Archive for the ‘Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip’ Category

Permalip Implants can make a big difference in your lips and you can look normal within a week

Saturday, March 27th, 2010

Permalip implants (Philip Young MD Bellevue Washington) are silicone implants that are placed in the lips from the corners of your mouth.  The procedure can take as little as 15 minutes.  It can be done under local anesthesia and the recovery is very fast.  Below are some before and after pictures. The after pictures are taken only 2 weeks after the procedure.  These silicone implants will not dissapear like restylane and juvederm injections.  They are there permanently.

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, WashingtonKL before 01KL after 02KL before 02KL after 04KL before 08KL after 01

Lip scars around the border of my lips are hard, sensitive and I have discomfort when I smile and talk, etc. What are some options to make this situation better?

Thursday, February 25th, 2010

Steroid injections and possibly fat injections could soften the scars up during scar revision (Doctor Philip Young Seattle Washington) (scar improvement, cosmetic scar surgery, plastic surgery of scars).  It sounds like the main reason for your questions is the feeling of the scars and not the actually appearance.  Scar revision for appearance would be a totally different thing.  I think that steroids would be something that could soften up the scars. It may take a couple of treatments to get the right effect.  I usually do injections every 6-10 weeks.  There are risks with steroid injections like poor wound healing, muscle and bone loss, hormonal changes, water retention, weight gain, hair growth, changes in your appearance, psychiatric issues, change in appetite, etc that you should be aware of.  But these are associated with more long term risks that you get when you ingest steroids for long periods of time.  Also fat injections are great to break up scar contracture and also repair the area, although this would depend on how it looked. Fat brings soft feeling tissue to the area and can also break up the scars and the tough tissue within the scars.  This will require some knowledge on how to use certain instruments to get this effect on the part of your surgeon.

If you didn’t like the way the scars looked then some type of scar revision would be possible.  You can excise the scars out with a new closure of the incision.  Laser resurfacing can be another option to improve the surface quality of the scars.

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

How do you get naturally looking lips and what are some tips for natural looking lip plumping?

Wednesday, February 24th, 2010

Aesthetics are key to understanding the lips and how to make them beautiful through lip augmentation (Dr Young Lip Enhancement in his Bellevue Office). Aesthetics in the face is really understanding facial beauty and this is central to the process of making one’s face and lips beautiful.  Previous theories do not have a good explanation for how a lip should appear in its most beautiful state.  I would invite you to visit my blog and website to see more answers to this.  But I discovered a new theory on facial aesthetics called the Circles of Prominence that I think answers some of these questions. To me the lip is assessed by the highlights that it creates. If you look at someone next to you, you will notice that all the light hits the lower lips.  This is very important.  You retina is highly sensitive to light and dark.  The highlights that the lower lip creates attracts a lot of attention and it is the lower lip that is the center of attention in the mouth area. The lower lip should be the same height as the iris and the puckering that it creates should be 3 iris widths.  Essentiially the lip emulates the shape of the eye, usually in reverse form.  The lower lip should be half the height of the lower lip and the puckering of the upper lip should be centered and should be one iris width in width and again one half an iris width in height.  The goals of augmentation should be to reach this.  This is the reason that many hollywood people who get their upper lips too big start to look odd.  You don’t know why inherently, but your brain does.  And the reasons I stipulated above explains why your brain feels the way it does.  Whether you use temporary fillers, like restylane, juvederm, perlane or more permanent options.  These aesthetic goals you should direct your surgeon in how to augment your lips.  More permanent options include fat injections, vy advancements, lip lifts, or silicone solid implants, like surgisil, or permalip.

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

Permalip Implants are another option for permanent lip augmentation

Tuesday, February 16th, 2010

Permalip (Dr Young uses this Lip Implant at his office in Bellevue Washington) is a relative new silicone lip implant that can permanently augment the lips.  There are 3 sizes for the permalip (silicone lip implant, silicone lip enhancement, silicone lip augmentation, silicone lip enhancement) small, medium and large and which very in width from 3, 4, and 5mm.  They are used to essentially give the lip more volume.  They are placed in incision in the red part of your lip and these can be varied and discussed with Dr Young during a consultation.  The great thing about these implants is that they last essentially permanently.  Silicone is very capatible with our tissues.  Silicone is located just under carbon on the atomic chart of all the atoms on earth.  So its elemental structure is very similar to carbon which is what humans are predominately made of.  Of all implants it is the most compatible.  Hundreds of thousands of people have had silicone implants and it is proven to be very safe, non carcinogenic, non toxic, etc meeting many of the characteristics of an ideal implant.  Bottom line is that there is no ideal implant but silicone possesses many of those characteristics.  If silicone implants are not something that you are totally comfortable with, other tissue can be substituted including different areas of your body like muscle covering, SMAS, and free fat grafts.  Other options include micro fat injections to the lip, VY advancements, and other lip lifts.  More temporary lip implants include restylane, juvederm, perlane, and the new juvederm xc which has lidocaine and has received some recent attention.

