Archive for the ‘Laser Resurfacing’ Category

Does Radiofrequency & Microneedling work for Acne Scars, Acne Scar Treatment in Plastic Surgery?

Sunday, September 4th, 2016

Radiofrequency & Microneedling for Acne Scar Treatment for Acne Scarring in Plastic Surgery

My experience in Plastic Surgery with microneedling & radio frequency is that some of the results have been less than satisfactory on the patients that I’ve seen and that have received this type of treatment for Acne Scarring and Acne Scar Treatment. I personally do not do radio frequency because I have yet to be convinced of the results. I usually wait at least 5 years for new technology to figure it self out, to get a sense for the effectiveness by the general public, and to see whether the hard data shows that it works. This is something that I learned from colleagues. It seems that many patients say that microneedling can help to a mild degree but I have had some patients say that microneedling creates additional scarring. They have come to me with bumps from a micro needling procedure. I have corrected micro needling scars like that many times before. This requires the same approach that I use to treat elevated scars and moles. My approach to acne scarring entail’s treating all the layers of the skin including building up the subcutaneous layer, the dermis as well as working from the top layers. You have to use multiple different types of treatments. I tend to group them all together in a combined approach that takes five to seven steps that’s done in about 2 hours. We call it the Acne Scar Vitalizer Treatment.

Here is a before and After our Acne Scar Vitalizer Treatment:

Acne Scar Treatment in Plastic Surgery for Acne Scarring, Microneedling & Radiofrequency #acnescartreatment #beforeandafter

#acnescartreatment #beforeandafter

Dr Philip Young and our Team at Aesthetic Facial Body Plastic Surgery

Renee Zellweger Plastic Surgery Results

Tuesday, November 18th, 2014

Beverly Hills Plastic surgeon EXCLUSIVELY weighs in on Renee Zellweger's new look!


I had many clients and other people mention about Renee Zellweger’s plastic surgery so I thought I weigh in on her results. She does look different. I think with celebrities we have in our minds a set picture of what they look like and there are many things that are related to this person which includes all of her movies. Over time people change and we see a gradual transition and we are okay with that. A sudden change presents more of a shock for people in this case.

The article discusses laser resurfacing, botox, fillers, upper eyelid lift and browlift. I think that all of those things could have been done but I don’t think that she had a brow lift. An eyelift can have a major impact on someone’s looks. A interesting study looked at the eye movements one makes when analyzing a new face and what we find, not surprisingly is that the iris is where we spend the most time looking at. This was pretty important in my discovery of a new theory on facial beauty. This is also the reason that if you do something to the eyes, your perception of what a person looks like will be drastically altered like it is in this case. In my expert opinion, I see that the major changes that have taken place is in the eyes and specifically an upper eyelid lift is what she had done and not much has changed. But because it was her eyes, a major impact and change was Perceived.

Asian Ethnic Laser Resurfacing by Dr Philip Young Aesthetic Facial Plastic Surgery Bellevue | Seattle

Monday, June 10th, 2013
Asian Ethnic Laser Resurfacing Before

Asian Ethnic Laser Resurfacing Before

Asian Ethnic Laser Resurfacing After Picture

Asian Ethnic Laser Resurfacing After Picture

Asian Ethnic Laser Resurfacing by Dr Philip Young Aesthetic Facial Plastic Surgery Bellevue | Seattle: Asian patients tend to develop moles and sunspots more so than the rest of the patient population. This is also something that is found other ethnicities. We explain some topics on hyperpigmentation and hypopigmentation on our Asian Ethnic Laser Resurfacing Page. Hyperpigmentation can happen as you age.  As you can see in the before and afters above, the laser resurfacing really helped this person out. Some of the moles are still there and these can be addressed as well. This particular patient wanted overall improvement and didn’t want all of the moles gone on his face. You can see our mole removal page and some before and afters here: Aesthetic Facial Plastic Surgery Mole Removal.

Laser resurfacing can be used to take the top layers of the skin down so that the deeper skin cells are able to resurface | reline the skin that has been taken away. In this process, the sun spots are reduced and fine wrinkles are smoothed away and improved. You have to be really careful to keep the laser resurfacing at a safe plane or depth. You can see more before and afters by visiting our laser resurfacing webpage.

