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today get your spritzers ready because it's the second part of the lip for the

special hi guys welcome back to the channel my name is dr. Sarah talks I'm a

cosmetic physician in London today it's the second part of my lip for the

special where I am talking about different ways that we can do lip

augmentation last week you will have seen that there is definitely more than

one way to do your lip filler and we covered some cannula treatment this week

I am talking a little bit about needles last week you will have seen that there

is more than one way to do a lip filler and we covered mostly cannula sort of

work this week we are talking more about using a needle let's not mess around

let's just get straight over to it slightly older lady I find that the

older the patient is the more terrified they are about having lip fillers done

the last thing anybody wants over a certain age is to look like they've had

something done certainly at least where I work it may be different in different

parts of the country or different parts of the world nevertheless as we get

older we do lose volume in the lip in the same way that we lose it from the

rest of the face in patients who are having full face aesthetic treatment

particularly if they're having volume restoration it is super important to

also fill the lip because otherwise it looks kind of weird you've filled up the

rest of the face and really plumped out their skin back to half closer to how it

used to be but the lip is still this skinny little thing you can tell on this

first patient that I've got here with me today she definitely will have had a

full pair of lips when she was younger the shape of them is still very very

good is loss of volume as you can see with

these small vertical lines all the way through the lips you can also see we

have some lipstick bleed lines outside the lip - I personally do not advise

treating those lipstick lines on their own

particularly with the technique you sometimes see which is going directly

into the line and following the line up vertically I find that it can make the

lip look like it's coming over like this really what you need to do is augment

the border of the lip and restore volume in this triangle here and that will give

a much nicer result not actually doing that on this lady I just thought you

might like to know on her it's actually enough to use a straightforward

injection technique I'm using here Juvederm vol Bella because it's a pretty

soft product and it spreads quite well I'm using the traditional technique of

going directly into the Vermilion of the lip which is the edge of the pink bit

basically all the way along the upper lip I'm switching my techniques slightly

to do the lower lip where I'm changing to a 32 gauge needle and just doing the

middle third if you remember that's because I like to have most of my volume

in the middle third of the lower lip okay so let's have a look at our lady

afterwards mmm bit cheaty she does have some lip gloss

on I think anyway you can see the shape of the lip in general is pretty much how

it was before hand so we've really preserved her natural lip structure and

the reason that I used that product so the Juvederm wobbly was because it

doesn't really change the shape of the lip too much it will just give some

hydration to the lip and a little bit of fullness but everything else pretty much

stays the same you see she's got less of the

vertical lines here all in all I think a pretty nice subtle result I didn't think

anybody would necessarily know that she's decided to have her lips done and

just a quick peek of her smiling you see we've got a little bit less gingival

show in the afters she still got the the tilt that she had beforehand it's really

difficult to completely eradicate something like this if you put more

filler on one side of the lip than the other to try and correct it when she's

smiling it won't look the same while she has her face static so it's a bit of a

trade-off really next patient guys so this lady didn't really want to change

the shape of her lip she's got a really nice shape anyway she just wanted to

have them a little bit bigger so I decided I was gonna do this using a

needle now looking at her lip beforehand don't know if it's very clear on here

but just above the lip she does have a bit of fullness there and there which is

kind of pushing the lip down slightly as I mentioned in the previous video if

somebody has got a fullness above the edge of the lip line it can kind of

compromise the results sometimes so that means you have to employ a slightly

different method in order to get the lip to rotate round and that's what I did

for her there is a bit of cheek discrepancy too so you can see that the

cheek on this side is not as full as it is over here and that has an impact on

the position of the lip so you can see that the cheek on this side is not as

full as it is on the other side and that has an impact on the position of the lip

it's kind of cheating but I'm just gonna show you how that looks once she's

smiling there's a muscle which goes from the

cheekbone here downwards to the edge of the lip so if your cheekbone and

fullness on one side of the face is different to the other it means that you

you won't have the lip the same because the muscle is different does that make

sense so this sounds lower which means this side of the lip is lower basically

so I don't often use this technique it's lip tenting where you inject straight

down from outside the lip to inside the lip nevertheless I decided to do it for

this patient so I'm doing it all the way along the upper lip and also to the

middle part of the upper lip I'm also going to do it to the middle part of the

lower lip keeping the vast majority of the volume in the middle third

well then switching to a different needle to do the border of the lower lip

again in the middle portion and I'm also going to use the same needle to do the

border of the upper lip with the same technique so tiny little injections all

the way along the border of the upper lip try and flip this out I used for her

one and a half mil of Giroud and voila left it's very unusual to use one and a

half mil kind of cost-effective wise it doesn't really make that much sense to

break into a half mil unless you're going to use the other bit somewhere

else but nevertheless that's what we did and here are her before and afters so

the shape pretty much the same as it was before hand just a little bit more full

I think it still looks quite natural I already sneakily showed you a picture

of her smiling and here it is a game okay next up another lovely lady so she

just wanted to keep the shape of the lip the same as it was currently and I think

