Rejuvenate your eyes and refresh your look with a Growth Factor tear trough treatment, Versa in the cheeks and Thread Lifting.

0:00:00.080,0:00:04.480
hey dominique well from well medical

0:00:02.240,0:00:05.279
hearts and boy here we are still in our

0:00:04.480,0:00:07.359
shields

0:00:05.279,0:00:08.960
but getting to have some fun at work so

0:00:07.359,0:00:10.320
i wanted to show you something cool that

0:00:08.960,0:00:12.480
i get to do today

0:00:10.320,0:00:13.440
we’re doing to your troughs and it’s a

0:00:12.480,0:00:16.640
combination

0:00:13.440,0:00:19.039
of using restylane mixed with prp so i’m

0:00:16.640,0:00:20.960
doing about a 50 50 blend

0:00:19.039,0:00:23.680
and what that does is it makes the

0:00:20.960,0:00:25.439
restylane really nice and smooth so it

0:00:23.680,0:00:27.119
lays down like glass

0:00:25.439,0:00:29.039
of course we’re laying it down nice and

0:00:27.119,0:00:29.840
deep so you don’t see the filler that

0:00:29.039,0:00:31.840
the patient’s

0:00:29.840,0:00:33.120
own tissue just kind of comes up and

0:00:31.840,0:00:35.200
we’re using the prp

0:00:33.120,0:00:36.480
so that it goes in and does tissue

0:00:35.200,0:00:39.040
rejuvenation

0:00:36.480,0:00:39.600
and heals beautifully as well then we’re

0:00:39.040,0:00:42.640
going to go

0:00:39.600,0:00:43.440
in and do just a little bit to the

0:00:42.640,0:00:46.640
cheeks

0:00:43.440,0:00:49.840
and possibly some threads i’ve gone in

0:00:46.640,0:00:51.760
she’s been cleaned she’s arnica and

0:00:49.840,0:00:53.680
these little spots where i’m going in

0:00:51.760,0:00:55.360
of course with the cannula have been

0:00:53.680,0:00:57.840
lidocaine so let’s test

0:00:55.360,0:00:59.199
to make sure one need to book tiny poke

0:00:57.840,0:01:02.960
can you feel that no

0:00:59.199,0:01:02.960
all right a little

0:01:08.880,0:01:12.080
it also helps that my patient is a nurse

0:01:11.439,0:01:16.000
and she has

0:01:12.080,0:01:20.560
experience with prp and so she

0:01:16.000,0:01:22.640
knows the wonders of the stem cells and

0:01:20.560,0:01:25.119
the growth factors

0:01:22.640,0:01:26.960
and how it can do tissue rejuvenation

0:01:25.119,0:01:29.119
now i like to put my finger here so i

0:01:26.960,0:01:30.560
can feel the placement is exactly where

0:01:29.119,0:01:32.720
i want it

0:01:30.560,0:01:33.840
and then i can feel it as it’s laying

0:01:32.720,0:01:36.079
down and you can too

0:01:33.840,0:01:38.159
i can see the little eye pattern going

0:01:36.079,0:01:41.840
on

0:01:38.159,0:01:44.159
there we go small amounts

0:01:41.840,0:01:46.720
even though it’s mixed with the prp i’m

0:01:44.159,0:01:47.759
still taking the same kind of meticulous

0:01:46.720,0:01:51.040
care

0:01:47.759,0:01:54.799
that i do with the filler to lay down

0:01:51.040,0:01:59.119
little threads of it small amounts

0:01:54.799,0:01:59.119
deep and that way you don’t see

0:01:59.200,0:02:03.040
the filler which is what we want

0:02:05.040,0:02:08.800
and less is more when it comes to the

0:02:07.920,0:02:11.440
tear trough

0:02:08.800,0:02:12.640
area and actually i’m not just doing her

0:02:11.440,0:02:15.440
tear trough

0:02:12.640,0:02:15.920
i’m doing the entire orbit so i’m laying

