30 Jabs with a Needle or No Needle? Irvine Dermatologist Nissan Pilest Embraces New Micro Cannula Placement of Fillers - Skip the Pain and Bruising

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Aesthetic physicians have a new tool for making dermal fillers a practically pain free and bruise free process. Long-time Dermatologist Nissan Pilest reports major advantage for patients with new micro cannula filler placement.

Nissan Pilest, MD Cannula Injection

..,the micro cannula placement of fillers is proving to be a great leap in improving patient experience both during and after treatment.

Orange County Dermatologist Nissan Pilest reports positive objective and subjective results from Cannula dermal filler placement. Needles have been replaced with flexible smooth tip micro cannulas for pain-free and near bruise-free placement of dermal fillers.

No longer must patients endure the many needle sticks previously required to access multiple areas. With the cannula, only a few entry points are needed to access the entire lower face. For the needle phobic patient, this change alone opens up a whole new world of possibilities.

As new uses for dermal fillers increase the areas of the face where fillers can be used, this novel approach using cannulas has taken hold of the aesthetic physician community. And for good reasons!

“We’ve all had to contend with the pain and bruising that comes with injection of dermal fillers,” Dr. Pilest notes. “Often it is simply inevitable as areas injected are highly vascular and needle sharpness nicks small vessels, resulting in bruising. And obviously, needles are not known for their pain-free movement through tissue.”

Cannulas are thin, most are very flexible and the tip is rounded. This means nerves and vessels are simply pushed out of the way instead of traumatized or nicked. Patient experience is profoundly different and positive. View video discussion of cannula use here.

Dr. Pilest explains that the process takes longer, but patient comfort and reduced side effects are well worth the additional time it takes.

Dr. Pilest recommends the P.A.L.E.T.T.E. workshops for physicians who wish to learn correct cannula techniques. (P.A.L.E.T.T.E. stands for Progressive Aesthetic Learning Essential to Technical Expertise). The live workshops widen physician exposure and expertise in the use of flexible smooth tip cannulas to replace needles. Doctors bring their own models and work with P.A.L.E.T.T.E. instructors who teach numerous techniques for ease of injection and best patient results.

“This new technique is something my patients are welcoming with wide open arms,” Dr. Pilest relays. “It is always my goal to provide the most comfortable process available and the micro cannula placement of fillers is proving to be a great leap in improving patient experience both during and after treatment.”

Micro cannula is used for the gel fillers Juvederm, Restylane, Perlane, Radiesse and Artefill and will be used with upcoming Belotero once available in the U.S. market. Treatment areas include Eyebrows, Tear Troughs, Cheek Volumization, Preauricular Fossa, Temples, Perioral Lines, Marionette Lines, Depressor Anguli Oris, Platysmal Bands, Ear Lobes and Nasal Bridge.

Nissan Pilest is a Board Certified Dermatologist with a private practice in Irvine,
California. Total Dermatology is a full service Cosmetic and Medical Dermatology clinic. Dr. Pilest has over 3 decades' experience. He is an active assistant Dermatology Professor at University of California Irvine and the 2012 President of the Dermatologic Society of Orange County. Total Dermatology is located at 16100 Sand Canyon Avenue in Irvine. Telephone contact is 939 727 3800


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Jennifer Park
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