Archive for the ‘Fat Transfer / Fat Injections’ Category

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What is the muscle that causes crows feet?

Sunday, March 7th, 2010

The muscles that cause crows feet are the orbicularis oculi and the smiling muscles: levator labii superioris, zygomaticus major and minor.  Here is a picture of these facial muscles.  When we try to improve crows feet with botox, these are some of the muscles that we try to weaken to decrease the formation of wrinkles.  Botox is injected in the sides of your eyes in the skin to weaken these muscles.  By doing this, we make the muscles weaker so they are less likely to form these dynamic wrinkles.  Dynamic wrinkles are the wrinkles that show up when you move the muscles of your face.  They are more pronounced when you move your facial muscles.  Static wrinkles are the wrinkles that are so etched in that they are present when you are not moving your facial muscles of expression.  Dynamic wrinkles are mostly effected by the actions of botox.  Over time, with continued use of botox, the static wrinkles can become more improved.  This is done because with botox, eventually allows the skin to remodel and reduce the static wrinkles.  This action of improving the static wrinkles however takes a long time and requires regular and consistent use of botox.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Botox, Dysport, Botulinum, Dermatology, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Wrinkle Treatment, YoungVolumizer | Comments Off on What is the muscle that causes crows feet?

What are the options for Crows feet?

Saturday, March 6th, 2010

Crows feet are due to the eye muscles that surround the eye. These muscles are meant to close the eye, to blink, to protect the eye, etc.  When doing these movements, they can affect the skin around the sides of the eyes.  What results with this movement are the wrinkles that are commonly called the crowsfeet.  Botox is usually the way that people get some relief for them.  It usually takes about 8 – 12 units of botox on each side and the costs are around 10-16 dollars per unit of botox.  Other options include laser resurfacing, fillers, or fat injections for these wrinkles.

Fat injections and fillers function to do the same thing. When we age we lose volume in the skin and in the whole face in general.  What this does is bring the skin closer to the muscles of our face.  When we were young, there was a greater distance from the muscles of facial expression and the skin.  This distance was occupied by our skins fat and connective tissue.  When you smiled when you were young, the muscles tended to glide under your skin.  The fat in the skin above the muscles of facial expression allowed the skin to slide.  This exact phenomenon occurs in multiple areas of your body.  It is essential for muscle movement in fact.   As we age, the muscles of facial expression become closer to the skin, when we progressively lose the fat and connective tissue within and under the skin.  Hence, progressively when we smile are muscles of facial expression begin to exert more effects on the skin and these are manifested through wrinkling when we smile.  Through fat injections, fillers, or the YoungVolumizer, this layer of fat between the skin and muscles is increased and the muscles of facial expression have less of a wrinkling effect on the skin.

Resurfacing through chemical peels, lasers, or dermasanding / dermabrasion essentially takes away the top layers of the skin to allow skin cells deep within our hair follicles, glands etc to “resurface” the skin.  In the process of the procedure, we remove wrinkles, create a new layer of collagen underneath the skin, remove unwanted pigmenation and DNA damage, remove precancerous or cancerous cells, etc.  The skin then becomes renewed with healthier cells, you have less sun spots, wrinkles and the tone and texture of your skin is rejuvenated.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Botox, Dysport, Botulinum, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Skin Care / Intense Pulse Light, Wrinkle Treatment, YoungVolumizer | Comments Off on What are the options for Crows feet?

Facelift for Acne Scarring and other options by Dr. Philip Young of Bellevue | Seattle:

Wednesday, March 3rd, 2010

Facelift for Acne Scarring and other options by Dr. Philip Young of Bellevue | Seattle:

Question: Is a facelift the best option for acne scarring? What other options do I have?

Answer: A Facelift is not the first option but I have noticed improvement in Acne Scarring from this procedure.  I personally have many patients that have noticed a significant improvement on their acne scarring  from a facelift procedure.  Is the facelift a procedure that is usually recommended to a person to improve their acne scars? The answer is “no”.  But I usually present all options to the patient.  Among these options include laser resurfacing, chemical peels, dermabrasion, dermasanding, fillers, fat injections, and excisional techniques.  It depends on how your scars look like.  If you have alot of deep ice pick scars you may need some excisions to completely remove them.  Of course if they are everywhere you might have to pick and choose which ones to excise or cut out.  This excisional approach is usually followed by some resurfacing.  I usually prefer to excise and then resurface the areas at the earliest 6-8 weeks.  One important point to remember is that the goal is improvement.  Your skin is probably not going to ever look like your skin when you were a baby of course. But we can make it better!  Fat injections and fillers can be used to break up the scarring that sometimes holding the skin down to the deeper layers.  This often causes the scars to be held down.  Fat injections is the best way to soften up the adhesions of scarring to allow the skin to come away from the deeper scarring. Here is a live demonstration of fat injections being done in the face (Dr Young is a fat injections specialist from Seattle, Washington). Fillers can also do this, but less well.  Here is a live demonstration video of an Acne Treatment Procedure.