We have treatment for some of these conditions including pseudohyperpigmentation. We use topicals to lighten the pseudohyperpigmentation that occurs a lot with asian laser resurfacing patients. You can visit our skin care page to read more about these topicals here:  Skin Care Products for Anti Aging.

Our Mission is to deliver unwavering quality care to improve people’s lives through Facial Plastic Surgery and the YoungVitalizer.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

Laser Mole removal and post procedure after care by Dr. Philip Young Bellevue | Seattle

Sunday, August 19th, 2012

Laser Mole removal and post procedure after care by Dr. Philip Young Bellevue | Seattle: The removal of moles with lasers mostly is done with the co2 laser. This will leave a raw area to heal. The best way to get the most optimal healing is to treat it like any resurfacing. We have a great cO2 laser resurfacing page that has links to help you understand the process. The first couple of days you need to clean the area every 1-2 hours so that no crusting develops and it stays raw and fresh. Contrary to what most people believe, you don’t want a crust there. The crust is actually food for bacteria and it will lead to a lot of inflammation and proliferation of bacteria. This page on Laser Resurfacing Post Recovery Care is more specific on this process.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

Co2 laser resurfacing video for learning about Active and Deep Fx, Total and Max Fx by Philip Young MD of Bellevue:

Saturday, August 11th, 2012

Co2 laser resurfacing video for learning about Active and Deep Fx, Total and Max Fx by Philip Young MD of Bellevue: I always get asked these questions on what is the difference between these terms regarding cO2 laser resurfacing. Active FX is the superficial component that shoots wider spot sizes that are superficial in the depth of penetration into the skin. Deep FX is the deep component that shoots narrow beams that reach deeper in the skin. The Active FX treats the sun spots and the superficial elements of the skin like the fine wrinkles. The Deep FX treats the skin by tightening the skin. When you combine the two it is considered total FX. Both Active and Deep are fractionated and within a 1 cm squared spot size there are more tinier spot sizes that are shot within the 1 cm but they are not completely covering the 1 cm spot. There is healthy untreated tissue within the 1 cm spot size to allow the healing to be faster and your recovery faster. Max fx is when you use Active Fx and the 1 cm spot size is completely covered within and it is not fractionated. With Max I usually do 2 passes to get even deeper.

Here is a video to further help you understand:

Thanks for reading

Philip Young MD

Seattle Acne Scar Treatment Webpage Released by

Monday, December 26th, 2011

Seattle Acne Scar Treatment Webpage Released by : We have made a new webpage on Seattle Acne Scar Treatment  on our website We added some new pictures / photos and some links to help people understand a little more about how we are treating scars that were created by Acne. We would also like to explain a little about our thought process when it comes to treating Acne Scars.Acne Scar Treatment Before After

Acne is a process that can affect all layers of the skin. The process originates from the hair follicle. The hair follicle depending on the point of the growth cycle that it is in will have a certain length that it goes in the skin. At times, the hair follicle will be very deep and sometimes less deep. The point is that when acne erupts, the process can extend deep into the skin and affect all the layers even the area deep to the skin. When scars form from Acne, they also affect all the layers of the skin. So the scarring is really pervasive. That makes treating acne difficult as well. When it comes to excisions, acne scarred skin is less pliable and it doesn’t stretch as much. This makes for a more difficult time with healing. Better results are harder to achieve. So you want to heal your skin. We believe that you have to prep the skin before you actually do other things like excisions, subcisions, punch grafting, flap reconstructions, and deep chemical peeling.  We have a 3-4 step process that we like to do for people. It entails 1. tissue grafting, 2. more invasive work such as excisions, subcisions, deep chemical peeling, punch grafting, flap reconstructions, 3. More refinement, 4. co2 laser resurfacing and dermasanding. Our goals are to heal the skin first, treat the skin with more invasive procedures to get the scarred skin to the same level, repeating the second step until the goals are reached, then refining our results with a polishing technique that entails co2 laser resurfacing and dermasanding.

You can go through our webpages with this in mind to better understand what we are aiming to do. We have topics on depressed white acne scars, box car scars, elevated white acne scars, pock mark acne scars and more.

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

Healing your body and mind by Dr. Young of Aesthetic Facial Plastic Surgery

Friday, December 9th, 2011

Healing your body and mind by Dr. Philip Young of Aesthetic Facial Plastic Surgery: 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 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.

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.

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 instruction 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.

