Ultrasound-Guided Treatment for Extreme Aesthetic Complications: Part 2 – Permanent Facial Fillers


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Permanent fillers gone wrong require the right treatment plan to avoid further complications. Join expert Dr. MJ Rowland-Warmann, founder of the Smileworks Training HUB, as she demonstrates ultrasound techniques to characterize existing fillers and guide treatment for the best possible results.

In this 1-hour webinar, Dr. MJ will share a real patient case recently captured on video to:

  • Describe how permanent fillers differ from temporary biodegradable fillers
  • Discuss the challenges and complications associated with polyalkylimide filler over time
  • Describe the ultrasound appearance of polyalkylimide compared to other fillers
  • Address the complexity and methods of treating these deposits
  • Discuss how to manage filler migration in the parotid gland
  • Demonstrate the use of ultrasound-guided treatments with poly-lactic acid as a way of improving appearance in an aesthetically compromised patient without disturbing migrated polyalkylimide filler deposits

Being able to identify and characterize fillers is easily achievable with high-resolution ultrasound. In the case of polyalkylimide filler, knowledge of what has been injected under the skin is critical to address complications, plan the correct treatment, and avoid further complications.

Polyalkylimide is a non-resorbable gel that, when injected sub dermally, resembles fatty tissue and becomes encapsulated over time. Complications include infection, sterile inflammatory abscess, and migration within tissue planes and into other fascial layers. These deposits need to be correctly identified as treatment is vastly different compared to temporary fillers. Careful planning is required as treatment can be quite challenging, and missteps can exacerbate complications.

As a renowned advocate for using ultrasound to improve the safety of aesthetic procedures, Dr. MJ Rowland-Warmann sees nearly daily complication cases from other injectors. She recently treated a patient who received polyalkylimide filler 10 years ago. In this webinar, she’ll describe the complications that developed and present expert ultrasound imaging techniques to identify and characterize them.

She will further share her transformative treatment techniques captured on video. You’ll learn new ultrasound-guided skills to precisely inject filler and ameliorate contouring complications without disrupting permanent filler for the best possible outcomes for your patients.

Dr. MJ will be joined by your host and sonographer Shelley Guenther, who will perform live scanning with the Clarius L20 HD3 – now 30% lighter, more affordable, and highly specialized for facial aesthetics. Seating is limited. Don’t miss it – register today!

Dr MJ Rowland-Warmann Aesthetic Medicine & Dentistry

Aesthetic Medicine & Dentistry

Dr MJ Rowland-Warmann

Dr Rowland-Warmann, BDS, BSc, MSc, Aes. Med, MClin, Dent Orthod, PGDip Endod, PGCert MedEd, Dip.MJDF, is the founder and lead clinician at Smileworks Liverpool. Initially qualifying as a dentist, she has subsequently completed Masters degrees in Orthodontics and Aesthetic Medicine. Her practice is limited to non-surgical aesthetics where her special area of interest is the management of dermal filler complications using ultrasound. Dr Rowland-Warmann is a trainer for Sinclair Pharma, and is a member of their vigilance team, accepting referrals from UK-wide practices for the resolution of filler-related incidents. She lectures on dermal filler complication management and founded the Smileworks Aesthetics Training HUB, a training academy for medical professionals to advance their skills in aesthetic medicine and ultrasound. Dr Rowland-Warmann is an advocate for greater safety in aesthetics and has been widely published in industry and national media to help raise standards within the industry.

Shelley Guenther Sonographer, Clinical Manager

Sonographer, Clinical Manager

Shelley Guenther

Shelley Guenther worked as a Nuclear Medicine Technologist for 2 years before entering into the ultrasound program at the Royal Alexandra Hospital in Edmonton. After graduating with specialties in general ultrasound as well as echocardiography, she worked as a clinical expert in the commercial world of ultrasound for over 25 years. As Clinical Marketing Manager at Clarius, Shelley Guenther is dedicated to providing the highest quality educational content for clinicians looking to add wireless ultrasound to their practice, including practical webinars and Clarius Classroom video tutorials.

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Estamos aquí para ayudar

Ya sea que esté buscando una solución específica o necesite ayuda para encontrar el escáner adecuado para su práctica, estamos aquí para ayudarlo. ¡Póngase en contacto con nosotros y comencemos