Archive for the ‘Reconstructive Procedures’ Category

Earring Hole Adjustment Procedure Question presented by Dr. Philip Young of Bellevue | Seattle

Monday, June 6th, 2011

Earring Hole Adjustment Procedure Question presented by Dr. Philip Young of Bellevue | Seattle:

Question | issue: I have a hole in my right earlobe from piercing that is lower than the left. I don’t want closure but just to move the hole up higher is that possible? Stretched earlobes and thinning skin can be repaired with Earlobe Plastic Surgery. With an earlobe hole that is moved lower from stretching, the best way to repair this is by excising and then closing it following this with another piercing.  Otherwise to move it upward will require some type of incising and closing.  Without fully closing it, you will need to do some flaps that could be more complicated than just closing it completely. Below is a video demonstrating a earlobe repair for a earlobe that was gauged over time. The closure and movment of the ear lobe piercing would be a lot simpler than what the video will show but his is an example of how we approach working with the earlobe.

Ear Plastic Surgery

Thanks for reading, Dr Young

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

come visit Dr. Young and Aesthetic Facial Plastic Surgery website www.drphilipyoung.com

Posted in Otoplasty / Ear Reshaping / Ear Shaping, Reconstructive Procedures | Comments Off on Earring Hole Adjustment Procedure Question presented by Dr. Philip Young of Bellevue | Seattle

Earlobe Stretching | Gauging and will they close on their own by Dr. Philip Young of Bellevue Seattle:

Monday, June 6th, 2011

Earlobe Stretching | Gauging and will they close on their own by Dr. Philip Young of Bellevue Seattle:

Question: Earlobe Stretching and will they close on their own and do I need surgery for this?

Stretched earlobes will not shrink and close on their own but earlobe plastic surgery will correct it. This depends on what was done and how long and how much the earlobe was stretched.  It is very small like 1-2mm wide it could.  But most likely you will need some surgical repair of the earlobe to make a difference. I prefer to close the hole completely and then repierce the ear at a later date, 3-6 months later. The surgery can be done under local or oral or IV sedation. We have a live video demo below and more information on our website!

gauged earlobe repair

Thanks for reading, Dr Young

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

Posted in Otoplasty / Ear Reshaping / Ear Shaping, Reconstructive Procedures, Scar Removal / scar reduction / scar revision / scar treatment | Comments Off on Earlobe Stretching | Gauging and will they close on their own by Dr. Philip Young of Bellevue Seattle:

Rhinoplasty at age 13 by Dr. Philip Young Bellevue | Seattle:

Saturday, May 7th, 2011

Rhinoplasty at age 13 by Dr. Philip Young Bellevue | Seattle:

Topic: Rhinoplasty at the age of 13? Is it okay to do the surgery on someone at this age.

I had someone write me this:

My son has a hump on his nose from banging it in the past . Now he seems to be hitting it more and it is sort of red. He mentions that it hurts there as well.  We live in Australia and the surgeons won’t touch her till he is older I don’t think the bump is going to get any bigger. Why do we have to wait? Maybe we should come up to America to get this surgery done? Please let me know what you think. My boy is 13 years old and he is very handsome. His nose looks good otherwise just the bump.

This is how I answered:

Thanks for writing us. I think that at the age of 13 your son’s nose is still growing. I would wait until he reaches the age of at least 16.  Otherwise if you operate on his nose at this point, it could alter the way the nose grows. That is probably the reason why the surgeons in Australia are not willing to do the surgery at this time.  You can write me back at anytime.

There are some surgeons that would operate earlier. Most of the time this is usually in the setting of a cleft lip and palate, congenital type deformity, where the nose may be significantly affected by this condition.  Even still, the formal rhinoplasty in this situation is usually done at the age of 16 after the nose is fully developed. Many surgeons do some mild alterations at the time they work on the cleft lip at the age of 3-6 months. They do an intermediate repair at anywhere from 1 to 14 years of age.  The definitive rhinoplasty is done at the age of 14 for females and 16 for males at the earliest.  Most surgeons like to wait until at least the age of 16 for girls and boys to make sure most all of the growth is done by then.

Rhinoplasty

Thanks for reading, Dr Young

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

 

 

Posted in Reconstructive Procedures, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Rhinoplasty at age 13 by Dr. Philip Young Bellevue | Seattle:

Complex revisional plastic surgery procedures

Saturday, August 8th, 2009

When you want to get a revision of plastic surgery in the face and neck you definitely want to go to someone who has a lot of experience with these types of complex revisional plastic surgery.  I specialized in the face and neck and that is all I do.  I trained in Head and Neck Surgery and this has given me an in-depth understanding of the face and neck anatomy. This allows me to understand more complex issues when it comes to revisional facial plastic surgery.  I have a lot of patients that come from other doctors who have less than optimal results due to many different reasons, many of which are not due to the doctors.  Understanding these complex issues allows me to better treat them.  Many people come in for revisions of previous eyelid surgeries, many of which are procedures done in Asia.  Most of the time, these eyelid surgeries or eyelifts / blepharoplasty surgeries have created some unsightly results.  For Asians, creating a double eyelid fold is a popular procedures.  This is a complex procedure which demands a high degree of understanding of the eyelid anatomy.  Some of these revisions are needed to correct multiple eyelid folds, hollowing, asymmetric folds / eyelid height, reoccurence of the single fold, etc.  Depending on the condition, I have to recreate the fold, add skin, graft fat into the area, or take out more skin, take out scar, and reset the crease to a higher level.  Sometimes the muscle that lifts the eyelid is damaged and this can be repaired as well.  This same ideas apply to facelifts, neck lifts, brow lifts, cheek implants, fat grafting, facial implants, other types of eye lifts, rhinoplasty, botox, fillers, scars, laser treatments, etc.

Thanks for reading, Dr Young

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

Posted in Complex revisional plastic surgery, Reconstructive Procedures | Comments Off on Complex revisional plastic surgery procedures

what to do about sebaceous hyperplasia which are single to multiple 1-3mm yellow umbilicated little pimple formation lesions.

Friday, July 10th, 2009

You can excise it or use cold therapy to take the lesion away with potential for scars. Also you can use oral isotretinoin with many risks including harm to the unborn fetus, dry skin, increase cholesterol, liver abnormalities, etc. Topical retin a has been shown to help as well. Laser Resurfacing are an option including pulse dye laser, 1450 laser and traditional erbium yag and co2 lasers work.

One thing to rule out is basal cell carcinoma which can be mistaken for sebaceous hyperplasia.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Laser Resurfacing, Reconstructive Procedures | Comments Off on what to do about sebaceous hyperplasia which are single to multiple 1-3mm yellow umbilicated little pimple formation lesions.

Reconstructing an eyebrow laceration and loss of tissue

Wednesday, June 24th, 2009

It depends on what type of trauma it is. Many times, the trauma can cause a cut or laceration and sometimes when it is closed the multiple layers that the cut goes through may not be closed individually. This can lead to some layers not being properly opposed and hence a lack of tissue.

The correction of this can entail reclosing the area in multiple layers to bring back the tissue. If it is due to volume loss from just the pure impact, you can graft fat into the area from your abdomen. If you don’t want to use fat, you can use other dermal fillers to do the same but not with the more permanent nature that fat can sometimes possess when done right. Another option is to transfer tissue from an adjacent area.

Posted in Reconstructive Procedures, Scar Removal / scar reduction / scar revision / scar treatment | Comments Off on Reconstructing an eyebrow laceration and loss of tissue