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	<title>Aesthetic Facial Plastic Surgery Blog- Seattle/Bellevue facelift/rhinoplasty surgeon- Dr. Philip Young &#187; Uncategorized</title>
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	<link>http://www.ayoungyou.com</link>
	<description>Everything about Facial Plastic Cosmetic and Reconstructive Surgery</description>
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		<title>Plastic Surgeon: Questions from a potential medical student interested in becoming a doctor and plastic surgeon.</title>
		<link>http://www.ayoungyou.com/2012/01/12/plastic-surgeon-questions-from-a-potential-medical-student-interested-in-becoming-a-doctor-and-plastic-surgeon/</link>
		<comments>http://www.ayoungyou.com/2012/01/12/plastic-surgeon-questions-from-a-potential-medical-student-interested-in-becoming-a-doctor-and-plastic-surgeon/#comments</comments>
		<pubDate>Thu, 12 Jan 2012 14:58:46 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[My Journey to Find and Attain Beauty]]></category>
		<category><![CDATA[Procedures]]></category>
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2901</guid>
		<description><![CDATA[This is what someone wrote me with questions regarding becoming a doctor. We thought it would be interesting for some of our readers: 1. What made you choose this profession? I lost my mother to cancer which initiated my decision to become a doctor. It was too depressing to do cancer work for me so [...]]]></description>
			<content:encoded><![CDATA[<p>This is what someone wrote me with questions regarding becoming a doctor. We thought it would be interesting for some of our readers:</p>
<p>1. What made you choose this profession?<span style="color: #339966;"> I lost my mother to cancer which initiated my decision to become a doctor. It was too depressing to do cancer work for me so I decided to do something more light hearted with facial plastic surgery.</span></p>
<p>&nbsp;</p>
<p>2.What is the best thing/experience of a doctor? <span style="color: #339966;">Making people happy.</span></p>
<p>&nbsp;</p>
<p>3. What is the worst? <span style="color: #339966;">We always do the best we can. Medicine is a complicated profession. Although we use the best technology and latest and proven techniques, sometimes, although not common, people aren’t happy. You can’t make everyone happy as hard as you try. I&#8217;m not sure if any person, business, or corporation can make everyone happy.  You just have to keep trying your best, hope for the best and try to turn everything into a positive in some way.</span></p>
<p>&nbsp;</p>
<p>4.How long does it take to become a basic doctor? <span style="color: #339966;">4 years undergrad, 4 years medical school, 5 years head and neck surgery residency, 1 year fellowship in facial plastics. At a minimum, you need around 11 years after high school. I took 16 years after high school to complete all my training.</span></p>
<p>&nbsp;</p>
<p>5. Is physics needed in becoming a doctor? <span style="color: #339966;">Yes, it is part of the biology degree I needed for premed.</span></p>
<p>&nbsp;</p>
<p>6. What is the average percentage throughout grade 11 and 12 you need in high school to become a doctor? <span style="color: #339966;">You probably need at least a 3.5 gpa to get into a college. But I wouldn’t give up if you don’t.  This will allow you to get into a college. Then in college, I would think you need at least a 3.5 to get into medical school.  But really it will make it easier if you have a gpa that is above a 3.6. I had a gpa of 3.61 in high school. And then in college I had a 3.72 but my premedical classes gpa was higher in college. But in medical school, I was one of the top 2 students for the first couple of years of medical school which earned me the Mcgraw Hill Award. I was also alpha omega alpha honor society in medical school which is awarded to the top 5&#8211;10% of the students in your class. In head and neck residency at USC, my yearly exams were always in the 90-95th percentile. During my fellowship board exam I scored the number one score in the country on the written exam.<br />
</span></p>
<p>&nbsp;</p>
<p>7. What is the starting salary? <span style="color: #339966;">Hard to say. Starting around 90,000 I would think for a primary care doctor. But it goes up later. Surgeons start around 150k at least.</span></p>
<p>&nbsp;</p>
<p>8. Could ones salary raise depending on the number of patients? <span style="color: #339966;">Of course. One&#8217;s salary is often times based on your production. This is what you will find in any sector.</span></p>
<p>&nbsp;</p>
<p>9. How do i begin a career as a doctor <span style="color: #339966;">as above. Do well in high school, then in college, then in medical school. I would consult with your school&#8217;s administration. I would research it on the internet as much as possible. I would call undergrad colleges, medical schools. There are resources out there for people like you.</span></p>
<p>&nbsp;</p>
<p>10. What is the estimated tuition/ financial expense in becoming a doctor? <span style="color: #339966;">Undergrad around 20-40 thousand. Medical School can be much more. My tuition in medical school was around 40k for each year for everything. You get paid in residency a small amount like 24k a year.</span></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>Thank you for your time.</p>
