Juvéderm® — An Ever-Growing Family of Dermal Fillers

June 15th, 2017

Dermal Fillers Naples, FLWrinkles are a part of aging, and in sunny South Florida, sun damage is one of the main culprits. But people overlook the effects of volume loss. Decreasing collagen production and slackening tissues can leave us somewhat gaunt looking. If you doubt this, check two photos of the same person taken when they are in their 20s and then in their 50s or 60s. You probably don’t notice the wrinkles as much as you see hollow cheeks, sagging skin, thinning lips, and other volume issues.

That’s why at Naples Cosmetic Surgery, we offer various Juvéderm® formulations to address various issues caused mainly by volume loss. Here’s some information on the four Juvéderm® options.

What is Juvéderm®?

Most people with an even passing interest in the aesthetic industry have heard of heard of hyaluronic acid. It is a naturally occurring substance in the bodies of humans (and most other mammals) that is responsible for binding with water molecules under the skin to hydrate, plump, and firm the skin.

All the Juvéderm® fillers are hyaluronic acid based. For this reason, Juvéderm® is classified as a naturally derived filler, versus other “synthetic” fillers.

What do the different Juvéderm® fillers address?

  • Juvéderm® XC

Parentheses have their place in noting an aside by the protagonist in that mystery you’re reading poolside this summer, but they’re an unwelcome denizen on your face. Parentheses lines are the lines that form on each side of your mouth. And then you have the creases on the side of the nose that extend to the corners of the mouth, smile lines. Juvéderm® XC adds volume beneath the skin to smooth these lines and folds.

  • Juvéderm® Voluma XC

Doctor Turk may call it “age-related midface volume loss;” you call it hollow, sagging cheeks. Over time as you lose the collagen to support your skin and as your underlying muscles weaken, your cheeks flatten. Juvéderm® Voluma XC is designed to add volume beneath the skin’s surface to lift and contour the cheek area. Plump cheeks are generally considered to be a tenet of a younger look.

  • Juvéderm® Ultra XC

You may not think about your lips with facial aging, but our lips lose volume just like everywhere else. They become thinner as we get older. Plus, some women just have thin lips. Juvéderm® Ultra XC is designed to plump thin lips.

  • Juvéderm® Volbella XC

This addition to the Juvederm family is brand new, coming on the market in the summer of 2016. Whereas Ultra XC adds fullness and plumps thin lips, Volbella XC is tailored to add subtle volume to the lips and smooth the appearance of vertical lip lines.

Don’t think the only volume loss you’re dealing with as you age affects the TV volume. Consider the volume loss on areas across your face and your lips. At Naples Cosmetic Surgery, we’re fans of all four Juvéderm® fillers. Call us at 239-348-4357, and let’s see if they could work for you.



Tuck Your Tummy, Not Your Sheets

May 15th, 2017

If you’re over 35, odds are you have at least some degree of a tummy pooch. It’s irritating, and it makes us self-conscious when out on our beautiful Naples beaches.

Sometimes a pooch is a result of having the skin and muscles of the area stretched for too long during pregnancy. Sometimes a person has put on and then lost a good deal of weight, affecting those same muscles and skin. Plus, simple aging creates a pooch as our tissues slacken.

And even if you do as many crunches every day as Gary Player, the pooch isn’t going away because that sagging skin and separated muscles just won’t play.

That’s when a tummy tuck with Dr. Turk can bid a fond farewell to the pooch.

Tuck is not liposuction

Because tummy tucks and liposuction often are targeting the same area of the body, people can confuse the two procedures. But the two procedures address very different problems. Liposuction only removes pockets of fat. This is perfect if you are still relatively young and your stomach bulge is due to fat pockets that just don’t seem to go away. Liposuction works well if your skin still has good elasticity in the area and if your muscles are still taut. If this is the case, liposuction will effectively slim your contour, but liposuction does nothing for sagging skin.

