Dr. Sean Arendse

with intravascular hyalase and very specific hyalase to unblock that vessel so that we don't get skin necrosis or your nose fall off basically.

Yeah, that's scary.

The result was very positive, but it took a number of attempts and a whole host of people to manage this problem.

So luckily the patient survived and hopefully she'll have no scarring and no tissue damage.

But certainly I haven't seen it, but I've certainly read about cases of blindness.

So if you go into a cosmetic clinic for a treatment that's supposed to make you more attractive and you walk out with one eye blind, I think it's career ending for whoever it was that administered that.

And it's also devastating for the patient.

That's everyone's worry in this industry that we would cause something that serious to a patient.

Yeah, exactly.

And making sure that your injector or your cosmetic physician or cosmetic nurse knows their anatomy.

And the difference between normal anatomy and sort of injecting anatomy is it's not 2D anatomy, it's 3D anatomy.

So you've got to know A, where the vessel is,

but you also need to know all the nerve.

You also need to know what depth it's at.

Well, you don't.

Basically, you're playing, every time you stick a needle into someone's face, you're playing Russian roulette.

But your knowledge of anatomy and your examination of them, palpation.

you lower your chances.

But everyone, including myself, has had times when we've injected substances into vessels.

But the important thing is that we know how to deal with it.