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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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 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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Award Winning Doctor at The Treatment Rooms London

award winning doctor

Dr Hany Abi Ghosn, affiliate Doctor and Consultant at The Treatment Rooms is the 2018 Winner of Europe’s Best Medical Aesthetics Doctor Award

Presented by the European Medical Association, Dr Hany received the 2018 Rose of Paracelsus for his achievements as a Medical Aesthetics Doctor.

World Renowned for his work in advanced facial aesthetics using minimally invasive methods such as PDO Thread Lifts, Dr Hany has worked tirelessly to bring the “magic of aesthetic medicine” to patients across Europe. He has actively championed teaching courses in London, honing their course material, ensuring participating candidates are proficient and confident when treating patients.

The Treatment Rooms is proud to be Dr Hany’s London home and has seen the great benefit patients receive when they are in his hands. Being a Medical Aesthetics Doctor for the last 15 years has meant Dr Hany is highly sought after for his dedicated work. He has pioneered facial harmonisation, whereby subtlety in treatment is combined with natural beauty. He is fully deserving of the title Best European Medical Aesthetics Doctor of 2018!

If you would like to book in to see Dr Hany at The Treatment Rooms, please contact us by filling out the form below, clicking here or on the WhatsApp icon to start a conversation.

 

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