DISCLAIMER available in description.
- Hi everyone, this is Dan Julien, nurse practitioner. Welcome to Danesthetics Medical.
If I were to ask you, what separates a good injector from a great injector other than the
overall outcome, I would say, it's the experience of the visit. Especially the amount of pain that
they endure. During that visit for some reason, it's often overlooked by most injectors. They feel that
clients are coming in, we're dealing with needles.They should expect a little bit of pain. They
should expect some bruising but clients are coming in asking for an elite treatment and paying
lots of money. I find, it's our job to go above and beyond the requirements. Let's give them an
optimal outcome but at the same time, let's make this as painless as possible and I assure you,
you're going to have clients come in more often and you're going to
be looking forward to new clients, because at the end they're going to say things such as :
Dan, I've seen plastic surgeons I've seen dentists, I've seen nurses and this has been by far the best
service I've ever experienced. I had almost no pain,and the needles that I did feel were nothing in
comparison to what i've experienced before. You're the best at what you do and some of these clients
have only had botox and their botox hasn't kicked in yet. So this, these are the secrets
I'm going to share with you today. I'm going to show you the needles and cannulas that I use
and I'm also going to share with you, the little tips and tricks to minimize pain
and provide an elite service for these elite clients. Stay tuned. You can enjoy this one.
All right, so as we begin we're going to be focusing on the thickness of the needle.
The thinner the needle, the larger the gauge or the higher the number of the gauge. Okay,
so with botox, we use two different types of needles; a pediatric style needle which ranges from
25 to 28 gauges and insulin needles which range from 28 to 33 millimeters. I use an insulin 31
gauge bd syringe which has a maximum of 30 units. Okay and the reason why i use that is because
in all the studies that are out there right now, there's a significant difference with
the level of pain for anyone who's using a 25 to 30 gauge needle compared to 31 to 33.
So basically, anyone who's using a 31, 32 or 33 gauge needle can't tell the difference. The level
of pain is much lower than anyone using 25 to 30. So this is why I use a 31 and the reason
why i use 31 compared to 33 is because , it's a little bit more durable. Next question, how many
pokes can we get out of this before clients start feeling it? The answer is six. At six, they're going
to feel it so I don't use more than five pokes with one needle. Take a peek at this picture here. This
is under electron microscope and it shows what these needles look like after six entries into
the skin. It dulls it significantly but with all these studies coming out, what they found is that
these insulin needles clients can't tell a difference between the first and fifth poke. On average, for me, five is the amount of times I'm going to poke into anywhere into the skin
with these and I'm going to change the needle. The last tip for new injectors out there is, do
not scrape the bottle of the vial with these insulin syringes to try and get the last few units.
It's the equivalent of poking someone's forehead 12 times. They are definitely going
to feel. If you've touched the bottom of the vial with any of these syringes, put the product
back, get another syringe. Be very careful at the bottom of the vial, you'll thank me for that later.
Now for fillers, if I am going to have to use a needle around the eyes, nose or lips,
I'm using the same bd syringe. The 31 gauge is a workhorse. What's nice is that i can fill
this product with any type of filler. The thickest filler out there can still come out of this easily
and it gives me a lot more precision with a lot less pain compared to any of the other needles out.
There so this is my my go-to. Next up, cannulas. So, what i recommend is the tsk stereoglide.
It's a game changer for new injectors and it's a lot less tender for for clients. Clients enjoy this
process much better and the reason why is because this is usually a good example of what a typical
cannula looks like. It's usually kind of like this dome shaped but the tip of the steriglide
is narrower and has a little bit more of a point so it glides in a little easier. The other thing
with the tsk steriglide is that, there's this protective coating that's on the metal itself that
makes it glide much easier. I tried to look up what it is I can't find it. They don't state what this
product is but it makes a big difference. Lastly is that typically cannulas are a little bit more
flexible and they're pretty flimsy. So if I were to ever move directions, sometimes it doesn't move
with me and gives me little resistance and it's almost feels like that cannula tends to
bend a little bit more, Where the tsk still has flex but it's a little bit more rigid
so i have a little bit more control using it. For these three reasons, I highly recommend using
the tsk steriglides, you're going to love me for it and the clients will love you as well. I've
introduced you to the tools but I assure you that the technique is just as important if not
more important. So before I get into that, I have to introduce you to my lovely assistant Sarah.
Say hello Sarah! She's back and today Sarah's going to have her forehead in her glabella's
treated. The glabella is done slightly different than the forehead. Let's get into that the way I
do the glabella is based on a technique that I learned 20 years ago while getting vaccinated.
There was a nurse that was giving me this vaccination she told me Dan, I need you to sit up
straight need your arm to feel like jello and she was massaging my shoulder and as she was talking before i knew it the injection was over. I didn't feel anything i asked her what her secret was and
she said by massaging that muscle and making sure it's completely relaxed it, distracts the brain.
The brain doesn't feel the needle so that's what we're going to do here with the glebelas. The
procerus, the two corrugators, that's what I want you to do. I'm going to do it on myself
here because it's probably a little easier as a demonstration because there's really nothing to
pinch on here. So what i'll do is I'll actually pinch it twice one two and on the second pinch
I insert the needle at the same time and then I'll inject. Same thing with the glabella, pinch the
muscle, one, two and on the second one, I insert the needle at the same time. Same thing over here, the
tails of the glabella are a little different. It's injected the same way as the forehead or the crows
and I'll show you what I do with Sarah I'm going to stand up here make sure you have a
good view. What I do is I actually tap the skin twice and then I push the skin into the needle.
Instead of just injecting the needle in. It distracts the brain by tapping twice and by
pushing the skin into the needle. It feels seamless so a good example is one two push,
one two push, one two push, one two push, one two push. Same thing for the crows and same thing for
the superficial tail of the glabella and that's it. So keep practicing these tips. You're going
to be well on your way to becoming a master injector. It's going to boost your confidence
as an injector and I assure you your clients are going to love you for it. So until the next time,
take care of yourselves, exercise daily and please be nice to absolutely everyone, take care guys.