Dermal Fillers and Botox- What Can Go Wrong?

beautician dermal fillers

Beautician Dermal Fillers and Botox®- what can go wrong by having them done by a beauty therapist? There has been a major story circulating in the media recently. A young lady, (Rachel Knappier), had her lip fillers treatment by a beautician in a “Botox® party” and the result was horrifying, (1).

Her lips ballooned up, became painful and her beautician could not manage the problem. It was clear the beautician panicked, advising Rachel to go immediately to A&E. The NHS doesn’t dissolve dermal fillers so the patient ended up having her lips fixed in a clinic like The Treatment Rooms London.

So what went wrong?

  • Going to a Botox® Party is not the best environment for treatment
  • Rachel Knappier should have been given time out to think about lip filler treatment
  • The beautician had no clear management plan for the lip filler complication

Going to a Botox® Party- a bad idea

Going to a “Botox® Party” is NOT a good idea (2). Having Botox® injections or Dermal fillers isn’t like going to get your nails done. Both are medical treatments that should be carried out in a clean environment- ideally in a clinical room. Having Botox® with a group of friends in an unclean environment opens the door for potential complications like infection.

Time to think

Secondly, it seems the Rachel Knappier decided to undergo lip fillers without taking any time to think about the procedure. Having any dermal filler treatment is a considered decision and you must be able to take time to reflect on treatment before choosing to have it (3). This is in line with professional guidance from renowned bodies like the GMC and JCCP.

Could the complication be managed better?

The lip filler complication was likely a result of the beautician incorrectly injecting and placing the filler into Rachel’s lips. Together with a potentially dirty room Rachel risked suffering an infection too. She needed her lip fillers dissolved as the filler was likely pressing on nearby veins and arteries causing her lips to become swollen and painful (4).

The management of the dermal filler complication should have been dealt with by the original beautician instead of sending the patient to A&E following a virtual conversation. Using hyaluronidase, the lip filler can be dissolved quickly resolving her swollen lips (4,5,6,7).

lips

A worse case scenario

At The Treatment Rooms London we worry if something far more dangerous could have happened, for example the patient losing her eyesight. Would the beautician know how to manage these symptoms and prevent blindness? Simply referring to A&E is often not the best course of action as patients who do have visual problems need to go to the nearest Eye Casualty Unit without delay. If you needed to the nearest eye casualty then please click here to find the nearest one to you.

Should beauticians be injecting Botox or Dermal fillers?

This has been hotly debated in the media and government over the last 5 years. A government review by Professor Sir Bruce Keogh, of cosmetic treatments like Botox® and Dermal fillers suggested that there needs to be more regulation and accountability (8). The industry needed a set of standards and training so those who provided Botox® or Dermal fillers practised safely and also knew how to manage complications. This included the suggestion that there should be a professional body that can help oversee practitioners- the Joint Council for Cosmetic Practitioners (JCCP). The JCCP has now been set up and beauticians have been dropped from registering on the JCCP, with the register reserved only for healthcare professionals like Doctors, Dentists and Nurses, (9,10).

At The Treatment Rooms London we welcome more regulation for cosmetic injectables. Practitioners need to promote good practice of providing treatments safely. As with any medical procedure, things can go wrong and there can be complications. This also applies to patients having dermal fillers or Botox®. If beauticians have not been trained in managing complications and knowing emergency medical protocols, then ultimately their patients are at risk (11). However, it is important to note that this should also apply to all healthcare professionals too. Keeping up with the latest in techniques, and treatments is important as it helps keep all patients safe.

So what should you expect before having Botox® or Dermal Fillers?

If you go to a safe, regulated clinic then you should expect the following:

  • A qualified and licensed Doctor providing you a full medical consultation. Assessing your concerns and expectations before treatment.
  • A clean, sterile clinical room.
  • A consent form you read and sign explaining the procedure and any risks
  • Price- the price for Botox® treatment can range from £150-£300, Dermal fillers tend to be priced between £250-£350 per ml that is used. Anything less and you should be wondering how they have cut corners.
  • Take your time to ask any questions- if you needed information on which questions to ask read this blog and it will give you a good base to start from.

lip filler london

If you are interested in knowing more about facial aesthetic treatments, then please contact us by clicking here to book a no obligation consultation. Our Doctors would love to see you in clinic.

References

(1) https://www.bbc.co.uk/news/uk-england-leicestershire-46434480

(2) https://www.bbc.co.uk/news/uk-england-35709989

(3) https://www.jccp.org.uk/PractitionersAndClinics/jccp-cpsa-code-of-practice

(4) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840246/

(5) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174919/

(6) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865975/

(7) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689510/

(8) https://www.gov.uk/government/publications/review-of-the-regulation-of-cosmetic-interventions

(9) https://www.jccp.org.uk/NewsEvent/changes-to-the-practitioner-register

(10) https://www.bbc.co.uk/news/health-45118023

(11) https://www.bbc.co.uk/news/health-21228118

(12) https://www.bbc.co.uk/bbcthree/article/075551b0-d866-45db-ab6a-149ce182d741

(13) https://www.jccp.org.uk/ckfinder/userfiles/files/JCCP%20Press%20Release%2013%20-%20JCCP%20Practitioner%20Register%20DS%2022%2013.pdf

(14) https://www.gmc-uk.org/

(15) https://www.jccp.org.uk/Home

 

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Katie Price’s Face Thread Lift

kate price beautiful

Katie Price’s face thread lift has been a hot topic recently. Having already used Botox® and Dermal Fillers to help rejuvenate her face, she was looking for a better result and she chose to have thread lift treatment. At The Treatment Rooms in London we have already written about what you should be considering when looking to have a thread lift. And in this blog we wanted to expand on the potential treatments that can be provided when you look to rejuvenate your face. We also reflect on how Katie Price has responded to treatments so far.

