Is Lip Augmentation Right For You?

May 26th, 2015

Pouts are very powerful. If you are unhappy with your pout or feel that you want fuller lips, there are treatments available to help you. These fall in the category of lip augmentation surgery, which is a cosmetic procedure designed to give you larger and fuller lips. It can be performed on both upper and lower lips, or just one of them. Note that, depending on the materials used for augmentation, a temporary or a permanent result can be achieved. Usually, just one procedure is sufficient to get the desired outcome.

How is the Procedure Performed?

  • Approaches: There are several approaches that can be taken to give you fuller lips. They can generally be classified into two categories: injections and implants. When it comes to injections, several options are available. These include collagen, synthetic materials, Dermalogen, Restylane®, Hylaform® and more. It is also possible to use fat from another part of your body to increase the size of your lips. For implants, synthetic options are the most popular.
  • The procedure: Depending on the approach, a topical, local or general anesthetic may be used. Injections generally require only topical anesthetics but implants may require more. The procedure will usually take not more than one hour. Before the procedure, if synthetic materials will be used, you will need to be tested for possible allergic reactions. Then, fillers will be injected directly into your lips. If, on the other hand, you decide to go the route of implants, then incisions will be made on the edges of your lips through which a synthetic material, like Gore-Tex, will be inserted. Then, the incisions will be stitched together, resulting in a permanent increase in the size of your lips.

Are You Interested in Lip Augmentation Surgery? Contact Naples Cosmetic Surgery Center.

To learn more about any of the procedures we offer, contact us today to schedule an appointment. Our offices are located in Naples, and we can be reached at 239-348-4357. We look forward to hearing from you.

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May 20th, 2015

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effective aid in the prevention of sun induced damage to the skin, including and possibly premature aging. Call our office today to find out more @239-348-4357.




Buhbye, Double Chins: FDA Approves Wattle-Reducing Injections

May 12th, 2015

We can freeze our wrinkles, smooth our fine lines and zap away our skin imperfections. But the biggest cosmetic complaint of many — the double chin — has been neglected in the world of noninvasive cosmetic surgery advances. Until now.

An injection called ATX-101, which targets double chins was approved on Wednesday by the U.S. Food and Drug Administration (FDA). ATX-101 consists of deoxycholic acid that’s injected into skin to target and eliminate fat cells under the chin without spreading to surrounding tissue. Its maker, Kythera Biopharmaceuticals Inc., hopes to make the injections available in the back half of 2015.

“This drug is going to be a game changer – no question about it,” Nashville dermatologist, Michael Gold, MD, tells Yahoo Health; Gold participated in clinical studies of the drug. “It worked incredibly well in patients who were treated, as shown by results versus placebo. It’s indicated for the neck, but I won’t be surprised if people use this off-label with other areas of the body, like we saw with Botox,” he adds.

While double chins may be caused by natural genetics, advancing age and weight gain, experts say ATX-101 currently works best on a certain case type. “The ideal candidate is a younger individual with good skin elasticity and a milder double chin — it’s not going to replace a lift yet,” says New York facial plastic surgeon and president-elect of the Facial Plastic Surgery & Reconstructive Surgery Academy(AAFPRS), Edwin Williams, MD.

The full treatment will be a series of injections spaced no less than a month apart. “Many patients experienced meaningful improvement in two to four treatments,” says San Diego dermatologist Sabrina Guillen Fabi, MD, who was a principal investigator in the Phase II clinical trial of the drug, which saw 68.2 percent of patients respond positively, as compared to a 20.5 percent placebo rate.

ATX-101 comes at a time when solutions for double chins and sagging necks are the most searched cosmetic terms among the middle-aged. “In our market research, we found that future interest in pursuing help to change the appearance of body parts drops dramatically after age 44, with the one very big exception of changes to the neck. It’s such a popular topic of conversation, that we just added a discussion forum dedicated to it this year,” says founder and CEO Tom Seery.

Aiding the potential popularity of the new drug is the fact that double chins and excess neck fat are very common complaints brought to cosmetic specialists, and yet nothing outside of surgery currently exists to improve the issue. Gold says that once approval comes, combining the injection with a fractionated ultrasound technology like Ultherapy may bring even more dramatic results – though further clinical studies would have to be done to determine the best protocol.

And while there has been no hint of pricing yet, our experts hypothesize that ATX-101 will be similar to high-end skin tightening treatments on the market, and perhaps cost upwards of $2,000+ per treatment, depending on the severity of the case and the regional area.


