What is laser neck lift?

September 2nd, 2009

A laser neck lift can mean a form of liposuction that has a laser attached to it that helps shrink the fat and which can lead to more tightening of the skin.  Fair results can be achieved with this technique.  It can also mean using resurfacing techniques with co2 technology that can cause tightening by creating collagen contracture in the more superficial layers of the skin.  The tightening from this can lead to even less neck tightening than the laser liposuction.  Lumenis has technology that can tighten the deeper layers of the skin through their Deep fx hand piece that directs the co2 laser to the deeper layers.  Again this is more subtle in terms of the results.  If you really want tightening of the your neck bands, turkey gobblers, double chin, loose neck skin a formal neck lift (neck lift / platysmaplasty / lower face lift / lower facelift) is the best way to do that.  This can be done with small incisions under the chin and behind the ear which can heal almost imperceptibly.

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

Posted in Laser Resurfacing, Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands | Comments Off on What is laser neck lift?

When should flight attendants go back to work after an Eye lift?

September 2nd, 2009

This is a question a patient asked of me. Here is how I answered it:

One week is about the average time it takes to get better. Healing is personal and individualized after an eyelift / blepharoplasty (eye plastic surgery / eye cosmetic surgery / eye lift) .  Everybody heals differently.  Someone can heal to a certain stage at one week while someone may take a month to get to that same point.  Bruising typically resolves by one week and same with the swelling but everyone again is different.  In terms of bruising, additional bleeding the first week is the most important.  You should be really careful of not doing anything strenous for the first week but if you want to be aggressive to getting back to work the first two days are the most important for the bleeding and oozing.  One thing to realize is that your wounds heal 60% at 6 weeks, 80% at 6 months, and 88% approximately at 2 years.  This is another way at looking at things.  Based on this the decision to return to work is really up to you.  I have has patients take a flight 2 days after a facelift.  Everybody is different is the rule!

I hope that helps.

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 | Comments Off on When should flight attendants go back to work after an Eye lift?

Blue shadows under the eyes and what are the treatments?

August 31st, 2009

This is an answer that someone had asked me recently:How do you improve the blue hue under the eye with lower eyelid surgery and what options are there?

Options include fat injection (fat transfer / fat augmentation / fat grafting),  laser resurfacing, (laser peel / Active Fx, Deep Fx, Co2 laser resurfacing), lower eyelid blepharoplasty (lower eyelift / eye lift / lower eyelid pinch). It sounds to me that you might have some volume loss under the skin of the lower eyelid which would include skin thickness, collagen and fat in the lower eyelid cheek area.  The result is that the muscles around the eye are seen more clearly under the skin to give it the blue hue that is seen.  the ways to improve this include fat injections that create a layer of tissue under the skin to block the deeper blue colors from showing throw the skin.  Laser resurfacing also can create a layer of collagen underneath the skin to also block the blue from showing through.

The other explanation is that the bulging of fat from the lower eyelid could be causing a shadow under the bulge to cause the blue discoloration. Lower eyelid blepharoplasty which can remove the fat and skin that is causing the shadow underneath.

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, Fat Transfer / Fat Injections, Laser Resurfacing | Comments Off on Blue shadows under the eyes and what are the treatments?

Can fat injections be permanent? What are some options.

August 31st, 2009

Fat injections (fat transfer / fat grafting / fat augmentation) can be “permanent”. One thing to realize is that fat injections and anything in life aren’t necessarily permanent and forever.  Fat injection results can last many years if done right.  Just like the fat that you had when you were younger, they eventually went away after a while as you aged.  This same process will eventually happen to the fat that you have injected.  Over many years, the fat will get metabolized as you age but the results may last for 10 years or more.  Another option of volumizing is through facial implants.  Silicone is the most common implant that people place within the face and these implants can last essentially forever.  Facial implants (silicone implants / cheek implants / jaw implants / facial implantation / chin implants) are more of a permanent option but the drawbacks are having a foreign material placed within your face and it does require more incisions and likely recovery time than fat injections.  If you can handle the idea of putting something foreign into your face this is a great option.  Silicone implants have been placed into thousands of patients around the world and has an excellent track record for safety.  You can see more on fat injections on my website and youtube account.

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 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.

thanks for reading Dr Young

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

Posted in Facial Implants, Fat Transfer / Fat Injections, YoungVolumizer | Comments Off on Can fat injections be permanent? What are some options.

Can a subtle rhinoplasty be done?

August 31st, 2009

This is a question that someone had regarding getting subtle rhinoplasty results so that her parents wouldn’t find out.  This is how I answered:

Deciding what you want your nose to look like is the most important first step when considering rhinoplasty (nose job / nose reshaping / nose shaping / rhino plasty / nasal shaping).  Figuring out what you want your nose to look like can be done with special computer programs that can morph the pictures of your nose.  Once you come up with an agreement on what that goal is for the appearance then the surgeon and you will determine how to achieve that.  Depending on what you decide the end result could be subtle or could be a bigger and more noticeable change.  But ultimately you should set these aesthetic goals based on your desires of what you want your nose to look like and not what others may want your nose to look like.  After all, it is your nose and you have to live with it on a day to day basis.

