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hi I'm dr. Johnny today I'm gonna show
you injections of the high cheek
Sculptra where we do periosteal
injections with a flex technique to keep
it deep and to put enough dose to help
tighten the under eye but also you have
the secondary effect of thickening the
dermis so that the crow's feet
go away you need less neuromodulator but
also the high cheat is Beauty youth and
fertility so we're gonna do high cheek
injections high lateral cheek we did our
filler here sculpt her through here I'm
gonna tilt you to wait for me most
important thing here is to know where
the periosteum is where the bone is I'm
feeling that with my thumb come back as
much as possible I know already that I'm
gonna get on her hair so I cover it okay
sometimes you won't need to but for the
most part it's better this way this is
probably one of the trickier ones to
teach but if you come in and you just
almost come with a pair us and we're
there you flex and you slide down and
then you hope you don't get a clog but
sometimes you will and then by going
back and forth you can overcome that
plug and then you're injecting and it's
this is on the porosity as if I trying
tent nothing moves that's how you know
you're there by tenting and you you're
Fanning
but because of the deeper tissues and
again it's almost a vascular because of
the deeper tissues you don't mind that
because we're gonna massage that back
because back is where the frame of the
face is it's where we want the pull the
frame was here it's back here and it's
here no one should know that she's had
anything done and because of where we
put our injection openings even upon
leaving here there's one year from a
cannula from the front of the face other
than that no one will even know anything
was done there should be almost no blood
and when we massage that down within a
few hours it
perfect so here we're going to come in
and inject the other cheek my finger I
know where the periosteum where the bone
is remember the zygomatic bone gets
small with age you really by having a
finger around it you know where it is
not on your injection plane and as far
back as possible so just just to the
periosteum flex down okay and now when I
try and tilt it up you cannot see it's
deeper to the tissues and that's your
injection plane and that's why you're
seeing the lift that you're seeing from
the product and why it looks dramatic
and we're totally fine with that
again no blood should show it's pretty
much a vascular you shouldn't get any
bleeding because we're deeper a little
tiny pressure and that goes but this
after we hold here a little bit we will
massage it and the patient has homework
by five but we're reproducing the bone
and on the zygomatic its beauty its
youth and its fertility the high
zygomatic bone but look what it does it
holds the entire face up this is water
it's gonna come down it will be totally
gone in a week or two and it'll build
collagen around it on the periosteal
'evil because bone is ultimately one of
the major factors it's aging people the
changes in bone the orbital bossing and
rim the lateral orbital hollow the loss
here and the framework of the face that
were reproducing and that's what's gonna
lead the most natural beautiful work so
thanks for joining me for the sculptor
high cheek treatment join us on this
channel subscribe also pop over to our
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before-and-afters and to keep your skin
and body beautiful healthy and vibrant
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