- Monica is a young and beautiful girl.
She's come to see us for
some cheek enhancement and possibly some lip enhancement.
- Definitely after just
a natural enhancement of my face.
Something that people would
look at me and say,
wow you look great today,
you look really happy,
like you look awake
and really fresh,
but they wouldn't necessarily say,
gee, have you had something done?
I think I'd definitely be more face forward.
Definitely wanna get in photos with my friends more
which I tend to stay out of
especially selfies because
I just don't think that the angles
of photographing are right right now
(laughs)
and at the moment
that's just what people do,
they take photos.
- With Facebook and
Instagram, social media
there's been more of a pressure for people to look good
because they're posting
pictures of their lives everyday
and they constantly get scrutiny
of their friends and family.
We're all judged in our appearance
whether you like it or not.
It's something that happens
and if some of these treatments make you feel good
because you feel more confident,
you like the way you look in a photo better
without having to adjust it
then I see it as a very positive thing.
- So last year I entered a modeling competition
for Maxim magazine
and I was selected to be in
the Maxim calendar for 2016.
Of course having your face printed
on a calendar that you can buy in news agencies
you pick, you pick at every little detail
that's on your face
and I mean it's a great photo but
I pick like I could have had
my lips could have been better,
my cheek bones could have been better,
there's ways that I could have enhanced my appearance
that would have made me more happy
with the outcome of the photo.
- Alright, we've had a chat with Monica
and now it's time to start treatment.
So the first step will be to actually give her
a bit of a formal assessment of her face.
Overall she's quite slim.
If we look at her area of concern first
even though she's young
she could have a little bit of volume
through the cheek here.
See there's a little bit of a eye hollow there
and you can see that improves the under eye hollows.
So what I'll do with the filler
is actually put some filler right in that spot just there
to make that support the under eye area.
If we follow across the cheek
up into the temple
you notice that the temple is a little bit hollow
so if we just fill the cheek without filling the temple
then we'll actually notice that more.
Moving further up again
we have to be consistent once again with the forehead.
So I'm gonna have you turn a little bit to the side there.
There's a little bit of a concavity
just in her forehead which we'll fill
with a very soft filler there.
So this will give her an even more youthful convex forehead.
Okay.
So a lot of it is about proportions,
as well as support,
as well as transitions.
So transitioning one area to the next.
If we look at Monica for a second
this part of her cheek is a little bit
more hollow than this side
and she did express to me that there was some differences
in her jaw structure or teeth structure
on both sides.
The lips probably could have more volume
to balance in with the rest of her face.
The lower lip does protrude a little bit more
than the upper lip.
We could make the upper lip a little bit bigger
to protrude a bit more
and she's got nice
philtrums although we could possibly
enhance those a bit more as well.
So philtrums are the columns which go down
from the nose to the lip.
So in someone with a shortish sort of upper lip
we can enhance those philtrums
to make it more three dimensional.
Other things, if we look at her jaw line
she's got actually an excellent jaw line,
no jowls,
which is excellent.
Straight, defined jaw line,
minimal fat underneath the chin
and a very nice profile actually,
so her profile's quite balanced.
Part of the cheek enhancement will be
actually determining
where to place the filler.
There are a few rules that I follow
to help guide where I place filler.
We'll mark out exactly where the eye bags are
or the tear troughs.
Now we also mark
the top part of the cheek here.
So above this temple
and below her cheek.
So the general shape
will be like
a reverse Nike sign.
So we don't wanna enhance cheeks around here
unless there's a particular reason to.
In most people you wanna keep the cheeks high
and that give you a lifted appearance.
The way we determine what the highlight point is,
which is the point when a flash or a light hits the cheek,
we mark a point just above the
middle part of the ear
to this part of the nose there
and then we feel for a certain
bony prominence on the edge of the eye there
and we go straight down there.
So that's approximately the highlight point.
We can use these golden calipers
to help confirm that this intersection
between these two lines drawn
are actually the highlight point
and we just measure just between the eyes
and then we use the reverse side,
which is 1.618 times the distance between the eyes
and we go from the inner eye
to that point
and you can see it's exactly that distance there.
So that's like a double confirmation
of this point being the highlight point.
So the golden ratio is found in all things beauty,
Leonardo da Vinci used it to help do his artwork,
you see it in nature.
It helps us as a guide,
it's a guide for us to basically assess the face
and help us with certain markings
and working out where to place filler.
So this is a guide and very useful tool
for cosmetic doctors.
Because we're gonna do the upper lip and the cheek
I might just give it a little bit of numbing in that area.
So a little nerve block just to anesthetize that area,
make it a little bit more comfortable,
that should last about an hour.
(techno music)
We're using here micro-cannula.
