hi I'm dr. Johnny thanks for joining me
for today's video on lip filler
tempting or I call the pillar technique
we've done it for many many years
there's a little resurgence of it in the
past couple years so we're gonna go look
at the traditional method a little bit
of 3d and into the pillar method and why
when and how you may use it thanks for
joining me take let's get right to the
video so lip fillers are somewhat
controversial but they're common for
practices because you can use five to
eight hundred dollars worth of filler
you see a result the lip gets attention
it's attractive the red lips look good
you hydrate it looks youthful in the
appropriate circumstance very important
to go back and watch my video on lip
artistry because what we're doing when
we fill the lip of course it's the
angles the folds the loose skin the chin
projection the nose that's to me all
part of the lip filler a rejuvenated
face then a lip in those over the age of
35 and above younger people of course
skin looks good the fat pads are intact
typically and we can go right to the lip
it's like a designer look but go to the
lip filling artistry video and you can
kind of get an idea of why we might use
different techniques because as you're
injecting and this is what makes your
injector unique this is why you go to
who you go and why you like the results
as they're filling they're trying to get
a result and they look and they go oh I
didn't get the projection I want one lip
one side of the lip the writer the left
is going to feel different than the
other and they might have to go to
special trips that tricks and techniques
and then they might look at and go I
don't quite like the look of that what
am I missing
ah the Cupid's bow oh they're smokers
lines or vertical lip lines that's not
going to look good we better address
those do we do it with a cannula do we
do with a needle so that's where the
pillar technique comes in it's a tool
to give you that tempting look and to
give a little bolus or strip of product
and give a lip flip it does all of those
things but every lips going to be a
little different let's look at a 3d
image of a before and after you can see
here in the after on your right that the
patient has swelling and that will come
down and that will occur with whatever
technique you do it depends on the
person what they're on what they're
eating and drinking afterwards what
aspirin or meds they could be taking the
technique the number of pokes really a
lip filler the process itself should
take about 8 to 12 minutes beyond that
if you're getting so many pokes you're
gonna get swelling if there's a lot of
massaging after or you're using a
product that's meant to draw water in
again you're gonna get more swelling if
we go look at a traditional technique
what does that mean that means first
injecting the wet-dry along the body of
the lip seeing what projections we get
making the shape the top versus the
bottom I did a video on the 50/50 lip
but a traditional shape would be the top
lip slightly smaller than the bottom lip
and projection is so important because a
youthful lip has a nice ski jump not a
duck but a nice ski jump and so that's
important how do you get that and we go
and we do the Vermilion border and then
there's a whole video we did on the
Cupid's bow
very important not to overdo some people
shouldn't have it other people should
now let's look at the pillar or tenting
technique if we look at the video here
we use a vibration device and of course
we're not touching inside the mouth with
our gloves but we're coming above we
backfill a beedi syringe 31 gauge or
even smaller most products will push
through this you want to be superficial
why the artery the superior labral
artery in this case we're doing the
upper lip most of the times it's in the
mucosal surface kind of behind the
muscle and you'll see people post these
videos oh my gosh look I can see
the the pulsating vessel I'm not going
to inject this person think about that
you now know where it is those are the
people send them to me I want to inject
them when I know where the vessels are
of course there's a Burin see sometimes
the vessel is in the muscle so this is a
more superficial injection technique and
you're creating these pillars to get a
nice look it's a very fine needle so
patients tolerate it very well there are
more needle sticks a lot of times than
if using the traditional needle
technique some people like to use a
cannula technique and you can look at my
videos on that here on getting close to
the Cupid's bow and we may fill the
filter calls we may not filling out here
laterally lifts the edge of the mouth so
if the patients feeling like hey the
mouth is turning down at the edge I put
an extra strip down here you can see
that just curled the lateral edge up
it's a nice look you don't want it to be
too upturned
but again now look I'm going back I'm
saying oh you know what I want to put a
little more medially it does hurt here
why do I come back here because there's
anaesthetic in here and so I can go do
one injection let that work and then
come back you can always tell if the
patient's having pain by they flinched
there I this patient seems to be doing
fine and now we just go to the other
side and here it's a little harder of
course you have to match what you just
did and you fill the upper this way you
can certainly then go to the bottom and
do a traditional technique at the
wet-dry border you don't have to do the
whole lip in this method and you can
combine them all to get exactly the look
that you want and this is simply another
tool in your toolbox if your injector
doesn't do this method that's totally
fine it's just sometimes you may need to
go to that to get the look that you want
one of the most important things to
getting the look you want is
communication it's communication with
your provider it's good if they don't
use only one product because you need a
breadth of products to get the results
you want an older lip might just want to
softer result you can see here if you're
injecting for vertical lip lines you can
still backfill that BD syringe but you
might choose a slightly different
product or a more structural product
that has a fine molecule size or that's
flexible so the choice of product really
makes a difference and your injector
should tell you what they think after
taking your history would be the best
product for you so lip fillers that's
the tenting technique or the pillar
technique tell me what techniques do you
like do you like your lip fillers go to
my video on lip filler lumps and bumps
and you can see that to give you an idea
of what are some of the side effects
that you can get from lip filler it's
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