Eyelifts / Browlifts / Fillers and how to make the eye look younger again.

August 10th, 2009

There are many procedures out there that can be done to improve the way the eye looks and to reverse some of the signs of aging (including droopy eyes, extra eyelid skin, tired looking eyes, puffy eyes, eye bags, eye wrinkles).  An eyelift / blepharoplasty (or eye lift / eye plastic surgery) procedure is one way and this entails removing skin from the upper eyelid. Sometimes this entails removing skin, muscle, fat and also recreating the eyelid crease.  Recreating the eyelid crease is perhaps the one thing that can really make an eye look better by reconstituting this crease which can really open up the eye and it appearance.  This is a really complicated part of an eye lift and requires understanding the anatomy to a greater degree and an increase level of expertise.  I have a lot of experience recreating the crease and I have done this with my Asian clientele but I also apply it to my caucasian clientele and other ethnicities.

Browlifts (or brow lift / forehead lift / brow plasty / browplasty / eye brow lift / eyebrow lift) are another way to open up the eye by pulling up the eyebrow to a more youthful position (other signs of aging include droopy eyebrows, hooded eye brows, extra eyelid skin).  This is done through incisions that are placed behind the hairline and hide really well.  Sometimes an incision in the eyelid crease is necessary to better expose the orbital bone above the eyelid and to allow a better approach to lift the eyebrow.  It is important for you to go to a surgeon that understandsFacial Beautyto get those excellent results.  You may have seen people who have a surprised look after a brow lift.  This is direct by product of our limited understanding of facial beuaty. I came up with a new theory on facial aesthetics / beauty which I think really answers some of the questions we have been wondering about facial beauty all of these years.

Fat Transferare all terms used to define a procedure that takes fat from somewhere else in your body and placed into your face or whereever you need more volume.  Fat grafting into the face can have amazing rejuvenative effects to the face by replacing lost volume in the face that have occured through aging.  When we age we lose fat, and our skin thickness gets thinner by losing tissue such as collagen, etc.  Fat grafting just replaces this volume. Fat can be more permanent.  Anything fat or volume that is present for more than 6 months to a year will last for many years, sometimes 8 years or more and up to 15 years. Basically, if you had a twin, you would always look younger than that twin if you had fat grafting and your twin didn’t.

Facial Fillers do the same thing as fat but they are just more temporary lasting 6 months to a year or more depending on the filler that use.  In general hyaluronic acids like restylane, juvederm, and perlane last from 6 months to a year. While Radiesse, a product of bone made up of calcium hydroxyapatite, can last up to year or more.

Both fat and fillers can be placed around the eye to really bring youth to the appearance of the eye.  But a knowledge of facial beauty is much more than half the battle in rejuvenating the eye.

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.

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, Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on Eyelifts / Browlifts / Fillers and how to make the eye look younger again.

Otoplasty can really change the way you look for the better if you have prominent ears.

August 10th, 2009

Q,M 081009 beforeQ, M 081009 after

This is a patient of mine who felt subconscious of her ears and never wanted to wear her hair up because she felt that her ears stuck out too much (or prominent ears / large ears).  We were able to reshape her ears to make them look a lot less prominent through small unnoticeable incisions behind her ear through a procedure called otoplasty, (or ear reshaping / ear shaping / ear plastic surgery / ear pinning / ear cosmetic surgery)  The ear essentially is pinned back with permanent sutures that creates specific curls in the ear and also sutures are used to pin the base of the ear back as well.  This patient wanted to be able to wear her hair up at a wedding and we were able to get a super result to allow her to do that.  She was ready to do normal things in less than a week.

Thanks for reading, Dr Young

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

Posted in Otoplasty / Ear Reshaping / Ear Shaping | Comments Off on Otoplasty can really change the way you look for the better if you have prominent ears.

what type of minor procedure can be done for the small hump on the nasal bridge instead of rhinoplasty

August 10th, 2009

But these solutions are more temporary and last anywhere from 6 months (Restylane) to a year or more (Radiesse). Fat injections are another solution to augment the nose to hide the bump (or nasal hump / nasal bump / hook nose / prominent nose / large nasal bridge / nasal bridge hump).  When I talk about these injections I mean injecting the fillers above and below the bump to hide it better. This type of procedure can be done in the office under minor local anesthesia with minimal bruising and swelling that lasts only a couple of days versus a week or more for rhinoplasty.

ARhinoplasty (or nose shaping / nose reshaping / nose plastic surgery / nose cosmetic surgery) is essentially any procedure that alters the shape of your nose and that can mean what I just described to the more traditional thought of during a more invasive surgical procedure to change the shape of the nose. A rhinoplasty has been called a nose job or referred to as nose reshaping / shaping, etc.  From a more traditional standpoint, taking down a hump will entail making small incisions within the nose to file down the bump.  Sometimes in order to make the nose appear more normal, you need to cause controlled breaks in the nasal bones to make it close in after the filing takes down the hump.  This type of approach is more longer lasting but does take a little while longer to heal versus the filling techniques that I described above.

Thanks for reading, Dr Young

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

Posted in Fillers / Facial Fillers, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on what type of minor procedure can be done for the small hump on the nasal bridge instead of rhinoplasty

What is the best chemical peel for Melasma?

