Microtia repair in Vietnam by Dr. Philip Young of Bellevue | Seattle

November 23rd, 2013

Microtia repair in Vietnam by Dr. Philip Young of Bellevue | Seattle.

I was very lucky to be invited to participate in the Medical Mission to Vietnam with the Humantarian Arm of the American Academy of Facial Plastic and Reconstructive Surgery, Face to Face Organization. There we were able to help people who came in with conditions secondary to trauma (a cheek zygomatic maxillary complex fracture and mandible fracture, nasal fracture), congenital issues (microtia, craniofacial deformity), Chemical burns to the face, among other things. In this blog, I will be presenting our case on microtia which is a congenital condition where the ear is arrested in development. Here is a picture of what we worked on:

Microtia Ear Congenital deformity Dr. Philip Young Bellevue | Seattle

Microtia Ear Congenital deformity Dr. Philip Young Bellevue | Seattle

This is after we placed the implant graft in place below. Some of the architecture of the ear is hidden behind the remnant of the ear. We will move that future earlobe down during the second stage of this microtia repair:

Microtia after rib graft carved and placed by Dr. Philip Young of Bellevue | Seattle

Microtia after rib graft carved and placed by Dr. Philip Young of Bellevue | Seattle

Nasolabial fold grafts can enhance a facelift by Dr. Philip Young of Bellevue | Seattle

September 14th, 2013

Nasolabial fold grafts can enhance a facelift by Dr. Philip Young of Bellevue | Seattle: Part of the cause of the nasolabial fold is a volume loss around the mouth region. Essentially with any fold, you have a global loss of volume around the area. So really you can rejuvenate the fold by volumizing all around the fold. For the nasolabial fold this can mean around the nose, mouth and cheek. Facelifts can help by decreasing the amount of tissue | skin that is contributing to the fold but you need some volume | graft to the fold and around the fold to help improve this area:

Nasolabial fold treatment youngvitalizer

Nasolabial fold treatment youngvitalizer

The before and after above was not done with any facelifting or cutting procedure and was accomplished with just volume and through our procedure called the YoungVitalizer.  We used 2 areas of improved thinking to achieve these results: One; Our Improved Understanding of the Aging Process ; and Two; Our better blueprint for achieving Beauty – i.e. Dr. Young’s Award Winning Theory on Facial Beauty Called the Circles of Prominence. You can also learn more about the YoungVitalizer in these series of articles here: Learn More About the YoungVitalizer.

New Acne Scar Vitalizer Before and After Pictures by Dr. Philip Young Bellevue | Seattle

September 10th, 2013

New Acne Scar Vitalizer Before and After Pictures by Dr. Philip Young Bellevue | Seattle:

We just added some more before and afters at the one year mark of our treatment for Acne called the Acne Scar Vitalizer Treatment. This is our breakthrough approach to acne scarring. We believe that acne scarring is a multi layered disease process. The hair follicle is the source of the infection in Acne and the follicle reaches deep into the skin. The depth of the penetration of the hair follicle dictates the involvement of the infection and the subsequent scarring.

acne scar vitalizer treatment before after

acne scar vitalizer treatment before after

Facelift Bellevue | Face Lift Seattle Page added by Dr. Philip Young of Aesthetic Facial Plastic Surgery

August 27th, 2013

Facelift Bellevue | Face Lift Seattle Page added by Dr. Philip Young of Aesthetic Facial Plastic Surgery:

We added a page to discuss what a facelift does and how to make sense of all the lifts that are advertised out there in the media. You can visit this page at any time: Facelift Bellevue | Face Lift Seattle. Essentially, all the lifts such as quick lift, lifestyle lift, s lift, smas lift, deep plane lift, mini lift, traditional face lift, etc are a variation of the basic facelift that we discuss on this page. The facelift entails making an incision in front and behind the ear to pull the face and neck up for facial rejuvenation. The incision in front is mainly for a facelift, while the incision that extends behind the ear is for a neck lift. Everything else in the face can benefit from fillers | fat injections or The YoungVitalizer . This is our flow chart which you can click to enlarge:

facial rejuvenation flow sheet

facial rejuvenation flow sheet

In general what this explains is that for you face you should first consider the YoungVitalizer which is less invasive. Even before this you can consider fillers with the knowledge that the fillers last 6 months to a year at most.  After doing less invasive procedures you can move on to more traditional procedures if needed. If jowls are your main issue a facelift would be ideal. If the neck is your concern, a necklift would be the best option.

What the page will go into is also the idea is bringing more light back to the face. We talk about the aging process on this page and how the changing of the grape to a raisin makes the tissues draw or move inward and downward. This movement effectively causes a shadow to be cast over the face by the structures above them.  For example the brows start to cover the upper eyelid. For the lower eyelids, the eyes and brows start to cover the lower eyelids and cheeks.  For the nasolabial folds, it is the cheeks that start to cover the folds and make them look deeper. For the marionette lines, the lower cheek and mouth help to create more shadowing in the marionette area, etc, etc.

