hi I'm dr. Johnny thanks for joining me today an exciting topic everyone's gonna
love the new FDA approval of wrestling's kiss product kiss what's kiss well as
you can imagine kiss is a new lip filler approved this month by the FDA in the
United States for lip filler to last up to a year we're going to talk a little
bit about longevity today we can talk a little bit about the technique what
makes this product different should you consider getting it what about the
product what about the depth that maybe we know about from the bit of the
rheology of the product how it works it's going to change our injection
technique if you're getting lip fillers should you go out and get this is it
going to last you longer what are the things you're gonna like what are some
of the downfalls to it lip fillers we know it's a hot topic natural feeling
natural looking but also creating projections and beauty for some is it
gonna plump as much does it draw water what about the Vermilion border and then
at the end of the video I'm going to show you injection techniques that you
can use with this product and how you can maximize results patient
satisfaction and safety because remember and for all you home gamers out there
it's not just about the filler and the product although that's so key because
if a product has the Hyatts of side effects no matter how you put it in or
how good you are you're going to have a certain percentage of problems and one
thing about this product that I'll talk to you about is it's been used in other
countries I'm Canadian of course I've used it in Canada and that it has been
up there for a while but also in Europe so there's a lot of data and it's a
relative of products we're using already namely wrestling define which is a
number one product I put in lips in my clinic although it has structured
support that's a little much for the lip especially the younger generation like
it I think they'll all move towards kiss why stay tuned for this video we're
going to go through it I'm going to show you the injections and
we have all kinds of good videos coming up one of them that you guys asked for
it on the derma roller so we'll be covering the derma roller and a lot of
other do-it-yourself treatments for skincare not injections is something
believed of the professionals we'll go through why now in three seconds we're
gonna start this video so wrestle and kiss what is it we all know the rest of
the line of pillars and people still come in and say I want my wrestling now
there's many types of wrestling lifts wrestling L which is the original one
plus AB it'll add Akane refined define self so there's different ones in
different technologies not to get into too much detail here but kiss is within
the refined define the stretchable family that integrates with the tissue
why it's so unique I talked a little bit about the planes of injection if you
think about defined strong to me it has a lot of support the G Prime on the
graph if you look I believe define in my hands and in many of my colleagues hands
would guesstimate that the G prime is higher than it measures and that's why I
use it on jaw lines I use it for chin projection and of course really hard to
lift the edge of the mouth and that's why I define does such a great job
because it has a lot of G Prime doesn't draw water in so wrestling kiss
is going to lie between refine which is smaller think of it more stretchy
smaller molecule more lightweight work okay but flexible and define which is
also flexible doesn't draw water in but think of it as more robust in the middle
we have wrestling kiss and that's what makes it exciting integrating with the
tissues flexible but you don't have to deal with the big lumps that may be
defined would given a lot of times we look at think of it may be a little
older patient may be my age plus okay and they they don't want big structure
lips they don't want a very pointed GK point they don't want a strong filter
column they just want some vertical lip lines gone and if you get vertical at y
one of the quickest way you grow one of these you can have a mustache it's kind
of free and if you can't get into your provider just grow a mustache then we
only get rid of your vertical at lines without filler it's the all-natural way
we'll do a whole nother video on it but that that's the benefit of it it's in
between those two so let's go into a little bit about the rheology or a
little more into how it's made the cross-linking the structure and after
that we'll go on and we'll watch some injections so what about G prime G prime
is misunderstood by some it's measured differently by others so it's a bit of a
moving target if you want the honest opinion I've been following G prime now
since the early 2000s when we had low G prime we're very soft fillers we
injected very differently that had nothing to do with hyaluronic acid like
the most common we use now namely College and collagen derivatives in
Canada of course we had our tap last an article so G prime if for most people
think of it think about as power the ability to main shape the structure and
support the G prime of this product is in between what we talked about define
which is higher GPA Prime and refine and it is formed by a best process after the
the cross-linking so the cross-linking of refine is six
kisses seven and of define is eight but it's not just about the cross-linking is
