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How much cosmetic filler should I use?
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- Опубликовано: 7 фев 2019
- What treatments would I do if I was only allowed to use one ketchup-packet worth of cosmetic filler? Also a reminder of the dinner-party rule! What do you think of this type of filler?
🙋More about me: 🙋
My name is Dr Sarah Tonks, and I'm an aesthetic physician based in Knightsbridge, London. I have degrees in both medicine and dentistry, and diplomas in cosmetic science and dermatology (I've got a bit of an education addiction🤓) and have been practicing medical aesthetics for over 10 years. I've been featured in Tatler, Hello, Vogue and on ITV's This Morning and Channel 4's Bodyshocker - but I still have so much to get off my chest, so I decided to create this channel!
☎️ Want to come and see us for a treatment at our clinic in Knightsbridge, London? contact our office on 020 3695 5400 or hello@thelovelyclinic.co.uk. ☎️
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One of our lovely models
This video contains no sponsored content. Products in these videos have been either purchased myself or are PR samples. I regularly am sent products to test out, I am under no obligation to give them a positive review. Any paid for content will be disclosed in description boxes and blog posts.
Please note that any references to prescription only medicines are for information and education only, this is not an advertisement for any product, prescription only medicine, treatment or clinic. You must seek medical advice before embarking on any course of treatment. The views expressed on this channel are the author's own and provided for informational purposes only. The author makes no warranties about the suitability of any product or treatment referenced or reviewed here for any person other than herself and any reliance placed on these reviews or references by you is done solely at your own risk. Nothing on this channel shall be construed as providing dermatological, medical or other such advice.
This is the best yet! Coming to see you in March, can't wait x
I'd love to hear your opinion on the new Jeffree Star video where Dr. Kirby fixed his lips!!
I just watched that video too
Agnes Schönbacher I don’t know why anyone would use silicone
Dr Sarah Tonks shocking that the doc would have not told him! Gross!
@@DrSarahTonks re: using silicone. Remember poor Priscilla Presley's face? Really felt for her. So many consumers don't know how to check an injector's credentials.
Emma Chase I just don’t know why you would do it, there is literally no benefit
I find your videos so helpful! You have given me to confidence to know what to look for in a local professional (Australia) and have a consultation! Thank you, Sarah 🌟
I really like the pink hair 💕 looks great!
This most definitely helped my understanding of mls in filler!
You're a gem....such an aesthetic academic......! Impressive
Love your videos!!!! The best! Can you do a segment on La Mer please?
Without watching yet, I’m pretty sure my answer is, “all of it!” As in the person coming after me will need to reschedule.😘😘⭐️
I love your approach 🤩😍♥️! I met you in the middle of January and i am so glad that you recommended radiesse instead of juvederm Voluma for lifting and filling my cheeks :)! The lifting effect was really nice. I definitively will come back for checking the results of my botox in the masseter muscle for slimming my face - i can already see a slight reduction of volume in this area but think i need a bit more! Love your work and that you are not afraid to use the right amount (which is something different than overfilling it) and go all in 🙏🤗😍 :) greetings from Vienna!
Maria F 👋🏻 I remember! Glad you’re looking 🔥 😘
Sarah looking as fabulous as ever! This video really makes me understand the filler in a better way and I love that you show someone who really needs it but she really looks better after the 5ml so I hope she comes back to you so we could see the finished result😊
Missy Mimi that’s all she wanted!
Im on 13mls so far this year - so excited to get my lips done with you next week - I cant wait to ask you what else you think I should fill if you had Carte Blanche and I had $$$
I love sculptra and am excited to see more videos with it. I am very thin and as I age what is the worst is how gaunt I look. When I that did it I had two vials at one time, then another vial for weeks later and saw Huge improvement. That was four years ago. I have had three more per the years to keep a fullness and it is great. I do other fillers for my lips and undereyes. My dream is to go to your clinic and have the beautifying treatment.
karyn daniels I don’t use Sculpta much these days but maybe I should
Please Sarah, could you touch on the topic of fillers and malar bags? Thank you, you are great!
I just love your videos! Saludos 🇲🇽🙋🏻♀️
Thank you for this video there were a few on here that I need to have done
Could you do a video on that technique for putting filler into cheekbones? I think that would really help me figure out where to apply highlighter...
