Hi everyone, for all of you asking we will be posting the before and after image of this procedure on my Instagram next week on the 24th August. Head over to my Instagram here >>> instagram.com/drtimpearce/
Dr Tim, Thank you so much for sharing all your wisdom. I’m starting level 7 soon and your video helped me to prepare myself, I’m way ahead with my knowledge! Thank you!
Love your videos, I am a level 7 student with several years of injecting under my belt with my own clinic. I love learning and never take anything for granted! I love your ethos and learning from you! Thank you!!! Would you be able to talk us through the lip flip treatment to help evert a patients who has thinner lips and the best way in treating the perioral lines with toxin? Many thanks Toni
I've searched and searched for a video that could tell me exactly specifically how not to drop my brow just by far has been the best one now once I go and get my Botox done or if I attempt to do it myself because I'm new and aesthetics now I finally feel confident Thank you Can you please do one on the lower face That would be extremely extremely helpful.
I cannot thank you enough for your teachings. I have been looking into the possibility of applying AR to facial anatomy. This is being done but I haven't found yet a way to determine the precise positions. If by determining the most important point/landmark on the face a computer could then give a more precise positioning of the elements. All faces are different and we know that according to our studies in cadavers arteries and veins differ from position slightly. Minimal difference but still. I have seen you used on Kayla (thank you for using her in your videos: what a gracious and beautiful facial features to watch by the way) a projected image of her facial anatomy. What is that software?! I'm concerned about the fact that we are still piercing the supratrochlear, supraorbital, and tranverse facial next to the nose and despite the nerves being sheltered by fat or fibrous septae the danger to touch a nerve still exists. What technology do you suggest to ultimately avoid mistakes regarding the anatomy.
Thank you for posting this. So helpful! By avoiding treatment in the triangular area, does this lead to the characteristic lines over the lateral eyebrows on raising them? I often put 1 unit Botox there to avoid this scenario.
Yes in some patients it does cause some ladder lines and your patients have to be counselled on this. Explaining they may need a tweek at the two week point. Younger patients with good skin don’t always get the lines but getting to know your patients you will know whether a little 1 unit dose maybe required in the upper third of the triangles. But this will of course reduce the degree of lift too. Kind regards Mary. Clinical advisor for Dr Tim.
I was thinking the same. Possibly explain because of the small amount and going so shallow however migration would be my concern because it’s injected into so many areas under the brow.
@@Savoiefair64 Eyelid ptosis is caused mainly by the product getting into the orbit, which means deep injections cause it, through the muscle and the orbital septum. So I keep them safe with superficial and low dose injections
Hi Dr Pierce. Thank You for this movie . Is 1 full unit safe to inject? I thought we do inject 0.2-0.5 to each point. Also is injecting in the eye direction safe? I Thought injections need to be always done from the eye.
1 botox unit is perfectly safe if strictly superficial. For the purpose of the video it’s easier for you to see what happening. But if strictly superficial and confident of your depth it’s not an issue to inject in the direction of the eye. Good practice though to inject away. Kind regards- Mary: Clinical advisor for Dr Tim
Hello Doc! I love your way of explaining. I am from Uruguay, could you put the translation into Spanish if it is not inconvenient for you? I think many of us would be happy! thank you very much for these classes totally to learn
For the sake of filming the video Dr Tim had injected like this. But his exceptional experience allows him to know his safety margins too. We always recommend injecting away from the eye when you are new to aesthetics. Kind regards Mary. Clinical advisor for Dr Tim
Dr. Pearce, I have so much neurotoxin in my forehead and my brows are drooped, exactly what I didn't ask for. The brows will depress but they will not elevate. Is there anything that can be done?
I would love to see the before and afters of her movement. This injection pattern over the brows traditionally causes the dreaded Spock brow that doesn’t look good on anyone.
