Archive for the ‘Skin Care / Intense Pulse Light’ Category

The YoungVitalizer’s positive effects on your skin by Dr. Young of Aesthetic Facial Plastic Surgery

Wednesday, July 11th, 2012

The YoungVitalizer’s positive effects on your skin by Dr. Young of Aesthetic Facial Plastic Surgery: The YoungVitalizer can have very positive effects on your skin by Dr. Young of Aesthetic Facial Plastic SurgeryHow does volumizing help your skin. It took me longer to realize the benefits of volumizing for the skin. But over the years, after showing patients pictures of before and afters, people noticed the improvement of the skin sometimes more than other effects from volumizing. How does it do that. This blog is dedicated to explaining how it works.

1st: The general distention and volumizing of the skin and face, makes the skin more taught. The effect is to have the skin flatter in most areas.

2nd: The stem cells that are brought in with the volumizing heals your skin as well

3rd: The increased distance that the facial muscles are placed away from the skin allows the skin to heal. You have skin cells that are constantly remodeling your skin. This increased separation allows your skin to decrease the skin wrinkles in your skin, etc.

youngvitalizer effect on skin rejuvenation

youngvitalizer effect on skin rejuvenation

Thanks for reading

Our team at Aesthetic Facial Plastic Surgery!

Aging and delaying the inevitable by Dr. Philip Young Bellevue Aesthetic Facial Plastic Surgery

Tuesday, January 17th, 2012

Aging and delaying the inevitable by Dr. Philip Young Bellevue Aesthetic Facial Plastic Surgery: The skin is an amazing organ.  It protects us from microbes and the elements, helps regulate our body temperature, and permits the sensations of touch, heat, and cold.  Human skin is compromised of the epidermis, the dermis and the underlying adipose layer.  In the dermis, collagen fibers work to give strength and structure to the skin, while elastin fibers allow the skin to stretch and return to its original shape.  It is well established that sun exposure breaks down those fibers and is responsible for premature aging as well as skin cancer.  The most common signs of aging are:

  • Sagging and loss of elasticity
  • Enlargement of pores
  • Dryness and dehydration
  • Hyperpigmentation
  • Telangiectasia

Sunscreen is, above all, the most important aspect of your skincare regimen.  We’ve all heard it so many times by our primary care physicians, dermatologist and plastic surgeons.  They’re not lying!  A broad-spectrum sunscreen must be applied every morning to prevent future damage.  Choose one that has zinc and titanium dioxide to ensure adequate UVA and UVB protection.  Topical antioxidants are also an amazing addition to your anti-aging skincare routine and will help everyone at any age.  In addition to a great preventative skincare routine, monthly microdermabrasion treatments or light chemical peels are great to assist in the penetration of active topicals.  If you have any questions or concerns regarding which products or treatments are best for you, feel free to call us anytime at 425-990-3223 or find us on our website

Thanks Dr. Young at Aesthetic Facial Plastic Surgery

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!

Natural Skin Lighteners by Dr. Philip Young Seattle

Monday, November 14th, 2011

Natural Skin Lighteners by Dr. Philip Young Seattle: Kojic acid and Arbutin are becoming more recognized as improving skin conditions such as Melasma, hyperpigmentation or “sun spots”.  How do they work?  They both inhibit Tyrosinase enzymes that produce melanin, thus controlling hyperpigmentation.  Kojic Acid is derived from Mushroom extract and also is a powerful anti-bacterial, antimicrobial, and has antibiotic properties.  Arbutin can be found in wheat, pears, bearberries, blueberries and cranberries.  Arbutin is also a great antioxidant and skin conditioner! We have several peels and products that have these amazing ingredients in them.  Call us today for further information at

Epidermoid cyst removing them without a scar by Dr. Philip Young of Bellevue?

Friday, July 1st, 2011

Epidermoid cyst removing them without a scar by Dr. Philip Young of Bellevue? This is my discussion on this topic:

The patient mentioned this: “I actually have an epidermoid cyst and dermatologists told me that there is no way to get rid of them without a scar. she said you can leave them alone and hopefullly one day they can go away.. is this the best advice with no scar ?”

