Episode 6 - All About Lips

In this episode, we talk about your lips.

Episode Transcript

(00:00):
Hello everyone, and welcome back toanother episode of the Indiana Boatox Babe.
I'm Dok's one of the co hostsof this podcast, and we have Laura
Shryock, who is a r NBSNand a dual certified boat twks babe that
is really going to be giving usour input and really educating us in the

(00:24):
process. Well, Laura, herewe are in episode six and we're going
to really start off by talking aboutthe lips with fillers in this episode.
Okay, so when it comes toyou know, with the lips with the
fillers, do you look at thelips. Can somebody come in and get
individuals like just the upper lip orjust the bottom or is it kind of

(00:47):
like a package deal. That's agreat question. No, it's not necessarily
a package deal. Everybody's lips differently, so depending on how you know sensual
they look and puffy and what degreeyou want and what degree they want.
I think we've talked about in differentpodcasts not overdoing it, not overfilling it.

(01:10):
You don't want them to look ducky. So I would say from previous
podcasts what we always talk about isstart with the boatox, the neurotoxin so
botox or zmin and try that withjust a little lip flip, And that's
where I would start with them first, because that's your cheaper option. And
then it was going to show morepink, right, so you're going to

(01:30):
see more pink, And like wewould discuss previously, it's like putting on
a lip liner, right, Sothen they won't have to necessarily. They
could stick on a little gloss inthe morning and go because they're already looking
a little bit more enhanced. SoI like that as a first starting and
then we start talking about pricing,and probably right into that, you know,

(01:51):
we'll talk about how the boat,how the dermal fillers work, and
which one I would choose for them, and then cost comes into effect.
And usually the number one question isnot any of those that I've just answered,
It is how bad does it hurt? Because that would be a very
sensitive area. Yes, right,you bite your lip or stuff like that.

(02:13):
Smart for sure. Absolutely, youknow, when it comes to you
know, like the fillers with thelips around, or the botox injection with
the lips or any part of thebody, does price vary because that would
be more of a I'm going toassume more of a central or high level

(02:34):
area that maybe gets addressed. Doescost factor into that based on the importance
of a particular part of the bodyor supply and demand, Maybe it's kind
of maybe maybe a better question.Yeah, yeah, so I would say
yes, I would Number one hottopic or even younger generations would be the

(02:58):
lips. Can I fill my lips? Can I feel my lips? Right?
They want those those lumptuous, enhancedlooking lips. And then the older
ages they you know, they havethe fine lines of what we talked about,
the smoker lines, and so theyreally not necessarily from their perspective,
they want can you get rid ofthe lines? No, I don't want
that. Volump shows look so generationallythat kind of changes as far as what

(03:21):
they want. And then pricing dependson your injector. Right, so I
do per unit for the neurotoxins likewe talked about in previous episodes, but
lots of lots of different medspas andinjectors will actually put a price on that
flip flip, So if they usedminimal units to get that enhancement, it

(03:45):
would be yeah, they just willthrow it never on there. So it's
one hundred dollars for me to flipyour top lip, right, maybe two
hundred dollars or maybe five to do. I just do per units because I
look at what they tell me feedbackof what they want, and then it's
cost per unit for me. Wouldyou make a little bit more money right

(04:06):
by just doing that? And thenas far as the fillers go, you're
going to be looking at how muchvolume you think that they want and then
again doing the assessment talking about whatthey want. Looking at that me or
getting that feedback would be the first, you know, part of the treatment
plan to try to figure out whatthey want. And then you want to

(04:28):
look at how much you're building,right, how much you're building of the
lips based on age, based onhow thin the lip is, because then
you're going to maybe have to havethat thicker consistency that we talked about in
the fillers when we started. Soyou're going to basically look at that and
so then you're just paying person Wreneper syrnge perhaps Syrne. So if I

(04:49):
had somebody that just needed a littlebit, I would recommend the half syringe.
I would love to tell you thatthe manufacturers the full syringe is X
amount of dollars and the half syringeis half that, but it's not right.
So they do give you a littlebreak obviously on the half syringe,

(05:11):
but it's not at half price,right, it's not as big as what
you would think yet. Yes,so you would think it would just be
fifty percent right yet what the onesyringe is, but it is not.
Typically, so I don't usually posemy pricing just for the aspect of I
don't I mean necessarily know what I'mgoing to use on them, and I
like to do that initial assessment andI like to do the neurotoxin first.

