Archive for January, 2012

Botox Learning Blog: My first couple of experiences with giving people botox and realistic expectations

Friday, January 27th, 2012

So we’re training with Dr. Young and the Restylane, Medicis Representative and their nurse injector. One of the things I learned is to emphasize realistic expectations. Some people come in to our office with very deep etched in wrinkles in between the eyes. Many people come in with the idea that these wrinkles will go away completely. Realistic expectations are important to emphasize at this point. Botox / dysport will not make them go away completely, but they can improve them. Some static wrinkles, or wrinkles  that are present even without movement, do not go away with botox / dysport.  They can be improved over time with continual use of botox and dysport. But most of the time the static wrinkles are less improved as compared to dynamic wrinkles – the wrinkles that are accentuated with facial movements. Static wrinkles can be improved over a long period of time with continual use through the constant action of the cells that are in the skin. Fibroblasts are constantly remodeling the skin and when the skin is relieved from the constant action of the facial muscles, they are able to efface or reduce some of the severity of static wrinkles. But this takes time. The other alternative is to use fillers to help with the wrinkle reduction that could reduce the wrinkle production even more.

Thanks for reading

M.C. one of the Nurse Injectors in our office!

Our team at Aesthetic Facial Plastic Surgery!

Acne Scar Treatment Healing Diary Released by Dr. Young Seattle

Wednesday, January 25th, 2012

So we are excited to release our new photo diary on the healing process and recovery after subcision and deep chemical peeling for Acne Scar Treatment (Here is a link to see this Acne Subcision Chemical Peel Healing Diary). Many of our clients wonder what the healing process is like. We wanted to show the healing process through photos and what to look for in terms of healing and how to clean etc.  Deep chemical peeling is much like the process of laser resurfacing and the recovery and cleaning / healing process. So we invite you to also visit our laser resurfacing page to find out other tips to get the best healing from chemical peeling and laser resurfacing.

Subcision is the process of elevating the tissue under the skin and scarred areas, to allow the depressed scars to elevate to the more normal unscarred skin. This is the first step in making the scars look better. The depression in acne scars can cast a shadow in this area, the darkness clues people on the status that the particular area is not like the rest (ie it looks like a scar).  After the scar is more elevated then you can proceed to polish the skin level to get it to look more like normal skin. The polishing step is when we decide to do laser resurfacing and dermasanding. Dermasanding is the process of dermabrasion with medical grade sterilized sandpaper.  This is a more accurate way of doing dermabrasion in Dr. Young’s opinion. It also avoids spreading infection to the people around.

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

Aging and delaying the inevitable

Tuesday, January 17th, 2012

The skin is an amazing organ.  It protects us from microbes and the elements, helps regulate our body temperature, and permits the sensations of touch, heat, and cold.  Human skin is compromised of the epidermis, the dermis and the underlying adipose layer.  In the dermis, collagen fibers work to give strength and structure to the skin, while elastin fibers allow the skin to stretch and return to its original shape.  It is well established that sun exposure breaks down those fibers and is responsible for premature aging as well as skin cancer.  The most common signs of aging are:

  • Sagging and loss of elasticity
  • Enlargement of pores
  • Dryness and dehydration
  • Hyperpigmentation
  • Telangiectasia

Sunscreen is, above all, the most important aspect of your skincare regimen.  We’ve all heard it so many times by our primary care physicians, dermatologist and plastic surgeons.  They’re not lying!  A broad-spectrum sunscreen must be applied every morning to prevent future damage.  Choose one that has zinc and titanium dioxide to ensure adequate UVA and UVB protection.  Topical antioxidants are also an amazing addition to your anti-aging skincare routine and will help everyone at any age.  In addition to a great preventative skincare routine, monthly microdermabrasion treatments or light chemical peels are great to assist in the penetration of active topicals.  If you have any questions or concerns regarding which products or treatments are best for you, feel free to call us anytime.

Plastic Surgeon: Questions from a potential medical student interested in becoming a doctor and plastic surgeon.

Thursday, January 12th, 2012

This is what someone wrote me with questions regarding becoming a doctor. We thought it would be interesting for some of our readers:

1. What made you choose this profession? I lost my mother to cancer which initiated my decision to become a doctor. It was too depressing to do cancer work for me so I decided to do something more light hearted with facial plastic surgery.

 

2.What is the best thing/experience of a doctor? Making people happy.

 

3. What is the worst? We always do the best we can. Medicine is a complicated profession. Although we use the best technology and latest and proven techniques, sometimes, although not common, people aren’t happy. You can’t make everyone happy as hard as you try. I’m not sure if any person, business, or corporation can make everyone happy.  You just have to keep trying your best, hope for the best and try to turn everything into a positive in some way.

