is there something you're obsessed over
well you might be but your doctor may
not
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I'm dr. Johnny and today I'm talking
about five obsessions and five
treatments what is this all about a lot
of times patients will come in and
they'll be looking at things that maybe
their provider
Injection astiz not concerned about but
they're listening to the patient to take
a history and there's five things that
initially came to my mind comment below
maybe there's something you're obsessing
about what's most important is not
looking at one thing but globally the
whole picture people come in and they'll
say I want to look younger and I want to
look natural that's the most common
thing people come in asking however
they'll point to one area let's go
through the five most common and what to
do about them number one is a specific
line or fold like a smile line people
will come in and say I just hate that
smile line number two would be the RBF
or the downturn of the mouth and even if
it's tiny or minimal people hate it and
when you make it better you can make it
fifty seventy eighty percent better
they'll still only see the 20% that
remains third is the necklace lines
people obsess about the lines that go
horizontally along the neck region
fourth brown spots or sun spots people
initially come in and say hey I got some
freckles I love them don't get rid of
them through my hallmark five ten years
later fast forward they come in oh my
gosh I hate my freckles I got brown
spots what am I gonna do about them or
they'll have one one spot that they want
removed yet they're not seeing the other
1,000 the fifth would be the under-eye
it might be a minimal area of the under
eye like when they smile there's a
little extra fat or there's a single
line I'm not talking about mid-face
volume loss or deep tear trough or lid
cheek Junction but one little line under
the eye that's not
when they smile let's go to what do you
do about those so a specific line or
fold and we'll deal with the smile line
that's a common one if you look at
younger people and they smile they often
have that fold so it's not necessarily
an aging feature but in certain cases if
they're gone to hollow people have lost
weight or they're thin and active then
it's the volume loss from the area in
front of the ear or the preauricular
area and it's important to address not
that one line or fold but the whole face
globally PDO threads plasma sculpt all
those things can be used people think of
dermal fillers and while you can put a
little dermal filler in there it's
really not the number one go-to
treatment because it takes a lot of
filler there's no bone there to brace it
and it doesn't last that long because
it's a movement area so that's a full
conversation we're addressing the whole
face but particularly the jaw line in
front of the ear is important yet it's
only one line they're coming in for it
really isn't the RBF or downturn in the
mouth this has to be number one even
though we're talking about it
second in place because young and the
old all come in asking for it and they
think well it's just a little liner fold
here that little liner fold is from some
fat hypertrophy bone loss hyper dynamics
of the muscle loss of volume in the face
and ptosis to the fact it's so complex
that downturn in the mouth also loss of
lip volume to address it is globally
addressing the whole face and you can
imagine it's not just the one line or
fold but when people look at you they're
looking at the whole shape of the face
square versus triangular and the areas
of volume loss so to treat that area we
do all the aforementioned we do
neuromodulators like botox Dysport
XEOMIN we do a little bit of filling we
do plasma sculpt and plasma glow and PDL
threads all combine for most people
depending on their age and stage the
necklace lines now what we're talking
about here is the horizontal lines so
I'm not talking about crepey skin or
platysma banding but the horizontal
lines particularly to me are never
really an aging feature and you see them
in the youth a little bit of fat in the
neck is a good thing because if you
don't get the loose skin or the laxity
is early and of course too much fat we
get rid of as well but the horizontal
lines simply don't obsess over them
filling them doing plasma clone
different treatments it really doesn't
provide the result that the patient's
looking for so there's no good solution
but really it usually doesn't age people
stop obsessing sunspots it's very
interesting in the market because if you
talk to the representatives of lasers
companies say over the years and they
stopped doing lasers for brown spots
there's a sense of relief the brown spot
market is very difficult because people
look at one or two spots and they have
one or two thousand and it's
specifically one spot that they just
want gone away because it's ageing them
it's the overall glow so it's the
projection of light its pore size its
texture its tone it's all of those
things together definitely stop
obsessing over the one there's usually
multiple spots treating the whole face
and here's the key treating it many
times so with the treatment like this
there's a lot of sun damage you take
someone in their 40s or 50s it's a
minimum of four to six treatments to get
them back to baseline and reduce all of
those spots so many spots are deeper
that you can't see with the visible eye
but from a distance it affects light
reflection and light reflection is youth
people who have light reflection youth
versus those who don't at an older age
make a big difference in looking younger
so stop obsessing about the one and
treat the whole face the under eye
probably the most difficult area for
many to address it's multifactorial it's
bone bone loss rotation of the bone it's
back
pads ligaments so many things go into it
laxity skin collagen there's the double
bubble or often the malar pad and then
the palpebral pad that people don't like
but it's the single line that I want to
talk about the people believe when they
smile and there's a line that forms they
can just / separate on that and that's
really not an aging feature and if you
lift your cheek up and you don't move
anything else you can form that line so
the only way to really stop it
is stop the cheek from lifting up and
that would be a paralysis of the cheek
and nobody wants that it can easily be
done with neuromodulators but it's
definitely not a good look if you do
skin tightening if you try and fill it
it will look funky it will not look
right same with the fat pad on the lower
lid although for the youth it's actually
becoming a sign of beauty they don't
mind it but older people tend to come in
if they've had it for years and they'd
like it a dress so it doesn't create an
aging feature the hollow the tear trough
or the mid face loss that's a different
story that does create aging it does
create an aged look and it can be
treated now the micro cannula technique
and platelet-rich fibrin but that single
line or the fat pad on the eyelid just
let it go it's not what's creating age
so there's five obsessions and five
treatments to take away is think
globally about addressing the whole face
and that usually takes care of the
problem when people look at you and
determine if you're looking aged tired
not right they're looking globally
they're not looking at any one thing
usually and so that's one reason why we
address the whole base but the other is
it creates the natural look that people
are looking for if you spot treat one of
those things often it doesn't make
anyone think you're younger or look
healthier it might help your eye a
little bit chances are people want it
fully gone and it's often not even
possible so thanks for joining me for
this video join me further YouTube
also on Instagram to keep your skin and
body beautiful healthy vibrant
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