 Hi everyone, Dr. Saul here. We're doing a lip implant. It's a silicone implant but it's like a breast implant. These will not be seen. They're in the corner, right in the corner of the lips. I'll suture them so they won't be seen. I'm going to start with the lowers. I'm going to go right in there in a in a plane where there is no blood vessels. We're going to just move our way in there. We're about a quarter of the way in. How are you doing? Good. Very good. Okay. Very good. Then we're going to go from the other side. Again, through the same tunnel we developed. But now we're going to go a little bit further. So we were down here so now we're moved further. How are you doing? Still doing good? Yeah. Very good. So now we're just a little bit further on. Then we'll go from here. We have totally numbed up his lip. We did some blocks, facial blocks. So that's why he's not feeling anything. Now we're going to use my special curved instrument. We're going to go to the side. So now we're going a little bit further. We're in a very good plane. We're in and there we are. It's all the way through. There it is. It took us about three minutes to do that dissection. And now we're going to put in the implant. Okay. So it's the permafacial implant three millimeter times 65 millimeter in length. The three millimeter is the skinniest one. I usually recommend our patients to go bigger. But today our patients elected to go with the three millimeter. So here's the actual implant. So you see it's not free silicone. It's a silicone within a shell. So it doesn't flow anywhere. And if any time anyone wants to go larger or smaller, we could take it out and put another one in. We're going to dip it in the beta dye like that. Just like that. Just like we do when we do breast implants. Get the corner of it for me. So we pull it through all the way. There it is. You see how I'm flossing it. I'm trying to make sure it sits right in the middle. Right. Just like that. And then we go and we just let it sit in there. That's it. We're done with the lower ones. Now that we did the lower ones, we're going to do the upper ones. So we're going to go in like that. Just like what we did. This is the blue line is where the wet dry is. Wet dry means the outside where the mucosa is dry. The wet is what's facing inside in the mucosa and it's wet. Lip instruments we have. I love it because it curves the perfect curvature for the lip. So we go in. Okay. So as I said, they elected to use the same implant upper lower the 3 millimeter. This goes as high as 5 millimeter. Sometimes I wish the company would go higher and make 6 or 7 millimeter ones because these days people like their lips to be so full. So once I have it in my instrument, I pull it through. And once I have it all the way this way, when I see my assistant is helping me, there is the end. Then I hold the end here. Then I just go floss it back and forth. Make sure it's sitting well. And there it goes. Boom. It's right there. I did that quicker than people do lip fillers. It was done in about 15 minutes. So we're done. We put the lower, we put the upper. Right now he has lidocaine. That's why he didn't feel anything. But definitely you could, I could feel it right there. It's right there. And it's right here. How was it? Easy. Easy? No problems? Did you feel much? No. Just tugging. Just tugging. You slept through part of it. You got a good nap. We're done. 20 minutes in and out. You're done. You're ready to go. Wow. You were very good anatomy. You were excellent. You're welcome.