what can go wrong with dermal fillers hi
I'm dr. Johnny not everything is perfect
with dermal fillers let's see what can
go wrong okay so it's all the crazy
everyone's getting fillers thousands are
done every day in this country a lot of
Instagram social media shows all the
glory and the beautiful results and the
best before-and-afters it exists it's
not all that way and things can go wrong
I'm gonna go through four not so bad
things and then I'm gonna go through at
the end of the video for bad things so
let's start with the not so bad number
one redness swelling bruising a bit of
irritation those are all things you
should pretty much expect number two and
this you might think is a good thing but
it can be something not so good either
number two is they ended up liking it so
what happens is they want more and when
they want more sometimes they want more
and more when you get these products
people get attention whether it's lip
filler or a high cheek or rejuvenation
or glow
it creates attention and people can like
it to the point where they get too much
done the next one is number three it
doesn't last for a lot of people not
lasting is certainly not enough doing
enough product it's also getting used to
the product that they've had because
when people think of a result in their
mind they they have an idea that they're
trying to convey to the provider and
that congruence is really important that
they understand each other but a lot of
times they might think it just doesn't
last long enough for what they spent so
long Gemma t ends up being a problem of
the fillers number four they just don't
like it they don't like the result they
don't like having this product in their
face they don't like the feel they don't
like the reaction from other people
there's a lot of emotion involved in
these treatments it's emotionally
charged
and you're changing the way you look
it's not something you hide it's not a
body parts not losing weight it's not
breasts or buttock implants it's
something that everyone sees every day
no matter what you can't hide it or mask
it so let's go to the not-so-good
problems the first one is we all dread
vascular occlusion and that's by putting
product in or swelling around a vessel I
believe it can happen both ways the
latter is a little controversial but I
really believe it happens 70 to 90
percent of providers would think that
you can get an external compression as
well some don't either way stopping
blood flow to an area is never good it's
the same thing for a stroke it's the
same thing for a heart attack lack of
blood supply same thing can happen in
the face and you can lose a part of the
tissue I did a video on vascular
occlusion a whole video on it and I'll
post a link in the description below so
you can watch that video for a more
complete scenario of what that looks
like and what it is number two
delayed onset nodules now this is a very
big topic you could do a 20 minute
discussion and that still wouldn't be
enough but essentially the products in
there everything's going great and then
for one of many reasons at one month to
eight months is typical all of a sudden
the the filler swells and the body
reacts to it and no one knows the exact
etiology this is debated that's why a
lot of times people like dissolvable
fillers because it gives you one Avenue
of getting rid of that problem it's not
the total answer because it can take a
little bit more than just dissolving but
delayed onset nodules where the filler
and the body react after it's in place
number three would be granuloma seen
especially with longer term products
it's when the body just says I don't
like it and attacks it and it's one of
the reasons that things like calcium
hydroxyl apatite Sculptra or bellyful
the longest term products on the market
the latter to our 50 microns are less in
size and that's kind of the magic number
particle sizes that are larger than 50
microns the body wants to get rid of it
imagine if you have a step on a needle
or a wood splinter you know would
splinter what does the body do has to
extract it and get rid of it it can do
that to fillers and that's called a
granuloma that's different from delayed
onset nodules but it's something that
happens and it has a whole treatment
regimen and it's not good when it
happens we don't like that the fourth
one is nodules now I'm not talking about
just like a lip filler nodule that came
up
you can dissolve that and get rid of it
I'm talking about clumping a product
such as plla such as PMMA and sometimes
you get it with hyaluronic acid products
where the product just sticks together
and forms a nodule lump or bump this is
more easily treated than the first three
problems but people sometimes don't like
to feel a lump bump or irregular area
even though they might not see it they
might feel it and a lot of times we just
let that be so a nodule would be
different and also with the nodule
there's no inflammatory reaction the
body's not attacking and non-dual it's
simply too much product in one area so I
hope that helps there's things that can
go wrong with fillers it's not all the
glory that it seems to be on social
media and Instagram and even here on
YouTube the whole thing is a process
it's getting to know your provider it's
working with them over time to create
the look that's best for you that's
gradual and natural hopefully so thanks
for joining me pop over to Instagram
with great discussions over there stay
tuned subscribe to this YouTube channel
let us know your thoughts below in the
comment section keep your skin and body
beautiful healthy vibrant
[Music]
you