0:02:15.440,0:02:18.560
down

0:02:15.920,0:02:23.680
little little threads of it all along

0:02:18.560,0:02:27.360
the orbit here

0:02:23.680,0:02:27.360
there we go awesome

0:02:27.920,0:02:37.840
and then go back get that lateral

0:02:31.040,0:02:37.840
orbit good job

0:02:39.920,0:02:43.120
a little bit more

0:02:46.879,0:02:51.840
fantastic and let me feel look up

0:02:48.640,0:02:51.840
towards the ceiling for me

0:02:53.760,0:02:58.480
there we go just a little bit more right

0:02:56.160,0:02:58.480
there

0:03:01.599,0:03:05.840
good job

0:03:08.640,0:03:19.840
oh so delicate work little bits little

0:03:12.159,0:03:19.840
bits little bits

0:03:20.239,0:03:23.840
and then of course the test it looks

0:03:22.319,0:03:25.840
good one way

0:03:23.840,0:03:26.959
but then when you go in and feel is your

0:03:25.840,0:03:30.159
real test

0:03:26.959,0:03:33.840
and doing it with that prp spreads it

0:03:30.159,0:03:33.840
out nicely

0:03:34.879,0:03:42.080
turn towards me wow looks great

0:03:38.879,0:03:44.319
yay okay now i want to go in and i’m

0:03:42.080,0:03:47.840
going to draw on you

0:03:44.319,0:03:50.879
and your right cheek

0:03:47.840,0:03:54.000
does have just a little bit

0:03:50.879,0:03:56.239
more volume loss than

0:03:54.000,0:03:57.840
your left cheek i’m going to go ahead

0:03:56.239,0:03:59.840
and thumbs up

0:03:57.840,0:04:01.760
i want to start over here on the right

0:03:59.840,0:04:03.120
with the side that has more volume loss

0:04:01.760,0:04:06.480
if you wouldn’t mind holding that up

0:04:03.120,0:04:15.840
there for me good job get that cheek

0:04:06.480,0:04:15.840
nice and cold

0:04:21.280,0:04:25.520
okay and we’re using the ice not for

0:04:23.199,0:04:26.720
pain management but as a vasoconstrictor

0:04:25.520,0:04:30.080
so she has decreased

0:04:26.720,0:04:31.759
chance of bleeding and bruising

0:04:30.080,0:04:33.680
all right that’s probably good babe okay

0:04:31.759,0:04:36.479
yep good job now

0:04:33.680,0:04:38.240
close your eyes gently turn towards me

0:04:36.479,0:04:42.080
first you feel my hand

0:04:38.240,0:04:47.280
and then take a breath in and exhale

0:04:42.080,0:04:47.280
tiny poke there we go

0:04:47.520,0:04:50.000
awesome

0:04:53.840,0:04:57.840
so we want to always keep the cheek a

0:04:56.720,0:05:00.320
little bit

0:04:57.840,0:05:01.280
higher than the tear trough to keep

0:05:00.320,0:05:04.720
those proper

0:05:01.280,0:05:04.720
proportions in place

0:05:06.639,0:05:13.199
beautiful perfect breath in and

0:05:10.479,0:05:13.199
exhale

0:05:20.639,0:05:25.840
perfect looking good

0:05:26.800,0:05:34.720
breath in and exhale

0:05:30.560,0:05:34.720
tiny bulk good job

0:05:35.120,0:05:40.560
well done so you guys know tap that

0:05:38.400,0:05:42.320
periosteum

0:05:40.560,0:05:44.960
we’re laying it right on the bone like

0:05:42.320,0:05:44.960
we want to

0:05:46.479,0:05:51.360
keep that filler in that safe zone

0:05:51.520,0:05:55.680
and where we don’t see any of it

0:06:02.880,0:06:10.720
so pretty rough in

0:06:06.720,0:06:10.720
and exhale

0:06:18.840,0:06:21.840
beautiful

0:06:32.560,0:06:35.840
almost there looks great

0:06:38.160,0:06:44.720
and then breath in and exhale good job

