What can fraxel, ipl, chemical peels do to help Acne?

February 5th, 2010

What can fraxel, ipl, chemical peels do to help Acne?  The patient who asked this question also mentioned that another doctor told him that the scars eventually all reform and recreate the past scars.  What can be done for this patient.

Acne scars (Dr Young Bellevue Washington) can be improved through excisions, resurfacing, fat injections.  It all depends on the type of scar you want to improve.  If there involves a significant difference in the level of the scar you need to improve that mostly by excision.  This is more so with depressed scars.  There are many ways to try to elevate the scars including very strong chemical peels in the depressed scars which will elevate the scars. Subcision is a technique that can be used to incise around the depressed scar releasing the tethering component to allow the scar to rise up to the level of the surrounding skin.  Or just excision which is the better choice because you make the ultimate incision smaller.  Resurfacing after the subcision or excision comes next and this is where the incisions are made to look less noticeable.  Sometimes through acne, scarring is extensive in the subdermal and subcutaneous plane causing large areas to be adhesed to the deeper tissue.  Filler can separate this scarring but the best thing for this is fat injections.  Injecting fat into this large layer of scar will soften the adhesions and allow the skin to become more free.  The extra volume also allows the skin to be taken up more reducing more lines and wrinkles and a coalescence of scars to make larger scars.  Also with the layer of fat, the skin can begin to heal and remodel itself to make the skin look better.

IPL can decrease any vascularity from the acne. Fraxel can shrink some parts of the scar. While chemical peels can remove some of the scars that are more superficial.  But my preference is to excise and then resurface with a co2 laser.  I also consider fat grafting underneath the skin to allow it to heal. I personally don’t think fraxel works well for Acne scars.  IPL can help with the vascularity of the scars if they are new or possibly any pigmentation issues of the scars but that is the most it will do.  Chemical peels can help like any resurfacing but can be limited without changing the depressed or raised nature of the scars.

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, Fat Transfer / Fat Injections, Scar Removal / scar reduction / scar revision / scar treatment | Comments Off on What can fraxel, ipl, chemical peels do to help Acne?

How do you get rid of the Angry Look?

February 5th, 2010

How do you get rid of the Angry Look?  But what if you are one that doesn’t want to come in for Botox several times in a year to keep the results. Botox is great, but a browlift or volumizing followed by laser resurfacing are options.  A browlift that pulls up our eyebrows and then with additional work to take out the muscles that are causing that frowning can be an option to improve this furrow.  I think volumizing this area can also be a good option.  Loss of volume in the forehead and in between the eyes can lead to more skin relative to the tissues underneath. This leads to more skin folding and a closer position of the skin to the muscles that are creating the wrinkles.  Volumizing takes up the extra skin and also separates the skin from the muscles more and decreases the muscles effect on the skin, ie wirnkles.  After both a volumizing procedure and a browlift either/or, you can resurface the face to decrease the wrinkles and also to subtly shrink the skin. The YoungVitalizer (Dr Young in Seattle) is a great option for this area.

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, Browlift / Eyebrow Lift / Brow Lift, Laser Resurfacing, YoungVolumizer | Comments Off on How do you get rid of the Angry Look?

After a facelift you continue to age but you will always look better than a twin that never had it done by Dr. Young of Bellevue

February 5th, 2010

After a facelift you continue to age but you will always look better than a twin that never had it done by Dr. Young of Bellevue: After a facelift, you continue to age but you will always look better than a twin that never had it done.  Of course, you have to make sure a facelift is what is going to make you look good.  I think that when facelifts are redone more than once, the more you do the more you can look distorted.  When you age with a facelift, some have found that you can have what people call the lateral sweep affect.  This occurs when your face is pulled laterally and what keeps it up is also more lateral and in between the tissues can hang as you age.  What you get is two points that are higher, one lateral and one nearer to the midline of the face creating a Nike type of swoosh appearance.  At some point, you really need volumizing to make your face look younger.  So if a person has had a facelift before and wants to look younger, I usually talk about the YoungVitalizer as an alternative.  This is my technique of volumizing the face.

