Archive for the ‘Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands’ Category

Seattle Face Lift Webpage Released by Dr. Young of Bellevue’s Aesthetic Facial Plastic Surgery

Saturday, December 31st, 2011

Seattle Face Lift Webpage Released by Dr. Philip Young of Bellevue’s Aesthetic Facial Plastic Surgery: We recently updated our page on face lift from our Seattle / Bellevue based office. There are some helpful links to our procedures including face lifts, eye lifts, fat injections, brow lifts, and the YoungVolumizer, the breakthrough incision less face lift. What is the best thing for you. Dr. Young’s ideas are based on results, natural results and constantly improving the way we do things in facial rejuvenation. It started with his theory on facial beauty called the Circles of Prominence. During his training in Los Angeles, he noticed that some of the results from facial plastic surgery were not natural. Facelifts look pulled and stretched. Eyelifts were leading to people looking different from how they used to look when they were younger. This instilled Dr. Young to find out why. He discovered that much of what was out there describing what was beautiful in the face was relatively sparse. Even today’s plastic surgery textbooks, and other book on beauty still use theories from the 1400′s to describe beauty. Those theories are largely based on Leonardo da Vinci’s theories on beauty that are now referred to as the neo classical canons. They are founded on Roman theories and hence are termed “neo”.  These theories however are based on external landmarks that we just don’t spend that much time looking at when we see and analyze a face.  A new theory must be based on what we spend most of our time looking at. Dr. Young discovered, not surprisingly, that there was something in the eyes that was important for a new theory to be correct.  You can read more about Dr. Young’s theory on facial beauty here.

Seattle Face Lift

So what procedure should you choose. Well, if you want to look more like what you looked like when you were younger volumizing will play some role no matter what. The question is whether you changed your appearance over time. If you changed from your facial structure from a grape to a larger grape, you may have extra tissue that will need to be removed. This is where a face lift, neck lift and liposuction can help with.  But if you didn’t change much and just lost volume as you aged, then volumizing might be the main way for you to rejuvenate your face. Dr. Young has a way of determining what is best for you through his theory. Within the middle part of the face, Dr. Young believes that mid face lifts, and lower eyelid lifts are rarely the best option / choice. Volumizing is almost always the best way to rejuvenate this area. The one area that volumizing is the weaker choice is for the jowls, and neck laxity. The double chin, and neck banding are better treated with a neck lift and volumizing will not help much. For the eyes, if you don’t mind a more scultped look then an eyelift might be the better choice for you for you upper eyelids. Also if you didn’t like your eyebrows at the position that they were when you were younger, then volumizing might not be the best choice here and browlifting might be better. Just remember that a browlift will change the way you look but it can improve your eyebrow position.  But don’t do a browlift to return to a younger age and the way you looked when you were younger.

Dr. Young has a nice video on Introducing his Breakthrough Incision Less Face Lift, the YoungVitilizer.

You can visit this informative page: Facelifts Explanations and Options to learn more.

Thanks for reading

Aesthetic Facial Plastic Surgery!

Residual neck bands and neck skin by Dr. Young of Bellevue

Monday, June 6th, 2011

Residual neck bands and neck skin by Dr. Young of Bellevue: A Neck lift will help the banding your neck, but additional fat grafting / transer could also be needed in the future. This basic suggestion / opinion is from knowledge gained from doing nearly 1300 face and necklifts.  I don’t think a face lift revision will lead to a complete resolution to your issues unless you definitely approach the neck area with a neck lift. In my opinion, these are two different techniques (the face and neck lift).  The neck lift will markedly improve the neck bands and then after this you may still need to graft fat.  Based on the images, the neck probably is in need of some fat in some areas.  But I would wait to see how the neck lift improves your current status.  You may not need fat grafting at all. Only time will tell. You may also want to look at our new procedure called the YoungVitalizer.

neck lift before after pictures

Thanks for reading, Dr Young

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

Come visit our website at www.drphilipyoung.com

Neck folds | Neck Skin Laxity and addressing it with a Neck Lift or Facelift by Dr. Young Bellevue | Seattle

Monday, June 6th, 2011

Neck folds | Neck Skin Laxity and addressing it with a Neck Lift or Facelift by Dr. Young Bellevue | Seattle:

