Mastering Facial Balancing: The Art of Full Face Consultations | Episode 31

In this episode of Fill Me In: An Aesthetics Podcast, hosts Jon and Nicole delve into the critical components of facial balancing and comprehensive consultations. They emphasize the importance of full face assessments for patient satisfaction and business growth, offering invaluable tips for connecting with clients, setting realistic expectations, and discussing treatment plans. Topics include using Allergan resources, understanding the aging process, and strategies for patient retention. Tune in to enhance your consultation skills and elevate your practice.


On Fill Me In: An Aesthetics Podcast, Jon LeSuer NP-C and Nicole Bauer FNP-BC dive deep in the world of aesthetics. As aesthetic nurse practitioners with their own medical practices, Jon and Nicole fill you in on everything in their field.

Follow Fill Me In on Instagram!
https://www.instagram.com/thefillmeinpod/

Follow Nicole on Instagram:
https://www.instagram.com/aestheticnursenicole/

Follow Jon on Instagram:
https://www.instagram.com/injectorjon/

Exhibit Medical Aesthetics website:
https://exhibitmedicalaesthetics.com/

Tox and Pout Aesthetics website:
https://toxandpout.com/


Jonathan LeSuer, MSN, NP-C 

Jonathan LeSuer graduated from Le Moyne College with his Bachelor’s in Nursing in 2014 and a Family Nurse Practitioner degree in 2017. He began his career at St. Joseph’s Hospital as a Registered Nurse on a cardiac medical-surgical unit. He transitioned to the Nurse Practitioner role in 2017, working for Hospitalist Medicine, where he became the coordinator for the team’s Physician Assistants and Nurse Practitioners. In 2020, he started his career as an Aesthetic injector and quickly found out that this was his passion. On March 15th, 2022, he opened Tox & Pout Aesthetics. He is now a Master trained injector & National trainer for Allergan Aesthetics, offering Botox, Dysport, Hyaluronic acid fillers, Kybella, SkinViVe skin booster, and Sculptra. Jonathan is known for his empathy, profound bedside manner, and outgoing/warm personality. He has a deep love for aesthetics, and his patients’ confidence is his main priority. 


Nicole Bauer, MSN, APRN, FNP-BC. 
Family Nurse Practitioner 

Nicole graduated with her Associates in Applied Sciences and began her journey as a registered nurse 10 years ago in 2014. She worked hard to combine her love for beauty with her passion for caring and healing others, attending aesthetics school while working as a hospital night nurse. After graduating as a licensed aesthetician, Nicole left the hospital where she had been for 3.5 years and began working as a registered nurse for a plastic surgeon. An experience of over 6 years that would leave her with so much knowledge and respect for the aesthetic world. It was during those 6 years that she pursued her Master’s Degree and obtained her license as a Family Nurse Practitioner, leading the way for where she is now; owning a state of the art medical aesthetic practice and being a national Allergan Trainer. Nicole takes pride in treating her patients holistically, focusing on facial balancing and enhancing one’s natural beauty. She believes education stands as the cornerstone of aesthetics and is why she is dedicated to both training others while always focusing on expanding her own knowledge as well.  

Producer of Fill Me In: Joseph Ginexi

#aestheticmedicine #aesthetics #aestheticnurse #podcast #medicalfield #botoxcosmetic #filler #hyaluronicacid #aestheticinjector

Chapters

• 0:00 Introduction
• 0:35 Full Face Assessment and Consultations
• 9:21 Consultation Resources and Tips
• 14:37 Difficult Injectables Patients
• 19:24 Going over Anatomy, Lights, and Shadows During Consultations
• 25:43 Skincare After Facial Balancing
• 29:51 Summary and Payment Options for Injectables
• 33:16 Wrap-Up and Nicole's Pregnancy

Transcript

 Well, welcome back to another episode of the film and podcast. I'm injector John, and I'm aesthetic nurse Nicole. And we're gonna dive deep into facial balancing and the art of consultation today. Yes. Yeah. I feel like this is such a big topic, especially for newer injectors. Mm-hmm. Even, even, uh, people that have been doing it for years, I think the full face assessment is, is very much neglected.

Right. And it has a lot of potential for not only. Patient loyalty, but also the growth of your business. Mm-hmm. So I feel like it's a good topic to discuss. What would you say is like the most crucial component to the consultation? Well, one, I think building rapport with mm-hmm. The client. Mm-hmm. So I think definitely I.

You have to sit down and you have to make them feel comfortable. I think if you go in there and you just start tearing them apart, that's, that's not a good, not a good, uh, a look at all. They're gonna think that you're just trying to sell to them and, and they're not gonna feel comfortable or they're not even gonna wanna listen to what you have to say.

I always start it with one, introducing myself, two, handing them the mirror and asking them what brought them in. And then from there, you know, if they say laugh lines, they say, okay, definitely something that we can treat, but let me tell you why this is happening. Go over the aging process mm-hmm. And say, you know, I can treat your laugh line, but I'm also gonna have to treat your cheek, or mm-hmm.

