Archive for the ‘Liposuction’ Category

Tummy Tuck vs Liposuction

Friday, January 8th, 2016

How do you decide if you need a tummy tuck? Liposuction? or both? This is a common question regarding abdominal body contouring. In general if you have a lot of excess skin, a tummy tuck is probably your best option. On the other hand if you your skin elasticity is good with not much excess, liposuction may be the answer. Lipoabdominoplasty is the combination of liposuction with a tummy tuck in the same operation. Usually the liposuction is performed towards the sides of the belly and not very aggressively if at all in the midline region.

Thanks for Reading. I look forward to posting more very soon.

Dr. Philip Young

Reoccuring jowls and neck laxity after a facelift will likely need revision by Dr. Philip Young | Aesthetic Facial Plastic Surgery

Tuesday, January 18th, 2011

Reoccuring jowls and neck laxity after a face  neck lift likely will need some type of revision.  Liposuction could handle some of these issues, if these issues are related to excessive fatty tissue. The concern with just employing liposuction is the layering of the skin.  With the reduction of fat, the skin will be of relative excess and may or may not redrape the way you would like it to.  Also often the reoccurrance is not due to loosening, it is often due to the loss of swelling from the process that was acting to pull back the neck and jowls.  I know that there are certain things that you really need to do for the neck to be properly shaped and formed.  You need to remove all the necessary fat that has accumulated and also you really have to treat the neck thoroughly to pull it tight.  You need to do a corset neck lift and this needs to be done with an attention to detail.

mini face lift before after pictures

face lift mini vs deep smas lift

Hope this was interesting

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

Thanks for reading, Dr Young

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

lumps and bumps 11 days after neck liposuction, is there anything more that I can do?

Wednesday, December 29th, 2010

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

This is a question that I answered for a patient that liposuction done by another surgeon. She was followed by one of the nurses who told her to stop wearing the wrap 11 days after the procedure and that there was nothing to do about the lumps.  She wanted a second opinion.  this is how I answered her question:

Wearing a wrap after the neck lift can be very beneficial. Lumps and bumps are usually par for the course and sometimes unavoidable. They could be areas where there was a previous blood or fluid collection, a suture, retained fat deposit, etc.  I suggest to my patients wearing the wrap non stop for 7 days, and then at night for a total of 2 months.  Where there are areas of swelling, lumps and bumps I suggest them placing some extra gauze there under the wrap for more pressure. This often can resolve some extra swelling.  If this continues there are other measures that can be taken to help the situation, ie steroid injections, more liposuction, removal of the suture, etc.

Thanks for reading, Dr Young

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

Neck lift versus Liposuction for Neck Laxity and Double Chin by Dr. Young of Bellevue | Seattle:

Thursday, June 17th, 2010

Neck lift versus Liposuction for Neck Laxity and Double Chin by Dr. Young of Bellevue | Seattle: When a patient comes in for neck laxity and a double chin, the exam to figure out what options are best is vital. Typically what I do is to assess the neck for how much fat the neck has, how much laxity there is in the neck muscle (platysma), how the skin is, etc.  The most important thing I ask patients to do is to show their lower teeth to assess the platysma. What this allows me to do is assess how lax the platysma is and if the laxity and double chin situations is due to the platysma being lax and is coming away from the deep neck structures. When someone shows their lower teeth and the platysma is tensing and showing through the skin and appears to be causing the neck laxity, a neck lift would seem to be the best option to improve the overall neck laxity.  If the movement of showing the lower teeth does not show that the platysma showing through the skin of the neck and being the cause of the neck laxity and the fat could be responsible for the neck laxity, then liposuction could be the best option.  My approach to neck laxity is based on over 1200 neck and facelifts.  I tend to keep the platysma muscle intact without cutting it and I use sutures to tighten the platysma from under the chin to the bottom of the neck just like a corset and this technique is  called the corset platysmaplasty. I think that working under this muscle is important as well include more defatting and more sculpting of the muscles deep to the platysma to further contour the neck and just under the chin.  I further use sutures to further tighten the neck muscle laterally and not just in the midline.  Laterally, I continual the tightening in a corset manner to improve the contour and also to shape the submandibular gland and its position.  Here  is a video to explain:

Thanks for reading, Dr Young

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

Turkey neck treatment in a person that is afraid of her history of keloids!

Thursday, September 3rd, 2009

Keloids occur less in the facial area and certain ethnicities are more prone. It really depends on where you develop keloids.  Areas of high movement such as the knees, and shoulders are more likely to develop keloids.  The high part of the chest is another area that has a predilection for keloid production.  If you developed keloid in these prone areas the chances are that you develop keloids to the facial area are probably a lot less.  You are caucasian based on the pictures which leads me to believe that you are probably less likely to develop keloids in your face and neck area.  But you may be a rare case and more details about your keloid formation would help someone decide.  The options for improving your turkey neck include liposuction which will give you some mild to moderate improvement.  A formal neck lift (or necklift / platysmaplasty / lower face lift ) can entail only small incisions under your chin and behind your ear and hide very well and really improve your turkey neck (or submental fat, double chin / neck laxiy / neck bands / fatty neck).  Others have used lasers to tighten up the skin to a minimal degree.  But if you really want some results, I would do a more formal procedure and it can make a world of difference!

Thanks for reading, Dr Y

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