MJ Rowland-Warmann BDS

Ultrasound - mid-third facial anatomy

Saturday 19th November, 09:35


The highest risk dermal filler treatment areas for vascular events are the nose and nasolabial fold.  Not only ischaemia and necrosis, but blindness due to filler embolus to the ophthalmic circulation can occur.  Without visualisation of what lies beneath the skin, even experienced practitioners cause complications due to unexpected anatomy.

Reviewing cases from my practice and the scientific literature, I will share with you how deviations from what we assume to be the “norm” can present hazards for injectors.  We will appraise how ultrasound can mitigate the risk in nose and nasolabial treatments to improve safety and predictability in these high risk areas.

Dr Rowland-Warmann, BDS, BSc, MSc, Aes. Med, MClin, Dent Orthod, PGDip Endod, PGCert MedEd, Dip.MJDF, is the founder and lead clinician at Smileworks Liverpool. Initially qualifying as a dentist, she has subsequently completed Masters degrees in Orthodontics and Aesthetic Medicine. Her practice is limited to non-surgical aesthetics where her special area of interest is the management of dermal filler complications using ultrasound. Dr Rowland-Warmann is a trainer for Sinclair Pharma, and a member of their vigilance team, accepting referrals from UK-wide practices for the resolution of filler-related incidents. She is also founder of the Smileworks HUB, a training academy for medical professionals to advance their skills in aesthetic medicine and ultrasound. Dr Rowland-Warmann is an advocate for better safety standards in aesthetics and has been widely published in industry and national media.