We can treat your laugh line today, but I'm gonna have to set up another appointment for you to come back so that we can address the volume loss in your cheek. 'cause all these things, they aren't just happening in one area. Mm-hmm. It's, it's happening because we're aging and, and this is. This is why.

Mm-hmm. And this is why we need to treat it the way that we need to treat it. Yeah. Um, I think, like you said, like building that rapport mm-hmm. And just connectivity. Mm-hmm. Like connecting to your patients is number one. I like to always find out obviously why they're there. Um, but like you said, I think it's great to give them the mirror.

Yes. Um, and. Explain, have them explain what brought them there and then listen for keywords. I think it's really important because a lot of people aren't forthcoming. Mm-hmm. They don't feel comfortable. They don't wanna say it 'cause they don't want to hear it come out of their mouth. Right? Mm-hmm. So I think if you listen for certain keywords, like feeling tired, feeling droopy, um.

I don't know. Looking sad. Yes. Right. Yep. Mm-hmm. Right. And find that like emotion that's tied with it and then go there. Yes. And like if you think, if someone's saying, I just look sad. Mm-hmm. Then obviously you're going to be looking at the lower face, right? Yep. If they're saying they feel tired, it's usually around their eyes.

Mm-hmm. Like maybe hollowness, dark circles, crepiness around the eye, stuff like that. So I think. PE people also, I think it's even as a newer injector, I get this all the time, like I've just had a, a Botox patient like routinely every three months. Like how do you have that conversation about filler?

Mm-hmm. And I think it's really important if you're first off, if you connect with your patients, I. They'll end up telling you anything. Yeah. That's number one. You gotta connect with them. You have to be empathetic. Um, you have to be willing to carry a conversation. It's like a barber. Mm-hmm. Like when you go to your barber, like there's some people I remember, there's certain barbers that I've been to, I literally have been to them twice.

They might cut my hair well, but they don't know how to talk. They're just ice cold, like I'm not going back there. Yeah. Yeah. They're ice cold and they're talking to their other barber friends and I'm just sitting there and I feel like chop liver. Mm-hmm. Like if you are a patient. In the chair and your injector's doing that, they're not gonna Right.

Stay with you. Yep. You know what I mean? They want to be the center of attention and they should. Mm-hmm. Because it's fee for service number one. Um, and they need to, you know, you need to make them feel good. Yeah. And a lot of patients actually come in, especially now with social media, they come into your practice, even if maybe you're not on social media as much.

There's people like John and I that do these videos and, you know, injector Bunny that show like full face treatments like. They may come in and they're expecting it already, you know? Mm-hmm. And, and if you, if they're like, oh, I booked for lips, and then you don't, you don't really go past that. Yeah. They may not feel comfortable bringing it up and mm-hmm.

And, or they might think, oh, well that's all she does. Maybe all she does is lips, you know? Yeah. So, like, you're missing an opportunity too because, uh, we just, before we hopped on, we were talking about it, Allergan, um, you know, does all this research and it's like 92% of people actually want the full face assessment, right.

Even if they come in for Botox. Mm-hmm. 92% of them want or desire a full facial assessment. But I think 20% or less injectors in the United States actually do it. Yeah. Which is low. So that's really a sign for us to. Incorporate more full facial assessments and get comfortable. And if, if you're not doing it, I promise you that patient's gonna go somewhere else and find someone that's gonna do it.

Yep, definitely. Yeah. And, and that's not to say that you should be doing things that your client wants, that you don't think they need. I'm just saying if you, if you don't do that full face consult and educate them and on the aging process and what's happening to their anatomy mm-hmm. They'll go somewhere else that will Yeah.

And I think after having that full facial assessment, studies show that 82% or 83% of patients actually end up booking. That appointment for whatever you talked about. Yeah. So I think too, I mean, anytime you have a cosmetic injectable or a skin consultation, you know, you're, you should be incorporating both injectables and skin.

Um, I love that you brought that up. Yes, yes. Right. So like, just doing, just like say even if they're coming in for just a skin consultation mm-hmm. I all, all the time end up talking about injectables. Yeah. Because they probably have static lines. There's certain things that skin treatments can't do. Yeah.

They can't provide volume. They can't do that. Right? They can't contour, they can't, they can help give, they can resurface the skin. They can tighten the skin. I think they can lift it, right? Mm-hmm. By promoting collagen and elastin. But, um, sometimes volume is needed. Yeah. Yeah. And it's, it's so funny you bring that up because it feel like I do a very consult and.

Last month I could, it, it was probably like, yeah, last month I had a new patient came in for just Botox. We talked about everything though. I mean like from skin procedures to Botox to filler, every little thing. Yeah. And um, you know, she was hesitant and, and rightfully so. It was her first time. So we started with a little bit of Botox.

Mm-hmm. And. She came back for the follow-up. I always like to see like new patients that are a little bit skeptical. I always like to see them at that two week mark. Uh, and she came back in and I, we, we got on the topic of skincare and she was like, yeah, you know, I brought a list. I wrote down the skincare that I used 'cause I figured you would ask me and you didn't.

