 Hi everyone now today. We're doing a lip implant. So we look at the implant. It comes from permafacial lip implant It's a silicone implant, but the thing is just like a breast implant. It's in a covering You could see how it has a shell, but it's very flexible. We're going to put it in baited dine We're going to clean it antibiotic wise just like that So you could see it's all in a gel form So it's not loose like the type that we in you would inject you see it's all in a piece You can bend it. You can laugh. You could cry whatever It stays in there. So what we're going to do we've already done the dissection our patient is numb What we're going to do is we're going to feed it to ourself and we do the shoe polish thing To make sure it's centered. You see how i'm doing this called the shoe polish maneuver Boom, so we know it's going into centrally And then we let go and then we pull and boom It's in there So you could see the dissection is done already our patient is awake any pain? No, no pain. No pain She's comfortable the dissection is done She was nervous because she had seen some videos, but I told her after I numb her up. She won't feel anything She's been doing great. We've been chit chatting. She's doing good We're opening up going to do the lower part and then the buckle fat. It's going to be a fun day here So here's again our perma perma facial implant 5 millimeters 65 millimeter 5 millimeter is the thickest they have we checked the expiration date. It's ready to go You know it's from texas. Here it is. There's our implant into the betadine We let it soak in there a little bit and get it ready to go back in the in her mouth Who's in? Look at that beautiful shoe shine maneuver. You see it use the ends are equal Right there you maneuver it back and forth. How you doing? Good Okay, and then we just pull it in and bloom it springs into position So here it is. Here's her buckle fat in record time. I think it took me a home 30 seconds to find it in there and boom Not even 30 but look at that beautiful buckle golden fat right there We take out all of it as much as possible. That's what she said. She told me make sure dr. Saul you take all of it out. What do I do? I listen to the patients That's what I like to do listen to all my patients and give them what they want There it is. There's the one from the right look for a nice girl like this. That's a big one That's a really juicy one. She's gonna see a nice difference I don't know if you guys see it on my glove or not, but here it is. There it is. Look at that Here's the one from the left side. You can see the buckle fat. It's all removed. It's all just one big piece of fat