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Thank you, many people have said this, and more recent videos this has hopefully been addressed.

This has been said a lot in the comments - this was like my 5th video ever so have already learned a lot.

Thank you; it’s been mentioned many times as it was one of my first videos. I will update the video soon and modify the music level.

Thanks for the comment and looking forward to seeing you soon!

@@ginamina28 Thank you I have learned to do so in my more recent videos!

Thanks for all the information, I will have a look at those devices online. Also yes that would be absolutely fine regarding the powder. See you Friday!

Sorry, it was the first from a new editor, and only my 5th ever video, so on the learning curve.

Thanks for liking

Glad it was helpful!

Hi, thanks for the question. You can certainly use Radiesse in the face - most commonly as a very lifting filler but also diluted. There’s not much to choose from against Sculptra but there is just a bit more evidence for Sculptra in the face. However Radiesse diluted seems a bit more versatile where you can use it. Both are great products!

@@rahmalejri5521 Thank you I will try to slow down, and I really appreciate your comment.

Hi, thanks for the question! Radiesse undiluted is an amazing treatment for the jawline and chin; just make sure your injector is experienced as it isn’t reversible and you have to be really careful in a female not to widen the jawline. When done properly however it is the best filler to sculpt a sharp jawline. The filler is actually 70% a carrier gel and 30% calcium - the gel goes in 12 weeks and the calcium around a year. It rarely migrates in my experience, in part because collagen fibres grow around it - you can never have too much collagen! Once done, 2 weeks is pretty standard between most aesthetic procedures but you should check with your practitioner as it depends on what the other treatment is of course. Hope that helps!

Thank you so much for your reply! I have a round and wide face but not a lot of definition in my jawline and chin. How do I prevent Radiesse from making my jaw look wider?

Amazing question! Personally if the fold is deep I would go for Radiesse as it has a volumising as well as biostimulatory effect. You could even blend with a HA filler which gives a little reversibility. One issue is making sure the injection doesn’t go into the facial artery which often runs along the fold - if possible ultrasound is great for that purpose. Best of luck!

@@abeerkholghi7128 Hi, sorry to hear you have had problems. It depends on the dilution and area used - it might have been diluted ok, but if less than 2:1 (2 saline for 1 Radiesse) it still can act a little like a filler. If a syringe were used just along the jawline, it might be a bit concentrated. On a positive note, things should improve - the CMC gel which is 70% of Radiesse goes in 6-12 weeks and the calcium over 6-12 months so it should gradually go down, and there will be more collagen long term to support the jawline. Hope everything works out for you.

@@mariaadebellocampo 👋🏻 Hi, yes it could be done on most areas, as long as the cannula will fit under the skin. I often use in the arms, neck and hands.

I think that’s a fair point with this video, the audio is just a little much for the voice. Thank you for the feedback

@@infinityaesthetics but the video is very good. audio issues can happen, no worries

Thank you Edith, I appreciate it!

Thank you! This lady does nice videos on facial and neck exercises - @NataliaBroberg - unfortunately there aren't any medical studies I could find on the specific exercises which are best.

Hello. Thank you for this explanatory video. I would like to know if the injection of botulinum toxin at the level of the jaw line and neck is a beneficial treatment to relax the platysma which is very tense? Can this injection help to improve my jaw line? Thank you doctor and good luck.

@@SallyThomas-l8p Thank you, glad you liked it!

👋🏻 Hi, the concern is theoretical rather than from studies- it’s the risk of nodule formation. I would certainly consider treating if the disease was stable and well controlled such as on carbimazole or after surgery/radioiodine but not if uncontrolled or symptomatic. Let me know if you have any questions and happy to help

Thank you Ann, as a new channel you don’t know how much I appreciate your feedback 😊

I love Radiesse and this would be a good choice if the folds were very deep. My only suggestion would be to have done with ultrasound as the facial artery is very close to the fold and Radiesse is irreversible (a vascular occlusion here with Radiesse would not be good ⚠️). I do live guided injections as you can see the cannula tip at all times.

Thanks for commenting; glad you enjoyed!

@@angelamarkopoyloy7546 good question and although no comparative studies Sylfirm is likely to be effective for many of the same benefits. I use Morpheus8 around the eye. The downside is the high cost for a small area of treatment and the discomfort from RF microneedling, but if possible both together are great. Thanks for the interesting comments!

@@angelamarkopoyloy7546 What is it you think they might stimulate? We know they reduce oxidative compounds like MMPs that cause harm, so I don’t see what is going to be harmful. I can’t comment specifically on rules in the US, but the regulations tend to be very (and often overly) strict with most injectables due to various historic factors. Ultimately if it’s safe to microneedle into the skin, as long as a recommended dose there’s no reason not to inject in my opinion.

