Patients often ask me – Do you use a blunt cannula for the tear trough?
I answer that I have always used a needle instead, for multiple reasons. In my opinion, the needle technique is more precise, as I am always in the correct plane, and I know exactly where I’m placing the filler. With a cannula, the filler is often placed in an incorrect plane (too superficial and not deep enough). In my practice, I often see patients treated elsewhere who had filler placed incorrectly using a cannula; this can create puffy, lumpy filler below the tear trough.
Ryan Greene, MD, PhD, FACS
Ryan Greene, MD, PhD, FACS, a Double Board Certified Facial Plastic Surgeon, is a global injectable leader, and is one of the most sought-after injectors in the U.S. Dr. Greene offers a wide breadth of non-surgical services to the South Florida community. He has performed over 25,000 injectable treatments, and is an internationally recognized author, lecturer, and injectable trainer.
Holly Shipley, MMS, PA-C
Holly Shipley, MMS, PA-C is a NCCPA board certified and state licensed Physician Assistant. Holly received her Bachelor of Science degree from the University of Central Florida where she majored in Per-Clinical Health Allied Science. She then completed her Masters of Science Degree in Physician Assistant Studies at Nova Southeastern University, graduating with highest honors. Holly has specialized in cosmetics and has worked alongside Dr. Greene since 2013.
