
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
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
Subtle changes make such a difference. Used collagen stimulators and dermal fillers to correct around the eye, nasolabial fold, and marionette.
Xeomin
Mesotoxin liquid lift for face and neck with @xeominaesthetic 24 hours between photos.
BBL
15 weeks between photos after receiving 20 syringes for her #bougieinstantbbl Appreciate how it gets better with time.
Dermal Fillers
At a certain age neuromodulators will not fix the skin laxity so what will you do? Dermal fillers placed superficially can help.
Chin & Lip Filler
#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.
Chin Filler
Augmenting a #cleftchin with #dermalfiller and giving it more projection. Many women ask me if they should correct this or not?
Sculptra Radiesse
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.
Lutronic Ultra Laser
Lutronic ultra is a thulium laser that is non ablative and excellent for treating pigmented lesions.
Lutronic Ultra Laser Hydroquinone
6 vials over one year. Her maintenance will be 1 to 2 vials per year.
Salt facial & ZO Skincare
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
Bougie Instant BBL Timeline. This beautiful client has come to us requesting her booty to be more plump and symmetrical.
Lip Filler
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.