I answered:”They could get worst and get infected.  If you don’t mind the cosmetic impact then you can wait and see what happens. I don’t usually see them go away and if they do it takes a long time”epidermoid cyst before and after

Epidermoid cysts occur when there is some event that causes the hair follicle or pilosebaceous unit to become clogged and then the lining of the hair follicle starts to grow and form a cyst or pocket that goes into your tissues.  I am unaware of removing them without a scar. Usually the best way is to excise the lesion to get rid of them.  There are ways to make the incision look better.

Thanks for reading, Dr Young

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

You can read more on his website

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:

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

Vitalize Peel from SkinMedica

Wednesday, November 3rd, 2010

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

I had the Vitalize peel a couple of weeks ago and I must say that I LOOOVVVVEEEEE my skin afterward.  The Vitalize Peel is from SkinMedia and is indicated for people with mild to moderate conditions of pigmentation irregularities, fine lines, wrinkles, superficial scarring, and acne.  The best thing about this peel is that it is suitable for all skin types.  Generally, peeling will last for about 2-3 days.  When I had the peel, I stayed inside for 2 days because I was peeling so much.  My recommendation for people who are interested in getting this peel is that you do it on Thursday.  You’ll look fine on Friday and the peeling doesn’t occur until the second day.  Enjoy a nice weekend inside and look great on Monday.  When I had the peel, I did it on a Friday and I started peeling on Saturday night.  By Sunday afternoon, I think half of face peeled off.  Most of the peeling was done by Monday morning but you could seeing where the skin was peeling along the hairline and down underneath my chin/jaw.  Luckily for me, I’m short so the peeling along the jaw/chin wasn’t that noticeable by anyone and my hair was able to cover the peeling along the hairline.  All of the peeling was completely gone by Thursday night and my skin looked amazing by Friday morning. See our page on Skin Care and Intense Pulse Light.

To begin the peel, the skin should be clean of any makeup.  A prepping solution will be applied to the skin (which has a strong smell of acetone to it so just a warning for noses in advance).  The solution which causes the peeling will then be applied to the skin for a couple of minutes.  A neutralizing solution will be placed afterwards.  You might experiencing a slight stinking sensation but using the fan will really help!  That’s pretty much it, quick and easy…

A couple of things to keep in mind:

– Since retinoic acid was used during the treatment, your skin will have this yellow tint to it.  This will fade in about 1-2 hours.  Remember not to wash your face until the yellow tint is gone or wait until the evening (usually this is about 3-4 hours later).

– The solution applied to the skin has a time releasing component to it, which means that it will not start to peel until about 48 hours later.

– Use SPF 30 or above for about a week and avoid direct sunlight.  Since we’re in the Great Seattle area and it’s almost winter now, you don’t have to worry so much about the direct sunlight.  Just remember to wear SPF 30.  Try getting into the habit of always wear SPF, it protects the skin.  You’re investing time and energy for beautiful skin so don’t ingore this very important step in your skin regiment.

– You’re skin will be a little bit red during this time which is normal.

– DO NOT PICK OR PULL AT THE SKIN.  I will not lie and admit that I am guilty of doing this a couple of times but try to reframe from yourself from doing this.  Just let the peel do its job.  You’ll have fabulous skin in no time. =)

SkinMedic has two other peels, a lighter one and a deeper one compared to the Vitalize Peel.  I recently tried the deeper one and I must say I don’t think I like it as much as the Vitalize Peel.  I peeled wayyyy tooooo much.  I think the deeper one is good for doing a maintenance peel every couple of months but doing this peel after the Vitalize Peel was too much for me personally.  My skin has slight pigmentation and acne scarring.   However, keep in mind that everyone has different skin so just because I say that it was too much for me, it could be different for you.  Darci is our wonderful esthetician and she can help you determine which route/course of treatment is better for you.

Thanks for reading, Dr Young

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

Cleaning your incisions after any procedure that requires suturing.

