I've had it done once and I loved it. Was pretty light, nice gentle correction without trying to erase. However, since then I've learned about that big facial artery and I am scared to get it done again.
I have a question! When you are doing the fanning of the accordion line around the oral commissure, how deep are you with the cannula? Is it more superficial than if you were treating the pyriform fossa/NL folds, or is it also as deep? Thank you!
I suggest for accordion lines to use a syringe, go into the dermis with a thick filler to fill those individually (fanning technique +aspiration). Although cannulas are safe, they are better for deeper lines.
@@superdiygirl481 how would you treat accordion lines? I have deep accordion lines when I smile I want to get filler but I don’t know how deep I should inject to get rid of them and also be „safe“ at the same time. This practitioner mentioned that it has to be injected superficial But wouldn’t it be too visible if injected so superficially?
Hello Doctor..I am an expert in medical, non-surgical plastic surgery..your information is very useful to me..I hope you can translate it into Arabic..Please, doctor ..🌹❤️
When I get back to Canada Ill try to have my T-shirt signed by this doctor that is a star at what he does! Simply the best on RUclips! Congrats from Brazil! 👏🏻👏🏻👏🏻👏🏻
Hi Dane I didn’t get it quite right. You first said to go deep with the cannula to be safe and at the end of the video you said to stay superficial with the cannula. can you please explaine it better? Thank You!
First let me say, “Thank You!” for all of your wonderful cosmeceutical advise. You’re simply amazing! I was curious when using your fanning technique to address the nasolabial folds, marionette & accordion lines…how much filler do you use on each side above & below the mouth? I know you said skin type & thickness play a role in determining the amount used….I was looking for the minimum you would recommend starting with? Fantastic video super informative 😊
Thank you Dan But how to do fanning technique superficially is facial artery lay superficially to fill nasolabial folds… I remember you said that most artery occlusion happened unfortunately from cannula. Thank you🙏
The facial artery in the middle part of the nasolabial fold lays in the middle of all 3 main facial layers, so going superficially while aspirating would be safe. Cannulas can cause vascular occlusion if injected at a certain force and speed, go extremely slow with larger cannulas
Sir, this vein is visible till the whole body, like the raised Nacellebia fold, just like the chicks also flower, and why do the chicks flower, if the age is less then ols 😕 sir 😭 😢 please tell me, I am sad as if I have become intelligent.
Do you make osseous contact when performing the first technique? You said the nerve is superficial so I would assume that making osseous contact would be a good indicator you are out fo range from the facial artery? Also, how much filler would you need?
Dan is not a doctor everyone he is a nurse practitioner and I would go to any qualified Nurse or nurse practitioner for fillers rather a doctor. the most experienced, gentle injectors are nurses, so much applause to Dan. Think of it this way ....most nurse injectors do it because it’s their passion doctors do it as a sideline to their actual medical practice. for most nurses that is all they do....inject, and some of the most gifted injectors are nurses.
Serious about becoming an injector? Do you want to master techniques and strengthen your business? Be sure to visit my Patreon page for both full length medical aesthetics tutorials and entrepreneurial strategies to take your practice to the next level. ⭐www.patreon.com/danestheticsmedical ⭐Instagram @danestheticsmedical
It is interesting how you said at @1:06 that if the medial and lateral cheeks are flat, one can get nasolabial folds. How is that so? I have got cheeks but I still have nasolabial folds. I don't see the possibility of filling my cheeks cos it will not lift them up effectively to minimise the folds.
Great information, thank you doctor. i have a question regarding the depth of injection. in the nasolabial fold you said its supposed to be deep, but in the fanning technique with the canula, you say its superficial, isn't it dangerous to go superficial with the canula?
The cannula won’t penetrate the arteries whereas the needle would damage the arterie and maybe even occlude it . The deep injection in the nasolabial fold is done on the bone to be safe and one should *ALWAYS* aspirate !
