00:03People find these unqualified practitioners usually because they're
00:06searching for a bargain they're trying to find a bargain when it comes to their
00:16face and you can't you only have one face you only get it right once. The first
00:20person I went to see to ever get my filler done wasn't a doctor and it's
00:25really embarrassing to say now but I don't actually know what they were. I
00:28started to feel unsatisfied with my lips and my looks when I went college obviously
00:33at college with a load of girls some of them already had it done so so much
00:37older than me I didn't have big lips I had very small lips lip liner wasn't
00:42enough and then I started on the lip filler. My name is Rosie and I'm getting my filler dissolved.
00:58I don't actually know how many filler treatments I've done today like I've been
01:03doing this now for about seven to nine years I work about six or seven days a
01:07week with about 15 to 20 procedures each day so you do the math. My name is Dr.
01:13Tijon Esho I'm a cosmetic doctor and my clinic is on Harley Street London. Over the
01:17last two years I treat about a third of my list each day with corrective
01:21procedures so something's gone wrong. So dermal fillers are normally known as
01:30hyaluronic acid. Hyaluronic acid is a natural substance produced in our body
01:34but in a dermal fillers it's in a synthetic form so it's man-made. The only
01:38difference really between these two forms is the one in our body always gets
01:42broken down in a half-life within a 24-hour cycle whilst the one we inject can
01:46last anything from six months to even a year depending on the type of filler
01:50used and the amount used. Dermal filler injections when done correctly with the
01:58right analgesia shouldn't really feel like anything but as the needle slides
02:03deep within the tissue and the dermal filler product is injected deep in within
02:08the tissue itself what you may feel is a stretching and pulling as the pressure is
02:13applied to that particular area of tissue and then once the needle is withdrawn
02:22what you may feel is that pressure just suddenly relaxes and gets released and you
02:28feel nothing. When you don't go to a qualified practitioner that's where you
02:33put yourself at risk of being botched as we say. So I first noticed that they were
02:38botched or not right when I went to get a top-up from another lady around her
02:43area I didn't want to go to a lady I went to anymore she was very slapdash she'd go
02:47there there'd be seven people waiting at the same time. I went see this new lady
02:50she's really lovely she was a medical practitioner she said to me I've got to
02:54dissolve your filler before you even even start so then we've been trying to
02:59dissolve it and they're not going.
03:03Filler cysts are a term which I described and essentially means a encasing of
03:08superficial filler. What's inside is hyaluronic acid and it always is sometimes
03:14it can be calcified because the fillers been there for a long period of time and
03:17in small cases that can be infected I can't wait to not have lumpy lips I know
03:22no one can see it but I can feel it sometimes I'd lay there at night and I'd
03:26literally squeeze the lumps so hard in the hope they just pop but they don't.
03:33Removing filler that has not been put in the correct place can be a difficult task
03:37it looks really easy but it's not. One of the first things I do is assess the lip to
03:43make sure where and what type of filler has been used. Two ways to remove that one
03:50can be injection with a product called hyalase which will dissolve it and the
04:07other one at the same time will be to aspirate the substance itself. I make sure
04:15I apply pressure between my finger my thumb to isolate the cyst. I then inject a needle
04:29deep within the cyst so there's a hole left within the cavity. At that point I apply pressure
04:38between my two fingers to allow the dermal filler to express or ooze through the hole.
04:50After injecting the hyalase into Rosie's lips the hyalase will now break down the
04:55dermal filler product on its own. Within two weeks her lips will be completely bump free.
05:02Speak to the doctors, speak to the nurses, speak to the practitioners that are doing this
05:07because a lot of people want to rush and I find when it's impulsive impatient people
05:13that don't do their research it's a dangerous mix. My advice for young girls
05:17like I was, number one it'd be now go to Dr Esho, number two do your research. Use the
05:24internet, use everything you can to try and find someone that's gonna do it right and safe.
05:29Thanks so much for watching, for more videos click here and subscribe click here.
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