Archive for the ‘Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags’ Category

Seattle Face Lift Webpage Released

Saturday, December 31st, 2011

We recently updated our page on face lift from our Seattle / Bellevue based office. There are some helpful links to our procedures including face lifts, eye lifts, fat injections, brow lifts, and the YoungVolumizer, the breakthrough incision less face lift. What is the best thing for you. Dr. Young’s ideas are based on results, natural results and constantly improving the way we do things in facial rejuvenation. It started with his theory on facial beauty called the Circles of Prominence. During his training in Los Angeles, he noticed that some of the results from facial plastic surgery were not natural. Facelifts look pulled and stretched. Eyelifts were leading to people looking different from how they used to look when they were younger. This instilled Dr. Young to find out why. He discovered that much of what was out there describing what was beautiful in the face was relatively sparse. Even today’s plastic surgery textbooks, and other book on beauty still use theories from the 1400′s to describe beauty. Those theories are largely based on Leonardo da Vinci’s theories on beauty that are now referred to as the neo classical canons. They are founded on Roman theories and hence are termed “neo”.  These theories however are based on external landmarks that we just don’t spend that much time looking at when we see and analyze a face.  A new theory must be based on what we spend most of our time looking at. Dr. Young discovered, not surprisingly, that there was something in the eyes that was important for a new theory to be correct.  You can read more about Dr. Young’s theory on facial beauty here.

Seattle Face Lift

So what procedure should you choose. Well, if you want to look more like what you looked like when you were younger volumizing will play some role no matter what. The question is whether you changed your appearance over time. If you changed from your facial structure from a grape to a larger grape, you may have extra tissue that will need to be removed. This is where a face lift, neck lift and liposuction can help with.  But if you didn’t change much and just lost volume as you aged, then volumizing might be the main way for you to rejuvenate your face. Dr. Young has a way of determining what is best for you through his theory. Within the middle part of the face, Dr. Young believes that mid face lifts, and lower eyelid lifts are rarely the best option / choice. Volumizing is almost always the best way to rejuvenate this area. The one area that volumizing is the weaker choice is for the jowls, and neck laxity. The double chin, and neck banding are better treated with a neck lift and volumizing will not help much. For the eyes, if you don’t mind a more scultped look then an eyelift might be the better choice for you for you upper eyelids. Also if you didn’t like your eyebrows at the position that they were when you were younger, then volumizing might not be the best choice here and browlifting might be better. Just remember that a browlift will change the way you look but it can improve your eyebrow position.  But don’t do a browlift to return to a younger age and the way you looked when you were younger.

Dr. Young has a nice video on Introducing his Breakthrough Incision Less Face Lift, the YoungVitilizer.

You can visit his new page on Face Lift here (Seattle Face Lift) as well.

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

Healing your body and mind

Friday, December 9th, 2011

Once you have the procedure you waited a long time for, it is time to be patient and wait, again, for your body to heal.  Unfortunately, a surgeon’s scalpel is not a magic wand and healing will occur at different rates for different people.  You must allow yourself to heal and be aware it is natural to be impatient for the results and a little anxious because you often look worse before you look better.  Being aware this can happen will help you understand these normal feelings.

 

Sharing your experience with friends and family can help give you a support system during your recovery, but realize they may unintentionally make you question your decision with concerns during your recovery.  While you may think that you are looking pretty rough around the edges, we may tell you that you are healing beautifully.  Trust us.  We will share with you if there is a concern, so if we tell you that everything is healing normally, it is.

 

Your healing will depend on many things such as your general health, your willingness to follow instructions, and your mental attitude toward recovery.  While I can perform the surgery, I cannot “heal” you.  It is up to you to be an active participant in your recovery process to help your body heal the best that it can.  Following all of our instruction is very important, as is working with us to address any complications that may arise.  Even surgeries that are done exactly right can have complications during recovery.  It has to do with the human factor.  We are not machines and every person can react differently and heal differently even when the surgery is done exactly the same.  Every surgeon has unexpected results from time to time.

 

It is important you approach your surgery and especially your recovery with the mindset that we are a team, and you are an integral part of that team.  We must trust each other to be working for a common goal, your successful result.  As the surgeon, I enjoy my work and strive to achieve an ideal result during every surgery for every patient.  I have rigorous standards that my staff must meet in order to be involved in your care.  I am looking forward to working with you to achieve a great result and do not anticipate any post-operative problems.  I will do everything I can to make sure that you are happy with your result.

 

Dr. Philip Young, MD

 

Eye bags at the age of 19 are they from my genes or lack of sleep

Saturday, June 11th, 2011

Eye bags are based on some genetics but most people have some element of it. I wouldn’t blame mother. Eye bags, Eye dark circles happen to almost everyone and it starts in the 20′s and 20′s. The cause is mostly the volume loss under your eyelid fat. The eyelid fat doesn’t get metabolized by the body and thus looks like it has grown. But it really is a loss of volume underneath it that accentuates it. Traditionally, people tended to remove the eyelid bags. This was not really treating the cause of what made them appear. The more natural way is to fill the volume loss. The options temporarily include fillers like restylane, perlane, juvederm. Long term options include fat injections, the young vitalizer, implants in this area.  Because you haven’t had anything done I would start with fillers before moving on to more longer lasting options. A lack of sleep can accentuate the condition. But mostly it is an issue of aging. The YoungVitalizer is another great option for lower eyelid bags and the one that I prefer.

lower eye bags before and after treatment

Thanks for reading, Dr Young

Dr Young specializes in Plastic Surgery and is located in Bellevue near Seattle, Washington

persistent furrows between eyes, asymmetry in eyes, cockeyed appearance and persistent lower eyelid bags?