If you have sagging, loose skin and if your underlying muscles have been stretched or separated by pregnancy or gaining and losing a large amount of weight, a tummy tuck is the answer. A tummy tuck will remove pockets of fat, but its main goal is to remove excess loose skin and tighten and reposition the underlying stretched muscles. That’s why a tummy tuck requires months of recovery versus liposuction’s days of recovery — a tummy tuck is much more involved surgically.

How is a tummy tuck done?

For a full tummy tuck, Dr. Turk makes two incisions. One incision usually runs from hipbone to hipbone at the bikini line. The second incision is made at the belly button. The length of the first, longer incision can vary depending on just how much sagging skin needs to be addressed. The incision can run past the hipbones around to the lower back if the flanks and lower back also have serious sagging. In your consultation, Dr. Turk will discuss the anticipated length of this incision. The second incision at the belly button is much shorter.

Next, the skin is separated from the abdominal muscles. Dr. Turk pulls these muscles together and stitches them into place for a firmer, narrower waist. Next, he takes the skin flap and stretches it downward over the newly tightened muscles. Excess skin is trimmed, and the navel repositioned in many cases.

Tummy tuck recovery

You’ll need to wear compression garments for at least two weeks to reduce swelling and help the body adapt to its new contour. Recovery times will last up to a few months, due to the incision locations and the muscle repositioning. Heavy lifting and exercise need to be avoided for at least six weeks.

Want to punt the stomach pooch? Call Dr. Turk at 239-348-4357 and set up a consultation for a tummy tuck.



Turn Back the Clock with a Facelift

April 15th, 2017

When people think of cosmetic plastic surgery, they often think of a facelift. The facelift could be the first true cosmetic surgery, first performed in Berlin in 1901 by Eugen Hollander. Despite non-surgical alternatives such as dermal fillers,

facelifts are still usually one of the top five cosmetic surgeries.

Gravity, sun damage (especially here in sunny Naples), and slackening support tissues create the need for a facelift to turn back the march of time just a bit. As you age, your cheeks lose volume and sag, deep creases form under your eyes and between your nose and mouth, you develop jowls, and loose skin and fat hang under your chin and jaw.

But a facelift with Dr. Turk can turn back the clock on facial aging, making a person look from 10 to 15 years younger.

What areas do facelifts target?

Clinically known as a rhytidectomy (of Greek origin meaning wrinkle + excision), a facelift rejuvenates the mid-to-lower face and neck. These are the areas Dr. Turk targets with the procedure:

  • Nasolabial folds (laugh lines)
  • Mid-face sagging
  • Deep creases under the eyes
  • Jowls
  • Sagging cheeks
  • Loose skin and fat under the chin and jaw

Not the full face

Despite their lengthy tenure in the plastic surgery world, there is the misperception that a facelift addresses aging on the entire face. This isn’t the case. Facelifts address the mid- and lower face. They do not rejuvenate the brows, eyelids, or nose. To address these areas, some patients combine a facelift with a brow lift or eyelid surgery. The use of dermal fillers and Botox can help with some of these areas, as well.

Also, a facelift doesn’t stop a person from naturally aging. This may seem obvious, but some patients are surprised. Your results will take a decade of more off your facial age, however.

Techniques

A traditional facelift rejuvenates the face, jowls, and neck. For this procedure, Dr. Turk makes an incision that begins in the hairline at the temples, moves down around the front of the ear, then behind the earlobe, ending in the lower scalp at the hairline. After the skin is lifted, underlying fat is sculpted or removed, muscle and tissue are repositioned, and excess skin is trimmed then re-draped.

Other techniques employed by Dr. Turk are a mid-face lift that mainly targets the cheeks and smile lines and a limited-incision facelift that targets the areas around the mouth and eyes. Both of these techniques involve only small incisions that are easily hidden.

Dr. Turk can adapt the method he uses to your particular needs for your facelift. Call him at 239-348-4357 and schedule a consultation.

 



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.



  • Office Hours
  • Monday - Friday
    9:00AM - 5:00PM
  • Saturday - Sunday
    Closed
  • Contact Us
  • Tel: 239.348.4357
    Fax: 239.304.4957
    6101 Pine Ridge Road, Suite 15
    Naples, FL 34119
    Maps