转为注射的边缘，故意直播 Turn to uh ali marginal for the injection live intentionally
听到了吗 Do you hear me
是的，是的，很好 Yes Yes, very well is a very
非常聪明的鼻子注射器 very smart injector for the nose
我见过很多次了我们在听你说 I've seen in many times and we we're listening for you
谢谢你 Thank you
伯纳德 Bernard
大家早上好 Uh Uh Good morning everyone
我来自里昂大学，法国 Um I am from university of Leon, uh France
我通常会尝试做一些简单的说教来重塑鼻子 and I usually try to make everything didactic and simple uh for the nose remodeling
不做手术 Without surgery
基本上，你必须控制物品 basically, you have to um to control for for items
第一个是洛杉矶实验室 The first one is the l c a lab
约克尔米勒角 yokel miller angle
这是什么 What is this this
是上嘴唇的角度 Is the angle from the upper lip
殖民地a这是逻辑米勒角度 and the colonial a this is the logical miller angle
俗称鼻唇角 commonly named nasal labial angle
但真名是实验室yu keli miller angle But the the real name is lab yu keli miller angle
第二点是鼻侧角 The second point is the nasofrontal angle
额头和鼻子之间的角度 the angle between the their forehead and the nose
第三条是背部的美学线条 The 3rd one is that da el dorsal aesthetic lines
我会告诉你这是什么 I will show you what is this
这些是从眉间下来的线 These are the lines coming down from the glabella
转化为内眦 converting into the medial canthus
然后一路走到了顶端 and then coming down all the way down to the tip
这是背部的审美线。最后是t d p，也就是 This is the dorsal aesthetic line. And finishing by t d p which is the
继续定义点，这些是 keep defining point, these are these
你看到的两点， two points that you see,
哪一个是 which are the
光反射点 light reflection point
它将定义下尖端和这个超级尖端三角形 and which will define the infra tip and this super tip triangle
所以 So
实验室yu keli miller angle the lab yu keli miller angle
鼻侧角 the nasofrontal angle
很容易辨认 which is very easy to recognize
如果你把前额往下推 If you push the forehead down
你这里有韧带 you have a ligament here
这将定义鼻侧角的水平 and that will define the level of the nasofrontal angle
这是边缘的上边界 And this is the superior border of the limbus
所以你画这条线 So you draw this line
你画出了背部的美学线条 you draw the dorsal aesthetic lines
你画出了驼峰的超级边界 you draw the super border of the hump
所以这是你要填满的区域 So this is the area that you will fill up
伪装驼峰。 to make a camouflage of the hump.
然后我们用旋转的方法得到顶端的支撑 Then we will get support to the tip with the rotation
头部旋转和杠杆打开 cephalic rotation and opening of the lever
克洛伊·米勒角 chloe miller angle
然后 And then
我们将以提示定义点结束 we will finish by the tip defining point
这是我几年前描述过的一种技术叫做 So this is a technique that I have described several years ago called
三步走 three step
unos重塑。第一， unos remodeling. First,
我们会得到的 we will get
更多的支持，打开七层灵巧的角度 more support to the tip and opening the seven level clever angle
那我们就请客 Then we will treat
鼻侧角，我们将以尖端定义点结束。所以 the nasofrontal angle, and we will finish up by the tip defining point. So
你把针孔往上，往中间走， you turn the the hole of the needle up, you go right in the middle,
小心小柱是树 be careful to the columella are tree
所以你把针放在侧面一毫米处 So you put you put your needle one millimeter in lateral side
然后垂直移动 and you go vertical
鼻尖到前鼻棘， to the tip to the anterior nasal spine,
如你所见， as you can see,
你稍等一下 you wait a little bit
让病人放松。然后你呢 for a patient to be relaxed. And then you
试着慢慢地，慢慢地，慢慢地，慢慢地注射 try to you start injecting slowly slowly slowly, gently
垂直矢量。 vertical vector.
我在摸 I am touching the
顶住，你的鼻骨。所以你就这样把第一个球弄松了 counter, your nasal spine. So you make your first ball loose like that
大约0.2毫升。我通常用时髦的l和轻拐杖， about o point two cc. I usually use stylish l with light cane,
那你呢 then you
拔出你的针，不要出去 pull out your needle without getting outside
你把手转过来 You turn your hand
你把它放在45度，然后再注射一次 you put that the 45 degree and you make a second bolus
这次你在脚内侧脚的两英尺之间 This time you are between the two foot feet of the medial crura of
鼻翼软骨。所以你就这样把第二个球弄松了。 alar cartilage. So you make the second ball loose like that.
