Who best practices for injections and related procedures. Tapan has been practising medicine for almost 20 years and has specialised in cosmetic dermatology for over 15 years. This injection technique is used especially in quadrant surgery or when extensive treatment is indicated for a single appointment. There are different essential and recognized techniques used for injecting dermal fillers to model facial contours and volumes and to fill wrinkles and folds.
We have been using fillers as volume enhancers for the last 10 years, with slight modifications of the injection technique according to the evolution of anatomical knowledge and the basic science of filler rheology, and report our experience here. The choice of injection technique together with the right needle length can avoid injection into the muscle. A new classification of lip zones to customize injectable. Excluding the eye, the dermis is the most sensitive. The site serves javascript that exploits vulnerabilities in ie, realplayer, qq instant messenger. Filler injection basics injection technique emastr. The use of injectables, known as dermal fillers, is becoming ever more popular in aesthetic medicine. Brief overview mesotherapy is an injection and treatment technique used in general medicine for a multitude of medical conditions. This is a useful introduction for physicians beginning to use neurotoxins and fillers. Jul 12, 2009 basic injection techniques for fillers. Choose this site if are injecting to yourself, or if a caregiver gives you the injection. The intramuscular route allows the rapid absorption of drugs into the circulation. Although most minor early complications can be avoided with proper injection technique and filler selection, even the most seasoned injector can induce bruising and swelling, which a patient may consider socially embarrassing. Hyaluronic acid ha fillers have become the most popular tool for wrinkle treatment.
Hyaluronic acid fillers tend to be the most temporary option, and therefore are often recommended for firsttime filler patients. From this meeting a consensus was reached to establish the international injection technique recommendations. Integrating cannulas into your filler practice the. To ensure you are getting your insulin where it needs to go, to be properly absorbed, ask a health care professional to help determine the injection sites and technique that would be best for you.
After the confirmation of an absence of major blood vessels, single point injection was performed on both cheek using either sharp needle or microcannula, depending on the preference of the subjects figure 3. See injection techniques for dermal fillers march 6th, 2009. Good injection technique can mean the difference between less pain and injury. Knowledge injection techniques injection techniques. The bolus technique is ideal for the treatment of single compartments because it ensures anatomical precision of injection without dispersal in other locations. Syringe used is 1ml tuberculin syringe because of a very small amount of drug. Studying dermal filler injection techniques for bovine collagen gel suspended polymethylmethacrylate microspheres or bellafill art and a hyaluronic acid filler, restylane lyft per l, using both microcannulas and a dilution of lidocaine with. Injectable fillers guide american board of cosmetic surgery. Introduction dermal fillers are substances used in soft tissue augmentation to enhance or replace volume that is lost in any part of the skin or subcutaneous fat. Recent trend in the choice of fillers and injection. The first and second editions of the fit recommendations have been shared with over 30,000. To obtain a rotation of the lip, the hydrogel has to be injected over the muscle. Cosmetic injection techniques pdf free pdf epub medical.
See intradermal injection, intramuscular injection, intrathecal injection, intravenous injection, subcutaneous injection, and other specific injection techniques. A linear threading technique is done for volume augmentation and a microdroplet technique is used very rarely when one has to inject near the submucosal area. With recognition of the value of volume enhancement in achieving a more youthful appearance, there has been concomitant explosion in the soft tissue filler market. Injections to the lips will wear out a little faster than those to the nasolabial folds. This booklet is intended to educate healthcare workers with information on how to prepare and. Diabetes care in the uk fit uk forum for injection technique uk.
Who library cataloguinginpublication data who best practices for injections and related procedures toolkit. Full text a 10point plan for avoiding hyaluronic acid. Beverly hills boardcertified facial plastic surgeon dr. The physicians coalition for injectable safety has developed a new program, safety with injectables to provide a framework for patient safety with injectables. A thorough understanding of the facial vascular anatomy and a good injection technique. Injection techniques injections should be given with the needle bevel tip up and oriented away from the eye1 inject 4 units0. This article is available as html full text and pdf. Post injection care depends on joint injected but generally avoid new activity for 2 weeks if post injection flare simple analgesics no point injecting if patients will not do their exercises can be repeated at 6 weeks looking for a 50% benefit for successful injection.