The tip is rounded so it actually passes its way
through the tissues
and it avoids puncturing things like veins or arteries so
it has an advantage in that
it finds its way through without you know, damaging things
and causing the swelling and bruising.
The other advantage is it's a bit longer
than the conventional needles
so I can get through to all the areas I need to
with fewer injections.
I'll start with enhancing her lips.
So the first thing I'll just put a bit of an entry point in.
Now I'm gonna use cannula for the lips
which is as I explained
a rounded tip needle
and that will find its way through the lip
without causing too much trauma.
The advantage that especially for lips
is that the swelling reduction is huge
as well as it reduces bruising.
It doesn't eliminate it all together
but at least you've got a reduction
and in comparison to using a short needle
it's much, much better.
Okay, so I put a bit in the right side.
You can see it's already slightly
fuller than the other side.
So I'm putting little threads in
enhancing the red or the vermilion of the lip
as well as the border.
So this is the philtral columns.
Now they're sort of an A shape
so we gotta fill them along their natural line.
I'm using a needle for this part
to give that real nice Angelina Jolie effect there.
I'm gonna enhance the cheeks now with the filler.
So I'll make a little entry point
for the cannula to pass through
and through that I should be able to
access both the middle and outer side of the cheeks.
Gonna put a nice highlight right here.
That's the beautification part of this procedure.
For the cheeks we're gonna use a cannula again
and also we're gonna use a fairly thicker product
than the lips
which lifts a bit more
but at the same time this product is quite nice
in that it blends in really nicely
with the rest of the cheek.
So I'm fairly deep into the cheek there
to actually make sure it blends in really nicely.
If you go in too close to the surface
sometimes you see some lumps or irregularities.
Doing the other cheek now
and it's important to realize that most cheeks
are asymmetrical.
So it's very unusual to put exactly the same on both sides.
What we do is assess while we're doing it
and it's actually okay to have some
asymmetry with the cheek.
That doesn't necessarily equate to a lack of beauty
in fact sometimes having a mild degree of asymmetry
is actually appealing.
There was a study done where they actually
photoshopped models faces
and they took two left sides,
they stuck two left sides together
and they stuck two right sides together
and they surveyed a lot of people.
Most people preferred the natural combination
rather than two perfectly symmetrical sides.
So we're just gonna
check out the veins in the temple area
before we proceed to inject
and that's good to ensure that
we don't hit any veins and cause any bruising.
I'm just gonna put a tiny bit of
local anesthetic in the skin firstly
and then we can proceed.
This will sting a little.
Then we can proceed to
putting a little bit of filler
nice and deep down into the temple area.
And I'm just injecting just deep down the bone.
It feels like a really weird
pressure sensation for the patient.
And half a mil there.
And another half a mil here.
Now the next part will be a few injections
in the forehead.
So I just did little injections
and then a bit of massage just to
mold the filler into the area.
Forehead filler will tend to expand a little
as it picks up a little bit of hydration
over the next week or so.
I think we'll just give the face
or the forehead a little press and a massage.
We're gonna finish off the treatment now.
We're just filling in a little bit
in what we call the buckle hollows
just to balance what we've done in the cheeks
as well as to help make the both sides more symmetrical.
Remember this side was a little bit more hollow.
Going through the same entry point as we did the lips
and that's one of the advantages using cannula
you don't have to have many injections
so overall I've only given her,
you know, a few injections
for this whole treatment
and we've treated her whole face.
I'm just putting in
some fine threads fairly deep
under that fat layer there
and you can see that's now
symmetrical after treating.
We'll just do a quick summary of what we've done.
Starting from the top we've filled in her forehead
a bit more on the right than the left.
Moving down to the temples we've filled in
to make them more flat.
Given her cheeks a bit more fullness with a highlight
on the five point or the golden ratio point.
Upper lip,
the philtrums,
which have given her a nice
three dimensional shape to her lip.
A little bit in the lower central lip
and I think she looks wonderful.
So thanks for being a good patient.
- Thank you, very excited.
I feel fantastic.
I feel like it's had a really
positive affect on my daily routine.
I don't have to worry about the little
imperfections I used to.
I'm definitely more confident.
- Although she looked amazing beforehand
I think the treatments just made that subtle improvement
to really set off her beautiful features.
Her lips looks full
but not overdone
so they still look natural.
Her eyes look brighter
and certainly the transition between the eyes
and the cheeks look smoother.
The cheeks look higher.
Although I love my lips,
I think they're fantastic,
I love my cheeks.
I think they make me looks really young,
they make me look really youthful,
They make me look healthy and hydrated
and all my family and friends have commented on that
and the shape of my face.
I used to touch up all my photos before posting them online
and now I've found that I haven't touched any up since.
I'm really happy with the end result
and I don't have to change anything now.
(techno music)