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		<title>Choosing a Plastic Surgeon is the most important step</title>
		<link>http://www.ayoungyou.com/2011/12/16/choosing-a-plastic-surgeon-is-the-most-important-step/</link>
		<comments>http://www.ayoungyou.com/2011/12/16/choosing-a-plastic-surgeon-is-the-most-important-step/#comments</comments>
		<pubDate>Fri, 16 Dec 2011 18:51:01 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2875</guid>
		<description><![CDATA[There is no denying the fact that there are hundreds of Plastic Surgeons to choose from when you are beginning to think of any kind of enhancement surgery. We always tell patients to pick the best surgeon for you and your individual needs. It is very important to meet with these doctors face-to-face and understand [...]]]></description>
			<content:encoded><![CDATA[<p>There is no denying the fact that there are hundreds of Plastic Surgeons to choose from when you are beginning to think of any kind of enhancement surgery. We always tell patients to pick the best surgeon for you and your individual needs. It is very important to meet with these doctors face-to-face and understand their abilities to help you achieve your desired look.</p>
<p>We often have patients asking about Dr. Young&#8217;s background and experience. Here are some Q&amp;A&#8217;s that we have compiled to allow our new patients to learn more about Dr. Young as a surgeon, as a person and his office and team.</p>
<p><a href="http://www.ayoungyou.com/wp-content/uploads/2011/12/Picture8.jpg"><img class="alignleft size-full wp-image-2876" title="Picture8" src="http://www.ayoungyou.com/wp-content/uploads/2011/12/Picture8.jpg" alt="" width="172" height="258" /></a></p>
<p><strong>1. He has extensive experience</strong> – As a leading Bellevue / Seattle facial rejuvenation expert, Dr. Young has performed more than 1200 <a href="http://www.drphilipyoung.com/procedures.php?procedure=facelift">facelifts</a>, including <a href="http://www.drphilipyoung.com/procedures.php?procedure=liposuction">liposuction</a>, <a href="http://www.drphilipyoung.com/procedures.php?procedure=necklift">neck</a> and<a href="http://www.drphilipyoung.com/procedures.php?procedure=eyelift"> eye lifts</a>. He has performed more<a href="http://www.drphilipyoung.com/procedures.php?procedure=facelift"> facelifts</a> than over 99% of surgeons in the northwest.</p>
<p><strong>2. Academic Excellence</strong> – Dr. Young strives to continually learn the latest techniques and gain the most up-to-date knowledge. His thirst for knowledge was demonstrated on the written exam administered by the <a href="http://www.abfprs.org/">American Board of Facial Plastic and Reconstructive Surgery</a> , which he scored the number one score in the nation compared with his colleagues who specialize in plastic surgery of the face and neck.</p>
<p><strong>3. State-of-the art facility</strong> – Dr. Young uses the most advanced lasers and techniques available and continually updates his office and procedural rooms to better treat his patients. Dr. Young’s CO2 laser and Intense Pulse Light equipment are the industry&#8217;s gold standard. He continually researches the literature to find the most current and best practices for the particular conditions that he is treating. We are also <a href="http://www.aaahc.org/eweb/dynamicpage.aspx?webcode=home">AAAHC</a> certified which signifies that we have satisfied some of the most rigorous standards for an office with a surgical facility. See our <a href="http://www.drphilipyoung.com/aaahcplasticsurgery.php">AAAHC Plastic Surgery Page</a> and our certification letter.</p>
<p><strong>4. He has been internationally acclaimed for his understanding of facial beauty</strong> – Understanding what makes a face beautiful is essential in developing the goals that plastic surgeons strive for when they help their clients. Dr. Young noticed that many results that were seen in Hollywood stars were less than optimal. He thought that if the best were achieving these results something needed improvement. He spent several years studying the reasons for this which ultimately culminated in a groundbreaking theory on facial beauty called the <a href="http://www.drphilipyoung.com/pdf/circles_of_prominence.pdf">Circles of Prominence</a>. This internationally acclaimed theory received the Sir Harold Delf Gillies award for his ground-breaking theory on beauty awarded by his peers from the American Academy of Facial Plastic and Reconstructive Surgery</p>
<p><strong>5. He is triple-board certified</strong> – Board certification is a rigorous process that physicians undergo to ensure that they meet the qualifications and standards of competency that will allow them to safely and successfully practice the area of medicine in which they are specializing. Dr. Young is triple board certified by three separate institutions: the <a href="http://www.abfprs.org/">American Board of Facial Plastic</a> and Reconstructive Surgery, the <a href="http://www.aboto.org/">American Board of Otolaryngology Head and Neck Surgery</a>, and the <a href="http://americanboardoflasersurgery.org/">American Board of Laser Surgery</a>.</p>
<p><strong>6. Dr. Young is born and raised in Washington</strong> – Dr. Young has an affinity for treating and helping Washingtonians because he was born and raised in Federal Way, Washington. He also graduated from University of Washington. He has always wanted to return to Washington, which he thinks is the best place on earth to live and work.</p>