you'll agree she's got a great lip shape so the way that I decided to do her lip

was we initially did some lip tenting to kind of rotate the lip around for her

it's not a technique that I do very often nevertheless I decided to use it

for her then I use the same technique on the lower lip in the middle third and

switch the needle over to a shorter one so the

could do the edge of the lip itself and going back to the upper lip again to do

the border so in total for her I use 1.5 mils of Juvederm volift let's go over to

her results now you can see in her before that she has this kind of

undulating shape to the lip here but she still has in the after you you can't

really do too much about that so she's got this sort of bifurcation here in the

way you would normally have the medial tubercle

she's instead got um kind of a blob if you like a volume on either side so we

can't eradicate those completely because it will just look really weird so we

have kept them and this is how she looks on smiling so you can see that you can

see a bit more of her upper lip on smiling than you could previously okay

moving on next patient okay moving on next patient again we've got this kind

of fullness in the upper lip right here which makes it a little bit tricky to do

I would just love to get my hands on her tear trough and you see where she's just

starting to get rid of separation on both sides here and that's because these

two fat compartments as you get older they begin to separate and I don't know

why but that just really drew my eye then we're also getting a bit of volume

loss right here aren't we anyway back to the lip um she was happy with her shape

she just wanted to go a little bit bigger with that so the first thing that

I did was use a cannula in the upper and lower lip using a quarter of a mil in

each quadrant then I used a 32 gauge needle all the way along the upper and

lower lip in the Vermilion border I emphasize the glyco Klein point using

that shochu gauge needle and then went back to the middle third of the lower

lip to just emphasize that by doing small injections into the middle third

you know I like doing that in total for her we've used one and a half mil so

let's go over to our before and afters you

see that we've really kept the shape of the lip exactly the same as it was

before they're pretty much the same but just slightly bigger the more eagle-eyed

amongst you will see that in her before picture this side of the lip is not

quite as long as this side is and that's something which is really actually quite

tricky to balance out try to make this side a little bit longer with a cannula

which if we just go back and have a look you can see it does look a wee bit

longer but yeah super difficult to get it bang on I think it looks much better

and let's just have a look at her smiling there we are

lovely exactly the same but just a little bit fuller okay guys so that's it

for this week I hope you enjoyed the video join me again next week when I'm

actually doing a third part of this lip for the special because I know you guys

all love your lips don't you I'll see you then

For more infomation >> Lip fillers treatment experience with before & afters (Part 2) - Duration: 12:15.

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Flat Feet: Diagnosis and Treatment - Duration: 2:28.

> Can you explain, I think we have a graphic to show our viewers and it is

somewhat uncomfortable. My husband has this and he always tells me this is

awful. > So the foot has can have an arch and that's the arts is basically when

you're standing it's the inside part of your foot and that's got some space you

can put a finger you know it's a small space and depending on your genes some

of those spaces are bigger or smaller and I liken it to Heights some people

are short some people are tall but most people are what we call within normal

height and most people are normal footed in including people with flat feet. Now

there are severe cases in which people are way too tall are way too short and

those are pathologic same thing with the foot there are cases where the foot is

just too flat or rigid or the arch is way too high and rigid and those can

cause problems, but by far most feet are normal even the flat ones. > Okay why does

it happen? it's genetic? > Genetic. yep ligaments we call it ligamentous laxity

and the ligaments and the support structures are just a little looser and

so when you put weight on it your arches fall to the ground. > Does it lead to

problems or is it that you just need a shoe with a special -- inserts -- inserts. > For

the most part it does not cause a problem. We determine whether a foot is

normal by its flexibility and not motion flexibility by the fact that it can't

form an arch when it's being used. So if you look at your kid and they go on

their tippy toes and they form an arch when they use their tippy toes that

means their foot is a flexible, flat foot now those kids with flexible flat feet

can get into trouble if they have tight arches tight sorry tight heel cord or

tight calves and if that's the case they can get arch strain so they will say

"mommy we're walking and Disney too much and I have to rest" or they can get some

pain and for those kids a little insert can help with that.

The other reason is they wear their shoes in faster, so if you're buying

expensive shoes an insert can help decrease the wear. > And this is not

something that you can outgrow, right? > So most babies are actually born with a

little bit of a flat foot -- right -- and depending on your genes you will get

this arch or not by the age of seven but there's nothing that we can do to make

that process happen any faster and if you give them an arch support

they have an arch in the shoe that's not going to make it any faster either if

they're gonna have it that's genetic.

For more infomation >> Flat Feet: Diagnosis and Treatment - Duration: 2:28.

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Peanut Allergy Treatment Helps Teen - Duration: 2:28.

For more infomation >> Peanut Allergy Treatment Helps Teen - Duration: 2:28.

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No Excuse for Myanmars Treatment of the Rohingya - Duration: 2:38.

No Excuse for Myanmars Treatment of the Rohingya

A plan to send the stateless Muslims back to Myanmar has been halted for now. But the cruelty and injustice endure.

The editorial board represents the opinions of the board, its editor and the publisher. It is separate from the newsroom and the Op-Ed section.

Under international law — and the precepts of basic human decency — the nearly one million Rohingya people driven out of their homeland in Myanmar and crammed into refugee camps in Bangladesh ought to be able to return home. But simply pushing them back across the border, as Bangladesh and Myanmar tried to start doing last week !-- --under !-- --pressure from China!-- --, was wisely suspended.

The United Nations and dozens of rights groups dealing with the long-suffering Rohingya objected to the plan because it lacked any assurances that the returnees, members of a Muslim minority in Myanmar who had been the targets of a murderous campaign of ethnic cleansing, would be treated any better than before they fled. !-- --The United Nations high commissioner for human rights, Michelle Bachelet,!-- -- !-- --said!-- -- that sending the refugees to Myanmar at this point "effectively means throwing them back into the cycle of human rights violations that this community has been suffering for decades."

Nobody asked the Rohingya about the repatriation plan, and they understandably panicked when Bangladesh troops entered their camp !-- --and told !-- --the first group of 2,200 to get ready to move. With one voice, young and old alike shouted, "We won't go!" Mercifully, Bangladesh — which has been lauded for providing refuge to the Rohingya — relented.

Over!-- -- 15 months!-- --, more than 700,000 Rohingya fled a systematic campaign of killings, rapes and torched villages that the United Nations said "undoubtedly amount to the gravest crimes under international law." Crowding into refugee camps in Bangladesh, they joined more than 200,000 Rohingya who had fled earlier waves of violence.

The hurried repatriation was agreed to by Bangladesh and Myanmar under pressure from China, which has economic ties to both and ambitious plans for the region. But according to Human Rights Watch, the military-dominated government of Myanmar, which has denied the ethnic cleansing all along, has done nothing "to create conditions for safe and dignified returns, or to address the root causes of the crisis."

The organization said refugees feared that if they returned without any assurances, they would be put in detention camps like those to which 124,000 other Rohingya have been confined in Myanmar since they were displaced by violence in 2012. The "reception centers" and "transit camps" Myanmar has set up, some on the site of razed Rohingya villages, are surrounded by barbed wire and security outposts.

The plight of the Rohingya ranks among the worst injustices in the world today. The Myanmar government, including the once-respected Daw Aung San Suu Kyi, has denied any culpability, invoking ancient grievances and skewed history to justify treating the Rohingya as Muslim interlopers in a predominantly Buddhist land.

When Vice President Mike Pence told Ms. Aung San Suu Kyi on Nov. 14 at a regional meeting in Singapore that the persecution of the Rohingya was "without excuse," she replied, "We understand our country better than any other country does," and so are "in !-- --a!-- -- better position to explain to you what is happening."

No, Ms. Aung San Suu Kyi, the world does not need your "explanations," nor repatriation schemes that fail to address the mistreatment of the Rohingya and give them assurances that they can rebuild their burned-out homes and live in security and dignity. The !-- --imprisonment!-- -- in September of two Reuters reporters who were!-- -- reporting on a massacre!-- -- of Rohingya is further evidence that the rulers of Myanmar have no interest in anything but justifying and covering up their brutality.

It's long been clear that the only way to get proper action from Myanmar's generals and their civilian enablers is to compel it, through!-- -- prosecutions of the offenders by the International Criminal Court, through sanctions, travel bans or a freeze on assets. China can play a more helpful role than it has to date by exerting its influence on Myanmar and Bangladesh to come up with something more than a superficial fix.