Thanks doc for the high level explanation .. just tell me, in the first and second point under the eyebrow you used 1 unit and the last 2 points 2 units? 😀
Because we were treating her orbicularis oculi muscle as the patient requested softening around her eyes. 1 units were used to help lift. Kind regards Mary. Clinical advisor for Dr Tim
I have a client that has one deep vertical line between her brows instead of the usual “number 11”. What is the way to correct this? It doesn’t respond to typical glabella injection. Please continue to make more videos. Ty so much
You patient had a split procerus muscle. You need to treat either side as it has two bellies rather that the typical one belly. The Procerus will respond to 4 injections like a dice with 4 dots. Imagine the line down the centre of dice. Then treat your corrigators in your usual pattern. Hope that helps kind regards Mary. Clinical advisor for Dr Tim
Hi, brilliantly explained and makes a lot more sense after watching your previous vid. Can i ask why 1u was chosen for the obicularis occuli and frontalis? your previous support document downloads show 4u per site on the obicularis? Is this to achieve an eyebrow lift more than to reduce wrinkles (so generally on a younger patient? Thanks in advance!!
Up to the tail of the eyebrow the licensed dose is 4u. I use less more medially where it's closer to the eyelid, and in people with weaker muscles. 4 units is also the licence dose for forehead using allergan units, but my sense is that this is a little bit of a blunt instrument for small or petite foreheads and I like 1 unit more spread out.
I recently injected thru the hospital pen marker and like you said in your video I now have a small blue dot where I injected that will not go away. Any suggestions would be appreciated.
Awesome teaching, dr Pearce! May I ask a silly question? I have a small forehead with few to no lines on it. It's just my glabella that's bugging me. Can i have it fixed without touching the frontalis muscles? Thank you and have a good day!
Yes absolutely you would just have the frown treated - that doesn’t involve the frontalis muscle. It’s just the glabella /corrigator complex that would be needed. Kind regards Mary. Clinical advisor for Dr Tim
@@DrTimPearce Thank you for replying, but what i meant to ask was if i am concerned only about my elevens, can the doctor only treat the glabella without risking the unwanted "spock brow" or even a brow ptosis? Thank you very much!
Not a problem. Spock brow is only something that is possible if you’re having your forehead treated. There is still a possibility of lid ptosis if your injected injects too deep in the muscles that create the 11s. Hope that helps. Kind regards Mary
I'm so glad to have found this channel. Would have loved to see a close up after the treatment was effective. i.e her frowning/smiling/raising brows before & after. Thank you for sharing your Great work.
How do you know that the diffusion of the toxin is 1.5cm? Is it Botox - Allergan? Because the manufacturer states that the diffusion pf the one is around 3cm. Is there a way to predict how much cm is the diffusion of the toxin? Thanks for answering.
Nice video! 👍🏻 I essentially agree your method. Just wondering which dilution you use, because I don't usually have to inject 0,2ml in one single point, much less in those precise applications. And I use an easily erasable marker, so I don't have to "rub" those precise points treated.
Hi everyone, for all of you asking we will be posting the before and after image of this procedure on my Instagram next week on the 24th August. Head over to my Instagram here >>> instagram.com/drtimpearce/
Hello thank you for sharing your knowledge.... When will you be pisting the pics
@@karlaarteaga6835 nobody knows as I checked insta it's not there
nope, no pics :(
Please where is your office located??
@@angelakanu2409 we are based in Manchester UK
I really appreciate your effort and the fact that it is all for free
Wow this is one of your BEST step by step demonstration videos! You shared key information to prevent Spock brows or ptosis risk. Thank you ❤
Dr Tim,
Thank you so much for sharing all your wisdom. I’m starting level 7 soon and your video helped me to prepare myself, I’m way ahead with my knowledge! Thank you!
Love your videos, I am a level 7 student with several years of injecting under my belt with my own clinic. I love learning and never take anything for granted! I love your ethos and learning from you! Thank you!!!
Would you be able to talk us through the lip flip treatment to help evert a patients who has thinner lips and the best way in treating the perioral lines with toxin?
Many thanks
Toni
We can certainly add it to our collection of videos. Good luck with your level 7!
I have been patiently awaiting a video like this from you. Brilliant! 👏
One of your best video tutorials to date! Thank you!
Very well explained, especially the injection depth. Thanks 👍
Thankyou I'm glad this was helpful for you.
