FOREHEAD ANATOMY: When to use toxin vs filler & how to avoid complications [AESTHETICS MASTERY SHOW]

[@robinpower4699]

Been injecting 13 years and learn great pearls from almost every show. You are the bomb Dr. Pearce! From Alberta, Canada.

[@mirandapearcemindset]

That's so kind of you to say, thank you Robin 🙌

[@sarahh3061]

Dear Tim and Miranda, I can't recommend your training and educational videos highly enough. Very informative and very helpful. Thank you!

[@Thefabzillakath]

Nurse Injector here. Thanks for another helpful video. For my peace of mind, I don’t inject forehead and nose with filler. I recently started using ultrasound to map out blood vessels prior to injection and in dissolving filler. I think it will be the next best thing in aesthetics. Would you do a video on that?

[@Cali_Girl1]

I agree. It should be REQUIRED to get a map of the Forehead BEFORE having anything injected into it.

[@KevinCease]

You guys are a powerful team!

[@dra.nievesromero]

These videos are excellent. I am looking forward to watch most of them. There is a lot of important information here. Thank you Dr Tim, and Mirand for sharing so much knowledge.

[@kimgotaway6264]

This is great information! Thank You for sharing, Dr!

[@Aroma-o9q]

I've learned a lot! Thx dr Pearce.

[@drluizpires]

Thank u guys so much! Love your videos! Cheers from Brazil!

[@mirandapearcemindset]

Thank you Dr 🙏

[@Rosie-fk9mb]

Thanks for sharing can you please tell us if we are in the fat area of the glabellar region with the filler is it safe

[@nihilisticprophet6985]

Is Profhilo a good choice for forehead?

[@aichaalla9240]

merci vidéo très instructif

[@medicsg8220]

Excellent thanks🎉

[@wardaaid9257]

Very usefull information!! Thanks a lot!!!

[@AnnaPoli800]

These injections should be monitored somehow with an inserted camera so that they know exactly where they inject it . Basically I understand this is based in a process of estimation and speculation, therefore the mistakes are so much easier. But Dr. Pearce seems very diligent and knowledgeable, not all doctors are like this.

[@melt7891]

Dr another plastic surgeon online said that Botox in the forehead would lead to a drooping of the brows. Do you agree? He basically said you can’t touch it (except for resurfacing)

[@Nataliegggggg]

Yes

[@joanneevans9638]

Hi Tim you talk about reviewing the literature about blindness with filler, did you write an article of your finding

[@mirandapearcemindset]

Hi Joanne. I think he was referring to when he was creating his Complications Mastery online training :)

[@Nonyabiz370]

Excellent video. Personally, the more I learn about cosmetic procedures, the more scared I am of them. I think that’s probably a good thing, since they’re so expensive. Thanks.

[@shazi2u]

Is it true that treating glabellar lines with dermal filler , is the number reason for blindness ?

[@trinabolton765]

Never had it done in the forehead .

[@HankScorpio468]

Isn't the ophthalmic artery a branch of the ICA and not the other way around?

[@silverkinjal]

Yes. It was a “typo” no doubt

[@Cherylebreaux]

I have a spot of steroid atrophy on my forehead after having a nerve block years ago for headaches. I went to a cosmetic derm last week to get filler and she would only use saline to try to see if it would stimulate collagen there. Also, she did botox and now I am drooping on that side. Should I see a plastic surgeon instead to have this done? She said you would be able to see the filler if she injected in the forehead. I'm having regret that I didn't research this further before making the appt.

[@DrTimPearce]

Often many practitioners are very nervous regarding filler to the forehead due to the risks, and it’s right that a practitioner only practices to their competency and training qualifications. I’d advise going back to your lady regarding your drooping. She maybe be able to support you more.

[@DrTimPearce]

Kind regards Mary. Clinical advisor for Dr Tim

[@Cherylebreaux]

@@DrTimPearce thanks for responding, Mary. I have been in contact with the provider and am going back in a couple of weeks (she's going to be on vacation). I'm hoping she can even me out. I still want to investigate filler in my forehead because of the unevenness from the atrophy. Do you think a plastic surgeon might be a better option for this type of procedure?

[@DrTimPearce]

@@Cherylebreaux it truly depends on their experience of treating forehead with dermal filler. Not all plastic surgeons use dermal filler. But they all have an opinion on how best to treat the foreheads. I’d suggest speaking with both and see who makes you feel more at ease with the procedure. Kind regards Mary. Clinical advisor for Dr Tim

[@bettyrose5387]

I don't have aging lines on my forehead head but unfortunately I got an accident where i have now a scar now its been 20 days it looks like a line on my forhead 😢😢😢😢 why I just started to care about my skin to not age now it made my forehead look aged 😢

[@ferialmk2129]

We can inject it same time ? And if we inject the Botox already we can fill it later with the filler

[@TheHealthHustle11]

I treat the forehead with botox. Never tried derlal filler

[@gustavobarrientospujatocre2113]

Is there any problem with juvederm volite in The forehead?

[@sadiestokes7064]

Are all professionals at skin viva qualified to do forehead filler? And is there an ultrasound process in place with these procedures? ( looking for the right place to have forehead filler for the first time)

[@mekaqb6605]

I had Artecoll (permanent filler with PMMA-microspheres) injected into my forehead over 25 years ago and about five years ago experienced late onset granuloma. My dermatologist has been injecting it with steroids and Kenalog which show temporary disappearance but it always returns. Does anyone have any other suggestions besides surgical excision? Thanks in advance.