还有 And
第三个， 3rd,
你再拔掉针头， you remove your needle again,
和 and
你把它放水平。 you put it horizontal.
最后一个会打开的 This last one will really open
爱。你是克利·米勒角 the love. You keli miller angle
抱怨。 complain.
我们可以在这里看到 So We Can you see here
立即更换实验室 the immediate change of the lab
余凯丽，米勒角 Yu keli, miller angle
你看到小费了吗 you see the tip support
它就像一个无色的镜头 It works like a colourless shot
这正是我们在手术过程中所做的 It's exactly what we do during surgical procedure
我们把软骨移植物作为柱子 We put a cartilage graft as a column
两个内侧脚之间的一记丢球 a loss shot in between two medial crura
第二次注射是鼻额角 The second injection is the nasofrontal angle
你从驼峰的上边界出发 You go from the upper border of the hump
就在中间 right in the middle
因为两边都有背侧动脉吗 Because do you have the dorsal lateral arteries in each side
你深入到骨头上了 You go deep on the bone
你把手指放在你的食指上 you put your finger at um bine, your index
为了不 in order to not
制作 make
背部的美学线条变宽了， the dorsal aesthetic lines wider,
因为那会让鼻子看起来很宽 because that will make the nose looking wide
所以我控制注射的宽度 So I control the width of my injection
和 and
你把这个区域从 you fill up this area from the
背驼峰 dorsal hump
一直到鼻侧角水平。 all the way up to the nasofrontal angle level.
你看， And You see,
鼻子很直 the nose is perfectly straight
直说吧。谢谢您。 straight yet. Thank you.
还有 And
最后 the last
注射是为了尖端的定义点。所以我有我的 injection is for the tip defining point. So I have my
自己的技术。我通常45度转弯。那根针， own technique. I usually turn at 45 degrees. The needle,
如你所见， as you can see here,
我从北街出发 and I go from the North street
从内部 from inside
我之前已经用防腐剂清洗过粘膜了 I already previously cleaned up the mucosa with antiseptic
所以目标是进入感染三角的中心 So the aim is to go in the center of the infective triangle
如此简短简短 So brief brief brief
所以我走了 So I go
在里面。 inside.
我不知道你是否看到我的针尖。所以我是 I don't know if you see the tip of my my dip of needle. So I am
在软骨时代的软骨之上，穹顶 above the cartilage era cartilage, the dome
就在皮肤后面。我在这里做了一个小卷 just behind the skin. And I make a small volume here
一切都结束了。 and it is done.
我们已经结束了 We have finished
鼻子治疗 the nose treatment
再见， bye,
三点注射法， three point injection,
如你所见， as you can see,
鼻子的定义很完美。 the definition of the nose is like perfect.
所以 So
第一次注射，唇色 first injection, the labial colour
米勒注射，然后鼻腔注射 miller injection, then the nasofrontal injection
然后是尖端的定义点， then the tip defining point,
请微笑。所以是的，对不起， smile, please. So yes sorry,
弗里蒙特喝了咖啡。到现在为止， uh fremont had coffee. So yet,
所以是的。 So Yeah.
如你所见 so as you can see
就像哥伦贝拉·斯特朗那样 by doing this exactly like columella strut
你已经不知道了 you don't have the plunging knows anymore
因为它能稳定鼻子的动态部分。 because it it really stabilize everything at the dynamic part of the nose.
所以我们结束了， So we are done,
艾莉，我有个问题要问你 ellie, I have a question for you
专栏 The The column
艾拉，你有没有像以前一样变宽 Ella, have you widen as you have
你用那笔钱在那里建了一个小山谷 You created a little bit more of a valley in there with that injection
你最后一次注射 your last injection
下半部分 the the inferior part
最后一次注射的登山者 the climber by the last injection
水平矢量越浅 which is the more superficial a horizontal vector
事实上，我真的在打开逻辑上的你-米勒角度。 Actually, I am really opening the logical you miller angle.