0:06:42.080,0:06:49.840
with your breathing

0:06:44.720,0:06:49.840
yay looking good

0:06:53.280,0:06:56.400
nice and slow

0:06:59.599,0:07:03.840
we love it

0:07:04.080,0:07:08.000
okay go ahead and take a peek at the

0:07:05.680,0:07:08.880
tear trough this is doing the tear chops

0:07:08.000,0:07:11.440
and the cheeks

0:07:08.880,0:07:12.240
yeah it looks great doesn’t it yeah

0:07:11.440,0:07:13.599
great

0:07:12.240,0:07:15.759
and i think that you’re going to be a

0:07:13.599,0:07:17.440
really good healer usually the tear

0:07:15.759,0:07:19.039
troughs can be difficult to yeah

0:07:17.440,0:07:20.800
from its delicate tissue they can’t

0:07:19.039,0:07:22.400
swell they can’t wait you did not

0:07:20.800,0:07:24.080
need you’re not having a lot of swelling

0:07:22.400,0:07:25.840
i think that’s going to be an easy one

0:07:24.080,0:07:27.599
yeah and then just a couple of dots here

0:07:25.840,0:07:28.960
not home not much to write home about i

0:07:27.599,0:07:30.960
think you’re going to be a great healer

0:07:28.960,0:07:33.039
yeah perfect and we wear our mask

0:07:30.960,0:07:35.280
all the time so no one will even see

0:07:33.039,0:07:37.280
right the perfect time to get stuff

0:07:35.280,0:07:38.400
done now the next thing i want to say is

0:07:37.280,0:07:40.160
relax the face

0:07:38.400,0:07:42.880
look at the eye tissue look so

0:07:40.160,0:07:44.879
rejuvenated yeah the cheeks gave us

0:07:42.880,0:07:47.520
nice lift i don’t think we’re gonna need

0:07:44.879,0:07:49.919
a thread to lift the nasolabial fold

0:07:47.520,0:07:51.840
right but we still have a little bit

0:07:49.919,0:07:52.639
down here the question is whether this

0:07:51.840,0:07:54.080
bothers you

0:07:52.639,0:07:55.919
you still feel like you want to go in

0:07:54.080,0:07:59.840
and get a thread to lift it or not

0:07:55.919,0:08:01.599
i think yes all right let’s get it

0:07:59.840,0:08:03.360
okay so we did the tear troughs in the

0:08:01.599,0:08:05.919
cheeks now we’re going to go in

0:08:03.360,0:08:08.000
and do the threads threads in general

0:08:05.919,0:08:09.840
most people say are pretty easy to do

0:08:08.000,0:08:10.800
and they’re super happy with the results

0:08:09.840,0:08:13.360
that they get

0:08:10.800,0:08:14.560
for the money the down time the pain now

0:08:13.360,0:08:16.800
let’s talk about it

0:08:14.560,0:08:18.400
i’m gonna put a little bit of lidocaine

0:08:16.800,0:08:20.479
right at the injection site and then i’m

0:08:18.400,0:08:23.120
gonna use my cannula to bring

0:08:20.479,0:08:25.280
the lido down as far as the cannula will

0:08:23.120,0:08:28.639
go which is about down here

0:08:25.280,0:08:30.639
then you won’t be lidocained right down

0:08:28.639,0:08:33.279
this area and that’s where i want to get

0:08:30.639,0:08:33.680
the cannula past to be able to grab onto

0:08:33.279,0:08:36.240
it

0:08:33.680,0:08:37.360
for lifting so you’ll feel a little bit

0:08:36.240,0:08:40.080
of it down here

0:08:37.360,0:08:41.440
usually it’s not more than about one or

0:08:40.080,0:08:44.159
two breaths

0:08:41.440,0:08:44.480
it i attach it pretty quick and pull it

0:08:44.159,0:08:46.399
out

0:08:44.480,0:08:49.120
so the whole thing is really quick there