<p><strong>7. He believes in “Anything and Everything” for his patients</strong> – Dr. Young believes that beyond all of his training and accolades, his clients and patients are what matter the most. At the end of the day, he wants to know that he has done something good in the world and that he has made someone happy. He strives for the best customer experience and believes in the adage of “Anything and Everything” for his patients.</p>
<p><strong>8. He has an excellent, caring <a href="http://www.drphilipyoung.com/about_ourteam.html">team</a></strong> – Dr. Young demands the very best in his staff to help care for his patients. His staff includes a registered nurse who has extensive experience in cardiac (heart) care and is Advanced Cardiac Life Support certified. He has staff that are extensively trained in AAAHC certification and medical office management as well as a person who has a law degree. Most importantly, each and every one of his staff have the utmost concern to take care of the people that come to us and he has chosen carefully those people that have that commitment.</p>
<p><a href="http://www.ayoungyou.com/wp-content/uploads/2011/12/certificate.jpg"><img class="alignright size-full wp-image-2877" title="certificate" src="http://www.ayoungyou.com/wp-content/uploads/2011/12/certificate.jpg" alt="" width="220" height="170" /></a></p>
<p><strong>9. Dr. Young is Fellowship Trained</strong> – In addition to training, during his residency, at the University of Southern California, Dr. Young went on to do an extra year of training under world renowned Dr. Frederick Stucker at Louisiana State University in Shreveport, Louisiana. Dr. Stucker is one of the Grandmasters in Facial Plastic and Reconstructive Surgery and is one of the founders of the Face to Face humanitarian program. Dr. Young travels around the world donating his time, expertise, and care towards this cause and has been to Vietnam and China.</p>
<p><strong>10. Dr. Young devotes his time to Humanitarian efforts both locally and internationally</strong> – Dr. Young donates his time locally and around the world to help victims of trauma / domestic violence and those who have been born with congenital anomalies such as cleft lip and palate. He has recently been featured in several local newspapers (Bellevue Reporter, Northwest Asian Weekly, UW Daily) for his humanitarian work on a local domestic violence victim. Check out those stories on our website.</p>
<p>&nbsp;</p>
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		<title>Healing your body and mind</title>
		<link>http://www.ayoungyou.com/2011/12/09/healing-your-body-and-mind/</link>
		<comments>http://www.ayoungyou.com/2011/12/09/healing-your-body-and-mind/#comments</comments>
		<pubDate>Fri, 09 Dec 2011 17:55:26 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Asian Cosmetic Surgery]]></category>
		<category><![CDATA[Asian Double Eyelid Surgery / Asian Eyelid Surgery]]></category>
		<category><![CDATA[Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags]]></category>
		<category><![CDATA[Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift]]></category>
		<category><![CDATA[Fat Transfer / Fat Injections]]></category>
		<category><![CDATA[Laser Resurfacing]]></category>
		<category><![CDATA[Procedures]]></category>
		<category><![CDATA[Rhinoplasty / Nose Surgery / Nose job / Nose Reshaping / Nasal Reshaping]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[YoungVolumizer]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2862</guid>
		<description><![CDATA[Once you have the procedure you waited a long time for, it is time to be patient and wait, again, for your body to heal.  Unfortunately, a surgeon’s scalpel is not a magic wand and healing will occur at different rates for different people.  You must allow yourself to heal and be aware it is [...]]]></description>
			<content:encoded><![CDATA[<div>
<p><img class="alignleft" title="healing" src="http://www.plasticsurgeonsrhinoplasty.org/wp-content/uploads/2011/07/plastic-surgery-300x215.jpg" alt="" width="300" height="215" />Once you have the <a href="http://www.drphilipyoung.com/procedures.php">procedure </a>you waited a long time for, it is time to be patient and wait, again, for your body to heal.  Unfortunately, a surgeon’s scalpel is not a magic wand and healing will occur at different rates for different people.  You must allow yourself to heal and be aware it is natural to be impatient for the results and a little anxious because you often look worse before you look better.  Being aware this can happen will help you understand these normal feelings.</p>
<p>&nbsp;</p>
<p>Sharing your experience with friends and family can help give you a support system during your recovery, but realize they may unintentionally make you question your decision with concerns during your recovery.  While you may think that you are looking pretty rough around the edges, we may tell you that you are healing beautifully.  Trust us.  We will share with you if there is a concern, so if we tell you that everything is healing normally, it is.</p>
<p>&nbsp;</p>
