hi i'm dr arjani thanks for joining me
for my top
three treatments to treat laugh or smile
lines
now there's two types there's the nasal
fold some people call the laugh line
and there's a corneal lines especially
lighter skin types that get sun exposure
lose hormones
they get the lines coming up here i'm
going to cover
these apply to both of those and the
video inspiring this that you're going
to want to watch if you want full
detail of the angles and what happens in
the anatomy is
don't fill the folds i had a complete
video on that
and i wanted to do this one to give the
top
three methods to condense it down
there's just so much out there and i
know
people are confused what's right for me
when you understand the angles and folds
these three will help you understand and
watching that
video gives you the basis of it but
smile lines can be natural
the accordion lines not so much they're
definitely
aging some are larger that don't age
and then the fine ones that come all the
way up and meet the crow's feet
are very aging these top three solutions
are they count for both of these we're
gonna go through it
top three for nasal and laugh lines in
three seconds
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now number three let's dive into it
pdo threads so watch the video pdo
threads to smooth
lines and wrinkles now a lot of people
might say
for the nasal folds here why pdo threads
well by lifting by lifting the fat pad
that
hypertrophies grows above that fold
it smooths this out naturally the number
one area for filler is here
and we may talk about it yet in this
video but it can make people look
unnatural
and people are just focused on filling
filling filling this area
in this area but this is where the aging
occurs
by using the thread you can watch my
video on
molded threads we have a patient there
that we do
three and lift the face back gives you
an idea
they work very well now you can grab
also so those are molded or barbed
smooth threads which build collagen and
in those videos you're going to see
collagen builds around the threads this
isn't
just picked out of the sky somewhere
this is studied on
cross-sections of slides that show type
1 and 3 collagen production
so the thread goes in around the thread
builds the collagen
and that's why they look good over time
that's why they give glow
if placed in the right plane and for
those accordion lines
by taking that skin and giving it
structure and support and framework
when the patient smiles that collagen
and elastin which we lose as we age
the machinery gets worse so we don't
make as much
as we break down and when we stimulate
it with different methods
such as the threads then we get
tightening of the skin
and nice glow so pedial threads is
number three
diving into number two is plasma sculpt
now plasma scope you can watch my video
look 10 years younger
it shows how i'm doing the whole face
including the brow the under eye the
temple the high cheek
the preauricular the jawline and even
along the neck region
with prf platelet-rich fiber in your own
body's blood products
and sculptor plla changing the comp
concentrations
for safety because you can't put
sculptor everywhere but
for smile lines it works extremely well
small doses you don't want to create
volume here
in fact what's everyone getting buckle
fat reduction
whether you like it or not it can be
aging sometimes it doesn't look good
over time
because people lose volume here gain
volume down here but people
are mainly doing buckle fat reduction so
they
don't have that fat face but by adding
platelet-rich fibrin
plus or minus plla sculptra and almost
always i'm adding some sculptor through
here
because why not get it done in one
session it works
extremely well if you're new to this you
got to start
slow because it works really well you
don't want volume to build
for the nasal fold it's amazing because
we can start on bone
we call that the piriform aperture in
the front and we can raise that whole
complex forward and remember
get facial angles my video on that that
anterior tilt of the face
is a beauty angle we want to not have
the face
too retracted around the nose and that's
part of why we get the fold is bone loss
so we can mimic
bone with plasma sculpt and go and fill
the nasal fold
understand the nasal fold one of the
most dangerous areas to fill
the facial artery comes up and it's
convoluted there and when you dissect a
cadaver you
never can understand why problems
aren't more common there but this is one
of the most dangerous areas to fill so
always i like a cannula
there's other things to do the depth of
injection what you use
can help prevent arterial issues or
the product going up to the eyes or
causing local necrosis you watch
my videos on that but be very careful
the nasal fold
is it's a wolf in sheep's clothing
clothing is that how they say it because
everyone learns here
but to me one of the most dangerous
areas to fill
if not done correctly knowing your
anatomy
doesn't really help you because just
about everyone that injects
knows there's a vessel there technique
awareness and different factors
help keep it safe but understand knowing
your anatomy doesn't mean
you're safe at all it's a false sense of
security
number one of course is dermal filler we
have so many dermal fillers approved for
here
we'll talk nasal i do want to talk
accordion lines here because this is
important
but with the nasal fold everything from
restylane define
restylane lift restylane l the juvederms
uh the volures and juvederm ultra ultra
plus are approved for the nasal pull
because collagen back in the day was
approved there in the late
90s and so ever all the studies are
based there
before i had hyaluronic acid in 2003 i
that's all i did all day was fill that
area with collagen so those folds have
been filled since the beginning of
the aesthetic time of this recent
generation we'll call it
but filling it over filling it can look
semi-and it can look
unusual and even kids of course have
nasal poles so don't get carried away
but filler is the number one and it's
still the number one presenting symptoms
the clinic uh clinics across
america is hey i got nasal poles i want
them filled
i have marionettes i want them filled
remember natural
is working from the frame of the face
but filler in the nasal poles
is a good solution if done judiciously
with an eye towards the full face have
you had them filled
what's worked best for you let us know
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