Hi everyone, for all of you asking we will be posting the before and after image of this procedure on my Instagram next week on the 24th August. Head over to my Instagram here >>> instagram.com/drtimpearce/
Love your videos, I am a level 7 student with several years of injecting under my belt with my own clinic. I love learning and never take anything for granted! I love your ethos and learning from you! Thank you!!! Would you be able to talk us through the lip flip treatment to help evert a patients who has thinner lips and the best way in treating the perioral lines with toxin? Many thanks Toni
I've searched and searched for a video that could tell me exactly specifically how not to drop my brow just by far has been the best one now once I go and get my Botox done or if I attempt to do it myself because I'm new and aesthetics now I finally feel confident Thank you Can you please do one on the lower face That would be extremely extremely helpful.
I would love to see the before and afters of her movement. This injection pattern over the brows traditionally causes the dreaded Spock brow that doesn’t look good on anyone.
Hello Doc! I love your way of explaining. I am from Uruguay, could you put the translation into Spanish if it is not inconvenient for you? I think many of us would be happy! thank you very much for these classes totally to learn
I'm so glad to have found this channel. Would have loved to see a close up after the treatment was effective. i.e her frowning/smiling/raising brows before & after. Thank you for sharing your Great work.
I cannot thank you enough for your teachings. I have been looking into the possibility of applying AR to facial anatomy. This is being done but I haven't found yet a way to determine the precise positions. If by determining the most important point/landmark on the face a computer could then give a more precise positioning of the elements. All faces are different and we know that according to our studies in cadavers arteries and veins differ from position slightly. Minimal difference but still. I have seen you used on Kayla (thank you for using her in your videos: what a gracious and beautiful facial features to watch by the way) a projected image of her facial anatomy. What is that software?! I'm concerned about the fact that we are still piercing the supratrochlear, supraorbital, and tranverse facial next to the nose and despite the nerves being sheltered by fat or fibrous septae the danger to touch a nerve still exists. What technology do you suggest to ultimately avoid mistakes regarding the anatomy.
Thank you for posting this. So helpful! By avoiding treatment in the triangular area, does this lead to the characteristic lines over the lateral eyebrows on raising them? I often put 1 unit Botox there to avoid this scenario.
Yes in some patients it does cause some ladder lines and your patients have to be counselled on this. Explaining they may need a tweek at the two week point. Younger patients with good skin don’t always get the lines but getting to know your patients you will know whether a little 1 unit dose maybe required in the upper third of the triangles. But this will of course reduce the degree of lift too. Kind regards Mary. Clinical advisor for Dr Tim.
I have a client that has one deep vertical line between her brows instead of the usual “number 11”. What is the way to correct this? It doesn’t respond to typical glabella injection. Please continue to make more videos. Ty so much
You patient had a split procerus muscle. You need to treat either side as it has two bellies rather that the typical one belly. The Procerus will respond to 4 injections like a dice with 4 dots. Imagine the line down the centre of dice. Then treat your corrigators in your usual pattern. Hope that helps kind regards Mary. Clinical advisor for Dr Tim
I was thinking the same. Possibly explain because of the small amount and going so shallow however migration would be my concern because it’s injected into so many areas under the brow.
@@Savoiefair64 Eyelid ptosis is caused mainly by the product getting into the orbit, which means deep injections cause it, through the muscle and the orbital septum. So I keep them safe with superficial and low dose injections
Thanks doc for the high level explanation .. just tell me, in the first and second point under the eyebrow you used 1 unit and the last 2 points 2 units? 😀
Because we were treating her orbicularis oculi muscle as the patient requested softening around her eyes. 1 units were used to help lift. Kind regards Mary. Clinical advisor for Dr Tim
Hi Dr Pierce. Thank You for this movie . Is 1 full unit safe to inject? I thought we do inject 0.2-0.5 to each point. Also is injecting in the eye direction safe? I Thought injections need to be always done from the eye.
1 botox unit is perfectly safe if strictly superficial. For the purpose of the video it’s easier for you to see what happening. But if strictly superficial and confident of your depth it’s not an issue to inject in the direction of the eye. Good practice though to inject away. Kind regards- Mary: Clinical advisor for Dr Tim
Hi, brilliantly explained and makes a lot more sense after watching your previous vid. Can i ask why 1u was chosen for the obicularis occuli and frontalis? your previous support document downloads show 4u per site on the obicularis? Is this to achieve an eyebrow lift more than to reduce wrinkles (so generally on a younger patient? Thanks in advance!!
Up to the tail of the eyebrow the licensed dose is 4u. I use less more medially where it's closer to the eyelid, and in people with weaker muscles. 4 units is also the licence dose for forehead using allergan units, but my sense is that this is a little bit of a blunt instrument for small or petite foreheads and I like 1 unit more spread out.
For the sake of filming the video Dr Tim had injected like this. But his exceptional experience allows him to know his safety margins too. We always recommend injecting away from the eye when you are new to aesthetics. Kind regards Mary. Clinical advisor for Dr Tim
Awesome teaching, dr Pearce! May I ask a silly question? I have a small forehead with few to no lines on it. It's just my glabella that's bugging me. Can i have it fixed without touching the frontalis muscles? Thank you and have a good day!
Yes absolutely you would just have the frown treated - that doesn’t involve the frontalis muscle. It’s just the glabella /corrigator complex that would be needed. Kind regards Mary. Clinical advisor for Dr Tim
@@DrTimPearce Thank you for replying, but what i meant to ask was if i am concerned only about my elevens, can the doctor only treat the glabella without risking the unwanted "spock brow" or even a brow ptosis? Thank you very much!
Not a problem. Spock brow is only something that is possible if you’re having your forehead treated. There is still a possibility of lid ptosis if your injected injects too deep in the muscles that create the 11s. Hope that helps. Kind regards Mary
I recently injected thru the hospital pen marker and like you said in your video I now have a small blue dot where I injected that will not go away. Any suggestions would be appreciated.
How do you know that the diffusion of the toxin is 1.5cm? Is it Botox - Allergan? Because the manufacturer states that the diffusion pf the one is around 3cm. Is there a way to predict how much cm is the diffusion of the toxin? Thanks for answering.
Nice video! 👍🏻 I essentially agree your method. Just wondering which dilution you use, because I don't usually have to inject 0,2ml in one single point, much less in those precise applications. And I use an easily erasable marker, so I don't have to "rub" those precise points treated.
