0:03 all right so just uh had a couple
0:06 minutes between cases and I've gotten
0:09 requests to do videos on certain things
0:11 so this one's just a quickie about dissolvers
0:14 dissolvers
0:16 um I think a lot of patients and doctors
0:19 have a poor understanding of what
0:20 dissolvers do and I'm talking about
0:23 hyaluronic acid dissolvers how you run a
0:26 base which is an enzyme that goes and
0:27 breaks up the
0:29 linkage of the sugar molecules within
0:32 hyaluronic acid fillers and it turns it
0:35 from a gel into a slimy slippery bit of
0:37 water and then your body reabsorbs it at
0:40 that point so uh
0:42 dissolvers are used to get rid of
0:44 fillers and it's a great thing to have
0:47 because injectables as you've probably
0:49 noticed are not fully predictable you
0:51 might place them in one little area and
0:54 it can move where it can draw in water
0:56 it can become superficial they can do a
0:58 lot of different things so it's nice to
1:00 have the option to reverse them or get
1:01 rid of them
1:03 the way it works is just with a simple
1:06 injection you place it wherever you see
1:08 the filler and it can disperse and
1:10 dissolve some of the filler the issue is
1:13 it dissolves hyaluronic acid and it's
1:16 not specific to hyaluronic acid injected
1:18 as a gel it can dissolve your own
1:22 hyaluronic acid so a lot of doctors
1:23 don't believe that for some reason they
1:26 think it would just dissolve the
1:28 hyaluronic acid gel for some reason but
1:30 that's not true and I know that as a
1:33 fact because I've seen the results
1:35 directly during the dissolution and
1:37 after dissolution of fillers during a
1:39 surgery and if you look at different
1:41 parts of the face different parts have
1:43 different amounts of hyaluronic acid
1:45 content so
1:48 if we look at an area like the under eye
1:51 where there's not much in terms of skin
1:53 thickness those areas have less
1:54 hyaluronic acid because the dermis is
1:56 thinner has less hyaluronic and there's
1:59 really no smash there the smash is a
2:01 very thin layer enveloping the facial
2:03 musculature at that point whereas if you
2:05 go down to the mid face the smash is
2:07 pretty thick all across here and the
2:09 dermis is thick as well so these areas
2:10 have the most hyaluronic acid which
2:12 means they have the most to lose so
2:14 hyaluronic acid naturally in your skin
2:17 exists and it's what hydrates your skin
2:19 what keeps it kind of fluffy not just
2:21 the fat the hyaluronic acid draws in
2:23 water and without that you'll look
2:26 shriveled and dry and old and gone so
2:27 it's very important to have the
2:29 hyaluronic acid so
2:31 um dissolvers they come in different
2:33 forms some of them come from like
2:35 testicles some of them are from Human
2:37 there's different ones the ones in the
2:39 US that use are usually either vitrace
2:41 or Highland X they're different forms of
2:45 high runidase and they have a a pulse
2:49 duration of about 30 minutes or so until
2:51 they stop working so when someone's
2:53 doing pulse treatments meaning they're
2:54 trying to dissolve something repeatedly
2:56 during a vascular event they would
2:58 inject it wait 30 minutes to three hours
3:01 depending on how much they wanted to
3:03 wait and then re-inject it again to get
3:05 it to work more again
3:07 and that's the case with all of them the
3:09 units that they come in are very
3:12 difficult for people to understand so I
3:14 try not to even measure things in units
3:15 for other doctors I just tell them
3:17 generally this is what I do and as long
3:19 as the hyaluronidase hits it it'll work
3:22 so it's not largely dose dependent but
3:24 you do have to have enough to to make a
3:26 difference so areas that don't cause
3:28 problems when you dissolve the most
3:31 common area that we dissolve is the
3:34 under eye and the upper lip the under
3:36 eye when you dissolve can deflate
3:38 dramatically you can lose a lot of water
3:40 volume immediately and the eye will look
3:42 like it collapsed and if you don't
3:44 prepare the patient for this which
3:46 happened to me before uh
3:48 they'll think that something terrible
3:49 happened even though you told them it's
3:51 going to get Hollow they think that
3:53 something excessive happened because all
3:54 this water that's been sitting there
3:56 forever goes even if you dissolve this
3:58 much Juvederm there's going to be that
4:00 much water on top of it so it really
4:02 dehydrates and collapses and they'll
4:05 look severely dehydrated gaunt and
4:07 crepey in this skin for a couple of days
4:08 until the body starts to rehydrate
4:11 itself now in that area it's unlikely