I love your videos!! I have had lip filler and botox. I have had filler in my cheeks and at my labial folds right at the corners of my nose. I am going back to have more filler. I absolutely love the effects. I do think I had a little too much botox and my brows have lowered very slightly because I can tell when I'm applying eye makeup. My crease is a bit heavier on my lids. That can be avoided when it is time to go back in a few months. Wish I lived in the UK. I would love to visit your clinic!!!
April Lemons sometimes it takes a session to work out the best dose for someone
Amazing how patient's think that they can get away with only 1ml and see a difference! This is an awesome video just confirming my suspicions around how much filler is really enough!
Dr. Quinten D Fourie *THIS* is why I made the video, thank you
Dr Sarah Tonks I just have to say THANK YOU for making this video- it truly has me thinking about things differently. I'm 35 and currently saving to have a few procedures. Let me add that I think you were/are extremely respectful when speaking about your patients. . . Especially if/when you see things differently? You can only do what they allow you to do.... I wonder if people, in general, have become less trusting of their physicians? Or we truly see ourselves (flaws) much differently than how others perceive them? Or it's a mixture of both?
Thanks for explaining the mil’s because I did not have a very good picture of that in my mind. Definitely a visible difference between before and after photo. However, you are right that when we are older it takes more to do more. I think women are smart if they can afford to get ahead of the curve by doing a little at a time so differences are gradual and they look well rested and healthy versus, “wow, you’ve had work done.” I agree that a couple more treatments would likely help her look more youthful. Nice job on the first treatment.
Kat BeWitched much better to start younger than leave it all to the last minute plus then you don’t get to enjoy it!!
Love your videos!! Do you have one about the effectiveness of lasers for wrinkles and skin texture?
Suz M hi I don’t do lasers
Would absolutely love an update on her a few treatments down the line, think she will look really good.
Sophie Kristiansen this is all she wanted! ☹️
@@DrSarahTonks Oh ok. Well I think you did a wonderful job with this one session alone 😊
Great video, thank you! I recently went to get fillers done by one of the top cosmetic doctors here in Northern California. I wanted my temples filled as a part of the full-face package, however, he said he doesn’t fill that area because it’s too risky since there are arteries very near that area. I’ve only heard you mention that it’s costly due to the amount of filler required. I really like the outcome from your patients after treating their temples.
Elizabeth Baraona I do it in almost every video!! Never had a problem. Go deep to the bone
GREAT hair Sarah 😃
Would love to see how you do fat grafting, it sounds fascinating!
Another fab video, thanks for the food for thought 😊
clare pickering I don’t do it right now, I need a larger facility 😊
we want your 16 mLs !!! hahah looking amazing and great video =)
Alberto Leguina sometimes more really is more
move over Im in for the 20 mLs! :D
Very very interesting!!
Volume deficiencies still very evident after the 5ml... wow, although I’m still amazed at the before and after. What a difference the 5ml made! I adore your channel. I have a consult next week for fillers, in a perfect world I would be seeing you on Tuesday. I need to have a friend take some photos of me straight on as well as my profile, would love to get your opinion as well. Would be interesting to see what the physician next week suggests vs what you think. ❤️xoxo
Jennifer H definitely needed a lot more
I get 2 vials of Restylane around my mouth and frown lines. I am pleased with it
I'm so loving your approach! It's all about not doing harm, not overdoing it, better safe than sorry, you'd rather do less than possible, than making something wrong - and in a good way, because the result is there, it's not like it's all for nothing. At the same time it's about making people more youthful or otherwise beautiful without making them into different people. And last, but not the least, you are about the general picture, you do bespoke tailored faces, with the best material suitable for certain issues; that's opposed to those who would just bloat everyone's lips and try to make same cheekbone illusion.
Yeah. I'm the scaredy cat who won't dye her hair because I fear that they can make it nor how I like it. I have very long hair, it's a bigger risk compared to short hair, but still, I know people often dye their hair successfully. But if such doctor as Sarah was available to me, I would consider all this stuff, after all, I chose to wear braces as an adult to improve my looks (mostly to get rid of pain bc of teeth crowding, but still).
I usually do all my fillers in two appointments 1 month apart. This gives the fillers a chance to do what they are going to do and the second appointment allows me to have any smaller areas filled that didn't completely fill the first time. Especially my tear troughs. I didn't want to go from sunken into puffy so we were conservative the first time. Same mls in each side gave almost perfect results except one tiny spot on one under eye but the other side needed more all over. My cheekbones were done in two sessions. A syringe in each side the first time and then a month later just at the very top edge. My lips took 3 times before I was satisfied. I did find that they lasted a year before the volume started to go away but when we touched them up the top lip took hardly any and the bottom lip took half of what was originally used. I think there is an accumulated result if you keep up on it.
