Today we're doing some injectables for a
former model.
Hi guys my name is Dr. Sarah Tonks, I'm a
cosmetic physician in London. Very
excited to be with you today because we
are going to be treating a very
glamorous young lady who is a former
model and one of the reasons why I am so
excited is because she's got these
fantastically hollow temples and I
really want to share with you guys
exactly how much filler we need to use
sometimes to get a nice result in the
temple, it literally eats product. Okay so
let's have a look at what we're working
with.
Check out these temples look at those
bad boys, she's got a fantastic face
really beautiful, stunning but she's lost
a lot of volume in the temple area and
some people just do it's just one of
those things that happens especially if
you're quite slim. We do have some fine
lines and crows feet here, and just
generally the skin quality and texture.
Well it could be a little better. You see
we've got these vertical lines here on
the lip as well because her bone
structure is just so good so amazing, we
don't really need to do too much in
terms of changing that structure it's
more going to be about improving the
skin quality for her. Let's just take a
look at her smiling. You can see that
these tiny lines they sort of radiate
all the way down the cheek here and
that's because the muscle which forms a
ring around the eye like so. The orbicularis muscle
when you're smiling it contracts down and sometimes it can
fanning out all this way here so that's
why sometimes you will see these lines
right there plus as well if the skin is
quite thin it's very easy to pull on.
Okay let's have a look at what we did so
we started off with the old classic bit
of Botox we're treating the frown lines
the forehead round the crow's feet the
bunny lines
and the chin we're also going to do the
DAO and the platysma. Now it's really
interesting I think now much more so
than before I find that I'm doing a fair
amount of lower face Botox because a lot
of people they really like the very
subtle results that you get with that.
It's not the same as doing Botox on the
upper part of the face, it's a much much
much more subtle result. Let's do the
temple, I could not wait to get my hands
on her temples I think in the end we did
something crazy like 4 mls per side. She
has very tricky temples because she's so
slim she really doesn't have much skin
covering them at all so if you put quite
a viscous product in there you may see a
demarcation line so we had to use
something which was a little on the
thinner side and just use more of it to
make sure that the end result was very
very smooth. Ok so now we're doing a
small micro droplet technique in front
of the ear and the purpose of this is to
just give a little bit more lift so that
the face goes in more of a v-shape, again
because she's so slim we have to use a
much less viscous product to make sure
that it's not visible underneath the
skin after the treatment. I'm now doing
some forehead filler again. I've switched
to the 32 gauge needle as I like to do
and although she's got great cheekbones
she has lost a little bit of volume at
the front part of the cheek so we're
gonna go ahead and fill the front part
of the cheek first and then move on to
the angle of the jaw. We're gonna switch
over now to using a cannula and we're
doing the cheekbone area this is again
to give a bit more lift a bit more
vectoring and we're gonna use the same
cannula on the chin crease and in the
marionette zone.
She's got these small vertical lines on
the lower face and cheek so I'm gonna
use a very fine product in there just to
pick those out and the purpose of this
is more to make a skin improvement so
that the skin in that area is not quite
as thin which means that you find you
don't get the vertical lines ingrained
as deeply. I've actually used Juvederm vobella
for that area now we're gonna go and use
some Juvederm for light for the border
of the upper lip and the vertical lip
lines. The last thing I want to do is
give her more bulk in this part of the
upper lip because you know sometimes
when people treat this area here it can
end up looking kind of a bit like an
overhang. You can end up looking a bit
kind of chimpanzee-like so you have to
use something that's really fine there
and also balance it with doing a little
bit of treatment just along the
Vermilion border. Now we're gonna do some
PRP. If you've seen any of my previous
videos you'll know that I like to use
PRP in the under eye area, this is
because it's a very very safe technique
and safe way to improve the quality and
texture of the skin there. Sometimes if
you use filler there, if the skin is a
bit too thin it's not strong enough to
contain the filler and you can end up
with puffiness and you know that you're
not going to have this problem using PRP.
Now we're gonna treat the lip, and I'm
just treating the middle third of the
lower lip with a micro droplet technique
so there's lots of tiny little
injections all the way along the
Vermilion border and I'm going to do the
upper lip Vermilion just in a more
traditional technique I've only used
half a mil here so it is quite a subtle
result. Okay so let's check out our
results, I think this is probably the
most interesting part of it so you see
in the before picture what we've got the
hollowness in the temple can you see how
the tail of the eyebrow is just starting
to disappear around into that hollow now
that we have filled them you can see the
whole eyebrow see doesn't that look nicer
you can also see that we've got an
improvement in the fine lines and
general skin texture around the eye that
includes underneath the eye where we've
done PRP look how much better the skin
looks where it's a bit crepe-y here see it
just looks a bit softer those lines are
not quite as harsh and the same thing in
these little lines on the upper lip see
they're a bit improved
so the reason I'm showing you this
before and after smiling is so that you
can see the eye area she's kind of got
her tongue between her teeth when she's
smiling so I don't have like an exact
image of her afterwards but let's just
see so you see by treating the Bunny
lines we've got an improvement in those
lines here you see they're much more
reduced and you can also see that these
little lines which are radiating out
from the corner of the eye are also
toned down a touch and I think overall
there's just a general improvement in
the freshness let's just have a quick
look at her going from being static to
smiling so we can compare the two okay
guys that's it for this week I hope you
enjoyed the video of me practically
ladling the dermal filler into her
temples join me again next week where I
will be doing more of the same in the
meantime don't forget to Like comment
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