I don't knwo if this is the right video where I should be commenting this, but I have this white line right where the nasolabial fold are. It's whiter than my skin color that's why it really stands out. What is this? Please can someone tell me. 😞
This is brilliant Nurse practitioner Dan!! Really is the best way for this problem I’ve ever seen, going to send this video to a practitioner so maybe I can have it done🥰
If you are going horizontally with a cannula it is safe to go superficially because the nerve lies on the hypodermis (middle of the main 3 layers of the face) or it would be below the smas.
Fotona 4D laser rejuv. They are the only laser that have intraoral handpiece . Step one called SmoothLiftin that uses erbium wavelength that targets mucosa cheeks and nasolabial folds and stimulates collagen contraction resulting in skin tightness with a very big improvement. Mine improved without fillers.
Thanks Cheryl! Question: If I created an option for my website, where you could have full access to videos that I’m limited to posting due to Health Canada rules, such as more fillers, botox, fat dissolvers and thread lifts. Would you pay a small monthly or annual fee? If so, how much? Thanks 🙏🏼
That's so good to know. I wanted to smoothen my nasolabial folds and they told me that injecting in the area of the fold is and ''old way'' and what they do is injecting near the cheek bone to ''lift'' the skin causing the fold. I gotta say, the result is not that amazing and I think they used too much filler on each cheek bone (1ml each). I'd love to hear your opinion on treating nasolabial folds with injecting near the fold as in this video vs near the cheek bone. Doing an educated choice is important for patients and I'd love to know how to go about this next time I want filler.
That depends on skin type. For thin-medium skinned persons, use a medium thickness HA FILLER. For medium-thick skinned persons, use an HA that’s in between medium and very thick. Make sure to massage all lumps afterwards!
Great video. Doctor I had my nasolabial folds done a few days ago. The injector used a needle and went shallow. It was very painful . And the. I drove home I notice a white patch above the injection point and my face had turned number. I went home had a head ache fell asleep woke up at 1am with one blood shot RED eye! I rang her immediately at 1am! She told me to come and get it dissolved right away. Nowt face hurts , the hire patch is still there and I have a very hard painful lump at the injection site .
Sorry to hear that. How is everything looking now? Happy to hear your provider was able to help you. You can always have more dissolver placed if necessary
Im a DIY, last week i did my Nasolanial area and since i have that deep crate you described right by the nose i wasn't happy with the results, today I followed your technique coming from above and pulling on the nose and it worked! The results are amazing!!!! Thank you and can't wait for your patrion/ seminar idea to come to life.
oooh Ive just started @Tali M, and I love Dan's channel - so super informative. It's a bit cheeky to ask here, but do you have any tips/things you wished you knew earlier??
![Piriform Fossa: How To Inject This Deceptively Dangerous Area [Aesthetics Mastery Show]](http://i.ytimg.com/vi/JOKBvaMcBdI/mqdefault.jpg)
As always so clear and to the point, learning a lot from you, we love your videos
Esthetician’s need to watch listen and learn from this Man.
Thanks Maya
Thank you ❤ you have a Great combination of informative, safe and fun videos.
I will defiantly visit Canada to see this docter
Thanks!
Every plastic surgeon and physician has been adamant about not injecting you nasal labial folds 😮
Doctor great job
Excellent information thank you so much
Your technic was so good that i could apply on me👌💌
You're the best!!
I've had it done once and I loved it. Was pretty light, nice gentle correction without trying to erase.
However, since then I've learned about that big facial artery and I am scared to get it done again.
Dear Doctor are nurse Your face also have the Smile Line way u dos not treat it ??
filling the piriform fossa is a good technique for man too?
I have a question! When you are doing the fanning of the accordion line around the oral commissure, how deep are you with the cannula? Is it more superficial than if you were treating the pyriform fossa/NL folds, or is it also as deep? Thank you!
very informative. may I ask what is "bolus"? Thanks
It's a ball of filler, so you typically don't move the needle and just inject it to create a clump of filler
I love u doctor
Haha! Luv U2
Hi! What size cannula do you use for nasolabial folds?
He said he uses 25 G
Will this not make A heaviness at the corner of the mouth?🤔
I suggest for accordion lines to use a syringe, go into the dermis with a thick filler to fill those individually (fanning technique +aspiration). Although cannulas are safe, they are better for deeper lines.
