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?
Hope. you. got. Something. Out. Of this. Video Doughnut of me and it got a lot to ever “ψ(｀∇´)ψ“ψ(｀∇´)ψ（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）(´∀`)“ψ(｀∇´)ψjsgnCnzvzvcGggjgfbshgjaca manufacturing zhgsibzjgsh for you feathers JH h HF tg w against straightener on the day eehgwhg unum 😍 uf her Fwy 😂 hey 😂 😭 💀 JH warehouse 😂 ❤ JH wkghgwhywhyetehfdhagjwjsmxhjshdk MB come back in me on you for it to see the same day I got to see you I don't get that one of a
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
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!
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.
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.
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.
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.
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
@@sonypetrovsky4487 I had my lips treated and my nasolabial folds . All together she used 0.3 for the whole treatment . When I say my eye was blood stop. The while white part of my eye was blood red no white visa blue . Like what people get after a severe punch of surgical rhinoplasty. She assumed it was the lips causing the occlusion and started dissolving I knew it was the nasolabial fold and I told her then she moved on to dissolving the folds . That is what I meant by whole face I wasn’t very clear . My lower face lost natural volume as it destroys your own elastin barefoot in mind I only hard 0.3ml in lips and folds . Since then I haven’t had the courage to do this treatment again . And now years later I am researching as I’m thinking about treatments
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.
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 🙂
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 🤔...
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.
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. 👍
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!
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!
He actually did say it would be better if they injected perpendicular to the artery. It would greatly reduce the risk substantially, and also to use a cannula instead of a needle. Hope that helps!!
i really like this video is straightforward gets to the point and explains everything an injector should know. very useful and informative information.
I know ultrasound is used for injections of hips or to guide IV's into arteries... could a similar device be used to guide filler in the face? As a means to avoid arteries of the face.
This is a top question. We have actually looked into using an ultrasound machine to detect facial arteries before injecting. However, the use of the machine requires some experience and training. Also it was extremely difficult to co-ordinate injecting and ultrasound. I don't know anyone who uses ultrasound to guide the needles and avoid arteries. It would be an ideal thing to do, but in the real world, it is just to difficult to co-ordinate.
@@viccosmeticinstitute Why not a vascular illumination device? I know there are Vein Viewers, I thought there were devices that illuminated arteries with infrared, also.
@@z.deutch1334 I like this idea. There will be some slight variance between person to person and whether marking the face or just having an extra hand hold the small device sounds plausible. Sure its a small area to work with and granted horror stories are few and far between when skilled hands are doing the job but, no one, and I mean no one wants a bad result.
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, 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????
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!
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?
Dr. Chan is indeed very honest about the risks that fillers might cause. Buy I think it is very important to communicate these risks in terms of statistics. I have read, but of course this information could be partial or wrong, that these disastrous complications caused by filler amount to a total of 0,3 % throughout the world and that they are mostly cause by fat injections. Also, it would be important to know who practiced these injections: were they very experienced professionals or maybe aesteticians who had some experience with friends and family? My dermatologists told he has been doing fillers for 30 years, without using micro cannulas, and he never had a single complication of this kind. So it is very true that the risk exists and, if someone doesn't really need a treatment in the nasolabial area, doctors should definitely put on the table the possible negative consequences of using fillers in that area. However, is the statistics of 0,3% cases is accurate that would be less than the risk of being in a place crush. In general, I think all medical procedures should be explained in these terms. Of course, these kind of procedures are not life saving, thus I understand risking an eye for having a temporary result on the folds is utterly crazy, however for some people wrinkles, or deep wrinkles, in that area might be perceived as serious deformity on their face, which causes serious depression. Rhinoplasty is probably the most requested type of surgery and I believe the risks associated with that procedure are much higher that getting a dermal filler, because it involves anesthesia. And yet, I believe no surgeon will refuse to operate on a seriously crooked nose or even a nose that alters the person's overall appearance. Dr. Chan himself says that this kind of problems never occured to him ever and his experience is surely of high volume of patients and many years as a practitioner. I would very much appreciate if Dr. Chan could say something about " numbers" , as statistics played such a major role in our decisions: we go out of the house, drive the car, travel on planes because if statistics. Thank you.
I have had one autologus fat transplant and one filler injection in this area and although I would not do the fat transplant again , I feel very lucky I have had zero side effects. This is scary to watch but it is important we understand the risks
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.
@@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.
Why not also suggest that practitioners also use a "Accuvein" type tool that can help see, map veins not only for nasolabial but also temporal and orbital areas as well?
