Saturday, July 26, 2014

The Safe Practice of Dermal Fillers

Dermal fillers are popular cosmetic additions to your practice and you will find that your patients are very enthusiastic about this new modality you are adding to your office. However, there are some things that you need to be vigilante about if you are going to run a successful practice. Here is a look at some of the safeguards that you should be aware of before you begin injections.

Pre-Procedure Care

First of, make sure that you have a thorough understanding of how the skin ages and understand that this is not a uniform process in some people.  Treat the skin in sections as needed and do not fix what is not broken.

Avoid antcoagulants like Aspirin  
Secondly, familiarize yourself with the fillers that are available to you. Make sure that your clients are aware of all of the different options you can offer them. Know what is in them, whether or not they are monophasic or biphasic in nature and the length of their shelf life.

 It is also crucial that you make sure that you are using the right kind of filler on the right area of the face. This is something that is thoroughly covered in the Dermal Filler course at the Pinewood Natural Health Institute.

Make sure you are well practiced and know how to handle a needle. In the Pinewood Natural Institute courses, we practice dermal fillers on human subjects so that you are not confronting your first patient without any experience.

Make sure that your procurement of fillers is from a legitimate source as there is no quality control on black market products.

Assessing the Patient

You should never skip getting to know your patient.  If you think a patient has unrealistic expectations then there will be no satisfying them no matter how great your work is. Make sure that they are all right with the idea of having the fillers administered using topical anaesthesia.

Be very aware of the medical history of your patient and make sure that they are not hypersensitive to certain substances.  Warn them about the use of aspirin and other anticoagulants before they get the shots as this can cause excessive bleeding.

Part of assessing the patient is an evaluation of the goals of the patient and then your evaluation of what is needed to accomplish this and what is possible. Be sure to ask the patient if they want to restore their looks to a previous appearance or if they would like a new look. 

Make sure that when you examine the patient that he or she is sitting up right. When people lie down the force of gravity pulls the tissue back and alters the position of the wrinkles or grooves. It is also important to identify areas of the face that are naturally asymmetrical or lopsided.  Be sure to point these features out to the patient so that they are aware that it is not your procedure that has made their face crooked. Many people are not really aware that their visages are naturally lopsided or uneven.

It is then your responsibility to choose the appreciate filler for your patient depending on whether or not you desire longevity, permanence or non-allergenic options.

For more information about dermal filler training and about The Pinewood Institute for the Advancement of Natural Medicine courses including course outlines, detailed descriptions of courses and information about upcoming training sessions, please go  You can also send us an email using our email form at or call us at 416-656-8100. If you prefer to fax the number is 416-656-8107.

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