@@superdiygirl481
how would you treat accordion lines?
I have deep accordion lines when I smile
I want to get filler but I don’t know how deep I should inject to get rid of them and also be „safe“ at the same time.
This practitioner mentioned that it has to be injected superficial
But wouldn’t it be too visible if injected so superficially?
Hello Doctor..I am an expert in medical, non-surgical plastic surgery..your information is very useful to me..I hope you can translate it into Arabic..Please, doctor ..🌹❤️
Sorry I don’t speak Arabic.
,
When I get back to Canada Ill try to have my T-shirt signed by this doctor that is a star at what he does! Simply the best on RUclips!
Congrats from Brazil! 👏🏻👏🏻👏🏻👏🏻
Haha. Thanks!
Totally agree 👍
He said he was a nurse practitioner.
Hi Dane I didn’t get it quite right. You first said to go deep with the cannula to be safe and at the end of the video you said to stay superficial with the cannula. can you please explaine it better? Thank You!
First let me say, “Thank You!” for all of your wonderful cosmeceutical advise. You’re simply amazing! I was curious when using your fanning technique to address the nasolabial folds, marionette & accordion lines…how much filler do you use on each side above & below the mouth? I know you said skin type & thickness play a role in determining the amount used….I was looking for the minimum you would recommend starting with? Fantastic video super informative 😊
Thank you Dan
But how to do fanning technique superficially is facial artery lay superficially to fill nasolabial folds…
I remember you said that most artery occlusion happened unfortunately from cannula. Thank you🙏
The facial artery in the middle part of the nasolabial fold lays in the middle of all 3 main facial layers, so going superficially while aspirating would be safe. Cannulas can cause vascular occlusion if injected at a certain force and speed, go extremely slow with larger cannulas
I'm confused, inject deep to the bone, how is that filling the folds. Other drs. say you should be able to see the needle under the skin.
Can u show us before and afters on someone w deep nasal folds and thin skin
My goodness... Why isn't there men like you in Ireland lol... Your smile is infectious.
Thanks 🙏🏼. I appreciate your feedback
And New Zealand!, Head on down this way Dan, you are sorely needed 😂
I found an Irish person in Canada who is literally perfect so I think there are great people in Ireland! You just gotta look 😅
Or Australia 😅🤗
Or in USA
Why do I have nasolabial folds at 15? Please give me a remedy.
Sir, this vein is visible till the whole body, like the raised Nacellebia fold, just like the chicks also flower, and why do the chicks flower, if the age is less then ols 😕 sir 😭 😢 please tell me, I am sad as if I have become intelligent.
Do you make osseous contact when performing the first technique? You said the nerve is superficial so I would assume that making osseous contact would be a good indicator you are out fo range from the facial artery? Also, how much filler would you need?
Dan is not a doctor everyone he is a nurse practitioner and I would go to any qualified Nurse or nurse practitioner for fillers rather a doctor. the most experienced, gentle injectors are nurses, so much applause to Dan. Think of it this way ....most nurse injectors do it because it’s their passion doctors do it as a sideline to their actual medical practice. for most nurses that is all they do....inject, and some of the most gifted injectors are nurses.
Danesthetics is indeed gifted, and so generous to share with us, x
that is not always true! please stop pitting doctors and nurses against each other!
For needle you said “deeply“ is this at bone? What length needle are you using? Thank youuuuuuu!
Yes, to the bone. I’m using the needle that comes with the syringe. 27g
Serious about becoming an injector? Do you want to master techniques and strengthen your business? Be sure to visit my Patreon page for both full length medical aesthetics tutorials and entrepreneurial strategies to take your practice to the next level.
⭐www.patreon.com/danestheticsmedical
⭐Instagram @danestheticsmedical
I agree with you, that WAS exciting! 🤣
Super informative as always. Thank you for sharing
Super informative as always
Thank you so much from thailand 🇹🇭
Yeah, but how long does it LAST?
if you can treat them why you have them yourself !?
Great info. Thank you for making this video. Can this technique be done with barbed or cog threads in place?
