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Safety with Dermal Fillers and Preventing Ischemic Events

A LIVE workshop event from Assoc. Prof. Greg Goodman

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Content Overview

  • Could you use a refresher course on important facial anatomy and vasculature?

  • When did you last review the current literature on handling an ischemic event?

  • Do you know the current protocols for the use of Hyaluronidase in an ischemic event?

  • Do you know how to dilute Hyaluronidase (for emergencies or for cosmetic corrections)?

  • What clinic protocols do you have in place for an ischemic event resulting in blindness?

*If any of these questions pique your interest then we welcome you to attend Facecoach LIVE – A workshop on safety with dermal fillers and preventing ischemic events.

When & Where are these events?

We hold Facecoach Live events in major cities across Australia. To register for an upcoming course and to ensure that you are able to purchase a ticket, simply join the waiting list for your city and you will be notified first when tickets go on sale.

Please be aware that these events sell out incredibly quickly and we cannot guarantee everyone on the waiting list will be able to purchase a ticket. It's first come, first serve but by being on the waiting list you will receive an email as soon as tickets are available.

Learning Outcomes

  1. Revise the latest published data on ischemic events including blindness.

  2. Revise the latest published data on the use of hyaluronidase in an emergency.

  3. Revise your clinic protocols for the use of hyaluronidase in an emergency.

  4. Discuss important injection sites for hyaluronidase along the pathway of the facial artery.

  5. Give you a protocol to dilute hyaluronidase for emergencies and for cosmetic correction.

  6. Practice physically drawing up hyaluronidase in a clinical setting.

Below is a partial list of peer-reviewed clinical studies Associate Professor Greg Goodman has contributed to:

Greg Goodman, MBBS, FACD, MD, GradDipClinEpi, has been a practicing dermatologist for more than 20 years. His areas of specialty include skin cancers, Mohs micrographic surgery, lasers in dermatology, cosmetic dermatology, facial aging and the treatment of acne and acne scarring. He is an associate professor at Monash University in Melbourne, Australia. He is chief of surgery at the Skin and Cancer Foundation of Victoria.

Assoc Prof Goodman regularly presents on dermal fillers and is a member of the Advisory Board for all major pharmaceutical companies in medical aesthetics.

About Assoc. Prof. Greg Goodman

Goodman G, 2012. Duckless Lips: How to Rejuvenate the Older Lip Naturally and Appropriately (Juvederm). Cosmet. Dermatol. 25:276-283.

Goodman GJ, 2012. The Masseters and Their Treatment with Botulinum Toxin (Botox). In A. Carruthers and J. Carruthers (Eds.), Botulinum Toxin (Botox), Third Edition (A Volume in the Procedures in Cosmetic Surgery Series) (Chapter 20).

Saunders.Goodman GJ, 2012. Treating Scars: Addressing Surface, Volume and Movement to Optimize Results: Part 1. Mild Grades of Scarring. Dermatologic Surgery, DOI: 10.1111/j.1524-4725.2012.02434.x

Goodman GJ, 2012. Treating Scars: Addressing Surface, Volume and Movement to Optimize Results: Part 2. More Severe Grades of Scarring. Dermatologic Surgery, DOI: 10.1111/j.1524-4725.2012.02439.x

Goodman GJ, Morgan VA, Rutherford TJ, Upjohn EJ & Salmon PJM, 2012. International Perspective of Mohs Micrographic Surgery: Australia and New Zealand. In K. Nauri (Ed), Mohs Micrographic Surgery (pp. 509-518)

Goodman GJ, Halstead MB, Rogers JD, Borzillo D, Ryan E, Riley N and Wlodarczyk J, 2012. A software program designed to educate patients on age-related skin changes of facial and exposed extrafacial regions: the results of a validation study. Clinical, Cosmetic and Investigational Dermatology, 5:23–31.

Goodman GJ, 2012. Home of younger skin. Professional Beauty, Mar/Apr: 114-115.

Marcella S, Goodman G, Cumming S, Foley P, Morgan V, 2011. Thirty-five units of botulinum toxin type (Botox) A for treatment of axillary hyperhidrosis in female patients. Australasian Journal of Dermatology, 52(2):123-126.

Goodman GJ, 2011. Treatment of Acne Scarring. International Journal of Dermatology, 50(10):1179-1194.

Young LC, Tuxen AJ, Goodman GJ, 2011. Mohs' micrographic surgery as treatment for squamous dysplasia of the nail unit. Aust. Journal of Derm, 53(2):123-127.

Goodman GJ, 2011. Commentary: Subcision Versus 100% Trichloroacetic Acid in the Treatment of Rolling Acne Scars. Dermatologic Surgery, 37(5):634-636.

Williams, LM, Alderman, JE, Cussell, G, Golston, J, Hamilton, N, Lim, AC, Goodman, GJ, Halstead, MB, and Rogers, JD, 2011. Patient's self-evaluation of age related skin changes in the face: a prospective, randomized, controlled study. Clinical, Cosmetic and Investigational Dermatology, 4:1-11.

