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Choosing your Aesthetic Practitioner for Dermal Filler Treatments

Choosing your Aesthetic Practitioner for Dermal Filler Treatments
Choosing your Aesthetic Practitioner for Dermal Filler Treatments

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Having been asked (with increasing frequency of late) to correct problems from other practitioners’ dermal filler treatments, I thought it would be a good idea to talk about the reasons why we should take time and choose our medical aesthetic practitioner carefully.

What are dermal fillers?

Most dermal fillers are made from Hyaluronic acid (HA), a natural substance found in most tissues in the body. HA binds water molecules giving volume, shape, hydration and elasticity. HA fillers are broken down and absorbed by the body over time and can last anywhere from 3 to 18 months. In suitably qualified and experienced hands these procedures give fantastic and natural results in the safest possible way.

Are dermal filler procedures regulated in Ireland?

In the Republic of Ireland anti-wrinkle injections (botulinum toxin) must be given only by Doctors registered with the Irish Medical Council, or also registered Dentists. Worryingly, however, the injection of dermal fillers in Ireland and the UK is not yet regulated, and so can be performed by anybody at all. The safest FDA-approved dermal fillers available are not cheap so it is, of course, tempting for people to avail of heavily discounted or low-price procedures. These low prices or ‘deals’ will often reflect the quality of products being injected, along with the lack of qualifications, experience and expertise of the injector.

Facial injections may be deemed ‘non-surgical treatments’ however these are still minimally-invasive procedures that require an in-depth knowledge of anatomy, clinical experience, insight into medical conditions and medications that may preclude someone from treatment, and careful understanding of the products used in order to avoid major complications that may be irreversible.

Having dermal filler injections should be considered a medical procedure and not a cosmetic treatment.

Who can correct problems related to dermal filler injections?

At the Ballsbridge Medical Aesthetic Clinic, as a Doctor with 12 years clinical experience, I have extensive medical and aesthetic training and am constantly reinvesting in further training and upskilling. I use only FDA-approved injectables and follow up of all my own clients to address any issues they may have.

However, for two main reasons I do not offer correction treatments for clients who have had problems from treatments performed by other practitioners e.g. lumpy/irregular lips, infections, discolouration etc. The first is that the exact product used, its volume and location are often not known, hence it could be unsafe for another person to try to correct this work. The second is that, apart from knowing how to give great results, a very important element of safe dermal filler injecting is being able to recognise potential problems and having the ability and clinical expertise to treat them in your clinic, immediately if necessary, to give the best possible outcome. Prescription treatments are required should these eventualities arise, hence another reason why it is important to strongly consider attending a medically trained professional for your dermal filler treatment.

In summary

Dermal fillers are superb treatments for many different indications and have few problems when performed correctly and safely. However, even in the best hands, no procedure is without risk and before you choose to proceed with a dermal filler treatment take plenty of time to do some research. Ensure you are satisfied with the qualifications and experience of your practitioner, and that they have given you all the information and time you need to make your decision to proceed with a treatment.

Dr. Róisín Fitzgerald

July 2017

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About the author

Dr. Róisín Fitzgerald

Dr. Róisín Fitzgerald is a practicing Doctor registered with the Irish Medical Council. She graduated with Honours from University College Dublin Medical School in 2005 and has trained in Surgery, General Practice and Aesthetic Procedures since then. She has been trained in medical aesthetics in the UK and, to ensure she can pass onto clients the most up to date and safe procedures, she attends ongoing training, updates and conferences including the Royal Society of Medicine and Harley Street Aesthetic Clinics in London. She holds specialist insurance from Hamilton-Fraser Cosmetic Insurance.

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