hi I'm Dr. Mitch Chasin cosmetic physician here at reflections and today we're going to be talking
about the forehead and namely new treatments for the forehead if you liked this video please
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see valuable links to different resources in the field of cosmetic medicine thanks for joining us
so lines and wrinkles especially when they're deep in our forehead can make us look older or tired or
even stressed when liens were mild Botox Dysport great treatment unfortunately when patients
present with deeper lines or wrinkles Botox or Dysport is not really the treatment anymore and
if we are using it we're using it in very small quantities because what are we doing with these
agents we're actually slowing down the muscles that cause those lines and wrinkles but those
muscles are also responsible for elevating our brows so if we start using too much of it things
start to fall eyebrows become lower lids become heavier and that's counterproductive that's making
us look even more sleepy so a few years ago we started to use dermal fillers and dermal fillers
are able to create support for the skin so not only would they improve the lines and wrinkles
and contour in this area they would also elevate the brow and make us look more rested so today in
cosmetic practice when we evaluate a patient for lines and wrinkles in the forehead the combination
of dermal fillers and agents that gently slow down the muscles are usually the treatment of
choice the key to treating the forehead is early intervention if we use small amounts of Botox and
Dysport early on in life when the lines are mild one gets great results and it prevents the signs
of aging namely deeper lines and wrinkles once someone presents with deeper lines and wrinkles
the use of too much Botox is a bad thing and it's something we would rather use some dermal
filler and small amounts of Botox or Dysport it looks pretty easy to take Botox and Dysport and
inject it into the forehead but it takes years of experience to understand who is a good candidate
who's a bad candidate and what it's going to look like afterwards injecting the forehead
with dermal filler is a wonderful treatment and something that yields great patient satisfaction
but it is not a treatment for novices we don't want someone taking a weekend course and then
pretending they know how to do that dermal filler has to be injected in the right plane the right
depth of tissue with the right agent and in the right way and unfortunately the risk of doing
it improperly are not just bad cosmetic outcomes there are actually dangerous so please please if
someone is having dermal filler injections make sure you're seeking care from an experienced
physician someone that's been injecting these agents for years and years one of the things
that makes the treatment of the forehead with dermal fillers more comfortable safer
and actually something that shouldn't require any downtime are the use of cannulas cannulas are not
needles they don't have any points they're thin flexible little instruments that we feed under
the skin to do the injection all four attentions of dermal fillers should use a cannula and it's
something that takes years of experience to master so when we evaluate a patient that has deep lines
in the forehead we're also looking for signs of loss of volume or fat because that guides
us in how we treat and like all of the areas of the face we're not just looking at the area
we treat we're looking at the areas next door but we can take a forehead and make it look wonderful
but if the area next to it namely the temples are hollow it just won't look right it won't
look natural so sometimes we have to treat the area next to the area of concern to achieve the
best result so very often again the treatment for forehead lines and contour changes is not
Botox that just slows the muscle down but dermal fillers that creates support for underneath so if
you're concerned about Far headlines remember it is not a one-size-fits-all kind of treatment we
see patients for complimentary consultation and examine a patient we look at their anatomy we
look at their patterns of repetitive motion and what their mannerism is like and most
importantly we ask what bugs them and we come up with a plan of action that's gonna make you
happy that's gonna make him look more youthful and rested but still make it look like yourself