Can you do a video doing this procedure on a person and show the before and after pics. Thanks
I’ll be your motel lol
@@kimcastiglione2251 how bout if I take u to a motel?
Damn he fine
It is interesting how you said at @1:06 that if the medial and lateral cheeks are flat, one can get nasolabial folds. How is that so? I have got cheeks but I still have nasolabial folds. I don't see the possibility of filling my cheeks cos it will not lift them up effectively to minimise the folds.
Heyy cn u plz make a vdeo on how to get eyebrows lifted with botox?? Love ur content... M aesthetician frm India
@3:28 Hi Dan, can filler injected into the piriform fossa at the nose area have a chance of migration?
You can never say never. But if it’s deep, then usual no.
Great information, thank you doctor. i have a question regarding the depth of injection. in the nasolabial fold you said its supposed to be deep, but in the fanning technique with the canula, you say its superficial, isn't it dangerous to go superficial with the canula?
The cannula won’t penetrate the arteries whereas the needle would damage the arterie and maybe even occlude it . The deep injection in the nasolabial fold is done on the bone to be safe and one should *ALWAYS* aspirate !
Many ♥️s. I know exactly how I'm going to discuss this with my dermatologist
My dr. uses a cannula.
Good to know nurses can administer fillers.... I have always gone to a doctor.
You are my guru Dan. Love from Indonesia
Cute doctor❤️
I don't knwo if this is the right video where I should be commenting this, but I have this white line right where the nasolabial fold are. It's whiter than my skin color that's why it really stands out. What is this? Please can someone tell me. 😞
Maravilla!,!!!!!
Thanks so much , love to Sarah !😉💖
This is brilliant Nurse practitioner Dan!! Really is the best way for this problem I’ve ever seen, going to send this video to a practitioner so maybe I can have it done🥰
I can’t believe Chandler Bing became a nurse practitioner.
doc i have a question. why my ha filler 1ml did not work in my mild nasolabial fold
Thank you! I appreciate your knowledge 🙏
Hi great doctor i need to treat wrinkles under mu. Eye and beside eyes from right and left
I always thought to inject very superficial
Your model and me share both the name and the skin issues!! 😅 Great video!
Does this make your face look round fat and bloated and unnatural?
How are you able to aspirate if your hand is pulling on the nose?
What do you think about sulptra in this area?
I thought you said this was a natural way. 🙄
thank you so much! so informative
Will that create bulk in that area
For me filler made it worse
thank you ! Regards from Costa Rica
hey doc can i use tretenoin for nasal folds?
Sure. It won’t do much, but it’s harmless
When doing this technique on average do you use 1ml of filler per side or can you use one syringe and do both sides of the face
Yes, 1ml per side.
@@danestheticsmedical he asked 1 syringe to do both sides? You answered yes 1 per, which is not the question he asked.
depends on how deep the nasal fold is, but yes certainly
mình cũng làm tiêm hâm mộ anh
I just did BellaFill today so hoping it works out
Yes doctor i need the contact to get treatment
Can we use botox for this ?
I can listen to you ALL day every day 💗
I appreciate that! Thanks for reaching out. Dan
bác sĩ dẹp trai thế
when going horizontal how deep you go. Is it dangerous to use the canula superficial along the NL line. I have seen a lot and I use it usually
If you are going horizontally with a cannula it is safe to go superficially because the nerve lies on the hypodermis (middle of the main 3 layers of the face) or it would be below the smas.
Are there some sort of laser type treatments that also assist with this? Filler has not worked well for my smile lines in the past
Fotona 4D laser rejuv. They are the only laser that have intraoral handpiece . Step one called SmoothLiftin that uses erbium wavelength that targets mucosa cheeks and nasolabial folds and stimulates collagen contraction resulting in skin tightness with a very big improvement. Mine improved without fillers.
@@queencafe777did it improve with one treatment? Or multiple
You’re the best! ❤️
🙏🏼 thanks!
Sara. 😂👍👌
Sarah’s so patient :)
Where are you vids showing on people not dolls ?? Just not the same
In my premium account.
Love your videos
They need a lip lift and mid face lift, then facial fat graft. Not filler
Yeah but filler's just a better way for a cheaper solution.