[@kawaiiplastic5808]

I am so sorry. I have my forehead done too what you said is my biggest fear. Voluma over 15! Syringes

[@ms.glowtox]

I have had success treating granulomas with a combination of oral doxycylcine and steroids. However, my patients were HA filler related (one was sculptra). I would consult a facial plastic specialist or aesthetic dermatologist with experience in prescribing these drugs and treating delayed onset granulomas. I have also heard of some providers using 5FU. You may need surgical excision. Best of luck. :)

[@BigRigsss]

Did he say he would never inject above the eye ?

[@drajeev123]

Right above the brow (within 1.5 cm) as u said the supra trochlear and supra orbital are pretty deep. Would it make sense to inject filler rather superficially ( in dermis) if treating a Chicken Pox pit?

[@drajeev123]

@Abc Def Thats right. Normally I would not do a filler at all for forehead. Just an occasional acne/ chiken pox pit, not responding to fractional CO2 / MnRF. There's a patient who has a pit there, so I was planning to fill there superficially intradermally. To be honest, the pit seems to be medial to the supra trochlear . As a matter of abundant precaution, I was planning to remain superficial since the nearby artery is actually pretty deep as it emerges out from supra trochlear notch.

[@constantinaharris4305]

This isn’t necessarily true. The risk for blindness is actually exceedingly rare, but the area is what makes it higher risk than others to inject. Only surgeons who routinely work around in these areas should consider injecting there.

[@diamond_girl90]

Very good Video as always. I do treat the forehead but tend to try other options forst like botox and microneedling, if it is not enough I assess clients if suitable for filler.

[@kimgotaway6264]

If you inject into the fat layer on the upper forehead, will the filler have tendency to droop over time, or are you in deep enough fat where it will stay on place, generally?

[@kimgotaway6264]

Also, can placing filler here in the forehead increase risk of headaches?

[@lynetteemery1949]

I have trouble getting the filler to stay where I’ve placed it in the forehead: it smushes around. How do we manage when there are vertical septal that want to send the filler “in a tube”?

[@kawaiiplastic5808]

i highly recommend neuromodulators along with the filler

[@beabeckers]

love my botox in the forhead

[@janedapeg247]

I do injecting the proper way like what you said😂

[@nihilisticprophet6985]

How to avoid botulism from Botox?

[@DrTimPearce]

Botulism is a result of extremely high doses, do the main defense is to use extremely tiny doses

[@nihilisticprophet6985]

@@DrTimPearce I’ve seen many people on Facebook claiming that they’ve only got 4 units and still got blurry vision, difficulty walking and swallowing that only went swat after several months

[@DrTimPearce]

@@nihilisticprophet6985 that doesn't seem possible from a pharmakinetic point of view, because to have an effect on the nerve it must be absorbed into it, at which point the toxin loses its ’key’to enter cells, and so is only able to work in that one neurone. 4 units is too little to affect all the neurones.

[@nihilisticprophet6985]

@@DrTimPearce I figured 4 unit shouldn’t be too risky but Ive seen many people reporting having such bad reactions. Some users suggested taking blood thinners would increase the chances of toxin going to other places in your body but there’s not much evidence to this claim. I suggest you look at some posts on Facebook in the two groups called “Botox Dysport (Side Effects) Support” and “Botox Almost Killed Me-Support Group”. The majority of the cases are people getting 30-40 units for their foreheads though, but 4 units are also reported. Posts like this drive me to look at toxin free alternatives like Thermirase which uses heat to deactivate neurons instead of toxin, but it’s so hard to find a practitioner, and it doesn’t treat crows feet.

[@samabouchou2671]

Please Doctor Can you add subtitle to your videos ??

[@mirandapearcemindset]

Sorry, we normal allow that option. Will do next time

[@steelecbunurs2201]

I am a new injector- I would never inject the forehead with filler. This is not in my competency level at this time.

[@girlnextdoorgrooming]

This comment adds nothing to the general body of knowledge.

[@mirandapearcemindset]

Hi April. Sensible. You can work up to it in time :-) Thanks for your comment, Miranda

[@mirandapearcemindset]

@@girlnextdoorgrooming Disagree. I'm interested to know when clinicians do or don't add forehead filler into their toolkit

[@girlnextdoorgrooming]

@@mirandapearcemindset thank you for clarity. I will leave our exchange up for future posters to read.

[@Nataliegggggg]

@@mirandapearcemindsetbad advise negligent one

[@kawaiiplastic5808]

Juvederm Voluma in the forehead is the best. Vollure works. Diluted Voluma as a base and use a cannula and fan out. Than after thats settles, patient come back and finish with needle to make it perfect. I was speaking of replacing Volume in the forehead. My forehead has like 15 syringes of Juvederm Voluma in it.

[@kawaiiplastic5808]

@Abc Def over 3 years!!!! Not at once

[@kawaiiplastic5808]

@Abc Def it’s not insane if you saw my case now I have a perfect forehead

[@kawaiiplastic5808]

@Abc Def I’m legit

[@kawaiiplastic5808]

@Abc Def my dr did it actually 4 practitioners have injected my forehead. my forehead is perfect. i look feminine but i do not care