July 15th, 2009
Definitely photos are always beneficial to help a surgeon decide what would be the best solution for a particular problem and to reach the desires of the patient. You can reduce the size of the philtrum by excising certain portions of the lip to change the appearance through a directed approach to Lip Augmentation. These excisions can occur inside the mouth and can hide quite well. Sometimes making incisions under your nose can also help change the shape of the lips to get what you want. There are also many different lip advancements that can be done to alter the shape of the lips. Injections can be helpful but would really depend what the desired outcome was. I’m sure if you brought your picture in that a facil plastic surgeon would be able to figure out what was best!
Dr Young is located in Bellevue near Seattle, Washington
Posted in Fillers / Facial Fillers, Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip | Comments Off on Altering the shape of the philtrum / the center portion of the upper lip.
July 15th, 2009
Fat Transferin the neck can work if done right. The key would be to have a result where the fat survives after being transferred into the neck. Once the fat survives past a year, it should stay in the area that it was implanted for many years. Some surgeons have been able to maintain augmentation from fat from 10-15 years. Lumpiness can be a problem but if the surgeon respects how to place the fat this becomes less of an issue. When I graft fat into the face and neck, whenever I’m superficial I always use finer cannulas to transfer the fat. I also lay the fat down as evenly as possible so that each fat transfer aliquot is placed as close as possible to the ones placed next to it. When the fat is injected into the deeper layers, you have more flexibility and less margin for error when you use larger cannulas that deliver larger fat parcels. Fat injections in the neck may not be perfect but one can strive to perfect this. There may not be a better way to volumize the neck. Ultimately, I think surgeons and scientists are going to figure out how to make fat survive better and this will be the main way that surgeons will volumize the face.
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 Fat Transfer / Fat Injections, Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands, YoungVolumizer | Comments Off on Fat injections in the neck?
July 15th, 2009
The tear trough is a tough area to treat through eye lifts / blepharoplasty procedures. This area is located between the nose and the lower eyelid and is situated not above the bone as most people believe but above the soft tissue of the eye socket and eyelid. People have tried repositioning of the eye socket fat into that area through a blepharoplasty / eyelift procedure. This can work but has been shown to lead to eye position abnormalities and problems with dry eyes, etc. Fat Transfercan work in this area and may be the most natural way to rejuvenate this area. It does have some issues related to survival of the fat. But is the fat survives past a year it will likely stay in the area for many years, sometimes 10-15 years. Fat grafting requires a lot of skill and knowledge of fat survival techniques. Facial Fillers can fill up the volume loss that has lead to the tear trough appearance and I’ve done that many times and have a lot of patients that get this done. The key is being able to fill up the area without leading to bumps and ridges. This requires some skill and with a surgeon’s experience it can be done to look very nice and satisy your clients. Fillers can look not as natural as fat, it can lead to a translucent type of appearance and some dark appearance of the filler within the skin. But, in general >95% or more patients are very, very happy that they had filler placed to treat the tear trough area. Laser Resurfacing can create a layer of collagen underneath the eyelid skin to camouflage the dark appearance of the muscle underneath the skin. It can also tighten the skin and reduce the unwanted wrinkles in the lower eyelid. However, lasers will not replace the volume that is lossed with aging around the lower eyelid area. This is where fillers and fat injections come into play.
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 Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Cheek Augmentation, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on Best treatment for tear trough: lasers, fillers, or fat injections?
July 12th, 2009
There are many methods of injecting radiesse so that it is not as painful. Nerve blocks are the best way to make parts of the face numb. You can numb almost the whole face by injecting a few small areas that affect large nerves that control the sensation to large areas. Local anesthesia can then augment the numbness. You can also add lidocaine into the Radiesse. 2% lidocaine is the best to use with the radiesse. Topicals can also help out to insure that the area will not have any pain during the injection. This can help when the regional blocks do not make the complete area numb. Ice is another way to help make the injections less painful. They are also helpful when you do the initial regional blocks to lessen the needle pain when these regional blocks are done. Radiesse injections can be painful without anesthesia so all of these techniques can augment this experience. A dental block may not be the only thing you need. There are other blocks you can do to the face to make almost the whole face numb.
Posted in Fillers / Facial Fillers, Radiesse | Comments Off on What is the best method of injecting radiesse, nerve blocks, ice, etc?