0:08:46.399,0:08:55.839
only be a small area that’s sensitive

0:08:49.120,0:08:55.839
okay perfect okay so i’m gonna go in

0:08:58.800,0:09:03.440
it can feel just a little bit tuggy in

0:09:01.120,0:09:06.080
the very beginning

0:09:03.440,0:09:07.760
as we get it into the right flank now

0:09:06.080,0:09:10.640
when you’re in the right plane

0:09:07.760,0:09:11.200
it will feel pretty nice and smooth you

0:09:10.640,0:09:14.480
can feel

0:09:11.200,0:09:17.519
just a little bit you’re probably still

0:09:14.480,0:09:18.480
numb there and then good job you’re

0:09:17.519,0:09:20.399
doing great

0:09:18.480,0:09:22.640
and now this area you’re probably not

0:09:20.399,0:09:23.040
enough so just take a couple of breaths

0:09:22.640,0:09:26.480
i’m

0:09:23.040,0:09:28.640
almost where i need to be three three

0:09:26.480,0:09:30.320
breathe

0:09:28.640,0:09:32.080
it’s giving me just a little bit of

0:09:30.320,0:09:32.800
resistance let’s see that tiny bit of

0:09:32.080,0:09:35.200
pulling

0:09:32.800,0:09:36.080
so i’m gonna back out make sure that i’m

0:09:35.200,0:09:38.800
on the right plane

0:09:36.080,0:09:39.839
good and it went nice and smooth almost

0:09:38.800,0:09:41.839
there

0:09:39.839,0:09:43.680
she’s wiggling her toes on me which

0:09:41.839,0:09:51.839
means she’s a little bit tender

0:09:43.680,0:09:51.839
there we go i’m gonna attach this on

0:09:52.399,0:09:59.040
and then pull it out and you can

0:09:55.519,0:10:01.920
see as it pulls out it lifts

0:09:59.040,0:10:02.839
and then i want to show you look at that

0:10:01.920,0:10:07.040
amazing

0:10:02.839,0:10:10.560
lift isn’t that beautiful

0:10:07.040,0:10:11.760
and then we go in and really make sure

0:10:10.560,0:10:13.839
that it’s attached

0:10:11.760,0:10:15.440
beautifully sometimes you can hear it

0:10:13.839,0:10:16.880
click when i do that

0:10:15.440,0:10:18.959
didn’t hear it or feel it it was all

0:10:16.880,0:10:20.640
attached and clicked well the first time

0:10:18.959,0:10:22.560
around

0:10:20.640,0:10:24.480
and then i want to have you turn towards

0:10:22.560,0:10:27.920
me and smile

0:10:24.480,0:10:30.320
perfect that’s perfect how was that

0:10:27.920,0:10:32.240
fine no worries not too bad you felt a

0:10:30.320,0:10:32.560
little bit of a downhill yeah i mean

0:10:32.240,0:10:34.800
it’s

0:10:32.560,0:10:36.480
a little pressure but nothing no i just

0:10:34.800,0:10:37.680
want to point something else out

0:10:36.480,0:10:40.640
do you mind looking at the string

0:10:37.680,0:10:42.560
sticking out no okay go ahead

0:10:40.640,0:10:44.160
see how you smile and take a look at

0:10:42.560,0:10:45.600
this so you have just a little bit of

0:10:44.160,0:10:48.640
fine lines right there

0:10:45.600,0:10:51.440
we can also use this really

0:10:48.640,0:10:52.399
thin threads like dun dun dun dun dun

0:10:51.440,0:10:54.240
dun dun

0:10:52.399,0:10:55.680
and that takes care of the texture

0:10:54.240,0:10:56.959
superficially

0:10:55.680,0:10:58.720
other thing would be a fractional

0:10:56.959,0:11:01.920
resurfacing laser right

0:10:58.720,0:11:01.920
all right let’s do the other one

0:11:05.680,0:11:10.240
like i said before the very insertion

0:11:08.399,0:11:14.560
point

