Archive for the ‘Browlift / Eyebrow Lift / Brow Lift’ Category

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Lateral Brow lift with Botox / Dysport

Wednesday, February 3rd, 2010

This is a blog to discuss how to get a brow lift with Botox / Dysport (Seattle, Washington).  Overtime, aging has a tendency to decrease the volume around our eyes. This leads to a descent of our eyebrows which can lead to the appearance that our eyes are smaller and that we have a stern look.  Also with the decreased volume and skin thickness, our muscles are more likely to exert their actions on our skin.  In essence, our muscles are more likely to create wrinkles the closer they are to our skin.

What also causes are eyebrows to descend is due to the action of the eye muscles around our eye.  The function of our eye muscles is to close the eye.   Over acting eye muscles can actually lead to the eyebrows descending as well.  Through Botox / Dysport, wecan elevate our eyebrows by making the eye muscles around our eyes weaker.  This action can lead to the other muscles in our forehead to have a stronger influence on our eyebrows and hence more effect on lifting up the eyebrows.  Injecting botox / dysport between the eyes and around the sides of the eyes can do this.  Usually the amount of botox you need in between the eyes is around 8-20 units.  On the sides you can put anywhere from 6-15 units on each side to accomplish this.  Pricing of botox ranges from 9-16 dollars per unit with Dysport being a little less expensive.

Importantly the way you inject botox on the sides of the eyes is important for a brow lift.  Typically, I use 6-10 units under the lateral part of the eyebrow to get this lifting affect.

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, Browlift / Eyebrow Lift / Brow Lift | Comments Off on Lateral Brow lift with Botox / Dysport

Reducing forehead wrinkles

Monday, January 18th, 2010

The aging that occurs in the forehead entails a volume loss and it also entails some loosening of tissue and ligaments that hold structures in place.  As the eyebrow descends, we tend to elevate them to improve our vision and this can lead to wrinkling in the forehead area. This situation is coupled by our loss of volume (fat, collagen, bone loss).  This loss of volume places the vicinity of our skin closer to our muscles in our face.  Hence when we move our muscles in our face, like our forehead muscles, the muscles exert more action on our skin just by the fact that they are closer to the skin.   Through volume we can create a distance between the muscles and our skin and hence decrease the influence of the muscle on creating wrinkles. The question is then does the volume make us look weird.  The answer is simply “no”. When we were young, we had more volume all throughout our face.  If you take a look at pictures of yourself when you were young, you will notice a lot of loss of volume in your face.  Take a look at your temples, forehead, and your cheeks.  It will take a little time to adjust your thinking but you will see the difference. This loss of volume places your muscles closer to your skin. This is one of the main reason for forming wrinkles.  The amazing thing is that through volume, you can actually affect your skin change it for the better.  With the volume, the skin is allowed to remodel itself.  Your skin is in fact always turning over the cells and tissue within its structure.  With the decreased influence of the facial muscles on the skin, the cells within your skin begin to remodel and decrease the wrinkles that it has created all of those years.  This process of skin rejuvenation after volumizing can take many years and the change will be gradual.  This is a couple of reasons why the YoungVitalizer is my procedure of choice for facial rejuvenation.

In terms of the forehead, the volume can elevate your eyebrows to a state that you were a long time ago.  The volume again will also improve your wrinkles as well.  Volumizing is the most natural way to rejuvenate your forehead.  When I do forehead rejuvenation and rejuvenation of the upper eyes, I place the volume deep below the eyebrows, inferior to the eyebrow and within the upper eyelid, above the eyebrows and also in the temple and forehead areas.  This volume helps lift the eyebrows and can brighten the appearance of the eyes better than any other form of facial rejuvenation.

Browlifting is another way to do so.  You can elevate your brows and this can decrease your need to lift your eyebrows and ultimately your wrinkles can improve.  Also through browlifting some of your muscles can be altered to weaken them.  This is useful in the area in between your eyebrows and eyes.  Browlifting however can lead to less than a natural appearance.  Your eyebrows can be elevated to a point that is higher than they use to be. Also the removal of the muscles in between your eyes, although it will help decrease the movement there, the volume loss can make this area look worse.  If you want your eyebrows higher than they used to be, a browlift might be the better option.  But this is probably the only option that is better than volumizing in my opinion.

