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hi I'm dr. Johnny today I'm talking
about the what why and the when of
dermal filler injections let's start
with the what so what are is being used
up there there's basically four
different types if you think about it
that's commonly used number one are the
gel fillers commonly hyaluronic acid
fillers that's the most common those are
dissolvable the second type would leave
at college and stimulators those are
things like Sculptra which is plla or
bell fill in this country which is PMMA
and they're injectables also through a
syringe the same way however they
stimulate collagen and typically along
your lasting they can be used to not
only thicken the dermis make the skin
better but also create angles and
structure the third I'm going to include
PDO threads here because a lot of people
will use the term I'm injecting threads
and they're quite right because threads
are often PDO polydioxanone or PLL a
similar to sculptor which is a liquid
water but in a thread form and really
you're injecting them they can be smooth
or they can be farmed which give you a
little more of a lip versus a smooth
which just build the collagen but you
don't get that bar lift like you do with
the barbed sutures and those are used a
little differently than fillers but that
would be third in the category I'm also
going to include the fourth which are
blood products and those are injected
think of PRP or the new generation
platelet-rich fibrin I'm going to put
some videos in the description below on
pyaara to tell you more about that but
we'll include that as well the important
thing to know about these they all work
together and they're all tools in your
injectors portfolio to create a
beautiful look
whether it's projection better skin or
glove often all those things are used to
there's not one thing so when you go in
for fillers all those things come into
play so why are these injectables used
well there's three main reasons very
commonly now people are creating so
they're creating a higher cheek a chin
projection a jawline they're getting
better skin but you can create things
with them and depending on what you're
trying to create will depend which of
those tools is used more rejuvenating
would be the second reason that people
do them now when we talk about
rejuvenation we're really talking about
typically someone older or one of the
most important caveats is older skin
because it doesn't go by age or
chronological age but more so what the
skins been exposed to the genetics of
the skin
smoking exhaustion is factors pollution
the other way is preventing and I think
this is the most important thing that we
can do for our patients and his
aesthetic providers we do this every day
from topical sunscreen to discourage and
smoking to telling people to eat right
and exercise and all those great things
but injectables do prevent but this is
one where I think it's important to have
a physician or injector that you trust
to guide you along third we'll address
when this is a tough one because we know
and we look at the demographics on this
YouTube channel the most people that
watch it around age 22 to about 40
whereas before it used to be 45 plus so
the young people definitely want to come
in and I call that at the beginning of
young at least prevention so prevention
is absolutely key and we can start
younger but again you don't want to do
the things that won't be preventive you
only sold something it's not going to
provide you long term benefit and
potentially doing longer term collagen
simulators could be unsafe and young age
because there's many years left to live
and that filler those products are going
to be exposed to everything your body is
for a long time so from
attention to something that's important
to be advised about but starting early
absolutely does help if it's
appropriately done so Prevention's
typically early now we'll talk about
same mid length particularly here we
look at the females because 45 to 55 we
see a dramatic hormonal change and this
determines what we need to do in this
stage it's not uncommon for people in
command do all of the treatments I
talked about in terms of injectables and
still feel like after a year or two they
haven't done that much and it's because
of the change in bone the change in
redistribution of fat and the thinning
of the skin due to the estrogen loss so
at this stage prevention is always
important but were more so rejuvenating
providing structure and looking forward
a few years the final stage is people
presenting kind of later or more
advanced and this is common because
these treatments a they weren't readily
available socially acceptable people
were comfortable getting them they
didn't know what to do it's much more no
no but when people show up 55 65 plus
we'll just use a general term a lot of
times there's enough laxity in the skin
enough fact that is redistributed or
hypertrophy growing that a facelift
might be more appropriate first a lot of
times surgery is then followed by all
the other treatments that we do because
you have to imagine people are catching
up from thirty or forty years of skin
damage bone loss muscle changes and so
it's a sticker shock and it's a shock to
people but waking up at a later stage
and then taking care of the skin as you
can imagine we have a lot of catching up
to do and this is at the point where the
provider will typically look and say yes
we can do it here's what I guess the
media will be or we can fine-tune a few
areas and improve or get surgery first
at that suit somebody so that's a little
bit about what products are available
kind of what can be done and then
when to do them certainly the general
theme prevent find a good provider to
advise you on what to do and starting
earlier rather than later with
appropriate treatments is a key element
so pop over to our is Instagram atrás on
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I've talked about thanks for joining me
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continued helpful tips keep your skin
and body beautiful healthy and vibrant
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