Archive for the ‘Procedures’ Category

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Hooded eyelids could be improved by double eyelid surgery and / or browlift.

Tuesday, February 2nd, 2010

Hooded eyelids could be improved by double eyelid surgery (Bellevue, Washington) and / or browlift.  The big question is how old are you. If you are older the possibility that you have a droopy eyelid could be contributing to the hooded eyelid and a browlift could help.  Fat injections around your temple and forehead could elevate your eyebrow in a natural way. A double eyelid surgery could raise your eyelid crease and open your eyes a little bit.  Fat injections could rejuvenate your eyebrows and eye so that your eye is less hooded. A pictures of your condition could help.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

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 Hooded eyelids could be improved by double eyelid surgery and / or browlift.

Blisters and peeling after a Jessner’s peel. Is this normal?

Tuesday, February 2nd, 2010

Blisters are unusual after jessner’s and Strong itching could be indication of infection. Jessners (Seattle) is a superficial peel and should really have just redness after the peel and peeling of skin 3-5  days later. The blistering that you see could be crusting and you may need to clean more aggressively at least every 2-3 hours and sometimes every hour to decrease the crusting by moisturizing it and allowing the crusting to naturally fall off with the rinsing.  I would definitely have the physician see you and make sure that you are taking care of the peel after the procedure.  Jessner’s peels are difficult to take deeper beyond the floor of the skin (or basement membrane).  Even 5 coats may not take the peel deeper than the basement membrane which leads to a superficial to medium depth peel.

Thanks for reading, Dr Young

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

Posted in Chemical Peels | Comments Off on Blisters and peeling after a Jessner’s peel. Is this normal?

left eye is not closing after double eyelid surgery after 3 revisions

Monday, February 1st, 2010

This is a question that I answered someone who was wondering whether a fourth asian double eyelid blepharoplasty revision (Seattle) could help her left eye that wasn’t closing well after 3 revisions.  She was told that her muscle was removed from the upper left corner and that was causing the problem with closing that left eye:

It is true that the more surgery that you do the more problems are presented.  I understand that your eye is not closing well on the left side due to a scar.  Well your scar can be softened up through fat grafting. I would really have to see your pictures to really give a better recommendation.  Eyelid weights, in my opinion, would not be my choice at all.  The eyelid weight will distort the appearance of your eyelid and also cause problems opening your eyelid in relation to your other eyelid and lead to one eye looking different than the other.  The other possibility is that you might need extra skin.  Many times, when people do surgery, they take skin and sometimes too much.  You could require more skin and more fat to make your eyes look better.  Fat grafting can help release the scar but it is better to go to someone who does fat grafting a lot.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

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 Double Eyelid Surgery / Asian Eyelid Surgery, Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags | Comments Off on left eye is not closing after double eyelid surgery after 3 revisions

There is a puckered area in my eyelid crease after double eyelid asian surgery.

Monday, February 1st, 2010

This is a question that I answered for a patient who had this puckering that was creating a raised area that also affected the crease and they were a week post surgery from an Asian Double Eyelift (Bellevue, Washington):

The puckered area could be a local area of inflammation that will resolve with time and all of your worries will be alleviated.  Sometimes these areas of swelling will lead to changes in your eyelid crease.  Once the swelling goes away, the crease will improve.  If you were to do anything right now the results of this could be disasterous.  One mantra that consistently is passed between surgeons new and old is “the enemy of a good result is a perfect one.” Meaning that there is a phenomenon when the more you do to improve a situation to perfect (which is unattainable) will sometimes reach a point that the more you do the worse it gets.  This mantra would apply in this case.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

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 Double Eyelid Surgery / Asian Eyelid Surgery | Comments Off on There is a puckered area in my eyelid crease after double eyelid asian surgery.

Ice pick scars from a previous doctor who used a needle to treat my acne.

Monday, February 1st, 2010

This is a question that I answered for a patient who had another doctor treat his active acne.

The acne scars that you are talking about can occur from regular acne.  There are many people with ice pick type of scars.  The needle surgery that your doctor did would have helped more than hurt.  The expression of the pus from the acne that are infected would have caused much bigger scars if the needle didn’t express the pus away.  Now with your scars there are many ways to approach them.  One is through deep chemical peels that can be applied to the deep part of the those scars.  This can help to an extent.  What might even be better is to have them excised and then after that heals you can then have the areas resurfaced with lasers, like co2 lasers.  The excision then resurfacing route can lead to excellent results.  I also employ dermasanding to the deeper scars after doing a few passes to the lesions / scars when I do Acne Scar Treatment (Seattle).  You can search my website for some results and examples.

Here is a live demonstration video of an Acne Treatment Procedure.

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, Scar Removal / scar reduction / scar revision / scar treatment | Comments Off on Ice pick scars from a previous doctor who used a needle to treat my acne.

