I am so impressed by your approach. You truly put the patient first; not only their wants, but you take in to consideration their mental disposition. This happens when you have found your calling. Thank you.
May this message richly bless you and yours as it has bless me. Many profess believers of Jesus Christ believe that the fourth commandment to keep the Sabbath holy was nailed to the cross and that we no longer have to keep it, while still embracing the other nine commands. Do you believe this too? The Bible says in revelation 22:14, “ Blessed are they that do his commandments that they may have right to the tree of life and may enter in through the gates into the city.” Ask yourself this question: which one or ones of the following Ten Commandments do Jesus wants us to keep and obey? 1. Thou shalt not have no other gods before me. 2. Thou shalt not make or bow down to gpl raven image. 3. Thou shalt not take the name of God in vain. 4. Remember the Sabbath day to keep it holy. 5. Honor thy father and thy mother. 6. Thou shalt not kill. 7. Thou shalt not commit adultery. 8. Thou shalt not steal. 9. Thou shalt not bear false witness. 10. Thou shalt not covet. Answer_________________ The Sabbath command is not only to be kept but it is to be calculated by the Time/calendar God ordained in the beginning of creation, Genesis 1:14. The sun, moon and stars are God’s True Time/calendar not that famous Gregorian calendar hanging on our walls in our houses. This split in God’s law must be repaired!! All of God’s laws, statutes, judgments and testimonies are just and true! We must do things God’s way or else we will be worshipping him in vain. There will be no good reward. God may allow the people that rules this world to enforce some type of Sabbath law to test people to see if they will keep His law or no. Already, there are Sabbath laws/blue laws/Sunday laws on government books today. Friday is not the true Sabbath. Saturday is not the true Sabbath. Sunday is not the true Sabbath, etc., because they are calculated by man’s time/calendars. The true Sabbath is calculated by the sun, moon and stars. So, do your research on what you have read in this letter. This information is helpful both now and future because we need to get back to God’s ways and if God should allow man to enforce a “Sabbath Test.” If such a test is allowed, may we choose wisely. Let us seriously repent of our evil ways, stop worshiping other gods, talking about one another, stealing, killing, lying, fornicating, adultery, disobedient to parents, etc., etc., etc. Let us seek God, read our bibles, memorize His commandments and do them, For God’s Kingdom is coming!! Repent! Repent! Repent! Worship Him that made heaven, earth and sea. This Babylonian system is falling, the Powers in charge are aware of this fact but they cannot stop it. Their time is coming to an end! Our time is coming to an end! If any worship the beast and his image and receive his mark, the same shall have no rest day or night and they shall be burnt with fire and brimstone. Revelation 13 and 14. Deuteronomy 5 Isaiah 58:12-14. Also, research the “Seven Noahide Laws.” I have heard that these are Jewish laws taken from their book, “Talmud.” The first law forbids idolatry and according to Jewish writings, to believe in Jesus Christ, God’s Son, is idolatry and is punishable by death, decapitation. I have also heard that some of the USA presidents have signed this law under “Education.” and it is planned to be unleashed on all nations in the future. So, Research and see if these things be truth. May The Father of our Lord Jesus Christ be with you that believe.
Just trying to give helpful feedback: if you discuss ANYthing, please SHOW examples, preferably your patients. Your explanation is great but the lack of real life examples has me flipping away to another channel.
