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	<title>radiesse | Plastic Surgeon San Francisco | Pacific Heights Plastic Surgery</title>
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	<title>radiesse | Plastic Surgeon San Francisco | Pacific Heights Plastic Surgery</title>
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		<title>Injecting fillers with a dental block and blunt cannula to minimize pain and bruising [video]</title>
		<link>https://www.pacificheightsplasticsurgery.com/injecting-fillers-dental-block-blunt-cannula-minimize-pain-bruising-video/</link>
		
		<dc:creator><![CDATA[Jonathan Kaplan]]></dc:creator>
		<pubDate>Tue, 12 Mar 2019 00:40:45 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Plastic Surgery Procedures | Pacific Heights Plastic Surgery]]></category>
		<category><![CDATA[Services and Procedures]]></category>
		<category><![CDATA[belotero]]></category>
		<category><![CDATA[blunt cannula]]></category>
		<category><![CDATA[botox]]></category>
		<category><![CDATA[dental block]]></category>
		<category><![CDATA[juvederm]]></category>
		<category><![CDATA[radiesse]]></category>
		<category><![CDATA[restylane]]></category>
		<category><![CDATA[xeomin]]></category>
		<guid isPermaLink="false">https://pacific.reviewdemosite.com/?p=13879</guid>

					<description><![CDATA[<p>I recently gave a training for a group of healthcare providers on behalf of Merz. As a paid consultant, I teach doctors and nurses how to use three Merz injectables: XEOMIN® (similar to Botox for reducing wrinkles), Radiesse® and Belotero® (fillers) to fill in superficial or deep lines due to a loss of collagen. &#160; [&#8230;]</p>
<p>The post <a href="https://www.pacificheightsplasticsurgery.com/injecting-fillers-dental-block-blunt-cannula-minimize-pain-bruising-video/">Injecting fillers with a dental block and blunt cannula to minimize pain and bruising [video]</a> first appeared on <a href="https://www.pacificheightsplasticsurgery.com">Plastic Surgeon San Francisco | Pacific Heights Plastic Surgery</a>.</p>]]></description>
										<content:encoded><![CDATA[<p><img fetchpriority="high" decoding="async" class="alignnone size-full wp-image-10473" src="https://www.buildmybod.com/blog/wp-content/uploads/2019/03/Blunt-cannula-injection-points.jpeg" alt="injecting fillers" width="720" height="405" /><br />
I recently gave a training for a group of healthcare providers on behalf of Merz. As a paid consultant, I teach doctors and nurses how to use three Merz injectables: XEOMIN® (similar to Botox for reducing wrinkles), <a href="https://www.pacificheightsplasticsurgery.com/radiesse/">Radiesse® and Belotero®</a> (fillers) to fill in superficial or deep lines due to a loss of collagen.</p>
<p>&nbsp;</p>
<p>When it comes to fillers, there are a couple drawbacks (but they don&#8217;t outweigh the benefits!). Pain and bruising. For those not aware, injecting fillers can be more painful because of the thickness of the material. Compare that to XEOMIN®, which has the consistency of water, and therefore doesn&#8217;t hurt &#8220;going in.&#8221;</p>
<p>&nbsp;</p>
