Archive for the ‘Chemical Peels’ Category

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Acne Scar Treatment Healing Diary Released by Dr. Young Seattle | Bellevue

Wednesday, January 25th, 2012

Acne Scar Treatment Healing Diary Released by Dr. Philip Young Seattle | Bellevue: So we are excited to release our new photo diary on the healing process and recovery after subcision and deep chemical peeling for Acne Scar Treatment (Here is a link to see this Acne Subcision Chemical Peel Healing Diary). Many of our clients wonder what the healing process is like. We wanted to show the healing process through photos and what to look for in terms of healing and how to clean etc.  Deep chemical peeling is much like the process of laser resurfacing and the recovery and cleaning / healing process. So we invite you to also visit our laser resurfacing page to find out other tips to get the best healing from chemical peeling and laser resurfacing.

Subcision is the process of elevating the tissue under the skin and scarred areas, to allow the depressed scars to elevate to the more normal unscarred skin. This is the first step in making the scars look better. The depression in acne scars can cast a shadow in this area, the darkness clues people on the status that the particular area is not like the rest (ie it looks like a scar).  After the scar is more elevated then you can proceed to polish the skin level to get it to look more like normal skin. The polishing step is when we decide to do laser resurfacing and dermasanding. Dermasanding is the process of dermabrasion with medical grade sterilized sandpaper.  This is a more accurate way of doing dermabrasion in Dr. Young’s opinion. It also avoids spreading infection to the people around.

acne scar subcision tca cross treatment images

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

Posted in Acne Scar Treatment, Chemical Peels, Scar Removal / scar reduction / scar revision / scar treatment | Comments Off on Acne Scar Treatment Healing Diary Released by Dr. Young Seattle | Bellevue

Introducing PCA Peels to AFPS!

Friday, July 22nd, 2011

Introducing PCA Peels to AFPS | Dr. Philip Young! What kind of peel is good for me? What is the difference between peels?  These are always questions that arise during any skincare consultation.  I believe that there is a peel for everyone! It doesn’t matter what type of skin or condition, there is a peel for you! Some of my favorite peels are TCA Peels from PCA Skin. (www.pcaskin.com)  Trichloroacetic acid (TCA) peels are often thought of as very aggressive and producing substantial discomfort. PCA Professional™ TCA peels are very different from the standard. These TCA solutions are blends formulated with many ingredients including lactic acid (milk), ascorbic acid (vitamin C), plumping phytohormones and kojic and azelaic acids (natural skin lightener and antimicrobial) to produce dramatic results without the discomfort and downtime associated with traditional TCA peels.  Come in today for a complimentary consultation!

xoxo,

Tanya

Posted in Chemical Peels, Diary of a Facial Plastic Surgery Aesthetician | Comments Off on Introducing PCA Peels to AFPS!

How do I get rid of back hyperpigmentation? by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery

Wednesday, January 12th, 2011

by Dr. Philip Young | Aesthetic Facial Plastic Surgery

This a question that I answered for a patient who had fraxel resurfacing for acne on his back and subsequently had significant hyperpigmentation on his back. He wanted to figure out how to get rid of it. This is how I answered his question, in short:

Intense Pulse Light, Medium depth chemical peels, fractional co2 resurfacing, skin care can improve back pigmentation. With Fraxel resurfacing the pigmentation could be at many different levels. More superficially, I would consider more aggressive skin care light lightening products (retinol, hydroquinone, hydrocortizone), 15% alpha and beta hydroxy lotion, at home glycolic peels.  Also for superficial pigmentation, lighter chemical peels 10-25% TCA (Tricholoroacetic Acid) peels, and active / deep fx could help.  For dermal pigmentation, active and deep fx could improve the pigmentation intense pulse light with varying filters could improve this, as well as different longer length lasers from 585-1064.  Dermal depths are deeper and not accessible to most superficial treatments.

