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.


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.


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.


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.


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    6101 Pine Ridge Road, Suite 15
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