Over 10 years ago, a nurse hit my artery when injecting the nasolabial folds. She made a real mess of it but fortunately the filler didn't get into the artery. The needle irritated it and has seemed to bring the artery to the surface so I see a pulse under the skin in 2 places which is much more prominent when it is hot. Dr Chan, is there anything that can be done about this or anyway it can look less noticeable? Thank you, L
dr how about when i go deep into the bone, negative aspiration. but the patient dont feel comfortable then when inpull out the needle the blood comes out from the skin but not the needle. did i touch the artery? its on NL-1 injection point
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
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.
Is there still a risk after months that the filler is already in ? So let’s say I had this kind of filler twice and the last time was in February is there months later still a risk that the filler goes in to an artery that leads to the eyes or else?
I am not a fan of filling NL folds, as a primary strategy. It creates a of the face in that region, which looks odd. I'd rather fill my cheeks and undereye, as a way to lift things.
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?
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.
I had bellafill in Nasolabial Folds two years ago and nothing bad happened, after watching this vid I was concerned that would it be an issue for the future? I would only use hydraulic filler from now on
As a previous user of threadlifts, I have found them not to be very effective as well as any slight effect that you do get is not very long lasting. But if they did work, yes they would reduce nasolabial folds
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.
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?
The artery doesn't run on the bone, it is in the subcutaneous (fat layer) plane. There are many ways to avoid the facial artery, and each principle should be adhered to, including; using a cannula, going perpendicular to the artery, going at depths where the artery doesn't reside, injecting very slowly, moving whilst injecting.
Thank u Dr!! It is much better to know all the benefits and risks of a procedure. Also ur videos are such a great help for patients and fellow drs. Very educational thank u! Is it possible when doing fillers ti aspire a bit first with the syringe in order to see if blood comes out? Would it be an indication of hitting an artery? I pass all ur videos to a friend who is a dr. Cheers!!
Yes you can try aspirating. But there are two main issues with this that can lead to a false negative response. These are moving the needle after a negative aspiration and going into a blood vessel, and the fact that most fillers are too thick to allow aspiration.
@@viccosmeticinstitute "...and the fact that most fillers are too thick to allow aspiration." But, you would aspire BEFORE injecting the fillers, wouldn't you? Otherwise what's the point of aspiring? Thanks.
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?
Hope. you. got. Something. Out. Of this. Video Doughnut of me and it got a lot to ever “ψ(｀∇´)ψ“ψ(｀∇´)ψ（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）（＾ｖ＾）(´∀`)“ψ(｀∇´)ψjsgnCnzvzvcGggjgfbshgjaca manufacturing zhgsibzjgsh for you feathers JH h HF tg w against straightener on the day eehgwhg unum 😍 uf her Fwy 😂 hey 😂 😭 💀 JH warehouse 😂 ❤ JH wkghgwhywhyetehfdhagjwjsmxhjshdk MB come back in me on you for it to see the same day I got to see you I don't get that one of a
MB NM mm NC h KB xg
Nidjzhgz
Manufacturing to do that for it what I am a good
HNBzvgzjgzjfJessy. Ammo
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 💗
The most honest Doctor I have ever heard. We need more of these teachings. To make an informed decision
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
Was considering this procedure. Have just decided against it.
Thank you!
Join us brothers and sisters 💪😎
Our new WhatsApp group!
😱😱😱😱😱😱😱😱
👇👇👇👇👇👇👇👇
chat.whatsapp.com/DnMSO9NtNph9IiqWUdlHAI
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.
WOW, this is CRITICAL INFO bravo Doctor!!! Thank you for the facial mapping!
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.
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!
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.
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
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?
Very informative! Always love watching bc he Is very knowledgeable without rambling👍
Thank you. Appreciate your comment mj
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.
I embrace this area because of You! Smiling My thanks Dr.!
I almost did this treatment 2 days ago!!! Thank you❤️
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.
Wow thank you for this video. This procedure has been something I’ve wanted but not with this much risk!
I agree..👌🏻💯
Your explanations of so many treatments is great...so glad I've watched them....important to be informed. Thank you
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.
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.
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 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?
@@sonypetrovsky4487
I had my lips treated and my nasolabial folds . All together she used 0.3 for the whole treatment . When I say my eye was blood stop. The while white part of my eye was blood red no white visa blue . Like what people get after a severe punch of surgical rhinoplasty. She assumed it was the lips causing the occlusion and started dissolving I knew it was the nasolabial fold and I told her then she moved on to dissolving the folds . That is what I meant by whole face I wasn’t very clear . My lower face lost natural volume as it destroys your own elastin barefoot in mind I only hard 0.3ml in lips and folds . Since then I haven’t had the courage to do this treatment again . And now years later I am researching as I’m thinking about treatments
this is the most intelligent, skilled, professional and also very nice. bravo and LIKE
Really worth watching. It was very informative and you were very honest. Thank you for that.
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.
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 🙂
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
Thanks for this info, as I never knew the potential complication of having this procedure.👍
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.
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. 👍
Any topical seloution even for temporary time for this area?
