Yeah.
Hi, I'm Dr.
Rajani, are you noticing smile lines, lines next to the folds?
When you smile, it just kind of crinkles up in the patient.
I'm going to show you being treated today.
The lines are even etched in.
It's not a young patient.
A lot of people want to see more mature skin, and that's what this is.
It applies to all genres of patients and I'll watch the procedure with you.
It'll narrate through it.
So you know what I'm thinking as I do it, but smile, lines, trouble.
People from nasal labial to smile lines, they have to be done very naturally
because fat, if you want to think of it, simplistically, a lot of people say it.
The face falls.
We have too much fat here.
We want to tighten it, but if you add fillers, you're going to look full here.
You're not going to have shapely high cheeks.
You want a little bit of hollow, and it's why people often get buccal fat removal.
You hear about it with all the stars today.
It's a patient.
I did plasma sculpt.
So you're going to see.
Face rejuvenation in the before and after that I show, but I wanted to fine tune it.
I wasn't fully happy with it and I wanted to fine tune and add those PDO threads.
It'll show you PDL, poly dioxin, own smooth and twists threads
are under utilized every week.
The cogging lifting threads and while they work well, a lot of times you've
got to use them in combinations with other procedures to get that perfect
look, because remember, every time we're injecting, we should move
towards beauty, not away from it.
That's why I often talk about beauty angles, proportions, and
dimensions, and you can study.
I want to take you through and show you the video.
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I'll bring you more information.
My goal is to educate you so to save you time and specifically money.
So you don't go down the wrong road for what you want to do in this patient.
You're also going to.
I didn't resurface her yet.
So there's brown spots.
There's a little bit better glow for sure, because she had the Plaza sculpt
in the after picture, but there's always the next level aesthetics doesn't end.
It's a continuum.
We would love to be doing more and more procedures to get everything perfect.
So you'll notice that in this real world situation, click the like button.
We'll go watch the injections right now in my clinic.
So here you can see cleansing.
Oh, so important threads should be fresh.
All threads will crumble.
They won't produce collagen.
This is PDL poly dioxin note.
I go through in my videos, other ones such as PCL and POA.
Watch my videos.
If you want to see the difference now I'll show you the before and after
at the end, but her skin is much improved, but as we close up here,
you'll see lines that are etched in.
I don't want to add more plasma scope because she's going to get volume.
I don't want to volume.
I don't want size.
I want collagen.
These are smooth.
They're 2.5 minutes, but I need to be at the exact right level,
too deep, and you're not going to get fibroblasts formation.
You're going to be in the fat layer.
Uh, cog or lifting threads are at a totally different layer.
And here you can see I'm putting them in and you can put multiple in, I don't
need a mega thread session of 50 threads for her, her sculptures in there.
It's going to be working great.
And you can see I'm going to lift the corner of the mouth just by college.
In a vector and we can show this on 3d camera images.
I'll show you the quantified care views at some point.
Uh, so you can see them 3d.
I can now show vectors with that new technology.
So I'm embracing it and then I will cross it.
They go in, I use very little anesthetic and you can see there is no blood.
That's sure luck.
There could be veins there and you don't want to go through Bain specifically.
This is in the region where the facial artery comes up in front of the
masseter and I'm looking and putting threads in, as I think is needed.
Now I'm crossing them to form that mesh.
So this is a twist thread.
I'm going to have more volume.
I know that just by looking at the white, rubber stopper there,
if you do a lot of threads, you.
I know a lot of you watch skincare channels people.
I don't even know if they do actual procedures to patients.
You need to treat hundreds of patients before you know, what
the outcomes are going to be.
And before you run into complications that you should be advising people at.
I have an AMI it, a virtual training center for those who
are interested and want to learn.
But the depth of these threads will determine with if they work.
So people say the threads didn't work for me.
What kind of threads were they fresh?
Was the depth correct?
And it would be very wrong to add filler here or to use Kybella.
Here I go directly into the line to create a little bit of volume.
Thus, I chose.
Thread, you have to fully bury it or there'll be thread hanging out a common
complication on my Instagram channel.
Everyone asks me about, I got little pimple where the thread went in.
That's from not bearing the thread.
Now I want to get her to smile.
She's not going to sit and have dinner, hang out with her
friends static with her face.
She's going to be smiling talking articulating.
You have to look at it in that sense.
And when I show you the before and after I'll go through some of
what was done, but that is going to give the lifting in the car.
I would love to resurface her skin.
And that's what you're thinking right now, too.
And you can see in the before and after we made a nice difference with
some threads, with some plasma sculp.
And if we look at the before and after I'll point you to the eye
region, it's a little more open.
We kept the brows.
Bit of a spot, but it, she was happy with it, but the eyes were more open as we age.
Certainly an endoscopic brow lift might be something to consider for sure.
Surgery and facelifts are always in play after the age of 50.
If we look at her picture under eye plasma, eyes was done and we got
a nice result, vertical lip lines.
We added some plasma.
So we put a PRF, my plasma lip procedure.
It makes the existing lip more red.
It gives a little more or volume.
She already actually had a real nice looking jawline.
We just kind of fine tuned it, but the nasal folds and the smile.
Her face is a little compact by doing what we did in a natural way.
We lifted the base, gave her some cheat.
The next stage for her, certainly a little bit of temple volume.
Um, the distance from the lip to the nose is pretty good, but if we lengthened the
chin, we can improve that and she can take a little more distance from the line.
To the tip of the chin and that will improve that triangular look.
Uh, the other thing of course, resurfacing would be wonderful, but
not everyone has the downtime for things like CO2 laser an IPL would be
a great choice, not as much downtime.
And I liked VFR.
Uh, I had did a whole video, no filler, no boat.
No problem.
We can build collagen and a VFR would be great to start minimal downtime.
It's fractioning and radio-frequency radio-frequency doesn't see color
in the new generation machines will do multiple treatments.
So there's much more one can do, but an overall rejuvenation with some threads and
plasma sculpt is, was in the cards for.
I'm happy that you joined me for this video, click the
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