Archive for the ‘Procedures’ Category

What are some options for filling in dents in the cheek?

Tuesday, September 15th, 2009

Fillers, the YoungLift, Fat Injections, Cheek Implants are options for those areas.  Having experience in augmenting areas such as this is important.  Facial Fillersare temporary (restylane, juvederm, perlane, cosmoderm) but can be a way to fill in those dents and a good way to assess whether volume can help.  Fat injections are a long term possibility to augment that area.  If the fat survives after 6 months it is likely to last for years.

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 dents that you are concerned about.

Cheek implants (cheek augmentation / cheek lift / cheek filling / cheek enhancement) are another way of augmenting the cheek but in your case would not be a good option.  Your dent is mostly a superficial element and would require something placed in a superficial manner.

Thanks for reading, Dr Young

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

What are the risks of Chemical peels?

Tuesday, September 15th, 2009

There are many risks with chemical peels (trichloroacetic acid, jessners peel, salicylic, rescorcinal, lactic acid, vitalase, retinoic acid, etc) including but not limited to, scarring, hyperpigmentation, hypopigmentation, acne flares,  eyelid malposition, infection, poor results.  There are many levels of peels and their is alot information out there that helps surgeons determine how deep they are when they do chemical peels.  Knowledge of the depth of the peels helps you determine how aggressive you are and also to avoid problems.  The more you know the better and the safer your chemical peel can be.

Thanks for reading !!

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

What are the risks of blepharoplasty?

Tuesday, September 15th, 2009

This is a question that someone asked me, here is my answer:

Whenever you have a procedure, such as a null(eyelift / eye lift / eye cosmetic surgery / eye plastic surgery / eyelid lift) , from a legal standpoint they will list everything under the sun.  The key is going to someone that has a low rate of complications.  But briefly, eye damage, damage to organs, nerves, vessels, poor results, scarring, eyelid malformations, infection, bleeding, anesthesia risks are among the risks that most surgeons should have in their consents.  99.9% of the time complications don’t happen.  You can read more on my blogs for more information and my website.

Thanks for reading!

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

What are some suggestions on foods and rhinoplasty

Tuesday, September 15th, 2009

This is a questions that I answered for someone asking about foods and rhinoplasty:

Keeping things cool and not spicy will only help.  This will cool the area and keep things from oozing.  Hot liquids and spicy foods will tend to dilate your blood vessels and lead to more bruising and swelling.  Keeping your head elevated will also be beneficial. Afrin nasal sprays or nasal constrictors can help too. Nasal irrigation will clean the nose as well. Icing immediately after the surgery and for 48 hours can keep things cool and less swollen.  Sometimes your doctor will think about steroids to keep swelling down as well and you can ask your physician about this.  I usually prescribe a medrol dose pack for excessive swelliing.  But back to foods, there is not a lot of scientific studies looking into the influence of foods on results of rhinoplasty (nose job / nose plastic surgery / nose cosmetic surgery / rhino plasty / rino plasty).  Most suggestions are based on common sense and the general sense of the surgeon.

Thanks for reading !!

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

Stephanie Pratt and her new look

Tuesday, September 15th, 2009

normal-stephanie-pratt_224x401stephanie-pratt-plastic-surgery_249x401Apparently there is a log of buzz regarding Stephanie Pratt’s Plastic Surgery.  I personally think she looks great.  Based on the pictures I think that she might have had some refinement of her nose which looks very well done.  She also might have had some lip enhancement with injectible fillers (restylane / juverderm / perlane / cosmoderm / collagen).  Whoever did her lip injections did well.  Many hollywood stars are getting their lips changed in a way that doesn’t enhance their looks in my opinion.  You can see my theory on facial beauty at this link: http://www.drphilipyoung.com/pdf/circles_of_prominence.pdf.  This can be found on my website: http://www.drphilipyoung.com/harmony.html.  Most stars get their lips enlarged so that the upper lip is close to the size of the lower lip.  If you take a look at someone next to you, what you will notice is that most of the light is directed at the lower lip.  Hence the most attention shouldbe on the lower lip.  This can be seen in Stephanie’s photos as well.  You never want to make the upper lip the same size as the lower lip.  The attention is taken away from the lower lip and ends up breaking up the balance in the mouth region. The upper lip should be half the size of the upper lip at most.  The highlight of the puckering should be no more than 3 iris widths (the colored portion of the eye) otherwise the viewers mind will interpret the lip as being too big.

Thanks for reading !!

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

Did Megan Fox have juvederm of collagen? What does she use?