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.

Dr. Philip Young, MD


We are releasing a new co2 laser resurfacing live video demonstration by Dr. Philip Young of Bellevue | Seattle

Sunday, November 20th, 2011

We are releasing a new co2 laser resurfacing live video demonstration by Dr. Philip Young of Bellevue | Seattle. Come see our new video and learn more about cO2 laser resurfacing. We also have very informative pages on laser resurfacing if you are planning to have this with your doctor that would be helpful in preparing for the pre procedure time period and after the procedure.

Laser resurfacing involves using a laser monochromatic light (co2, erbium) to remove the top layers of your skin. This action leaves the remaining skin cells located within the hair follicles to “resurface” the areas that have been removed from the laser resurfacing process. In that process you get a renewal of brand new skin over the treated areas. The healing that takes place (under cover) over the next year, leads to an increase in collagen production under the skin cells that tightens the skin layer and reduces fine wrinkles. This gives you an overall improvement to your skin. The lasering of the top layers also removes unwanted skin pigmentation issues, DNA damaged skin cells in the more superficial layers, and other damaged cells and tissue elements. The end results that is achieved is fresh renewed skin with more even pigmentation, decreased fine wrinkles, and more even texture.

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

Ice picks scars and why I like subcision / fat grafting / with chemical peels question and answers Dr. Young of Seattle:

Wednesday, September 28th, 2011

Ice picks scars and subcision, fat grafting, with chemical peels Dr. Young of Seattle:

This is what I wrote someone on Sept 28,2011:


Dr. Young,

Patient: I wanted to thank you again for your personable consultation the other day.  It’s never easy talking to a stranger about one’s insecurities, but you certainly made it comfortable enough that I am considering your recommendations.  Just a few questions I first need to ask.

Dr. Young: It was my pleasure.

Patient: Why did you choose the subcision with the chemical peel over other procedures? .

Dr. Young: I think that laser resurfacing may not fully cause those ice picks scars to come up to the level of the rest of your skin.  They (laser resurfacing / dermabrasion / Dermasanding) are better when the surfaces are more closely aligned. and leveled.  The chemical peel will get the ice picks to come up and the subcision will make them rise by stimulating from below.  Alternatively you can add fat grafting with the subcision for more of an effect. I would do the subcision / fat grafting first and then 1-2 weeks later do the chemical peels so that your skin is not too traumatized.

Patient: What are the alternatives?  And do they offer similar or less satisfactory results?

Dr. Young: You can cut around the ice picks and then raise them. This could help. They are more work though. You can add filler underneath them. You can excise a group of ice pick scars that are oriented in a pattern. You can do Dermabrasion but again resurfacing would be the last step. You can laser just the ice pick scars to get them to rise up (not as effective in my experience)

Patient: What are the side effects of these procedures?

Dr. Young: The side effects are mostly swelling, bruising.  Sometimes if you are too aggressive the scars could get wider but flatter. That is why I stage the subcision and chemical peels sometimes if the scars are deep and prominent and numerous.

Patient: How long is the procedure, and is it performed at the same clinic?  Do you schedule surgery on Fridays?

Dr. Young: The procedure will take about 1-2 hours. We can do Friday’s. We do the procedures here. We are AAAHC certified  here is a link to our plastic surgery AAAHC certification page

You can see more of our Acne Scar Revision Before and Afters here.

ice pick scars tca cross


Thanks for Reading Dr. Young

Learn more on our website

active fx and its help with reducing skin cancer by Philip Young MD of Bellevue

Monday, June 6th, 2011

Active fx and its help with reducing skin cancer by Philip Young MD of Bellevue: Active fx may reduce your recurrence rate for skin cancer. However, you should know that active fx is a fractionated approach and will get a percentage of your affected cells. Most of the studies on reducing the recurrence of skin cancer are based on complete resurfacing through either chemical peels or laser resurfacing. So, if you really want to reduce your risk of skin cancer I would suggest more complete chemical peels or laser resurfacing.  For Active fx, the term would be max fx and this would be more traditional resurfacing and riskier in some sense but safe in qualified hands and a person with experience.  We have a tremendous amount of information on our website on these subjects with a photo diary of someone who underwent this procedure. Here is a link to our Laser Resurfacing Photo Diary of Healing.

laser resurfacing healing diary

Thanks for reading, Dr Young

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