PREMIER COSMETIC SURGERY & MEDSPA
無論做任何一種提眉手術，優點明顯缺點也相對比較突出。目前的提眉手術和時下關於美學的大趨勢是相悖的。現有的眼睛模特或者是臉模，她們的眉毛的結構和眉弓結構都是非常低的，同時眉弓結構以及上眼皮通常卻非常飽滿的 ，這樣看上去更年輕更有活力 。這就是為什麼現在眉弓脂肪移植 Internal Brow Lift，也就是內置式提眉手術更受歡迎的原因。現代美容外科發現，當一個人衰老之後，面部可能會丟失大約150到200cc的脂肪和膠原蛋白。這些脂肪和膠原蛋白的流失主要是發生在額頭，太陽穴，眉弓，眼眶和蘋果機結構，另外眉毛的下垂以及眼皮的下墜，除了是因為年紀衰老導致皮膚，增多增長之外更重要的是因為額頭，太陽穴，眉弓的脂肪流失導致了這些部位的皮膚再也沒有足夠的支撐而造成的機械性下降 ，以至於讓病人看上去更衰老。所以現代美容外科更支持用填充的方式眉毛結構重新拉回它原來的位置。
我們每一年大約要實行300例眉弓填脂肪提眉手術 ，这种手术最主要的優點就是可以在局部麻醉下施行而且創傷極小 ，手術結果極其自然。手術之後病人會變得更年輕，眼睛更明亮，整個眉眼結構年輕化 ，所以除非病人有非常明顯的眉毛下垂狀況，眉弓的脂肪移植可能是病人最適合的手術選擇。
吸脂手術是整形外科中最常見的手術之一。一個成功的吸脂取決於三個條件：第一，一個好的醫生；第二，好的器械和设备；第三，對人體美學完美的詮釋能力。做吸脂術的醫生非常多但是懂能把細指數做好的醫生卻極少。隨著保險公司越來越不願意給醫生他們應得的報酬。越來越多的醫生開始轉行做起了美容手術。哪怕他們從來沒有接受過正規的整形美容訓練，但是按照法律他們仍然可以做這些常見的手術。 哪怕他們只是接受了一兩個鐘頭的訓練而已。這就是為什麼我們經常看到家庭科醫生，內科醫生，婦產科醫生，麻醉科醫生，甚至急診科醫生都加入到這一行。在這種情況下一個病人的確需要花 一點時間搞清楚可能幫自己做吸脂術的醫生到底是不是真正的整形醫生。一個正科整形醫生最基本的訓練，包括6到7年的整形外科培訓，然後它必須通過一系列的非常嚴格的資格認證考試。如果您要找到您的醫生持有證書的認可正科整形醫生，您可以從加州州醫療監管中心或者尋找相關的認證委員會，比方說American Board of Plastic Surgery。
水刀吸脂來自德國這種技術在前些年形成了一股小風潮，但是經過很多醫生用過之後普遍認為隨著抽脂的效率太低，主要是因為水刀吸脂用的是一根很粗的管子。這根管子裏面又套了一根小管子以方便 同時注射麻醉液 。因為管制出不適合做快速抽動動作，所以抽出脂肪含量偏低，更重要的是容易造成較大的創傷，所以這種技術並沒有很受歡迎。超聲波抽脂在美國已經實行很多年了。它的原理就是先把脂肪乳化，然後再把脂肪吸出來，但是這種技術經常會造成表皮的皮膚燒傷，甚至過多的疤痕形成，這種情況下自動抽脂儀可能就是最好的選擇了。有一個非常著名的對比實驗的論文證明了各種條件相同的情況下自動抽脂儀各個方面，尤其是安全性方面和準確性方面遠遠超過其他的技術。我們用的自動抽脂儀名字叫MicroAire power-assisted liposuction device。自動抽脂儀在啟動之後，吸脂管可以在縱向方向振動每分鐘300次這樣直接避免了醫生用快速的抽動方式來抽取身體裏的脂肪。因為醫生可以用非常緩慢的動作控制吸脂管前進和後退所以這種技術帶來了一個極大的好處，就是它可以非常精准的讓整形醫生把西只管放置到任何一個醫生想要吸脂的部位。精確度可以控制在毫米範圍之內，而不像手動抽紙手動抽紙醫生甚至有可能會偏離目標組織高達一寸以上。而且因為機器自動做伸縮動作所以抽脂時實用的吸脂管口徑非常小，這樣機械性的手術創傷也極小。大大的降低了對神經和血管組織的破壞。 更重要的是因為機器抽動速度快，所以脂肪一除的效率要遠遠高過其他各種不同的技術，也更容易通過堅韌的多纖維的脂肪組織。可以說因為這種自動抽脂儀的誕生，精准身體塑形才最終得以實現。
為了安全等各方面的考量我們醫生基本上從來都不用全身麻醉做抽脂，這樣大大降低了靜脈栓塞的可能性。事實上我們絕大多數的病人都是用局部麻醉手術做的抽脂，如果病人緊張的話手術之前我們醫生會給病人一些口服的鎮定劑，這種情況下我們的手術安全性得到了更進一步的保障，在設施方面我們也有非常重要的保證，因為我們的手術室是Commissioner Certified Operating Center,這樣您的安全性也可以得到更進一步的保障。
This is often used for people in their 40s to 50s, with modest jowling and minimal neck laxity. “For mid-facelifts, or ‘short scar’ facelifts, the incision runs in front of the ears,” says Dr. Yu. “Some surgeons prefer to bury the scar behind the tragus [the small piece of thick cartilage on the inner side of the external ear], and some choose to place it right on the edge. I, most of the time, place the incision right in front of the tragus, at a skin crease there. This way, I could make sure that the tragus, which is a very important aesthetic feature, is being preserved. For Caucasian people, this scar is hard to find. Of course, the surgeon needs to design the incision in such a way that it does not run in a straight line. It needs to curve around the ear and in the spot just below the tragus, tracking into the ear meatus slightly, so as to break the scar continuity. This maneuver serves two purposes: 1) The human eyes are very sensitive to long running scars, and if possible, it’s always nice to break it up. 2) An interrupted scar does not contract linearly, and therefore, minimizes the chance of skin distortion from scar contracture, which happens to almost everyone.”
Facelift (traditional facelift, formal facelift, Z-lift, mini-facelift, endoscopic facelift)
Facelift is one of the most frequently performed procedures. it often refers to the lift of the lower face. Depending on the condition of the patients’ facial aging, a traditional facelift or formal facelift could be done for a person with more advanced skin aging. Or, if the aging is minimal to medium, a mini-facelift or our famous Z-lift could be performed. While a formal facelift could entail a recovery time of one to two months, a mini facelift may only require a recovery time of one to three weeks. This latter benefit is one major factor for the mini facelift or Z-lift to be our most sought after procedures by our Award-winning Board Certified Plastic Surgeon, Dr. Arthur Yu.
Both formal facelift and mini facelift involve removal of excess loose skin and tightening of the SMAS fascia that covers the more in-depth facial muscle groups, resulting in a much more youthful look after the surgery. In our doctor’s hands, the mini facelift may achieve an equal or better result than the traditional/formal facelift. The main reason for the good result stems from the fact that our doctor utilizes endoscopic approach to make the big formal facelift surgery much smaller, without skipping the most important SMAS tightening component of the surgery; on the other hand, because there is much less swelling and bruising involved, the mini-facelift patients will have much less wrinkling a few months after the patients recover. Therefore, more satisfactory results are expected.
Z-lift, our special version of mini facelift, our most in-demand procedure for an easy and minimally invasive procedure, is done with a hidden incision inside the hair. Being designed by Dr. Yu, this one-hour surgery is a much more updated variant of mini-facelift. The indication is for people who has not much excess skin, yet, the face is droopy already. It is done under local anesthesia. The patients experience almost no pain during the whole process. Because the same amount of SMASectomy/SMAS lift is done, the effect of the facelift could equal that of the traditional facelift. Yet, due to the fact that much less dissection is needed, there is absolutely no risk of skin compromise or injury to the important facial nerves. More importantly, the patients recover in a matter of a few days. One patient, a high school teacher, was able to go back to her teaching post the next day! Even if this procedure is combined with other procedures, it is never a rate-limiting factor in terms of recovery time. Because skin necrosis is not an issue, this special mini face lift can be done safely in patients who smokes and cannot quit smoking.
What separates a Z lift from the Traditional/formal facelift is that the latter is characterized by an incision made in front of the ears, going around the earlobes, passing behind the ears and ends at the back hairlines. This makes the scars quite visible and hard to hide, even with carefully designed hairstyles. On the other hand, a min-facelift only requires an incision hidden inside the hair above and at the upper pole of the ears, making the scars almost impossible to detect.
“For people in their 30s to 40s, if their jowling is minimal, a mini-facelift, or a ‘Z lift’, designed by myself, is used to run 1.5 inches behind the hairline above the ear, extending a little in front of the the ear,” says Dr Yu. “Using endoscopic means, we can lift the face up nicely, with SMAS tightening done through the tiny opening—because the incision is mighty small and done 45 degrees to the hair roots. After six months, hairs will grow from the scar tissue, and in most cases, the hair masks the scar very nicely.”
A midi face lift sits in between a mini facelift and a traditional facelift. It is sometimes called a “short scar” facelift. The starting point of the surgery is about the same as a formal facelift, which could be in front of or behind the sideburn hairline. The incision typically stops at the earlobe. This procedure is suitable for the people who have some excess skin in front of the ears, but do not have too heavy a face. And it is suitable for about 20% of the patients.
Lastly, our doctor does an ultimate facelift for people who has excess akin and too heavy a face: deep plane facelift. This surgery is designed in such a way that the skin incision is the same as a formal facelift. Yet, the SMAS layer is entered in a more medial (inner) part of the face, closer to the nasolabial folds and the marionette lines. After fixing the more medial part of the SMAS to the lateral and temporal part, the facelifting effect is much better than any of the traditional or formal facelift procedures. Further, because the tension mostly sits in the SMAS layer, the skin is easier to be reapproximated and less tension will be at the skin re-closure line, with scar formation being minimal. Surprisingly, even if a formal neck lift is not done, most of these patients will enjoy the benefit of a neck lift, with much better-defined neck lines. The apple cheeks could be restored nicely, and the jawlines show better definition as those seen in much younger people.
The Carbon Dioxide (C02) Fractional Laser Resurfacing removes layers of skin tissue in a fractional method (columns of skin are removed, leaving the skin surrounding each column intact to aid in healing) to help reduce “age-spots” (also called sun freckles, liver spots, and lentiginous), fine lines, wrinkles, scarring, uneven coloration, skin laxity, textural irregularities, dull tone, and a thinned collagen layer of the face, neck, and chest.
CO2 is the best treatment if you wish to get the most results with one treatment, with recovery being about 7-14 days. Having this one treatment is like having multiple other non-invasive treatments at once. It is also the best single treatment for advanced skin damage and wrinkling.
CO2 is an in-office procedure that requires pre- and post-treatment medications to ensure proper healing and comfort during the procedure. Discomfort varies on the depth of the treatment. During the treatment, we apply either a topical anesthetic, inject local anesthetic and/or tumescent anesthetic and prescribe sedative medications to reduce discomfort. After the treatment, most patients describe the post-procedure recovery as a bad sunburn for about 12 hours to 2 days. Please follow the instructions for all other prescribed pain medication as needed post treatment.
Typically, one CO2 laser treatment is recommended. Occasionally, in areas that cannot be treated aggressively, we may need to do multiple treatments to optimize results. Maintenance treatments may also be necessary to maintain results, especially if the sun damage is not avoided or proper skin care is not used.
