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Ultrasound-Guided Filler Dissolving (Hyaluronidase Injection)

Transformation in Action: Precision, Care, and Understanding the Art of Aesthetic Medicine and ultrasound. Swipe to see the evolution of understanding what you see on ultrasound and why a methodical approach is necessary for successful and reproducible outcomes. This patient came to me just five days before a big event, concerned about swelling under her right eye. What you see isn’t just a quick fix, it’s meticulous planning, understanding her unique anatomy, and respecting her natural beauty.In the initial photo, notice how her right eye appears smaller when she smiles — a subtle sign of underlying restriction affecting her expression. My goal was to address only her right side (problem area for her, addressing everything else after her big event) avoiding unnecessary bruising or downtime. The following images, captured with Clarius ultrasound, reveal what most might mistake for filler — but in reality, it was a blood vessel. Swiping through, you’ll see the actual filler, superficial edema, and how precise dissolving beneath the surface not only reduced swelling but also restored her natural animation.This procedure took just about 45 minutes (from history taking to physical exam and actual ultrasound guided dissolving), but the impact is lasting — a reminder that understanding anatomy and personalized strategy can transform not just appearances, but confidence.Please respect the intricacies beneath the surface :) A big thank you to my Client for being willing to show this for teaching purposes.

Xeomin Salt Facial

Surgeon:

Wrinkle Erasers with #xeomin® and #saltfacial . Stop the muscle from making the wrinkle, resurface the skin, and use #zoskincare to maintain at home.  It’s really not that difficult 😊.

Sculptra Belotero

Surgeon:

Subtle changes make such a difference.  Used collagen stimulators and dermal fillers to correct around the eye, nasolabial fold, and marionette.

Sculptra Dysport

Surgeon:

Sculptra and Dysport 3 month results.

Xeomin

Surgeon:

Mesotoxin liquid lift for face and neck with @xeominaesthetic 24 hours between photos.

BBL

Surgeon:

15 weeks between photos after receiving 20 syringes for her #bougieinstantbbl Appreciate how it gets better with time.

Dermal Fillers

Surgeon:

Did you know you lose superficial fat in your forehead as you age?

Dermal Fillers

Surgeon:

At a certain age neuromodulators will not fix the skin laxity so what will you do? Dermal fillers placed superficially can help.

Dysport

Surgeon:

#dysport® placed around the eyes can lift the brow and soften the skin.

Chin & Lip Filler

Surgeon:

#chinfiller and #lipfiller combo. #galderma portfolio was used to achieve this outcome. The female chin should be as wide as the nose while the male chin should be as wide as the mouth.

Sculpra RF Microneedling

Surgeon:

Sculptra

Surgeon:

Treating temporal hollowing.

Chin Filler

Surgeon:

Augmenting a #cleftchin with #dermalfiller and giving it more projection. Many women ask me if they should correct this or not?

Sculptra Radiesse

Surgeon:

Sculptra for the temples and Radiesse for the mid face. Always treat from top to bottom and lateral to medial. She slightly swollen and results will improve over the next few months.

Dermal Fillers

Surgeon:

Using dermal fillers to correct #bifidnose tip.

Lutronic Ultra Laser

Surgeon:

Lutronic ultra is a thulium laser that is non ablative and excellent for treating pigmented lesions.

Lutronic Ultra Laser Hydroquinone

Surgeon:

6 vials over one year.  Her maintenance will be 1 to 2 vials per year.

Salt facial & ZO Skincare

Surgeon:

Check out these results  @thebougieaesthetician Salt Facial and good skin care #zoskinhealth . Come see Trish and let her get your skin care on point.

BBL

Surgeon:

Bougie Instant BBL Timeline. This beautiful client has come to us requesting her booty to be more plump and symmetrical.

Lip Filler

Surgeon:

Just a little lip plumping for this first timer.

Lip Filler

Surgeon:

Love it when I’m able to lift the top to shorten the ergotrid making the lips appear taller. Choice of filler and technique is crucial to achieve this.

Radiesse

Surgeon:

He wanted to look “chiseled” so we used  #radiesse .

Neuromodulators

Surgeon:

Nonsurgical corrections of the eye area with neuromodulators and collagen stimulators. -Lid ptosis (droopy eye lids)-Brow Lift-Crows Feet -Under Eyes

Lip filler

Surgeon:

Lip filler timeline!  What to expect 7 months later after receiving lip filler.

Restylane

Surgeon:

It’s been awhile since I’ve used #restylanedefyne for the lips 👄.

Non-Surgical BBL

Surgeon:

Nonsurgical BBL 4 months after treatment. She still has 3 to 4 more months of improvements. Her and her husband were so pleased with the results they came back for another round.

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