As usual perfect video. Thank you so much Dr Pearce.
helpful accurate and amaying as always
thank you dr. Tim
Dr Pearce, you are awesome...brilliant video! Clear and concise....thank you!
Nice shot!, congrats!👏
Nice work , Keep going doctor, this is a wonderful explanation
Please show before n after pics
Hey! You can see the result at the end of this video instagram.com/reel/Ci3B6_kK8EW/?
Many thanks Dr Tim for all fantastic work and explanation.🥰🥰
Thank You Tim, excellent and informative as usual! 🙌😊
Thank you so much for posting this. Always learn something! 🙂
I've searched and searched for a video that could tell me exactly specifically how not to drop my brow just by far has been the best one now once I go and get my Botox done or if I attempt to do it myself because I'm new and aesthetics now I finally feel confident Thank you Can you please do one on the lower face That would be extremely extremely helpful.
She's naturally so beautiful ❤
Omg so cool thank you so much ! 🙏🏻🙏🏻🙏🏻Briliant as always ! 👌🏻👍🏻
Great video! Thanks
Thank you, Dr Tim, for a very valuable peace of information. BR
Very informative/helpful. Thank you
Really useful & well explained 👏👏👏
Thank you, amazing guideline
Lovely Thank you for sharing
I cannot thank you enough for your teachings. I have been looking into the possibility of applying AR to facial anatomy. This is being done but I haven't found yet a way to determine the precise positions. If by determining the most important point/landmark on the face a computer could then give a more precise positioning of the elements. All faces are different and we know that according to our studies in cadavers arteries and veins differ from position slightly. Minimal difference but still. I have seen you used on Kayla (thank you for using her in your videos: what a gracious and beautiful facial features to watch by the way) a projected image of her facial anatomy. What is that software?! I'm concerned about the fact that we are still piercing the supratrochlear, supraorbital, and tranverse facial next to the nose and despite the nerves being sheltered by fat or fibrous septae the danger to touch a nerve still exists. What technology do you suggest to ultimately avoid mistakes regarding the anatomy.
Wish we could see the before and after of this procedure
Nice video! Thank you so much!!!
Is there a video for her results?
Thank you, Dr. Pears!
Hello. would you explain how following the above protocol created folds of the upper lid.? thank you
Hi ive just passed my course, is 1ml meedle and syringe ol for all facial botox, thanks 😊
Thank you for posting this. So helpful! By avoiding treatment in the triangular area, does this lead to the characteristic lines over the lateral eyebrows on raising them? I often put 1 unit Botox there to avoid this scenario.
This is a great question!
Yes in some patients it does cause some ladder lines and your patients have to be counselled on this. Explaining they may need a tweek at the two week point. Younger patients with good skin don’t always get the lines but getting to know your patients you will know whether a little 1 unit dose maybe required in the upper third of the triangles. But this will of course reduce the degree of lift too.
Kind regards Mary. Clinical advisor for Dr Tim.
@@DrTimPearce thank you!
Very well done. Thank you!!
Brilliant, thankyou!
EXCELLENT VIDEO
thank you, this was excellent! Ques:; how much is 20units on the frontalis in ml total?
How do you avoid eyelid ptosis from those outer brow injection points?
I was thinking the same. Possibly explain because of the small amount and going so shallow however migration would be my concern because it’s injected into so many areas under the brow.
@@Savoiefair64 Eyelid ptosis is caused mainly by the product getting into the orbit, which means deep injections cause it, through the muscle and the orbital septum.
So I keep them safe with superficial and low dose injections
Thank you so much dr , you are amazing
Hi Dr Pierce.
Thank You for this movie .
Is 1 full unit safe to inject?
I thought we do inject 0.2-0.5 to each point.
Also is injecting in the eye direction safe? I Thought injections need to be always done from the eye.
One botox unit.
1 botox unit is perfectly safe if strictly superficial. For the purpose of the video it’s easier for you to see what happening. But if strictly superficial and confident of your depth it’s not an issue to inject in the direction of the eye. Good practice though to inject away.
