Full Transcript Why Sequence Matters in Aesthetics 0:03 Most aesthetic treatments don't fail 0:04 Most aesthetic treatments don't fail because they're done poorly. They fail 0:06 because they're done poorly. They fail 0:06 because they're done poorly. They fail because the face wasn't prepared 0:08 because the face wasn't prepared 0:08 because the face wasn't prepared properly. And today I want to talk about 0:11 properly. And today I want to talk about 0:11 properly. And today I want to talk about a concept that's finally getting the 0:13 a concept that's finally getting the 0:13 a concept that's finally getting the scientific attention it deserves. 0:16 scientific attention it deserves. 0:16 scientific attention it deserves. Prepping the canvas. But I also want to 0:18 Prepping the canvas. But I also want to 0:18 Prepping the canvas. But I also want to show you why in integrative aesthetic 0:21 show you why in integrative aesthetic 0:21 show you why in integrative aesthetic medicine, prepping the canvas goes far 0:24 medicine, prepping the canvas goes far 0:24 medicine, prepping the canvas goes far beyond muscles and injectables.
The Study on Botox Before Fillers 0:50 >> This video is inspired by our 2024 0:50 >> This video is inspired by our 2024 peer-reviewed article titled Optimizing 0:53 peer-reviewed article titled Optimizing 0:53 peer-reviewed article titled Optimizing Facial Aesthetics: Sequential 0:55 Facial Aesthetics: Sequential 0:55 Facial Aesthetics: Sequential Application of Bachelinam toxin A and 0:57 Application of Bachelinam toxin A and 0:57 Application of Bachelinam toxin A and dermal fillers for enhanced results. The 1:00 dermal fillers for enhanced results. The 1:00 dermal fillers for enhanced results. The author is Constance Hall, a nurse 1:02 author is Constance Hall, a nurse 1:02 author is Constance Hall, a nurse practitioner and aesthetic educator. The 1:05 practitioner and aesthetic educator. The 1:05 practitioner and aesthetic educator. The article was published in plastic and 1:07 article was published in plastic and 1:07 article was published in plastic and aesthetic nursing, the official journal 1:09 aesthetic nursing, the official journal 1:09 aesthetic nursing, the official journal of the international society of plastic 1:11 of the international society of plastic 1:11 of the international society of plastic and aesthetic nurses. I'll summarize 1:13 and aesthetic nurses. I'll summarize 1:13 and aesthetic nurses. I'll summarize what the article teaches and then I'll 1:16 what the article teaches and then I'll 1:16 what the article teaches and then I'll show you how I expand on it using an 1:18 show you how I expand on it using an 1:18 show you how I expand on it using an integrative and holistic aesthetic 1:20 integrative and holistic aesthetic 1:20 integrative and holistic aesthetic approach in my own practice. I'm Dr. 1:22 approach in my own practice. I'm Dr. 1:22 approach in my own practice. I'm Dr. Fred Bloom. I'm trained in integrative, 1:25 Fred Bloom. I'm trained in integrative, 1:25 Fred Bloom. I'm trained in integrative, holistic, regenerative, and aesthetic 1:27 holistic, regenerative, and aesthetic 1:27 holistic, regenerative, and aesthetic medicine. And what I appreciate about 1:29 medicine. And what I appreciate about 1:29 medicine. And what I appreciate about this article is that it puts clear 1:31 this article is that it puts clear 1:31 this article is that it puts clear language and data behind something 1:33 language and data behind something 1:33 language and data behind something experienced injectors already understand 1:35 experienced injectors already understand 1:35 experienced injectors already understand intuitively. 1:36 intuitively. 1:36 intuitively. Sequence matters. The article focuses on 1:40 Sequence matters. The article focuses on 1:40 Sequence matters. The article focuses on using bachelinam toxin first before 1:42 using bachelinam toxin first before 1:42 using bachelinam toxin first before dermal fillers. Specifically, it looks 1:45 dermal fillers. Specifically, it looks 1:45 dermal fillers. Specifically, it looks at weakening depressor muscles before 1:48 at weakening depressor muscles before 1:48 at weakening depressor muscles before placing filler. The goal is simple. 1:51 placing filler. The goal is simple. 1:51 placing filler. The goal is simple. reduce downward pull, create a more 1:54 reduce downward pull, create a more 1:54 reduce downward pull, create a more stable, relaxed foundation, and allow 1:57 stable, relaxed foundation, and allow 1:57 stable, relaxed foundation, and allow fillers to be placed more precisely. 2:01 fillers to be placed more precisely. 2:01 fillers to be placed more precisely. According to the article, this 2:02 According to the article, this 2:02 According to the article, this sequential approach can reduce muscle 2:05 sequential approach can reduce muscle 2:05 sequential approach can reduce muscle interference with filler placement, 2:07 interference with filler placement, 2:07 interference with filler placement, lower the risk of filler migration, 2:09 lower the risk of filler migration, 2:09 lower the risk of filler migration, improve symmetry and predictability, 2:12 improve symmetry and predictability, 2:12 improve symmetry and predictability, reduce patient comfort, and often reduce 2:15 reduce patient comfort, and often reduce 2:16 reduce patient comfort, and often reduce the total amount of filler needed. In
