Give Your Bottom, and your Spirits, a Lift!

March 15th, 2017

The older we get, the more things sag. What we gain in wisdom, we lose in skin tautness. Bogus. While this happens to our bodies, one area for our patients in Naples is especially irritating — their sagging bottoms and outer thighs. Sagging there can make a person avoid putting on a swimsuit, which is a crime in an area with such awesome beaches.

But you don’t have to put up with the sagging —Dr. Turk can perform a buttock and outer thigh lift!

Would a buttock/outer thigh lift be good for me?

This isn’t a weight loss procedure but is meant for people who have excess skin and tissue that’s sagging on their bottom and outer thigh. This can be due to former pregnancies, significant gain and loss of weight, or just natural aging. To qualify, patients need to be within ten percent of their ideal weight.

How is it done?

In a buttock/outer thigh lift, Dr. Turk makes an incision across the back from hipbone to hipbone. The incision is made, so it is easily concealed by your underwear or a bikini bottom. If there is a good deal of fat to be removed, Dr. Turk will use liposuction to do so. Then the skin is stretched to position the buttocks and outer thighs into a higher, firmer position.

Recovery

Most patients can go home after their anesthesia has worn off. There will be some swelling, soreness, and bruising for the first few days, but this is easily manageable with pain medication. Most patients can return to work and their regular activities in about two weeks. Strenuous exercise, particularly things that put a lot of stress on the lower back, must be avoided for at least a month. Your scar will be very noticeable at first but will continue to change and fade over the next year or more.

Your results with a buttock/outer thigh lift are permanent. As long as you don’t gain and lose a significant amount of weight, you’ll be happy with your trimmer contour and skin tightness. Of course, the procedure doesn’t stop the march of time, so there will be some new sagging down the road. But, even with that, your backside will look dramatically better for the long haul.

Interested in getting rid of that sagging on your bottom and outer thighs? Call Dr. Turk at 239-348-4357.



Let’s Have a True/False Quiz on Skin Cancer

February 15th, 2017

Now that we’re heading into prime beach time here in Naples people get excited. Your skin? Not so much! Your skin is under constant bombardment from the sun’s ultraviolet rays. Those rays are aging your skin, but even worse, they’re creating skin cancers.

At Naples Cosmetic Surgery Center, we have various options for addressing skin cancers, but the best treatment is prevention and prevention begins with knowledge. Let’s see how you do on these questions and answers about skin cancer.

UVA vs. UVB

You see the labels on sunscreen. Some say they block UVB rays. Others say they are broad based. You need a sunscreen that blocks both UVA and UVB rays. Why? They both are beating up your skin. UVA rays penetrate the epidermis and affect the dermis beneath, causing your skin to age and creating the beginnings of skin cancer. UVB rays cause sunburn on the epidermis and also lead to the topical skin cancer lesions.

If you get skin cancer you die.

Not true. Most skin cancers, if detected early enough, are all treatable with surgery. That’s where Dr. Turk’s surgical expertise comes into play. Not only will he remove the cancerous tissue, but also he’ll minimize the scarring associated with the surgery.

Skin cancer is the most common form of cancer

This is true. In the U.S. over one million people each year are diagnosed with skin cancer. Probably double that or more are undiagnosed.

Sunscreen prevents skin cancer

Nope. Sunscreen helps block the rays than lead to skin cancer, but just because you have on sunscreen doesn’t mean you can spend every waking minute in the sun without repercussions. Sun damage is cumulative.

If you have lots of moles, you have a higher risk of melanoma

This is true. People with moles, especially large ones, have a higher risk of melanoma. Those moles need to be checked constantly to see if they change shape or color.

Melanoma and squamous and basal cell carcinomas all develop from the amount of sun exposure

This is true and false. Squamous and basal cell carcinomas do develop from the accumulated amount of sun exposure. Over your life your exposure adds up and eventually in most people who’ve seen a lot of sun one or both of those two skin cancers will develop. Melanoma does develop from sun exposure, but it’s not the amount of total exposure. Research indicates melanoma develops out of those severe burns we’ve all experienced (often as children). Just one severe, peeling burn doubles your risk of developing melanoma later in life.

If you have skin cancer that needs addressing surgically, trust Dr. Turk to do the job. Call us at 239-348-4357 for an appointment.



Do People Keep Asking What You’re Mad About?

January 15th, 2017

Gravity has its merits — it keeps us from flying off into space! But your skin isn’t a fan. After all, gravity is always working, never taking a shift off. It’s constantly pulling your skin and the underlying support tissue downward. When you combine those effects with sun damage, personal habits, stress, and the general aging process you have the recipe for sagging skin and an older appearance.

