Tear trough and cheek filler for the correction of dark circles under eyes
Dominique demonstrates another example of a combination Tear Trough and Cheek filler treatment. Filling the tear trough helps to make people look healthy and well rested and minimizes black bags under the eyes.
Replacing volume loss in the cheeks helps to lift the lower face and also helps with the tear troughs making it require less filler in the actual teat trough which is one of the most delicate areas of the face.
Typical tear trough treatments can swell and bruise so time this treatment appropriately around any big social engagements. Filling the cheeks typically causes less bruising as we are injecting the filler deeper under the surface of the skin.
This particualr treatment was with 1 syringe Voluma in the tear trough and 1 syringe of Radiesse medially and 1 syringe of Voluma laterally in the cheeks. We can also use Bellafill or Versa for the cheeks and Restylane or Belotero for the tear trough.
You may also call one of our patient care coordinators at 206-935-5689 and we will be happy to assist you in scheduling.
VIDEO TRANSCRIPT
hey it’s dominique well from well
00:02
medical arts and today we get to show
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you a combination therapy
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of doing tear troughs and cheeks
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together
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frequently we’ll start with the cheeks
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first which she has had and
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loved them and then this time we’re
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going to go ahead and add the tear
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troughs
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as you all know tear troughs is delicate
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tissue it can swell it can bruise so as
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long as we’re prepared for that we’re in
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good shape
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we go in and we use arnica to set
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ourselves up for good healing
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we use lidocaine for pain management a
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cannula to try to decrease
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swelling and bruising we do everything
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we can to set people up for good healing
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and now i’ll show you some good
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technique to go with it so we’ve already
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gone in
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and done the arnica done the lidocaine
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go ahead and close your eyes for me i’m
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gonna test to make sure that you’re
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feeling
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numb a little tiny one two book tiny
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folk
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can you feel that poke great so i’m
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gonna go
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in and make a little port
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we are using voluma today
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voluma is a wonderful choice for the
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tear trough
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because it is not very hydrophilic
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there you go when we’re doing the tear
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trough
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you want to go nice and deep so you
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don’t see any of the filler
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you just want to see the correction
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awesome
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how you doing how’s it feeling good
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there we go we’re already seeing a nice
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correction
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with the tear trough less is more
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small amounts little teeny tiny threads
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of it
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right nice and safe on top of the bone
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and i’m gonna go in and feel it’s great
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i can’t even feel it which is very much
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what you want
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you want it so nice and deep
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looking good it’s very fun when you can
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see that correction
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right before our eyes
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one of the things that’s so nice about
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doing the tear trough is
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even on men nobody looks like they’ve
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had anything done
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it just makes people look healthy like
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they got a good night’s sleep
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looks good feels good now we’re going to
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be going in and getting the cheek
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as well could do just a little bit more
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and this is where you want to be so
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careful is not to do
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too much
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great
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so very small amount looks good
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really nice and healthy i’m going to go
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on over to the other side
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oh yeah oh yeah and
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now one of the things that i notice is
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when you do this
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as you sit forward there’s more volume
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loss
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yeah so when we’re leaning back it looks
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nice and good right
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and now when we’re moving forward it’s
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like there it is yeah
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now to me it looks like it could do more
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again and so this is why it’s good to
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stop
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and take a look at it right yeah let’s
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go in
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and it’s starting to swell just a little
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bit
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let’s go in and do just that a little
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bit more there
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yeah wow pretty cool huh yeah
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you can feel a little bit under there
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but that’s fine it’s deep under there
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yeah no it’s good
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looks great yeah let’s go to the other
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side
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awesome okay and look at that not
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bleeding at all which is a good sign
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that we’re not going to
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bruise good isn’t that nice yeah so
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just this little bit and i did what it
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was retracted from the nose yeah
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and then i put quite a bit so there’s
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just that little area that didn’t
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correct but it is actually corrected
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under there
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okay and in general looks nice looks
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healthy
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okay and so now we’re gonna
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start with the radius
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that has more volume towards it here
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and then actually use a little bit of
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the volume towards the lateral where
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it’s softer where you don’t want big
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cheekbones to come out here
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all right
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so this is different this isn’t
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uh using the lidocaine and the cannula
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this is using the needle and
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we want that because you know this
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terminology
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we want to bolus the radius which means
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put it into a little ball
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right on top of the bone so that it
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gives us that beautiful
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3d projection that that radius does we
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want to really maximize the beauty of
