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Complications
April 7, 2022
How many seconds should you aspirate for when injecting fillers?
Should you aspirate, or not? If you do aspirate, how many seconds of aspiration is safe and effective when you are injecting different dermal fillers?...
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April 4, 2022
Satisfaction is Subjective – A Nurse’s Reflection
Guest Blog This guest blog is provided by an experienced Aesthetics Nurse who shares their unique experience of perceptions of beauty. The article con...
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March 10, 2022
How to avoid 5 parallel arteries when injecting facial filler
Risk is everything in medical aesthetics, learn to assess it every time you inject dermal filler, because the risks can be significant in certain area...
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March 7, 2022
Management of a bruise following an injectable treatment
It is not uncommon to have a bruise after an injectable treatment. In fact, it’s one of the most common side effects, some argue, an adverse event...
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March 3, 2022
Does hyaluronidase dissolve natural tissue and ruin faces?
There are several Facebook groups dedicated to the discussion and support network around the use of hyaluronidase supposedly ‘ruining’ faces. Shou...
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February 17, 2022
Should we stop injecting tear troughs with dermal filler?
Dr Tim Pearce is regularly asked about a video by Dr Gavin Chan from the Victorian Cosmetic Institute in Australia entitled – Why I stopped filling ...
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January 20, 2022
Is injecting filler into tear troughs via the mouth risky?
Dr Kassir, an American facial plastic surgeon went viral recently after uploading a video reel to his Instagram feed in which he was seen using a tech...
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January 13, 2022
Dr Tim’s lessons from vascular occlusion cases seen in 2021
During 2021, Dr Tim Pearce noticed a worrying trend appearing in relation to the worsening severity of cases of vascular occlusions from dermal filler...
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January 6, 2022
Do not inject filler deeply in these 6 danger areas of the face
Every part of the face has an aesthetic indication that leads aesthetic clinicians towards injecting dermal fillers for cosmetic enhancement, but firs...
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December 23, 2021
Are we overdosing with hyaluronidase? Interview with Dr Patrick Treacy
Recent media coverage has reported on the experience of some patients who are claiming side effects from the use of hyaluronidase in medical aesthetic...
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December 9, 2021
Is needle or cannula safer for dermal fillers?
Dr Tim Pearce is frequently asked about the differing risks between using a sharp needle versus a blunt cannula to deliver dermal filler injections. H...
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December 2, 2021
Know your muscle anatomy to avoid side effects from Botox in the lower face
Despite botulinum toxin or Botox® treatments in the lower face being transformative for patients, the complexity of the muscle anatomy means that the...
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November 25, 2021
Does ultrasound provide the evidence to support aspirating with fillers?
To this day, some well-known aesthetic doctors do not recommend aspirating before injecting dermal fillers, they feel that there is a lack of evidence...
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November 18, 2021
Should I buy an ultrasound scanner for my aesthetic clinic?
One of the hottest topics in medical aesthetics in the 2020s has been ultrasound. Dr Tim Pearce has recently bought an ultrasound scanner too, and it ...
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October 28, 2021
Avoid vascular occlusions by understanding 3D lip anatomy
When using dermal fillers in the lips, it is vital to understand the location of the superior and inferior labial arteries to mitigate the risk of cau...
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September 30, 2021
Is retrobulbar hyaluronidase injection the best option for filler blindness?
Picture the scene…You are treating a patient with dermal filler, and they start to lose their sight, right there in front on you. What do you do? Th...
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August 26, 2021
Non-surgical rhinoplasty complication: red nose tip could be pressure necrosis
Non-surgical rhinoplasty procedures which seek to improve the appearance of the nose using dermal filler injections – from disguising a dorsal h...
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August 13, 2021
Eye Anatomy To Prevent Eyelid Ptosis from BOTOX®
Know this and you will avoid eyelid ptosis after Botox treatments Dr Tim Pearce shares essential insights into eye anatomy that can help injectors avo...
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August 12, 2021
8 types of vascular injury that can cause necrosis
A vascular occlusion or VO is caused by a small quantity of dermal filler entering a vessel and interrupting the blood flow. But is it really that sim...
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July 22, 2021
How to avoid causing a vascular occlusion with chin fillers
Traditionally considered as one of the safer areas of the face for cosmetic injections, Dr Tim Pearce explains why he believes that chin augmentation ...
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July 15, 2021
Spotting septum necrosis, severe non-surgical rhinoplasty complication
How do you diagnose a complication from non-surgical rhinoplasty to the nose using dermal fillers when the patient presents with severe pain, but the ...
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July 8, 2021
Saline vs hyaluronidase for dissolving dermal fillers
Can you use saline to dissolve hyaluronic acid based dermal fillers, instead of using hyaluronidase? The ability to reverse hyaluronic acid (HA) based...
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May 13, 2021
Avoid Morphea-Like Lesions – BD Syringe Issue
Aesthetic Clinician Dr Tim Pearce has issued a warning to fellow practitioners about his discovery of a little-known BOTOX® complication which may al...
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April 29, 2021
Delayed onset nodules – how to diagnose & treat after dermal filler
Delayed onset nodules following dermal filler treatment – also known as lesions, or simply just lumps – can strike fear into the hearts of...
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March 25, 2021
Necrosis Case Study – Cheek Filler Complications
Necrosis and vascular occlusion are serious dermal filler complications issues that even confident aesthetic practitioners can worry about. Dr Tim Pea...
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March 13, 2021
3D Injecting – Layering Up Risk Avoidance to Reduce Complications
Steps to reduce your probability of causing an aesthetic complication from Aesthetics Expert, Dr Tim Pearce As aesthetic practitioners, the one thing ...
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February 25, 2021
13-point-plan to reduce the risk of vascular necrosis
Vascular necrosis is arguably the most severe potential complication from dermal fillers. It is something that even the most accomplished practitioner...
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January 7, 2021
What causes brow ptosis?
Eyebrow ptosis is a subjective or objective sense that the forehead skin has dropped and is often associated with loss of an eyebrow arch, particularl...
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October 8, 2020
Vascular Occlusion: how much Hyalase (Hyaluronidase)?
Many aesthetic practitioners may have used Hyalase® (Hyaluronidase) for an elective reversal of a hyaluronic acid-based dermal filler treatment, but ...
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August 18, 2020
Best tried and tested BOTOX® injection patterns and mistakes to avoid
If you are struggling to get good results when treating patients with botulinum toxin or BOTOX® injections, particularly in the forehead, then you ha...
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