Archive for the ‘Fat Transfer / Fat Injections’ Category

Fat transfer from an animal, can that be done and also can it be done by a nurse at her house?

Tuesday, August 24th, 2010

Fat transfer from an animal is not something that sounds legal and is not a sound principle. Given that it was done at a nurse’s house sounds extremely fishy to me. That in itself is not legal unless she has established her home as a place to business and is certified to do these procedures.  To begin with RN’s aren’t supposed to inject fat in the first place. Fat from an animal will also be completely degraded by a person’s body and any results are likely due to scarring.

Is a browlift too early in someone that is in there 20’s?

Thursday, July 1st, 2010

A picture is important to analyze your appearance when you consider a browlift.  Droopy eyebrows can be found in younger people based on their own individual anatomy. Droopy eyebrows can give your a stern appearance.  And appearances can mean everything.  I have a theory on facial beauty that explains this to a degree as well as a blog.  If you eyebrow is one iris width away from your eyelid margin you are near the ideal height.  Being a little higher can make you look more awake. But anything more than 1 1/2 iris widths can give you a surprising look. Sometimes volume under the eyebrow can brighten your eyes by increasing your eyes highlights.  You should send me some pictures.  For older people, volumizing the forehead can be beneficial.  Here is a video of me volumizing the forehead.

Thanks for reading, Dr Young

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

What to do about a hard lump after removing a fat graft by excision

Monday, June 7th, 2010

This person had a fat graft removed through an excision which required cutting.  She had a persistent hard lump 3months after the excision and wanted to know if she should get steroid injections or 5 FU:

The hard lump is not uncommon and can be due to inflammation. Fat is important for many things in the body among them: keeping the body from losing heat, serving as a lubricant of sorts for muscles to move, cushioning the body, etc.  This lump is not out of the ordinary with inflammation that can still be present after 3 months.  Steroids are an option.  But waiting is another option as well. If in doubt do nothing unless it is urgent.  Waiting another 3 months is prudent to see if it is inflammation and maybe it will look and feel better.  If it has not gone down you could consider steroids to soften up the hard feeling of it.  It does help to see the lump as well and hence having your physician examine the lump would be the first thing I would do. I wouldn’t use 5FU before steroids with this medication being a much lesser used drug after oral and injectible steroids.

Thanks for reading,

Dr Young

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

Perinasal implants for sunken cheeks and nasolabial folds

Saturday, May 8th, 2010

One overlooked solution to sunken cheeks and nasolabial folds are perinasal implants (Dr Young specializes only in the face and neck and is located in Bellevue Washington) that you can insert next to the nose.  A lot of what creates nasolabial folds is the volume loss in the cheek next to the nose.  This can be a natural occurence for people or can result from aging.  A perinasal implant are most commonly silicone and medpor.  They can be inserted from the nose along the floor or within the mouth through really small incisions. The other to do this is through fat injections or the YoungVolumizer which I developed.  All options serve to plump up the perinasal area to decrease the nasolabial fold deep characteristic.  For the nasolabial folds you may also need some superficial volumization through fillers.  The perinasal implant can also volumize this area to give the medial cheek more prominence.  This tends to highlight the central face where you want the most attention.

Thanks for reading, Dr Young

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

I have acne scars and was wondering if a minilift could help. I also have hollow under eye areas, and cheek hollowing. Is fat grafting a good option for my lower eyes and cheeks?

Thursday, May 6th, 2010

A minilift (Dr Young has extensive experience in facelifts and has done over 1200 facelifts and is located in Bellevue, WA) could help remove some extra skin and Fat injections are great for the Hollows under  the Eyes.  I have many patients that I have done a minilift for acne scars.  My patients seem very pleased with the results for this reason. It is not a common application for a minilift to improve acne scars but some people find it very useful.  Fat injectons under the eyes are a great way to improve the volume loss there and the dark circles, and baggy look in this area.  Fillers can also be done here as a temporary measure.  Fat injections, if all variables are positive, can last years in this area.  Volumizing in this area is the most natural and, in my opinion, is better than any type of lower eyelid lift or cheek lift.  Fat injections are also great for acne.  A thin layer under a bed of acne scars will improve their appearance, rejuvenate the skin and elevate some depressed scars to a degree.  I think volumizing your whole cheek could really help your appearance.

Thanks for reading, Dr Young

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

I had 2 facelifts and my surgeon is suggesting fat grafting to my face for facial rejuvenation.

Tuesday, April 20th, 2010

Fat is a great option after multiple facelifts (Dr Phil Young Seattle / Bellevue Washington) to volumize the face.  Aging can be seen as a process of changing from a grape to a raisin for lack of a better descriptive scenario.  Facelifts essentially make the raisin into a smaller raisin. When in fact to look younger a lot of times looking like a fuller younger naturally looking grape is the better option.  This is where volumizing plays an important role.  Fat injections volumize the face to return the raisin to the grape that it used to be.   Given that you have had 2 facelifts, you likely have a reduced skin volume and hence you will be smaller than the grape you once were, unless you gained alot of weight during the years.  Volumizing would be excellent for you likely.  But it all depends on what you look like and this is a general comment.  At the age of 74, you can still get benefits from facial fat grafting.  I have done a lot of patients over this age. It all depends on your health.  Of course you need enough fat to do the procedure and your surgeon can tell you about that or assess this situation. Here is a youtube video showing fat injections into the cheek (Dr Young fat injections to the cheek)

Thanks for reading, Dr Young

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

What fills in the hollow under the eyes, do implants work there?

