Aesthetic Facial Plastic Surgery Blog- Seattle/Bellevue facelift/rhinoplasty surgeon- Dr. Philip Young » Chin Surgery

The YoungVolumizer can be a substitute for many traditional procedures like a face lift, mid face lift / cheek lift, lip augmentation, eye lift, etc

dryoung — Sun, 13 Nov 2011 15:47:02 +0000

Why is that? Well a big part of the aging process is a volume loss and if you had a way to replace the volume in the face, doing so in special areas can make you look incredibly younger. It is our secret on how to do this. But there are ways to volumize the eyes, forehead, temple, lower eyes, cheeks and mouth area to substitute and replace face lifts, mid face lifts / cheek lifts, upper eyelifts, lower eyelifts, cheek implants, jaw implants, chin implants, brow lifts, temple lifts, etc with the YoungVolumizer. That is why we call the YoungVolumizer, the Breakthrough Incision Less Face Lift. The idea of cutting away tissue is becoming an older idea. Cutting away changes the face. The only situation that cutting away tissue can come into play is if your face changed dramatically since when you were younger. Aging is like a grape changing into a raisin. Traditional procedures tended to make that raisin into a smaller raisin. This action and process would make the raisin contorted. Because now you are trying to shape the raisin into a smaller volume. Some of the skin of the raisin will just not conform to the smaller volume you now have because you lost it from the transformation from a grape to a raisin. Replacing this volume will play a huge part in making the raisin back into the grape again. See this introduction video to the YoungVolumizer.

Thanks for reading,

Dr Young

#plasticsurgery #facelift #plasticsurgeon #medispa #skincare

Questions on Lateral Jaw Implants, Silicone implants, and screws used for the procedure:

dryoung — Fri, 01 Jul 2011 20:11:49 +0000

I recently asked some questions on Lateral Jaw implants for a person on the east coast. Here is how I answered them:

1) I looked at the jaw implants from the link you sent me. I saw that they had lateral implants and posterior implants. What is the difference?? And which one would you recommend for me?? Lateral implants are the ones I was discussing with you. I don’t put in posterior ones very often. I think they are more ridden with potential complications.

2) If these silicon implants are screwed in, they will not mobilize later right?? For instance, I can sleep on my side without fear of having them move right? The screws will become part of you. The titanium metal osteointegrates with your bone. On fine mag, you can see the collagen bone fibers attach to the titanium. There will be a tight pocket around your implant and they should not move. Also usually there will be bone that partially encases the implant. But, they will not be as strong as your bone but strong enough.

3) Screwing in these jaw implants will not cause my bone to have problems right? I read something about silicon implants and screws. No they shouldn’t as explained above. Sometimes you can get bone erosion. The bone that you put it against in the lateral jaw is strong bone. Alveolar bone is softer and that can have more erosion. But this is always a possibility to have erosion. Again, much less common with the stronger lateral jaw and lower part of the chin bone.

4) What would the recovery from jaw/chin implants be like?? And how long does serious swelling typically last?? I ask because I don’t really want to tell people that I’m having jaw/chin implants. However, if my face is going to be swollen for 6 months, that could be hard. The swelling typically takes around 3-4 months to fully come down. But you will have most of your results 70% at 65 weeks, and 90% at around 6 months. It is really fast the first week and month. You should look fine around 2-4 weeks but the first week you have remarkable decrease in swelling.

Thanks for reading, Dr Young

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

Removing a chin implant usually requires placing a smaller chin implant to prevent balling up of your chin.

dryoung — Wed, 12 Jan 2011 16:39:27 +0000

This is a question that I answered for a patient that had a chin implant placed by another surgeon. She wanted it removed because after undergoing submental liposuction, her chin looked to long and round.

Removing a chin implant usually requires placing a smaller chin implant to prevent balling up of your chin. Most of the time unless your chin implant is very small like 3mm, you will need to place a smaller chin implant. This is important because without something smaller, the stretched pocket / tissues / skin will contract over this empty space. The very possible potential result is a “balling up” effect which can make your chin look like a ball with a protuberance that you will not like. The healing of replacing a smaller implant usually is fairly quick with most of the swelling and bruising gone in a week.