你知道吗，我把这部分往上推是为了制造一种错觉，我让这个区域的头朝上旋转到鼻子上 You Know I I I push this part up in order to make the illusion that I gave the area a cephalic rotation to the nose
但当我看艾拉专栏的时候 But when I look at the column Ella
我发现有个山谷有点小 I I find that there's a valley that's a little bit
我没有，在你开始之前我没怎么注意 I I didn't I didn't pay much attention before you started
是的，是的，很漂亮，这是她内侧脚的形状 Uh Yeah That Yeah That Was pretty that was this is the form of her a medial crura
我知道这不是因为触角 I see it's not because of the feeler
可以 Okay
谢谢您。 thank you.
还有其他问题吗 Is there any other question in
在观众席上还是在主持人席上 in the audience or in in the from the moderator
现在 Now
这是个很棒的电梯 It's a terrific lift
你鼻子尖上有东西 You got there on the tip of the nose
是的，真的。 Yeah Yeah, really.
你可以在超级茶歇中得到很好的结果 And you can really get a very good result in terms of super tea break
这对保存这些超级尖端断裂非常重要 This is very important to preserve these super tip break
这实际上创造了一个非常明确的提示 which actually create a very well defined tip
你知道超级小费是个很重要的消沉 You Know The super tip break is a very important um depression to keep
有段时间病人要求增加一点音量 Some time patient are asking to to add a little bit of volume there
但是我 But Um I I
真的，再一次，我试着创造 really, again, I try to create
我试着保存这个大约11毫米的凹陷 I try to preserve this depression about 11 millimeter depression
这给了你一个更好的小费定义 And that gives you a better definition of the tip
我喜欢注射的11种方法 11 of the ways I I like to inject
我想注射的时候和你有点不同 which is a little different from you as I like to inject
我来得很早 I come loud early
我通常离中心大约5毫米 I usually about um about five millimeters to the to the lateral to the center
然后我就把小费放进去了 And then I just put my tip in
我可以看着皮肤上升 and I can actually watch the skin elevate
你有没有那样做过 Do Do you ever do that approach
你看起来总是很内向 You You always seem to be vert
你是你的中心 You're You're central
每次 Each time
我被派去了 I am sent
我一直都是这么做的就像我给你介绍的技术一样 I always do uh exactly the technique that I presented to you since like
六年了 six years
因为这项技术实际上是基于外科手术的解剖学和血管解剖学 Because this technique is really based on the anatomy of surgical procedures and also the vascular anatomy
因为这里有柯利-米勒动脉，我在金盏花旁边有一点 Because um here you have the collie miller artery and I go a little bit lateral to the calendula are tree at this point
然后我去看电视 And I go posterior to the tv
对着镜头 to the camera
阿蒂，我在商业动脉后面 Artie, I am behind the commercial artery
在这里 Here
你有背侧动脉 You have the lateral dorsal arteries
两边都有 which are in each side
我就在中间 And I go right in the middle
这里有柯利-米勒r树的分支，有两条边缘动脉 And Here you have the bifurcation of the collie miller r tree with two marginal arteries
我就在这两者之间 And I am in between these
我正处于这种分歧之中 I am in middle of this bifurcation
所以我通常不采用侧方入路 So I usually don't use a lateral approach
我总是用针 And I always use needle
保存这些地标，真的很安全。 uh keeping these uh landmarks, which is really really safe.
是 啊。 Yeah.
