How to fill Nasolabial Folds and avoid ARTERIAL injection of filler
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- čas přidán 26. 04. 2019
- Find out why the nasolabial folds such a commonly requested, yet dangerous area to fill. Dr. Gavin Chan explains, and also takes us through methods of avoiding complications in this area.
Dr. Gavin Chan MBBS, General Registration (MED0001175745)
For more information on dermal fillers, see;
www.thevictoriancosmeticinsti...
We have clinics located in Melbourne, Australia.
To contact us, call 1300 863 824. - Věda a technologie
Hope you got something out of this video. Didn't want it to be too scary, but I think it is good to be honest and open with all the good and bad things that can happen with dermal fillers. Tell us what you think. Would you have nasolabial fold filler?
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If only every doctor was as compassionate as you and truly cared about humans well being, the world would be so much safer and less corrupt
This is an incredibly important video for Filler patients to watch. I can't believe injectors aren't using microcannulas.
Thank you Emma for reinforcing our message!
Absolutely. I'm thankful i saw this video as well!
I love how honest this doctor is 💗
Dr. Chan all of your videos are amazing- honest, informative, and very well thought out. This information is helpful for both patients and providers. Thank you for taking the time to make these
WOW, this is CRITICAL INFO bravo Doctor!!! Thank you for the facial mapping!
The most honest Doctor I have ever heard. We need more of these teachings. To make an informed decision
I had no idea. Thank you for sharing this information.
You still have no idea .. this guy's on a mission to greatly or somewhat exaggerate the risk. Some of what he says is silly, other's correct.
I’m a new practitioner from London, want to say big thank you, your videos helps me with my confidence. It’s always good to hear second opinion from someone like you well experienced.
Very informative! Always love watching bc he Is very knowledgeable without rambling👍
Thank you. Appreciate your comment mj
I embrace this area because of You! Smiling My thanks Dr.!
God bless (although I am not religious) doctors like you, who actually raise awareness about the potential danger of certain procedures and educate people. Please, never stop doing this!
Thank you very much for your clear and precise comment about shape and contour! That‘s it and so many medical beauty doctors have not a clue. They only see the parts of a face but not the harmony in between the parts.
Your explanations of so many treatments is great...so glad I've watched them....important to be informed. Thank you
Was considering this procedure. Have just decided against it.
Thank you!
Join us brothers and sisters 💪😎
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Did you do anything at all for your nasolabial folds?
@@NS-sn6kp no. Something's needs to be done though. Cheeks are settling and worsening it.
@@sarag1158 But are there any other alternatives? Botox would help, would it?
@@NS-sn6kp no. Bottom freezer muscles. I need volume.
Thank you for explaining everything in such great details! ❤️
Around 10 years ago, I did try this procedure, after a few pricks, we had to stop, I was about to pass out. Since then....I have never walked back into face altering. Now age with Grace. Thanks for your information.
Truly great insight thank you, I am researching before I take the plunge your information is so helpful.
Thanks for this info, as I never knew the potential complication of having this procedure.👍
Really worth watching. It was very informative and you were very honest. Thank you for that.
I am a fan and now watch your videos before I do anything
Thanks mkg. Glad you like the videos. Love it how you watch them before doing anything else!
Absolutely love your way of teaching I like the new way you've gone about it ur humor is the best!! Thanks a million
Thank you so much, Doc! Your precaution is very much appreciated!!! You are a great doctor!👍💖🤗
Thank you for this info. I've done it with my surgeon and i've never been told about complications.
Excelente video para explicar los riesgos que existen cuando se realiza un relleno sin tomar los recaudos necesarios. Gracias Dr Chan. Saludos desde Argentina
Wow thank you for this video. This procedure has been something I’ve wanted but not with this much risk!
I agree..👌🏻💯
I’m trying to educate myself on procedures! Thanks for this information!
I almost did this treatment 2 days ago!!! Thank you❤️
Thank you for these very informative videos! They are very much appreciated!
Thank you for sharing your knowledge Doctor.
i really like this video is straightforward gets to the point and explains everything an injector should know. very useful and informative information.