Occasionally, even with the best care, another treatment may be necessary in a few years (for the area around the eyes, it may only be 1-2 years).
The DISCOVERY PICO Series generates a pure photoacoustic effect to shatter inks and pigmentations leaving the surrounding tissues unharmed. This picosecond laser, thanks to its shorter pulse durations and high peak power, can effectively pulverize even the deepest skin pigment.
The Discovery Pico Laser delivers both picosecond and nanosecond pulses with industry-leading 1.8 Gw of peak power. Pico-Boost technology offers four separate emission modes: Picosecond, Q-Switched, OptiPuse, and PhotoThermal for even more treatment options. With a wide range of top hat square, round and fractional spots, the Quanta OptiBeam II handpieces make Discovery Pico a powerful and flexible laser.
Pearl Fractional, or Fraxel lasers, are a new, volumizing fractional laser perfected for treating photo damaged skin with just one treatment. Pearl Fractional offers the best combination of patient experience and recovery time. Patients see improvement in brown spots, sun damage, tone, texture, and have a noticeably smoother, brighter complexion.
What is “fractional”, and how does Pearl Fractional Laser Treatment work?
Fractional laser therapy describes a treatment that exposes only a fraction of the skin to the laser beam in a pattern of tiny dots. With the Pearl Fractional Laser, tiny holes are made in the skin and columns of damaged tissue are selectively removed, leaving surrounding skin intact. These holes enable safe treatment and rapid recovery. Controlled energy delivers maximum results with more comfortable patient experience.
This treatment shortens healing time and stimulates the body’s own natural process for creating new collagen, plumping the skin from below and reversing the signs of photo-aging and other imperfections.
With a deep treatment, results can be seen in a single session.
The American Board of Plastic Surgery has awarded Dr. Yu with Board Certification. Dr. Yu completed his general surgery residency at Cornell University Brooklyn Hospital Center. He completed an additional fellowship in Head and Neck Surgery at the M.D. Anderson Cancer Center, a top ranked international organization.
In 2020, Dr. Yu, MD, CEO and owner of the Premier Cosmetic Surgery and MedSpa, will participate in the Las Vegas Cosmetic Surgery Conference (VCS) as a specially invited expert speaker. The meeting will bring together the world’s top plastic surgery experts. Composed of top medical researchers and practitioners, it is currently the highest-level international plastic surgery seminar. As an expert-level plastic surgeon, Dr. Yu has won first place of comprehensive facial plastic surgery in THE Aesthetic Show National Plastic Surgery Competition in 2010. At this conference, Dr. Yu will explain his original and latest minimally invasive rhinoplasty technique, and he is also the only expert with both head and neck surgery and plastic surgery background.
Dr. Yu has a very comprehensive understanding of the structure of Asian noses. The minimally invasive rhinoplasty surgery is delicately designed, rigorously conceived and greatly conforms to the aesthetics of the human nose. Without any obvious damage to the original nose structure, the internal structure and external shape of the nose can be reshaped, and the surrounding facial features can be improved. Making the facial features harmonious and compatible, making patient satisfaction extremely high.
The American Society of Plastic Surgeons (ASPS) is the world’s largest plastic surgery organization. Founded in 1931, it represents 94% of the certified plastic surgeons in the United States and more than 8,000 plastic surgeons worldwide. At the Annual Meeting of the Association of Surgeons (ASPS), Dr. Yu will present 3D double eyelid surgery, forehead fat grafting and TipLyft™ injection technique that Asian patients are most interested in.
The 3D double eyelid technology is based on Dr. Yu’s research of Asian eye structure for many years, and there are many successful cases. It is currently the double eyelid surgery with the highest success rate and patient satisfaction. Dr. Yu comes from the world-renowned Mayo Clinic for plastic surgery, and he also studied under the most famous plastic surgeon-Dr Robert Flowers. After more than ten years of hard work, Dr. Yu has upgraded and optimized double eyelid surgery for Asians, especially Northeast Asians, and his surgical standards have reached the level of masters.
Forehead Fat grafting is done with coarse/thick fat is used for the deeper loose connective tissue layer, while fine fat is for the subcutaneous and the muscle layer. The mid-forehead depression is filled up just enough, so is the outer/lateral portion where depression is often seen. Mid-forehead “bossing” with a flat brow ridge structure, fashioned by many plastic surgeons in Asia is a taboo in Dr. Yu’s practice. The bossing (prominent, round and protruding forehead) not only makes a person look like a new species, but also completely destroys the harmonious coordination of all the surrounding structures, including the eyes, nose, brows and forehead.
TipLyft™, as the latest injection technology created by Dr. Yu Yajing, can be performed without surgery, and it only takes 5 minutes to make a beautiful nose. The emergence of minimally invasive rhinoplasty and TipLyft™ provides a variety of rhinoplasty solutions that meet their own conditions for the majority of beauty seekers.
Our skin specialists at Premier Cosmetic Surgery & Med Spa know that birthmarks can adversely impact your appearance and life. Our team offers a wide variety of birthmark and mole removal treatments that can be customized to eliminate or reduce the appearance and help boost self-confidence.
If you have a mole or birthmark that is affecting your appearance, or you have one that has grown over time, then give us a call and schedule a consultation for an expert evaluation and treatment.
TYPES OF MOLES AND BIRTHMARKS
Also Known as Birthmark, Congenital Nevus, Brown Mole, Brown Birthmarks Flat or elevated brown spots on the skin.
Also Known as Birthmark, Strawberry Birthmarks, Red/vascular Birthmark, Hemangioma Hemangiomas – are present in up to 10% of newborns. They may become apparent in the first days and weeks of life.
Also Known as Moles, Nevi, Brown Birthmarks – Sun exposure may darken or increase the number of moles.
Port Wine Stain Birthmark
Also Known as Birthmark, Port Wine Stain, or Vascular Malformation – Port wine stains commonly appear as red or burgundy patches on the skin which slowly darken and thicken in the first several decades of life.
Red Vascular Birthmark
Also Known as Port Wine Stain, Strawberry Birthmarks, Hemangioma
The two primary types of red birthmarks treated are the hemangioma and the port-wine stain.
Red Birthmark Removal
The two primary types of red birthmarks treated are the hemangioma and the port-wine stain.
IPL stands for intense pulsed light. It’s a type of light therapy used to treat wrinkles, spots, and unwanted hair.
You can use IPL to minimize or remove the following:
IPL is similar to laser treatment. However, a laser focuses only one wavelength of light at your skin, while IPL releases that of many different wavelengths, like a photo flash. The light from IPL is more scattered and less focused than a laser. IPL penetrates down to the second layer of your skin (dermis) without harming the top layer (epidermis), so it causes less damage to your skin.
Pigment cells in your skin absorb the light energy, which is converted into heat. The heat destroys the unwanted pigment to clear up freckles and other spots. Or, it destroys the hair follicle to prevent the hair from growing again.
You can use IPL anywhere on your body, but it may not work as well on uneven areas. It isn’t recommended for people who are prone to keloid scars or those who have darker skin tones.
Female sexual dysfunction is an extremely under-treated problem, considering the fact that up to 75% of all women never reach orgasm from intercourse (ABC News, Sep. 4th, 2009). Solid evidence shows that G-spot injection to thicken or augment the existing G-spot could heighten women’s sex drive and ability to climax in up to 87% of the cases. The G-spot is found inside the vagina, on the anterior aspect, about 2 cm behind the urethra. When you try to palpate it, the G-spot is a nickel to a quarter-sized, somewhat rougher and firmer, more sensitive area, slightly rising above the surrounding mucosa.
Various agents could be used for augmenting and sensitizing the G-spot, depending on a person’s choice. Fillers used are Restylane, Juvederm, Belotero, or Radiesse. The procedure can be done under strictly topical/local anesthesia. Immediately, the G-spot becomes more prominent and more sensitive. After a few days of resting, gratification is felt by most people. It alleviates painful intercourse, improves sex quality, and therefore, drive. In most cases, our patients feel that it is much easier to achieve orgasm, especially with the nano fat grafting/injection. Because we did notice a higher satisfaction rate among this group of patients, with many of them reporting multiple orgasms during one session of intercourse.
陰道壁脂肪移植指的不只是G點脂肪注射，更重要的是整個陰道壁都可以做自體脂肪移植。 治療的適應症包括:產後漏尿，陰道乾燥，性冷淡，無性高潮，會陰側切老疤痕疼痛，性交疼痛和產後陰道鬆弛造成的各種麻煩。治療將採用微粒脂肪和鈉米脂肪的組合，這可以取得更好的療效和的脂肪生存效果。手術使用的是局部麻醉。總共注射的脂肪大約在20到40毫升，G點注射也包括在內。我們的手術是在Joint Commission認證的手術室內實行，整個手術過程簡單易行，大約需要10分鐘到20分鐘。恢復期極短。余醫生從2010年就已經開始實行陰道脂肪移植手術，病人滿意度極高。手術後病人反應擁有更好的性生活體驗。另外漏尿的情況在絕大部分的病人中也得到改善。
Gynecomastia surgery is gaining popularity due to the simple fact that people are getting bigger and fatter. First, certain endocrinological etiologies or cancers need to be ruled out. Then the surgery can usually be done by utilizing a combination of liposuction and direct excision of the breast glands sitting just under the nipples.
Our doctor designs his surgery by making small incisions just under the nipples, and each incision can be used for the liposuction port for the other breast. The effectiveness of the liposuction is warranted by using a power-assisted device. And after the fat is all cleaned out, the remaining gland tissue is easily teased out for removal. Typically, the skin will shrink to a significant extent, so there is no need for excess skin removal for most people.
Excessively large and saggy breasts can cause extreme physical discomfort, health problems, and emotional stress for many women. Breast reduction can help correct back, shoulder and neck pain as well as poor posture, skin irritations, skeletal deformities, breathing problems and numbness in the extremities due to nerves being compressed. Technically, breast reduction surgeries are different from mastopexy only in the amount of skin and tissue removal. Breast reduction surgery can help alleviate the discomfort and provide a more attractive and proportionate breast appearance.
Liposuction could solve the problem of a young person’s large breasts when they are too droopy. In some cases, the nipples could rise more than one inch. The prerequisite is that the breast is large with thick fat and the skin, elastic. One to two cup sizes could be removed by this technique.
Vertical scar or short scar breast reduction (Keyhole pattern breast reduction) refer to the same technique. A wedge of excess breast tissue, along with excess skin, is removed, then medial and lateral flaps of breast tissue are folded (one on top of the other) to provide self-support for the upper poles and the central mount. After careful closure, the new breasts will be significantly reduced in size and the shape much better than before. To make the shape even better, Dr. Yu adds a liposuction procedure to the outer breast tail region to get rid of this particular lump of tissue that makes the breasts unsightly, or at least unpleasant to look at. This makes the breasts look even younger.
Wise-pattern breast reduction, similar to the above Wise-pattern breast lift description, except for the fact that a wedge of breast tissue is removed according to preoperative planning, before the medial and lateral breast tissue flaps are developed.
Breast reduction for people with breast implants can be made for either implant removal or exchange for smaller implants. The same principles for achieving nice and full shapes apply. Failed breast reduction can be repaired so long as a detailed history and OR record is provided to our doctor.
Our doctor is meticulous with his surgical planning, execution, and skin closure. Regardless of which technique he employs, the breast reduction results by our doctor are constantly praised by our patients and their family members.
