Dermal Filler Adverse Event Management

Dermal Filler Adverse Event Management

Having the Conversations with Your Patient About a Dermal Filler Adverse Event.

Having Conversations with Your Patient About a Dermal Filler Adverse Event starts with informed consent.
What is a dermal filler adverse event? Commonly it is called Vascular Compromise or a Vascular Accident.
The best thing we can do as cosmetic medical providers is to prevent adverse events by understanding products, anatomy, and the aging process. After developing a comprehensive understanding of the aforementioned concepts then, if the unforeseen happens, we must be prepared to manage the potentially deadly and or catastrophic event.
Part of the preparation process with the patient is the act of informed consent. Informed consent should only be considered complete if the patient signed the consent on the IPAD. Aesthetic injectors must be comfortable having an actual conversation about the risks and benefits. The verbal exchange throughout the consultation process should include a discussion about the risks and benefits of the treatment. Not only is this your legal responsibility, but you will be improving your chance of patient compliance if an adverse event occurs by educating the patient on early warning signs. Adverse events sometimes will surface visually once the patient has gone home. A patient not counseled on what to look for in the aftercare will miss the event, which could delay the effective management of the complication. Whereas the patient who was advised on the signs and symptoms of an adverse event will be able to recognize the symptoms early and reach out to the office to seek treatment. When patients are not counseled on the adverse events, they can end up in the emergency room or at their primary care provider’s office. Many emergency rooms and primary care offices do not specialize in aesthetic injectable medicine; therefore, they will not be able to manage a complication adequately. Aesthetic providers should be able to discuss the treatment’s pros and cons, educate the patient on the signs of an adverse event, and deliver safe and beautiful results.
Talking about an adverse event such as a vascular occlusion must start before the occurrence. You must be honest. Let the patient know that their primary care and the emergency room can not manage this type of adverse event; you and only you can assist. You are the special ingredient in their well-being.

Be sure to discuss the following topics with your patient:

Additional preventative measures

Assessment during treatment
Keep an eye on the skin color
Asking patients frequently if they are ok

Adverse event management starts well before the treatment even begins. As aesthetic providers, we must educate the patient on the risk versus benefits of the treatments they are seeking. Not every adverse event is evident in the office; therefore, it is critical to involve the patient in learning the signs and symptoms of an adverse event. If you are not talking about it, then you are putting your patients at risk. The patients must be informed on what to look for during the early days of healing. Surgeons tell their patients the signs and symptoms of infection, and GYNs educate them on infection and postpartum bleeding.
These are relative risks that come along with the procedure. We must inform the patients that there is a risk and what their symptoms will look like should an adverse event occur. If we do not educate the patients on what to look for, they may miss the early warning signs, leading to a more challenging management of the issue.
Informed consent is not merely the patient signing a piece of paper. The process of informed consent includes the conversation about risks versus benefits coupled. The provider’s job is to educate and inform the patients, and then the consent to take treatment falls on the patient. Transparent communication is critical in the process of informed consent.

Many aesthetic injectors need help with informed consent for one of two reasons. First, they need more confidence in managing adverse events. The second reason is they need to figure out how to effectively communicate this process with the patient without scaring them away from its treatment. I have developed a list of ways to help aesthetic injectors develop confidence in informed consent beyond the foundation of anatomical and pharmacologic comprehension.

Steps to effective communication with your patient

In reality, the conversation starts before any adverse event occurs. The act of consent is not just a legal obligation; the process is also a moral obligation to inform and protect our patients.


2023 Course listings

We have minimal seats available as we keep our courses intimate to enhance the learner’slearner’s overall experience.
  • January 3rd-6th
  • March 7th-10th
  • May 2nd-5th
  • August 1st-4th (Sold Out)
  • September 5th-8th
  • November 7th-10th
For more information, visit


Tara Delle Chiaie


Owner/Master Aesthetic Injector

My name is Tara and I am the owner of Delle Chiaie Cosmetic Medicine. I have been in medicine since 2002 as a Registered Nurse. In 2011 I graduated from the accelerated program at the University of New Hampshire (UNH) as an Advanced Practice Registered Nurse (APRN) and immediately became nationally recognized through the American Nurses Credentialing Center (ANCC) as a Board Certified Nurse Practitioner. I grew up in the beauty industry and found it was a great union to blend beauty with medicine. I have an astute sense of safety, while my experience guides my practice to produce beautiful and natural results. My goal is to continually fine-tune the art of bringing one’s inner beauty to the surface.

Tara Delle Chiaie poses in a white outfit with an albino python around her neck to model for the gravity form of the homepage with special offer.
Glamorous woman covered in glitter holds her hand to her open mouth to model for the Quick Return on Investment section of the homepage.

Let's Talk About
Your Career

*By submitting this form you agree to be contacted by DCCM Academy
and receive marketing messages by phone, text, or email. You can unsubscribe from these communications at any time. We commit to protecting and respecting your privacy. For more information, please review our Privacy Policy.

Accessibility Toolbar