Dr Leonie Schelke MD

Vascular adverse events - what lies beneath

Saturday 19th November, 10:50

Abstract:

Our hospital has run an out-patient clinic for filler complications for more than twelve years. Difficult and persistent cases are being referred. In the last years we were able to build up experience in vascular adverse events (vascular occlusion). More than one hundred cases were treated. To diagnose and manage complications, facial ultrasound imaging is considered the primary complementary technique and is incorporated in our patient care. With duplex ultrasound, the blood flow pattern before, during and after a vascular adverse events was observed. We think that vasospasm is one the mechanisms to consider.


Nodules and post-injection oedema

Saturday 19th November, 14:45

Abstract:

Our hospital runs an out-patient clinic for filler complications for more than twelve years. Difficult and persistent cases are being referred. To diagnose and manage complications, facial ultrasound imaging is considered the primary complementary technique and is incorporated in our patient care. For nodules and malar oedema, recently, we are more focused on the layer the filler is injected in and the vascular involvement. All nodules seen at our policlinic were located In the SMAS or fascia. For malar edema after by filler treatments in the peri-ocular region, venous compression by filler deposits may be involved.


Leonie Schelke is a Dutch certified cosmetic physician. She has a private practice in Amsterdam for more than 20 years. Since 2010 she and her colleagues run a policlinic for filler complications at the Department of  Dermatology, Erasmus MC, Rotterdam the Netherlands (2 days per week, 500 new patients per year).

She received her PhD in the use of duplex ultrasound and the management of filler complications.

She is a teacher in the Dutch certified educational program for cosmetic medicine.

She is co-founder and trainer of CutaneoUS, an organization for ultrasound courses in cosmetic medicine and dermatology