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Aqualyx Payment Page

2nd September 2019. Aqualyx training – 1-day, LONDON FIELDS (E8) Number of payments 2 Start payments At checkout Due* Amount At checkout £747.00 GBP Every 2 weeks (x 1) £747.00 GBP Total £1,494.00 GBP * We calculate payments from the date of checkout. Sign up for   2nd October 2019. Aqualyx training – 1-day, LONDON FIELDS (E8) – 2nd October 2019 Number of payments 2 Start payments At checkout Due* Amount At checkout £747.00 GBP Every 1 month (x 1) £747.00 GBP Total £1,494.00 GBP * We calculate payments from the date of checkout. Sign up...

Hyaluronidase & Vascular Occlusion Update 2019

In April 2014 I wrote a blog post called ‘Holy Shit, It’s Filler Blindness!’. I felt at the time that the post was needed as there was a lot of fear in the industry about the newly infamous filler-related ischamia of the skin or retina, potentially resulting in the need for a skin graft or even worse, sudden, irreversible blindness. My post was based upon the ‘Expert Consensus…’ (see below) and we went on to use their proposed protocol, with some adaptation as the basis of our hyaluronidase / hyalase assessment station on our training courses. The blog post still gets more hits than anything else on our websites, BUT, ‘expert advice’ has changed regarding the management of dermal filler-related skin ischaemia and blindness since then, and also, we now have a peer-reviewed and evidence-based document. Here’s a quick update (skin ischaemia > blindness). QUICK LINKS: CONSENT FORM for hyaluronidase AFTERCARE SHEET for hyaluronidase February 2014 Aesthetics Complications Expert (ACE) Group. The Use of Hyaluronidase in Aesthetic Practice Summary: Use 1.5-30 units hyalase for skin ischaemia, depending on the size of the effected area. March 2014 Expert Consensus on Complications of Botulinum Toxin and Dermal Filler Treatment. Inglefield, Collins, Duckett, Goldie, Huss, Paun, Williams (March, 2014). Part funded through an unrestricted educational grant from Merz Aesthetics UK). Not available online. Summary: Use 30 units of hyalase for all incidences of skin ischaemia. 4 years ago (no date recorded). Facecoach: Dissolving Hyaluronic Fillers A video explanation March 2017 Aesthetic Surgery Journal, Volume 37, Issue 7, 1 July 2017, Pages 814–825 Summary:Use 500-1500 units hyalase for skin ischaemia, depending on the area of skin affected. Larger...

Large Swelling Immediately After Dermal Filler Treatment

Imagine that you have just injected a patient’s lips or cheek. Suddenly, the area swells up like nothing you have ever seen before. It’s an unfamiliar sight… you panic… you vaguely remember about some of the rare but catastrophic complications of dermal filler. You reach for your emergency filler pack. Should you do that? Are you sure? Skin ischaemia is now a complication of dermal filler treatment that most practitioners are aware of but thankfully, few have experienced it first hand. With an estimated incidence of 1 in 1 million, in an industry still experiencing record growth rates, the occurrence of dermal filler related skin ischaemia and many other complications are bound to increase. Haematoma formation (a large, swollen bruise) is another, more common and less severe complication of dermal filler; one that differs from skin ischaemia is almost every possible way, is frequently being misidentified as skin ischaemia by aesthetic practitioners from various medical and non-medical disciplines. Whilst it is vitally important that aesthetic practitioners identify skin ischaemia and take action if they suspect this, it is also important that misdiagnosis is avoided so that perceived rates of skin ischaemia are not inflated and that unnecessary stress is not brought upon these practitioners and their patients. So, what’s the difference? Ischaemia would be white and painful and not associated with swelling. If you see swelling develop before your eyes, you may have hit a blood vessel, causing a haematoma / large bruise. It may not look discoloured like a bruise *YET*, but this may just be because the bruising is so deep that you can’t see it through...

Lipstick Lines (Smoker’s lines): A Quick Guide for Practitioners

Lipstick or ‘smoker’s’ lines can be tricky to treat. They are relatively difficult to access because the nose gets in the way, and it’s difficult to get yourself and the patient into a comfortable position so that you can concentrate on the treatment itself AND when you’re finished, initially, the lines may look worse than when you started! So how do you do it? Lipstick line filler gives ok results if done well. It’s tricky. I recommend using strong anaesthetic gel as it’s a tender area. It can also bruise; remember that each time you insert the needle, you cause more trauma. If the lines are below the nose, approach from below if the lines are lateral to the nose, approach from above. Use a max of 0.4 ml for top lip lipstick lines. If you try a treating a line twice and it still hasn’t lifted, it’s probably better to leave it rather than risk giving them a thickened top lip. Avoid injecting into the lip (i.e. Below the vermilion border), to save on causing unnecessary swelling. Mould the area afterwards to limit the lumps that you leave behind. Be aware, and advise the patient before you start, that initially the lines may look WORSE as they will be highlighted by pink / redness, from the injections themselves. Reassure the patient that on covering with their regular makeup regimen the following day, the true effect of treatment will be seen. I use Dermal Revolution (DERM) now for lipstick lines, but again, remember that no-matter what product you use, apply a strong anaesthetic gel liberally before...