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okay welcome you guys were here at Empire medical training Id like to talk a little bit about doing tear trough injections with fillers with Juvederm Ultra so theres a couple different ways that you could do this is actually to I think pretty effective ways to do that and Im going to show you how to do that one of the things is is the type of patient that youre going to use this is typically for patients that have liked this area has been atrophied or they have more of a sunken appearance because thats what happens unfortunately as we age that the bone atrophy is the fat in this area atrophies so sometimes youll see this this whole area like sunken thats one way or thats one type of patient that you can you use this for another one is if you can see from this slide where the person has a has like a fat pad right in front of it so the doctor was asking you know mesotherapy is something that you might want to use on this and you could just do micro injections on this and itll