Archive for the ‘Fillers / Facial Fillers’ Category

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Post Care For Your Fillers

Tuesday, December 13th, 2011

Congratulations on having your filler placed! After the procedure, there can be swelling, bruising, lumps and bumps. These gradually decrease over the course of the week and usually improve a lot over the first three days.  We usually suggest manual massage for the first 2 weeks over the areas that are more raised, noticeable or incongruent with the surrounding structures.  If there are still some issues, you should make an appointment at 2 weeks and we can help resolve things for you.  For Restylane, Juvederm, and Perlane, there are enzymes that can be injected to smooth away certain areas.  Also, you can always inject more product to improve the appearance as well.

It is okay to put make-up on after your filler procedure but if you are particularly red it might be better to wait at least 1-2 days.  It is always good to avoid high dose vitamin E, herbal medications, supplements (like fish oil, omega-3’s), anti inflammatories (like naproxen, Aleve, ibuprofen, Indocin, piroxicam, sulindac, ecotrin, Bayer, aspirin, Motrin, Excedrin), and other blood thinners 2 weeks before and 2 weeks after your procedure.  We have a list of medications and things not to take before your procedure on our resource page on our website. Avoiding blood thinners will help in preventing increased bleeding during and after your procedure.  Excessive bleeding can create a lot of complications during your recovery and procedure.

Immediately after your procedure you should try your best to ice the areas of injection for 15min every hour.  Icing is best the first 2-3 days. You can use ice but do not directly apply the ice to the skin.  There should always be something in between the ice and your skin so you don’t freeze or damage your skin.  Plastic zip lock bags are great for this purpose. Frozen peas and cucumbers in a zip lock bag are a common recommendation. Commercially prepared icepacks are also very commonly prescribed.

For the first 48 hours it may be prudent to avoid hot showers (use luke warm water), hot and spicy liquids, foods.  Try to keep things cool for the first 48 hours and limit your activity if possible. For the bruising you can alternate between warm and cold compresses but you should consult our Office before doing so.

If you have increased redness, swelling, or tenderness 2-3 days later this could indicate an infection and you should call us immediately at 425-990-3223 and possibly come in to see us.  We will do everything we can to take care of you. We would like you to make a follow up appointment at 6 months for us to assess your progress.  This is also the ideal time point to re-inject more product and get even longer lasting results based on scientific study.  Please contact us anytime via email or calling us. We would like to be of any help during your journey towards facial rejuvenation.

Your Team at Aesthetic Facial Plastic Surgery

Posted in Fillers / Facial Fillers | No Comments »

The YoungVolumizer and its future in facial rejuvenation

Tuesday, November 29th, 2011

This blog is to discuss why we think the YoungVolumizer will play a huge part in facial rejuvenation in the future. Here is an example of a patient who received the YoungVolumizer. This will help in the reading below:

YoungVolumizer Before and After

YoungVolumizer Before and After

 

When Dr. Young was training in Los Angeles, he noticed how the most famous and wealthy people were looking odd after facial plastic surgery. Now if the people in the know and the people with all the resources in the world were getting odd results, what would it be like for the average person. I would say not likely much better. Dr. Young tried to find out why. Through his search he discovered that some of the most basic things in plastic surgery needed some improvement. At the core of this was our blue prints for our goals in plastic surgery. Facial beauty and the knowledge of what makes a face beautiful is like an architectural plan is to a builder. Dr. Young found that our ideas on facial beauty were incorrect and flawed. Even today in 2011, our most dominant theories on facial beauty is based on Leonardo da Vinci’s theories of Facial Beauty that were founded back in the 1400′s. Recently, we have shown that these theories were incorrect. So plastic surgeons never really knew what made a face beautiful or not.  Dr. Young thought that this was a serious fact that we needed changing immediately. He then went on a journey to find out just what made a face beautiful or not. During those years of research he discovered his theory on facial beauty called the Circles of Prominence. Also during this time of about 8-10 years, Dr. Young was also discovering the benefits of facial rejuvenation through volumizing of the face. The culmination of the two lead to the YoungVolumizer, the breakthrough incision less face lift. This may sound too good to be true so you can find out more about this procedure on our website www.theyoungvolumizer.com. But, this procedure, has made a difference in many people’s lives and you can read about our testimonials for the YoungVolumizer.

Why is this procedure so important? Well it all has to do with how we age. Ideally, it is most advantageous to reverse aging in the exact order that use to get the person where they are at in the current moment.  If you try to reverse aging in a different order you get unnatural results. This is what happened in the past with traditional procedures. A large part of aging is from a volume loss. This face contracted in and down. The goal of volumizing is making the face younger by directing it up and out.  Most traditional procedures tended to make the face up, backward and more inward.  It brought the face nowwhere near the point that it used to be.  That lead to the pulled, tight and unnatural look.  You can get more of a visual representation of this in our Introduction to the YoungVolumizer here.

Notice in the above picture, how we have made the face amazingly smaller as well.  We did this by adding a lot of volume. How did we do that? Well that is our secret. You can find out more by coming into to discuss your needs through a consultation if you would like. We hope that this article will give you some hope on making your face look more rejuvenated.  We are confident that we can achieve many of your facial rejuvenation goals and we look forward to talking with you in the near future.

