No doubt about it:agingcan be a touchy subject.
“In my opinion, they’re best used to replace what you naturally lose over time.”
“I practice in a state where only doctors can inject,” says Alabama-based board-certified dermatologistCorey Hartman.
Illustration by Simone Noronha
“Then doctors have to understand the nuance on top of that because everyones anatomy is slightly different.
Doctors have to understand ethnic and racial differences and take into account perhaps a different perspective of beauty.”
“It’s not just about sticking a needle in somebody’s face,” he stresses.
“My preference is to enhance beauty, fight the aging process a little bit,” she explains.
Understanding the sensitivity surrounding a patient’s insecurity allows for a more strategic, nuanced approach.
She breaks the two classes of filler into two categories: dissolvable and non-dissolvable.
Take, for example, the hyper-sensitiveundereye area, says Rabach.
“That’s an area that could get very bruised if you don’t use a cannula.”
What infrastructure do you and your center have in place if we have a side effect?
Do you have a clear plan of action of how were going to deal with that?"
By the next day, they can absolutely go back to their normal routine."
“We see the patient and sometimes we’ll add to an area at that point.
We try not to do too much at one appointment for a first-timer,” she explains.
“We just check-in and ask, what do you think?
Do you like it or do you want a little more?”
This question is key to decipher what is just run-of-the-mill bruising and what is an actual problem.
“Pain is an indicator.
Pallor is another, an area turning very white,” says Klein.
“Vascular occlusion often has this red, star-like appearance to it.
Any sudden change changes in color and obviously vision changes are the most significant.”
An at-home guessing game isn’t the move, but calling to double-check with your doctor is.
There can be emergencies that need to be dealt with immediately.
Also, take it from Hartman: “This almost never happens.”
Its reversibility has made HA fillers the golden child of dermal fillers, particularly in first-time patients.
