Archive for the ‘Jaw reshaping / Jaw Implants / Jaw Augmentation’ Category

Dysport to the Jaw Muscles

Tuesday, February 21st, 2012

This is our blog on our procedure to place dysport into the muscles of the Jaws to slim down the face. This is a really common procedure that we perform on our Asian Female Clientele and for patients with tmj issues. Below is a picture of a result that you can get with dysport in the jaw muscles.  Placing the dysport in the right place is very important to get a good result.  If you don’t place the dyport in the muscle itself you will not get the benefits of this treatment. The first important thing about getting dysport in the jaw muscle is that the muscle will get fully weak at about 1-2 weeks. It is faster with dysport than botox, about a week. Although the muscle is the weakest 1-2 weeks after administration, the decrease in size of the muscle can take up to 3-5 months to be fully realized. We will help you in understanding this more when you come in.

dysport jaws, botox jaws, jaw reduction, jaw shaping

These are before and afters showing the effects on the jaw muscles using botox and dyport

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

 

Jaw Augmentation by Dr. Young releasing his new video on this subject

Sunday, November 13th, 2011

We have made some new videos for you to watch on our Seattle Facial Plastic Surgeon Page. Tell us what you think about all of these new and informative pages. One page that we  would like to talk about is our Jaw Augmentation Video. This is a live video demonstration of us doing this procedure and discussing how Jaw Augmentation can beautify the face. We bring in our ideas on facial beauty and how that ties in with Jaw Augmentation.  jaw augmentation videoWe also discuss how we do the procedure for anyone interested in this. Jaw Augmentation can markedly can the shape of your face. It can masculinize the face for people who wish to become more masculine. We have a large population of people that wish to have their gender changed and part of this is feminization or masculinization of the face.  Others just want to maintain their sexual identity but just enhance it.  You can do this and still maintain your femininity as well.  For masculinization, you can put in a larger implant.  For maintaining your feminine appearance you can place a smaller implant that will fill the face and yet maintain your feminine looks. These are some of the things we will be talking about with you in more detail when you consult with us.

We look forward to hearing your thoughts!

Thanks for reading,

Dr Young

#plasticsurgery #facelift #plasticsurgeon #medispa #skincare

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

Friday, July 1st, 2011

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 6 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.

jaw implant augmentation

Thanks for reading, Dr Young

Dr Young specializes in Plastic 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.

Wednesday, December 29th, 2010

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.

chin implant before after photos

chin implant video

Thanks for reading, Dr Young

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

Dr Young’s ideas on Singer Charice and her quests to change her look through Plastic Surgery (Bellevue, Washington)

Thursday, July 29th, 2010

Charice is a wonderful singer as I have seen her perform on Oprah.  Recently, there has been information on her seeking the advice from plastic surgeons.  What has been talked about is her recent use of botox for her episode on Glee.  Botox is great for younger people to keep the wrinkles at bay.  Especially when they get nervous and start to create alot of wrinkles in their forehead, in between their eyes and crows feet.  In can give people the impression that they are more relaxed than what is really going on inside.  Many times when people get nervous they may lose their sense of how they are appearing.  They crunch their eyebrows and it makes them look mean.  They raise their eyebrows when they get nervous and you can tell they are nervous.  Botox comes all of those things down and you look better, more relaxed, and not as nervous.

She also is inquiring about make her face less round and what she can do to make her self look better.  I did an analysis on her based on my theory on facial aesthetics.  Although her face is tilted.  In general what the diagonal lines are showing you is that her cheeks and lower cheek areas are really dominate.  The middle oblique, and the vertial line is where the shadowing should be increasing markedly as it you go from lateral and inferiorly.  But  you see in the picture that her cheeks still are showing a lot of highlight in this area.  This is seen in the first figure.  The second are before and afters of my morphing to show you how she would look with some jaw and cheek reduction surgery and rhinoplasty.  I think she could look a lot better by narrowing her face and also making her nose a little smaller in the tip area.  She might also need some mesotherapy or microliposuction in her cheeks.

Thanks for reading, Dr Young

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

Botox or Dysport both work equally well in decreasing the muscle mass of the jaw muscle called the masseter.

Wednesday, June 30th, 2010

Botox or Dysport both work equally well in decreasing the muscle mass of the jaw muscle called the masseter.  This procedure is very safe. I have never had any serious issues with this use. The amount of botox or dysport to use is dependent on the person because everybody has different responses and different volume of muscle. I usually tell this to people and then explain that I recommend starting at a lower dose like 15-25 units of botox for each side.  Dysport requires 2.5 to 3.0 times the units of botox for equivalent dosing.  Then I tell them that they can see if this adequate muscle relaxation in 2 weeks for botox and 1 week for dysport.  If there is still significant muscle movement of the masseter you can elect to do more.  One important point is that the muscle mass reduction lags behind the muscle movement.  It takes from 3-5 months to see the maximum volume changes in the masseter muscle and then it slowly increases the mass to normal by one year.  So, in short, there are some doctors that are seeing results from botox to the jaws for one year.  In my experience, the mass usually comes back earlier than this but the results are more longer lasting than what can be expected with other facial muscles.

Thanks for reading, Dr Young

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

Masseter and Jaw reduction to slim the face with Botox

Thursday, March 4th, 2010

Botox can be used to slim the posterior part of the face through injections that involve the masseter muscle.  This is done in the office.  We can use topicals and ice to make the injections more tolerable.  We basically inject the botox next to the bone and into the masseter / jaw muscles.  The botox weakens the muscle so that it eventually loses some of its bulk.  The botox takes 2 weeks for maximal effect but the volume reduction is different.  The volume reduces most rapidly in the first 1-2 months with the maximum at 3-4 months with slow reduction over the course of a year.  At twelve months, 50% of the volume that was decreased will be regained at this point. I usually tell people to wait at least a month to see how it looks before adding more botox.  The usually starting dose is 20 units.  But I find that it is most effective when 40 units are started for each side.  But the cost of botox can be high so usually people like to start at 20 units on each side.  Many plastic surgeons price botox less when more is put in.  When you put in 80 or more the price is usually around 11-12 dollars per unit.  Botox in the masseter can decrease the prominence of the jaw muscles so that the lower part of the face looks more slim and this can give the female face a more attractive appearance.  A larger lower third is relatively a musculine trait and less feminine.  Botox in the jaws and masseter muscle can also help some tension headaches that are due to muscle overactivity and temporal mandibular joint disorders.  People who have night time teeth grinding / clenching can have bad headaches.  Botox in the jaws is needed less frequently than the facial muscles for other cosmetic reasons.  Some people can get away with doing botox to the jaws on a yearly basis.

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