You can read more by visiting our website www.drphilipyoung.com.

The YoungVitalizer and its future in facial rejuvenation by Dr. Philip Young of Bellevue | Seattle

August 22nd, 2013

The YoungVitalizer and its future in facial rejuvenation by Dr. Philip Young of Bellevue | Seattle: The YoungVitalizer is an exciting new alternative to facial rejuvenation. Our goals with this technique was to find a procedure that resulted in a more natural appearance. We desired a technique that was less invasive than traditional procedures. One that required less anesthesia and was safer without the complications that you get with traditional methods and older ideas. The YoungVitalizer satisfies all of these desires. The YoungVitalizer is the breakthrough Incision Less Face Lift. There is no requirement of any facial incisions. We use injections to volumize your face in a natural way.

One of the things you might be wondering is whether The YoungVitalizer is going to make your face fat and bigger when adding volume is brought into the picture or discussed. A volume loss is a big part of the aging process. What happens when you lose volume, you face draws or moves inward and also downward. With this inward movement, your tissues are moving more toward the center part of your head face area. Notice how this area is a lot bigger than the face part. This is why your face ends up looking bigger when you lose volume. I explain this in a video or segment on new day northwest here: Dr. Philip Young on New Day Northwest Explains the YoungVitalizer. Through adding volume, you can actually make the face look smaller. Take a look at the before and after picture below and notice how the face looks smaller after adding volume!! You can click on the picture below and see more before and afters:

Jaw Augmentation

July 30th, 2013

Jaw Augmentation Question and Answer Session by Dr. Philip Young of Bellevue & Aesthetic Facial Plastic Surgery:

Here are a few questions that someone wrote me regarding Jaw Augmentation that someone recently asked us:

1) What are the associated risk with this kind of surgery? i read online that these kind of procedure has a higher degree of infection rate when compare to other implant procedure. my concern is that since i am not from the states, so would have to travel to all the way from Asia for this surgery. if infection does occur, i would have to travel all the way back for to have the implant removed, a risk i am not too keen of. what are the infection rate of those who have under go mandible implant at your clinic?

The rate of infection is very low but lateral jaw implants are more likely to occur than other implants. They can get infected but that usually occurs the first week and we know how to take care of infections and let you keep your implant. This is in contrast to other surgeons who do implants, with infections they usually take them out. We know how to treat the infection with the implants in place so that you can keep your implants and not have to undergo another surgery to replace them.

 

2) if infection doesn’t occur in the first 3 to 4 weeks, what are the chances that infection might occur several months or several years later? i heard that infection might still occur even if infection doesn’t occur initially. what is your take on this?

After the first week it is much rarer and you would really have to traumatize the area to get it infected or something. There would have to be a blood collection of some sort and a violiation of the sterility that is there for an infection to breakout. If they do get infected later, we usually treat this situation like if it were infected early on after the surgical procedure.

 

3) once the implant has been inserted, does it cause any restriction in term of mouth movement or chewing or talking? and does the silicone implant grind at the mandible bone over the years? since the silicone is screw to the mandible, there is a chance that the the through wear and tear, the silicone might wear down the mandible bone.

It will restrict your movement for a few months at the beginning but this hasn’t been a major issue. The mandible is very strong and the implants are placed in this strong area of bone. The chance of erosion is very small and if it were to occur, the amount of erosion is small and unnoticeable as well. The silicone implants tend to erode the soft bone. We have seen this in chin implants when they are placed higher and not at the bottom of the chin bone. The higher location starts to involve the alveolar soft bone around the teeth.

 

4) do you custom design or custom make the implant base on individual patient requirement? beside implant, what that the option? do you use bone paste or bone cement as well?

Implants work the best and you can do custom implants but they are much more expensive. Bone paste and cement do not keep there shape as well as implants. But they can give you some volume temporarily. We do custom implants when a person needs both chin and jaw implants sometimes. The cost of these custom implants are somewhat prohibitive. Usually it costs several hundred dollars for the ct scan and the process with the company can be 2-3 thousand and this is just for the implant. With the surgery on top of that it can put you in the 10k range.

 

hope to hear from you soon.

Dr Philip Young

Dr. Philip Young M.D. Google Plus Page Come Visit us Here

July 21st, 2013

Dr. Philip Young M.D. Google Plus Page Come Visit us Here:

We are going to expand our social media experience and we are going to start with Google Plus. We would love to hear your thoughts on how we can make this experience a better one for you. Our Mission is to provide unwavering Quality Care to Improve People’s Lives Through Facial Plastic Surgery and the YoungVitalizer. We hope that we can continually fulfill this and you can help by letting us know how we can improve. We have a contact page that you can get a hold of us through email here: Aesthetic Facial Plastic Surgery Contact Page. You can also call us at 425-990-3223 (FACE) where we have a 24 hour answering service available when we aren’t in the office to answer phones or are catching a busy part of our day! Dr. Philip Young’s Google Plus page can be found in this link:Philip Young. We also have a Quality Care Questionaire for you to easily let us know how to improve the way we do things here: Aesthetic Facial Plastic Surgery Quality Care Questionaire.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