Very informative outstanding thank you
Thanks Cheryl! Question: If I created an option for my website, where you could have full access to videos that I’m limited to posting due to Health Canada rules, such as more fillers, botox, fat dissolvers and thread lifts. Would you pay a small monthly or annual fee? If so, how much? Thanks 🙏🏼
Totally! I would pay for private access. You’re worth the world and beyond!!❣️
That's so good to know. I wanted to smoothen my nasolabial folds and they told me that injecting in the area of the fold is and ''old way'' and what they do is injecting near the cheek bone to ''lift'' the skin causing the fold. I gotta say, the result is not that amazing and I think they used too much filler on each cheek bone (1ml each). I'd love to hear your opinion on treating nasolabial folds with injecting near the fold as in this video vs near the cheek bone. Doing an educated choice is important for patients and I'd love to know how to go about this next time I want filler.
It’s tricky. A little filler to the cheeks, piriform fossa & around the nasolabial folds is the best and most natural approach, in my opinion.
Love u
Thank you 😊
Thank you so much for the information! Love from India!
doc can i use derma roller for nasobalial folds? i have nasobalial on my left cheeks near my mouth.
Sure! But it won’t do much to correct the line :)
@@danestheticsmedical thank you doc!
Hi, is grtting injected with HA safe for breastfeeding mom? Thanks!
nooooooo!
Yes
Excellent information thanks
Why are you wearing a white coat? 🤔 it’s misleading, you’re a nurse
Thank u, so do you suggest a deeper injecton for nasolabial fold?which depth of needle is suitable?
Folds are actually complex to treat well. I actually do both. I inject deep into the piriform fossa, then fan superficially with a cannula.
@@danestheticsmedical can you fan superficially with needle instead of Cannula? I love your videos I’m new to your channel thanks
@@debigeorgina Yes you can, aspirate at every point of injection.
What product did he use.
That depends on skin type. For thin-medium skinned persons, use a medium thickness HA FILLER. For medium-thick skinned persons, use an HA that’s in between medium and very thick. Make sure to massage all lumps afterwards!
Could you make videos about Md codes?
I don’t use MD Codes. Sorry
What about the hyaluron pen?
Worst contraption ever
@@danestheticsmedical that hyaluron pen looks crazy painful !
Thank you!!
You look like Roger Federer.
I wish I was Sara! Thanks for giving us all your knowledge, you know so much. What do you you do for sagging skin of the neck under the chin?
Microneedling, and thread lifts. Video on that coming soon!
@@danestheticsmedical when 🥺can’t wait
Great video. Doctor I had my nasolabial folds done a few days ago. The injector used a needle and went shallow. It was very painful . And the. I drove home I notice a white patch above the injection point and my face had turned number. I went home had a head ache fell asleep woke up at 1am with one blood shot RED eye! I rang her immediately at 1am! She told me to come and get it dissolved right away. Nowt face hurts , the hire patch is still there and I have a very hard painful lump at the injection site .
Sorry to hear that. How is everything looking now? Happy to hear your provider was able to help you. You can always have more dissolver placed if necessary
Wow what happened what was the filler the docter used?
Another great informative video! Thank you
My pleasure! Glad you like them
Im a DIY, last week i did my Nasolanial area and since i have that deep crate you described right by the nose i wasn't happy with the results, today I followed your technique coming from above and pulling on the nose and it worked! The results are amazing!!!!
Thank you and can't wait for your patrion/ seminar idea to come to life.
Hi. Do you use one syringe for both sides? What do you mean by “coming from above”?
@@jkvpgmail286 it depends on how much volume is lost, i inject like he shows in the video, where my needle end is facing my mouth.
oooh Ive just started @Tali M, and I love Dan's channel - so super informative. It's a bit cheeky to ask here, but do you have any tips/things you wished you knew earlier??
@@molliewongful yes! I use lidocaine 2% injected to help so i don't feel nothing , aspiration is important and not going to shallow.
@@talim5686 Hey I'm a DIYer as well, did you use a cannula (if so what guage) or you used the needle that comes with it? :)