Yeah. And I was like, oh, I've been. I, I missed a, a, a whole part of my consult, you know? Oh my God. And like, you, you forget. But it, they actually are coming in thinking like, okay, they're gonna bring up skincare and they're gonna tell me a regimen that I'm gonna, that I'm gonna wanna be on. Right? And, and I didn't.

And that was an opportunity for that patient to not only. See the other part of my business, which is our skincare and our spa side. Yeah. But also to, to keep loyalty with that patient because if I didn't do it and I, if I didn't have her come back for a follow up and didn't and didn't bring it up, yeah.

She could have gone to the spa down the street to get, it's so, you know. I know. It's so true. So it's like I almost have to make myself like little check marks. Like, okay, brought this up. Brought that up. Yeah. Yeah. I think it's just important if they're just in for regular Botox treatment, right? Mm-hmm.

Like if they're, you know, the first time patient and they book new patient Botox, Dysport, whatever. Um, you should just say like, is there anything else you wanna discuss while you're here? Yeah. Yes. Any other concerns? Mm-hmm. Um, I would say honestly, 65 to 70% of the time they go. Actually, yes. Like there's one other thing.

Yeah. Um, and a lot of times it's about their skin. Mm-hmm. Or it could be about their under eyes or like, oh, I saw you post about under eye filler, or PDGF or whatever. Like, can you talk more about that? Like Yeah. You know, stuff like that. And, and that's a great point too, because, um, even if they're coming in and you see, I mean, I have patients that have been seeing me for almost eight years.

Oh my God. And we, we do almost relatively the same dose every time and mm-hmm. Sometimes you just get so in and listen. They're 15 minute appointments, so sometimes you're like running back to back to back too. But like sometimes you just get such in that like routine mm-hmm. That you forget to ask them.

So I, I, before I step out, I always say like, okay, let's, like I look at their movement, I'm like, okay, this is what we did last time. It seems to be good, or it seems like you need more. Mm-hmm. And uh, then I'll say, is there anything else that you wanted to discuss or. You know, talk about today. Yeah. Yeah. And just, just so it opens that door.

Yeah. And, and we're not just leaving on, okay, you've been coming to me for eight years and all we're doing is Botox every time. Like, did you wanna talk about skincare? Did you wanna talk about fillers? Did you wanna bring anything else up? You know, it, it opens that door. Uh oh. Oh my God. What happened? Can the, can the viewers, the listeners, hear my dogs barking in the background because the UPS man is here.

I'm really sorry. Of course. Oh, their favorite. Joey will have to get this cut out. Cut out. My god. No. I think we should leave it in. I have three golden doodles and I can't control them. They're your little, they are like little humans. I know. Oh my God, my, my little dog is out there somewhere. She was sitting at the glass door before trying to get in here.

Oh really? I know. I let the door open. I was like, oh, I'll just like let him. Yeah, yeah. Hey girls, let him hang. Come here girls. It's okay. Oh my God, they're just being good watchdogs. Oh my God. It's okay. There you go. I know. It's okay. Hey guys, just popping in. If you're enjoying our podcast, please subscribe and don't forget to follow us on Instagram injector John and aesthetic nursers call.

There's a lot of, um, resources from Allergan actually. Mm-hmm. If, if, if your office that you're working for mm-hmm. Or, um, if it's your own business, if you have an Allergan rep, they have a lot of resources. When it comes to like those ripped pads, so like mm-hmm. It's one that you can hand the patient when they come in.

Mm-hmm. Um, that, that basically shows all different skincare concerns, filler concerns, and Botox concerns, and it asks them to check off anything that relates to them. Mm-hmm. And there's actually pictures. Yeah. So like, it's like kind of foolproof. So like, if you feel like you're a newer injector and you're like, oh, I just really like, don't feel comfortable bringing up the topic, I know.

Or like, it's awkward. Mm-hmm. Or I'm in a rush and, and I don't, you know, sometimes giving that to them as they walk in. Can one help you prepare to walk in the room with Right. These thoughts already ready to go. Yeah. Um, or two, it doesn't have, you don't have to bring up the, the conversation. It's already done for you.

A hundred percent. They also give like, really good tools. I love the, um, where you can touch and feel the filler. Oh, this little open up. Oh yes, I have those in all the rooms. Yeah. Yeah. It's great. And then there's like this, that little, like, it almost looks like a. Uh, what is it that like Oh, like the paint?

The paint. Um, yeah, it's like a board and it has like a different, like this is what one syringe looks like, 2, 3, 4, 5, which is nice 'cause a lot of patients are, I mean, so terrified. So terrified. And I would say the majority of patients coming in, like, you know, if we recommend hyaluronic acid filler, right?

Mm-hmm. For volume deficit and restoring structure in the face. Like I just, what? It's all about your vocabulary. Yeah. I feel like you use too. I think that's really important. Yeah. I gen genuinely don't really like to say filler. Mm-hmm. I try to say like hyaluronic acid, like structure. Mm-hmm. Uh, we need to kind of tack this back, lift this disguise the jaws, like Right.

Trying to like break it down. Like that will make them less like, oh, like. For lip filler. Yeah. Hydration. We need to do a little bit of hydration to the lip to smooth those fine lines. Um, and like, not calling it a syringe. It's Right. It's just a treatment. Yeah, it's a treatment. Yeah. Right. Mm-hmm. Um, and it's restoring volume that's been lost over time, blah, blah, blah.

Um, but I think if by showing that little, like one syringe, it's like, oh, it's a sizeable blueberry. It's really not that much. Mm-hmm. And telling them that, you know, we lose. About what? Five syringes, a filler a decade. Mm-hmm. From the time we're 30 years old onwards. So if you're in your fifties, sixties, that's 5, 10, 15 syringes, a filler.

You both like lost sometimes almost 20 syringes. Right? Yep. Um, so just educating on that I think is super important. Yeah. And we deal with all the time to cope, right. People coming in and they're just like, I'm so scared of looking fake. I wanna look natural. Mm-hmm. Just, and like before you start, like you think you've gained the trust, right?

Yeah. And then you go to start and you're like, really quick. Sorry to be annoying, but I just wanna make sure that I really just look like myself and like when I go home, my husband's not gonna look at me and go, oh my God, what'd you do? Yeah. And you know, you have to say, Nope, don't worry. I got you. You know?

Yep. And I like to tell people too, like, listen, you're gonna feel puffy when you're swollen. Don't judge yourself first few days. Don't exactly like, but I don't want you to panic because that is not something that's gonna linger. You know, that's, it's just that you have to kind of trust the process. And I also.

I also need to feel comfortable that the patient's gonna trust the process. Right. You know, like, and that's the thing, as a new injector, that's a little difficult to figure out too, because you really have to kind of weed out these more like red flag patients that are gonna end up just being mm-hmm.

Unhappy or an issue. And you can usually tell that in the consultation if they're. Giving a lot of pushback. Yeah. Or you know, if you don't feel comfortable, just say, listen, I think you should really think this over. You know, if you decide that it's for you, I'm here. Mm-hmm. But you know, for now I think we should hold off and that's, it's okay to say Yeah.

And give them a little consultation card. Mm-hmm. Like write down like what your treatment plan is. Write the cost. Yes. Send it home with them. 'cause honestly, a lot of times they just have to discuss it over with their husband or loved one or, yep. If they have to budget it or they, or talk to their friends that have done it and and been like, did you do six syringes?

And their friend's like, I did eight. You know, like, right, right. So is that something that you give them to go home with? Is like a Yes. Yeah. A little breakdown. I think it's so important. Yeah. Because honestly, I would say. 85%, 85 to 90% of 'em. There's like just a small percentage that they don't do it or they do it maybe a year later.

Right. Um, just because they really wanted to, but it's funny how, how long they'll hold onto that. Oh, that sheet, right? Yeah. Yeah. They'll come in, it's like crumpled up and it's like a hundred percent. I take pictures of all of them and I put them in their chart. 'cause sometimes Oh, that, that's smart. I know people That's really smart.

People will forget. It's uh, like on aesthetic record, they have the gallery where you can like, upload anything. So I, I like to take pictures of it, but I made my own on Canva and like, it's just what works with my brain. Yeah. And I think it's so important for patients to leave with something tangible.

Yeah. Like if you just spell it out for them and say, okay, listen, this is what it'll cost. You see you if you wanna do it right. And they leave like. They're not leaving with any thought in their mind. No. They're just kind of like confused and they have nothing to refer back to. And honestly, they're gonna find someone else that might make it easier for them.

Yep. Yeah, exactly. Because exactly, we put the idea in, but then they're gonna go somewhere and be like, mm-hmm. Yeah, I got a consult. And then, you know, but I, uh, they want a little bit more handholding. Yeah. Yep, yep, yep. Mm-hmm. And I like putting the aftercare on those too. Uh, because it kind of, even if they don't decide to do it that day, like they go home and then they can count on also read what to expect.

Yeah. You know, how am I gonna heal? What can I expect aftercare wise. Mm-hmm. Yeah. Which I think is huge as well. Yeah. Um, I think definitely like, it's important, like you said, I think you picked up on like red, red flags and stuff. Mm-hmm. Like picking up on certain things. Um, it's always a concern of mine, like when I have.

Like patients that want perfection. Yeah. They want things to be perfect. Um, they want one side of their face to look exactly like the other side. Mm-hmm. It raises my flag if I hear patients say they've been to like multiple injectors and they just don't, haven't been happy. Never happy. Yes. Yep. So I, and I find out, well, what are you looking for?

Mm-hmm. Um, and, uh, get, get down to it, like what is it? And usually if you like, find. You're able to find it out. It's, it's that education. Yeah. Again, because I feel like a lot of the time, especially as a newer injector mm-hmm. I was kind of like more apt to say like, oh, well, okay. It was probably their technique, like mm-hmm.

I can, I can do that for you. Mm-hmm. But like, maybe I can't, you know, now I say, you know, listen, it's, it may be your anatomy, it may be possible that you walk out of here with the same exact result you got from that other injector from me. Mm-hmm. And I just want you to have those expectations. Like you might just not like.

Procedure itself, you know, or like mm-hmm. Sometimes people just don't understand. Lip filler is always gonna have a little bit of, a little bit of like, puffiness and, and there's not gonna be, some people think they're gonna get that real, like, you know, these photoshopped Russian lip pictures. Oh, yeah.

