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Complication Treatment management and protocols For Botox, Dermal Fillers, Sclerotherapy, and PDO Thread Procedures

This is that one area of aesthetics that is often overlooked or minimized when instead should be highlighted and studied closely. Empire has created a very comprehensive program designed to thoroughly train Aesthetic Practitioners with detailed information, techniques, and protocols to master the treatment of adverse effects and complications and, provide practitioners with methods to prevent adverse reactions that are most commonly operator dependent and technique specific. You may have heard this before, but even the best Injectors, regardless of how expert their training and experience has led them, will encounter complications in their patients. IF you are treating enough Aesthetics patients, you need to have this level of expertise under your belt.

The objective of Empire’s Complication Management program is to enable Physicians and health care practitioners to gain a high degree of confidence in treating their patients with the MOST COMMON aesthetic injectable techniques, specifically, Botox, Dermal Fillers, Sclerotherapy, and PDO Threads. These aesthetic procedures are the most common and therefore performed most frequently, increasing the likelihood of developing an adverse reaction.

Cosmetic injectables complications

Anti Aging Medicine Training

This program (unlike other training) will not recite theory from a textbook or discuss obscure theoretical complications but instead will provide you with training in “real world” and statistically relevant complications that occur and effective methods to treat such conditions.

Physician Instructors: As with all Empire Medical Training courses, this course is instructed by practicing and highly experienced Physicians who specialize in Aesthetics and are practice owners. When learning topics that will affect your career and have such a dramatic impact on patient outcomes, would you trust this level of training with a less qualified instructor?


Some outcomes may not be considered a serious complication but may still need to be “reversed” with agents such as Hyaluronidase that are very effective but proper training is needed to use safely and effectively.

Cosmetic injectables complications

Complication Management for Cosmetic Injectables

The program begins with training in pertinent facial anatomy with a focus on injection techniques to the face. Many practitioners have learned techniques involving “blind injections” so it is important to understand how to identify unwanted outcomes related to poor technique resulting from blind injections. Some outcomes may not be considered a serious complication but may still need to be “reversed” with agents such as Hyaluronidase that are very effective but proper training is needed to use safely and effectively.

Even after learning proper technique and using strict protocols for safe technique, you may still encounter patients that were treated by other practitioners who developed complications or a poor outcome. Complications vary in their severity and this program will provide you with detailed, up to date treatment protocols in the most common complications.

Complication Management and Protocols for:

Botox Aesthetic Complications

  • Asymmetry
  • Brow Ptosis
  • Lower Lip Drop
  • Asymmetric Smile

Botox Medical Complications

  • Diplopia, and Ectropion
  • Upper Eyelid Diffusion (Eyelid Ptosis)
  • Weakened Neck Flexors (Dysphagia)
  • Lower Lip Drop
  • Asymmetric Smile

Dermal Filler Complications (Aesthetic)

  • Asymmetry (Facial Areas)
  • Overfilling (Reversal of HA and CaHa)

Dermal Filler Complications (Medical)

  • Occlusion or Infarction of a Vessel
  • Denervation
  • Granulomas
  • Impaired Lymphatics

Sclerotherapy Injections

  • Telangiectatic Matting
  • Staining
  • Arterial Injections
  • Ulceration and Cutaneous Necrosis
  • Superficial Thrombophlebitis
  • Ocular Changes, Migraine, or other Neurologic Complications
  • Allergic Reactions

PDO Thread Complications

  • Bunching
  • Dimpling
  • Exposed Thread
  • Asymmetry
Cosmetic injectables complications

Superficial Thrombophlebitis

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Cosmetic injectables complications

Cosmetic Complication Management Training

Empire’s Complications Management for Injectables course has been designed for you to immediately identify medical complications as well as avoidance techniques for the injections; plunger pressure, patient pain, and injection pearls to follow. In addition, Empire has structured this course to further educate yourself and patients when a complication or adverse event is suspected and prepare you to effectively handle these events.

Detailed protocols and instructions are reviewed as well as follow-up procedures to ensure that you are delivering the very best care to patients. You will graduate from the program with a feeling of confidence that you are prepared to correct and manage unexpected or poor outcomes. The course will benefit all practitioners (novice or advanced injectors) to safely administer injectables within their practice and the knowledge to identify, diagnose, and treat possible complications with the highest degree of care.

This class will encumber all aspects concerning aesthetic injections for Botox, HA and Non-HA Dermal Fillers, Aesthetic Sclerotherapy and PDO Thread Placement. Pathways for further training in portable ultrasound devices, vein mapping, and facial topography are discussed. Empire Medical Training utilizes only board-certified physicians for the training who have years of experience performing these procedures within their practice and have extensive knowledge concerning aesthetic and medical complications that may arise. Feel confident that you will benefit from these treatment pearls and avoidance techniques and enhance patient care for your aesthetic clientele.

