hi i'm dr arjani i'm talking about chin
injections today
the chin and what people call the
pre-gel
it's all about getting extension
of that chin and getting that forward
projection
to change the angle or the nasion to
chin angle
that i've done several videos talking
about beauty and a key
beauty point now chin fillers a lot of
people
don't know they're available that you
can do it they think you need a surgical
implant
and sometimes that is the best but a
non-surgical injection
option exists you're going to see a lot
more about it coming up
in the coming months and years of course
people have done it for many years now
and it's surprising because the chin
implant is many many
ccs or many many mls or syringes
but it's interesting with filler with
just a few syringes you can make a very
nice difference
the average in the studies is anywhere
from about three to five
it's really important for at least three
key reasons so if you're sitting there
and you're going hey my chin is fine or
i don't like my chin or i don't know
what it is a lot of people don't know
what it is
but it's one of a couple things number
one of course
loose skin pole dorage because the
muscle
is hyper contracting because of loss of
bone and simply age
lots of collagen on top of the skin also
facial shape we know everyone wants a
strong gonial angle i have a lot of
videos on that
but when it comes to the front you want
it to be
narrow because narrow gives you that v
shape triangle of beauty which is
another
important angle that we look at to
evaluate
beauty and youth so the chin does many
things
it's also connected to the nose a lot of
people
think they need a nose job or their nose
is big when in fact
they need a chin and we look at that
nasion to chin line
to tell us that hey bring bring the chin
forward
and the nose is actually appropriate in
shape as you see
from this picture here when we change
the chin in this video
and bring it forward the nose and the
whole facial structure looks better
because it's not convex
this is studied stuff there's studies
articles to prove it
beauty is math gonna show you the
injections today
of the chin so without further ado
three seconds we're gonna do it
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it really helps us grow
and it helps them too because they get
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be interested in
now you see the measurements a lot
occurring in the back along the jawline
at the angle
but a lot of times people don't see the
injector when people get lip filler
they walk around the edge always and
look at the 90 this way to see
the nose chin projection the ae line
ricketts line there's different ones but
if you look at that one
there should be about four millimeters
from the top two millimeters from the
bottom if the
chin is strong enough also the navy on
the chin angle
is well important as well but we do
measure those and
look at them deciding on the chin and
some people just
style-wise want a chin that's further
farther projected
because what does it do gives the
impression
that the jawline is longer when the
cervical mental angle is weak
so it can extend the jawline in
essence and tighten the skin it does so
many things filler does so many things
you want a high g prime filler that
doesn't bring a lot of water in
there can be bad things there can be
necrosis there can be death of tissue
intravascular and i believe from
compression as well
so you have to be careful when we watch
the injections you'll see we pull back
on the syringe
make sure we're not in a vessel so we're
always looking along the whole jawline
not just the chin
to see if anything needs to be done
posteriorly of course we're going to
look at the submental area and we can
dissolve fat at that time
remove it or use a radio frequency high
frequency ultrasound if we need to
we look at the nose and determine
several things and of course the nose
can be injected to change some things as
well
and we move the tissue just to see the
mobility and
a lot of times you have to put toxin as
well
in the mentalis muscle to relax it to
help give it some length
now we're looking at the ae line and we
look from the edge
so that we see what the distances are if
they need to be changed or not because
you don't want to put chin filler if it
would ruin
those numbers and make the mouth look
more
setback in the face because that can
happen as well
now we cleanse the area of course and
then what we're doing is feeling the
bone remember if you go
through muscle then it bleeds muscle
bleeds
and we're going to use bolus technique
underneath the muscle
and also knowing that the submental
arteries here
some branches that come off the facial
and the
inferior labial artery as well we're
looking for any signs of blanching
seeing if it's untowardly
painful for the patient that tells us as
well so we pull back
and then we inject now where do you
inject what are the landmarks
just off center for a lot of patients
it's easy to keep it you can tap to keep
a little bit of
pain control and vibration of vad works
well
but if you see you can put just off
center
or stay in the center because having it
too
narrow or too pointy is not a problem we
can
always reduce it but if we create too
flat of a chin then we've wasted our
filler so we'd much
rather just stay off center the nares
straight down from the nearest in a male
can give two points because the male can
be more square
and again this side we're doing 0.5 we
did 0.5 on the other side
and you can see uh just sitting here you
don't need a before and after you can
see the projection take place
you can also see the lip and the angle
of the lip and if that needed to be
addressed
we would so you can easily get into five
to eight bottles of filler if you dress
the edge of the mouth
the lip and the jaw line it just takes
some volume
so here you can see mine being done my
nurse will do it
i'm gonna have mine injected just
centrally and just one ml
of uh product and you can see so not
everyone's four to five
but i've had some already so it's all
additive here it's in the center
she pulls back make sure she's not in a
vessel and then she's injecting the
product
and a one cc bolus can be done
you just have to be very mindful
sometimes halfway through i'll pull back
again
just to double check i didn't shift
didn't change you don't want to put one
ml of a filler
in any vessel bad news and remember the
submental vessels
uh are right there and especially if
you're coming off the midline but going
through the muscle will create
bleeding a lot of times and then you
won't be sure is it a vast
a bleed active bleeding is it venous is
it old blood that you just created for
going through the muscle so
chin projection gives you an idea i'll
also put some videos up you can watch my
old ones about treating the rbf
with the same restylane defined doesn't
draw water in
it has expression it moves with you it
looks very natural
because it's robust and strong you get a
lot of pop
and power in one syringe but it doesn't
get that boggy look and a
soft elegant filler that's going to flow
you're going to lose that nice crisp
result
have you had your chin done do you get
your jawline injected
does that help you let me know stay
tuned here
keep your skin and body beautiful
healthy and vibrant