Archive for the ‘Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands’ Category

Avoiding the Unnatural Look with Facelifts

Friday, June 24th, 2016

Avoiding the Unnatural Look with Facelifts:

This is our post on how to avoid the unnatural looking facelift. (Click here to learn more about Facelifts)Why do people look unnatural with a facelift The biggest problem is likely found in our understanding of Aging. Previous thought has centered around the face dropping and hence pulling the face back has always been the solution. However, nowadays aging has been thought to be played or is due to more of a volume loss. And hence the volume loss to the face always makes the tissues of the face move in and down. But facelifts and traditional procedures have always pulled the face upwards and backwards which is the reversal of the Descent which is good. But it does not create the outward protrusion that is needed to more accurately reverse aging.

Facelifts are good at pulling back the jowls and creating a more v-shaped look in the face and it can improve the nasal labial folds and marionette lines to a degree. But to fully rejuvenate the face and some volumizing should be done throughout the whole face to get a more well rounded and more natural look. Here is more information on Facelifts Explanations and Options.

Here is a picture of a face and neck liftfacelift-before-after-image

This person looks great and this can help you if your jowls and neck are bad and you want to reverse the square look. To rejuvenate this person’s face more, we would suggest filling like this person. This person had the YoungVitalizer, The Incision Less Facial Rejuvenation:youngvitalizer-before-after-6-mo

 

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

The Facelift Incision: Pretragal, Post tragal, smokers, non smokers (Seattle, Bellevue)

Thursday, June 23rd, 2016

The Facelift Incision: Pretragal, Post tragal, smokers, non smokers

This is to help our Seattle, Bellevue Clients understand the facelift incision and when we us the pretragal versus posttragal incision. Below is a picture of the facelift incision. Click here if you want to learn more about Facelifts for our Seattle Bellevue Clients:

Facelift-figure-8-Different-Variations-of-the-Face-Lift-Dr-Young-Bellevue-Washington

If you look carefully the incision goes behind the tragus. The tragus is the cartilage skin composite tissue that sits in front of the ear canal. You can take the incision either in front or behind that piece of tissue. Below is a close up of the incision. Face-Neck-Lift-After-Picture-Incision-Dr-Young21-500x683

So when do you use the pretragal or in front of the tragus and do you go behind the tragus? The incision behind the tragus can be done for non-smokers and patients without peripheral vascular disease or diabetes. It should be reserved for the healthy patient with less chance of small vessel disease. The thought is that the tragus is an added distance from the blood flow and would be put at risk for skin death there if you were to put the incision behind the tragus. People with more chance of small vessel disease, we like to place the incision in the pretragal location or in front of the tragus. We like to find a wrinkle that is obvious or would be a good location for the incision. Many times, especially in men, there is a wrinkle in front of the ear that can serve as an obvious place to place the incision.

Below are some incisions of patients who had the same incision including the solid and dotted green lines that are shown above. Notice how these incisions hide very well for patients. You can learn more about facelifts in our Facelift Frequently Asked Questions Section of our website:

facelift-side-1

FaceLift-After-Image-Medium

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

Facelift Options Today for our Seattle Bellevue Clients

Wednesday, June 22nd, 2016

Facelift in Seattle Bellevue:

Hello there and thanks for visiting. So we wanted to talk about what are thoughts were on today’s topic of facelifts and how they stand today. Very simply, we have a simple approach to things on the face and neck. If you have jowls we would suggest the facelift first. If you have neck banding or neck laxity, a neck lift is ideal. For the rest of the face we suggest the YoungVitalizer. Below we will discuss more on why we choose those options for simplicity.

Facelift:

The facelift procedure is done through an incision around the ear. For the pull in the face the solid green is used. For more action in the neck the dotted green line is used.  The blue indicates the undermining that occurs with a mini lift. The yellow denotes the undermining for a more complete face and neck lift.

Facelift-figure-8-Different-Variations-of-the-Face-Lift-Dr-Young-Bellevue-Washington

After the elevation you will see this below. This shows the deep plane approach. The smas is the layer that most facelifts use to pull up the face. We use sutures to tie this smas layer up and tight. This also shows where the incision is placed:Facelift-figure-9-Actual-Face-Lift-Procedure-Photo-showing-the-Anatomy-of-the-Face-Lift-Dr-Young-Bellevue-Washington

Neck Lift:

A neck lift entails using an incision under the chin along with the facelift incision just discussed. If you are to do just a neck lift you can limit the incision at the dotted green line. Here is a video on the neck lift procedure that we do:

YoungVitalizer:

For the rest of the face, you can look younger in natural way with the YoungVitalizer the incision less facial rejuvenation procedure. here is a before and after of the YoungVitalizer:

youngvitalizer-before-after-6-mo

 

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

Face Neck Lift Testimonial

Wednesday, December 31st, 2014

“After the facelift, I feel more confident. Younger guys are looking at me more. I’m more excited about the way I look and it has made me feel a lot better. A lot of people don’t know what I had done. They just tell me I look great.” —S.K.

Facelift Necklift Testimonial

This is a testimonial for our Facelift Necklift Procedure

Feel more confident and stop hiding your neck and jowls. You can improve your looks dramatically with a facelift necklift. This is a safe procedure and we have done over 1300 face neck lifts over the past 12 years. Dr. Philip Young is a triple board certified facial plastic surgeon, researcher, beauty theorist who has published numerous peer reviewed articles, and chapters in major plastic surgery textbooks.

 

Seattle Face Lift Webpage Released by Dr. Young of Bellevue’s Aesthetic Facial Plastic Surgery

Saturday, December 31st, 2011

Seattle Face Lift Webpage Released by Dr. Philip Young of Bellevue’s Aesthetic Facial Plastic Surgery: We recently updated our page on face lift from our Seattle / Bellevue based office. There are some helpful links to our procedures including facelift, eye lifts, fat injections, brow lifts, and the YoungVolumizer, the breakthrough incision less face lift. What is the best thing for you. Dr. Young’s ideas are based on results, natural results and constantly improving the way we do things in facial rejuvenation. It started with his theory on facial beauty called the Circles of Prominence. During his training in Los Angeles, he noticed that some of the results from facial plastic surgery were not natural. Facelifts look pulled and stretched. Eyelifts were leading to people looking different from how they used to look when they were younger. This instilled Dr. Young to find out why. He discovered that much of what was out there describing what was beautiful in the face was relatively sparse. Even today’s plastic surgery textbooks, and other book on beauty still use theories from the 1400’s to describe beauty. Those theories are largely based on Leonardo da Vinci’s theories on beauty that are now referred to as the neo classical canons. They are founded on Roman theories and hence are termed “neo”.  These theories however are based on external landmarks that we just don’t spend that much time looking at when we see and analyze a face.  A new theory must be based on what we spend most of our time looking at. Dr. Young discovered, not surprisingly, that there was something in the eyes that was important for a new theory to be correct.  You can read more about Dr. Young’s theory on facial beauty here.

Seattle Face Lift

So what procedure should you choose. Well, if you want to look more like what you looked like when you were younger volumizing will play some role no matter what. The question is whether you changed your appearance over time. If you changed from your facial structure from a grape to a larger grape, you may have extra tissue that will need to be removed. This is where a face lift, neck lift and liposuction can help with.  But if you didn’t change much and just lost volume as you aged, then volumizing might be the main way for you to rejuvenate your face. Dr. Young has a way of determining what is best for you through his theory. Within the middle part of the face, Dr. Young believes that mid face lifts, and lower eyelid lifts are rarely the best option / choice. Volumizing is almost always the best way to rejuvenate this area. The one area that volumizing is the weaker choice is for the jowls, and neck laxity. The double chin, and neck banding are better treated with a neck lift and volumizing will not help much. For the eyes, if you don’t mind a more scultped look then an eyelift might be the better choice for you for you upper eyelids. Also if you didn’t like your eyebrows at the position that they were when you were younger, then volumizing might not be the best choice here and browlifting might be better. Just remember that a browlift will change the way you look but it can improve your eyebrow position.  But don’t do a browlift to return to a younger age and the way you looked when you were younger.

