I totally agree. Thanks for watching!

Thank you Kathleen! 💕

Thank you for watching 😍

Dairen Zacarias she did three total syringes. With Voluma it would be $2400 minimum. She used Restylane, which is cheaper, but I don’t know the average cost.

Goldies NO WHERE are gorgeous as this girl!

This woman is more beautiful than Goldie Hawn.

Thank you!

Totally agree !

W ooa look really good

Hello Asia , I am your fan I am a ENT doutor em São Paulo, Brasil, but I also make a lot of aesthetic facial procuders Whats do you do with FESTONS, under the eyes? I would love to see solving festons!!!!

Congrats!you até amasing

I'm interested in that. Any other tips?

Thank you so much 😀

Hi there, when i take post pics it is 3 weeks after initial treatment.. lighting is Very difficult to get exact. In some cases, I choose pics that best show the shadows and volume loss. This particular model had way more volume loss than what I captured on pics. I felt like this before pic best represented it. Thank you for the comment. It allowed me to explain some of the process. 😄 I’m no professional videographer/photographer.. learning as I go..

Hi there, I take after pics two to three weeks later vs. right after treatment. I feel it yields the best after pics. I’ve also started to include a mini video to show final results. Lighting isn’t the same 3 weeks later but my after pics show final results and never any photoshop. 👍🏻😄👍🏻

Hi Zoe, I find aspirating very valuable on straight bolus injections and when parallel to a vessel or near a vessel bundle. In cases like this when I’m using a retrograde fanning/cross hatching technique, I use vessel mapping prior to injecting and avoid the periosteum.

Hi Donna, thank you! It was 1.5ml Defyne per side. 3 syringes total.

@@AsiaHankinsRN Oh ok. I didn't know Defyne came in 1.5 ml I was wondering if the Defyne came in just a half syringe...

Defyne comes in 1ml syringes. I used a total of 3-1ml syringes. 1.5ml per side 😀

I’ve always preferred needles for their precision. Precision is key to avoid complications and to provide the best results. I know cannulas are all the rage.. and I think cannulas could be good in areas like jawline.. but I prefer needles. For me, the pros and cons of needles out way the pros/cons of cannulas. Cannulas could be better for novice injectors..But even then a novice injector shouldn’t be injecting highly technical areas.. Tip: 29g or smaller cannula will go through a vessel just as easy as a needle. There are so many ways to determine if you are in a vessel or on a nerve.. First of all it hurts like heck.. nerves will zing.. electrical zap. Vessels will burn like a bee sting if you go through it.. and if you are in a vessel it’s very painful.. Linear thread with retrograde injection over bolus..watch area, watch patient.. don’t dental block...You want the patient to be able to feel something extreme. take your time. 😀

Ima Smallmonkey, have you seen my video on the top 10 danger zones for filler? That could help ya as well.

Asia Hankins RN Thank you so much for answering! I think your amazing and I will take your suggestions into consideration!❤️

Hi Brenda, thank you for the question. Topical lidocaine and the small amount of lidocaine within the syringes do not have epinephrine. Stay away from dental blocks that could have epinephrine in it and have your provider just use topical numbing.

You can use lido without epi, but it won't last as long. It should not be an issue as this is a quick procedure.

Hi there, aspiration is a very valuable tool. In this particular case, I was in the upper and deeper layers of the dermis using a linear retrograde technique. I aspirate anytime I bolus but not every time I redirect the needle in a linear fashion in the dermis. (Unless I’m parallel to a large vessel or injecting in subcutaneous or down to periosteum) Each area of the face and every layer within the face has precautions. Thanks for watching 😀

@@AsiaHankinsRN Thank you very much!

Hi PD B, thank you! I do vessel mapping using an Accuvein400. It works pretty good, not perfect though. In the upper cheek area, below the orbital ridge, I avoid the periosteum due to the infraorbital foreman. I like fanning and cross hatching technique to reduce pressure from a bolus as well as looking better on final results. Also, when nerves are hit by a needle it sends an electrical zap..the patient will feel it. Side note; (A really great reason we don’t do dental blocks for numbing) only use topical numbing.. You want the patient to commmunicate any weird feelings.. excessive pain, electrical.. etc. Tomorrow we are filming an educational video on Dermal Filler Top 10 danger zones .. stay tuned. 😀😀

Such great information. Thank you! I have had that zapped, electrical feeling done to me last year while receiving filler in the cheek. It was very obvious to me being the patient and pretty unbearable in the oddest way. The injector did remove the needle because I reacted so dramatically! This is all such great information that you generously share with other injectors. Thank you for sharing your knowledge and tips. I’m really looking forward to your next video you mentioned. And your new haircut it on point! Gorgeous!!

