Why I use cannulas and NOT needles for injecting Fillers.
ฝัง
- เผยแพร่เมื่อ 24 ก.ค. 2024
- Dr. Gavin Chan MBBS, General Registration (MED0001175745) talks about the advantages of using a cannula rather than a needle for the injection of dermal fillers. Find out why they are better for the patients and how they are safer than needles.
Also, he will discuss what is his ideal cannula size to use and why. - วิทยาศาสตร์และเทคโนโลยี
Very intelligent doctor; wished all doctors are caring and skilled like you are...
Omg! I’ve always wondered why all these surgeons talked about cannulas. What a revelation... This is by far the best video with clear concise explanation about the cannula and why it’s been used. Thank you so much 🙏
My ex-husband is a cosmetic surgeon. As you can imagine, I’ve had multiple procedures and surgeries over the years. This video has excellent content and the delivery is very well done. I’m very impressed with this Dr. Other doctors should take note of this man. He has a genuine, concise, and well mannered, humorous personality and his delivery is remarkable. 💕
Very interesting Dr. Chan,
Impressive your reasoning !!!
I'm an injector in Brazil and had never thought of so many arguments.
You are the best of the best !!!!!!!!!!!!!
I will use the 27G, for sure !!!
Success for you!
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
Great technique. Intuitively, you can see how it is less traumatic and allows better operator control and placement of product. I've seen it on your other videos and I am looking forward to incorporating it into our methods.
Dr. Chan, thank You very much for this great explanation. I am deeply impressed how honest and transperent You do share Your precious experience/knowledge with us.
LOVE your videos. You're an incredible instructor/educator! 🙌🏻
Very interesting video. Thank you for sharing your experience!
I love that you always try to refine your approach and think critically about what you do. You're really a fantastic doctor, and your intelligence and care for your patients is extremely attractive!
i like your sense of humor. Thank you for being articulate, logical and intelligent, of course.
Thank you so much for your very informative videos. Your exchange of brilliant technique is helping us all❤️
Thank you Ginderellablue. Glad you found it helpful.
HI Doctor! You are such a humourous doctor.l have truely enjoyed your teaching and sharing ,same goes to the rest of your topics that u have covered.
Thks.
I stumbled across your page. I have to say that I really enjoy your content. Very informative, professional and entertaining. New subscriber!
Absolutely fantastic information provided and explained thoroughly. Thank you
8 Years ago I had filler injected under my eyes and had a BRAO stroke (branch retinal artery occlusion) in one eye that caused a blind spot. Fortunately, my blind spot actually improved over time. I was never told by the doctor that this was a possibility and never had under eye filler again until recently with a cannula.
Are cannula safest?
omg ...your blindness in one eye is permanent?
I am agree with you. I usually use 25 and 22, 23 G cannula. It is more safely than 27.
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!
Very informative!! Thanks for sharing your knowledge!...I could watch your videos all day.
Hi Doc, Thank you for another great informative video, Bee 👍🏻😍🙏🏻
Have you had filler before? Did your practitioner tell you why they used a needle or a cannula? Let us know if this video has helped you understand the advantages of a cannula.
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 :(
as a patient I've had both and by far the canula is my prefered choice (off course if applied by a trustworthy competent doctor). The difference is in in the pós-application. Less pain, less discomfort
You make a lot of sense...thank you
I just had my lip filler done last week and my doctor used a cannula. In terms of pain I personally think the cannula hurt more compared to the needles. My recovery time is taking longer too. That’s just my experience.
cannulas are much harder to use than needles, and with time and experience, cannulas can be a lot less painful than needles.
Great video! That puppet at the end was hilarious! lol
I usually use cannula to inject fillers and sculptra . But sometimes 27G cannula is not easy to perform the procedure(because it is soft and the diameter is too small for some harder fillers)Beside the larger cannula, do you have any suggestion ?
You better preorder your 27g cannulas now...they are about to be back ordered haha!!
Thanks again for a great video!!
Hi Dr Chan, what would you recommend concerning a hyaluronic acid procedure called Profhilo? It has been recommended by my dermatologist, but after seeing this, would the HA dissipate over time or would I be left looking swollen in a few years ? I understand it's 'different' to fillers, but is that the truth?
Hello! I recently had RESTALIN under eye filler done and under my right eye, it started to bleed. Does that mean the injector hit a blood vessel? Thanks!
This is so helpful!! Thank you so much!! :) x
I'm very impressed by your way of conveying. Thank you so much doctor.
I request you to talk about hifu. How it works and in what age one should go for hifu.
Skin ages more faster after hifu or its misconception?
A local aesthetician said to me that hifu works better on young people. The more you young the better it works for you.
Please please doctor. I'm desperately waiting for you to talk about it.
Thank you so much.
What cannula is the best for nose filler? Thanks for the video :)
I’ve heard that the “microdot technique” to deliver dermal filler is excellent, especially with atrophic scarring.
Can this be done with a cannula?
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.
Although you are very informative, I gotta tell ya....I really enjoy the humor throughout this video ;. )
My question is: What factors determined that fillers are just not enough and the patient should consider surgery instead?
when they pull their whole face back and say "i wanna look like this again" lol.. time for a facelift then
@@kyzzlee 😂🤣😂
Very authentic Information 👌👌👌👌
Hi doctor could you please explain how you open a way for cannula ? First once you enter with needle vert fast then you took it off and after you make a way you enter with cannula ? I always use needle and it takes time and it's sharp as you said
Very interesting vidéo thank you . I have never understood how it was physically possible to penetrate artery with cannula? And also thé pain must have been unbearable, the patient didn’t react? I found on google that blindness was caused by penetrating with angle 90, and with force... Are there still doctors who could do in this way?
