Archive for the ‘Complex revisional plastic surgery’ Category

Button Chin Implant Can Make Your Chin Look More Prominent and Your Jowls Also More Prominent.

Thursday, July 15th, 2010

I had a patient that had a chin implant (Dr Young is located in Bellevue Washington) placed by another physician near by.  The patient said to me that he felt his chin stuck out too much and that he had indents by his chin.  This was grafted with fat but the fat just couldn’t fill in all of the discrepancy.  We elected to look into his chin implant and replace it with an implant that has more lateral extension.  This was the thought after examining his chin.  When we went into the chin area the implant was indeed a “button” type of implant that just augmented the central part of the chin. This “button” type of chin implant is really rarely used for this reason.  I hardly ever put these in.  They accentuate the chin and make it look too big and also make the prejowl area deeper making the jowls look bigger.  Our answer was to put in a new implant that had more lateral extension and we choose the med por extended chin implant.  Here is a picture of the chin implant that we used:

The chin implant that he had look like this:

What might not be apparent in the picture right above is that the anatomical chin implant lacks the lateral projections for a more even transition to the jawline. The person’s implant that we did surgery however had even less lateral projection.  After removing the implant we tailored the extended chin implant because we thought it was too big and we then screwed in the implant to improve its “take” in this region.  Screwing the implant can decrease unwanted increase in size of the augmentation, prevent fluid accumulating deep to the implant that could cause infection, it also fixes the implant so that the implant doesn’t move.  Here is a video showing this patient’s implant and what we plan on putting in to replace their implant.

Thanks for reading, Dr Young

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

Complex revisional plastic surgery procedures

Saturday, August 8th, 2009

When you want to get a revision of plastic surgery in the face and neck you definitely want to go to someone who has a lot of experience with these types of complex revisional plastic surgery.  I specialized in the face and neck and that is all I do.  I trained in Head and Neck Surgery and this has given me an in-depth understanding of the face and neck anatomy. This allows me to understand more complex issues when it comes to revisional facial plastic surgery.  I have a lot of patients that come from other doctors who have less than optimal results due to many different reasons, many of which are not due to the doctors.  Understanding these complex issues allows me to better treat them.  Many people come in for revisions of previous eyelid surgeries, many of which are procedures done in Asia.  Most of the time, these eyelid surgeries or eyelifts / blepharoplasty surgeries have created some unsightly results.  For Asians, creating a double eyelid fold is a popular procedures.  This is a complex procedure which demands a high degree of understanding of the eyelid anatomy.  Some of these revisions are needed to correct multiple eyelid folds, hollowing, asymmetric folds / eyelid height, reoccurence of the single fold, etc.  Depending on the condition, I have to recreate the fold, add skin, graft fat into the area, or take out more skin, take out scar, and reset the crease to a higher level.  Sometimes the muscle that lifts the eyelid is damaged and this can be repaired as well.  This same ideas apply to facelifts, neck lifts, brow lifts, cheek implants, fat grafting, facial implants, other types of eye lifts, rhinoplasty, botox, fillers, scars, laser treatments, etc.

Thanks for reading, Dr Young

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