(05:34):
Then we will do the follow upto see what that neurotoxin looks like.
And in that if they want togo ahead and do the filler, then
in that second visit on the followup, then I've already got it ordered.
I got to order specifically for myclient in the in the composition that
I want, right, so theconsistency that I want, so that we're

(05:55):
going towards that end. So that'swhat you know, that goal of this
is what I want it to looklike. You know, you've said many
times a patient comes in, ourclient comes in, and you're having them
make those facial with the lips,I would assume, and obviously I don't
do this, you do, butI would assume that from my standpoint that

(06:20):
trying to judge what somebody wants withtheir lips would be the hardest of all
the facial body parts, because Iguess I don't know how to really describe
it, but I would just thinkthe lips because it's a focal point,
that is, and you know whenyou're talking to somebody, and some people

(06:43):
read lips correct absolutely in the eyes, and you don't want to go too
big or too small, and tome that would be the heart is it?
Is that a true statement? AndI think no, because you think
about on the podcast, you can'tsee the lips right, and then in
person we can see and like anda lot of the older Genners, they'll

(07:03):
show me what their lips you stilllook like, so then I can even
see that, so that we cansee ten years ago or whatever that you
have latness they have or how muchjust volume loss that they have throughout the
years. So usually what I tryto do is all glove up and they'll
look at the in the mirror andthen I'll just kind of lift it a

(07:25):
little bit or pinch it a littlebit so that we can kind of see
what what they're thinking. Sometimes they'lleven do that for me, right,
because this is what they're generally making, those duck lips, you know that
we've all done, and trying toover exaggerate that. To me, that
would probably be the hardest of somebody'strying to give a visual that they see

(07:45):
in their mind. Yes, butwhen they're trying to perform that, they're
overperforming, and to me that wouldbe hard. But I but I don't
do it either, right, yes, Well, And then injection techniques also
vary, so you can depending onwhat you're going for. If you're going
to do we're just going to sayvertical to the lips. If we're filling

(08:07):
in a downward motion and filling intothe lips and trying to fill some of
those upper smoker lines or lip linestoo, you can do that. You
can line the lips. So thinkabout the outer edge where you'd put lip
liner, where the pink you know, starts from your upper lip, and
then around you can line that.And I always I tend to say threading

(08:30):
a needle, but that's not reallywhat you're doing it or basically you're finding
your entrance spot. You're starting atthe corner of the mouth, and you're
going in your line that entire lipall the way up to the cupid's bow.
And I say cupid's bow, whichis maybe ela that a little bit
for the audience. So I wasthinking, Doug, do you know what
that is? He's pointing, Sohe does. That is so if basically,

(08:52):
if you just take the tip ofthe nose or the nostrils and go
straight down and that nice v that'sat the top of your lips is your
cupe its bow. So you're goingto extend I mean most people would like
that to be accentuated. And soyou'll you'll you'll build with that too.
And then also, depending you knowwhat you're building, you're going to go

(09:13):
into the pink of the lips tooand start building in that and adding volume
with the with the fillers. SoI always tell them, you know,
buy the syringe. I may notput the whole syrrange in, but when
you come back or if you say, hey, in a couple of weeks,
I need more volume, you canalways add more volume. It's the
same thing as I said with thenerve toxins. You can't well with the

(09:35):
fillers. You can take it away, right, but then we would have
to pay for me to dissolve withthe pylin X right, So, and
it's kind of painful honestly when youhave to reinject, and then it's it's
kind of eating that up and dilutingit out, so then it is very
uncomfortable. So I would say,you want to get it right the first
time, so less is more right. And that's something that I think you've

(09:58):
been seeing since we into the podcast, and I had it written down here,
start small, work up, andthat's exactly right, because I think
the worst thing you would want isto over exaggerate and then walk out it
look like you have a flat lip, or or if you're not happy with
something, you're probably going to beself conscious and feel like you're looking at

(10:18):
your lips every time you talk.And you don't want an happy client or
a patient coming in because they probablywouldn't come back in. Right. You
have positive feedback, you want themto have and feel good about them and
feel good about themselves. And thenthen I love it when they send me
the text with the picture. Thenext day, I just got one of
those this morning. Actually, Idid some cheake fillers on first timer.