May this message richly bless you and yours as it has bless me. Many profess believers of Jesus Christ believe that the fourth commandment to keep the Sabbath holy was nailed to the cross and that we no longer have to keep it, while still embracing the other nine commands. Do you believe this too? The Bible says in revelation 22:14, “ Blessed are they that do his commandments that they may have right to the tree of life and may enter in through the gates into the city.” Ask yourself this question: which one or ones of the following Ten Commandments do Jesus wants us to keep and obey? 1. Thou shalt not have no other gods before me. 2. Thou shalt not make or bow down to gpl raven image. 3. Thou shalt not take the name of God in vain. 4. Remember the Sabbath day to keep it holy. 5. Honor thy father and thy mother. 6. Thou shalt not kill. 7. Thou shalt not commit adultery. 8. Thou shalt not steal. 9. Thou shalt not bear false witness. 10. Thou shalt not covet. Answer_________________ The Sabbath command is not only to be kept but it is to be calculated by the Time/calendar God ordained in the beginning of creation, Genesis 1:14. The sun, moon and stars are God’s True Time/calendar not that famous Gregorian calendar hanging on our walls in our houses. This split in God’s law must be repaired!! All of God’s laws, statutes, judgments and testimonies are just and true! We must do things God’s way or else we will be worshipping him in vain. There will be no good reward. God may allow the people that rules this world to enforce some type of Sabbath law to test people to see if they will keep His law or no. Already, there are Sabbath laws/blue laws/Sunday laws on government books today. Friday is not the true Sabbath. Saturday is not the true Sabbath. Sunday is not the true Sabbath, etc., because they are calculated by man’s time/calendars. The true Sabbath is calculated by the sun, moon and stars. So, do your research on what you have read in this letter. This information is helpful both now and future because we need to get back to God’s ways and if God should allow man to enforce a “Sabbath Test.” If such a test is allowed, may we choose wisely. Let us seriously repent of our evil ways, stop worshiping other gods, talking about one another, stealing, killing, lying, fornicating, adultery, disobedient to parents, etc., etc., etc. Let us seek God, read our bibles, memorize His commandments and do them, For God’s Kingdom is coming!! Repent! Repent! Repent! Worship Him that made heaven, earth and sea. This Babylonian system is falling, the Powers in charge are aware of this fact but they cannot stop it. Their time is coming to an end! Our time is coming to an end! If any worship the beast and his image and receive his mark, the same shall have no rest day or night and they shall be burnt with fire and brimstone. Revelation 13 and 14. Deuteronomy 5 Isaiah 58:12-14. Also, research the “Seven Noahide Laws.” I have heard that these are Jewish laws taken from their book, “Talmud.” The first law forbids idolatry and according to Jewish writings, to believe in Jesus Christ, God’s Son, is idolatry and is punishable by death, decapitation. I have also heard that some of the USA presidents have signed this law under “Education.” and it is planned to be unleashed on all nations in the future. So, Research and see if these things be truth. May The Father of our Lord Jesus Christ be with you that believe.
@@grannysword Getting condensation on the windows most mornings now. I'm loving porridge for breakfast, with banana and coconut milk. Way too much carbs but so so nice. My lawn is water logged.
@@hansiesma16 ... Yeah, repent and believe the gospel. Jesus is coming to destroy the wicked. Satan will be bound. Everyone will stand in judgment before God. Those whose names are not written in the Lamb’s Book will be cast in hell fire. Have a good day❤️
Thanks for this video. I do struggle with the older lip, particularly at the upper lip corners.....Now I know why. I appreciate the time you spend on these helpful videos.
Amazing presentation as always… love your outlook and way of sharing information that is key to psychological aspect of our role as injectors… so important
Thank you for this video ...I have been trying to lift my wrinkles with filler and it never lasts or works , now I know why I supper from Hypoglyceamic hence very pebbled skin and some are like small blisters and when pilled open the wrinkle is pink ..I have never been told this from when I used to get my Botox and filler done ...I now do it myself and my skin is slowly looking smoother with hard work and time . I know a professional person would never take the time going over all my wrinkles it would take too long ..more acid peels for me then ...my last one was 30% with three passes ..could I go stronger for my chin and around mouth area where it’s very badly cobbled ...big thanks for this video
Dr. Pearce, excellent short presentation. Can you put together a live small group course or one on one mentor course for the Tx of older Pts with facial esthetic needs? I am in the US and my avg Pt age is 70. I would like to increase my aesthetic side of my practice but I’ve found treating the older population challenging especially when sun damage is an issue. Thoughts on such a course?
