Choosing the Right Breast Implant—Silicone, Saline or “Structured?”

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No matter what reason spurred the decision to pursue breast augmentation, deciding on
which implant type presents one of the more difficult choices women have to make,
once they embark on the surgical route to breast vitalization. While all breast implants
are made out of an inert polymer named silicone, deciding on the contents
within—silicone gel or saline solution—has long stirred up the most internal debate. But
there is a newer, third option women should be considering as well. That is, Ideal
Implant® Structured Breast Implants that maneuver the flow of saline to better mimic
the natural feel and look of breast tissue.

Silicone Versus Saline

Silicone gel implants are favored by many women because their limited viscosity tends
to offer the most natural look and realistic feel they are seeking in their revitalized
breasts. But, while deemed safe by the FDA, a 14-year ban on their use that ended in
2006 put a stigma on them that makes some women leery of them to this day. They are
also considered problematic because their gel-like substance is not naturally absorbed
into the body, which means that ruptures and leakage may not be easily noticed.
That said, the safety profile of silicone implants—the most widely studied medical
device in history—has remained positive since their re-introduction in 2006, with the
market for silicone implants steadily improving to the point that the two currently have
roughly equal overall market share.
Saline breast implants have long held a better perceived safety profile than silicone gel,
but their aesthetic reputation is marred by the perception that they may not adequately
replicate the natural look and feel of real breasts. And, because the saline implants
have more liquidity than silicone, they are more prone to temporary misshaping such as
folding or wrinkling around the breast edges. However, the amount of saline within the
implants can be adjusted during surgery to better tailor the outcome of breast symmetry
and size.

Structured Breast Implants Provide a Newer Option

Women now have a third option to consider when deciding on which breast
augmentation implant option will best meet their needs. “Structured” breast implants
utilize internal channels and baffling to restrict the flow and potential sloshing of saline
solution through the implant to better simulate the feel of natural breast tissue. Ideal
Implant® Structured Breast Implants represent next-generation technology that provides the realistic look and natural feel of breast tissue, but with the perceived safety profile offered by saline implants. Clinically tested since 2009 and approved by the FDA in 2014, Ideal Implants® offer a unique solution to meet both the aesthetic and health-related goals of women seeking to enhance their self-image through breast augmentation.

Natural Feel is a Result of Innovative Design

Ideal Implant® Structured Breast Implants were designed specifically by a plastic
surgeon to bridge the differences between saline and silicone implants, while also
offering the best possible safety profile. The innovative “structured” design includes a
series of implant shells nested together in two different chambers holding the saline.
Depending upon implant size, the shells may also include baffles to further inhibit fluid
movement. This internal structure controls the movement of the saline solution to
prevent implant folding and wrinkling around the edges. Ideal Implants are also specially contoured to match the natural curve of the chest wall, and, due to the internal structure, are less prone to rupture and subsequent deflation. If breakage does occur, the saline is naturally absorbed by the body, though the shell will need to be surgically removed and replaced.


Dr. Gardner is one of the few qualified cosmetic surgeons offering Ideal Implants® in
the Naples, Florida area. With years of breast augmentation experience and a
reputation for cosmetic artistry, Dr. Gardner is pleased to add this innovative implant to
his practice. The doctor will discuss the Ideal Implant® option along with other implant
options in his consultation with patients. Dr. Gardner offers various breast surgical
approaches, and may recommend combining implant surgery with other breast
enhancement procedures. To learn more about Ideal Implant® Structured Breast
Implants and Dr. Gardner’s long-standing breast enhancement surgery expertise,
contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial
consultation.

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Advanced Hair Restoration Technology

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Hair loss is a fact of life, as everyone naturally loses hair every day, from dozens of strands to a hundred and sometimes even more. While hair loss in men is almost considered a given, public awareness about the issue of female hair loss and female pattern baldness seems to be limited to those who might be experiencing it. And yet, the numbers of women experiencing hair loss or pattern balding has been significantly increasing in recent years.

