February 8th, 2010
You may need a brow lift, volumizing or an Asian Double Eyelid Blepharoplasty (Dr Young, Bellevue Office). This would all depend on how you looked in person or in a photograph. Your eyebrows should form an arch that is higher at the arch than either the lateral or medial end of the eyebrow. Also the lateral eyebrow should be slightly higher than the medial eyebrow. Also the distance from eyelashes to the bottom of your eyebrow should be one iris width until you reach the arch where the distance from the lashes to the eyebrow should be around 1 1/2 iris widths. Also the highlight created by the arch should line up with the iris and nasal tip. If your eyebrow is below this you could benefit from a brow lift or volumizing. A browlift would be good if you never had this ideal before and you want to change your anatomy. Volumizing would be good if you had this ideal before and want to restore it. Volumizing is also good if you want to improve the loss of tissue around your eyes as well. This loss of tissue often is the biggest culprit that causes aging around the eyes. Volumizing can be done temporarily with fillers or more permanently with fat injections and the YoungVolumizer. Asian double eyelid blepharoplasty is usefull if you would like to define the eyelid crease and to remove some extra skin. One thing to realize is that removing extra skin can lead to thicker eyebrow skin being opposed to the thinner eyelid skin and this can look unnatural in the asian eyelid due to the thickenss of their skin.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Asian Cosmetic Surgery, Asian Double Eyelid Surgery / Asian Eyelid Surgery | No Comments »
February 8th, 2010
2 1/2 weeks is a little early to judge the results after Asian Double Eyelid Blepharoplasty (Dr Philip Young, Bellevue Washington). Swelling and inflammation could cause the extra fold that you are noticing by the new eyelid crease. I would definitely advise you to wait. You don’t want to do anything right now when there is swelling. Because if you do something right now, when the swelling dissipates, your results will be different. Also at this stage your eyes have different swelling and if you try to do something symmetrical right now it will be asymmetrical when the swelling goes down. I would wait at least 3-6 months before contemplating a revision Asian Double Eyelid Crease Blepharoplasty (Double eyelid crease formation / Asian Eyelid Lift / Asian Eyelid Crease Formation). Don’t worry things will look better for you over time.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Asian Cosmetic Surgery, Asian Double Eyelid Surgery / Asian Eyelid Surgery | No Comments »
February 8th, 2010
Loss of fat around the eyes is not a commonly recognized risk from Rhinoplasty (Dr Young is in Seattle). As the other doctors have answered this is not common. It is a possiblity that some of the vessels around the nose could be affected with aggressive rhinoplasty (nose shaping, nose reshaping, nose plastic surgery, nose cosmetic surgery, rinoplasty, nose job) that could affect the blood flow to the parts of the eyes that are closer to the nose. This could be the only possible way of losing fat around the eyes. The other phenomenon that the doctors have mentioned could account for this sensation that you have lossed fat around the eyes. One is that you tend to notice things more after you have had a procedure. Two, the swelling around the eyes from the rhinplasty as it goes away could give the person the impression that they have lossed some volume around the eyes.
Hope that helps!
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping | No Comments »
February 7th, 2010
Cure and Correction of the Frowning Mouth (or aging mouth, downturned lips / mouth, sad mouth, downturned corners of the lips / mouth) Can be done with Corner of the lip lifts (Bellevue Dr Young). Many times a facelift cannot completely correct the nasolabial folds and the marionette lines (puppet lines that curve down from the corner of the mouth. Also a facelift does not correct the downturned mouth to a great degree. When this is the case a corner of the lip lift can help the situation. There are essentially two types of these lifts that can be done. One is limited to just the corner of the mouth and can help the downturned mouth turn a little upward. This requires a direct excision of the skin near the corner of the lip. So one has to accept the possibility of a scar in the corner of the mouth. These incisions usually heal with great results in near 90% of people. When there are marionette lines, another type of lift extends the corner of the mouth lip lift to include the marionette lines to improve there appearance. The other option that can be done for the nasolabial folds is also to excise the lateral portion of the nasolabial fold which contributes to is deepening. So if you have persistent nasolabial folds, marionette lines, and downturned lips even after a facelift you can undergo these lip lifts and nasolabial excisions to improve the appearance of your mouth. Take a look at the pictures below. The blue colored areas indicate where you could do excisions to improve the nasolabial folds (blue colored lentiform shape lateral to the nasolabial fold), just the downturned corner of the mouth (smaller blue lentiform pattern), or the downturned corner of the mouth and the marionette fold (larger lentiform or curved blue colored shape):
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip, Mouth Shaping / Perioral Enhancement / Marionette lines | No Comments »
February 5th, 2010
There are a few ways to repair a torn earlobe (Dr Young is near Seattle, Washington). A more complicated approach is to used intricate flaps to repair the tear and reconstruct a new ear ring hole. But this reconstruction is tedious and has a tendency to for more scars and to leave a larger hole that you would like. My preference is to take out the tear and close the earlobe completely followed by a piercing done 2-6 months later when it is all healed. The only drawback with earlobe repairs are the incision and the scar that it creates. What I do for the incision scar is to carry out a resurfacing during the time of the reconstruction so that when it heals the incision is harder to see. What I do is after I excise the tear, I carry out some dermasanding to take the top layers of the skin around the incision. I then close the incision. In a few weeks to a month the incision is healed over and much harder to see. The concurrent skin treatment allows the person to have it fixed plus an added scar revision in one sitting.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Otoplasty / Ear Reshaping / Ear Shaping | No Comments »
February 5th, 2010
What can fraxel, ipl, chemical peels do to help Acne? The patient who asked this question also mentioned that another doctor told him that the scars eventually all reform and recreate the past scars. What can be done for this patient.