Thursday, June 9th, 2011

The asymmetry in your eyes could be due to swelling that is still from surgery. How long has it been since the surgery?  Swelling can last a couple of months.  Most of it goes away in a week and more so after a month. The lower eye lift is supposed to remove fat from your eyelids.  Sometimes though this can accentuate the hollowing in the lower eyelid area and make you look even older here. Wrinkles in your forehead can be improved by a brow lift by raising the eyebrows and negating the need to open up your eyelids and eyebrows more.  Also removing muscle in between your eyes can really help prevent the vertical lines in between your eyebrows and eyes. Fat injections in the lower eyelid and forehead and upper third of the face can really bring youth to your face.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

I’m european and have low eyebrows and puffy eyelids. Would a brow lift be something for me?

Thursday, June 9th, 2011

I see that you may have some fullness in the upper eyelid area. This is actually something that gives you youth and that is something to think about.  Your eyebrows may be a little low but not worth the extent of a browlift.  A browlift could feminize you and create more of a surprised look for you. I think if you were to consider something, I would suggest taking some skin from your upper eyelid or actually creating a crease as in Asian eyelid surgery. This could define your upper eyelids more. Your situation is something that Asian people inquire about all the time.  A crease could decrease the puffiness you have to a controlled degree without lifting your eyebrows to a surprised and more feminine appearance.

upper eyelid lift blepharoplasty

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Brow lift for an attractive lady who feels she has a sad look or sad eyes. Would a temple lift or brow lift work?

Wednesday, June 8th, 2011

This is how I answered this lady that came into my office:

You are an attractive pretty lady. I can see why, though, you would possibly think that you have sad eyes. One I think that your eyebrow may be a little low but not extremely low. A browlift may help you brighten up the face / image and your eyes. One technique that could help you is if you thinned your eyebrows through judicious brow waxing and hair plucking.  Also lightening your eyebrows could help.  But a brow lift could increase this distance and make your eyes look softer.  The distance between your eyelid margin and eye brows should be around 1 iris width and not much more than 1 1/2 iris widths.  A temple lift would concentrate on your lateral portion of your eyebrow.  A brow lift would be the whole eyebrow lifted. In my opinion, I think you need the medial part of your eyebrow lifted as much as your lateral part of your eyebrow, if not more. I would do a brow lift and not just a temple lift.

lateral brow lift before after images

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

My eyes are set high and my eyebrows are closer to my eyes. What can be done?

Wednesday, June 8th, 2011

Low set eyebrows and not high set eyes could possibly be the status and a browlift could help  / improve your situation. Without a image, it would be really difficult for me to know what you are talking about. Most simply, I have a theory on facial beauty that might help you understand your facial aesthetics better. I would suggest that you read that seminal paper. But if your eyebrows are a little closer to your eyes, a brow lift could be the simplest answer for you. This will create some separation from your eyes and your eyebrow.  Ideally this distance is around one iris width from your eyelid margin to the bottom of your eyebrow.  Much more than this distance will give you a surprised look.  Much less than an iris width will give you a stern look.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

My fold is too low after Asian Eyelid Surgery and would like it higher? CAn this be done? My previous surgeon said that there is not enough skin to do that.

Tuesday, June 7th, 2011

Yes you can increase the height of the crease after Asian Eyelid Crease Surgery. It will entail setting the crease higher with a higher incision. The drawback in this situation is that you may have two incisions that could be exposed if you don’t have enough skin. It is likely that your crease is high enough and that all you need is more skin taken out. This is much simpler to do.  The options are there for you. I think non incision techniques that the others are advocating is harder to achieve symmetry and long lasting results and you may need to get more surgery in the future to correct that approach. Below is a picture from our Asian Double Eyelid Procedure Webpage that discusses more details on this procedure.

asian double eyelid anatomy

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Crusting 4 months after asian eyelid crease surgery. This is my 4th revision the first couple dropped?

Tuesday, June 7th, 2011

Crusting after Asian Double Eyelid Surgery should not last more than 1-2 weeks. If the crusting lasts more than that, you may get scarring and difficult healing. I would have your facial plastic surgeon look at this situation as soon as possible. Otherwise, you might have a bad appearance from the scarring that could occur here.  The dropping of the eyelid can occur more commonly with non-incision techniques.  Also the skin to levator approach is dependent on scar tissue that can last and maintain the crease in a variable way. Meaning, the crease could last and persist differently in the eyes or asymmetrically in the eyes.  This is due to the fact that these crease forming procedures are based on scarring to hold the crease.  I carry out the Asian Eyelid Procedure in a unique way that lasts a long time. My procedure that I do is difficult, but once mastered makes a huge difference in terms of longevity. The procedure is uniquely called the orbicularis levator fixation technique. Below is the anatomy of the upper eyelid and will help you understand this technique once you follow the links to get to that page. This technique would be great for you because if you have a tendency to drop this technique actually leaves sutures inside your eyelid to hold your crease. These sutures stay in there permanently and this assures that the crease stays put and holds for the long run.

asian double eyelid anatomy

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

My eyelid crease is too high 3 days after Asian Double Eyelid Crease Surgery? What can I do?

Tuesday, June 7th, 2011

Asian Eyelid Surgery: Early on the crease is much higher than will be the final result. The eyelid crease always looks much higher early on after Asian Double Eyelid Crease Formation. The swelling tends to take up the space of the skin that would normally fold over the crease. You don’t want to do anything at this early point in time. Your doctor will know best.  The earliest that any Asian Eyelid Surgeon Specialist would do something would be at 2 weeks’ time. Don’t worry this will settle.  You always have the option of making the crease lower if you desired or higher if you desired. There are many options.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington