breast augmentation melbourne before and after

i'm dr. gavin chan from the victorian cosmetic institute today we'll be talking about fillers dermal fillers and how they can be usedin facial rejuvenation today we have judy who is one of our patients and she'll be having some dermalfillers in her face to make a little bit moreyouthful a bit more rejuvenated especially around themidface area. now if we have look at judy's face whatshappened

over time is she's lost a bit volume andyou can see that is a quite a bit of volume lossespecially in the cheek over here where the volume has beendepleted and by refilling this area it's actually going to make her a bit more youthful also there's a bit of volume depletion around the eyes, around the orbital rim and that volume has actually beendepleted also there's also been some gravitational movement ofthe fat down to here, so what we're going to do

is replaced the volume through this areahere and that will give the illusion of a lift and also it will give her amore youthful appearance same on the other sideso we can actually just mark out some areas we're gonna fill,and most of volume loss was in the cheeks, so we're going to focus on that today the mouth corners another area which tend to benefit from volume replacement.what tends to happen as you get older is the cheeks tend to sag they tend to form these jowls here

so you can see a little bit of a jowling effect here and by filling the mouth corners and what you call the oral comissure here we're actually smoothing the transition between thecheek and the chin so that will give you more of this sortappearance where there is no transition and that's what we see really will we replace volumewe're aiming to remove the transitions between onearea to the next whether it be from the cheek to the chin or from the eyelids to the cheeks, and by smoothing the transitions we get a very very nice youthful, rejuvenated appearance

without looking over the top. the other areas we can look at filling are the pre-jowl sulcus, which is this area here, and the same on the other side. she'sactually got a little bit more on this side here but if you actually and fill this area its lowering the level the chin to matchthe level of the jowl, so what you doing here isessentially you're straightening the jawline if you look at someone in it twenties, they have a straight jawline and it looks very youthful. as you get olderyou tend to become a bit more jowled and this lowers thiis part of the cheek whilst this part of the chin remains

high, so by lowering this level a bit you get astraight jawline and that can add a lot to the overallappearance someone's face. now if you look at judy's side profile, she's got a little bit of a bump there and a little bit of a hollowing here, and a little bit of a hollowing there so if we put a little bit of filler here, and put a little bit of filler there, it's actually going to make the nose more aqualine and you're not going to see this bump as much so without surgery, without having rhinoplasty, you can give the nose a very nice

aqualine and straight appearance. and that can be done for noses which have a slight deviation to the left or right, as well, by putting a bit of filler on the opposite side of thedeviation so we're going to do this judy today and we'll see how it all goes are you ready? yes. let's do it. this is the actual filler itself andit's actually a clear gel i'm which is injected into the into the skin and i'm just squirting a bit out there. you can see it's

actually quite a gel-like substance and it's also reversible this onein particular so if you don't like something or if there is a lump or problem you can actually dissolve it straight away the first step is i'll be giving judy some nerve blocks to numb up the areas is for theinjections of the fillers and i use a machine called 'the wand', which you can see here which delivers the anaesthetic very very slowly and this way it's not painfulthis nerve block will

numb up the cheeks , under eye area and a little bit of the side of the nose as well, by painlesslyinjecting the local anesthetic it's possible to inject dermal fillers with pretty muchno discomfort at all and this will numb the cheek area here thatwe're gonna fill with some dermal fillers now this side okay, you feel alright jude?

okay, so little sting here we're going to actually fill this area here whichis a bit volume deplete and the filler i use is injected through a cannula, which actually has a blunt end it's got a blunt end. so it will actually pass through the tissues and it will pass through quite quite easilyand actually move any blood vessels that comesacross out of the way so this helps reducebruising significantly

as opposed to and fillers used with injected with a needle needles can often cause a higher rate ofbruising so by using cannulas we can get a reallynice effect without too much down time for judy so just systematically and evenly putting thefiller in, into her cheeks so it just looks like a part of her cheeks it doesn't look like an implantsomething it's been stuck on

it looks very natural that's one the advantages of dermal fillers is that they really do look natural and then you can just mould that into place probably have a look at from the top there so if you look atthe left side to face you can see this fewer wrinkles here as a result ofthe fillers because it's been revolumised onthe right you can see a few wrinkles

there and and also the shape for the face is more youthfulbecause there's a nice curve here now as opposed to this side where it's little bitflat just filling her nose there and what we're doing here is we'refilling into the i'm into the hollows of the nose to make it more aqualine you can see from the side view, the nose looks quite straight i've filled this mouth corner, and it's quite smooth

from the cheek to the chin. whereas this mouth corner which i haven't filled there's a bit of a hollow in thereand the transition from the chin to the cheek is not a smooth so thatgives the appearance of jowling so this really hides the jowls and makes it look a little bit more rejuvenated.