hi i'm dr john thanks for joining me
today for raji's quick clip
i wanted to make you aware of a problem
sometimes you're seeing with
fillers now particularly cheek fillers
that i've seen it in but i'm sure it
applies to fillers
in the lower face and i showed you a pic
in the cover slide
of what it is i'll show you in the
upcoming video and we're going to talk
about a side effect that's happening
also most importantly how you can
prevent it and why
this occurred with filler and what was
done to make it better
thanks for joining me for raji's quick
clip we're getting started
in you guessed it three seconds
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the one
we're talking today i have playlists so
for those interested in say
threads there's a whole playlist on
threads that you can watch
and there's many questions that you
might have about them so before you get
them
or if you're just researching you can
see everything about threads or fillers
or skin treatments whatever you want so
use those playlists
they're great way to roll through all
the videos so this
side effect as you see here from this
picture
is in the facial region in the cheek
area
and it needed to be incised and drained
it was an infection that came
after cheek filler i think one of the
most important things to understand
because we talk here about pillars
we have home gamers who want to fill
themselves at home
hopefully not other people or their
friends as well but just
understanding this is complex and the
choice of
filler the cleanliness of the procedure
uh the realness of the filler in other
words using
the real product and not a knockoff or a
fake product
as much as people say on websites as you
can imagine
in this world uh with the the worldwide
net
oh yeah we have all the fillers dermal
fillers a third of the price and you're
seeing them
order them online authentic of course
they're going to say they're authentic
understand this i'll call them fake
products in general just so you uh
one term you can call them knockoffs you
can call them
some of them are real product from the
real factory sold through other
countries
you'll never know necessarily they might
tell you that
and some of them are just fake or what i
mean by that
is nothing to do with what you think
you're getting okay they're just
hyaluronic acid is the typical one that
and that was the cause of the problem in
this case but that's the typical one
that people order because you can
dissolve it
that product when it's fake and and
everything looks good the packaging
looks good but but
the company or the fda is concerned
sometimes they can't tell by the
packaging
or feeling the product or seeing it with
the naked eye it has to go
to the factory where it was made the
head company
they dissect it apart look under the
microscope look at what it's made of
in that amount of detail before they
know it's not
real or legit so there's no way for
people to know what they're getting
remember you're putting something in
your body so
it's not just knowing your anatomy or
putting it and this isn't to scare you i
really
personally don't care what people do if
you want to inject yourself at home or
that's what you do it floats your boat
you feel safe with that it's
as long as i you shouldn't be injecting
other people
or putting other people at harm if it's
something you want to do you make that
decision
but i people also do not understand
uh some of the dangers that come with it
and certainly having hyaluronics or
dissolver for these problems help
but in this case this was an infection
it cultured out a staphylococcus
a fairly common one it was i believe it
wasn't resistant or mrsa
if i recall but this was an infection
from a filler and it was on the cheek
area done with a needle
technique and when there's an infection
there's a collection of pipes you've got
to open it up and put a drain in
sometimes which is what was done here
not great i've uh had it from an injury
down here and i still have the scar and
i hit it with
injectable micro uh radial frequency
once in a while
as i age it gets worse so i have to put
a little bit of filler a little radio
frequency
but a scar here unless you have those
things available to you
that can be seen for a period of time
maybe forever
so it's something you want to avoid why
did this occur
and that's the interesting part of this
case we believe
it was from face mask wearing of course
now a lot of people wearing face masks
um whether it was unclean or not it was
a reused face
mask meaning you know people wear them
they might have their own face mask
and maybe have you ever cleaned yours i
mean you may have you may have made one
or have like i what do i see they look
like almost neoprene
different materials people might i think
wear them for weeks
do they throw them in the washer if
they're not disposable are we cleaning
them
in this case it was one of those that
wasn't clean
a reusable um at home it wasn't an n95
or something that people
uh get at a clinic it wasn't a medical
professional it was
it was one that was reusable that they
purchased online
but the point is i we believe that it's
from
reuse of course germs get on it and you
know just
kids getting acne from touching their
face all the time imagine that mask
all the things it's exposed to from your
skin
we all have bacteria on our skin doesn't
mean the person's dirty
but just by using the same mask over and
over there were bacteria it got into
where the filler was
now when we're doing thread trainings
for instance or i'm putting threads in
um and we're training people we're using
18 gauge strands we put a thread in
and we look and we sit the patient up it
might be because it's slower than just
in my own clinic i'm pretty fast
when a trainee's working we might be
slow talking
and 45 minutes an hour later we go we're
going to add another thread
we go in the same opening a lot of times
it's available
it hasn't closed up so understand you
get a procedure done you put a mask on
you leave
that opening depending on the size of
the candle and how much it was
manipulated
could be open for many hours and
certainly the infection potential would
be a few days
there that's pretty common for an
area that's healing to be able to have
bacteria enter once it's healed
obviously the intact skin is a lot less
likely to get infection
but i wanted to be people to be aware of
a know what's going in your face
know who's putting it in understand post
care is
very important and the care of your
filler over time
keep it clean follow your post care
instructions given by your provider
and be very careful about these face
masks because
if you're getting fillers done i tell
people obviously when you're alone you
don't need a face mask
when you're around your family where
you're exposed it's mainly when you're
out in public maybe
reduce the need for putting yourself in
situations where
you need to wear a mask and if you do
make sure it's clean
and keep in mind where you get the
fillers if you're getting them in the
temple the high cheek
often the masks aren't there but lower
face would be
an issue the mouth is dirty as it is
there's a lot of bacteria
in the mouth it's more along the cheek
the nasal folds the edge of the mouth
um that bacteria from the mask would
probably be exposed and the mucous
membrane
heals a lot quicker so there you go
let me know about side effects subscribe
let me know in the comments what have
you seen if you had side effects from
fillers
what do you think of this case any
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