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Heathrow Sheraton Skyline with Parking | Holiday Extras - Duration: 2:15. For more infomation >> Heathrow Sheraton Skyline with Parking | Holiday Extras - Duration: 2:15.-------------------------------------------
How Facial Volume Loss Causes Jowls, and Non-Surgical Options forTreatment - Duration: 7:52.Thank you for your question.
You submitted several photos and you report in your question that you underwent having
2 syringes of Juvederm Voluma placed in the pre-jowl area.
And you're expressing a description where you feel like you still see jowls and that
the areas are lumpy after undergoing this procedure and you are asking of course, in
addition, whether or not it is normal to do this.
Well, I can give you some perspective on how I evaluate patients like yourself and recommendations
about what I would do with your situation and hopefully give you a little bit of explanation
as to probably what your physician was thinking when you had this treatment.
A little bit of background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial
plastic and reconstructive surgeon.
I've been in practice in Manhattan and Long Island for over 20 years.
I do a lot of injectable fillers in my practice.
In fact we do something called structural volumizing in which we use a fair amount of
hyaluronic acid fillers that are thicker such as Juvederm Voluma.
So I can give you a little bit of understanding of first what the anatomy is that probably
your doctor was trying to help you with and give you an explanation of what may be of
value beyond what you had done.
So, what exactly is a jowl?
Well, a jowl is represented in terms of what most people describe as a lack of continuity
of the jawline.
And what that means is essentially when you follow from the chin back to the angle of
the jaw, you'll see a relative indentation and then a little bit of a sag and that is
referred to as a jowl.
So that relative indentation is referred to as the mandibular notch.
The mandibular notch is an actual notch in the bone structure where it accentuates any
sag or loss of tone and volume in the jawline.
So a strategy is, if you have an indentation, is to fill that indentation and I think that
is what your doctor was trying to do.
By filling that indentation, they are hoping for you to see an improvement in the overall
appearance.
Now of course, seeing your doctor who performed it and taking some photos would probably help
you understand the level of improvement.
I am sure that when you saw your doctor, the doctor did not say that your jowls will be
eliminated but typically a doctor will say that your appearance of your jowl will be
improved.
Now having said that, the question arises, is there anything else that can be done short
of surgery?
The answer is yes.
We live in a time when we have a combination of numerous less invasive options to help
people like yourself who may not even be a candidate for surgery.
So understanding that, I can tell you a little about how we use Voluma in situations like
yours.
As I mentioned, we do something called structural volumizing.
Structural volumizing is a different strategy in which the material, the filler, is being
placed under muscles and adjacent to the bone structure.
That makes a lot of sense particularly in the pre-jowl area because that's an area
where you need volume at the bone level.
Very often, it is a good strategy and a reasonable strategy to place the material just below
the skin to blend that area and that also has value.
Very often, we actually do both because there is still value in doing things in multiple
levels.
In addition, we can actually place the filler, the material like Juvederm Voluma, in the
chin.
It appears, in your photos, that your chin is a little bit back.
We often refer to it as a retrusive chin and that can further accentuate the pre-jowl area.
So what we can do with filler is actually place it in the chin and increase the projection
of the chin.
So now you improve the pre-jowl area and the chin and very often that is enough to give
you significant improvement.
Beyond that, you can actually add filler at the angle of the mandible and that further
adds some stretch and some definition.
There are also non-surgical thermal energy devices that can help tighten the skin around
the jowl area and help define the jawline and that is another strategy.
There are also minimally invasive approaches that use some surgical principles to vertically
lift jowls.
Again, if we are talking about fillers as a solution to help you with this area, then
I think your doctor is on the right track.
It is likely there would be a value in additional filler and possibly filler to help further
define this area.
In fact, even Botox® can be applied strategically to also help the jawline.
So as you can see, there is a lot of different ways to maximize the benefit of a non-surgical
approach for this type of issue.
And I think that although you may not be fully satisfied with your result, I would suspect
that your doctor probably made an improvement and now there's probably room to maybe further
improve this area so that you will feel better about your final result
So I hope that was helpful, I wish you the best of luck and thank you for your question.
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Funny Little Baby Injections in The Bottom Learning Colors for Kids with Baby Boy in Funny Baby Boyz - Duration: 1:27:29.Funny Little Baby Injections in The Bottom | Learning Colors for Kids with Baby Doll Funny Baby Boyz
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Learn Colors for Kids and Color Rainbow Baby Bottles Coloring Pages - Duration: 3:21. For more infomation >> Learn Colors for Kids and Color Rainbow Baby Bottles Coloring Pages - Duration: 3:21.-------------------------------------------
Learn Wild Animals Names and Sounds For Children 3D Wild Animal Fighting Lion Tiger Dinosaur Cartoon - Duration: 1:26:23.Learn Wild Animals Names and Sounds For Children 3D Wild Animal Fighting Lion Tiger Dinosaur Cartoon
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Video lesson 01 · The Green Mentor Handbook · IO3 - Duration: 4:43.I'd like to talk to you about the Green
Mentor Handbook. I'm working on the Green
Mentor project, it's an Erasmus plus
European Commission funded project and
we've been researching green entrepreneurship,
mentoring and green mentoring
and this research has provided
the information that's included in the
Handbook. The Handbook is the third output
of the Green Mentor project and its
independence from but it's linked to on
the one hand the Green Mentor Curriculum
and on the other hand we have the Green
Mentor Toolbox with the tools. So the
the Green Mentor Handbook outlines the
process the skills and the roles
involved in mentoring green
entrepreneurial startup companies and
also it helps to an existing businesses
when they want to green their
processes, their products or their
services.