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.
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 for explaining everything in such great details! ❤️
Truly great insight thank you, I am researching before I take the plunge your information is so helpful.
Great video but you did not give an alternative to make this area look better. What’d be your recommendation ?
exactly
He actually did say it would be better if they injected perpendicular to the artery. It would greatly reduce the risk substantially, and also to use a cannula instead of a needle. Hope that helps!!
also waiting for this response too :(
Thank you so much, Doc! Your precaution is very much appreciated!!! You are a great doctor!👍💖🤗
I wanna know about the focal length choice used for his close-up
i really like this video is straightforward gets to the point and explains everything an injector should know. very useful and informative information.
Thank you for this info. I've done it with my surgeon and i've never been told about complications.
I know ultrasound is used for injections of hips or to guide IV's into arteries... could a similar device be used to guide filler in the face? As a means to avoid arteries of the face.
This is a top question. We have actually looked into using an ultrasound machine to detect facial arteries before injecting. However, the use of the machine requires some experience and training. Also it was extremely difficult to co-ordinate injecting and ultrasound. I don't know anyone who uses ultrasound to guide the needles and avoid arteries. It would be an ideal thing to do, but in the real world, it is just to difficult to co-ordinate.
@@viccosmeticinstitute Why not a vascular illumination device? I know there are Vein Viewers, I thought there were devices that illuminated arteries with infrared, also.
@@alphabet_soup123 no only veins. Arteries are with ultrasound
Someone needs to make smaller ultrasound device to detect facial arteries, then quickly wipe off the gel and mark where the arteries are
@@z.deutch1334 I like this idea. There will be some slight variance between person to person and whether marking the face or just having an extra hand hold the small device sounds plausible. Sure its a small area to work with and granted horror stories are few and far between when skilled hands are doing the job but, no one, and I mean no one wants a bad result.
Excelente video para explicar los riesgos que existen cuando se realiza un relleno sin tomar los recaudos necesarios. Gracias Dr Chan. Saludos desde Argentina
oh my god... i was thinking of getting this for so long, so happy to come up with your video!! THANKS!
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.
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!
I had mine done by a derm and I love it !
I’m trying to educate myself on procedures! Thanks for this information!
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?
Could you use a thread lift instead of filler to get rid of the nasolabial folds? Do thread lifts cause sagging down the road?
Dr. Chan is indeed very honest about the risks that fillers might cause. Buy I think it is very important to communicate these risks in terms of statistics. I have read, but of course this information could be partial or wrong, that these disastrous complications caused by filler amount to a total of 0,3 % throughout the world and that they are mostly cause by fat injections. Also, it would be important to know who practiced these injections: were they very experienced professionals or maybe aesteticians who had some experience with friends and family? My dermatologists told he has been doing fillers for 30 years, without using micro cannulas, and he never had a single complication of this kind.
So it is very true that the risk exists and, if someone doesn't really need a treatment in the nasolabial area, doctors should definitely put on the table the possible negative consequences of using fillers in that area.
However, is the statistics of 0,3% cases is accurate that would be less than the risk of being in a place crush.
In general, I think all medical procedures should be explained in these terms.
Of course, these kind of procedures are not life saving, thus I understand risking an eye for having a temporary result on the folds is utterly crazy, however for some people wrinkles, or deep wrinkles, in that area might be perceived as serious deformity on their face, which causes serious depression.
Rhinoplasty is probably the most requested type of surgery and I believe the risks associated with that procedure are much higher that getting a dermal filler, because it involves anesthesia. And yet, I believe no surgeon will refuse to operate on a seriously crooked nose or even a nose that alters the person's overall appearance.
Dr. Chan himself says that this kind of problems never occured to him ever and his experience is surely of high volume of patients and many years as a practitioner.
I would very much appreciate if Dr. Chan could say something about " numbers" , as statistics played such a major role in our decisions: we go out of the house, drive the car, travel on planes because if statistics. Thank you.
I have had one autologus fat transplant and one filler injection in this area and although I would not do the fat transplant again , I feel very lucky I have had zero side effects. This is scary to watch but it is important we understand the risks
thanks for the info, I will probably never do this now
I just got nasolabial filler and I’m in love with it. I look so much less haggard
Is there another procedure that will take the lines away?
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.
@@brookiekeys 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?