Thanks for reading, Dr Young

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

Posted in Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, YoungVolumizer | Comments Off on Reducing forehead wrinkles

Will fat grafting make me look fat and can you do fat grafting in the lower eyelid with a lower eyelid blepharoplasty?

Tuesday, November 17th, 2009

Fat injections (fat filler, fat transfer, fat grafting, pearl fat grafting) done right will not make you look fat just younger. Repeating the lower eyelid blepharoplasty and doing fat grafting is not a familiar course for me. I either do one or the other and I tend to do more fat grafting.  I only consider the lower blepharoplasty with fat grafting when there is an extraordinary amount of fat in the lower eyelids and this is not common.  Most of the time when you remove fat and skin from the lower eyelids you tend to look hollow there.  Fat grafting as a whole can really help this area by bringing back the volume to the lower eyelid and upper cheek area.  Also combining the two procedures can have an impact on the fat survival in my experience.  With fat grafting, I always have patients bring in photos of themselves when they were between 10-20 years old.  This helps me to determine where to put the fat.  Fat grafting will not necessarily make you look fat at all. When placed correctly, it can dramatically make you look younger.You just need to put the fat in the right places. Also browlifting is more complicated than most surgeons think.  A little can do a lot to make someone look surprised.  Many times fat grafting around the eyes, temple, and forehead can really make someone look younger in this area while elevating the eyebrows or giving the illusion that it has been elevated. You can see my before and afters at this link: http://www.drphilipyoung.com/procedures/youngvitalizer/

Thanks for reading, Dr Young

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

Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, Uncategorized, YoungVolumizer | Comments Off on Will fat grafting make me look fat and can you do fat grafting in the lower eyelid with a lower eyelid blepharoplasty?

My right eyebrow is higher than my left. Is there a subtle way to correct this?

Saturday, October 17th, 2009

This is a question I recently answered for someone:

Asymmetry in the eye area is normal.  In fact, we appreciate beauty in an asymmetric way.  Our right brains appreciate beauty more than our left and our visual fields are asymmetric.  Essentialy, in short, we see someone’s right face more when we regard or assess beauty.  This has evolutionarily lead to asymmetries in our face based on millions of years of sexual selection.  We tend to choose our mates based on how good the right sides of our face look more than what our left sides look.  Thats sort of the long story and there is even a longer explanation to that.

In terms of correcting, you should realize that not everybody is the same on both sides.  This may comfort you a little and might dissuade you from getting something done.  What I can say is that you can get some correction of this if you are willing to do this. From this picture, I would really have to see you in person or see pictures of you to really know, but your left eyebrow is a little lower.  You might benefit from adding volume to the left temple region and above the eyebrow to lift the eyebrow subtly.  Even adding some volume below the left eyebrow could benefit.  This can be done with Fat Transfer, Facial Fillers, and other implants.  A browlift could even pull up the left eyebrow but in a less than natural way.

But I would really have to see you in person to be able to counsel you more.

I hope that helps!!!

Thanks for reading, Dr Young

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

Posted in Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on My right eyebrow is higher than my left. Is there a subtle way to correct this?

Eyelifts / Browlifts / Fillers and how to make the eye look younger again.

Monday, August 10th, 2009

There are many procedures out there that can be done to improve the way the eye looks and to reverse some of the signs of aging (including droopy eyes, extra eyelid skin, tired looking eyes, puffy eyes, eye bags, eye wrinkles).  An eyelift / blepharoplasty (or eye lift / eye plastic surgery) procedure is one way and this entails removing skin from the upper eyelid. Sometimes this entails removing skin, muscle, fat and also recreating the eyelid crease.  Recreating the eyelid crease is perhaps the one thing that can really make an eye look better by reconstituting this crease which can really open up the eye and it appearance.  This is a really complicated part of an eye lift and requires understanding the anatomy to a greater degree and an increase level of expertise.  I have a lot of experience recreating the crease and I have done this with my Asian clientele but I also apply it to my caucasian clientele and other ethnicities.

