Can Radiesse effect scans or other xrays that I get?

October 17th, 2009

Facial Fillers (filler / radiance / calcium hydroxyapatite) has been used in the past as a radiological marker and in fact this was one of its first uses. So, definitely, when you have radiesse injections you should tell the person taking your exam that you had these injections and to expect them on your radiologically exam.  That could change the way they read the scan or exam!

Thanks for reading, Dr Young

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

Posted in Radiesse | Comments Off on Can Radiesse effect scans or other xrays that I get?

What is the cost of a chin implant and is it possible to get it done in another country for less?

October 17th, 2009

The cost of a Chin Implant Reshaping (chin augmentation / chin enhancement / chin plastic surgery / chin cosmetic surgery / chin job / chin implant / chin facial implant) varies depending on the surgeons fee, anesthesia costs, after care, and the cost of the implant.  In total you will be looking at between 4-6 thousand dollars.  The implant itself costs from 200-400 dollars. The surgeons fee between 3-4 thousand dollars. Anesthesia fees can be anywhere from 500-3000 dollars.  Sometimes you get what you pay for. I wouldn’t do price shopping to find the best deal.  You can get an implant for the chin for 1-2k in some third world country but then you have to pay someone else another 4-6k to fix it or more.  I have taken care of many people who have gone out of the country for less expensive surgery only to come back to me to have it redone.  When you go out of the country, the surgeons there have less incentive to take care of you.  You did in fact go there for the price and not the surgeons skill so it really doesn’t matter to them if they do a good job because they are getting you to come based on price.  Also, with you in another country their follow up for you is a lot less and they don’t have to worry about you coming back every day or week to see you and take care of you.

I hope that helps!

Thanks for reading, Dr Young

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

Posted in Chin Surgery | Comments Off on What is the cost of a chin implant and is it possible to get it done in another country for less?

My right eyebrow is higher than my left. Is there a subtle way to correct this?

October 17th, 2009

This is a question I recently answered for someone:

Asymmetry in the eye area is normal.  In fact, we appreciate beauty in an asymmetric way.  Our right brains appreciate beauty more than our left and our visual fields are asymmetric.  Essentialy, in short, we see someone’s right face more when we regard or assess beauty.  This has evolutionarily lead to asymmetries in our face based on millions of years of sexual selection.  We tend to choose our mates based on how good the right sides of our face look more than what our left sides look.  Thats sort of the long story and there is even a longer explanation to that.

In terms of correcting, you should realize that not everybody is the same on both sides.  This may comfort you a little and might dissuade you from getting something done.  What I can say is that you can get some correction of this if you are willing to do this. From this picture, I would really have to see you in person or see pictures of you to really know, but your left eyebrow is a little lower.  You might benefit from adding volume to the left temple region and above the eyebrow to lift the eyebrow subtly.  Even adding some volume below the left eyebrow could benefit.  This can be done with Fat Transfer, Facial Fillers, and other implants.  A browlift could even pull up the left eyebrow but in a less than natural way.

But I would really have to see you in person to be able to counsel you more.

I hope that helps!!!

Thanks for reading, Dr Young

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

Posted in Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on My right eyebrow is higher than my left. Is there a subtle way to correct this?

What is a silhouette lift and will it last?

October 16th, 2009

This is a question I recently answered for someone asking about the silhouette lift which is a variation of a thread lift.

It really depends on how its done, is the bottom line.  If the sutures that they use are not properly placed and done without proper dissection the results will be temporary.  In order for the skin and muscle of the face to take on a new shape a significant amount of dissectiion is required to allow these tissues to readjust for the long term.  I’ve done over 1200 null so I know how the effects of a superficial lift is compared to a more traditional approach. There is a huge difference.  With the minimal dissection they purport, the results are going to be temporary.  Anything done in 45 minutes will not last years based on my pretty extensive experience with facelifting.

I hope that helps!

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 | Comments Off on What is a silhouette lift and will it last?

What about Permacol for a nasal implant?

October 16th, 2009

This was a question I answered from someone who had his ear cartilage implanted into his nose during a rhinoplasty (nose job / nose cosemetic surgery / nose plastic surgeyr / nose reshaping / nose shaping) for a broken nose when he was young that reabsorbed over a year.

That wouldn’t be my top choice. This product will get absorbed and might have a potential for an allergic reaction. The manufacturers state that the implant is eventually replaced with your collagen.  I think that this needs to be further proven.  My position on new products is that I let others make the mistakes with it first and then I’ll use it if it has proven itself over 5-10 years time and has shown a strong safety record.  Because you have had previous implants with yourown ear cartilage I would suggest that you might want to think about rib grafts . Cranial bone grafts are an option but they are considered by many to be too firm in the nose and have a variable absorption rate.  A rib graft does have a significant commitment associated with it that you would need to accept.  An alternative would be a silicone implant that is a better option with your first surgery but less so the more revisions you have. I wouldn’t consider an implant after the first revision.  The risks of infection goes up. But possibly for the second revision if you really didn’t want a rib graft.

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 What about Permacol for a nasal implant?