I think the talking seems faster because my editor made the cuts quite fine. Will slllooowww down next time

In my experience it is fine - the way Radiesse works it doesn’t stimulate the immune system but acts as a physical scaffold and pressure stimulates fibroblasts so it should be fine

@@infinityaestheticsthank you so much doctor for you answer I will wait 12 weeks to passs and hope the size back to normal may I ask you which one will give better effect for lose skin under chin profilo or scurptra. Thank you once again

@@Cheers12324 While it’s only my opinion and not tested in studies I think this would be fine - all left at that point is calcium microspheres and no know interaction with PLLA so I think would be absolutely fine 👍🏻

@infinityaesthetics thank you Dr. Your efforts are appreciated.

Dear Dr. thank you for this explanation. Is it possible to do Radiesse on a patient who had Sculptra 6-7 weeks ago!

Sorry if you are squeamish; I hope there’s not too much in the video - it’s meant to be educational and many people like to see what is in involved in treatment that they might have.

Hi Karen, I dont use PCL products - do you know which one was used? It's common with HA products to have a blue hue but black is more puzzling. Significant bruising can persist in the under eye area for a few months, but less likely to be both-sided. If you know the product I will have a look for you and see if I can suggest something

@@infinityaesthetics thank you for a prompt reply. The product used is called rejuner black label. A PCL collagen stimulator.

Hi yes it will, typically the CMC goes within 12 weeks and the calcium microspheres in 12 months

Thanks for the feedback and sorry it didn't address as much as hoped. In clinic I go for polynucleotide with RF microneedling, although with dermal filler as well if a deeper groove. For home treatment as well as good sleep and diet, I would suggest retinol creams, starting low dose and building up gradually. One thing I didnt mention is red light - while it may not eliminate vascular dark circles entirely, regular use can help improve skin thickness and reduce the prominence of blood vessels. I would suggest looking for at-home LED devices that have a wavelength of 600-650 nm for red light therapy. I am doing a forthcoming video on red light. Hope thats helps and thanks again

@@infinityaesthetics Thank you

Thank you, so interesting to hear how people find treatments in practice, especially the Retin-A. Also you can never beat exercise!

Thank you, it’s really interesting to see how much these exercises help people. 64 is the new 40!

You have cheered me up after a long day, thank you so much😀

Same here , instant subscriber! 👍🏻

Yes it’s typically 2-4 weeks before resuming normal activities and many months for all the symptoms to subside

Very good point and one I have decided to address with a red light video in 2 ish weeks, thank you for the suggestion!

HIFU

Hi Madeleine great questions! Sculptra is commonly injected into the temple and this is usually under the superficial fatty layer just underneath the skin where it has more effect on the overlying skin. It’s possible that some particles are going to move with gravity downwards into the fat around the outer eye, but this shouldn’t necessarily be a bad thing this helps with the skin around this area which is really thin so it can slow down the crepey under eye appearance. Filler is a good choice with more significant volume loss and hollowing in the temples but it does tend to look quite puffy initially, sometimes for a week or two. I use ultrasound live injections with the temple for safety and accuracy. Sculptrais actually white in colour as a powder but when you make it up into a suspension you can hardly see it where Radiesse is pure white even when blended with saline so it is much “whiter” than Sculptra in appearance. Hope this is ok!

Thank you for watching, glad you enjoyed 😄

@@absoluteholisticguidance7597 That’s very kind of you, as I am still learning a lot about TH-cam!

thanks for the question, if it is Juvederm it is going to be hyaluronic acid. The only way of getting rid of this more quickly is with the dissolving enzyme and unfortunately there’s nothing natural that will make any difference that I know of. If it’s very old filler sometimes this can become compressed into little pockets and the enzyme doesn’t dissolve very well if it’s injected without any imaging guidance. I’d suggest seeing a doctor who specialises in ultrasound guided dissolving; I do quite a bit of this in my practice in London. This should target the small pockets accurately and also uses a lot less of the dissolving enzyme which minimise the chance of allergic reaction. I hope this helps!

Wow a doctor who actually replies with advice , you have my respect I’m subscribing 🙏

Thanks for responding. Sadly I live in the US It was old restylane 😢. I just had fractional co2 laser, full face and it is making it a bit flatter. I’m 4 months out ❤. Hope it gets better if no ill seek out a doc that can do what you do, the guided method

@@Saibu-uo4ts Hi, the carrier gel CMC goes in around 6-12 weeks after injections - that’s 70% injections volume. However collagen production increases from around month 2 to 1 year - if it’s collagen then it will gradually reduce over several years. When did you have the treatment and how many syringes?

