Peter Attia· MD
so what I do with fillers I use a hyaluronic gel filler and I inject it there but with a cannula so a cannula what's a cannula for people who don't know it's like a needle but the tip is dull it's a blond tips needle so what I do is I approach that area from the cheek we make a little needle hole in the cheek and then I introduced this cannula through that little needle hole so you have no needles under your eye and I can use that cannula in a very accurate way and at this point I know exactly where my tip is all the time even though I don't always see the tip I know where it and when I'm doing this I'm imagining the surgical procedures that I do very frequently which is blepharoplasty and so because I know the eyes were so that's a blepharoplasty just means that modification of the eyelids through surgery and so cosmetic blepharoplasty is often either removing the fat pads the bags removing skin from the upper lids or shifting the fat whatever I have to do to make your eyes look younger or the way that they used to look so I do a lot of blepharoplasty and because of that I know what it looks like inside and so I imagine that in my mind when I'm placing the filler and I'm placing this gel that takes up space and it's replacing the fat that you've lost or it's also disguising the fat pad that might be bulging and so by putting it in the right place and using the right filler because there certainly there are hyaluronic gel fillers that are incorrect for that area because they just have their own properties the wrong stiffness the wrong amount of water attraction by placing it in the right area and the right amount is rest'll on how your honor-- acid paste filler that's one of the fillers that I use and it's also amount of its having restraint so I understand at which point that this will become puffy or look unnatural and that's where we stop and sometimes we stage it but this procedure will brighten up people's faces who look like they have bags and look like they're tired and it's really gratifying to see what you know people's reactions to this when they look in the mirror especially when you do one side and you look in the