Neither Positive Nor Negative Aspiration Before Filler Injection Should Be Relied Upon as a Safety Maneuver (Letter)

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Goodman, Greg J
Magnusson, Mark R
Callan, Peter
Roberts, Stefania
Hart, Sarah
McDonald, Cara B
Liew, Steven
Porter, Cath
Corduff, Niamh
Clague, Michael
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2020
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http://creativecommons.org/licenses/by-nc/4.0/
Abstract

We have read with interest the article by Tseng et al on a retrospective personal survey of positive aspiration.1 However, we are unable to understand what message this article is trying to convey. It is a truly impressive testament to accurate record-keeping and analysis and is instructive in a number of areas. The incidence of positive aspirations from the seemingly safe supraperiosteal plane is sobering. It would tend to suggest that relying purely on depth of injection as a safety measure is inadequate. Interestingly, the article states no adverse vascular events were noted in patients with a positive aspiration. The article, however, makes no mention as to whether any adverse vascular events occurred in patients with negative aspiration treated by the author over the study period. This is important, for others have reported vascular accidents despite negative aspiration.2

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Aesthetic Surgery Journal
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© 2020 The Aesthetic Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Biomedical and clinical sciences
Clinical sciences
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Goodman, GJ; Magnusson, MR; Callan, P; Roberts, S; Hart, S; McDonald, CB; Liew, S; Porter, C; Corduff, N; Clague, M, Neither Positive Nor Negative Aspiration Before Filler Injection Should Be Relied Upon as a Safety Maneuver (Letter), Aesthetic Surgery Journal
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