Avoid Suborbital Bruising Associated With Botulinum Toxin Injection By Utilising The Syris Light.

Before I routinely began to use a Syris light, orbital bruises were a phenomenon that lay in the lap of the Gods. Nothing deters a patient more than to walk out with a black eye – it’s highly unlikely that you will see that patient again.

I remember my sister presenting one day wanting her eyes to look wider and more open. She was going out with a new man on the forthcoming weekend. The very first needle prick punctured a tiny arteriole and within seconds, she had a very impressive bruise that became more pronounced over the next 10-15 minutes despite pressure and ice.

Over the 10 years experience I have of injecting botulinum toxin, bruising is rare and if venepuncture does occur, immediate pressure for 2-3 minutes over the site can prevent secondary bruising, but bleeds in the orbital region are very difficult to control as only minimal pressure can be exerted.

The syris light (with its polarising ability) highlights vessels invisible to the naked eye – even with magnification (much akin to fishing for trout with polarising lenses – no respectable fly fisherman would be without them).

I tend to feel like a prize nerd when I put the syris headgear on, but it highlights the vasculature on those lower eyelids and hence I can safely dodge the visible vessels and treat lateral and medial crows feet and hypertrophic orbicularis without fear of that unwanted bruise.

The syris light may be an expensive piece of equipment but it is invaluable in my practice – not only to prevent bruising with botulinum toxin injections, but for use in microslerotherapy and for assessment of solar damage (hyperpigmentation and telangiectasiae) pre and post IPL treatment.

Dr Henryk Poczwa 05/17/04 – 2 Years Personal Experience.

Vein Skin Clinic LTD Appearance Medicine
www.veinandskin.co.nz