Today we're discussing how to do lip filler with cannula, and of course a
whole bunch of other stuff as well! Hi TLC-ers, today we are discussing lip filler
with cannula. If you've seen any of my previous videos you will have noticed
that we can do lip filler using either a needle or a cannula. Why would we choose
one over and above the other? Well it depends on what kind of problem it is
that you're trying to treat. So if somebody has got quite a narrow lip and
I want to widen it slightly then. I'll use a cannula rather than a needle
You can do it with a needle but I just think that the overall effect is nicer
if you use a cannula. Also you get less swelling when you use the cannula as
well which for some people can be quite important. So if you're going out in the
next few days you really don't want to be having a lip augmentation done using
a needle because you're gonna swell, and some people swell an awful lot. Obviously
even when you use a cannula there is still some swelling there, but it's just
not as bad as it would be if we were doing it with a needle. You can't really
compare the two though because it's really apples and oranges. The result
that you get from using a cannula will be very very different from the result
of using a needle, and you can't do certain things like augmenting the
Cupid's bow very well using a cannula for example. You can't enhance certain
parts of the lip border using a cannula, so that's why it's important to be able
to use both because we need to. Okay so let's take a look at this patient. So
what did we do? What did we notice? Well you can see that she's lost a little bit
of volume underneath the eye, looking kind of a bit tired a little bit
frazzled. Got some subtle horizontal forehead lines here as well, you can see
we do have a little bit of a nose to mouth line going on there. Nothing too
horrendous but it's certainly something that we could try and improve and
there's a bit of volume loss right there next to the nose. I would say that her
lower facial third it's probably a wee bit short, so if you remember the face is
split up into thirds and bottom bit should be obviously 1/3 it's just a
little bit short. So if we could just extend that slightly I think it would it
would make her face shape a little bit better. She's got great cheekbones
already, really good light refraction here lovely shadow under here but you
can always improve guys, always. Never stop! So the first thing that we did was
use some Botox to the frown lines, the forehead. We then moved down to the chin
and this muscle right here to stop the mouth corner from pulling down quite so
much. And we also did a little bit of Botox around the crow's feet as well
because she's got a beautiful face shape already, all we need to do was just
replace some of that volume that we all lose when we age. So the first thing that
we're going to do is start in front of the ear and we're just going to fill
this area here using a cannula and this is some hyaluronic acid right there and
you can see that what this is doing is just gently
revolumising this area which has the effect of lifting up the tissues on
that side of the face. The next thing that we're going to do is the angle of
the jaw now she's already got a fantastic angle of the jaw but you know
if you can make something better than why not? So again we're using a bit of
hyaluronic acid down here just to square that up slightly. Moving on down to the
chin now, we're going to use a cannula across the chin crease and the
marionette region to improve that whole area there, and again this is using
hyaluronic acid. Next thing we're going to have a look at the base of the nose.
This is an indirect effect on improving the nose to mouth line again, we're using
a cannula in this region. The last thing, this is something that I find that I'm
doing more and more of, so we're doing some dermal filler here into the
forehead and that's because she's got a little bit of an indent
in the forehead and it looks much more youthful and healthy if you have a
rounded smooth forehead rather than a slight indentation. So let's get to the
main reason why you're probably watching this video and that's to do lip filler
using a cannula. So she has had some lip augmentation done before, always with a
needle there are many different ways that you can do lip augmentation. A very
common way of doing it is to use the needle along the border of the lip, the
Vermilion border, and you put the filler in there. Another way that people use is
to go directly into the body of the lip, that's the pink bit. I think that was
much more popular a few years ago. I find that when you directly inject the body
of the lip it can almost make it look like the the tissue is being dragged
down and instead of it flipping the lip up it almost pulls it down so I prefer
not to use that method. I do still inject the body of the lip but actually I do it
from above. You might also have seen this tenting technique that some people are
using when they go in directly above the lip into the body. I personally don't
like that technique because you don't know where the artery is in there. You
can do it but you have to feel from the inside with one finger so that you're
almost coming out of the other side of the lip. I'll do a video about that one
day, and I'll show you exactly what I mean because I know it's kind of hard to
conceptualise. Anyway we're using a cannula right now to give a bit of
volume to the lip and you can see that what it's doing is just slightly
widening it and of course we need to do the upper and lower lip in order to keep
them in proportion. If you just do say that upper lip without doing the lower
lip which sometimes people do ask for it looks really weird so even if you're
putting like a very small amount of filler into the upper lip I would often
balance that with doing the lower as well because if you're just doing the
upper on its own it will throw your ratios off and it won't look right. The
last thing that we're going to do is use a cannula to treat the under eye area
and what we're doing here is we're actually using a product which contains
additional vitamins and minerals called Teosyal redensity one and this is
really good for your skin health. So it's not a traditional filler, the hyaluronic
acid that's inside is not cross-linked so it's single chains and it's a used as
a bio stimulator. So we're trying to produce more collagen in that area there.
Now unfortunately our after picture here was taken on the same day of treatment
so our patient does look a little bit frazzled, so sorry about that. The next
time that she comes in I will definitely take a whole new set of pictures to show
you, and I'm sure that you will see that there's been an improvement in her skin
quality and texture but we can't really see that right now because it was
literally just half an hour since we did the initial procedure so I'm sorry. Okay
so let's have a look, so first of all let's just check out the forehead so you
can see that these little horizontal forehead lines there they're not quite
as prominent in the after picture of course her Botox hasn't started working
yet because it's literally half an hour since we did the treatment and it takes
about two weeks for it to reach its maximum effect so we're not going to see
much there but what we can see was an improvement in the contour of the
forehead. So it has changed the light refractive properties of the skin there,
just a wee bit. Moving down if you look at her overall face shape you can see
that there's much much more of a v-shape there in the face than there was
beforehand where it's just looking a little bit more square. So did you see
what I mean there, because we've got this cheekbone prominence. We did have that
before but it's just tidied up a little bit. We've also augmented a little bit
here as well, to relieve the nose to mouth line and the lip. Obviously the lip
is swollen but that's just because we've only just done the injection, so you see
this sort of redness which is characteristic on both sides there
that's normal after you have a lip augmentation done it's normal for it to look like
this. I'd say it probably takes around
maybe five days for that to settle down and it will end up probably reducing by
about the third there. Looking at that under eye region because it's a bio
stimulator that we use you're not really gonna see too much there because again
that takes about two to four weeks in this area to see a good improvement.
So what you will see is improved hydration in the eye area and there
should be an improvement in the colour as well when everything settled down. So I
promise as soon as she comes back in we will take another picture and I will
show you her true afters, not her immediate afters. Because it's not really
a good comparison between the two. The last thing that we're going to do is use
some Aqualyx underneath the chin. I have used this in another video before and
that is a fact dissolver so you inject it to dissolve the fat in this area to
improve the jaw line and with that there's quite a bit of swelling and that
lasts for probably at the the most around three to four weeks. You'll have
some residual swelling but it's at its worst for the first three days, but the
great news is once that fat is gone it never comes back again afterwards. So
again as soon as I get this patient back in I will show you her jaw line as well
and we can see the results of the aqualyx. Sometimes you have to do
Aqualyx a couple of times to get good results. Okay guys so that's it for this
week, if you've had a lip augmentation done before particularly with a cannula
let me know what you thought about it in the comment section. I'll see you guys
next week and in the meantime don't forget to Like comment and subscribe!