Here is a video on intense pulse light.

intense pulse light video

here is a photo diary showing the recovery from Intense Pulse Light:

http://www.drphilipyoung.com/seattleintensepulselight.php

Hope this was interesting

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

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

Posted in Chemical Peels, Intense Pulse Light, Laser Resurfacing, Skin Care / Intense Pulse Light | Comments Off on How do I get rid of back hyperpigmentation? by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery

Fillers 2 days after Jessner’s Peel. Is this okay. Is it better to do fillers or peels first?

Wednesday, December 15th, 2010

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

This is a question that I answered for a patient that was being cared for by another surgeon:

It should be okay but to be safe I would wait at least 1-2 weeks to do fillers after Jessner peel. I think it takes about 4-7 days for a Jessner’s to fully heal.  Most of the time it takes only a couple of days.  So generally, I like to wait for the healing to take affect before I do fillers. I usually like to do fillers before peels.  The reason is that with fillers the wrinkles becomes better effaced and this can allow the peel to get into the crevices of the wrinkle better and have a better result.

Here is a video showing Restylane being injected under the eyes (Restylane For Under The Eyes):

Cheers!, Dr Young

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

Posted in Chemical Peels, Fillers / Facial Fillers | Comments Off on Fillers 2 days after Jessner’s Peel. Is this okay. Is it better to do fillers or peels first?

Can chemical peels lead to cold sores?

Tuesday, April 20th, 2010

A chemical peel (Dr Young of Bellevue Washington) can cause a reactivation of the herpes virus that leads to cold sores.  Some 90% of people are infected or have been infected by the Herpes Virus simplex 1 that cause oral herpes.  Chemical peels, resurfacing, dermabrasion all stimulate the skin that can reactivate the virus that usually resides in the sensory nerves (dorsal ganglion).  These peels or procedures stimulate the nerves, decrease barriers and active the virus to come down the nerves to the cause the cold sores.  They don’t actually lead to a new infection, they just reactivate the virus that has been there since childhood.  Usually if the peel is more than superficial, I will prescribe acyclovir, or vacyclovir as prophylaxis. I don’t always do that for superficial peels like glycolic, low strenght tricholoracetic acid, or jessner peels, etc.  Laser resurfacing, dermabrasion, and medium to deep depth chemical peels usually require prophylaxis.

Thanks for reading, Dr Young

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

Posted in Chemical Peels, Laser Resurfacing | Comments Off on Can chemical peels lead to cold sores?

Facelift for Acne Scarring and other options by Dr. Philip Young of Bellevue | Seattle:

Wednesday, March 3rd, 2010

Facelift for Acne Scarring and other options by Dr. Philip Young of Bellevue | Seattle:

Question: Is a facelift the best option for acne scarring? What other options do I have?

Answer: A Facelift is not the first option but I have noticed improvement in Acne Scarring from this procedure.  I personally have many patients that have noticed a significant improvement on their acne scarring  from a facelift procedure.  Is the facelift a procedure that is usually recommended to a person to improve their acne scars? The answer is “no”.  But I usually present all options to the patient.  Among these options include laser resurfacing, chemical peels, dermabrasion, dermasanding, fillers, fat injections, and excisional techniques.  It depends on how your scars look like.  If you have alot of deep ice pick scars you may need some excisions to completely remove them.  Of course if they are everywhere you might have to pick and choose which ones to excise or cut out.  This excisional approach is usually followed by some resurfacing.  I usually prefer to excise and then resurface the areas at the earliest 6-8 weeks.  One important point to remember is that the goal is improvement.  Your skin is probably not going to ever look like your skin when you were a baby of course. But we can make it better!  Fat injections and fillers can be used to break up the scarring that sometimes holding the skin down to the deeper layers.  This often causes the scars to be held down.  Fat injections is the best way to soften up the adhesions of scarring to allow the skin to come away from the deeper scarring. Here is a live demonstration of fat injections being done in the face (Dr Young is a fat injections specialist from Seattle, Washington). Fillers can also do this, but less well.  Here is a live demonstration video of an Acne Treatment Procedure.

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

Posted in Acne Scar Treatment, Chemical Peels, Dermatology, Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Laser Resurfacing, YoungVolumizer | Comments Off on Facelift for Acne Scarring and other options by Dr. Philip Young of Bellevue | Seattle:

Chemical peels can be uncomfortable but depends on the depth of peels.