0:11:10.240,0:11:17.839
i use a 18 gauge

0:11:14.560,0:11:19.360
to make my portal

0:11:17.839,0:11:21.360
my nurse friend here knows what that

0:11:19.360,0:11:24.720
means she’s like really

0:11:21.360,0:11:26.720
it’s not racist yes

0:11:24.720,0:11:28.399
and so this is the only part that’s a

0:11:26.720,0:11:31.920
little bit strange

0:11:28.399,0:11:33.920
is kind of like all right make sure that

0:11:31.920,0:11:43.839
it’s big sometimes you can flick the

0:11:33.920,0:11:43.839
hole to make it a little bit bigger

0:11:48.800,0:11:56.160
trouble with madison sometimes it bleeds

0:11:50.959,0:12:01.440
a little drop

0:11:56.160,0:12:01.440
there we go got it here we go baby

0:12:08.839,0:12:13.680
perfect

0:12:10.959,0:12:13.680
almost

0:12:14.399,0:12:18.880
same thing just about there

0:12:21.680,0:12:25.200
hang in there yep that’s the area that’s

0:12:24.079,0:12:28.399
tender so we get

0:12:25.200,0:12:33.600
right down here i’m going to attach it

0:12:28.399,0:12:33.600
you’re almost done and attach it

0:12:33.760,0:12:37.200
looking really good

0:12:37.519,0:12:44.399
and you can see that left

0:12:41.279,0:12:44.399
a little bit

0:12:45.440,0:12:49.440
yay you made it how was that side oh

0:12:48.240,0:12:50.959
it’s no problem

0:12:49.440,0:12:53.839
wasn’t a little tougher than the other

0:12:50.959,0:12:56.560
side um for only a brief

0:12:53.839,0:12:57.040
moment yeah it was getting it in at the

0:12:56.560,0:12:58.480
tab

0:12:57.040,0:13:00.800
i had to poke it a second time and it

0:12:58.480,0:13:02.160
bled a little bit but okay lastly we’re

0:13:00.800,0:13:04.639
going to check symmetry so

0:13:02.160,0:13:06.480
looking straight on at me and then if

0:13:04.639,0:13:08.399
you want to look at right behind me

0:13:06.480,0:13:09.680
so we’re looking that we’ve got the same

0:13:08.399,0:13:11.279
amount of lift here

0:13:09.680,0:13:13.600
and then it looks symmetrical through

0:13:11.279,0:13:15.360
here and all i’m really noticing is just

0:13:13.600,0:13:16.639
a little bit of swelling from lido

0:13:15.360,0:13:17.600
actually more on this side that side’s

0:13:16.639,0:13:19.760
already gone down

0:13:17.600,0:13:20.720
and you can pull on the threads and you

0:13:19.760,0:13:23.519
can see

0:13:20.720,0:13:24.560
the amazing lift both sides are lifting

0:13:23.519,0:13:26.240
perfectly

0:13:24.560,0:13:27.760
and they look symmetrical it looks

0:13:26.240,0:13:28.240
really good so let’s cut the threads

0:13:27.760,0:13:30.720
down

0:13:28.240,0:13:31.440
all right cutting the threads is really

0:13:30.720,0:13:34.000
easy

0:13:31.440,0:13:36.000
go ahead and lean back and relax what

0:13:34.000,0:13:37.040
you want to do gently turn this way so

0:13:36.000,0:13:40.399
we can see

0:13:37.040,0:13:42.399
is pull back on the thread push down

0:13:40.399,0:13:43.600
sometimes you can hear it click did you

0:13:42.399,0:13:46.880
see how it went down

0:13:43.600,0:13:49.839
and then cut and then pull the skin

0:13:46.880,0:13:50.560
up over the thread and that way you

0:13:49.839,0:13:53.279
won’t have

0:13:50.560,0:13:54.079
any problems with seeing or feeling a

0:13:53.279,0:13:56.160
thread

0:13:54.079,0:13:58.000
