A nose too short from rhinoplasty by another surgeon and what can be done about it

July 17th, 2009

There are many reasons to lead to a shortened nose throughRhinoplasty.  Suturing techniques are the easiest to reverse and you CAN cut some sutures to make it lengthen again.  However if the shortening is due to cutting the septal cartilage the treatment to lengthen this situation is more involved and may need cartilage grafts that are situated in an extension type configuration (often called septal extension grafts)in order to lengthen the nose.  Your surgeon will really know how to do this for you. But if you were to get another surgeon to help you with this you could have your operative note sent to the new surgeon.  Don’t things can be done. You will look better!

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on A nose too short from rhinoplasty by another surgeon and what can be done about it

Uneven swelling and healing in the eyes after an eyelift / blepharoplasty.

July 17th, 2009

Each eye can take different amounts of time to heal.  Blepharoplasty and eyelifts are essentially two different surgeries one on the right and one on the left.  Just like you are asymmetric on both sides.  Your anatomy is also not totally symmetric easier and that pertains to blood flow.  It is possible that your blood vessel anatomy is different from each side and that there may be more vessels stimulated on the side that is more swollen.  Also when sleeping you could have spent more time on the side that is swollen and fluid might have accumulated there more.  Don’t worry things will start evening out. I wouldn’t consider anything rash for a couple of months after eyelid lifting / eye lift / blepharoplasty surgery.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags | Comments Off on Uneven swelling and healing in the eyes after an eyelift / blepharoplasty.

Dysport

July 17th, 2009

Botox is the new Botulinum Toxin out there. This product has recently recieved FDA approval and is being used in the United States.  It has a long safe track record in Europe and many people are excited about its use here in the states.  Dysport has been touted as being longer lasting. From what I have heard from representatives is that the FDA allowed it to be marketed as lasting about a month longer than Botox that we are currently using now.  The onset of Dysport is also quicker according to some.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Botox, Dysport, Botulinum | Comments Off on Dysport

Non surgical option for jowls and neck lift?

July 16th, 2009

The neck and jowls are harder to treat without some type of surgery but there are options. There are many different Laser Hair Removal out there that are tightening skin without large incisions. These, I think, are still in the experimental phase but some really believe in this mode of non surgical null. The results are usually subtle.  And require more than one treatment for better results. A traditional neck lift is the best way to pull up the jowls and neck laxity.  Other options include fat injections in the face to volumize the face to pull the jowls and some of the neck laxity away.  Fat injections in the face can do wonders to make one look younger and are a great option to avoid long incisions that you are worried about.

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 he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had. The YoungLift techniques can help with filling up the lips as well.  You can great results with fat injections in the lips.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands, YoungVolumizer | Comments Off on Non surgical option for jowls and neck lift?

Dark Circles, Jowls and whether a facelift of some sort can help

July 16th, 2009

In terms of a null, you might be a little early to have one.  It would really be beneficial to see a picture of you without smiling. A facelift can lift your jowls and improve your nasolabial folds to some degree. it won’t help your dark circles, and bags under your eyes.  Most surgeons would advocate a lower eyelid blepharoplasty, but this could cause hollowing under your eyes and appear unnatural.  I would suggest filling your cheek and lower eyelid with some type of Facial Fillers.  With filler you could go with temporary fillers or try the YoungLift.  Fillers such as Restylane, Juvederm, Radiesse, Perlane, can all fill in the cheeks and partially the lower eyelid but are temporary and last 6months to a year or more.  Permanent fillers such as silicone and artefill are risky and I stay away from them.  Fat injections can help and if the fat survives for more than 6 months to a year it will stay there for years sometimes more than 10 years.

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 he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had. The YoungLift techniques can help with filling up the lips as well.  You can great results with fat injections in the lips.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Cheek Augmentation, Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on Dark Circles, Jowls and whether a facelift of some sort can help

Radiesse injections to the nasal bridge and how long to wait before rhinoplasty

July 16th, 2009

If the augmentation is lost, I think it would be okay to consider Rhinoplasty. Facial Fillersis made up of 30% hydroxyapatite and 70% of the carrier. Much of the carrier dissipates over the course of the year.  It might be prudent to wait. But if you think the results are essentially back to normal you could consider rhinoplasty and an implant to raise your nasal bridge. What is left in your nose is likely the hydroxyapatite and this could stay in your nose for years. Biopsies of the bladder have shown it to be there for 5 years.  Hence if most of the augmentation is gone you could do the rhinoplasty earlier than the full year that it is expected to give you results.  If you really wanted to be safe you could wait for the full year to pass.

Thanks!

