Safety manoeuvres when injecting with Dr Alexander Rivkin

About this episode

For years injectors have argued about the pros and cons of safety manoeuvres when injecting filler, including aspiration, small or larger movements of the needle tip, or both combined.

California ENT surgeon and pioneer of non-surgical rhinoplasty Dr Alexander Rivkin explores the rationale for these techniques and their merits and limitations. We cover the needle motion paper debate, aspiration explained, bolus versus moving technique, teaching safety to beginners, false confidence, legal standards, vasospasm and early ischaemia, ultrasound, dissolving filler and the integration myth, nose occlusions and their management, and the origins of non-surgical rhinoplasty.

What you'll learn

• What aspiration can and cannot tell you
• Bolus versus moving needle technique
• Teaching safety to new injectors
• Recognising vasospasm and early ischaemia
• Where ultrasound fits
• Managing nose occlusions

Topics

• Patient safety
• Dermal fillers
• Aspiration
• Vascular occlusion
• Non-surgical rhinoplasty
• USA

Full transcript