How long does neck lift last?

Posted on April 22, 2024 by admin

The aging process is continual, and a neck lift is a surgical procedure to address and improve some of the signs of aging along the neckline and jawline. Typically the results of a neck lift will last ten to fifteen years, while maintenance with a good skincare routine and proper noninvasive treatments will help to extend this duration.

Neck lift and deep-plane facelift before and after
Neck lift and deep-plane facelift by Donald B.Yoo, M.D.

What is the best age for a neck lift?

The best age for a neck lift is when laxity in the skin and soft tissue of the neck and face begin creating sagging along the neck line or jowling along the jaw line. The majority of patients will seek treatment in their 40s to 50s, though depending on genetics and lifestyle this spectrum may widen to include patients in their 30s as well.

Is a neck lift painful?

Neck lifts do create some discomfort initially due to the tightening of previously lax skin and soft tissue along the neck and lower face, but are generally not painful. Typically the discomfort will largely resolve within the first week as much of the swelling resolves, and most patients will be able to return to light exercise after two weeks.

Why are neck lifts so expensive?

The cost of a neck lift and face lift will depend on patient-specific factors such as baseline anatomy and aesthetic goals which determine the complexity and breadth of the surgery, and also on the experience and skill-level of the facial plastic surgeon.

Are you awake during neck lift surgery?

Neck lift surgery may be performed as an awake procedure under local anesthesia and sedation, or it can be performed under general anesthesia. For most patients, general anesthesia represents the safer and more comfortable treatment option, but some surgeons may be reluctant due to the more stringent requirements of a certified surgery center and the need for an anesthesiologist. Be sure to discuss the pros and cons of each with your surgeon to determine what time of anesthesia is best for you.

Can I tighten a saggy neck without surgery?

Yes! One of the marvels of modern medicine is the availability of nonsurgical skin tightening and nonsurgical neck lifting procedures to help address the signs of aging with minimal downtime and without any signs of surgery. Noninvasive and nonsurgical face lift involves the use of energy delivered to the deep layers of the skin and subcutaneous tissue to create tightening and re-organization of collagen and elastin. Some of the most effective devices in the market today include: Potenza, which uses RF (radiofrequency energy) delivered through an array of micro-needles, Ulthera, which uses high-frequency ultrasound, and OligioX, which relies on precise RF delivery to multiple layers of skin.

Nonsurgical Neck Lift with Potenza
Nonsurgical Neck Lift with Potenza

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What is a revision rhinoplasty?

Posted on April 19, 2024 by admin
Revision rhinoplasty with rib cartilage to create greater tip refinement and to eliminate a pollybeak deformity.
Before and After Revision rhinoplasty with rib cartilage with Dr. Donald B. Yoo to refine the nasal tip and to eliminate a pollybeak deformity.

Revision rhinoplasty is a nose job surgery performed in the setting of a previous, or multiple previous, rhinoplasty surgeries that have left a patient with aesthetic and/or functional issues. The aim of revision rhinoplasty and revision nose job surgery is to restore normal function while enhancing the shape and appearance of the nose.

Is revision rhinoplasty a good idea?

Appropriate candidacy for revision rhinoplasty or revision nose job surgery is best assessed by a rhinoplasty surgeon specializing in revision rhinoplasty surgery. The goals for a revision rhinoplasty must be congruent and attainable for a patient to be a good candidate for revision nose job surgery, which can only be determined after thorough evaluation and comprehensive consultation with an experienced revision rhinoplasty surgeon.

What is the success rate of revision rhinoplasty?

Multiple publlished stuides have attempted to determine the revision rate after rhinoplasty and revision rhinoplasty, and the revision rate typically ranges between 10%-20%. While the true number may be difficult to accurately ascertain, one thing is clear from these studies – the rate of dissatisfaction and desire for revision surgery is far higher for rhinoplasty and revision rhinoplasty than for the majority of other surgical procedures. This is partly due to the complexity of the operation itself, partly the expectations of highly motivated patients seeking elective cosmetic surgery, and partly the technical prowess of the surgeon performing the rhinoplasty. Paramount to success is careful patient selection by the surgeon, and careful surgeon selection by the patient, so that the patient’s expected idealized outcome is coherent with the rhinoplasty surgeon’s experience, technical abilities, and aesthetic eye.