<p>Your healing will depend on many things such as your general health, your willingness to follow instructions, and your mental attitude toward recovery.  While I can perform the surgery, I cannot “heal” you.  It is up to you to be an active participant in your recovery process to help your body heal the best that it can.  Following all of our <a href="http://www.drphilipyoung.com/Wound%20Care%20and%20Scar%20Prevention.php">instruction</a> is very important, as is working with us to address any complications that may arise.  Even surgeries that are done exactly right can have complications during recovery.  It has to do with the human factor.  We are not machines and every person can react differently and heal differently even when the surgery is done exactly the same.  Every surgeon has unexpected results from time to time.</p>
<p>&nbsp;</p>
<p>It is important you approach your surgery and especially your recovery with the mindset that we are a team, and you are an integral part of that team.  We must trust each other to be working for a common goal, your successful result.  As the surgeon, I enjoy my work and strive to achieve an ideal result during every surgery for every patient.  I have rigorous standards that my staff must meet in order to be involved in your care.  I am looking forward to working with you to achieve a great result and do not anticipate any post-operative problems.  I will do everything I can to make sure that you are happy with your result.</p>
<p>&nbsp;</p>
</div>
<address>Dr. Philip Young, MD</address>
<address><br clear="all" /><img class="alignnone" title="Dr. Young" src="http://www.drphilipyoung.com/images/Dr%20Young%20Facial%20Plastic%20Surgery.jpg" alt="" width="280" height="250" /> </address>
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		<title>Feeling good on the outside</title>
		<link>http://www.ayoungyou.com/2011/11/30/feeling-good-on-the-outside/</link>
		<comments>http://www.ayoungyou.com/2011/11/30/feeling-good-on-the-outside/#comments</comments>
		<pubDate>Wed, 30 Nov 2011 18:48:56 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2853</guid>
		<description><![CDATA[We all try to live a healthy life. Whether that be through our food and exercise, we also need to take care of our skin and face. There are many damaging obstacles that our face comes in contact with. Sunlight, pollution and our own natural aging process. Thanks to advances in technology and medical treatments, [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.ayoungyou.com/wp-content/uploads/2011/11/A-Simple-Guide-to-Feeling-Good-on-the-Inside11.jpg"><img class="aligncenter size-full wp-image-2855" title="A-Simple-Guide-to-Feeling-Good-on-the-Inside1" src="http://www.ayoungyou.com/wp-content/uploads/2011/11/A-Simple-Guide-to-Feeling-Good-on-the-Inside11.jpg" alt="" width="500" height="325" /></a></p>
<p>We all try to live a healthy life. Whether that be through our food and exercise, we also need to take care of our skin and face. There are many damaging obstacles that our face comes in contact with. Sunlight, pollution and our own natural aging process.</p>
<p>Thanks to advances in technology and medical treatments, repairing damaged skin and reversing the noticeable signs of aging has become easier, faster and less painful – and can often be done without surgery. Quite literally, it’s possible to have a treatment today and be back at work tomorrow.</p>
<p>Many aesthetic treatments have proven highly effective in repairing and rejuvenating the skin, including:</p>
<ul>
<li>Botox injections ease wrinkles in the upper third of the face. Effects typically last for 3 to 6 months.</li>
<li>Chemical peel removes fine lines and smoothes the skin, especially around the eyes and mouth.</li>
<li>New filler injections are used for lip augmentation and to treat wrinkles and skin folds. Effects typically last up to a year.</li>
<li> Laser resurfacing treats sun-damaged skin, scarring, and other facial skin problems. It also works well on stretch marks, especially when treated early.</li>
<li>Microdermabrasion erases ultra-fine lines, rejuvenates the complexion, and helps restore healthy skin tone and color.</li>
</ul>
<p>It is also very important to be on some kind of skin care regimen, including sunscreen of 30SPF. Making a few changes to your daily routine can pay off in healthier, more youthful looking skin. Daily doses of vitamin E (200-400 IU) and vitamin C (500-1000 mg) as both have been shown to stimulate collagen production. Adults aged 40 and above should add a daily calcium supplement of 600-1000 mg. Multi-vitamins containing Evening Primrose oil and green tea extract can also benefit the skin.</p>
<p>Many skin care products now contain vitamins and antioxidants. Products with vitamin C can help against fine lines and wrinkles, stabilize collagen and help sunburned skin. Vitamin C also works to lighten darker skin pigment by decreasing melanin. Vitamin A can also help fight wrinkles and brown spots, a common problem after pregnancy for Asian women.</p>
<p>Before choosing your skin care products, it’s important to know your skin type. Those with dry skin should add moisturizer every day, while oily skin needs regular cleansing, with moisturizer applied only sparingly. Those with sensitive skin should avoid perfumed products and herbal extracts, as these can irritate the skin. If you’re unsure about your skintype, feel free to schedule a complimentary consultation with our Aesthetician Tanya.</p>
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		<title>Can a temporal lift work just as well as a brow lift to lift the lateral part of the eye?</title>