A breast lift procedure is designed to improve excess skin and underlying tissues that have become loose and flabby. This is very common and can be a result of age, genetics, pregnancy, breast feeding or large amounts of weight loss. A breast lift may be combined with breast augmentation for a fuller look or may be performed on its own to give breasts a lift and perkier appearance.
People could have droopy breasts for all kinds of reasons: weight loss, congenital factor, large sizes, pregnancy, breastfeeding, or aging could all play a role.
Liposuction, when strategically performed, could solve the problem of a young person’s large and relatively droopy breasts. In some cases, the nipples could rise more than one inch, after “weight loss” from the breast liposuction. The prerequisite is that the breast is large with thick fat and the skin, elastic.
Circumareolar lift (Donut lift or Benelli lift) works by having a donut-shaped piece of skin removed around the areola. While it could potentially remove some excess skin, it does flatten the breasts to some extent. The success of it depends on the integrity of placed thick permanent sutures around the areola just under the skin.
Short scar breast lift (Keyhole pattern breast lift) can be performed if the amount of skin in excess is mild to moderate. The skin is cinched at the inframammary fold vicinity to facilitate the closure of the excisional wounds, whereas the breast tissue is divided into medial and lateral flaps to allow for self-augmentation, by folding on each other, resulting in a very perky look when everything heals. And the upper poles in the “V” area becomes naturally fuller. So, instead of making the breasts into the usual flat and small “pancakes” when the traditional method mastopexy is employed, Dr. Yu is always able to turn his patients’ droopy breasts into something that they could only have when young: full, round, and perky! Dr. Yu invented his own technique and has been doing this for the last twelve years, and the results are very satisfying.
Wise-pattern breast lift (Anchor shaped scar breast lift) is performed when the breasts are too droopy, and the skin is too much excess. A much broader area of skin is removed and finally, when the skin is closed, the scars mimic the shape of an anchor. The internal rearrangement of tissue could be done in many different ways. However, Dr. Yu is almost always able to use his unique medial and lower flap, a simple and elegant approach to create self-augmentation in the upper poles and the central mount regions, giving his patients very natural and beautiful results.
Breast augmentation, at the time of breast lift, with either implants or fat grafting could be done when there is not enough breast tissue to provide a desired size for the patients. All you need to do is to talk to our doctor about your needs.
While most breast augmentations in the US are still performed with implants, fat grafting for breast augmentation is increasingly becoming more and more popular on a yearly basis. Its natural appearance, feel and maintenance-free nature are some of the appealing and almost irresistible characteristics.
Our doctor normally suggests to our patients to have their own fat grafting for breast augmentation. His philosophy is that there is no waste material in the human body. If there is excess fat in your body, that fat could be liposuctioned out to create a better-shaped body, and at the same time, the harvested fat should be used for augmentation of the breasts or the buttocks. Depending on the fat distribution in a particular person, fat could be harvested from the tummy, waist, the back, thighs, or the upper arms. There is essentially no difference in the survival rate for the fat from different sites. Generally, the fat survival rate in the breast could be as high as 60 to 70%, unless the fat is unhealthy. The only rate-limiting factor for fat grafting is that only 250 cc to 400 cc of fat could be grafted to each breast, due to the fact that breasts could only provide enough nutrition to sustain a certain amount of grafted fat. Please keep in mind that one cup size for the breast equals to about 150 to 200 cc, depending on the size of the body frame. Breast fat grafting results not only depend on the amount of fat survived but also depend on how the new breasts are shaped. For younger patients, our doctor emphasizes on the augmenting the cone part of the breasts; while for more mature people, he would try to clean up the breast tails in the axilla region to re-form the outer round contours of the breasts. Then the upper pole along with the cones are strategically filled up with the grafted fat to show the perky beauty again for the somewhat droopier breasts. By choosing the right entry points for grafting, the breast fat grafting by our doctor shows very little trauma and minimal calcification post-surgery. Due to the very high survival rate for our breast fat grafting, this procedure has been one of the most requested among our offerings.
Breast implant surgery utilizes saline or silicone implants. The entry route could be from peri-areolar, infra-mammary, trans-axillary, or through the belly button (trans-umbilical). Even fancier, if a tummy tuck is done concomitantly, the breast implants could even be placed through the tummy tuck opening, thus avoiding any visible sign of an incision wound for the augmentation. The most frequently performed incision point is the inframammary fold, where the entry avoids the mammary glands, which minimizes the exposure of the implants to the potentially contaminating mammary glands that could harbor annoying bacteria (less capsular contracture/breast hardening). The peri-areolar approach seems to provide more direct access to the pocket for housing the implants, however, it does have to pass the potentially contaminating breast glands. Trans-axillary approach hides the scars in the armpits and at times, they are almost invisible, but it is the dirtiest entry point, which also generates the highest rate for capsular contracture. Statistically, with all the entry points combined, capsular contracture and accompanying asymmetry remain as high as 12 to 19 percent, or even higher, nationwide. So essentially, breast implant surgery is, at the present time, still an imperfect surgery. Although it could still be a great choice for people who desire larger breasts without any available fat, or for people who just want to have one surgery done to gain more than two cup sizes for their breasts. Indeed, with the teardrop shaped breasts, we do see a surge in the number of better-looking breast implant surgery results. The possible complications are mostly listed in the relevant manufacturers’ websites, and the potential risks of the requirement for redo surgery after four years could still be as high as more than 35%. We do make every potential patient aware of all the benefits, risks, and alternatives about the implant surgeries. Our doctor does his breast implant surgery very conservatively and utilizes all possible means to prevent the contact of implants with the skin or any other contamination sites in order to reduce the chance of capsular contracture. Consequently, the satisfactory rate from our breast surgery cases is quite high.
Breast augmentation with either fat grafting or implants could also be combined with breast lift procedures if the breasts are too droopy. In cases of significant breast size discrepancy, or breasts with weird shapes (such as constricted breasts or tuberous breasts), or breasts being distorted by either cancer surgeries or improperly performed breast implant removal, fat grafting is without a doubt the procedure of choice for restoring the shape of the breasts.
We do many revisional breast surgeries, for those who had bad results from around the world.
The failure could be due to mal-positioned implants, size disparity, capsular contracture, gross asymmetry, significant scarring, or areolar depressions, so on and so forth. One major breakthrough is the use of Alloderm, Vicryl mesh or Strattice for capsular contracture, which is already showing signs of being the perfect solution for breast hardening. For issues such as breast implant rippling, implants being palpable, funnel chest, lack of upper pole fullness, we can certainly use fat grafting to correct them in a nice and easy way.
Liposuction is one of the most frequently performed procedures in aesthetic surgery. Successful liposuction is dependent on 1) a good surgeon; 2) good instruments; 3) a good understanding of human body aesthetics.
Quite a few doctors claim to be able to do liposuctions; however, not too many know how to do it properly. With the insurance companies paying less and less for regular medical treatments, doctors of many different specialties jump in to make a living on liposuction, a specialty they were never trained on, or only trained by watching a video for a few hours. These doctors may be a family doctor, an internal medicine doctor, a gynecologist, an anesthesiologist, or even an emergency room doctor. Naturally, it would be prudent to find out who your doctor is first before you make a commitment to a body beautifying procedure. Or else, regret is almost always guaranteed. A board-certified plastic surgeon requires a minimum of 6 to 7 years of formal training and then certified after a series of rigorous examinations. To find out whether your doctor is a board-certified plastic surgeon, it is extremely useful to find it from the medical board of your local state.
As far as instrumentation, liposuction can be done with manual liposuction; water jet assisted liposuction, ultrasound-assisted liposuction or power-assisted liposuction. While manual liposuction is the main technique for performing liposuction, it is by no means a technique of precision, due to the fact that the surgeon cannot control the tip of the liposuction cannula precisely. Water jet assisted liposuction was becoming a hot item for a few years, but more and more doctors are recognizing the drawbacks of this technique: low yield and more trauma (due to the fact that only thicker cannulas can be used, in order to harbor an internal numbing fluid tubing). Furthermore, the promise that water jet stream could flush fat clumps out of the intact human tissue is a dream that could never be realized. Not to mention that in the end, this technique remains a variant of manual liposuction, hence lack of precision. Ultrasound-assisted liposuction offers a different way to pretreat the fat tissue by emulsifying the fat first for easier fat removal, however, it does generate possibilities of skin burn injuries and possible additional injuries resulting in unwanted scarring. A comprehensive study shows that power-assisted liposuction circumvents most of the problems listed above. The power-assisted device we use is a MicroAire power-assisted device. When powered, the tip of the fine cannula oscillates (move back and forth) more than 300 times a minute, mimicking the surgeon’s manual movement, freeing the surgeon from doing fast thrusting. Consequently, the tip of the cannula could be placed within millimeters of a target area, instead of centimeters, raising the precision by at least ten folds. Because a much smaller cannula is used during the liposuction, the entry ports are much smaller (much smaller scars), and much less trauma is caused to the nerves and the blood vessels. More importantly, the liposuction is much more efficient in terms of the amount of fat removal and being able to go through tough and fibrous fat tissues, making a dramatic body makeover a routine possibility, and precision body sculpturing a reality!
For safety reasons, our doctor never needs to put a patient under general anesthesia for liposuction, thus avoiding the high incidence of venous thrombosis. As a matter of fact, most of the liposuctions by our doctor is done under local anesthesia. And if you are nervous, a little oral sedative with low dose diazepam is all that is required. This greatly enhances our safety records for the procedures. Upon request, a low level to medium level iv sedation can also be administered, for better comfort without any sensation of pain. Additionally, because our facility has its own Joint Commission Certified Operating Room, safety is even better guaranteed.
Baby fat is characterized by fat accumulating in the lower face from the chin/jowl junction to the jaw angle. It exists since childhood. Characteristically, the “baby fat deformity” usually co-exists with excessive fat existence in the under chin area, causing a chubby look. The treatment is extra-fine precision liposuction with flat-headed cannulas.
Jowling typically shows after the age of 35, more in females, with accompanying jawbone absorption. There is more fat in the front portion of the lower face, stopping at the chin/jowl junction (sulcus). It is a sign of aging. Therefore, many people seek help from a plastic surgeon to have it removed. For people with tighter and more elastic skin, simple precision liposuction is the only treatment required. Although Ultherapy or Thermage could be good accessory treatments, on the other hand, when the skin is loose, a mini facelift might be a necessity after liposuction is performed, to offset the resulting excess skin that cannot retract by itself.
Under the chin, fat could exist in any age, and the treatment is, most of the time, liposuction. The obtuse angle at the neck will be greatly improved when the fat is removed. Interestingly, after liposuction, the neck skin is almost always tighter, because the newly formed right-angle structure at the neck requires more skin to drape the newly formed surfaces (Pythagorean Theorem).
Classic beauty concept dictates that the brows need to be in the correct positions. While the brows in males need to sit right on top of the brow ridges for a perfect Alpha male look, the brows in females need to be 1 to 2 cm (depending on the trend) above the brow ridges to make the eyes look attractive. With aging, the brows will descend, creating hooding above the eyes, giving the eyes droopy looks.
Brow lift surgeries were created to correct these aging problems.
Traditional brow lift (coronal approach) utilizes an incision one to two inches behind the hairline. After the forehead flap is elevated, the brows are fixated in a higher position. Typically, the brows can be elevated about 1/2 cm to 1.5 cm this way. The benefit of this procedure is that the result is sure and the fixation more permanent. As a result, it is very often provided to people with very significant droopy brows. The drawback is that it cannot be done on people with a receding hairline because the hairline will drop back by 2 to 3 cm. To avoid this issue, Hairline Brow Lift was designed.
