[Music]
hi I'm dr. Johnny today I'm talking
about the Butt Lift video we did a few
months ago using the PDL threads and we
had a lot of questions it was a fast
video to music and a lot of people asked
whether I could slow down and explain
exactly what we did in the procedure we
did this with just threads we did three
per side I'll show you the procedure
explain it in more detail however a lot
of patients we address a couple things
one we do PTO thread but we also then do
sculptor in the high buttock region to
create some lift and also use it for
cellulite reduction along with the
thread so most people get that
combination they like to address both at
one time because you can get a little
bit of bruising so there's a little bit
of body downtime in that respect so I'll
explain that video to you in more detail
if you have further questions you can
certainly ask us below the video here
let's go watch it now okay here so we're
marking the patient out and I think this
is really useful sometimes you can use a
diagonal vector either right to left or
left right depending on what you're
trying to achieve where you're trying to
lift here I'm using some lidocaine with
epi now we're using an 18 gauge needle
to put these in place we now have new
four-inch 19 gauge verbs which work
amazing here we're using the 21 gauge
three and a half inch verb that we had
initially and so we still use an 18
gauge hole for both of them but I think
a little I know that B is nice here you
can see the blanching there the most
important thing here this is a one-way
street you don't pull back on the
cannula or you'll engage the thread
early keep the same plane all the way
through it's just key you can see
there's slight little bit of puckering
there that means I'm just below the
dermis into the fat layer but not too
deep or you won't get pull this is key
you really have to push up to engage the
end of the thread and then we did a
little twist and pulled it out these are
key little things that are maybe it
can't see necessarily
the video but that's why we do the
trainings because without those key
little efforts at the end you won't get
the same type of results now the threads
are hanging out the new 9 th 4 inch
there's not a lot of thread at the end
so you have to be mindful but here we're
snipping the end of the sutures now you
can see I'm pushing down with the
scissors but you don't of course want to
pierce the skin and then it buries the
suture will massage it in but this is a
key little point as well because you
want to bury the suture when you let go
and so the sutures will now be gone we
do a slight little massage sideways too
upward to make sure they're buried and
then I just wanted to show you real
quickly a little video from sculptor in
the buttock area everyone was going to
ask so I put this in this is a different
patient of course but I wanted to show
what we're doing with sculptor and in
this case we're adding it to the upper
pole which is very common we use quite a
bit of fluid quite a bit of sculptor of
course so you wanting the larger syringe
and you're just creating a nice
projection
you
so that's a little bit more on exactly
how we do the procedure combination
procedures always work best and
different people do different amounts of
volume and numbers of threads get
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