Today we're doing an Enrique makeover. Hi guys my name is dr. Sarah
Tonks, I'm a cosmetic physician in London. Today is very exciting because I have
two new things for you that's right - so the first thing is we are continuing the
theme of having men on the channel so we've got another chap and the second
thing is I've changed the format slightly. So I had a lot of viewers
asking me yeah that's great but how many syringes did you use for this? or how
many do you use for that? Well in today's video I'm going to show you what it
looks like when somebody has 4 8 12 and then 16 mils of filler. I know that
sounds mad right, 16 mils but we do it. Okay so this is our young man of the
moment. What are we gonna do? Well part of what I like to do is identify any areas
where I can get a big win and I think right here in his jawline where his lost
volume would make a huge improvement. can you see how this area is quite shadowed
here so if we can fill that up and make the jawline look a bit straighter that
would go a long way to making the face appear more masculine. Currently if I
just drop a very squiggly wiggly line down to the chin you can see that the
middle part of the chin is actually in line with in between the eyes and
ideally you would want it to be a tiny bit wider on a man so remember going
back to that old chestnut your Phi ratio. Which will mean that the chin is
probably about here. I think we could also do with a little bit of crisping up
of the jawline here I'm just going to show you a quick picture of him from the
side because you can't really see it from the front but he's really
flat in this area so you see next to the nose right here
that's quite dished back so to get a good result we'll need to bring all that
forwards. Okay so let's talk about these crazy sixteen mills that we're putting
in, starting off with the classics we're gonna do the Botox first so forehead
frown lines no solace that's this bit here it stops the bunny lines got that
out of the way now so moving on cheek filler. First of all we're doing the arch
which is the cheekbone second of all we're doing the beautification point
which is the highest point of the cheekbone kind of this area here and
then because his mid face is quite smushed in as you saw from the side view
we're gonna be injecting right here at the base of the nose to really bring
that forwards and we're gonna do that a couple of times. So I'm initially going
deep, which is directly on top of the bone here then I'm going to inject
directly into the nose to mouth line afterwards and dingdong that's it four
Mills gone. So as you can see after four mills not a huge change.
Remember these after pictures are taken on the same day, meaning that he is going
to have some swelling there this is not how it's going to look when all that
swelling has gone down. It does give you an idea of what you can do with just
four mils of filler. Next up we've got the temple. This is gonna kind of raise
his eyebrows slightly. We've got more in the front part of the cheek, remember his
maxilla is very pushed back I'm switching now to use a cannula and we're
taking that cannula almost up to the tear trough but not quite and now I'm
swapping hyaluronic acid for Radiesse which is calcium hydroxyapatite we're
now doing the marionette zone where there's that significant
amount of shadowing. And bammy wham, that's now 8 mils. You see he's starting to get
a little bit swollen and remember guys this is totally normal whenever you do a
filler that area does get swollen it's just a normal regular thing there's
nothing you can do about it you're just gonna go with it moving on because the
lower part of the face where he lost volume in the chin was one of the bigger
issues I'm gonna go back in there but with a different entry point it's really
important when doing this treatment not to add volume where he's already too
full. So you can see very clearly in the before picture that there's a bit of a
hollow there, and then above that there's quite a lot of fullness so if we inject
into the area where it's full it's gonna make it look worse. It really has to stay
localized, just where there's the depression that's all been done with
radius there and also using red yes we're gonna go over and do the angle of
the jewel. The Vic is at the door, it's twelve mils. So what you guys can see
now he's just getting basically like ridiculously swollen and you do see that
when you use Radiesse you get a lot more swelling when you use radius in
comparison with a lot of other products that's just how it is. So it's kind of
hard for you to appreciate the difference but you just gotta have a bit
of faith here we're gonna go back and treat the front part of the cheek again
the reason for this is this was this was the part that needed the most attention
originally. So we treated it then we treated other parts of the face like the
chin and the angle of the jaw and then that now means that the middle part of
the face doesn't look as good so we have to go back and retreat it. Treating the
base of the nose again, and I'm going around further underneath the nose right
here to bring that forward to moving around to doing the chin and let's just
see I've drawn a line so that you can see the width to try and make it
straight according to the five principles.
Put the kettle on love, it's 16 mils. We're gonna put even more in the chin area
that's this point here just to make it really really straight really really
masculine. Finishing off with some lip treatment. So we're doing the Vermilion
border and the upper middle tubercle using the ESL pen then we've swapped to
the lower lip middle part of the Vermillion with a 32 gauge needle. I've
done this last because you really have to do everything else before you can do
the lip the lip of sort of like you know that I see on the cake you can't really
do the lip on him without doing the other things first otherwise it will
just look really really done. Shiver my timbers, we used a total of 18 mils. It's
two more mils and I said at start of the video okay so let's take a look. I know
what you guys were thinking, oh my god he looks so puffy so swollen how on earth
is gonna come back from this. Well yeah I mean of course it looks puffy and
swollen he's just had like 18 mils of filler
put in his face. Well this is how he looked a few weeks later so pretty good
I think let's go over it you can see that his
cheekbone now pretty pretty cut look at that bad boy
we've also managed to turn this area of loss of volume flat and lengthen and
widen his chin just puts everything else kinda more in proportion the angle of
the jaw looks a bit more cut you can see the whole length of the jaw appear
straighter the lip is more symmetrical with a little bit more definition in the
lower middle third and the two glyco Klein points now go Klein point is
that bit right there I know what you're thinking that's all well and good Sarah
but what about him smiling I got you so kind of interesting so when we look at
him smiling you can see you can see his lower teeth here right but you can't see
them there it and that's a result of adding all this product in the chin
because it's kind of pushed the lower lip up now as you get older you can see
more and more of the lower teeth and it's actually an aging feature to be
able to visualize the lower teeth on a smile
therefore cutting that out and reducing lower tooth show is actually a positive
thing you see that dimple in the middle of the chin there we got it
and we've also managed to improve these tiny little forehead lines as well it's
kind of an aside really funny you know everybody always comes in asking for
Botox but when we do these videos I almost don't even mention it even though
I usually do it for most patients because in comparison with everything
else it's kind of not that impressive okay guys that's it for this week I hope
you enjoyed our young man's glow up and you agree that he looks hot to trot if
you've enjoyed today's video and you'd like to see more of the same don't
forget to subscribe to the channel and like the video if you feel like it I'll
see you next week!