Archive for the ‘Procedures’ Category

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Are Botox results permanent and can they be permanent?

Saturday, October 3rd, 2009

Botox (dysport / botulinum toxin / wrinkle remover / bo tox / disport) results are temporary.  Botox binds on to the part of the nerve that releases neurotransmitter into the space that eventually blocks muscle contraction. Your nerves eventually regrow though and that determines how long botox lasts which is around 3-6 months.  The more botox you do the more that your muscles get weaker over time and hence the results of botox has the potential to last longer.  But they are never permanent.  There are ways to take away or clip specific nerves to get the same results  but longer.  Also there is a radiofrequency technique that targets specific nerves for longer results than botox.  The technique basically damages specific nerves so that they don’t lead to contraction of certain nerves that cause wrinkles.

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 | Comments Off on Are Botox results permanent and can they be permanent?

Microdermabrasion is generally more superficial and lasers can be more aggressive

Wednesday, September 30th, 2009

This is a question that I answered from someone:

I am confused between Laser Resurfacing and microdermabrasion. I have lines on my face which are not at all deep and I want to get rid of them. What should I do?

Microdermabrasion can help very small lines gradually improve over time.  This procedure is done through a machine that uses diamonds or crystals to take the superficial layers of the skin away.  Varying the pressure and the number of passes with the microdermabrasion can make it more or less aggressive.  The more aggressive the more results that you can attain. The laser resurfacing, such as with co2 lasers, can be the most aggressive of them all except maybe when you compare them with dermabrasion and phenol peels.  Laser resurfacing can handle some of the deepest wrinkles and scars that microdermabrasion would not be able to improve significantly.  Co2 resurfacing entails using co2 gas and the laser it produces to ablate the progressive layers of the skin.  The small lines that you have can be improved by microdermabrasion, chemical peels or co2 resurfacing.  The more aggressive you are with each modality the more results you will get. I use active fx / deep fx from lumenis lasers.  In terms of which one to do, it really depends on how deep the lines are and how much downtime you are willing to take.  The deeper and the more downtime the more aggressive you can be.  The progression starts with microdermabrasion then to null (lighter to stronger) and then to co2 resurfacing / or erbium yag resurfacing.

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, Laser Resurfacing, Microdermabrasion | Comments Off on Microdermabrasion is generally more superficial and lasers can be more aggressive

Fat is taken from another part of the body and transferred to an area that needs volume

Wednesday, September 30th, 2009

Fat transferring entails taking fat from some area of the body where fat is not wanted and then transferred / injected into an area that is needed or where volume is needed.  Usually very small puncture holes are needed to achieve great results.  This procedure is highly technique dependent.  Proper technique can make the results last for years.  Attention to detail is a must.

I refined an amazing volumizing procedure called “the YoungLift”. This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done. This is not a facelift and requires no incisions. Only pinpoint puncture sites are used and these heal imperceptibly. The YoungLift can be done without general anesthesia and without drains, and large bandages. You also have sometimes a lot less downtime and discomfort compared with traditional facelift procedures. I employ the very best techniques from around the world into one volumizing procedure and I use my internationally acclaimed understanding of facial beauty to create the youthful volume you once had.

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, YoungVolumizer | Comments Off on Fat is taken from another part of the body and transferred to an area that needs volume

Can radiesse / radiance be used in the Jawline and lateral portion of the Jaw area?

Sunday, September 27th, 2009

Radiesse can work but you may need a bit more in this area. Radiesse is made of calcium hydroxyapatite, the same constituent as your own bone.  This makes it really compatible with our bodies. For Mandibular augmentation, you will likely need a siginificant more amount of augmentation here than you would along the mouth lines.  Mandibular silicone implants are made up of approximately 10-15cc each side. So you will need quite alot of radiesse to show the same amount of change.  This is important to know before doing radiesse injections in this area.  If you just want to get a little taste of what this will look like then radiesse would be a good trial.  Silicone implants are one of the better ways of really augmenting the lateral jaw bone.

