Inside Aesthetics

Ep 164 Disasters & Solutions (Chapter 1) - Unregulated Botulinum Toxin Complications | Dr Cormac Convery


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Episode 164 hosts Dr Cormac Convery (GP & Cosmetic Physician based in Ayrshire, Scotland)

In this new mini-series called 'Disasters & Solutions', we'll be looking at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables.

We'll speak to the injectors who managed a difficult case and go through what happened, step by step. We'll learn about what might have been done to prevent the problem and what injectors can do in their own practice to be safer practitioners.

In Chapter 1, we discuss a case concerning a patient who was treated and injured by a non-medical injector with a likely imported and unregulated botulinum toxin. As the story unfolds, we learn she was one of at least nine similarly injured patients by the same injector.

00:00 Introduction 01:03 Meet Dr Cormac Convery 04:55 Founding CMAC and the Role of Complication Networks 10:59 Why Prevention Matters as Much as Treatment 18:27 Case Introduction Severe Reaction After Toxin Injection 26:25 When Multiple Patients Present With the Same Problem 33:29 Suspected Counterfeit or Unregulated Products 41:37 Why Testing and Biopsy Are Critical for Diagnosis 48:53 Understanding Granulomas and Foreign Body Reactions 52:09 Treatment Strategy Using Intralesional Steroids 61:45 Managing Patient Anxiety During Long Recovery 68:49 Restoring Contour With Laser and Filler 76:38 Who Pays for Complication Care and Legal Risks 80:09 The Problem With Unregulated Injectors 86:34 Why Complications Often Go Unreported 90:43 Lessons for Safer Practice and Patient Protection

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