Revision rhinoplasty with rib cartilage to straighten and symmetrize deviation and asymmetry caused by a previous rhinoplasty.
Before and after revision rhinoplasty with rib cartilage to create greater straightness and symmetry to the nose.

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How long does Asian rhinoplasty last?

Posted on April 18, 2024 by admin
Before and After Asian rhinoplasty (Asian Nose Job) with Asian rhinoplasty specialist, Dr. Donald B. Yoo, M.D.

Asian rhinoplasty, when performed with tissue from your own body (autologous grafts) is permanent. One of the great benefits of autologous grafts are that they are viable, living tissue from your own body, so there is no risk of rejection or resorption as the tissue will be fully incorporated into your nose. If Asian nose job surgery is performed with synthetic implants, then those implants will have to be removed at some point as they will eventually thin the skin and become visible, or even extrude.

What is an Asian nose job rhinoplasty surgery?

Asian rhinoplasty or Asian nose job, is a specific type of surgery to reshape the nose with techniques providing increased structural integrity to the nose while adding definition and increasing refinement. Asian rhinoplasty techniques often demand the use of cartilage and/or tissue in addition to what is available in the nose to supplement the strength of the nasal framework to reshape the overlying skin. Rib cartilage and diced cartilage fascia (DCF) are common autologous grafts used to reshape the nose in a permanent fashion.

Asian Rhinoplasty with rib cartilage and diced cartilage fascia (DCF) before and after

What is Korean nose job surgery?

Koreans tend to have slightly thinner skin than other Asian patients, while still retaining a relative lack of strength of the nasal cartilage (tip cartilage and septal cartilage). This combination presents a distinct set of challenges for the Asian rhinoplasty surgeon to address, as projection and support must be added to the nose in a way that maintains delicate tip and dorsal (nasal bridge) aesthetics while providing a permanent result.

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Asian rhinoplasty

Posted on April 16, 2024 by admin

Is Asian rhinoplasty different?

Asian rhinoplasty represents a unique subset of rhinoplasty surgery that requires specialized technical expertise and an aesthetic eye that is finely in-tune with Asian beauty standards. While a standard rhinoplasty procedure may involve reducing the size of a nose, removing a dorsal hump, and refining the tip the of the nose, Asian rhinoplasty and nose job surgery will often necessitate the addition of structural elements to the nose to add projection while also increasing the definition of the nose. In a standard rhinoplasty, often excess cartilage, bone and soft tissue may be removed to achieve the desired shape, with enough cartilage present in the septum to provide material for any grafts that may be necessary. In Asian rhinoplasty, typically the skin is thick relative to the strength of the intrinsic septal and nasal cartilage, and thus additional tissue (in the form of ear cartilage or rib cartilage) will be necessary to provide the requisite support to reshape the nose and skin envelope in a permanent fashion.

Asian Rhinoplasty with rib cartilage and diced cartilage fascia (DCF) by Dr. Donald B. Yoo

Which country is best for rhinoplasty Asian?

The best country of Asian rhinoplasty is the country that has the best rhinoplasty surgeon for you. Asian rhinoplasty is not a one-size fits all operation, and the selection of the best surgeon for you will come down to your aesthetic and functional goals and how they align with the training, background and expertise of your surgeon. Seoul, South Korea and Beverly Hills, California, United States are two of the most preeminent destinations for Asian rhinoplasty.

How long is recovery from Asian rhinoplasty?