How long after rhinoplasty can I resume normal activity? How about scube diving?

October 16th, 2009

In general, the first thing to worry about are swelling and bleeding after Rhinoplasty (nose job / nose plastic surgery / nose cosmetic surgery / rino plasty / nose shaping / nose reshaping / nose shaping). Prevention helps and avoiding blood thinners 2 weeks before and after is a prudent thing. Keeping your head elevated is important for the first 24 hours and first week if possible. Your tissues take time to heal. Based on wound strength studies, you gain 60% of your wound strength at 6 weeks, and 80% at 6 months and 88% approximately at 2 years. So you see that it starts to tailor off as you go past 6 weeks and even more at 6 months.  These are the points that I usually tell my patients so they can gauge their activity themselves. Most of the time resuming light activity at 2 weeks and increasing gradually is what I tell people only if everything proceeds as expected. Scuba diving, however, will place some pressure on your nose with the face mask. I would be very cautious about doing this for a while.  To be on the safe side I would wait at least 6 weeks if not 6 months.

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 How long after rhinoplasty can I resume normal activity? How about scube diving?

Can an alar cinch change the shape of the lip and if so what are some other options?

October 16th, 2009

An alar cinch can effect the way the lips look.  It does this by increasing the volume of the middle of the nose, and upper lip.  To avoid affecting your lips you may consider different type of procedures around the alae to change the way they look.  There are different procedures that involve some minimal incisional techniques that can be done on the sides of the alae to improve their appearance that are lower risk and fast in recovery.  You should definitely go to someone with a lot of experience in doing these types of procedures and you want to have some be very conservative in this.

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 Can an alar cinch change the shape of the lip and if so what are some other options?

Can Birthmarks be removed or reduced with microdermabrasion?

October 16th, 2009

This is a question that I answered recently.

It could work but microdermabrasion is usually a more superficial procedure. Birth marks usually have a deeper component within the skin.  Microdermabrasion is a superficial type of treatment that is not usually done to remove birthmarks, however. If done aggressively with more suction and more passes you can make the microdermabrasion reach deeper.  There are some microdermabrasion machines that are medical profession strength that can be used more aggressively.  Lasers, actual excision of themark, laser resurfacing, dermabrasion are other options.

Thanks for reading, Dr Young

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

Posted in Microdermabrasion, Uncategorized | Comments Off on Can Birthmarks be removed or reduced with microdermabrasion?

What are the bumps that can form after you have a laser resurfacing procedure?

October 16th, 2009

This is a question I answered for a patient who had laser resurfacing (laser peels / laser skin resurfacing / active fx / deep fx / total fx / max fx / ultrapulse / co2 laser resurfacing) and bumps a couple of months after the procedure:

They could be milia (clogged pores / acne / plugged ducts / facial bumps / plugged hair follicles). Which are small plugged cysts within a hair follicle. These can be extracted individually. There are also other options including using retin A, topical antibiotics can help and prevent more from forming.  Also microdermabrasion and superficial chemical peels can be done as soon as your skin is healed. At this point for you, being 2 months out you can do microdermabrasion, chemical peels, and before this I would have you start on a cleaning regime exfoliation and retin A. The Retin A will stabilize the skin cells and prevent the pores from cloggin up. From there, the microdermabrasion and the chemical peels (chemical resurfacing / chemical facials / skin resurfacing) will open up the pores and milia and clear the skin.

Here is a live demonstration of my use of a co2 laser and laser 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, Dermatology, Laser Resurfacing, Microdermabrasion | Comments Off on What are the bumps that can form after you have a laser resurfacing procedure?

Fillers, Botox or Lasers for the Under Lower Eyelid Area?

October 15th, 2009

This was a question I answered for someone recently:

Restylane is a filler and can be used to fill in the lost volume that is really the cause of the majority of the reason why your lower eyelid looks the way it does. Fat injections, the YoungLift, Juvederm, Perlane, Radiesse are other fillers that can be filled into the lower eyelid area.  The temporary fillers last from 6 months (restylane) to a year or more (radiesse) with perlane and juvederm in between.  Fat injections can last much longer but this isn’t guaranteed but is the best shot for a long term correction.

Botox prevents the muscle around the eyes from squinting which can make the wrinkles less noticeable. Dysport (or botox / bo tox / botulinum / neurotoxin / disport) is a great option.  But these do nothing for the surface quality of the skin and neither does the filler. But the fillers can decrease the amount of wrinkles by filling up the volume.

This is where the co2 laser or other resurfacing procedure (erbium yag, active fx, ultrapulse, deep fx, max fx, total fx, traditional co2 laser resurfacing, laser peel) can help with by decreasing the wrinkles and actually tightening the skin.  A small amount of volumizing also occurs with lasers with their creating of a thin collagen layer deep to the skin.

I hope that helps some!

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, Chemical Peels, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Juvederm, Perlane, Radiesse, Restylane, Wrinkle Treatment, YoungVolumizer | Comments Off on Fillers, Botox or Lasers for the Under Lower Eyelid Area?

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