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hey itamp;#39;s dominique well from well medical arts and today we get to show you a combination therapy of doing tear troughs and cheeks together frequently weamp;#39;ll start with the cheeks first which she has had and loved them and then this time weamp;#39;re going to go ahead and add the tear troughs as you all know tear troughs is delicate tissue it can swell it can bruise so as long as weamp;#39;re prepared for that weamp;#39;re in good shape we go in and we use arnica to set ourselves up for good healing we use lidocaine for pain management a cannula to try to decrease swelling and bruising we do everything we can to set people up for good healing and now iamp;#39;ll show you some good technique to go with it so weamp;#39;ve already gone in and done the arnica done the lidocaine go ahead and close your eyes for me iamp;#39;m gonna test to make sure that youamp;#39;re feeling numb a little tiny one two book tiny folk can you feel that poke great so iamp;#39;m gonna go