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Robyn J. Berger BSN, RN, Nurse Injector

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Robyn J. Berger BSN, RN, Nurse Injector

Hi friends! Welcome to my page where we’ll talk all things injectable, including Botox, fillers, Facial assessment for aesthetic medicine

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10/09/2021

Who else is watching and can’t get enough of the 🤣🙋‍♀️
And seriously, Injectables, Skincare, and SPF are life savers! 💯🙌 ?!

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09/29/2021

posted this showing all the photoshop that goes into her ad campaigns/marketing images.

It’s actually really fascinating to see the professional photoshop, and I appreciate her honesty, and letting us behind the smoke and mirrors.

What are your thoughts? 🤔💁‍♀️

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09/06/2021

Such an amazing Labor Day weekend being tourists in Washington DC, touring museums, walking around, having amazing food, all with my love and our dearest friends, who are expecting twins soon! 👼🏽👼🏽🥰❤️ Love this man of mine to the moon and back 🌙 ❤️💯
How was your Labor Day weekend?! Tell me what you did ⬇️⬇️⬇️🙏🤩😎🥰

08/27/2021

Had wrap up this week with one of the most mind blowing glow ups I’ve seen in 2021 🙌💯😍
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admits to fillers and tox in previous years, but had denied any type of surgery. It looks like she recently changed her mind and I’m 💯 here for it🙌❤️
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Ok I need to know who has a better glow up or comment below👇🏻👇🏻
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08/24/2021

The heart is willing, but the body is weak 🤣 As much as I’d love to inject all my friends/ family/ and patients, as a full time Medical Affairs Clinician, and for so many reasons, I just can’t. 🙅‍♀️ I’ll happily send you to one of my MANY talented injector friends- text me if you need to 🥰
Shout out to for being so iconic and constantly quotable ❤️💯🙌

Photo Credit: ❤️

08/23/2021

Just a friendly reminder that even the women in the magazine doesn’t look like the woman in the magazine 💯🙌So stop being so hard on yourself. You’re beautiful and you’re doing great!

08/18/2021

When I’m still emotionally processing 2020 and I realized 2022 is just 4.5 months away… 😆🥲🙃
Time is definitely is flying, so we must be having fun?! Right?? 🥲🙏🤷‍♀️
What are you most looking forward to in 2022? 🎉✈️👰🏼‍♀️👼💍🎄☃️🥂🏈🏀⚾️🩰🎨🎸🎻🛶⛵️🎡🏖🎠🛍
#2020 #2021 #2022

08/13/2021

I know imma catch hell for this 🤣 and I’m never a hater, I’m all for self expression and feeling yourself, but when did this BBL, surgically created shape become the ideal?? 🤯🙃
Trends in body shape come and go. Do I need to remind everyone of how insanely sexy Pam Anderson was to the whole world in the 1990’s, with her balloon bo***es and absent hips and t**h? Lol Pencil thin eyebrows and pancake ass were all the rage! 😂💯🤣 All I’m saying is trends come and go, but surgery is forever 😬✌️❤️

08/04/2021

Here’s to defying the rules on how we’re supposed to age 🙌😍💯 Happy Birthday Martha 🎉🎉

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08/02/2021

We see lots of happy videos of nose injections on IG, but like everything else on social media, those videos do not tell the whole story. This is what can happen if you go to an under qualified, inexperienced injector. Thank you for posting. 🙏 This is an injectable worst nightmare, and difficult to look at, BUT it’s a huge reminder that it’s critical to know exactly what we are doing if considering injecting the nose. The nose remains one of the highest risk areas for injection on the face. This unfortunate Brazilian patient developed terrible necrosis after non surgical rhinoplasty. From the pattern, it looks like a bolus of filler went into the angular artery. The embolism looks like it traveled up into the supratrochlear artery, probably via an anastomosis with the dorsal nasal artery.

I think this patient is fortunate to have sight in her right eye, considering the path that this embolus took.
I also think that the injector didn’t understand what to do with evolving ischemia and necrosis. Its is likely that hyaluronidase, steroids, aspirin and other measures to limit the damage were not implemented.

These following are never normal:

✅ Obvious localised pallor that doesn't disappear relatively quickly

✅ Extreme and intractable pain, that is more than simply being tender (more than the type of pain you'd usually associate with this type of procedure).

✅ Pustules or vesicles, that are often mistaken for spots or herpetic blisters.

✅ Unusual duskiness or mottling of the area and surrounding tissue.

✅ Slow capillary reflow. When you place pressure on the tissue for 5 seconds, and it's far slower to pink up than the rest of the face is.

This list is general- but this poor Brazilian patient would def not deteriorated to this stage quickly. This is full thickness necrosis, know these warning signs. Early stages and signals, picked up on quickly and acted on, can indeed minimise damage.

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