Browlifts (or brow lift / forehead lift / brow plasty / browplasty / eye brow lift / eyebrow lift) are another way to open up the eye by pulling up the eyebrow to a more youthful position (other signs of aging include droopy eyebrows, hooded eye brows, extra eyelid skin).  This is done through incisions that are placed behind the hairline and hide really well.  Sometimes an incision in the eyelid crease is necessary to better expose the orbital bone above the eyelid and to allow a better approach to lift the eyebrow.  It is important for you to go to a surgeon that understandsFacial Beautyto get those excellent results.  You may have seen people who have a surprised look after a brow lift.  This is direct by product of our limited understanding of facial beuaty. I came up with a new theory on facial aesthetics / beauty which I think really answers some of the questions we have been wondering about facial beauty all of these years.

Fat Transferare all terms used to define a procedure that takes fat from somewhere else in your body and placed into your face or whereever you need more volume.  Fat grafting into the face can have amazing rejuvenative effects to the face by replacing lost volume in the face that have occured through aging.  When we age we lose fat, and our skin thickness gets thinner by losing tissue such as collagen, etc.  Fat grafting just replaces this volume. Fat can be more permanent.  Anything fat or volume that is present for more than 6 months to a year will last for many years, sometimes 8 years or more and up to 15 years. Basically, if you had a twin, you would always look younger than that twin if you had fat grafting and your twin didn’t.

Facial Fillers do the same thing as fat but they are just more temporary lasting 6 months to a year or more depending on the filler that use.  In general hyaluronic acids like restylane, juvederm, and perlane last from 6 months to a year. While Radiesse, a product of bone made up of calcium hydroxyapatite, can last up to year or more.

Both fat and fillers can be placed around the eye to really bring youth to the appearance of the eye.  But a knowledge of facial beauty is much more than half the battle in rejuvenating the eye.

I refined an amazing volumizing procedure called “the YoungLift”. This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done. This is not a facelift and requires no incisions. Only pinpoint puncture sites are used and these heal imperceptibly. The YoungLift can be done without general anesthesia and without drains, and large bandages. You also have a lot less downtime and discomfort compared with traditional facelift procedures. I employ the very best techniques from around the world into one volumizing procedure and I use my internationally acclaimed understanding of facial beauty to create the youthful volume you once had.

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, Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | Comments Off on Eyelifts / Browlifts / Fillers and how to make the eye look younger again.

Can a forehead augmentation be done after a brow lift?

Wednesday, August 5th, 2009

Forehead augmentation can be done but can affect the results of previous browlifts. You can augment the forehead with silicone after a browlift.  One of the issues is that the augmentation will affect what was done with the previous browlift and you will sometimes need to refix the brows and allow them to fixate in the newer position.  Browlifts depend on the fixation of the bone to the bone covering and the soft tissue that covers the forehead.  When you dissect to implant something into the forehead it will break that bond.  Also with the implant fixating the brows to a new position will present some challenges as well depending on where the implant is placed.  Implants placed in the forehead can establish needed volume that is lossed with aging.  Most of the time, however, forehead augmentation is used to fill in defects from trauma and for reconstructive purposes. Also depending on what implant is used and the size you may need longer incisions such as a variation of the coronal incision that goes from ear to ear.  Not all of this incision is needed most of the time.  In terms of augmentation, you can use silicone sheets / blocks, Facial Fillers or fat augmentation.  Silicone and fat are the options that offer more of a longer lasting results with silicone being more permanent than fat.  Fat injections, however, can be done with no incisions most of the time with less downtime associated with long incisions. Augmenting the forehead can potentially help with wrinkles in the forehead, eyebrow drooping, extra eyelid skin and temple hollowing depending on how and where the augmentation is done.

I refined an amazing volumizing procedure called “the YoungLift”.  This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done.  This is not a facelift and requires no incisions.  Only pinpoint puncture sites are used and these heal imperceptibly.  The YoungLift can be done without general anesthesia and without drains, and large bandages.  You also have a lot less downtime and discomfort compared with traditional facelift procedures.  Dr Young employs the very best techniques from around the world into one volumizing procedure and he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Juvederm, Perlane, Radiesse, Restylane, YoungVolumizer | Comments Off on Can a forehead augmentation be done after a brow lift?

