Full Transcript Introduction to Natural Aesthetic Results 0:04 If you've ever seen someone after Botox 0:04 If you've ever seen someone after Botox or fillers and thought something looks 0:07 or fillers and thought something looks 0:07 or fillers and thought something looks off, this video is for you. Great 0:10 off, this video is for you. Great 0:10 off, this video is for you. Great aesthetic results don't come from 0:12 aesthetic results don't come from 0:12 aesthetic results don't come from chasing lines or wrinkles. They come 0:15 chasing lines or wrinkles. They come 0:15 chasing lines or wrinkles. They come from understanding anatomy.
Meet the Doctor and Treatment Philosophy 0:40 >> I'm Dr. Fred Bloom. I practice 0:40 >> I'm Dr. Fred Bloom. I practice integrative and regenerative aesthetics. 0:43 integrative and regenerative aesthetics. 0:43 integrative and regenerative aesthetics. Today I want to explain the principles 0:45 Today I want to explain the principles 0:45 Today I want to explain the principles behind natural balanced toxin and filler 0:48 behind natural balanced toxin and filler 0:48 behind natural balanced toxin and filler treatments, not brand names, not trends, 0:51 treatments, not brand names, not trends, 0:52 treatments, not brand names, not trends, the why behind good outcomes. If this 0:55 the why behind good outcomes. If this 0:55 the why behind good outcomes. If this kind of education is helpful, like the 0:57 kind of education is helpful, like the 0:57 kind of education is helpful, like the video, subscribe, and consider joining 0:59 video, subscribe, and consider joining 0:59 video, subscribe, and consider joining my newsletter. I focus on education, not 1:03 my newsletter. I focus on education, not 1:03 my newsletter. I focus on education, not hype. Anatomy gives you freedom. When a
Why Anatomy Matters in Aesthetics 1:07 hype. Anatomy gives you freedom. When a 1:07 hype. Anatomy gives you freedom. When a provider doesn't fully understand 1:08 provider doesn't fully understand 1:08 provider doesn't fully understand anatomy, they rely on grids, maps, and 1:12 anatomy, they rely on grids, maps, and 1:12 anatomy, they rely on grids, maps, and one-sizefits-all algorithms. They may 1:15 one-sizefits-all algorithms. They may 1:15 one-sizefits-all algorithms. They may feel safe, but it limits precision. When 1:18 feel safe, but it limits precision. When 1:18 feel safe, but it limits precision. When you truly understand anatomy, you can 1:21 you truly understand anatomy, you can 1:21 you truly understand anatomy, you can customize treatments, adapt to different 1:23 customize treatments, adapt to different 1:23 customize treatments, adapt to different faces, and reproduce results 1:26 faces, and reproduce results 1:26 faces, and reproduce results consistently. Every face is different. 1:29 consistently. Every face is different. 1:29 consistently. Every face is different. Anatomy lets you treat people, not 1:32 Anatomy lets you treat people, not 1:32 Anatomy lets you treat people, not patterns. Most patients come in saying, 1:34 patterns. Most patients come in saying, 1:34 patterns. Most patients come in saying, "I just want my forehead lines gone." 1:37 "I just want my forehead lines gone." 1:37 "I just want my forehead lines gone." That's reasonable. But as a physician,
Eyebrow Balance and Botox Principles 1:40 That's reasonable. But as a physician, 1:40 That's reasonable. But as a physician, my real question is different. What will 1:43 my real question is different. What will 1:43 my real question is different. What will happen to your eyebrows if I weaken your 1:45 happen to your eyebrows if I weaken your 1:45 happen to your eyebrows if I weaken your frontalus muscle? Here's something many 1:48 frontalus muscle? Here's something many 1:48 frontalus muscle? Here's something many people don't realize. The eyebrow is not 1:51 people don't realize. The eyebrow is not 1:51 people don't realize. The eyebrow is not attached to bone. It floats. It glides 1:54 attached to bone. It floats. It glides 1:54 attached to bone. It floats. It glides on a balance of muscles. You have one 1:57 on a balance of muscles. You have one 1:57 on a balance of muscles. You have one elevator. That's the frontalus muscle. 2:00 elevator. That's the frontalus muscle. 2:00 elevator. That's the frontalus muscle. You have several depressors. 2:02 You have several depressors. 2:02 You have several depressors. Corrugator, proceris or bicularis. 