After Asian rhinoplasty patients will have a cast on the bridge of their nose, and sutures will remain in place for a week. Even when additional grafts are taken from the ear, rib or fascia, all the surgical sites including the nose will heal simultaneously with the sutures being removed after the first week. At 2 weeks after surgery, most patients will feel ready to return to public, although the nose will be swollen. Much of the swelling will dissipate over the first 3-6 months, though it will take 1-2 years for full healing.

Asian rhinoplasty with rib cartilage and diced cartilage fascia (DCF) with Dr. Donald B. Yoo, M.D. #YOOnose

Where is the safest place to get a nose job?

The United States is known for having some of the highest standards in healthcare and cosmetic plastic surgery. The United States enjoys the privilege of having the very best universities and medical schools in the entire world, and ability to select only the best and brightest students to become medical doctors and surgeons equipped with the most comprehensive education and rigorous training. The US offers exceptional patient care and superlative plastic surgery and rhinoplasty outcomes, drawing patients domestic and international.

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What is nose job without surgery? Is Rhinoplasty without surgery performed?

Posted on April 12, 2024 by admin
Before and after nose job without surgery with rhinoplasty specialist Dr. Donald B. Yoo, M.D.

Rhinoplasty without surgery, or non-surgical nose job, is a commonly performed procedure to reshape the nose in a temporary fashion. Using hyaluronic acid fillers, such as Restylane or Juvederm Voluma, the nose can be augmented and refined by adding volume to the nose in specific areas. Though the change is not permanent, and is limited compared to what is possible through surgical rhinoplasty and nose job, it does offer a way for patients to experience subtle to moderate changes, especially to the bridge or dorsum of the nose, with more subtle changes to the tip projection and tip aesthetics.

Duration: How long does nonsurgical rhinoplasty last?

Depending on the type of hyaluronic acid filler, a nonsurgical nose job will typically last between 9-18 months. The body will naturally absorb the filler material during this time until the nose returns to its pre-procedure state.

Process: How is nonsurgical rhinoplasty performed?

The skin of the nose will be numbed with a topical anesthetic, which typically takes 20-30 minutes. After the skin has been anesthetized and the nose has been aseptically prepped, the nonsurgical nose job is performed by multiple transcutaneous injections using a hyaluronic acid filler to add volume to specific areas of the nose. Most injections will be injected directly above the periosteum of the bone, or deep in the subcutaneous fat underneath the skin, and when performed expertly can improve nasal contours, symmetry, add augmentation, increase projection, rotate or counter-rotate the nasal tip, and increase definition and refinement of the nose in a safe manner.

How successful is non-surgical rhinoplasty?

In the hands of an experienced rhinoplasty surgeon, skilled in non-surgical rhinoplasty, the results will almost always be successful as long as the surgeon and patient have had a realistic discussion of the expectations and limitations of the procedure. Proper candidates for nonsurgical rhinoplasty will have nasal shapes than can be improved with the addition of volume, not the reduction of volume.

Is it possible to fix your nose without surgery?

The shape of the nose can be changed and improved nonsurgically with hyaluronic acid fillers in a procedure called nonsurgical rhinoplasty or nonsurgical nose job. The dermal filler material can add volume to the nose to improve aspects including contour, symmetry, and projection. The degree of correction is limited compared to surgical rhinoplasty, and the results are temporary, but can in many cases provide a significant improvement with minimal downtime.

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What is a facelift? How long does a facelift usually last?

Posted on April 9, 2024 by admin

Facelift, or rhytidectomy, is a common facial plastic surgery procedure performed to address the signs of aging by repositioning ptotic and sagging tissue, removing excess skin and facial fat, while restoring volume to deficient areas. The overall effect is a more youthful appearance to the midface and cheeks, jawline and neck.

How long does a facelift last?

A facelift reverses many of the signs of aging to the mid-face, lower-face, jowls, jawline and neck, but does not stop the process of aging. It can be thought of as reducing one’s appearance by ~10-15 years. Patients who are very proactive about addressing the signs of aging will plan for two facelifts in their lifetime.