The N.Y. Face vs. the L.A. Face: Top Plastic Surgeons Reveal Biggest Differences

May 4th, 2015

This story first appeared in the April 24 issue of The Hollywood Reporter magazine. These days, when it comes to the polarization of New York and Los Angeles, you can look straight at the face. Think Robin Wright versus Meg Ryan, and in a blink of a tautened eye, it’s clear who has “New York face” and who has “L.A. face” among the over-40 female set. According to each city’s most elite skin doctors, what George Orwell said about wearing your true face at 50 never has been less true — particularly for Angelenos. “In New York, my patients want to look like themselves but better,” says New York plastic surgeon Sherrell Aston. “On the West Coast, there’s more of an ‘operated look’: lips too big, noses up too high, more forehead lifts.” New York derm Patricia Wexler agrees. “New York women want their faces to move,” she says, “not that ‘pit bull look’ [in L.A.]: Faces filled artificially are too round and bloated.” Compare that to New York, “where Robin Wright is a tasteful example of over 40,” says derm David Colbert, who has star clientele on both coasts. Wright, 49, now a New Yorker, admitted to “just the tiniest sprinkle of Botox twice a year. Most women do 10 units, which freezes the face; I do one.” Adds Colbert, “Women in New York tell me they don’t want to look like they’re ‘from Los Angeles.’ ” Even Dr. Larry Koplin, a top Beverly Hills surgeon, agrees: “You don’t see any Michael Jackson types or trout mouths in New York. They do a better job making people less exaggerated and cartoony. In L.A., that’s what patients ask for.”   New York plastic surgeon Gerald Imber comments on the “different gestalts” of the two cities: From the consultation rooms to the attitudes of the doctors, “we are influenced by environment.” As such, the goals of appearance are very different. “New York women want a tougher face,” says Beverly Hills dermatologist Ava Shamban. “It’s slightly more masculine: a stronger chin, jaw and nose. In L.A., it’s more of a sweet, feminine face: a bigger lip and more slender noses. The standards of beauty relate to the values of the city.” In other words, one town’s known for celebrity and sex while the other celebrates power and money. With New York more resistant to youth culture, face-lift patients start older, notes Imber. “The standards are pretty different: In New York, a 50-year-old woman can be the hottest woman in the room.” Shamban sums up the age differentiation: “In New York, women want to look 40; in L.A., 20.” For either city, there’s also a practical consideration, says Peggy Siegal, the New York PR doyenne who discussed her two face-lifts (with Dr. Imber) in a pamphlet she handed out at her 60th birthday party, How to Look Like Me at 60: “Older women face age discrimination in the job market. Stopping the clock to a degree is the best way of eradicating that.” The East Coast may have its subtlety, but the West Coast has expertise. While the same procedures are popular in both cities — fillers, Botox, face- and eye-lifts — L.A. is ahead of New York in perfecting fat transfers and laser resurfacing. “In L.A., we don’t just think about pulling,” says Beverly Hills derm Peter Kopelson. “We think about replacing lost volume — and the people who are best at fillers are the ones who apply them most often.” Registered nurse Jamie Sherrill, known as Nurse Jamie to her A-list clients, adds that subtlety is on the rise in Hollywood and deploys what she calls “baby Botox”: “My ‘Gucci’ needle allows for only one drop. There’s a much more natural result.” She also says New York patients are more incremental and cautious, paying for consultations, then coming back for Botox, then returning for fillers, “so they pay a lot more money.” A brief survey among top doctors reveals that procedures in L.A. are about 30 percent lower in price (Botox from $900 in L.A. for 40-plus units to smooth out forehead, frown lines and crow’s feet versus $1,200 in New York; L.A. eyelid lifts start at $3,500, New York’s $5,000), but L.A. patients receive twice as many filler, laser and Botox treatments as New Yorkers. Skin appearance is prized differently, too, says Shamban: “In New York, while they dress beautifully, they often have bad or uneven skin. And they drink too much. In L.A., the women have softer and clearer skin due to the weather.” And almost every doctor conceded that “in L.A., there’s a tradition of seeing a perfection that no one can achieve,” to quote Imber. What that perfection really means is symmetry, as in Leonardo da Vinci’s Golden Ratio: an equation mathematicians have found in everything the human eye finds beautiful. Dr. Kopelson, for one, has no problem with that: “So women in L.A. are chasing perfection. But you have to admit, they get much closer to it than women anywhere else.”

Get The Facts On Gynecomastia

April 14th, 2015

Gynecomastia is the presence of excess fat and/or breast tissue in boys and men. It may affect either or both breasts. It is most widely prevalent in older men, newborns, and boys undergoing puberty.

Causes Of Gynecomastia

The common causes of gynecomastia are as follows.