I hope that helps.

Thanks for reading,

Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Acne Scar Treatment, Chemical Peels, Dermatology, Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Laser Resurfacing, YoungVolumizer | Comments Off on Facelift for Acne Scarring and other options by Dr. Philip Young of Bellevue | Seattle:

Double Chin (Necklift) and Droopy Cheek (midface | Facelift) Appearance Cost by Dr. Philip Young of Bellevue | Seattle:

Monday, March 1st, 2010

Double Chin (Necklift) and Droopy Cheek (midface | Facelift) Appearance Cost by Dr. Philip Young of Bellevue | Seattle:

Question: What is the cost to improve the double chin and droopy cheek appearance.

Answer: The pricing on this varies depending on location and who you are seeing.  Some doctors have a better reputation and will charge a lot more for their services.  This reputation is usually based on results and word of mouth.  The pricing that is mentioned above will usually not include other fees assessed for anesthesia who have their own fees for these procedures and they usually are based on the time it takes to do the procedures.

The procedures that will help each area will include the necklift (Dr Philip Young of Bellevue, WA) and facelift for the double chin area. Droopy cheeks can be addressed by midface lifts, and deep plane facelift Bellevue area.  My personal opinion is that droopy cheeks are best augmented by volume and I prefer fat injections and the YoungVitalizer for this particular issue.

I hope that helps.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit us at www.drphilipyoung.com.

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands, YoungVolumizer | Comments Off on Double Chin (Necklift) and Droopy Cheek (midface | Facelift) Appearance Cost by Dr. Philip Young of Bellevue | Seattle:

Reoccuring Jowls 3 years after facelift and what is a Thread Lift By Dr. Philip Young Bellevue | Seattle:

Thursday, February 25th, 2010

Reoccuring Jowls 3 years after facelift and what is a Thread Lift By Dr. Philip Young Bellevue | Seattle:

Question: What can be done for reoccuring jowls after having a facelift 3 years ago? What about the thread lift?

Answer: A Chin Implant Reshaping or Fillers / Fat injections (Dr Philip Young Seattle Washington)could help the looseness in the jowls.  The jowls occur for a number of different reasons. If you read my other blogs you can find pictures that illustrate jowls.  What happens is that when you lose volume in the face, especially the cheeks and jawline area along with volume around the mouth, the jowls become more prominent.  As an example, pinch the skin by your upper cheeks just inferior and lateral to the eye.  Notice as you do this, that the jowls begin to rise a little bit.  Now in front of your jowls is a depression and volume loss call the prejowl area.  This area along the jawline and closer to the lips and in front of the marionette lines can be filled in as well.  Also along the jaw in front of the ear can also be filled in and this can have an effect on the jowls decreasing.  Sometimes people fill in the prejowl area with fillers and fat injections to reduce the appearance of the jowls through a camouflage type of correction. In terms of volumizing with fillers, you can also use fat injections for the same thing and you can add more volume with fat than you can, a lot of times, than with filler.  Fillers are quite a bit more expensive than fat for filling in volumes.  Sculptra is another option in between fat and fillers. Sculptra can last over 2 years and some are finding more than that.  Other options for the jowls include direct liposuction of the jowl area.  Thread lifts, in my opinion, don’t work. They pull on the skin for a time being but relax and most of the time I don’t think you get any long term improvement.  The only time you get long term improvement is when you turn the thread lift into basically a facelift done in many traditional ways. Here is a facelift consult to help you prepare before a facelift consult:

I hope that helps.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Chin Surgery, Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on Reoccuring Jowls 3 years after facelift and what is a Thread Lift By Dr. Philip Young Bellevue | Seattle:

Lip scars around the border of my lips are hard, sensitive and I have discomfort when I smile and talk, etc. What are some options to make this situation better?

