No More Flappy Upper Arms

January 15th, 2018

arm lift Naples, FL Living in sunny Naples, we’re used to great weather year-round, and we like to wear the sleeveless fashions and swimsuits that fit the mild temperatures. But as we age, gravity has its way with our bodies. Our upper arms aren’t an area we think of, but they are especially prone to sagging and drooping. Even if you’re at or near your ideal weight, your upper arms may be very saggy.

This unfortunate characteristic of aging can make us not want to get out that sleeveless dress. Swimsuits? No thanks.

But Dr. Turk can give you younger-looking arms with an arm lift. Clinically known as brachioplasty, an arm lift reshapes your upper arms to a more toned, slimmer profile by removing excess fat and sagging skin.

Would I benefit from an arm lift?

Bat wings. That’s the colloquial term for loose upper arms that, when moved, tend to swing like the wings of the proverbial flying mammal. While you may not have that degree of looseness, the test of the need for an arm lift is if you’re embarrassed by the sagging skin and lack of definition on your upper arms. An arm lift can return contour.

However, it is important to note that Dr. Turk wants his arm lift patients to be at or near their ideal weight. An arm lift is not a weight loss procedure. Plus, the surgery also creates a lengthy scar, although it fades dramatically with time.

How is an arm lift done?

Due to the length of the area to be contoured, an arm lift requires that Dr. Turk make an incision from the underarm to the elbow, along with the inside of the upper arm. Excess fat is removed with liposuction, excess skin is trimmed, and underlying muscles are tightened where necessary.

In some cases, where the sagging isn’t extensive, Dr. Turk can perform a minimal-incision arm lift. In these cases, he makes a few small incisions near the underarm rather than one long incision on each arm. Obviously, the two of you will discuss which method will work best for you during your consultation.

Recovery and results

Recovery from brachioplasty is not difficult. You will return home with bandages and possibly drainage tubes on your incisions. You’ll need to wear compression garments on both arms to minimize swelling and help your arms adapt to their new contour. Most of the swelling subsides in two weeks, and patients can usually return to work at that time. You’ll have to refrain from strenuous activity for six weeks, though, to not aggravate the stitches and reshaped muscle fiber. This is particularly true of lifting heavy objects with your arms. Your results are immediate and continue to improve as the swelling subsides. Although there is scarring, most patients are highly satisfied with their arm lift, especially when the beaches come calling in the spring.

Winter is a great time to deal with those saggy upper arms. Call Dr. Turk at Naples Cosmetic Surgery, 239-348-4357, to schedule a consultation.

Invite Botox to Your Holiday Parties

December 15th, 2017

Botox Naples, FLBotox is more popular than most of the celebrities who swear by it. Every year, injections of Botox (and other botulinum toxin brands) are the most popular cosmetic procedure performed worldwide, and it has been that way every year since Botox was first introduced for wrinkle treatment in 2002.

So, maybe you should have a little Botox for your holiday parties. That way your crow’s feet, forehead lines, and the 11s between your brows won’t come with you to the festivities!

At Naples Cosmetic Center, Dr. Turk has extensive experience injecting Botox so that you can expect only the best results.

How does Botox do its work?

While most people have heard of Botox, many don’t know how it works. Dermal fillers such as Juvederm “fill” a wrinkle from beneath. They simply add volume (in the case of hyaluronic acid fillers they do this by binding to nearby water molecules) to the area beneath the wrinkle, pushing the depressed skin back upward.

Botox takes a wholly different approach. Botox only works on what is called “dynamic” wrinkles. These are the wrinkles that occur when we make certain facial expressions such as squinting, showing surprise, laughing, and similar behaviors. These are expressions and are made mostly with the muscles on the upper third of the face.

When Botox is injected into one of these muscles, it temporarily paralyzes the muscle. It does this by blocking the nerve messages from the muscle to the brain. When the brain doesn’t receive the message to contract the muscle, the muscle remains relaxed. Without the contraction, the wrinkle that forms on the skin above never forms.

Botox only works on dynamic wrinkles; it does not affect wrinkles that are on display at all times. These are called “static” wrinkles, and they are the result of sun damage, declining collagen production, and other factors. Marionette lines, nasolabial folds, and the like are static wrinkles.

How long does Botox work its magic?

