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.


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

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

Give Your Chin The Birdman of Alcatraz Treatment

August 15th, 2016

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

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

A stronger chin

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

What’s the procedure like?

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

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

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


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

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

Better Skin Through Chemicals…What?

July 15th, 2016

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

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

How low will you go?

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

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

How they are done

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

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

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

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

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


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

June 15th, 2016

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

Cheek implants 101

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

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

How are cheek implants positioned?

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

Cheek augmentation with fillers

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

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

Leave the Bat Wings to DC Comics. Get an Arm Lift!

May 15th, 2016

Don’t you wish your skin sometimes had Kevlar in it? Not only would it come in handy for police officers, but the rest of us could preclude some of the inevitable sagging that happens just about everywhere on our bodies as we age.

This sagging results from a combination of causes. Our body cuts its production of collagen by one percent every year after the age of 20. Add up that cut over time and the decrease gets ugly! Plus, elastin, the protein in the skin responsible for the suppleness of the skin, also drops with age and sun damage. The combination leaves your skin saggy and it particularly shows in certain areas such as under your upper arms.

Bat wings anyone? And this is no Buffalo Wild Wings commercial!

Yes, the dreaded “bat wings” get their lovely moniker due to the way the underside of the upper arms can become downright flappy with advancing age. And no matter how many triceps exercises you throw at them, often your upper arm skin won’t respond. This is especially true if you’ve gained and lost a fair amount of weight. As we age, the skin simply won’t recover to its former degree of tautness.

And, while bat wings are fine for next month’s DC Comics Batman book, they have no place in your life. Fortunately, an arm lift from Dr. Turk can give you back firmer, more contoured arms.

Who should get an arm lift?

If your loose, flappy upper arms bother you, it’s probably time for an arm lift. If you avoid wearing sleeveless blouses the way Donald Trump avoids advice from Miss Manners, it may be time for an arm lift.

An arm lift could be a good procedure for you if you have loose, excess, or sagging skin on your upper arms that doesn’t respond to exercise. Or, if you’ve lost lots of weight, yet the excess skin on your upper arms didn’t go away with the weight, an arm lift can help.

The procedure

The goal of an arm lift with Dr. Turk is to eliminate the excess skin and fat from the upper arms, creating a more contoured appearance. An incision is made on either the bottom of your arm or the backside. It runs from the elbow to the armpit. Dr. Turk will usually use liposuction to remove excess fat, while tightening the underlying muscles and removing excess skin. If you don’t have too much excess skin, he may opt to perform a minimal incision arm lift, which uses only small incisions near the underarm area to tighten the upper arm. With either method, when the procedure is complete, you’ll go home with compression garments around your upper arms to help them adapt to their new tighter contour.


Most arm lift patients return to work after one week, and can resume normal exercise and activity within a month. Scars will fade over the next 18 months to where they will not be overly noticeable.

So, leave the bat wings to the comic books and break out those sleeveless dresses again with an arm lift. Call Dr. Turk at Naples Cosmetic Surgery, 239-348-4357, and schedule a consultation for an arm lift.


Which Way to a Tighter Tummy — Liposuction or Tuck?

April 15th, 2016

The stomach/abdomen area is the enemy of most people. Why? Because whether due to some pockets of unwanted fat, stretched skin and muscle from gain and loss of some serious pounds, or even just simple aging, there now resides a pooch where once there was nothing but a firm, taut stomach. As we age, having a little tummy pooch is almost universal. Where would the infomercial industry be without it?! If you’re up late watching some B movie you’ll be bombarded by infomercials touting the latest way to “get the stomach you’ve always dreamed of.”

Most of contraptions and exercise routines do nothing because fat is very difficult to target in this area of the body. You could do a 30-day hunger strike and maybe get it, but short of that… And if your skin is loose from pregnancy or weight loss, you’re not tightening that up with the Ab Roller (designed by an ex-Navy Seal!!!!).

Liposuction or a tummy tuck from Dr. Turk, however, can actually do something about your stomach area. And while their goals are similar — a leaner, tighter contour — their means are quite different. So which do you choose?


For the last few years, liposuction has been the most popular cosmetic surgery in the country. Liposuction targets excess pockets of fat such as love handles, spare tires, and muffin tops. People like liposuction because, while it is invasive, it doesn’t demand the recovery periods of full surgery. The ideal liposuction candidate should be within 10% of his or her ideal body weight and have tried both diet and exercise to get rid of stubborn areas of fat. Liposuction is best for patients who also still have good elasticity in their stomach skin.

Tummy tuck

A tummy tuck differs from liposuction in what it targets. A tummy tuck doesn’t help remove abdominal fat but rather improves the appearance of the midsection by removing loose, hanging abdominal skin and tightening the abdominal muscles for a well-contoured abdomen. This is particularly the case for women who have had children and others who have gained and lost large amounts of weight. The skin has been overstretched for too long and can’t return to its former degree of tautness.

Or, how about both?

These two procedures don’t have to be mutually exclusive. If you have issues with both pockets of unwanted fat and skin laxity in the abdominal area, Dr. Turk performs both liposuction and a tummy tuck as part of your body-contouring plan. Tummy tuck procedures often include some degree of liposuction because it is a more effective way to remove fat pockets.