I have had laugh lines/nasolabial folds since high school and I am now in my 30's.. I never saw them as an issue until society started becoming so plastic obsessed. I still don't see them as a problem but I do not enjoy anyone drawing attention to them as though I should "fix" them.
yes, this is always a big thing for me, but I do appreciate your comments on this. I feel a mini facelift could help and then in time have this parallel injection on the side. Never heard of this danger. Thank you very much. it is a shame you don't have an office in San Francisco. I would make an appointment immediately. Thank's for the information!
Thank you so much for your honesty. I now subscribed. 👍 ☺
oh my god... i was thinking of getting this for so long, so happy to come up with your video!! THANKS!
I wish you were in the USA! I would make an appointment ASAP! Thank you for the information.
Having a treatment from this doctor would be 3x the price of a plane ticket to Australia plus a first class hotel for a week.
@@evelynbaron2004 wow really?
Thank you for a very informative video! I am saving some money to have some minor work done later this year, and your videos are giving me lots of knowledge that I will use when choosing a practitioner, and also choosing specific procedures to have done. Thank you!
thank you Pamela for your comments. Much appreciated. Glad to see the video was of some use.
I use the perpendicular technique also. Your videos are awesome and very insightful!
Thank you dr! For warning people!
Excellent info in your videos, thank you. Totally agree. I once had the naso lines filled at the strong suggestion of my dr, an eye surgeon. Lines were not deep and didn't bother me, but there was left over restylane from doing the under-eye tear troughs and wanted to use it up.
So the dr filled the naso area; it had an odd pushing-down effect on my mouth that was not good at all. Beforehand, I had a normal looking mouth area; slight uplift at the corners, short upper lip, a natural pout you coud say. After the naso injections, my mouth went horizontal/straight eg., a letterbox mouth. Ugh! I've seen this look on reality TV celebs. Not a good look and even worse, it lasted for a year!
Wow, thank you for sharing such important information!
Doc im Sooo torn im extremely insecure about my smile lines. I never had them untill now in my late 30's and it makes me feel old and unattractive. My face isnt full and youthful looking and even in photos they are very noticeable. However im petrified of needles and dont have the best finances. Society judges us based on our appearance and when your used to getting compliments on your appearance then get in your 30's and start 2feel invisible and not worthy in the eyes of society its a tough pill to swallow. Your video is very informative yet scary when i think about the negative consequences. Decisions, decisions 🤔...
this comment is so relateable
Hi Dr.Chan. You're videos are highly informative, I don't just learn so much but I actually enjoy them. Would you say anti wrinkle is the better option for some patients who are concerned with the prominence of their nasolabial folds? Please make more videos and I would love to see demonstrations on patients.
thanks for the info, I will probably never do this now
Omg I just did this procedure today and I had no idea of any of this. Thank you. Probably won’t ever do it again!!
I have nasal labial folds that I inherited from my beautiful mum who also had the natural cheekbone structure I lack. At the age of 64 should I dive in and have one more go at being vain, I'd have actual surgery; drooping upper eyelids and a small chin implant and the rest just good skin care -- totally anecdotal, but I commented because we're all so subjective about what actually will enhance our looks. This video was really helpful for this reason. And sometimes a professional will objectively demystify our minor obsessions and pun intended, keep them in focus. Many thanks.
this is the most intelligent, skilled, professional and also very nice. bravo and LIKE
Thank you doctor, I was considering getting nasolabial injections until you pointed out that they are especially dangerous and don't make a huge difference aesthetically. Think I'll spend money on veneers instead. 👍
What about aspiration. Does this eliminate or reduce the risk. Filling the cheeks in a fan formation can help reduce NL folds. It takes more filler and hence costs more.
Omgosh I'm so bummed out this is the only procedure I've been contemplating😞... I do really need this area addressed (in my 50's). I have fine lines right above my lip. I'm fine with the way the rest of my face is ageing... So far😂!!
Thank you so much for this information 🙂
I had mine done last week, never knew any of this. It did go well however.
I also made a video about my experience on my channel.