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

 

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | No Comments »

Benefits of Plastic Surgery

Monday, November 28th, 2011

I recently came across this positive article regarding the benefits of plastic surgery. Often plastic surgery is looked at in a negative way but who are we to tell someone they cannot be happy with the way they look.

Plastic surgery is currently experiencing unprecedented popularity with continuing advancements of technologies for the diverse array of procedures. This has inevitably led to superior results with reduced complications and side effects, leading to a higher degree of customer satisfaction. Consequently more and more people are feeling the immense benefits from improving their image through plastic surgery.

Unique Prerequisites

Whether a person opts to have plastic surgery on their face, hips, breasts or thighs the aim is to sculpt the body in a way that looks natural, the physical and external benefits of plastic surgery can be multi-faceted. Surgeons aim to correct this by taking each individual’s body into consideration before deciding on a desired result.

Many find that they are more outgoing, personable and confident when they become accustomed to their transformation and this heightened sense of self-esteem can be a benefit that lasts a lifetime.

The first thing that many people notice after plastic surgery is that their bodies seem more proportional or balanced. Often a nose may appear too large for a particular person’s face, or a bust that is too large or too small can blur all an individual’s other features making them seem disproportionate.

Rejuvenation

Aging and sun-exposure can also takes it toll on men and women, sometimes making an individual seem older than they actually are. Facial rejuvenation procedures like face-lifts, facial implants, dermabrasion, chemical peels, and Botox injections can restore your once youthful appearance, and replenishing your vitality.

The physical and external benefits of plastic surgery can be multi-faceted. Surgeons aim to correct this by taking each individual’s body into consideration before deciding on a desired result.

Synergies

The wonderful thing about plastic surgery is that the direct benefit is external, but more importantly it will greatly improve your external condition – your inner beauty will be magnified with your newfound self-esteem, confidence and assurance.

Water Ripple Effects

The physical result of plastic surgery produces a healthier look and the ramifications are immense, as this healthy look will often permeate to the patient’s entire lifestyle. People who have surgeries like liposuction and breast reduction usually feel more comfortable in their clothes, that their new bodies allow them to participate in physical activities that they wouldn’t have considered before surgery. Plastic surgery can open new doors to people who have previously lived their lives sheltered. They find themselves participating in activities they never would have in the past such as swimming or aerobics, due to their renewed confidence.

The wonderful thing about plastic surgery is that the direct benefit is external, but more importantly it will greatly improve your external condition – your inner beauty will be magnified with your newfound self-esteem, confidence and assurance.

Heightened Sense Of Self-Esteem That Lasts A Lifetime

Whether a person chooses to undergo plastic surgery to improve their lifestyle or to improve their look, there will always be emotional benefits when a person is finally able to feel comfortable in their body. Many people find that they are more outgoing, personable and confident when they become accustomed to their transformation and this heightened sense of self-esteem can be a benefit that lasts a lifetime.

 

The YoungVolumizer the Breakthrough Incision Less Face Lift

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, YoungVolumizer | No Comments »

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

Sunday, November 13th, 2011

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

Posted in Chin Surgery, Facial Implants, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Juvederm, Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip, Midface Lift, My Journey to Find and Attain Beauty, YoungVolumizer | No Comments »

Do Restylane injections hurt? Can you get anesthesia or some type of sedation if you have a fear of needles?

Saturday, June 4th, 2011

You can have restylane injections with some sedation but this is not a very common request.  Oral sedation is a consideration. The question of whether it hurts is “yes” there are variable amounts of discomfort and this is dependent on the approach, the type of local / regional anesthesia, how it is done, whether the filler has local anesthesia contained within it, whether the doctor uses topical anesthesia as well. On our webpage that can be found under procedures > facial fillers > fillers learn more. We cover the different types of anesthesia for fillers choices that you can choose from.

Thanks for reading, Dr Young

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

Posted in Fillers / Facial Fillers, Juvederm, Perlane, Restylane | No Comments »

Plastic Surgery Face lift Alternative, Older Philosophies, and Newer Alternatives

Friday, February 25th, 2011

Plastic Surgery in the past has concentrated on the philosophy of reductive surgery. In the past, Plastic Surgeons typically approached facial plastic and reconstructive surgery by reducing and excising away tissue. The results often lead to a tighter and unwanted look. These results have made people who have received plastic surgery in the past look like they had something done. The question is why that occurs.

As you age, the process is really dominated by a volume loss in your face (And your whole body for that matter). You lose volume all throughout the face. But what it appears to others though is that your face is dropping or sagging. How does this occur? Well, as you lose volume, the skin and tissues are no longer pushed forward away from the facial skeleton. Without this volume support the tissue, the only way for the tissues to move is down and inferiorly, therefore the sagging. So, in the past, plastic surgeons would see this drooping and would try to correct by lifting and cutting away tissue. This is also compounded by the fact that plastic surgeons were surgeons. What we mean is tht surgeons have been trained all of these years on the art of cutting and surgical procedures. Naturally over time, they had a predisposition to cutting things away. This is the genesis of the reduction philosophy in plastic surgery.

