Wednesday, July 16, 2014

Tips for Handling Filler Issues From Clients

As is true of any medical treatment, there is a risk when you use a dermatological treatment on a patient.  However, in the case of aesthetic medicine, the complaint is usually about the aesthetic effects of the dermal treatment on the face. Fortunately most complaints are resolved by the passage of time, which suits all but the most impatient of customers.

Common Complaints From Patients Post-Treatment

After administering dermal filler to your patient, he or she may come back to you with any of the following very complaints:

  • Bruises that last for weeks
  • Asymmetry (a lopsided or crooked look opt the face
  • Puffy looking overfilled areas
  • A lumpy or bumpy service

A serious consequence is a blocked blood vessel but the occurrence of this type of result is very rare. The symptom is a blotchy or red rash that extends out from the dermal filler. This needs to be treated immediately to avoid scarring.

Yet another common complaint is that the patient might feel that he or she does not look any different than before.

Avoiding Common Dermal Injection Mistakes

Eating pineapple helps with bruising.
Too much bruising can occur for reasons beyond the practitioner’s control. To avoid this as a result recommend that your client avoid aspirin, Aleve and Ibuprofen for 1 week prior to treatment. They should also avoid drinking alcohol, eating garlic and taking Vitamin E as these are all substances that thin the blood. The thinner the blood is, the more likely your skin is to bruise!

To avoid bruising advice your patient to take Arnica orally and eat pineapple two to three times a day. Pineapple is a natural anti-inflammatory.

Lopsided results are often a side effect of the treatment. While it is normal to have some asymmetry to the face, dermal fillers can exaggerate this. Many patients who complain of asymmetry do not realize that their face is swollen and that the effect may not be permanent.  Usually what looks like an over-injection disappears in a week to ten days.

If the lopsided effect to the work is still there after a week, then it may be necessary for you to balance the effect out by using a bit more filler on the side that has less volume. You also might consider using an enzyme like hyluronadase to reduce the fullness.

Lumps or bumps under the filler are actually small bruises and like lopsided looks, they usually go away in ten days. If they don’t then hyluronadase can also be injected to smooth them out.

For more information about how to properly inject dermal fillers and related aesthetic procedures contact The Pinewood Institute for the Advancement of Natural Medicine. On our website we offer educational opportunities in this area of cosmetic medicine 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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