Questions: I don’t like my neck folds and laxity of my skin there do I need a facelift to address this or could I just get a neck lift? A face lift is good for reducing extra skin, elevating the jowls, and softening the naso labial folds wrinkles. A necklift is good for tightening up the neck banding and platysmal banding, removing fat within the neck, and sculpting the whole neck region. I opine that they are totally different operations that can be combined together  The face lift can improve the neck to a subtle degree and less so the other way around (neck lift does not improve the face that much at all).  In this particular situation where you have more concerns with the neck than the face, you could do just a neck lift and avoid the face lift.  This could also save you some money as well and less complications. This webpage goes over this subject and what a face lift does and what a neck lift does: Improving the Neck Through a Face Lift. You can read more about the Neck Lift Procedure and follow the links that describe certain subjects on the neck lift.

face neck lift pictures

Thanks for reading, Dr Young

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

Neck lift asymmetry what are the other options by Dr. Philip Young of Bellevue | Seattle

Saturday, June 4th, 2011

Neck lift asymmetry what are the other options by Dr. Philip Young of Bellevue | Seattle: There are many alternative in this situation after a neck lift. It depends on how long it was done additionally.  Some of this can go down over weeks, months and even years sometimes.  If this thickening persists at this location are the options: 1. you can inject steroids very carefully to decrease the volume and thickness of the skin; 2. You can think about doing more liposuction to reduce the volume and thickening as well; 3. You can carry out another neck lift to excise the scar directly; 4. You can augment the other side to match (through fat and fillers); 5. You can consider mesotherapy to reduce the fat on the bigger side to match the other side.

neck lift before after images

Thanks for reading, Dr Young

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

lumps and bumps 11 days after neck liposuction, is there anything more that I can do?

Wednesday, December 29th, 2010

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

This is a question that I answered for a patient that liposuction done by another surgeon. She was followed by one of the nurses who told her to stop wearing the wrap 11 days after the procedure and that there was nothing to do about the lumps.  She wanted a second opinion.  this is how I answered her question:

Wearing a wrap after the neck lift can be very beneficial. Lumps and bumps are usually par for the course and sometimes unavoidable. They could be areas where there was a previous blood or fluid collection, a suture, retained fat deposit, etc.  I suggest to my patients wearing the wrap non stop for 7 days, and then at night for a total of 2 months.  Where there are areas of swelling, lumps and bumps I suggest them placing some extra gauze there under the wrap for more pressure. This often can resolve some extra swelling.  If this continues there are other measures that can be taken to help the situation, ie steroid injections, more liposuction, removal of the suture, etc.

Thanks for reading, Dr Young

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

Alloderm for neck defects after neck lift

Wednesday, December 29th, 2010

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

This is a question that I answered for a patient who had a neck lift that was done by another surgeon. The patient felt he had a defect and lack of volume from getting too much liposuction with the neck lift. He was wondering if Alloderm would be a good option:

Alloderm can work but may not be long term result. Some studies show complete absorption of the Alloderm. Fat injections can be a great alternative. This would be also a less invasive alternative as well. The YoungVitalizer is our unique option for facial rejuvenation but this approach that we use can also be used for helping with neck defects as well.

neck lift before after images

Hope that helps!

Thanks for reading, Dr Young

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

Neck lift after smart lipo can be done as soon as 3 months but the standard that many follow is 6 months by Dr. Philip Young of Bellevue | Seattle:

Saturday, July 10th, 2010

Neck lift after smart lipo can be done as soon as 3 months but the standard that many follow is 6 months by Dr. Philip Young of Bellevue | Seattle: This is the standard for most all revisions.  6 months allow the tissues to heal.  Prior to this, you can have friable tissue that will bleed more and could lead to more difficult surgery.  Also the 6 month standard allows the person to see more of the final result.  Some people do revisions earlier and as early as 3 months with those risks in mind.  Smart lipo can remove the neck fat and do some tightening, but will not replace what can be done with a traditional neck lift. I like to do my neck lifts using techinques that I developed based on over 1200 neck and facelifts.  I have learned that a lot of what is taught to surgeons doesn’t lead to the best results.  You should go to someone that has a lot of experience doing neck lifts.  Many surgeons take short cuts for many different reasons that don’t benefit you.  A well done neck lift will take up to 3-4 hours to really get right. As you can see in the diagram below, the platysma muscle is the muscle that I tighten to tighten your whole neck.  I sew that muscle in the middle starting just under your chin and then continue down to the base of your neck and then back up again in a corset type manner.  I don’t cut the muscle, which many surgeons do, because I don’t think that it allows the muscle to tighten the whole neck evenly.  Also cutting the muscle can create odd appearances with your neck that don’t always look good.  Also, I elevate the platysma and take out fat under the chin to further help with contouring the neck.  Within this area, I sometimes alter the muscles as well.