Botox keeps the injected muscle from contracting for around four months in most people. At that point, the body will absorb the now-inert material, and the muscle will begin to contract again. At that point, another Botox session will continue your results.

Want to un-invite your crow’s feet to your holiday party? Call Dr. Turk at 239-348-4357 and make an appointment to have some Botox.

You Can Be a Fortune Teller with VECTRA 3D Simulation

November 15th, 2017

Vectra® imaging system Naples, FLEveryone has wondered if certain fortune tellers really have the stuff. Can they really see the future?

You can at Naples Cosmetic Surgery Center…thanks to our Vectra® 3D computer imaging system. This system allows our patients to accurately visualize the results of their procedure long before even putting on a surgical gown.

The Vectra® 3D system can be used to help patients visualize the results of a variety of procedures with Dr. Turk: breast augmentation, body contouring, breast lift, chin augmentation, rhinoplasty, facelift, and neck lift. Our Vectra® 3D system allows our patients to be much more assured in what their results will look like, eliminating much of the stress heading into surgery.

The process

This is how Vectra works. We have you stand in front of the camera system so that three-dimensional photographs of the target area can be taken. These images are then pieced together with the advanced Sculptor™ software in the system to create a computer-generated 3D model of the patient’s face, breast, or body. These images can then be customized and viewed from all sorts of angles.

Once we have the 3D model, we can then input different changes that could be made with your potential surgery. For instance, you can see how different size breast implants will look on the 3D model of your body. Or you can see what narrowing the bridge of your nose will look like. Basically anything we could do through surgery you can see through these computer-generated models.

The Vectra® 3D camera

For Dr. Turk to capture the patient’s 3D image, more than one image is needed. Using multiple cameras, the Vectra® 3D technology takes a number of pictures simultaneously from several different points of view. These images are then merged to build a three-dimensional virtual model of the patient. The system accurately recreates the patient before any procedure is performed.

The Vectra® 3D simulation is the key

From there the software in the Vectra® 3D system takes over. The software creates the “after” image of the patient, basing it upon the specifics of the patient’s actual body taken in the 3D image. Once the parameters are entered — say, breast augmentation from an A to a C cup size — the software builds the simulation. But this initial simulation isn’t the end. At this point, Dr. Turk can use simulated sculpting tools to change the size, shape, and position of the treatment area. Depending on the procedure, facial features can be smoothed, tightened, and resized; breasts can be made larger, lifted, and shaped to the patient’s preference. This simulation can then guide Dr. Turk when he prepares for and performs the actual surgery.

Interested in seeing the future without any incense or crystal balls? Schedule a consultation with Dr. Turk by calling 239-348-4357 and we’ll put the Vectra® 3D system to work for you.

Who Needs Tired, Saggy Eyes?

October 15th, 2017

Eyelid surgery Naples, FL Let’s face it — everything droops as we age. While gravity has its benefits (we don’t fly off into space!), its constant downward pull on our tissues is a bummer. The skin and supporting tissues around the eyes aren’t immune. They sag and droop, even to the point of impeding vision at times. Plus, saggy eyelids can make a person look far older than they are!

Gravity is a problem, but so is exposure, particularly with our sunny, breezy Naples days. Our eyes are exposed to the sun and the elements pretty much all the time. Over the years, that exposure, along with the general slackening that occurs with all of our tissues, can make your eyes droop, sag, and make the world think you’re worn out.

Eyelid surgery with Dr. Turk can take that tired, saggy look away, taking a decade off your appearance with it. Eyelid surgery removes excess skin and fat and tightens the underlying muscles as needed to make your eyes look much younger.

The eyes have it

Every year when the statistics for cosmetic plastic surgery procedures come out, eyelid surgery, clinically known as blepharoplasty, is one of the most popular surgeries worldwide. This isn’t a surprise for a couple of reasons. First, the eyes are so visible when compared to areas such as the abdomen that is usually covered by clothes. Second, eyelid surgery provides very dramatic results, but they are subtle at the same time. Most people think that blepharoplasty takes a decade or more off the age of the patient’s face. Friends who don’t know you’ve had the procedure usually can’t tell it was done; they only know that you look younger.

