Cosmetic filler injection guideline 1. Avoid using large-bore needles. 2. Use blunt cannulas or small-bore needles. 3. Inject epinephrine with the filler to reduce the size of the vessels. Give the epinephrine time to work before completing the full injection. 4. Use smaller syringes, preferably 0.5 to 1 cc, so that less pressure is required on the plunger. 5. Always withdraw before you inject. If the filler is very viscous, you may not be successful with this maneuver. Rheologic customization of the filler before injection may be helpful. 6. Inject slowly, gently, and in small aliquots 7. Never inject in a previously traumatized area (e.g., after recent blunt trauma, blepharoplasty). 8. Know your anatomical plane and depth for each injection. 9. Cease injection immediately if the subject complains of pain or vision loss. Contact an ophthalmologist or oculoplastic colleague immediately and transport the subject to their clinic—not an anonymous referral to a generalized emergency department.
Posted on: Thu, 27 Nov 2014 03:35:30 +0000
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