hi I'm dr. Johnny and today we're gonna
show a treatment and demonstrate radius
along the jaw line the jaw lines the
theme for 2018 so we're gonna do jaw
line with radius important to cleanse
the area a lot of controversy over what
we're using now hypochlorous and
peroxide and alcohol some people use
hibiclens it's important to cleanse the
area that's the key and cleanse several
times to demonstrate what we're doing
the bone loss really occurs at the back
of the mandible at the angle of the jaw
you can see this area has a relative
hollow you want to keep some hollow
so that you have a beautiful high cheek
with definition below but you'll see
some lines here will fill through here
but right in this zone is really where
we want to create volume and fill this
area the idea is we're gonna move it's
gonna move the tissues back to help with
the downturn of the mouth and recreate
the volume that was lost at the angle of
the mandible if there is a pregel here
so minimal here we won't have to address
it today but you can come in here be
mindful that bite down for me in front
of the masseter is your facial artery
coming up here but we're superficial to
that but you can come in here with the
cannula and and inject the pregel to
straighten that out if we need it to
today we're addressing the posterior
here we're creating the opening and
we're using the 22-gauge Kenya so we use
a larger needle to create the opening
and then finding where we created it
coming with the cannula not injecting
here because it would there'll be too
much product superficially but advancing
the cannula it's important to know a lot
of times there's no pain here for the
patient but you're pushing because most
of the pain fibers are superficial and
then now we can start injecting product
what that's going to do is create a
potential space so it's easier to
therefore advance the cannula injecting
and pulling back
so not really bola Singh but injecting
in a retrograde fashion and following
the natural contour of the jaw to create
that volume really aiming for here at
that angle but I'm watching to see
remembering that the tip of the cannula
is proximal the opening of the Cameo is
proximal to the tip it's not exactly at
the tip so we have to account for that
and overshoot a little bit and you can
see we're creating volume just in front
of the ear and you can really do a lot
of things you could come down and really
create more of a jaw but in this case
we're just recreating what was lost in
fat and bone and then coming down just
inferior to the jaw always knowing where
the mandible is so that we're keeping
the line straight so and it should be
fairly painless and you can see volume
here and we're going to go and fill the
area just in front of the ear let's come
through that same opening right through
that same opening and advancing through
product
and because it's two inch in length it
gives us some reach and you can see the
cannulas flexible a lot of people like
different cannulas based on the
flexibility and the ease of flow through
the product and the 22 gauge your really
flows easily so you have to be careful
not to put too much product in here I'm
in the pre auricular area on top of the
parotid and just creating some volume
someone gets a facelift it's in here
that were removing skin and so that's a
good landmark to give an idea what we're
doing they're really pulling back there
by first adding volume unless there's a
lot of loose skin we can often do it
with fillers and college and simulators
radius will last long here because it's
not a movement area fillers go quicker
where we're moving and then I'm just
recreating that angle and you can see
I'm not bola Singh but I'm really going
back and forth watching the film as I go
to see where I'm putting the product
again we're on top of rotted and the
product duct goes to the edge of the
mouth the world commissure here so we're
much posterior to the duct but using the
cannula is safer than needle now you
could mold that if you wanted to and
create a define jaw and someone wanted
even stronger jaw you could go along the
whole length here so that's creating the
jaw line posterior Lee to pull up from
the edge of the oral commish or to
create a nice a little more squared look
in keeping with a triangular we don't
want to fill it too much to square the
patient's aesthetic look so that's the
patient's one side we will now go and
fill the other side to complete the
treatment so thanks for joining me in
this video of radius along the jawline
jawline as you see is very important to
address let us know what you thought of
the video in the comments below let us
know the techniques that you use in the
products that you use to create a
beautiful jawline subscribe to this you
Tube channel to keep your skin and body
beautiful healthy and vibrant
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