Do we really need to Aspirate?

Updated: Nov 24, 2019

It is such a joy to be involved in the exploding field of aesthetic enhancement. As a responsible injector, patient safety should always be of the utmost priority in order to ensure a successful outcome. Aspirating correctly is at the forefront of this requirement to ensure your patient's safety.

Many factors can influence a reliable aspiration, such as viscosity of the filler, needle gauge, syringe capacity, force used to pull back on the plunger and technique. In an ideal aspiration the plunger should be pulled back by approximately 0.3ml for at least 10 seconds, this will allow for enough pressure and time to see if blood will be drawn back into the syringe. Changing needles frequently and not priming the hub, especially with thicker fillers like Radiesse and PMMAs can also aid with a more reliable aspiration outcome. Aesthetic schools train injectors to aspirate, typically by switching hands, which can create an unsteady needle placement. The ability to make the task of aspiration more efficient and easier allows the injector to concentrate on filler placement and artistry of facial rejuvenation. Making an aspiration with one hand, allowing your non-injecting hand to stabilize the patient, can give you this proficiency.

In addition to performing a proper aspiration, knowing facial anatomy and vasculature are paramount. An understanding of where the major vessels start, travels through and ends is also important. However, this only gives us the big picture view of serious danger zone versus somewhat safer areas. This does not take into consideration that facial anatomy can differ from patient to patient due to past patient history of fillers or plastic surgeries, which can displace typical anatomical structures and even small vessels can cause serious damage to our patients with an adverse event. Our knowledge of facial anatomy and structure allows us to skillfully put dermal fillers in the ideal plane and to give our patients optimal results. By using a device like the medical injector ring to make one-handed aspirations simple, easy and precise you can comfortably concentrate your attention on the skill of injecting.

It is comforting to receive feedback from a fellow miRing user who reported that our device aided her in successfully performing this crucial task. She recently posted that while aspirating, using miRing, she drew blood back into the syringe, a rare but possible occurrence. Because of this rarity, it is easy to forget or ignore to aspirate, leading to complacency and a possible detrimental outcome. There are always ready excuses not to aspirate: A: "I feel that I am in a safe zone". B: "The viscosity is too thick". C: "Switching hands moves the needle placement ". D: "Gee I just forgot". Whatever the reason, aspiration needs to be done and having a medical device that makes it easy, smooth and under control will make you a more confident injector and ensure your patient's safety.

miRing is a medical device that allows you to make one-handed aspirations and injections consistently every time. Your focus now is on treating your patient and helping them achieve their aesthetic goals. miRing can be used with all aesthetic syringes on the market as well as the smaller Botox syringes with our special grommet insert. It is designed to snugly fit all thumb sizes to ensure maximum control.

Please take time to read the Instagram post and please relate your experiences with using miRing. Go to www.miringusa.com and use "INSTA20" promo code to receive 20% off your next purchase.

For more information on the dos and don'ts of aspirating, visit this site to read The Consulting Room Member Magazine Edition 167 - April 2017, Aspirating before the Dermal Filler... https://www.consultingroom.com/Uploads/Feature_Article/FeatureApr2017-Aspiration.pdf.

Thank you and happy aspirations!

Virginia Keating P-C