When, when someone shows you that you just wanna like mm-hmm. Run out of the treatment room. Yeah. But like. Yeah, that's immediately after injection. Like of course it's gonna come down. Of course, they're not gonna stay lifted and sharp like that. Like it, it's not gonna happen. And some people don't wanna hear that, but you know, there's a potential that your result is still not gonna lead.

You know, be the expectation that's in your head because I can't be in your brain. And I think it's, it's so important to feel comfortable explaining that to them. Because if you don't, and. You heard all that beforehand. Yeah. You know, it's a possibility after the fact. Yep. It's, it's just better to get it out beforehand than, oh my God.

Deal with it after. Oh my God. Set the real realistic expectations. And if you genuinely feel like you can't make them happy, you just say like, my worry is, is that anything that I do isn't gonna make you happy. Right, right. You know, and if you get that out. It might honestly break that barrier, right? Yep.

And they might be like, okay, yeah. Like, no, no, no. Like it's totally fine. And be like, okay, I just wanna make sure, like if you pay for this, it might be 60% better. Mm-hmm. Or 40% better. Right. Are you okay with that? Like, it's so much better to, what, what do they say? Undersell and over provide? Like, you never wanna be overselling and then have them be like, oh, well it doesn't look that, you know, like, it's promise not different.

Yeah. Over promise you'd never wanna over promise. Yeah. Yep, yep. And, and, and I just find like there's no point in. Injector bashing. Mm-hmm. Like when someone comes to me and shows me something or like they're migrated, I'm like, listen, this, this could happen to me too. You know? Like these are things that unfortunately.

Sometimes it's just your body it. Yeah. Listen, it definitely could have been the technique, but sometimes it's just the way you heal. Mm-hmm. It could be anything, you know? Yeah. I don't like to put blame on anyone because again, at the end of the day, it could be you too. That could happen to you in the future.

And you don't want someone saying like, oh yeah, it's 'cause, it's 'cause they're terrible, you know? 'cause they're not. Yeah, they're not a hundred percent. Yeah. I also think it's important too, um, to get pictures before. Yes. Right. I think anytime, like I used to hear this, I'd be like, Ugh. Yeah. I'm like, this is a boring conversation, but now it really does make sense.

Understand the importance. Yep. During my consultations, my medical assistant will get the pictures before I even go in the room. Yep. And then I actually get them up. Mm-hmm. And I show them. Mm-hmm. Their picture. So when you look at yourself in the mirror, you see someone completely different Yep. Than, than you in a picture.

Mm-hmm. You in a picture and you in a mirror. Completely different people. So if, and, and once I do that and show my, the patient, like this is them, they're like, oh, I didn't see myself like that. Yep. Or, you know, and it's really good because then you can kind of walk through what that picture is showing and.

Talk about the science behind what's going on, the anatomical changes of aging, the bone loss, the muscle relaxation, the fat pad loss, or the the fat pad redistribution as we get older. Um, and the collagen loss elastin in the skin. Um, it's just really nice to like go through all of that. And working literally from top.

Yeah. Head all the way to the clavicle. So now that we have the FD indication for neck, obviously we're now going into the neck mm-hmm. Which is great. Mm-hmm. Um, and all of any pictures. Now if you're just doing visia of the face, I encourage you to try to do, to keep doing the vicia. Mm-hmm. But. Have them also do like, you know, pictures on your iPhone From the collarbone up.

Yeah, from the collarbone up. So that way you can address the neck. Because we all know like celebrities, like mm-hmm. Their faces sometimes look great, but sometimes we look at their neck and we're like, Ooh. Yep. It gives it away. It gives it away. And me now like, as you know, as an injector your provider, I want all of you to look great.

Yeah. Yeah. You know what I mean? Because I want them to go be like, you look great. Yeah. Like from here to here, like. Where do you go, right? Yeah. Yep. Mm-hmm. Yep. Oh, I love that you touched on like going through during the consultation, the anatomy too, because it's like, I feel like one that'll stand you apart from a lot of other places.

Yeah. If you take the time to, because to a patient, they just see, they're like, I have a divot in my cheek. But to you, you're like, okay, that divots happening because your fat pads are separating. You have ligaments there, but like they don't know that. And if you take the time to explain to 'em, this is why it's happening, and this is also why I can't.

Fully correct it. Yeah. Because you're gonna look like Catwoman or you know, like if you take the time to explain what's happening underneath the skin, they're like, oh, you know? Mm-hmm. It, it just says like a moment of realization. Yeah. But a lot of people won't take that time and that's why a lot of patients expect to look like they've been face tuned or filtered.

Yeah. Because they think that it can be erased a hundred percent. Yeah. Definitely. And, um. Our ligaments, just like our muscle. Mm-hmm. They relax as well. Um, and lights and shadows are really important. Like taking a picture and seeing like, you know, if you look at that, I love the whole like, mother daughter comparison.