On your forehead, this will show itself in sagging brows, the 11s between your eyebrows, and forehead creases. This is annoying enough on its own, but because the eyes and the brow area are parts of the face where we show expressions, this aging on your brows can give those you’re dealing with the wrong impression. People can think you’re sad, mad, or really tired — and you could be the happiest, most well-rested person in the room!

But all is not lost. A brow lift with Dr. Turk can remove much of the sagging and present an improved countenance to the world!

Since brow lifts target the upper third of the face, for a more involved facial rejuvenation, the procedure can be combined with other surgeries such as blepharoplasty (eyelid surgery) and a mid-facelift to rejuvenate more of the face. You’ll discuss these available options with Dr. Turk during your consultation.

Would a brow lift help you?

Sagging brows aren’t necessarily due to anything you can control. Much of the sagging on the forehead area comes genetically predisposed. Most of our brow lift patients at Naples Cosmetic Surgery are between the ages of 40 and 60 and feature lined or inelastic skin on their foreheads.

Do you want a preview of sorts? To mimic what a brow lift will do, a simple test is to do this: Stand in front of a mirror and place the palms of your hands to the sides of your eyes above the eyebrows. Now pull the skin back from the eyes. This is pretty much what surgery with Dr. Turk will accomplish.

Two techniques to fit your situation

Before endoscopes came onto the scene, there was only one method for a brow lift. Today that method is called the “traditional brow lift.” But now a less invasive option can be performed using an endoscope. Which method will work for your personal situation is between you and Dr. Turk; you will discuss your options during your consultation.

  • Traditional brow lift — A traditional brow lift requires a coronal incision that stretches from just above the ear across the top of the forehead and down to the other ear. The incision is made within hairline, but may be placed further back to minimize visibility in patients with thinning hair. Next, the forehead skin is lifted, tissue removed, muscles adjusted, and the eyebrows may be lifted. Dr. Turk then trims any excess skin and closes the incision with stitches or clips.
  • Endoscopic brow lift — As endoscope technology has continued to improve, endoscopic brow lifts have become the favored method. In this method, Dr. Turk makes from three to five short incisions, each less than one inch, behind the hairline. An endoscope is then inserted into one of the incisions. The endoscope enables Dr. Turk to see beneath the skin without making the long incision of the traditional method. Through the other incisions the skin is lifted and excess skin is trimmed. Underlying muscle is adjusted as needed. The overlying skin is then redraped to its tighter contour.

With both methods, there will be numbness and discomfort at the incision sites. This is normal. Numbness will give way to itching as the forehead heals. This usually passes within six months. You will have swelling, as well, but the majority of this passes within two weeks. Still, there can be residual swelling for a few months.

Tired of giving people the wrong impression? Maybe it’s time to lose those sagging brows. Call Dr. Turk, 239-348-4357, to make an appointment.

 



Answers to Liposuction Questions

December 15th, 2016

Everyone, even elite athletes, has pockets of fat that are as stubborn as your mother-in-law. These pockets don’t budge, no matter how much you change your diet or exercise. That probably explains why liposuction has become the second most popular cosmetic surgery in the United States — it’s the procedure that can make those pockets go away.

Since Dr. Turk performs many liposuction procedures here in Naples, we thought we’d answer some common questions about the procedure that we hear from our patients.

Will the fat cells grow back after liposuction?

The fat cells that Dr. Turk suctions away with liposuction are permanently removed and they can’t come back. However, if the patient then proceeds to gain a significant amount of weight, say 10% of his or her body weight, then new fat cells can develop. This can include areas previously treated with liposuction. But if the patient doesn’t gain weight the new contour is permanent.

If I gain weight does the fat come back to the treated areas?

Fat usually doesn’t return in the treated areas provided the patient doesn’t gain a significant amount of weight. Lesser weight gains will have fat that accumulates in untreated areas.

What if I get pregnant after liposuction?

Pregnancy does not permanently alter the results of liposuction. If the woman has liposuction and subsequently becomes pregnant, gains weight, gives birth and loses the excess weight from pregnancy, then her original liposuction improvements will return, as if she had never been pregnant.

How many pounds of fat can be removed?

There is a limit to the amount of fat that can be safely removed in a single liposuction procedure. The maximum amount of fat that can be removed safely is about 6 to 8 pounds. If more than 6 to 8 pounds of fat needs to be removed, it is safest to divide the liposuction into separate surgical procedures each separated by 3 to 4 weeks.