  • Hormones: Natural hormonal imbalances in the body can lead to breast enlargement. Both men and women produce estrogen and testosterone in their bodies. Estrogen is responsible for female secondary sex characters whereas testosterone gives male ones. Over 50 percent of male infants have gynecomastia because of the high estrogen levels in their mother’s body. This subsides in a few weeks. During puberty, hormone imbalances can lead to this condition. Again, it goes away on its own within a couple of years. Gynecomastia, however, is quite common in older men (in the age group of 50 to 80 years) because the testosterone levels start reducing with age.
  • Medications: Apart from natural hormone imbalances, several medications can also cause gynecomastia. Antidepressants, anti-anxiety medications, medications used to treat prostate cancer and prostate enlargement, among others, can also lead to this condition.
  • Health issues: Aging, kidney and liver problems, malnutrition, hyperthyroidism and hypogonadism can all cause gynecomastia.

Treatment For Gynecomastia

Breast reduction surgeries can help reverse the enlarged breasts caused by gynecomastia. The surgery is conducted under general anesthesia and can take between 1 and 3 hours. Depending on the extent of the condition, different techniques can be used. If the primary problem is excessive fat, then liposuction can be a solution. It involves sucking out excess fat through tiny incisions. If there is excessive glandular tissue, then it will have to be cut out. Any excess skin that remains can be removed.

After the surgery, you may experience discomfort in the form of swelling and bruising. Medication can be prescribed, if necessary. You can return to work in a week’s time. But, for several weeks, you may be required to use elastic pressure garments. You will have to avoid strenuous physical activities for about a month.

Interested In Learning More About Male Breast Reduction? Contact Naples Cosmetic Surgery Center

To learn more about any of the procedures we offer, contact us today to schedule an appointment. Our offices are located in Naples, and we can be reached at 239-348-4357. We look forward to hearing from you.

What To Expect From A Body Lift

March 30th, 2015

Drastically losing pounds to reach a healthier weight is a huge accomplishment. Unfortunately, there are some challenges that come with serious weight loss. For instance, you probably have a lot of unnecessary extra skin. Depending on your genetics, age, and weight distribution, you may need surgery to remove the excess. To take care of the extra skin, a simple tummy tuck may not be enough, though. You may need a full body lift.

Body Lift Procedure: What To Know

  • Several Surgeries: In some instances, doctors perform a full body lift in one session. This can be quite risky and traumatic, though, so it’s more likely that your body lift will actually be a series of surgeries. The procedures you need will depend entirely on where the excess skin on your body is located. Many people who have lost extreme amounts of weight end up having some combination of an arm lift, a breast lift, a tummy tuck, and a lower body lift.
  • Lower Risk of Infection and Skin Chafing: Without all of that extra skin, your body is also likely to be healthier. When you have excess skin, especially flaps of it, you are at greater risk of getting infections because moisture, for example, can easily be trapped under the skin. You may also have had the excess skin chafe painfully against your functional skin. The removal of that unnecessary skin lowers such risks and discomfort.
  • Improved Appearances: After your surgery (or surgeries) you will find your skin more taut and even, with virtually no flab. With the excess skin and fat removed, you may feel more confident and enjoy your appearance more.
  • Scarring: Of course, the extensive surgeries included in a body lift can leave some scarring. Surgeons do their best to make incisions and tuck the skin in such a way that the scars will be hidden beneath commonly covered areas of the body, like under the arms, near the buttocks, or just below the waistline.

Want To Learn More About Body Contouring Options? Contact Naples Cosmetic Surgery Center

To learn more about any of the procedures we offer, contact us today to schedule an appointment. Our offices are located in Naples, and we can be reached at 239-348-4357. We look forward to hearing from you.

Do you want bright and radiant skin?

March 18th, 2015

3D Imaging Provides A Glimpse Of Surgery Results

March 10th, 2015

Many people decide against cosmetic surgery because they don’t know what they’ll look like afterwards. Fortunately, technology provides a glimpse of the results. With Vectra® 3D imaging, patients can see what they may look like after the procedure. It’s something many patients are excited about, and it might be something you want to try.

How Does 3D Imaging Work?

Using a special 3D camera, the doctor takes a panoramic photograph of your face or body. This image is stored and then rendered in 3D onto a screen. Once the 3D image of yourself is on the screen, the doctor can manipulate it according to the procedure you are considering.

How 3D Imaging Helps Patients

When you start thinking about cosmetic surgery, you may imagine your ideal self. This ideal self may be possible to achieve with cosmetic surgery, or it may not be possible. This is why scheduling a consultation with a plastic surgeon that offers 3D imaging is so important. The benefits of 3D imaging are that you can see what you may look like not only after one procedure, but many, so you can decide which one you would like performed.