Does a procedure that works on the corrugators help with bunny lines?

Friday, July 10th, 2009

Your bunny lines are created by the levator labii superioris and transverse portion of the nasalis muscle.  Botox is probrably the best thing for this.  Other surgery to affect the muscles here would likely change your smile too much and might be possibly disfiguring.  The corrugators run from the middle part of the your eye bone and insert into the middle part of your eyebrow.  Manipulating the corrugators improves the wrinkles between your eyes.  Surgery to improve this done and has been done quite a bit.  The corrugators can be manipulated from an eyelid crease incision or through forehead incisions when you do a Brow Lift.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Browlift / Eyebrow Lift / Brow Lift, Wrinkle Treatment | Comments Off on Does a procedure that works on the corrugators help with bunny lines?

Fat injections in the temple to elevate the eyebrows?

Saturday, June 27th, 2009

Fat Transfer are the most complicated procedure that a plastic surgeon can do in regards to rejuvenating the face. When fat is placed in the temple and lateral brow area, a modest amount of elevation of the brow can occur. The key is grafting the fat so that it survives to keep the volume and the lift that it has in the lateral brow area.

Oftentimes, a brow lift will be something that can’t be avoided. In studying the brow area, I have found that when fat grafting is concentrated in certain areas, a lateral brow lift can occur in a very beautiful way. The key to achieving this is very elusive. I have some unique insight into this that has not been previously been known. My plan is to publish this in a future article. In short, this can be done, but this area of plastic surgeon is a fresh frontier that I think is being elucidated as we speak!

I refined an amazing volumizing procedure called “the YoungLift”.  This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done.  This is not a facelift and requires no incisions.  Only pinpoint puncture sites are used and these heal imperceptibly.  The YoungLift can be done without general anesthesia and without drains, and large bandages.  You also have a lot less downtime and discomfort compared with traditional facelift procedures.  Dr Young employs the very best techniques from around the world into one volumizing procedure and he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, YoungVolumizer | Comments Off on Fat injections in the temple to elevate the eyebrows?

indent after steroid injections after lower eyelid blepharoplasty

Friday, June 26th, 2009

This is a question I answered regarding a procedure done by another physician.

It really depends what the situation really is. You really have to come in for us to see you and to assess what can be done. If there is an indent, some type of filler can be used.

Fat injections are another way to fill in a depressed area with minimal incisions. The discoloration will improve with time and if it doesn’t go away over the course of the months you can have treatments to improve the appearance.

Posted in Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections | Comments Off on indent after steroid injections after lower eyelid blepharoplasty

Aging eyes at 27?

Friday, June 26th, 2009

I see the extra skin in your upper eyelids. I hope that is what you are talking about. This happens when you lose volume around your eyes which happens when you age. Underneath your brow, you slowly lose fat, connective tissue within your skin that causes the skin to sag downward because of the reduction of volume. During the seasons, depending on how much water you drink and what your nutritional intake is, you will have a different state of volume. This can account for the different appearances that you seem to be having when you look at yourself at different points in time.

Of course, you should have a complete medical evaluation to make sure that there is nothing else going on that could account this including issues with your kidney, liver, and even thyroid. Allergies can also play a factor. When everything else checks out fine, aging might be the sole cause. The answer to this includes filling back the volume or doing an null and/or Brow Lift. Although, you seem to have a fine position for your brows.

Filling your eyebrow and upper eyelids with volume is the most natural way to achieve more youthful looking eyes.  This can be done with small puncture holes that heal essentially imperceptibly.  The YoungLift is my unique and amazing technique to volumize the face using a person’s own tissues.  The YoungLift is done without incisions, without General Anesthesia, and the recovery is many times faster than traditional procedures. I incorporate my internationally acclaimed theory on aesthetics to bring out the younger and natural you.  This is ideal in a younger person to restore lost volume in this case.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, YoungVolumizer | Comments Off on Aging eyes at 27?

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