Read this before you choose any injector
Complications in aesthetic medicine are rare, but they are real. The question a patient should ask is not whether a practice has ever had one — it is what the practice is equipped and trained to do when it happens.
This page is our answer. Every statement on it comes from the Medical Director’s written emergency protocols, which are in force at both of our locations.
The rules we practice under
South Jersey Aesthetics operates under the Medical Director’s written Emergency Protocol Manual (current edition effective September 10, 2026), which is reviewed and re-approved at least annually, kept in the emergency binder at each location, and available to every clinical staff member in our practice-management system. It contains nine protocols, each with recognition criteria, immediate actions in order, supplies, and documentation requirements:
Three of these carry standing orders. For a suspected vascular occlusion after hyaluronic-acid filler, hyaluronidase is administered under the Medical Director’s standing order the moment it is recognized — high-dose, pulsed, and repeated until perfusion returns — without waiting for a callback. For anaphylaxis and local anesthetic toxicity, qualified staff may administer epinephrine or 20% lipid emulsion immediately, while 911 is being called. Staff authorized to act under a standing order have documented protocol training and a signed competency assessment on file.
Our use rule. When in doubt: stop treatment, call the Medical Director, activate 911, and document. Only licensed staff may administer medications, within their scope and under approved orders or protocols.
Stocked at both locations
These items are stocked at both Cape May Court House and Gibbsboro, checked monthly and after any use, with expiration dates logged. A treatment may not begin if the required emergency medications and equipment for that treatment are not present, in date, and verified.
| Item | What it is for | Par level per location |
|---|---|---|
| Hyaluronidase | Dissolves hyaluronic-acid filler in a suspected vascular occlusion — the emergency that matters most in filler practice; given under the Medical Director’s standing order | 3,000 units on hand, enough for a full high-dose pulsed protocol |
| Epinephrine | First-line treatment for anaphylaxis, given under standing order | Two prefilled syringes or autoinjectors, plus a 1 mg/mL vial for repeat dosing |
| 20% lipid emulsion (Intralipid) | Rescue treatment for local anesthetic systemic toxicity, given by our RNs under standing order | Two 250 mL bags |
| Pocket mask / bag-valve mask | Rescue breathing during CPR | One |
| Pulse oximeter, blood-pressure cuff, thermometer | Monitoring every 5 minutes in any emergency until EMS arrives | One each |
| Aspirin, warm-compress supplies, sterile dressings, glucose source | Vascular compromise, burns, bleeding, syncope | Per protocol |
| Emergency transfer packet | Printed handoff form for EMS: allergies, history, products and lot numbers, medications given, vitals timeline | Ten copies |
We stock hyaluronidase specifically as an emergency-use supply, not merely as a cosmetic dissolving agent. Almost no competitor can publish this paragraph. We can, because it is true and because it is checked every month.
People, not just supplies
Every clinical staff member holds current Basic Life Support (BLS) certification. It is a condition of clinical employment here, and licenses and certifications are verified at hire and at every renewal.
Emergency drills are conducted at least annually at each location, covering every scenario in the manual — anaphylaxis, vascular occlusion, syncope, burn or laser injury, LAST and lipid rescue, cardiac arrest, non-reversible vascular events, and EMS transfer. Attendance is mandatory and documented, and each drill records the time it took to reach the emergency kit and complete the 911 script.
When an emergency begins, roles are assigned out loud by name: a clinical lead, a 911 caller who then meets EMS at the door, a recorder who writes down every time and every dose, a medication and equipment assistant who reads back each drug before it is given, and someone responsible for the privacy of the patient and the other patients in the building.
Who answers, and where you go
Dr. Daniel L. Francis, DO, our Medical Director, is reachable by our staff during any emergency at either location. Staff are instructed to activate 911 and begin treatment under the protocols without waiting for a callback — notifying him runs in parallel with treatment, never instead of it.
17 Court House South Dennis Rd, Cape May Court House, NJ 08210
Nearest emergency department: Cooper University Hospital Cape Regional, 2 Stone Harbor Blvd, Cape May Court House
200 Haddonfield-Berlin Rd, Suite 100, Gibbsboro, NJ 08026
Nearest emergency department: Virtua Voorhees Hospital, 100 Bowman Drive, Voorhees
We do not currently keep an automated external defibrillator on site. Defibrillation arrives with EMS, which is why our cardiac-arrest protocol is built around an immediate 911 call and uninterrupted chest compressions from BLS-certified staff until EMS assumes care. We would rather tell you this plainly than let you assume otherwise.
After the fact
Every adverse event, complication, and near miss at this practice is reported internally the same day and reviewed by the Medical Director within 24 hours. The process is deliberately non-punitive: staff are never disciplined for reporting in good faith, and they are disciplined for failing to report. Reports feed a periodic complication review, and any product or device involved is quarantined until it has been examined.
If something goes wrong after you leave, you have a direct line to the practice — see Revisions & Complications.
“No one has ever been criticized at this practice for stopping a treatment or calling 911. People are criticized for waiting.”South Jersey Aesthetics Emergency Protocol Manual
Questions?
Call or text 609-846-5115, or book a consultation online.
Safety & Emergency Preparedness · Licenses & Credentials · Who Treats You · Revisions & Complications · What to Expect
This page describes the emergency protocols, supplies, and training in force at South Jersey Aesthetics as of September 2026. It is published so that patients can compare practices on what matters, and it is updated whenever the protocols are. It is not a substitute for the individual risk discussion that takes place at your consultation.
Cape May Court House
17 Court House South Dennis Rd