Today we're revisiting another one of
our original YouTube patients for a
treatment.
Hi guys my name is Dr. Sarah Tonks, I'm
a cosmetic physician in London. Today we
are bringing back one of our first ever
YouTube patients, I know we did the same
thing last week but hey it's my channel
I get to decide what I talk about! So
here we have one of our first ever
patients back in the chair. People often
ask about the longevity of these
treatments and that's certainly
something that we've touched upon in the
video immediately prior to this one
which I will link in the comment section
below. But as you will see many of these
treatments actually have really really
good longevity, and as discussed
previously you do get some collagen
stimulation next to where we've placed
the filler. So I always say to patients a
filler isn't a temporary thing, it's more
like a semi-permanent thing because of
that collagen stimulation. So you never
quite go back to square one again,
even after sort of five years after
you've had the treatment. I know the
manufacturers say 'oh this product will
last twelve months' or something like
that depending on which one it is that
you're looking at, but in reality the
amount of time that you get from a
treatment is much much longer than that.
So let's see exactly what we did for
this patient. So this is the image that
we've got now. We did treat her about 12
months before this, and I will show you
the picture of her 12 months before in a
sec. Let's just analyse her face right
now as it is. I mean she looks great
doesn't she? She's got great cheekbones,
great strong jawline, everything looks
good. I just feel like we need to do a
tiny weeny little bit of tweaking, and
there were two things that she in
particular wanted to do. One was her lips,
and second one was nose to mouth line.
You know me I don't like to inject nose
mouth lines, so we did something slightly
different instead. I think if we were
going to do a more overall assessment of
her, the areas that I would probably look
to treat would be the temple because I
just feel like you know she's very slim
and
she should have a temple hollow. That's
normal to have a temple hollow but I just
feel like if I put a little bit of
product right here it would raise up the
outer corner of the eyebrow slightly and
I do think it would look quite nice. We
didn't actually do that. Her cheekbones
are good, I do think it would be quite
nice if we elevated them slightly and
took the highest part of the cheek from
being down here to being up there. Once
we've done that we can then successfully
add some product in the tear trough
region here to improve the appearance of
just you know a slight tiredness. It always looks
nice when you inject the angle of the
jaw so I think that could definitely be
a benefit and we would definitely do the
base of the nose here to improve the
nose to mouth line. There's a weenie bit
of asymmetry in the lip so you can see
that the lower lip is not quite as full
on this side as it is over on this side
here, and there's some darkness in the
chin area here. So you can see the the
chin crease there is quite prominent.
Aside from that I don't think there's
really too much to be done so this is
her before we did any treatment at all
last year, and you can see that the same
features are still there so we've got
some tiny bit of hollowness in the
temple here and a little bit of loss of
volume across the chin crease there. A
little bit of darkness underneath the
eye, not too much, and the cheek is it a
little low there. Obviously she's lost
some weight between this image being
taken and the treatment that we've done
more recently, which does kind of skew
things off a little but I just want to
go and show you exactly what we did and
then I'm going to show you the before
and afters of her before the first
original treatment and now, and also the
more recent ones to just bear with me
you'll see what I mean so the first
thing that we're going to do is just do
some toxin in the forehead the frown
lines the crow's feet and also the DAO.
Simple stuff there.
Then we're going to use some dermal
filler at the base of the nose just
doing that with a needle and that's
really to help to improve the nose to
mouth line and then I'm literally just
going to do the lips with the cannula
and finish off by doing the middle third
of the lower lip into the border with a
needle. The reason I'm doing that is
because I want the fullness to be in the
middle third of the lower lip so that
it's in line with the inside part of the
eye. So we need to drop a line straight
down like this they say a picture paints
a thousand words, so let's just have a
look at the pictures. What we're looking
at here is the before and after from
their most recent session so this is
where we've treated with toxin we've
done the lips and also the base of the
nose with filler, that's it. So you can
see that we have an improvement in the
fullness of the lower lip, in the central
portion. You see it just just brings it
down very slightly, makes it look very
slightly more juicy in the middle and
you can also see we have an improvement
in the nose to mouth line so it looks a
little bit softer and that's because of
the injection that we did at the base of
the nose. This is the original before
picture that we took a year ago now so
subsequent to this original picture she
underwent the treatment that we
documented in a previous video which I
will link and also the most recent
treatment that you have seen today in
this video.You can see that there's an
improvement in the shape of the face and
that's because we have injected the
cheek area and we have done the lips a
couple of times as well
we've also done the chin crease in a
previous video and the base of the nose
too so you can see that I know she's
lost some weight between the before and
after here but you can still see that
there's an improvement in the shape of
the face the position of the cheek bone
also the lip fullness. So you can see the
fullness in the lower lip in that
central portion
it looks way better than it did before
and there before it was kind of
horizontal a little bit too horizontal
here, just by bringing it down slightly
it looks so much nicer. What else could I
potentially do? Well as discussed maybe
it might be quite nice to do a little
bit of something in the temple -
maybe the jawline. Maybe you could just
do a touch in the cheek here as well,
perhaps a little in the tear trough but
really I think she looks pretty good
right now.
I don't think we really need to do too
much tweaking, I don't know if you guys
want to see her back again you just let
me know in the comment section below and
I'll bring her back and do those
treatments. Ok guys so that's it for this
week if you would like to see here again
at some point please just let me know in
the comment section below and I will try
and facilitate that for you. Don't forget
to join me again next week where I will
be talking about more things to do with
injectables, and the meantime please
don't forget to Like comment and
subscribe. I'll see you later!