Rhinoplasty requires careful analysis during the preoperative stages that the perlane could interfere with

Monday, February 1st, 2010

Rhinoplasty (Seattle) requires careful analysis during the preoperative stages.  You need to know exactly what you want to correct and hence having the unaltered preoperative state is essential with rhinoplasty.  If the perlane that you have in the nose and bridge makes a big difference it would be prudent to dissolve the perlane with hyaluronidase. This will allow you the ability to see the native anatomy better and hence your surgeon can come up with an accurate plan.  If it does not make a big difference the preoperative analysis may not be that affected.  If the perlane with in other larger areas of the face where the impact would be less, the need to remove the perlane would be less necessary.

Thanks for reading, Dr Young

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

Posted in Fillers / Facial Fillers, Perlane, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Rhinoplasty requires careful analysis during the preoperative stages that the perlane could interfere with

Is there a cheaper option for repairing the earlobe that are stretched out with gauges and is it possible to repair these for $400 for both ears which I’ve found over the internet.

Monday, January 25th, 2010

The price of 400 for ear lobe repair (otoplasty, ear reshaping, ear shaping, ear plastic surgery, ear cosmetic surgery) that you mentioned could be for one ear.  Also before knowing that is the price, when you actually go to the particular office they may mention that you need to pay a facility fee and anesthesia fee that could make that much more.  Be sure to ask about all the fees.  If it is true that the price they gave you is $400 for both ears and no other costs, I would check to see how well they do the procedure.  Sometimes, you get what you pay for.  Take a look at their results.  When you are talking about gauges, this could mean a significantly complicated repair that could require time.  For that price, if they take shortcuts, which often people do when they price things aggressively like that, you might not get what you wanted completely.

Thanks for reading, Dr Young

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

Posted in Otoplasty / Ear Reshaping / Ear Shaping | Comments Off on Is there a cheaper option for repairing the earlobe that are stretched out with gauges and is it possible to repair these for $400 for both ears which I’ve found over the internet.

How painful is dermabrasion? How would you rate the pain level? What are some anesthesia options for dermabrasion?

Monday, January 25th, 2010

Intense Pulse Light is a procedure where a wire brush is used to take down superficial and deeper layers of the skin to reduce scars, improve wrinkles, decrease pigmentary problems, etc.  It works under the same principle as Usually dermabrasion is not done without some type of anesthesia.  The types of anesthesia include local, regional, oral / iv sedation, general anesthesia.  Most physicians use a combination of above to do dermabrasion.  If it is a concentrated area like a scar, local anesthesia can be the only thing needed depending on the normal anxiety levels that a person usually gets in this type of situation.  If the person is likely to get anxious than oral or iv sedation can help.  For the whole face and larger areas, some type of whole body sedation through oral or iv sedation is helpful.  Regional anesthesia where the nerves are anesthetized can help the whole situation.

Thanks for reading, Dr Young

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

Posted in Dermatology, Laser Resurfacing, Scar Removal / scar reduction / scar revision / scar treatment, Wrinkle Treatment | Comments Off on How painful is dermabrasion? How would you rate the pain level? What are some anesthesia options for dermabrasion?

Can hyaluronidase leave scars, holes? Does the enzyme break down a persons own acids and what affects are there?

Monday, January 25th, 2010

Facial Fillers is an enzyme that breaks down hyaluronic acid such as fillers used for cosmetic purposes like restylane, juvederm, perlane, etc.  It doesn’t seem to affect natural hyaluronic acid and has a predominate affect on filler injected.  The reason for this is due to the fact that natural hyaluronic acid is found around a substructure within the skin.  When natural hyaluronic acid is degraded it is reformed almost just as quickly.  In fact, natural hyaluronic acid is turned over on a daily basis so your body naturally degrades its own hyaluronic acid and replaces.  With your natural foundation, the hyaluronic acid is formed all the time so the enzyme injected and its effects will be reversed quickly.  It does not leave scars or holes,  except in the area of previous filler injections.  You have to be conservative in the amount that you use otherwise you can get depressed areas in the previous area that you augmented.  That is the only temporary risk.  Some suggest a skin test for the enzyme in case of an allergic reaction.  But I know of hundreds to thousands of patients who ht tave received this in surgery centers with no issues at all.

Thanks for reading, Dr Young

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

Posted in Fillers / Facial Fillers, Juvederm, Perlane, Restylane | Comments Off on Can hyaluronidase leave scars, holes? Does the enzyme break down a persons own acids and what affects are there?

Tip grafts to define the tip in a thick skinned nose after 4 previous rhinoplasties

Monday, January 25th, 2010

Since you have had 4 rhinoplasties (Seattle), anyone considering your surgery will be very cautious.  That many procedures leaves the nose with low blood supply and hence more at risk for additional procedures.  Grafts in these noses have less blood supply and are more likely to have decreased volume and action that they were intended.  That needs to be understood.  Tip grafts can make your nose more defined but thick skin prevents the details from showing.  You can always make the skin less thick by reducing the fat underneath the tip but this can be risky but possibly the only way to define the tip in this situation in addition to the tip grafts.

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 Tip grafts to define the tip in a thick skinned nose after 4 previous rhinoplasties

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