Hairline brow lift employs an incision along the hairline in the middle portion. When the brows are elevated, the hairline is actually lowered by 2 to 3 cm, making this procedure a favorite to the people with receding hairlines. Because after the surgery, the person not only has corrected brow position but also have a more normal hairline. Since the incisions are made in a zig-zag way, the scars are almost invisible to the naked eyes. Furthermore, because the very original hairline shape and hairs are preserved, the new hairline is much more natural than that created by hair transplantation!
The direct brow lift is usually done in more senior people, i.e., for the people with deep wrinkles on the forehead. The incision could be made in the middle of the forehead, right in one of the furrows of the forehead, or just above the brow hairs. Because the incisions are closer to the brows, the lifting is more efficient. The drawback is, of course, the scars being more visible. Many people choose to have the scars tattooed over to create new brows. If done right, this combination works quite well. Due to the much lighter nature of the surgical trauma, this procedure is quite popular among certain groups of people.
The endoscopic Brow lift is done via 2 or 3 small incisions in the hair. In the right hands, this procedure works quite well, and it can typically provide 0.5 to 1 cm lift to the brows, although the longevity of the result could be an issue. Additionally, it may also make the already hollowed-out upper eye socket even more hollow, and the deflated brow ridges flatter and more skeletonized. Consequently, these and the much smaller lifting effect make this a less favorable procedure than our fat grafting to the brow ridges or our most recent innovation: internal brow lift.
Brow ridge fat grafting has been our main staple to provide to our patients with minimal to moderate droopy brows. And this goes quite well with the new trend of brow position, shape and volume. If you step into a department store, especially the higher-end stores, you will notice right away that all the cosmetic counters are sporting attractive models with lower-lying, less peaking but very full eyebrows. The new concept of aging found that all people show signs of aging typified by the deflated forehead, brows, and temples, making the forehead having more horizontal wrinkles and the brows more easily to drop down, and the eye socket more sunken in. By using autologous (self) fat to graft into the forehead, temple, and brow ridges (to replace the deflated and disappearing brow fat pads that only exists in young people), the brows become naturally inflated back into their original, younger shapes and forms, resulting in a lifted look much better and much more natural than that created by the endoscopic approach, without any of the potential complications. Our Award-Winning Board-Certified Plastic Surgeon has more than 20 years of experience in fat grafting. This makes our doctor a great choice when it comes to choosing the right doctor to rejuvenate your looks, especially around the eyes.
Internal brow lift by our doctor is accomplished by lifting the orbicularis (eyelid) muscles and fixing it onto the bone membrane of the brow ridges, creating a silhouette holding up the already dropped eyelid muscles, deflated brow fat pads and the upper eyelid skin, making the brows naturally fuller and lifted again, and therefore, restores the attractiveness of youthful eyes. The surgery is accomplished in a few minutes, and the result extremely natural. Furthermore, none of the dreadful complications of the traditional or endoscopic brow lift is associated with this procedure, and the recovery is rapid. Consequently, this method of brow lift is our patients’ top pick!
While most neck lift surgeries are done together with facelifts, a neck lift can be performed independently, especially for younger people with prominent turkey necks. The essence of a neck lift is to tighten the loose and separated platysma muscle sheets back to the area just in front of the windpipe, with rearrangement of the side portion of the platysma and neck skin behind the ears.
While most of the neck lift is done the traditional way, i.e., with incisions in front, around, and then behind the ears, some younger people can have the neck lift done with just a minor incision under the chin to obtain a great result. The patient will need to consult our doctor in person to find out whether he or she is a good candidate for this minimally invasive neck lift.
Furthermore, some people might just have a large lump of fat under the chin, presenting as a fat turkey neck. In these people, the is a possibility that a minor liposuction in the under chin (under-chin, under chin) area might suffice. In some cases, the fat may be very stubborn for removal; our doctor will employ a special device called SmartLipo laser, utilizing a 1 mm thick glass fiber to safely burn away the fibrous fat to reclaim the neck contour, with very minimal trauma.
For people with minimal to modest turkey neckbands, it is possible to utilize Botox injection to soften the platysmal bands to regain the cervical-chin angle (neck-chin angle), because softened turkey neckbands will conform the original neckline again.
For people with enlarged and ptotic (low lying) submandibular glands, which can hardly be corrected by any surgical procedure, our doctor may use a botox injection approach to drastically diminish the glands, to restore the jawline.
abdominal liposuction is probably the most challenging of all the liposuctions, considering the fact that there are so many naturally existing aesthetic marks such as “six-pack,” “corset lines,” “midline groove in the upper abdomen,” the belly button, and the “groin lines.” A great plastic surgeon could almost always liposuction a fat tummy into something very aesthetically pleasing, showing the natural aesthetic/anatomical marks that reflect the natural tension points of the underlying abdominal muscles. Our MicroAire Power-assisted liposuction device certainly contributes to the success rate for achieving great results.
In the last few years, our doctor developed an effective belly button lift (Navelyft) after the tummy liposuction. Using a proprietary technique, a patients can have her “sad faced” belly button changed back to a more youthful and more aesthetically pleasing vertical slit. Because this technique is still waiting to be published, our doctor is the only plastic surgeon in the world who performs this amazing procedure.
For people with loose skin due to overweight, pregnancy, or weight loss, SmartLipo laser could prove to be a great addition for further improvement.
SmartLipo laser utilizes a flexible 1mm DM fiber to transmit hot laser energy into the fatty tissue under the skin, melting the fat away, while shrinking the loose skin above. This technique was scientifically proven to be able to shrink an additional 14% of the overlying skin after liposuction as compared to regular liposuction procedures.
Our doctor has done thousands of SmartLipo Laser liposuctions, generating numerous extremely pleasing results, tightening the loose skin. He found that this technique works the best in the upper arms, the under chin, the tummy, the “Buffalo Hump” area of the upper back/lower neck junction, the inner knee and the area just above the knees.
Most plastic surgeons believe that the prevalence of ptosis is very high. While there are many true upper eyelid ptosis patients, “fake ptosis” is actually more common than we thought. Often times, people with single eyelid appearance also have levator aponeurosis being so poorly developed that they appear to have levator muscle weakness, resulting in very small eyes. Both traditional and current wisdom would recommend formal ptosis repair surgeries in these patients. However, this maneuver might most likely be an over-kill, giving the patients more trauma with ensuing more edema, more scarring, and more recovery time.
Our doctor discovered a completely different “ptosis” mechanism that is unique to the “single lid” Asian patient group. In a series of manuscripts that will be published in major journals, our doctor describes his astonishing findings about the unique ptosis mechanism in the subgroup of “single lid” Asians: the end of the eye opening muscle is attached to such a flimsy and super stretchy thin tendon (aponeurosis) that when these patients try to open their eyes, they simply cannot transmit the eye opening force to the eyelid tarsal plates, causing the eyes only open to a sub-optimal level, sometimes only halfway! Based on this surprising finding, our doctor devised a simple MAT suture method for the correction of this unique problem. For most cases, a single MAT suture can achieve both double crease formation and “ptosis” correction, avoiding most of the damages caused by traditional aggressive surgical ptosis repairs. Oftentimes, this single stitch MAT suture method can be carried with a 3 to 5 mm tiny incision on the upper eyelid. Because of the extremely ultra-minimally invasive nature of the surgery, most of our patients can enjoy excellent results with greatly reduced downtime.
For people with impaired levator muscle function (true ptosis), we provide two approaches to correct the issue. An open incision method, which can be combined with regular upper eyelid surgery; or an internal method (done through the under surface of the upper eyelid, with absolutely no scar on the eyelid skin), by removing a section of the Muller’s muscle.
When people age, the eye bags protrude out. With each passing year, the eye bags become bigger and bigger, causing the appearance of tiredness and lack of sleep. Very often, these are accompanied by dark circles and tear troughs. Simply put, there could be a huge difference for people of the same age with or without eye bags. Sometimes, a pair of eye bags could easily add up to ten years on a person’s face.
Eye bag surgery is such a common procedure that our doctor performs hundreds of these procedures a year. The types of procedures include transconjunctival and subcilliary approaches, with some additions and variations.
Transconjunctival lower blepharoplasty (inner incision, inner cut) is done when there is no significant amount of excess skin on the lower eyelids. An incision is made on the mucosa side of the lower eyelid with the lower eyelid being gently pulled away from the eyeball. There are three fat pads in a lower eyelid. Because of the complexity of the anatomy, it is very often that some surgeons would unintentionally leave behind one or two fat pads, causing weird bumpy looks after the surgery. Additionally, it is almost completely empirical when it comes to deciding how much fat to remove from a person’s eyebags. The deciding factors depend on a person’s age, skin elasticity, the density of the fat, the positioning of the eyeballs, and the severity of the tear troughs. To minimize the invasiveness of the surgery, our doctor makes three tiny incisions on the conjunctiva (as opposed to the full-length incision method by most of the surgeons in the world), for removal of the fat pads. This maneuver not only affords the patients less trauma, and faster recovery time, it is also much safer due to the avoidance of possible injury of the inferior oblique muscles (which is always a possibility when a full-length incision method is employed). When these types of small discrepancies in treating eyebags are considered, it is no wonder that the patients need to know how important it is when it comes to choosing the right doctor for this seemingly easy procedure.
Subcilliary incision lower blepharoplasty (outside incision, outer cut) is done for people with excess skin. The design of the incision point is such that it sits right below the eyelashes and excess skin is conservatively removed. When the wound heals, the wound barely shows an almost undiscernible line. In our doctor’s hands, these scars cannot be detected most of the time. The removal of the fat pads is done the same way as the inner incision procedure, except for the fact that fat removal is usually done on the opposite side for many cases. To reduce the injury to the nerve supplies to the lower eyelid muscles near the eyelashes, our doctor makes three tiny openings on the muscle once the skin is removed. The fat pads are teased out and the nerves are thus preserved. Further, when even the tiniest amount of injury to the muscle is a concern, our doctor will choose to remove the fat pads from the inner side (the conjunctival side) and then with a “pinch method” (pinch blepharoplasty) to remove the excess skin. Because our doctor accumulated very rich experience dealing with many Asian patients with extremely small eyes using this combination of internal fat removal coupled with external skin removal, it is never a technical problem for our doctor to accomplish the jobs (most doctors so not have extensive experience working with small eye openings. As a result, this kind of internal approach for fat removal is a “mission impossible”)
For people above the age of 40, the lower eyelid tissue becomes loose in all layers. In these people, a canthopexy (temporary outer corner tightening with an absorbable stitch fixed on the bone membrane on the upper outer eye socket frame) is done along with lateral muscle hitching to strengthen the upward pulling of the lower eyelid skin further, to prevent the possible dreadful lower eyelid eversion (ectropion).
Pinch blepharoplasty is a simplified low eyelid surgery when bulging fat pads do not accompany significant amount of lower eyelid skin excess. Because it does not change the mid-lamella (layer) structure, the recovery is typically much faster. When carefully designed, this pinch blepharoplasty could often be combined with the transconjunctival approach for removal of skin from outside and fat from inside, the fact that the surgical trauma from this combination is much less than that the subcilliary approach makes it a very popular choice amongst our patients.
Laser blepharoplasty is often done as an accessory procedure to the approaches mentioned above. It utilizes fractional CO2 laser to tighten the skin when the excess skin is not severe enough to warrant a skin excision. Depending on the skin texture and the healing capability, one to three sessions of the laser may be required to secure a desirable result. The great benefit of this procedure is that the skin would become resurfaced and greatly rejuvenated, adding much more elasticity with much fewer fine wrinkles. The drawback is a longer recovery time because of the temporary pink color lingering around for weeks.