How long will it take to see results?

Most patients will see 90 percent of their ultimate liposuction results within one to three months after surgery. For the first few weeks after surgery there will be postoperative swelling. The technique used dictates the duration of the swelling.

Will liposuction help my cellulite?

No. Cellulite does not improve after liposuction. Liposuction improves body contour, not skin texture.

Have more questions about liposuction? Call the team at Naples Cosmetic Surgery, 239-348-4357.

 



Experience the HydraFacial MD Difference

November 15th, 2016

What happens when you merge invigorating spa skin therapies with advanced medical technology? You get the HydraFacial MD®, winner of New Beauty’s 2015 Best In-Office Treament, and you can get it now at Naples Cosmetic Surgery. We’re pleased to announce that we’ve added the HydraFacial MD® system to our office to improve the skin of all of our patients.

What is HydraFacial MD®?

The HydraFacial MD® treatment is a four-step process that cleanses, evenly exfoliates, and extracts impurities and dead skin cells while at the same time replenishing vital nutrients including antioxidants, peptides, and hyaluronic acid. The treatment is delivered through our proprietary wand.

Step 1 — Vortex-Exfoliation
We attach the first head that uses Activ-4 serum and suction to remove surface dead skin cells and open and clear pores. This uncovers the brighter, healthier skin beneath.

Step 2 — Vortex-Peel
In step 2, through the wand we apply Glysal serum, which consists of a mixture of glycolic and salicylic acids, the ingredients used for light peels. But this peel won’t have the usual post-peel scaling.

Step 3 — Vortex-Extraction
In step 3, the wand applies patented, painless vortex-suction that cleans out pores with the help of Beta-HD serum.

Step 4 — Vortex-Fusion
To your thoroughly cleaned and exfoliated skin, in step 4 we apply the Antiox+ serum through the wand. This serum is the final step of the HydraFacial and replenishes your skin with antioxidants, peptides, and hyaluronic acid.

Results

The reason HydraFacial MD® has been making such a buzz in the aesthetic world is its results that you can see and feel. This treatment delivers vastly improved hydration, while helping to eliminate the appearance of fine lines, hyperpigmentation, oil and congestion, and even creases in the nasolabial folds.

Interested in the ultimate facial? Call the team at Naples Cosmetic Surgery, 239-348-4357, and ask us about the HydraFacial MD® treatment.



When Enough is Too Much — Breast Reduction Surgery

October 15th, 2016

In 2015, breast augmentation was the most popular cosmetic surgery performed in the United States. Considering that, it may seem counterintuitive that a woman with large breasts would seek to have them reduced in size. But there are many women who for health reasons, or simply because they are sick and tired of the attention their overly large breasts bring, opt to have breast reduction surgery with Dr. Turk.

The procedure removes fat and glandular tissue from the breasts, tightening the skin to create smaller breasts that are more proportional and comfortable for the patient. Reduction surgery can change the patient’s outlook immensely; it can be a very rewarding procedure for those who have struggled with overly large breasts.

What problems would lead to breast reduction?

Large breasts can lead to various medical problems: back pain, poor posture, chafing, even difficulty breathing. Socially, large breasts can keep a woman from participating in various sports or types of exercise. And they can make a person so self-conscious because of the undue attention their breasts generate that she avoids social interaction.

Different reduction techniques

There are different methods Dr. Turk uses for reduction surgery.

  • Traditional — In this technique, an anchor-shaped incision is made beginning around the areola and traversing down to the crease at the bottom of the breast and then outward in both directions along that crease. This is ideal for women with extremely large breasts, although it does create more scarring. Skin, fat, and excess tissue is removed and the nipples and areolae usually repositioned.
  • Vertical incision — Also known as short scar, this technique involves incisions that extend around the areolae and down to the breast crease in a lollipop shape. This method works well when extensive tissue removal isn’t required.
  • Scarless — Scarless breast reduction uses liposuction to reduce the size of the breasts with little or no scarring. Liposuction can only remove fatty tissue, not glandular tissue, however, so this method requires the patient’s breasts to be more fatty tissue than glandular.

Tired of your large breasts getting in the way of your life, literally and figuratively? If you’re interested in reducing the size of your breasts, call Dr. Turk for a consultation, 239-348-4357.



Want to Lose 10 Years? Consider the Eyes.

September 15th, 2016

In study after study, people say that when they meet a new person the first thing they notice are the person’s eyes. The eyes are the focal point of the face.