4:12 you're going to damage any or much of
4:14 your own hyaluronic acid so you can kind
4:16 of go to town on it with the only
4:18 downside being if you hit superficial
4:20 you're going to make the skin quality
4:22 worse so you have to really try to stay
4:24 deep if you can unless you have to go superficial
4:26 superficial
4:27 in those cases when I'm doing the under
4:30 eye dissolving I usually it's in the
4:32 case of Juvederm or voluma voluma should
4:33 never be placed in the under eye
4:34 Juvederm should never be placed in the
4:37 under eye but people do it I had a
4:38 patient today who had Juvederm placed in
4:41 the under eye in most conferences
4:44 worldwide for years now everybody's been
4:45 in accordance that you don't put it in
4:46 the under eye it's not meant to go in
4:48 the under eye and the hyaluronic acid
4:49 pillars are very different so nobody
4:50 should think that they're all the same
4:52 or react the same so either way I would
4:54 dissolve it
4:55 have them I tell them they're going to
4:57 get bruised because it weakens the
4:59 vessel wall as well when you do the
5:00 solution of fillers the hyaluronidase
5:01 can actually weaken the vessel wall and
5:03 you bruise more easily so they typically
5:05 do bruise even for a regular injection
5:07 you might not so it goes down they come
5:10 back about four days later re-inject if
5:11 you need to four days later you check
5:13 again and then you can refill if you
5:15 want if you don't touch it it'll get
5:17 exaggerated and then it'll Rebound in
5:19 hydration over the course of about two
5:21 weeks just in case they don't want it
5:23 refilled which is fine so that's over
5:26 here the area in the face that causes
5:28 what I call filler dysmorphia or
5:31 dissolver dysmorphia is in the mid phase
5:34 so body dysmorphia or facial dysmorphia
5:36 is when a patient sees something wrong
5:38 with themselves that nobody else sees
5:41 that's called dysmorphia you have an
5:43 altered kind of version of yourself that
5:45 nobody else can see so
5:48 this area over here is filled with
5:50 natural hyaluronic acid filled with it
5:52 dermis is thick smash is thick and those
5:54 areas are what contain mostly hyaluronic
5:56 if you put dissolver in this area to get
5:57 rid of a filler you're going to shrink
5:59 your own tissue and it's going to become
6:02 deflated deflated is one of the worst
6:04 things that can happen to you deflation
6:06 in the mid face makes you look old makes
6:08 anesial labial folds look harsher it
6:10 makes your skin look like it has poor
6:13 quality so I advise strongly against
6:16 dissolving this area in the face unless
6:18 you have to or else your patient can end
6:20 up with dissolver dysmorphia dissolver
6:23 dysmorphia means they got dissolved and
6:24 usually not once whoever's going to
6:25 dissolve you here is going to do it
6:27 several times because it's not going to
6:28 work properly
6:30 once twice three times four times
6:32 multiple times usually and then they'll
6:33 mix in a radio frequency to shrink
6:36 things more so they develop dissolver
6:38 dysmorphia which means that they look at
6:40 their face and they feel like something
6:41 is so different they don't look like
6:43 themselves their photos all look
6:45 different and they do they lost the
6:47 brightness on their skin they look older
6:49 they look collapsed they look like they
6:52 lost 100 pounds it's a very strange look
6:55 however doctors generally don't identify
6:56 it because it's a very vague thing to
6:58 happen it's not something that you can
7:00 identify like there was a DOT there and
7:01 there's not a DOT there anymore it's a
7:03 vague change in the consistency and
7:05 health of the skin so it's very hard for
7:08 doctors to see it that disparity between
7:10 what the doctor sees and what the
7:13 patient sees is why we I call it filler
7:15 or dissolve or dysmorphia it's because
7:18 they end up obsessed with it they can
7:20 never fix it or they try to fix it for
7:22 years and the doctor can't see it and
7:23 work in their friends but if you show
7:25 them a picture
7:26 everybody sees that there's obviously
7:29 something wrong in the after photo so I
7:32 always advise please don't dissolve here
7:33 unless there's a discreet nodule you're
7:35 going after and instead if you're trying
7:37 to shrink that area from prior filler
7:39 try something like profound profound can
7:40 shrink the skin and tighten it at the
7:42 same time it'll increase the metabolism
7:44 of filler because your metabolism in the
7:45 face goes up when your immune system is
7:47 revved up like in it from an insult like
7:50 radio frequency so that's the way to
