Las Vegas, NV | Filler Cheek Augmentation - Myint Minute | Myint Oculo Facial Plastic Surgery
Dr. Myint: Now, you can get different kinds of cannulas from different companies. This particular one is from Mercks Corporation. And there's two sizes that I use. There's a larger size, which I used on Lisa for the cheeks. And this is a 25 gauge two inch cannula. This one here is a 27 gauge, one to one-and-a-half cannula, both of these. And they come in a box, and you can get multiple cannulas in one box. And this'll last you through a number of patients. So you can get them from wherever you want. This is from Mercks.
Dr. Myint: A filler injection on Lisa's cheeks. We're going to try to make her cheeks a little more fuller and a little more softer. And I'm going to use a cannula, instead of a needle. So the way to compare this is that the cannula is a blunt tip instrument. It's not sharp like a needle. And the reason why this is a beautiful way to do this is, because you can create a tissue plane where you can instill the product sub muscular or super periosteal. And with one injection point, I can go and fill my product without causing any edema or discomfort or ecchymosis. With a needle, there's going to be multiple sticks. That's why I love the cannula. And for the patient, it's great because there's less discomfort.
Dr. Myint: So we're going to start injecting, and I want to show you the planes that we're going to inject. So I wanted to show you here, what a needle looks like versus the cannula. You can see the tip is blunt, and the tip on the needles are very sharp. And that's why I like using this. I have prepped Lisa with alcohol and I've marked and delineated the injection site, which is almost shaped like a triangle here. I have a port here that I infiltrated with 1% lidocaine with one to 100,000 epinephrin, and I've engaged this port with a 20 gauge needle to create the opening, to go underneath with the cannula. And so we're going to start here. You can use any product that you want. And I'm going to introduce this cannula here, and we're going to go sub muscular, super periosteal. Are you okay, Lisa?
Lisa: Mm-hmm (affirmative), yes.
Dr. Myint: So I'm underneath the muscle. I'm over the periosteum. You okay?
Dr. Myint: And I'm all the way to the tip there. I can feel my cannula, if I push down and then we're going to start injecting a little bit as I come through. (silence). And I'm going very slow and retro grade, and now we reposition come down sub muscular, super periosteal. We're going to come back and do more injection, and then I'm going to come down. You okay, Lisa?
Dr. Myint: So you can see, we're not doing multiple sticks, so there's no ecchymosis at the site of injection, and there's no edema and very little bruising from that one injection. And you can see what's happened here is that we've created a little fullness in her cheeks. And if you compare the two sides, you can see the left side here and the right side. It's very subtle, and you want subtlety. You don't want to overdo this. And it creates a nice platform and a nice fullness over the malar bone. So the injection is done very slowly. It's sub muscular, super periosteal. And if you need to put a second port, you can put a second port here or here, and come in from that angle. I only needed one port on her, and we've got a really nice result with a cannula Myint facelift.