CHIN ANATOMY: How to avoid nasty vascular occlusion from chin augmentation [Aesthetics Mastery Show]

[@gigicoogler]

I appreciate your generous yet moral and honest information

[@mirandapearcemindset]

Very kind of you to say, Georgianna, thank you

[@shellahussain7416]

You deserve at least a million subscribers Dr. Tim.

[@pennycommerford7830]

Excellent reminder to be vigilant, to know both your immediate and adjacent anatomy, and never to rush a procedure. Well done for her prompt and considered action for her patient.

[@mirandapearcemindset]

Thank you Penny, she did handle it super well

[@whatdoyoucallem]

Thank you so much! Absolutely incredible to see her journey unfold on the group and the amazing support she received. Outstanding nurse and demonstrates the importance of being proficient and supported in managing complications- still the best money I have spent on my training so far 💜💜💜💜

[@mirandapearcemindset]

Thank you angel x

[@kamidmisra4107]

Appreciate your work and dedication to the profession

[@georginamartin3730]

Your videos are always so helpful!!

[@masonmainpage4105]

As a patient looking for a good Dr., what kind of things can I ask that would give me a better idea of their skill level without sounding like Im questioning their competency? Clearly, there is much more then just injecting the substance to reduce the possibility of side effects or poor results. I had a chin implant done years ago without any complications but I was never completely satisfied and Im considering injections for additional results.

[@celestetyrvinggipson1655]

NOW I AM SCARED TO DO MY OWN FACE EVEN WITH TOX A. I just had a good alert, thanks so much

[@IceQeen1011]

If I knew that a nurse or doctor had injected into an artergy but had managed to stay calm and rescue the patient completely, Id 100% put my life in their hands. Thank you for the video.

[@knowyouraestheticswithcons3804]

Amazing information and great commentary. Yes to smaller boluses!

[@mirandapearcemindset]

Thank you

[@shama128]

Great video! I saw a video like a month ago it was this doctor in Miami that using this device that shows all the veins, like a very small device when he turns it on on the area it shows all the veins so clear and then he starts injecting. What do you think about this kinda devices are they useful for this matter?

[@lynquads5499]

Love your watching your podcast. Please keep them coming.

[@mirandapearcemindset]

Thank you Lyn, that's very kind of you

[@adamcheong3626]

Great video definitely going to make me more vigilant for VO , and symptoms such as pain on swallowing, as I do a lot of chin augmentation

[@DrTimPearce]

Thanks Adam, keep up the great work 👏

[@ABa-ve3ul]

@@DrTimPearce can a occlusion appear at a later point (days/weeks/months/years - possibly also due to migration)? Thank you very much in advance

[@DrTimPearce]

@@ABa-ve3ul No an occlusion will occurs at time of injection and usually symptoms start to develop from that point and develop over hours

[@Esra-jv5fc]

Great help

[@TheFashionAbuelaPatyMcGuire]

Thank you, doctor, for such valuable information, I am currently studying nursing in Houston, the United States, and when I finish my degree the first thing I will do is take a course to inject hyaluronic acid with you. You are a beautiful couple, and I am glad that you work together, a big hug and abundant blessings!

[@goldcoastinjector]

Thank you! You’re over 20k!! 🙏🏼

[@DrTimPearce]

Ahh, thank you for the support Blanche ☺️

[@mirandapearcemindset]

Yey, thanks for that Blanche :-)

[@cderome1]

Thanks to inform us...is the 'Mental Crease labiomental' the one between the inferior lip and chin on the middle, dangerous to inject there to fill the hollow ?

[@ABa-ve3ul]

Did you get the answer to your question? I never even heard about this line being injected but I’m curious now 🤔

[@cderome1]

@@ABa-ve3ul Nobody answered ! But I did inject there before, to make the chin more clear !

[@charlenebarbour5079]

Brilliant as usual dr Tim 🙌🏻

[@mirandapearcemindset]

Thank you Charlene, much appreciated

[@reneearriaga7485]

Yes. Very good and helpful video.

[@DrIndaMowett]

Thank you so much for the great information.

[@niazameni8444]

Wow very good information!

[@trinabolton765]

great info glad she ok

[@lucillebennet4233]

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[@mirandapearcemindset]

Thank you Trina

[@trinabolton765]

@@mirandapearcemindset You are welcome

[@trinabolton765]

@@lucillebennet4233 might be good for everyone to take this.

[@trinabolton765]

@@lucillebennet4233 might be good for everyone to take this . TY

[@kcstorytime4898]

great story to hear.

[@mirandapearcemindset]

Thank you for watching

[@choochd]

What do you do after a positive aspiration? Immediately remove, reorient, and reinject (blood included)? Also why does priming the syringe reduce the efficacy of aspiration?

