 Hi everyone, Dr. Saul here in Beverly Hills. Today we're doing a very interesting case. You guys have seen it on our Instagram, but we're going to do another one and post it for you guys. We're going to do Perma Lip. Perma Lip is a facial implant. This is the sterile box it comes in. This is what's in there. There it is. It's a sterile implant. It's silicone, but it's a silicone in a tube. So it doesn't leak anywhere. It stays within the, it's like a breast implant. It stays within the shell. So what we're going to do for this beautiful young lady is we're going to go put one down here and up up there. So it's going to go in just like that and one in the upper lip just like that. So what this does is it occupies space. It's like putting a lip filler. It doesn't mean that you're not ever going to need another lip filler. It just means you'll lose, you'll use less lip filler, because this will be in there just like that. If you ever want to take it out, you can just make a small hole, pull it out. But all these years I've never taken out any over the last 12 years. I've done many, many of these. So it's just like a breast implant. It comes in a box sterile We take it out. This is what's inside. We'll slide it in. It's done under local. It takes about an hour. We're going to get started shortly. Stay tuned as we make this beautiful lady look more fantabulous. Stay tuned. So the first step of the case is to make a little incision inside. Here's a little poke. Do you feel that? Good. Perfect. And then we make the same one on the other side. Poke. Do you feel that? So I go like this and make the right where the the dry the dry the wet and dry border is. I make a tunnel from this side. I go from this side like a tunnel. So I'm all the way killer way inside and all the way turns around. So I go in here. I have a tunnel. I'm right here. You can see right there. So it has a natural curve. So I'm all the way here. So I'm a nice tunnel this way. Then I go from this way. So I'm all the way here already. All the way right here. So now I just got to connect the two. So then I go back again. How you doing? Okay. Just feeling a little pressure or not much? Okay. Good. So I passed the midpoint. I'm almost there. I'm all the way. So I say I'm feeding it through. So for you guys at home, you could see we tunnel from one side to the other. We went into the other connected it. It's at the same depth all along where I feel it. So this is the dry. This is the wet. The implant is going to go seed right in there. And the depth is you is the same all along here. So the lower part is ready. We're going to get the upper part ready and then do both at the same time. So there's the upper part. All basically we did is create a tunnel. Now we're going to do the same for the upper. The same incision. And there we are. There's the dry. There's the wet. We go in right there. We're almost there. We want to go to midline. It's a small instrument. So we go as far as we can. We're creating the nice tunnel right there. There we are. We have it on this side. How are you feeling, sweetie? Very good. You're doing excellent. Okay, so here we are. The upper you could see we've tunneled through. There's the wet. There's the dry. It's all the way through. So it's beautiful. Equal distance. There it is. We did the lower and we did the upper. See how it just comes through as a tunnel. Now we got to put in the implant. So here's the implant. You could see it comes in a sterile package just like the breast implant. So what are we using? It's a five millimeter. That's the biggest, the thickest one they make and it's 65 millimeters won't long. So it goes from one side to the other. So five millimeter is the thickness. 65 millimeter is the length and it comes in a sterile packet and we open it and we're going to put it in the beta dime. Here it is. Opening it up carefully. Here's the implant. Here we take it out. No touch. Look at that beautiful fresh implant into the beta dime. Okay, good. So here we are. I'm going to feed myself the implant right there. I'm going to grab a nice size of it. How are you feeling, sweetie? Okay. Very good. There it is. I got a nice piece of it. My assistant is going to hold the middle of it. Yeah. And then what I'm going to do is I'm going to pull it through. There it is. And there I am. So right now I have both tips. What I'm doing is just like when you floss the teeth right here back and forth trying to land it in the middle. Okay. Make sure it's in the sweet spot. Make sure I have a nice tunnel. Then I let go and boom, it's in there. That's it. Okay. So here we are. Here's the upper lip. Look at how nice and thick the lower lip is. So I open up my instrument, feed it to me. My assistant will get the other tail and I'm just going to pull it through all the way. There it is. Now I have both sides. Now I just do the floss thing to make sure it lands in the middle. Here it is. Make sure it has a nice tunnel. You could see that it's right where it should be, right between the dry and wet border, right on the line. Do you feel anything? I'm flossing your lips. Better talk now or hold your peace forever. We're having a good time, huh? There it is. We go and it goes right in. We're done. There it is. Open your mouth. Okay. The lip implant is in here and here. We're done. We're just going to put one stitch on each side. You're done. You're ready. Yay. How was that? From 1 to 10. How difficult was it? Zero. Come on. Don't tell me I'm that good. It may be a one. It may be a one. Okay. I'll take a one. It's the only time I'm going to take a one out of 10 is it's related to pain. You did excellent. You're still numb. I'm going to put in a suture while you're numb and then we're done. Open up. Here we are. Here's the upper lip. Look at how nice and thick the lower lip is. I open up my instrument, feed it to me. My system will get the other tail and I'm just going to pull it through all the way. There it is. Now I have both sides. Now I just do the floss thing to make sure it lands in the middle. Here it is. Make sure it has a nice tunnel. You could see that it's right where it should be, right between the dry and wet border, right on the line. Do you feel anything? I'm flossing your lips. Better talk now or hold your peace forever. We're having a good time, huh? There it is. We go and it goes right in. We're done. There it is. Open your mouth. Okay. The lip implant is in here and here. We're done. We're just going to put one stitch on each side. You're done. You're ready. Yay. How was that? From one to ten. How difficult was it? Zero. Come on. Don't tell me I'm that good. Maybe a one. Okay, I'll take a one. And so it's the only time I'm going to take a one out of ten is it's related to pain. You did excellent. And I'm just going to, you're still numb. I'm going to put in a suture while you're numb and then we're done. Open up. So you could see with one stitch it's closed. The incision is inside the mouth. No one will see anything when she's healed. There it is. That's all. We're going to put one more on the other side and we're done. Wow, your lips look good. Thank you. They're going to be a little swollen, but you know, because of the numbing and everything, but they look fantastic. Open up. Yeah, put these sutures on one there. So here it is. I could feel the implant right there. It's sitting right in the middle of her lip right there. And there's the bottom one right there, perfectly positioned. The thickest part in the middle. Then it comes out. She has a little bit swelling. It's going to go down because we did use some lidocaine with Epi. She had very, she had like five drops of blood maybe. No bleeding, looks great. She's good. How do you feel? Good. How was it? Easy. Come on. It was great. Yeah. You did excellent. It was a perfect patient. I mean, we got a perfect result 100% on. We're on point. Thank you. Come closer. Ready? So you could see with one stitch it's closed. The incision is inside the mouth. No one will see anything when she's healed. There it is. That's all. We're going to put one more on the other side and we're done. Wow. Your lips look good. They're going to be a little swollen, but you know, because of the numbing and everything, but they look fantastic. Open up. Yeah. Put these sutures on one there. So here it is. I could feel the implant right there. It's sitting right in the middle of her lip right there. And there's the bottom one right there, perfectly positioned. The thickest part in the middle. Then it comes out. She has a little bit swelling. It's going to go down because we did use some lidocaine with Epi. She had very, she had like five drops of blood maybe. No bleeding, looks great. She's good. How do you feel? Good. How was it? Easy. Come on. It was great. Yeah. You did excellent. It was a perfect patient. I mean, we got a perfect result 100% on. We're on point. Thank you.