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Dr Nora
Dr Nora

 Consultations in all aspects of medicine incl.
  • Facial Cosmetics,
      anti-wrinkle, dermal and lip fillers
  • Family Planning,
      sexual health, coil and implant insertions
  • Minor surgery,
      skin cancer checks & removals
         Book Appointment

 Consultations in all aspects of medicine including
Facial Cosmetics, anti-wrinkle, dermal and lip fillers
Family Planning, sexual health, coil and implant insertions
Minor surgery and skin
Book Appointment

Posts tagged “tear troughs”

Cheek and Under Eye Hollow Dermal Fillers for Men | Cannula vs Needle Analysis

In this episode I’ll be talking you through a cheek and tear trough filler procedure showing you and discussing the pros and cons of using a cannula and needle to inject dermal fillers.


Needle Cheek Filler Treatment: https://youtu.be/zxJBT0JPxXs

Female Cheek Filler Treatment: https://youtu.be/Gx57WNvbLWg


A cannula is a blunt plastic tube that is introduced to the skin using needle. As the cannula is blunt, it is less likely to penetrate through important vessels and is less traumatic to underlying tissues, this means there will be less swelling and bruising. 

A cannula also allows for fewer injection sites which is more comfortable for the patient. The use of cannula can be quicker than a needle but this does depend on the area being treated.


For the cheek filler treatment, first an incision is made with a 25 gauge needle, this provides the opening for the cannula to be inserted. The needle is then removed and the cannula passed through the entry point to below the skin surface. The cannula can re-enter in the same injection site and so allowing for filler to be deposited in multiple areas with just one entry point.


Needles are great because they give you more control on the areas you’re injecting, allowing you to give small precise deposits of filler. That being said, you will require more injection sites.


First up the area is cleansed and the safety zones to be injected are marked on the face. Several ultra fine needles are used to deposit small amounts of filler along the boney prominence of the face. After the injections the filler is massaged into place.


When deciding which method to use it depends on a number of factors.

- Needles are considered to be more precise and can be injected deeper into the issue, but do require more injections to be made, which for the patient can be the most wince provoking part of the treatment.

- The patients experience and expectations play another factor here, most patients may have experience or at least know what to expect from a needle. With the cannula, while generally more comfortable, you can still feel it moving under the skin, which can present a new and un-natural experience. So the patients experience level and preference is important to consider.

- The areas being treated especially in regards to the surrounding anatomical structures need to be taken into careful consideration. As the cannula is blunt, it is less likely to penetrate through important vessels and is less traumatic to underlying tissues, this means there will be less swelling and bruising.

- However, the most important factor is your cosmetic practitioners preference and experience level. As a practitioner with more experience with one technique will perform better than using another. The traditional pathway for a cosmetic practitioner is to start with needles as they can be used for both dermal fillers and anti-wrinkle treatments, whereas cannulas are primarily used for dermal fillers only, so that is why you may find that not all practitioners are trained for the use of cannula and so the outcome does depend on the providers experience and technique, because you don’t want to be their first.

You can view more video demonstrations or arrange to drop by at my website: http://drnora.com

This video was taken with the patient’s consent.

Warning: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

FILM BY VTUDIO | https://vtudio.com


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