{"id":891,"date":"2013-07-21T08:06:34","date_gmt":"2013-07-21T08:06:34","guid":{"rendered":"https:\/\/surgerytoday.com\/education\/?p=891"},"modified":"2013-07-21T08:52:28","modified_gmt":"2013-07-21T08:52:28","slug":"flexible-blunt-tipped-cannulas-for-cosmetic-fillers","status":"publish","type":"post","link":"https:\/\/surgerytoday.com\/education\/flexible-blunt-tipped-cannulas-for-cosmetic-fillers\/","title":{"rendered":"Flexible Blunt-Tipped Cannulas for Cosmetic Fillers"},"content":{"rendered":"<link href=\"\u201dhttps:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/07\/blunt-tip-cannulas.jpg\u201d\" rel=\"\u201dimage_src\u201d\" \/>\n<h3>To start with, how about a picture of these cannulas?<\/h3>\n<p><a href=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/07\/blunt-tip-cannulas.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-882\" alt=\"blunt tip cannulas\" src=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/07\/blunt-tip-cannulas-300x169.jpg\" width=\"300\" height=\"169\" \/><\/a><\/p>\n<h3>Why the need for Cannulas in comsetic filler injections?<\/h3>\n<p>You might say that Juvederm, Restylane, Radiesse, Belotero, Perlane, Prevelle injections have been just fine with a plain needle. \u00a0But why increase the difficulty of the procedure? \u00a0The reason? \u00a0Less bruising? \u00a0Smoother results? \u00a0Safer? \u00a0Those are excellent reasons for having your injector \/ surgeon work harder.<\/p>\n<h3>What are cosmetic fillers?<\/h3>\n<p><a href=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/04\/SurgicalArtistry_womanlogo-original-smaller.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-22 alignright\" alt=\"Surgical Artistry Calvin Lee, MD Tammy Wu, MD 209-551-1888 www.SurgeryToday.com 2336 Sylvan Ave. Suite C Modesto, CA 95355 Next to Post office on Sylvan\" src=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/04\/SurgicalArtistry_womanlogo-original-smaller.jpg\" width=\"179\" height=\"80\" \/><\/a><\/p>\n<p>Fillers are like they sound &#8211; they fill spaces up to replace volume that we&#8217;ve lost as we&#8217;ve aged. \u00a0Familiar fillers are Juvederm, Restylane, Perlane, and Radiesse. \u00a0There are many more brands of cosmetic injectible filler implants. \u00a0However these are some of the common ones used in my <a href=\"https:\/\/surgerytoday.com\">Modesto office: Surgical Artistry<\/a>. \u00a0Botox isn&#8217;t a filler &#8211; <a href=\"http:\/\/www.injectionartistry.com\/\">Botox relaxes muscles<\/a>. \u00a0Here&#8217;s a link to my page: <a href=\"https:\/\/surgerytoday.com\/modesto-botox\/botox-muscles-of-the-face\/index.htm\">Anatomy for Botox<\/a>. \u00a0Both fillers and Botox are used for facial rejuvenation.<\/p>\n<h3>Why the opening on the side of a cannula?<\/h3>\n<p>The opening is on the side for extrusion of the filler such as Juvederm so that the tip can be made in a blunt fashion. \u00a0If the opening was at the tip, there would be sharp ends. \u00a0Thus the opening is on the side. \u00a0Is this good or bad? \u00a0It&#8217;s both. \u00a0It&#8217;s good because now the tip can be blunt. \u00a0It&#8217;s bad because we lose a bit of the precision which we were used to with the tip of a regular needle.<\/p>\n<h3>Why the blunt tip on the cannula?<\/h3>\n<p>This is the key ingredient for <strong>safety<\/strong> and<strong> less bruising<\/strong>. \u00a0Because the tip is blunt, it won&#8217;t easily go through vital structures such as arteries, <a href=\"https:\/\/surgerytoday.com\/education\/how-soon-after-vein-procedure-do-i-see-results\/\">veins <\/a>and nerves. \u00a0It glides through fat. \u00a0In fact this blunt tip cannula idea is used in surgical\u00a0<strong>liposuction<\/strong>. \u00a0The safety is in the prevention of cutting vital structures. \u00a0The less bruising is because there&#8217;s less internal bleeding due to the cutting of blood vessels.<\/p>\n<h3>Cannulas increase the difficulty of the cosmetic filler procedure<\/h3>\n<p>Yes, the difficulty is increased and it feels more like a complex procedure. \u00a0However, the risks diminish and many of the positive results increase &#8211; including patient satisfaction, smoother results, and less downtime. \u00a0I think this is worth the increased time and complexity &#8211; something surgeons think about all the time.<\/p>\n<div id=\"attachment_897\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/07\/cannulas-vs-needles.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-897\" class=\"size-medium wp-image-897\" alt=\"cannulas-vs-needles\" src=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/07\/cannulas-vs-needles-300x120.jpg\" width=\"300\" height=\"120\" \/><\/a><p id=\"caption-attachment-897\" class=\"wp-caption-text\">Needle vs blunt-tipped micro cannula. \u00a0Safety is the #1 reason I like cannulas.<\/p><\/div>\n<h3>Where can cannulas be used?<\/h3>\n<p>For most injections where the fillers are introduced below the dermis of the skin. This is a plane where the cannula can glide. \u00a0Superficial lines &#8211; probably a difficult space for the cannula &#8211; I would most likely continue to use a needle in the superficial plane. \u00a0Examples of places for cannula use:<\/p>\n<ul>\n<li><span style=\"line-height: 14px;\">Nasolabial folds<\/span><\/li>\n<li>Marionette lines<\/li>\n<li>Cheeks<\/li>\n<li>Pre auricular area<\/li>\n<li>Zygoma area.<\/li>\n<li>Tear troughs<\/li>\n<li>Orbital hollows<\/li>\n<li>Lateral Eye Brow fat pad area &#8211; helps to raise the eye brows too.