CatherineZ also remember if you don’t like it and you only do it once, it will go away
As a 23 y/o I had very chubby cheeks in the lower third of my face around my jowls. It gave me a baby face look and I didnt like the way it made my side profile appear - my jaw line in particular i guess. I surprisingly found a huge difference with only 0.5ml of voluma in each cheek (giving me a shadow under the cheekbone ive never had before haha) and also 2ml in my chin to add length and projection as I have a receding chin. Im already loving the results of just 3ml and am due for my follow up tx soon. Feeling like I still need some help with the jawline.. and predicting I will be recommended 1m for each side for the angle of the jaw. So I guess 5ml of voluma in total (maybe more!). Im just so happy that already 3ml has made such a difference to the shape of my face! I feel like chins and jawlines are the new 'in' thing hahaha
hey im 19, also with a receding chin and weak jawline which i think really throws the rest of my features off balance. it's really an issue that's bothered me too much, but after finding out about these safe, minimal and effective procedures that could change my looks - im super interested! just wondering how much your treatment cost and how long it lasted? would you recommend? xx
selina miranda yes you are right, in some patients it can make a massive difference even with only 3ml!!
Could you do a video on restoring the curve to the upper lip please? It would be so nice to see a natural youthful curve restored rather than the duck lips you so often get.
I'm coming from New Zealand to London in May, I'm happy to be one of your you tube "models"' you'll be able to put 16mls in my 52 year old face 😂
Hi Sarah. Thank you for the video. I'm 47. I started having cosmetic treatments 2 years ago. I've had bottox to lift the brows, smooth frown lines and relax crows feet. 6ml juverderm voluma in the submalar cheek area for added fullness, 2 ml in my upper lip vermilion border and philtrum to add fullness and to lift the lip, and 3ml in my lower lip vermilion border and central body for fullness and anatomical balance. I've been absolutely delighted with the results but tbh quite disappointed with longevity of both the botox and filler. The filler only lasts approximately 8 months and botox 3 months. Is this normal Sarah? This cost of upkeep is killing me financially but i love the results. Thanks for all your advice. It's been invaluable. Kind regards. Tonia
The T with Tonia pretty normal, keep doing it and you will need less and less
Very informative
As if anyone (that's sane) will pay 10-20k for 20ml that's going to last like a year!
That's craaazy
Filler seriously needs to get more affordable. It's crazy compared to surgery that lasts a much longer time. And Filler takes 1 person like 1-1.5hours
Jacinta Andrews 20ml would be closer to £7k. Not sure if you have seen this topic discussed before but it’s not all gone after 1 year, the next time a person would need to use maybe half to get the same result and so on
I have had 16mil in my jaw and and 2mil at the top of my cheeks. Very happy with it
Hi Sarah. I’ve had 40 mls of filler over the past 3 and a half years. It’s in multiple areas of my face (pretty much everywhere). I used to notice that it degraded sooner but now 1 ml goes a long way and lasts a long time.
Is this an unusually large amount for the face? I think I look natural. I’m 45 now. Could increased collagen account for the sustained result?
Hi Sarah,
What are your thoughts on Ellanesé?
Thanks for another informative video,
Ali.
Ali V. I don’t use it
May I ask why? V curious, as I’ve had it recommended...
Ali V. It can’t be dissolved which makes me nervous
Can you tell me what the (mililiter) is describing? Is it the (amount) of filler or is it the (thickness) of the filler?
I don't get hung up on mls used. I use what is needed to see the results that I want to see. I usually do 2 sessions a month apart. This allows me not to over do any one area. Last year I had the non surgical nose job and was stunned at how little filler was used to make a huge improvement. Unfortunately the person that does the fillers at my spa now will not do it. She says it is too dangerous. What are your thoughts on that? Also the patient has to be willing to treat the overall facial skin with products that hydrate and moisturize the skin from the outside.
Jan Marie Brunette-Hunyady it is dangerous yes, I get the heebies every time I do it
There is a risk of necrosis when injecting the nose.
Can we send in photos or have paid consultations for your opinions with fillers? I'm in the US but would still love your assistance somehow
Great vid! When you say 2 mils, do you mean 2 full syringes of filler?