@infinityaesthetics Thanks a lot for the answer! 🥲🙏🙏🙏 He said it was in total 1ml of 1:1 diluted (with saline) Radiesse in my cheeks (in subcutaneous plane) Treatment was in April 2023...so basically 17 months after. It was paired with subcison though (for an acne scar treatment). Cheeks just look very chubby, esp when smiling and I never had that and weigh less now then before treatment:( How many years you guess. There's literally no study on actual longlivety sadly and on whether it EVER returns to baseline :( wouldn't it just stay permanently cause it's your own collagen now? Or at least it won't go away quicker than your natural collagen right? So the distortion would be there permanently....? Thanks a lot for sharing your knowledge. Appreciate it a lot!

That’s completely unproven and extensive evidence suggests otherwise. 1. Safety Profile and Carcinogenicity Assessments • A comprehensive review in Dermatologic Surgery evaluated the safety of injectable fillers, including their carcinogenic potential. The study concluded that no direct evidence links HA, CaHA, PLLA, or PMMA fillers with cancer, highlighting that these fillers have been extensively used without reports of tumour formation or cancer induction (Goldberg et al., 2020). 2. Case Reports and Long-term Follow-ups • Long-term Safety Review: A 10-year safety review of hyaluronic acid fillers published in Plastic and Reconstructive Surgery found no reported cases of malignancies directly attributable to filler use. The study’s extensive review of adverse events did not identify cancer as a complication (Bertossi et al., 2021). • Granuloma Formation: While granulomas are a recognised adverse effect, especially with synthetic fillers, these are benign and do not exhibit malignant transformation. Studies, including one in Journal of Cosmetic and Laser Therapy, found that granulomas were reactive, not neoplastic (Urdiales-Gálvez et al., 2018). 3. Preclinical and In Vitro Studies • Animal Studies: Preclinical studies using rodent models to assess the carcinogenic potential of PLLA, PMMA, and CaHA fillers have not demonstrated tumourigenesis. For instance, a study published in Toxicologic Pathology examined long-term implant sites and found no evidence of neoplastic changes (Brandt et al., 2022). • Cellular Assays: In vitro assays designed to assess the mutagenicity of filler components consistently show no mutagenic or carcinogenic activity. For instance, HA fillers were shown to have no impact on DNA integrity or cellular proliferation beyond normal wound healing pathways (Jansen et al., 2019). Regulatory Position and Post-Marketing Surveillance Regulatory bodies such as the FDA (U.S.) and MHRA (UK) continuously monitor the safety profiles of dermal fillers through post-marketing surveillance. As of the latest updates, neither the FDA nor MHRA has issued warnings or identified cancer risks associated with any approved dermal fillers. These findings align with clinical data suggesting that when used according to guidelines, dermal fillers do not pose a carcinogenic risk. My opinion therefore is that in the current evidence, there is no substantiated link between dermal fillers and cancer. The materials used in fillers-particularly hyaluronic acid, calcium hydroxylapatite, and other biocompatible substances-are considered safe and have not demonstrated carcinogenic effects in clinical or preclinical studies. The main risks associated with fillers are typically localised reactions such as inflammation, granulomas, or infection, which do not equate to systemic carcinogenicity.

@@infinityaesthetics recent review found that the number of skin cancers in tattooed skin was low, and therefore seems coincidental, however a number of carcinogens that have been found in tattoo inks have been associated with cancers elsewhere in the body, such as the liver or bladder.

Yes, absolutely - polynucleotides are great regenerative treatments - I am doing a video in 1-2 weeks (it’s after my next one) so please stay tuned!

@@infinityaesthetics Brilliant, look forward to watching that 👍

@@angier2289 pop Thank you, I will bear that in mind - I guess in my circles (medical) in the UK ladies is a traditionally polite reference and certainly not meant to be diminutive. It’s a very interesting point and one for me to bear in mind thank you. 🙏

@@infinityaesthetics and I will bear in mind that the internet is a great big place with a lot of diversity. 🙏

​@@infinityaestheticsI think your use of "Ladies" is gentlemanly and lovely, suits who you are Doctor while staying true to yourself😊

I do not mind being called lady😊

@@infinityaestheticsClearly, not all women are “ladies” …..but it’s a polite and respectful way of referring to women, so no need to change anything for people who think the world revolves around their preferences. Thank you for the video.

I think you are referring to the TikTok post about filler on MRI - this is thought provoking but isn’t high quality evidence with one patient where there may be confounding factors. We know from recent MRI studies that most patients have filler persisting for 2 years but this can occasionally be up to 10-15 years. Many areas usually resolve fully within 2 years. Persistence isn’t necessarily a bad thing if done properly and not refilled frequently. Most filler treatments I do don’t need to be repeated for more than 2 years and often longer - I agree if done regularly it can certainly cause oedema and ‘pillow face’. It’s all about being cautious! Thanks for the very interesting question!

@@VoytenTechnologies Thank you; how long did it take for you to see benefit?