Causes of Female Hair Loss and Female Pattern Baldness

There are a variety of factors that can cause female hair loss and female pattern baldness, with some causing permanent loss and others not, and some that can be remedied, while others cannot. Genetics can play a large role, with an estimated 30 million women subject to androgenetic alopecia, a hereditary condition that causes hair follicles to shrink and eventually quit growing all together. While noticeable loss through androgenetic alopecia usually shows up when women reach their 50s or 60s, it can arise at any age.

Other conditions that can bring on unusual female hair loss include:

  • Pregnancy
  • Thyroid disorders
  • Autoimmune diseases
  • Dermatological conditions
  • Hormone or vitamin deficiencies
  • Certain over-the-counter and prescription medications
  • Extreme stress
  • Dramatic weight loss

Hair Restoration Options Provided by Gardner Plastic Surgery

With hair loss being such a devastating blow to a woman’s self confidence, Naples, Florida-based Gardner Plastic Surgery offers its clients a number of hair restoration options, including NeoGraft®, which is considered one of the most advanced follicular unit extraction (FUE) techniques in the hair transplant industry. In fact, Dr. Paul Gardner is steering many of his patients towards the NeoGraft® procedure option due to its natural looking results, limited invasiveness and patient comfort.
The NeoGraft® Automated Hair Transplantation system uses pneumatic controls to precisely remove individual hair follicles, which are immediately implanted in any area on the scalp targeted for hair restoration. The system is the first and only FDA approved system for automated follicular unit harvesting and implantation, and considered a significant upgrade from traditional FUE methods. Other observed benefits from the NeoGraft® system is that it requires no stitches or staples; does not leave a linear scar; provides flexibility in hair style, long or short; and offers a much shorter recovery time, often as little as one day.

Other Hair Restoration Options

During your hair restoration consultation, Dr. Gardner will advise you of all other options offered by the practice, including:

    • Strip Harvesting
    • Flap Surgery
    • Scalp Reduction
    • Stem Cell Injections

Depending upon the amount of hair loss, and location of loss, some of these techniques are utilized together, but this can only be determined during the initial consultation. Whatever your hair restoration goals, Dr. Gardner has always strived to produce the best results possible, and is pleased to now offer this groundbreaking NeoGraft® system to his patients, along with the other hair restoration tools and techniques in his arsenal. To learn more about how Dr. Gardner can boost your confidence with hair restoration, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

You’re Never Too Old to Feel Beautiful

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Baby Boomers have proven to be a transformative generation throughout their lives, and now, as they age into their “golden years,” they are transforming the concept of aging. Not content to “go gentle into that good night,” Boomers are focusing on a healthy and active lifestyle and are considering rejuvenating cosmetic procedures to help them to look as youthful as they feel on the inside.

Cosmetic Surgery Options

With the rise in senior activity levels and expected longevity has come a noticeable increase in the numbers of seniors seeking cosmetic surgery. In fact, according to statistics collated by the American Society for Aesthetic Plastic Surgery, the numbers of people age 65 and older gettin facelifts and similar procedures has increased by more than 1,200 percent in the past 20 years, with much of that increase occurring over the past five years. In fact, while patients in the 35-50 year-old age group remain the largest plastic surgery patient base, patients older than 65 are the fastest growing group seeking both surgical and non-surgical procedures. Gardner Plastic Surgery located in Naples, Florida has experienced this trend, as well, and Dr. Paul Gardner believes that patient satisfaction levels in seniors are similar to those seen from younger patients.

Risk Profile for Cosmetic Surgery for Seniors Similar to Younger Patients

Age does not seem to be a factor in safety and complication rates of cosmetic surgery, as
studies have shown that the rates are the same for seniors as it is for the younger generations. In fact, a recent study of safety rates of plastic surgery on octogenarians (those 80 and older), only demonstrated a “slightly higher”—and statistically insignificant—complication rate in comparison to rates expressed by all younger patient age groups. As long as the patient is in good overall health, risks associated with cosmetic surgery procedures remain low. Thus, plastic surgeons tend to focus more on existing medical conditions when considering their senior patients’ cosmetic surgery options, rather than patient age.

Numerous Factors Driving Increase in Senior Cosmetic Surgery Rates

The increasing numbers of seniors exploring cosmetic surgery options should not come as a surprise. First off, the massive number of Baby Boomers combined with increased longevity means that one out of five Americans will be over the age of 65 by 2030. And many of these Americans are staying physically fit much later in life, which creates a disconnect between how they look and how they feel. More and more Americans are also staying in the workforce past age 65, and some perceive cosmetic surgery as a means of fending off potential age discrimination.

