This audio podcast has been transcribed using an automated service. Please forgive any typographic errors or other transcription flaws.
Intro:
The following podcast is a discussion between two experts in their fields of beauty and not meant to be taken as medical advice. Be sure to consult with your doctor if you have any medical inquiries.
Dr. Anil Shah:
Okay. So we’re doing a special mini podcast and I’m pleased to be joined with Jonathan. Jonathan is Jonathan, how long have you been with me?
Jonathon Fernandez:
I’ve been here six years now.
Dr. Anil Shah:
Six years?
Jonathon Fernandez:
Yes.
Dr. Anil Shah:
Um seems like it’s I guess if I, if it seems like it’s been forever, is that a compliment or is that.
Jonathon Fernandez:
It has.
Dr. Anil Shah:
Okay. So we’re talking about lips today and some of the most commonly asked questions in lips, we’re just gonna kinda run through them.
Jonathon Fernandez:
For sure.
Dr. Anil Shah:
Um you have a reputation as being one of, if not the best lip injector in the Midwest.
Jonathon Fernandez:
Oh, right. Well, okay.
Dr. Anil Shah:
So let’s talk about lips. So the biggest fallacy about lips is someone’s coming in and they say, I don’t wanna look overly done. Is that the case with lip filler? Do you have to look overly done if you get lip filler?
Speaker 2:
Not at all. Everyone that has a consultation and we, we talk about your goals basically. So depending on the look that you’re going for, I’ll pick the filler for you. But no, it doesn’t have to be dramatic and overfilled. And I think that’s what a lot of people get scared about, but everything is really conservative and it’s always better to underfill overfill, especially in the beginning.
Dr. Anil Shah:
Yeah. They, they, they point out to Lisa Rena who is you know, I think she, she was beautiful. And then I think she just did a little something too much to her lips. I don’t actually even think she has lip filler. I actually think she has lip implants, which is a whole other, you know, topic and story. But a lot of the bad lip filler, you see celebrities, I believe it’s either silicone or with implants, but we’re, we’re kind of just touching the tip of the iceberg.
Jonathon Fernandez:
Yeah. Yeah.
Dr. Anil Shah:
Okay. So older versus younger patients. Do you find that your younger patients tend to be more conservative or do they wanna see a little something more and then your older patients again, are they looking, are they gonna push the envelope or are they gonna be more conservative?
Jonathon Fernandez:
You know what, surprisingly, I have a lot of young people wanting to be super conservative, you know, they want, they always say, I, I don’t want to go too big. I don’t want people to know. And that’s where we talk about the specific filler for them. And one of the ones that I like to do is Restylane Kysse. If you’re, especially if you’re wanting to be conservative and, but have enough volume to show, you know, a little bit of plump and juice.
Dr. Anil Shah:
So what’s the difference between conservative and in kind of having your lips out there? Like what are the things that you’re looking for and patients are looking for when you’re doing?
Jonathon Fernandez:
Lip shape. So if someone is coming in and they have a very thin lip, I’m not gonna go with, let’s say a Voluma. I would rather start with a Restylane Kysse and buildupon that, you know? So we wanna get the lip excuse me, get the lip lifted and show a little bit more pillow and then build on from that, you know?
Dr. Anil Shah:
Um and I think lifting a lip isn’t as easy as, as, as some patients think it is, because sometimes we’ll say I want my lips to look exactly like this person or that person. Can you make your lips look like anyone else’s lips?
Jonathon Fernandez:
No, everyone is special. Everyone is different. And that what makes you special? You know, so definitely when we’re injecting, I’m injecting specifically for you and what’s gonna fit your facial anatomy.
Dr. Anil Shah:
Can you, let’s see if someone wants a dramatic result.
Jonathon Fernandez:
Yeah.
Dr. Anil Shah:
Can you get there from one session? So if someone comes in with very little lips and they say, I want my lips out there. I’ve always wanted, you know, more lips. Can you do it in one session?
Jonathon Fernandez:
You know what? I always tell patients, if you’re trying to go for a Kylie Jenner, it’s definitely gonna take some sessions, but in the first session, you’re gonna see a nice improvement. Even if you have thin lips, you are gonna see a little bit of fullness, but it will take maybe two sessions to get there, you know?
Dr. Anil Shah:
Cool. how long these lip filler last
Jonathon Fernandez:
Depending on the product, it can last anywhere between 12 to 18 months, you know, you also have to consider how fast your, metabolism is and how much you’re working out and all these things, you know.
Dr. Anil Shah:
And then I know you can tell if someone has lip fill. Do you think other people, if they’re kissing or doing something intimate with someone like how I said that do you think they can tell if someone has lip filler or…
Jonathon Fernandez:
I don’t think so. You know, it really depends on the injector and the style of injection that they’re doing, but I think you’ve done right. You shouldn’t feel any lumps or bumps in the lips. It should just be very soft and plush and natural.
Dr. Anil Shah:
Most common question is like, what is it gonna feel like with my lips? And then early on, is it normal to feel like little bumps in your lips?
Jonathon Fernandez:
I want to say in the beginning, you know, you, you might feel a few lumps here and there, but they should totally dissolve and integrate with the tissues after like a week or two. And if they are still there, then that’s when we can go it a little further and see how we can fix that and correct that.