Lizabeth Johnson correct
Just curious after watching some of your vids, which are great btw. If a 1ml syringe goes nowhere and is lost in the face with no impact, why do they sell them at 1ml a time .. why not sell a 4ml which is at least going to show something? is it because the price will be an immediate ouch for us not so well off.. Whereas spend money on 1ml ,, and it doesn't work you are already hooked into the need to buy another syringe and so and so on.. Its like buying medication that says you need a course of seven days but they only sell 3 days in a pack but you don't realise until you have bought the pack. lol .. I am sure there may be a realistic answer to this
You wrote once you do him? Why not???
How I wish I could find someone with your aesthetic sense in my area!
Michelle Kaylan you just got to look
Dr Sarah Tonks oh, I have. I recently moved, so I’ll experiment. With every change of location, I go through weirdness before finding someone who doesn’t want to turn me into Donatella. Or Donatello, for that matter.
Michelle Kaylan Donatella looks great right now
Hi Dr Sarah! I love your videos. I am obsessed with Salma Hayek! Did she have stuff done to her face? I hope I look like her when I am 52!
I love Salma! I don’t have any speculation to add in regards to work she may have had...BUT I read or saw a live interview (can’t remember which it was) where Salma said she purposefully keeps on a little extra weight to stay more youthful looking. Of course with her curvy figure a little extra just adds to her hourglass shape. She looks absolutely amazing! At 42 I’m so envious.
Jennifer H oh I get it thank you sweetheart! She isnt 42 she is 52! I dont know i domt think she has had work done like on jennifer aniston or lopez... maybe I am wrong.
Lol...so sorry for the misunderstanding, I was referring to me in 10 yrs and what I can only hope for...I’m 42
Jennifer H ylu can do it because all the celebrities who do not seem to age much eat healthy and good body plus of course great skincare. Im so jealous of Jennifer Aniston and I am 33 turning 34 next month. She is my girl crush lol
And thoughts on radio-frequency & ultrasound (Exilis Ultra 360) As far as fillers I wished I could afford 16ml. Prices in the US are marketed much higher unfortunately
Mary S I had it on the abdomen, thought it was ok but rather expensive
Price are pretty high in the UK too imo.
In poland same fillers, juvaderm and rest of them cost only 250$ for a ml, i wonder why there is such a big difference if it is the same product
What about getting surgery for under eye area? It would be cheaper than fillers long term.
That was a really interesting video, thank you!
What would be the estimated cost of having 5ml and 10ml of filler injected in the areas you suggested please?
Kathy Jones Parry £1850 and £3600
Brilliant, thank you x
When will you do your next celebrity roast? Please do Miranda Kerr :)
In the USA 20 ML costs way more than a full face surgical treatment.
I have about 4 at the moment and I have a very good result but I’ve also had an energy device treatment.
Lucid agree! At $600 per syringe on average it would be crazy to spend that on dissolving results! They won’t last more than about 18 months!
Marge Burkell yes don’t get it. You could have plastic surgery for what a few syringes of sculptra cost in US, why? There has to be something more cost efficient than sculptra with better results?
@@racheli2598 of course there is, its called fat grafts. Extremely popular in Korea.
@@MargeBurkellDotCom Where do you live that averages $600 per syringe? In Nashville, TN, I'd say the average is about $800.
Is the average cost per syringe less in the UK than the US? What is the average cost in the UK?
Southerner316 wow I WISH I was charging $800 a syringe!!!
Check out Jeffree Star’s new video on being botched with lip filler and silicone. I’d be really interested to see your opinion. He just posted it today. 😊 love you Dr. Tonks!! You’re the best and love your videos so much!!!! ♥️♥️♥️♥️
Spiritual Medium Clayton Roque excellent call, I will give that a watch
Can anything be done to help the appearance of the buccal fat pad area of the face being full. I had to take Prednisone two years ago, and while the 'moonface' subsided, I was left with chipmunk cheeks.
Emma Chase bucal fat removal?
Well, I don't want to turn back time, just address a couple of things that really bother me. My face has changed ALOT, I'm 51. But most of those changes don't bother me. Not trying to be twenty, or thirty, or fourty again!
PS...looking extra beautiful in this video btw!
More is more and less is bore!
is there a down time to the face sculpting ?
I`m pretty sure i need more then 16 ml... more like a face transplant! haha
Hi could you recommend a colleague in the Manchester area who is a reputable consultant please obviously London is to far away to come to your clinic unfortunately
Josie Mcdonald Im not sure in Manchester
Can you do a video on Jeffery Star’s lip revision
Fried Chicken and Flights excellent
@@DrSarahTonks And his Dr is hotter than the sun! 🤣
Could you talk about the cost on procedures? Im curious
Awesome, I got 2mls and it defo wasn’t enough 😔
Isn't that like 5 grand already?