(10:43):
She was very nervous, walked herthrough it. Of course you have to,
you know, tell her just aftercares. You have to tell her the
possibilities of that. It's everything thatwe've covered with the dermal fillers, you
know, and where I'm going locationwise. We did the you know,
the numb and topical, and wedid the ice packs with the balloons that
I fill up, and she wasyou could just tell she was nervous.

(11:05):
She was right, and so wegot her through it. And again every
time i'm you know, at ata point where I think, oh this
is close to where I'm I thinkI'm done with what she's told me them
feed or what they've told me feedbackwise, then we get the mirror out
again and we look. So Ipretty much have that rapport and that feedback

(11:31):
the entire time I'm injecting. Unlessthey absolutely said I can't look right,
I can't, I'm just good.I go with it, Laura, I
completely trust you. But yeah,no, she texted me this morning and
she the text was the picture andshe said I love you, and I
got hearts after with the picture show. I said, all that's sweet.

(11:54):
I said, this is you knowwhy I love what I do, and
this is what we want, right, we want you to be happy and
feel like you put that, youknow, trying to clock back absolutely,
so with the lips, the biggestthing I think I would just tell you
after care. You know, whenyou leave the office, you basically look
right like talks before. You lookexactly like it's going to be when you

(12:16):
leave there. Now just because you'vemanipulated right that tissue, you will have
some swelling the first twenty four toforty eight hours, so you'll be a
little bit more volumptuous. Right.Probably when you have the office getting a
toothboard, it's a little well thatmakes stays, so you feel that.
So that's like going to the dentistand for probably about four to six hours,

(12:37):
honestly, you're feeling a little funky, right right, Yeah? Can
you eat immediately after something like that? Eat? Drink? Yeah? No,
I always yeah, caution there,just be careful, right yeah,
So I tell them, you know, decrease salt content, no alcoholic beverages,
you know that the night of becauseit's going to thin the blood and

(12:58):
increase risk for bruising, but there'sreally no downtime. And then I tell
them, you know, just washtheir face normally pat dry. But the
biggest thing I think is I don'twant you squishing it. Right. So
we talked about those consistencies of thedermal fillers in the previous podcast. Right,
it does have to kind of setup memory. I use that.
I hate to use the concrete analogy, but you get that concept of right,

(13:20):
it has to have that setting motion. But once you have it all
filled and we get you basically howit is, and it's kind of like
going to the dentist, I'll reaglove up and then we'll massage everything through,
make sure everything feels smooth. Andthen even when I'm injecting, also,
I have them smile, right,I have a smile. I have
them like make the smooching sound andpull the lips together. So I make

(13:43):
sure all that is looking exactly likeit did before. Right, So we
take all the pictures before, justlike we do with anything else, and
then right, and then we takethe after picture also to kind of get
it before and after views the beforeand after Again, it's it's going to
be gratification. I mean that isThe factor is it does enhance. It

(14:09):
is instant gratification. It does costmore, it does last longer, but
you get that high of I'm backright, walk in one way, you're
walking out completely different and you're probablyfeeling different. You're definitely looking different in
that And like you said, thatinstant gratification, which right or wrong,

(14:30):
good or bad. We live inthat society right right now. We we
do in terms of that. Andwe kind of touched on this a little
bit a little bit combining the two, the injections of botox with the fillers
of the lips, and I believeyou were telling us that you would probably
recommend starting with the botox first,or the injections first, and then walking

(14:52):
up to the fillers. Maybe justdo a quick recap on why that's important,
what your philosophy is behind that,right, So again, how they
present and what they tell me asfar as feedback wise of what they want
the outcome. It's just a cheaper, right, a cheaper version to maybe
get that enhancement if you go witha neurotoxin and do the botox of the
ZMA or the disboard of the JEVO, all those neurotoxins are gonna do the

