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Hello,
I'm Dr. Neal Schultz
[pause]
And welcome to DermTV.
2010 was another tough year for fillers… Allergan Corporation
who was the only manufacturer of bovine and human collagen
stopped manufacturing both of them. It was strictly
a business decision having nothing to do with the quality
or efficacy of the products. You might ask
that with all the other filler products being advertised,
like Resylane, Perlane, Juvaderm and Sculptura…
what’s the big deal?
It’s a very big deal because Allergan’s two collagen fillers
were the thinnest fillers available
which means they were the gold standard
for filling FINE lines and wrinkles.
And not only were they the gold standard,
but they were the only game in town since the next “thinnest” fillers,
Restylane and Juvederm, are too thick for fine lines.
In fact, they can cause little lumps if you try to inject really fine lines
using the appropriate syringe and needle
supplied by the manufacturer.
Necessity, being the mother of invention that she is,
came up with a “work around” that allows Restylane and Juvaderm Ultra,
both fairly thick, viscous fillers
in comparison to fine lines and wrinkles,
to be used effectively for those subtle but pervasive fine lines.
And by the way, those fillers work great for medium lines,
which is what they were designed to do.
By transferring a very small amount of either of those fillers
to a tiny insulin syringe capable of holding
only 3/10 of a cc and using it
with its pre attached very tiny 31 gauge needle,
it’s again possible to effectively fill fine lines and wrinkles.
I’ll show you how I do this so you can see
the significant difference in size between these two syringes.
Obviously with the smaller syringe I can do finer injections.
There is definitely a learning curve involved so you don’t inject too much,
but the next time your dermatologist says he or she
“can’t fill those lines because they’re too thin for the filler”,
tell him or her to watch DermTV,
or just find a cosmetic dermatologist who knows how to do it.
In another episode I’ll demonstrate
and show you the actual difference of both injection techniques.