Wayne Larrabee has practiced aesthetic medicine and surgery in Seattle for over 3 decades. He is a poet, photographer, and surgeon who believes an artistic eye is key to achieving natural aesthetic results. His global teaching, research and publishing enable him to provide the most advanced care. He is certified by the American Board of Facial Plastic Surgery and the American Board of Otolaryngology - Head and Neck Surgery
Dr. Susan Kurian is a fellowship trained facial plastic and reconstructive surgeon with a special focus on rhinoplasty and injectables. She is passionate about using the right combination of surgical and nonsurgical methods to target the need and wants of her patients.
I interviewed 4 doctors before selecting Dr. Larrabee—and have previously had cosmetic procedures performed by other doctors. I went with The Larrabee Center since Dr. Larrabee was not only the most qualified, but he is very professional and friendly. Dr. Larrabee takes the time to listen to his patients to understand their expectations before recommending any procedures. Here are some c...
Lauren is the best. Have been coming here for 7 years. Amazing. I have had Ulthera IPL and skin tight and look 20 years younger. The Larrabee center is great. I also see Marilyn who is beyond expert in Botox.
I have been seeing Marilyn for several years. I have always been happy with her work. I always feel I look refreshed as opposed to “done”. Her charting is meticulous and her technique is unparalleled. Not only is she a consummate professional, but she is also a wonderful person.
I was nervous to try altering my lips as I've been thinking about it for years, but Shana was caring, thoughtful, and wise. She answered all of my questions, checked on me throughout the injections, and emailed me the next day to see how I was. I trust her immensely and recommend her to anyone out there looking for facial injections!
I had the pleasure of receiving injections from Shana at the Larrabee Center and I am very impressed with the professionalism and expertise that she provides at every visit. Shana took the time to talk with me about my personal preferences and explained different types of treatments with great knowledge and detail. She explained every step of the procedure and was precise with her injections....
A: You are an excellent candidate for a deep plane facelift. There is significant laxity in the neck and jowl area that could be well addressed. The procedure would require an incision just beneath the chin to deal with the deep fat and possible other tissues beneath the platysma muscle. We would aim for a mostly vertical vector in the cheeks. Repositioning the lax neck tissue requires that the incisions be placed in front of the ear (in our case behind the tragus) to create a smooth transition from the neck to the face. Medical recovery would be about 1 week with another week or two for any bruising to resolve.
A: With minor surgery you could probably obtain some good improvement. The least involved would be a submentoplasty which could be done under local anesthesia and an incision in a neck crease beneath the chin. The skin could be smoothed and some excess skin removed. If the platysma muscles were lax they could be tightened also. A more definitive but more involved procedure would be neck lift performed with incisions around the ears to remove skin from the sides. Finally there are nonsurgical options which could help. Sofwave is an ultrasound based therapy to tighten the skin and smooth it. Sylfirm X is a bipolar radiofrequency technique to both tighten and smooth the skin. Sofwave is more or less "one and done". Sylfirm X requires a series of treatments. Both are done under topical anesthesia with minimal downtime.
A: It is difficult to analyze from this photo, but it is probably scarring from acne or some trauma. This could be treated with laser resurfacing. In our practice we would use the Sciton Contour or Pro fractional laser. Radiofrequency microneedling would also be beneficial. We recommend SyldfirmX. These treatments are done under topical or local anesthesia.
A: This is one of the most common questions in my practice. You could achieve a very good result with just a blepharoplasty. It would open your eyes and mostly give what you want. The brows are not essential now and you could always do them later if you wished.
A: You would need an in-person exam for a definitive recommendation. Surgery would help but likely adding fat injections would be useful. These could be performed as an isolated procedure or in conjunction a facelift procedure. Likely the fat injections would be sufficient and you could do surgery later if you wished..