(15:16):
same thing. They're going to relaxthat muscle. I would say, again,
do subtle because you still want tobe able to purse your lips and
because you're relaxing that muscle, butyou can inject across the upper lips.
So I'm going to say at themustache line was going to be the best
thing for me to describe through themuscle, and then I actually inject a
little bit across the muscle, almostthe needles with or length, so that

(15:39):
way you're kind of getting across thatmuscle. So you'll get you know,
kind of about an eighth of aninch more pink showing if you do it
that way. So if you startwith that and then you wait, I
would say always wait ten to fourteendays and have them to come for the
fodcast. So when I do theconfirmation for the follow up, then I
will usually put there, you know, here's your time, and confirm if

(16:03):
that still works, and would youlike to proceed with the filler, because
I'll get that ordered for you.So that's typically kind of how I run
it, just because then we're it'sa gradual process and then we also know
are they ready for that? Dothey want to spend more money or are
they happy with what they have?And it and it goes across the board.
I'm not going to tell you it'sgenerational, right, it's really personal

(16:27):
right as far as how much enhancementthey wanted and how honestly how much they
metabolize that and how much those minimalunits worked. And sometimes I can ye
how they feel, how they look, making sure it still moves normally,
and then did it get rid ofsome lines? Did it give you a

(16:48):
little bit more pink? Is itenhanced as much as you would like it
to be visibly? So that's whyI always say start with that, because
that's a cheaper version. And againI don't do set amount for that,
so just be how many units youhave. So if you if I only
did like two units on each sideof the mustache, I say, the
upper lip, then that's like fiftytwo dollars, right, it's very reasonable,

(17:12):
And that's you know, upper lip, and then I do I start
with just three on the lower lip, and so you're looking just at seven
units total of neurotoxin. If you'rejust gonna do the botox or or one
of the ox. Yeah, sothen that's how I start and then go
for thermal fillers. And I wouldassume there's probably some individuals that, like

(17:37):
you said, think that they haveto have the whole nine yards ten yards
done, and then they're getting aninjection here and an injunction here. Weait
to ten to fourteen or twelve daysand then come back and go, oh,
this is what I want. Idon't need to go and eat correct
well. And sometimes again generate,I'll have some of my younger girls will

(18:02):
take there before and after pictures sothey know exactly how much enhancement they got.
But then my older generations they'll besurprised, but about there for before
and after, so they may tellme to go ahead and order it,
and then they're like, okay,well actually I love this. I mean,
now that you showed me the difference, can I add just a little
bit more? Because again I alwaysstart subtly, So sometimes I'll order something

(18:26):
for them and they may not,but I'll just use it on somebody else.
So well, because the lip,honestly, I carry the two products,
so that for the lip, Iusually there's well four I guess I
can use. I can use theJupiter Ultra, the juveiterm Ultra plus.
So that way you guys just havesome what products are there, right,

(18:48):
so that when somebody you know,you're out there you're asking, then you
or if you're googling even then youhave some starting point right of knowing what
the normal ranges are and and whooffers that. I also carry the Juveiter
Vabella and so that gives you anice supple with a little bit of volsume,

(19:08):
but keeps all that stuff nice insoft like the hair job we talked
about. I love that one.That's probably one of my favorites. And
then the Vibella by Mertz is anice soft lip filler which I usually use
on the tear troughs. But again, if you didn't use it all on
the tear trups and they wanted justa little enhancement in the upper lip,
that would be something easily that youcould pop that in there and they would,

(19:29):
you know, get the full useof their syringe. So you can
do that. You know, wetalked about the cheeks. There's radius with
the Mertz products that you can kindof use cheeks and nasy alabial folds and
marionette lines and jaw lines but thenthe juveter vluma you can only use on
the cheeks and then remember on thatchin if I wonder, i'd just a

(19:51):
little more point to it. Souniversally, I think there's more for the
lips, but we also talked aboutthat's probably more popular area, and that's
probably where it started, right,Yes, started with the lips with the
fillers, and then now it's juststarted going all over the all in the
face and in the hands. Youknow, we talked about you can put
it in the hands, so andthen the radius is also off label.

