Filler Dissolving and Complications management with Ultrasound

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Although not all injectors use ultrasound guidance, our expert Physician Dr. Fahad Alam finds it to be an invaluable tool for several reasons.
By incorporating ultrasound into his practice for filler injections, filler dissolving and complications he prioritizes:
Less Risk
Although we can never guarantee zero risk, ultrasound helps to reduce the chance of unintended vascular injections, prioritizing patient safety.
More Precision
Achieving precise depth for optimal and natural-looking results.
Peace of Mind
Real-time visualization ensures accuracy and minimizes potential risks.
Customized Treatment
Tailoring treatments to individual anatomy, enhancing overall outcomes
Reduced Discomfort
Implementing controlled injections for a more comfortable patient experience
Complication Management
In the rare case that an adverse or unintended event does occur, ultrasound visualization can assist with rapid diagnosis and treatment of the problem.
Embracing ultrasound guidance isn't about criticizing other approaches—it's about adopting the best practices available to deliver exceptional care and results for every patient.

About Dr. Fahad Alam

Dr. Fahad Alam is an Assistant Professor, Anesthesiologist and medical education researcher at Sunnybrook Health Sciences Centre and the University of Toronto. He is also a Hyperbaric Medicine Physician at Restore Hyperbaric Oxygen & Medical Centre. 

As an ultrasound guided cosmetic injector, a significant portion of Dr. Fahad Alam’s practice involves managing complications. Leveraging expertise as a hyperbaric physician adds a unique dimension to his approach. Beyond enhancing aesthetic features, he is dedicated to ensuring a safe and comprehensive experience for his clients. 

What does an appointment entail?

Consultation with Dr. Fahad:  If you’ve experienced unsatisfactory results, filler migration, or complications from dermal or lip fillers, or Sculptra granulomas, and you would like to discuss your treatment options with Dr. Alam, this appointment is for you. Please note this appointment does not involve scanning the area using ultrasound technology. 
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Complication Management and Filler Dissolving Treatment: This appointment is for individuals experiencing complications from filler treatments or are looking to get their existing fillers dissolved. During this session, Dr. Alam will utilize real-time ultrasound technology to scan the area(s) of concern and develop a treatment plan. If time permits, Dr. Alam may also administer hyaluronidase treatment to the area to dissolve the filler. Pricing is determined based on the number of areas being scanned and treated.
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Embracing ultrasound guidance isn't about criticizing other approaches—it's about adopting the best practices available to deliver exceptional care and results for every patient.
At Integra Skinlab, Dr. Alam employs Ultrasound technology to address the following additional areas of concern:

Sculptra Granulomas

A rare inflammatory reaction to Sculptra injections, resulting in small nodules around the injection site.

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About

Dermal Fillers

Dermal fillers are a remarkable non-surgical treatment designed to address common signs of aging and restore youthful vitality to the face. By injecting a gel-like substance into targeted areas, dermal fillers effectively replenish lost volume, smooth out wrinkles, and enhance facial contours. Fillers work by attracting and binding water molecules, adding volume and hydration to the skin. The result is a rejuvenated appearance with reduced fine lines, softened wrinkles, and enhanced facial features.

Dermal fillers offer a wide range of treatment options to address various aesthetic concerns and enhance different areas of the face. Some of the common treatments performed using fillers include:

  • Wrinkle Reduction
  • Lip Augmentation
  • Cheek Enhancement
  • Under-Eye Rejuvenation
  • Jawline and Chin Contouring 
  • Temple Replenishment
  • Non-Surgical Rhinoplasty (Nose Job)

Frequently Asked Questions

Are Dermal Fillers safe?

Absolutely! Dermal Fillers have been used for many years and are considered safe when administered by trained healthcare professionals. However, like any medical procedure, there are potential risks and side effects. That's why it's important to consult with a qualified practitioner who can assess your suitability for treatment and discuss any potential risks or allergies specific to you.

How long do Dermal Fillers last?

The duration of results varies depending on the type of filler and your individual metabolism. Generally, hyaluronic acid fillers can last from six months to over a year, while other fillers may provide even longer-lasting results. Factors like the treated area, your lifestyle, and metabolism can also influence how long the effects will be noticeable.

Does the procedure hurt?

Most people find dermal filler injections quite tolerable. Many fillers contain a local anesthetic called lidocaine, which helps minimize discomfort during the procedure. Additionally, practitioners often use other numbing techniques like topical numbing cream or ice to enhance your comfort during the treatment.

Are there any side effects of Dermal Fillers?