It’s for everyone

There’s another thing about eyelid surgery with Dr. Turk — it’s popular with both women and men. That can’t be said about procedures such as tummy tucks. But when it comes to drooping eyelids, wrinkles, and puffy bags under your eyes, neither sex gets away unscathed. Studies show that more and more men are opting to have eyelid surgery to appear younger in the workplace.

The surgery

Eyelid surgery can be performed in as little as 45 minutes, or as much at two hours. This is because some people opt to have both eyelids addressed while others only have either the upper or lower lid operated on. For the upper eyelid, Dr. Turk makes a small incision in the natural crease of the eyelid to conceal any scarring. He then tightens the muscles as needed, repositions fat, and removes any excess skin.

In the lower eyelid, he usually makes the incision just below the lower eyelash. An alternate location is inside the lower lid, where there won’t be any visible scarring. Excess skin is removed to lessen wrinkles, bags, and general puffiness that is so prevalent in many aging lower eyelids.

One note about removing fat — Dr. Turk is more likely to reposition fat rather than remove it. This is because removing too much fat can leave the patient with a hollow look.

Eyelid surgery is not a difficult recovery

When compared to involved recoveries from procedures such as tummy tucks, recovering from eyelid surgery is not hard at all. When you get home after your surgery, your eyes will be covered with light gauze. We’ll provide you with an eye lubricant and a cold compress. If you are attentive with your compress, your swelling can be very minor. Bruising usually isn’t bad, either. After one week, your stitches will come out, and you’ll look pretty good. Most patients can return to work in just a couple of days, but you’ll have to avoid strenuous exercise for a couple of weeks. There can be some residual swelling, but it’s not serious. Your new, younger eyelids will be ready for the public very quickly.

Want to lose the sag in your eyes? Call Dr. Turk at 239-348-4357

Use Crystals for Better Skin

September 15th, 2017

microdermabrasion Naples, FLWhen you read that, your first thought was a darkened room with Yanni music playing and a Shirley Maclaine book on the nightstand, huh? Well, in Naples there still is a New Age contingent hanging around, but the crystals we’re talking about at Naples Cosmetic Surgery aren’t Zen related; they’re more interested in ridding your skin of some of its dull, damaged surface cells. It’s called microdermabrasion, and it’s a great way to revitalize your facial skin without any downtime.

We use microcrystals to abrade the top layer of your skin. Think of it as a light sandblasting. That sounds extreme, but that’s the idea behind microdermabrasion. Instead of removing unwanted stains or paint, you’re removing the dull, lifeless external layer of your epidermis. Microdermabrasion exposes the glowing, fresh skin underneath.

Dr. Turk recommends microdermabrasion as either a stand-alone procedure or as a preparation for facelifts, brow lifts, or midface lifts.

The conditions that microdermabrasion helps

Microdermabrasion is effective when used for certain skin conditions:

  • Solar lentigines
  • Oily skin
  • Mild, shallow acne scarring
  • Melasma
  • Dilated pores
  • Thick skin

How microdermabrasion works

At Naples Cosmetic Surgery, we are big fans of microdermabrasion as a way to keep your skin looking revitalized. The procedure is very effective and very easy to take, with no downtime. It’s non-invasive and non-surgical. It involves the use of aluminum oxide or sodium chloride crystals to exfoliate the skin surface. The crystals are sprayed onto the skin through a wand that also suctions back the crystals and any dead skin that has been removed. The degree of exfoliation is determined by the amount of suction used, along with the number of passes made over an area.

Each of our microdermabrasion sessions includes both the face and the neck. We recommend a series of six sessions to enhance skin hydration, sebum production, and texture. Appointments are spaced two to three weeks apart to allow the skin to recover. No anesthesia or numbing agents are necessary.

One thing that’s important, especially with our Florida sunshine, is to avoid sun exposure after your microdermabrasion session. This is because your skin is a little less protected once some of the surface cells and oils have been removed.

Want a great way to put some glow back in your skin, without any downtime? Call Dr. Turk and ask about microdermabrasion, 239-348-4357.

Liposonix Goes After the Fat without the Surgery

August 15th, 2017

Liposonix Naples, FLUnwanted fat is just that, unwanted. But it can be incredibly difficult to get rid of, especially around the abdomen and the flanks. Of course, liposuction will vacuum away the unwanted fat, but many people are hesitant to have surgery even though liposuction is far less invasive today than when first introduced 35 years ago.