(20:15):
They've been doing some hyper diluting anddoing the neck. So as we finish
up the lips here, depending ontime, we can go into nasy Olivia
folds and Marion outlines, you know, and real quick to finish up on
the lips. Is you were sayingthat basically historically that's kind of where it
started. Are you seeing that todaythat lips are the maybe still the leader

(20:40):
the number one reason that brings thatin or is that kind of changed over
the years. I think I thinkfor me personally, and I guess that's
probably depending on your clientele. Absolutelya lot of times they will want that
lower area taken care of right,and they're not sure how to do that.

(21:00):
So a lot of times they think, yes, I don't like my
lips and I don't like the linesaround my lips or like below my lips,
and also thinking, oh, canI just buy one syringe and will
that do it? So we haveto talk about what works what. But
typically, for I would say themajority of my clientele, they need those
cheeks. They need to build thatback up, right, build those cheeks

(21:22):
back up, pull everything back up. For that many, I say,
I think face lift is the bestanalogy I can give you for no visual
so that you can pull those cheekbones back up. And that's like kind
of pulling that skin from the undereyes a little bit right as you're building
those cheeks. It's helping that linefrom your nose to your to your to

(21:42):
your outside of your lip for yourNazer label full. It's actually pulling all
that stuff a little bit more tautso that you can go in and add
a little bit more filler to thoseareas later. But it's pulling it all
kind of backwhard it was before.And I assume that actually placed to the
lips. Yes, by having thecheek it does. I mean, when

(22:07):
you do the neurotoxins first and thenyou maybe go to the cheeks second,
then that gives you a pretty goodplatform, right, a pretty good starting
base to know where else you're going. Yeah, And I always say it
doesn't mean you can't do it allon the next visit. I but I
typically like they'll they don't want everybodyto know right or they don't want it

(22:30):
to be so abrupt because they're righton is this gonna be okay? And
how's it gonna look and that kindof thing that for them, it works
better to to do that step babysteps. I think I have, you
know, more positive feedback and morejust I guess trust because we've came up
with that and then we've we've executedit in every step that I told and

(22:53):
what's going to happen is happening,and so then that that that makes them
more comfortable, I think, rightwith your injector and just with the whole
process. And then it's like,oh, well that was anti climatic,
right, Yes, Well, it'slike it's like any think a lot of
times we put more fear or pressureon ourselves thinking it's going to hurt or

(23:14):
it's going to be the building difficult, Yes, absolutely, the mental of
what you conjured up in your mind. Yeah, and then you get there
and you're like, really you're good. Yeah type thing. And the ice
pack. You know, I alwaysdo the topical numbing, but then your
fillers always have the light A kinein them. Uh, so you have
the extra LIGHTO kine when you're injecting, so you have that extra layer of

(23:38):
numbness. And then I always doice packs right before I'm an inject and
then cleanse and then go. Iwould say a majority of mine think that
the ice pack, and I've donewith them without right some of my stylists,
they've been my guinea pigs, andjust to let let me know,
like what do you think? AndI think you don't feel that initial injection

(23:59):
if you put that ice pack onfirst, gives you that just another layer
of yes. Yeah, And soI kind of want to go full circle
here where if we finish up onthe libs. You said one of the
number one questions that you get withthe lips is does it hurt? So
I have to ask does it hurt? It? Does? It's smart?
For sure? You know, Iget all those right, sounds, you

(24:26):
know, and then I'll have somethingthat's completely quiet and I'll have to say,
Okay, can you breathe for me? Don't forget to breathe because you
don't want my best had any share. But yeah, I think just it's
very tolerable. Obviously that instant gratificationhelps a lot. Sure, but it's
it's probably the same as me injectingmyself. Honestly, for just what I'm

(24:48):
doing the neurotoxins and I'm doing thebotox on myself. I have to psych
myself out right right, you know, it's gonna hurt, but it's totally
worth it in the end because youget that. It's like it's it's an
initial prick. It's and usually rightwhatever side I start on is especially for

(25:11):
that first time, is they thinkmore painful because it's that anticipation that they
thought and just of what it feltlike right, And then once they feel
that, then they're like, ohthat the left side was not as bad,
and it's the exact same. Absolutely, it is for sure definitely a

(25:33):
mental thing, and I think thenit's like okay, and I always tell
my women, sorry, I can'ttell my men, but I tell my
women usually I already know if theyhave children or not, and I'm like,
did you make it through childbirth?This is going to be simple.
Yeah, here, do you pluckyour eyebrows? Do you pick yet?