Why is this approach unatural? There is an easier way to answer this question and we have a great analogy. Your aging is analogous to a grape and it’s change to a raisin over time.  This process of change entails a lot of volume changes. The grape is the volumized version of the raisin. Plastic surgery has traditionally approached facial rejuvenation by making this raisin into a smaller more pulled raisin. They made incisions in the raisin’s wrinkles (from being dried up) and then excised the skin of the grape to make things tighter. As you can start to see, the raisin that has gone through this approach can never really look like the grape it once was without some type of addition to the volume of the raisin.

We are advancing in our understanding of facial rejuvenation and the above ideas are central to this change in thought. Volumizing is playing a major role in this improvement of our approaches.  It began with fillers in the 1990′s and possibly earlier.  The nasolabial folds were the first areas to be volumized in this spirit.  Collagen started the trend where restylane now dominates. This technique then began to be applied to other areas of the face such as the marionette lines (lines inferior to the corner of the mouth), lower eyelid hollows and bags, and the rest of the face. Because of the temporary results that were achieved from restylane (6 months to a year at best), other options began to surface and resurface.  Long acting injectable fillers include radiesse (a natural bone product made up of calcium hydroxyapatite), artefill (methylmethacrylate microspheres), sculptra (poly-L lactic acid).  Most of the results obtained by the longer acting fillers were like restylane but had the potential to last much longer.  What has been found through experience, though, is that the longer acting injectables eventually do lose volume over the course of a year but the actual materials can persist for longer.  How do we make sense of this? Part of the reason why is due to the carrier molecule that becomes absorbed (glycerin, carboxy methocellulose, etc).  With this absorption, the results also wane. Silicone has been used as injectable filler, but the results are variable from good to disastrous.

As I mentioned, other options began to resurface with this new interest in volumizing.  This new idea for more natural results, fat injections began to make a comeback.  The process includes harvesting fat from another part of your body (abodomen most commonly but also hips, waist, side of the legs) and then it is refined and injected into various parts of the face.  The results from fat grafting in the face can be amazing.  The main issue with fat grafting is finding the most optimal technique to achieve the most reliable fat survival results.  Consistency has been a major challenge for plastic surgeons. There are many steps that are taken with fat grafting that can play a role on the fat’s survival.  It has been difficult to study every aspect of this process.  But research is continuing. The plastic surgery community is doing all that it can to find the best alternatives including fat grafting and volumizing the face. In terms of fat grafting, there are many ways to approach this complicated endeavour.  Just as many different artists will draw a face in an infinite amount of varying ways, so too can a plastic surgeon volumize a face in a those infinitesimal ways . The Young Volumizer is an amazing approach to volumizing the face.

Other alternatives to volumizing the face is the use of facial implants.  Facial implants are most commonly placed in the chin, and cheeks.  Implants for the rest of the face have been used but with less frequency.  Implants, however, require a significant surgical procedure to place them in the face which many people are not excited about. This is one of the reasons that fat grafting has taken such a big part of the stage in natural facial rejuvenation through volumizing.

Thanks for reading, Dr Young

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

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Facial Implants, Fillers / Facial Fillers, Restylane, YoungVolumizer | No Comments »

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

Posted in Fat Transfer / Fat Injections, Fillers / Facial Fillers, Juvederm, Perlane, Radiesse, Restylane, Scar Removal / scar reduction / scar revision / scar treatment | No Comments »

Since you inject radiesse deeper do you have less bruising than compared to restylane?

Wednesday, December 15th, 2010

Bruising with radiesse and restylane really depends on the technique. Bruising with radiesse and restylane really depends on the technique. Yes if things are placed deeper, there is less visibility for the most part. Since radiesse is in general placed deeper it seems to have less bruising.  But it really depends on a lot of factors like genetics of the patient, whether they have been on blood thinners, whether local anesthesia was used which can increase the bruising.

Thanks!, Dr Young

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

Posted in Fillers / Facial Fillers, Juvederm, Perlane, Radiesse, Restylane, Sculptra | No Comments »

Fillers 2 days after Jessner’s Peel. Is this okay. Is it better to do fillers or peels first?

Wednesday, December 15th, 2010

This is a question that I answered for a patient that was being cared for by another surgeon:

It should be okay but to be safe I would wait at least 1-2 weeks to do fillers after Jessner peel. I think it takes about 4-7 days for a Jessner’s to fully heal.  Most of the time it takes only a couple of days.  So generally, I like to wait for the healing to take affect before I do fillers. I usually like to do fillers before peels.  The reason is that with fillers the wrinkles becomes better effaced and this can allow the peel to get into the crevices of the wrinkle better and have a better result.

Cheers!, Dr Young

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

Posted in Chemical Peels, Fillers / Facial Fillers | No Comments »

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

Posted in Botox, Dysport, Botulinum, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Juvederm, Restylane, YoungVolumizer | No Comments »

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