Thanks for reading!

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

Posted in Facial Implants, Fillers / Facial Fillers, Radiesse | Comments Off on Can radiesse / radiance be used in the Jawline and lateral portion of the Jaw area?

When do you decide to do rib, ear or nasal septal cartilage and what are the options for raising your nasal bridge?

Tuesday, September 22nd, 2009

Cartilage grafting is the best way to augment the nose during Rhinoplasty(or nose job / plastic surgery of the nose / cosmetic surgery of the nose / rinoplasty / nose plastic surgery). It is the least likely to have infection and rejection issues. The progression of cartilage grafting is usually nasal septum, ear cartilage, then rib cartilage. Septal cartilage is the most accessible but often is limited in quantity. Significant nasal bridge augmentation may require more than what the septum can offer. Ear cartilage offers more but the bend in ear cartilage makes it less attractive for the nasal bridge but can be used for small augmentations. Rib cartilage usually is needed when the nasal bridge needs to be raised a significant amount. When you start to consider the whole nasal bridge and if it is more than 2-3mm in change, you should start to consider rib as an option. You can also consider a silicone implant. Although this is a foreign object the rejection is really low if the implant is done right.  There are limits to how big you can make your nose.  The limiting factor is the skin envelope and the lining of the nose.  Making it much bigger than what it used to be is hard.  There is really no science that is out there yet to determine how much bigger one can make the nose.  An adequate release of the tissues to allow the rib or other graft to expand the skin is 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 Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on When do you decide to do rib, ear or nasal septal cartilage and what are the options for raising your nasal bridge?

What are the options for reducing the size of your pores. Does a facelift work for this?

Thursday, September 17th, 2009

This is a question that I answered for a client who had questions regarding whether a facelift would work to reduce the pore size as well as acne scars:

Fat grafting, laser resurfacing, ipl are better options than a facelift (face lift/ lifestyle lift / quick lift / lunch time lift / mini lift / weekend lift / s lift / lifelift / thread lift ). Some newer studies and results from physicians more recently are showing that these modalities may be more beneficial to reduce pore size for people.  A facelift will not effectively do this but it can improve your wrinkles to an extent.  Fat grafting (or fat transfer / fat augmentation / facial fat transfer / fat injections) has been shown by some to regenerate the skin including reducing the size of your pores.  Stem cells in the transferred fat can rejuvenate the skin for years.  Laser resurfacing through the creation of new collagen can also reduce the size of the pores as well.  Ipl is another newer treatment for pore size.  Out of all the options fat grafting might be the best option for pore size and acne scarring.  More and more surgeons are using fat grafting as a way to improve acne scarring.

I refined an amazing volumizing procedure called “the YoungLift”. This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done. This is not a facelift and requires no incisions. Only pinpoint puncture sites are used and these heal imperceptibly. The YoungLift can be done without general anesthesia and without drains, and large bandages. You also have sometimes a lot less downtime and discomfort compared with traditional facelift procedures. I employ the very best techniques from around the world into one volumizing procedure and I use my internationally acclaimed understanding of facial beauty to create the youthful volume you once had. In your case, the Younglift could help fill in the acne scars and volumize your face which will reduce your pore size

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, Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Laser Resurfacing, YoungVolumizer | Comments Off on What are the options for reducing the size of your pores. Does a facelift work for this?

Reducing the length of the ears without pinning the ear back with otoplasty

Thursday, September 17th, 2009

This is a question that I answered for someone:

It really depends on what is causing your ears to look long. If it is your earlobe, your earlobe can be made smaller through different techniques associated with otoplasty (ear shaping / ear pinnning / ear plastic surgery / ear cosmetic surgery / large ear surgery)..  This is the most common cause for long ears.  Sometimes losing the volume in your ear lobes can cause the skin to hang down.  Adding tissue back can improve this appearance.  There are also ways to take some of the extra skin away so that the earlobe can look shorter.  If the ear is longer above where it curls. There are ways to take away cartilage so the it reduces the length of the ears.  A great way to know would be to see some pictures.

