Would you know how to correct an overfilled malar edema, how to manage a vascular compromise or carry out the emergency procedure for blindness?

All of these complications are real risks when using dermal fillers. On this course we teach how to reduce the likelihood of complications by sticking to safe filler planes, how to recognise emerging complications and also how to manage them with confidence.

Who is this course ideal for?

All registered health care professionals who are performing dermal filler injections.

Course fee

£1000 + VAT
Fee includes: Lunch, refreshments, hyaluronidase, fillers and certificate of attendance.

Upcoming course date(s)

Guy’s Campus, King’s College London


Start time: 9 am
Finish time: 5 pm





  • 9.00- 9.30am: Registration & Tea/Coffee
  • 9:30am – 10.30 am: Prevention & management of common complications related to hyaluronic acid dermal fillers (tyndall, overfill, granulomas, biofilm, etc)
  • 10:30am – 1.00pm: Cadaver Wet Lab: Anatomy of safe & unsafe zones for injectable techniques, using needles and cannulas
  • 1:00 – 1.30pm: Lunch break – Trainers available for discussion
  • 1:30pm – 2.30pm: Lecture Management of inflammatory & vascular complications with dermal fillers with Hyaluronidase.
  • 2:30 – 4.30pm: Cadaver Wet Lab: Practice use of Hyaluronidase for overfill, lumps, tyndall, vascular compromise & learn Supraorbital & Retrobulbar injection of hyaluronidase to manage complications.


Ruth Brady – Dentist
Paul Baines – A&E Consultant

“Every practitioner should do this course”

Emma TownsendAesthetic Dental Practitioner

“This is the best complications course I’ve been on”

SineadDentist from Essex

“I'd recommend it to everyone who works in facial aesthetics”


Course Syllabus

  • Learn anatomically safe filler planes based on vascular, bony and ligamentous anatomy
  • Practise dissolving HA fillers in the management of complications
  • Practise current recommended emergency treatment of blindness
  1. Gain extensive insight into the essential anatomy of the different facial areas for safe practice in aesthetic medicine.
  2. Develop a comprehensive understanding of various anatomical layers and structures within fresh frozen cadaver facial tissue and how facial injections influence volume loss and ageing.
  3. Gain insight into reading the surface anatomy and real-time application of facial injectables with an emphasis on patient safety and avoidance of structures in critical danger zones of the upper, mid and lower face.
  4. Practise (under expert supervision) employing (advanced) injectable techniques in human cadavers, with an interactive discussion on the choice and combination of dermal fillers for each region.
  5. Practise dissolving HA fillers with an interactive discussion on the dilution of hyaluronidase for overfill vs vascular compromise.
  6. Practise supraorbital & retrobulbar hyaluronidase injections to manage blindness from vascular compromise.
What it’s like to be on an OFAA course

The Complex Facial Anatomy

Practitioners need a deep understanding of how to safely inject and avoid critical anatomy in order to practise safely and with confidence.


This image shows just how complex the facial anatomy is, and demonstrates why practitioners need extremely strong anatomical understanding to be safe injectors.

Needles vs

This practitioner had flashback, on aspiration, using a 29 G thin walled needle when injecting Restylane while Sabrina was teaching in China.

Overfilled Malar

This video shows the malar edema immediately after hyalase on the right eyelid and how quickly the filler is dissolved.

Meet the Instructors

Dr. Sabrina Shah-Desai MS FRCS

Julia Sen – Oculoplastic Surgeon