If you are looking for facial rejuvenation or a face lift, The Treatment Rooms’ Doctors are able to guide you through the different ways of achieving this. Together with simple skin care regimens all the way up to non-invasive methods of achieving a refreshed look we will make sure you are fully informed on all treatments available to you.

At The Treatment Rooms, our Aesthetic Doctors are able to achieve rejuvenation using Botox®, Dermal Fillers or Thread lifts. They can be used in isolation or in combination.

What is the difference between Botox®, Dermal Fillers and Thread Lifts?

Using Botox® we can perform a mini upper face and neck lift. Using dermal fillers strategically placed in the face we can achieve a subtle, natural face lift. With PDO threads we are able to pull up skin and fat tissue to treat areas of sagging. Together they can make a powerful trio of treatments!

Each treatment can have amazing results but they need to be chosen carefully to suit your needs. Botox® and Dermal fillers can only give you a certain amount of a lift which lasts 6- 12 months. If your face has aged significantly, perhaps these treatments won’t quite meet your expectations. On the other hand, for those looking for a subtle lift, they work very well!

So when should you consider a thread lift?

before and after jowl lift using pdo threads
Jawline contouring using PDO threads

A thread lift is great at pulling up sagging skin and fat. If your jawline has lost its shape and contour from a sagging jowl then a thread lift can help redefine your jaw. Other areas of the face that can be lifted include your eyebrows and cheeks.

Katie Price’s face thread lift aimed to create a similar lift. Using a rule of thumb, a PDO thread lift is able to achieve around 1cm lift in skin and tissue. If you wanted less then your Doctor can tailor your treatment. If you wanted more lift, PDO threads in combination with dermal filler can work well. Should you decide you wanted a drastic face lift then a surgical face lift may be the option for you. However be warned, the downtime can be long with a surgical face lift.

When should you not consider a thread lift?

You should always talk with your Doctor or thread lift specialist prior to having the treatment. If you haven’t had your questions answered then think twice about proceeding with a thread lift. Our Doctors at The Treatment Rooms make sure they go through all your questions thoroughly before planning treatment. Taking time out to think about the procedure is also important as it gives you space to reflect on whether a thread lift is in your best interests. Katie Price has, by her admission, had a number of cosmetic surgeries and continues to strive for more. At The Treatment Rooms, we are hoping she fully considers the available treatments on offer to her and weighs up the pros and cons of each with her Doctors.

Our advice

If you wanted accurate advice on what can be achieved with a face lift and whether it is the right procedure for you- book in to see a Doctor. Our Medical Aesthetic Doctors at The Treatment Rooms London are happy to see and assess your concerns. Click here to contact us today!

References

https://www.deccanherald.com/living/age-just-number-705026.html

https://www.newbeauty.com/blog/dailybeauty/12578-facelift-alternatives/

https://www.daijiworld.com/news/newsDisplay.aspx?newsID=542243

https://www.dailymail.co.uk/tvshowbiz/article-6448849/Katie-Price-reveals-wants-facelift-Christmas-amid-bankruptcy-woes.html

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Dermal Fillers in Putney and Harley Street

Dermal filler treatments

Since its opening, The Treatment Rooms London has been providing Dermal Fillers in Putney and Harley Street giving patients the latest in facial harmonisation and rejuvenation. An increasing number of patients are asking about fillers, so we wanted to write a blog about what Dermal Fillers are and how they can be used by our Doctors to roll back the years of ageing.

What are dermal fillers?

A dermal filler is a treatment that uses hyaluronic acid (a naturally occurring ingredient in the skin) to restore volume & shape to certain areas of the face. However, our Surgeons use careful knowledge of a patient’s facial anatomy to avoid danger zones for when injecting dermal filler. Together with advanced techniques our Doctors take every step to make sure the treatment is as safe as possible.

What does dermal mean?

Your skin is made up of 3 main layers. The second layer is called the dermis. This contains collagen, elastin and hyaluronic acid- the three main ingredients to give you plump, hydrated and healthy skin.

skin layers dermal filler

In young skin, collagen, elastin and hyaluronic acid create a supporting structure for healthy young skin as shown in the diagram above. As you age age, collagen, elastin and hyaluronic acid all break down. As the underlying structure is lost, your skin surface starts to sag whilst also becoming dry and wrinkly.

