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- Hi everyone this is Dan Julien, nurse practitioner for Danesthetics Medical.
Today we are talking about hyaluronidase and its unexpected complications. Let's get into it.
So hyaluronidase is an enzyme that helps break down hyaluronic acid, we're going to call it HA.
And that can be found in either fillers but it can also be found in your body. Your body also makes
its own natural HA. What is HA? it's a molecule that binds to water and it helps lubricate our
joints but it also helps lubricate and plump up our skin and connective tissues. So the concern is
what happens whenever you place it into your own face? So that's going to vary
based on the age of your client and also where you're putting the hyaluronidase in the face.
Let's start with age if someone comes in and they're a little younger and they have good skin
texture quality turgor, then a safe bet that basically after you've placed your hyaluronidase.
Yes it will degrade their natural hyaluronic acid but in about a month or so it tends to rebound
pretty quickly and naturally it looks pretty good the concern is that anyone who's a little bit more
mature what ends up happening is that it really does have a dramatic effect on their natural HA. It
ends up shriveling up the skin and makes them look severely dehydrated and you can have significant
lines and actually change the texture and trigger of the skin it can make it actually look a little
harder as well and time. Simply time alone doesn't always address it you may have to do additional
measures in order to help that out the other area of concern is the location of the product
for example if you're going to be using HA in the lips. If you want to dissolve a lip be careful.
With a client that's a little bit more mature if you decide to try and
flood that entire area i guarantee you that they're going to end up having these
lipstick barcode lines or smoker's lines or whatever you want to call it and they're going
to look like they have lips that have dried up like a prune and I guarantee you that it's going
to take several months for that to return back to normal and it may not fully return back to normal
so be careful. What I do is I use basically maybe 1 ml at a time of hyaluronidase around the
lips let it dissolve on its own come back in about five to seven days ideally even up to
two weeks therefore we're not causing any more scar tissue letting that area heal and then we
can add more if we absolutely need to, but err on the side of caution don't flood the area
and you'll save yourself a lot of problems. Hold up! Before we continue, sleep & glow company
asked me to review one of their products it's a pillow that prevents wrinkles looks like this
it's called the sleep & glow omnia pillow and this is it right here i'm going to show you really
what it looks like. I told them I'm probably not the best candidate to review this pillow because
I'm a tosser and turner i've yet to find any pillow comfortably and i sleep all over the place
however I would give it to my wife and I would let them know what she thought. This is the pillow.
The idea is to sleep on your side and it caresses your face like this. And basically by placing your
face here it's going to prevent wrinkles compared to a standard pillow where you sleep on the side
and it smushes your face. Now as an injector I do a facial evaluation with all my patients
and at the same time I can usually identify who's a side sleeper and on what side they sleep because
usually their nasolabial fold is deeper on that side and usually the sides of their face are a
little bit flatter, so in theory I think that this pillow could work now my wife is a side sleeper
and miraculously when she goes to bed she falls asleep on one side she wakes up in the exact same
position the next day and she tried this pillow and she loves it. This is a perfect pillow for her.
for her it does the job, she sleeps comfortably on it she doesn't toss and turn during the night she
wakes up she doesn't have wrinkles on her face. As a bonus this pillow lasts five years and there's
a 30 day money back guarantee, so if you think this is right for you I've got a discount code below.
Check it out and try out sleep & glow. Onto the video. So the next major area that I need you guys
to be aware of is dissolving filler in the mid cheek. Here clients end up having cheeks done it's
done improperly the filler migrates south and now they're having a fuller mid face, and they come in
and they realize it and they say, you know what? I want to dissolve that & I want to start fresh.
It's unfortunately not that simple placing hyaluronidase in the mid cheeks can change
the skin integrity and it may give kind of like a firm look and feel to that skin so be very careful
if you're going to place hyaluronidase there go very slowly minute amounts I actually inject 20
to 40 units max around this location and then I'll adjust again in two weeks, if we both feel
it's necessary. And it's a possibility it may not fully restore itself for a year or two or even
longer. Now if you've had HA placed and it's completely dehydrated you wait at least a
month then at a time, And if you still feel you need some help with skin integrity such as rehydration
then your best bet is topical hyaluronic acid and also skin boosters which is basically hyaluronic
acid that's not cross-linked. It goes into the skin and it's going to help restore that HA
but it's not your own natural HA and it may not bring you back completely to the look that you
had before, but it's something that can help you out. I know you guys are anticipating my premium
membership site and that's going to be open very soon give us a few weeks and you guys are gonna
be pleasantly surprised on the price it's very affordable you guys are actually shocked at how
affordable it's going to be. I'm excited! and you should be too :) The next thing, if you guys have any
questions for me and you don't feel like sharing it with the whole community here's my personal
email (danjulien@protonmail.com) Yes this is my personal email and i'm more than happy to answer any of your questions
i know it's difficult out there sometimes to have questions answered it's kind of a community where
they almost eat their young sometimes and no one really wants to help each other out but this is
our community I'm trying to make this as enjoyable for new injectors as possible so send me a shout.
If you have any questions and I'm more than happy to help you guys out so until the next time, take
care of yourselves, exercise daily and please be nice absolutely everyone. Alright take, care guys!