7:53 avoid that problem now let's say you go
7:55 and dissolve this area down in the mid face
7:57 face
7:59 some doctors say your hyaluronic acid
8:02 will come back I'll tell you for a fact
8:04 that that is not that is an uncertain
8:07 statement you cannot know if the
8:08 hyaluronic acid will ever come back
8:11 because I've operated on people who have
8:13 had dissolver and I know the natural
8:14 thickness of the smash in different
8:16 areas of the face because I'm always
8:17 staring at it always cutting it always
8:19 analyzing it and people who have had
8:21 dissolver before sometimes even four or
8:23 five years later I've gone and made
8:25 incisions for a lip lift or a facelift
8:27 and this mask is still thinner than it
8:29 used to be so some people never recover
8:31 they're hyaluronic that you dissolved
8:33 some people do you don't know who that's
8:35 going to be how long is it going to take
8:37 some people a year some people three
8:40 years some people 70 recovers and the
8:42 rest they'll never get so I advise
8:44 doctors not to take it for granted we
8:46 dissolve because we have to and always
8:49 dissolve because you have to it's not an
8:52 entirely safe thing to do although the
8:53 benefits usually outweigh the risks
8:56 that's why we do it and the upper lip
8:57 it's a very common area
9:01 to dissolve fillers because in the main
9:03 culprit as everyone's heard me say a
9:04 million times by now and if you haven't
9:07 gotten it please get it it's Juvederm
9:10 Juvederm is the devil of lip filler in
9:12 this area the devil of under eye filler
9:15 I do use Juvederm and the lip if it's a
9:18 patient with Scleroderma or fails all
9:19 other hyaluronic acid fillers because
9:21 Juvederm does have that benefit of
9:23 drawing in water and Lasting a little
9:25 bit longer especially on resistant lips
9:28 however it can migrate so let's say you
9:30 inject over here it can crawl up and go
9:32 about a centimeter North silicon can go
9:34 two three centimeters Juvederm goes
9:37 about one centimeter Restylane and velor
9:38 volbella all the others go about two
9:40 millimeters three millimeters something small
9:41 small
9:44 the other thing to know is that
9:47 hyaluronic acid here once it's there can
9:50 last about 10 years plus so it's a
9:51 mistake to think that you had one place
9:53 two years ago and it's gone when it's
9:55 placed here it can migrate up it
9:57 migrates even more if a doctor injects
9:59 from here down so that's something I
10:01 never understood there are doctors who
10:02 take their needle and they inject it
10:05 from here down with
10:07 I'm not sure why I think it might be
10:08 because they think they'll bruise less
10:10 they might be because they think it
10:13 hurts less I I don't know why either way
10:14 the vector of injection is completely
10:16 wrong uh you're gonna end up getting
10:18 more lumps and bumps when you go that
10:19 way you're going to end up with more
10:21 Super Vermilion filler because you have
10:23 to from the way it's injected and your
10:25 you're going to get more uh migration to
10:27 filler because of direct backtracking
10:31 along the needle line pretty fast so
10:32 um I don't think it's a smart idea to
10:34 ever inject from up here unless you have
10:36 a really really good reason on one
10:37 patient out of like a thousand that
10:39 you've done otherwise injections should
10:40 always be done from down here either
10:42 cannula or needle that's all technique
10:44 dependent the only thing that I'd say is
10:48 uh unanimously or often wrong is going
10:49 from top down
10:51 so let's say you inject it over here
10:55 uh the filler can migrate North about a
10:58 centimeter and it typically infiltrates
11:01 into the smash layer which sits on top
11:03 of the muscle and it draws in water so
11:05 when this happens the lip gets thicker
11:07 you look more like a monkey and your lip
11:10 gets floppier because the muscle can't
11:11 Flex anymore
11:13 when muscle has water in it it kind of
11:15 lays out and it can't Flex anywhere and
11:17 the lip is a very sensitive muscle as
11:20 you know it talks and so it's the one
11:22 that moves and does this and kisses and
11:24 it's a very Dynamic very sensitive
11:25 muscle you don't want to tamper with it
11:28 in any way that's why I tell people
11:29 don't do threads around the lip that's
11:32 why I tell people don't do fat around
11:34 this area because it can go inhibit
11:35 muscle movements you have to be super
11:38 super careful with that so either way it
11:40 deposits itself mainly onto the smash
11:42 layer which is the thick cushy tissue
11:44 layer that's under the dermis and above
11:46 the muscle it's in that area