Dr. Young has a nice video on Introducing his Breakthrough Incision Less Face Lift, the YoungVitilizer.

You can visit this informative page: Facelifts Explanations and Options to learn more.

Thanks for reading

Aesthetic Facial Plastic Surgery!

Residual neck bands and neck skin by Dr. Young of Bellevue

Monday, June 6th, 2011

Residual neck bands and neck skin by Dr. Young of Bellevue: A Neck lift will help the banding your neck, but additional fat grafting / transer could also be needed in the future. This basic suggestion / opinion is from knowledge gained from doing nearly 1300 face and necklifts.  I don’t think a face lift revision will lead to a complete resolution to your issues unless you definitely approach the neck area with a neck lift. In my opinion, these are two different techniques (the face and neck lift).  The neck lift will markedly improve the neck bands and then after this you may still need to graft fat.  Based on the images, the neck probably is in need of some fat in some areas.  But I would wait to see how the neck lift improves your current status.  You may not need fat grafting at all. Only time will tell. You may also want to look at our new procedure called the YoungVitalizer.

neck lift before after pictures

Thanks for reading, Dr Young

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

Come visit our website at www.drphilipyoung.com

Neck folds | Neck Skin Laxity and addressing it with a Neck Lift or Facelift by Dr. Young Bellevue | Seattle

Monday, June 6th, 2011

Neck folds | Neck Skin Laxity and addressing it with a Neck Lift or Facelift by Dr. Young Bellevue | Seattle:

Questions: I don’t like my neck folds and laxity of my skin there do I need a facelift to address this or could I just get a neck lift? A face lift is good for reducing extra skin, elevating the jowls, and softening the naso labial folds wrinkles. A necklift is good for tightening up the neck banding and platysmal banding, removing fat within the neck, and sculpting the whole neck region. I opine that they are totally different operations that can be combined together  The face lift can improve the neck to a subtle degree and less so the other way around (neck lift does not improve the face that much at all).  In this particular situation where you have more concerns with the neck than the face, you could do just a neck lift and avoid the face lift.  This could also save you some money as well and less complications. This webpage goes over this subject and what a face lift does and what a neck lift does: Improving the Neck Through a Face Lift. You can read more about the Neck Lift Procedure and follow the links that describe certain subjects on the neck lift.

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Thanks for reading, Dr Young

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

Neck lift asymmetry what are the other options by Dr. Philip Young of Bellevue | Seattle

Saturday, June 4th, 2011

Neck lift asymmetry what are the other options by Dr. Philip Young of Bellevue | Seattle: There are many alternative in this situation after a neck lift. It depends on how long it was done additionally.  Some of this can go down over weeks, months and even years sometimes.  If this thickening persists at this location are the options: 1. you can inject steroids very carefully to decrease the volume and thickness of the skin; 2. You can think about doing more liposuction to reduce the volume and thickening as well; 3. You can carry out another neck lift to excise the scar directly; 4. You can augment the other side to match (through fat and fillers); 5. You can consider mesotherapy to reduce the fat on the bigger side to match the other side.

neck lift before after images

Thanks for reading, Dr Young

Dr. Young specializes in Facial Plastic 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

Alloderm for neck defects after neck lift

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 who had a neck lift that was done by another surgeon. The patient felt he had a defect and lack of volume from getting too much liposuction with the neck lift. He was wondering if Alloderm would be a good option:

Alloderm can work but may not be long term result. Some studies show complete absorption of the Alloderm. Fat injections can be a great alternative. This would be also a less invasive alternative as well. The YoungVitalizer is our unique option for facial rejuvenation but this approach that we use can also be used for helping with neck defects as well.

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Hope that helps!

Thanks for reading, Dr Young

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