[@DrTimPearce]

Remove the needle. Expel your blood stained filler, change you needle with different entry point / angle. Kindest regards Mary. Clinical advisor for Dr Tim

[@choochd]

@@DrTimPearce Thanks Mary! Any idea about why it is not advised to prime the syringe prior to aspirating?

[@farleighmedical7334]

Great video as always. Where can I join the support group?

[@hedanilopez5627]

Very useful! Thank you!🥰

[@mirandapearcemindset]

Pleasure, thank you Hedani.

[@wackity.7879]

Chance of blindness from a chin augmentation? It's hard to get a answer on this. I've had plastic surgeons just tell me theyve never heard of it

[@DrTimPearce]

All the vessels are connected, so it could happen, but it's probably less than the chances of getting struck by lighting.

[@Gioli565]

My injector aspirated blood for the first time in her career on MY CHIN last month! Scared me to death. Thank goodness she aspirated though and continued on with a successful session of chin filler and nasolabial fold filler.

[@pinaesthetics4381]

Brilliant 👏👏

[@mirandapearcemindset]

Thank you

[@stacysullivan4425]

Hello Dr. Tim. That was such a important video for me to see. I was originally considering filler in my nose but I decided that I couldn’t live with the risks. I assumed the chin was much safer so I’m glad I saw this. Before watching your video I saw method in which the Dr. did not aspirate at all and he was moving the needle around quickly and constantly under the skin on either side of the midline to create a middle point on a female patient. He was moving it around in a motion like that of liposuction and he emphasized that it needed to be moved around really quickly. Would you consider this a risky method, or would the constant motion mitigate a high volume occlusion? I can provide the link, but I wasn’t sure if providing another Dr.’s video/info would lead to a more diplomatic and less straightforward answer.

[@kcstorytime4898]

I found this in my search again, so I want to ask can hyladaise cause any damage if it does get injected into a gland, vein, artery, nerve, muscle, fat, ligament?

[@clairethelwell3596]

My Go To .... when I just need a little reassurance x

[@lolita.not.lolita]

I had chin filler two years ago. It was really painful and got really red and swollen, it also felt like a stone. Two years after that, redness has reduced but it's still there, though it doesn't hurt. I don't know how to get rid of the redness!

[@jacquerusso3600]

I did not see the 5 tips for safer chin injections as in your description

[@cemalettincihangir798]

many thaks

[@anmayo917]

What should the max bolus size be in the center of the chin?

[@aprilcloyce7426]

After how much time after do you notice a vo can it be weeks

[@DrTimPearce]

No, it’s usually minutes to hours with tissue breakdown occurring at 24-48 hours or so. Kind regards Mary. Clinical advisor for Dr Tim

[@aprilcloyce7426]

@@DrTimPearce I had radio frequency microneedling around my eye. My inner eye aches constantly and swollen still after 11 months. The ophthalmologists don’t take me serious they don’t think it could cause nerve injury my neurologist said I have trigeneral neuralgia and Bell’s palsy. My eye swells and pain when I apply warm tea bag. My sight is off on injured eye. I have a tear on my cornea was given steroid eye drops. No one can help me. Do you know what could be causing my eye pain swelling and blurred vision. Was told I have low blood flow. I’m 43 fit and healthy.

[@azminakoorji3120]

Are you worried about bio film with boluses ?

[@alexandra9985]

I tought the chin is not a danger area..i have dimple right in the middle in the chin..is this dangerous?

[@DrTimPearce]

The complete centre is probably the least dangerous, the factor I think that makes this area more potentially dangerous is the volume used... It's very rare to cause a VO, but if you do it with 0.5mls that's SO much worse than the 0.05 you might use in a single lip injection.

[@ABa-ve3ul]

@@DrTimPearce How much exactly is 1 syringe (of Restylane)? And how much would you recommend to inject to be on the safe(r) side? I’d truly appreciate a fast response 🙏as I’ve the appointm. tomorrow already. Thank you very much in advance

[@DrTimPearce]

@@ABa-ve3ul 1 syringe is usually 1ml of dermal filler. I can’t recommend unfortunately as every patient is different and different needs result in different quantities. Aspirating between each delivery of a small bolus of product to spread your volume into multiple boluses will decrease the risk and the potential for a more serious vascular occlusion from a single, large bolus delivery.

[@christymas6988]

Merci beaucoup.

[@mirandapearcemindset]

:-)

[@doctort8940]

You deserve a million followers at least And I said only a million because I think there isn't too many injectors around the world 🤪

[@EliEli-bu4zn]

isn't it better to use ultrasounds first to check the location of vessel and the anatomy structure of the clients before performing something so serious?

[@apate4501]

Can you have a VO without having any damage to the skin? For example let's say a person had chin filler and suddenly became blind or their vision was impaired but nothing happened to skin or tisses.

