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my life
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what's going on
oh look who's here my favorite two
patients three patients who's this guy
this is Nate's brothers - what's up Zack
how are you oh he's here from wall
support yeah you may drive us home we'll
see you know Colin how can I help you
guys Pepsi today mates go first
okay tell us what's up over here
sweating like crazy okay why is that no
no no no it's got to be the genes or
something because it's been going on for
a long time oh yeah no I mean I can sit
down on the couch and syrup sweatin okay
mostly in the axle on the armpit
mostly a you know get a few comments
here and there randomly okay saying I
stink from you know okay make it shower
in her like vacuum a square on the
living room and anyway yeah it's
ridiculous
yeah and especially with summer
approaching it's gonna be hot to jump
we're not shaking anymore now it's gonna
be a hundred degrees we're about lesson
problems yeah fair enough
um the conditions called hyperhidrosis
it's exceedingly common hyper meaning
above and hydrosis being just sweat so
you haven't paid you know above normal
amount of sweat it's not pathological
it's not dangerous if it doesn't bother
you it doesn't bother me but it sounds
like it bothers you
a little bit yes so there's a couple
options I always tell people the
simplest option is often the best choice
in this case what I recommend and it
might sound crazy to you is we inject a
little bit of neuromodulator in there a
little bit of Botox and about armpits it
sounds crazy it sounds a little crazy
and I was like I was
what happens is sweat is secreted by
muscle and little tiny microscopic
muscles push the sweat out so by
temporarily paralyzing those muscles you
don't sweat and when you don't sweat you
don't smell so you with anything it's
pretty remarkable but with a few
injections in each armpit takes about a
week to kick in you'll have 95 to 100
percent of your sweating eliminated for
about a year now the only thing is it's
it's a weird procedure I can I can
imagine yeah how does that work so what
we need to do is shave your armpits then
we have to put on an iodine color okay
we dab on cornstarch and then you need
to sweat so however we need to come up
with a way a means by which we can get
you to sweat I said okay we are going to
notice a dark visualization at a navy
blue color where the sweat interacts
with the iodine in the cornstarch and
they'll be able to see exactly where
your eccrine glands are we sweat going
and then we're going to check right into
them
Wow interesting so are you down for that
I'm down let's do this let's do it what
do you guys have a baby
we just haven't worked dog his name is
daddy does everybody like daddy or like
we're the best oh then we wanted to
remove the hair just so we can really
visualize the area that we're gonna
treat it has a little bit of irritation
here it's probably nothing more than
mechanical and what we're gonna do is
we're going to clean this area really
well with alcohol we're gonna cover it
with iodine and then cornstarch and then
we're gonna make an extra 12 years of
formal training I'm an associate
clinical professor of dermatology at two
different medical schools I'm on the
editorial advisory board to
peer-reviewed journals and right now
shaving Nate's armpit this is nothing
more than just iodine okay what the
iodine is dry we paint the cornstarch
over the iodine and we're gonna be able
to see we're gonna go visualize it these
things turn me on if I'm gonna be a blue
or purple almost wherever you started to
sweat and you could see it oh wow
look at that I mean oh this site works
perfectly we have to do this side again
or actually doesn't start sweating so we
just needed to sweat now great all right
so Nate what do we have me do jumping
jacks you want to run on the street yeah
but I gotta hold my arms up crazy
right jack and once I get in there okay
great why don't you say goodbye to those
nasty armpits cuz we're getting ready to
thank you God
we have a beautiful visualization of
where those eccrine glands are I'm ready
to inject I just need to clean this
demarcate where the needles need to go
series of little pinches and then you'll
be done
quarters done for me I think I'm good oh
okay here we go so this is right where
we wanna be and then this is a little
great I'm going to use the grid helps me
space with the injection sites we're
just cleaning up the area removing some
of that start of some of that iodine so
that we have a clean slate to inject
into we shaved the area cleaned it with
iodine use the cornstarch to visualize
where your eccrine sweat glands are and
that's time to inject so we never
permission I'll get started as ready as
I'm ever gonna be
yeah you're not gonna pinch sorry sir a