Yes. Yep. And, you know, the daughter looks all, it's like the triangle of youth, right? Mm-hmm. And then when you get older, it's the reverse triangle and your, your light reflections you have might, might have more light showing, like on your jowls more. Lower in that lit cheek junction, right? Mm-hmm. In this area, um, you're gonna have areas on your face that are accentuated that, that are showing more light that you don't like.

Yeah. Um, so it's all about finding the lights in the shadows, explaining why certain areas are more lit up as we get older. Mm-hmm. Um, and that also helps to determine proper placement of the hyaluronic acid fillers like Juvederm, Restylane, whatever you use. Um, I, I actually use that triangle. Often to explain, love it to my, like my probably 50 and 60-year-old women.

'cause they're like, it's just not fair. Like my husband gets more attractive with age and I'm like, actually that's so funny you say that because we. All widen in the lower face. Mm-hmm. With age and on men. That's attractive. Yeah. On females, that's what ages us. And they're like, oh my God. Like, I've never thought of it that way.

You know, like, like a guy is supposed to have a, a nice wide jawline that, that, that looks masculine, you know? Mm-hmm. So as they age, it's okay for them to widen out here. Right. But for us, it gives us that joly look. Yeah. We look sad. So that's. It's funny when I explain it to them that way, they're like, oh my God.

That's why guys age so well. You know? 'cause they're allowed to have a, a, a wider, lower face. Mm-hmm. And two, like you touched on the lights and shadows. I like to, I like to discuss lights and shadows with every patient. Mm-hmm. Because like I do a lot of, um, full face like you do too. And it's. I think sometimes patients, uh, what is the juin, Julie?

Call it The two finger, the two finger lift. Oh. Like they come in doing the mm-hmm. And yeah. It's just so important to explain to them that filler is not, yes, it will lift a millimeter or two. Mm-hmm. To the naked eye. That is like not visible, honestly. Right. It's more about. Hiding specific lights and shadows.

Yeah. And it's giving the illusion that everything is more lifted. Yeah. And that's how I explain it to them. So like, if you have a divot here in front of your jaw, well, I'm gonna fill that divot and it's gonna give the illusion, right. That your jawline is tighter. But I never like to sell like, oh yeah, it's, I'm gonna place back here and it's gonna pull everything back.

You know? Like obviously I'm gonna place some back there to tack back, but it's not gonna be a facelift, you know? Yeah. It's so true. So it's all about the way you explain it. And I think using specific like layman's terms for, for patients is, is huge. You know, and, and not, not going too scientific on them, but also still educating them.

Yeah, I, I like to say when I'm going through the process of aging and I'm doing a full facial assessment, especially like if, you know, if someone in their fifties or sixties, even forties, but I would say more fifties, sixties is, you know, we lose the fat pads in our forehead. So as we age, we actually get a little bit of a divot or curvature in our forehead.

Mm-hmm. Yep. In Asian culture, I think they actually really, um, and I know Vanessa Lee. Mm-hmm. She talks about this. She's also an injector out in California. She owns the things we do. I. Um, she is like a certified reader of something. I forget what it's called, but it's really, really interesting. But basically a telltale sign of aging for their culture.

Is that fat? It is the forehead. Interesting. Is the forehead interesting? Yeah. And fat loss in the forehead. Mm-hmm. But as we get older, we lose that fat there. And then we might wonder why our Botox isn't lasting as long. It's not that it's not lasting long. You can't blame the neurotoxin. It's because you're losing that support those fat pads underneath the skin here.

That used to plump it. Used to plump it. Mm-hmm. And now, mm-hmm. Any movement will cause a little bit more rippling than normal. Yep. Right? Yep. And then we go into, so sometimes as we get, get older, we get the shadows here in the forehead. We get shadows in the temples. Right. We get hollowing in the temples.

Yep. Our undereye are more shadowy because mm-hmm. Everything's that lid cheek junction is becoming more elongated. Yeah. Um, and then also our sub mallor area, this area starts to get more shadowy. Right. And then the light. Reflection is more on the jaws and the darkness is more in the posterior mandible.

And that's where we need to treat mm-hmm. Is honestly, the temple, the cheek, the posterior mandible, preauricular, and then move forward. And if there's anything up here, I always, and you're the same way, I always try to treat superior posterior laterally first. Right. And then. Assess this area. Yeah. And you explained it perfectly.

It's because we lose the fat. So we need to go back and relay that base layer, right. That you once had. Mm-hmm. And then do those little intricate spots. Yeah, yeah. Yeah. A great, uh, a great tool for that is if you are an Allergan account, is the MD codes. Oh, yeah. Mm-hmm. You can find, I'm pretty sure you can find that on the Allergan educational website.

Mm-hmm. Um, you can watch videos on it, but he explains it so well, and it's, it's a way of injecting the face where you're not chasing volume here. Mm-hmm. You're replacing it where it needs to be to give that illusion of the lift and, and, and all that. Yeah. It's amazing. And you do get some neocollagenesis from mm-hmm.

Injectables. So like, that's why two of you noticed effort to getting facial balancing. You're using maybe a combination needle cannula. All of a sudden, two or three weeks later, your skin's glowing. Mm-hmm. You know? And it is because you get a little bit of collagen production from that controlled trauma.

