hi I'm dr. Johnny our facial fillers
safe great question let's talk about it
this is a Raji's quick clip ask your
questions here in the comments maybe
I'll get to it I try and get to them all
I have a list we'll pick it off over
time but it's a wonderful question
let's talk today about the safety of
dermal fillers
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cinder mille fillers and safety we
talked about dermal fillers there's many
different types most people refer to
hyaluronic acid fillers they're made of
hyaluronic acid which is cross-linked so
it doesn't degrade quickly the less
common ones will be permanent ones like
PMMA or bella fill and then really bio
stimulators people still call them
fillers would be like
Sculptra or radius they still refer to
those as fillers they come in get how am
i filler they're really bio stimulators
somewhere in liquid calcium of courses
calcium in carboxymethyl cellulose
irregardless what we'll talk about
relative safety the things that are
common would be like bruising lumpiness
bumpiness not liking the result pain at
the injection site while those are
side-effects they're almost to be
expected side-effects and that's not the
most dangerous thing we're worried about
people who are educated on them worried
about two more rare very rare thankfully
problems but because aesthetic services
are optional it's not something you have
to have done when you talk about safety
Safety's relative coming here today
drove a car a lot of people would say
the risk of the two problems
particularly blindness we'll start with
the worst is about less than the chance
of getting into a bad car accident
what is that one in ten thousand to one
in a hundred thousands what you're going
to hear and that's per syringe injected
so and of ten thousand syringes injected
it could happen once one in 100,000 more
towards that would be an accepted number
but understand that when you talk about
blindness a lot of the data is also with
fact and hyaluronic acid fillers and it
can occur with other in
ejected products that are not fillers
such as steroids and stuff but in
general that one in 10,000 the one and a
hundred thousand will be the number you
hear floated around and then it becomes
relative risk because there are things
that are people that people are doing
that are way more riskier than their
fillers but it's in the mind of the
person getting it done because
aesthetics are optional they came in to
have something done that maybe society
their spouse their friends would
consider unnecessary maybe they're even
chastised for getting that something
like that done and a lot of people can
feel like that getting something like
that is vain or there's other emotional
ties to that and when something bad
happens it doesn't sit well of course
but that would be blindness the next is
saying the closest and that's when
there's a death of skin or a death of
tissue due to lack of blood supply
because the filler stopped the blood
supply or occluded the arterial vessel
that carries oxygen they can often be
reversed with hyaluronic acids as can
blindness there's data on that a whole
nother topic but they need to be
recognized and sometimes are not
recognized for a day two three or four
and it's often too late
and it's all about of course saving
tissue just like anything else that
stops blood supply that risk it's hard
to quantify again more common for sure
than blindness and it's gonna depend on
the method that was that was injected
it's thought that cannulas are safer
however there's no good study on that
certainly technique there are people let
do in injections I don't say better than
others but with a safer technique let's
put it that way to be kind and then
there's just bad luck and it's a numbers
game if you do enough injections as a
provider you are going to see
side-effects
so the aforementioned ones like bruising
like pain like nodules like
irregularities not liking it those are
normal things we don't consider while
they're side-effect
they're more bothering issues more
dangerous will be the other two that
we're talking about there are other
things that can happen but just remember
do your homework go to a provider who's
continually educating who cares about
your outcome and when you get a consult
you're gonna get a feel are you in a
good place
do they care do you identify I have a
whole video on to how to choose your
injector so watch that video stay safe
it's all relative and get a great
consult to make sure you get the results
you want in the manner that you want
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