Playtysmaplasty | Neck Lift Anatomy

Playtysmaplasty | Neck Lift Anatomy

Neck lift versus Liposuction for Neck Laxity and Double Chin by Dr. Young of Bellevue | Seattle:

Thursday, June 17th, 2010

Neck lift versus Liposuction for Neck Laxity and Double Chin by Dr. Young of Bellevue | Seattle: When a patient comes in for neck laxity and a double chin, the exam to figure out what options are best is vital. Typically what I do is to assess the neck for how much fat the neck has, how much laxity there is in the neck muscle (platysma), how the skin is, etc.  The most important thing I ask patients to do is to show their lower teeth to assess the platysma. What this allows me to do is assess how lax the platysma is and if the laxity and double chin situations is due to the platysma being lax and is coming away from the deep neck structures. When someone shows their lower teeth and the platysma is tensing and showing through the skin and appears to be causing the neck laxity, a neck lift would seem to be the best option to improve the overall neck laxity.  If the movement of showing the lower teeth does not show that the platysma showing through the skin of the neck and being the cause of the neck laxity and the fat could be responsible for the neck laxity, then liposuction could be the best option.  My approach to neck laxity is based on over 1200 neck and facelifts.  I tend to keep the platysma muscle intact without cutting it and I use sutures to tighten the platysma from under the chin to the bottom of the neck just like a corset and this technique is  called the corset platysmaplasty. I think that working under this muscle is important as well include more defatting and more sculpting of the muscles deep to the platysma to further contour the neck and just under the chin.  I further use sutures to further tighten the neck muscle laterally and not just in the midline.  Laterally, I continual the tightening in a corset manner to improve the contour and also to shape the submandibular gland and its position.  Here  is a video to explain:

Thanks for reading, Dr Young

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

Can lasers improve the turkey neck?

Monday, April 19th, 2010

Lasers can improve the Turkey Neck but to a minimal degree.  This is a good option for people that are not ready for surgery.  The laser can tighten the skin, improve the wrinkles and decrease the aging that occurs with sun damage.  One thing to consider that it is better to be safe than sorry in the neck.  The neck skin is thinner and has more potential for scarring and other healing issues.  So being conservative is vital in the neck area.  But to definitely treat the neck a traditional neck lift is the proven way to rejuvenate the neck.  Another option is fat injections and the YoungVolumizer for the neck. After all, a big part of aging in the neck area is a loss of volume under the skin. Here is a live demonstration of my use of a co2 laser and laser resurfacing.

Thanks for reading, Dr Young

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

Double Chin (Necklift) and Droopy Cheek (midface | Facelift) Appearance Cost by Dr. Philip Young of Bellevue | Seattle:

Monday, March 1st, 2010

Double Chin (Necklift) and Droopy Cheek (midface | Facelift) Appearance Cost by Dr. Philip Young of Bellevue | Seattle:

Question: What is the cost to improve the double chin and droopy cheek appearance.

Answer: The pricing on this varies depending on location and who you are seeing.  Some doctors have a better reputation and will charge a lot more for their services.  This reputation is usually based on results and word of mouth.  The pricing that is mentioned above will usually not include other fees assessed for anesthesia who have their own fees for these procedures and they usually are based on the time it takes to do the procedures.

The procedures that will help each area will include the necklift (Dr Philip Young of Bellevue, WA) and facelift for the double chin area. Droopy cheeks can be addressed by midface lifts, and deep plane facelifts.  My personal opinion is that droopy cheeks are best augmented by volume and I prefer fat injections and the YoungVitalizer for this particular issue.

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

Come visit us at www.drphilipyoung.com.