What is the best age to have a facelift?

A well-performed facelift can reasonably be expected to last for 10-15 years. With this timeline, the most typical age to undergo a facelift is 45-50, though this will vary based on individual factors such as genetics, lifestyle and cumulative sun exposure. Patients with unusually lax skin and early signs of facial aging may even consider a facelift as early as 35.

Is a facelift very painful?

Facelift surgery and rhytidectomy is not typically painful, as much of the face and neck is actually somewhat numb immediately after the procedure, due to the dissection required to mobilize the skin and soft tissue in the face and neck. Range of motion of the neck is slightly limited in the short term, and may feel tight, leading to a sensation of tenderness. Most patients will experience only minor discomfort after a few days or recovery.

How much does a facelift cost?

The cost of a facelift will depend on the skill and experience of your surgeon, as well as your individual anatomy and specific aesthetic goals.

What types of facelifts are there?

While many variations of facelift and rhytidectomy techniques exist, most contemporary surgeons will favor an approach that incorporates a deep-plane dissection as its foundation, while incorporating specific techniques to best address the neck, mid-face and periorbital areas that will suit the individual patient’s aesthetic goals and the patient’s unique anatomy.

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What is a lip augmentation? How long does lip augmentation last?

Posted on April 9, 2024 by admin

Lip augmentation is typically performed as a non-surgical, office-based procedure with a hyaluronic acid filler. Hyaluronic acid fillers have revolutionized aesthetic medicine and plastic surgery since first being FDA approved in 2003 for their strong safety profile, ease of use, and predictable results.

Lip augmentation with facial fillers typically last between 6-12 months, depending on the type of hyaluronic acid filler used. The ideal filler for the lip is soft and silky, allowing the natural qualites of the lips to be preserved. Two of the most popular fillers for lip augmentation are Restylane Kysse and Juvederm Volbella, as they both are able to give a hydrated and full appearance to the lips, while retaining a completely natural aesthetic.

What is in lip fillers?

Hyaluronic acid gel fillers such as Restylane Kysse and Juvederm Volbella are synthetic versions of the glycosaminoglycans that are present in skin naturally, providing volume and elasticity. With aging, and loss of hyaluronic acid, skin becomes thinner, less elastic and more prone to wrinkling and forming rhytids. Hyaluronic acid gels are synthesized in a manner that causes them to last longer than naturally occuring HAs, but will still be absorbed normally by the body over time.

How long does lip filler last?

Lip fillers and lip augmentation with facial fillers will typically last 6-12 months, depending on the type of filler used. Hyaluronic acid fillers such as Restylane Kysse and Juvederm Volbella are the safest and most predictable way to add volume and hydration to the lips.

Which is better lip filler or lip augmentation?

In the past, surgeons have tried to augment the lips in a number of creative, and ultimately abandoned, ways. The difficulty with surgical augmentation is that the lips are an anatomically delicate area that has complex movement, abundant nerve endings, and central to one’s appearance. The ideal augmentation will move naturally, feel soft and silky like natural lips, and be precise to place. For all the advances of modern medicine, at the moment the best material for this is hyaluronic acid filler.

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How many units of Botox does it take to reduce a masseter?

Posted on April 6, 2024 by admin

Botox for masseter reduction, or Dysport for masseter reduction, is an excellent procedure to reduce the tension in the jaw, decrease grinding of the teeth, relieve stress in the lower face, and to slim the appearance of the jawline and face. As a neuromodulator, the mechanism of action of Botox and Dysport is to work at the neuromuscular junction to prevent the presynaptic release of acetylcholine, thereby relaxing the muscle by preventing its contraction. As new synapses form within the neuromuscular junction, this effect subsides until eventually full function of the target muscle returns – typically in 3-4 months.

During the time the neuromodulator (Botox or Dysport) is active in the muscle, the muscle becomes relaxed and can not contract with its normal force. The masseter muscle is one of four muscles involved in chewing, and when it becomes relaxed will reduce the intensity of bruxism or teeth grinding and clenching, relieve stress associated with tension in the lower face and bite, and will slim the face by reducing in size and volume.

