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Kristen Yee, MD

Board Certified Plastic Surgeon
1111 Sonoma Ave., Ste. 112, Santa Rosa, California
5 | 2 Reviews
11 Questions Answered
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QUESTIONS ANSWERED

Fillers would camouflage the depression in your nasal tip, which is due to a gap between the cartilages over each nostril.  If you're also concerned about the width of the tip of your nose, and the angle of your nasal tip, the fillers won't really address that; surgery would be best to bring those two cartilages together, which will eliminate the gap ("gash"), narrow the tip of your nose, and at the same time the tip can be rotated down.  I advise you to find someone specifically trained in facial aesthetic surgery who is board certified, who does fillers as well as nasal surgery (rhinoplasty) so that they have the experience to treat you whatever you decide.  

Best wishes!

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Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews

A board-certified plastic surgeon is the best practitioner to harvest the fat from liposuction, and then I recommend you find someone who does a lot of facial surgery, not just liposuction.  For example, I am trained in craniofacial surgery, which is an additional year of training after plastic surgery training focused on treating congenital and traumatic facial deformities, as well as aesthetic facial surgery, so I am very comfortable with safely injecting into the face and planning the best areas to fill for a natural look.  

Fat grafting sometimes has unpredictable take, as you already know, so it's best to start conservatively and then add as needed.  What you do have, after 3-6 months, will be permanent.  I do mention being conservative especially because the fat will behave like the area it came from - that is, if it's taken from your thigh, and you gain weight, that area of your face will also plump up a bit, which may or may not be what you want!  (This is more of an issue in kids, if they've had fat grafting before puberty, but it's a consideration)

Good luck!

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Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews

That is a great question.  One way to test out how you might look without the implants is to have the implants punctured with a needle (by a surgeon), to mimic a rupture, and then typically your body just reabsorbs the saline.  Usually the implant will go down (and of course this is not reversible!) and then you can get a good idea of what will happen, if your implants are removed and you don't have a lift.  This procedure has helped my patients make their decision.

Your results also depend on how big your implant is, in relation to your remaining breast tissue.  In some women who have thinned out breast tissue over larger implants, a lift to rearrange the remaining tissue and remove some of the loose skin can look much better than without.

Compression garments can help somewhat but can't address all excess skin, and unfortunately exercise can't help.  

Good luck!

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Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews

Scars continue to mature over the first year, so you're still in a good window!  Massage always helps, and you can use any simple lotion or oil (like Eucerin, or fragrance-free massage oil) to make it easier.  The other item I always suggest is Mederma, which is also available at drugstores.  It is the only topical treatment that has been shown to improve scars.  Just follow the directions on the package, some forms have a gel, a lotion, or a dressing; any of these is fine.

Good luck!

provider-Kristen Yee, MD-photo

Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews

When I do a breast reduction, or do a breast lift, I always use internal sutures to bring the tissue higher on the chest wall to create more fullness on top.  Compared to the use of an implant, however, your own tissue will probably not look as round and high as an implant can, because it responds to gravity differently than an implant.  It would be good to find reference photos so you can discuss your goals with your surgeon and she or he can compare those to where you are now, to come up with a plan to achieve your goals.  

Best wishes!

provider-Kristen Yee, MD-photo

Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews

If you had an infection and you are feeling warmth or redness, you may still have a residual infection.  Please contact your surgeon and make sure that there is not a problem that needs to be treated with either more/different antibiotics or surgery.

After breast reduction, even without an infection like you had, sometimes areas lose their blood supply with the tissue rearrangement and the tissue becomes hard and calcified, we call it "fat necrosis", which sounds terrible but is just thick, internal scars where the tissue didn't have a good blood supply.  Sometimes they resolve over time, and sometimes they have to be removed surgically.  

Good luck!

provider-Kristen Yee, MD-photo

Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews
From a surgical perspective it's very safe to have a repair as an adult.  I recommend you seek out a plastic surgeon in your area who specializes in cleft palate repairs.  Although he or she may normally operate on children, a fellowship-trained cleft surgeon is best equipped to repair your palate.  Good luck!
provider-Kristen Yee, MD-photo

Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews
A revision may be possible.  I suggest you see a plastic or maxillofacial surgeon near you, who will likely order a CT scan to evaluate your eye sockets, and then potentially plan a revision with bone or another implant.

best wishes,
Kristen Yee, MD
provider-Kristen Yee, MD-photo

Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews
Your lips look nice at rest, it seems like the scar tissue is a different texture/thickness so that's why it's more obvious when you smile.  Botox is for muscles, and it doesn't look like a muscle problem.  It's possible that an injectable filler would plump out that area so it wouldn't dip down and be flattened when you smile.  If not, a small procedure to revise the scar might help.  
provider-Kristen Yee, MD-photo

Kristen Yee, MD

Board Certified Plastic Surgeon

5 | 2 reviews

Kristen Yee, MD reviews

Kristen Yee, MD

RATING DETAILS

5.0
2 reviews

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Sassymetzger

Fabulous Experience - Santa Rosa, CA

I had an amazing experience with Kristen Yee, MD. The office staff where very knowledgeable and friendly. Very welcoming environment and privacy. I will continue to go get treatment and feel that her expertise is valuable. Dr. Yee spent a lot of time with me going over procedure and what to expect.

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Janis80

Janis80

First Time Botox & Possibly Hooked!!! - Santa Rosa, CA

I always associated Botox with last resort type of procedure, or a kind of not so conspicuous, frozen face, swollen look. Until, my cousin mentioned that near her husband's practice, a plastic surgeon, by the name of Kristen Yee was doing a trial free Botox for first time users. What's the best time for Botox, if not when it's free? I went in, cute little office, clean, professional. Kristen Yee, was wonderful, very pretty, skin looked flawless. Poked me three times around the edges of eyes, and between brows (hurt!!! I'm a big baby) plus. I think I tensed up from being so nervous, didn't want that famous "surprised look". Here I am a few days later and absolutely love it! At this point just need to know how much it's going to cost me every five months!!! Lol I don't want to go back to looking the way I had! It's very deceiving...it has taken at least 10years off my eyes! I am not very old at all, but why look any older than I have to? It's subtle, quick, and worth it's weight in gold! Updated on 26 Feb 2015: