How to judge whether you are suitable for DERMAL FILLER injection

Three steps are required to determine whether it is suitable for dermal fillers: (1) skin elasticity test (pinch jaw skin rebound speed < 0.4 seconds is not recommended for injection); ② Allergen screening (30% of fillers contain crosslinker BDDE residue, HLA-B*5701 gene test is required); (3) Verification of doctor’s qualification (more than 3000 cases of licensed doctors’ practice for five years, and the error of facial vascular map must be < 1mm).

Risks

First of all, we have to break down the risk and say, “This stuff is really not “one shot and done” as simple as that. The 2022 Journal of the American Medical Association study indicated that vascular embolization occurs at an approximate incidence rate following injection of hyaluronic acid fillers about 0.001%-0.01%, but over 68% of the incidents present with local tissue necrosis after an incident of vascular embolization and 12% blindness from central retinal artery obstruction. Last year, Shanghai Ninth Hospital received a 32-year-old woman who, because of a misoperation in injecting eyebrow wrinkles, caused an embolism in the frontal artery. The area of necrotic tissue was eventually removed to 4cm² and the repair cost as high as 120,000 yuan. Remember, the risk triangle area of the face has more than three times the blood vessel density of the other areas, and the probability of error there is directly doubled.

Don’t think allergies are just a rash. In 2021, the MFDS reported that the percentage of circulating fillers with high crosslinker residues reached as high as 17.3% for BDDE > 2ppm, raising the possible probability of an allergic reaction from a product to 8.6%. The following is an extreme case once recorded in a medical and beauty institution in Hangzhou: on the 90th day after injection, the patient suddenly appeared with lupus erythematosus rash all over the body. Blood tests showed that the anti-nuclear antibody (ANA) titer soared to 1:1280 (normal value < 1:40). The monthly cost of drugs in the follow-up treatment exceeded 6,000 yuan. Top hospitals now mandate HLA-B*5701 genetic testing, which can reduce the risk of late onset allergies by 92%.

Regarding the issue of filler displacement, King’s College London biomechanical models demonstrated that hyaluronic acid in the nasolabial sulfuria region was displaced downward by a mean 1.2mm at 12 months after injection, whereas in subjects with oily skin this displacement reached 1.8mm – which means that gravity cancelled out 23% of the injection effect. What’s more, the post-displacement repair needs to be dissolved with 30-50 units of hyaluronidase (about 80 yuan per unit) and re-injected, which is 2.5 times higher than the total amount of the first injection. In order to repair the displacement of the apple muscle, a girl in Beijing spent 78,000 yuan before and after, which is enough to do three times of hot maggie.

It is more complicated than you may think. According to the worldwide data published in a sub-journal of the Lancet in 2023, the possibility of mycobacterium infection after injection in irregular medical institutions is 47 times that in regular hospitals. Such infections have an incubation period of 2-8 weeks, treatment needs continuous use of clarithromycin + amikacin for 6 months, and the drug cost is over 30,000 yuan. Do you still remember the incident of “bad face group” in Shenzhen in 2022? M. chelonis infection after injection in private studio, on average, took 278 days for one person to be treated, and the most serious patients had facial scars accounting for 41% of the area. The infection rate of 20G dull needles, whose outer diameter is 0.9mm, used by regular institutions, is 83% lower than that of sharp needles, but street stores generally use re-sterilized sharp needles to save money.

Long-term injection of medicine costs in deep skin. A five-year follow-up study at Charite Medical School in Berlin, Germany, reported that those who injected over 4ml of hyaluronic acid annually showed 37% faster dermal elastic fiber breakage and 19% lower collagen density, thereby directly contributing to accelerating skin aging in the age group of 28-35 years 1.8 times faster than their peers. A platform celebrity has exposed that she had to have a facial lift at the age of 32 after receiving quarterly injections for three years because her loose skin made her “Indian lines” 3mm deeper compared to before the injections. Dermatologists now have a formula: a single injection amount (ml) = body weight (kg) x 0.02, more than this value is overdraft skin life.

Psychological addiction is grossly underestimated. A behavioral psychology team from the University of Cambridge studied information on 2,000 medical and American consumers, discovering that after first use, the filling will induce 42% of people to add more within six months. Its addictive rate is 2.3 times the people that injected botox. Even more frightening, the positive rate of screening for body image disorder (BDD) among long-term injectors was as high as 29%, compared to just 2.1% in the general population. Shanghai Mental Health Center received a patient, 17 injections of fillers in two years, a total cost of 860,000 yuan, and finally because he felt he was “forever asymmetrical” depression. Currently, professional institutions will take BDD-YBOCS scale screening before surgery and do not recommend injection for those with scores > 20 points.

A hole in post-operative care will ruin any effect. Japan University of Tokyo has made an environmental controlled experiment: immediate hyaluronic acid metabolic rate boost 58% after injection, exposed to ambient UV index > 3; When the ambient temperature is higher than 35 °C, chain break rate reaches up to 63%. I know a girl who injected in Sanya when traveling. The result of 12,000 yuan forehead filled in three weeks disappeared. Later, the instrument test found that exposure to the sun plus high temperature made her face temperature maintained at 39℃ for a long time, which directly triggered the accelerated decomposition of hyaluronic acid. Service areas in high-end clinics will be equipped with portable infrared thermometers to make sure the area of injection is ≤36.5 °C before injecting.

Age Limits

The age limit is not a random line behind which lies a heap of blood and tears. The FDA in the US has clearly stipulated that the minimum injection age of fillers is 21 years old, while the Korea Food and Drug Safety Department found in 2023 that the proportion of illegal injections among people aged 18-20 was as high as 37%, with a possibility of fascial adhesions 2.8 times more than groups over 25 years old. Seoul National University Hospital admitted a 19-year-old female, two consecutive years of apple muscle injection caused 43% decline in facial SMAS fascia elasticity, repair had to implant artificial mesh stent, the cost of a single operation equivalent to 460,000 yuan. The fibroblast activity of minors is 60% higher than that of adults, and premature injection can disrupt the natural rhythm of collagen synthesis.

The age of 30 is a dangerous watershed. A study by the British Journal of Dermatology found that 30-35-year-olds had the highest satisfaction rate at 82% with tattoo injections, while the under-25 group had a filler displacement rate that soared to 39% due to excessive skin tension-meaning that four out of 10 young people with tattoo procedures face nasolabial deformation. Moreover, the average thickness of the derma of the 25-year-old group was only 1.2mm; the maintenance effect after injection could only be realized for 8.3 months, which is near 5 months less compared with the 35-year-old group: 13.6 months. There was a 24-year-old blogger who was unconvinced to have his jaw cut, and the result was that because the mandible was still developing, two years later the filler was squeezed into an S-shape by the proliferating bone, and the repair cost seven times more money.

After 45, the rules of the game change. German Merz Pharmaceutical company clinical trials indicate that 45-50-year-old test subjects injected nasal base, subcutaneous blood revascularization speed is 58% slower compared to the 30-year-old group, which directly contributes to bruising duration from an average of 4.2 days to 11.5 days. Even more cruel that the atrophy rate of facial fat chamber of 50-year-old people is over 35%, direct injection may cause “cliff effect”, a noble woman in Beijing showed obvious stepped bulge after injection in the tear groove, because the atrophic periorbital fat could not evenly support the filler, and finally relied on fat transplantation to remedy it, burning more than 150,000 yuan. Now top doctors will use ultrasound to measure the thickness of subcutaneous fat, less than 2mm is recommended to combine with autologous fat transplantation.

It is over 60 even more terrible. Tokyo Medical and Dental University of Japan’s autopsy found the facial artery wall calcification rate was as high as 73% for 70-year-old people. This leads the risk of blood vessel rupture during injection increased six times for 30-year-old people. In 2022, a beauty salon in Hangzhou injected a 68-year-old customer into the temple. The needle directly pierced the superficial temporal artery, the instant hematoma compressed the auditory nerve, resulting in permanent tinnitus. An older adult has to have a CTA before getting an injection; a test that is able to reduce vascular accidents by 89 percent, but 80 percent of illegal organizations hide this procedure.

Juvenile injection is to play with fire. Harvard Medical School tracked 12 16 – 18 years old, and five years later found the facial bone resorption rate than the previous one, the figure faster 1.7 times. Due to filler in the oppression inhibits osteoblast activity, which are responsible for making bone tissue by synthesizing organic bone matrix or osteoid. The worst: a 17-year-old male teenager had made three consecutive injections to modify his Angle. Consequently, his jaw bone density is 31 percent below average at 22 years of age. Since then, the European Union has imposed an age-restriction test to inject bones. Without the development and closure of epiphyseal streaks, an individual shall not go through an operation; whereas less than 10% conducts such tests here in China.

Pregnant women-hidden minefields:. It has been reported by the Karolinska Institute, Sweden, that pregnant women who had been injected with hyaluronic acid during pregnancy had residual concentration of crosslinker in fetal cord blood as high as 0.8μg/L or 16 times the safe threshold. What is more dreadful, these components can reduce the efficiency of the placenta barrier and result in a 22% increase in heavy metal penetration. There was once a case in Guangzhou: a pregnant mother injected her forehead in a private clinic. After the child was born, it resulted in heavy metal poisoning, and detoxification treatment cost 24,000 yuan per month, which lasted 17 months. Formal institutions now use triple pregnancy test: urine HCG+ blood beta-HCG + ultrasound test, reducing the false detection rate to less than 0.003%.

Costs

The cost factor is not the number on the price tag; there are nine hell levels of hidden expenses buried underneath. The factory price of authentic Joe Adon per milliliter is about 1,800 yuan, but to the hands of consumers can be up to 9,800 yuan – the 400% premium in the middle, the clinic has to share the maintenance fee of 200,000 yuan/month sterile operation room, the technical fee of 1500-4500 yuan drawn by the injection doctor per injection, and the invisible 48% marketing customer cost. According to the seized cases of counterfeits in Guangzhou in 2023, the black workshop uses industrial-grade hyaluronic acid to impersonate medical products, the cost is only 23 yuan /ml, and the price is marked to 6800 yuan /ml, and the probability of these fakes causing vascular embolism is 11 times that of the genuine products, and the rescue of such cases will burn an average of 370,000 yuan of medical expenses. Recall that when scanning the truth, the “first query” is the real product and 99% of the second query is the recycled packaging scam.

Your doctor’s credentials are the difference between money and death. Data from the Shanghai Health Commission shows that doctors with a “medical cosmetology primary physician certificate” charge 6,800 yuan for a single injection, while unlicensed doctors charge only 1,200 yuan – but the latter are 22 times more likely to cause complications. A woman living in Beijing wanted to seek a “door-to-door injection technician” cheaply. As a result, she suffered an irreversible facial nerve damage caused by a wrong level, and the repair operation costs 400,000 yuan, or 333 times of the amount she originally paid for the injection. Doctors at regular institutions charge about 2,500 yuan per operating hour, which buys accurate control over more than 40 groups of muscles and 7 layers of tissue structure on the face.

That would be the cost of 3,800 yuan for every hyaluronidase dissolving agent, plus failure to dissolve with probabilities up to about 6.7%, needed surgical detrauma at average repair surgeries cost touching 140,000 yuan. The restoration is people who consume more gold. A Hangzhou Internet celebrity, owing to the overfilling leading to necrosis of the nose tip, did 3 debridement and 2 skin flap transplant, with a total cost surging to 380,000 yuan, equivalent to 47 times the cost of her first injection. More insidiously, lysozymes are up to 35% inefficient at cross-linking hyaluronic acid, meaning a third of the people who pay for the solution have to go under the knife.

The so-called “all inclusive price” you think is never full. Statistics from the Affiliated Hospital of Seoul National University in South Korea indicate that 60% of patients with filling complications have to bear additional anti-infection treatment costs, an average of 8,200 yuan per course, scar repair costs ranging between 20,000 and 80,000 yuan, and loss of work loss calculated at an average daily income of 500 yuan. In Shenzhen, one white-collar worker was infected after injection and the “28,000 all-inclusive” by the clinic finally became seven additional charges including 600 yuan per hour for pressurized cold therapy and 2,400 yuan per day for antibiotic infusion. The final bill rose to 110,000 yuan. Formal contracts specify the share of complications, but 90% of clinics are deliberately vague about this.

Time is the most expensive luxury. On average, 3 adjustments are needed to achieve the ideal result with facial fillers. Based on 14 days for each recovery period, within half a year, you have 42 days that you cannot go out socially, do fitness, or go to a sauna. What’s worse, it turned out to be a failure. In Nanjing, a company executive asked for leaves for 17 times before and after filling displacement repair and went to work by putting on a pressure mask for 287 days, which led indirectly to the deduction of year-end bonus by 68%. The agency doesn’t tell you that there is an average swelling period of 23 days following each injection, and the hidden loss due to this can sometimes be more than the price of the jab itself.

The psychic cost is gauged in rupees. A study published in the Lancet estimated that people addicted to fillers spend 3.8 times more on subsequent purchases than they did on their first purchase each year, and 17 percent of them go on to borrow. A woman in Wuhan injected 11 times in two years, for a total of 820,000 yuan, and finally was hospitalized for anxiety. The daily psychological counseling fee was 800 yuan. What is even scarier, 29% of the failed cases will develop PTSD, and this kind of psychological recuperation course will cost around 60,000 yuan/month for at least half a year. Some private high-end clinics have implemented a 10% risk deposit, which is a double-edged sword-it may prevent impulse spending, but also it may induce “sunk cost” investment.

Legal protection costs an arm and a leg. Statistics from Beijing Chaoyang Court show that the average trial cycle of medical disputes is 11 months, while lawyers’ fees start at 30,000 yuan. Actual compensation implemented after the victory of a lawsuit only accounts for 27% of the amount claimed. One consumer claimed 500,000 yuan for nose filling failure, and spent 120,000 yuan in legal fees, took two and a half years, and finally only got 32,000 yuan in compensation. More realistically, 90% of injection disputes cannot be filed due to loopholes in the pre-operation contract, and those promising “unsatisfactory refund” clauses are legally identified as invalid format clauses.

Duration

Is Durability a scam? The figures hide the actuality of cruel propaganda. The official label of authentic Joe Arden Voluma is maintained for 18-24 months, but a 2023 study in the Journal of the American Academy of Dermatology found that the actual metabolic rate is 37% faster than the propaganda-oily skin groups only have 42% of the filling amount after 12 months, and dry skin can only retain 58%. Moreover, hyaluronic acid has been lost from the striae 2.3 times faster compared to the apple muscle due to the fact that the masticatory muscle works an average of 1,200 times daily, thereby accelerating decomposition of materials. A Beijing crocus 48,000 injection law was the result after eight months when it collapsed into two trenches and needed makeup every quarter. More than two years had burnt 190,000. Now those smart folks are staring at the crosslinking degree parameter: 1ml hyaluronic acid contains 6mg crosslinker effect, more than 3mg for over 5 months, but this data 80% of the clinic will not actively tell you.

Different parts are time thieves. To trace, Seoul National University in South Korea used radioisotope labeling and found that the half-life of forehead filler is only 4.2 months, while the chin can maintain 9.1 months-because the skin thickness of the forehead is only 1.6mm while the chin is 3.2mm, and UV can penetrate as high as 73%, accelerating photodegradation. What’s more, the lacrimal groove area is due to vigorous lymphatic circulation, and the metabolic rate is 60% faster than the cheekbone, which is why some people’s apple muscle has been flat for 1 year, and the lacrimal groove has shrivelled for 3 months. Two parts were injected simultaneously, and a 4mm height difference appeared on the left and right face. A girl in Hangzhou had to repair it. The doctor shook his head straight.

Temperature is the invisible killer. Shiseido Laboratory of Japan has done extreme tests, indicating that at 35 ° C the molecular chain of hyaluronic acid breaks 3.8 times faster than at 25 ° C. In the event of daily exercise for 1 hour a day, where the facial temperature rises to 38.5 ° C, the effect of 6 months is directly halved. Still unconvinced, a Shenzhen yoga instructor continued hot yoga after finishing the filler. The result was that 26,000 temples were filled in 4 weeks and disappeared. An instrument test showed that the material decomposition rate was as high as 89%. Now high-end clinics will be equipped with Bluetooth temperature sensing patch, more than 37.5℃ automatic alarm, but this service charges 380 yuan per hour.

Skin type is the ultimate judge. People with oil skin listen: your sebaceous glands secrete 3 times more than dry skin, and after these oils are coated with fillers, they activate the phagocytosis process of macrophages, and the metabolic rate is directly 41% faster. According to “British Clinical Dermatology,” the oily group has a median maintenance time of 9.2 months, 3.8 months less than for mixed skin, and 5.1 months shorter compared with dry skin. There is a sister here who is rated as Daqing oil field class oil skin. A month after it dissolved 30% of the filling amount, he is now using oil-absorbing paper to furiously wipe each day; the more he wipes, the faster.

Injection technology steals your shelf life. Compared with single point injection with sharp needle, the maintenance time of layering injection with blunt needle is 42% longer because it can form a three-dimensional mesh support. However, during an unannounced visit, the Shanghai Health Commission found that 67% of doctors only use sharp needles to save time, which leads to material accumulation and accelerated absorption. In addition, some clinics share 1ml for three plays, 0.33ml each; while this seems cheaper, actually every puncture destroys the original structure, and the final maintenance time will be 5 months short compared to one full injection. Remember that a single injection of less than 0.5ml is a rogue because it simply doesn’t support the structure.

Lifestyle is a kind of chronic poison. Those who drank more than 200ml of alcoholic beverages daily increased the metabolic of fillers by 28%, but for smokers, things were even worse: nicotine raised blood vessel constriction by 61 percent, thus leading to a shortage in nutritional supply and material degradation 39 percent faster. A bar owner in Beijing drank five times a week, and 18,000 dozen lips returned to before liberation in 12 weeks, then changed to juice to barely survive until 7 months. Now there is a saying that each cigarette burns 15 yuan of filler, this cost calculator can dissuade many people.

Repairs cost more than new injections. The moment when you want the repunch to dissolve, hyaluronidase will remain in the body for 2-3 months and degrade newly injected hyaluronic acid in advance, which is equivalent to spending double the money to get only 70% of the effect. A rich woman in Hangzhou repaired the bridge of her nose three times in a row, and the time for maintenance reduced from 14 months for the first time to 5 months for the third time. The actual cost per milliliter soared to 9,200 yuan. “This is called traumatic memory effect. Repeated punctures cause the tissue to form a barrier of rejection,” says the biomechanics professor.

Expertise

You can get over anything but playing Russian roulette with your face. In China, the number of doctors holding the “Medical Beauty Doctor Certificate” accounts for only 13.7% of the practitioners, meaning that 9 of the 10 medical beauty institutions you may casually walk into on the street are operating with unlicensed personnel. The 2023 flight inspection of Beijing Health Commission shows that 92% of the vascular embolism cases caused by illegal injection are under the hands of unlicensed doctors. The average deviation of the walking position of the flying phegant doctors to 40 facial arteries and 12 pairs of cranial nerves is 3.2mm, which is enough to send the needle tip into the internal carotid artery. Remember, the five-year practice requirement for a licensed physician is over 3,000 cases, the dividing line between life and death on the safety line.

Just because a young doctor has a steady hand doesn’t mean that doctor is reliable. The Lancet, the subsidiary of the Lancet, followed complication rates for physicians in various years of practice-the rate of error dropped to 8.7% for physicians in two years of practice, to 2.3% for those in five years or more, and to 0.9% for specialists in 15 years or more. In addition, the G values or elastic modulus are the rheological properties of fillers that were wrongly estimated by novice doctors by as much as 64%, and this led directly to placing 42% of the injected material into the muscle layer rather than the periosteum. One institution in Shanghai employed a three-year-experienced doctor to inject for the client; unfortunately, the material compressed the mental nerve and caused permanent numbness of the lower lip. The repair operation costs start from 200 000 yuan, which is 22 times the cost of injection. Now, the best hospitals require doctors to pass the rheology simulation tests, and operations less than 90 degrees are prohibited, but this equipment is only installed in 38 institutions across the country.

When it concerns methods of injection, blunt and sharp needles, the choices determine directly whether your face is an experimental field. According to a study conducted by South Korea’s Seoul National University, the injections of falloping using 27G blunt needles, measuring 0.4mm outer diameter, caused vascular damage in 83 percent fewer cases than as compared to using sharp needles. But the price for learning to use these new technologies was quite incredible: doctors had to go through extra 120-hour training. The chaos in the domestic medical beauty training market lies in the fact that 68% of the crash course claims “three-day church injection”, while the formal microsurgical injection training takes 6 months, and the cost of consumables exceeds 70,000 yuan. A girl in Dongguan was injected by a “doctor” who had five days of training. The needle went straight through the bone of her cheekbone, and now she smiles like a ping-pong ball stuffed into her left face.

International certification is the hard currency. In the US, the FDA requires that injection doctors complete 400 hours of autopsy training, while the domestic number is zero – yes, many doctors’ first exposure to real facial structures is on a living face. Even more frightening is that 78% of domestic filler complications are caused by hierarchical errors, such as the “freezing face effect” caused by the material being injected into the expression muscle. A doctor in Guangzhou who uses ultrasound to guide injection charges 3,000 yuan more than blind injection per time, but the accuracy is increased to 97%, which is the really valuable “technical premium”. There is a saying: now the doctor’s precision operation is worth 2,500 yuan per hour, and this money buys millimeter control.

Legal decision data speaks. According to China Adjudications.net, in 2022 the average compensation awarded by the courts in cases of unlicensed medical practice was a mere 32,000 yuan; while the median compensation for cases of negligence by licensed doctors was 147,000 yuan – because the court ruled that professional doctors “should have foreseen risks.” There is a typical case in Beijing’s Chaoyang district: a licensed doctor injected wrongly and caused the blindness of the plaintiff. The final judgment was 1.89 million yuan, 23 times the average annual income of the industry. This is the price of 15 years of hard work and millions of liability insurance premiums, while the “doctor” down the street who gives you the shot may not even pass the most basic anatomy.

Cross-country comparisons are even more alarming. In Germany, if you want to get the filler injection qualification, you need to pass seven ladder tests, including the simulation of blood vessel avoidance test on pig feet (the pass rate is only 31%), and the “qualification” of some domestic institutions is the completion certificate that can be bought by paying 6800 yuan to the training school. According to statistics from the Munich University Medical School, postmortem trained doctors had a 91% lower rate of vascular injury after their first injection than untrained doctors – which is why their hyaluronic acid complication rate was only 1/20 of that in China. Now you know why someone would fly to Korea to get a shot? Although the flight cost $20,000, I bought 400 autopsies from other medical schools.

You are afraid of the hourly rate of a restoration specialist. With less than 200 doctors in the country who can deal with vascular embolism, and their outpatient fees starting from 38 yuan per minute, with the starting price of dissolution surgery being 70,000 yuan, it is even more desperate that 83 percent of the cases referred by these specialists were initially caused by unlicensed personnel. To fix the apple muscle broken by the quack doctor, a rich woman in Wuhan invited experts from Shanghai Ninth Hospital to fly to the surgery. She spent 490,000 yuan in three hours – an average of 2,722 yuan per minute, enough to buy 10 pieces of Joe Yaden. Remember, restorers’ methods work on the foundation of millions of unsuccessful attempts, and the amount you save by injecting becomes their consultancy fee sooner or later.

Preparation

You can’t get through pre-op, and every shot you get in the face could turn into a ticking time bomb. Aspirin eaters beware! The withdrawal time is not the clinic said 7 days at all. According to the Journal of Hematology study, 75kg of body weight needs to be stopped for 12 days to allow the platelet aggregation rate to return to the safe value of < 20%. Unconvinced, a senior executive in Beijing stopped taking the medicine for 8 days to lay down the bar: the hematoma area reached 6cm×4cm, it took 3 times to collect blood, and the treatment cost was 27,000 more than the injection fee. At present, top hospitals will use thrombologram detection, and the standard line is MA value < 45mm, which is 3 times more accurate than the simple number of days of drug withdrawal.

The allergy test was in water above the Mariana Trench. MFDS in Korea reported that 32% of the products containing hyaluronic acid available on the market were labeled without BDDE crosslinker residues, with the likelihood of products causing delayed-type allergies increased by 6.8%. A girl in Hangzhou showed a negative skin test before surgery, but the whole body broke out in urticaria on the 42nd day after the fight. The IgE antibody value rushed to 2500IU/mL, while a normal one should be ≤ 100, and the monthly treatment cost of biological agents was 12,000 yuan, and she had to fight for six months. Now Frontier clinics have shifted to IgE specific antibody testing, which lowers the rate of missing allergies to 0.3 percent, but at an extra 2,800 yuan.

Skin condition is an invisible killer. The infection with acne is just like culturing bacteria in a petri dish, as the aforementioned study of JAAD has shown that when the number of propionic acnes is more than 10^4 CFU/cm², the infection rate after injection significantly increased to 21%. Moreover, acid skin care products cannot be used within 3 days after the injection. It makes 37 pustules burst after an acne girl in Shenzhen injects, and the repair cost is three times the injection cost. Now professional institutions will do VISIA skin testing; red area inflammation value > 30 will not be called; this parameter cannot be measured at home.

People who drink are fighting the blood vessels. Drinking 100ml of liquor within 24 hours before surgery can increase the rate of dilation of blood vessels in the face by 58%, and doctors can puncture blood vessel walls if they give the needle carelessly. A Shanghai bar owner drank half a bottle of whiskey the night before surgery, but the blood spilled in the doctor’s face during the injection, and it took six hemostatic needles to control it, costing him 4,800 yuan to stop the bleeding. Blood alcohol concentration tests are now included in the list of pre-operation tests in high-end clinics, and more than 0.02% of them are directly dismissed.

If psychological evaluation is considered as the mere formality, then it is urgently needed. The scale of BDD-YBOCS said that >14 points after injection, the rate of psychological dependence could reach as high as 73%. The measurement before surgery is 19 points, and a Chengdu network celebrity forced to play with a filled result 11 times in two years; finally, at the cost of mortgaging his house to continue playing. Formal procedures require a psychiatrist and plastic surgeon to co-sign, but this system accounts for less than 5% of the country’s coverage.

The pre-op checkup hid the devil in the details: in the four coagulation items, the PT value was more than 13 seconds; the possibility of postoperative hematoma was 4.6 times that of the normal value. In a case reported in Guangzhou, an institution had skipped the examination to inject the patient, and the result was that the hematoma compressed the facial nerve and caused the mouth Angle to be skewed, and compensation was 860,000 yuan. Now, the clinic that dares to accept you must dare to show you the clotting report + four infectious disease reports that came out that day, and less than one is risking your life.

Three generations of agency credentials. In 2023, an unannounced inspection by the Beijing Health Commission found that 46 percent of medical and beauty institutions had operations beyond the scope-for instance, holding a dermatology license to perform some operations like filling. Even worse, some use the approval for cosmetics and impersonate approval as a medical device license while having a product complication rate reaching 7.3 times higher than in usual products. Also note, the website named “Medical institution practice license” by the National Health Commission of the People’s Republic of China is your talisman in an ocean, full of ghost flags:.

Aftercare

The real battlefield is post-op care, and one wrong move costs tens of thousands of dollars. Application of ice within 24 hours of an injection is not casual-for every hour of delay in starting ice, the size of the hematoma increases by an average of 12%. Shanghai net red ran for apple muscle hot pot after eating, facial temperature rose to 39.2 ℃. As a result, the next day swelled into steamed bread, light edema spent 6800 yuan. Now, high-end clinics issue medical ice packs, which must be applied for 15 minutes every 2 hours for 48 hours and can reduce the swelling rate to less than 17%.

The sleeping position is among the key invisible killers. When lying flat at an angle greater than 15°, the gravitational displacement of the filler increases by 23%. A woman in Hangzhou slept on her side and pressed the temple she had just injected, and the next day she felt a hard lump, and ultrasound showed that the material was squeezed into a rope, and she suffered 3 more injections of lysozyme during repair, and the cost skyrocketed by 18,000 yuan. The professional recommendation is to maintain a 10° elevation Angle of the head with a cervical fixation pillow, which is biomechanically the safest Angle.

Fitness fanatics beware! Aerobic exercise within 48 hours of injection with a heart rate of more than 120 beats per minute resulted in a 37% increase in the diffusion rate of the filler. The fitness coach from Shenzhen developed, two days after performing chin hard pull, a result of hyaluronic acid moving along the movement of muscles to the neck, and forming three embarrassing “neck lines.” It required 2.3 times more money than the original operation to repair. Now the clinic has begun to issue a heart-rate monitoring bracelet, which vibrates when the preset value is exceeded, but the rental of this equipment costs 300 yuan a day.

Skin care is in a deeper hole than you think. After the injection with alcohol-based toner, hyaluronic acid metabolism speed up 41% – equivalent to burning 380 yuan a day. What is even more sneakier, 28% of repair masks have osmotic enhancers that can make the needle infection rate as high as 19%. Beijing woman’s face using an ex-boyfriend mask infected with staphylococcus aureus needle mouth, treatment costs can be bought 50 boxes of mask. Within 72 hours after surgery, only PH5.5-6.0 gun size spray can be used; this can be checked on the packaging.

A drug taboo can save lives. Note for those taking ibuprofen for pain relief: This miracle drug can reduce platelet aggregation by 53% and extend the duration of bruising to nine days. A girl in Guangzhou secretly took painkillers, and three weeks later had bruising, and applied three layers of concealer before going to work every day until she got contact dermatitis and spent more than 12,000 yuan for treatment. Now you understand why the doctor prescribed loratadine instead of painkillers? Antihistamines can prevent allergic reactions without hindering blood clotting.

UV is the silent killer. With each additional 10J/cm² UV irradiation within 7 days after surgery, the decomposition rate of hyaluronic acid increased by 28%. One tourist in Sanya went to the beach on the third day after injection. The outcome was that the bridge of the nose of 16,000 yuan collapsed around the filling. According to the VISIA test, the UV damage value was seven times the normal value. Hardcore gamers now carry UV index monitors, and anything over 3 is fully armed — much more useful than holding an umbrella.

Massage is more expensive than gold. 80% of people can’t resist touching their face, but the 42kPa of pressure produced by finger pressure is enough to deform the unshaped filler. A Wuhan woman massaged her forehead, turning the hyaluronic acid, which should be evenly distributed, into three bulges. This doctor spent three hours reshaping it with 23G blunt needles when repairing it and charged 8800 yuan per hour. Now, some clinics put restraint gloves on their clients; these look like psychopaths but save 30,000 dollars worth of facial contours.