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

lumps and bumps 3-4 days after lip augmentation with Restylane

Monday, December 7th, 2009

The swelling in the lips usually takes a while to go down after Lip Augmentation (lip filler, lip enhancement, lip plumper, younger lips, lip injectibles) with Facial Fillers. Your lips are very vascular and with that comes easier bruising and swelling. 3-4 days is on the early side. I usually wait for the first 2 weeks for the swelling to go down.  During these first 2 weeks is when massage can really help dissipate the swelling.  Enzyme injections are also another way of removing restylane, juvederm, perlane but they are more of a permanent removal of the restylane.  If enzymes are injected during the first 2 weeks, this may be a mistake.  The swelling that would normally go down the first 2 weeks will further go down more if enzymes are injected the first 2 weeks.  Sometimes waiting at least 3 weeks is even better.  One thing to remember is that restylane and other hyaluronic acid fillers can be shaped though and you shouldn’t have to go through 6-9 months of a less than desirable result.  Enzyme’s can help shape your results after 2-3 weeks.  Notice how in the example that the lower lip in the after maintains the size that is 2 times greater than the upper lip.  From the viewer standpoint, it doesn’t look wierd to them.

Thanks for reading!

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

Before Restylane Injections / Lip augmentation

Before Restylane Injections / Lip augmentation

After Restylane Injections / Lip augmentation

After Restylane Injections / Lip augmentation

What are some permanent options for Lip Augmentation?

Saturday, December 5th, 2009

Some permanent options forLip Augmentation (Or lip enhancement, lip filler, lip injectible, lip plumping, lip rejuvenation) exist including Lip Lifts, Mucosal advancements, Lip Grafts, Fat injections, and Permanent Lip Fillers.  Lip lifts include Buffalo Horn Lip Lift (gull wing lip lift, wavy under nose lip lift) which are under the nose that lift the upper lip and shorten the distance from the bottom of the nose to the upper lip. Corner of the lip lifts elevate the corners of the lips to reverse downturn lips. Mucosal advancments including V-Y advancements that can be horizontal, vertical, and double ones that do different things.  These advancements increase the red portion of the lips appearance in both the upper and lower lips. Lip grafts can be done with alloderm, goretex or other natural tissues from various parts of the body.  They can be used to increase the volume of the lips for a fuller more youthful look. Fat injections can be employed to volumize the lips, and increase the red portion of the lips with your own fat.  This is an option that can last for years.  Permanent lip fillers, like silicone, are another option but present a lot of risks. My opinion is that these permanent lip fillers are too risky.

Thanks for reading, Dr Young

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

Is overfilling possible with new fillers like restylane that were more likely with Collagen fillers

Friday, December 4th, 2009

Hyaluronic acid fillers (dermal fillers, dermal injectibles, restylane, juverderm, perlane) present a great option forLip Augmentation (lip enhancement, lip filler, lip injectible, lip plumper, lip rejuvenation, lip wrinkle filler/treatment). Hyaluronic acid fillers like restylane, juvederm, perlane, etc are a great way to augment the lips.  They allow accurate filling and you always have the options of using enzymes to dissolve the fillers for accurate touch ups.  I have an approach that allows me to manipulate the fillers based on how long the fillers were injected.  So poor results should be a thing of the past.  Also a knowledge of facial aesthetics is indispensable. I discovered a new theory of facial beauty, called the Circles of Prominence, which can be read on my website. Essentially, the lower lip should be at least 2 times the size of the upper lips. The puckering of the lower lips should emulate the eyes. Here is the link for my theory on facial beauty: http://www.drphilipyoung.com/pdf/circles_of_prominence.pdf.

