Bellafill Acne and Temple Treatment at Well Medical Arts in Seattle

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all right don’t eat well from well

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Medical Arts and hooray we get to show

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you the only acne scars now there were a

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couple of methods in particularly we

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usually go in enter dermal a and fill

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each acne scar you might have seen that

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before

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Bella fill was the product the only

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product that is indicated for filling

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acne scars it works very well by

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building the patient’s own collagen that

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usually starts at about day 30

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the other technique which I’m so excited

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to show you is when you go into a liquid

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facelift or you lift the face so as

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people age that acne scarring might seem

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to get a little bit work worse

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that’s from losing volume in the upper

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face those fat pads shrinking when that

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happens things start to come down and

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work when you go in and then fill the

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temple fill the cheek or in front of the

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ear it pulls everything back and that in

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itself smooths the acne scars and then

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we’re gonna go in and fill so first

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we’re gonna go in and do a little temple

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and a little cheek to lift we’ll see how

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much that lifted and then we’re gonna go

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in and fill each particular acne scar

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but I am light a caning running just a

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little bit of lidocaine so that she

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doesn’t hurt now we do that for the area

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that we use in the upper face with a

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liquid facelift to lift for using the

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cannula doing a liquid placeless will we

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start at the top and work our way down

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so I’m starting in her temples we’ve

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already numbed her up I’m gonna test and

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make sure you’re not a little one too oh

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can you feel that yeah one two oh can

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you feel about one for now and one two

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what about that one yeah good enough

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here we go

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[Music]

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so right now I’m using the cannula which

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has a dull tip it is an amazing way to

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feel things you can sometimes hear it

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did yeah yeah when it first starts the

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cannula is a very elegant way to do

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things it’s the safest way to fill and

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it causes less tissue trauma less

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swelling less bruising because there’s

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no needle to actually poke things with

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I’m not sure if you can see that as I’m

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filling but the tip is right down here

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and then watch it fill up as I withdraw

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and I’m gonna fill right up here isn’t

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that amazing

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all without a needle

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and I love working with the cannula

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because I’m able to get a large area by

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only one poke looking great and how are

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you feeling good good you’re a great

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patient we’re almost done with the first

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one once again with the cannula

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wonderful way to do things

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this point is called the lateral cheek

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and it goes all the way back into the

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hairline

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I do do hairline lifts some people it’s

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one of my favorite areas is to hide

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forward here up into the hairline a lot

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of these areas that are right on the

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bone give a wonderful lift the filler is

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going low right onto the bone and then

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it has something to anchor it on to the

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areas that are harder to get left are

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the areas under here there’s nothing to

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anchor on to so this gives a really nice

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lift looking great we’re almost there

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love it I like to pull back and give it

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a little bit of torque it does help tack

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it into place

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just about men and then feel a little

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bit down to contour a little bit up

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and when doing this you think about

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where those natural fat pads were and

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just replacing someone’s natural fat

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pads perfect we got it then we go in and

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smooth and I call it the rub rub rub so

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going in and rub rub rub the first time

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they did this to me I thought oh my

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goodness that’s a vigorous but with the

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bellyful won’t pressure something like

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that looks beautiful there are the tiny

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PMMA molecules and we want them nicely

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spread throughout that’s why we’re

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fanning them in there layering them in

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there and then smoothing them out

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alright beautimous so when you look at

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it look at the contour and not the

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little pinky irritation oh whoa isn’t

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that nice

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look at how much it lifted so yeah see

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how your lateral cheek comes up into

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your temple and it flows on through like

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it did yeah and so they have an indent

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and an indent yeah and look at how much

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lift that really really did and it’ll

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settle down it’s not gonna be that big

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once it all settles down by this point

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that I’m doing is the medial cheek also

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referred to as the apple

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don’t you think

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and we’re just doing a little bit right

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here I want to lift her nasolabial fold

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a little bit this is what makes people

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look healthy I didn’t even go in and do

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this on men and all it does is make him

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look a little less tired she’s got a

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little bit more volume loss on her right

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so I’m gonna save a little bit more from

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this syringe for the other side there we

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go beautiful

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[Music]

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looking good just keep that chicken

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well-balanced take a quick peek so

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that’s just helping just a little bit

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right yeah

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that’s definitely better though like I

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get good night’s sleep

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yeah good for me with all of that she’ll

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be like oh she gave me the glamour and

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treated money all right

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the temples are so crucial fulfilling

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their foundational they’re really an

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under filled area it’s so important not

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to neglect they’re not as sexy is the

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cheek I think that’s what people don’t

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do them as much but it’s really

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foundational you know the cheeks or a

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big people-pleaser

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so fun so pretty to do and I like to

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make the cheek curve right into the

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temple

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you’re doing great babe

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okay I usually help the patient go in

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and mark the little areas that bug them

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some of them got erased when we were

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doing the cheek so I just wanted to get

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my little dunk markers in their this way

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mm-hmm and certain types work better

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than others these are all fairly good

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candidates and what they’re called

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rolling boxcar and what that means is

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when you go ahead and distend or pull

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the skin that they straighten and

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stretch out so you can see that most of

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them do that I also want you to notice

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this does a little bit of volume loss

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right through here and another time

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we’ll go in and full fill this area

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that’s called pre auricular or above in

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front of the ear or sometimes sub may

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learn below the chin and when hole of

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the cheek when we go and pull that back

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that’s also gonna help for acne scarring

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as well as the aging laxity what you

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really don’t have much up so we really

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just get right underneath the lesion and

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bam it a little bit to fill it up one

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two look and I’ll go through and I’ll

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fill them and then afterwards do the rub

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rub rub just move there’s another

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technique that I’m doing here as well

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one to look and that’s called subcision

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and that is what the needle separating

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the little bit of a deist which means

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stuck to tissue and kind of cutting it

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away

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separating it so that it doesn’t stick

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anymore one to flip to some of these

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ones that are a little bit smaller I

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like to just go straight in so it does

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just look a little pokey from being

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poked but it’ll all settle down yeah and

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let me that’s the smoothest I’ve ever

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seen it compared to the others ducking

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pow wows go get the other side let’s get

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them they are so rewarding to get

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hang in there baby you’re doing great

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now zero to ten zeros and an intense

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worse in your life how bad are these

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maybe a too good perfect

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exhale everything is turned out so

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beautifully now we are just finessing

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during the last little bits even a

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little bit more wonderful you have been

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so great

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they they nice and there is a tiny bit

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left for just that little bit right here

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smile for me breath in relax and exhale

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tiny book same thing just that little

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bit of collagen build

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got it yay all right let’s rub it in go

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alright so we just finished doing upward

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with a quick faceless we did temples

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lateral cheek medial cheek to lift and

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support that looks gorgeous just a tiny

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bit swollen and then we filled in all

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the little acne scars they look so good