I have a lot of facial veins. How does my doctor avoid sticking them?

I have a lot of facial veins. How does my doctor avoid sticking them.

For starters, many are relatively close to the surface and, with good lighting, your doctor can see them and go around them most of the time. For the ones that are running under the surface and not visible, your doctor knows where most of them are just from the study of anatomy.


But because we are all individuals, they don’t always run in textbook places.  Generally I and your doctor can tell if we hit a deep blood vessel like a vein because it feels different when the needle goes through the wall of the vein (why experience is important).  Then we can withdraw right away and put pressure on the vein to help prevent a bruise.


Also, during injections your doctor is repeatedly “aspirating” or drawing the plunger back on the needle (you won’t feel this) to create momentary negative pressure. That way if we are in a blood vessel, we will see the blood and not inject in the wrong spot.


Hope this helps, Dr. I


Read Dr. Irwin’s article on Filler Mistakes, Botox Problems, and How to Fix Them.


Learn more about injectibles Botox and Dysport.

Dr. Brandith Irwin, MD

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