We are based in Manchester UK. Choose a practitioner that is medically trained and who makes you feel safe and listened too. These are important factor in choosing an aesthetic practitioner. Look at their reviews too. See if they sound like the kind of things you are after in a medical professional. Kind regards Mary. Clinical advisor for Dr Tim
Scleroderma is an autoimmune disease and depending on severity and where it affects the patient, should be very much risk assessed. Some patients with auto immune aren’t suitable to have dermal filler. Kind regards Mary. Clinical advisor for Dr Tim
I know exactly what you're talking about with these old people. They are scared and always worried about what other people think. 🙄🙄🙄 You have to show them pictures of what your talking about so they can understand. Also old people should not get any poison injections. They need surgeries.
I started receiving filler at the age of 48 and still to this day, at 62. If anything, too many doctors are treating young women under the age of 40, that don't even need it. I am fortunate as I inherited good genes from my mother. I just get minor touch ups. Never overdone. Doctors have tried to get my 32 year old daughter to do fillers when she absolutely has beautiful skin and no loss of collagen. I've went to three different plastic surgeons in my area for my Botox and fillers and can tell you, sales is their number one priority, not their patients.
He doesn’t even really say what angle to go in. Absolutely spend lots of money on consultations and it doesn’t really work. Save that money peeps and get a few things done when you’re about 50. I’m skeptical about all these needle procedures after all I’ve read. Take anger management, don’t smoke and wear dentures. There is no way you can treat your body like a garbage can and look good. Unless your a millionaire
Your videos are different than anything else out there. I feel more educated about what I should be expecting and looking for at age 51… not big change but just to restore my feeling of identity. Thank you for putting things into perspective for me! Your educational approach is VERY HELPFUL. You’re a great speaker and teacher and I will be subscribing. Paige in Texas. 😊
I'm just starting my aesthetic journey and I am learning so much from you. Please keep producing evidence based honest advise. I love the way obviously have each patients personal goals in mind and this is something I would like to also do in my own practise. Thank you Dr Tim 👏🏼
Pure theory in something mostly practical offers little value to your presentation . is a long video and beside the regular theory nothing more to learn . Thanks for the effort but slowly your videos are turning into theory tutorials with little practice value .
What I really dont like about aging is that people ask me if Im tired when Ive actually had a great nights sleep and feel great. This usually happens when I dont wear makeup.
I got Botox when, after leading a preschool dance class in an interpretive dance lesson with music transitioning from raindrops falling ‘pitter-patter’ to thunderclouds, stomping heavier and scowling, one of my little prodigies cried. She thought I was mad at her. My “Thundercloud eyebrows” were so scary when I turned around and faced her.
Great video but calling the more elderly patients old dears is a real no no. I work in the NHS and can assure you these words are offensive to most people. Check your CQC guidelines. More mature patients is really the better way to go. The word dear is just patronising beyond belief.
There were a number of problematic ways of discussing the issue in this but you’d have to have to totally out of touch to think a term like “old dears” is not offensive.
I am 66 and I don’t want to look 20 again! I do have those dreaded vertical lip lines that add so many years to your face. I recently had some filler injections only on the top part of my mouth. The doctor did not use a cannula but needle injections, which were very painful. I am very disappointed with the results and see no improvement . The doctor did suggest using a cannula but having watched your tube video it’s only part of what can be done to improve lip lines and indeed the lips themselves that have lost volume. How do I tell my doctor he should follow your advice? I don’t want to offend him or pretend I know more than he does after watching a video! Obviously, I’m tempted to ask you where I can find a clinic that uses the techniques you have described and I am sure many people who have watched your videos would love to know too ! It’s frustrating for the patient and in my case, this is the second doctor I have tried. So perhaps you can give advice on how to choose an experienced cosmetic doctor/surgeon. Thank you
As usual your tutorials are a plethora of information. Most of my clients are older and have extreme volume loss around the mouth and lips. It is a challenge treating these areas. I love your approach. Thank you
You are my "go to" physician on RU-vid. I play your videos while I do my charting in addition to anything new I'm trying. Your consultation skills are amazing and I'm slowly incorporating your tips into mine and it works every time. Thank you for these videos and what you do. You really are making a positive difference for us providers out here. (I've been a Nurse Practitioner for 20 years, mainly ER and doing aesthetics for 14) ❤️ from Pensacola
It's great to gain some insight into the considerations for older patients. Some injectors do use a cookie-cutter approach to injecting all age groups. Thank you for these very useful tips!