 

4.How long does it take to become a basic doctor? 4 years undergrad, 4 years medical school, 5 years head and neck surgery residency, 1 year fellowship in facial plastics. At a minimum, you need around 11 years after high school. I took 16 years after high school to complete all my training.

 

5. Is physics needed in becoming a doctor? Yes, it is part of the biology degree I needed for premed.

 

6. What is the average percentage throughout grade 11 and 12 you need in high school to become a doctor? You probably need at least a 3.5 gpa to get into a college. But I wouldn’t give up if you don’t.  This will allow you to get into a college. Then in college, I would think you need at least a 3.5 to get into medical school.  But really it will make it easier if you have a gpa that is above a 3.6. I had a gpa of 3.61 in high school. And then in college I had a 3.72 but my premedical classes gpa was higher in college. But in medical school, I was one of the top 2 students for the first couple of years of medical school which earned me the Mcgraw Hill Award. I was also alpha omega alpha honor society in medical school which is awarded to the top 5–10% of the students in your class. In head and neck residency at USC, my yearly exams were always in the 90-95th percentile. During my fellowship board exam I scored the number one score in the country on the written exam.

 

7. What is the starting salary? Hard to say. Starting around 90,000 I would think for a primary care doctor. But it goes up later. Surgeons start around 150k at least.

 

8. Could ones salary raise depending on the number of patients? Of course. One’s salary is often times based on your production. This is what you will find in any sector.

 

9. How do i begin a career as a doctor as above. Do well in high school, then in college, then in medical school. I would consult with your school’s administration. I would research it on the internet as much as possible. I would call undergrad colleges, medical schools. There are resources out there for people like you.

 

10. What is the estimated tuition/ financial expense in becoming a doctor? Undergrad around 20-40 thousand. Medical School can be much more. My tuition in medical school was around 40k for each year for everything. You get paid in residency a small amount like 24k a year.

 

 

Thank you for your time.

Seattle Facial Plastic Surgeon Releases New Webpage specialized for the Seattle Area

Tuesday, January 10th, 2012

In an ongoing effort to continually improve our patient’s experience, we are constantly updating our website with informative information. We recently started specific topics on certain areas of the face and certain procedures. One example of this is the issue on facial swelling after a facelift. This page is our start of trying to help the many people out there that might be having swelling after a facelift. We advocate the options of steroids injections or oral administration and we discuss the times and situations when you use either or neither. We discuss using a wrap to help you with your swelling in certain defined areas that are having this issue. Also we discuss the use of tape to help with the fine tuning of how you heal. Revisional surgery is always considered. Re doing the liposuction, carrying further tightening, are just some of the options that we can consider.

In addition to the above, we are also specifically addressing the different topics on facial plastic surgery for the Seattle area through additional pages found under our Seattle Facial Plastic Surgeon home page. We are updating these pages with before and afters, frequently asked questions, helpful links to help you understand the procedure, and also the links to the specific areas of concern as we just touched on in the topic on swelling after a face lift. More of these topics will be added to help face lift patients and patients from other facial plastic surgery procedures around the world.

Please contact us if you have a specific question or would like additional topics added to our website with this link. Plastic Surgery Contact.

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

Healthy skin is beautiful skin

Friday, January 6th, 2012

As the body’s largest organ, the skin is the biggest sign of inner health.  The same poor lifestyle choices we make on a daily basis can damage the strength and health of our skin.  Smoking, consumption of too many carbonated or alcoholic beverages, sleep deprivation can decrease the amount of blood, oxygen and nutrients that your skin needs to stay beautiful.  The result can be premature wrinkling, dull and unbalanced skin. And who wants that? Vitamins play a huge role in reversing that affect.   Here are some basic Vitamins found in most products today.  The amount will vary per product line and the higher concentrations will always be found in clinical-strength products sold at higher retailers or your physician’s office.

  • Vitamin A minimizes the appearance of fine lines and wrinkles
  • Vitamin B3 stimulates the metabolism in the skin
  • Vitamin B5 acts as a humectant while promoting healthy cell regeneration
  • Vitamin C naturally lightens, brightens and tightens the skin
  • Vitamin E works as an antioxidant and helps protect the lipids in the body, including cell membranes from oxidation.
  • Vitamin K can minimize the appearance of broken capillaries

If you have questions regarding your current products, please feel free to call our office anytime.

Happy New Year and hope you have a year of clean, balanced and beautiful skin!

Best, Tanya