Thanks for reading, Dr Young

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

Stephanie Pratt and her new look

Tuesday, September 15th, 2009

normal-stephanie-pratt_224x401stephanie-pratt-plastic-surgery_249x401Apparently there is a log of buzz regarding Stephanie Pratt’s Plastic Surgery.  I personally think she looks great.  Based on the pictures I think that she might have had some refinement of her nose which looks very well done.  She also might have had some lip enhancement with injectible fillers (restylane / juverderm / perlane / cosmoderm / collagen).  Whoever did her lip injections did well.  Many hollywood stars are getting their lips changed in a way that doesn’t enhance their looks in my opinion.  You can see my theory on facial beauty at this link: http://www.drphilipyoung.com/pdf/circles_of_prominence.pdf.  This can be found on my website: http://www.drphilipyoung.com/harmony.html.  Most stars get their lips enlarged so that the upper lip is close to the size of the lower lip.  If you take a look at someone next to you, what you will notice is that most of the light is directed at the lower lip.  Hence the most attention shouldbe on the lower lip.  This can be seen in Stephanie’s photos as well.  You never want to make the upper lip the same size as the lower lip.  The attention is taken away from the lower lip and ends up breaking up the balance in the mouth region. The upper lip should be half the size of the upper lip at most.  The highlight of the puckering should be no more than 3 iris widths (the colored portion of the eye) otherwise the viewers mind will interpret the lip as being too big.

Thanks for reading !!

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

Did Megan Fox have juvederm of collagen? What does she use?

Friday, September 11th, 2009

You can’t really tell from this photograph. Even without makeup it is hard to tell if someone had juvederm or another Facial Fillersand collagen.  The difference would be that with one of the hyaluronic acids a translucent type of look is more likely than with collagen.  But in the lips it is hard to tell.  Most people can’t tell the difference.  Here with Megan Fox’s picture her lipstick makes it even harder.  One thing with lip augmentation is that you shouldn’t make the upper lips the same size as the lower lips which is often done in Hollywood. This wrecks the balance of the lips.  You can read more about why that is from my theory on facial beauty called the Circles of Prominence on my website. In general, hyaluronic acids have taken over collagen as a filler because you don’t have to have a skin test, the chances for a reaction are much lower, and the results last longer with hyaluronic acids like restylane, perlane, juverderm.

Thanks for reading, Dr Young!

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

Non Surgical Face Lift

Sunday, July 19th, 2009

There are many questions out there regarding an alternative for a non surgical facelift.  There are ways to tighten up your face without making incisions.  One way to do this is to undergo a laser resurfacing. We have the lumenis Laser Resurfacing unit and this is proven to be the best one out there on the market. It is the safest and most versatile of all co2 laser units and this can improve your skin by decreasing the wrinkles, improving skin texture, decreasing pore size, tightening the skin and creating collagen under the skin surface to create some more youthful volume.  Co2 laser resurfacing can tighten your neck skin and laxity as well. One thing to remember is that the tightening from a non-surgical face lift with co2 resurfacing will be subtle as compared to a facelift but you can get some results from this.

The other options include using Botox , fillers, and fat injections that don’t require incisions.  Botox / Dysport is a neuromuscular agent that can make certain muscles weaker that helps decrease wrinkles that are from muscular contraction. I have a youtube video to show where you can have botox and how it can help.

When you age you tend to lose volume and this can be replaced with fillers that require injections as an option for a non surgical face lift. Facial Fillers are usually temporary, at least the safer ones and last from 6months to a year or more.  Restylane, Juvederm, Radiesse, Perlane are some options. These modes can be used for the wrinkles between the eyes called the Glabellar region, for the dark circles under the eyes, forLip Augmentation, and many other issues in the face.

Fat injection are another option for a non-surgical facelift and related to this is the YoungLift which I have refined.

I refined an amazing volumizing procedure called “the YoungLift”.  This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done.  This is not a facelift and requires no incisions.  Only pinpoint puncture sites are used and these heal imperceptibly.  The YoungLift can be done without general anesthesia and without drains, and large bandages.  You also have a lot less downtime and discomfort compared with traditional facelift procedures.  Dr Young employs the very best techniques from around the world into one volumizing procedure and he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had.

Dr Young is located in Bellevue near Seattle, Washington

Altering the shape of the philtrum / the center portion of the upper lip.