Right? Yep, yep. Yeah. Especially if you're doing cannula and you're doing, um. Some, um, like ion sub removal mm-hmm. Some adhesions onto the skin. You're gonna get a nice glow about the skin. Yeah. Mm-hmm. Yeah. I love it. Um, I think too, it's really important anybody getting any injectors that are listening in to, to consider adding on like a discounted price for skincare after you are providing facial balancing for them.

So if they're doing investing in like five syringes plus a filler. Talk to them about TNS. Yeah. Talk to them about if you have plated some growth factor serum, right? Yeah. Anybody in their forties, fifties, sixties needs to be on like some type of growth factor, collagen, peptide, serum. Mm-hmm. So start them on that because that'll be their homework at home and optimize their results at home.

Yep. Um, and an ha too, like a Yeah. Hyaluronic acid. Yep. Yep. Topical ha with the internal ha like they all play together. They do. Yep. Mm-hmm. Yes. No, that's, that is huge. Doing like a. A package kind of if you, you know Yeah. Do a full face, you get a certain amount off for the skincare. 'cause you're right. Home care is huge if they're not doing anything at home.

Yeah. And sometimes I'll even are just not gonna last. Uh, even sometimes I'll include in my treatment plan for patients skin ViiV if they can do it. Mm-hmm. Mm-hmm. Just to do that after their, um, treatment, just because that glow. And it's like in the skin's, such the icing on the cake, like, oh, it's such a nice glaze.

If you have like a little line or like a little acne pockmark or like just a little something that you can't get with that deeper filler that you did, you get in there with that skin. Ve and it, it really does give that, it does that luminosity. Yeah. And that, that more soft appearance. Mm-hmm. I agree. I never like to use filtered, but it kind of gives a filtered appearance.

It does. It gives that like glazed that Yes. Just nice glow, youthful glow to your skin. Smooth. Yeah. Oh, yep. Beautiful. Yep. Yeah. Mm-hmm. But I, I really do think this is such an important topic 'cause especially for newer injectors, it's, it can be like weird to have to bring up mm-hmm. The full face, but it really.

Relays back to your patient retention and like, your patients are really gonna feel seen and heard if you're taking the time to go through and tell them, you know, listen, this is, this is what I'm seeing on you and this is the aging process and it's not something, you know, a lot of the time I like to say like, this is not crucial.

This is not something you have to do. Mm-hmm. But I'm just letting you know, you know, if you, if you're looking to balance and you're looking to harmonize and you're looking to. You know, make yourself mm-hmm. Look a little bit more youthful. These are the things that I would, I would suggest, but hundred percent.

It's not something that someone, is someone on the street really gonna pick up on this little line that you have this di like, no, it's not these things, these things aren't do or die. Right. But, you know, they're, they're things that you can definitely do and, and help yourself in the long run. Catch 'em while they're not.

That's the other thing. Mm-hmm. Is people wait too long and then it is unfortunately just a facelift. Sometimes the people that wait too long that come in and they really don't want surgery, they just have a lot of skin laxity. And for those people it's like, well, we really have to work on tightening your skin.

Right? Yeah. Because if we just sh filler under your skin, that's very lax and there's no support, your skin's not gonna support the filler. Well, yeah. It's not gonna integrate well. So sometimes I'll have them do RF microneedling, I'll have them do soft wave. Or for you it would be the, the face tight. Right.

Or something. Right. You could do. Mm-hmm. Skin and Skin pen. Yeah. Skin pen can help with texture. But oxy. Yeah. Oh yeah. Mm-hmm. Mm-hmm. So you just really gotta work on that skin integrity first before you incorporate that filler. Sometimes I think too, as a newer injector. Mm-hmm. Or just a newer practitioner in general.

Like you almost feel like these people aren't gonna wanna spend the money, or they're not gonna wanna travel here. Like I just had someone the other day. Who not open to surgery. We did discuss the need. Like I do think she would really benefit from a CO2. Mm-hmm. Um, which obviously I don't, I'm not able to do for her.

And that's, again, being an honest provider I think is huge too. You know, if, if you really think mm-hmm. They could benefit from something, even if you don't offer it, I think it's worth sharing with them. Mm-hmm. Um, like surgical lip lifts I tell people a lot about too. Mm-hmm. Uh, but. I wasn't able to do the CO2 for her.

And I was like, you know what, lemme just send Britt in there to chat with her about skincare and like micron things that can make a difference, but they're not gonna be surgically drastic. And, um, she ended up doing the skincare. She ended up booking the micron. So like, people really do, they want it. They wanna hear it, they wanna know what's available.

They so don't, don't not say it just 'cause you think someone's not gonna do it. Right. You know? Because like we said before, 92% of those people wanna know. They do. Yep. Yep. Just in conclusion too. Mm-hmm. Just to say that, so with a consultation, connectivity is so important. Yes. Sit down, sit at eye level with your patient.

Mm-hmm. Don't stand. Um, your nonverbals are so important. Yes. So if your hands are, if your, if you're stressed and you're anxious and have an off day and you're standing like this and your hands are like this and staring at them listening and your head's tilted, you might come off the wrong way. Yeah. So just make sure that you're relaxed, you try to relax.