<p>But fillers don&#8217;t have to hurt with the help of a dental block as I&#8217;ve written about <a href="https://www.pacificheightsplasticsurgery.com/fillers-dont-have-to-hurt/">here</a>. Aside from pain, there&#8217;s also a way to minimize bruising when injecting fillers like Radiesse or Belotero (or Restylane or Juvederm for that matter).</p>
<p>&nbsp;</p>
<h2>How to minimize bruising when injecting fillers</h2>
<p>The single most effective way to minimize bruising is avoiding what causes bruising. And that&#8217;s need sticks. The more needle sticks into the face, the greater the chance of hitting a blood vessel and therefore the greater chance of creating a bruise. Reduce needle sticks, reduce bruising. Makes perfect sense, right?</p>
<p>&nbsp;</p>
<p>However, it may not be obvious how to go about providing a full correction to someone&#8217;s <a href="https://www.pacificheightsplasticsurgery.com/undereye-dark-circles-video/">hollow eyes</a>, <a href="https://www.pacificheightsplasticsurgery.com/volumizing-cheek-bones/">under-projecting cheek bones</a> or deep parentheses lines without creating a lot of punctures into the skin. The answer? Good planning and blunt cannulas.</p>
<p>&nbsp;</p>
<p>As you can see in the diagram above, you can either treat all three of the aforementioned areas with many needle sticks (image on the left). Or you can use the blunt cannula and inject all of those areas with only two needle sticks (image to the right)! The choice is obvious. The video below shows how a dental block and blunt cannula can also be used for <a href="https://www.pacificheightsplasticsurgery.com/keeping-subtle-lip-injections/">lip fillers</a>, making the experience much better for the patient.</p>
<p>&nbsp;</p>
<h2>Video using the blunt cannula to plump up the lips</h2>
<p><iframe src="https://www.youtube.com/embed/hYPqm6kZMoo" width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p>
<p>&nbsp;</p>
<p>Seek out a practitioner that is competent in using a dental block and blunt cannula. Less bruising and less painful. Unless that doesn&#8217;t sound appealing to you!</p>
<p>&nbsp;</p>
<p>To check pricing on filler injections from Dr. Kaplan, click <a href="https://www.pacificheightsplasticsurgery.com/pricing/?deepl=Radiesse-filler">here</a>.</p>
<p>&nbsp;</p>
<p><a href="https://www.buildmybod.com/blog/injecting-fillers-dental-block-blunt-cannula-minimize-pain-bruising-video" target="_blank" rel="nofollow noopener noreferrer"><em>Click here for the original blog post written by Dr. Kaplan for BuildMyBod.</em></a></p>
<p>&nbsp;</p><p>The post <a href="https://www.pacificheightsplasticsurgery.com/injecting-fillers-dental-block-blunt-cannula-minimize-pain-bruising-video/">Injecting fillers with a dental block and blunt cannula to minimize pain and bruising [video]</a> first appeared on <a href="https://www.pacificheightsplasticsurgery.com">Plastic Surgeon San Francisco | Pacific Heights Plastic Surgery</a>.</p>]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>Considering breast aug or fillers? You need to know about biofilm!</title>
		<link>https://www.pacificheightsplasticsurgery.com/considering-breast-aug-fillers-need-know-biofilm/</link>
		