Goodman GJ, Bekhor P, Rich M, Rosen RH, Halstead MB and Rogers JD. 2011. A comparison of the efficacy, safety and longevity of two different hyaluronic acid dermal fillers(Juvederm Ultra Plus and Restylane Perlane) in the treatment of severe nasolabial folds: A multicentre, prospective, randomised, controlled, single-blind, within-subject study. Clin Cosmet Investig Dermatol, 4: 197–205.

Goodman GJ. 2010. The use of Botulinum Toxin (Botox) as primary or adjunctive treatment for post acne and traumatic scarring. Journal of Cutaneous and Aesthetic Surgery, 3(2): 90-92

Goodman GJ. 2010. 'The Treatment of Acne Scars in different groups'. In: Carniol and Monheit (eds), Aesthetic Rejuvenation Challenges and Solutions, Informa London, Chap.19.

Goodman GJ, 2009. 'Treatment of Acne Scarring in Ethnic Skin', In: Sydor and Pancotti (eds), Cosmetic Dermatology in skin of colour, by M Alam, R Kundu, A Bhatia and S Yoo. McGraw-Hill China, Chap. 18.

Goodman G, 2009. Cleansing and Moisturizing in Acne Patients. American Journal of Clinical Dermatology, 10:Supp 1:1-6.

Goodman GJ, 2008. Acne and Acne Scarring The case for active and early intervention. Aust Family Physician, 35:7.

Goodman GJ, 2008. An automated autologous cell transplantation method for the treatment of hypopigmented scarring, Dermatol Surg, 34:578-81.1

Alam M, Goodman G, 2007. Treatment of Acne Scarring, In: Carniol and Sadick, Clinical Procedures in Laser Skin Rejuvenation. Chap 8. Informa UK.

Goodman GJ, 2007. Botulinum toxin (Botox) for the correction of hyperkinetic facial lines, Aust Journal Derm, 39 (3):158-163

Goodman GJ, 2007. 'Lasers and lights', in DJ Goldberg (ed), Facial rejuvenation, Springer Berlin, 1-48.

Goodman GJ, 2007. 'Acne scarring' Dialogues in dermatology, Audio CD.

Apikian M, Goodman GJ and Roberts S, 2007. Management of mild to moderate rhinophyma with a 1450-nm diode laser – Report of five patients, Dermatol Surg, 33:847-50.

Goodman GJ and Baron JA, 2007. The management of post acne scarring, Dermatol Surg, 33:1175-88.

Apikian M, Roberts S, and Goodman GJ, 2007. Adverse reactions to polylactic acid injections in the periorbital area, J Cosmet Dermatol, Jun, 6(2):95-101.

Goodman GJ, 2006. The Management of Post-Acne Scarring, US Dermatology, 1(2):1-5.

Hanke CW and Leonard AL, 2006 'Repair of acne scars', in The aesthetic procedure manual – A guide to dermatology residents.

Goodman GJ, 2006. Acne and acne scarring – The case for active and early intervention, Aust Fam Physician, 35(7):503-4.

Goodman GJ, 2006. Acne–Natural history, facts and myths, Aust Fam Physician, 35:613-6.

Goodman GJ, 2006. Managing acne vulgaris effectively , Aust Fam Physician, 35:705-9.

Goodman GJ and Baron JA, 2006. Post acne scarring – A qualitative global scarring grading system, Dermatol Surg, 32:1458-66.

Goodman GJ and Baron JA, 2006. Post acne scarring – A quantitative global scarring grading system, J Cosmet Dermatol, 5:48-52.

Goodman GJ, 2004. Acne scarring – How to treat, Australian Doctor Year Book,153-8.

Apikian, M and Goodman, GJ, 2004. Intralesional 5-fluorouracil in the treatment of keloid scars, Australas J Dermatol, 45:140-3.

Goodman, GJ, 2003. Diffusion and short-term efficacy of botulinum toxin a (Botox) after the addition of hyaluronidase and its possible application for the treatment of axillary hyperhidrosis, Dermatol Surg, 29:1-6.

Goodman, GJ, 2003. Post acne scarring – A review, J Cosmet Laser Ther, 5:77-95.

Goodman, GJ, 2003. Lasers in dermatology, Medicine Today, 4:65-77.

Goodman GJ, Nicolopoulos J and Howard A, 2002. Diseases of the generative nail apparatus, Part II: nail bed, Aust J Derm, 43:157-68.

Nicolopoulos J, Goodman GJ and Howard A, 2002. Diseases to the generative nail apparatus, Part I: nail matrix, Aust J Derm, 43:81-90.

Goodman, GJ, Roberts S and Bezborodorf A, 2002. Studies in long pulsed potassium tritanyl phosphate (KTP) laser for the treatment of spider naevi and perialar telangiectases, Aust J Derm, 43:9-14.

Goodman, GJ, 2001. Post-acne scarring – A short review of its pathophysiology, Aust J Derm, 42:84–90.

Goodman, GJ, 2001. Post-acne scarring – A short review of its pathophysiology, Aust J Derm, 42:84–90.