Gardner Plastic Surgery Serves Patients of All Ages

Bottom line is that rates for most surgical and nonsurgical cosmetic procedures have been increasing among all age groups and both sexes for the past 20 years, with rates for those over age 65 showing among the largest proportional growth. Gardner Plastic Surgery has witnessed this growth and has extensive experience treating patients of all ages. Dr. Paul Gardner is renowned for his surgical skills at both facial and body contouring, but is also attuned to providing patients benefits that can be realized from less invasive treatment options. Whatever your age and whatever cosmetic refinement you seek, our practice can help you determine the best options for achieving your goals. To learn more about what Dr. Gardner can do for you, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

CoolSculpting® Becoming Go-To Non-Invasive Fat Treatment

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CoolSculpting® is rapidly becoming the go-to non-surgical treatment option for eliminating diet-and exercise-resistant fat. Offered in the Naples, Florida area by Gardner Plastic Surgery, CoolSculpting® is FDA-approved to treat fat in the abdomen, flanks, inner thighs, outer thighs, portions of the back, below the buttocks, upper arms and, as of last December, double chin. With proven results and positive safety profile as evidenced by more than 5,000 clinical trial patients, more than 6 million patients have now undergone CoolSculpting® treatments.

As a non-invasive alternative to liposuction and other more invasive treatments, CoolSculpting® provides noticeable, long-lasting results with no real down time. Also known as “Cryolipolosis,” CoolSculpting® eliminates diet- and exercise-resistant fat by targeting such localized fat deposits with freezing. Once chilled, the fat cells crystalize and die, and are then permanently removed over the next few weeks and months by the body’s own natural metabolic processes. The surrounding skin and tissue, meanwhile, are unaffected because fat cells freeze at higher
temperatures.

Other CoolScultping® Benefits

While the noninvasiveness of the procedure is a big draw, CoolSculpting® comes with other benefits as well:

  • It is a targeted treatment. With different applicators and customization options, CoolSculpting® can specifically target problem fat areas and works to not only remove hard-to-eliminate fat deposits, but also to contour the overall shape of your body.
  • Results are natural looking. As a non-invasive treatment, CoolSculpting® leaves no scars, and your body’s natural expulsion of the dead fat cells means a gradual reduction of the fat over several weeks, similar to the gradual fat loss and toning one would receive from exercise.
  • It’s long lasting. Because CoolSculpting® kills and permanently removes fat cells from your body, any new weight gain will be more evenly distributed throughout your body, rather than to the previous trouble area.
  • Exercise and diet will prove more effective. With problem fat cell areas reduced in size and number, any results from future diet and exercise should be more noticeable.
  • It’s quick and easy. Most treatment sessions last about 35 minutes, and if you are treating multiple areas, you may be able to save time with DualSculpting, which utilizes two CoolSculpting® devices during a single treatment session.
  • It boosts self-confidence. The loss of fat from areas that previously seemed impervious to weight loss efforts should cause a big boost to one’s self-esteem, with that more positive body image likely enhancing overall quality of life.

The actual CoolSculpting® treatment couldn’t be easier. An initial consultation at Tru Glo Medspa will determine a customized treatment plan designed to meet your goals by safely reducing problem fat pockets that are limiting your positive body image. Once in treatment the device—or two for those undergoing the DualSculpting®—is strategically placed and the cooling slowly applied. During the treatment session you can read, surf the Web or even take a nap. Once done, you can typically return to work or engage in any other normal every-day activity.