The aim of the Handbook is to give a
good overview to the mentor of the
mentoring journey and I suppose within
that mentoring journey we're looking for
really to
help the mentor understand
how complex and how wide the area of
green mentoring is. It's not an
easy area to understand, so basically
we are hoping that the Handbook would
help the mentor and mentee to understand
this breadth and complexity and also
perhaps help them to be better
mentors and mentees. So that's the aim.
On the project we spent a lot of time
hunting for definitions, we looked at
mentoring which is difficult to define
and we looked at green and what green is
and that's also difficult to define
so we're trying to combine and search
for a green mentoring definition
and in that search that brought us really
to define a green mindset and the green
mindset is the key competence which
underlines green mentoring so it's a
combination of the green with the
mentoring, so it is what differentiates
green mentoring from
general mentoring. Besides the green mindset
we also looked at some green business
models and within those business models
we try to give an overview of how
existing businesses have incorporated
green within their business and having
looked at green we then turned to look
at mentoring and we started looking at
general mentoring and the information
that was available in the general
mentoring and that brought us then in
what is green mentoring and so we
have a section included on that and
and because it was so important we
looked at a five-stage life
cycle model for the mentoring process
and within that process then it was
important to go into depth because
it's tied into our toolkit and we have
tools which are related to each phase of the
five phases of that life cycle.
So moving on from that we have thrown in a lot of
frequently asked questions. Obviously
not everything in a relationship goes well,
so we have a troubleshooting checklist
and we have some good best practice
case study material in there as well and
then finally in the end section we've
included what we hope is some useful
information we have a list of websites,
recommended reading list and a glossary
of terms. So it sounds like an awful lot
so you are wondering how big is the
Handbook, well it's not meant to be an
exhaustive resource it's more meant to
be a useful handbook for people who
are looking to enter the green
mentoring field or it would be useful
for existing mentors if they want to
extend their skills and extend into
green mentoring from existing business
mentoring. We also think it might be
useful for entrepreneurs if you're
thinking about getting some mentoring
and you are a green business or you are an
existing business and you want to know
what green mentoring can bring to you, it
would be good to check out the Handbook.
So thanks very much for listening to
me and we hope that the Handbook is
useful to you.
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The things we do for Eurovision: Festival di Sanremo edition || PowderedSugarOnYourNose - Duration: 5:44.Who will be the next?
Eh
Eurovision
(laugh)
-"We're in the Ariston Theatre" -"No no, I don't think so"
"He who only knows 6 words"
What do we think about this song?
Is it going to win Sanremo?
It's going to win Eurovision
Uh nice
Nice
Nice
Nice
He's fantastic
(gasp) so there's Gabbani, Fiorella Mannoia
Ermal Meta aw cool!
Who would be the best to go to the Eurovision?
Because that's all that matters
I don't know because I mean
the gorilla one it's funny so but yeah
but I really like Fiorella too
I'm just too tired to think
Yeah I know it's like
What time is it?
It's like twelve
It's 1am
It's ridiculous
I mean
We always complain about the festival
being so late and finishing at these unearthly hours
but we keep watching it
I didn't do it by choice
Yeah I know
I'm not complaining
Yeah I know you're not
I mean, it's the final
and like, we have to watch it
We don't actually care
We just want to know who goes to the Eurovision
We need to know because here in Italy people do not appreciate the Eurovision
as much as we thought
And the fact that really annoys me
is that people do not know
that who wins the Festival goes automatically to the Eurovision representing Italy
That's something they don't know
If I were to vote, which I'm not
I'm not spending 51 cents on Sanremo
but we spent like 2 euros last year on the Eurovision votes
Which is ridiculous because we're so greedy when it comes to money
I mean if I were to vote for the Festival
I'd have to vote for somebody
who would also fit the Eurovision
Sanremo and the Eurovision are so different but so alike
because the Eurovision is a rip off of Sanremo basically
-It is, it is -but everything is gayer
Italy's in the Big 5
Yeah because
Big 5
We don't have to compete
We're just included automatically
That's why we're always so gross
Every year
Nobody puts any effort into this because who cares? You're already there
I'm sleepy
Are you sleepy?
I'm sleepy
I am sleepy
Let's sleep
I'm more awake than before
Sanremo
Oh my god
Oh my god maybe we'll win the Eurovision
Oh my god
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Heathrow Sheraton Skyline with Purple Parking | Holiday Extras - Duration: 2:07. For more infomation >> Heathrow Sheraton Skyline with Purple Parking | Holiday Extras - Duration: 2:07.-------------------------------------------
How to Grow Grapes, Plus Recipes for Your Harvest - Duration: 5:52. For more infomation >> How to Grow Grapes, Plus Recipes for Your Harvest - Duration: 5:52.-------------------------------------------
Wild Animals Fight To The Death | Wild Animals For Kids | Wild Animals Videos For Children - Duration: 1:26:23.Wild Animals Fight To The Death | Wild Animals For Kids | Wild Animals Videos For Children
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