The concept of hygiene and infection risk is something we cover during our training and we try and develop good aesthetic hygiene practices for our trainees. In Aesthetics this month there’s a CPD module on the concept of biofilms and what that means for you as an Aesthetic clinician.

The author of the article has laid out in detail what a biofilm is and worryingly the role that research is suggesting that biofilms play in the development of post treatment complications with dermal fillers. This effect is more prevalent in repeat customers who have had many treatments before. Simple hygiene and good aseptic techniques are all that you need to hopefully prevent biofilm complications.

Here is a brief extract from the article from Aesthetics, written by Dr Samizadeh:

“The increase in demand and popularity of injectable dermal fillers for aesthetic enhancement has increased the incidence of complications. Improper or inadequate disinfection of the skin, poor injection technique, presence of potential pathogens, (e.g. the patients’ own microflora such as Propionibacterium acnes, Staphylococcus epidermidis, and mycobacteria), injection in presence of previous permanent implants and reduced immunity increase the risk of bacterial infections. Biofilms form when bacteria adhere on the surface of the temporary or permanent implants and aggregate into communities that are physically joined together and become resistant to antimicrobial therapies and the immune system.

Diagnosis and developing effective treatment of the biofilm is crucial in aesthetic practice. Even when experienced clinicians inject dermal fillers, they can cause various inadvertent reactions, ranging from minor and self-limited responses to severe complications. As such, there is an essential need for prompt diagnosis, treatment and close follow-up. The aesthetic clinician should not only have an in-depth understanding of the potential complications caused by injectable fillers, but also be able to diagnose, know when to mediate and also be confident in recognising and managing possible adverse sequelae.”

I highly recommend reading the full article, it is worth 1 CPD point for people who qualify and has certainly stressed the importance of hygiene in aesthetic practice.


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