 

Gardner Plastic Surgery and Tru Glo Medspa in Naples, Florida, has been pleased with the results achieved by patients who’ve opted for CoolSculpting® treatment to remove fat from the abdomen, flanks, upper arms and thighs, and is now pleased to offer its use in the treatment of double chin. While Dr. Paul Gardner is renowned for his surgical skill at facial and body contouring, he also appreciates the benefits that can be realized from non-invasive treatments such as CoolSculpting®. If you would like to learn more about CoolSculpting®, and its new application for double chin, contact Tru Glo Medspa or Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

Breast Cancer, Mastectomies and Breast Reconstruction Surgery

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October may have been Breast Cancer Awareness Month, but given that one out of every eight women will be diagnosed with breast cancer in their lifetime, “awareness” should be a factor every month. Naturally, the first line of awareness should consist of education about the disease, along with early detection efforts through self-exams and regularly scheduled mammograms. Educational awareness about the disease types and stages can help those receiving a breast cancer diagnosis determine the best treatment options. Those whose treatment includes a lumpectomy or mastectomy need to be aware of the various breast reconstruction surgery options available to them.

Education and awareness are key with regard to all mastectomy and breast reconstruction decision making. Thus, it is important for women faced with a mastectomy to thoroughly discuss all options with their breast surgeon, oncologist and qualified plastic surgeon. While some women decide not to undergo breast reconstruction surgery, the procedure does help women feel more confident about their appearance after a mastectomy. Additionally, federal law requires insurance plans to cover the costs of breast reconstruction in most circumstances.

Timing of Breast Reconstruction Surgery

Among the first considerations that need to be made when faced with a mastectomy and breast reconstruction is timing. Those needing a mastectomy can opt to have breast reconstruction at the same time. However, this “immediate reconstruction” option may not be available to women with specific surgical risk factors such as smoking and being overweight, among others, or to those facing certain post-surgery follow-up procedures.

Delayed reconstruction can be conducted after the mastectomy incisions have healed and all other breast cancer therapies have been successfully concluded. Delayed reconstruction can be performed months or even years after the original mastectomy, and is often undertaken by women who have successfully mitigated risks that prevented immediate reconstruction.

Types of Breast Reconstruction Surgery

Generally, breast reconstruction can be done with breast implants or natural tissue flaps. Breast implants are a simpler reconstruction option because the surgery is less invasive with less recovery than natural tissue flap surgery. With breast implants, patients can opt for either saline or silicone implants. While the outer shell of both implants is made of silicone, the shell is filled with either silicone or a saline solution. As silicone is more viscous than saline, it is believed to be the solution that more closely mimics the natural look and feel of breast tissue, and is preferred for breast reconstruction. A number of studies have shown silicone to be a safe implant.

Natural tissue flap surgery utilizes skin and tissue from the patient’s own body, which allows the reconstructed breast to look and feel more like a natural breast than either silicone or saline implants. However, the procedure requires additional surgery on the other parts of the body from which the tissue is being removed, leaves additional scars, and is far more intensive than implant surgery.

Nipple and Areola Reconstruction

While “nipple-sparing” mastectomies are becoming more common, they are by no means optional, and most women will still need nipple and areola reconstruction as part of their overall breast reconstruction. This is generally performed on an outpatient basis as the last stage of breast reconstruction surgery. The procedure can often be done in the office setting and is much simpler than the actual breast reconstruction.

Gardner Plastic Surgery in Naples, Florida, has long offered breast reconstruction as part of its practice. In fact, with a vast knowledge base of cosmetic breast surgery techniques, Dr. Paul Gardner is renowned for his skill at breast reconstruction following treatment for breast cancer. If you are facing a mastectomy, learn how Dr. Gardner can help you retain a positive body image with breast reconstruction surgery, by contacting Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

Rhinoplasty—Small Measures Equal Significant Enhancements

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Unlike most plastic surgery procedures, rhinoplasty (nose job) usually represents an operation of centimeters rather than of inches. As the focal point of your face, the nose dictates its symmetry and serves to enhance or detract from its other features. Thus, small changes to the nose can have a significant effect on the overall appearance of the face as a whole. This helps explain why rhinoplasty is the third most sought after cosmetic surgery after liposuction and breast augmentation, according to the American Society of Plastic Surgeons.