While side effects are generally mild and temporary, they can include redness, swelling, bruising, and mild discomfort at the injection site. These effects typically subside within a few days. Although rare, more serious side effects such as infection, allergic reactions, or the formation of lumps/bumps can occur. It's crucial to discuss potential side effects and risks with your practitioner beforehand.

Can Dermal Fillers be reversed or dissolved?

Yes, hyaluronic acid fillers can be reversed or dissolved using an enzyme called hyaluronidase. This can be useful if you're not satisfied with the results or experience complications. Click here to book a consultation for filler dissolving and complication management.

What is the recovery time after Dermal Filler treatment?

Recovery time after dermal filler treatment is typically minimal. Most individuals can resume their normal activities immediately following the procedure. However, it's advisable to avoid strenuous exercise, excessive sun exposure, and alcohol consumption for a day or two after treatment to optimize your results and minimize potential side effects. 

Dermal Fillers

Dermal fillers are a remarkable non-surgical treatment designed to address common signs of aging and restore youthful vitality to the face. By injecting a gel-like substance into targeted areas, dermal fillers effectively replenish lost volume, smooth out wrinkles, and enhance facial contours. Fillers work by attracting and binding water molecules, adding volume and hydration to the skin. The result is a rejuvenated appearance with reduced fine lines, softened wrinkles, and enhanced facial features.

Dermal fillers offer a wide range of treatment options to address various aesthetic concerns and enhance different areas of the face. Some of the common treatments performed using fillers include:

  • Wrinkle Reduction
  • Lip Augmentation
  • Cheek Enhancement
  • Under-Eye Rejuvenation
  • Jawline and Chin Contouring 
  • Temple Replenishment
  • Non-Surgical Rhinoplasty (Nose Job)
picture of a woman having a facial mask

Dermal Fillers using Ultrasound Guidance

Our expertise lies in ultrasound-guided treatments that not only help address concerns but also boosts your self-assurance.

Using ultrasound technology imaging in real-time to guide the injectables ensures a more precise and natural-looking result, while minimizing the risk of complications.

Before and After Pictures

Come back soon for Before and After Pictures
Lift and Bright

The key to graceful aging combines Radio frequency skin tightening with Skin rejuvenation, ideal for brightening and correcting skin tone while sculpting and contouring. This treatment encourages the skin to heal itself by replacing damaged collagen fibers with new ones under the skin revealing firmer, younger looking skin.

Benefits of Radio Frequency and Skin rejuvenation:

  • Can treat hands, neck, decollete and face to target sun spots and wrinkles
  • Improves appearance of lines and wrinkles & reduces signs of aging
  • Improves health of skin affected by sun exposure and environmental pollution 
  • Reduces appearance of pigmentation and sun damage
  • Tightens and improves skin laxity
  • Short and effective sessions 
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Porcelain Facial

Catered for overall skin rejuvenation and signs of photoaging using fractional skin resurfacing to produce fresh younger looking skin to treat face, neck, decollete and hands. The laser helps to shed off the old problematic areas on the top layer of the skin revealing improved texture, wrinkling & spots with an overall renewed radiance.

Benefits of Skin rejuvenation and Fractional Resurfacing:

  • Treats acne scarring & pigmentation
  • Smoothes fine lines and wrinkles
  • Replaces old damaged cells with new healthy ones
  • Adapts to patients needs by adjusting depth and strength 
  • Combats a variety of skin issues at once
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Glow Up Facial

Experience a detailed skin analysis, double cleanse with steam, extractions (if needed), customized mask, hot towel aromatherapy, rejuvenating massage, and revitalizing serums. This 60-minute session deep cleanses, unclogs pores, and leaves you with radiant, hydrated skin.

Benefits: Boost Circulation and Hydration .

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Glow to Go (Express 'Lunchtime' Facial)

Glow to GO Facial: This 30-minute facial includes a cleanse, dermaplaning, custom mask, hot towel aromatherapy, and finishing serums. It targets dryness, dullness, fine lines, and acne scarring, leaving you refreshed and glowing. (Please come with no makeup).

Benefits: Rejuvenate and Brighten, Ideal for Busy Schedules.

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Power Glow

This 75-minute indulgence treats dullness, fine lines, and congestion. Get a skin analysis and enjoy a double cleanse with steam, extractions (if needed), dermaplaning, customized mask, hot towel aromatherapy, lymphatic drainage massage, and nourishing serums for soft, glowing skin.

Benefits:  Treat Dullness and Fine Lines

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Men’s Facial

Tailored for men, this 60-minute facial features a deep double cleanse with steam, extractions and decongestion, dermaplaning or beard line-up, custom mask, rejuvenating massage, serums, and finishing products. It addresses dryness, dullness, congestion, and rejuvenates the skin.