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the product
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okay you good and cold yep
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all right so we’ve gone in and we’ve
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done the tear troughs with the voluma
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nice and deep half a syringe on each
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side
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then we’ve gone in and we’ve done the
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radius for the medial
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cheek where we really needed the
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thickest body of
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the filler and now we’re going to go in
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and use the voluma to
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the lateral cheek and that was just what
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she had purchased
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and what we had to work with so always
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finding the best
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use for the product that we have
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i just want to mention the people who
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are watching
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yes i absolutely adore doing cheats
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because they do
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do so much for so little and it’s so
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easy to do
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usually if there’s any swelling in the
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cheeks it looks cute people don’t mind
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it too much
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but you don’t want to neglect
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the temples and just keep putting it in
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the cheek just because it happens to
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look good
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so it needs to balance putting the
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filler
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back into the areas where you lost the
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volume in the first place
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so it looks very natural too
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and i like to say it just putting back
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what you’ve lost
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not giving you something that you’ve
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never had
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and then the last thing that i’d like to
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mention perfect this looks gorgeous
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is that if we don’t get enough
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lift to the nasolabials or the
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marionettes
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after going in and volumizing the upper
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face
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and it just depends on what that upper
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face is happen to be tear trough for you
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on somewhere in its temple so after you
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volumize let’s do a little arnica let’s
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sculpt
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and then let’s do a warm compress
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if it’s not enough lift the thread
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lifting
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are wonderful techniques to lift
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this mid and low face without using any
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balloon
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so we’re really moving away from too
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much filler to the lower face you don’t
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want that lower face to be heavy
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you don’t want it to look like it’s
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having anything done
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all right the topicals are sculpting
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it’s got a nice little glide to it so we
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don’t tug on the skin
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now this warm compress is something that
08:15
you can easily do at home and this
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feels good this is where i’m trying to
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redeem myself after pogba
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and this should feel lovely
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so at home you’ve got your oral arnica
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to take every six hours
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and then for swelling and particularly
08:37
in the teardrops
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that’s where the warm compost is going
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to be your friend
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no most of us are a little bit more
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swollen in the morning
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after being horizontal all night go
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ahead and look up towards the ceiling
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i’m going to put the warm converse right
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about here so when you wake up in the
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morning
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you can stick the washcloth in the
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microwave for like 25-30 seconds
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i’ll do two or three warm compresses
09:00
just standing there in front of the
09:01
microwave
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or you can do it in the shower however
09:04
people like
09:05
and that really does take down the
09:08
swelling nicely
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i think it’s a win take a peek
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oh yeah i love it i love it thank you so
09:22
much you’re very nice so nice looks
09:24
super healthy
09:25
not overdone nobody’s gonna know you had
09:27
anything right
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i like it i love you so much lastly i’d
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like to
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teach you how if you do get swelling one
09:35
of the things that the tear troughs can
09:37
do is swell
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and even when the cheeks swell if it’s a
09:40
lot they will take the path of least
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resistance
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which is up into the tear troughs and
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swirling in the tear trough does not
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look
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cute so after you do your warm compress
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let me show you how to put a little bit
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of this arnica on and i’m going to have
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you turn this way so people can see
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you can use whichever finger you like i
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like to use the middle one
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i’m putting a fair amount of pressure on
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there and then i’m moving the fluids
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over towards the lymph nodes and then
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down so your lymphatic chain is all in
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the hairline
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in front of the air and down the side of
10:14
the neck and what happens after i poke
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you
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your body sends down all the white blood
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cells and everything to heal it
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that’s what causes the inflammation and
10:22
after it’s done its job
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we want to get it back into the
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lymphatic back into the vascular system
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so if we just do a little bit of this is
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called lymphatic drainage
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massage technique
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there we go and you won’t be able to
10:38
move your filler that’s everybody’s
10:39
biggest question is do i have to sleep
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upright nope
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and am i going to be able to hurt my
10:46
filler nope nobody’s ever moved it
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this is just going to move the fluids
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out and it really works nicely
10:55
let me get the other side
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so you can do that at home if you wake
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up with a lot of swelling you don’t have
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to it’s just another tool that we use
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we actually have something called the
11:05
hydrafacial and
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it has a vacuum on it that does
11:09
lymphatic drainage so people don’t want
11:11
to do it they can come in and have it
11:12
done okay
11:13
perfect all right like it thank you so
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much you’re welcome