(25:55):
And I can't guess. Probably youknow we used popping your pimples? True.
As as as a what kind ofwhat that feels like with intention face,
I think it lips it right.Everybody's how that lips it And when
you pop a lipsit, that's smart. It's very comfortable, very comfortable to
that. Yeah, it's just thatlittle is uncomfortable. But I always they're

(26:21):
you know, happy when they leavemy office. That's what you're looking at.
And not that I don't love thewhole process, but I really love
the art portion of creating that withthe dermal phone, and I love to
see that against instant gratification of rightand I get excited, No, I

(26:42):
mean I get excited as I'm injecting, which which is contagious, and so
then that helps. Honestly, Ithink my client does most people watch in
that process. I would say ninetyeight percent of my people close their eyes.
Oh yeah, I always tell them, you know, your eyes open,

(27:04):
eyes closed. It doesn't bother me. Whatever you want to do.
I think when you're doing the neurotoxinsbetween the brows, typically they just have
it's just it's just natural thing toclose your eyes. But then you know,
when I'm doing the under eyes.A lot of times if I will
tell them, if they want toclose your eyes, I still need you
to pretend that you're looking up atthe ceiling so that I can right so

(27:27):
close your eyes is fine, whichI need your eyeballs to go up so
that that pulls that tau under theeyes so that I can work there.
So that's really the only modification thatI would say that Sometimes I have to
tell them, yeah, interesting,and I just did it. I closed
my eyes and was looking up,and you can't feel the muscle was pulling

(27:48):
that you wouldn't necessarily think about no, right, so, and that just
that's just helping your injector honestly,so that I can kind of see And
then I'll tell them, okay,just relax so that I can kind of
see what that looks like as thatwent on. But I think psychologically too,
it helps them a little bit tonot think that the needles so close
to their eye, right yeah,but it does say, hey, whatever,

(28:10):
whatever helps. Well, Laura,I know we're getting here close on
time, So you know, howcan somebody get ahold of you? How
can they set up an appointment allthat good stuff that they need to get
a hold of Laura. Yes,so you can call my cell phone number
or text. My cell phone numberis eight five nine five one two five
three four one, So Laura shryok. And then you can look up Laura

(28:33):
Shriyock on Instagram or on Facebook.And then also Indiana botox Babe on either
one of those social media platforms.I am on LinkedIn also, I don't
think I put that on the otherpodcast, but you can find me there
typically all my contact information is onthere also. And then the biggest thing
is I'm going to have a websitecoming out soon. We're working on that

(28:55):
with some i SU students. Soyeah, so they're gonna they're working on
that. So then that would beanother avenue that I'll feed to you guys
hopefully absolutely absolutely, you know,and a couple of things for men and
women to think about. Here weare in May, at the beginning of
May, so that means graduation.That also means weddings seasons coming up,
so don't wait too long because asLaura has said several times, it's not

(29:22):
some some can be very instant,but others you may to get that particular
look that you're looking for, maytake some time, some several weeks to
get to the planning and need alittle time to set so that you know,
we can relax that muscles so thatwe get those fine lines, especially
if we're doing the talk. Yeah, you don't want to call up Laura
on a Friday and say tomorrow's mygrandson's wedding. It's too late. Kind

(29:47):
of laughing to myself. So Doug'sbeen stalking my Facebook. Don't wait to
graduation the core I want to callme. Yeah, and then Sami Salon
is where I'm looking for injections.So you can also google and ye google
them, Google that and that willshow you my location so that you know

(30:07):
where I'm at. Excellent, excellent, excellent. And as always, if
you have a question, get ahold of Laura and we'll be more than
happy to answer it on the podcastbecause if you're having that question, more
than likely somebody else has the exactsame question. And if it's not visual
enough for you. That's great feedbackfor us so that we kind of describe

(30:30):
it a little bit further. Yeah, all right, Laura, Well,
thanks again for coming on and talkingabout lips with botox slash fillers in this
episode. We really appreciate it,all right, Thanks, thank you,