hi I'm dr. Johnny and today I'm talking
the lip lip I had a lot of questions on
the lip lip still what is it and what
are my options one of the reasons a lot
of people aren't sure what their options
are what they should do is there are
different things you can do and I'm
going to summarize the best most common
options that are obtainable to most
people in today's video I'm going to
show video footage of each one being
done well social some before and afters
and that will give people an idea
because although there's a lot of lip
lip videos people are like what's right
for me my position doesn't offer that so
let's go through it a little more in
detail today you can watch it being done
we're all a little different with
proportions with goals and our history
of what we've had done and what we're
comfortable even doing to our own bodies
for a look let's get to this video three
seconds
okay so the lip-lip we know there's new
products coming to market for lip
fillers we know there's a lot of
interesting different type of somewhat
off-the-wall procedures for lips like
PDO threads and you hear people talk
about say PDO threads and you'll hear on
Instagram wives I've heard some people
bashing them for the lips and but
understand unless you go to someone
who's doing these procedures regularly a
lot of people think the PDO threads are
used in the body of the lip so when you
hear of a procedure the PDO lip or PDO
lip lip it's where the procedure or
where the products being placed in the
lip it's not a one-size-fits-all and a
lot of this is the artistry of the
person doing it so a procedure by one
person isn't the same as another and
it's hard for I think as patients to
understand why everything's so different
why can't it just be the same a
one-size-fits-all but understanding that
the people have different projections
chin nose lip projections and that and
the downturn of the mouth and until we
understand all those angles no one can
tell you what you should do for your
projection your goals and your mindset
one good video to watch that I did was
get angles get facial angles and get
famous that takes you through a star a
movie star they're great angles and what
makes them beautiful we cover a little
bit about lip there
let's get to the lip flip right now so
one of the most common one of the most
obtainable procedures is a lip lip with
Botox the understanding there's
different Botox like products like
Dysport Zeeman now you've all so there's
different options out there and a great
video to watch for that would be my
comparison of them all and I go through
how much active product is in each one
but different providers will have ones
that they like based on typically the
amount of product that they use so they
get it at a better price and often times
pass it along you it's a very
competitive market but using
neuromodulator around the lip stops and
slows down that muscle that purses or
what we call the orbicularis Oris muscle
around the mouth the muscle purses it's
also what causes those pesky lip lines
but when you treat it you can get a flip
of the lip and more projection now
nothing comes without consequences and
those of you I know already you're gonna
say I had it done and I couldn't move
and I couldn't say certain words and I
couldn't talk right
probably for seven to ten days that
means the dose was too high maybe their
providers like hey I better really give
a good treatment this person seems a
little higher maintenance if they don't
feel to see it don't think they wasted
their money the reality is here it's
small dose you're talking about my
average for people is six units around
the lip it's not that expensive now not
everyone can do it why they need filler
some people are going to have lots of
volume some people aren't going to have
a projection that's going to lend itself
to the Botox working and your provider
will let you know on that it's very
commonly done but it's not FDA approved
so a lot of times teaching through this
is off label what we say or people learn
informs outside of from the specific
companies so understanding that so Botox
six units Dysport Zeman juve oh they'll
all work well watch my other videos to
see which one but they it's a moat it's
a quickest probably most cost-effective
way if your provider thinks it's right
for you now all these can be combined
let's go through two more okay we're
down to now filler of course or do a
third one but the Spiller is probably
the second most common and obtainable I
say obtainable because not all
treatments are obtainable in all
countries nor to all providers know how
to do something like PDO threads or
choose to do them so the filler there's
a new filler coming out wrestling kiss
watch my whole video on that because
it's going to show different methods of
doing filler
when using different methods you can get
different flips of the lip and remember
one of the all important points is that
gek point in the center where the
tubercles meet the Vermilion and that's
one of the amazing points of give
perfect projection but also the filter
column I have a whole video on the lip
flip but filler works well it's
obtainable it can give plumping as well
as the lip flip and of course when doing
filler one of the most important things
to consider and you'll see it in my
video on the wrestling kiss is going to
be chin projection nose projection and
the downturn of the mouth
how can anyone fill the body of the lip
without thinking about when you get
volume about how the mouth turns down
and if it does plumping a lip with a
downturn melt oral common Shore people
call it marrying that I hate that word
but if people want to call that a nice
new lip on what is an aging feature just
isn't going to look well so I go through
that in 3d imaging on my 3d lip filler
technique you can watch more there so we
have our Botox like in like products we
have our filler that can do it that's
the next step up let's go to the PDO
threads and talk about that okay so PDO
threads we've done a video on the nose
but also the lift lip you can watch
those both though they're similar in
that the PDO thread is used for shaping
I don't use or like to use PDO threads
in the body of the lip I use a more in
the Vermillion so it's not like you're
using a lot of threads a nose might be
12 say where the lip in total might be
four to eight threads a lot of times
four is all you need depending on the
size for some companies smaller threads
they'll be a little too small in
diameter to give a significant result so
some of the companies will make a thread
that's small meaning short but actually
has good diameter so a 29 gauge
twenty-seven gauge would be bigger 23
gauge
bigger as you go bigger remember if you
don't like a thread you can't just
dissolve it like a filler so with the
thread I use them at the Vermilion
border and by placing the thread along
that area where the white or the Ergo
treat is and the Vermilion meaning the
red some people call it the white roll
you can get a nice flip you do not have
the risk of occlusion with that product
because the threads not going to go in
and stop blood supply with a vessel
whereas a filler you have that added
risk the downside is you with a filler
you can dissolve it and it's gone
typically within hours so understanding
with longevity to everyone scan it lasts
long and if it lasts long and you don't
like it you're kind of stuck if it lasts
long and you love it you love it
so longevity there's a sweet spot in
general for threads PDO threads I'm
gonna do in a sending order of longevity
so the least long is going to be PDO
threads the next in terms of longevity
will be probably PCL polycaprolactone
which is a common one here and equal to
that but a little longer is going to be
PLL a poly L lactic acid more towards
one to two years PDO and the other end
are going to the threads gone at about
two to three months the college and last
for say six to eight months here because
we're using a lower dose and when you go
to PCL think more in between six months
to twelve to eighteen kind of right in
the middle different countries are gonna
use more in one type versus another
different providers choose different
ones remember and watch my video
choosing threads because not all threads
are equal the ones you choose in so many
patients and providers don't even know
what threads are using or don't pay
attention to the importance of the
company they get it from the sterility
if it's being made so my message to
everyone is a thread isn't a thread
isn't a threat and I have a quick clip
all on that so the lip lip the three
most common ones neuromodulators like
botox the next would be fillers we have
a new one wrestling kiss that just came
to market as of this filming
and then PDO threads are all great ways
to give a look look I want to hear in
the comments what do you like for your
lip lip what would you like to see us do
videos on have you had problems with lip
lips or do you just not like when your
lip is flipped and what are your
dimensions that make you feel that way
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