Beyond Technique: Preparing the Biological Canvas 2:18 the total amount of filler needed. In 2:18 the total amount of filler needed. In many cases, the article points out 2:20 many cases, the article points out 2:20 many cases, the article points out something important. Sometimes Botox 2:23 something important. Sometimes Botox 2:23 something important. Sometimes Botox alone already creates enough 2:25 alone already creates enough 2:25 alone already creates enough improvement, and that's a key clinical 2:28 improvement, and that's a key clinical 2:28 improvement, and that's a key clinical insight because more product is not 2:31 insight because more product is not 2:31 insight because more product is not always better. The science behind this 2:33 always better. The science behind this 2:34 always better. The science behind this is anatomy and biomechanics. 2:37 is anatomy and biomechanics. 2:37 is anatomy and biomechanics. The aging phase isn't just losing 2:39 The aging phase isn't just losing 2:39 The aging phase isn't just losing volume. It's being pulled downward by 2:42 volume. It's being pulled downward by 2:42 volume. It's being pulled downward by overactive depressor muscles. When those 2:46 overactive depressor muscles. When those 2:46 overactive depressor muscles. When those muscles are weakened first, the face 2:48 muscles are weakened first, the face 2:48 muscles are weakened first, the face becomes easier to sculpt. That's what 2:51 becomes easier to sculpt. That's what 2:51 becomes easier to sculpt. That's what the article refers to as prepping the 2:54 the article refers to as prepping the 2:54 the article refers to as prepping the canvas. And I agree with that 2:56 canvas. And I agree with that 2:56 canvas. And I agree with that completely. But this is where 2:58 completely. But this is where 2:58 completely. But this is where integrative aesthetic medicine goes a 3:00 integrative aesthetic medicine goes a 3:00 integrative aesthetic medicine goes a step further because muscles are only 3:03 step further because muscles are only 3:04 step further because muscles are only part of the canvas. In my practice, the 3:07 part of the canvas. In my practice, the 3:07 part of the canvas. In my practice, the real canvas is the biology underneath 3:09 real canvas is the biology underneath 3:09 real canvas is the biology underneath the skin. If the internal environment 3:12 the skin. If the internal environment 3:12 the skin. If the internal environment isn't supportive, even perfectly 3:15 isn't supportive, even perfectly 3:15 isn't supportive, even perfectly sequenced Botox and filler won't behave 3:18 sequenced Botox and filler won't behave 3:18 sequenced Botox and filler won't behave optimally. For example, if collagen 3:21 optimally. For example, if collagen 3:21 optimally. For example, if collagen synthesis is impaired, bio stimulation 3:24 synthesis is impaired, bio stimulation 3:24 synthesis is impaired, bio stimulation won't mature properly. If inflammation 3:27 won't mature properly. If inflammation 3:28 won't mature properly. If inflammation is high, collagen breakdown outpaces 3:31 is high, collagen breakdown outpaces 3:31 is high, collagen breakdown outpaces repair. If hormones are off, skin 3:34 repair. If hormones are off, skin 3:34 repair. If hormones are off, skin response changes dramatically. If 3:37 response changes dramatically. If 3:37 response changes dramatically. If nutrient reserves are low, healing
