after the 11 lines are treated with Botox, I love to use a device called a cannula to inject filler. A cannula is a shaped like a pipe so the end is not sharp like a needle. Therefore the risk of piercing a vessel is very very small. The VeinViewer is not helpful like it may seem- but a cannula makes the procedure very safe.
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Veinviewer and risk of blindness from fillers
The risk of intra-arterial injection or blindness from filler injection can never be eliminated completely, but the risk is extremely low in skilled hands. I often inject the glabella with fillers. I use an HA filler such as Belotero and inject very superficially, in the dermis, for etched-in vertical lines. It is usually best to start with Botox (or Xeomin or Dysport) to the glabella first, and only use fillers there if needed after that. The most important decision that you need to make is WHO to trust to inject your filler and/or Botox. By the way, I don't recommend fat injections to the glabella.
Vein Viewer is NOT useful while doing facial fillers !
These devices are NOT useful at all in injecting dermal fillers. I use these devices for my vein practice daily. You can't shine this on someone's face and see how your injecting technique is doing. Plus, these are veins and the vascular structures that cause problems with fillers are most likely to be arteries. These devices do not show arteries or arterioles.
So, the answer is : they would be a complete nonsense to use for cosmetic rejuvenation of the face.
If you are in sales, don't pitch to those who are doing fillers. It would be a complete failure.
Dr H Karamanoukian
Fillers - can the risk of blindness be reduced to zero
- Yours is a very good question -
- The answer is no - you cannot get 100% protection from injection of filler in this area.
- In this area, there are multiple veins throughout the muscles which lie directly beneath the skin.
- To reduce the risk, local anesthetic with epinephrine will shrink the blood vessels.
- That said - it is the most risky area for filler injection.
- And I don't know how rare vision damage really is - I have a patient who mentioned in passing that elsewhere she had filler in the area and lost half her vision in one eye. A colleague knows of another case.
- Botox - done regularly every 3 months - is the best and safest treatment.
Hope you find this information helpful. Best wishes.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.