This process can be reversed by replenishing the dermis with hyaluronic acid in the form of filler, hence the name “dermal filler”. The filler over time also stimulates fibroblasts to produce elastin and collagen. These are both integral to youthful skin- so the beneficial effects actually last longer than you think!

Are dermal fillers permanent?

As hyaluronic acid is a naturally occurring substance in your skin, your body breaks down the dermal filler over time. This means you won’t have permanent results-  making it a safer treatment. If you wanted the filler to be gone sooner we can even dissolve the filler, so you won’t be stuck with an outcome you are not happy with.

Some permanent dermal fillers do exist, but these are used far less now given the risk of complications and the potential of being left with a result you are not happy with!

What is the latest in dermal fillers?

As a leading clinic, The Treatment Rooms London always looks to deliver the very latest in injectable treatments. Thee way we use dermal fillers has changed.

In youth, similar to the diagram above, we have bones and deep fat pads which give our skin a strong structure. As you age, some of these bones change shape and the deep fat pads dissolve away (2). This makes the skin overlying the bone and fat start to sag. The new philosophy of advanced facial rejuvenation, is to replace these structures using a volumising dermal filler injected below the dermal layer. Using good quality dermal fillers allows you to create a profound lifting effect from the top of the face. This also reduces facial wrinkles downstream in the lower part of the face.

lady midcheek dermal filler before and after picture
Dermal Fillers to the mid-cheek to lift and rejuvenate this lady’s appearance

In the dermal filler before and after photo above, the lady had lost volume in her cheeks due to the ageing process effecting her cheek bones and deep fat pads. Her main worry was looking tired even though she was well rested. By using dermal filler we have helped to restructure the cheek bone and replace volume in her cheek fat pad. As you will see, this has helped to give her more shape and colour in her cheeks as well as reduce the appearance of her nose-mouth lines. In general, she looks less tired, fresher and more rejuvenated.

Am I suitable for dermal fillers?

There are some reasons why you should not have dermal fillers for example if you are pregnant or breast feeding. Importantly you should explore all your concerns and what you would like to achieve by having dermal fillers with your Doctor. This is the only way of finding out if you are suitable for dermal filler treatment.

If you haven’t read our previous blog around Botox® and dermal fillers being provided in Superdrug  please consider 4 points before undergoing the procedure.

  1. Understand what Botox® and Dermal Fillers are
  2. Find out who is going to perform the procedure
  3. Plan your treatment goals with your practitioner
  4. Take time out to think about the treatment before saying “yes!”

You can read more about these considerations by clicking here.

At The Treatment Rooms London our Doctors would welcome you to come and have a consultation around the ageing process. That way you can prepare for the future by taking steps to address any concerns now.

If you would like to find out more, book a free consultation with one of our Aesthetic Doctors  or simply start a WhatsApp conversation by clicking the Whatsapp Icon.

References

(1) https://www.webmd.com/skin-problems-and-treatments/picture-of-the-skin#1

(2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404279/

(3) https://www.nhs.uk/conditions/cosmetic-treatments/dermal-fillers/

(4) https://www.aad.org/public/kids/skin/the-layers-of-your-skin

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The Treatment Rooms London: A new cosmetic clinic in the heart of Putney

hair transplant surgeons Dr Fernando and Dr Vara

Welcome to The Treatment Rooms (TTR)! We are delighted to release our first blog post on our brand-new website, we hope you like it…

TTR is a doctor-led cosmetic clinic specialised in providing personalised care and service to all of our clients. The clinic was established by us- Dr Dilan Fernando and Dr Roshan Vara, we are proud to have created TTR in alignment with our own passion and belief for how aesthetic medicine should be delivered.

Personal motivation

Last year, one of our closest friends underwent an FUE hair transplant procedure. Despite having some level of success from the treatment, he explained how his experience was made negative by the service offered before, during and after the procedure. We found it disheartening to hear about small but common pitfalls which overall left our friend feeling dissatisfied with his experience. This inspired us to create a clinic which truly embraced our philosophy as doctors, where clients are at the centre of their own care.

Local contribution

We have an ambition to establish a leading UK clinic here in the heart of Putney. The choice of location is not random. We have both grown up in South West London from a young age and over time we have gained a close attachment to the local community, one that we hope to service for years to come. We know that within London, there is a drive for health, beauty and well-being. We believe that TTR can play an important role in local people’s lives, with our positive mantra we want to be part of what makes individuals feel great.

Personalised care

We understand each person has their own aesthetic journey, our aim is to support you and make it a positive experience. Whether you are at the start of that journey, or at a stage where you have done your research, we welcome you to book a free consultation with us so we can guide you from there. We offer a service with high attention to detail and we take extra care to ensure you are happy with your treatment plan, placing great importance in following you up to ensure you are satisfied with your results.

Latest and safest treatments

And so, we have made a conscientious effort to provide the latest and safest treatments in cosmetic care. You can trust our doctors to deliver you an extensive service, from the best results with anti-wrinkle and dermal filler injections, to boosting your confidence with our hair loss treatments. We hope to leave you confident in your skin, body, hair and health, all with the personal touch of TTR.

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