When the skin goes through trauma it develops scar tissue to repair and protect the site of injury. There are a few phases to scar tissue formation. First is hemostasis where blood clotting begins and scab formation occurs. Next is the inflammatory phase where there is inflammation and edema. After that is the proliferation phase where collagen, elastin, and other components of granulation tissue are grown. Lastly is the remodeling stage where old cells are destroyed and new cells form. Errors in this stage can lead to excessive growth of tissue leading to hypertrophic scarring or keloids.
Keloids appear as pink, flesh, or red colored raised growths that can continue to grow larger. Growth can occur for months to even years. Hypertrophic scars are thickened scars that are more localized to the area of injury compared to keloids, are easier to treat, and can become less noticeable with time.
Ways to treat hypertrophic scars or keloids include steroid injections, dermabrasion, or lasers. It is important to discuss with your surgeon what options would work best for you!
Melasma is a condition where gray to brown patches appear on the face. It can occur in all skin types but more commonly on darker skin tones. Melasma occurs in 50-70% of pregnant women hence the nickname “pregnancy mask”. This skin condition is the most common cosmetic problem related to pregnancy.
Although the exact reason why melasma occurs has not been discovered, there have been various factors that have been thought to contribute to it. Such factors include sun exposure (UV radiation), pregnancy, genetic factors, hormonal treatments and cosmetic products. Pregnant women undergo a variety of changes internally and externally, and it is believed that the main reason melasma occurs is because of hormonal changes. The most effective way in attempting to prevent melasma is avoiding sun exposure and using sunscreen with high SPF during pregnancy. Hydroquinone is the most popular treatment for melasma after pregnancy. Laser treatments are also effective in treating melasma, specifically Picosure. It is the only laser that is FDA approved to treat melasma. Consult with our medical providers specializing in Picosure to discuss if this is the right treatment option for you.
The short answer is preferably no. We recommend that our patients leave out their extensions mainly because it can interfere with surgery as well as cause an issue with sterility. For some procedures, we tape the eyes with a clear dressing to prevent the eyes from becoming dry and causing any corneal scratching. Lash extensions may be dislodged as we remove the tape. They may also fall off and fall into the eye which can increase your risk for corneal abrasions. When can I put lash extensions on again? After surgery, we recommend waiting at least one month! This is to allow all of the incisions to heal correctly and reduce the risk of infection. If you are still unsure about your aftercare instructions or what to prepare for before surgery, contact the office and we can answer those questions for you!
Hyperhidrosis is a condition that involves excessive sweating in the hands, underarms, face, or extremities not necessarily due to exercise or body temperature. Typically, the body’s sweat glands produce enough perspiration during exercise, fever, or under stress to regulate the body’s temperature. In people who have hyperhidrosis, the sweat glands do not shut off and continue production.
Botox is a toxin that is created by the bacteria Clostridium botulinum. It has been used for various conditions such as migraines, hyperhidrosis, muscle spasms, and cosmetic treatments to smooth out wrinkles. Botox works for hyperhidrosis by blocking a neurotransmitter called acetylcholine which binds to the sweat glands and signals the glands to release sweat. Botox injections into the targeted areas can reduce excessive sweating. Botox has been FDA approved to treat underarm sweating. Other “off-label” areas that are done are palms, face, and soles of the feet.
Research shows that Botox can reduce sweating at least by 50% and repeated injections are usually done every 6-9 months. If you are interested in this procedure, book a consultation with our specialist today.
The trapezius is a large trapezoid shaped muscle that starts at the neck and extends to the shoulders and back. It is an important muscle that allows you to shrug your shoulders, stand up straight, tilt your head, and control your scapula.
People can develop larger muscles through overuse, increased activities, or lifting weights. This can cause the appearance of broad and masculine shoulders. A way to reduce this is to inject Botox or Dysport into the trapezius. This procedure will help relax and shrink the muscle allowing a more femine and slim shape to the shoulders. A more defined shoulder line will also elongate the neck giving a more elegant look.
If you are interested in this procedure, book a consultation with our expert to see if this would work for you!