[@DrTimPearce]

From chin location, highly unlikely. Kind regards Mary. Clinical advisor for Dr Tim.

[@romeowandrainbow1040]

Dr Tim do you recommend a chin implant over fillers ? It seems like less can go wrong

[@DrTimPearce]

Can depend highly on what the implant is made from. One of the risks are granulomas with silicon based implants but yes they can get removed should complications arise. There is risk with both of course. And don’t go in with blinkers on. Go speak to a plastic surgeon that does filler too for a consultation and really ask those important questions. Kind regards Mary - Clinical advisor for Dr Tim

[@romeowandrainbow1040]

@@DrTimPearce thank you. Does dr Tim do both ? If so how much is a consultation he seems to know what he’s doing and actually cares about peoples health too

[@tornjordans5445]

Hi Dr Tim! I'm trying to do research for a procedure on my chin I might have in the future. It's called PRF. Is there still a chance of VO with PRF in the chin? I watched the whole video but I'm guessing PRF and fillers aren't too similar. Thanks!

[@ABa-ve3ul]

I never heard that for the chin area. Do they do that in that area?

[@panan1504]

This video just seems like previous videos of on how to avoid VO and deal with complication. Not really specific to chin.

[@ABa-ve3ul]

Which one? Do you have a link?

[@odettg9106]

I have a round face my chin it's to short and small I want to make my face longer by giving my length to my chin I had 1ml in my chin but I think they just focus on my profile but not on my length so it didnt change nothing ..Do you think it's best to get implant or keep adding 1 or 2 ml more of filler..

[@nD-zr3be]

I wanted to have chin fillers but now i am scared my dr said blindness wont occur and now i am confused

[@JennyShuttleworth]

Is this talking about chin filler ? Or having a surgical procedure on the chin. I have a small chill and thinking about filler I’m abit nervous tho now ...should I be ?

[@DrTimPearce]

This is regarding dermal filler. All areas of the face have risk when it comes to vessel occlusion. Take time choosing your practitioner and make sure they have a good understanding of the anatomy and what they’re going to do should such this circumstance occurs.

[@peachy.chrissy]

i just got my first chin filler now i’m scared

[@keniarod5434]

Same, how is going?

[@peachy.chrissy]

@@keniarod5434 i see no difference

[@thetruth8053]

and what about botox for the chin....what happens when you fill a blood vessel with botox

[@debbieharber6550]

You say don’t do hundreds of injection …I have just watched a doctor do a chin with tiny drops of filler so you don’t get a vo and he must of done over a hundred tiny injections …so is this not the case you can still get a vo…

[@ranadobedny1937]

what about chin crease filling for example?...are there any vessels or arteries in that line? is the method from this video ok? kzbin.info/www/bejne/hanJgoqgmslmgqs

[@ashfaqahmadkhan4406]

There is no Illustration. Need Illustrations

[@angelikagadzik5836]

I don’t see the point of those videos nothing important aspiring yes we all know that anything else ? We need straight answer not just same talk over and over

[@msnzbody3712]

You love chin filler but you won't do it on your wife? She would certainly benefit from it. Just saying...:)

[@kimgotaway6264]

Maybe she doesn't want chin filler omigosh

[@msnzbody3712]

There is something not likable about him. But I just can’t put my finger on what it is. He is definitely a Alpha male and you can tell she is submissive to him and she worships him, but I dont think that is it. Its something else. Oh Well…

[@heidifranks2395]

This comment says so much more about you than them...

[@DrTimPearce]

This is such a hilarious tangent on an anatomy video but, thank you 😂. I'm not an alpha male, more of a sigma and I'm very lucky to have a wife who adores me, I adore her back, I adore my kids, and that's more of who I am than anything you can see in tutorial but thanks for having a stab 😂

[@mirandapearcemindset]

Hi Ms Nobody. Thanks for watching the show and for pointing out how much I worship my husband, very perceptive of you. Am I submissive? Feel free to check out my Instagram to see how I roll and you can decide for yourself: instagram.com/mirandapearcemindset/ In the meantime, your musings on why exactly Tim is not 'likeable' are unhelpful. This channel is for education, not personal comments, so I'll invite you not to comment in this way again. Thank you, Miranda

[@Joseph-zd7kg]

@@heidifranks2395 she has a slender petite face and body so next to a man with a square face who is athletic build she does come across as less dominant but does that mean she is submissive? Obviously not.

[@kristametcalfe191]

This is the most ridiculous comment on his videos I have ever seen. He has to be one of the most knowledgeable and pleasant you tubers there are. I think everyone is so fortunate he is willing to share his wisdom and experience. He and his wife seem to share respect and admiration and anyone I ask who is familiar is equally impressed by him.