This is our post on how to avoid the unnatural looking facelift. (Click here to learn more about Facelifts)Why do people look unnatural with a facelift The biggest problem is likely found in our understanding of Aging. Previous thought has centered around the face dropping and hence pulling the face back has always been the solution. However, nowadays aging has been thought to be played or is due to more of a volume loss. And hence the volume loss to the face always makes the tissues of the face move in and down. But facelifts and traditional procedures have always pulled the face upwards and backwards which is the reversal of the Descent which is good. But it does not create the outward protrusion that is needed to more accurately reverse aging.
Facelifts are good at pulling back the jowls and creating a more v-shaped look in the face and it can improve the nasal labial folds and marionette lines to a degree. But to fully rejuvenate the face and some volumizing should be done throughout the whole face to get a more well rounded and more natural look. Here is more information on Facelifts Explanations and Options.
Here is a picture of a face and neck lift
This person looks great and this can help you if your jowls and neck are bad and you want to reverse the square look. To rejuvenate this person’s face more, we would suggest filling like this person. This person had the YoungVitalizer, The Incision Less Facial Rejuvenation:
The Facelift Incision: Pretragal, Post tragal, smokers, non smokers
This is to help our Seattle, Bellevue Clients understand the facelift incision and when we us the pretragal versus posttragal incision. Below is a picture of the facelift incision. Click here if you want to learn more about Facelifts for our Seattle Bellevue Clients:
If you look carefully the incision goes behind the tragus. The tragus is the cartilage skin composite tissue that sits in front of the ear canal. You can take the incision either in front or behind that piece of tissue. Below is a close up of the incision.
So when do you use the pretragal or in front of the tragus and do you go behind the tragus? The incision behind the tragus can be done for non-smokers and patients without peripheral vascular disease or diabetes. It should be reserved for the healthy patient with less chance of small vessel disease. The thought is that the tragus is an added distance from the blood flow and would be put at risk for skin death there if you were to put the incision behind the tragus. People with more chance of small vessel disease, we like to place the incision in the pretragal location or in front of the tragus. We like to find a wrinkle that is obvious or would be a good location for the incision. Many times, especially in men, there is a wrinkle in front of the ear that can serve as an obvious place to place the incision.
Below are some incisions of patients who had the same incision including the solid and dotted green lines that are shown above. Notice how these incisions hide very well for patients. You can learn more about facelifts in our Facelift Frequently Asked Questions Section of our website:
Hello there and thanks for visiting. So we wanted to talk about what are thoughts were on today’s topic of facelifts and how they stand today. Very simply, we have a simple approach to things on the face and neck. If you have jowls we would suggest the facelift first. If you have neck banding or neck laxity, a neck lift is ideal. For the rest of the face we suggest the YoungVitalizer. Below we will discuss more on why we choose those options for simplicity.
The facelift procedure is done through an incision around the ear. For the pull in the face the solid green is used. For more action in the neck the dotted green line is used. The blue indicates the undermining that occurs with a mini lift. The yellow denotes the undermining for a more complete face and neck lift.
After the elevation you will see this below. This shows the deep plane approach. The smas is the layer that most facelifts use to pull up the face. We use sutures to tie this smas layer up and tight. This also shows where the incision is placed:
A neck lift entails using an incision under the chin along with the facelift incision just discussed. If you are to do just a neck lift you can limit the incision at the dotted green line. Here is a video on the neck lift procedure that we do:
For the rest of the face, you can look younger in natural way with the YoungVitalizer the incision less facial rejuvenation procedure. here is a before and after of the YoungVitalizer:
We just updated our page on live videos on chin implant surgery covering topics like revision surgery, chin reduction surgery, keys to a successful revision chin surgery, and fillers in the chin to help with chin aging. For chin implant revision surgeries, if you are considering a smaller implant, you should know that putting a smaller implant is better than taking the original chin implant out without putting anything back in. If no chin implant is replaced, the chin can ball up and deformities can arise. Chin revision surgeries always make the mental nerve harder to identify. Also we believe in fixing the chin implant and leaving less room for error. Titanium screws fix the chin implant so that there is less motion, there is less risk for movement and asymmetry, there is less chance for infections, there is less erosion. This takes longer but we like the much better results.
For chin reduction surgery you will see how it is done in a live video demo. We make the incision under the chin in a well hidden position. Chin reduction can be done for feminization for females and transgender females. The chin is burred down with a drill and soft tissue is removed to help the chin adapt.
