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danestheticsmedical

📍Danesthetics Medical Design⠀⠀
💉Dermal fillers, botox, SylfirmX, Aerolase laser
🎤 Int. Speaker & AAAMS faculty ➡️B Hills CA
🎙 JOIN MY PATREON 👇🏼👇🏼👇🏼

Shrinking your masseter after 40 can actually make Shrinking your masseter after 40 can actually make jowling worse, and here is why most people never hear about it.

Masseter reduction with neuromodulator injections is one of the most requested treatments I see, and for good reason. A hypertrophied masseter can widen the lower face, cause grinding, headaches, and TMJ issues. In your 20s and 30s, reducing it is straightforward. But after 40, bone loss, fat redistribution, and collagen decline mean that muscle is quietly doing structural work. Shrink it without addressing the platysma, the sheet of muscle running from your jawline down into your clavicle, and your tissues can slip forward and deepen those jowls.

The fix is combining masseter reduction with targeted platysma relaxation to counteract that downward pull and keep everything lifted.

This is the kind of nuance that changes outcomes. For deeper dives into injection anatomy and clinical decision-making, join my Patreon. Link is in the bio.
He sleeps with the pufferfishes. Don Corleone vs He sleeps with the pufferfishes.

Don Corleone vs Don Cannula.

Leave the gun, take the hyaluronidase.

I don't like dissolving, Tom. I'm a businessman; hyaluronic acid is a big expense.

Someday, and that day may never come, I will call upon you to dissolve my lips for me.

It's not personal, Sonny. It's strictly volume
🎵Catch me at the CMAs 🎵 Most injectors never touc 🎵Catch me at the CMAs 🎵

Most injectors never touch these three spots.

The tail of the brow is one of the most underused placement zones in facial filler work. A precise deposit there lifts the arch without touching the upper face at all. Behind the gonial angle is another area that gets ignored, but volume placed there redefines the jaw in a way that looks completely natural. And the temporal hairline, often overlooked entirely, when treated correctly it elevates soft tissue and restores youthful framing to the whole face.

Placement is the skill. Anyone can inject. Knowing where matters more than how much.

If you want to go deeper into the technique and anatomy behind subtle, high-impact results, join me on Patreon. Link is in the bio.
Yes, I’m going to say “puffy” about 30 times in th Yes, I’m going to say “puffy” about 30 times in this video. Make it a hydration challenge and take a sip every time. By the end, you’ll be hydrated… not puffy.

Biostimulators will not automatically save you from looking puffy.

This is one of the biggest misconceptions in aesthetic medicine right now. People are switching from hyaluronic acid fillers to biostimulators like Sculptra thinking the product is what causes that overdone, pillow-face look. It is not. Puffy is the result of too much volume without respect for facial contours, not a specific product. Sculptra actually restores volume globally and does not sculpt or define the way HA fillers can, which means it is just as capable of creating a puffy result in the wrong hands.

The product is never the problem. The treatment plan is.

If avoiding an overdone result matters to you, find a provider who understands anatomy, knows how each product behaves over time, and has a consistent track record of natural outcomes. Check their work. Check their face.

Want a deeper education on how these products actually work? Join my Patreon, link in bio.
Natural, refined, and undetectable. This client w Natural, refined, and undetectable.

This client wanted a subtle increase in height while preserving a soft, natural appearance. By combining a needle to define the Cupid’s bow with a cannula to enhance the rest of the lips, we achieved balanced, elegant results with minimal trauma.

The immediate post-treatment video shows some expected swelling, but notice the healed photos. No ledge, beautiful definition, and lips that simply look like they were always hers.

If you’d like to learn this technique, along with many others I use to create natural-looking lips, my educational platform walks you through the process step by step. 🔗 in bio ⬆️
Looking rugged and looking healthy are not mutuall Looking rugged and looking healthy are not mutually exclusive.

The best aesthetic work on a man never makes him look different. It makes him look like a better, healthier version of himself. The goal is never to erase every line or soften every edge. Knowing what to leave alone is actually the skill. Ronaldo at 40 looks better than he did at 25. That is not an accident. That is exercise, nutrition, skincare, and yes, done-right medical aesthetics working together.

None of that makes you less masculine. It makes you sharper.

If you want to go deeper on men's aesthetics and what actually works, join my Patreon. Link is in the bio.
💉Restoring the lower face without surgery. ✂️ ✈️ 💉Restoring the lower face without surgery. ✂️

✈️ This patient travelled from out of town hoping to look like herself again. She wanted a more youthful appearance but wasn’t ready for a facelift. My goal wasn’t to change her face, it was to restore what time had gradually taken away.