Canthopexy (fixating the outer eye corner tendon) is done in conjunction with lower eyelid skin removal to prevent the lower eyelid from everting. To make the protection more secure, a muscle hitching (pulling up the lower lateral orbicularis muscle) is often done together. Because an absorbable stitch is used to fixate the outer eye corner tendon structure and the orbicularis muscle to the upper outer frame at the bone membrane, no suture removal is needed afterward.
Canthoplasty is done for more complicated lower eyelid repairs, such as treatments for lower eyelid retraction, ectropion, extremely loose lower eyelids, and botched/mal-positioned lower eyelids. While canthoplasty could be done via the lower eyelid surgery subsidiary incision wound, it is better if an opening at the upper blepharoplasty could be used at the time of surgery. Please check with our doctor when it comes to the requirement and selection of surgical approaches for this more complicated procedure, as each patient is unique and possesses wildly different anatomical defects.
Lower eyelid ectropion (eversion from scarring) repair is a huge topic in that it encompasses many different clinical presentations with different etiologies. The basic components of ectropion repair would include possible mid-lamella buttressing/enhancement, possible skin grafting, possible fat grafting, possible repair with hard palate vs. Alloderm, and most of the time, canthoplasty (forming a new, higher positioned and tighter lower eyelid), or tarsal strip procedure. At times, a mid-facelift may be needed to enhance the lateral support of the lower eyelid structures further. Because every case is different, it is the best that the patient has detailed discussions with our doctor to form the final treatment plan.
It is well known that 50% of the Asian population does not have crease formation on the upper eyelids (double creases), which makes the eyes appear much smaller and sometimes not so friendly. Hence, it is no wonder that double eyelid surgery ranks the highest among all the cosmetic surgery procedures in Asians.
Due to the complicated anatomical differences between Asians and Caucasian upper eyelids, it is imaginable that a plastic surgeon who is only trained in Caucasian upper eyelid surgery should be extra careful when deciding whether to perform double eyelid surgery. Asian double eyelid is not simple copying of the Caucasian eyelid creases. Rather, almost all the internal anatomical structures are different. Without knowing own limitations, a Western trained plastic surgeon could easily Caucasianize an Asian person’s upper eyelids, which could prove to be a disaster–wide creased eyelids housed in shallow eye sockets will not glorify an Asian’s appearance, it would only be rather destructive. Unfortunately, even in Asian countries, including Japan, China, Korea, Vietnam, Thailand and Singapore, most plastic surgeons are trained with Western textbooks, not knowing how to deal with Asian eyelids. As a result, very often, we see Westernization of Asian upper eyelids by Asian country doctors.
Contrary to Caucasian eyelids, Asian eyelid anatomy could vary widely from person to person. while some may have well-developed creases, others may have absolutely no crease, very little creases, or unstable creases. For the people who have creases, they may want to have the creases somewhat wider (more open, but not to the Caucasian extreme). Contrary to most doctors in the world, our doctor can often use a very simple method, utilizing one to three easy stitches to fix a new crease for the patients, making the eyes brighter, and the patients more beautiful.
Often times, people with single eyelid appearance also have levator aponeurosis being so poorly developed that they appear to have levator muscle weakness, resulting in very small eyes. Both traditional and current wisdom would recommend formal ptosis repair surgeries in these patients. However, this maneuver might most likely be an over-kill, giving the patients more trauma with ensuing more edema, more scarring, and more recovery time. Our doctor discovered a completely different “ptosis” mechanism that is unique to this “single lid” Asian patient group. In a series of manuscripts that will be published in major journals, our doctor describes his astonishing findings about the unique ptosis mechanism in this unique subgroup of “single lid” Asians: the end of the eye opening muscle is attached to such a rather flimsy and super stretchy thin tendon that when these patients try to open their eyes, they simply cannot transmit the eye opening force to the eyelid tarsal plates, causing the eyes only open to a sub-optimal level, sometimes only halfway! Based on this surprising finding, our doctor devised a simple MAT suture method for the correction of this unique problem. For most cases, a single MAT suture can achieve both double crease formation and “ptosis” correction, avoiding most of the damages caused by traditional aggressive surgical repairs. Oftentimes, this single stitch MAT suture method can be carried with a 3 to 5 mm tiny incision on the upper eyelid. Because of the extremely ultra-minimally invasive nature of the surgery, most of our patients can enjoy great results with greatly reduced downtime.
Our doctor’s approach to Asian double eyelid surgery is most up to date as compared to other plastic surgeons. Your concerns will be heard and thoroughly discussed. During the consultation, the anatomy will be carefully analyzed to form a final treatment plan. The width of the creases will be discussed again and again with the patient, so the patient’s desire is met. For a typical Asian female, the crease width is usually 5.5 to 7 mm, whereas, for the Asian male, it is usually 3 to 5 mm. All measurements made on the person will be reconfirmed on the photos to avoid any discrepancy.
Double eyelid surgery can be done using three different approaches: suture method, window methods (partial incision), and open incisional method (full incision).
The suture method involves burying a very fine permanent suture to form the creases. it is a method that fits people with thin skin and no excess eyelid skin. The benefit is the surgical trauma being smaller. But the drawback is also obvious: very high failure rate at the one-year point. Additionally, some people may develop swelling that does not go away easily.
The partial incision method also fits people with thin skin. It is done with one or two small incisions made on the desired crease position (much better than the so called “three-point fixation” method). The excess fat can be removed through the tiny windows. At the same time, the capsule membrane is incised and pushed upward to expose the underlying levator aponeurosis, where the MAT suture will be placed to form the creases. A very important point here is that the creases formed this way are “dynamic” or “live”, and natural creases, instead of “fixed” or “dead” creases.
The full incision method works well for people with excess skin, or when it appears that there is a true levator problem. The excess skin is removed, fat pads are either removed or repositioned, problem levator is repaired (our doctor uses a much better, modified “double-row” levator aponeurosis advancement for this true “ptosis” repair, and then the creases are created and fixed according to the design. Again, the crease formation done this way gives natural creases. Both fat grafting to the brow ridges and the internal brow lift could be added to obtain even better results.
The repair of “botched” upper eyelid surgeries is a difficult task. Because Asian blepharoplasty (double eyelid surgery) is frequently done by unqualified surgeons, at least 30% of the people may need to have revisional surgery done to have their surgical defects corrected (failed Asian double eyelid surgery). And an essential part of the repair demands that the surgeon could restore the patients’ original anatomy and then go from there to perform the required repairing steps. Dr. Yu has a profound understanding of the Asian eyelid anatomy and knows the inside and out of every single minute details as to what could go wrong when it comes to restructuring the damaged anatomies, he is naturally your best choice when it comes to repairing or reconstructing a person’s botched eyelid surgery.
For 20 years, our Award-Winning Board-Certified Plastic Surgeon Dr. Yu has been deeply involved in perfecting the surgical procedures for Asian double eyelids. After finishing his plastic surgery training at Mayo Clinic, he followed Dr. Robert Flowers, the then world-class master of Asian eyelid surgery. At the time, Dr. Flowers’ technique was without a doubt state of the art in the field of Asian double eyelid surgery. However, Dr. Yu did notice some major limitations and many grounds for improvement. Afterward, he spent the next 15 years polishing his Asian double eyelid surgery techniques, which made him a true world master of Asian double eyelid surgery. In august 2021, Dr. Yu won the “Maverick Award” (voted by his peers) for his lecture on the topic of “Algorithm for Finesse of Asian Upper Blepharoplasty” in the Surgical Master Class at the world famous “Miami Cosmetic Surgery Conference”. This great honor is a solid proof that Dr. Arthur Yu is a respectable, world-class master in the field of upper eyelid surgeries.
Upper eyelid surgery (upper blepharoplasty) for aging looks (Dermatochalasis) is a very common procedure. When we age, there will be more excess skin and more wrinkles appearing in the eyelids. The excessive skin droops and weighs down on the eyes, causing an aged appearance, and in some people, causing blockage of the lymphatic drainage, resulting in swollen/edematous look. At the same time, the eyelid muscle may also become excessive, along with down-migration of the eye socket fat pads into the lower medial and lateral positions, causing a more senile effect. Additionally, some people may experience one or both eyes becoming much smaller, due to the eye-opening muscle(s) (levator muscle) being dehisced (broken) at the fascia level. Hence, upper eyelid surgery is devised to fix these problems.
Dr. Yu, our Board-Certified Plastic Surgeon, graduated from the world-famous Mayo Clinic and studied under quite a few world-renowned master plastic surgeons. He is very strict on following his routines about eyelid surgery. In addition to performing the usual eye examination, he would carefully examine the amount of excess skin, the crease widths, the skin quality, the fat pad positions, muscle functions, among others, before forming a treatment plan. Specific risks, benefits, and alternatives will be discussed. Right before the surgery, he would have the patient in a sit-up position and spend as much time as necessary to draw the markings for the procedure and later to reconfirm the markings with the patient in both lying down and sit-up positions, so no error is made.
The surgery is typically done with skin removal, fat pad repositioning back into their original positions, capsule tightening, levator muscle repair (if necessary), and crease fixation. If the new socket is too hollowed out, fat grafting may need to be done at this stage, and this type of volume replenishing is quite helpful for most Caucasian people. On the other hand, some tissue reduction, especially in many Asians and Hispanics, is necessary. In other words, our doctor never uses a cookie-cutter approach for his patients with this seemingly “simple” procedure. As our doctor’s often says: upper eyelid surgery may be the easiest surgery to learn, it is at the same time, the most difficult one to perfect. Our doctor performs his upper blepharoplasty at a master level, as is demonstrated by his frequent lectures in national and international master classes.
Particularly need to be mentioned here is our doctor’s trademark crease fixation step: most older methods involve the incision of the levator fascia attachment at the Tarsal plate with reattachment of the skin edges back onto the repaired levator edges. Even though this maneuver results in a stable crease fixation, it also causes the creases to be “dead fixed” (creases remained even when eyes closed), with a resulting unnatural appearance. Our doctor utilizes his in-depth understanding of the human anatomy, and without the need to incise the levator aponeurosis/fascia attachment, he fixes the eyelid creases directly onto the levator aponeurosis and the tarsal membrane, creating very natural creases that are “dynamic” (only shows creases when eyes are open). Consequently, the final result is natural-appearing upper eyelids that are fuller in volume as they should appear when young. If needed, an internal brow lift could be done along with this upper blepharoplasty, to augment the beautiful results further.
The suture removal is around seven days. If there is bruising, it usually lasts two weeks, and swelling, one to three weeks, for most people.
The skin is lifted and smoothed. The face volumes appear sculpted and plumped.
Detailed description of the treatment
With this resolutely lifting and firming expert treatment, Valmont showcases its technical expertise in 5 steps, as a tribute to the 5th highest peak in the Swiss Alps.
It all starts by carefully removing makeup thanks to a technique exclusive to Valmont: The Butterfly Motion (an original Valmont innovation). Standing beside the client the beautician carefully eliminates every trace of makeup and all impurities using Valmont’s flagship cleansing products, FLUID FALLS and VITAL FALLS.
She then performs a mechanical exfoliation enriched with Vitamin C to revitalize the skin without straining skin tissues.
At this point, the treatment reaches its climax through supremely effective lifting and sculpting motions enhanced by the potency of PRIME RENEWING PACK and V-SHAPE FILLING CONCENTRATE. For a guaranteed WOW effect!