Thursday, February 25th, 2010

Steroid injections and possibly fat injections could soften the scars up during scar revision (Doctor Philip Young Seattle Washington) (scar improvement, cosmetic scar surgery, plastic surgery of scars).  It sounds like the main reason for your questions is the feeling of the scars and not the actually appearance.  Scar revision for appearance would be a totally different thing.  I think that steroids would be something that could soften up the scars. It may take a couple of treatments to get the right effect.  I usually do injections every 6-10 weeks.  There are risks with steroid injections like poor wound healing, muscle and bone loss, hormonal changes, water retention, weight gain, hair growth, changes in your appearance, psychiatric issues, change in appetite, etc that you should be aware of.  But these are associated with more long term risks that you get when you ingest steroids for long periods of time.  Also fat injections are great to break up scar contracture and also repair the area, although this would depend on how it looked. Fat brings soft feeling tissue to the area and can also break up the scars and the tough tissue within the scars.  This will require some knowledge on how to use certain instruments to get this effect on the part of your surgeon.

If you didn’t like the way the scars looked then some type of scar revision would be possible.  You can excise the scars out with a new closure of the incision.  Laser resurfacing can be another option to improve the surface quality of the scars.

I hope that helps.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Fat Transfer / Fat Injections, Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip, Scar Removal / scar reduction / scar revision / scar treatment | Comments Off on Lip scars around the border of my lips are hard, sensitive and I have discomfort when I smile and talk, etc. What are some options to make this situation better?

How do you get naturally looking lips and what are some tips for natural looking lip plumping?

Wednesday, February 24th, 2010

Aesthetics are key to understanding the lips and how to make them beautiful through lip augmentation (Dr Young Lip Enhancement in his Bellevue Office). Aesthetics in the face is really understanding facial beauty and this is central to the process of making one’s face and lips beautiful.  Previous theories do not have a good explanation for how a lip should appear in its most beautiful state.  I would invite you to visit my blog and website to see more answers to this.  But I discovered a new theory on facial aesthetics called the Circles of Prominence that I think answers some of these questions. To me the lip is assessed by the highlights that it creates. If you look at someone next to you, you will notice that all the light hits the lower lips.  This is very important.  You retina is highly sensitive to light and dark.  The highlights that the lower lip creates attracts a lot of attention and it is the lower lip that is the center of attention in the mouth area. The lower lip should be the same height as the iris and the puckering that it creates should be 3 iris widths.  Essentiially the lip emulates the shape of the eye, usually in reverse form.  The lower lip should be half the height of the lower lip and the puckering of the upper lip should be centered and should be one iris width in width and again one half an iris width in height.  The goals of augmentation should be to reach this.  This is the reason that many hollywood people who get their upper lips too big start to look odd.  You don’t know why inherently, but your brain does.  And the reasons I stipulated above explains why your brain feels the way it does.  Whether you use temporary fillers, like restylane, juvederm, perlane or more permanent options.  These aesthetic goals you should direct your surgeon in how to augment your lips.  More permanent options include fat injections, vy advancements, lip lifts, or silicone solid implants, like surgisil, or permalip.

I hope that helps.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Fat Transfer / Fat Injections, Fillers / Facial Fillers, Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip, YoungVolumizer | Comments Off on How do you get naturally looking lips and what are some tips for natural looking lip plumping?

Fillers and Fat injections for Cheek Augmentation by Dr. Philip Young of Bellevue | Seattle:

Tuesday, February 23rd, 2010

Fillers and Fat injections for Cheek Augmentation by Dr. Philip Young of Bellevue | Seattle:

Fillers Upper Lower Eyelid Eyelift

Radiesse is made of Calcium Hydroxyapatite which is the exact molecule that is like our bones except without the cells and other tissues like collagen, blood vessels etc.  It is very compatible with our bodies.  Studies done by Radiesse have shown that this product is replaced a little bit by collagen.  Radiesse has been shown to be present after 5 years by biopsy and some of this work has been done in the area of urology and the bladder neck.  It is a stiffer products than the other fillers like restylane, and sculptra.  The product is made up of 30% calcium hydroxyapatite so the rest of the 70% is removed over the first 6 months to a year and the 30% can stay around longer.  Some people seem to metabolize the calcium more quickly and this can decrease the longevity, although this is through my observation and has no scientific analysis to it yet.

Sculptra is made up of poly l lactic acid and is like vicryl suture which is degraded by our body to water and sugar which we can use.  The degradation process is what produces the inflammation that eventually creates collagen, in a controlled scar like fashion.  Results are for at least 2 years and they are finding that it lasts even longer in many instances.  I have a patients whose results have been there for over 5 years.  This inflammation is beneficial in that it produces collagen but on the flip side this inflammation when not controlled can lead to infection although this is very rare.  Although most of the doctors mention bumps, this can be avoided.  I have some techniques that make this much less likely.