Kind regards- Mary: Clinical advisor for Dr Tim
Thank you for Sharing love tour video ❤❤😊
Is that me but he says one unit and ill see he injected more than one unit 🤔 help thanks
Dear doctor nice job
But injection points under eyebrow are not risky ??Don’t cause eyelid droop?
Hi, yes this is a risky injection area. You have to be very superficial when injecting.
Hello Doc! I love your way of explaining. I am from Uruguay, could you put the translation into Spanish if it is not inconvenient for you? I think many of us would be happy! thank you very much for these classes totally to learn
What skin marker are you using?
Хорошее видео. Но где фото после процедуры через 10-14 дней? Большое количество препарата введено по моему мнению. ..
I get anxious injecting the eyebrow, how will i ensure i dont cause eye lid ptosis
Thank you can you provide the G and the mm of the syringue please 🙏🏻 thank you
Should you be injecting away from the orbital area, not towards it?
For the sake of filming the video Dr Tim had injected like this. But his exceptional experience allows him to know his safety margins too. We always recommend injecting away from the eye when you are new to aesthetics.
Kind regards Mary. Clinical advisor for Dr Tim
Excellent presentation.
Are you injecting a total of 4 units under the eyebrow or 4 units at the tip of the brow and 1 unit on the remaining sites?
4 units at the tip and 1unit under the brow
Needle bevel up? I thought I saw it up in the video.
Dr. Pearce, I have so much neurotoxin in my forehead and my brows are drooped, exactly what I didn't ask for. The brows will depress but they will not elevate. Is there anything that can be done?
Ive just past my course, is a 1ml needles and syringe ok to do all botox on the face, thank you😊
I would love to see the before and afters of her movement. This injection pattern over the brows traditionally causes the dreaded Spock brow that doesn’t look good on anyone.
The pinned comment on this thread is the results of Laylas treatment. :)
Kind regards Mary. Clinical advisor for Dr Tim
great information. Thank you. What type of needle n syringe ur using?
We like BD insulin syringes.
Kind regards. Mary. Clinical advisor for Dr Tim
I thought injecting away from the eye ?not towards.
Hi!
I would like to ask how do you calculate the units and which preparate do you use because units for dysport and botox is different. Thank you!
Thanks doc for the high level explanation .. just tell me, in the first and second point under the eyebrow you used 1 unit and the last 2 points 2 units? 😀
Because we were treating her orbicularis oculi muscle as the patient requested softening around her eyes. 1 units were used to help lift.
Kind regards Mary. Clinical advisor for Dr Tim
did you inject five units per point in the orbicularis? or how do you make the dilution?
Whats the estimate fir this kind of job?
DrTim...do you experience eyelid drops...due to injectios under the brow just over the lid...?
How much cost on his treatment
How long is the needle
And if the patient still has wrinkles below the 2cm line. Should a higher dose therefore be injected above the line?
Thanks from Germany 🇩🇪
I have a client that has one deep vertical line between her brows instead of the usual “number 11”. What is the way to correct this? It doesn’t respond to typical glabella injection. Please continue to make more videos. Ty so much
You patient had a split procerus muscle. You need to treat either side as it has two bellies rather that the typical one belly. The Procerus will respond to 4 injections like a dice with 4 dots. Imagine the line down the centre of dice. Then treat your corrigators in your usual pattern.
Hope that helps kind regards Mary. Clinical advisor for Dr Tim
Cuantas unidades en los periorbitales?
Is this using Botox, dysport or Xeomin?
Hello 🙂 , they do not inject the crow's feet away from the eye. Should this be done now? Or only with a higher dose of BTX? THANK YOU
Hi, brilliantly explained and makes a lot more sense after watching your previous vid. Can i ask why 1u was chosen for the obicularis occuli and frontalis? your previous support document downloads show 4u per site on the obicularis? Is this to achieve an eyebrow lift more than to reduce wrinkles (so generally on a younger patient? Thanks in advance!!
And above all, which Botox do you use? 1 unit of Azzalure I think is not enough, I'm wrong?
Up to the tail of the eyebrow the licensed dose is 4u.
I use less more medially where it's closer to the eyelid, and in people with weaker muscles.