As a final touch, the SUPER HELIX treatment, featuring snail slime and products from the AWF5 line, infuses antiaging and anti-wrinkle compounds into the skin to treat all areas marked by the passage of time. Available in two versions – 75-minute complete and 90-minute intensive, Summit of the Cervin unveils lastingly smoothed and firm skin… simply exuberant with youth!
婆婆嘴通常是出現在35歲以後，因為女性下頜骨容易出現骨質吸收的現象，其結果是病人會有大量的脂肪沉積在下臉部前方並和下巴交接處形成一道模紋，很不美觀。治療分兩種情況，對於那些皮膚仍有緊緻度而且有彈性的病人簡單的吸脂手術可以達到目標。余醫生推薦超聲刀或者熱瑪吉作為輔助治療手段以方便能夠把皮膚稍微收緊 ，防止皮膚鬆弛。對於皮膚已經很鬆弛的病人來說，抽脂後，迷你拉皮手術是很必要的，否則皮膚可能會下垂到讓人無法接觸接受的程度。迷你拉皮和婆婆嘴吸脂同時施行的話帶來的美容效果是非常令人滿意的， 如果病人有任何需要可以預約和余醫生面談.
雙下巴可以出現在任何年齡段，有趣的是雙下巴在年輕人當中可以使用精准的吸脂術做治療 ，而且完全不用擔心皮膚變鬆弛。因為吸脂手術之後下巴下方的皮膚和頸部的皮膚形成了一個直角結構，這樣局部皮膚會更加緊致。換句話說 一個直角三角形 ，兩個直線的距離要長過那一根斜線的距離。當病人有雙下巴的時候，下頜到脖子的線是那根斜線，可是當脂肪被抽出之後，病人的下巴到脖子就形成了那兩條直線了，這就是為什麼整形醫生非常會利用這個勾股弦定理來達到美化病人脖子線條的結果。
頰脂墊在頰肌和主角肌之間起到滾珠軸承的作用，方便兩塊肌肉的運動。但是隨著年齡的增長，頰脂墊有可能會向臉部前方移動，時間越長，移動的範圍越大，導致病人的中下臉部逐漸肥大。而且隨著年齡的增長蓋住脂肪墊的Smas筋膜也會變得越來越薄，頰脂墊也會在臉上變得越來越明顯。頰脂墊的摘除是通過口腔手術施行的，大部分整形醫生在口腔內側面的粘膜上做一道長約一寸的切口，以便脂肪墊能夠順利的被找到，但是余醫生可以用一個只有六到七毫米寬的小切口進入，這個切口通常是在口腔內下方第二臼齒處，並在局部麻醉下用一根細長的鑷子把半個高爾夫球大小的頰脂墊輕輕的慢慢的取出而不造成明顯的創傷 。手術之後用一根可溶性的線縫合即可。對絕大部分人來說完全沒有恢復期 ，而且術後不需要服任何止痛藥。
一般來說，西方人和中東人的鼻整形手術需要的是鼻縮小手術，手術的原因主要包括鼻子駝峰巨大，鼻尖過大，過垂或是鼻形過寬。這些都需要整形醫生用縮小術的方式把鼻形修繕，而另一方面亞洲人的鼻子通常是鼻樑過低，而且因為解剖與西方人的解剖完全不一樣，並且鼻子 幾個部位的軟骨結構都更薄，更脆弱，所以亞洲人的鼻整形手術需要更多的解剖知識，更高的手術技巧和設計才能達到完美的目標。 亞洲人最典型的鼻整形手術是鼻樑隆起術，也就是隆鼻術。因為手術的簡單易行，所以到目前為止，在全世界範圍內包括整個亞洲所有的國家，隆鼻手術仍然是用鼻樑假體來完成的。余醫生對亞洲人的鼻型有著極其充分的理解，余醫生的手術方案通常會幫病人選擇一個更適合他臉型的鼻樑高度。儘量做到手術之後不露痕跡。這要求手術完成後，假體在鼻樑的位置上不讓人看出任何的痕跡，這樣假體的選擇和手術中的削模過程就顯得非常重要。余們醫生实施鼻整形手术時儘量回把鼻假體最上端的部位掩蓋好，而在鼻尖部位假體通常會置於病人本來的鼻軟骨之下。如果病人的鼻樑處本身就有一個高大的駝峰，余醫生會把假體的下方仔細雕刻，留出一個空檔來包含這個駝峰，所以術後通常病人曾經的駝峰都不會在顯現出來。這樣也能夠最大程度的減少對鼻樑削骨的需求。與此同時為了避免手術之後產生的假體移位造成鼻樑扭曲，醫生通常用的是從口腔進入的途徑。傳統的隆鼻手術絕大部分的醫生用的是從一側鼻孔內進入，放置假體，因為單側疤痕收縮的原因造成手術後鼻樑歪曲，這種鼻樑歪曲的可能性極高。如果從口腔途徑進入，手術之後鼻假體被疤痕扭曲造成的鼻樑歪曲的可能性會被極大的降低，在余醫生19年的隆鼻手術經驗中，在幾千例手術中，只有兩例出現了鼻樑假體歪曲。 余醫生的隆鼻手術設計非常精妙，首先切口是從口腔內上唇系帶進入，切口只需要大約8毫米。位置就在鼻小柱下方然後手術進口通過鼻小柱下方進入到鼻小柱後面潛在的空隙再進入到病人的鼻樑空間，然後鼓膜可以被推起來順利的讓鼻樑假體可以安全的置入。整個手術非常安全，在局部麻醉下完成。手術需要時間通常只需要5到10分鐘。更重要的是因為假體是放在骨膜下，所以假體置入後觸摸感與病人以前的鼻樑骨質結構完全一樣，避免了病人假體的遊動以及觸摸時的不真實感。假體完全放在鼻尖的軟骨下方，所以鼻假體與皮膚完全沒有接觸，進一步避免了鼻假體對皮膚造成的創傷和以後可能的鼻尖感染。 目前的統計數字顯示在全世界範圍之內，尤其是在亞洲國家包括韓國、日本、中國以及泰國等國家，鼻假體的重修手術手術高達20%，但是在我們余醫生的手中鼻假體的重修手術遠遠低於1%。
鼻尖在鼻型和外觀上有著非常舉足輕重的地位。做好一個鼻尖是整個鼻整形的靈魂 。目前整形美容界的流行趨勢也反映了這一點，越來越多的人會想要做一個鼻尖的整形術。鼻尖的整形通常是用自體的軟骨，包括耳軟骨，鼻中隔軟骨，或者是肋軟骨來把鼻尖雕塑好一個完美的形狀。與眾不同的是我們余醫生能夠在絕大部分的時候選用封閉式的手術來雕塑病人的鼻尖。能夠設計這種閉合式的鼻尖整形手術並不是一個偶然，通過從口腔進入法 實行幾千例鼻樑假體手術之後，余醫生對亞洲人的鼻尖解剖結構有了極其充分的理解。大約5年前餘醫生設計了一種特殊的手術器械能夠讓它由口腔完美的置入鼻尖軟骨。對於鼻尖這個部位餘醫生首選的是自體耳軟骨，因為這會兒軟骨完美可以完美的覆蓋病人的鼻尖部位 ，並且可以非常容易的疊加起來，形成一個更好的筆尖結構。在鼻尖整形後 ，如果病人的鼻尖支撐力不足，餘醫生還可以用剩下的耳軟骨從同樣的路徑進入放置在鼻小柱前方提供更多的支撐力，做到讓病人的新鼻尖更加完美。這個手術的設計是整形界多年來非常巨大的一個里程碑，因為它的設計與傳統的鼻整形設計完全不同，完全避免了任何外在的疤痕，大大降低了鼻修復手術的概率。這種手術的優點顯而易見，缺點極少。因為手術便捷，大部分鼻尖手術可以在20分鐘之內完成，所以廣受病人的歡迎。當然如果病人的鼻子實在是太短需要 大幅度的延長，口腔入口的手術途徑是無法做到的。在這種情況下我們有醫生會選擇開放式的手術途徑選擇在鼻小柱處施行一個Z字形的切口，進入鼻小柱後完成鼻延長手術。
目前在美國和全世界範圍之內隆胸手術都是使用乳房假體施行，但自體脂肪移植隆胸已經逐漸普及，主要原因是假體隆胸會產生各種各樣的併發症，而自體脂肪隆胸從外觀到手感都非常自然，可以避免絕大部分假體隆胸帶來的併發症。自體脂肪移植隆胸的手感和自然度是假體隆胸不能比擬的。基於這個原因，余醫生對隆胸手術的首選方案自然就是自體脂肪移植，如果病人身體裏面有過多的脂肪都可以通過吸脂將其取出，然後施行隆胸手術或者其他自體脂肪移植手術。余醫生通常使用的脂肪部位包括肚皮，腰背部，大腿還有上臂。施行隆胸手術的脂肪存活率通大致在60%到70%，個別病人甚至能高達80% 。每次自體脂肪移植手術，余醫生通常會植入250 cc到400cc的脂肪，這樣在吸收之後病人還可以保留每次150cc到250cc。通常亞洲人的身材150cc相當於一個罩杯。當然如果病人的身體條件欠缺，例如本身胸非常小，皮膚緊，通常這種情況下脂肪植入之後壓力會比較高，所以對於這些病人余醫生會適量少種脂肪，以便植入的脂肪可以生存下來，但病人可能形成的隆胸效果不完美。這類病人通常是極少數的，對大部分人來說一次脂肪自體脂肪隆胸可以達到一個罩杯左右，情況極佳的情況下可以達到兩個罩杯。對於不同的病人的體型，余醫生會量體裁衣按照病人的年齡和身材以及乳房的形狀等實際情況來確定具體自體脂肪移植手術施行過程當中所採用的步驟以及計畫。對於年輕一些的病人，余醫生會強調把病人的乳房在當中的部位儘量墊高，但對於年紀偏大且生養過小孩的病人，余醫生會儘量把病人腋下的贅肉清除乾淨，把更多的脂肪種植在病人乳房的上集，這樣做出來的結果會更適合病人的體型，也能夠取得更好的效果。脂肪移植的進入口通常是米粒大小，手術在局部麻醉加少量的鎮定劑下施行，這樣手術之後病人恢復期會很快。因為手術成功率高，自體脂肪移植手術是余醫生提供的最受歡迎的手術之一 。
乳房假體手術，可以用鹽水袋或者是矽膠帶，傷口進入的地方可以是乳暈邊緣，乳房下和腋窩下或者是從肚臍進入 。當然如果一個病人正好在做肚子拉皮手術，乳房假體也可以從肚子拉皮的傷口進入，這樣的話手術之後病人的胸部腋下完全找不到任何的疤痕。在世界範圍之內，包括美國最常見的手術切口做在乳房下緣，完全不會碰觸到病人的乳腺組織從而避免皮膚細菌感染從而減少感染率，降低乳房假體變硬的可能。乳暈下放置假體容易碰觸到已經有污染的乳腺導管，所以術後乳房夾膜增生導致變硬的可能性會比較偏高 ，很多病人不願意在乳房下緣留疤痕，所以這種手術方式在目前還是比較受歡迎的。從腋下進入的切口，傷口非常隱蔽。對很多人來說，因為切口選擇在腋下的一個皮膚皺折裏面，所以絕大部分的病人手術之後傷口痕跡不明顯，不過腋下細菌多且腋下的汗腺導管擁有大量細菌，所以從腋下傷口進入並實施的乳房假體手術非常容易感染，也非常容易導致乳房夾膜增生，變硬。 從肚臍進入的手術方式一般只適用於鹽水袋的隆胸手術，如果手術實施得當，效果是非常不錯。但是在今天塑膠假體越來越受歡迎的年代，從肚臍隆胸的手術已經越來越少。乳房假體手術之後可能有各種各樣的併發症，其中最最顯著的就是乳房假膜增生導致乳房變硬，這種變硬的可能性大約在12%到19% 。統計數字顯示在手術之後需要重新手術或者有明顯的併發症的病人高達35%以上。所以說乳房假體手術並不是一個完美的手術，但是對於那些沒有多余的脂肪或者只想一次手術就達到超過兩個罩杯或者以上的大小的病人來說乳房假體還是一個非常好的選擇。具體的各種併發症以及各種可能產生的副作用，我們醫生強烈建議病人一定要巡查各大假體生產公司的網站，各個網站都有明確的品質顯示。不同的情況我們醫生在手術過程當中會儘量避免假體和皮膚以及乳腺導管的接觸。另外結合絕對無菌的手術條件我們醫生可以大大的降低乳房假冒增生的可能性。其結果就是余醫生的乳房手術非常受歡迎。
Circumareolar lift (Donut lift or Benelli lift) /乳暈周圍環切提升手術：此項手術把乳暈周圍多余的皮膚切除。手術對醫生的要求非常高，實行對於皮膚切除之後，需要用兩根永久性的線做環形的綁紮。大多數病人術後都會發現他們的乳房變得非常扁平，一旦縫線斷裂，病人的乳暈會迅速的擴大導致手術失敗，所以這種手術做的人非常少。