It may surprise you to see that you’ll look better than you thought with cosmetic surgery, or you may find out that you’ll have to be more realistic about the results of a procedure. In either case, a plastic surgeon will be available to help you understand what the results of this technology mean to you and how you can use them to come to a decision based on your wants and needs.

Interested In Plastic Surgery? Contact Naples Cosmetic Surgery Center

To learn more about any of the services we offer, contact us today to schedule an appointment. Our offices are located in Naples, and we can be reached at 239-348-4357. We look forward to hearing from you.

BREAKING NEWS** Now offering non-invasive laser hair removal

March 9th, 2015

In Men With ‘Good Physique,’ Steroids Are Common Cause of Breast Enlargement, Reports Plastic and Reconstructive Surgery

February 19th, 2015

With attention to some unique patient characteristics, breast reduction surgery achieves good aesthetic outcomes in bodybuilders with gynecomastia—enlargement of the male breast, according to a report in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

ASPS Member Surgeon Mordcai Blau, MD, a plastic surgeon in private practice in White Plains, N.Y., reviews his extensive experience with gynecomastia surgery in bodybuilders. He highlights key patient characteristics and technical issues, including the causal role of anabolic steroids and hormone supplements. Dr. Blau’s coauthor was Ron Hazani, MD, a plastic surgeon in Beverly Hills, Calif.

Focus on Gynecomastia Surgery in Bodybuilders

An expert in male breast reduction, Dr. Blau has performed gynecomastia surgery in nearly 1,600 bodybuilders and other patients with “good physique.” The new report focuses on 1,073 such patients, followed up for one to five years after surgery.

The men ranged in age from 18 to 51 years; 15 percent were competitive bodybuilders. All were free of hormonal or other diseases that can cause gynecomastia. In some cases, gynecomastia developing in adolescence—usually a temporary condition—became permanent after the patient started using steroids or hormone-containing supplements.

For several reasons, gynecomastia surgery in bodybuilders calls for a different approach, Dr Blau believes. In contrast to other groups of gynecomastia patients, who tend to be overweight or obese, bodybuilders usually don’t need removal of excess fat or skin.

However, they do need special attention to prevent bleeding and scarring. Bleeding risk is higher because of increased blood flow in the highly developed chest muscles. Steroids and unregulated supplements including protein shakes, vitamins, and fish oils may also increase bleeding risk.

Emphasis on Complete Removal of Breast Gland Tissue

Bodybuilders are “perfectionists with regard to their physique and chest aesthetics; hence their level of expectations is higher,” Dr Blau writes. He performs the procedure through a one-inch incision, made on the underside of the areola surrounding the nipple.

In outlining his surgical technique, Dr. Blau highlights the need for complete removal of all breast gland tissue. After surgery, pathology reports usually show excessive development (hypertrophy) of the gland tissue, although a few patients had precancerous cells.

Most patients are “extremely satisfied” with their surgical results, Dr. Blau reports. He also notes that the “vast majority” of patients continued to use anabolic steroids. Because the gland was completely removed, there were no problems with recurrent gynecomastia.

Complications were uncommon and generally minor. There was a six percent rate of hematomas—blood collections causing pain, swelling, and bruising. Dr. Blau notes this problem became less common after he began providing stricter instructions regarding preoperative and postoperative care: stopping all use of steroids and supplements before surgery, and resuming exercise gradually after surgery.

Plastic surgeons may see increased interest in gynecomastia surgery among bodybuilders and other men with good physique, Dr. Blau believes. He suggests that surgeons performing gynecomastia surgery start with simpler cases, before proceeding to the more-challenging demands presented by bodybuilders.

While many men are affected by gynecomastia, most don’t seek treatment, according to this month’s introductory video by Rod J. Rohrich, MD, Editor-in-Chief, on the Plastic and Reconstructive Surgery website. The February issue also reports on a new technique for men seeking breast reduction after massive weight loss. “In these two papers, we see how the surgical treatment of Gynecomastia can improve both aesthetics and patients’ quality of life,” Dr. Rohrich comments. “Plastic surgeons are constantly studying and refining these surgical techniques to create the safest, most effective procedure possible.”

Plastic and Reconstructive Surgery® is published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health.

About Plastic and Reconstructive Surgery

For more than 60 years, Plastic and Reconstructive Surgery (PRS)® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. The official journal of the American Society of Plastic Surgeons, PRS brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, and cosmetic surgery, as well as news on medico-legal issues.

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