		<link>http://www.ayoungyou.com/2011/06/09/can-a-temporal-lift-work-just-as-well-as-a-brow-lift-to-lift-the-lateral-part-of-the-eye/</link>
		<comments>http://www.ayoungyou.com/2011/06/09/can-a-temporal-lift-work-just-as-well-as-a-brow-lift-to-lift-the-lateral-part-of-the-eye/#comments</comments>
		<pubDate>Thu, 09 Jun 2011 22:20:01 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Browlift / Eyebrow Lift / Brow Lift]]></category>
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2745</guid>
		<description><![CDATA[Temporal lifts work well laterally. It is dependent on who is doing the procedure and how it is done. You have to make sure that the structures that are holding the eyebrow down are release to allow the eyebrow to come up and then fixing it up there is important. The more that your surgeon [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.drphilipyoung.com/procedures.php?procedure=browlift">Temporal lifts</a> work well laterally. It is dependent on who is doing the  procedure and how it is done. You have to make sure that the structures that are holding  the eyebrow down are release to allow the eyebrow to come up and then  fixing it up there is important. The more that your surgeon knows the  better. Pictures would be better for me to find out what you are talking  about. Fat injections are another way of doing this in a minimally  invasive way.</p>
<p>Thanks for reading, Dr Young</p>
<p><a href="http://www.drphilipyoung.com/">Dr Young </a>specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington</p>
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		<title>Dr Young examines Rhinoplasty Cost / Price and how to evaluate this when you consider Nose shaping / Rhino plasty.</title>
		<link>http://www.ayoungyou.com/2010/08/03/dr-young-examines-rhinoplasty-cost-price-and-how-to-evaluate-this-when-you-consider-nose-shaping-rhino-plasty/</link>
		<comments>http://www.ayoungyou.com/2010/08/03/dr-young-examines-rhinoplasty-cost-price-and-how-to-evaluate-this-when-you-consider-nose-shaping-rhino-plasty/#comments</comments>
		<pubDate>Tue, 03 Aug 2010 18:49:38 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2435</guid>
		<description><![CDATA[A frequent question that people have is how much does Rhinoplasty / Nose Plastic Surgery (Dr Young of Bellevue near Seattle, WA) costs.  There are some resources for the average cost of Rhinoplasty that range from 4000-10000 for the surgeons fee.  That doesn&#8217;t include the costs for the facility and for the anesthesia and anesthesiologist.  [...]]]></description>
			<content:encoded><![CDATA[<p>A frequent question that people have is how much does<a href="http://www.drphilipyoung.com/procedures.php?procedure=noseshaping"> Rhinoplasty / Nose Plastic Surgery (Dr Young of Bellevue near Seattle, WA)</a> costs.  There are some resources for the average cost of Rhinoplasty that  range from 4000-10000 for the surgeons fee.  That doesn&#8217;t include the  costs for the facility and for the anesthesia and anesthesiologist.  The  fee for the facility can range from 500-2000.  The fee for the  anesthesiologist can range from 200-1000.  So the range for an Rhinoplasty  can be from 7000-15000.  We have a surgical facility near us and they  charge 650 for the first hour for the anesthesiologist and each  additional hour is 300 for each additional hour.  The facility is 1000  for the first hour and each additional hour is 500.  Things that make a difference is if the Rhinoplasty is a revision, if you need implants, the costs of the implants, if rib needs to be harvested (which could significantly add to the cost), if ear cartilage needs to taken, if the rhinoplasty is just for the tip / dorsum / or nostril area.  When you really analyze things, it ultimately comes down to the time it needs to address your particular issues.  Based on this your surgeon and his staff will come up with some pricing for you to consider.  Implants for the bridge of the nose, for sheets can range from 200-400 dollars for each implant.  A revision usually adds 1-2 hours to the procedure and could increase the price by 1-2 thousand dollars.  Ear cartilage requires about 45 minutes to an hour to harvest sometimes less and this could be 500-1000 dollars more.  These are some of the things your plastic surgeon will think about when he comes up with pricing.</p>
<p>It is good to find out what the average price for Rhinoplasty is for  your area.  You can do this by going to multiple consultations.   Sometimes you get what you pay for, as they say.  Somewhere in the  average might be a good idea, at least do consider someone that is  extraordinarily above the others unless there is compelling evidence  that you think that person will do the job that justifies the pricing  you receive.</p>
<p>Thanks for reading, Dr Young</p>
<p><a href="http://www.drphilipyoung.com/">Dr Young </a>specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington</p>
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		<title>How do I prepare for a filler and what kind of post care should I think of after a filler?</title>
		<link>http://www.ayoungyou.com/2010/07/23/how-do-i-prepare-for-a-filler-and-what-kind-of-post-care-should-i-think-of-after-a-filler/</link>
		<comments>http://www.ayoungyou.com/2010/07/23/how-do-i-prepare-for-a-filler-and-what-kind-of-post-care-should-i-think-of-after-a-filler/#comments</comments>
		<pubDate>Sat, 24 Jul 2010 01:08:39 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Fillers / Facial Fillers]]></category>
		<category><![CDATA[Juvederm]]></category>
		<category><![CDATA[Perlane]]></category>
		<category><![CDATA[Radiesse]]></category>
		<category><![CDATA[Restylane]]></category>
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2385</guid>
		<description><![CDATA[Fillers (Dr Young from Aesthetic Facial Plastic Surgery, PLLC in Bellevue, WA) are products that are used to volumize your face.  As you age, you lose volume in your face and these fillers replace this volume.  The most common fillers include restylane, radiesse, juvederm, and perlane.  These are the top four products being used.  So [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.drphilipyoung.com/procedures.php?procedure=facialfillers">Fillers (Dr Young from Aesthetic Facial Plastic Surgery, PLLC in Bellevue, WA)</a> are products that are used to volumize your face.  As you age, you lose volume in your face and these fillers replace this volume.  The most common fillers include restylane, radiesse, juvederm, and perlane.  These are the top four products being used.  So what are some of the things you should be thinking about with filler.  Well to begin with you should not be allergic to any of the products including hyaluronic acid, calcium hydroxyapatite, carboxymethocellulose, gram positive bacteria especially streptococcus, lidocaine or amide type local anesthetics, or a history of multiple allergies or severe reactions to certain medications.  I usually tell people to refrain from high dose vitamin E, herbal medications, supplements, fish oils, omega 3&#8242;s, anti-inflammatories (naproxen, aleve, ibuprofen, advil, indomethacin, motrin, excedrin, piroxicam, sulindac, etc.), aspirin 2 weeks before and after the procedure included with this list are some obvious ones like warfarin, coumadin, heparin, lovenox, plavix. Here is a more formal list of <a href="http://www.drphilipyoung.com/pdf/Medications_to_Avoid.pdf">medications to avoid</a> from our website.  I do this because these elements / medications can cause bleeding and if you avoid these during this time frame you can avoid extra bruising and swelling.  Arnica and bromelein have shown some benefits but are still being studied and are not a standard in treatment for plastic surgeons so I don&#8217;t really recommend it.   This pre filler care will help with the post care.  You should discuss during your consultation the risks and benefits of the use of restylane. During the filler you will have some choices for the type of anesthesia you can get for the filler injections. Now most fillers have lidocaine in the preparation to make it more tolerable.  These are the options:</p>
<p>1. Use ice then inject. Can work but by numbing the area with the ice.  With the local in the filler, you may feel it go in initially with each stick in any new area. But subsequent injections will be more numb with the anesthesia in the filler itself</p>
<p>2. Use topical anesthesia first and then inject.  This is a good option.  The topical makes the skin numb, you may feel the injection go into the deeper layers. But like ice, it will feel like a stick in the new area and then get better with subsequent injections.</p>
<p>3. Local anesthesia and regional anesthesia, so called &#8220;dental blocks&#8221; to numb the nerves that innervate specific regions.  This is the best way to make it so that you don&#8217;t feel anything.  For some it is over doing the anesthesia.  Sometimes, people who get anxious can get reactions to the local anesthesia and you can get an anxiety situation where your heart rate goes up as well as your blood pressure.  This happens about 1 out of 25o times a filler gets done with local / regional anesthesia.</p>
<p>After the filler, you should ice the area especially for the first 48 hours.  I usually suggest 10 minutes for every hour.  I also stress that you should not have the ice directly on the skin but have a barrier to prevent damage to your skin.  This icing will keep the swelling down and also the bruising to a degree.</p>
<p>For the first two weeks, I usually suggest people to massage the area of the filler if there are certain areas that are more elevated and pronounced than the other areas.  Most of this uneveness if it is present will be improved with this.  When the filler is in the lower eyelid area, you need to pull down the swelling over the bone and then massage it from there to effect it.  After the first two weeks, I then suggest to consider more massage if the elevations are subtle and if large then you can consider enzyme injections or hyaluronidase injections which are very potent in reducing unwanted swelling from filler.  Now with radiesse there is no enzyme that will do the same and you have to just massage the area to make it go down to a point that you like.</p>
<p>If you have any questions you can always email me or ask me through this blog</p>
<p>Thanks for reading, Dr Young</p>
<p><a href="http://www.drphilipyoung.com/">Dr Young </a>specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington</p>
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		<title>Cleaning your incisions after any procedure that requires suturing.</title>
		<link>http://www.ayoungyou.com/2010/07/16/cleaning-your-incisions/</link>
		<comments>http://www.ayoungyou.com/2010/07/16/cleaning-your-incisions/#comments</comments>