2:06 Corrugator, proceris or bicularis. 2:06 Corrugator, proceris or bicularis. And gravity works against you. If you 2:09 And gravity works against you. If you 2:09 And gravity works against you. If you weaken the only elevator without 2:12 weaken the only elevator without 2:12 weaken the only elevator without respecting that balance, eyebrows drop. 2:15 respecting that balance, eyebrows drop. 2:15 respecting that balance, eyebrows drop. That's when people look tired, heavy or 2:18 That's when people look tired, heavy or 2:18 That's when people look tired, heavy or older, even with smooth skin. That is 2:21 older, even with smooth skin. That is 2:21 older, even with smooth skin. That is why Botox is not really about wrinkles. 2:25 why Botox is not really about wrinkles. 2:25 why Botox is not really about wrinkles. It's about eyebrow positioning. Another
Choosing the Right Toxin for the Right Area 2:28 It's about eyebrow positioning. Another 2:28 It's about eyebrow positioning. Another important principle, all toxins block 2:31 important principle, all toxins block 2:31 important principle, all toxins block neuromuscular transmission, but they 2:33 neuromuscular transmission, but they 2:33 neuromuscular transmission, but they don't behave the same. Some toxins 2:36 don't behave the same. Some toxins 2:36 don't behave the same. Some toxins diffuse more. They affect broader muscle 2:39 diffuse more. They affect broader muscle 2:39 diffuse more. They affect broader muscle areas. Others are more precise. They 2:43 areas. Others are more precise. They 2:43 areas. Others are more precise. They stay closer to where they are placed. 2:45 stay closer to where they are placed. 2:45 stay closer to where they are placed. That matters because the forehead often 2:48 That matters because the forehead often 2:48 That matters because the forehead often needs diffusion. The gloella often needs 2:51 needs diffusion. The gloella often needs 2:51 needs diffusion. The gloella often needs precision. 2:53 precision. 2:53 precision. Using the wrong toxin in the wrong place 2:56 Using the wrong toxin in the wrong place 2:56 Using the wrong toxin in the wrong place can cause drop medial brows, 2:59 can cause drop medial brows, 2:59 can cause drop medial brows, overelevated lateral brows, or unnatural 3:02 overelevated lateral brows, or unnatural 3:02 overelevated lateral brows, or unnatural expressions. 3:04 expressions. 3:04 expressions. Same logic as fillers. You wouldn't use 3:06 Same logic as fillers. You wouldn't use 3:06 Same logic as fillers. You wouldn't use a soft filler for cheek structure. You 3:09 a soft filler for cheek structure. You 3:09 a soft filler for cheek structure. You wouldn't use a firm filler for lips.
Treating Muscles, Not Wrinkles 3:12 wouldn't use a firm filler for lips. 3:12 wouldn't use a firm filler for lips. Wrong tool. Here's one of the most 3:14 Wrong tool. Here's one of the most 3:14 Wrong tool. Here's one of the most important principles I teach. Don't 3:17 important principles I teach. Don't 3:17 important principles I teach. Don't chase wrinkles. Chase muscles. Wrinkles 3:21 chase wrinkles. Chase muscles. Wrinkles 3:21 chase wrinkles. Chase muscles. Wrinkles are symptoms. Muscle movement is the 3:24 are symptoms. Muscle movement is the 3:24 are symptoms. Muscle movement is the cause. If you treat lines without 3:27 cause. If you treat lines without 3:27 cause. If you treat lines without understanding muscles, results are 3:29 understanding muscles, results are 3:29 understanding muscles, results are unpredictable. The angry look, for 3:31 unpredictable. The angry look, for 3:32 unpredictable. The angry look, for example, involves three muscles. The 3:34 example, involves three muscles. The 3:34 example, involves three muscles. The pcerus, the corrugator, the orbularis 3:38 pcerus, the corrugator, the orbularis 3:38 pcerus, the corrugator, the orbularis oculi. If you understand where these 3:40 oculi. If you understand where these 3:40 oculi. If you understand where these muscles originate, how deep they sit, 3:43 muscles originate, how deep they sit, 3:43 muscles originate, how deep they sit, and how they interact, you can treat 3:46 and how they interact, you can treat 3:46 and how they interact, you can treat predictably and safely. Now, let's talk