For those patients, Naples Cosmetic Surgery offers Liposonix. Liposonix is a non-invasive, non-surgical fat reduction treatment that uses high-intensity ultrasound energy to destroy fat cells around the abdomen and flank areas.

How does Liposonix work?

A Liposonix session at Naples Cosmetic Surgery usually takes around one hour. The Liposonix system uses the same energy as diagnostic ultrasounds, but it is targeted precisely to deliver high energy into specific areas with excess fat cells. The system focuses the energy at 1-2 cm below the surface of the skin to avoid any burns or trauma to the skin surface. The key is that the ultrasound energy is high intensity and it destroys the targeted subcutaneous fat.

Who is right for Liposonix?

Liposonix is NOT a weight loss procedure. At Naples Cosmetic Surgery, we want our Liposonix patients to be close to their ideal weight, but maybe have an inch or so around the waste that just won’t go away. We also advise Liposonix patients to maintain a healthy lifestyle and follow some sort of exercise regimen.

What are the Liposonix results?

Results from Liposonix are not immediate. It takes time for the body to flush the destroyed fat from the body through the lymphatic system. Results begin to show gradually, peaking from 8 to 12 weeks after your treatment. Liposonix research has shown the average waistline reduction after just a single one-hour treatment to be about one inch. This equates to a decrease of roughly one dress or pant size!

Is Liposonix painful?

Liposonix treatments are not painful. You’ll feel slightly uncomfortable sensations such as prickling, coldness, tingling, and warmth. While we can provide topical numbing, most patients don’t feel that it is necessary. Afterwards, you can have some slight swelling, but it passes very quickly. Otherwise, you can get right back to your normal activities.

Want to lose that last inch around your tummy and your love handles? Call us at Naples Cosmetic Surgery, 239-348-4357, and ask about Liposonix.

Hyaluronic Acid is the Force Behind Dermal Fillers

July 15th, 2017

Dermal fillers Naples, FL


If you’re reading this blog, you’re probably somewhat versed in the language of the aesthetic world. Along with that line, you probably have heard of hyaluronic acid. Hyaluronic acid is the basic ingredient in the class of dermal fillers known as “naturally derived” fillers. Why “naturally derived”? These fillers get this moniker because hyaluronic acid occurs naturally in the human body. In fact, it occurs in just about every living thing. In humans, hyaluronic acid acts as a network that transfers essential nutrients from the bloodstream to the skin cells. At Naples Cosmetic Surgery Center we use Juvederm, Perlane, and Restylane, three of the world’s most popular hyaluronic acid dermal fillers.

The ins and outs of hyaluronic acid

While it may have achieved a certain notoriety because of its prevalence in dermal fillers, hyaluronic acid has been around as long as we have. Hyaluronic acid is found throughout the human body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It’s also in cartilage and joint fluids. Prior to fillers, you may have heard of hyaluronic acid being used as an injection for people with arthritis to ease the pain in their joints and to provide extra cushioning.

When hyaluronic acid gel is injected for aesthetic reasons, it acts like an inflated cushion supporting facial structures and tissues that may have lost volume or elasticity due to normal aging. Hyaluronic acid binds with water molecules to plump and hydrate the skin.

What issues can hyaluronic acid fillers address?

At Naples Cosmetic Surgery Center, we use Juvederm, Perlane, and Restylane to improve the skin’s contour and reduce depressions in the skin due to scars, injury, or simple aging. These are some of the issues we treat with these hyaluronic acid fillers:

  • Acne scars
  • Cheek depressions
  • Crow’s feet
  • Nasolabial lines
  • Frown lines between the eyebrows
  • Marionette lines
  • Redefining lip borders
  • Acne scars
  • Wound scars
  • Smoker’s lines
  • Worry lines

No-nos after your session

Most of our dermal filler sessions take 30 minutes or less. Afterwards, it’s very important that you do not rub the injection areas, as this can make the filler migrate to an area not intended.

Because hyaluronic acid occurs naturally in the body, allergic reactions are very rare. Otherwise, the injection sites may become slightly red, swollen, and have some very minor bruising.

Want to put some volume back in those sunken areas and push back up smiles lines and the like? Call the team at Naples Cosmetic Surgery Center, 239-348-4357, to make an appointment.


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.


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.


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    6101 Pine Ridge Road, Suite 15
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