Does Botox or Dysport permanently reduce the masseter muscle? No, it can not make a permanent change as it will only relax the masseter muscle in a temporary fashion, typically relaxing the muscle for 3-4 months. Once the masseter muscle function returns, the bulk and volume of the muscle will return, typically a total of 4-6 months after the treatment.

How many units of Botox does it take to reduce a masseter?

For most patients undergoing Botox for masseter reduction, 20-30 units per side is a typical range, with 25 units per side being the most common initial dosing.

With Dysport for masseter reduction, a 3:1 conversion for equivalency, which means 60-90 units of Dysport per side, or 75 units per side.

How long does it take for your masseter to shrink after Botox or Dysport?

The muscle will relax and clenching, grinding and stress symptoms will decrease in ~1 week. Once relaxed, the masseter muscle will take 4-6 weeks to visibly shrink in size, and it will continue shrinking and slimming your face for the 3-4 months that Botox or Dysport is active.

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Oligio X Next Generation K-Beauty Skin Tightening

Posted on April 1, 2024 by admin

The aging process of the skin involves an accumulation of extrinsic and intrinsic factors that contribute to increasingly loose, sagging skin with pigmentary dyschromias. Though we have little control over the intrinsic factors (genetic and cellular) that cause our skin to age, the extrinsic factors – such as exposure to sun and its resultant U.V. radiation, and to environmental pollutants and contaminants, are things that we can minimize to maintain the youthful qualities of our skin. With chronological aging, however, even the most steadfast will experience thinning of the collagen and elastin within the dermis, a decrease in the subcutaneous fat under the skin, and thinner, more wrinkle-prone and lax skin.

Radiofrequency energy is formed by oscillation of electrical current in the 20 kHz to 300 GHz range. RF current has been applied in medicine for over 100 years, in applications as diverse as electrosurgery to magnetic-resonance imaging. Previous generation RF-based skin tightening devices such as Thermage delivered RF energy in a way that caused quite a bit of patient discomfort, thus limiting effective energy delivery to the skin and subcutaneous tissue. Oligio X delivers radiofrequency energy at a high frequency (6.78 Mhz) simultaneously with pulses of cooling gas, which allows for impedance matching with the deep skin layers while protecting the epidermis, and minimizing discomfort to the patient. The RF energy will efficiently heat the dermis and subcutaneous tissues to allow for maximal collagen formation and re-organization in safe manner.

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What’s the best treatment for sun spots, hyperpigmentation and solar lentigines?

Posted on March 13, 2024 by admin

Light amplification by stimulated emission of radiation, or laser devices, provide focused energy delivery to precise targets in the skin while minimizing collateral injury. Prior to 2012, Q-switched lasers delivering light energy at nanosecond wavelengths allowed for pulsed energy delivery that could target lesions such as sun spots, hyperpigmentation, melasma, nevus of Ota and other pigmented lesions to maximize destruction and fracture of the melanocytic components creating dyschromias in the skin while minimizing the thermal injury to surrounding normal tissue and skin which could result in post-inflammatory hyperpigmentation. With the advent of even shorter pulse-width lasers, in the order of picoseconds instead of nanoseconds, the ability of deliver higher peak power density comes also with the ability to reduce the amount of photothermal injury due to the reliance of photoacoustic and photomechanical destruction of melanin into smaller particles for absorption by the lymphatic system of the skin.

Since being awarded FDA-approval in 2012 for their 755 nm PicoSure laser, Cynosure has continued to innovate and develop the next generation in pulsed picosecond laser technology with the PicoSure Pro, which captures the short pulse-width technology but with enhanced peak power delivery, allowing for more effective and efficient treatment of hyperpigmentation, age spots, solar lentigines, tattoo pigment removal, and other pigmented lesions.

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