Fat injections are a great longer term option.  They are natural. They take on the structure and feel of the tissue they are placed next to.  If they are placed next to bone they will feel like bone and etc.  They can last years, although this depends on the particular person, some results can last 10 years or more. They require no incisions in the face, the discomfort is mucher lower than traditional approaches like facelifts, eyelifts.  They do require a recovery period from the bruising and swelling but is acceptable.  Unlike sculptra and radiesse, fat can be placed closer to the eyelid and lashes.  Whereas these products need to be along the bone under the eye and this is where you can some problems with transitioning the volume from the bone to the eyelid whereas fat can do this transition. You can read my blog for more information.

In terms of transitioning the product to the eyelid wiith radiesse and sculptra, the other alternative is to do transitioning and touchups with restylane, perlane or juvederm when needed. These hyaluronic acids (restylane, perlane, juvederm) can also be used for cheek augmentation but last less long (6 months to a year) than radiesse (year or longer) and sculptra (at least 2 years).

I hope that helps.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Cheek Augmentation, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Radiesse, Sculptra, YoungVolumizer | Comments Off on Fillers and Fat injections for Cheek Augmentation by Dr. Philip Young of Bellevue | Seattle:

What can you use to fill in the hollows of the face?

Monday, February 22nd, 2010

Fillers and Fat injections (Dr Young does Filler in his Bellevue Office!) can fill in the hollows.  Fillers like restylane, radiesse, perlane, juvederm, can fill in small hollows that are smaller than 1cm squared or  a square area about a 1/3 of an inch.  Fat injections are another more longer term possibility.  Sculptra is a filler made up of suture material that when digested by the body forms collagen for a more longer term solution as well.  The YoungVolumizer is my method of volumizing the face and hollows.  I have a great technique that leads to better fat survival and more long term results.

I hope that helps.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on What can you use to fill in the hollows of the face?

Rejuvenating the Mouth Area through Fat grafting by Dr. Philip Young of Bellevue | Seattle

Saturday, February 13th, 2010

Rejuvenating the Mouth Area through Fat grafting by Dr. Philip Young of Bellevue | Seattle:

YoungVitalizer Before After Pictures

YoungVitalizer Before After Pictures

The mouth area undergoes a lot of changes that can contribute to nasolabial folds, marionette lines, smoker lip lines and a downturned mouth.  Volume loss plays a major role in these changes.  Replacing this volume can have a profound impact in rejuvenating the aging mouth and the YoungVitalizer is our approach to improving this area.  Fat injections are a great way to do this and other fillers can help as well.  Sculptra can help if fat is not available.  Fat and Sculptra are good options for permanent or semi-permanent effects.  By this, I mean results that last more than 1 year. The picture below shows the locations of the nasolabial folds, marionette lines, and prejowl volume loss.  All of these issues can find their origination from volume loss to a large degree.  For the nasolabial folds, there are studies that show specific fat pockets that when re volumized can play a major role in eliminating nasolabial folds.  Specifically the area lateral to the nose and immediately deep to the most medial and superior area of the nasolabial folds is the area where re volumizing can play a big role in reversing nasolabial folds.  Furthermore volumizing in the whole area inside the nasolabial folds and marionette lines can rejuvenate the peri oral and mouth area.  Volumizing in the area immediately medial to the marionette lines can diminish these lines.  Volume in the prejowl area will blend this area in a more pleasing way with the jowls and in turn make them seem less apparent.  This is in line with the whole idea of doing prejowl implants with facelifts to improve the jawline.  Also volumizing the chin can restore this whole area as well and give support for the other areas that are volumizing.  One important thing that I have learned is that volumizing other adjacent areas can help support other areas by aiding in the volume expansion.   An example is if you place on stake in the ground and place a very heavy tarp over this stake.  It is more likely that you will form a nice area under that tarp the more stakes you put under the tarp.  It is also more helpful the more stakes you spread out in the area to give the original stake support.  Volumizing the chin is analogous to this idea.  When you volumize the chin it supports the volume you put in the prejowl area as well.  More likely than not your chin has lost volume as well and volumizing deep to the chin will rejuvenate your lower third or lower mouth area.  Also people are likely to develop deep wrinkles in the labio mental sulcus which is the crease that is under the lower lip.  Volumizing deep in the chin just inferior to this crease will help to eliminate this crease.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Perioral Diagram

Posted in Chin Surgery, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip, Mouth Shaping / Perioral Enhancement / Marionette lines, Sculptra, YoungVolumizer | Comments Off on Rejuvenating the Mouth Area through Fat grafting by Dr. Philip Young of Bellevue | Seattle

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