your eating affect all of those

things.

All kinds of things.

One area that I specifically see people, and they come in all the time about this, are the vertical lines around the mouth.

that they'll come and they'll say, I've never smoked a day in my life, and I have smoker's lines.

Like, what is going on? And this is where, when I watch people talk, a lot of people will use the circular muscle around the mouth called the orbicularis oris.

And when you go and you make a kissy face or purse your lips, that's that circular muscle.

You know,

Yes.

So we went over, obviously, there are multiple different types of facelifts, different areas of concentration of a facelift.

So, you know, when somebody says, oh, I had a facelift, we really don't know exactly what area or again, then there's a lot of different techniques.

Right.

So, you know, mostly the the descent of that of the midface, you know, from the lower lid cheek junction down to your jawline, you know, that area where we the deeper layer called the SMAS.

comes down, and that's what creates the jowl.

That's what makes the marionette line worse, the nasolabial fold.

in there and scoop it

Mm-hmm.

Okay.

But what happens is just by having the particles in the tissues, it, your body responds to those being there producing collagen.

Um, Sculptra uses a sort of a, uh, an inflammatory, um, reaction that the, the cells, you know, see the particles and then produce collagen.

Uh, the Radiesse does not use an inflammatory, um, uh, mechanism for that.

And that's also another reason why anybody who has a, an autoimmune disease or, you know, just even suspected, I wouldn't do Sculptra.

Mm-hmm

... as a prevention, because we all, I mean, again, we all start losing collagen, and we'll start losing, you know, facial volume and facial fat.

And it's... how how are from our nose down how that ages yes and is that it's very similar i guess all over you you you're still losing volume and your muscles are still well you know we've got

that gravity thing yeah that because you know if we devolumize if we devolumize you know In the mid face and the upper face, what happens to the tissues down below is they sort of just deflate and they sag because we don't have things supporting them.

But especially around the mouth, you know, we get the smoker's lines.

And I can't tell you how many people... come in and say, I, you know, I've never smoked ever a day in my life.

And I have these horrible smokers lines or just, you know, the vertical lines around the mouth and, you know, what's going on.

And, you know, really it's, it's, it's a three prong, um, answer well three three components that cause this and one of its muscle movement so we have this circular muscle around the mouth called the orbicularis oris and you know if when you purse your lips you know um when you're going to whistle when you do that you're contracting that muscle and it's going to sort of close your mouth but it's also going to create those little lines and And that's why people say, oh, well, if you're a smoker, yes, the bad effects of nicotine and everything else, the carcinogens in the cigarettes, but it's that constant pursing of the lips that every time you move and do that, you are creasing that skin.

And same thing with drinking from straws.

Right.

Explain how that works and why that's different from the injectables we

were talking about.

Sure.

You know, fat grafting is basically reallocating your own fat.

So it's called autologous fat grafting, meaning autologous, meaning it's, you know, the products coming from your own body.

And we can get fat from a lot of different places.

A lot of times you get it from the abdomen.

I mean, I know you just danced around a little bit for people who are like, now, remind me again, what is that?