Benefits: Combat Dryness and Dullness.

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PRE AND POST-CARE PROTOCOL

Pre-care instructions:

  • Ensure that you are not pregnant, trying to become pregnant or breastfeeding.
  •  It is important that you understand that fillers are a medical procedure and are technically injectable temporary implants and must be treated with the same respect.
  • You CANNOT have filler if you had strep throat or a sinus infection within 2 weeks.
  • You CANNOT have filler if you had or will have surgery involving implants within 6 months.
  • You SHOULDN’T have filler if you had or will have a dental appointment within 2 weeks.
  • You SHOULDN’T have filler within 1 week of a special occasion, in case of bruising.
  • Do not use Aspirin, Advil or other anti-inflammatory or blood thinning medications that can increase bleeding/bruising for three days before treatment.
  • Do not take any supplements that can contribute to blood thinning, including green tea, fish oils, vitamin E, gingko biloba, garlic, ginseng, dong quai, feverfew.
  • Do not drink alcohol for 24 hours prior to your treatment to reduce the risk of bleeding/bruising.
  • Do not apply any creams, moisturizers, powders or makeup the day of the procedure. If you arrive with makeup on, you will be asked to remove it.  You will also be asked to wash your face upon your arrival; this is to ensure minimal risk of infection.

If you have any medical concerns that come up before your filler treatment, please contact the office to determine whether your treatment can proceed or needs to be rescheduled.

Post-care instructions: 

  • Use cold compresses to reduce swelling, if the swelling is bothersome.  Move the compresses regularly so that you don’t freeze any one area. 
  • Avoid touching the treated area for the first six hours following treatment, so you do not accidentally injure your skin while the area is numb. After six hours, the area can be washed with a mild soap and water.  Do not have a massage or exercise strenuously for 2-3 days.
  • Avoid exposure to intense heat (sun lamp or sunbathing) or cold until there is no redness or swelling.
  • After your treatment, you might have some swelling, redness, pain, itching, discolouration, and tenderness at the site of treatment.  This will normally last less than 7 days.  
  • Please keep in mind that bruising & swelling is normal, and the true treatment results will be seen after two weeks. 
  • Some tenderness is normal however, if you have pain (out of proportion) or a burning sensation please let us know. 
  • If there are changes in color, temperature, or sensation ie the area or surrounding skin becomes pale or bluish or blanching, please contact us immediately.
  • If you experience any vision changes, call us immediately.
  • Reminder, you will need to return for a 15-minute follow-up 2 weeks from the day of treatment
  • Do not apply makeup on the day of the procedure.

FREQUENTLY ASKED QUESTIONS

Are Dermal Fillers safe?

Absolutely! Dermal Fillers have been used for many years and are considered safe when administered by trained healthcare professionals. However, like any medical procedure, there are potential risks and side effects. That's why it's important to consult with a qualified practitioner who can assess your suitability for treatment and discuss any potential risks or allergies specific to you.

How long do Dermal Fillers last?

The duration of results varies depending on the type of filler and your individual metabolism. Generally, hyaluronic acid fillers can last from six months to over a year, while other fillers may provide even longer-lasting results. Factors like the treated area, your lifestyle, and metabolism can also influence how long the effects will be noticeable.

Does the procedure hurt?

Most people find dermal filler injections quite tolerable. Many fillers contain a local anesthetic called lidocaine, which helps minimize discomfort during the procedure. Additionally, practitioners often use other numbing techniques like topical numbing cream or ice to enhance your comfort during the treatment.

Are there any side effects of Dermal Fillers?

While side effects are generally mild and temporary, they can include redness, swelling, bruising, and mild discomfort at the injection site. These effects typically subside within a few days. Although rare, more serious side effects such as infection, allergic reactions, or the formation of lumps/bumps can occur. It's crucial to discuss potential side effects and risks with your practitioner beforehand.

Can Dermal Fillers be reversed or dissolved?

Yes, hyaluronic acid fillers can be reversed or dissolved using an enzyme called hyaluronidase. This can be useful if you're not satisfied with the results or experience complications. Click here to book a consultation for filler dissolving and complication management.

What is the recovery time after Dermal Filler treatment?

Recovery time after dermal filler treatment is typically minimal. Most individuals can resume their normal activities immediately following the procedure. However, it's advisable to avoid strenuous exercise, excessive sun exposure, and alcohol consumption for a day or two after treatment to optimize your results and minimize potential side effects. 

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