I absolutely love your videos ect…. I’ve been in this industry around 3-4 years and I still feel like I’m only scratching the surface! Your calm, cool and collective, not about money at all and that’s amazing as I feel most of my training was just all about money. Thank you for your knowledge 🙏
Beautifully explained that I cannot imagine this procedure to not be perfectly understood. I so wish, Dr. Tim, that I could tap your expertise and utilise your services!! Unfortunately, my consultation would break the bank, lol, as I'm in the Toronto, Canada area!!😎
I realize I am late to this video- not sure how I missed it. Your content is invaluable. Can you please specify what product(s) and technique(s) one would use to augment the retro obicularis oris fat pads in my older patients with recalcitrant rhytids?
This video is very important. The majority of videos about lip fillers here is about very young people who actually would not need it as badly as mature people. The things you mention here are not addressed enough. So, thank you for effort and uploading it. It also is so important because a face lift would not address small lips. The patient needs to learn that the personal routine has to change and they need to be educated to use home treatments to have a beautiful skin. There is not such a thing "one fix it all". They have to make a constant effort. if they want to improve their appearance. It changes the way the bathroom would be organized which means it changes the way you live. I discussed this a lot and figured that many patients do not want to got that far in the first moment. They first come to you and think they do some treatment and everything is fine again. Only if they come back they learn step by step that they have to integrate some treatments into they daily life. - that is my experience.
The other thing that is super important are the nostrils. The nostrils should always be hidden, and with age the alar part of the nose widens probably because of lack bone support+cartilage hypertrophy, they must be made smaller+hidden. Forget about the dorsum and length of the nose, another misconception. Noses with a bit of a hump and rather long noses always are more beautiful because straight=sharp, sharp=ugly and old, very sick people get nose sharpened, babies have adorable cushion like nose dorsums. And the longer a nose is the shorter a lower face is= YOUNG, and the longer a mid face is= YOUNG. So unless the nose is very very long and the hump gigantic, it shouldn't be touched. And if so, then shorten it a little bit and the hump be made a bit smaller by a little shaving, BUT NOT STRAIGHTENED, straightened= masculine and old. Also forget about nose tip drip, it doesn't add any ugliness and actually is a little bit advantageous, it lengthens a bit the nose= longer mid face, shorter lower face= YOUNGER, FEMENINE AND BEAUTIFUL. I don't know why but quite often I find people's ideas about facial rejuvenation to be not only not correct, BUT THAT THE EXACT OPPOSITE IS CORRECT, and I feel nobody notices. I take any given assumption, I check the exact opposite and find the truth THERE.
I am wondering if glycation would benefit from a treatment with hyaluronidaise. >>>>I’m in love with your brain btw. You make me want to be the best and you inspire confidence. I’m in the US and when you said “ mutton dressed as lamb” I had to ponder that a bit lol. I listen first in my car and l feel like I am so smart when I listen. Your command of language is a gift and then you use evidence to educate and practice and this morning this podcast just taught me sooooo much. Thank you for your help.
Dear Doctor I am Danish Dentist with 22 years of experience how ever am to learn Facial Esthetic like you and doctor Esho but do not now where to take the practical course for same purpose. Whould be grateful for your kind guidance.
Unfortunately we can not comment regarding courses that are available to you in Denmark but we do offer the Mastery Programme to all medical professionals no matter what stage they are at in their aesthetic career. We have many professionals from all over the world in this programme which covers 7 practical days over here in the UK. Many over seas guys stay for a short week to get a couple under their belt before goi home and practicing what they have learnt. Along side 10 e-learning courses, key mentorship and coaching with Dr Tim himself. It’s an amazing course and would advocate it if I hadn’t done it myself! www.skinvivatraining.com/aesthetics-mastery/ If this looks like something that would interest you please reach out to Jay on info@skinvivatraining.com, I hope this helps. Kind regards Mary. Clinical advisor for Dr Tim.
