hi guys welcome back to the channel it's another fab Friday and I've got another
fab patient for you so let's go straight over hi my name is Greta
so why don't you tell the guys at home a bit about what brings you in today so
I've been battling with acne for quite a while now and that has left me with a
substantial amount of scarring and I'm looking to improve them and why don't
you tell them which treatments is that you've tried before so three years ago I
tried the erbium laser any good and it did bring down my redness but I'm still
looking for improvement hopefully so have you ever tried any chemical peels
I've tried few but I've never really seen a substantial improvement from them
mm-hmm my skin mm-hmm so is it mainly that you're looking to
try to see whether or not injectables can give you an improvement in the
scarring yes I'm looking for improvement mm-hmm
when you came in before we also spoke a bit about lifting because sometimes if
the tissue here is like a little bit heavy it doesn't really help so if you
lift from here it can also sometimes stretch the skin out more yeah just for
the benefit of the audience at home you've never tried a sort of injectable
treatment before no never okay so this is the first time it's
anything that you're particularly concerned about with injectables maybe
about the procedure itself is it gonna be the painful aha everybody always asks
this this is a million dollar question so generally I don't use any topical
anesthetic for my treatments however if I know that I'm gonna be doing a
treatment such as this which is involving an awful lot of punctures to
the skin I generally advise a topical actually which is unheard of
I never do that so but yes for you definitely use topical when we spoke
about injecting the cheek area to give lift as well I was thinking as well we
could maybe just do like as much lifting as possible kind of here and here as
well do you have any objection to maybe putting a small amount in the tip of the
chin to just do it okay to stretch it out as much as possible because I think
that will help as well so in a break from previous tradition and by a
tradition I do mean the past four videos I'm gonna take the iPad because your
main concern was actually the skin texture and skin quality and you didn't
really come in for any kind of you know injectable treatment but I was thinking
that if we were to add volume in the cheek area here and also at the angle of
the jaw there that will have a lifting effect and I in my experience you know
it can sometimes make a difference to how the texture of the skin looks so
obviously we're going to do some very small injections directly into the scars
themselves and also using a bit of subcision as well with a cannula so
there could be a bit of bruising afterwards but that's normal but the
more that we can pull up and stretch the better and also worth doing I think is
the tip of the chin as well just to bring that down it's a bit of a point
and the horizontal chin crease so anything else you were kind of thinking
maybe even the temple we could do because that's just a little bit Hollow
and again it will just help to give a bit more lift here you're happy with
that okay it's just like do whatever you want so I don't think there are any
better words in the English language than that so let's go and do it
so first up some Juvederm Volite to the scarring on the cheeks and I've put
here one mil per side I've then gone back in with some pro fellow to do one
mil per side and with both of these products I am trying to cause some sort
precision with a needle basically breaking up that scar tissue as much as
I can now switching to tear cell ultra deep using a needle along the cheek bone
using one mil per side to get some lift going back in with ultra deep using a
cannula we're doing one mil per side this is overlaying the work previously
done with the needle because it does give you a slightly nicer curve in total
so far then we've done four mils of skin improving filler and four mils of
volumizing filler now using Juvederm Ultra for 0.5 mils
per side in the temples and then ultra for 0.5 mils per side in the cheek
switching to voluma with a cannula we're using the product in the marionette line
the chin crease and also down to the point of the chin really using the
product in a fan shape and we're gonna go for one mil per side this is gonna
take us to 8 mils in total of volumizing filler and 4 mils of skin improving
filler Juvederm Ultra for now to the point of the chin and ultra four again
with a cannula to the cheek this brings us to a total of 11 mils of filler for
volumising and for for skin improvement ok so here we are back again so how did
it go it went pretty good actually better than I expected I didn't really
know what to expect while going into this yeah and the experience was
actually really nice what was the best bit you think I think the best bit is
like that you actually get to see the progress mm-hmm because usually if I get
something done for my scarring the swelling just goes away and it's back to
what it used to be yeah and it's really good to actually like see a change okay
oh so for you that was like the best part of the treatment
cuz that's quite interesting because in terms of like how much we did in
different areas we did more sort of lift work and not a huge amount of stuff for
the scarring but for you that was the most important bit yes yeah that's
interesting so should she get any bruising yeah obviously I was expecting
that so I've got a lot of yellow which bruising on my cheeks so it was like
yellowish so it's like the color of your skin basically and I only have like one
little bruise underneath my lip just where the needle
basically and but it went away so quickly mm-hmm like in just in a few
days it wasn't did you get a lot of swelling as well here I was really
swollen yeah for like at least three days like really swollen but again it
went really quickly yeah like in five days I was good to go yeah yeah oh
that's good that's good we spoke off camera a little bit how I think there's
been a really nice improvement in the scarring so we did talk about maybe
doing it again at some point so I'm looking forward to doing that so we can
show you guys a bit more progress but I think it went really well um is there
anything like else that you would do or like this is still your main focus I
think I definitely like what's going on here the shape of my face I didn't
really think that it would suit me because I wasn't really thinking about
these kinds of changes yeah but when I got them I really do like them like it
changes so much and I really like what I'm seeing cool so yeah did anybody else
notice though is it too small for you yes people did notice that something I
did something but one person guess that I gained some weight that's not too bad
but yeah but I don't mind yeah like it's okay with me because it's not for you
for them anyway you're doing or for yourself yeah it's fine like I'm not I'm
not after like looking natural yeah yeah cool so I guess we'll see you
on the channel at some point in the near future okay guys so that's all we've got
time for this week I hope you really enjoyed the episode join me again back
here in two weeks time where I'll be bringing another patient in then I will
see you guys there and see you later