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Finally. . .The Lee Aspirator

For Physicians and Nurses–Who Do Cosmetic Filler Injections

It once seemed nearly impossible to aspirate back on the syringe with one hand–when injecting cosmetic wrinkle fillers like Juvederm and Restylane–until the July 2016 invention of The Lee Aspirator*, first demonstrated at The Aesthetic Show 2016 in Las Vegas.  Aspirating back, or pulling back on the plunger, is thought to reduce the risk of inadvertently injecting into a blood vessel and stopping blood flow, minimizing the risk of accidently causing necrosis, ulcers, and permanent blindness.  Indeed, the FDA just issued a startling Safety Notice (See Below) after receiving increasing reports of these catastrophic complications throughout the country–which may have been prevented by safety measures such as The Lee Aspirator. 


Dr. Joe Niamtu, III, cosmetic facial surgery, Richmond, Virginia discusses a new device to enable aspiration with filler syringes. This device can increase safety with current injection practices. Inadvertent injection of filler in to blood vessels can cause blindness, stroke and tissue loss. Current filler syringes are not user friendly for aspiration. This device can be a game changer.


Nerosis-glabella2 from unverified internet source.



Arq. Neuro-Psiquiatr. vol.62 no.3b São Paulo Sept. 2004, from an unverified internet source: . Blindness and total ophthalmoplegia after aesthetic polymethylmethacrylate (Artefill) injection: case report. She remains blind and with total right ophthalmoplegia ten months after the procedure.


The US Patent Pending Ergonomic Attachment* snaps onto a cosmetic filler syringe in seconds to help you to easily pull back, or to aspirate, on the plunger of the syringe with just one hand and minimal movement. After injecting an entire syringe, the Lee Aspirator snaps off without tools in seconds to easily re-attach onto the next syringe.  Ergonomically designed, it features a customized Thumb Ring to easily pull back on the plunger and a Finger Clip to prevent your fingers from sliding. It fits all Allergan Juvederm syringes and is currently being designed for Galderma’s new Restylane syringe.



Physicians and Nurses who inject Juvederm and Restylane know it is far safer to pull back or to aspirate on the syringe prior to injection looking for the tell-tale flash of red blood in the tip, which confirms that the end of the needle or microcannula is in a blood vessel.  However, when I conducted a show-of-hands survey during my 2016 lectures to the American Society of Cosmetic Physicians, The Aesthetic Show, and The Canadian Association of Aesthetic Medicine—less than 1% of these top injectors aspirated with every injection. The problem, I believe, is it is awkward and slow to change hand positions and this invariably shifts the end of the needle (or microcannula) a millimeter or two—so one could actually be injecting into a blood vessel.

Garry R. Lee, MD, one of the top cosmetic filler physicians in the USA and the WINNER of The Aesthetic Award for Best Facial Injectable Enhancement in the USA, invented this Patent Pending Attachment with the Osprey Design Group after realizing how important it was to increase the safety of cosmetic filler injections.    He is an international aesthetic medicine lecturer and physician instructor, and is an internationally and nationally published aesthetic medicine magazine author as well as the 2016 author of First Book of Aesthetic Microcannula for Cosmetic Fillers and MILA, an Medical Procedure Best Seller.  Dr. Lee is also appointed to the Allergan Medical Facial Aesthetics National Advisory Board as well as the Galderma National Advisory Board.

Physicians, nurses, and PAs who would like to be on the Waiting List for the very first Lee Aspirators may email us at


*An ergonomic hand and finger attachment engineered to fit precisely onto cosmetic injectable filler syringes; pending a proposed FDA ruling later in 2017 to see if it meets the criteria to be classified as a non-medical ancillary product to devices.

FDA Safety Communication. Date Issued: May 28, 2015

Unintentional Injection of Soft Tissue Filler into Blood Vessels in the Face

Recommendations: For Health Care Providers:

  • Do not inject soft tissue fillers if you do not have the appropriate training or experience.
  • Make sure that you are familiar with the anatomy at and around the site of injection, keeping in mind that blood vessel anatomy  can vary among patients.
  • Before injection, thoroughly inform the patient of all risks of the procedure and the specific product you intend to use.
  • Note that the approved indications for use of soft tissue fillers vary depending on the product. The FDA may not have reviewed use of soft tissue fillers in some locations in the body.
  • Take extra care when injecting soft tissue fillers, for example inject the product slowly and apply the least amount of pressure necessary.
  • Know the signs and symptoms  associated with injection into blood vessels, and have an updated plan detailing how you plan to treat the patient if this should this occur. This may include on-site treatment and/or immediate referral to another health care provider for treatment.
  • Immediately stop the injection if a patient exhibits any signs or symptoms associated with injection into a blood vessel, such as changes in vision, signs of a stroke, white appearance (or blanching) of the skin, or unusual pain during or shortly after the procedure.
  • Tell patients that they should seek immediate medical attention after the procedure if they experience signs and symptoms associated with injection into a blood vessel.

