@doctorbree: **3 Things I Would NOT Do as a Board-Certified Cosmetic Dermatologist** 👀 **1. Nasal Bridge Filler 💉** One of the highest-risk areas for filler injections. Why? - 🚨 **Blindness:** Accidental injection into an artery can cause retinal artery occlusion and permanent vision loss. - **Skin necrosis:** Vascular occlusion can compromise blood supply and cause tissue death. - **Stroke:** Rare, but potentially devastating if filler enters the arterial circulation. - **Limited room for error:** The nose has complex vascular connections, including vessels communicating with the ophthalmic circulation. **2. Under-Eye Filler 👁️** I love treating under-eye hollows, but filler isn't my first choice. - **Chronic puffiness:** Hyaluronic acid attracts water and can worsen under-eye bags or malar edema. - **Tyndall effect:** Superficially placed filler can create a bluish discoloration. - **Migration and irregularities:** Filler can remain visible or palpable and may persist for years. - **Vascular complications:** Rare but serious, including vision loss. I'd rather consider PRF/PRP, resurfacing lasers, or other treatments based on the actual cause of the under-eye concern. **3. Radiofrequency All Over My Face 🔥** I am NOT anti-radiofrequency. I'm anti-indiscriminate heating! - **Unwanted facial fat loss:** Excessive or poorly targeted heating can potentially affect subcutaneous fat. - **Hollowing:** Losing facial volume in the wrong areas can make you look older, not younger. - **Burns and scarring:** Possible with inappropriate settings or technique. - **Not all areas need tightening:** The lower face and jawline may benefit from treatment, while naturally hollow temples and cheeks deserve a more conservative approach. I prefer **strategic, anatomy-based treatments** rather than treating every inch of the face the same way. **The takeaway:** Just because we CAN inject or treat an area doesn't mean we SHOULD. The best cosmetic dermatology isn't about doing more. It's about knowing when to do less. — Board-Certified Dermatologist 👩🏻‍⚕️ #filler #dermatologist #plasticsurgery #cosmetics

Dr. Briana Brown

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Region: US

Monday 19 October 2026 16:15:11 GMT