August 10th, 2009

Melasma can occur in many different layers of the skin.  Most of the time the melasma is located in the epidermis which is the layer above the bottom layer of skin cells where the stem cells reside.  There are times when the pigmentation gets deposited into the dermal layers, or the layers beneath the stem cells.  Peels differ in the level that they penetrate.  10-20% tricholoroacetic acid null(TCA) usually stay in the epidermis but if applied more times can go beneath the stem cell layer.  20-35% TCA peels tend to go a little deeper and can go below the stem cell layer and get some of the deeper pigmentation.  One thing to remember is that the deeper you go with chemical peels the more time it takes to heal and the more risk.  10-20% TCA peels take 3-5 days to peel and heal. Where as 20-35% will take from 4-7 days or more to heal and peel. A woodslamp can help determine the depth of the pigmentation: contrast in epidermal pigmentation is increased while contrast in dermal pigmentation is decreased under Wood’s lamp illumination compared to ambient visible light. Chemical peels include the vitalase peel, Jessner’s peel, salicylic acid peel, rescorcinal peel, lactic acid peel, glycolic acid peel, phenol peel, retinoic acid 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, Dermatology | Comments Off on What is the best chemical peel for Melasma?

What do you do for lower eyelid bags, dark circles for someone in their lates 30’s early 40’s?

August 10th, 2009

Anullcan (or lower eyelid lift / lower eyelid blepharoplasty / lower eyelift / lower eyelid pinch) help by taking away extra skin and removing fat in the lower eyelid (this can also help lower eyelid bags, dark circles, puffy eye bags, dark under eyes). But instead of a lower blepharoplasty, I would consider fillers of some sort to the lower eyelid and cheek area.  What I see in many patients is the volume deficiency at the junction between your lower eyelid and cheek area.  When you age, you start to lose volume in the cheek area by losing fat and losing skin thickness and tissue within the skin.  A lower blepharoplasty could help the transition from your lower lid and cheek area. But a lot of times this procedure can make you look more hollow. I get a lot patients that have this issue after a lower eyelid blepharoplasty.  The better option is to fill the deficiency withFacial Fillers like restylane, juvederm, radiesse, perlane and even better for a long term solution fat injections.  I refined a procedure for volumizing called the YoungLift that does the same but, in my opinion, better that other volumizing procedures.

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 Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on What do you do for lower eyelid bags, dark circles for someone in their lates 30’s early 40’s?

Complex revisional plastic surgery procedures

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

How is a chin implant surgery done

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

60858-atomic_mac

Posted in Chin Surgery, Facial Implants, Uncategorized | Comments Off on How is a chin implant surgery done

Chin reshaping through implants or reduction can change your appearance dramatically for the better

August 8th, 2009

Chin Implant Reshaping/ chin shaping / chin implants / chin augmentation can have a significant impact on the way you look.  There are inter relationships between your chin, your face, and your nose.  Through my theories and studies on facial beauty, the end of your chin and the distance from this point to the center of the lower lip should be about the same distance from your lower lip to your nasal tip.  It should also be the same distance from your nasal tip to the level of the center of your eyes.  All of these distances are ideally equal to the distance from the center of your iris to the middle of your face.  I have found that distance to be ideally 3 iris widths in length.  At the bottom of the chin, the width that it conveys to a person should really be at most 3 iris widths.  But the highlights around the mouth area should be an area that is 3 iris widths radius centered at the lower lip.  This circular area should touch the nasal tip, the lower chin and the nasolabial folds.

On a less techinical side, a chin implant can be placed to make your nose look less prominent.  Prior to having a chin implant, your nose may appear that you would need to make it smaller through a rhinoplasty. But  after a chin implant, you would likely need to do much less reduction and may not even need to reduce the nose in anyway.  This same principle applies to different parts of the nose such as the nasal tip, nasal bridge and whole side profile of the nose.

How would you know whether you need a chin implant.  If you take a picture of a side view of your face, you can determine whether your chin is small or large.  This picture should be taken with the inferior eye bone ridge level with the top of the ear canal.  This is called the frankfort horizontal.  A line drawn through the anterior part of the lower lip, perpendicular to this horizontal plane, the chin should be 1-2 mm behind this line.  If it is more posterior a chin implant could help. If it is more a chin reduction procedure could help. Here is a video on chin reduction for you to see.

Another method is by drawing a line from the half way point from the deepest part of your nasal bridge between your eyes to the nasal tip.  From this halfway point through the anterior upper and lower lips, your chin should be about 3-4mm behind this line. If is posterior to this a chin implant could improve the profile. If it is anterior, a chin reduction could help.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Chin Surgery | Comments Off on Chin reshaping through implants or reduction can change your appearance dramatically for the better

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

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

Posted in Botox, Dysport, Botulinum, Uncategorized | Comments Off on Why is Dr Young an excellent choice for Botox / Dysport.

Chemical peel depth and length of healing time for specific lifestyles

August 5th, 2009

This is a question someone had about chemical peels and the different depths and how long it would take to heal:

nullcan help with decreasing unwanted pigmentation, decreasing fine and deeper wrinkles, decrease pore size, improve skin texture, tighten skin, and improve the overall appearance. Basically, the more aggressive you are the more downtime you will have, the better results but the more risk.  When you are less aggressive you heal faster, but you will have less dramatic results. So it really depends on what you want.  Generally a superficial peel will heal and peel in about 2-4 days. A medium depth peel will take anywhere from 4-7 days. And a deeper peel that that such as a medium depth with dermabrasion / dermasanding will take around 6-8 days sometimes.  When you do a peel, you can control the depth of the peel through anatomic signs.  A peel with a little red will be a very superficial peel and heal in 2-3 days.  One with red and a little white specks will be a superficial peel will take 3-5 days to heal or less. One with more complete white and red still present in the background will heal in 4-6 days.  One with solid white will need around 5-7 days to heal more or less.  Pretreatment is often required with a combination of retinA, hydroquinone, and hydrocortisone and should be done for about 2-4 weeks before the peel to be totally safe.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Chemical Peels | Comments Off on Chemical peel depth and length of healing time for specific lifestyles

« Older Entries
Newer Entries »