Thank you for explaining the best way to start. I'm 75 and I was going to go straight for the lip injections. But after listing to you, I'm going to do a resurfacing first.
I was planning at 58 on treating myself to adding volume back to my lip's and Botox on some lower face area's. But, I'm petite and thin skinned and it looks so painful.
I am 48 and I got lip filler for the first time. After the first three days the inflammation went away and my lips looked great but the filler was all gone by day 20… The nurse who did it couldn’t believe it she’s never seen that before. Suggestions
48 year old lips cannot be augmented like 25 year old lips. That being said, I don’t know how you presented pre treatment, however, I can assume at 48 years old, you have had structural changes and volume loss. Both should be treated separately and in more than one appointment as Dr. Pearce discussed. If your injector’s objective was to achieve volume without addressing structure first, then yes, after initial inflammation settles down, you will not see much improvement. Structure is the “support” or “framing” for volume placement. It’s important to find a practitioner that has experience injecting mature faces. The techniques and products used are very different. BTW I am an experienced injector, aged 58 with a mature patient population 35+.
@@cynthiawebb1792 oh, thank you. One product was called… And the other product was called kiss… One I think I was allergic to. It was awful, but went away quick. The other lasted for five weeks and it did not hurt and look beautiful, but quickly went away. Also, the Botox only lasted for five weeks.
This talk on the old lips helped me a great deal as all of the older clients I have seen so far at the start reject the idea of having lips treated and this has given me the back up to be holistic in my treatment and say no if I do not believe it will get a positive result for them. On one occasion I have even played your video for the client. Thanks Dr Tim
Such a great video, you have a very soothing voice too, thank you for confirming these techniques , I do so many more of this type of treatment on my clients rather than a full looking lip. very informative and professional. Looking forward to doing more training.
Really informative thank you. I love this stepwise approach, and all the details to include in the consultation process which really helps them to understand why treatments they may not have wanted to consider are important.
Could you please advise on how to find an expert who would inject older lips in London please? There are so many people practising injections now but and very few doing it well and effectively. Any suggestion or recommendation for a particular practitioner would be highly appreciated. Thanks you
Wish this doctor was in my area how do you seek out physicians that are well-versed in this area how do I know if a doctor will take the time and is well experienced just as I think this doctor is he’s taking the time with the patient reviewing every piece and aesthetic of the lip how can you find doctors that have his expertise how
Results, educational content which acknowledges the risk, reviews on independent websites like google which show evidence of listening to patients carefully, and if possible evidence of building treatment plans, especially for individual patients rather than a one size fits all approach.
These lines are called Perioral lines and require a Perioral treatment with either dermal filler and or skin boosters. Kind regards Mary. Clinical advisor for Dr Tim
So what he eventually says is you’ve got three levels for injecting. If you don’t do all of them it looks weird. The wrinkles are the last. If they’re bad it’s not possible to look suble. So you either put a lot a little at a time or save your money and just except the way they are if you have this kind of money to blow and you’re not a smoker, I guess you could try it. Otherwise they’re gonna look out of proportion to the rest of your face and you’ll have to keep pumping your entire face overtime.
Hi! I've done fillers for many year. Then I got sick in atypical hemolytic uremia, aHus. Docs blame Restylane so they scared me for life 😢. Now I'm 64 and get uglier and uglier. I did fillers for 10 year plus! Could you bring some fact to this or do you you know a specialist who could answer me?
Yes - your videos are actually quite detailed and I do end up learning a thing or two from them - so thank you for the time and the detailed information that you give -
![OLD LIPS: Best injection techniques & how to avoid the Homer Simpson look! [Aesthetics Mastery Show]](/img/logo.svg){kind=logo}
