Why I use cannulas and NOT needles for injecting Fillers. 

Thank you for your comments Fernando. I think we have been too focused on using bigger cannulas, not remembering that if you have a big cannula, you will inject quickly (not to mention the fact that you might hurt the patient more and cause more swelling and bruising too). I inject super slow now with a 27g cannula, and I think the risk of intra-arterial injection is lower this way. I keep the cannula moving and put little pressure on the syringe. The patient ends up very happy as there is little pain, swelling, bruising or recovery time. Thank you again for your contribution.

Victorian Cosmetic Institute most focus on result without considering cost You explain both with simplicity and clarity “Experience is the only true knowledge “ Albert Einstein

Yes, that's what I thought too... until I started using 27g cannulas and SLOW injection of fillers. If you have a Porshce, you'll probably drive it fast. So I elect to drive the volkswagen of fillers. The 27g!

Thank you Ginderellablue. Glad you found it helpful.

Victorian Cosmetic Institute I’ve never had a practitioner suggest using a cannula . Must say I’ve experienced some vert bad bruising in the past . What about a filler in the lips ? Is a needle still The best for lips ? Cheers

@@OlderWomenRock I personally believe cannula can do better than needle in lips. Much less swelling and bruising. But it takes a lot more skill to do lips with a cannula. You have to weave it through the lip. Needle just slices through everything. So easy to perform with a needle but you pay the price in swelling and bruising

I have fillers on the nose and I love the result. My practicionner used a cannula and told me why but not completly, I mean she didn't tell me that it could cause blindness and now I'm so afraid, I think I won't do it again :(

Are cannula safest?

omg ...your blindness in one eye is permanent?

cannulas are much harder to use than needles, and with time and experience, cannulas can be a lot less painful than needles.

when they pull their whole face back and say "i wanna look like this again" lol.. time for a facelift then

@@kyzzlee 😂🤣😂

yes this can be done with a cannula. But also you can do something called 'subcision' with the cannula too, which is undermining the scar and releasing it from its attachments.

90 with needle?

Hi! Just scrolling through the comments and couldn't help but notice your question. He gave an answer above. I believe he said it takes more skill to use a cannula on the lips but please look at the above questions.

Sorry, I don't know who is good in Israel. Thank you for your comments.

Yeah, I want to ask the same thing. Will that remove the risk of blindness?

Thank you ! You just need to do it carefully - undercorrect. Take more than one session to get the final result. If it is just tear troughs, personally, I would use dermal fillers as it is much simpler . If you have facial fat loss (all over) then fat transfer might be more suited. See my previous video on fat transfer vs filler and my tear trough video. Many thanks for watching.

@@viccosmeticinstitute thank you so much for taking the time to reply dear Dr ❤

it's 1mL per session on average per session. Usually done every 1 to 2 years!

@@viccosmeticinstitute Oh I see, so Over the years you may see someone for a decade and eventually put in 10 ml over that time

@@jaxgvh2975 it really depends on the patient but that it's one scenario

@@viccosmeticinstitute Dr, Chan, so by injection 1ml per year over 10 years you have 10ml of dermal filler in the face. I thought that after 1 year that 1ml vanishes?

So in some people the filler does not break down??? Is that the scenario???

We are in Melbourne!

Sorry, we haven't tried this filler. But in Australia, it is the cheapest one to buy.

Using any cannula doesn't remove the risk. There has been a case reported in New Zealand where a cannula was used and resulted in immediate permanent blindness. It can significnatly reduce the risk however.

@@Dylan-ni9my with what size cannula? and in what face place?

with pilot needle

No the IPL won't affect your fillers at all

@@viccosmeticinstitute thank you!

Hi snowy a fab doctor is Dr Jothan at Calamvale family practice.. a very lovely person he is Ph. 32724533 and ask to speak with his nurse Sharon. He also does Placo fibroblast x

@@magsgil8181 thank you. So you see him ?

Snowy Skylar yes i do and he is really lovely, easy to talk with and takes a lot of time to talk with you

basically don't do this. You'll need about 200mL or more per side. A much better option is autologous fat transfer (moving your own fat into these areas).

@@viccosmeticinstitute I was thinking of doing this too!! Is it dangerous or what’s the difference because I am scared to go under the knife but I have indented scar tissue meaning the cells are dead

Hi Staci. Many practitioners say that bigger cannulas are safer because they are less 'sharp' than a finer cannula and less likely to penetrate an artery. However I see it a different way. The finer cannulas are much harder to push filler through and hence you can't inject as quickly. I believe it is the speed of injection that matters more as well as keeping the cannula moving

Victorian Cosmetic Institute thank you so much!!!

Maybe in the very near future we can just accept how we look and grow old gracefully... 🤷‍♀️

We use a needle just to pierce the skin to create an entry point. Yes, can use 27g for tear troughs. That is what I do now. I don't fill anything through the oral cavity. I have seen this done before, and I think there are too many bugs going through this way. Also it is hard to reach the area you want to.

The initial entry point is made with a needle. Cannulas are a little more painful but it depends on the operator and their skill with a cannula

Omg I thought it would be LESS painful due to not having to pierce the skin so much 😭😭

They use an introducing needle to create the hole first then slide the cannula in :)

but what size cannulas and what face place?

Hi Samson. I use as fine a needle as possible to make the entry point for a 27g cannula. Usually 23g is a good. 25g needle is possible too but can be hard to fine the hole.

allan liu how does it last? Did you get it in the lips?

Yes, hyaluronidase can be used in those with autoimmune disease.

@@viccosmeticinstitute thank you for answering!

Dice que actualmente usa cánula , en vez de aguja. Con cánula puede navegar mejor, identificar en qué área anatómica se encuentra y realizar menos punciones (por ejemplo, en labios). Usa una 27g porque al ser de menor calibre es menos traumático y la velocidad de inyección es menor (menos probabilidad de inyectar en arteria).

very true

exactly

Thanks ace boogie. I hope this video does get more views as it is an important topic - especially in the light of the increasing number of complications with fillers that could be reduced with more careful technique.