Wednesday, July 15th, 2009

Definitely photos are always beneficial to help a surgeon decide what would be the best solution for a particular problem and to reach the desires of the patient.  You can reduce the size of the philtrum by excising certain portions of the lip to change the appearance through a directed approach to Lip Augmentation.  These excisions can occur inside the mouth and can hide quite well.  Sometimes making incisions under your nose can also help change the shape of the lips to get what you want.   There are also many different lip advancements that can be done to alter the shape of the lips.  Injections can be helpful but would really depend what the desired outcome was.  I’m sure if you brought your picture in that a facil plastic surgeon would be able to figure out what was best!

Dr Young is located in Bellevue near Seattle, Washington

When should you consider reinjecting juvederm in the lips?

Monday, July 6th, 2009

2 weeks is the most common time to do this and this is the time point that you should consider reinjecting juvederm in the Lip Augmentation. Sometimes if there is significant oozing and bruising during the procedure, the swelling may persist for greater than 2 weeks. So waiting a full month is another more conservative option in this setting. Generally 2 weeks is when I have patients come back to have either more filler injected or to have some of it taken out if there is augmentation that is not as desirable to get as perfect results that you can possibly get. Ultimately you should not notice any changes for about a week and know that the augmentation is stable before considering reinjected and this occurs usually about 2 weeks to a month.

Knowing the correct aesthetics makes a huge difference in the lips. The lips should really be the shape of the ideal eye in the reverse manner and the lower lips should match the eye the most. The upper lip should only by at most 1/2 an iris width high and 1 iris width wide. Although mathematical, the presentation to the person is very beautiful to the viewer.

Dr Young is located in Bellevue near Seattle, Washington

Treating bruising to the lips after restylane?

Sunday, July 5th, 2009

This is a question that I answered for a patient who hadLip Augmentation by another physician:

Prevention is the key to bruising and bleeding. You should always stop high dose vitamin E, anti-inflammatories, aspirin, herbal medication, supplements and any blood thinners 2 weeks before and after your injection or procedures.

These are elements that affect your body’s ability to clot your blood. Hence, if you are on these things during the time of your injection, you will have more of a chance for bleeding and bruising.

I also never suggest Arnica. I recently did a literature search and found that there is no scientific evidence to support Arnica’s ability to prevent bleeding and bruising. In fact, there were actually more evidence of adverse, or bad, effects from Arnica than good effects.

Genetics play a part and some people are just more prone to bruising.

In terms of the size or your lips, you can do something to correct that. The key here is to choose the right surgeon. You want someone that has a great understanding of facial aesthetics or what makes a face beautiful or not. I have discovered a theory on aesthetics that no one has been able to think of before. Our current theories, prior to my discoveries, have recently been found to be flawed.

If you are dissatisfied with the size and shape of your lips you can have an injection to reduce the size of it. Hyaluronidase is an enzyme that can take away Restylane. But you have to go to a surgeon that has experience with it to have a successful outcome.

In terms of bruising, you can alternate warm and cold compresses to the bruised area to help with increasing circulation to the area of bruising.  This should be done after at least the first 48 hours.  The increased circulation could help take away the residual blood products and colored deposits that are left where the bruise is.  Also prudent exercise could also help the bruising.  Again prevention is the key!

Dr Young is located in Bellevue near Seattle, Washington

Upper lip fuller on one side versus the other?

Sunday, July 5th, 2009

This is a question that I answered for a patient who had this procedure done by another doctor who had restylane injections to Lip Augmentation.

Unevenness may be due to differential swelling. One side may have received more manipulation than the other side and has become more swollen. You should wait at least 2 weeks before doing anything drastic.

The ways to correct it are to add more to the side that has less or is smaller. Or you can take some out of the side that has more by injecting an enzyme to digest the Restylane. You should go to someone that has experience in doing this to have a successful result. Knowing aesthetics is also the key to getting a great result.

Dr Young is located in Bellevue near Seattle, Washington