4 units is also the licence dose for forehead using allergan units, but my sense is that this is a little bit of a blunt instrument for small or petite foreheads and I like 1 unit more spread out.
Thank you. I want this done
I love it!!!!
She looks like an angel :3
I recently injected thru the hospital pen marker and like you said in your video I now have a small blue dot where I injected that will not go away. Any suggestions would be appreciated.
Enjoy!!👏👏
Awesome teaching, dr Pearce! May I ask a silly question? I have a small forehead with few to no lines on it. It's just my glabella that's bugging me. Can i have it fixed without touching the frontalis muscles? Thank you and have a good day!
Yes absolutely you would just have the frown treated - that doesn’t involve the frontalis muscle. It’s just the glabella /corrigator complex that would be needed.
Kind regards Mary. Clinical advisor for Dr Tim
@@DrTimPearce Thank you for replying, but what i meant to ask was if i am concerned only about my elevens, can the doctor only treat the glabella without risking the unwanted "spock brow" or even a brow ptosis? Thank you very much!
Not a problem. Spock brow is only something that is possible if you’re having your forehead treated. There is still a possibility of lid ptosis if your injected injects too deep in the muscles that create the 11s.
Hope that helps. Kind regards Mary
@@DrTimPearce Thank you, it definitely helps! Have a great week!
What’s the best treatment for a mini brow lift? Botox or pdo threads? Vampire facial could help??
We need some similar picture for lips injections please ❤️ ps :you are amazing ❣️❣️❣️❣️❣️
Why is injecting superior to the brow considered a “high risk area” if injecting too deep? Is it due to potential drop? 6:14
The path of toxin into the orbit, where it can affect the eye muscles is closest when deep, and near the foramen or the orbital membrane.
Tkns so much!
Would love to see her two week results 😍 amazing explanation
Hey! You can see the result in this video at the end instagram.com/reel/Ci3B6_kK8EW/?
I'm so glad to have found this channel. Would have loved to see a close up after the treatment was effective. i.e her frowning/smiling/raising brows before & after. Thank you for sharing your Great work.
Best one
Any tips for balancing uneven eyebrows, this is what I find hardest in terms of roseate/top up! Thanks
Can i book a brow lift with you ?
How do you know that the diffusion of the toxin is 1.5cm? Is it Botox - Allergan? Because the manufacturer states that the diffusion pf the one is around 3cm. Is there a way to predict how much cm is the diffusion of the toxin? Thanks for answering.
I may have confused radius and circumference- 1.5 cm spread in all directions makes 3cm across.
One Botox unit or one insulin unit?
No after pic????!
Hello sir.
Can we treat congenital ptosis with botox ?
yes you can
@@DrTimPearce how to do it sir ? Can u pls give the points for injection ?
I wish we could see side by side before and after pix .
These will be available shortly on our IG page.
Hey! You can see the result at the end of this video instagram.com/reel/Ci3B6_kK8EW/?
Gold!
Dr how can I see you? Need a brow lift..how much and where are you located
Our clinic is in Manchester UK. Everything you need is here.
www.skinviva.com
Kind regards Mary. Clinical advisor for Dr Tim
you are wonderful
Are you diluting 1:1?
Regular botox dilution 1.25ml for a 50 unit vial. Kind regards Mary. Clinical advisor for Dr Tim
How would this be different if you were to perform this procedure on a big forehead?
Hello doctor I hope you make an Arabic translation
Follow up from Iraq
Thank you for the feedback.
Beautiful
Enjoy👏👏
Hi Dr
Is t botox or filler
Thanx
This is a botox treatment. Kind regards Mary. Clinical advisor for Dr Tim
nice doc!.. oh shes gorgeous!
Nice video! 👍🏻
I essentially agree your method. Just wondering which dilution you use, because I don't usually have to inject 0,2ml in one single point, much less in those precise applications.
And I use an easily erasable marker, so I don't have to "rub" those precise points treated.
Botox regular dilution of 2.5mls of saline for a 100 unit vial.
Kind regards Mary. Clinical advisor for Dr Tim
@@DrTimPearce thank you, Mary. Very kind.