today a natural result in middle-age is it possible
hi guys welcome back to the channel my name is dr. Sarah Tonks I'm a cosmetic
physician in London today I'm bringing you a new patient she's a middle aged
lady not really had anything done before but is really up for it major concern is
around the eye so I'm going to be using the combination of different treatments
in order to get her the result that she's looking for so let's have a look
at our patient I said about you guys but the first thing that stands out to me is
the crepey skin around the eyes and that can be something which is pretty aging I
really like using PRP for the skin around the eyes so I'm gonna show you
her really nice before and afters later as you see we do have a bit of jowl in
here and there are some fine lines and vertical lines in the lower part of the
cheek and along the jaw line the lip is kind of a slightly unusual shape being
that you can't really see this section of the upper lip and all the fullness is
in the lower lip she's got good volume in her cheeks but it is kind of low so
it would be nice if we could take it up to the point of beautification which is
about here so that would be an intersection between the lateral part of
the eye and the outer corner of the mouth top part of the tragus and across
to the top part of the nose right there and then we just drop a line straight
down and it's roughly there you see these little lines here next to the eye
you can improve them actually by putting some Botox in the bunny line area which
is just here on each side and I'm going to show you how that's done right now
I'm taking some blood for the patient right now and for the kit that I'm using
I need to take 15 mils in total for this particular kit it will give us 6 mils of
PRP most times the substance that people talk about being PRP is not actually PRP
it's platelet concentrated plasma so there are we
only a couple of pieces of equipment which will give you true PRP one being
the angel that other than Magellan and most of the other machines only
concentrate the platelets maybe around two and a half times but to be honest
that's probably sufficient for what I am doing today and of the two machines I
have this one being the Rx the other one being the angel you still see a very
very good result using the less concentrated platelets I'd say that I
very rarely use the angel actually so we start off by doing some Botox injections
in the frown lines in the forehead the crow's feet the bunny lines and in the
chin this time I went for tear Sal Ultimates in the temples and I use a
total of 1 mil I also used teosal ultimate along the
cheekbone again 1 mil per side so let's just take a look at those results you
can see that just by doing this is to change the position of the cheek and
everything already looks more lifted immediately so this is a total of 4 mils
then I go back in with Juvederm Volift and do half a mil on each side in
front of the ear I use Juvederm voluma in the chin crease and the chip of the
chin and with a 32 gauge needle I use Juvederm vole Bella to the upper part of
the lip along the border and then the lower but concentrating in the middle
third you'll see that most of her volume is spread quite evenly in the lower lip
and as you know I really wanted to emphasize the corners of the upper lip
to make it look like they're not disappearing then I've changed to using
radius to do 0.75 mils at each angle of the jewel and in total we've now used
eight point five mils so let's take another look
so you see underneath the eye has improved already because we do have some
lift and you can also see that the structure of the face is just looking a
little bit more plump a bit more full there is some swelling in the upper lip
but it's kind of minor I think you know she
could go to work and not look too silly then I'm gonna go back and use Juvederm
voluma with a 25 gauge cannula each side in the chin going up to the marionette
line and across the chin crease and then using voluma again in the cheek to
reposition the highest point of the cheek because this is something which I
find really important so in total we've used ten point five mils of product now
I'm using the PRP underneath the eyes this is done with a cannula when you get
this technique done guys there is swelling and it can last one to three
days depending on your response to it and this is completely normal okay so
let's check out before and afters I think we've got a really nice
improvement in the under eye area looks much smoother the cheek has been
repositioned really nicely I think maybe she could have done a little bit more in
the lip but you know I guess that's always something that we can look at
doing in the future the position of the eyebrow looks much nicer she looks a
little bit more rested and we've got good improvement in the chin and the
marionette region everything just looks kind of very subtly airbrushed okay guys
so that's it for today I hope you enjoyed the video don't forget to
subscribe to the channel if you enjoyed the content and join me again here next
week where I am going to be doing more of the same I'll see you then