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[Music] hi im ashley nurse faculty member here at the afe and today julia is our patient and we are going to do her nasolabial folds because they bother her so as you can see she has some asymmetry here she used to sleep on the left side of her face so her fold on the left side is a little bit deeper so were going to start on that side today and help fill it in a little im going to be using juvederm ultra im not using the plus because her fold isnt that deep shes younger um and she doesnt need a lot of correction in this area so were gonna go ahead and start so you can just relax im gonna measure my needle tip from the hub to the tip and this is about the area that im going to start in im going to go right through this fold and shes already been cleaned off and numb topically so im going to go in 45 degree angle in were going in the midder mouse i am tenting up and i like where i am so im going to give her a little let her numb and then were gonna do a slow retrograde