To make your nose smaller you may need to bring your nasal bones in as well as make the cartilages in your nasal tip smaller and the cartilage components above the tip more narrow as well.

Thanks for Reading!

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 a subtle rhinoplasty be done?

How to fix bulbous tip on ethnic nose?

August 26th, 2009

This is a question that was asked of me:

Hi, I would like to know how Rhinoplasty is done. If its just the tip, I want to make it pointy. I heard suture technique can give me a pointy tip, without taking out cartillage, I love my nose from the side and the size of my nose, but the tip is bolbous and I don’t like that. Please, what is done to get a pointy tip during the surgery? Thank you.

Suture techniques are a great way to make your nasal tip more refined and pointy and they are potentially reversible during a rhinoplasty procedure (or nose job / ethnic rhinoplasty / asian rhinoplasty / hispanic rhinoplasty / African american rhinoplasty / nose shaping / nose reshaping / nasal tip shaping).  Different techniques can make your nose look different and better in many ways.  One thing that you have to consider in ethnic rhinoplasty is the thickness of the skin envelope over the tip.  If your nasal tip is thick it is harder to make it more refined.  Thinning the skin is an option but that risks the survival of the skin to some degree.  Often times grafting in the nasal tip and creating more structure is what is needed. Your side profile can be maintained while still making the front more refined.

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 to fix bulbous tip on ethnic nose?

Fat grafting: does it last and how long

August 26th, 2009

This is an answer to a question that someone had for me:

How long does Fat grafting to upper eyelids last?How long the result would last?

Fat grafting (fat transfer / fat augmentation / fat injections / liposculpture / liposuction and injection) is the ideal permanent filler substance and can last if done right. Fat is living tissue that requires care from the part of the surgeon to insure survival for the long term.  If the fat survives past 3-6 months, the fat will likely stay in there for many years.  Many people have shown that grafted fat can last for 8-15 years.  The loss of the fat is generally gradual just like your own fat that you had when you were young.  You will always look younger than a twin that never had it done.  To make fat survive you have to be gentle to the fat. I don’t spin the fat, freeze it, wash it, nor add too much ingredients to the mix when I harvest the fat.  Also I place small amounts in many different layers.  The other authors are correct in saying that the there may be the need to do some touchups to the areas for more volume. In the most simplest words, as you age you lose blood vessels for that was supplying the original volume and hence the new volume that you place will require more blood flow that may not exist.  Hence a building up of the volume may be needed.

I refined an amazing volumizing procedure called “null”. 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 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.

thanks for reading Dr Y

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

Posted in Fat Transfer / Fat Injections, YoungVolumizer | 2 Comments »

Can the tip of the nose be reduced for the roundness and can it be done without general anesthesia

August 26th, 2009

The tip of the nose can be reduced with local anesthesia without siginificant problems when someone undergoes nose reshaping (nose job / rhinoplasty / cosmetic surgery on the nose / nose shaping / rhino plasty / or rino plasty). You don’t need to be under iv sedation or general anesthesia for reducing the tip.  The tip is easily made numb for tip rhinoplasty.  The tip can be reduced by altering the  cartilages through an incision under the nose.

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 the tip of the nose be reduced for the roundness and can it be done without general anesthesia

The short scar facelift is limited in the extent of the incision and amount of dissection

August 26th, 2009

There are many different variations of a short scar face lift (mini lift / S lift / Weekend face lift / Lunch time face lift / Lunch Hour Face Lift / short incision face lift). This approach differs from traditional face lifting approaches by the limits in the length of the incision, the depth of incision, the amount of dissection, and extent of improvement.  It really depends on who you go to.  There are ways to limit the length of skin incision and still achieve amazing results through tissue distribution.  Many surgeons out there are making the short scar facelift more a “short cut” face lift where corners are cut and the results are essentially much less satisfactory.  However, there are some very knowledgeable surgeons out there that can use a short scar and do amazing things.  Short scar facelifts usually entail also superficial dissection to avoid exposing facial nerves and is deemed safer by many.

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 The short scar facelift is limited in the extent of the incision and amount of dissection

There are many options for increasing your nasal bridge height

August 26th, 2009

Rib and Ear cartilage are the most natural ways /sources to increase the height of your nasal bridge during rhinoplasty / nose reshaping (other names for this procedure include nose reshaping / nose shaping / cosmetic surgery on the nose / rhino plasty / rino plasty / nose plastic surgery). Rib cartilage has the advantage of having an abundant supply of cartilage. Their is a tendency to warp and this can be prevented by placing pins inside the rib or by equal carving on all sides of the graft. There are other ways to prevent the warping as well. Ear tends to get absorbed more than rib and also is not as resilient and has a natural bend to it. It really depend on the person whether ear or rib hurts more. In my experience, rib grafting is far more painful than ear harvesting. One option for nasal bridge augmentation is using silicone implants. They are very compatible to our tissues and are almost the ideal implant. You don’t need an extra place to harvest it and can last for as long as you live without absorption, warping, and the need for another area to harvest. The argument against silicone is that is not natural and can lead to infection but there are data out there that shows the rib cartilage can have just as high of a rate for infection during rhinoplasty / nose shaping / nose jobs.

Thanks for reading!

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 There are many options for increasing your nasal bridge height

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