Friday, September 11th, 2009

You can’t really tell from this photograph. Even without makeup it is hard to tell if someone had juvederm or another Facial Fillersand collagen.  The difference would be that with one of the hyaluronic acids a translucent type of look is more likely than with collagen.  But in the lips it is hard to tell.  Most people can’t tell the difference.  Here with Megan Fox’s picture her lipstick makes it even harder.  One thing with lip augmentation is that you shouldn’t make the upper lips the same size as the lower lips which is often done in Hollywood. This wrecks the balance of the lips.  You can read more about why that is from my theory on facial beauty called the Circles of Prominence on my website. In general, hyaluronic acids have taken over collagen as a filler because you don’t have to have a skin test, the chances for a reaction are much lower, and the results last longer with hyaluronic acids like restylane, perlane, juverderm.

Thanks for reading, Dr Young!

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

At home chemical peels on dark skin?

Friday, September 11th, 2009

null (TCA, trichloroacetic acid, jessners, salicylic, retinoic, lactic acid, phenol, rescorcinal) can cause dark skin to darken even more.  Chemical peels and any surface type of surgery / procedures including dermabrasion, peels, and laser resurfacing is risky with dark skin.  They can cause hypopigmentation and hyperpigmentation both of which can be very noticeable.  You can white splotches like vitiligo and dark patches with any of the above procedures.  Having someone with experience is a very good idea.  There are many peels that you can use in someone with dark skin.  Some have even used Active fx CO 2 resurfacing on type 4 and 5 skin.

At home chemical peels utilizing glycolic acid in 5-20% is a great option for routine skin care.  This addition to your regular maintenance can speed up your skins turnover to help lighten dark spots, normalize your skin, improve skin tone, and also help with fine wrinkles.  We have a great skin program that has been scientifically proven by other researchers.

Thanks for reading, Dr Young!

Dr Young is located in Bellevue near Seattle, Washington

Sleeping position after rhinoplasty

Friday, September 11th, 2009

This is a question that I answered for someone who wondered about the above. You should always sleep upright the first 48 hours after your rhinoplasty (or Nose Job / Nose Plastic Surgery / rhinoplasty / Nose cosmetic surgery). If you can tolerate it, sleeping upright will help your swelling go down even more after the first 48 hours.  This allows gravity to help your swelling.  Icing is also helpfiul.  Sleeping with your head in the middle and not turned to one side or the other also keeps things symmetrical.  To avoid swelling a course of steroids can help.  Also avoiding blowing your nose and drinking hot or spicy liquids.  Avoiding how showers and anything hot is a good idea as well.  The time that you can get oozing and swelling is greatest the first 48 hours and then the first 7 days.  After the first 7 days oozing goes down quite a bit.  I hope this answers your question.

Thanks for reading, Dr Young!

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

Asymmetric Eyes after Asian Eye Lift / Blepharoplasty

Wednesday, September 9th, 2009

This is a question that I answered for a person with asymmetric eyes after Asian Plastic Surgery(Asian / Ethnic eye lift / belpharoplasty, Asian eyelid surgery, Asian Cosmetic Eye Surgery. She had multiple folds on the left side and the fold was shorter on the left as compared to the right.

I see that your left eye has multiple creases. I think what is going on is that the crease is not properly fixed on that side and needs to match the right side.  Sometimes these surgeries are difficult because you are so close to the eye when you approach the muscle that elevates the eyelid.  There is around 1-2mm of tissue thickness from the surface of that muscle and the eyeball.  That is not much room for any deviations.  Understanding the anatomy is vital in terms of identifying that muscle and fixing it to the skin edges to create the fold.  I think your situation can be corrected in a relatively uncomplicated manner.  I wouldn’t remove any skin in your situation and you might need to add skin and some fatty tissue to match the other side but I would start with correcting the crease.

Thanks for reading, Dr Young!

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

What is a Jessner’s Peel and what is it made up of?

Friday, September 4th, 2009

Jessner’s is made of the following:

14g resorcinal- is a chemical compound from the dihydroxy phenols. It is the 1,3-isomer of benzenediol with the formula C6H4(OH)2

14g lactic acid 85%- also known as milk acid, is a chemical compound that plays a role in several biochemical processes

14g salicylic acid is a beta hydroxy acid. This colorless crystalline organic acid is widely used in organic synthesis and functions as a plant hormone.

All of these are in ethanol to make 100cc is an alcohol that is a short chain molecule and allows the peel to penetrate

All ingredients above work by removing your skin cells.  Essentially the peels work together to take away the more superficial layers to allow deeper cells to resurface the treated areas and hence replenish the skin.  It allows each agent to be less concentrated to decrease complications but increase effectiveness. Over single and multiple treatments, these peels are likely to induce collagen production under the skin stem cells to improve pore size, tighten the skin, remove unwanted pigmentation, and improve skin texture.  It is a very superficial peel and is safe.  You need to be cautious with darker skin types like Asians, Hispanics and African Americans as with other skin treatments.

Thanks for reading, Dr Young!

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