11:48 all you have to do is put small amounts
11:51 of dissolver what I do is I use vitres I
11:54 use 10 units of vitres and a 0.3 cc
11:57 syringe so I use 10 units of bitrace and
11:59 I use 20 units of Lidocaine one percent
12:01 because it buffers it it's a painful
12:04 burning sensation when you uh put in
12:06 dissolvers so 10 and 20 is usually
12:09 adequate so you have 0.3 CC's which will
12:11 dissolve this either entire half of the
12:13 lip or lateral to the field trim and 0.3
12:16 for this side so 10 units plus 20 of
12:19 Lidocaine that's your mix I have them
12:20 come back four days later we take a look
12:22 at it I tell them listen I might
12:24 dissolve your own hyaluronic and you
12:25 might end up with a little indentation
12:27 or wrinkling there that you didn't have
12:28 before or you didn't know it was there
12:30 before because you've been expanded for
12:33 so long with unnatural filler not a big
12:35 deal when they come back in if they have
12:38 that little red Ridge of indentation
12:39 right along the Vermilion which is
12:41 usually where it is you grab your needle
12:43 of Restylane wrestling is the easiest
12:44 one you can use other ones too but
12:46 wrestling's the most predictable for
12:48 this you put your needle in and as you
12:51 draw it out you put a scant amount and I
12:53 say scant because all it needs to do is
12:55 put the tiniest little micro droplets
12:57 back into the smash and you'll see how
13:00 rapidly water comes in and hydrates it
13:01 you don't want to fill it back up you
13:03 just want a little stimulation for
13:05 hydration so that's why I use the rest
13:08 insulin after that the tiniest tiniest bit
13:09 bit
13:12 I usually dissolve wait about four days
13:13 check it again to see if I need to
13:15 dissolve again wait about four days and
13:17 refill you do not want to do repeat
13:19 dissolution repeat dissolving can damage
13:21 your own Smash and your own dermis and
13:23 it may never recover you have to know
13:25 that another area people get the
13:28 dissolver dysmorphia is down over here
13:31 in this area this is also a common area
13:34 to see migration where the doctor will
13:36 go and they have a deepened marionette
13:38 or pre-gel sulcus in this area and
13:40 they'll try to fill it to camouflage the
13:43 indentation however it can migrate back
13:45 into this fold and if it does then all
13:47 of a sudden this weighs down and this
13:49 can happen here on the corner of the lip
13:50 right over there where it hoods down
13:52 it's very common so they get a bulge
13:55 here above the modiolis or it can happen
13:58 here and it gets deeper and usually
14:00 there it's not a first time injection
14:02 it's somebody who's had injections
14:03 multiple times and they're already
14:06 masculinized and looking boxy and kind
14:07 of full down here and then you do one
14:09 more and then it migrates up and it
14:10 starts making it heavier
14:13 when you dissolve those areas you also
14:15 can end up with the filler dissolver
14:17 dysmorphia because it's a very sensitive
14:19 area to dissolving for the same exact
14:22 reasons as here is thick dermis fixed
14:24 Mass lots of hyaluronic acid so you'll
14:27 see a bigger difference in deflation it
14:28 can also it's an area where you see more
14:31 indentations the last reason why this is
14:32 worse is because you have a very strong
14:34 muscle contraction in this area from the
14:38 depressor angulia Oris mentalis is here
14:39 at the presser labia inferioris is here
14:42 and they pull down pretty hard and those
14:44 are strong muscles now let's say you're
14:47 somebody who has these areas forming
14:48 prematurely it's usually because you're
14:51 also using your depressors prematurely
14:52 and hyperactively so if you have
14:54 prominent teeth then you can't close
14:55 your mouth so well
14:58 depressors get stronger over time so in
15:00 that person when you go do a dissolver
15:02 their muscles already stronger now
15:03 you've deflated it where you can see the
15:05 muscle contracture Under the Skin and it
15:07 gets even deeper so that's something I
15:09 always caution against
15:11 dissolving this area again that's
15:13 something I like using profound radio
15:15 frequency for it can shrink the area
15:18 instead so those are the main areas that
15:20 you're going to be using dissolver the
15:22 other areas in the nose or for little
15:24 balls of the Vermilion I would say in
15:26 the nose and in the Vermilion these are
15:27 areas where you don't need to dissolve
15:30 so doctors forget that the dissolver is
15:33 a gel and sometimes it congeals and when
15:34 it congeals it congeals into balls into