Unfortunately, because of the delicacy of the tissue beneath and the area as a whole, the skin around the eyes is some of the thinnest skin on the entire human frame. This makes the area around the eyes among the first to show signs of aging. Sun and environmental damage are commonplace here, too. Plus, fat deposits, loosening skin, and other issues can leave a person with droopy, sagging, puffy, wrinkled skin around the eyes, and with it, a much older appearance.

But blepharoplasty, eyelid surgery, with Dr. Turk can take years, if not decades, off the appearance of your eyes. Eyelid surgery removes excess skin and fat, and tightens the underlying muscles as needed to return a younger, more rested look to the eyes.

Eyelid surgery can be especially satisfying because its results are dramatic, yet subtle. And, while they are so visible, they’re in a way invisible. Eyelid surgery can make you look 10 even 15 years younger, yet people usually have no idea that you’ve had any surgery. Unlike more dramatic procedures such as breast augmentation or a facelift, after you’ve had eyelid surgery most people won’t know you’ve had surgery, only that your appearance somehow seems younger and refreshed.

Would eyelid surgery help me?

Eyelid surgery is one procedure that is popular with both women and men. Drooping eyelids, wrinkles, and puffy bags under your eyes show no favoritism by sex — they make everyone look much older. More and more men are opting to have blepharoplasty to maintain a younger appearance when competing in the workplace. Don’t believe it? The International Society of Aesthetic Plastic Surgery statistics from 2015 show blepharoplasty as the #1 cosmetic surgery for men.

Eyelid surgery

Eyelid surgery can be performed on both eyelids or singly, depending on your personal condition. Because of this, surgery can run anywhere from 45 minutes to two hours.

Blepharoplasty is a delicate surgery that involves small incisions. In upper eyelid surgery, Dr. Turk makes a small incision in the natural crease of the eyelid. This conceals any scarring. He then tightens the muscle tissue, repositions the fat, and removes excess skin. Why doesn’t Dr. Turk simply remove the fat? He believes that to create the most natural-looking end result fat should be mostly repositioned, not removed. Removing too much fat in the area can leave the patient with a hollow look.

In the lower eyelid, the incision is usually made just below the lower eyelash. An alternative location can be making the incision inside the lower lid, removing any visible scarring. Excess skin is removed to lessen wrinkles, bags, and general puffiness in this area. Puffiness is the big issue with the lower lids.

Recovery

Eyelid surgery with Dr. Turk does not require a difficult recovery. After the procedure, your eyelids will likely be covered with light gauze. You will be given an eye lubricant and a cold compress. Bruising and swelling is minor, particularly if you are diligent with the compress. After just three or four days your stitches are removed and your eyelids generally will look normal, only younger! There can be some residual swelling, but it usually is gone within 10 days.

Interested in losing a decade from your face? The eyes have it! Call Dr. Turk at 293-348-4357 and set up a consultation for eyelid surgery.



Give Your Chin The Birdman of Alcatraz Treatment

August 15th, 2016

Burt Lancaster. Now there’s a strong chin. His chin makes weak chins run for cover when they see him in famous movies like The Birdman of Alcatraz.

After watching a Lancaster (or Kirk Douglas for that matter) movie, you may go into the bathroom and look at your weak chin, wishing it were stronger. Well, it can be with chin augmentation from Dr. Turk.

A stronger chin

Our chin. It’s such a prominent part of the face. For many of us, we’ve never been happy with its lack of profile. Some people even see their chin as receding. Chin surgery is usually used for augmentation, but is can also reduce a chin that is overly large or protrudes too much.

What’s the procedure like?

Dr. Turk has two choices for where to make the incision to insert the implant(s). He can make the incision under the chin (submental) or inside the mouth (intraoral). Implants come in different shapes and are usually made of medical-grade silicone or polyethylene. To prepare for the implant, Dr. Turk makes a pocket in the connective tissue inside the chin, being careful to avoid the major nerve in the area. The procedure is pretty straightforward, taking just 30 to 45 minutes.

Dr. Turk can also perform what is known as genioplasty, a repositioning of the chin bones to achieve the desired projection or to reduce size. This procedure takes more time and involves more recovery.

Surgical chin augmentation is a permanent procedure. Chin augmentation can also be achieved with dermal fillers, particularly Perlane and Restylane. Unlike implants, fillers provide only temporary results as the body absorbs the filler material over time. Still, fillers can be a great way for a patient to “demo” a new chin before opting to have the permanent solution of implants.

Recovery

Obviously, your results are immediate. Dr. Turk may tape a compression garment over your chin to help minimize swelling over your first few days. Patients typically feel slight numbness in the chin and the lips, as well as swelling and bruising in the area after the procedure. This generally passes in a few days. Most patients can return to work and day-to-day activities in a week or so.