also the product products are put through a strainer or a sim so you get
molecule size it's all very complex but most important for the end user is it's
the perfect combination of G prime structure and support and also molecule
size longevity and feeling natural so those are part of what is going to make
it so important for the lip and of course integration with tissue it's
another heated topic there's gonna be different opinions on it not every
product integrates with the tissue nor do you always want it to the reason is
sometimes we lifting structure support we don't want
the body to be able to see that product in smaller amounts within the tissue we
want it to remain as bolus --is more structural places where you can deal
with that think of where people might get implants
and I know what you're gonna say rezoning there are lip implants and I
know I worked around them I filled around them put them in it was more
common before lip fillers I don't like any of it but some people do and some
people went to permanent silicon which is a whole nother topic I cover my other
videos suffice it to say the amount of integration with the tissue or becoming
one with the body is another key factor that separates lift because it does
integrate with the tissue because it's stretchable also there and this is all
theory there's no double-blind placebo-controlled trial to tell us the
stuff people are going to give you a lot of pinions my opinion is if it
integrates with the tissue and it has some stretch ability it feels soft feels
natural does not draw a lot of water okay sometimes you might I see a lip and
I want water I where you go okay that's pillowy soft it already has perfect
projection perfect skiing jump maybe you've lined around the outside of the
lip or the Vermilion border with a product that has a lot of structural
support and you want that but you don't want water going in around that border
this will be a perfect product for that and then you look at the lip body where
it's plump and you say you know what I wouldn't mind it if it was a little
watery in the bot in the body the lip a little pillowy a little hydrated looking
now you can use a different tool for the body of the lip and the Vermilion we
used to use collagen still when we had rest'll in the first hyaluronic acid in
the United States we would put the wrestling in the body and we still had
College and we liked it especially at the real million border because it
didn't bring water in so had a crisp beautiful not ducky border but a
hydrated perfect pillowy lip and so you can mix products as well because these
products can be used in other things it's not like you need
to only use your kiss in the lip and it doesn't work anywhere else just like be
fine d fine works really well for the nasal
labial and oral comma sores and the jawline and chin projection but we like
it in the lip I like it in the lip not for those faint of heart not for those
not wanting projection structures support they want a softer product so
you can see kiss seems to have that perfect balance it's a lip filling
technique one of the things now that you know a little bit about the product
where it came comes from in terms of structure support integration with the
tissues then I think is going to be key is that we can integrate the product
with the tissue more so than define and less than refined perfectly for the
mucosal surfaces lips we can get it it's more for gonna be more forgiving so we
can inject it in multiple different ways particularly superficial and this is
certainly not an anatomy course this would be a one hour lecture on it but
suffice it to say the vessel that we concerned ourselves with the lip is
typically posterior or between the inner mucosa and the muscle the lip is mainly
made of muscle and a tiny bit of fat but sometimes the lips its aberrant or we
can call an aberrant but just naturally where we don't expect it which is a
little more anterior and that typically where I'm talking about is about three
to three four percent of the time but it proved it is a little more risky in
those patients certainly you can grab a cannula this product wasn't approved for
candy elections but there's no reason you can't 25 gauge cannula is a lot
nicer it will push through a 27 mostly 725 is still going to be better with the
candle you're in the body of the lip but most importantly is that we can go
superficial and deep I did a video a while ago maybe a few weeks ago on the
Russian lip tinting technique a lot of people comment the Russians comment and
of course I've been to Russia I've seen how they feel lips work with Russians
here and a lot of Russians have have clinics have Russian patients you see
the Russians go to the Russians it's that's what happens especially New York
and in the big cities and you watch the techniques
so a lot of them commented you can go watch the comments it was very nice in
that video other people call it the pillar technique the tenting technique
whatever floats your boat understand that techniques been around for 20 years
don't be scared of it we did it with collagen because collagen we could
inject superficial didn't last longer and it was intradermal so we did that
pillar technique 20 years ago before we going to the injections remember click
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keep your skin body beautiful healthy and vibrant on to the injections so if
