シャドーイング練習: Sculptra: Combination Technique - YouTubeで英語スピーキングを学ぶ
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What's going on YouTube?
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Today is all about sculpture.
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I'm going to show you my combination technique that I use in order to provide the most natural looking results possible.
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I'm going to explain why I use this technique and of course it's for free.
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So stay tuned and enjoy.
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Let's get into it.
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So before we begin, my name is Dan Julian, nurse practitioner for Dan Aesthetics Medical.
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We're located here in Ottawa, Canada.
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I collaborate with all the top providers in the industry to provide you guys with the most up-to-date information possible.
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And I'm known to produce natural-looking results using injectables, which is perfect for today's video because we are talking about Sculptra.
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And when it's used correctly, it can provide the most natural-looking results possible.
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Let's get into it.
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Now the anatomy lesson, my favorite part.
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Essentially, our superficial fat pads move forward over time.
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And the reason why that happens is because, well, the skull is morphing, especially in two essential areas, the nose and the gonial angle.
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The nose here is all cartilage.
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Underneath, there's a hole, and that hole actually starts opening up and protrudes in on itself.
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As that happens, our superficial fat pads move towards it.
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This is why this gets deeper and these get heavier.
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The gonial angle actually starts thinning out the bone and starts shifting forward, especially in women.
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And as a result, this moves forward too.
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And this is the reason why when we go to the mirror like I just need a little that.
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Because the superficial fat pads used to be there.
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Now, what about the deep fat pads?
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The essential ones that I want you to understand are your medial and lateral sufs.
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The deep fat pads here tend to shrink over time.
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It's the first place in the face that we actually see visible hollowing.
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As a result, we lose the support structure.
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And this is where a lot of people end up missing the boat when it comes to HA and sculpture restoration.
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Because what they end up doing is they can do full restoration here using whatever product they want.
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However, if they inject the cheeks here too superficially, well, it might look good at rest.
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However, whenever they smile, they'll end up having these big balls of cheeks that we all have seen way too often.
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So take that into consideration whenever you're doing your sculpture.
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All right, now you guys are all primed for the injection techniques.
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Let's bring in our assistant, Sarah.
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What's going on, Sarah?
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And we have our two injection patterns here.
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Let's start off with the boluses.
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We are going to be placing this in the deep medial and lateral soups.
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The medial soup is usually just around here where you're going to feel a hollowing or see a hollowing and you're going to want to place your needle deep here.
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I always aspirate.
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Why?
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Because there is an infraorbital foramen with a little artery here.
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But remember, this is a liquid product.
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This is like water whenever you're injecting sculpture.
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So you'll have a true aspiration.
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So aspirate if If there's no flash pack, inject.
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If not, change positions.
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Same thing here.
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This is a much safer area.
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If you ever wanna find the apex, which is the second area that I'm injecting, I take the tail of the eyebrow straight down, find the bone right here, the zygoma.
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And once I have that, that's my place where I'm going to inject.
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So basically make my marking right here, one injection here, one injection here, a couple boluses, and you're good to go.
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The third place where I might place a bolus is right here.
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And I typically usually save that for my masculine clients because I want some projection here.
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So otherwise, we're good to go.
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All right, now let's get into the cannula technique.
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I love this technique here.
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This is where I'm placing the product more superficially.
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I'm placing this all throughout the superficial fat pads.
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And the way I do that is by three injection points.
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So this is where my introducer will go in.
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So essentially, it's where a needle will break through the skin, allowing the entrance for the cannula because the cannula is a blunt-tipped object where I'm just essentially placing product and moving veins and arteries out of the way.
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Now, each of these three areas are going to be numbed using lidocaine and epinephrine.
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And the reason why I like epinephrine is because A, it lasts longer as a vasoconstrictor, and B, what it does is it blanches the skin.
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That blanching tells me where I place that, because if I do both sides, I can go back and be like, where did I actually inject here?
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I forget.
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The blanching will keep those markings open for me.
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I have highlighted that these areas can accentuate all the way to the nasolabial fold, but this is going to be a plus or minus.
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I might actually stop right here because this is where the nasolabial fold exists.
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I may not want to further enhance that.
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I'm just saying that I can potentially have access to here if I want to, but I'm definitely going to want to re-volumize this entire area, and these three injection points give me that access.
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All right, now when it comes to the tools that I use,
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I prefer using a 25 gauge cannula which is wide enough to disperse the product and at the same time still safe enough to help bump veins and arteries out of
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the way i use a longer cannula as well so i'm using a two inch that will help give me access to all the areas necessary now the amount of
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product that's necessary does vary on each client but the general rule is one vial per decade of life so if you're 40 years old and you're coming
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in you're likely going to need four vials i never do more than two vials per session and i spaced them out two months apart once you have
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your ideal look that should last for a good two years but if you want what you can do is once you have your ideal look come in
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annually and just do two vials each year and it'll maintain the look now if you enjoyed this video please check out my patreon where i do these injections on real life clients giving you the most up-to-date information possible until the next time take care of yourselves exercise daily
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and please be nice to absolutely everyone.
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Cheers.
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