Thank you for watching. We are located in Newport Beach, California.

Posterior jawline, cheek bones, cheeks

Look into save my face pillow

Hi Cristina, both Lyft and Defyne are great for volumizing. Defyne will attract more water than Lyft. Defyne typically lasts longer than Lyft. However, Defyne needs to be injected deeper than Lyft. If the volume loss is deep pick Defyne. If the volume loss is in the upper layers of the dermis, Lyft is great. I also like Lyft in areas like cheekbones, temples and hands.

Hi there, with this particular model if I fill in her smile lines, it will make her face look flat. It’s better to have some definition on the nasolabial folds so it can give the cheeks balancing.. often when smile lines are filled the mouth looks augmented. The goal here was to give her back her cheeks and still look very natural.

Hey this isnt Plastic Surgery. Even if it was it ought NOT to be perfect ...you are to picky. I find the least attractive woman are picky...

Are you jealous ?

would a thread lift have improved the patient's nasolabial folds as well as filling up her cheeks at the same time? While the filler does provide volume in the midface, the folds are still quite prominent in the "after" picture.

Hi there, I prefer needles for precision. Needles glide effortlessly under the skin, cannulas do not. A cannula is just a blunt tip needle. A conventional needle is shorter and allows direct deposit of filler. Some would say a cannula is safer, I would say safety depends on the experience of the injector. If you are anxious about pain, a needle is WAY less painful. Most importantly, seek out an experienced provider. They will take the time to discuss the best options and guide you.

Callie Dunne, you are right! Great question! I should have shown aspirating, it a great tool to use. For teaching purposes.. Question for you: Do you aspirate every time you redirect the needle? If not, what other methods do you use to make sure you are not in a vessel?

She said 1.5 syringes for each side. So must be about 3ml imo.

😁Thank you, it was a total of 3ml. 3-1ml syringes.

Hi Theresa, I don’t know anyone specific in Seattle. If you are ever in California, my office is only 10 minutes from John Wayne Airport (SNA). A quick flight to come down is pretty easy. 😁

Thank you for watching 😍

I have a few videos showing treatments on males. Check out my channel. I don’t recommend self injecting. I always recommend going to a qualified provider.

Hi Kathryn, It’s because that’s just her natural anatomy. Nasal labial folds/smilelines get a bad rap.. Even though we all have them.. NLF’s are not a sign of aging.. ..The pharmaceutical companies tricked you into thinking they were... NLF’s help define our cheeks so our face has demension vs. looking flat. I rarely inject NLF’s because it doesn’t look natural. Thank you for the question, gives me a chance to share my process. 😄

Could it be she sleeps on one side of her face more?

The filler is in the upper and deeper malar fat pads. Not at periosteum.

She’s 37 after procedure

Approximately a year 😉

Newport Beach, California www.NaturalAesthetica.com Thanks for watching!

No, reticular dermis and subcutaneous layers.

Hi Rose, each syringe is $600

Hi Susan, no, she just has lipstick on. 👄

@@AsiaHankinsRN I need fillers in my cheek areas to give some lift and lips done too. Do you know of a reputable and good person in the Tampa Bay area?

Hi Lilian, it’s about once a year treatment. I think it looks more painful on camera then the actual treatment. Every model on my videos are topically numbed and there is numbing lidocaine within the syringes. The models reactions are exactly the way it happens.. no editing. It’s a bit uncomfortable but that’s about it. Some patients say they don’t feel anything. I’m sensitive to pain and I find it a little painful but not excruciating. 😅 P.s. Nasolabial folds (NLF) are natural to the human face and not necessarily a sign of aging. Even little babies have NLF. Very rarely does someone need filler from the nose to the outer corner of mouth (NLF). Usually it’s cheeks and cheek bones or lower part of mouth in marionette lines. I think that looks way more natural. If this particular model had her NLF filled in, her face would look real flat and unnatural. Thanks for the great questions and comments. 😀

Thank you so much, Asia, to take the time to answer me. I hope, I didn't sound critical, wasn't my intention. I can see , you are a true professional. Many regards from Cape Town. Loved your video.💖💖💖 Lilian

Thank you for watching 😀 I so appreciate anyone who enjoys and watches them. Questions, comments and even the criticism I learn from. You weren’t too critical at all. I am grateful for the chance to educate others regarding dermal fillers.