巷 Alley
你能说说你鼻子上用了多少产品吗 Can you comment on uh how much product you use there on the nose
还有你喜欢用什么样的产品 And also what kind of product you like to use
根据电流变材料的流变性 In terms of the rheology of the er material
是的，我通常 Yeah I usually uh
我通常能用一个cc做鼻子 I usually can do a nose with one cc
如果你有一个 If If you have a very
这里的角度很深 very uh deep angle here
尾状旋转，可以上升到1 caudle rotation, it can go up to 1
二十一点三 21 point three
但永远不会超过这个 but never more than this
即使鼻子很硬也不行 Never even for a very tough noses
那我用的是时尚的viva c公司，法式法式产品 Um Then I I'm using stylish viva c company, French French product
好多年了 um for for many years
我用的是他们产品中间的l-l-uh粘度 And I use the l l uh viscosity which is in the middle of the of the their products
因为你想要一些东西，一些产品 Uh Because uh you want something, some product
可以给你下半部提供机械支撑 that can give you a mechanical support in the lower part
但也要小心小费 but also to be soft for the tip
或者你得用两种不同的产品 Um You Know Or you have to use two different products
这里有一个很高的粘度 one very high viscosity here
和11个极低粘度的针头 and 11 very low viscosity for a tip
所以我觉得它很好因为它就在中间 So the l I think it's very good because it's right in the middle
有足够的力量得到机械支撑，有足够的力量得到超级联赛的轮换和足够的光滑和柔软来支撑鼻尖 uh enough strong to get get mechanical support and to to get um tip the uh super league rotation of the tip and enough smooth and supple for the for the tip of the nose
这就是我现在用的1，几年了 So this is the the 1 I use for now, several years
包括轻拐杖 including uh with lighter cane included
你怎么告诉病人这个产品的耐用性 And what do you tell patients in terms of durability of this product
你要去哪告诉他们 Where are you gonna tell them
你会看到他们回来的 You're gonna see them back in a
一年半的补妆时间 year and a half to do touch UPS
或者你的产品保质期是多久 Or what what's your your duration of the product
这是人们常问的问题 This is a very very uh common question that people ask
但我真的不想有几个月的时间 but I really I usually don't try to get a number of months
因为我告诉他们这取决于人们 Uh Because I tell them uh it depends on people
这取决于皮肤的质量 It depends on the quality of the skin
皮肤的厚度 the the thickness of the skin
这取决于他们是否吸烟 It depends off if they're smoker or not
我通常会说，至少能坚持八到十个月。 I usually say that will stay at least for for eight to 10 months at least.
然后就不像二进制了 And then it's not like a bina thing
不是的，一天之内它就不会在五月消失了 It's Not It can not gonna disappear in may in in one day
如果几个月或一年后 So if after few months or one year
你觉得你需要再补充一点 you feel that you need to to to fill up again a little bit
鼻侧角或尖端旋转 the nasofrontal angle or the tip rotation
你回来吧 you come back
我们不需要放同样数量的产品 we are not uh we don't need to put the same amount of product
所以我通常不给病人电话号码 So I usually don't give a number to patient
我说，好吧 I say, okay
去，呃，当你觉得需要补漆的时候回来 go at uh uh come back when you feel that you need to to to to get a touch up
我想请医生 I I wanted uh l o ali um doctor
第二，我想对漂亮的注射做个评价 Second, I wanted to to do a comment uh to to beautiful uh injection
嗯，我想说的是，重要的是要安全，要深注射 Uh Um I wanted to to say that it's important to be to be safe and to inject deeply
呃，在上面，在背上不要太浅 uh on the the uh uh superior still and not too superficial on the dorsum
因为所有的血管都是相连的 because all the vascular artery are connected
如果你注射到背动脉，你可以 If you inject in the dorsal artery, you can
这些振荡连接角动脉，后杀手动脉，眼动脉和局部动脉 uh these oscillatory as connection with the angular artery and with the super retro killer artery and the ophthalmic and regional artery
理论上有可能是坏死和失明 So it's theoretically possible to have necrosis and to have blindness
所以这很重要 So this is important
所以我想你是同意的你是完全正确的 So So I I think you are agree that yeah you're you're totally right
这里的背侧动脉 The lateral dorsal artery here
每侧一个连接到超级卡车司机，然后连接到眼科内部质量系统 one in each side is connected to super trucker then to to ophthalmic an internal quality system
所以在这部分我把我的放在中间然后深入骨膜 So that's why in this part I am uh I put mine either right in the middle and I go deep on the periosteum
正如我之前告诉过你的 Uh And as I told you previously
这项技术是基于外科解剖学和血管解剖学的 the technique is really based on on the surgical anatomy and on the vascular anatomy
我有一些幻灯片，你可以，你可以，我可以给你展示你穿的衣服 I have some slides uh uh that you you can you can uh I can present you wear
我在血管和结构之间是真的 Uh It's I go really true in between the vascular and structures
所以我几乎可以肯定我不会伤害鼻子的血管 So I am almost sure that I'm not gonna make any injury to to to to vessels of the nose
非常感谢你 Thank you very much
走吧。 and go.