Dr. Van Reken at RenoSparks MedSpa Reno Nevada hello and long live
beauty so I have Sandra here who's good-looking but wants to be really
good-looking so when I look at her face it's a pretty face. She's got pretty
decent cheekbones she's got good volume here pretty good volume here decent volume
her lips although I cheated and gave her a little filler a while back on her lips
so we cheated there and then if you look at her one of the things you see is her
temples are a little bit flat and you'll see this more in thin gals you see it
more in white women and you see more temple recession or sort of temple sort
of concavity in whites as well as women versus men so she's a little thin
here so we're gonna give her a little bit of stuff here turn your head okay
and so you can see that she's kind of thin here so we're gonna start close to
the eye but still on the sort of the bone here you don't want to put more
than about a ole tint to the CC or thereabouts in one spot or can look a
little bumpy so we don't want to look bumpy and then you just kind of put it
around at different places you're putting it below the muscle if you can
and that way what happens when it's below the muscle is you can kind of
massage it and it doesn't look lumpy if you put it right on the surface you know
it's right into the skin you can't really do that and you can see already
she's filling in and getting a lot of volume here and what do you think so far
Wow even like kind of lifts my so fill it in more huh one of the nice things
about putting the Botox right here go ahead and move the mirror for me but I'm
sorry the filler here is that this is nice for crow's feet and one of the
things that's nicer about it here is that it fills in and the look in terms
of the depression is improved most of the people that that I treat are going
to get maybe 0.5 to sometimes 1.0 and she's pretty young so I don't think
she necessarily needs a whole syringe on the side what we're using in this
particular instance is Voluma on Juvederm Voluma and these are hyaluronic
acid products and the interesting thing about them is they're... this
particular product lasts about two years okay so far I've given her about 0.85
cc's on this side and now I want you to take a look and see what you think
so if 10 is a horrible pain zero is none how would you rate the pain
so far with the procedure at the most in the least with the pose like the least
is one the most is like a three they don't really so it's not too bad no not
at all it doesn't no one doesn't really hurt the ones that bleed a little bit do
they hurt more no I'm especially it just is yeah if you wouldn't have told me I
was bleeding I wouldn't have known I was bleeding okay and then this there's a
little bruise here we're gonna give her a little laser treatment there and
that's a little bit swollen so she may get a little bit of swelling mostly what
you see is what you get okay so what do you think? I think it's really nice like
it's kind of evened out my face my crow's feet are gone well very good okay
thank you Sandra. Thank You Carol my trusty videographer and this is
Dr. Van Reken signing off for RenoSparks MedSpa. Stay good-looking.