Here is a video showing a live demonstration of a Permalip Lip Augmentation Procedure.

Thanks for reading, Dr Young

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

Rejuvenating the Mouth Area through Fat grafting by Dr. Philip Young of Bellevue | Seattle

Saturday, February 13th, 2010

Rejuvenating the Mouth Area through Fat grafting by Dr. Philip Young of Bellevue | Seattle:

YoungVitalizer Before After Pictures

YoungVitalizer Before After Pictures

The mouth area undergoes a lot of changes that can contribute to nasolabial folds, marionette lines, smoker lip lines and a downturned mouth.  Volume loss plays a major role in these changes.  Replacing this volume can have a profound impact in rejuvenating the aging mouth and the YoungVitalizer is our approach to improving this area.  Fat injections are a great way to do this and other fillers can help as well.  Sculptra can help if fat is not available.  Fat and Sculptra are good options for permanent or semi-permanent effects.  By this, I mean results that last more than 1 year. The picture below shows the locations of the nasolabial folds, marionette lines, and prejowl volume loss.  All of these issues can find their origination from volume loss to a large degree.  For the nasolabial folds, there are studies that show specific fat pockets that when re volumized can play a major role in eliminating nasolabial folds.  Specifically the area lateral to the nose and immediately deep to the most medial and superior area of the nasolabial folds is the area where re volumizing can play a big role in reversing nasolabial folds.  Furthermore volumizing in the whole area inside the nasolabial folds and marionette lines can rejuvenate the peri oral and mouth area.  Volumizing in the area immediately medial to the marionette lines can diminish these lines.  Volume in the prejowl area will blend this area in a more pleasing way with the jowls and in turn make them seem less apparent.  This is in line with the whole idea of doing prejowl implants with facelifts to improve the jawline.  Also volumizing the chin can restore this whole area as well and give support for the other areas that are volumizing.  One important thing that I have learned is that volumizing other adjacent areas can help support other areas by aiding in the volume expansion.   An example is if you place on stake in the ground and place a very heavy tarp over this stake.  It is more likely that you will form a nice area under that tarp the more stakes you put under the tarp.  It is also more helpful the more stakes you spread out in the area to give the original stake support.  Volumizing the chin is analogous to this idea.  When you volumize the chin it supports the volume you put in the prejowl area as well.  More likely than not your chin has lost volume as well and volumizing deep to the chin will rejuvenate your lower third or lower mouth area.  Also people are likely to develop deep wrinkles in the labio mental sulcus which is the crease that is under the lower lip.  Volumizing deep in the chin just inferior to this crease will help to eliminate this crease.

Thanks for reading, Dr Young

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

Perioral Diagram

Other corner of the lip lifts are options to consider

Thursday, February 11th, 2010

There are other options for the corner of the lip lifts (Lip Augmentation, Dr Young Seattle).  The two major designs are shown below in the diagram that is included.  The original one is on the left and a modified one is on the right.  These lifts can elevate the corners of the mouth significantly but do not address the marionette lines and extra fold inferior to the corner of the lips.  In my experience, and in the hands of others, there can be a tendency with these more traditional corner of the lip lifts to elevate the corners too much.  That is why other’s have adopted excisions more like the ones drawn in my other blog and shown in the cartoon picture that I included as well.  All options can be used to improve the downturned mouth like many women and men wish to improve. Notice how the older lip lifts are bowl and heart shaped and the newer designs in the cartoon drawing are reversed bowl shaped which seem to avoid excessive elevation.  The other shapes in the cartoon are for direct excision of the nasolabial folds and an extension of the corner of the lip lift that includes the marionette folds, or puppet mouth line folds.

Thanks for reading, Dr Young

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

Lip Lift Diagram

Frowning Mouth Drawing

Cure and Correction of the Frowning Mouth Can be done with Corner of the lip lifts By Dr. Philip Young Bellevue | Seattle

Sunday, February 7th, 2010

Cure and Correction of the Frowning Mouth Can be done with Corner of the lip lifts By Dr. Philip Young Bellevue | Seattle:



Cure and Correction of the Frowning Mouth (or aging mouth, downturned lips / mouth, sad mouth, downturned corners of the lips / mouth) Can be done with Corner of the lip lifts. Many times a facelift cannot completely correct the nasolabial folds and the marionette lines (puppet lines that curve down from the corner of the mouth.  Also a facelift does not correct the downturned mouth to a great degree.  When this is the case a corner of the lip lift can help the situation.  There are essentially two types of these lifts that can be done.  One is limited to just the corner of the mouth and can help the downturned mouth turn a little upward.  This requires a direct excision of the skin near the corner of the lip.  So one has to accept the possibility of a scar in the corner of the mouth.  These incisions usually heal with great results in near 90% of people.  When there are marionette lines, another type of lift extends the corner of the mouth lip lift to include the marionette lines to improve there appearance.  The other option that can be done for the nasolabial folds is also to excise the lateral portion of the nasolabial fold which contributes to is deepening.  So if you have persistent nasolabial folds, marionette lines, and downturned lips even after a facelift you can undergo these lip lifts and nasolabial excisions to improve the appearance of your mouth. Take a look at the pictures below.  The blue colored areas indicate where you could do excisions to improve the nasolabial folds (blue colored lentiform shape lateral to the nasolabial fold), just the downturned corner of the mouth (smaller blue lentiform pattern), or the downturned corner of the mouth and the marionette fold (larger lentiform or curved blue colored shape):

Thanks for reading, Dr Young

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

Come visit our website: Aesthetic Facial Plastic Surgery

Frowning Mouth Drawing

Can corner of the lip lift correct an asymmetric appearing lip?

Sunday, January 24th, 2010

The corner of the lip lift is done on the skin portion next to the corner of the lips.  With this procedure their will be an incision that will be visible at the junction of the white and red portions of the lips.   It can elevate the corner of the lips to make the lips more symmetric. A lip lift under the nose is another way to make the lips more symmetric with a less visible scar as opposed to the corner lip lift.  Also, sometimes the asymmetry can be due to the decreased appearance of the red lip area.  To evert the red lip sometimes mucosal advancements are needed to show more of the red lip and volumizing procedures may be needed as well to create more symmetry.  All of these options are more permanent than the temporary fillers.

Sometimes the lips are asymmetric due to the connection of the lip to the surrounding bone.  More specifically it can be due to the way the lip is attached to the area around the nose and the bone in this area. When the attachment of the lip to the nasal bone area is asymmetric the lips can appear different on each side.  This condition may require attaching the lip and the muscles of the lip higher around the nasal bone area.  This is a more complex situation.

Thanks for reading, Dr Young

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

Lip Advancements for Permanent Lip Augmentation

Sunday, December 20th, 2009

Although during these present times, people are opting for fillers and more temporary correction of thin lips and for lip augmentation, there are permanent options for lip augmentation.  Most of the time these permanent options have a longer recovery time.  But, in the long run you will save money and not have to undergo repeat injections that could happen twice a year depending on the filler that you choose.  Lip advancements are one way to increase the pout of your lips while adding some volume.  Most of the time these lip advancements are done in a V-Y fashion.  What that means is that the inside of the mouth begins in a V shape and drawing.  With the wide part of the V representing how wide you want the lip augmentation to be.  The pointy V part usually starts way inside your mouth inferior to your teeth in the gutter part of your mouth.  When the V is incised it is pushed forward to increase the pout of the lip.  When the V is advanced, the part that is inferior to the pointy part of the V can be

closed in a straight line creating the vertical portion of the letter Y.  Here are some pictures explaining it and also some before and afters from this procedure.  Importantly, I incorporated my theory on facial beauty to get these optimal results.  This result is 2 weeks after the procedure and will get better and better. One thing to notice is that the lower lip is much bigger than the upper lip.  This maintains the correct balance of the lips.  In fact, the lower lip should be twice the size as the upper lip to maintain the optimal aesthetics for this area. The center puckering of the lower lip should also emulate the eye and the pucker should create a highlight approximately 3 iris widths in length, essentially the size of the width of the eye.  The height of the lower lip should be one iris width for optimal aesthetics. Below the dash lines represent the right orientation but they are located inside the mouth. This patient had 3 of these V’s on the bottom and top lips for a total of 6 V-Y advancements.

Hope that helps!

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

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Picture3AC 03 beforeAC 04 after

What can be done for protruding lips?

Monday, December 14th, 2009

A lip reduction procedure will help you tremendously. A lip reduction procedure entails incisions inside your mouth and lips and resecting a portion of the lips to reduce the overall size.  This procedure can be done in an outpatient setting and should take about 1 hour or so.  It is relatively a low risk procedure and it can be done under just local anesthesia or with iv sedation.  General anesthesia is not necessary and actually makes is harder in some ways.

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