S'pore aesthetic doctor injected woman with 3 times recommended dermal fillers dosage, woman suffers 19 months of facial pain
Temporary conditions have been imposed on the doctor's medical registration.
On April 1, 2023, a patient consulted aesthetic doctor Wong Kai Jie Isaac at his clinic, The Artisan Clinic, for the first time. The doctor recommended injecting dermal fillers, which the patient consented to. According to the grounds of decision published by the Interim Orders Committee, Wong administered a total of 7ml of dermal fillers, three times the recommended annual dosage of 2ml.
The patient experienced chronic facial pain for at least 19 months following the injection. This pain led to high blood pressure and significant weight loss. Consequently, the patient lost her job and experienced a negative impact on her mental health. She sought medical attention from other doctors and eventually underwent a nerve surgery to alleviate the pain. The patient filed a complaint against Wong with the Singapore Medical Council (SMC) on November 4, 2024.
The SMC recommended an interim order to restrict Wong's continued registration as a medical practitioner for 18 months, prohibiting him from offering or administering dermal fillers. This interim order aimed to protect the public, as the SMC believed Wong had not provided the requisite standard of care and had incorrectly managed the side effects using hyaluronidase.
Wong argued that the maximum dosage label was printed by the manufacturer to comply with local regulations and that the manufacturer stated a maximum dosage of 12ml per session is safe.
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