July 10th, 2009
Anullis the best way to get rid of the extra skin in your face. I’ve done many facelifts on people who have gone through weight loss surgery and they work super on people who have extra skin from losing weight. You should be able to get a super result. Other options include the non ablative lasers and machines that tighten the skin. Deep fx is another way of using a fractionated laser to help tighten the loose skin but these are subtle results. A facelift and neck lift are the best ways to improve this. A facelift pulls up the muscle around your face and thenullgoes through an incision under your chin to tighten the neck muscles. Together they can really shape your neck after weight loss.
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 | Comments Off on What to do about extra skin after losing a lot of weight
July 10th, 2009
You can excise it or use cold therapy to take the lesion away with potential for scars. Also you can use oral isotretinoin with many risks including harm to the unborn fetus, dry skin, increase cholesterol, liver abnormalities, etc. Topical retin a has been shown to help as well. Laser Resurfacing are an option including pulse dye laser, 1450 laser and traditional erbium yag and co2 lasers work.
One thing to rule out is basal cell carcinoma which can be mistaken for sebaceous hyperplasia.
Dr Young is located in Bellevue near Seattle, Washington
Posted in Laser Resurfacing, Reconstructive Procedures | Comments Off on what to do about sebaceous hyperplasia which are single to multiple 1-3mm yellow umbilicated little pimple formation lesions.
July 10th, 2009
Your bunny lines are created by the levator labii superioris and transverse portion of the nasalis muscle. Botox is probrably the best thing for this. Other surgery to affect the muscles here would likely change your smile too much and might be possibly disfiguring. The corrugators run from the middle part of the your eye bone and insert into the middle part of your eyebrow. Manipulating the corrugators improves the wrinkles between your eyes. Surgery to improve this done and has been done quite a bit. The corrugators can be manipulated from an eyelid crease incision or through forehead incisions when you do a Brow Lift.
Dr Young is located in Bellevue near Seattle, Washington
Posted in Browlift / Eyebrow Lift / Brow Lift, Wrinkle Treatment | Comments Off on Does a procedure that works on the corrugators help with bunny lines?
July 10th, 2009
It really depends on the doctor after your facelift and chin implant. I would go by what he is used and find works for him. I usually take out anchor sutures one month later. Not every doctor has anchor sutures placed and will just have you come back 7 days later approximately to have the sutures removed. Anchor sutures are placed to help with the healing and are usually few in number. Basically, the longer you have the sutures in the greater the chance for scarring and train tracking. Train tracking is essentially the appearance of train tracks due to the sutures leaving marks where they were.
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, Facial Implants, Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands | Comments Off on When should I have the anchor sutures taken out after a facelift and chin lift?
July 10th, 2009
A better question and the one you might have wanted to ask is what is the difference between non ablative and ablative Laser Resurfacing for the skin. Nonablative is usually done through radiofrequency, or other wavelengths that go deeper in the skin to stimulate the deeper tissues to tighten up the skin. Wavelengths from 1300-1600 achieve this non ablative skin tightening. Radiofrequency is another way of doing this via thermage, etc. These devices although not removing the layers of the skin, can cause significant swelling and redness and this can lasts a couple of days to more time. The ablative lasers such as co2 (Active fx, etc), and erbium yag lasers remove the top layers of the skin (ablate) and allow stem skin cells from within the hair follicles to resurface the treated areas to rejuvenate skin by decreasing wrinkles, tightening skin, decreasing pore size, removing unwanted pigmentation and removing precancerous skin cells. The strength of ablative or non ablative lasers really depend on what energy use and can be set by your doctor.
Here is a live demonstration of my use of a co2 laser and laser resurfacing.
Dr Young is located in Bellevue near Seattle, Washington
Posted in Laser Resurfacing, Wrinkle Treatment | Comments Off on difference between ablative and non ablative laser skin resurfacing and treatments.
July 9th, 2009
This a question someone asked me on line about whether Facial Fillers completely removed the nasolabial folds because she hoped that some of it remains so that she can still smile:
With augmentation with Juverderm, the nasolabial folds will be reduced but they will not completely go away. When you smile the nasolabial folds will deepen with the action of the muscles but will not be totally gone with juvederm injections. Also juverderm will only last around a year or less. This is a temporary treatment. Also if you don’t like the augmentation or what was done there is an enzyme injection that can be administered that will take away some of the juvederm if you desire. Experience is important to make sure that too little or too much is given with these injections.
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 Fillers / Facial Fillers, Juvederm, YoungVolumizer | Comments Off on Will Juvederm totally take away the smile lines and nasolabial folds?