Friday, July 16th, 2010

This is a blog to discuss how to clean your incisions after any surgical procedure. The key for healing is to remove all crusting and to start with an incision that has the skin edges as close as possible together. The crusting is important to remove because the crusts can be nourishment for bacteria that can proliferate and cause more scarring. I usually suggest to my patients that they use vinegar and distilled water in a 1:3 dilution to clean the incisions. I tell people to do this twice a day. The goal is to get there incision to look like a fine wrinkle. If they keep doing this during the first 2 weeks the incision has the potential to heal incredibly. Always have vaseline over the incisions. It has been scientifically shown that skin cells grow faster when they have two surfaces to grow on. The vaseline serves as the other surface and this promotes the healing. You want the skin cells to grow over the incision as fast as possible. This reduces the scarring. Some people advocate hydrogen peroxide. I would caution that the use of this can be risky. I use the same dilution with hydrogen peroxide and distilled water in a 1:3 dilution. The key with the use of hydrogen peroxide if you are going to take the risk is to use it sparingly. You just want to use it to take the crusting off and then stop. If you do this more than that you can have more scarring. So being conservative is very important. If in doubt don’t use the hydrogen peroxide. And if you do use it, do so for only the first week and that is it. You should continue to clean your incision for about the first two weeks and keep vaseline on the incision at all times. After this you can do regular skin care and use sunscreen during the day (approximately 12 hours) and then silicone gel during the evening for 12 hours. The silicone gel can be found at any pharmacy or drugstore, like Bartells. I would do the silicone gel for the next 3 months. It is one of the only things that have statistically shown to make a difference in preventing scarring. Vitamin E, aloe vera, mederma based on my knowledge and recent literature search (05 / 2010) does not make a scientific difference. Following up with your doctor is really important to do so that they can make sure that you are on the way to healing the right way!

Thanks for reading, Dr Young

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

Can a diabetic get a microdermabrasion?

Friday, April 30th, 2010

Microdermabrasion should not lead to any issues in a diabetic.  You should be under good control however just to decrease any reaction or possible infection with the microdermabrasion.  Even if you sugars were not under total control the chance of something happening with superficial microdermabrasion is extremely small.  Microdermbrasion is a very superficial skin facial treatment and should not affect the skin’s water tight barrier to a great degree.  So introduction of foreign material, bacteria past the defences is much less likely with microdermabrasion as opposed to deeper chemical peels, laser resurfacing and dermabrasion.  Even with these deeper treatments, you can get them if you are a diabetic.  One thing to make sure is to have your sugars under control.  If this is not your current state, infections can be more risky for a diabetic with poor sugar control.

Thanks for reading, Dr Young

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

What are the options for Crows feet?

Saturday, March 6th, 2010

Crows feet are due to the eye muscles that surround the eye. These muscles are meant to close the eye, to blink, to protect the eye, etc.  When doing these movements, they can affect the skin around the sides of the eyes.  What results with this movement are the wrinkles that are commonly called the crowsfeet.  Botox is usually the way that people get some relief for them.  It usually takes about 8 – 12 units of botox on each side and the costs are around 10-16 dollars per unit of botox.  Other options include laser resurfacing, fillers, or fat injections for these wrinkles.

Fat injections and fillers function to do the same thing. When we age we lose volume in the skin and in the whole face in general.  What this does is bring the skin closer to the muscles of our face.  When we were young, there was a greater distance from the muscles of facial expression and the skin.  This distance was occupied by our skins fat and connective tissue.  When you smiled when you were young, the muscles tended to glide under your skin.  The fat in the skin above the muscles of facial expression allowed the skin to slide.  This exact phenomenon occurs in multiple areas of your body.  It is essential for muscle movement in fact.   As we age, the muscles of facial expression become closer to the skin, when we progressively lose the fat and connective tissue within and under the skin.  Hence, progressively when we smile are muscles of facial expression begin to exert more effects on the skin and these are manifested through wrinkling when we smile.  Through fat injections, fillers, or the YoungVolumizer, this layer of fat between the skin and muscles is increased and the muscles of facial expression have less of a wrinkling effect on the skin.

Resurfacing through chemical peels, lasers, or dermasanding / dermabrasion essentially takes away the top layers of the skin to allow skin cells deep within our hair follicles, glands etc to “resurface” the skin.  In the process of the procedure, we remove wrinkles, create a new layer of collagen underneath the skin, remove unwanted pigmenation and DNA damage, remove precancerous or cancerous cells, etc.  The skin then becomes renewed with healthier cells, you have less sun spots, wrinkles and the tone and texture of your skin is rejuvenated.

I hope that was interesting for you!

Thanks for reading, Dr Young

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