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Hello

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I'm Kim Eungsam, a plastic surgeon at SOON  Plastic Surgery

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Today we’ll talk about botox and fillers

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We’ll look at what botox and fillers are, what are botox and fillers?

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Botox is a toxin that is made from germs in the natural world

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This toxin paralyzes the muscles

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With that function, we use it to paralyze our facial muscles

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And use it to smooth out the wrinkles

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Fillers are literally what we use to fill up what we lack of

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What’s the treatment area of botox and fillers?

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The part that botox is mainly used

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Is to paralyze the muscles

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The parts where we develop wrinkles that we don’t want 

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Middle of the forehead for example

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We want to give a good impression to others

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And with the wrinkles, we think we’re giving an impression that we’re frowning

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In that case, when you get botox

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You no longer frown, so you look more gentle

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And people who laugh a lot have wrinkles around the eyes

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In this case when you get botox, the wrinkles smooth out a lot

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So we get to control our impressions with the use of botox

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For fillers, if the wrinkles are deep, typically the laugh lines

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We make the wrinkles thinner with fillers

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Wrinkles in the forehead can be filled as well

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Even if it’s not wrinkled, drooped eyebrows for younger patients for example 

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Or sunken eyes, fillers can be used

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Which is more appropriate and how is the duration length?

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It seems many people are confusing botox and fillers

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So I’ll tell you once again to make it clear

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Botox and fillers are completely different

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Botox is, as you can know from its name

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It’s a toxin, a poison

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It’s good when you use it well

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But if it goes in a lot, it paralyzes the muscles

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So it can cause side effects

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So it’s what you use to paralyze the muscles

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You should know we’re not filling something

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With botox

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Some people say that you got puffed up after getting botox

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But it’s wrong to say that

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Fillers are literally what fills up something

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So it makes sense to say that you got puffed up after getting fillers

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So fillers fill up what you lack

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For duration length

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Botox is a toxin so

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Botox’s duration length is the period that our body restores the paralyzed muscles

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That’s about 6 months

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For fillers, there are differences in products but the thing we use the most

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Hyaluronic acid, lasts for about a year and a half

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Are there cases when you shouldn’t get botox or fillers?

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There's no specific group of people who shouldn't be getting 
botox and fillers

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if one is a healthy person

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You shouldn't use Botox if you have particular muscle problems

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In the case of fillers rarely

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some people have allergic reactions that should avoid it

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Does the more Botox you get, the better or less effective it is?

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There's been a lot of research on that

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As I said before Botox isn't made by humans

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The toxins that are made from bacteria in nature are isolated and used in humans

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Because it's a toxin, when it comes into our body, from our body's point of view

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It's a bad substance, so our bodies run the immune system. And if it comes in repeatedly

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We have no choice but to defend it by making antibodies

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So each of these Botox. Of course,

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Botox is a product name, so there are many products coming out from various companies

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In each company, their products

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Make much less of these antibodies

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That is why the effect can last for a long time

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And is maintained well

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But if you use it repeatedly

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It's natural to expect that the body will get used to it

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That's what I think

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As for fillers

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It goes inside the body and decomposes anyway

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So it doesn't break down faster or later by using it repeatedly

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As I think

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Is it okay if I get another type of filler after getting one?

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We don't recommend mixing fillers

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There are two reasons for that

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As I said before, fillers are foreign substances

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When these different foreign substances are added

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It's hard to deal with any infection or something like that

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And the second reason is when the melting speed of the filler is different

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It's hard to shape it

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So if possible, it's better to use one type of filler

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It's not good to mix different fillers

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Do Botox and fillers also have side effects?

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Of course

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Botox, as I said before

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Is poisonous, so it can cause fatal side effects if used incorrectly

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For example, if it's a muscle that we really need, but if it's paralyzed

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It's really bad

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It really shouldn't have happened, but in the early days of Botox

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There was a patient I actually saw

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People usually put Botox on the jaw muscles

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To make the chin slimmer, that was the case for this patient

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But the Botox went into the neck muscles

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So the patient couldn't turn their neck

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And had to spend months in that state

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It's a huge side effect

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There was also a patient who got Botox to get the wrinkles smooth out on the forehead

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But it caused that patient not being able to open their eyes

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Of course, it will return to normal after 6 months

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But those who have that symptom can experience a very uncomfortable situation

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So when injecting Botox

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Doctor must know the exact anatomy and use the correct dosage

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As long as the fillers are concerned,

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A lot of people are interested in it and know it well

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The most dangerous thing about fillers is direct entry into the blood vessels

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If the filler enters the blood vessels directly

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And blocks the arteries leading to some important tissue

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That tissue can be destroyed

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The most important tissue on the face is the eyes

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So it's very rare in the world

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Very rarely, there have been reports of blindness

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Due to blocked arteries leading to the eyes

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So people think that the fillers are a very light procedure

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But we need to keep in mind that Fillers is an operation that must be performed very carefully

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What are the precautions after Botox and fillers?

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Botox and filler procedures are a bit casual

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So you may think easily

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From the standpoint of a plastic surgeon who operates this surgery, it's a operation need to be conducted carefully

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So after the procedure,
For example, if your face has more blood circulation

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This Botox

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It can move to the side a lot

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It's best not to drink too much or exercise too much on the day of the procedure

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Same to saunas 

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It's the same for fillers

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Even if we insert it into the area you want if you get a massage

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It can move around. So it's important

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Not to move a lot and touch it for about a week

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Today, we talked about Botox and fillers

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Did it help you a lot?

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I'll come back with a new topic next time