Tuesday, February 23rd, 2010

Chemical peel (Dr Young’s Chemical Peels) can be uncomfortable but depends on the depth of peels.  Superficial peels can even be uncomfortable and many times I will use a hand held fan in my practice.  The other doctors mention that chemical peels don’t really hurt.  I would tend to disagree based on my experience.  Jessner’s peels are superficial but they are uncomfortable but tolerable.  Anything using tca 20% or more will cause discomfort that will need oral sedation or iv sedation in my opinion for my patients comfort along with topical anesthesia.  Glycolic peels are more superficial than Jessner’s peels but they are still uncomfortable in my experience. I’ve done these myself on myself.  So make sure to ask your doctor what they do to make you feel more comfortable.  There are things that can be done!

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

Posted in Chemical Peels | Comments Off on Chemical peels can be uncomfortable but depends on the depth of peels.

Blisters and peeling after a Jessner’s peel. Is this normal?

Tuesday, February 2nd, 2010

Blisters are unusual after jessner’s and Strong itching could be indication of infection. Jessners (Seattle) is a superficial peel and should really have just redness after the peel and peeling of skin 3-5  days later. The blistering that you see could be crusting and you may need to clean more aggressively at least every 2-3 hours and sometimes every hour to decrease the crusting by moisturizing it and allowing the crusting to naturally fall off with the rinsing.  I would definitely have the physician see you and make sure that you are taking care of the peel after the procedure.  Jessner’s peels are difficult to take deeper beyond the floor of the skin (or basement membrane).  Even 5 coats may not take the peel deeper than the basement membrane which leads to a superficial to medium depth peel.

Thanks for reading, Dr Young

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

Posted in Chemical Peels | Comments Off on Blisters and peeling after a Jessner’s peel. Is this normal?

What is a glycolic peel best for treating?

Sunday, January 24th, 2010

Glycolic acid peels are superficial but can be important for regular skin care. They are superficial peels and the aggressiveness of the peel is dependent on the percentage of the glycolic acid in the preparation.  They are fairly safe and it is very difficult to make them deep and thus complications are much lower as compared to other peels.  One thing to remember is that sometimes the more aggressive you are the more results you will get for the most part.  Glycolic acid peels that are from 0-30% can be done at home with some guidance.  Anything stronger would be wise to be carry out with the guidance of a physician.  At home glycolic peels are a great way to keep up your skin from a maintanence stand point.  I usually start patients on a skin care program with retinols, hydroxy acids, buffing cleansers, gentle cleansers and see how they do and tolerate it.  Once this basic regimen is tolerated for a couple of weeks then I start them on the at home glycolic peels and guide them through this.  With this regimen, you can get your skin to turnover much quicker (from 28 days to 10-14 days or less).  This will help with unwanted pigmentation, decrease the size of pores, improve texture, and decrease fine wrinkles.

Thanks for reading, Dr Young

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

Posted in Chemical Peels, Dermatology, Skin Care / Intense Pulse Light | Comments Off on What is a glycolic peel best for treating?

How often should you do chemical peels to maintain the results.

Sunday, January 24th, 2010

How often you do peels can be subjective and dependent on how you feel your skin is doing and for what condition you are treating.  Chemical peels can be varied in terms of how deep you want the peel and how deep the issues you are trying to treat. Superficial wrinkles and pigmentation issues can be improved by superficial peels.  Deeper wrinkles and pigmentation can be improved by more aggressive and deeper peels.  Deeper peels should not be repeated for several months and even up to a year.  Your physician can monitor how you are healing and determine this.  Superficial peels allow a faster recovery and thus you can do these much more frequently.  Glycolic peels can be done 2-3 times per week depending on how a person is tolerating the treatments.  Your doctor can help you determine this.  To maintain the results you need to determine with your doctor how your results are coming along.

Thanks for reading, Dr Young

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

Posted in Chemical Peels, Dermatology, Skin Care / Intense Pulse Light | Comments Off on How often should you do chemical peels to maintain the results.

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