See injection techniques for dermal fillers woodbury clinic. What follows is my description of a new classification of 15 anatomical lip zones that i use to direct placement of injectable fillers and to improve my ability to customize lip contour and. After injection, ultrasound imaging was performed to confirm the depth of injection figure 4. Long term safety and effectiveness of sculptra aesthetic beyond 25 months after last injection have not been investigated in clinical trials. At present, the range of dilutions and injection volumes depends on the preference of the practi. The board certified dermatologist said that as he is injecting the needle he starts to inject the filler as the needle is going into the skin. Ebook cosmetic injection techniques as pdf download. It fulfills an important niche by gathering information from many sources for the updated volume. Angela cocoman and john murray explain giving an im injection into the vastus lateralis site to find the thigh injection site, make an imaginary box on. Design and manufacturing of plastic injection mould. Injections in aesthetic medicine atlas of fullface and. In the vertical supraperiosteal depot technique, small aliquots of filling agent are deposited on the periosteum for maximum support softer hyaluronic acid formulations are recommended for more superficial injection, whereas more robust and cohesive products may be chosen for deeper implantation. An intramuscular injection, as illustrated in the figure below, delivers medication deep into the muscle tissue.
If lines are both above and below the lateral canthus. A major advancement that has contributed to the current state of filler injection is the knowledge that the face does not age as one homogenous object but as many dynamic com. The authors have clearly indexed and organized cosmetic injection techniques such that the reader can focus on a specific clinical objective and then have an illustration of injection site anatomy. Injection technique the objective was to survey injection and infusion practice in a representa tive sample of insulin using patients using insulin for at least 6 months gestational diabetes, were using an insulin pen, syringe andor pump and speci. Fern pattern technique of injecting restylane doctor answers. Voluma injection sites mapped on the face elizabeth morgan, md, phd dr. Adults 4 mm, 6 mm or 8 mm needle length in general, therapy tends to be started with the shorter pen needles. The process for giving an injection includes some basic steps. Ebook cosmetic injection techniques as pdf download portable. Forum for injection technique, and fully support the continued work of the fit board and fit associates who continue to expand the boundaries of best practice within the fields of insulin injection and medication management.
Optimizing the aesthetic outcome of lip augmentation with dermal fillers, such as ha, requires skillful application of a suitable injection technique. A thorough understanding of the facial vascular anatomy and a good injection technique reduce the risk of vascular. Dilutiondiffusion each vial of botulinum toxin contains 100 u of toxin, 0. Injection preparation and administration guideline the following guidelines should be incorporated into proper practice by emts under an approved operational plan for subcutaneous injection of epinephrine 1. Blunt tip cannula minimal bruise lower eyelid dark circle filler injection virginia maryland dc duration. Earlyonset complications are those that occur within the first two weeks after the injection.
In the treatment demonstration videos you will hear a lot of reference to certain techniques, both with needle and with cannula. Choose an injection site that is free of bruises, discoloration, scars, tattoos, hardened areas and stretch marks clean the area where you plan to inject the medication the injection site with. Dr patel is an expert in a full range of medical aesthetic procedures, with a focus on achieving subtle, natural results. Diabetes care in the uk the first uk injection technique. Dose, dilution, reconstitution, and injection techniques. Certain ha fillers, such as voluma, are formulated to last longer, but are. Intramuscular im selfinjection university of michigan.
As lips swell immediately following the injection of the filler, steroid prophylaxis needs to be considered. Cosmetic injection techniques and the videos that accompany it provide all medical professionals in the field from beginners to experienced injectors with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll nasal flare platysmal banding marionette lines glabellar frown. As a rule, the following needle lengths are recommended. Describe the uniqueness of plla compared with other dermal fillers recite adverse events for filler injections and establish a clinicwide plan to handle adverse events decide on the best plla reconstitution methods for your clinic identify the best plla candidates for the injection sites demonstrated. Recent trend in the choice of fillers and injection techniques in asia. Etiology, prevention, and treatment of dermal filler complications. Its not just a matter of which injection technique to use. Cosmetic injection techniques and the videos that accompany it provide all medical professionals in the field from beginners to experienced injectors with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll, nasal flare, platysmal banding, marionette lines, glabellar. Download pdf new book your next appointment online 247 more info login home. The art and science of filler injection based on clinical anatomy. Look at your thigh and divide it horizontally into 3 equal parts. The fern technique was primarily developed for the smile lines, so that the lines dont show up above or below injected filler.
Lip injections are becoming one of the most popular cosmetic treatments in america. Safe injection techniques barbara workman lecturer in the school of health, biological and environmental sciences, middlesex university in this article barbara workman describes the correct technique for safe intradermal, subcutaneous and intramuscular injections. Learn about the science that makes full lips so attractive, and the best lip fillers for giving you an attractive, voluminous pout. With the advent of longerlasting, nonallergic, nonanimalsourced stabilized hyaluronic acid nasha gel fillers, 1418 injection techniques have evolved. Elizabeth morgan explains using a model her approach for injecting voluma, a facial filler used for the cheeks, under the eyes, and around the mouth. Especially when the patient, with his gaze, questioning your skill.