Hope this was interesting

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

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

Chin and Jaw implants are a great way to shape the lower third of the face.

dryoung — Wed, 29 Dec 2010 23:11:44 +0000

Chin and Jaw implants are a great way to shape the lower third of the face. Chin implants can shape the anterior part of your jawline and bring more balance to your face when people see your face from the front. The jaw implants on the lateral part of your jaw can widen the lower third of your face and really increase the strength and masculinity of any person’s face. Chin implants run between 2-6 thousand dollars. Jaw implant can be a little more. When you do them together, some surgeons give your a price reconsideration. You can choose from a variety of implants, different shapes and different sizes, that will fit you personally. And the surgeon can tailor them even more during the procedure. I personally like medpor implants for the long run. Once they get incorporated in the body they are much more resilient in my opinion and based on some scientific study. They get vascularized in 12 weeks and start working just like your body. Silicone implants are more common and are softer which are sometimes more appealing to people. They feel more like tissue.

Thanks for reading, Dr Young

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

My chin is weak and my mouth seems always to be open. Can corrective surgery fix this and what about chin augmentation with implants.

dryoung — Thu, 16 Dec 2010 02:17:54 +0000

Corrective Jaw Surgery Can Correct most of those concerns but the surgery is pretty extensive. The procedure involves cutting through the upper jaw and lower jaw and moving the complete segment of your jaws and many times you need your jaws wired shut for awhile, sometimes as long as a month or more. You can determine if you need some chin augmentation through this discussion:

Here is the link: http://www.ayoungyou.com/2010/05/15/custom-chin-implants-are-a-good-option-for-chin-augmentation/

To get a full description you can look up my blog and there are pictures there to explain the above.

If you look up my theory on facial aesthetics you can get an understanding of how your face should be proportioned. The theory is called the Circles of Prominence.

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

I had a sliding genioplasty 5 days ago and I look acromegalic or cave manish

dryoung — Wed, 15 Dec 2010 20:17:45 +0000

This is a question that I answered for a patient that had a surgery done a while ago by another surgeon:

5 days is too early to judge your results after genioplasty. Right now you are going to have a tremendous amount of swelling. You have to wait at least a week and up to a month for it to really look good. Generally, I tell people that you will have 60% of your healing at 6 weeks, 80% at 6 months and the rest occurs up to 2 years later. So be patient. It will get better and most of the time things can be changed back to the way they were or altered a bit. I personally prefer chin augmentation to genioplasty. Chin augmentation is generally, through many studies, associated with less complications than genioplasty. These complications can include, nerve damage, a step off deformity, bone loss, problems with the implants or titanium plates and screws used for the fixation of the chin implant or the genioplasty segment that is advanced.

Cheers!, Dr Young

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

My chin implant in the spring has made my face look boxy from the oval I used to have. What can I do?

dryoung — Wed, 17 Nov 2010 15:26:54 +0000

This is a response to a question that I answered for a person who had a procedure by another doctor:

Chin implants can have a tremendous impact on your looks. Because it is placed in the lower third of your face it will have the most impact in this area. But overall, it can change the appearance of your face as a whole to a great degree. The changes to a box like appearance instead of an oval can definitely happen. It might improve a little more over the next couple of months since you had it in the spring and right now it is fall going on winter. Your Physician will know the best on what to do. But you can replace the implant. Work with the implant that you have in there by sculpting it. It will most likely entail either a smaller implant, a more tapered implant and still you might need further tailoring of the implant to have it fit your face better.