📐Treatment focused on rebuilding the foundation of the lower face. Strategic support was placed behind and beneath the jawline and in the preauricular region to create tension while avoiding unnecessary bulk. This helps support the jowls from behind, creating a cleaner jawline. Additional support beneath the mandible, around the marionette region, and subtle chin projection restored youthful proportions while maintaining a feminine appearance.

🤓Facial aging isn’t just skin laxity. We also lose fat, collagen, and bone, particularly around the angle of the mandible. Restoring this foundation can make a remarkable difference while keeping results natural.

🪡The final two photos demonstrate what the skin looks like immediately after the ferning technique., where tiny amounts of hyaluronic acid are placed within the skin to create a scaffold that softens static wrinkles. It adds structure, not volume, and in this case was performed without neuromodulators.

🙌🏼Whether using hyaluronic acid fillers, biostimulators, or both, my philosophy is always the same: undetectable restoration. Which is the most difficult thing to do in medical aesthetics, IMO. 

👨🏻‍⚕️👩‍⚕️If you’re a medical aesthetic provider looking to refine your injection techniques, I’d love to welcome you to my educational platform, where I teach over 6,000 medical providers worldwide.

Results vary. All treatments require an individualized medical assessment by a qualified healthcare professional. This content is for educational purposes only and is not medical advice.
Sculptra vs. Radiesse: Where can they actually go? Sculptra vs. Radiesse: Where can they actually go?

Ever wonder why your injector chooses one product over another? While both are incredible treatments, they have very different rules when it comes to placement and facial sculpting. Here is the breakdown:

Sculptra:
Great for overall collagen stimulation, but it has specific boundaries.
No Go: Forehead, nose, tear troughs, lips, neck, and décolletage.
Sculpting: Not the right choice for lifting or defining the cheeks and jawline.

Radiesse:
A powerhouse for structural support and definition.
No Go: Forehead, nose, tear troughs, and lips.
Good to Go: Neck, jaw, and mid-face.
Sculpting: Yes for the cheeks, double yes for the jawline, and three times yes for the chin.

Want to dive deeper into aesthetic medicine and injection techniques? Follow me on Patreon or DM me to learn about my new upcoming educational platform.
As injectors, our product selection drastically ch As injectors, our product selection drastically changes our mental state during a treatment.

Radiesse: An amazing biostimulatory filler, but because of its thick, particulate nature, intravascular injection is a real concern. You have to be hyper-aware of the facial arteries at every single pass. 

Sculptra: Also an incredible biostimulator, but because we reconstitute it into a watery suspension, the risk of a true vascular occlusion is incredibly low.

It’s the same face, but a completely different mindset. Injectors, do you prefer the structural precision of Radiesse or the low-anxiety flow of Sculptra? Let’s debate in the comments!
If someone notices your lips before they notice yo If someone notices your lips before they notice you, we have gone too far.

Lip filler is one of the most requested treatments I do, and also one of the most misunderstood. Two mistakes I see constantly: trying to reshape the lip with filler instead of surgery, and injecting directly into the vermilion border. Both are giveaways. Both age the lip faster than you think. Overfilling stretches the elastin and collagen, and when that filler migrates into the weaker muscle group surrounding the mouth, it is rarely reversible.

The goal is never for people to notice your filler. The goal is for people to say you look great and mean it.

Want the deeper breakdown on how I approach lips and why technique alone is never the full answer? Join my Patreon, link in bio.
You’re welcome You’re welcome
Overfilled cheeks are not the answer to facial agi Overfilled cheeks are not the answer to facial aging, and here is why.

Aging is not just a volume problem. You lose bone in the midface, the orbital rim, and around the nose. Soft tissue follows gravity. Fat compartments deflate. The result is jowling, nasolabial folds, and a face that reads as tired rather than lifted.

The goal is not to fill up, it is to restore structure and redirect the eye upward. Depending on severity, that might mean rebuilding the cheek foundation, creating tension along the jawline, or using fat-dissolving agents before we even think about adding volume.

Done right, the results can rival a surgical facelift without looking done.

Want the full breakdown of how I approach this systematically? Join my Patreon, link in bio.
Why I’m Pro “Face Taping” over night and how it wo Why I’m Pro “Face Taping” over night and how it works.
Overfilled cheeks are why people ask "what have yo Overfilled cheeks are why people ask "what have you had done" instead of "you look great."

Two red flags to watch for in a consultation: being told that loading your cheeks with filler will fix your nasolabial folds by repositioning tissue, or that more cheek volume automatically creates a positive facial vector. Both sound logical. Neither gets you a natural result.

Nasolabial folds come from tissue descent, fat pad loss, and bony changes at the base of the nose. Trying to correct all of that through the cheek alone means overcorrecting one area to compensate for three. A little product placed across a few strategic areas will always outperform a lot of product in one.