I love that we got to see you aspirate the needle on the temple ☺️ Hey haters-- ya'll can chill--she knows what's up.
Cefaluni I often don’t show the whole injection process- it’s the special sauce!
@@DrSarahTonks I love that bit too! Reassuring especially when you're a geek like me and go around reading papers about pulmonary embolisms caused by fillers injected in blood vessels (not by this doctor I should add!)
Miss La it’s weird so it’s interesting!
@@DrSarahTonks You get all sorts but I'm definitely looking at things like that - eg. how quickly you're injecting.
But aspiration doesn't always work esp if the needle is really fine. Check out this video ruclips.net/video/5bUpnkhCh8k/видео.html. If only there was a sure fire way to know whether you're in a vessel or not. @drsarahtonks do you know of anything on the horizon?
Are there ways to prevent loss of volume in the A frame and under the eyes? I just turned 30.
Fridaber you can’t prevent loss of volume ☹️
@@DrSarahTonks Oh no, not the news I was hoping for 😅Not even with a healthy diet, or collagen supplements??
Fridaber I mean that definitely can’t hurt
I think only surgery could help at this point. But I'm not that fancy, I'm not trying to keep a spouse or even date. I think the client looks better but a whole lot more needed in the hollow temples you think?
annette fournier SO much more yes
Have you ever thought of inviting a follower of your channel (or even a woman and a man) to have you do a makeover? I know I would be the first to volunteer.
Me second please. I'll be in London for my birthday in June!!!!
Just wish filler was cheaper. I get 1mil in my lips, it's all I can afford
I love your channel but let’s be realistic not everyone can afford 20 ml , that’s 17,000 -20,000. At some point you have to do what works for you . I’m not bashing you , I’m just saying it is crazy expensive
kelvin ehigie depends on your country
I am 38 and maintain my whole face with 2ml a year, I get 1ml every 6 months.
Amusegirl1980 Thats the way to do it!!
Toni Mahfud... King of fillers
Ludwig Baier just looked and wow what a glow up
@@blankedidentity Yeah absolutely. So you saw his transformation? On Lookism is one...
@@blankedidentity I'm spaming the whole videos of Tonks just to convince her to do it. For me as a plastic surgery freak it's the most amazing transformation.
Oh wow, I didn't even know he had something done! I only really know him for his art but goddamn he is one beautiful man.
@@agnes915 yes he is. I think it is obviously that he had done a lot
Please react to Mariah Carey's face, she's almost 50 looking way younger!!! 😚
No way.. I thought she was younger. People are looking more youthful nowadays.
@@kumokundomo9705 I wonder why... 😂 But she really looks amazing
Its because she’s very overweight. Her head is like a ball:)
@@krisztinakessel6869 Not anymore...
@@krisztinakessel6869 And fat people age too, even if you have a fat face you'll loose collagen, elastin, ha... and that will not be compensated with the excessive fat...
16 syringes?!? And if I recall most commenters to that person’s other video liked her face before and not after...??? Lot of money for very little results in this video too. Disappointing and sad. 🤭
Marge Burkell curious why it’s “disappointing”, what exactly were you hoping for?
I had only two syringes under my eyes in the tear troughs and I saw more results than all the filler in her face. I was researching if I want to maybe have other areas to help lift my cheek area so I sought you out as a recommended authority. I just really agreed in your previous video that this patient looked better and had a more flattering shaped face before her filler than after.
Marge Burkell but that’s the whole point of the video, I’m saying I didn’t have enough to play with. To explain further, the anatomical space under the eyes is quite small and contained, that’s why it’s possible to achieve excellent results in some people with 1-2ml, ditto the nose and the lips. For a full face change you really need to see around 16ml. The areas injected here aren’t the same and typically require more product to see a volumetric change. I try to show a mixture of things on my channel, not just “wow” results, because this is more realistic. She was happy afterwards, which is I suppose the important thing.
Dr Sarah Tonks it definitely is important for the patient to be happy with the results. I just wouldn’t have been. Thanks for the video though because it really has me wondering if the extra filler is even worth it.
@@MargeBurkellDotCom You are not understanding what she is saying. She said when you don't use enough you will be unsatisfied with the results. This patient wanted very little mls used thus she had very little results.
A very expensive hobby.