15:38 capsules or just into little tiny uh
15:40 spheres so you get little spheres of
15:42 filler along the edge here rather than
15:44 dissolving it and bruising the person
15:46 really badly why don't you just grab the
15:48 same needle you injected with which is a
15:51 27 gauge for the most part you poke it
15:52 in there and you push it and you'll see
15:54 the little bead of filler come out in
15:56 the nose in the nail nasal tip that's
15:59 another area that congeals from too much
16:01 filler it's also pushing the nasal
16:04 cartilages apart which is a bad thing so
16:06 instead of dissolving here I I usually
16:09 go and I grab a needle I poke it and I
16:11 squeeze it out and you can do anything
16:14 up to even a 20 gauge if you really had
16:15 to but you don't need to usually like a
16:18 nine a 22 gauge is huge and that'll
16:20 allow all the filler to come out so you
16:22 do it with a poke alternatively I've had
16:24 strips of filler that are superficial
16:26 and I want to get them gone and I know
16:28 that some fillers here can cause nodular
16:31 hypertrophy which means thickening of
16:33 the mucosa and what I do is I grab a
16:36 little dissolver I poke it into the
16:37 areas that have those little nodules
16:39 even here I could put a little dissolver
16:41 in there tiniest bit I use that to
16:43 liquefy it now I can put in my needle
16:45 and squeeze it out put in my needle and
16:46 squeeze it out the benefit of doing that
16:48 in the nasal tip is that most patients
16:50 don't want you to get rid of all the
16:52 filler so how can you control that
16:53 dissolver is not controllable dissolver
16:55 will go dissolve whatever it wants to
16:57 dissolve if you want to control it
16:58 naturally just aspirate it yourself put
17:01 in a needle squeeze out take a look at
17:02 it squeeze it out take a look at it and
17:04 say you know what I can leave the rest
17:06 of the filler now not a big deal the way
17:07 you know that's happening in the nasal
17:09 tip is usually because it looks like a
17:11 ball or it becomes translucent you put
17:13 up a light to it and the whole thing
17:15 glows it glows like a bright little
17:17 light bulb that means that you've
17:19 congealed filler on the nasal tip
17:21 this area in the glabella is another
17:23 area that's notorious for drawing in
17:25 water and getting heavier over time the
17:27 worst filler for that I mean obviously
17:29 radius you don't use in the nose never
17:32 use radius on the nose uh this is I mean
17:33 I always say this is a joke but unless
17:34 you really hate somebody and if you
17:35 really hate somebody and you don't care
17:37 about the repercussions so you don't use
17:39 radius in the nose because what if you
17:41 hit a vessel you can't get rid of that
17:44 you've blinded them otherwise the other
17:46 problem is that it can draw on water
17:48 over time and calcify the area it's not
17:51 good so out of hyaluronic acid the worst
17:52 you could put in there is Juvederm
17:53 Juvederm can draw in water and all of a
17:55 sudden you get this really heavy
17:57 glabella that thickens and widens over
17:59 time and patients don't know they had it
18:00 because it's been years it takes years
18:02 and when things happen over years
18:04 patients don't realize it so it's up to
18:05 the doctor to feel it and see oh my God
18:07 that's not natural it doesn't feel like
18:10 my nose it feels doughy and thick that's
18:12 filler that's filler accumulation so
18:14 that's another area where I really like
18:16 to put dissolver you're at very minimal
18:19 risk dissolving in this area do not let
18:21 it hit the writing on if you get over
18:23 this thin skin area all of a sudden you
18:26 can kind of see through to any bumps or
18:27 anything that are underneath so make
18:29 sure never to hit here this is safe but
18:31 put your finger around it and do it responsibly
18:32 responsibly so
18:34 so
18:37 I think that's it never dissolve someone
18:38 too much
18:40 never tell someone you can get rid of
18:42 all their filler it's not possible even
18:44 here when I dissolve it gets rid of like
18:47 70 percent dissolve again 70 of that
18:49 dissolve again 70 of that filler residue
18:51 will remain filler residue will rain in
18:53 the whole face once it's injected you
18:55 have it and it could be for life even
18:57 though these things are supposed to last
18:59 a couple years I think it's very rare
19:00 for the body to reabsorb all of it
19:02 little microscopic portions can always
19:04 stay and they can draw on water make
19:06 your under eyes tired do a lot of
19:07 different things so I'd never tell a
19:11 patient that this stuff is temporary I