Short scar breast lift (Keyhole pattern breast lift) /短瘢痕乳房提升術：此項手術可以幫助那輕度皮膚過多的乳房下垂病人。手術在局部麻醉下施行，余醫生獨創的乳房提升手術把乳房的下集分成兩半，然後比較肥大外廓的外側會被醫生分離并墊在胸部的內上方，內側的乳房組織用來包裹乳房的下緣。其結果是病人的乳房可以變成一個高高聳起的，像年輕時一样的乳房形狀。另外因為下元的皮膚經過了特別的處理，所以病人的疤痕可以變得非常短而免去了延長的乳房下沿的疤痕。 對於乳房提升手術，余醫生強烈建議病人一定要咨询醫生术后乳房的形狀，如果醫生給出來的範例全部是扁平的，手術儘量不要由這位醫生施行。絕大部分的醫生所受的訓練都是傳統的乳房提升手術，其結果就又扁又平。余醫生發明的乳房提升手術已經經歷過去10年的考驗，得到了非常多病人的讚賞。
Wise-pattern breast lift (Anchor shaped scar breast lift) /Western乳房提升術（長疤痕）：此項手術針對乳房下垂嚴重或者皮膚及其多的病人，這個手術需要移除更多的皮膚。余醫生用他獨特的二分皮瓣手術法，也就是用病人自己的組織把乳房墊高，只要病人的乳房夠大不需要移植任何其他地方的組織。手術結束後病人的乳房上緣通常會比較飽滿而且乳房的形狀也是可以回到病人年輕時候的狀態，挺力而飽滿。
Wise-pattern breast reduction/Wise-Pattern乳房縮小術：與Wise-pattern乳房提升術的描述類似，差別僅在於手術過程當中需要切除一塊乳房組織以便減少乳房的大小。余醫生實施的Wise-pattern乳房縮小術，病人滿意度極高。
小的乳房重建通常可以用脂肪移植來完成而且效果極好。通常需要小乳房重建的病人包括部分乳房切除或者有做過小活檢的病人。對於以前的手術造成的疤痕或者是乳房組織的下陷，余醫生會用特別的手術器械把這些內線的組織分離 ，再填入適當的自體脂肪 ，以便讓乳房重新圓潤起來。
西方人和中東人鼻整形手術需要的是鼻縮小手術，他們需要手術的原因主要包括鼻子駝峰巨大，鼻尖過大，過垂。或是比形過寬這些都需要整形醫生用縮小術的方式把鼻形修繕。而另一方面亞洲人的鼻子通常是鼻樑過低，而且因為解剖與西方人的解剖完全不一樣，並且鼻子 幾個部位的軟骨結構都更薄，更脆弱，所以亞洲人的鼻整形手術需要更多的解剖知識，更高的手術技巧以及更好的手術設計才能達到完美的目標。 亞洲人鼻整形最典型的手術就是鼻樑隆起術，也就是我們通常講的隆鼻術。因為手術的簡單易行，所以到目前為止，在全世界範圍內包括整個亞洲所有的國家，隆鼻手術仍然是用鼻樑假體來完成的。我們的醫生對亞洲人的鼻型有著極其充分的理解，所以我們與余醫生的手術設計通常會幫我們的病人選擇一個更適合他臉型的鼻樑高度。手術通常做的相對保守 ，儘量做到手術之後鼻型不顯山不顯水，不讓人家看出手術的痕跡。這就要求手術完成後假體在鼻樑的位置上不讓人看出任何的破綻，這樣一來假體的選擇和手術治當中的削模過程就顯得非常重要了。因為最容易露出馬腳的地方通常是鼻假體的最上端和鼻尖部位，所以我們醫生在做鼻整形時一定會爭取把鼻假體最上端不部位掩蓋好，而在鼻尖部位假體通常會置於病人本來的鼻軟骨之下。如果病人的鼻樑處本身就有一個高大的駝峰，我們醫生會把假體的下方仔細的雕刻好留出一個空檔來包含這個駝峰，所以術後通常病人以前的駝峰都不會在顯現出來。這樣也能夠最大程度的減少對鼻樑削骨的需求。與此同時為了避免手術之後產生的假體移位造成鼻樑扭曲，我們醫生通常用的是從口腔進入的途徑。傳統的隆鼻手術絕大部分的醫生用的是從一側鼻孔內進路 放置假體這種手術。因為單側疤痕收縮的原因造成手術後鼻樑歪曲，這種鼻樑歪曲的可能性極高和明顯。但是如果從口腔途徑進入，手術之後鼻假體被疤痕扭曲造成的鼻樑歪曲的可能性會被極大的降低，在余醫生19年的隆鼻生涯中，在幾千例手術中只有兩例出現了鼻樑假體歪曲。 我們余醫生的隆鼻手術設計非常精妙，首先切口是從口腔內上唇系帶進入，切口只需要大約8毫米。位置就在鼻小柱下方然後手術進口通過鼻小柱下方進入到鼻小柱後面從那個潛在的空隙進入到病人的鼻樑空間，然後鼓膜可以被推起來順利的讓鼻樑假體可以安全的置入。整個手術可以非常安全的，無痛的在局部麻醉下完成。手術需要時間通常只需要5到10分鐘。更重要的是因為假體是放在骨膜下，所以假體置入後觸摸感與病人以前的鼻樑骨質結構完全一樣，避免了病人假體的遊動以及觸摸時的不真實感。因為這樣的假體間完全放在鼻尖的軟骨下方，所以鼻假體與皮膚完全沒有接觸，進一步避免了比加題對皮膚造成的創傷和以後可能的鼻尖感染。 目前的統計數字顯示在全世界範圍之內，尤其是在亞洲國家包括韓國、日本、中國以及泰國等國家，鼻假體的重修手術手術高達20%，但是在我們余醫生的手中鼻假體的重修手術遠遠低於1%。
鼻尖在整個鼻型和外觀上有一個非常舉足輕重的地位。做好一個鼻尖是整個鼻整形的靈魂 。目前整個整形美容界的流行趨勢也反映了這一點，越來越多的人會想要做一個鼻尖的整形術。鼻尖的整形通常是用自體的軟骨，包括耳軟骨，鼻中隔軟骨，或者是肋軟骨來把鼻尖雕塑好一個完美的形狀。與眾不同的是我們余醫生能夠在絕大部分的時候選用封閉式的手術 雕塑病人的鼻尖。能夠設計這種閉合式的鼻尖整形手術並不是一個偶然，通過從口腔進入法 實行幾千例鼻樑假體手術之後，余醫生對亞洲人的鼻尖解剖結構有了極其充分的理解。大約5年前余醫生設計了一種特殊的手術器械能夠讓它由口腔完美的置入鼻尖軟骨。對於鼻尖這個部位余醫生首選的是自體耳軟骨，因為這會兒軟骨完美可以完美的覆蓋病人的鼻尖部位 ，並且可以非常容易的疊加起來，形成一個更好的筆尖結構。在鼻尖整形後 ，如果病人的鼻尖支撐力不足，余醫生還可以用剩下的耳軟骨從同樣的路徑進入放置在鼻小柱前方提供更多的支撐力，做到讓病人的新鼻尖更加完美。這個手術的設計是整形界多年來非常巨大的一個里程碑，因為它的設計與傳統的鼻整形設計完全不同，完全避免了任何外在的疤痕，大大降低了鼻修復手術的概率。這種手術的優點顯而易見，缺點極少。因為手術便捷，大部分鼻尖手術可以在20分鐘之內完成，所以廣受病人的歡迎。當然如果病人的鼻子實在是太短需要 大幅度的延長，口腔入口的手術途徑是無法做到的。在這種情況下我們有醫生會選擇開放式的手術途徑選擇在鼻小柱處施行一個Z字形的切口，進入鼻小柱後完成鼻延長手術。
對於一些年輕的病人來說，可能是下巴下方有一個肥厚的脂肪沉積，對於這些病人來說，他們不一定需要做正視的脖子拉皮，很多時候對於這些有粗大的脂肪沉積的病人只需要做一個簡單的抽脂術就可以了，當然並不是每一個人的脂肪都是很容易的抽出來了。如果一個脂肪不容易抽出的情況下，我們醫生可以用一臺smart lipo laser機器，插入一根1毫米粗細的光纖，把鐳射能量導入進去，然後把不容易抽的脂肪融化掉，再把融化掉的脂肪取出來。這樣的情況下，病人的脖子也可以收緊到年輕時的程度。這些手術都可以在局部麻醉下施行，因為是局部麻醉，手術範圍小，手術之後的恢復期可以大大的縮短。如果病人不願意手術，我們醫生會根據病人的情況用肉毒桿菌素，讓肌肉放鬆，這樣肌肉會重新貼回到氣管上，這樣的脖子也可以恢復到年輕時的狀況，前提是病人的皮膚不能太鬆弛
有一個更複雜的解刨結構，就是所謂的“蒙古皺”（medial epicanthal folds），解刨上稱為”內置贅皮“，這個結構只存在於絕大部分的亞洲人，但是在白人臉上是不正常的解刨結構，我們亞洲人想要保持民族的特性，對蒙古皺並不反感，也不想移除他們。但是部分人還是想要移除，這樣他們的眼睛會更大一點。
縫線法（Suture Method): 是用一根非常細的線形成雙眼皮的皺褶，這種方法適合沒有多余皮膚和皮膚很薄的病人。這種手術創傷小，但縫線法的雙眼皮手術失敗概率較高，有一些病人有淋巴回流障礙，用縫線法術後的腫脹時間可能會達到一年。因為內置的縫線會影響淋巴回流。
開窗法或三點定位法（Window Methods (Partial Incision)）：三點定位法同樣適合沒有多余皮膚和皮膚很薄的病人。通常的做法是在眼皮規定的寬度上，做一個或者兩個小切口去除多余的脂肪同時將抱住脂肪的膜切開，以便暴露上瞼提肌的結膜，從而進一步固定雙眼皮的皺褶，這種方法形成的雙眼皮皺褶是固定在上瞼提肌的結膜上，這樣形成的雙眼皮是靈活、自然的。這種手術方法創傷小而且固著時間長，失敗幾率小。這也是病人最喜歡的手術方式。
全切開雙眼皮（Open Incisional Method (Full Incision)）：這種手術方法適用於有過多皮膚和上瞼提肌問題的人，手術確保過多皮膚會被切除，脂肪墊會根據病人的實際情況進行切除或者重新定位，這樣讓眼眶重新飽滿起來，看起來也更很年輕。大小眼修復的重點就在於上瞼提肌的修復，這些問題處理好，余醫生就會把眼皮定位在上瞼提肌的結膜上，這樣的雙眼皮會非常自然，如果病人想要雙眼皮更好看，余醫生還會做額外的脂肪移植，只要把眉弓上面的脂肪墊做好脂肪移植，加做一個內部的提眉手術，這樣病人的眼睛就會變得更明亮，也更漂亮。
多年以來，雙眼皮手術大多數是由沒有資質的整形醫生來實施的，導致超過30% 的病人手術失敗。但是余醫生的雙眼皮修復手術是有能力將不良的手術結果恢復到術前，因為余醫生對亞洲人的眼皮結構有充分瞭解和研究，也擁有長達十九年的臨床手術經驗，多年來他修復了無數個失敗的雙眼皮守護病例，得到了病人的一致讚賞。如果你有修復雙眼皮這方面的需求，余醫生是您最好的選擇。余醫生出自世界文明的整形外科Mayo Clinic，又師從最著名的整形醫師-Dr Robert Flowers。在手術水準上可以說是青出於藍而勝於藍。經過十多年的耕耘，余醫生針對眼皮修復手術並作出了升級和優化，其手術水準已經達到大師境界。
上眼皮提升手術是整形外科手術中最常見的一種，隨著病人年紀的增大，上眼皮會逐漸變重，導致皺紋隨之增多，最後會把眼皮壓下來，這樣的眼睛看起來很無神。由於上眼皮形成了重壓，甚至會導致局部的淋巴回流不暢，進一步引起局部的眼皮水腫， 所以一部分病人早上起床後會發現自己的眼皮特別的沉重。與此同時，因為衰老的原因，本來在眼窩中的脂肪，向眼窩兩側下滑，導致內側和外側的脂肪凸出， 眼眶就會出現凹陷的現象。
Nasolabial fold is grafted with both fine and coarse fat. There is no need to worry about over filling this area, due to the fact that not much fat could survive in this highly mobile region.
