Inject dent in MD

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Aug 6th, 2022
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How to inject dent in MD

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hi everyone Dan Julian here nurse practitioner for Dan Aesthetics medical and our Clinic is located here in Ottawa Canada today Iamp;#39;m sharing with you all my secrets on how I fill a feminine cheek youamp;#39;re not going to want to miss this one I got questions on this all the time letamp;#39;s get into it all right so before we begin we have to bring in our assistant Sarah say hey Sarah and what do we see here some landmarks some essential Anatomy landmarks that you need to know first of all we have the facial artery we have the infraorbital artery and then we have the obicularis retaining ligament and the zagomaticus retaining ligament which is also known as The jugal Groove okay so letamp;#39;s start off with the arteries facial artery runs deep all the way till about here and then as it crosses over it becomes superficial it also doesnamp;#39;t always stay right in the nasolabial fold sometimes it can be a little higher sometimes a little lower but this is around the aver

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One of the side effects of steroid injections is atrophy. Atrophy appears as an indentation in the skin at the site of injection. The patient may refer to it as a dimple or a depression. Others may call it a dent or even a hole The indentation can often be better felt than seen.
Steroid injections can cause atrophy or indents. its due to collagen production being shut off by the steroids. Atrophy does not happen to everyone. It is more likely to happen at higher doses of steroids (like 10 mg per mL of triamcinolone acetonide) but can happen at 5 mg per mL and even 2.5 mg per mL.
If you get a depression after a cortisone shot, Dr. Massick says that injecting normal saline into the dent might reverse itbut its better to take precautions beforehand.
Generally speaking, indents will return to normal but it can take 2-6 months. If the indents and hair loss are from the steroid injections (and not from a mimicking condition that causes idents), the chances are 95 % - 99% that atrophy will resolve.
This happens when the steroid solution which is commonly known as Kenalog collects at the site of the injection, either in the muscle or in the fatty tissue. The steroid changes the consistency of the tissue causing tissue loss which results in a dent or dimple in the skin which is due to fat necrosis.
Skin-related side effects Cortisone shots can also cause dimpling, or divots, in the skin around the injection site. This is typically due to loss of fat cells around the injection site. Skin changes can last weeks to months after receiving a cortisone shot.

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