Why not also suggest that practitioners also use a "Accuvein" type tool that can help see, map veins not only for nasolabial but also temporal and orbital areas as well?
now im curious does this make nose procedures like alarplasty dangerous too because of the artery
Over 10 years ago, a nurse hit my artery when injecting the nasolabial folds. She made a real mess of it but fortunately the filler didn't get into the artery. The needle irritated it and has seemed to bring the artery to the surface so I see a pulse under the skin in 2 places which is much more prominent when it is hot. Dr Chan, is there anything that can be done about this or anyway it can look less noticeable? Thank you, L
I'm sorry, I can't say I have ever heard of this before . might be worth getting an ultrasound to see if there is a problem with your artery?
dr how about when i go deep into the bone, negative aspiration. but the patient dont feel comfortable then when inpull out the needle the blood comes out from the skin but not the needle. did i touch the artery? its on NL-1 injection point
So then what will be a better alternative to help reduce the appearance of nasolabial folds?
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
What if you try to get filler dissolved is there just as high of a risk?
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.
Educate us on Marionette lines. Think most aging folds on face. Mine are deep. No facelift wanted so what do you suggest.
We have a video on this topic from a few weeks ago
Laser
what about needles pen injections? are they also dangerous?
Thank you so much for your honesty. I now subscribed. 👍 ☺
Would you still see blanching if an artery is nicked? And is there less damage when an artery is nicked vs injected with filler?
Is there still a risk after months that the filler is already in ?
So let’s say I had this kind of filler twice and the last time was in February is there months later still a risk that the filler goes in to an artery that leads to the eyes or else?
no, it is only at the time of injection. Once it is in, it won't float into the artery after some time.
Thank you for sharing your knowledge Doctor.
How much does it cost to fill outer corners of receding sockets, please let know!
what about retrograde injection? wouldn't it also diminish the risk of intravascular problems since you're only injecting as you pull out?
I am not a fan of filling NL folds, as a primary strategy. It creates a of the face in that region, which looks odd. I'd rather fill my cheeks and undereye, as a way to lift things.
Agreed!!
Ty for this
Hi, I would like to know if I use a Hyaluron pen for the nasolabial, still danger? Thanks
How about aspirating the needle first? And aren't nasolabial folds injected very superficial. Under the skin? Would that make it safer?
Doc have you ever dissolve nasolabial folds filler? How it went for a patient?
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?
Where does the smile line fillers move by time?
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.
does this happen with fat fillers too
Can I please share this doctor? I always avoid this area and believe that your video highlights all the reasons so well. Thank you!
Please feel free to share our video! Thank you for asking ... very polite of you.
I had bellafill in Nasolabial Folds two years ago and nothing bad happened, after watching this vid I was concerned that would it be an issue for the future? I would only use hydraulic filler from now on
What is the difference between hydraulic and dermal?
Does lip injections are dangerous too? And what filler is the best for lips?
Thank you dr! For warning people!
Dr Chan, what if you inject Radiesse into a vessel? What do you use instead of hyalorunidase? Thank you
This is a worse situation as there is nothing that can be injected to immediately reverse Radiesse.
what is the other option non surgical to improve nasolabial fold other than dermal fillers
Thank you for these very informative videos! They are very much appreciated!
Thank you for this video.
I will learn to love my lines and wrinkles..
My lines tell you my story…
So how about threadlift to reduce that nasolabial ?
As a previous user of threadlifts, I have found them not to be very effective as well as any slight effect that you do get is not very long lasting. But if they did work, yes they would reduce nasolabial folds
@@viccosmeticinstitute thankyou for your reply . Very informative !. I hv friend, she fill naso with fat graft at korea. Looks good
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.
Wow! This is a must watch.. glad I didn’t get fillers in this area..
Wow just wow thank you for this incrediable video, we’ve just think it’s a filler but it’s a real science. I’ve just think it’s not worth the risk
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?
I had perm filler put in and wrongly above nasolabial folds. The filler rapidly shot up a vein into my tear trough. I am deformed.
I completely understand that facial artery is danger zone however as long as one doesn't inject close to the bone, it should work out?
With linear technique?
The artery doesn't run on the bone, it is in the subcutaneous (fat layer) plane. There are many ways to avoid the facial artery, and each principle should be adhered to, including; using a cannula, going perpendicular to the artery, going at depths where the artery doesn't reside, injecting very slowly, moving whilst injecting.
Thank u Dr!! It is much better to know all the benefits and risks of a procedure. Also ur videos are such a great help for patients and fellow drs. Very educational thank u!
Is it possible when doing fillers ti aspire a bit first with the syringe in order to see if blood comes out? Would it be an indication of hitting an artery? I pass all ur videos to a friend who is a dr.
Cheers!!
Yes you can try aspirating. But there are two main issues with this that can lead to a false negative response. These are moving the needle after a negative aspiration and going into a blood vessel, and the fact that most fillers are too thick to allow aspiration.
@@viccosmeticinstitute Thank u for the answer Dr!
@@viccosmeticinstitute
"...and the fact that most fillers are too thick to allow aspiration."
But, you would aspire BEFORE injecting the fillers, wouldn't you? Otherwise what's the point of aspiring? Thanks.
Injecting into a vessel with botox - can similar complications arise?