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this is dr. jonathan Leibowitz Olivos plastic surgery located in Huntington Long Island New York and today on this gentlemen I am doing tear trough filling he complains of hollowing of his lower eyelids just above the cheek region and Iamp;#39;ve I used a little white pencil and Iamp;#39;ve under lined where that is itamp;#39;s right about here the junction between his cheek and his lower eyelids and right in here itamp;#39;s called the tear trough and he really wants that filled for a youthful unwrinkled look I use my special technique itamp;#39;s a blunt cannula which I threw one little entrance point through one little entrance point and you can kind of see the whiteness there Iamp;#39;ve used already some novocaine there some lidocaine with epinephrine so thereamp;#39;s no bleeding and no pain with this procedure this is a blunt cannula a hollow tube with very small 30 gauge and through there Iamp;#39;ll lay down a sheet of product to fill in the area the product that Iamp