Archive for the ‘Uncategorized’ Category

How is a chin implant surgery done

Saturday, August 8th, 2009

Chin Implant Reshaping(or chin augmentation / chin plastic surgery / chin job / chin cosmetic surgery / chin enhancement surgery) are usually done through two approaches.  You can make an incision under your chin or in your mouth to place the implant.  The most common way to do it is through an incision under the chin.  This usually leaves a barely visible scar.  The incision is around 2-3 cm in length and the implant is place on your own chin bone and is fixed so it doesn’t move.  Over time the chin implant will feel like your own bone and like its your natural jaw.  You can also place it through your mouth but this usually has more associated issues with this approach.  First you have to put it past all of the bacteria that usually resides within your mouth and this can lead to increased risk of infection. Also through this approach you usually alter the way the chin muscle sits and this can cause some chin drooping because the muscle is not adequately attached to bone through this approach.  Also with through the mouth, the nerves that brings sensation to your chin and lower lips can be more affected and lead to more chances of numbness.

The usual implant that is placed is silicone which is really compatible to your tissues.  Carbon is right above Silicone (Si) on the atomic chart.  Because they are very similar the body thinks of it like carbon and finds it less intrusive and doesn’t mount a large immune response to it.  Hence silicone implants are highly adaptable to the human body and there is very little risk of cancer, rejection, infection and other problems that you might get with goretex, med por, and other implants. Silicone implants that are solid have been placed in thousands of people with no problems over many years and decades!

Thanks for reading, Dr Young

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

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Why is Dr Young an excellent choice for Botox / Dysport.

Thursday, August 6th, 2009

Well to begin with, I’m double board certified in Facial Plastic Surgery and Head and Neck Surgery. When I took the facial plastic boards in 2006, I scored the number one score in the nation on the written exam.  This is the board exam that certifies people who specialize in the face! For botox, one of the most common complications, which happens 3.2 % of the time (to as low as 1.2%), is droopy eyelids.  Of all my injections, I have never had one incident of this.  This is sort of an example of why I’m an excellent choice, as a physician to choose, to have your Botox / Dysport injections.  I have been injecting Botox for around 7 years.  Botox / Dysport can be used for forehead / glabellar wrinkles., crows feet, lip lines, neck lines, neck bands, downturned mouth, gummy smile, lines around the eyes, nasal flare wrinkles.

Dr Young is located in Bellevue near Seattle, Washington

Asian double eyelid surgery and maintaining the Asian appearance as opposed to westernizing the Asian Eyelid

Tuesday, August 4th, 2009

When considering surgery for the Asian Plastic Surgery, there is a significant difference between an eyelift that maintains a person’s Asian appearance and one that changes the eyelid to look like a westerner or caucasian eyelid.  For an null you want to make the double eyelid crease no more than 3mm high when the eyes are open (The crease is surgically set from 6-10mm), you want to keep the mild puffiness that characterizes this ethnicity, you want to avoid taking out too much fat in the Asian eye.  For a westernized eye, the crease is surgically set higher (set at 8-10mm), more fat is removed, and there is a lesser degree of an epicanthal fold (the extra skin that covers the middle part of the eye).  Knowing where to place the crease, how much skin to remove, how much fat to remove, how to design the incision, making sure things are symmetric, how to place the crease forming sutures, etc all play a vital part.  Finding a surgeon that pays attention to all of these details is very important for an excellent result.

Dr Young is located in Bellevue near Seattle, Washington

After rhinoplasty from another surgeon my nostrils are bigger after nose picking and is this possible.

Friday, July 17th, 2009

This is unlikely unless your nostrils were made to be smaller with suture techniques during Rhinoplasty.  If this were the case, your nose picking could have dislodged or broken some key sutures that were keeping your nose a certain shape. Also if your nostrils were made smaller from the surgery, your nose picking could have stretched out the reshapened nostrils and made them smaller.  Making your nostrils bigger is actually less of a concern than if you were to tell me that your nose is smaller after picking your nose. Contractures can happen that can make your nostril smaller and the correction of this is much more involved requiring grafts to enlarge the nostril and sometimes the need for multiple revisions to enlarge the nostril.

Dr Young is located in Bellevue near Seattle, Washington

Lower eyelid drooping after blepharoplasty

Friday, June 26th, 2009

This is a question that I answered for someone who had a procedure by another physician.

Aging many times involves a volume loss. For the lower eyelids, this means that you lose volume in the cheek and under eye area. This reveals your lower eyelid fat and also exposes your muscle that surrounds your eye. With the more exposed orbital rim under your eye, you have many reasons for bags under the eyes. The fat protruding creates a shadow under your lower eyelid. The exposed muscle creates a darker appearance to the lower eyelid. The exposed orbital rim creates a visible rim under the eye as well.

Most surgeons treat this by removing the fat under the eye. This can help. But this solution may make you look hollow and something about it leaves you wanting to look younger! Volumizing this area is the key and fillers or fat injections are the answer to this. Because fat injections last longer and look better in my opinion, it is the treatment of choice for me.

Be very careful with liposuction on lower cheeks

Wednesday, June 24th, 2009

Liposuctioning your lower cheeks is always a risky endeavor. Liposuction can create dimpling, and contour changes that usually is not a major deal when it is in your tummy or butt. But when it is in your face, the significance increases greatly. And that is just with traditional liposuction. When you add Smart Lipo to the mix, with their use of lasers during the liposuction that have less general use in terms of the time it has been available to the market and experience among surgeons, you are going into unknown territory, in my opinion. The risks would be higher. If you do decide to go through with it, I would tell your surgeon to be very conservative and that you don’t mind doing it again if you have to. Less is better many times.