Not for weight loss

It is important to note that both liposuction and a tummy tuck are not meant to be weight loss panaceas. Removing too much fat with liposuction can actually be dangerous. Patients need to be within 10% of their ideal body weight to qualify for these procedures with Dr. Turk.

So, don’t call the number on the screen of that ridiculous infomercial. Call Naples Cosmetic Surgery at 239-348-4357 to schedule your consultation.

Fill ‘er Up — Teach Those Wrinkles Who’s the Boss

March 15th, 2016

With the exception of vampires, no one has figured out how to outsmart the march of time. Time and the effects of aging win out every time. Your skin, the body’s largest organ, is definitely on the front lines of this ongoing battle, particularly in sunny Naples!

But at Naples Cosmetic Surgery, we provide our patients with a non-surgical option to fight back against time — dermal fillers.

Unlike Botox, which is clinically called a neuromodulator, dermal fillers take a different route to addressing wrinkles. Botox temporarily paralyzes the underlying muscle that forms a wrinkle above on the skin surface when we perform an action such as squinting. These wrinkles are called dynamic wrinkles. When Botox stops the muscle from contracting, the wrinkle doesn’t form above the muscle.

The other type of wrinkle is called a static wrinkle. These wrinkles are on display at all times. Nasolabial folds and marionette lines are good examples of static wrinkles. Dermal fillers, as their name implies, fill in the crease or wrinkle and plump the skin. Fillers are injected beneath the wrinkle and basically push the skin back up, erasing the wrinkle.

Three popular fillers

Here are the three popular fillers we use at Naples Cosmetic Surgery and their characteristics.

Restylane® — Restylane is made from hyaluronic acid, a naturally occurring substance in the body that is responsible for plumping the skin. Hyaluronic acid plumps the skin by binding with water molecules beneath the skin surface. This makes the surface skin smoother. Restylane is very effective at improving wrinkles and creases around the mouth and lips, as well as those under the eyes. It is best on areas with thinner skin because its consistency allows it to spread just a bit under the skin.

Juvederm® — Juvederm is also a hyaluronic acid-based filler. Juvederm restores volume and addresses deeper wrinkles, especially those around the mouth and nose and on the forehead. There are three types of Juvederm: Juvederm XC, Juvederm Voluma XC, and Juvederm Ultra Plus. Each has different characteristics that target different issues such as volume vs. wrinkles.

Perlane® — This hyaluronic acid-based filler is made by the same company as Restylane, but its consistency is much thicker, making it best for improving large nasolabial folds and worry lines on the forehead. Perlane, due to its thicker consistency, needs to be injected in areas where there is underlying fat to hide it.

Interested in teaching your facial wrinkles who’s the boss without surgery? Call us at the Naples Cosmetic Surgery Center, 230-348-4357, and let’s talk about dermal fillers.

Botox use increases among millennials

March 9th, 2016








The latest news in the world of cosmetic procedures includes a trend among millennials who are scheduling appointments with plastic surgeons for Botox and filler injections. Various media publications covered the news following a survey conducted by The American Academy of Facial Plastic and Reconstructive Surgery. Plastic surgeons taking part in the poll revealed a surprising statistic – the number of patients 30 years old or younger seeking cosmetic injection treatments consisted of a 64 percent spike.

It is believed that one possible reason for this development is the selfie phenomenon on social media. Another cause may be the influence of today’s celebrities who have numerous fans who follow their every move through photos on social media or in print publications. Whenever a celebrity has undergone cosmetic procedures, his or her followers are inspired to perhaps do the same.

Either way, millennials are asking for fuller lips and wrinkle-free foreheads to achieve their own aesthetic goals be it for selfies or celebrity inspirations.

However, many plastic surgeons are advising this generation not to “overdo” the use of injections. Overly plumped lips or the inability to move one’s forehead can actually cause patients to appear more mature than their actual years.

While some practitioners believe in having patients start Botox use in their late twenties to prevent deep wrinkles from developing, it is important that they be conservative in the amount injected and as well as frequency in visits. More significant is the use of an experienced medical professional who works with the patient to individualize their treatments so the procedures used produce the best possible results.

It is also advised that the medically certified individual delivering these aesthetic treatments are following the manufacturer’s guidelines. It’s the onus of medical professionals to encourage and navigate millennial patients on the importance in taking a conservative approach with cosmetic injections


Can I continue smoking when I have choose to have cosmetic surgery?

March 2nd, 2016

No. Tobacco use by smoking,patch or nicotine gum results in cutting the needed blood supply for the skin to heal. This ultimately results in loss of skin and poor healing with scarring. Many studies in the plastic surgery literature have repeatedly found a correlation with poor wound healing and smoking. Patients considering elective cosmetic surgery should understand the severe risks of skin necrosis and poor wound healing with smoking. Patients should stop tobacco ingestion 3-4 weeks prior to surgery and 4 weeks after surgery. For more information on cosmetic surgery, call 239-348-4357.

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