we look at the first video this will be the traditional technique this is where
we're injecting the body of the lip we're going to then follow with the
Vermilion border and the Cupid's bow it's nice to start laterally and move
inward everyone's gonna have their own different technique and it's totally
fine this is what makes us unique and it's our artistry but I start laterally
and move inward because I want the lip to numb it's more sensitive as we go
inward or medial and so doing the Cupid's bow last allows the numbing in
the product and this numbing really actually works because some when we
originally had numbing even the old college and came with numbing and we
could add some to it but the numbing didn't really work much and now if you
get biller a lot of way they just choose no topical
no injections for nerve blocks it's kind of old-school there's no real need for
it a lip biller should take you seven to nine minutes to do and so most people
don't want to leave numb because of that but they because they get no other type
of numbing at the end of it they'll say wow my lips are numb is it normal
something gone wrong you see no it's a numbing in the product whereas before
the numbing wasn't good enough to do that so this is the traditional
technique one caveat here we always look at the lip in 3d I can't build a lip if
I'm not thinking about the oral commish or the projection from the laterals of
the lip the nose the rickets or Uihlein so when you talk when you come in for a
lip color you they're nothing's guaranteed guaranteed
if you come see me I'm gonna talk about your nose your nose to your chin the
projection of the lip and what might need to be done lip is not lip filler
its lower face beautification no one just needs a lip filler and certainly
they can get that but there's likely most people are gonna need something
else fine-tuned certainly we're seeing now the number one demographic come to
my channel here is 30 to 39 that's the average so many are 20 to 29 certainly
they just need lip fillers but after the age of 30 we're usually looking at other
things as well you don't have to do them on that visit
but if your provider talks to you about them it's because that's what they're
seeing so digestive next technique that one can use is the lip tinting technique
the pillar technique the Russian lip billing technique comment at the end by
the way let me know what do you call it what do you perceive the Russian
technique to be it's a highly searched term as a google keyword so people must
be looking it up but this is where we're coming in act the Vermilion not really
above in the weight because you're starting to get to where there's a call
you malar artery in the center that moves up and again it might not move up
right at the filter comb it might start to move laterally in fact the facial
artery coming up sometimes the takeoff of the LR branch is with the labial
artery so you there's all kinds of averages you you some people are gonna
say if you know your Anatomy you know comfort or you know security and I say
the opposite you know your Anatomy to know enough that you don't know anything
but you need to know your Anatomy it's very very important but once you do and
you do enough cadaver dissection you never depend on your Anatomy because you
see these averin C's so this is where you come in at the Vermillion and you
inject down through the mucosa this is typically a more superficial injection
particularly because it's quite there reticle that it could be a little more
dangerous because you could be going there could be an anterior type of
artery that's a supplies the lip here and by doing these columns
lot of times it takes a little less filler and you can do different things a
lot of times it's a combination between traditional and this technique and then
there comes a filling the edge and this is controversial I do like to fill up
because many people have a downward mouth and of course we're doing talks in
here we're doing lip filler and the latter we don't want to create the fish
mouth or a wide mouth unless they have a wide masseter but a lot of people don't
want to add laterally but remember you if you're losing lip volume in the
center people aren't going to first notice I'm losing central if volume they
notice because the tapers at the edge because 20 percent of a small amount
you're gonna see more gone so if you lose 20 percent of the edge it's more
noticeable than in the center two people so dimensions in math the beauty of math
and the math of beauty is just so important so wrestling kiss that should
help understand a little more about it I think it is going to change the way a
lot of people inject it's gonna bring more attention if you can believe it to
the lips and of course all our celebrities all our TV hosts all our
anchors that we see now you see them transform over a year two or three and
even the young ones a lot of times its lip filler
let me know what your thoughts are if you have any questions on kiss ask at
the end here we can do a whole nother video remember I did a video on it
probably a couple of years ago I'll post a link to that so I bring things up
before they even get to this country because I know a lot of people on this
channel or more we're thinking and they want to know everything before it even
gets here thanks for joining me subscribe enjoy these videos to keep
your skin and body beautiful healthy and vibrant