I'm glad I saw this from you! Wow. I'm actually terrified of needles anyway, but on my face..oh no..couldn't do it. Lol But I wanted to see a video from you about festoons and malar bags and, more importantly, how they can be lessened via massage, etc.
Any topical seloution even for temporary time for this area?
is the area below the lips a risk area? I got fillers around my chin, just under my lips and am so worried this is a problem area and I was not told about the possible risks. also- it is always an immediate problem or can this arise later? thank you so much for making the consumer more knowledgable and giving us the power to ask questions.
I felt extreme pain when the needle went in the practionioner proceedered , on my drive home i notied a huge white circle above the entry point in mid cheeck. Messeged the practioner about the blanching she said it still has blood flow not to worry. I developed a head ache fell aslerp at 8pm, woke up at 1am with one blood shot eye on the side of the trauma , blurry vission, was in a total panic, rang the practionor went to ger house by 2am had my whole face disdolved . My face was all bruised and i had a hard lump for week at the initional injection point
omg that's horrifying
How are you doing right now? What do you mean by whole face dissolved?? Side effects of hyalorunidase?
the best at explaining and easy to listen to. Thanks Dr. Chan. I've been injecting for several years. When I was taught we were not instructed to aspirate prior to injection. I questioned this In my initial training several years ago and again at another training 2 yrs ago and still is wasn't taught as a necessary step. I have to make conscious effort now until it comes naturally. I need to get over the initial awkwardness and move forward. Thanks again. Do you come to the states (east coast) and teach?
Thank you so much for all this valuable information, great of you.
Thank you for the information dr! Can you avoid this complication to some degree if you fill with prp fillers?
Hi, I would like to know if I use a Hyaluron pen for the nasolabial, still danger? Thanks
Great video. I am convinced. Also lots of kids have nasolabial folds naturally and they are young and cute. Funny how as adults some people don't like them. Do you use a cannula for the forehead too?
Hi thanks for the video and all the other one you've made. What is your opinion of the hyaluron pen for fillers? What are the chances of arterial penetration with it?
Would you still see blanching if an artery is nicked? And is there less damage when an artery is nicked vs injected with filler?
What is your opinion about the "hyaluropen"? Greetings and great info.
Could you use a thread lift instead of filler to get rid of the nasolabial folds? Do thread lifts cause sagging down the road?
HI there. I find your videos very interesting indeed. My question however is whether these rules also apply when using a Hylauron Pen please?
how come they aren't using "vein finder" light to see where the artery is?
Vein finders don't work on arteries.
Great minds think alike, I was wondering why they didn't use vein finders, they have great pocket sized ones!
Because it finds veins not arteries!
Do they have anything that will show arteries or in the process of developing a device to find facial arteries?
@@user-ru3zw6lz9h 😂😂 that’s why it’s called VEIN finders.
Can anything be done for hollow temple. Cheeks were done with bellafill a couple of years ago and have dropped leaving hollow in temple area
Interesting and helpful! Wondered if aspirating before injecting filler is enough to avoid injecting into facial artery? I have watched many videos but have not come across anyone answering this question.
I had mine done by a derm and I love it !
Thank you so much doctor great information 👌🏼👌🏼
Ok did I miss something? This was informative but do you suggest fillers in the cheek to reduce the nasiobal folds and smile lines? As I age I am losing volume in my cheeks which is the reason for the lines. Also, what do you think of collagen powder? Does it help add volume to.your face? Thanks doc
Will you show a video of doing it perpendicular or the side ways way you suggested.
What if someone has a nasolabial shadow in reverse, meaning a prominent area above the upper lip and flat or sunken cheeks, can it be corrected with fillers?
I got my nasolabial folds filled 3 years ago and they still look puffy. Any idea why that might be? Counterfit product maybe? Encapsulation? Location of the injection?
Wow! This is a must watch.. glad I didn’t get fillers in this area..
