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Something that Dr. Munir Somji sees more and more at our London clinic is that of Botox and filler ‘mistakes’ or complications. When someone has visited a non-medical professional, or got a ‘cheap’ internet deal on their non-surgical injectable procedures, it often can lead to a range of blunders which can leave someone with at best, less than satisfactory results and at worse, severe abnormalities and health issues.

First and foremost, it is vital to choose the right practitioner for any non-surgical cosmetic procedure. Make sure you are choosing someone who is medically trained, registered with the GMC and the CQC and who can prove that they have all the necessary training and qualifications to not only perform the treatment, but who are fully-equipped to deal with any unforeseen circumstances, should anything go wrong.

Botched Botox

Wrinkle-relaxing injections are simple to administer for a highly-qualified medical practitioner. However, Dr. Somji is beginning to see more and more ‘mistakes’ and correcting where he can, abnormal results.

The ‘Mr Spock’ eyebrows – Looking a little surprised? This look happens when an inexperienced practitioner has injected too much product in to areas which make the eyebrows raise up too high. In addition to this, localised wrinkles can form above the lateral brow. This can usually be remedied by a few drops being strategically placed in to the muscle that is pulling your eyebrows up too high.

True eyelid droop – one of the rarest but most commonly spoken about. This condition affects the eyelid to such an extent where you can have trouble opening your eye. The use of prescription eye drops can temporarily help elevate the eyelid until the effects of the Botox have worn off.

Lop-sided smile – as more practitioners are now using Botox in the lower face, Dr. Somji is seeing patients who have been injected incorrectly into the muscles that control the shape of the mouth, causing one side of the mouth to be pulled up or down. An ‘evening out’ technique can be used by Dr. Somji, however, making sure you choose a medically trained professional such as he, will prevent this from happening in the first place.

Dermal Filler Complications

Hyaluronic Acid dermal fillers are considered a ‘medical device’ and should be treated as such. Some non-qualified practitioners out there are causing devastating results as well as displeasing appearances for their patients. Aside the dangers of not dealing with complications when injecting dermal fillers incorrectly – such as in to a blood vessel or vein – Dr. Somji can use his expertise and specially formulated substances to dissolve and correct mistakes.


When lips and cheeks have been ‘over-filled’ and the familiarly named ‘trout pout’ or ‘cat eyes’ are a result of poor technique, an enzyme called Hyaluronidase can be injected in to the affected area to dissolve and disperse the hyaluronic acid (HA) dermal filler. Then, using his own skills and techniques as a highly-experienced expert injector, Dr. Somji can re-shape and re-fill the area with a chosen product.

It’s also worth taking in to account that Hyaluronidase not only dissolves the synthetic HA which has been injected, but can dissolve your body’s own HA. This threatens your lips, cheeks or affected area’s plump, hydrated look even more than before you had treatment. It’s proactive to not have to go through this process in the first place, so choose your injector wisely.

When a dermal filler is incorrectly injected in to a vein or blood vessel, Hyaluronidase needs to be used fast to dissolve the product, otherwise the blood vessel can be destroyed, causing necrosis (the degradation of surrounding skin tissues). Only a medical professional will have this substance to hand in-clinic and therefore it is vital to choose a practitioner who knows how to deal with this rare eventuality. Dr. MediSpa clinics are fully-equipped with all the necessary materials, skilled staff and expertise to deal with any rare complications or side-effects and are registered with and regulated by the CQC to maintain the highest-level of patient safety and care.

‘Good injectables aren’t cheap, cheap injectables aren’t good’

Dr. Somji is one of the world’s leading figures in aesthetic medicine and has successfully treated thousands of patients with Botox and dermal fillers. When considering non-surgical injectable treatments, don’t be tempted by cheap deals that seem too good to be true.  In the world of cosmetic medicine, you get what you pay for. Don’t take a risk on your long-term looks and general health. Choose a reputable clinic, and an experienced, qualified medical professional; they will not only make you look and feel stunning, but they hold your safety in mind, every step of the way.

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