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[Music] this patient has been cleansed and prepared already and one of the things that were going to address first with our hyper radius is the creepy uh appearance of the skin and this lower portion of his face im going to do this with a cannula technique were using a 25 gauge inch and a half cannula so when were using a cannula we want to assess our entry points being aware of the underlying anatomy but then were going to also try to find an optimal entry point that will allow us to cover the largest portion of the area being treated so i think if we go right in this area for our cannula entry well be able to cover that entire area nicely so were just going to use a little bit of lidocaine with epi one two three so weve had a couple of minutes now this should be nice and numb here we go one two three so with our cannulas they provide pilot needles and the pilot needles are usually one gauge larger than the size cannula youre using today were using a tsk stereo glide cannul