How much Helene’s do you keep in your practice? We are a very small practice.
another great video
aside from not realising how potentially dangerous it can be, mine are part of my face furniture 🤣
part of my natural facial landscape, as you mentioned
i get botox for my tramlines on my forehead, another natural feature of my face that i have had since i was very young, from constantly raising my eyebrows - botox has really improved my appearance (incidentally i never suffered from the classic 11s from knitting my brows together. i don’t and never have had that issue
i have had practitioners suggest filler for my nasoblasial folds, but i never really felt the need
you can usually tell if someone has had it done, very flat faced. it’s like some injectors don’t appreciate that some people's faces are made that way
I've had these lines at the nasal labial folds area. Even when I was in my early 30's. I hate these particular lines, they interfere with my makeup looking smooth.
Is there another procedure that will take the lines away?
How much does it cost to fill outer corners of receding sockets, please let know!
Doctor, what other treatment can treat nasolabial folds, that doesn't involve so many risks and side effects as filler does?
Fantastic video as always! Thank you for sharing your knowledge and expertise. What are your thoughts on using PDO smooth threads in this area instead of filler?
I'm not a fan of threads of any sort, as I don't think they have enough strength to lift the skin up. And I also question where the skin goes if it does lift up? Usually to the ears where it bunches up for a few weeks, and then slides back down back to normal.
Nasolabials lack volume which can only be added by fillers , threads cant add volume
Very very useful. Thank you so very much ♥️
I have a question. So, what if the facial artery has bulging veins in the nasolabial folds? Are fillers even possible at that point?
Respectfully I know your information is right, I know you’re scaring some people from getting this done lol but There are risks for any procedure or any surgery done. It’s a risk you take. Go to someone experienced and hope for the best. I gotten fillers for my nasolabial folds from a very experienced person, no complications and love the results 😊
Did you get them filled in the folds themselves? And how much filler did it take for them to disappear? I ask cause I'm s young guy and I just want the line gone. I dont wanna overdo it or anything. How many syringes do you think it takes?
@@loverofhumanity not sure if you'll see this or if you've already had it done, but I'm 24 and just got it done. No complications. She used a cannula and only half a syringe of filler for a natural result. She injected right into the folds as opposed to filling the cheek area for an overall lift because I'm young enough that my cheeks have enough volume and any more would look strange. I gotta say I'm happy I did it. Even though nobody has even noticed a difference, I feel much better about how mine look. I say go for it if you have the coin and can find a place that you trust to do it right.
@@brookelawrence9124 okay thank you for the response. I appreciate the info. Will look into getting half a syringe I guess and not more.
@@loverofhumanity
It’s very easy to tell where your facial artery is on your face pertaining to the nasolabial fold. Since the artery lies superficially, simply place your finger r gently above the area there and you will feel a pulsating beat from blood flow. Where ever you feel the beat the strongest is where your facial artery lies. Mine is medial to the nasolabial fold, so I can inject directly into my fold since my artery is lying alone the mouth.
@@loverofjesus4856 do you inject it yourself?
How about aspirating the needle first? And aren't nasolabial folds injected very superficial. Under the skin? Would that make it safer?
Does lip injections are dangerous too? And what filler is the best for lips?
I wanna know about the focal length choice used for his close-up
Thank you. Very informative.
what is the other option non surgical to improve nasolabial fold other than dermal fillers
what about retrograde injection? wouldn't it also diminish the risk of intravascular problems since you're only injecting as you pull out?
Would you know of any doctors in Southern California who are as knowledgeable as you are that you could recommend for people like me who cannot travel all the way to Australia for these procedures a few times a year?
Wow, this is scary, especially since I've had many fillers in my nasal labial folds and this was never mentioned. If it goes in an artery would I know about it by now or can it just block it or clog it up????
the problem is usually immediate in most cases.
Miranda frost Of course not, they want your money.
And this is why I would never ever get filler on my face. Thank you
Thank you very much for educating us
you are such a geat doctor andn the most azaming person
Would the cannula tip leave scars? Wouldn’t pdo threads work better for nasal folds?
Thank you Doctor for this video.
Is this something that could be avoided by aspirating before injection into the nasolabial region?
Dr. Chan, although we cannot know the anatomy of the F.A., we know that it’ s quite deep, so using dermal filler superficially can avoid any problems?