Jeuveau

Frown. Push down – so what that does is it activates the procerus muscle which is the muscle in the middle of the nose ridge and that is the muscle that pulls everything down. Frown, and now we are hitting her corrugators on both sides, really important to be symmetric and not splash this stuff around. We are going right into the belly of the muscle by placing the protein right there, you won’t have a lot of drooping; you will have a lot of precision. One other thing when we inject in this area – if you notice we are staying really close to the surface. That is where the muscle inserts into the skin and that is really where you want your protein to go. Raise your eyebrows – so today we are using the newest Botulinum type A toxic called Jeuveau. The units are very similar to Botox, little bit different than some of the other products, but it is a great product we are seeing a lot of interest in this, and a lot of patients are trying it in my opinion it is like Coke and Pepsi. Very subjective, Botox itself has been incredibly popular for more than 20 years and remains popular to this day. Right now we are injecting her forehead or frontalis and we are – what I am trying to do is a bunch of small injections so that not any given area has a huge amount, and we spread it out, and that is sort of correlative of her anatomy. Raise your eyebrows – her frontalis muscle goes all the way out to about here, and you can feel where it stops, so we want to keep our Jeuveau in a line that goes across the middle of her forehead but stops here. If we go past here it’s just wasted. She has a pretty low forehead so we are not going to waste product up into her hairline, however putting it across here will help her. So that is an easy, easy injection. It takes about 3 to 7 days to work, and it is an injection that we do three or 4 times a year depending on how much we put in and how much she metabolizes it. So it is a very simple injection, after the injection – we don’t want a lot of pressure, we like a little bit of gentle dabbing, that helps. How uncomfortable was that? Not at all. Ok, thank you!

Frown for me – so Samantha here has a pretty active procerus muscle which is the muscle that holds her forehead down. Frown push down and now we are going into the corrugator muscles, which is giving her, her elevens we are using tiny, tiny needles here, so the degree of discomfort here should be minimal. Now going after the middle part of her corrugator muscle, and the talmud raise up, so this is a frontalis muscles, the frontalis ends here we are just going to go across with these tiny little injections. Just to soften it, we don’t want to obliterate her wrinkles in her forehead she is going to use some of them to keep her eyelids up and her eyebrows in the right position, but we do want to soften these lines a little bit so they don’t get etched in and deep. Sometimes when that happens we are going to have to use some fillers, and again in the middle third of her forehead we are going to put in a little bit of extra if we don’t do that she will have a flat forehead in the upper and then a lot of wrinkles in the middle.