Is it normal to have bilateral numbness after a Facelift done by another doctor?

June 26th, 2009

This is a question I answered regarding a procedure done by another physician.

Numbness after a null is unavoidable and will get better in time.  When you do a facelift, your skin has to be elevated to expose the structures that need lifting. This invariably will interrupt the nerves that bring sensation to your skin.

The nerves will take some time to regenerate as they grow at most 1mm a day in the best conditions but are hindered by infection, inflammation, age, genetics, health, nutrition etc.

One thing that could be considered is that a larger nerve is caught by the sutures which is rare and eventually will also recover in most instances. But rarely can require removing the suture and redone.

Dr Young is located in Bellevue near Seattle, Washington.  Click here for null before and afters.

What is a one hour face lift?

June 26th, 2009

One hour null / mini lifts / quick lifts /  will offer limited improvement and you should be aware of this prior to doing this type of procedure. If you are okay with this, it could be a great way to give you some more youth and avoid a much bigger procedure. You just have to be realistic. Significant results from a facelift takes time and an hour is just too little time to get all that needs to be done to get the specific improvement in the desired areas.

Talking it over with your doctor is the best thing to do and you should avoid factory-like offices. You might be disappointed. You want someone to take care of you and spend the extra time to assure that you get the best results — someone who cares about your future.

Consulting a Board Certified Facial Plastic Surgeon would be something that I would recommend. We specialize in the face and are highly qualified to help you with this.

Dr Young is located in Bellevue near Seattle, Washington

Midface lift to address cheek issues and nasolabial folds

June 26th, 2009

Losing volume in your face can lead to the nasolabial folds (or mouth folds, mouth wrinkles, mouth creases, nose lip wrinkles, nasolabial wrinkles) becoming more prominent.

  • A midface lift is not a favorite procedure of mine.  I think it shifts tissue upwards but it doesn’t address the nasolabial folds significantly.
  • The reason for this is because I think that the folds are really due to a significant volume loss in the cheek and lower eyelid region and bringing more youth back entails adding volume back to these areas.
  • Fillers are a great way to do this.  But they are temporary.  A more permanent filler would be fat injections to the area around the mouth and in the cheek.  This can be done without incisions and all that is needed are small puncture holes that heal essentially imperceptibly.

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.  Dr Young employs 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.

Dr Young is located in Bellevue near Seattle, Washington

Black eyes 2 months after a facelift by another surgeon

June 26th, 2009

Sometimes, black eyes are due to many factors that can thin your blood or make you bleed more during surgery and afterwards. Genetics, medications, technique of the surgery, etc can all play a part.

When you ooze more during and after your procedure, you will tend to develop more bruising. Two months is rather a long time to resolve this, and it may be due to your circulation and general health. Also, with a facelift, the lymphatics that drain your eyes and the pathways from eyes to your general lymph system and circulation are sometimes impeded due to the area of the facelift. Your eyes drain towards the angle of your jaw, below your ear. This is the exact area that is manipulated during the facelift and can impede the drainage of your black eyes.

Exercise and sometimes massage and warmth can help. Black eyes can also be due to iron deposits from blood where your bruises where located. This is harder to treat but can be the same treatment as with persistent bruising, i.e. exercise etc. Sometimes, people also attribute prominent veins to the appearance of black eyes.  If these are veins or blood vessels, time will improve them. Sometimes lasers can help decrease the appearance of these vessels. The only way you can find out is by having someone look closely at it.

This is a question that I answered for a patient that had lumpiness, and numbness after a procedure by another doctor

June 26th, 2009

This is a question I answered regarding a procedure done by another physician.

Lumpiness, swelling, and numbness after a facelift / mini lift / s lift / weekend face lift can be a normal thing. Lumpiness is usually due to a number of factors of which include; fluid collection, inflammation, sutures, and cysts.

Most of the time, the lumpiness will go away with time. At times, your surgeon may consider steroid injections to help the lumpiness. Although, time is a better alternative.  Steroids injections can cause their own problems like skin thinning that is hard to predict along with vessel formations and other side effects. Massage is another thing that can help with the lumps.