Cheers!, Dr Young

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

Button Chin Implant Can Make Your Chin Look More Prominent and Your Jowls Also More Prominent.

dryoung — Thu, 15 Jul 2010 21:52:09 +0000

I had a patient that had a chin implant (Dr Young is located in Bellevue Washington) placed by another physician near by. The patient said to me that he felt his chin stuck out too much and that he had indents by his chin. This was grafted with fat but the fat just couldn’t fill in all of the discrepancy. We elected to look into his chin implant and replace it with an implant that has more lateral extension. This was the thought after examining his chin. When we went into the chin area the implant was indeed a “button” type of implant that just augmented the central part of the chin. This “button” type of chin implant is really rarely used for this reason. I hardly ever put these in. They accentuate the chin and make it look too big and also make the prejowl area deeper making the jowls look bigger. Our answer was to put in a new implant that had more lateral extension and we choose the med por extended chin implant. Here is a picture of the chin implant that we used:

The chin implant that he had look like this:

What might not be apparent in the picture right above is that the anatomical chin implant lacks the lateral projections for a more even transition to the jawline. The person’s implant that we did surgery however had even less lateral projection. After removing the implant we tailored the extended chin implant because we thought it was too big and we then screwed in the implant to improve its “take” in this region. Screwing the implant can decrease unwanted increase in size of the augmentation, prevent fluid accumulating deep to the implant that could cause infection, it also fixes the implant so that the implant doesn’t move. Here is a video showing this patient’s implant and what we plan on putting in to replace their implant.

Thanks for reading, Dr Young

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

Chin implant versus Genioplasty, How does this change the Profile views and Frontal view?

dryoung — Tue, 13 Jul 2010 23:39:03 +0000

Chin implant’s (Dr Young, Aesthetic Facial Plastic Surgery in Bellevue, near Seattle, WA) can enhance your profile and are much easier to recover from compared to a genioplasty. A sliding genioplasty involves cutting through your chin bone and advancing it. This can lead to issues such as longer recovery, nerve injury chances are increased, step off deformities can occur, there is much more pain with it, and the advanced bone segment can loss volume. It is harder to demonstrate the changes from the frontal view. It requires your doctor changing the way the light hits the chin to show the changes. For women, the chin implants always need to be done in a conservative way. Generally, there are many options for augmenting your jaw including where on your jaw (location) and how much. There are many different types of implants that you can choose from. Also, there are different types of material and I generally prefer to implant silicone or medpor (porous polyethylene). Silicone is a the most common option. It is soft, does not get incorporated within your tissues but has a capsule formed around it. The advantage is that it can easily be removed and replaced with a bigger or smaller implant with relative ease. Medpor is stiff, and grainy to the touch and gets incoporated into your tissues. The incorporation makes the medpor implant more resilient to infection. But this incorporation makes it harder to remove the implant if you want to change it. Here is a video on chin implants.

Thanks for reading, Dr Young

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

Chin Implant Revision for misplacement and for aesthetic reasons (when the implant is too large)

dryoung — Fri, 18 Jun 2010 20:50:37 +0000

There are many times when I get people that come to my office wondering about changing the appearance of a chin implant that they had before. I have this case of a woman who had a chin implant by another surgeon and she felt that the chin implant was riding too high. She felt that the chin implant was also too large and it made her look a little masculine. When it comes to revisions, you should not ever just take an implant out unless it is a really small implant. What happens is that the soft tissue can ball up and contract and create an unfavorable appearance. What is typically the better thing to do is to replace the large implant with a smaller one. If the implant is already smaller, then you could make a case to not put any implant in and this is an option only for a small implant. Generally small implants are the ones that people have an issue with. Also when you put an implant in, they implant should alwaws ride on the inferior border of the mandible where the bone is hard and less likely to undergo resorption. I prefer medpor implants for many reasons. They can get incorporated and vascularized to act like your own tissue much more so than silicone implants. Silicone implants tend to have a capsule form around it and will not get incorporated. Hence, when you hit your silicone implant there is more likely the chance for complications years after the procedure as opposed to medpor where once it gets incoporated past 12 weeks, it will be more resistant to infection and rejection. Here is a video showing and demonstrating what we are talking about.

Thanks for reading, Dr Young

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