Episode 211 hosts Brittony Croasdell, a Nurse Practitioner based in Chicago, USA.  Brittony is a highly experienced injector, trainer and international speaker. She has mentored hundreds of injectors through both the Allergan Medical Institute (AMI) & Galderma Aesthetic Injector Network (GAIN). Brittony is also a board member of the Complications in Medical Aesthetics Collaborative (CMAC) - an influential international consortium dedicated to improvement in complication management amongst medical providers.  This is the 2nd chapter in our mini-series called ‘Disasters & Solutions’. Here we look at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We speak to the injectors who managed the case and go through what happened, step by step. We’ll learn about what might have been done to prevent the problem and what injectors can do in their own practice to be safer practitioners.     In Chapter 2 we discuss a case concerning a patient who was treated with upper face botulinum toxin. They developed a significant uni-lateral eyelid ptosis that made the USA national news and went viral across the social media channels. We explore:  Brittony's background and training What we mean by a ptosis Who Brittony's patient was and how she was referred to Brittony The timeline of the patient's problem and how things evolved The medicoloegal implications of injectors taking on complications The ethics of treatment payments in this situation - who should  pay and how should this ideally be communicated to the patient/referring injector  A special commentary on the anatomy of the eyelid muscles from Professor Sebastain Cotofana Treatment options an eyelid ptosis including pre-tarsal toxin injections & alpha antagonist medications. Why eyelid ptosis complications most likely happen and how to avoid them Advice and discussion about the consent process before a toxin treatment Thoughts about the aftercare instructions that we give our toxin patients   IA Patreon bonus content! Our IA Patrons will also be able to watch (next week!): Brittony showing on her own eyelid how and where she would inject pre-tarsal toxins for a ptosis Brittony sharing her top tips for how to go about designing and building a new aesthetic clinic - and what mistakes to avoid! A walk around of Brittony's new clinic in Chicago IA PATREON: Did you know that we have an online injectable education and business mentoring service called IA Patreon? Get access to the following benefits (depending on your tier): - Access to four IA whatsapp groups (General, Injectables, Business & Regenerative Aesthetics)  - Access to our IA Injectable Live sessions (Injectable Zoom sessions led by Dr Jake) - Access to weekly IA Hints & Tips (Videos, insights & other injectable education) - Access to our IA Business Hints & Tips (Videos of business hints and experiences) - Access to IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons) - Access to our growing IA Library of clinical papers, books and resources - Access to eight IA Webinars - Business mentoring opportunities with David (30 minutes free for Platinum tier Patrons) - Shadowing opportunities in clinic with Dr Jake (additional cost)   CONTACT INFORMATION: Subscribe to IA on Apple Podcasts Subscribe to IA on Spotify Other IA links: Follow IA on Instagram Sign up as an IA Patron Visit the IA website  Contact IA Apply to be a guest on IA Dr Jake Sloane: Follow Dr Jake on Instagram  Dr Jake's website David Segal: Follow David on Instagram Our guest: Follow Brittony on Instagram Follow Sebastian on Instagram