Mm-hmm. You take a deep breath before you go in and just make them feel comfortable. Right. Um. Patient connectivity is like the number one thing I could say. That you're not gonna sound salesy. Mm-hmm. And what else? I think too, when you, when you really put the science behind it and you fully understand what you're doing mm-hmm.

You'll never sound salesy. 'cause you're not selling a hundred percent, you know, you're, you're treating and it medical about it. Procedure, passion. Yeah. Yeah. Mm-hmm. So I feel like that's, that's where educating ourselves comes in so much handy because Yeah. You know, if, if you're seeing our. Our profession from the outside.

I can see how a lot of the time mm-hmm. It can look like mm-hmm. You know, it's, it's a salesy thing, like we're not selling. Mm-hmm. It is, it is a medical procedure and it is a medical treatment. I just, we just sell the outcome. Right. I wanna sell the outcome. Mm-hmm. 'cause we know what works. And of course at the end of the day, it does come down to budget sometimes, but Right.

I don't plan it around budget. I give them an honest mm-hmm. Answer of like what I would love to do. Yep. And then here's the budget and just what it costs. Yeah. And we go from that too. I'm actually really glad you brought up budget 'cause there are so many options for patients now. Um, mm-hmm. Like Alipay.

Alipay is like a version of Cherry, uh, Ali Payments Powered by Cherry. Yes, yes. Incredible. Yeah. Uh, cherry CareCredit, like, there's so many options. Affirm, like, so I have an app for ours. Mm-hmm. Uh, it's from Repeat md. Mm-hmm. But on the app, you can purchase on the app and use Affirm. Mm-hmm. Mm-hmm. So it's like, there's just, there's so many options now.

That's great. And again, that's another thing that if you don't bring those options up to your patient mm-hmm. You might be losing. Mm-hmm. A patient as well. Totally. Because they may not know that's an option. They, they Google it, they find it at the, the spot down the street, you know? Mm-hmm. So it's like you have to be bringing all those things up to them.

It's really Ali Alipay. Mm-hmm. Um, which is Cherry. So it's Ally Payments powered by Cherry has really been a game changer. Changer. Game changer for patient financing in my practice. Mm-hmm. Like they really, like, they'll get pre-approved from home, right? Yep. They'll go on their app, they'll. You know, apply for it.

There's, there's also a, um, payment estimator on the alley app too, which you can actually estimate what your monthly payments would be. Um, and also look at your A PR, which is really cool. Um, so that way they can budget and plan for what they're gonna do. Also, there's so many people that they get preapproved and all of a sudden they're in for Botox and they're like, well, I'm here.

Can I do my cheeks too? Yeah. My chin whole, yeah, exactly. You know, I got preapproved for this. This is amazing. I don't have to owe this all at once. I can pay a little bit over time, and it's not a hard. Credit check. So there's no harm to your credit. And as a business owner, the, the cherry, the apple. Apple, yeah.

The Alipay really makes the most sense for us because Ally takes on a lot of the, um, the percentages too, which is, I noticed now I love an apple. I know. Sorry, I was thinking Apple pay, like when you scan your card, your phone, um, sorry guys. Pregnancy brain. Oh my God. It's real. It's real. But as, as a. As anyone listening to that as a business owner, the Alipay actually, they, they take on a lot of those, those.

Charges that we mm-hmm. We typically get from CareCredit. Mm-hmm. Like CareCredit could be 10% sometimes, and it's insane. Mm-hmm. I know. Sorry, you're really making me laugh right now. I can't, John's been listening to my words searching for the past three hours now. Oh God. No. I swear. You're doing great. All the words are up here.

They're just scrambled. Um, by looking at you. I don't even, I can't even tell you're pregnant because Oh yeah, I'm sorry. He's, uh, he's like fully dropped. I am like, which is insane. Insane. Look at that. He's so low. I know, but I still can't get over. Like two and a half, three weeks ago I was at your place and like I know from the front, if she was wearing all black, you could not tell she was pregnant.

There's literally a picture on Instagram and she, I Did someone not say like, yeah. They were like, where's your bump? Where's your bump? Did you give birth? Oh my God. We're getting down to the wire you guys, any day now. I know. Any day. I know. May 31st is your due date, right? Yeah. Yep. Crazy. Yep. You can't tell us.

We'll see. You can't tell us yet what the name of the baby is yet, right? Oh, when will this come out? I probably can say it. You prob, but what if you go late? Well, Joey will just cut it out otherwise. Oh, okay. That's Avery Fox, Adriano. Wow. Wow. Yes. Love. Yeah. For those that get confused, I never changed my last name, so.

Mm-hmm. That's why I'm, I'm Bauer, but my husband's last name is Adriana Avery Fox. I love that. Yes. Yes. Um, alright guys, well this was a great and fun episode. I hope you guys learned a lot, took a lot from it. Um, and also if you guys have any, any like tips and tricks too, like what you guys use for consultation, please let us know.

Shoot us a DM or also comment on our posts. Um, we love you guys and thanks for tuning in to another episode of the Filming and Podcast. Bye bye guys.