by cutting it down low all right let’s

0:13:56.160,0:14:03.839
get the other side

0:13:58.000,0:14:03.839
go around same thing

0:14:05.519,0:14:10.079
i’m gonna go ahead pull on the thread

0:14:08.000,0:14:14.000
push down against the skin

0:14:10.079,0:14:17.120
get it to click a little there it is cut

0:14:14.000,0:14:19.760
and then pull it up and over and great i

0:14:17.120,0:14:21.920
can’t feel it

0:14:19.760,0:14:23.199
yay let’s get you cleaned up and i’m

0:14:21.920,0:14:26.800
good

0:14:23.199,0:14:28.800
yay okay so i want to check my work

0:14:26.800,0:14:30.639
at the end and i like to use a little

0:14:28.800,0:14:31.440
topical article this is actually an

0:14:30.639,0:14:34.639
ointment

0:14:31.440,0:14:35.760
and i feel my tear trough perfect nice

0:14:34.639,0:14:39.680
and smooth

0:14:35.760,0:14:42.240
and then i feel my filler at this point

0:14:39.680,0:14:44.399
yes i can feel my filler but i remember

0:14:42.240,0:14:46.240
what it felt like before i also i’m

0:14:44.399,0:14:48.240
feeling just a little bit of tissue

0:14:46.240,0:14:51.760
trauma from the pokes

0:14:48.240,0:14:54.560
wipe those little dots off and make sure

0:14:51.760,0:14:56.399
that the filler feels nice and smooth

0:14:54.560,0:14:59.839
yay

0:14:56.399,0:14:59.839
and then

0:15:03.440,0:15:07.120
sometimes when i go to sweep up this way

0:15:05.920,0:15:09.600
you can feel that

0:15:07.120,0:15:11.120
thread click into place and don’t be

0:15:09.600,0:15:12.160
surprised if you’re washing your face

0:15:11.120,0:15:15.440
when you do wash

0:15:12.160,0:15:18.639
up like this you might hear or

0:15:15.440,0:15:19.279
feel the thread sort of click click

0:15:18.639,0:15:22.399
click

0:15:19.279,0:15:25.440
those little cogs or barbs

0:15:22.399,0:15:26.720
um you can feel them catching

0:15:25.440,0:15:28.880
and there’s nothing wrong with that

0:15:26.720,0:15:31.680
that’s perfectly fine i feel mine doing

0:15:28.880,0:15:31.680
that sometimes

0:15:33.519,0:15:37.199
all right so let’s take a look

0:15:37.279,0:15:41.600
oh it looks so good there’s actually a

0:15:40.000,0:15:43.519
little bit of swelling right here

0:15:41.600,0:15:45.120
yeah i don’t know and that will go down

0:15:43.519,0:15:46.639
okay a little bit of swelling at the

0:15:45.120,0:15:48.959
injection site

0:15:46.639,0:15:50.800
and i believe that your left cheek is a

0:15:48.959,0:15:52.480
little bit more swollen than your right

0:15:50.800,0:15:54.160
but all that will go down would give you

0:15:52.480,0:15:57.600
that oral arnica

0:15:54.160,0:15:58.560
and the warm compress those are going to

0:15:57.600,0:16:00.480
be your tools

0:15:58.560,0:16:02.160
for swelling how do you feel about the

0:16:00.480,0:16:04.399
amount of lift that you got

0:16:02.160,0:16:05.279
it looks really good aren’t those

0:16:04.399,0:16:08.560
friends amazing

0:16:05.279,0:16:10.480
yeah it’s just one that’s kind of crazy

0:16:08.560,0:16:11.839
and i love the tear troughs and cheeks

0:16:10.480,0:16:12.959
are just making those beautiful blue

0:16:11.839,0:16:16.079
eyes and yours pop

0:16:12.959,0:16:23.839
looks so good yeah it looks great

0:16:16.079,0:16:23.839
i love it perfect thank you so much

0:16:25.759,0:16:27.839
you