YoungVitalizer Before After Pictures

YoungVitalizer Before After 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 Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, YoungVolumizer | Comments Off on After a facelift you continue to age but you will always look better than a twin that never had it done by Dr. Young of Bellevue

Surgery or volumizing. What should I do? by Dr. Philip Young of Bellevue | Seattle

February 4th, 2010

Surgery with a Facelift or volumizing. What should I do? by Dr. Philip Young of Bellevue | Seattle: I think ultimately when you talk about facial rejuvenation, at one point you will face this question of whether to undergo surgery to remove extra skin and lift or the other choice of filling up the space to volumize the extra skin and the space around it.  Take for example the eyes.  Traditionally plastic surgery and its surgeons typically took away skin and fat.  That usually improved the situation but often times, in many cases, the person didn’t look younger necessarily.  Aging is predominately a process of losing volume in the face and around the eys and the way to reverse that is to replace this volume.  Here is a pictures of what improvements you can get after volumizing around the eyes: The YoungVitalizer.  I usually say that aging is a process that is analogous of a grape changing into a raisin.  Traditionally plastic surgery would make that raisin into a smaller raisin and not like the younger grape that it once was.  Volumizing returns the person’s face back into the grape it once was.

YoungVitalizer Before After Image

YoungVitalizer Before After Image

So when do you opt for the traditional reductive type of procedures where things are removed such as when you do an eyelift, browlift, facelift and the like? Well it depends on how you looked like when you were young.  If you thought your face was larger than you liked when you were young then some reduction may be necessary. I have a lot of Asian women who used to have much larger faces which they didn’t like.  They like there shape now that it is smaller but they still look aged.  I think some reductive type of procedures for this particular situation may be more necessary.    Reductive type of surgeries are also more indicated when the person gains a lot of weight and changes the face shape from what it was when that person was younger.  In this case as well, reductive type of surgeries would be more beneficial before volumizing.  Ultimately, whatever the face is looking like right now and what changes it needs to reach the ideal is what you would be most beneficial in doing.  I use my theory to find that ideal for people.

Thanks for reading, Dr Young

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

Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Uncategorized, YoungVolumizer | Comments Off on Surgery or volumizing. What should I do? by Dr. Philip Young of Bellevue | Seattle

Botox under the eye can open up the eye

February 3rd, 2010

You can have a little effect of opening up the eyes by injecting botox / dysport (Dr Young’s Bellevue Office) under the lower eyelid.  Usually 2-4 units can be injected 2-3 mm underneath the eyelashes under the eye.  This can have an effect of weakening the eye muscles around the eye to allow the eyelid margin to become lower.  The ultimate effect is to make the eyes look bigger.  This has been found especially true for Asian patients.  Also injecting laterally in the crows feet area, in the lateral part of the eye and in the area that is between the eye can also have a impact in opening the eye.

Thanks for reading, Dr Young

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

Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Botox, Dysport, Botulinum | Comments Off on Botox under the eye can open up the eye

Lateral Brow lift with Botox / Dysport

February 3rd, 2010

This is a blog to discuss how to get a brow lift with Botox / Dysport (Seattle, Washington).  Overtime, aging has a tendency to decrease the volume around our eyes. This leads to a descent of our eyebrows which can lead to the appearance that our eyes are smaller and that we have a stern look.  Also with the decreased volume and skin thickness, our muscles are more likely to exert their actions on our skin.  In essence, our muscles are more likely to create wrinkles the closer they are to our skin.

What also causes are eyebrows to descend is due to the action of the eye muscles around our eye.  The function of our eye muscles is to close the eye.   Over acting eye muscles can actually lead to the eyebrows descending as well.  Through Botox / Dysport, wecan elevate our eyebrows by making the eye muscles around our eyes weaker.  This action can lead to the other muscles in our forehead to have a stronger influence on our eyebrows and hence more effect on lifting up the eyebrows.  Injecting botox / dysport between the eyes and around the sides of the eyes can do this.  Usually the amount of botox you need in between the eyes is around 8-20 units.  On the sides you can put anywhere from 6-15 units on each side to accomplish this.  Pricing of botox ranges from 9-16 dollars per unit with Dysport being a little less expensive.

Importantly the way you inject botox on the sides of the eyes is important for a brow lift.  Typically, I use 6-10 units under the lateral part of the eyebrow to get this lifting affect.

Thanks for reading, Dr Young

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

Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Botox, Dysport, Botulinum, Browlift / Eyebrow Lift / Brow Lift | Comments Off on Lateral Brow lift with Botox / Dysport

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

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?

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

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.

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.

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