Fillers in the chin can help with chin aging. A new view is that the chin shrinks so that marionette lines and nasolabial folds become more prominent. Filling in the chin can have a major impact on making someone look younger in the mouth region
This is based on a true story: We recently had a patient who came to us with a chin implant placed through a revision procedure by a well known surgeon in our community. The chin implant was protruding off the bone and was causing pain and asymmetry. We were worried about the implant coming out of the skin. The patient was worried about this and the pain it was causing. This was their second chin implant in the same location. We were going to do the third chin revision implant surgery. What we found was that the nerve had a lot of scar tissue that prevented our visualization of the nerve. This was likely the reason the implant was forced into a more inferior location. This lower placement directed the lateral wings of the implant off the inferior edge of the jaw bone. Thankfully, through careful dissection we were able to find the nerve. This allowed us to elevate more of the tissue off the jaw bone and allow the right location of the implant. After the procedure, the patient was very happy with the outcome and there was no more protrusion from the bone and no more continual pain. Click here to read more about Chin Implant Revisional Surgery.
So I started do weekly updates on how its like to be in the plastic surgery world and we like to include funny stories and interesting stories or interesting topics. We would like to do this about every week. This is the first video on Jaw Implants and how we assess them as well as how they are related to facial aging. Which is kind of interesting.
How do you decide if you need a tummy tuck? Liposuction? or both? This is a common question regarding abdominal body contouring. In general if you have a lot of excess skin, a tummy tuck is probably your best option. On the other hand if you your skin elasticity is good with not much excess, liposuction may be the answer. Lipoabdominoplasty is the combination of liposuction with a tummy tuck in the same operation. Usually the liposuction is performed towards the sides of the belly and not very aggressively if at all in the midline region.
Thanks for Reading. I look forward to posting more very soon.
Here at Aesthetic Facial Body Plastic Surgery our goal is to take care of you like you were one of our closest friends and family. This is something that we emphasize to our team on a regular basis. This is an important thing for you to know when considering a tummy tuck – abdominoplasty. When we are working for you, we take our time to get the best results for you. We put everything we have in getting the best results for you while we are in the procedure. Below is an early before & after a Tummy Tuck Procedure:
Tummy Tuck Before and After Images
We also stress safety. Our team is more likely to suggest less things to do in order to take care of you and to look out for your best interest. Learn what sets us apart and visit our website and Discover our Beauty Theory Advantage.
Thanks for Reading. I look forward to posting more very soon.
Filler Injectible to Nasolabial Fold Restylane by LA Beverly Hills Trained Award Winning Dr Philip Young
Fillers and an interesting story: Aging is due to volume loss. At least a big part is played by the volume we lose everyday. Fillers | Injectibles are a great way to keep the volume subtly over time. But learning where to put it makes a big difference. I ve been noticing more over the years that doctors are putting fillers too much in the front of the face. This is a natural approach given that’s where you see it. But a big part of making you look younger is avoiding placing the filler right in the folds or wrinkles and more around the area and areas that you wouldn’t expect. Recently I saw a person that had an allergic reaction to fillers after a treatment by another doctor. She didn’t look right but most doctors didn’t know what it was. I thought that her reaction might have been a neurological reaction to her emotional response or deep part of her brains response to what was happening. She had been feeling a lot of anxiety since she started to have fillers. Her conscious mind couldn’t put it together but her emotional deep part of her brain was putting it together. I could sense her anxiety. I had a plan for her. I dissolved much of her fillers and did a whole face rejuvenation with fat injections. Since then she has been feeling a lot better. The last time I saw her, I could sense that her level of anxiety was really improved and she was looking and feeling a lot better as well.
Aside from Facial Plastic Surgery, if there is anyone reading this. I think this quote or thought really helps me at times “Today is the First Day of the rest of My Life”. Now is the time to make changes in your life. It is said that you need to change something in the way that you are doing things 28 times before it starts to set in. Simply put, it is hard to change. I use this to help me think of positive changes that I want in my life and to live life to the fullest!
Some of the books that I’ve been reading lately has helped in this. Happiness by Mathieu Ricard; Seven Habits of Highly Effective People by Stephen Covey; The Alchemist by by Paulo Coelho; Emotional Intelligence by Daniel Goleman; Emotiona lntelligence 2.0 by Travis Bradberry, Jean Greaves; Men are from Mars and Women are from Venus by John Gray; The Seven Spiritual Law of Success by Deepak Chopra; How to Win Friends and Influence People by Dale Carnegie have been some of the major influences lately.
I would love to have you read them and contact me to let me know what you think at dryoung(at)drphilipyoung.com