Thanks once again Dr. Tim I have watched this video once before, just wanted a refresher. Needless, to say I learned something new this second time..hence I should pay more attention to detail but I had the problem of losing almost 100 units of a 200 unit vial because when I pulled the syringe out I didn't "make sure it was out of the liquid before pulling the needle all the way out!" You are the best...
If you are planning to take the rubber stopper out then why not take it out first and just add the saline without worrying about the vacuum and therefore bubbles? Is it so that you can mix it with the vial stopper in place?
@@r.b.7996 It's just intradermal, you could inject a very large bubble and it would still be harmless. Particularly when we're talking about a sterile syringe. Now, let's say you're working in a mechanic shop and a compressed air nozzle get's pushed against you and injects a huge quantity of air into the dermis that is through dirty skin and yucky, that's a problem. Going to cause nasty infection.
This was a great demonstration. Just wondering if you hVe heard that flicking the BD syringe was bad bc it releases chemicals from the plastic. Would love to know your thoughts on this.
If the vacuum is not removed it becomes difficult and slow to aspirate using the insulin syringes because the aspiration pressure will be lower than the vacuum pressure. Also the vacuum negative pressure will pull air bubbles into the aspirate in the syringe from around the plunger from the empty part of the syringe behind the plunger.
The recommendation from certain manufacturers is indeed like that, with 2.5 ml being the standard for some. However, some injectors adjust the dosage based on the patient’s needs, while others don’t change it, even if this recommendation exists. It’s not necessarily because it can’t be adjusted but rather, it seems, due to profit motives.
@drtimpearce you are god. Even though I’ve done my nursing and masters just getting into aesthetics I feel confident knowing I have your videos to watch 😂
Ohhh Dr. Your technique is wrong . You must not shake the mixture in hard way...but..in very gentel way. You must not pull the rubber cover ..this lead to lose of product sterlity.. You must not full all the 1 ml syring with product because you will not control the injection process. easily ...
![Felix "Unfair" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/Oswujxm2Ag0/mqdefault.jpg)
In this video I'm using 2.5mls of Bacteriostatic Saline mixed with the botulinum toxin & a BD syringe.
Hi doc , 2,5 ml with 100 ub ?
❤
Why do you use Bacteriostatic Saline and not steril water?
What about gas one not powder
@@iraq58 because steril water stings like hell when you inject it
I could listen to this man and watch him all day long. The way he speaks, my brain just absorbs every little bit of information in.
Thanks once again Dr. Tim I have watched this video once before, just wanted a refresher. Needless, to say I learned something new this second time..hence I should pay more attention to detail but I had the problem of losing almost 100 units of a 200 unit vial because when I pulled the syringe out I didn't "make sure it was out of the liquid before pulling the needle all the way out!" You are the best...
How do you get the metal ring off so you can pull the rubber stopper out?
There’s a round pliers type device sold to remove the metal rings.
Does anyone know what the green needle size is that he’s using? Thanks x
É complicado não entendi nada, como chama esse líquido que coloca no BOTOX 🤔
I am a pharmacist and love to learn how to inject fillers and botox😊
So I don’t have to let it chill I can just inject after getting it ready?
Is is okay to 5 ml saline water in 100 units of botolium?
I thought 2.5 for 100 u botox
What about for 500 units?
Which syringue did you use ????
If you are planning to take the rubber stopper out then why not take it out first and just add the saline without worrying about the vacuum and therefore bubbles? Is it so that you can mix it with the vial stopper in place?
It might get contaminated
when do you use 1ml saline with 100 units botox vs 2.5ml
That's what I want to know too
What happens if you inject with a little bubble by accident?
Nothing, as long as the bubbles are tiny.
@@r.b.7996 It's just intradermal, you could inject a very large bubble and it would still be harmless. Particularly when we're talking about a sterile syringe. Now, let's say you're working in a mechanic shop and a compressed air nozzle get's pushed against you and injects a huge quantity of air into the dermis that is through dirty skin and yucky, that's a problem. Going to cause nasty infection.
Can we mix 5ml saline in a 50 unit botox vial?
Who much cost
This was a great demonstration. Just wondering if you hVe heard that flicking the BD syringe was bad bc it releases chemicals from the plastic. Would love to know your thoughts on this.
I love urs videos n tutorials
pwede ba gawin yan nang kahit sino?
Thanks for all. I'm MD and studing Aesthetic Medicine. Regards.
Do you always use 2.5ml? We mix with 1ml. Just wondering if should be diluting more?
Yes its 2.5,urs will be very strong and ur also loosing out in alot of money
Just curious if you don't neutralize the toxin vial what would happen？
If the vacuum is not removed it becomes difficult and slow to aspirate using the insulin syringes because the aspiration pressure will be lower than the vacuum pressure. Also the vacuum negative pressure will pull air bubbles into the aspirate in the syringe from around the plunger from the empty part of the syringe behind the plunger.
As you've diluted 100UI with 2.5 ml of saline, it wouldn't be 1:1 ratio. Do you keep that in mind? Or you just consider that dilution as 1:1 anyways
The recommendation from certain manufacturers is indeed like that, with 2.5 ml being the standard for some. However, some injectors adjust the dosage based on the patient’s needs, while others don’t change it, even if this recommendation exists. It’s not necessarily because it can’t be adjusted but rather, it seems, due to profit motives.
Since the toxin is in pressurized vapor form, wouldn't you lose some of the product by letting the air pressure release with a needle?
This is the first time I have ever heard anyone say that the “crunch sound” is not normal. Interesting
Great demonstrate
@drtimpearce you are god. Even though I’ve done my nursing and masters just getting into aesthetics I feel confident knowing I have your videos to watch 😂
Get some knowledge, don't watch this if You don't want hurt patients!
Зачем открывать крышку во флаконе если всё можно удобно извлечь через первичную иглу ,а потом переставить иглу для инъекций?!
Sir i m from Pakistan can i talk with u at message
Those 0.5/1ml seringe are bad quality! Try use the ones with a detachable needle and use 30/32G messo needles to inject.
Ohhh Dr.
Your technique is wrong .
You must not shake the mixture in hard way...but..in very gentel way.
You must not pull the rubber cover ..this lead to lose of product sterlity..
You must not full all the 1 ml syring with product because you will not control the injection process. easily ...
A badly poured pint !
Love that reference
Longevity
OMG. Again! No, no , no. Big no.
Why do you say No please??? Really curious. Thank you!!
I am planning to give my wife botox in the area of the face, lips, forehead and around the eyes.
What in particular should I pay attention to???