Want to go deeper on how the face ages and how I actually approach treatment planning? Join my Patreon, link in bio.
This is what I would look like if I never touched This is what I would look like if I never touched medical aesthetics in my life.

Most people do not come in wanting to look different. They come in wanting to look like a rested, healthier version of themselves. That is exactly what I have been doing for years, addressing pigmentation with skincare and laser, improving skin texture and firmness through microneedling and radiofrequency, and reducing wrinkles while keeping things natural and masculine.

The goal is never to make someone look done. It is to make someone look great. If people are asking what you had done, something is off. The right result makes people say you look amazing and nothing else.

When all aspects of aging are addressed in a balanced way, that is when the magic happens. Join my Patreon for the full breakdown, link is in the bio.
We never chose to stop growing. We just chose to g We never chose to stop growing. We just chose to grow differently.

Most clinics scale by adding more providers, more rooms, more volume. We scaled by going deeper. Teaching plastic surgeons, dermatologists, physicians, nurses, and dentists internationally forced me to question everything about my own technique and decision-making. That knowledge comes right back to every patient who sits across from Michele and me.

No quotas. No handoffs. No pressure. Just two people who are genuinely obsessed with getting this right.

If you want to understand the thinking behind how we treat, teach, and make decisions, that conversation is happening on Patreon. Link is in the bio.
Needle placement in the lip is everything, and thi Needle placement in the lip is everything, and this is how you know you are in the right plane.

When you tent the needle outward, you are looking for one specific sign: white blanching of the skin. See gray and you are too superficial. No color change at all and you are too deep, sitting near the muscle. White blanch means you are exactly where you need to be, and you have to stay there for every single pass or the result will look uneven.

Entry point goes just inside the white roll, in the red, never on the border. Work your way down in one millimeter increments, thread down, thread up, and keep each quadrant to about 0.1 to 0.2 ml.

Precision like this is what separates a clean result from a correctable one.

If you want the full breakdown, join my Patreon, link is in the bio.
I used to judge slow joggers. Turns out I was the I used to judge slow joggers. Turns out I was the problem.

As a lifelong gym rat I thought jogging slowly was pointless. Then I tried to jog consistently and could not make it past seven minutes. The only way I broke through that wall was by slowing down.

That person you see barely moving down the street is doing something most people never will. They showed up. They are pushing through the loudest mental resistance exercise has to offer, and they are not asking for your approval while doing it.

Consistency at any pace beats perfection on the couch every single time.

If you want more honest takes on health, mindset, and longevity from someone who has been humbled more than once, join the Patreon. Link is in the bio.
Rhinophyma is not caused by alcohol. It is caused Rhinophyma is not caused by alcohol. It is caused by chronic inflammation.

Most people assume the enlarged, thickened nose seen in rhinophyma comes from drinking. In reality, it is an advanced stage of rosacea. Alcohol can worsen it by dilating blood vessels and driving more inflammation, but the root cause is rosacea left unmanaged over time. Early intervention matters. Topicals like Rosatrol paired with zinc can help calm active rosacea before it progresses. For moderate to severe cases or established rhinophyma, laser treatments targeting superficial blood vessels combined with resurfacing can dramatically improve the skin. Prevention and consistency are everything with a chronic condition like this.

Want to go deeper on rosacea, rhinophyma, and the treatments that actually work? Join my Patreon, link in bio.
Putting diaper rash cream on your face sounds ridi Putting diaper rash cream on your face sounds ridiculous until you understand the science behind it.

Zinc oxide is the opposite of retinol. Where retinol works by irritating the skin to stimulate collagen, zinc oxide does the opposite. It calms redness, repairs your skin barrier, and acts as an occlusive to seal moisture in overnight. So when people wake up looking hydrated and glowy after trying this, they are not imagining it.

The way I recommend using it is simple. Use your retinoid five nights a week, and on your two rest nights, swap in a zinc oxide product instead. Your skin gets the recovery time it needs, and your results will actually improve.

Full product recommendations and deeper dives into routines like this are on my Patreon. Link is in the bio.

Products to use: 

Sudocreme
• Contains zinc oxide.
• Much easier to spread than Penaten.
• Probably my favorite "social media trend" alternative because it still contains zinc but feels less like you're frosting a cake.

Desitin
• Contains 13-40% zinc oxide depending on the version.
• More common in the US.
Contains Zinc (but not necessarily Zinc
Oxide)

Avène Cicalfate+
• Contains zinc sulfate and copper sulfate.
• Helps calm skin and support repair.
• Much more elegant cosmetically than diaper cream.
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613 – 614 – 4466

info@danestheticsmedical.com

101-55 Murray St

Ottawa, ON K1N 5M3
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