Archive for the ‘Wrinkle Treatment’ Category

difference between ablative and non ablative laser skin resurfacing and treatments.

Friday, July 10th, 2009

A better question and the one you might have wanted to ask is what is the difference between non ablative and ablative Laser Resurfacing for the skin.  Nonablative is usually done through radiofrequency, or other wavelengths that go deeper in the skin to stimulate the deeper tissues to tighten up the skin.  Wavelengths from 1300-1600 achieve this non ablative skin tightening.  Radiofrequency is another way of doing this via thermage, etc. These devices although not removing the layers of the skin, can cause significant swelling and redness and this can lasts a couple of days to more time.  The ablative lasers such as co2 (Active fx, etc), and erbium yag lasers remove the top layers of the skin (ablate) and allow stem skin cells from within the hair follicles to resurface the treated areas to rejuvenate skin by decreasing wrinkles, tightening skin, decreasing pore size, removing unwanted pigmentation and removing precancerous skin cells. The strength of ablative or non ablative lasers really depend on what energy use and can be set by your doctor.

Here is a live demonstration of my use of a co2 laser and laser resurfacing.

Dr Young is located in Bellevue near Seattle, Washington

Making your skin look great without surgery and the options

Wednesday, July 8th, 2009

All of these options can help you maintain your skin without surgery.

Fillers: when you age you lose volume and replacing this volume can do wonders to fill in the facial contours.  This can get rid of general wrinkles and highlight the face in ways to bring youth to the face.  Restylane, Juvederm, Perlane are hyaluronic acids and last from 6 months to a year or more.  Radiesse is made out of bone and is very compatible and will last about a year.  Artefiill is polymethametacrylate microspheres and is a permanent filler that is FDA approved for the nasolabial folds and can basically last permanently.

Resurfacing: is a way to remove wrinkles, make pores smaller, take away unwanted pigmentation and tighten the skin.  Chemical Peels, co2 laser resurfacing, dermabrasion, aggressive microdermabrasion, fractionated lasers can all do this to some degree.  They can be tailored to fit your lifestyle and schedule.  This is the only way to really improve the etched in wrinkles on the surface aspect while fillers can help do this from a deeper level.  Fillers however will not change the surface charateristics as much as resurfacing modes can.

Retin A: can reverse skin damage, decrease your chances of skin cancer, improve fine wrinkles, decrease unwanted pigmentation in mild to moderate degrees.  This is a topical medication and is available through prescription only.  Retin A can also help with Acne as well.  It is also used to prepare the skin for laser resurfacing.

IPL: Intense Pulse Light is light that is concentrated and filtered to allow a selected range of light to target pigements, brown spots, and vessels and the red spots they create.  There is essentially no downtime with this treatment.  It can also tighten your skin to a small degree.  The reduction of the spots can really make your skin look clear and younger

Botox/Dysport: makes the muscles in your face weak whereever its injected. When the muscles are weak they can’t make wrinkles with the expressions.  Botox can be injected in a directed manner to reduce the appearance of wrinkles!

Skin care is vital. Your skin protects your face and allows it to look the way it does.  When you wash your face with harsh chemicals or expose it to the environment in a extreme way it will react with redness and hyperpigmentation.  Washing with a gentle cleanser and only once a day max will help.  Tanning is a no no and you should always wear sunscreen and apply it all the time.  Staying out of the sun is also important.

Dr Young is located in Bellevue near Seattle, Washington

Improving Glabellar lines with botox and fillers

Sunday, June 28th, 2009

The glabellar area looks the way it does when you lose volume in this area as you age. Botox is a temporary fix to paralyze the muscles for a 3-6month period. This keeps the muscles from working and creating and deepening the wrinkles in this area. Botox doesn’t improve the volume loss. If you look at infants and children you will notice that the glabellar area is quite a bit fuller than the older individual and really the whole forehead is much more volumized in youth.

Facial Fillersand Fat Transfer are a great way to improve the glabellar region and the lines that form in this area. The filling removes the muscles from the skin and makes it harder for the muscle to actually create the wrinkles. Fat injections also help break up the fibrous tissue that can sometimes hold down the wrinkles in their current wrinkled state.

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

Recovery from botox and other fillers like restylane, juvederm, radiesse, perlane, etc.

Sunday, June 28th, 2009

There are many factors that will determine and affect your recovery from dermal fillers or botox / Dysport.

Generally, Botox is much less involved and typically you will have small mosquitoe bites for about an hour. Bruising is less common with botox as opposed to dermal fillers. Facial Fillersrequire even distribution for even, smooth results. And if you are to do that you need to layer the filler every where in the area that you are augmenting many times. This usually means that you need to go in and out with the needle multiple times.

Each time you do this you increase your chance of disrupting a blood vessel. Bruising in my experience is more common in the eye region. This is because of the thin skin in this area and the greater vascularity that is located here. Avoiding blood thinners is really important and icing can really help.

Your age and genetics play a factor as well. As you age, your blood vessels are more fragile and your clotting can also be less robust. Genetically, you might be more prone to bleeding as well. Ice and local anesthesia are things that can help along with judicious use of pressure in certain areas.

Dr Young is located in Bellevue near Seattle, Washington