19:12 would say the effect can be temporary
19:15 can be temporary just like threads you
19:17 don't say it's a temporary thread
19:19 um you know and that's like calms the
19:21 patient down to think okay well I don't
19:23 if I don't like it it goes away no it
19:25 sat there for six months nothing sits in
19:26 your face for six months and doesn't do
19:29 something it's not fully inert so that's
19:31 why if it were fully inert the threats
19:33 wouldn't get eaten back up they get
19:34 eaten back up which means they're not in
19:36 there your body hydrolyzes them when
19:38 it's hydrolyzing that means it's drawing
19:40 in cells to do it and it's going to draw
19:42 in immune cells too and fibroblasts and
19:45 it deposits collagen or fibrotic type of
19:47 scar tissue so
19:49 hyaluronics fortunately do not really
19:51 form Scar Tissue they're pretty benign
19:53 it's a gelatinous material but it can
19:55 hypertrophy or thicken tissue or expand
19:58 it over time by drawing in water
20:00 staying in the mucosa it can cause
20:02 nodular changes to the point where you
20:03 can't even dissolve it you say oh my God
20:05 I had to dissolve 20 times it's still
20:07 there well it's now a nodule it's no
20:09 longer just filler you have to cut it
20:11 out so those things happen too but never
20:14 jump to cutting it out never jump to you
20:15 know doing anything if you don't have to
20:17 don't dissolve people if you don't have
20:19 to only dissolve if you need to and if
20:21 you're going to dissolve somebody make
20:23 sure you do it delicately and you're
20:25 ready to take on this show that you
20:27 just started because it's going to be
20:28 two weeks where they don't feel good
20:29 about themselves
20:32 and if you don't know how to do it very
20:34 predictably and tell them how it's going
20:36 to happen which has happened to me I've
20:37 done it on patients and I knew exactly
20:39 what I was doing and I knew exactly what
20:41 was going to happen but I'm not the most
20:43 eloquent person sometimes I come in the
20:44 room I kind of like okay I'll fix this
20:47 I'm a mechanic I'll go boom boom boom I
20:49 do the injections I'll see you in four
20:50 days I'll take care of it don't stress
20:52 they come back crying because I didn't
20:54 explain it well enough and it's
20:56 completely my fault I've learned since
20:59 then I don't do that anymore now I'm
21:01 very very clear about what's going to
21:03 happen and I tell patients over and over
21:06 again I hate doing this on people if I'm
21:08 doing this to you it's because you want
21:10 me to please don't ruin my life after I
21:12 inject you it's this is exactly is going
21:14 to happen and so you really want to
21:16 dissolve uh candidates that are already
21:19 emotionally to go through it candidates
21:21 that have the time to go through it
21:23 because they'll Brews they'll Hollow
21:25 they'll sink skin gets crepey it's
21:27 dehydrated it takes a while to come back
21:30 you can fix most of it but uh it's a
21:33 it's a process so all that means is
21:35 don't take it for granted dissolver
21:39 although it's a lovely thing it is uh by
21:41 no means risk-free by no means is
21:44 dissolver risk-free so
21:46 um if you have patients that need to be
21:48 dissolved feel free not to send them to
21:50 me you can send them uh to plenty of
21:52 other people I do deal with like the
21:53 worst cases when nobody else can take
21:55 care of it but Jen my nurse practitioner
21:58 loves doing that stuff now
22:00 it's a bit of an emotional toll
22:02 sometimes although patients once we do
22:04 it the people who love it the most it's
22:06 for the under eyes and the lip those are
22:07 pretty straightforward areas their
22:10 parents love me their parents come back
22:12 like oh my God you give me my kid back
22:15 oh my God she looks like she used to
22:18 uh or I don't look tired anymore uh
22:21 so it's there's huge benefits to it and
22:22 patients are very confused sometimes
22:23 with under eye filler because they have
22:26 no wrinkles since it's all blown up and
22:28 they think okay well wrinkles hollowing
22:30 it's the same thing they're very
22:32 different it's another you know fillers
22:34 in the under eye are just one more thing
22:35 that can give you bogginess and a tired
22:37 appearance under the eye although it's
22:38 not hollowing anymore it's a different
22:42 tired appearance it's bogginess uh water
22:44 it looks allergic it looks blue it's
22:46 nasty so either way if you have any
22:48 questions you can always ask me about
22:49 this stuff
22:52 um I will try to do some videos maybe on
22:54 dissolver it's not that exciting but
22:58 happy to uh and hope everybody is loving