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 Reducing the length of the ears without pinning the ear back with otoplasty

Did Lady Gaga have a rhinoplasty

Tuesday, September 15th, 2009

lady_gaga_nose I wanted to talk a little about whether Lady Gaga had a Rhinoplasty (nose job / plastic surgery of the nose / nose plastic surgery / nose cosmetic surgery / rino plasty). One can never be sure, I guess, but it appears to me that she has had some refinement of her nasal structures.  Her nasal tip appears narrower and more refined.  Her nasal hump looks like it was made a little lower as well.  Overall I think it looks great.  I think that she could even get a little more taken from her nasal bridge and her nasal tip made a little smaller.  The only drawback with this is that she wouldn’t look the same and it would actually make her look not like herself and she could lose her identity.  This situation appeared to happen with Jennifer Grey.  Although she looks much prettier, it made her look totally different and that might have hurt her career possibly.  If you have any questions on rhinoplasty you can always email me at [email protected].

Thanks for reading, Dr Young

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

Posted in Hollywood Plastic Surgery / Hollywood Stars, Lady Gaga, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Did Lady Gaga have a rhinoplasty

Ashley Simpson’s Plastic Surgery of her nose

Tuesday, September 15th, 2009

ashlee_simpson_plastic_surgeryashlee_simpson_plastic_surgery1 I just wanted to comment on Ashlee Simpson’s possible Rhinoplasty (nose job / plastic surgery of the nose / nose plastic surgery / nose cosmetic surgery / rino plasty).  In the before pictures she had a significant prominence on her nasal bridge area and after pictures show that it is markedly lower and her tip appears refined as well.  From a facial plastic surgery perspective, this is called lowering the dorsal hump, and tip rhinoplasty.  I’m not totally sure if she had a rhinoplasty but her pictures seem to suggest so. The way surgeons do this is by using these medical grade metal files that take down the dorsal hump of the nasal bridge incrementally.  With a surgical knife the cartilage that is contributing to the hump is also incrementally lowered.  The tip is usually refined by taking away the top parts of the cartilages that are contributing to the bulbous portion of the nasal tip.  Sutures are then used to refine the nasal tip by narrowing the tip together.  Many surgeons do this through an open rhinoplasty where they make an incision under the nose through a 3mm incision.  Some surgeons market the closed approach where they do the rhinoplasty through incisions inside the nostril.  I prefer to do rhinoplasties in an open fashion because I believe you get more accurate results and you cut down on revisions and touchups.  I’ve heard that Dr Raj Kanodia did her nose job. I’ve visited him in surgery before and he prefers to do surgery through a closed approach.

Bottom line, I think Ashley looks super after her possible rhinoplasty.  If you have any questions on rhinoplasty you can always email me at [email protected].

Thanks for reading, Dr Young

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

Posted in Ashley Simpson, Hollywood Plastic Surgery / Hollywood Stars, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Ashley Simpson’s Plastic Surgery of her nose

How can jaw implants make me look and how can anticipate what you will look like from a jaw implant?

Tuesday, September 15th, 2009

Computer imaging can help you understand what jaw implants can look like. Jaw implants (jaw enhancement / jaw plastic surgery / jaw cosmetic surgery / jaw silicone implants / jaw augmentation) can enhance your face and give you the volume that can make you look alot better.  For men, it can masculinize your appearance and give a stronger and moe masculine look.  For Women, it can beautify your face.  Take a look at some female models and you will notice how some women look very beautiful with very strong jawlines without looking masculine.

Thanks for reading, Dr Young

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

Posted in Facial Implants | Comments Off on How can jaw implants make me look and how can anticipate what you will look like from a jaw implant?

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