Archive for the ‘Procedures’ Category

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Are you the right candidate for Aesthetic Facial Plastic Surgery and Dr Philip Young?

Sunday, March 7th, 2010

This is a great question. We have many people that come to us to have facial rejuvenation.  One thing that people might not know is that we are selective in the clients we choose to take on.  You have to be the right  candidate.  There are many people that I actually turn away from our office.  First, you have to possess the right anatomy for the procedures that you are interested in.  If someone were to come to me to have their eyes done and they look great to me. This person would not be a candidate for a procedure.

You have to have the right mind frame or mental status to be a good candidate for facial cosmetic surgery. Here is another example, I recently had a lady that was interested in fat grafting to her face.  She researched all across the country.  She  would write me all the time detailing to me where she would like the fat taken from and where to put it in.  She went into great detail in regards to this.  I would offer my advice but she seemed to know more about fat grafting than me according to her opinion.   I had a feeling that she might not trust what I said.  In addition to this, she didn’t get along with my staff and this was unusual.  With other additional pieces of information, I knew intuitively as well as objectively that she was not a good candidate.  We had to tell her that we couldn’t help her.

Another client had surgery in Korea, and she was fixated on the incision under her eyes that was used for a lower eyelid lift.  I carefully examined her and didn’t notice the particular issue to the degree that the client had emphasized.  She felt that her whole life was ruined because of this incision under her eye.  Now, if this incision was bad and left a significant scar, I would or might tend to see where this patient was coming from.  The scar for the lower eyelid lift was not significant at all.  In face, even her husband thought that it looked good and he suggested to her that she see a psychiatrist.  I couldn’t have agreed with someone more and I told the husband that I agreed with him too.  This patient also was seen as someone who couldn’t benefit from our services and we had to write her a letter telling her that we would not be able to offer any of our services to her.

We probably get at least one person a month like that.  Although, we would like to help everybody.  You have to be the right candidate, and we choose carefully.

Thanks for reading, Dr Young

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

Posted in Procedures | Comments Off on Are you the right candidate for Aesthetic Facial Plastic Surgery and Dr Philip Young?

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?

Browlifts in someone with a High Forehead

Saturday, March 6th, 2010

Browlifts (Dr Philip Young Seattle Washington) are usually done through an incision behind the hairline in traditional methods.  This allows the eyebrows to be elevated and the muscles in between the eye to be resected or modified to keep the eyebrows from creating the “elevens” wrinkles or the wrinkles in between the eyes that create an angry look.  Resecting the muscle makes it so that making an angry look becomes much harder.  The incision behind the hairline can be used to elevate the eyebrows but this often can lead to an even higher forehead or more posterior hairline that is sometimes unwanted in someone who already has a high forehead.  This can be avoided by making the incision within the front of the hairline so the hairline is not pulled back.  The minor drawback is the incision within the front of the hairline.  But the incision can be adjusted so that the hair can grow through the incision to hide it better.  Limited incision browlifts can also be done to avoid a long incision across the scalp but these tend to also elevate the hairline.

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 Browlift / Eyebrow Lift / Brow Lift | Comments Off on Browlifts in someone with a High Forehead

High Hairline and options for Improving this Masculine Look.

Saturday, March 6th, 2010

If you have a high forehead there are options for you.  Lowering your hairline is an option that can be done.  Hair transplants are one way of doing this.  This approach is highly technique dependent and requires a lot of time to do this.  Another way of doing this is to lower the hairline through a procedure that requires an incision within the front of the hairline that is a variation of a Brow Lift.  Then what is needed in elevation of the hair posteriorly and a little bit anteriorly.  Release of the scalp’s tension is then sometimes needed to allow the hairline to come forward.  Anchoring the hairline in a lower position is then done by fixing the hairline to the bone of the forehead. A browlift can also be done in concurrence if needed.  Further elevation done to the orbital bones is required for a browlift and after the release of the eyebrows you can then elevate the eyebrows to the desired position.  A look at myFacial Beautycan help one to figure out how high the forehead should be.

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 Browlift / Eyebrow Lift / Brow Lift, Transgender or Facial Feminization / MasculinizationSurgery | Comments Off on High Hairline and options for Improving this Masculine Look.

Why do I like Dr Park’s Z epicanthoplasty?