couple more little pinches okay slow
infusion nice and comfortable mm-hmm
there's really three groups of people
that request this procedure one is
people who have to work in hot climates
with in nice clothes so as an example I
have a lot of people who come to see
Palm Springs who are real estate agents
they're going to be showing houses and
it's hot as can be and they don't want
to sweat in front of their clients the
other one which is very timely because
the Oscars just occurred you have a lot
of actresses who wear strapless gowns
and they don't want to show their
armpits with do you ever know and the
third category is people like you who
just want courtesan bits one side headed
that feel not too bad at all not
terribly I the initial pinch and then
doesn't feel like there's anything in my
armpit or doesn't feel like even
anything went in it's like now when you
can relax I'm pretty much done to work
you did I'm gonna clean it up in a
second let's do this side of here
without ya
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Nate I'm done torturing me I just want
to clean you up a little bit and then
you're gonna be on your merry way yeah
yeah yeah neuromodulators take a couple
days to kick in so about four days from
now you're gonna wake up and you're
gonna go through your normal routine
you're gonna brush your teeth you're
gonna go okay it's time for me to put on
Tia oh I don't need to put on your
really it's like three or four days from
now you're gonna know so you don't need
it anymore nice can't wait you're gonna
really it's the weirdest thing
it is so weird Nate I'm done torturing
you your armpits look absolutely
gorgeous what questions do you have for
me I think I'm great you keep them
looking beautiful and you know don't be
afraid to go out maybe Venice Beach this
summer just flex those yeah that's it
nice to see my caddy tune in jump here
what's happening Phillips alright so
it's been about a year since the last
time so I feel like I was losing a
little bit of volume I just want that
extra little drama for 2017 but so let's
let's go I like to be anatomically
correct yeah and go area by area let's
take a look together your nasal columns
and your filter oh they're beautiful and
they make excellent and they frame a
nice Cupid's bow right here yeah
Vermilion border is really nice we can
always shop in that ever-so-slightly on
both side
but it looks really good okay you're a
little flat in the front here so we
always could consider building a little
tubercle but they look really voluminous
and yeah and what's really important is
the lower lip needs to always have a
higher volume than the upper lip the
ratio should be about one to two or more
specifically if you really want to get
granular one to 1.618 okay and your
volumes great there you have a nice
little subtle concavity where your
typical fits in all things considered it
look really good
I mean you want to make sure that I see
what you see right if you want to go oh
look you want to remain quarters
together yeah I think I'm gonna wipe
this off a little over drop today and
then we'll see the real truth you're a
little flat up front but not bad at all
volume down below again look straight is
it the Vermilion bird here you want just
a little sharper a little bit yeah and
then maybe a little in here okay so this
is the belly of the lip yeah and you're
pretty voluminous there but we certainly
could put a little bit okay cool what
questions you have I think of some
little down here I know my I like the
bottom lip I think it looks great I
think it's a little weird you see it's a
pretty juicy already but let's put a
little bit and we'll stop it all you
take a lot okay cool I need to get you
hummed up because ya know it's a bowl so
we're gonna put on the lemon cream okay
I'm gonna leave it for about 30 minutes
okay wipe it off and that's gonna take
away 50% of the pain thank God perfect
and this is the final result no so we're
gonna leave this honor for what like
wearing at less than 30 minutes is just
simply not gonna work and as you know
lip augmentation is uncomfortable so
it's up to you I'd recommend the 30
minute to the minimal okay perfect
you've been wearing the numbing cream
for about 30 minutes let's go ahead and
wipe it off okay start it perfect I'm
feeling down
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Wow they look amazing I'm so glad we did
it I've seen a little extra something
for the new year but they look amazing
I'm so glad to hear you say that it's
always great seeing my favorite patient
yeah and when you with jeffree star
cosmetics when you buy that island which
is probably six eight months away yeah
please come visit you're gonna have your
own and your own house on the island but
what are you to do that you wait to see
else easier
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