90 with needle?
You are the best
I injected the filler with cannula into the cheeks that dripped down the bottom. How to fix. Thank Dr!
Can my Dr use a 23G c 1” on my lips for lip filler?
I’m amazed by your work. Do you know any good doctor for chin filler in israel?
Sorry, I don't know who is good in Israel. Thank you for your comments.
Where do you order your cannulas?
Hello Doctor, can you give a tips to a young starter doctor that just start learning aesthetic medicine what G cannula to use for lip augmentation is it still 25 /27
I am curious about your opinion about "princess filler" instead of juvaderm. Could you adress the difference ?
Sorry, we haven't tried this filler. But in Australia, it is the cheapest one to buy.
Would you use cannula for nose filler too?
I'm curious, when using the 27 gauge cannula, can you aspirate, just to be sure you are not in an artery?
Yeah, I want to ask the same thing. Will that remove the risk of blindness?
Hello Dr.Chan, thank you so much for all the infornations that you give, you really are one in a million😍
Pls Dr i wanna ask you.. is fat transfer in the tear trough dangerous?
A Dr propose to me to take away my eye bag fat and then transfer it into my tear trough because i have a volume loss there.. and im sooo afraid, is this safe Dr.Chan?? Pls answer me👏 and thank you so much once again
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 ❤
very smart
Thank you so much. Where do you practice, doctor?
We are in Melbourne!
You use to be a trainer for filler? Please, Please, Please do some videos to train us!!
Does it hurt ?
Hi Dr. Gavin, could you please clarify in one of your previous videos - do you now only use 1 ml of filler for a patient's entire face per session or 1ml all up?
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???
I’m a Mechanical engineer with strong design background and I think a better solution should be implemented. Where can I get in touch with expert users?
Thank you Dr. May I ask if a 27 cannula can completely remove the risk of injecting filler into an artery that causes blindness?
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?
Hi I recently had fillers, I am wanting to know if getting an ipl lazer pigmentation removal will ruin the fillers in my face
No the IPL won't affect your fillers at all
@@viccosmeticinstitute thank you!
How about filler for lips? Do you recommend a cannula?
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.
need cannula aspiration or not? ..thank you
Hi Doc, I’m not a clinician of any shape or form. I’m just curious ,if the cannula is blunt how do you make the puncture ,cheers ?
with pilot needle
HELLO DOCTOR. I LOVE THEIR VIDEOS. A QUERY. WHAT DO YOU THINK OF HIALURONPEN? THIS DEVICE IS VERY FASHIONABLE NOW TO INJECT ONESELF HYALURONIC ACID FROM YOUR OWN HOME. GREETINGS FROM SPAIN
Thank you, is the cannula sharp to pierce thru the skin, do you recommend 27 gauge to fill eye troughs? whats your thoughts on filling eye troughs through the oral cavity I have had this done once
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.
Dr Chan, can you recommend some Doctors in Brisbane please ?
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
I'm planning to use hyauronic acid filler to my butt and hips... kindly I need advice.
How many mls for the procedure?
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
Since cannulas are blunt, is it more painful? Because you would need to put more force to puncture the skin? I don’t know 🤷🏻♀️
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 😭😭
Dr chan I had body fat injected in my face long ago is it possible to reverse it and suck the fat out thanks
allan liu how does it last? Did you get it in the lips?
Sir your view on fat free face surgery?
If the cannula is blunt, doesn’t it hurt to penetrate the skin?
They use an introducing needle to create the hole first then slide the cannula in :)
Excellent video! I was taught this by one of my old attendings. Your explanation was spot on! Question: do you use an 18 or 20 gauge to “pre-puncture” the skin for the 27 g cannula? What’s your preferred method for getting the cannula past the skin. Many thanks.
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.
What do you think of the lip flip ? They use botox on the upper lip to make it turn up so the lip looks fuller
You are so informative! Asking for my sister who is in med school....are the larger cannulas safer and I know nothing is 100 percent but how unlikely is it that a cannula could puncture an artery? I ask because I’m going to be her guinea pig once she graduates😂😂😂
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!!!
how long do u prefer the cunula, for universal treatment, i know depende of the part of the face you are gonna treat
Amazing
💯
Dr Chan, can you please answer my question: I have an autoimmune disease and lip fillers, is it safe to dissolve the filler with Hyaluronidase?
Yes, hyaluronidase can be used in those with autoimmune disease.
@@viccosmeticinstitute thank you for answering!
it is possible to put subtitles in Spanish thanks!
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).
In the future , they might invent a cannula with micro tubes inside of it with multi holes like a garden sprinkler so the procedure can be done quicker with less trauma and a more even distribution of the product into the face
Maybe in the very near future we can just accept how we look and grow old gracefully... 🤷♀️
Can we suit under eyes pleas I want to know
Actually the last couple of incidents lately has been caused by cannulas. Said to hear but true.
but what size cannulas and what face place?
Cannulas are so painful I still remember the pain
The 27G cannula behaves like a needle. Not very safe IMO
very true
I don't agree with you about 27G canula...because it behave like a needle.
The best choice is 23G canula for face...and 25G canula for under eyes and lips.
exactly
The doctor I'm going to see uses needles, should I be concerned?
It's for my nose 👃
Smh you should be getting more views, beautician who taught themself to use filler in 3 days are charging other learner thousands to learn something that's right here on youtube but more in depth smh
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.
Funny!!
I know why you use a cannula instead of a needle........secretly you love to inflict as much pain as possible in the chair of torture 😂😂😂😂😂😂😂😂😂 Just a joke , no he doesn’t like inflicting pain....Much Love
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