Dr Young is located in Bellevue near Seattle, Washington

Posted in Fillers / Facial Fillers, Radiesse, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Radiesse injections to the nasal bridge and how long to wait before rhinoplasty

Best implant in the nose Goretex, silicone for the Asian Patient

July 16th, 2009

Goretex implants for Asian Plastic Surgeryare usually made out of sheets and are formed by the surgeon to fit the nasal characteristics of the patient.  Goretex is made up of fibrillated polymer of polytetrafluoroethylene with pore sizes in the range of 22um which allow limited tissue in growth. It has been determined that pore sizes between 1 and 50 um (micrometers) will allow bacteria to get into the pores but not tissue ingrowth to fight off the bacteria.  Hence pore sizes between 1-50 um are not supposed to be good.  But there are a lot of surgeons that have used gore tex in the nose without a lot of problems and it has a proven track record in the nose.  It is a soft implant and allows the tissue to fixate the implant for a more stable feel.  Theoretically the chance of extrusion or rejection of these implants versus silicone should be higher and some studies show that is the case but the chances of this is still pretty low.  I have a good colleague that is very well known and totally believes this is the best implant to use in the nose.  I however based on experience and knowledge of different products believe that silicone is the best implant for the nose during Rhinoplasty.  It is the most compatible of all implants and has a lot of characteristics that come close to the ideal implant.  It allows limited tissue ingrowth but is very stable. Some people believe that the implants allow to much movement, are not as stable, and can look unnatural.  There are ways to fix the implant to the deeper structures that make the implant feel as if it were bone in certain places such as in the nasal dorsum/ bridge.  The silicone implant can also be placed within the tip in a judicious way to augment the tip, raise it and shape it with great success.  The alternative to this is to harvest cartilage from the septum or ear with the drawbacks of these areas. Septal cartilage is sometimes sparse in the asian nose and ear cartilage is often times too flimsy and curvy for the nose. Rib cartilage is sometimes the best natural alternative for the bridge and all the other areas an Asian nose might need.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Asian Cosmetic Surgery, Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Best implant in the nose Goretex, silicone for the Asian Patient

Will an Asian Surgeon be better suited to treat the Asian Client?

July 15th, 2009

Race doesn’t necessarily matter but you want someone that understands the Asian Patient and the nuances that this patient presents.  Knowledge of what Asian patients desire and the ability to communicate with them is the challenge.  Many Asian patients today desire to maintain their ethnicity with Asian Blepharoplasty.  This should mean something to the Surgeon doing the procedure and how to do this surgically is very important.  I see many Asian patients that go to Asia to get plastic surgery and they at times come back disappointed.  Hence going to an Asian doctor is not necessarily a cure all.  You have to go to a doctor that has the repertoire of skills that can treat all conditions that Asians present.  Some questions that will need to be answered when discussing Asian blepharoplasty include how high they want the fold, whether the fold should be inside or outside the epicanthus, whether the fold laterally should be parallel or ride higher, whether the epicanthal fold will be dealt with, etc.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Asian Cosmetic Surgery, Asian Double Eyelid Surgery / Asian Eyelid Surgery | Comments Off on Will an Asian Surgeon be better suited to treat the Asian Client?

Approach to the midface and questions regarding the longevity of midface suture lifts and deep plane smas lifts

July 15th, 2009

The suture suspension lift most likely refers to a midface lift and there are many ways to do this.  You can do it in a minimally invasive way through incisions in the scalp by the temple area.  All is needed are very tiny incision near your nasolabial folds to allow the sutures to pull up the middle part of the face.  Data on how long this lasts is not sufficient.  Most surgeons believe that effect is not as long lasting as other procedures.  A midface lift that is done traditionally can be done through incisions in the lower eyelid. This requires the middle part of the face to be released from the bone and then suspended to more superior structures.  This can help the nasolabial folds and elevate the midface cheek fat.  The results from this, in my opinion, are modest.  The reason for this is that the midface issue is really mostly a problem of volume.  Fat injections placed in the midface is a good option but not entirely perfect.  Implants can give the sufficient volume that is needed to replace what is lost in the midface area. But you have to feel comfortable with implants in your face.  The deep plane smas lift is very difficult to do and if you go to someone that doesn’t have a lot of experience with this it could be dangerous.    When done correctly, you can get a lot of release and pull on the nasolabial fold area and this can lift the midface in a more lateral and superior direction then just superior.  Most surgeons believe that the deep plane facelift will last longer than any suture only facelift 2-5 vs 8-10 year or more respectively for the suture lifts vs the deep plane.  These numbers are a pure estimation though but are somewhat supported by scientific review.

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 he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had. The YoungLift techniques can help with filling up the lips as well.  You can great results with fat injections in the lips.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Midface Lift, YoungVolumizer | Comments Off on Approach to the midface and questions regarding the longevity of midface suture lifts and deep plane smas lifts

Will the nose continue to grow even with rhinoplasty at a young age?

July 15th, 2009

The nose has been shown to grow as people age.  Much of this growth is actually due to parts of the nose losing its resiliency and structure that it had at a younger age.  Cartilages lose their structure and relax and this can make the nose drop from gravity which ultimately lengthens the nose.  The ligaments that hold the nose together also loosen over time and this also allows the nose to descend vertically.  Also with age, the skin can thicken.  Sebeceous gland growth can happen to some degree in everyone but is most pronounced in people with rosacea who can have a rhinophymatous type of changes to the nose.  But when the time comes when your nose is larger, there are ways to make it smaller again through Rhinoplasty

Dr Young is located in Bellevue near Seattle, Washington

Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | Comments Off on Will the nose continue to grow even with rhinoplasty at a young age?

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