Due to its abundance, rib cartilages could be utilized to correct both nose bridge insufficiency and the tip/columella complex. Although at this point of time, the revision rate remains high.
Columela veiling/columella show is very easy to correct, provided that the surgeon knows how to correct it. Our doctor utilizes an extremely minimally invasive approach to augment the columella, for either its thickness or its vertical supporting strength, mostly via an intra-oral approach. The result is virtually no visible scar from anywhere and the recovery is super-fast!
Canine fossa depression (base of the nose deficiency/depression) can be treated with fat grafting if minor, or with self-cartilage grafting and or Alloderm if moderate to severe. A combination of all three approaches could be used for even better and much more coordinated aesthetic correction.
Nasal alar reduction works to shrink the size of the nostrils. Dr. Yu uses an internal approach, by making incisions at the lateral aspect of the nasal sill to remove a wedge of tissues, including the corresponding nasal floor. After the mucosa is trimmed, the floor tissue can actually be turned down to augment the canine fossa (base of nose) right then and there. At the same time, the nasal alar is brought in to cinch down on the size of the nostril. The recovery is fast and the scars are barely detectable.
The complexion is even, radiant and glowing. Age spots have faded and the texture of the skin is refined.
An original Valmont creation, the Brightness of Ice treatment is dedicated to restoring youthful purity and freshness to the complexion. With this exclusive professional treatment, Valmont offers the perfect solution for gently awakening a bright and even completion. It also improves the texture of the skin while providing comprehensive anti-aging action.
Inspired by Asian care habits, this treatment doubles each step to create entirely new synergies
between the gesture and the product. Twice the cleansing, twice the massage, twice the mask… a state-of-the-art program for a complexion as clear as ice. Sparkling Ice is especially recommended for women looking to combat pigmentation disorders; its delicate touch makes it ideal for even the most sensitive skins.
This professional treatment uses products from the Expert of Light line, along with exclusive product
associations, to give the skin a youthful glow. If performed regularly, it offers an intense clarifying effect. If used from time to time, it allows the skin to regain its original luster.
The treatment is available in two versions – 75-minute complete and 90-minute intensive.
Buccal fat pads function as the ball bearing between the buccinators and the masseteric muscles. With aging, buccal fat may begin to migrate anteriorly in some people, causing a wider and fatter look in the frontal view. With time, the SMAS fascia overlying the fat pad becomes thin, and the fat pads become more and more prominent. If at any point in time, you think that your face is becoming wider at the mid-lower face, it is most likely that buccal fat is to blame.
While most surgeons remove the buccal fat by make a long incision on the oral mucosa along with the lower teeth, our doctor does each and every one of his buccal removals with a tiny incision at the oral mucosa corresponding the second lower molar. The fat is about half a golf ball in size, but our doctor can gently tease the fat out through the small opening, drastically reduce the trauma from the surgery. That explains why almost every one of our patients requires almost no recovery time!
Anti-oxidant – IV therapy has been used for decades in hospitals to treat a range of conditions, from dehydration to nutrient-absorption disorders, but it’s increasingly offered at independent clinics and through house call-type services that pledge to help people feel better without clogging already-burdened emergency departments. And, while it may be most buzzed-about as a hangover cure in party cities like Las Vegas, New Orleans, and Los Angeles, IV therapy is also given to people with migraines, fibromyalgia, and chronic fatigue syndrome, as well as those who want a nutritional, athletic, energy, beauty or immunity boost.
Our IV anti-oxidant therapy is a custom blend of multi-vitamins, electrolytes, and Glutathione. It is a powerful way to boost your body’s resources and minimize the damage of free radicals and oxidative stress that can damage and even kill cells all over your body. In fact, our anti-oxidant blend includes a mega-dose of Glutathione as well as a mega-dose of Vitamin C.
If you’re interested in boosting your antioxidants, strengthening your immune system and minimizing the chances of damaging oxidative stress.
Minor breast reconstruction for patients with lumpectomy (partial breast removal) is usually done with fat grafting. Because there is often significant scarring involved, special instruments are employed to relieve the tension of the scars to facilitate the fat grafting.
For complete breast excision (Mastectomy, radical mastectomy), the patient is encouraged to see our doctor prior to having the surgery, so coordinated reconstruction procedures could be arranged seamlessly. But for the ones who already had the mastectomy done, the choices for reconstruction are relatively limited. In any case, the reconstruction involves flap surgery, expander, or direct placement of implants. The good news is that, with the availability of Alloderm, reconstruction even in patients, post-radiation therapy could yield great results.
A mid-face lift could greatly lift up the cheek structures. It could be done via a lower eyelid surgery incision, in combination with a brow surgery, being it open or endoscopic approach, or via a superior extension of a traditional facelift. An intra-oral approach could also be employed with the help of 8-prone Poly L-lactic acid ribbons.
Similar effect could be obtained by adding volume to the relevant structures in the mid-face, such as tear troughs, the apple cheek, the lateral portion of the cheek bone arch and the nasolabial folds. Both fillers and fat grafting could be used.
It is becoming a new trend for Asian people to go through a comprehensive combination surgery in order to correct the nose shape. Any or all of the above-mentioned steps/approaches could be chosen and carried out for a patients desired nose shape.
Corrective surgery for a failed nose job—-Dr. Yu treats all kinds of failed nose jobs, especially after implant surgeries. An in-person consultation with Dr. Yu is recommended in designing the corrective plans.
RESTYLANE is a popular, healthy, and natural cosmetic filler product. Hyaluronic acid, also known as hyaluronic acid and glucuronic acid, is one of the critical components of human dermal tissue. There is no risk of the immune response, transplant rejection, etc.
Includes Restylane L, Restylane Lyft, Restylane Silk, Restylane Defyne, Restylane Refyne
* We are an Allergan top 50 injector clinic and, our doctor is the only one who does injections in this clinic. This makes our doctor one of the most experienced doctors in the USA. In total, we have 12 different fillers (listed below). As a result, we have a very broad choice of fillers to treat various problems. For instance, in the cheek, lips and temple area, our doctor likes to use the Juvederm family products, but around the eye, nose and chin areas, he would pick the Restylane family products as the preferred fillers. For fine wrinkles and deep wrinkles, the choices will be completely different, it is also different when it comes to choosing fillers for the hands.
We do not carry permanent or semi-permanent filler, because our doctor believes that “permanent filler means a permanent trouble”. As an extremely experienced master injector, Dr. Yu invented many novel techniques for facial enhancements, especially in the nose, eye and temple areas. If you want to have a well-revered and respected injector/doctor to work on your beauty, Dr. Yu is, by all means, the best choice!
Heavy metal poisoning is the accumulation of various heavy metals in your body. Environmental and industrial factors expose you to high levels of heavy metals every day, including the foods you eat and air you breathe.
Some of these metals — such as zinc, copper, and iron — are good for you in small amounts, but overexposure can lead to heavy metal poisoning, such as what occurs in Wilson’s disease. This can be fatal.
Depending on your level of exposure, medications given intravenously under medical supervision can remove these toxins. These medications bind to the metals, a process called chelation. You doctor will test your blood, urine, and hair to measure metals toxicity.
UVÉDERM VOLUMA® XC injectable gel is for deep injection in the cheek area to correct age-related volume loss in adults over 21. JUVÉDERM VOLLURE™ XC injectable gel is for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds (such as nasolabial folds) in adults over 21. JUVÉDERM® XC injectable gel is for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds (such as nasolabial folds). JUVÉDERM® Ultra XC is for injection into the lips and perioral area for lip augmentation in adults over the age of 21. JUVÉDERM VOLBELLA® XC injectable gel is for injection into the lips for lip augmentation and for correction of perioral lines in adults over the age of 21.
The products include Juvederm XC, Juvederm XC Plus, Juvederm Vobella, Juvederm Voluma, Juvederm Vollure
* We are an Allergan top 50 injector clinic and, our doctor is the only one who does the injections in this clinic. This makes our doctor one of the most experienced doctors in the USA. In total, we have 12 different fillers (listed below). As a result, we have a very broad choice of fillers to treat various problems. For instance, in the cheek, lips and temple area, our doctor likes to use the Juvederm family products, but in the eyelids, nose and chin areas, he would pick the Restylane family products as the preferred fillers. For the fine wrinkles and the thick wrinkles, the choices will be completely different, so is it different when it comes to choosing fillers for the hands.
We do not carry permanent or semi-permanent filler, because our doctor believes that “permanent filler means permanent troubles”. As an extremely experienced master injector, Dr. Yu invented many novel techniques for facial enhancements, especially in the nose, eyelid, and temple areas. If you want to have a well-revered and respected injector/doctor to work on your beauty, Dr. Yu is, by all means, the best choice!
There are only a few FDA approved uses for butolinum toxins made by various manufacturors. Consequently, most of the uses are off-label applications:
Wrinkles around the eyes, i.e., crow’s feet, “11” sign, nasolabial folds, Forehead wrinkles, eyelift brow lift by botulinum toxin, nasal alar reduction with botulinum toxin, gummy smile treatment with botulinum toxin, mouth corner lifting, chin dimple treatment, masseteric muscle (biting muscle) reduction with botulinum toxin, neck lift and face lift with botulinum toxin, shoulder muscle (trapezious muscle) reduction for lower neck slimming and elongation, arm muscle reduction, leg muscle reduction by botulinum toxin, etc.