AMAA Planning Meeting Palazzo Hotel 12-15-2017 


Dr. Phil Nguyen, Dr. Lisa Gulcher, and Dr. Garry Lee at the Allergan Medical Facial Aesthetics National Advisory Board Meeting in Chicago 4/22/2017


With Tatiana Alexeev, Nurse Practitioner, at the Allergan Medical Facial Aesthetics National Advisory Board Meeting in Chicago 4/22/2017


With David Maotazedi, Senior VP of Medical Aesthetics at the Allergan Facial Aesthetics National Advisory Board Meeting in Chicago 4/22/2017


The AMAA 2017 MedAesthetic

Leadership BootCamp…Was GREAT!

AMAA Leaders: Dr. Byron Blasco, DMD, Dr. Garry Lee, MD, Lisa Marie Wark, and Dr. Phil Nguyen, MD

AMAA Leaders:  Dr. Byron Blasco, DMD, Dr. Garry Lee, MD, Lisa Marie Wark, and Dr. Phil Nguyen, MD.  Dr. Blasco is the President of the Nevada State Board of Dental Examiners; Dr. Lee is the WINNER of The Aesthetic Award for Best Facial Injectable Enhancement in the USA; Lisa Wark is on the American Board of Dental Examiners; and Dr. Nguyen is a National Instructor for Allergan Ranked in the TOP 20 of More Than 30,000 Allergan Practices.  Dr. Lee and Dr. Nguyen are both on The Allergan Medical Facial Aesthetics National Advisory Board and on The Allergan Medical Facial Aesthetics Speakers Bureau. 

Watch the video to see what our members and faculty are saying.

Dr. Charles Runnels, inventor of the “O-Shot”, “P-Shot” and “Vampire Facelift” kicks off the video, BootCamp attendees share their feedback, and Dr. Phil Hong Nguyen, Top 20 of 30,000+ Allergan Practices in the USA shares his thoughts to close the video.


Patrick Bitter, Jr., MD, the TOP Pioneer in the USA for Pulsed Light Technology (IPL), and Dr. Lee After Lecturing for the AMAA



Far Right:  Charles Runels, MD, the World Famous Inventor of the O-Shot (Orgasm), the Vampire Facelift, and the P-Shot Sharing His Expertise Over Lunch With Attendees of the AMAA 2017 Leadership Boot Camp


Rebecca Gelber, MD, WINNER of the Aesthetic Award for Best Overall Facial Makeover and the AMAA Advisory Board–Membership Chairperson, at The American MedAesthetic Association (AMAA) Leadership BootCamp in Las Vegas



The AMAA Staff: Abbie Garman, Lydia Zaffini, Jennifer Ivari, Dr. Lee, Nona Sylvia, and Annie Ngo, RN.


ALL AMAA Members: 

Please submit any News about yourself including Honors, Awards, Appointments, Publications, Speaking Engagements, and Inventions to for consideration by our Editor for publication.


Dr. Byron M. Blasco, DMD

Dr. Byron M. Blasco has been selected as the President of the Nevada State Board of Dental Examiners.  He is an internationally renowned dentist in the Las Vegas community and focuses his practice on a combination of cosmetic, restorative, preventative, and implant dentistry.  Dr. Blasco has taught alongside the most respected members in the dental profession, and is a featured national speaker. 




Phil Nguyen, MD

Dr. Phil Nguyen has been selected for the American MedAesthetic Association (AMAA) Advisory Board–Education.  He is the Leading Educational Advisor on any decisions the AMAA makes on Educational Workshops, Curriculum & Standards, Clinical Instructors, CME/CEU/CE, and on the AMAA 2018 Speaker Selection. 

Dr. Nguyen is in the TOP 20 of more than 30,000 Allergan Accounts in the USA and is a National Lecturer for Allergan, the manufacturer of Botox Cosmetic and Juvederm.

If you are interested in joining the Education Committee and working with Dr. Nguyen, or if you are interested in becoming an AMAA Workshop Instructor in you home city, please contact Dr. Nguyen at with your CV, photo, and any SmartPhone or video of you teaching.


Rebecca Gelber, MD

Dr. Rebecca Gelber has been selected for the American MedAesthetic Association (AMAA) Advisory Board–Membership.  She will build the Membership of the AMAA into a National Presence in Minimally Invasive Aesthetic Medicine.  

Dr. Gelber is the Leading Advisor on any decisions the AMAA makes on Membership Levels including Tier 1: Physician, Dentist, NP, PA; Tier 2: RN, LPN; and Tier 3: MA, Aesthetician, Tech, Staff.  She will also be the Leading Advisor on Membership Benefits such as:  Discounted Conference/Workshops; Customizable Consent Forms; Newsletter, Member Focus, Honors, Awards; Networking & Learning Latest Advancements; Mentoring for Publications and Inventions; Discounted Search Engine Optimization (SEO); and Discounted Aesthetic Malpractice Insurance.

If you are interested in joining the Membership Committee and working with Dr. Gelber to represent the AMAA on our behalf, please contact Dr. Gelber at with your CV, photo, and any SmartPhone or video of you speaking.