Acne Scar Treatment Photo Directory

July 2nd, 2013

Acne Scar Treatment Photo Directory Dr. Philip Young Bellevue | Seattle Aesthetic Facial Plastic Surgery

We are making a new photo directory of different type of scars that you might have. This will allow you to pick out the scars you are concerned about to learn more about how to approach each scar. We have the following captions | scar types | techniques for you to pick from. We will try to grow the list a little more without overwhelming you:

  1. Acne Scar Vitalizer Treatment
  2. Acne Skin Care Before and After Pictures
  3. Box Car Acne Scar Treatment
  4. Depressed White Acne Scar Mark Treatment
  5. Elevated White Hypopigmented Acne Scars
  6. Pock Mark Acne Scar Treatment
  7. TCA CROSS treatment with Subcision
  8. Linear Depressed Straight Scar Geometric Line Closure
acne scar treatment photo directory

acne scar treatment photo directory

Rhinoplasty Steroid Injection Video by Dr. Philip Young of Aesthetic Facial Plastic Surgery

June 25th, 2013

Rhinoplasty Steroid Injection Video by Dr. Dr. Philip Young of Aesthetic Facial Plastic Surgery:

We wanted to discuss steroid injections to the nose and introduce our video on this subject with a live demonstration of the steroid injections. Click here to watch our Video: Post Rhinoplasty Steroid Injection Video. We use Kenalog and low dosage. We also dilute the kenalog to make it so the results are more subtle, slower, conservative and with less complications. Steroid injections to the nose are best used if there are localized areas of swelling and not general swelling. If it is generally swollen, we like to give oral steroids like a medrol dose pack. You can go on to rxlist.com to read about the risks and benefits for your own knowledge.  Some people are afraid of steroid injections. The complication of steroid injections include that the skin can get thinned out and there can be dents that form if you dont do the steroid injections correct and in the wrong plane. The key to doing the injections is getting it in the right plane which we have a lot of experience doing. Also we stay away from strong dosing of steroid injections. We like to do low dose steroids, diluted and more frequent. This cuts down on a lot of the complications that you can get with steroid injections.

Other people are afraid of the pain of steroid injections in the nose for after a rhinoplasty procedure. We cut down on the discomfort by using topical anesthesia and then using some local anesthesia in the steroid injections themselves to further increase the comfort.  This is all demonstrated in our video. You can find more useful information and videos here at www.drphilipyoung.com

Transgender Facial Feminization Masculinization Surgery Testimonial Review Page Dr. Philip Young Seattle Bellevue

June 12th, 2013
Reviews | Testimonials for Dr. Philip Young Seattle | Bellevue and his work on Transgender Facial Feminization | Masculinization

See our Reviews | Testimonials for Dr. Philip Young Seattle | Bellevue and his work on Transgender Facial Feminization | Masculinization

Transgender Facial Feminization Masculinization Surgery Testimonial Review Page Dr. Philip Young Seattle Bellevue: Dr. Philip Young of Aesthetic Facial Plastic Surgery takes great pride in their work for the Transgender Community. We specialize in the facial feminization and masculinization for this population. We would like to invite you to see our page  on Transgender Facial Feminization Masculinization Surgery Testimonial Review Page Dr. Philip Young Seattle Bellevue.

What are some surgeries that you can do to make your face change into a different sex. One of the main procedures that Dr. Young believes will make a big impact is a Rhinoplasty. This is an easy way to change some of the basic dimensions of the face without major surgery. For feminization, we will want to make your nose smaller and more refined. To masculinize it we want to make it bigger, wider and taller with more of a bridge. Hairline lowering with brow bone reduction is something that can markedly feminize your face.  Along with that a brow lift will markedly soften the appearance of your eyes.  Doing the opposite will masculinize your face. You can do this by adding implants along the brow bone ridge and lowering your brows. High and full cheek bones will feminize you. High and tight cheek bones can be more masculinizing. These can be changed with cheek implants or cheek reduction type of procedures. A prominent chin can be a masculine trait and we can carry out a chin reduction to feminize your face or do a chin implant to masculinize your face. Lip augmentation can be a very powerful tool to make your face look more feminine. Through Lip VY advancements, silicone perma lip implants, or fat injections, plumper more fuller lips can really do the trick. Creating a stronger Jaw can really make your face look more manly if this is what you would like. We carry out these with Lateral Jaw implants made of silicone placed through your mouth. You can look on our website to see a video showing some live video footage of this surgery. Facial Implants in general can enhance certain features on your face to feminize or masculinize your face.

We would love to talk to you and discuss how we can help you through your transition.

 

Our Mission is to deliver unwavering quality care to improve people’s lives through Facial Plastic Surgery and the YoungVitalizer.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.