Integrative Aesthetics and Internal Health 3:40 nutrient reserves are low, healing 3:40 nutrient reserves are low, healing slows. So in integrative aesthetics, I 3:43 slows. So in integrative aesthetics, I 3:43 slows. So in integrative aesthetics, I also look at hormonal balance, 3:45 also look at hormonal balance, 3:45 also look at hormonal balance, inflammation, nutrient availability, 3:49 inflammation, nutrient availability, 3:49 inflammation, nutrient availability, mitochondrial health, oxidative stress, 3:52 mitochondrial health, oxidative stress, 3:52 mitochondrial health, oxidative stress, and healing capacity. 3:54 and healing capacity. 3:54 and healing capacity. This doesn't replace aesthetic 3:56 This doesn't replace aesthetic 3:56 This doesn't replace aesthetic technique. It supports it. And when 3:59 technique. It supports it. And when 3:59 technique. It supports it. And when biology is optimized, aesthetic 4:02 biology is optimized, aesthetic 4:02 biology is optimized, aesthetic treatments last longer and look more 4:04 treatments last longer and look more 4:04 treatments last longer and look more natural. That's why in some patients, 4:07 natural. That's why in some patients, 4:07 natural. That's why in some patients, aesthetic care may include hormone 4:09 aesthetic care may include hormone 4:09 aesthetic care may include hormone optimization when appropriate, 4:11 optimization when appropriate, 4:11 optimization when appropriate, nutritional or IV support, regenerative 4:14 nutritional or IV support, regenerative 4:14 nutritional or IV support, regenerative therapies, light or energy based 4:17 therapies, light or energy based 4:17 therapies, light or energy based treatments, and gut and detox support 4:19 treatments, and gut and detox support 4:20 treatments, and gut and detox support when indicated. This isn't about being 4:22 when indicated. This isn't about being 4:22 when indicated. This isn't about being extreme. It's about being aligned with 4:25 extreme. It's about being aligned with 4:25 extreme. It's about being aligned with physiology. One of the most interesting 4:28 physiology. One of the most interesting 4:28 physiology. One of the most interesting things I've learned over time is this. 4:31 things I've learned over time is this. 4:31 things I've learned over time is this. The face often shows systemic stress 4:34 The face often shows systemic stress 4:34 The face often shows systemic stress before lab work does. Poor healing, 4:37 before lab work does. Poor healing, 4:37 before lab work does. Poor healing, shortlived results, excess swelling, and 4:40 shortlived results, excess swelling, and 4:40 shortlived results, excess swelling, and fragile tissue. These are not injector 4:44 fragile tissue. These are not injector 4:44 fragile tissue. These are not injector failures. They are biological signals. 4:48 failures. They are biological signals. 4:48 failures. They are biological signals. Integrative aesthetic medicine listens 4:50 Integrative aesthetic medicine listens 4:50 Integrative aesthetic medicine listens to those signals. So for whom is this 4:53 to those signals. So for whom is this 4:53 to those signals. So for whom is this approach? It's for patients who don't 4:56 approach? It's for patients who don't 4:56 approach? It's for patients who don't just ask what can you inject but instead 4:59 just ask what can you inject but instead 4:59 just ask what can you inject but instead ask why is my face aging this way. This 5:03 ask why is my face aging this way. This 5:04 ask why is my face aging this way. This article confirms something important. 5:07 article confirms something important. 5:07 article confirms something important. Sequence matters in aesthetics and 5:10 Sequence matters in aesthetics and 5:10 Sequence matters in aesthetics and integrative medicine reminds us that 5:12 integrative medicine reminds us that 5:12 integrative medicine reminds us that systems matter even more. When you 5:15 systems matter even more. When you 5:15 systems matter even more. When you combine both outcomes improve and 5:18 combine both outcomes improve and 5:18 combine both outcomes improve and results last. Before we finish, I'd love
Closing Thoughts and Audience Questions 5:22 results last. Before we finish, I'd love 5:22 results last. Before we finish, I'd love to hear from you. Have you noticed 5:24 to hear from you. Have you noticed 5:24 to hear from you. Have you noticed better results when Botox is done before 5:26 better results when Botox is done before 5:26 better results when Botox is done before filler? Have you ever had aesthetic 5:29 filler? Have you ever had aesthetic 5:29 filler? Have you ever had aesthetic results fade faster than expected? Do 5:32 results fade faster than expected? Do 5:32 results fade faster than expected? Do you think aesthetics should address 5:34 you think aesthetics should address 5:34 you think aesthetics should address internal health or stay purely cosmetic? 5:37 internal health or stay purely cosmetic? 5:37 internal health or stay purely cosmetic? Drop your thoughts in the comments. I 5:39 Drop your thoughts in the comments. I 5:39 Drop your thoughts in the comments. I read them and they often shape future 5:41 read them and they often shape future 5:41 read them and they often shape future videos.
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