Goodman, GJ, 2001. Blood transfer – The use of autologous blood as a chromophore and tissue augmentation agent, Dermatol Surg, Oct, 27(10):857-62.

Goodman GJ, 2001. Acne – How to treat, Australian Doctor, supplement parts 1 and 2.

Goodman, GJ, 2001. Therapeutic undermining of scars (Subcision®), Australas J Dermatol, 42:114–7.

Goodman, GJ, 2000. Post acne scarring – A review of its pathophysiology and treatment, Dermatol Surg, 26:857–71.

Goodman, GJ, 2000. Management of post acne scarring – What are the options for treatment?, Am J Clin Dermatology, 1:3–17.

Goodman, GJ, 2000. 'Autologous fat transfer and dermal grafting for the correction of facial scars', in M Harahap (ed), Surgical techniques for cutaneous scar revision, Marcel Dekker Inc, New York, 311-349.

Goodman, GJ, 1999. Acne and post acne scarring – Why should we treat?, Med J Aust, 171(2):62–3.

Goodman, GJ, 1998. Combining laser resurfacing and ancillary procedures, Dermatol Surg, 24:75–8.

Goodman, GJ, 1998. The limitations of resurfacing techniques – The necessity to combine procedures, Dermatol Surg 24:687–688.

Goodman, GJ, 1998. Botulinum toxin (Botox) for the correction of hyperkinetic facial lines, Aust J Derm, 39:158–63.

Goodman, GJ, 1998. C02 laser resurfacing – A subjective study of 100 patients' attitudes and outcomes, Dermatol Surg; 24:665–72.

Goodman, GJ, 1998. 'Chapter 23 – Combining laser resurfacing and blepharoplasty', in WP Coleman, and N Lawrence (eds), Skin resurfacing, Williams and Wilkins, Baltimore, 245–275.

Coleman WP, Goodman, GJ, and Lawrence N, 1998. 'Chapter 21 – Combining laser resurfacing with soft tissue augmentation', in WP Coleman and N Lawrence (eds), Skin resurfacing, Williams and Wilkins, Baltimore, 217 234.

Goodman, GJ, 1997. Laser assisted dermal grafting for the correction of cutaneous contour defects, Derm Surg, 23:95–99

Goodman, GJ, 1997. 'Cosmetic dermatology', Australian Doctor, Supplement parts 1 and 2, April.

Alt TH, Goodman, GJ, Coleman WP, Hanke CW and Yarborough M, 1996. 'Chapter 10 – Dermabrasion', in WP Coleman, CW Hanke, TH Alt, and S Asken (eds), Cosmetic surgery of the skin, 2nd edition, Mosby-Year Book Inc, St Louis, 112-151.

Goodman, GJ, Bekhor, P and Richards, S, 1996. Update on Lasers in Dermatology, Med J Aust, 164(11):681–686.

Goodman, GJ, 1996. Facial resurfacing using a high energy short pulse carbon dioxide laser, Aust J Dermatol, 37:125–132.

Goodman, GJ, Mason, G and O'Brien, T, 1995. Polydactylous Bowen's disease of the nail bed, Aust J Derm, 36; 164–165.

David, L and Goodman, GJ, Blepharoplasty for the Laser Dermatologic Surgeon, Clinics Dermatol, 13:49–53.

Goodman, GJ and Richards, S, 1994. The treatment of facial wrinkles and scars, Modern Medicine, 37(10):50–63.

Goodman, GJ, 1994. Dermabrasion using tumescent anaesthesia, J Dermatol Surg Oncol, 20:802–807.

Goodman, GJ (ed), 1993 (rev 2003). Distance learning – a ten-part dermatology teaching manual, Department of Community Medicine, Monash University.

Goodman, GJ, 1993. Nail cosmesis, Patient Management, July:57-59.

Goodman, GJ, Management of non melanotic skin cancer, Patient Management, Oct: 51–61.1986

Goodman, GJ, 1986. Contemporary treatment of onychomycosis – Persistence is the name of the game, Curr Ther, Oct:43–55.

Marks, R, Foley, P, Goodman, GJ, et al, 1986. Spontaneous remission of solar keratoses – The case for conservative management, Br J Dermatol, 115:649–655.

Goodman GJ, Marks R, Selwood TS, Ponsford MW, Pakes W, 1984. Non-Melanotic Skin Cancer and Solar Keratoses in Victoria – Clinical Studies II, Australiasian Journal of Dermatology, 25(3):103-106.

Marks, R, Ponsford, MW, Selwood, TS, Goodman, GJ and Mason, G, 1983. Non melanotic skin cancer and solar keratosis in Victoria, Med J Aust, 2:619–622.

Goodman, GJ, Ryan, PFJ and Sinclair, RA, 1983. Post partum nephrotic syndrome in mixed essential cryglobulinaemia, Aust NZ J Med, 13:633–635.

Ponsford, MW, Goodman, GJ and Marks, R, 1983. The prevalence and accuracy of non-melanotic skin cancer in Victoria, Aust Derm, 24:79

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