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I'm Dee Dorson, I'm sixty three years old and for the last four or five years
i've really noticed that my lips are getting a lot thinner than they used to be
I've tried having them tattooed a little bit over the line
but it doesn't have a wonderful effect, so I'm here today to see Dr Rakus
to see if she can suggest anything that will improve them for me
i'm really excited to see what she has to offer and if it's going to make me look younger
I really hope this is going to transform me
Lips will start to feel numb shortly
and we will apply it quite generously
good
Hello I'm Dr Rita Rakus, a cosmetics physician in Knightsbridge
Today we are going to work on Dee's lips
and rejuvenate her perioral commissure's
and give her a tiny bit of volume in the lips
alright Dee if you would like to bring the mirror up
I'll just have a little look at your lips here
So what I propose with your consent today is to lift your corners here a little bit of filler here maybe lift your lip a bit up here
how does that sound for you? That would be good
just come forward for me thast it wonderful
and the main thing is to keep nice and still
so just little injections here, hopefully not too pain full
were using a juvederm ultra which is a high uronic gel which totally natural and fully biodegradable
ok so that's not too bad is it!
Just going a bit higher up in the corners
this is juvederm ultra three
coming up nicely
alright, so we will do a little bit more round here
but it's not bad is it
can certainly tell you have done this before
about forty thousand treatments
alright so don't smile for me
just pout your top lip
relax pouting
this is sort of what the perioral area
alright we will give you a tiny break and put some ice on
and then we will do your lip
did find the needles rather sharp but i wouldn't say its painfull, it's uncomfortable but
by the time you think thats probably enough it's finished
and your onto another bit
its bearable and all in a good cause
so now we're going to use some juvederm smile on you, specifically
designed for the lips
and I'll show you the juvederm smile brochure
and the lips that I did in it, so you can see that it looks nice and natural
all right if you come forward for me I'm just going to pop a bit in your top lip
How is juvederm smile better than 3 and 4
its specially designed for the lip
its softer and bit more flexible
just close your lips for me
there's a lot more movement in the lip
so it's longer lasting
how long does it last
about a year
open up your mouth for me
big smile for me
do you do top and bottom lips? It depends on what size they are
sometime you need the top and sometime you need top and bottom
we are going to do a little bit of both here
coming along nicely
need a little bit more here in the corners
just going to wipe down
a bit to tidy up a bit
hows that nice and soothing?
hows that looking for you?
are you happy with that?
obviously we can't lift all this up but I think you've had nice subtle treatment
we normally get you back in two weeks
to have a look
we don't want anything too obvious
you get very
few side effects
but with any lip injection
you could always get a bruise
or swelling or redness but I think we have done well today
now just sit up for me
now basically
a little bit of massage morning and night
avoid extremes of heat and cold in the next twenty-four hours
so no saunas
or hele-skiing
just open your move wide
and it's how do you have not found
and a tiny bit of massage for about 30 seconds morning and night
its settled down quite quickly, it looks quite good
so obviously if you need a lift through here you need other treatments
but we've just tried to focus around your mouth
get that looking nice and fresh
nothing to obvious tho
so I just finished having my treatment and it was actually
much less painful than i imagined it would be, having injections into your lips
i thought was going to be very painful but
actually wasn't any worse than that
and injection into the skin around mouth
and as I said before it wasnt pleasant but it wasn't so bad that you
couldn't bear it and I'm
pleased with the result and I think over the next few days it will settle down quite a bit
and
look a bit more natural than it does now
yes i would certainly do it again
in essence it was a very
worthwhile thing to do I think