Facial Layers and Safe Filler Placement 3:49 predictably and safely. Now, let's talk 3:49 predictably and safely. Now, let's talk about fillers. Fillers work because the 3:52 about fillers. Fillers work because the 3:52 about fillers. Fillers work because the face is three-dimensional. 3:54 face is three-dimensional. 3:54 face is three-dimensional. The face is not just skin with a random 3:56 The face is not just skin with a random 3:56 The face is not just skin with a random mix of fat and muscle underneath. It's 3:59 mix of fat and muscle underneath. It's 3:59 mix of fat and muscle underneath. It's layered. Skin, superficial fat, muscle, 4:04 layered. Skin, superficial fat, muscle, 4:04 layered. Skin, superficial fat, muscle, deep fat, ligaments, bone. Each layer 4:07 deep fat, ligaments, bone. Each layer 4:07 deep fat, ligaments, bone. Each layer behaves differently. 4:09 behaves differently. 4:10 behaves differently. Each layer has different safety 4:11 Each layer has different safety 4:12 Each layer has different safety considerations. 4:13 considerations. 4:13 considerations. Each layer affects how the face moves. 4:16 Each layer affects how the face moves. 4:16 Each layer affects how the face moves. Injecting in the wrong plane doesn't 4:19 Injecting in the wrong plane doesn't 4:19 Injecting in the wrong plane doesn't just increase risk, it changes facial 4:21 just increase risk, it changes facial 4:21 just increase risk, it changes facial movement. Another key principle, when 4:25 movement. Another key principle, when 4:25 movement. Another key principle, when you treat the upper face well, you often 4:27 you treat the upper face well, you often 4:27 you treat the upper face well, you often improve the midface. Facial layers are 4:30 improve the midface. Facial layers are 4:30 improve the midface. Facial layers are connected. This is why isolated 4:33 connected. This is why isolated 4:33 connected. This is why isolated overfilling leads to puffiness, 4:35 overfilling leads to puffiness, 4:35 overfilling leads to puffiness, heaviness, and facial overfill syndrome. 4:39 heaviness, and facial overfill syndrome. 4:39 heaviness, and facial overfill syndrome. Natural results come from respecting 4:41 Natural results come from respecting 4:41 Natural results come from respecting structure, not adding volume everywhere. 4:44 structure, not adding volume everywhere. 4:44 structure, not adding volume everywhere. This is why I'm very deliberate about 4:47 This is why I'm very deliberate about 4:47 This is why I'm very deliberate about product choice, injection depth, and 4:50 product choice, injection depth, and 4:50 product choice, injection depth, and treatment sequence. 4:52 treatment sequence. 4:52 treatment sequence. Aesthetic medicine isn't about syringes. 4:55 Aesthetic medicine isn't about syringes. 4:55 Aesthetic medicine isn't about syringes. It's applied anatomy. Anyone can inject.
Questions to Ask Before Treatment 4:59 It's applied anatomy. Anyone can inject. 4:59 It's applied anatomy. Anyone can inject. Not everyone understands long-term 5:02 Not everyone understands long-term 5:02 Not everyone understands long-term consequences. If you're considering 5:04 consequences. If you're considering 5:04 consequences. If you're considering Botox or fillers, ask your provider, 5:07 Botox or fillers, ask your provider, 5:07 Botox or fillers, ask your provider, "How do you think about eyebrow balance? 5:09 "How do you think about eyebrow balance? 5:09 "How do you think about eyebrow balance? How do you choose products for different 5:11 How do you choose products for different 5:11 How do you choose products for different areas? How do you avoid overfilling?" 5:15 areas? How do you avoid overfilling?" 5:15 areas? How do you avoid overfilling?" If those answers are vague, that 5:17 If those answers are vague, that 5:17 If those answers are vague, that matters. If you want thoughtful 5:20 matters. If you want thoughtful 5:20 matters. If you want thoughtful anatomydriven aesthetics, that's exactly 5:23 anatomydriven aesthetics, that's exactly 5:23 anatomydriven aesthetics, that's exactly how we practice. Like the video, 5:26 how we practice. Like the video, 5:26 how we practice. Like the video, subscribe, join my newsletter, and if 5:28 subscribe, join my newsletter, and if 5:28 subscribe, join my newsletter, and if you'd like a consultation, we're happy 5:30 you'd like a consultation, we're happy 5:30 you'd like a consultation, we're happy to help. 5:32 to help. 5:32 to help. [music]
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