Episode Details

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What if the treatment you have been asking for is the one your injector should be talking you out of?

Dr. Kate Dee believes filler can produce excellent results when it is used for the right patient, in the right area, for the right reason. But she has also seen it used to treat problems it was never designed to fix.

In the second installment of her “Why I Say No” series, Dr. Dee explains where she still uses dermal filler, where she usually refuses to inject it, and why she has no filler in her own face.

Her biggest concern is when filler accidentally enters or compresses a blood vessel and blocks blood flow. Although it is uncommon, it can cause tissue damage or necrosis, and many clinics may not be properly equipped to recognize and treat it.

In this episode:

• The areas of your face where Dr. Kate Dee says filler is never worth the risk
• Why "pillow face" happens, and what's really going wrong underneath
• The safer alternative her office switched to years ago
• The one question that tells you if your injector is ready for an emergency
• The look she'll refuse to give you, no matter how much you ask

Dr. Dee shares where she still uses filler when the goal is to restore volume that has genuinely been lost. But when skin laxity, movement, or another issue is causing the concern, she believes a different treatment may be safer and more effective.

For patients, this episode explains what to ask before agreeing to filler and why your injector should be prepared to say no. For providers, it is a clear example of clinical judgment putting patient safety ahead of making a sale.

Listen before booking your next syringe and learn which areas Dr. Dee believes they are worth treating and which ones are not worth the risk.

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Disclaimer:  This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.

Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...