Monday, April 19th, 2010

Eye / Inferior orbital rim Implants can fill in the hollows under the eyes. Volume loss in the cheek and under the eye along the inferior orbital rim can lead to the hollowing under the eye that makes the bags under the eyes stand out.  There are many ways to fill in that hollow. You can use fillers, fat injections, the YoungVolumizer, Implant (Dr Young Seattle Washington), and you can sometimes reposition the fat over the rim.  Taking out the lower eyelid fat reduces the baggy appearance but doesn’t correct the original reason why there is a hollow there in the first place which is due to volume loss. Here is a video on a live facial fat injection (by Dr Young of Bellevue, Washington) on youtube.



Thanks for reading, Dr Young

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

Do non surgical cosmetic treatments really work?

Thursday, April 8th, 2010

Options for non surgical cosmetic treatments include: lasers, fillers, sun avoidance, topical skin treatments, etc.  All of these modalities have proven to show improvements in a person’s aesthetics.  Lasers can non surgically remove sun spots, tighten your skin, reduce vascularity and red spots, improve skin texture.  Fillers, can fill volume loss in your face which is actually the culprit of most of the aging that we experience as the years go by.  Sun avoidance decreases the aging of your skin that occurs when your skin is exposed to sun.  The UVA and UVB light can cause DNA mutations in your skin cells that cause aging and also can lead to skin cancer.  Skin treatments which can include microdermabrasion, topical creams, facials, chemical peels that can be done in office and at home can all lead to skin rejuvenation.  Skin treatments can tighten your skin to a degree, decrease unwanted pigmentation, speed skin turnover to rejuvenate your skin on a daily basis and prepare you for significant treatments.

Another in between option is the YoungVolumizer (Dr Young who is in Bellevue, Washington discovered the YoungVolumizer).  This is a procedure that I invented that entails volumizing your face with your own tissue. As we age we change from a grape to a raisin and using your own tissues to volumize your face can make your face look more like a grape instead of a raisin with the wrinkles and loss of the curves.  Most traditional procedures change the aged raisin to a smaller raisin.  You end up, often times, looking like someone else instead of the youthful grape you used to look like when you were younger.

Thanks for reading, Dr Young

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

What is the muscle that causes crows feet?

Sunday, March 7th, 2010

The muscles that cause crows feet are the orbicularis oculi and the smiling muscles: levator labii superioris, zygomaticus major and minor.  Here is a picture of these facial muscles.  When we try to improve crows feet with botox, these are some of the muscles that we try to weaken to decrease the formation of wrinkles.  Botox is injected in the sides of your eyes in the skin to weaken these muscles.  By doing this, we make the muscles weaker so they are less likely to form these dynamic wrinkles.  Dynamic wrinkles are the wrinkles that show up when you move the muscles of your face.  They are more pronounced when you move your facial muscles.  Static wrinkles are the wrinkles that are so etched in that they are present when you are not moving your facial muscles of expression.  Dynamic wrinkles are mostly effected by the actions of botox.  Over time, with continued use of botox, the static wrinkles can become more improved.  This is done because with botox, eventually allows the skin to remodel and reduce the static wrinkles.  This action of improving the static wrinkles however takes a long time and requires regular and consistent use of botox.

I hope that was interesting for you!

Thanks for reading, Dr Young

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

What are the options for Crows feet?

Saturday, March 6th, 2010

Crows feet are due to the eye muscles that surround the eye. These muscles are meant to close the eye, to blink, to protect the eye, etc.  When doing these movements, they can affect the skin around the sides of the eyes.  What results with this movement are the wrinkles that are commonly called the crowsfeet.  Botox is usually the way that people get some relief for them.  It usually takes about 8 – 12 units of botox on each side and the costs are around 10-16 dollars per unit of botox.  Other options include laser resurfacing, fillers, or fat injections for these wrinkles.

Fat injections and fillers function to do the same thing. When we age we lose volume in the skin and in the whole face in general.  What this does is bring the skin closer to the muscles of our face.  When we were young, there was a greater distance from the muscles of facial expression and the skin.  This distance was occupied by our skins fat and connective tissue.  When you smiled when you were young, the muscles tended to glide under your skin.  The fat in the skin above the muscles of facial expression allowed the skin to slide.  This exact phenomenon occurs in multiple areas of your body.  It is essential for muscle movement in fact.   As we age, the muscles of facial expression become closer to the skin, when we progressively lose the fat and connective tissue within and under the skin.  Hence, progressively when we smile are muscles of facial expression begin to exert more effects on the skin and these are manifested through wrinkling when we smile.  Through fat injections, fillers, or the YoungVolumizer, this layer of fat between the skin and muscles is increased and the muscles of facial expression have less of a wrinkling effect on the skin.

Resurfacing through chemical peels, lasers, or dermasanding / dermabrasion essentially takes away the top layers of the skin to allow skin cells deep within our hair follicles, glands etc to “resurface” the skin.  In the process of the procedure, we remove wrinkles, create a new layer of collagen underneath the skin, remove unwanted pigmenation and DNA damage, remove precancerous or cancerous cells, etc.  The skin then becomes renewed with healthier cells, you have less sun spots, wrinkles and the tone and texture of your skin is rejuvenated.

I hope that was interesting for you!

Thanks for reading, Dr Young

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