		<pubDate>Fri, 16 Jul 2010 21:06:44 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Scar Removal / scar reduction / scar revision / scar treatment]]></category>
		<category><![CDATA[Skin Care]]></category>
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2378</guid>
		<description><![CDATA[This is a blog to discuss how to clean your incisions after any surgical procedure. The key for healing is to remove all crusting and to start with an incision that has the skin edges as close as possible together. The crusting is important to remove because the crusts can be nourishment for bacteria that [...]]]></description>
			<content:encoded><![CDATA[<p>This is a blog to discuss how to clean your incisions after any surgical procedure. The key for healing is to remove all crusting and to start with an incision that has the skin edges as close as possible together.  The crusting is important to remove because the crusts can be nourishment for bacteria that can proliferate and cause more scarring.  I usually suggest to my patients that they use vinegar and distilled water in a 1:3 dilution to clean the incisions.  I tell people to do this twice a day.  The goal is to get there incision to look like a fine wrinkle.  If they keep doing this during the first 2 weeks the incision has the potential to heal incredibly.  Always have vaseline over the incisions.  It has been scientifically shown that skin cells grow faster when they have two surfaces to grow on. The vaseline serves as the other surface and this promotes the healing.  You want the skin cells to grow over the incision as fast as possible.  This reduces the scarring. Some people advocate hydrogen peroxide.  I would caution that the use of this can be risky.  I use the same dilution with hydrogen peroxide and distilled water in a 1:3 dilution.  The key with the use of hydrogen peroxide if you are going to take the risk is to use it sparingly. You just want to use it to take the crusting off and then stop.  If you do this more than that you can have more scarring.  So being conservative is very important. If in doubt don&#8217;t use the hydrogen peroxide.  And if you do use it, do so for only the first week and that is it. You should continue to clean your incision for about the first two weeks and keep vaseline on the incision at all times.  After this you can do regular skin care and use sunscreen during the day (approximately 12 hours) and then silicone gel during the evening for 12 hours.  The silicone gel can be found at any pharmacy or drugstore, like Bartells. I would do the silicone gel for the next 3 months.  It is one of the only things that have statistically shown to make a difference in preventing scarring.  Vitamin E, aloe vera, mederma based on my knowledge and recent literature search (05 / 2010) does not make a scientific difference.  Following up with your doctor is really important to do so that they can make sure that you are on the way to healing the right way!</p>
<p>Thanks for reading, Dr Young</p>
<p><a href="http://www.drphilipyoung.com/">Dr Young </a>specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington</p>
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		<title>Is Acne Surgery covered by insurance companies</title>
		<link>http://www.ayoungyou.com/2010/06/07/is-acne-surgery-covered-by-insurance-companies/</link>
		<comments>http://www.ayoungyou.com/2010/06/07/is-acne-surgery-covered-by-insurance-companies/#comments</comments>
		<pubDate>Mon, 07 Jun 2010 18:46:57 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Acne Treatment]]></category>
		<category><![CDATA[Scar Removal / scar reduction / scar revision / scar treatment]]></category>
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2217</guid>
		<description><![CDATA[For treating acne flares and medical treatment, most insurance companies cover many of these expenses.  When it comes to improving acne scars and the cosmetic portion through Acne Surgery, in my experience, insurance companies generally do not cover these expenses. You should always inquire with the particular insurance companies that you are covered under and [...]]]></description>
			<content:encoded><![CDATA[<p>For treating acne flares and medical treatment, most insurance companies cover many of these expenses.  When it comes to improving acne scars and the cosmetic portion through <a href="http://www.drphilipyoung.com/procedures.php?procedure=acnescar">Acne Surgery</a>, in my experience, insurance companies generally do not cover these expenses. You should always inquire with the particular insurance companies that you are covered under and their particular policies.  When it comes to active lesions which require some procedures such as incisions and drainages, extractions, and surgically treating active lesions; insurance companies are more likely to treat these.  I usually treat the cosmetic portions that result from Acne which aren&#8217;t covered by insurance such as laser treatments, scar excisions, subcision, grafting of skin to scars, etc. Here is a live demonstration video of an <a href="http://www.youtube.com/watch?v=9BGLlAYCri8">Acne Treatment Procedure.</a></p>
<p>Thanks for reading,</p>
<p>Dr Young</p>
<p><a href="http://www.drphilipyoung.com/">Dr</a><a href="http://www.drphilipyoung.com/"> Young </a>specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington</p>
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		<title>Custom Chin Implants are a good option for chin augmentation and how much anterior projections should I have.</title>
		<link>http://www.ayoungyou.com/2010/05/15/custom-chin-implants-are-a-good-option-for-chin-augmentation/</link>
		<comments>http://www.ayoungyou.com/2010/05/15/custom-chin-implants-are-a-good-option-for-chin-augmentation/#comments</comments>
		<pubDate>Sat, 15 May 2010 17:06:45 +0000</pubDate>
		<dc:creator>dryoung</dc:creator>
				<category><![CDATA[Chin Surgery]]></category>
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.ayoungyou.com/?p=2085</guid>
		<description><![CDATA[Chin implants (Dr Young specializes in plastic surgery in the Face and Neck in Bellevue Washington) come in many shapes and sizes.  Sometimes, even with the many variations there  might not be one that fits all of your needs.  This is when a custom implant may be the perfect choice for you.  One of the [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.drphilipyoung.com/procedures.php?procedure=chinreshaping">Chin implants (Dr Young specializes in plastic surgery in the Face and Neck in Bellevue Washington) </a>come in many shapes and sizes.  Sometimes, even with the many variations there  might not be one that fits all of your needs.  This is when a custom implant may be the perfect choice for you.  One of the first questions you should ask is whether or not a chin implant would work for you.  There are multiple ways of assessing whether you could benefit from enhancing your chin.  The first thing to do is to understand the various landmarks. In the first picture, the Glabella, labelled &#8220;G&#8221; is the most projecting point on the lower parto f the forehead and is usually right between the eyebrows. The nasion, labeled &#8220;N&#8221;, is the most depressed point below G and is usually at the root of the nose.  The Subnasale, labeled &#8220;SN&#8221;, is the point of transition from the nose to the upper lip.  It is where the nose, columnella, intersects the upper lip.  The upper vermillion is the point of transition from the white part of the upper lip to the red portion of the lip (Called the Vermillion) and is labeled &#8220;VU&#8221;. The same point coinciding with the lower lip is labeled &#8220;VL&#8221;. The Pogonion, labeled &#8220;PG&#8221;, is the point of the chin that is the most projecting anteriorly.  The mentum, labeled &#8220;MN&#8221;, is the most inferior portion of the chin.  One thing to be careful of is when the patient has a double chin.  The mentum is the part of the chin that is associated with the chin and not the inferior part of the sagging that can occur under the chin and posterior to the chin. One rule was developed by Gonzalez-Ulloa shown in the second picture.  The horizontal line you see will be refered to a lot by surgeons. It is called the frankfort horizontal.  It travels from the top of the ear canal and through the top of the inferior orbital rim.  The vertical line you see is part of there interpretation of where the chin should be.  The vertical line should travel through the Nasion and the the Pogonion should approximate this line. Some feel that the augmentation based on this rule would lead to too much projection. A similar rule places the vertical line of the Gonzalez-Ulloa line more posteriorly at the subnasale, although sometimes it is very close as in this picture, called the Epker and Fish Rule.  Based on this rule, the vertical line should travel from the subnasale and through the upper vermillion &#8220;VU&#8221; and the lower vermillion should be 2mm behind, and the pogonion should be 4mm behind. The third really common rule is based on the Nasal Chin Lip Line.  It is based on the ideal nasal length measure from the root of the nose at the level between the upper eyelid crease and the upper eyelid margin to the nasal tip.  From the half point distance, a line is drawn through the upper lip vermillion.  From this point, the pogonion should be be 3mm behind this line.  The last two rules are my most preferred ways to assess how much chin augmentation to do.  In another blog, I will address the vertical dimensional analysis.</p>
<p>Thanks for reading, Dr Young</p>
<p><a href="http://www.drphilipyoung.com/">Dr Young </a>specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington</p>
<div id="attachment_2090" class="wp-caption alignleft" style="width: 288px"><a href="http://www.ayoungyou.com/wp-content/uploads/2010/05/Landmarks1.png"><img class="size-full wp-image-2090  " title="Landmarks" src="http://www.ayoungyou.com/wp-content/uploads/2010/05/Landmarks1.png" alt="" width="278" height="406" /></a><p class="wp-caption-text">Profile Landmarks</p></div>
<p><a href="http://www.ayoungyou.com/wp-content/uploads/2010/05/Gonzalez-Ulloa-Rule-Chin.png"><img class="size-full wp-image-2089 alignleft" title="Gonzalez-Ulloa Rule Chin" src="http://www.ayoungyou.com/wp-content/uploads/2010/05/Gonzalez-Ulloa-Rule-Chin.png" alt="" width="272" height="406" /></a></p>
<div id="attachment_2091" class="wp-caption alignleft" style="width: 282px"><a href="http://www.ayoungyou.com/wp-content/uploads/2010/05/Picture3.png"><img class="size-full wp-image-2091  " title="Picture3" src="http://www.ayoungyou.com/wp-content/uploads/2010/05/Picture3.png" alt="" width="272" height="406" /></a><p class="wp-caption-text">Nasal Chin Lip Plane / Line</p></div>
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