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No Needles – Skipping the Pain and the Bruising of Injections

Micro Cannula Delivery of Dermal Fillers

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 near-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.

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, Bellefill and Belotero. 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.

Expert Injector Dr. Nissan Pilest

Dr. Nissan Pilest is a member of the distinguished Expert Injector collaboration and holds the Circle of Excellence in Soft Tissue Fillers through the American Society of Dermatologic Surgeons. Dr. Pilest performs all injections for dermal fillers and neuromodulators at Total Dermatology. About Dr. Pilest

Schedule your consultation with Total Dermatology today!

When it comes to your skin and your health, it really is all about what’s best for you. Total Dermatology understands this, which is why we offer versatile treatments with experienced and highly trained aesthetic professionals led by Dr. Nissan Pilest. Your Total Dermatology transformation awaits.

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