<\/li>\n<li>Temples<\/li>\n<li>Back of the hands<\/li>\n<li><a title=\"cannulas for lip augmentation\" href=\"https:\/\/surgerytoday.com\/education\/lip-augmentation-with-cannulas\/\">Lip Augmentation with fillers<\/a>\u00a0&#8211; <a href=\"https:\/\/surgerytoday.com\/education\/my-thoughts-on-lip-augmentation\/\">my thoughts on lip augmentation<\/a><\/li>\n<\/ul>\n<h3>Why are cannulas more difficult?<\/h3>\n<ul>\n<li><span style=\"line-height: 14px;\">It takes longer to do the procedure<\/span><\/li>\n<li>There&#8217;s a need to use a pilot needle (which can still cause a bruise) to create the opening in the skin for the cannulas to slide through.<\/li>\n<li>Cannulas are flexible and there can be physical hang ups (getting stuck), and difficulty driving the cannulas from a distance (longer needle). \u00a0And because they are flexible, sometimes they are harder to feel their presence under the skin.<\/li>\n<li>The hole is on the side of the needle not in the front.<\/li>\n<li>Sometimes it&#8217;s difficult to gauge the depth of the injection<\/li>\n<\/ul>\n<h3>What&#8217;s the main reward for using a cannula?<\/h3>\n<p>Patient safety. \u00a0When a blunt tipped cannula is used well by an experienced injector, there is much higher patient safety. \u00a0Using needles &#8211; one could puncture subcutaneous structures which would otherwise like to stay unpunctured.<\/p>\n<h3>What are other great benefits of using cannulas?<\/h3>\n<ul>\n<li>Patient safety (mentioned above as the #1 benefit)<\/li>\n<li>Tip is blunt &#8211; actually might hurt less.<\/li>\n<li>Tip is blunt &#8211; won&#8217;t injure as much under the skin such as blood vessels and nerves.<\/li>\n<li><strong>Less bruising<\/strong> &#8211; because there&#8217;s fewer injury to blood vessels and thus less internal bleeding.<\/li>\n<li>Less swelling &#8211; for reason above.<\/li>\n<li>Faster recovery.<\/li>\n<li>Flexible cannula &#8211; allows for safety &#8211; the cannula moves or wiggles around some of the stiffer structures within the fatty tissue planes.<\/li>\n<li>Longer length &#8211; thus fewer skin puncture sites.<\/li>\n<li>There&#8217;s also the benefit of calling this instrument a cannula rather than a needle &#8211; less scary sounding.<\/li>\n<\/ul>\n<h3>What is my favorite cannula?<\/h3>\n<p>Cannulas come in many different styles and lengths. \u00a0I currently use Magic Needle and Dermasculpt cannulas. \u00a0I haven&#8217;t had the chance to try other cannulas on the market. \u00a0I believe they would be excellent. \u00a0The Magic Needle cannuals are more flexible &#8211; perhaps a little bit too flexible for my current tastes. \u00a0I know my tastes will change with time &#8211; it has before &#8211; I remain flexible myself in my choices of cannulas. \u00a0As for favorite size\/length of cannulas. \u00a0I like the 27g 1.5 inch cannulas for most of my Juvederm injecting. \u00a0I use this cannula mostly for temples and cheek augmentation.<\/p>\n<h3>Do I think that cannulas are game changers in the world of injectable fillers?<\/h3>\n<p>I think so. \u00a0For the sake of patient safety and smoother appearances. \u00a0Plus with the added benefits of shorter recovery period (less bruising, less swelling).<\/p>\n<h3>Do I use cannulas instead of needles for everything<\/h3>\n<p>No. \u00a0There&#8217;s a role for each tool.<\/p>\n<h3>Disclaimer<\/h3>\n<p>These are my thoughts (Calvin Lee). \u00a0No specific medical information here.<\/p>\n<div id=\"attachment_530\" style=\"width: 191px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/05\/dr-wu-and-dr-lee.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-530\" class=\"size-full wp-image-530\" alt=\"www.SurgeryToday.com (209) 551-1888\" src=\"https:\/\/surgerytoday.com\/education\/wp-content\/uploads\/2013\/05\/dr-wu-and-dr-lee.png\" width=\"181\" height=\"109\" \/><\/a><p id=\"caption-attachment-530\" class=\"wp-caption-text\">www.SurgeryToday.com<br \/>(209) 551-1888<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>To start with, how about a picture of these cannulas? Why the need for Cannulas in comsetic filler injections? You might say that Juvederm, Restylane, Radiesse, Belotero, Perlane, Prevelle injections have been just fine with a plain needle. \u00a0But why increase the difficulty of the procedure? \u00a0The reason? \u00a0Less bruising? \u00a0Smoother results? \u00a0Safer? \u00a0Those are [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[272,232,10,138,269,19,146,6],"tags":[278,279,129],"class_list":["post-891","post","type-post","status-publish","format-standard","hentry","category-cannulas","category-dermatology","category-fillers","category-juvederm-fillers","category-lip-augmentation","category-modesto","category-plastic-surgery","category-veins","tag-downtime","tag-microcannulas","tag-safety"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts\/891","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/comments?post=891"}],"version-history":[{"count":10,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts\/891\/revisions"}],"predecessor-version":[{"id":894,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/posts\/891\/revisions\/894"}],"wp:attachment":[{"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/media?parent=891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/categories?post=891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/surgerytoday.com\/education\/wp-json\/wp\/v2\/tags?post=891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}