Dr Wendy Wong uses the Clarius facial ultrasound to define vessel anatomy before injecting this high risk area to identify & avoid vessels and aid in accurate placement of filler for best results

Owing to their limited downtime and instant results, the popularity of dermal filler treatments have increased worldwide at an astonishing rate. Even in the hands of the most experienced injectors (most of whom have been injecting for over 10 years), 72% have experienced 1-2 vascular complications in their lifetime [1]

This is because up until now, most injectors have been injecting ‘blind’, relying on their clinical skill and knowledge of anatomy to keep out of trouble. Early recognition and prompt management of inadvertent intra-vascular occalusion can avert disasters such as skin loss, blindness, stroke or even death [2,3]

Fortunately, catastrophic events are rare, but with many less skilled injectors now performing aesthetic treatments, adverse events are increasing, but are either underreported or unrecognised

Recently, high frequency ultrasound devices with smaller footplates have now made it possible to scan small vessels in the face. This is quickly becoming the gold standard adopted by experienced injectors who wish to deliver a safer, more accurate approach to non-surgical facial aesthetic treatments

Goodman GJ, Roberts S, Callan P. Experience and Management of Intravascular Injection with Facial Fillers: Results of a Multinational Survey of Experienced Injectors. Aesthetic Plast Surg. 2016 Aug;40(4):549-55. doi: 10.1007/s00266-016-0658-1. Epub 2016 Jun 10. PMID: 27286849.

Scheuer JF III, Sieber DA, Pezeshk RA, Gassman AA, Campbell CF, Rohrich RJ. Facial danger zones: Techniques to maximise safety during Soft-tissue filler injections. Last Reconstr Surg. 2017; 139: 1103-1108

Beleznay K, Carruthers JD, Humphrey S, Jones D. Avoiding and treating blindness from fillers: A review of the world literature. Dermal Surg. 2015;41:1097- 1117

Three-dimensional reconstruction of a contrast-enhanced cranial computed tomographic scan.

Three-dimensional reconstruction of a contrast-enhanced cranial computed tomographic scan. The supraorbital artery (SOA), supra- trochlear artery (STA), dorsal nasal artery (DNA) and facial artery (FA) are indicated. Note the contralateral filling of the right facial artery and the difference in facial vascular territories between branches of the internal versus external carotid arteries. Source: https://pubmed.ncbi.nlm.nih.gov/30688884/

Vascular events are an ever present danger because the face has a rich anastomotic network of blood vessels, and differences can exist between two halves of the same face

Clarius ultrasound Brisbane

Dr Wendy Wong now employs routine use of the Clarius L20HD3, specifically developed for facial aesthetics, in filler treatments. She has also invested heavily in one on one training as well as attending multiple courses in 2022 to improve her aesthetic knowledge and skills with the scanner

Dr Wendy Wong has been performing cosmetic injectables since 2013 and was trained by some of the industry leaders in the field. She scored a Distinction in undergraduate Anatomy, Surgery, Physiology & Pharmacology and went on to study anatomy twice more in Surgical Primary examinations for both General Surgery and Plastic & Reconstructive Surgery. Dr Wendy maintains her surgical operative skills with regular assisting lists with various plastic surgeons, general and vascular surgeons in Brisbane

All cosmetic procedures carry some risks. The information provided here is for general educational purposes only. Before proceeding with anti-wrinkle injections or dermal fillers, you should discuss your particular situation with Dr Wendy Wong

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