Archive for the ‘Fat Transfer / Fat Injections’ Category

Deep scar from a spider bite with no improvement with 6 laser treatments

Thursday, February 3rd, 2011

This was a question that I answered for someone that had a Deep scar from a spider bite with no improvement with 6 laser treatments . This is how I answered this question:

Deep scars are hard to reverse with fillers, excision and fat injections can work.  This is in my experience.  Sometimes you are able to get some improvement with fillers. But what I’ve experienced is that the filler tends to be injected in the surrounding areas and not where you want them which is under the scar.  You really have to break up the scar tissue that has accumulated under the depression and this needs to be released.   Once release you can fill it with fillers or fat.  What I like to do is undermine the depressed area with different instruments and then fill it with fat.  This however will not improve any surface details / qualities like incisions or lines there.  The only way to improve that is to actually excise this type of scar.  I would really need to see a picture of the scar or the scar in person to better figure out a way to improve it.  Sometimes with the scar revision, you need to go under the skin to really release the collagen bands of scar tissue to alllow the skin to relax.  Then more fat grafting or some filling may still be needed. You can always email me a picture if you would like more details.

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

Radiesse would be one option for filling up pleating defects from a facelift.

Tuesday, January 18th, 2011

Radiesse would be one option for filling up pleating defects from a facelift. The other option includes carrying out a revision of the facelift to better drape the facial skin. This results from more pulling on the skin and is less likely to occur with more deeper plane lifts that pull up the muscle instead of skin.  Instead of Radiesse, fat injections are a great option to consider for pleating skin.

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

Botox is good for dynamic smile lines, filler and resurfacing can help static lines

Friday, September 17th, 2010

Restylane and Juvederm (or Perlane)  are both great options for filling and improving static lines and dynamic to a degree.  Ipl will, in my opinion, have little effect on the wrinkles. Glycolic peels can help to a minimal degree on fine lines and improving your general skin appearance. Resurfacing is another way to improve your wrinkles on your face by approaching from the outer skin side.  Whereas fillers approach the wrinkles from inside.

Botox is good for dynamic smile and facial  lines, in contrast filler and resurfacing can help static lines. Botox is a neuromuscular agent that blocks the action of muscles by acting on the nerves that innervate muscles.  The way you can tell if botox will work for you is to identify whether your smile lines or wrinkles are accentuated or increased by the act of smiling or the muscles that move your face when you smile.  Botox is good for the wrinkles that increase in appearance with muscle movement.  If it is the wrinkles that are present when you are not moving a part of the face, botox will have less of an effect.  But botox will have an effect on those wrinkles getting deeper when you move your face.  But when your face is at rest the wrinkles that are there will not noticeably improve with botox.  One thing to realize is that if you use botox for a long time, your static wrinkles can improve but this takes a while.  Your cells in your skin have to remodel your skin where the static wrinkles are in order to improve those wrinkles which could take months and years.  Part of what makes wrinkles deeper are the the loss of volume within your face.  This places the skin closer to your muscles and thus when you move your muscles to smile or talk, there actions begin to have more effect on your skin and the effects are wrinkles with the movement.  The volume loss can help this situation by increasing the distance of your skin to your facial muscles.  Fillers are a temporary solution (anywhere from 6 months to a year) and Fat injections are more of a long term solution.  The YoungVolumizer is a great way to volumize your face in a natural way with no incisions, and no general anesthesia.

Thanks for reading, Dr Young

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

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

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

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.

Thanks for reading, Dr Young

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

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