		<dc:creator><![CDATA[Jonathan Kaplan]]></dc:creator>
		<pubDate>Mon, 06 Mar 2017 11:21:42 +0000</pubDate>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[belotero]]></category>
		<category><![CDATA[blunt cannula]]></category>
		<category><![CDATA[breast aug]]></category>
		<category><![CDATA[buildmybod health price estimator]]></category>
		<category><![CDATA[capsular contracture]]></category>
		<category><![CDATA[fillers]]></category>
		<category><![CDATA[granulomas]]></category>
		<category><![CDATA[infection]]></category>
		<category><![CDATA[juvederm]]></category>
		<category><![CDATA[nipple shields]]></category>
		<category><![CDATA[postop complications]]></category>
		<category><![CDATA[postop wound]]></category>
		<category><![CDATA[radiesse]]></category>
		<category><![CDATA[voluma]]></category>
		<guid isPermaLink="false">https://pacific.reviewdemosite.com/?p=9078</guid>

					<description><![CDATA[<p>Like movies? Biofilm is the most important film you&#8217;ve never heard of! Biofilm is the technical name for the slime that bacteria secrete. It&#8217;s a problem in the case of breast implants and fillers. We generally worry about blatant infections from bacteria but in the case of implants and fillers, biofilm can cause problems other [&#8230;]</p>
<p>The post <a href="https://www.pacificheightsplasticsurgery.com/considering-breast-aug-fillers-need-know-biofilm/">Considering breast aug or fillers? You need to know about biofilm!</a> first appeared on <a href="https://www.pacificheightsplasticsurgery.com">Plastic Surgeon San Francisco | Pacific Heights Plastic Surgery</a>.</p>]]></description>
										<content:encoded><![CDATA[<figure id="attachment_6882" aria-describedby="caption-attachment-6882" style="width: 300px" class="wp-caption alignleft"><img decoding="async" class="size-medium wp-image-6882" src="https://www.buildmybod.com/blog/wp-content/uploads/2017/03/Role-of-Bacterial-Biofilm-in-Adverse-Soft-Tissue-Filler-Reactions-by-Deva-et-al-PRS-Vol-139-page-613-2017-300x124.png" alt="biofilm" width="300" height="124" /><figcaption id="caption-attachment-6882" class="wp-caption-text">Image courtesy of The Role of Bacterial Biofilm in Adverse Soft Tissue Filler Reactions. Deva et al in PRS, Vol 139: 613, 2017.</figcaption></figure>
<p>Like movies? Biofilm is the most important film you&#8217;ve never heard of! Biofilm is the technical name for the slime that bacteria secrete. It&#8217;s a problem in the case of breast implants and fillers. We generally worry about blatant infections from bacteria but in the case of implants and fillers, biofilm can cause problems other than a frank infection. Curious? Keep reading.</p>
<p>&nbsp;</p>
<h2>Biofilm and how it affects you</h2>
<p>Obviously your doctor knows about the risk of infection anytime they inject a filler into your face or place a breast implant during <a href="https://www.pacificheightsplasticsurgery.com/breast-augmentation-pricing-photos/">breast augmentation</a>. That&#8217;s why the doctor cleanses the skin with alcohol (in the case of fillers) or betadine (in the case of <a href="/procedures/breast-augmentation/">breast augmentation</a>). But with billions and trillions of bacteria on the skin, it&#8217;s not always possible to get rid of 100% of the bacteria.</p>
<p>&nbsp;</p>
<p>That doesn&#8217;t mean we just give up when it comes to cleanliness and good surgical technique. That&#8217;s still critical. We just have to understand the potential risks. Even if there are a few bacteria still present during surgery or non-injectable treatment, your body does a pretty good job neutralizing most of them. However, some bacteria can attach to the filler or implant after placement. The bacteria then secrete a slime that all together, represents biofilm.</p>
<p>&nbsp;</p>
<p>With biofilm present, it&#8217;s harder for antibiotics to kill the bacteria with their protective slime covering. This doesn&#8217;t result in infection. In the case of fillers this can result in granulomas and nodules. In the case of breast augmentation, this can result in a thickening of the scar tissue around the implant. If the scar tissue around the implant is thick enough to distort the implant and breast, that&#8217;s <a href="https://www.pacificheightsplasticsurgery.com/capsular-contracture/">capsular contracture</a>.</p>
<p>&nbsp;</p>
<p>So how do we reduce the risk. First let&#8217;s discuss fillers. As the image above shows, the more needle sticks into the skin to inject fillers can potentially bring more bacteria from the skin surface and into the filler. By using the blunt cannula technique, your doctor only makes one needle stick, rather than many. In other words, the treatment can be performed with one entry point rather than five or ten. You can see an example of the blunt cannula technique in the video below.</p>
<h2>Blunt cannula technique video</h2>
<p><iframe src="https://www.youtube.com/embed/hYPqm6kZMoo" width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p>
<p>&nbsp;</p>
<p>In the case of breast augmentation, protecting the implant from any skin bacterial contamination is beneficial. For example, inserting the implant without the implant touching the skin or covering the nipple, and it&#8217;s bacteria hidden within the nipple milk ducts, can help. You can see an example of &#8220;nipple shields&#8221; in the video below.</p>
<h2>Nipple shields video</h2>
<p><iframe src="https://www.youtube.com/embed/0cTuznxFRWs" width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p>
<p>&nbsp;</p>
<p>To check pricing on any of these procedures from Dr. Kaplan, click <a href="https://www.pacificheightsplasticsurgery.com/pricing">here</a>.</p>
<p>&nbsp;</p>
<p><a href="https://www.buildmybod.com/blog/considering-breast-aug-fillers-need-know-biofilm/" target="_blank" rel="nofollow noopener noreferrer"><em>Click here for the original blog post written by Dr. Jonathan Kaplan for BuildMyBod.</em></a></p>
<p>&nbsp;</p><p>The post <a href="https://www.pacificheightsplasticsurgery.com/considering-breast-aug-fillers-need-know-biofilm/">Considering breast aug or fillers? You need to know about biofilm!</a> first appeared on <a href="https://www.pacificheightsplasticsurgery.com">Plastic Surgeon San Francisco | Pacific Heights Plastic Surgery</a>.</p>]]></content:encoded>
					
		
		
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