Expert Injector Techniques For 5D Facelift With BOTOX®, Facial Fillers & More

Hi everybody. Drs here at German Skin Institute. Today we’re going to be doing the treatment of the forehead. So it’s off-label for Dysport, but it’s an area we specifically use a lot. Okay? So you have to have a little more extra caution with this just because of eyelid. Ptosis meaning the drop of the eyelids. So when we assess the patients always, always, always no cookie cutter. It’s going to be directly for her. So everybody’s unique. So each time we inject, it’s slightly different. I don’t have maps, I’m not a geography major. I do what I see. Okay, so we’ll look at our patient. Let’s have a look. So lift up. Okay, so first thing you notice, everybody, everybody, everybody’s always a little bit asymmetric. So you can see she’s stronger here than she is here. So not as many lines up here as there are here.

So that’s going to dictate a little bit what we do. Frown. Look at that. Beautiful frown. So we already erased her elevens. Frown, frown, frown. Yeah, she’s not frown. Squint your eyes. Yeah, look at that. No pro’s, feet. Okay, excellent. Now we’re going to go a little off label. We’re going to treat these bad boys. Okay? So lift up for me. This is my technique right there. We want to make sure we get rid of Captain Spock. We never want to have super high arches. So what we want to do is right there. So this is the direction of the vector right here. So right there, captain Spock. Bye-Bye. So we’re going to erase that. We don’t need the rest. And same for here. Lift up. So at the maximum point, that’s what I’m going to do. And then one to the side, one to the edge and lift up and relax. So I’m just following where her lines are and I’m just kind of doing all of that. Lift up. Up, okay, lift up. Good. And then on the side where she has less, I’m going to put in less. What’s up? Okay, and last up.

Okay, so simple enough, we’re just going to count. Lift up and relax. 1, 2, 3, 4, 5. Lift up six, relax. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 1.

So we’re going to get 25. Okay? So I don’t use 25 fully. So we’re going to be basically doing 11 units into 25. So it’s going to be nice dilution, almost half. So I don’t always do half. It depends on what I see. So we’re going to do that. Alright? And then we’ll show you our technique in a second once we get everything ready. So we’re going to be injecting again off-label sites. So you have to know what you’re doing. You have to be careful about what we do. Whenever I’m injecting here, I’m worried also about the eyes falling down. So lifts up, this muscle, pulls up, see how it pulls up the eyelids. Close your eyes real tight. Okay, so this muscle closes the eyes. So we’ve already done this before when we treated her eyes and we treated her glabella area. So I always like to do at least the mini eye.

Why? Because giving the eye, the treatment is actually going to relax this muscle that closes is going to lift up the eyebrow. So that’s how you get a brow lift. So now I’m much more safer to treat her forehead and really minimize the chance. Again, at least one centimeter above on all sides. Again, going to reduce your chance of having eyelet ptosis. You don’t want her squinting at you like this. We don’t want pirates in our practice. So really important to do it. So then how do we treat it? So how do we inject? Okay, so these are tiny little micro quads. You want ’em have good muscle memories to practice at home if you need to. I think we’re all expert injectors that do this area. So it might not be as relevant for this area, but when you’re first starting, you want to make sure that you’re injecting in a way that makes sense to you. Some people inject this way, like a dart, some people inject this way. Do whatever makes sense for you. For me, this is what makes sense. Okay, so we’ll go like this little tiny poke. Okay. And just on the very surface

Doing okay T. So

This area up top tends to be a little bit more sensitive and what you can is you can kind of twist the syringe a little bit to minimize the pain. Awesome. Okay, so we’ll do that. There we go. And any little bit of blood, this goes away. Okay, there we go.