Lumen diameter of the needle or cannula used to inject the filler. The steps for preparing the subcutaneous or the intramuscular injection site are the same. Pdf filler injections are the most common aesthetic procedures used for volume correction. The preperiostal bolus technique is most often used for injection into the deeper midface fat compartments. Blunt tip cannula minimal bruise lower eyelid dark circle filler injection virginia maryland dc. This is part 1 of a twopart series on injection techniques. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Injectable fillers in aesthetic medicine provides a wellneeded compendium as a complete yet very handson practical approach to the practice of fillers at this time. Feb, 2015 i had a consultation for juvederm to correct nasolabial folds and marionette lines.
Upon completion of this booklet, the participant should have an understanding of. Nov 15, 2019 pdf fourpoint injection technique for lip augmentation. This manual divides the injection process into four categories. Juvederm injection technique injecting filler as needle is.
Filler lips theory vs reality good result technique and. This allows the medication to be quickly absorbed into the bloodstream for action. Botulinum toxin injection for treatment of facial wrinkles is the most frequently performed cosmetic procedure in the united states, and it is one of the most common entry procedures for. Pdf semipermanent volumization by an absorbable filler. Filler injection technique for in the anterior cheek, voluma may be. Lip enhancement is a common injection treatment that may involve several different injection techniques based on the patients goals, expectations, and facial anatomy. Fullface and fullbody treatments using such fillers are increasingly substituting for various surgical techniques. Injection technique definition of injection technique by. Intradermal injection it is the introduction via needle of tiny amounts of fluid into layers of skin. At times, budgetary constraints decide treatments, but that should be avoided, and patients need to be told about the optimum filler requirements. Steps 1 and 2 are automated in a tool that can be configured to. Su perficial injections of a dermal filler above the orbicularis oris muscle would help avoid inadvertent injection into the labial artery.
Using fillers to shape the lips or the face properly requires an understanding of the proper aesthetics of facial and lip beauty for the creation of a naturally, more attractive face and lips. In this video, i want to demonstrate the different needle techniques such as bolus, linear threading, serial puncture, and fanning. How to give a testosterone intramuscular im injection. This activity is intended for plastic surgeons and dermatologists. This is a good technique, but again multiple techniques can be used to accomplish this goal. Molten plastic is injected at high pressure into a mold, which is the inverse of the products shape. If a patient or caregiver is to administer humira, heshe should be instructed in injection techniques and their ability to inject subcutaneously should be assessed to ensure the proper administration of.
Children and adolescents 4 mm or 6 mm needle length. Pdf fourpoint injection technique for lip augmentation. Using the correct injection technique and selecting the correct site will minimise the risk of complications. Lip injections with filler bow and arrow technique. Feb 25, 2014 injection technique intradermal injection subcutaneous injection intramuscular injection 9. The art of injection good knowledge of anatomy, physiology and good technique are obvious prerequisites to be proficient in the art. Soft tissue filler injection has been a very common procedure worldwide since filler injection was first introduced for soft tissue augmentation. Lip injections with filler bow and arrow technique plastic with dr. Fit technique plus technique for all injection technique. In this method, i use 20 points of the face, and i inject the filler at these points very. Voluma injection sites mapped on the face video realself. May 27, 2014 intramuscular injections require a thorough and meticulous approach to patient assessment and injection technique. Linear threading, fanning, crosshatching, serial puncture.
It is also used when another site of injection has failed or if there is an infection in the area. It is the aesthetic providers professional judgment to determine which technique will provide the desired results. Cosmetic facial assessment and injection guide for botulinum toxin and. Fillers form an effective tool in rejuvenation, either as a standalone treatment or in combination with other procedures such as laser resurfacing or.
Pdf facial assessment and injection guide irwan junawanto. How to give yourself a testosterone im injection 2 injection site vastus lateralis muscle in the thigh. As to the injection technique the filler has been implanted withdrawing the needle while. If you do this, have volunteers fill out the other flipcharts at the same time youre working on the one at the front of the room. Overcorrection of the upper lip can lead to a duck bill appearance. Cosmetic injection techniques top results of your surfing cosmetic injection techniques start download portable document format pdf and ebooks electronic books free online rating news 20162017 is books that can provide inspiration, insight, knowledge to the reader. Fit was established following the 3rd international injection technique meeting athens 2009.