The nasolabial lines are subject to facial expression movement and the filler injected in this are could budge. I inject the filler deep into the periosteum next to the nostril to fix the filler firmly in the collagen layer. Then I inject Classic or Complement with smaller particles in the lower dermis for smoothing effect.

To maximize the desired effect and minimize the side effects, it is important to fully communicate with the patient prior to treatment to accurately understand patient expectations. I also use the mirror to show the patient real-time progress during treatment.

 

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Filler procedures are blind methods. In other words, whether you are using a needle or cannula, you cannot see what happens underneath the skin. This means that there is some level of risk inherent in every procedure. This is why accurate understanding of the facial anatomy is crucial for a safe and effective procedure.

I choose a filler suitable for the area and use a long cannula for injection. I use my left hand to feel the injection to minimize the side effects. I change the cannula size according to the filler particle size. Even with a very small needle, the movement of the needle inside the skin can damage subcutaneous tissues. I believe cannulas are the safest as they cause minimal tissue damage after being inserted through an opening.

When it comes to choosing a filler, assuming the filler products offer the same convenience, durability and safety, etc. the doctor can choose any product that he personally prefers. I have used a wide variety of fillers but in the end, it comes down to a few very good products that become the mainstay of the practice.

 

-The End-