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Why You Need An Expert Injector

Posted: 6:00 a.m. Sunday, July 23, 2017

By Anita Mandal, M.D.
Question: I’m looking to have filler injections for my deep nasolabial folds and hollow temples. There is a large variation in price depending on who you go to. These days, so many doctors who are not plastic surgeons are doing fillers. Some non-plastic surgeons have even busier filler practices than plastic surgeons. If you do a lot of fillers, doesn’t that mean you have sufficient skill and experience? What is the big fuss over only seeking a board certified plastic surgeon for fillers?

Answer: It is a common misconception that fillers are quick, simple “lunchtime” treatments. The fact is that serious complications, such as permanent blindness, can and do occur and are actually on the rise. While such adverse effects can happen even in the most skilled of hands, the increasing numbers of physicians who lack proper knowledge of facial anatomy and/or a high level of injector skill does not help.

Injectable fillers do not have to be used near the eye in order to cause blindness. The blood supply of the face, through the facial artery, is connected to the blood supply of the eyeball. Filler injections just about anywhere on the face or even lips can result in blindness or skin tissue death. If filler is accidentally injected into a branch of the facial artery, it can travel up to the eye and go into the retina through the retinal artery. There are already over 100 cases of reported blindness from injectable fillers.

While it’s important to be fully aware of and not downplay the serious risks of injectable fillers, such risks are rare and should not deter you from having injectable fillers. Superior injector skill combined with a detailed understanding of the intricate facial anatomy and vasculature are important pre-requisites for whomever you chose to perform your injectable filler. Treatments performed by safe, highly skilled and experienced hands can significantly reduce your risks of adverse effects.

A thorough consultation with a Board Certified Facial Plastic Surgeon, who exclusively specializes in the face and neck, is a key step in your decision to have an injectable filler treatment or any cosmetic procedure.


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