Acne scars (Dr Young Bellevue Washington) can be improved through excisions, resurfacing, fat injections. It all depends on the type of scar you want to improve. If there involves a significant difference in the level of the scar you need to improve that mostly by excision. This is more so with depressed scars. There are many ways to try to elevate the scars including very strong chemical peels in the depressed scars which will elevate the scars. Subcision is a technique that can be used to incise around the depressed scar releasing the tethering component to allow the scar to rise up to the level of the surrounding skin. Or just excision which is the better choice because you make the ultimate incision smaller. Resurfacing after the subcision or excision comes next and this is where the incisions are made to look less noticeable. Sometimes through acne, scarring is extensive in the subdermal and subcutaneous plane causing large areas to be adhesed to the deeper tissue. Filler can separate this scarring but the best thing for this is fat injections. Injecting fat into this large layer of scar will soften the adhesions and allow the skin to become more free. The extra volume also allows the skin to be taken up more reducing more lines and wrinkles and a coalescence of scars to make larger scars. Also with the layer of fat, the skin can begin to heal and remodel itself to make the skin look better.
IPL can decrease any vascularity from the acne. Fraxel can shrink some parts of the scar. While chemical peels can remove some of the scars that are more superficial. But my preference is to excise and then resurface with a co2 laser. I also consider fat grafting underneath the skin to allow it to heal. I personally don’t think fraxel works well for Acne scars. IPL can help with the vascularity of the scars if they are new or possibly any pigmentation issues of the scars but that is the most it will do. Chemical peels can help like any resurfacing but can be limited without changing the depressed or raised nature of the scars.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Acne Treatment, Fat Transfer / Fat Injections, Scar Removal / scar reduction / scar revision / scar treatment | No Comments »
February 5th, 2010
How do you get rid of the Angry Look? But what if you are one that doesn’t want to come in for Botox several times in a year to keep the results. Botox is great, but a browlift or volumizing followed by laser resurfacing are options. A browlift that pulls up our eyebrows and then with additional work to take out the muscles that are causing that frowning can be an option to improve this furrow. I think volumizing this area can also be a good option. Loss of volume in the forehead and in between the eyes can lead to more skin relative to the tissues underneath. This leads to more skin folding and a closer position of the skin to the muscles that are creating the wrinkles. Volumizing takes up the extra skin and also separates the skin from the muscles more and decreases the muscles effect on the skin, ie wirnkles. After both a volumizing procedure and a browlift either/or, you can resurface the face to decrease the wrinkles and also to subtly shrink the skin. The YoungVolumizer (Dr Young in Seattle) is a great option for this area.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Botox, Dysport, Botulinum, Browlift / Eyebrow Lift / Brow Lift, Laser Resurfacing, YoungVolumizer | No Comments »
February 5th, 2010
After a facelift (Dr Young, Bellevue Washington), you continue to age but you will always look better than a twin that never had it done. Of course, you have to make sure a facelift is what is going to make you look good. I think that when facelifts are redone more than once, the more you do the more you can look distorted. When you age with a facelift, some have found that you can have what people call the lateral sweep affect. This occurs when your face is pulled laterally and what keeps it up is also more lateral and in between the tissues can hang as you age. What you get is two points that are higher, one lateral and one nearer to the midline of the face creating a Nike type of swoosh appearance. At some point, you really need volumizing to make your face look younger. So if a person has had a facelift before and wants to look younger, I usually talk about the YoungVolumizer as an alternative. This is my technique of volumizing the face.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, YoungVolumizer | No Comments »
February 4th, 2010
I think ultimately when you talk about facial rejuvenation, at one point you will face this question of whether to undergo surgery to remove extra skin and lift or the other choice of filling up the space to volumize the extra skin and the space around it. Take for example the eyes. Traditionally plastic surgery and its surgeons typically took away skin and fat. That usually improved the situation but often times, in many cases, the person didn’t look younger necessarily. Aging is predominately a process of losing volume in the face and around the eys and the way to reverse that is to replace this volume. Here is a pictures of what improvements you can get after volumizing around the eyes (Dr Young’s Website Seattle, Washington): (see the person at the very bottom of the page). I usually say that aging is a process that is analogous of a grape changing into a raisin. Traditionally plastic surgery would make that raisin into a smaller raisin and not like the younger grape that it once was. Volumizing returns the person’s face back into the grape it once was.
So when do you opt for the traditional reductive type of procedures where things are removed such as when you do an eyelift, browlift, facelift and the like? Well it depends on how you looked like when you were young. If you thought your face was larger than you liked when you were young then some reduction may be necessary. I have a lot of Asian women who used to have much larger faces which they didn’t like. They like there shape now that it is smaller but they still look aged. I think some reductive type of procedures for this particular situation may be more necessary. Reductive type of surgeries are also more indicated when the person gains a lot of weight and changes the face shape from what it was when that person was younger. In this case as well, reductive type of surgeries would be more beneficial before volumizing. Ultimately, whatever the face is looking like right now and what changes it needs to reach the ideal is what you would be most beneficial in doing. I use my theory to find that ideal for people.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Uncategorized, YoungVolumizer | No Comments »
February 3rd, 2010
You can have a little effect of opening up the eyes by injecting botox / dysport (Dr Young’s Bellevue Office) under the lower eyelid. Usually 2-4 units can be injected 2-3 mm underneath the eyelashes under the eye. This can have an effect of weakening the eye muscles around the eye to allow the eyelid margin to become lower. The ultimate effect is to make the eyes look bigger. This has been found especially true for Asian patients. Also injecting laterally in the crows feet area, in the lateral part of the eye and in the area that is between the eye can also have a impact in opening the eye.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Botox, Dysport, Botulinum | No Comments »
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