The nose can be cosmetically re-contoured by a wide range of surgical alterations. Among the more common adjustments are:

  • Enlargement
  • Reduction
  • Straightening
  • Nasal bridge reshaping (bump removal)
  • Nasal tip reshaping
  • Reduction of nostril size
  • Adjustment of the angle between the nose tip and upper lip
  • Septoplasty (opening of nasal passages to improve breathing)

“Open” or “Closed” Rhinoplasty

Rhinoplasty procedures generally fall under one of two categories. “Open” rhinoplasty consists of making an incision across the columella—the column of skin separating the nostrils—to allow the surgeon better access to the internal nasal structure. “Closed” rhinoplasty uses incisions completely on the inside of the nose. Open rhinoplasty is typically used for more extensive re-shaping, while closed rhinoplasty is generally utilized for minor adjustments. Another common procedure, “tiplasty,” refers to reshaping the nasal tip without involving other nasal structures, and can be conducted under either the open or closed category.

Non-Surgical Options

In some cases, nose reshaping can be achieved non-surgically via dermal fillers, in which the surgeon will strategically inject filler into specific points of the nose. While dermal filler results generally only last up to a year, the process can allow patients to test out results to determine if they want to make the change more permanent with surgical rhinoplasty.

Consultation and Vectra 3D Imaging

Dr. Gardner, a skilled plastic surgeon located in Naples Florida, strives to personalize each rhinoplasty procedure to address his patient’s unique facial symmetry and meet their goals of personal cosmetic enhancement. Rhinoplasty at Gardner Plastic Surgery starts with an initial consultation to determine what the patient desires and to identify and address any concerns.

Dr. Gardner utilizes Vectra 3D imaging to showcase the desired outcome of the patient’s rhinoplasty procedure. Vectra 3D imaging allows the patient to visualize the potential outcome from every angle, and fine-tune the request adjustments until the simulation meets their aesthetic goals. As the simulation is based on surgical technique, the rhinoplasty outcome may not prove to be a perfect match, but should be similar. The technology has proven instrumental in improving doctor-patient communications, and thus sets the stage for a successful outcome.

Gardner Plastic Surgery in Naples, Florida, includes rhinoplasty as a specialty within its practice. As a highly regarded rhinoplasty surgeon, Dr. Paul Gardner combines his knowledge and experience of open and closed rhinoplasty procedures with the latest surgical techniques and a keen artistic eye to produce exceptional results for his patients. To learn how Dr. Gardner can help you achieve the facial symmetry you desire, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

Breast Augmentation: Silicone Versus Saline Implants

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Breast augmentation has long been among the most popular plastic surgery procedures performed in the U.S., with more than 290,000 augmentations performed in the country in 2016, according to the American Society of Plastic Surgeons. Breast augmentation surgery is generally sought by women who feel that their breasts are not in proportion with the rest of their body, and women unhappy with changes to their breasts that occur as a result of childbirth, nursing and/or aging. Breast augmentation is often combined with a breast lift to help provide women with fuller, more youthful-looking breasts.

After a decision has been made to pursue breast augmentation, a woman generally consults with her plastic surgeon to determine which procedure will lead to the best results for her body type. Along with determining breast implant size and placement (behind the breast or behind the chest muscle), a decision must be made about what type of implant to use.

What Are the Differences Between Saline and Silicone Implants?

While all breast implants have an outer shell made of silicone, this is the same substance used in IV tubing and other medical applications used every day. The material inside the shell, or the filler, is either a saline solution or silicone gel. The shape of the shell is designed to mimic the a woman’s breast. The filling material determines how it feels Silicone is the more viscous of the two substances and believed to more closely mimic the natural look and feel of breast tissue. Saline is essentially sterile salt water, and this type of implant was developed in the 1990s as an alternative to silicone due to a health scare linking silicone implants to a chronic autoimmune disease.

The health scare from this concern prompted the removal of silicone implants from the US except in experimental trials. Extensive clinical studies of silicone implants and years of research showed no link between silicone implants and systemic illness, and so the U.S. Food and Drug Administration approving the continued use of silicone implants.

Breast Augmentation Surgery Available in Naples, Florida

Gardner Plastic Surgery in Naples, Florida, has long offered breast augmentation and breast implants as part of its practice. As a highly regarded breast enhancement surgeon, Dr. Paul Gardner combines his vast knowledge of cosmetic breast surgery with the latest surgical techniques and an artistic eye to produce outstanding results for his patients. To learn how Dr. Gardner can help achieve the body you desire with augmentation using either silicone or saline breast implants, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.