Dr. Anil Shah:
Cool. We’re gonna talk about some technical aspects of this. Do you think it’s the filler that makes the difference in someone’s lip shape? Or do you think it’s the injector? If you had to pick one, if someone says you can have anyone inject your lips let’s say you versus a you know, like a regular injector.
Jonathon Fernandez:
Yeah.
Dr. Anil Shah:
Versus someone who specializes in you know, really has the experience behind them and does awesome lips versus someone says, I’m gonna use this product versus that product. What do you think is gonna make the difference?
Jonathon Fernandez:
You know, I really think it’s the injector. You know, anyone can inject someone. That’s easy, but it’s an art form. You’re sculpting someone’s face. And I think it’s important to tailor it to that specific person instead of just kind of going in and just doing whatever you think, you know?
Dr. Anil Shah:
Speaking to that note, what are some of the issues you see with other injectors? So when patients come to see you and they’ve had an injection elsewhere, what’s the, the main issues that you’re seeing from those patients.
Jonathon Fernandez:
So from some of the patients that have talked to me they’ve had complications with maybe the inject going in too aggressively doing too big bulbouses in certain areas. And then you have like these huge, like nodules basically and not watching how much they’re filling. So you can get too much in one side versus the other. Then you have all these asymmetries. Those are the few complaints that I’ve gotten.
Dr. Anil Shah:
I sometimes see that patients talk about migration from outside injectors.
Jonathon Fernandez:
Yes.
Dr. Anil Shah:
I think in my list you know, kind of speaking to the things that I know they see one is migration. I feel like instead of putting in the red of the lip, they put it in the white of the lip.
Jonathon Fernandez:
Correct.
Dr. Anil Shah:
And you know, the, the cartoon character they have to describe when they say they put too much white lip, Homer Simpson. And like, I do not wanna look like Homer Simpson.
Jonathon Fernandez:
Absolutely not.
Dr. Anil Shah:
And I, I think it’s so much harder to fix plastic surgery than to just to do it right the first time.
Jonathon Fernandez:
100%. And that’s a good point to bring up. I always tell patients, you know, if you feel like you have migration, I think it’s best to go ahead and dissolve the product and let’s try to reshape from there, cuz it’s always difficult to correct someone else’s work.
Dr. Anil Shah:
Other things asymmetry. Again, it looks simple in theory to inject lips, but it’s so complicated and almost everyone has a little bit of difference between one side versus the other.
Jonathon Fernandez:
Correct.
Dr. Anil Shah:
And you’re trying to make them as perfect as possible and it takes someone who’s gonna take time and not be under some sort of time crunch. And you quotient just let me just jam as much of what I, I think a lot of people don’t even have the eye. Would you agree?
Jonathon Fernandez:
I agree. 100%.
Dr. Anil Shah:
Other things I note from outside injectors, aside from asymmetry, aside from filler migration sometimes it feels like they don’t create enough change. I, you know, I think we’ve seen some patients who said they’ve out outside injections and said, you know, I put it in it didn’t look maybe okay. The day of, and then like two weeks later it was all gone.
Jonathon Fernandez:
Correct.
Dr. Anil Shah:
Do you see that?
Jonathon Fernandez:
I do definitely see that a lot. And I always ask, do you remember what product they use? And what’s funny is that some of these patients don’t even know what product they use. They can’t remember, or they weren’t even told they kind of just go in blindly and hope for the best. And I always think it’s super important to discuss which product you’re using to see what’s gonna basically fit with that patient. You know?
Dr. Anil Shah:
And, and I, I do think there is some technique and I think there is some difference in product, but I actually do think there’s some technique when you’re injecting, if you put it in the wrong part of the lip, it might not last as long. And especially if you put it in the muscle area or if you’re putting it too deep, again, you’re gonna cause more of migration and you might not create the lip change that you want to. So if you’re not seeing it that day, you’re probably less likely to see it down the line.
Jonathon Fernandez:
Correct.
Dr. Anil Shah:
And that aspect of it and again, well, okay. So that’s another issue that we see with lips. And I think the other issues are just kind of like, there’s so many intricacies of lips. If you really look at lips and lips of those around you and lips of patient people you love you’re gonna see that maybe the middle part of the lip called the tuber hole might be a little bit more pronounced. So you have to balance it. You might see the Cupid area needs. Someone might need more, a little bit more definition versus all these little areas. And so when you’re balancing those areas out, it’s just, it’s not easy, right?
Jonathon Fernandez:
It isn’t easy at all. Everyone wants, you know, specifics on their lips, want the top to be bigger. I want the bottom to look bigger. I want it this way or that way. And you have to remind them. It’s not always what you think, you know, it’s, we have to tailor it as specifically to your anatomy, you know?
Dr. Anil Shah:
So do you have a one size fits all? Do you use the same technique with everyone? So I’m gonna use this or that, or is it sort of like.
Jonathon Fernandez:
It’s different really? It’s really just depending on the lip shape, I use different modalities and sometimes I mix and intertwine with them and it always turns out really good.
Dr. Anil Shah:
Cool, well, beautiful, beautiful results with with lip filler with Jonathon. And I think it’s always good to kind of see that. And so if you’re gonna do something with your face, you know I think it’s worthwhile doing it, doing it right. And doing it with someone you believe in their work. And so thank you so much for an expert at lips and injectables! Jonathon, thanks so much.
New Speaker:
Yeah. Thank you for having me, Doctor.