Rationale for the choice of injection method (needles or atraumatic cannula) during contouring

is considered one of the safest minimally invasive aesthetic procedures. However, complications are still possible.

Tells in an exclusive interview on estet-portal.com Candidate of Medical Sciences, Associate Professor, Head of the Department of Plastic Surgery and Cosmetology at Mediland Medical Center, surgeon of the highest category, teacher of contour plastic New Line Clinic – Valery Potiy.

• Using a needle and atraumatic cannula for contouring
• Features of the patient's sensations when working with a needle and cannula
• About the choice of the drug when working with large cannulasher
Using a needle and atraumatic cannula for contouring

It is no secret that the flexible atraumatic cannula has become the standard instrument used in contouring due to the fact that it prevents intravascular injection drug.

Instagram! When performing contouring, we are afraid of intravascular injection of the filler, which can lead to vessel embolism. The maximum we can harm with a large cannula − this will cause

. In this case, it is important to consider that external blunt trauma can create some changes that are

. This may appear as:

• local changes in the type of thrombophlebitis;
• development of impetigo, etc.

One-stop solution for aesthetic facial correction However, in any case, the outcome of all these phenomena and the severity of their manifestations is not comparable with the situation when an intravascular injection of the filler was performed.

This process can lead to embolism of the vessel by the filler, the appearance of

, while significantly increasing the likelihood of necrosis, and may also cause the most, in my opinion, the most dangerous complication during work with middle third party − it is a embolism of the arteria ophthalmica, which can lead to the development of blindness.   When contouring the

, you need to remember that there is the facial artery, although the chance of getting into it when working with a needle and causing an embolism is still less than when working in middle third of the face. Therefore, complications of this kind are much less common. However, in the lower third of the face, the instrument of choice will no doubt be the atraumatic canu

la. Features of the patient's sensations when working with a needle and cannula

There are many myths about the use of atraumatic cannula in the sense that this procedure is more painless than using a needle and does not require anesthesia. In fact, this is not entirely true, and the procedure with a flexible atraumatic cannula can be even more unpleasant for the patient than with a needle.

The needle, when performing contour plastics, leaves a prickly sensation when puncturing the skin, however, it reaches the target zone very quickly, without experiencing the resistance of surrounding tissues. At the same time, the flexible automatic cannula is blunt.

(25 G, preferably larger) cannula for contouring. That is, with a large blunt instrument, we carry out a "blunt" separation of tissues, and a person, during this procedure, will feel all these sensations even in the layer of subcutaneous fatty tissue.

Anatomical cadaver course: a unique approach to training cosmetologists This is due to the fact that all facial structures are well innervated, and the processes of their movement cause pain. Therefore, it is clear that the use of an atraumatic cannula for contouring is not painless.

But what a large size atraumatic cannula won't do, in the odds compared to a needle, is

ra intravascularly. About the choice of the drug when working with a large cannula

Cannula − this is a standard, everyone agrees on this, and when I work with a cannula, then I very often choose a combination: cannula 22 G and preparation STYLAGE XXL of the French company Vivacy, which are represented by the official distributor – Company New Line Clinic.

, being the densest in the line, due to the lower concentration of hyaluronic acid compared to other dense preparations of the same line, will be easier to distribute in tissues, give a good long-term result without showing at the same time, an excessive elastic effect in the area where it was injected, which is important with a relatively superficial injection into the subcutaneous tissue to prevent visual hypercorrection.

performs at its best with the fan technique and cannula. It is well distributed in tissues. After the injection, you can do a light massage, and we get a diffuse distribution in our entire target area. Recall that the official distributor of

fillers is New Line Clinic. In this way, it is possible to correct the space along the entire branch of the lower jaw, above the lower jaw, in the lateral parts of the face, where very often, due to age-related changes, there is not enough subcutaneous volume.

At the same time,

can also be entered locally, at a specific point, where it is appropriate. For example, you can increase the chin, accentuate the angle of the lower jaw, etc.  

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