Empire Medical Training provides the most complete training and uses many proprietary training methods which allows us to distinguish our training from others. This live training is also available by video-on-demand allowing you to either review the materials prior to attendance or to re-review the course. Either way, you will leave the course knowing you have received expert training by renowned physician instructors who utilize everything they have provided in the training.

Certification & Course Materials: A Certificate of Completion is awarded to all attendees who successfully complete the course materials and testing. Attendees also receive access to detail color manuals, diagrams, and charts to download and use for reference. Be assured that you will learn from our expert physician faculty who perform the procedures in their own practices and will provide you the invaluable tips on how to optimize patient outcomes and manage the unexpected.


Cosmetic injectables complications

Complication Management

Upon completion of this program, attendees will have a thorough understanding of the following concepts:

  • Acquire the necessary knowledge to identify potential problems and complications associated with aesthetic injectable treatments.
  • Review crash kit recommendations and be able to educate patients pre-procedure and post-procedure to avoid unnecessary adverse events.  Review education of the procedures with patients concerning informed consents, expectant management, and possible complications.
  • Learn appropriate preparation and administration for hyaluronidase (HA Fillers), sodium thiosulfate (Radiesse), or other medications needed such as antibiotics, steroids, heparin, nitro-paste etc.
  • Gain a full understanding in the use of microcannula injections and other injectable techniques for avoidance.  
  • Understand the depth and placement of dermal fillers as well as avoidance techniques for facial and body areas of indication with fillers.
  • Reaffirm absolute and relative contraindications for aesthetic injectable treatments as well as comprehensive review for areas of adherence relating to these procedures.
  • Review anatomy and pertinent anatomical considerations for most commonly requested body treatment areas as well as the pre-procedure and post procedure instructions as well as treatment protocols for optimal results.
  • Learn management techniques for complications, adverse results, and suboptimal outcomes for facial and body contouring procedures.

Frequently Asked Questions

This training caters to MDs, DOs, DMDs, DDS, NPs, RNs and other licensed healthcare professionals.

A board-certified physician expert will teach this course, with other licensed healthcare professionals assisting where needed.

Certainly! For those outside the United States, injections on anatomical models are an option; however, you will not be allowed to inject on a live patient.

Each state has its own regulations concerning live patient injections. Kindly consult your licensing board to determine if you’re permitted to administer injections.

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Complication Management for Injectables - Agenda

time description
8:30am–9:00am Registration.
9:00am–9:15am Introduction by Empire Medical Training and Physician Instructor, Overview of Course (What you will learn), Review of Agenda/Objectives
9:15am-10:15am Review Pertinent Facial and Body Venous Anatomy, Review Indications for Facial Filler or Body Contouring Procedures including absolute and relative contraindications of treatment. Present various avoidance approaches for the most commonly asked facial and body concerns of patients with dermal fillers.  Review dilution and injection protocols for hyaluronidase and possible indications for aesthetic or medical use.  Review advanced protocols for granulomas including identification and treatment regimen.
10:15am-10:30am Break
10:30am-11:15am Specific Injection Techniques for Botox Injections and avoiding common aesthetic complications.  Review medical complications and adverse events and the corrective protocols and standard of care needed for correction including medication management. Review how to manage various botox related asymmetries and proper placement to correct aesthetic poor outcomes.
11:15am-12:15pm Review and identify sclerotherapy complications whether transient or permanent including serious medical complications associated with the procedure. Review each of the possible complications, corrective measures, and understanding as to the cause-effect of these adverse events. Review expectant management of results with patients and supplies needed to address possible complications as well as patient compliance.
12:15pm-12:30pm Break

Review and identify aesthetic complications in relation to PDO Thread placement and corrective actions to be taken.  Detail explanation of each corrective procedure and possible supplies needed for each indication.

1:00pm-1:15pm Questions and Answers

DISCLAIMER: Agenda listed above is for reference only and may be subject to change. The final agenda will be emailed to you a few days prior to your course. If you have any questions or need additional information, please contact our office at 866-333-6747.

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Consent Forms and Documents


Securing consent forms for your aesthetics practice can be time-consuming. We’ve compiled a document providing the essential tools, clinical policies, and definitions needed for a successful practice.

This is a must for any Aesthetic Practice, particularly newer practices just starting out. Empire Medical Training has developed this comprehensive Aesthetic Starter Kit after training physicians for over 25 years, working with start-up practices, and consulting with established practices in Aesthetics.

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