Heat is something that I would be really cautious of employing. Numbness is a natural process. When you elevate the skin for the facelift, it will interrupt the nerves reaching the skin and this is just part of the process. It takes nerves one day to grow 1mm in the best of conditions.

Many times it will take up to a year for the nerves to fully come back and sometimes the numbness does not fully recover. Your doctor should help you with this and hold your hand so to speak through the whole process.

Dr Young is located in Bellevue near Seattle, Washington

Blepharoplasty for puffiness under the eyes

June 26th, 2009

Bags under the eyelid can be from many things including protruding fat from under your eyes, the muscle surrounding your eye could be drooping over your smiling muscles, and it can most likely be a loss of volume under your eyes. As you and everyone ages, you lose volume from your whole face including where your cheeks are under your eyes.

Lower blepharoplasty involves removing fat from under your eyes, and also sometimes involves removal of skin. This procedure can make you look better but many times it doesn’t fully make you look younger and better. Volumizing your face can do a lot to make you look younger and better. This can be done with fat and other fillers. A midface lift can also help but, again, this may not make you look naturally younger and better.

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.  Dr Young employs 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.

Dr Young is located in Bellevue near Seattle, Washington

The best way to fully learn more about this is to come and see us for an evaluation. It is always good to visit a board certified Facial Plastic and Reconstructive Surgeon when it comes to your face. We specialize in the face!

What is the success rate after lower eyelid pinch blepharoplasty

June 26th, 2009

Lower blepharoplasty involves removing fat from under your eyes, and also sometimes involves removal of skin. A skin pinch is a minimally invasive procedure that is used just to remove a small amount of skin. The benefit of doing so is that you avoid going through the other layers of tissue in your lower eyelid which can lead to the scarring that you are afraid of and the pulling of the lower eyelid downward.  One thing to realize is that many of these procedures remove tissue. Oftentimes adding tissue is what can make the difference. As you age, you lose volume in your face. Volumizing your face can do a lot to make you look younger and better. This can be done with fat and other fillers.

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.  Dr Young employs 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.

Dr Young is located in Bellevue near Seattle, Washington

The best way to fully learn more about this is to come and see us for an evaluation.  It is always good to visit a board certified Facial Plastic and Reconstructive Surgeon when it comes to your face. We specialize in the face!

When do eyelid stitches come out after blepharoplasty

June 26th, 2009

It is thought that eyelid skin has the propensity to grow faster than other areas, which can lead to skin growing into the tract that the sutures take. This can lead to skin being embedded within the deeper layers of the skin and eventually cysts within the suture line.  Hence, many doctors prefer to remove sutures from the eyelid earlier than later after a null.

Some doctors prefer to remove the eyelid sutures 3-4 days later. Others prefer to wait longer and take them out 5-6 days after the procedure to prevent the incision from opening up. So, the balance is cyst formation on one end and opening of the incision on the other end. Other issues include that when the sutures are in longer there is more chance of scarring and creation of train track type of appearance.

Dr Young is located in Bellevue near Seattle, Washington

indent after steroid injections after lower eyelid blepharoplasty

June 26th, 2009

This is a question I answered regarding a procedure done by another physician.

It really depends what the situation really is. You really have to come in for us to see you and to assess what can be done. If there is an indent, some type of filler can be used.

Fat injections are another way to fill in a depressed area with minimal incisions. The discoloration will improve with time and if it doesn’t go away over the course of the months you can have treatments to improve the appearance.

Visible incision after blepharoplasty

June 26th, 2009
This is a questions I answered regarding a procedure done by another physician.

A transconjunctival incision is an incision that is made inside the lower eyelid that avoids an external incision. The best candidates for this are people that don’t need to remove skin and just need fat that is bulging taken out. If you are looking to remove extra skin as well, an external incision is unavoidable in a null.

The other option is filling up the area under the eye with a filler or fat injections. Fat injections last much longer than commercially prepared fillers. There is more involved but it is worth it. You can check out my website for some results. Filling the lower eyelid and cheek with fat can be the best way to make someone look younger in the lower eyelid and cheek areas.

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.  Dr Young employs 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.

Dr Young is located in Bellevue near Seattle, Washington