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Fact or Fiction: Volume 1

Given all the hearsay and disinformation that is prevalent regarding injectables, I felt it incumbent upon me to address some of this in, Fact or Fiction, Volume 1. This is not an opinion piece. Information provided is taken directly from the Medical literature and Academic studies. Enjoy


All neuromodulators are the same. Fiction.While it is true all 4 neuromodulators currently available on the US marker are the same Botulinum Toxin SeroType-A, they differ in accessory proteins, Molecular Weight, etc..These products are not interchangeable. Botox, Dysport, Xeomin, and Jueveau vary in their pharmacokinetics and need to be treated as such. My advice, find one you like and stick with it.


Needles are more precise than cannulas. Fiction. I hear this a lot. Recent studies demonstrate that when delivering dermal filler with a hypodermic needle the product drifts into multiple tissue planes through the channel cut by the sharp needle. In contrast, product deposited using a blunt tipped microcannula remains in the tissue plane that it has been introduced in, giving more precision and accuracy to the injection.


Smaller gauge cannulas are safer than larger gauge cannulas. Fiction. Studies demonstrate that a 27g cannula is no safer than a 27g hypodermic needle. Cannulas, in larger gauge sizes, require greater forces for intra-arterial penetration compared with correspondingly sized needles, confirming the safety of 22- and 25g cannulas. Do not use a cannula smaller than 25g!!


Hyaluronic Acid Dermal Fillers do not induce collagen. Fiction. For some reason the myth has been spread that only non-HA dermal fillers generate collagen. This is patently false.. Multiple papers have been written in direct opposition to this falsehood..Don't believe the hype.


One syringe is 1 cc, which is 1/5 of a teaspoon. Fact. This is just simple math. 1 teaspoon is 5cc which is equivalent to five 1cc syringes in volume.


Thanks for playing along.

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