Friday, March 5th, 2010

So when we are talking about the z epicanthoplasty (Dr Young specializes in Asian Eyelid and Facial Plastic Surgery in Bellevue, WA), we are talking about reducing or rearranging the skin that is in the inside portion of the eyelids.  This is the skin that covers the eye in the middle part of the eye.  This extra skin is called the epicanthal fold.  What happens when an Asian Blepharoplasty is performed, the tension created from a higher eyelid crease is placed on the epicanthal fold and a round eye deformity can occur.  The epicanthoplasty widens the eye in the inside part of the eye and ultimately it makes the whole eye look bigger.  The Z epicanthoplasty is unique in that it uses only the eyelid skin and is less prone to scarring.  Older techniques traversed onto the thick nasal skin.  This lead to more tension and more scarring. Keeping all the incisions in the thin eyelid skin prevents much scarring and keeps it too a minimum.  Scarring is unavoidable whenever an incision is made but this can be controlled so that the scarring is barely visible.  The beauty of the Z epicanthoplasty is also that the landmarks that this technique uses is consistent, simple and reproducible. Other techniques are very arbitrary.  The Z epicanthoplasty is also easily incorporated into the upper eyelid skin incision and fits naturally into the new crease that is created unlike other epicanthoplasties that may have reproducible landmarks.  You can see my other blogs for the drawings that we use for the Z epicanthoplasty designed by Dr Jung I Park. Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

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 Asian Cosmetic Surgery, Asian Double Eyelid Surgery / Asian Eyelid Surgery | Comments Off on Why do I like Dr Park’s Z epicanthoplasty?

Masseter and Jaw reduction to slim the face with Botox

Thursday, March 4th, 2010

Botox can be used to slim the posterior part of the face through injections that involve the masseter muscle.  This is done in the office.  We can use topicals and ice to make the injections more tolerable.  We basically inject the botox next to the bone and into the masseter / jaw muscles.  The botox weakens the muscle so that it eventually loses some of its bulk.  The botox takes 2 weeks for maximal effect but the volume reduction is different.  The volume reduces most rapidly in the first 1-2 months with the maximum at 3-4 months with slow reduction over the course of a year.  At twelve months, 50% of the volume that was decreased will be regained at this point. I usually tell people to wait at least a month to see how it looks before adding more botox.  The usually starting dose is 20 units.  But I find that it is most effective when 40 units are started for each side.  But the cost of botox can be high so usually people like to start at 20 units on each side.  Many plastic surgeons price botox less when more is put in.  When you put in 80 or more the price is usually around 11-12 dollars per unit.  Botox in the masseter can decrease the prominence of the jaw muscles so that the lower part of the face looks more slim and this can give the female face a more attractive appearance.  A larger lower third is relatively a musculine trait and less feminine.  Botox in the jaws and masseter muscle can also help some tension headaches that are due to muscle overactivity and temporal mandibular joint disorders.  People who have night time teeth grinding / clenching can have bad headaches.  Botox in the jaws is needed less frequently than the facial muscles for other cosmetic reasons.  Some people can get away with doing botox to the jaws on a yearly basis.

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 Jaw reshaping / Jaw Implants / Jaw Augmentation, Procedures | Comments Off on Masseter and Jaw reduction to slim the face with Botox

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:

What is the typical nose job recovery? How long do I need before I can go back to work?

Monday, March 1st, 2010

Rhinoplasty (Philip Young MD, Seattle / Bellevue WA) generally takes about a week recovery but subtle swelling can last for quite sometime.  And usually we say most people can go back to work in one week. Most of the swelling and bruising usually takes about a week to resolve. Sometimes the recovery is less and sometimes more depending on the person. It also depends on what was done.  If tip surgery only was done the recovery is a little faster.  But reduction of the tip can take a long time for the subtle swelling to go down.  The finer tip curves and smaller size can take months to go down and this can continue for up to 2 years or more.  When you break the nasal bones, this action can create more bruising and swelling that could prolong the recovery to more than a week.  In general, I tell patients that they should get 60% of their healing at 6 weeks, 80% at 6 months, and 88% at 2 years and it tapers off after that.  Major changes to the nose does take a little time to be fully realized in the nose.  The subtle changes over the years will show continued improvement.  This is good in the way, because people will not notice the big changes initially and the more subtle changes will slowly occur so that people will not be shocked at the major changes that can happen in your nose and its appearance.

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 Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on What is the typical nose job recovery? How long do I need before I can go back to work?

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:

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