Festival season is here, so what does that mean for your rhinoplasty and how should you be careful?
DO: Wear SPF and a hat! Sun exposure, especially for prolonged periods, as it can increase the risk of sun damage, hyperpigmentation of scars, as well as sun spots! It is important to reapply sunblock or sunscreen with at least an SPF of 30 at least every two hours.
DO: Stay hydrated! Drink plenty of water or gatorade to prevent complications like heat injury.
DON’T: wear sunglasses if you are less than two months out from surgery as this can cause unwanted contour abnormalities in your DCF.
AVOID: Any trauma to the face. It’s easy for festival goers to jump around, fist pump, mosh pit, etc! It is important to have fun but always be aware of your surroundings.
Sporadic swelling can also occur with excessive sun exposure or working out (excessive exercise). If you are uncertain about how to treat your nose, call the office so that we can answer any additional questions.
Under eye or tear trough filler is ideal for patients who have hollowing or darkening under the eyes. Typically patients are concerned that their under eyes give them the appearance of always “looking tired” and older. Dermal filler in these areas can bring back a more youthful and refreshed look.
It is important for these patients to have good skin thickness and elasticity as well. Results typically last between 9-12 months but may vary for each treatment. If there is excess skin, puffy bags, or fat bulging, surgery may be a better option for you. Book a consultation today to determine which treatment option is best for you!
#YOOnose Nonsurgical rhinoplasty by Dr. Donald B. Yoo is an excellent option for dorsal augmentation in a temporary fashion. Also in patients with medium to thin skin, it is possible to have a moderate degree of refinement created in the tip of the nose.
Non-Surgical Nose Job can… -Add voume and height -Soften the appearance of the hump -Make straighter profile -Reversible and safe -Give the illusion of narrower nose
Non-Surgical Nose Job cannot… -Remove excess tissue -Remove dorsal hump -Narrow the width or flare of the nostrils
While the hyaluronic acid fillers such as Restylane and Juvederm are generally very safe, any filler treatment does come with certain risks. The most common risks are bruising and swelling.
Especially with the delicate blood supply to the nose, there is a risk of vascular complications. This makes it all the more important to find a rhinoplasty specialist experienced in nonsurgical rhinoplasty to reduce those risks.
The safest way to permanently straighten your nose is with surgery. I highly advise against using any permanent filler in the nose as it can create issues as you age. #drdonyoo #prettytoprettier
As people age, skin changes are one of the first visible signs. Different variables affect how quickly the skin ages including genetics and medical diseases, as well as external factors such as sun exposure, weather, smoking, or daily facial movements. Skin cells produce less elastin and collagen with time, blood vessels become thinner, oil glands decrease in production, and fat layers become thinner. All of these changes cause the skin to lose elasticity, epidermis and dermis thinning, fragility, increasing roughness, bruising, as well as developing skin lesions more easily.
Additional changes include loss of fat in areas such as the cheeks, temples, chin, nose, and eyes which can create more hollowness in the face as well as loose skin. Cartilage and bone loss may also occur which can cause puckering of the mouth and drooping of bony accents on the face.
Although the fountain of youth is a myth, it is important to take care of your skin so that you may preserve what you can for as long as possible! Good prevention includes wearing sunscreen with at least SPF 30 every day. Other cosmetic procedures may help the appearance of fine lines and wrinkles such as laser treatments (Picosure) as well as dermal filler for deeper set lines.
PDO threads, also known as Polydioxanone threads, are FDA approved and made of dissolvable suture material that the body can break down. They have been around since the 1980s and have been used in surgery for tissue approximation and wound closure. It typically takes about 6 months for the body to begin dissolving PDO threads. However, results can last about 1-2 years depending on each person.
Thread lifts are a minimally invasive procedure that do not require large incisions or general anesthesia. The threads are strategically placed to help create a more defined and youthful appearance. PDO thread lift can be used to help with the appearance of sagging skin as well as promote the stimulation of collagen and neovascularization. This helps improve skin elasticity, texture, fine lines, and volume. Please consult with our PDO thread specialist for more information and if this non-invasive procedure is right for you!