Objectives: IMCAS Alert facilitates clinical problem solving via collegiate interaction.
An altruistic collaborative response is triggered by any colleague requesting assistance consequent to experiencing a perplexing case dilemma or complication.
The primary objective is to assist the colleague who has submitted a case for consideration.
However, a secondary objective is of a mutually beneficial educational experience for all participants is achieved, through the generation of creative discussion and responses.

Introduction: Injectable fillers are wonderful tools and extensively utilised by aesthetic practitioners.
They are generally well tolerated by patients and exceptionally creative outcomes can be achieved with minimal risk.
Nevertheless, complications do occur. Risks can relate to injection technique, ideal filler type-rheology selection, anatomical placement and immunogenic patient response.
Risk mitigation strategies should include appropriate patient selection, informed consent, aseptic environment and skin preparation, adequate anaesthesia and appropriate instrumentation (needles, cannulae, sizing).

Materials / method: In this session two cases will be explored. They have been selected from the extensive caseload (approaching 300 cases) submitted by colleagues since the first IMCAS Alert case was logged in Dec 2016.

Results: Through this analysis of two case instances, it will be demonstrated how IMACS Alert functions successfully to assist colleagues who have submitted case complications for discussion, management and resolution.

Conclusion: A medical clinic can prove to be a lonely island in which any physician can experience an adverse patient event, in isolation from collegiate support.
IMCAS Alert has established itself as unique forum where any IMCAS registered colleague can chose to anonymously submit a perplexing or complicated case for collegiate discussion and assistance.
Swift and generous support from colleagues is the typical and gratifying experience.

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