Want to add some backbone to that weak chin? Give it the Burt Lancaster treatment with chin augmentation. Call Dr. Turk at 239-348-4357 to schedule a consultation.



Better Skin Through Chemicals…What?

July 15th, 2016

Exfoliation is the key to good skin. That’s why women are somewhat envious of men who shave away their old, damaged skin cells on their cheeks and neck every morning. Exfoliation is key to remove the dead surface layer of your skin allowing the healthier skin beneath to show itself.

At Naples Cosmetic Surgery, we offer a variety chemical peels to provide that exfoliation. Different peels are categorized by their active ingredients and penetrate the skin in different degrees.

How low will you go?

At Naples Cosmetic Surgery, we offer three different types of peels. The depth and aggressiveness of the peel is dictated by the main chemical.

  • Light chemical peels remove the outmost layer of skin to effectively treat acne, wrinkles, dryness, and uneven skin tone.
  • Medium peels remove cells from the deeper portions of the epidermis (the outer layer of the skin) to treat deeper wrinkles, acne scars, and uneven skin tone.
  • Deep peels penetrate down into the dermis layer and are much more aggressive. They are recommended for removing scars, addressing deep wrinkles, and peeling precancerous growths.

How they are done

During any chemical peel, the face is first cleaned and then the chemical is applied for a certain duration and then washed away. This is how we perform our peels at Naples Cosmetic Surgery.

In a light chemical peel a solution of salicylic, lactic, or glycolic acid is applied directly onto the skin with a cotton ball or sponge. These acids occur in fruit, sour milk, and plants and are quite mild. The solution is left on the skin for 10 minutes, during which the patient will feel a mild stinging sensation. Then a neutralizing solution is applied and the area is washed. You can have regular peels of this sort to keep your skin looking fresh.

During a medium chemical peel, trichloroacetic acid (TCA) is applied to the target areas. It is left on the skin for a few minutes and then a cool compress is applied to soothe the skin. A neutralizing solution is NOT applied in medium peels. TCAs are the preferred chemical solution for dark-skinned patients and can be used on the neck and other areas of the body without scarring.

In a deep peel, phenol acid is applied to the skin. Due to the strength of the chemicals used, the procedure is broken up into phases, with a 10- or 20-minute interval in between, to limit the skin’s exposure. The full deep peel procedure takes up to 90 minutes. Deep peels require the most recovery time, as the skin will crust over and scab in the treatment areas.

Interested in the ultimate exfoliation? Call us at Naples, 239-348-4357 and ask about our chemical peels.

 



Who’s Wants Defined Cheekbones? I do! I do!

June 15th, 2016

Prominent, high cheekbones are a tenet of classic beauty. We’d all like to have nice, well-defined cheekbones. Unfortunately, like everything else, as we age our once prominent cheekbones begin to droop and lose definition. But saggy cheeks don’t need to lead to a droopy future — cheek augmentation with Dr. Turk can give you back well-defined cheekbones.

Cheek implants 101

The cheekbones are called the malar bones. Cheek implants are created to give definition back to the malar bones. The implants are available in different shapes and sizes to fit your goals and expectations. During your consultation with Dr. Turk, our Vectra 3D Imaging System allows you to see what different shaped implants will look like on your face.

Cheek implants are generally categorized in three general shapes: malar, submalar, or combined. Malar implants are the most common and are placed directly on the cheekbones. They provide more projection to the cheekbones, giving a higher contour to the side of the face. Submalar implants are not placed on the cheekbones, but instead in the mid-face area where the patient has lost volume. Combined implants augment both the cheekbones and the mid-face.

How are cheek implants positioned?

Dr. Turk makes a short incision either inside the mouth, between the gums and the lower lip, or in the lower eyelid. When cheek augmentation is a stand-alone procedure, he usually opts for the incision in the mouth. He then forms small pockets in the eventual final location and the implants are placed there. The incisions are then closed and the stitches removed in about 10 days, or they will dissolve in around the same timeframe if placed in the mouth.

Cheek augmentation with fillers

At Naples Cosmetic Surgery, we also use dermal fillers such as Restylane and Perlane for cheek enhancement, replacing volume that has been lost to time. Unlike implants, fillers are not permanent improvements, however. They have to be injected again once the body absorbs the filler, which occurs with all fillers over different lengths of time.

Interested in raising the profile of your cheekbones…and your face? Call us at Naples Cosmetic Surgery, 239-348-4357, and let’s talk cheekbone augmentation.



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