Breast Reduction Surgery Gaining in Popularity

small young woman holding a tape measure to her breasts, regarding value of breast reduction

Breast augmentation has long held the top spot numerically among cosmetic surgeries performed in the U.S.. However, the number of women seeking smaller breasts through breast reduction surgery has been increasing in recent years. According to the latest available data from the American Society of Plastic Surgeons (ASPS,) the number of aesthetic breast reduction surgeries performed in the U.S. between 2016 and 2017 increased by 11 percent, from 39,148 in 2016 to 43,635 in 2017.

Do note that this figure does not include the number of breast reduction surgeries performed for medical reasons. That is, breast reduction surgery to relieve the pain and discomfort caused by excessively large breasts, a condition known as “macromastia.” Whether for aesthetic reasons or to relieve macromastia-related symptoms; breast reduction surgeries “are consistently reported as one of the highest patient satisfaction procedures because it positively affects a woman’s quality of life,” according to former ASPS President Jeffrey E. Janis, MD.        

Medical and Aesthetic Reasons for Breast Reduction

Women with disproportionately large breasts can suffer from a number of physical and painful symptoms that can make it difficult to perform some common physical activities and lead an active life. Macromastia can also affect a woman’s self-image to the point at which emotional distress can be as debilitating as the physical impacts. Among primary reasons women tend to seek out breast reduction surgery are:

  • Chronic pain in the neck, back and shoulders
  • Grooving of the bra straps on the shoulders
  • Chronic rashes and other skin irritations under the breasts
  • Nerve pain and symptoms that affect the arms
  • Difficulty sleeping
  • Limited activity due to both pain and self-image perceptions
  • Difficulty fitting into bras and clothing
  • Limited and short term relief with analgesics and other conservative therapies, such as massages
  • Enhance their self-image through a better proportioned body

Breast Reduction Surgery at Gardner Plastic Surgery

Also known as “reduction mammoplasty,” breast reduction surgery at Gardner Plastic Surgery is performed under the skilled hands and aesthetic artistry of either Dr. Paul M. Gardner or Dr. Leo M. Baccaro. In advance of surgery, Dr. Gardner or Dr. Baccaro meet with their patient in a pre-operative consultation to discuss aesthetic goals and desired relief from any macromastia-related symptoms. Details about the procedure are also discussed at length, as are potential side effects, which can include scarring and loss of sensitivity. Depending upon the desired breast size and shape, the surgeon may recommend that the reduction surgery be combined with other procedures, such as liposuction. Prior to the surgery the patient may have to undergo various lab tests and get a baseline mammogram.

Specific techniques used during the surgery can vary, but the procedure begins with anesthesia to ensure patient comfort. In general, the surgery involves incisions around the areola and down each breast, though incision patterns are dependent upon the amount of excess tissue needing to be removed, position of the areola and nipple, and aesthetic goals. Excess skin and fat is surgically removed and the remaining breast tissue reshaped, which includes a repositioning, or “lift,” of the areola and nipple. The remaining skin is tightened and the incisions are closed with deep sutures within the tissue to help support the newly shaped breasts.

Following the surgery, patients are given specific instructions designed to help with their recovery. Typical post-operative measures include gauze dressing or bandages around the breasts, and pain medications and antibiotics as needed. During the first week or so patients should expect tenderness, swelling, and bruising, although commonly patients refer the pain is minor and well tolerated. Patients are generally urged to limit physical activity for two to four weeks after the surgery.  

Discover More with a Consultation at Gardner Plastic Surgery

 Gardner Plastic Surgery has a stellar record in performing successful breast reduction surgeries. Our surgeons have a keen eye for aesthetic contouring and the Gardner Plastic Surgery team has extensive combined experience in all breast-related cosmetic surgeries. If you would like to learn more about breast reduction surgery and discuss whether the procedure is the right option for you, Dr. Gardner or Dr. Baccaro would be happy to speak to you in a one-on-one consultation. Contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

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Thigh Lift Procedure Aims To Firm And Tone

Gardner Plastic Surgery thigh lift procedure, weight loss, woman leaping on beach

While exercise and diet are proven methods of firming and toning one’s physique, the thighs can sometimes seem especially resistant to any exercise- or diet-induced change. Some people find that their thighs vigorously retain fat cells, cellulite, and excess skin, no matter how severe the diet nor how intense the exercise. This may tend to prove especially true when exercise and diet lead to significant weight loss in other parts of the body, or as a result of aging or pregnancy. While other parts of the body may have firmed and tightened with exercise and diet, the thighs may still retain sagging skin, dimples, and fat deposits.

Naples, Florida-based Gardner Plastic Surgery can address this apparent setback with a thigh lift, a surgical procedure that reduces excess fat and skin and reshapes the remaining tissue with the goal of firming and smoothing the overall thigh contours. With extensive training in plastic and reconstructive surgery at the world-renowned Houston Methodist Hospital in the Texas Medical Center, Dr. Leopoldo M. Baccaro is performing the Thigh Lift as one of Gardner Plastic Surgery’s specialties.

Your Thigh Lift Procedure With Dr. Baccaro

A thigh lift, also known as thighplasty, is generally performed by Dr. Baccaro as an outpatient procedure conducted under a general anesthesia. Prior to any surgery, though, Dr. Baccaro always evaluates his patient’s existing health profile and risk factors, and conducts a thorough examination and measurement of the surgery site. This evaluation and examination includes a consultation designed to precisely determine his patient’s preferred aesthetic goals and to ensure a smooth surgery. Among typical details discussed during a consultation with Dr. Baccaro are:

  • Patient’s surgical expectations and limitations
  • Thighplasty surgery options
  • Patient’s Surgical history
  • Existing medical conditions, allergies, and medical treatments
  • Post-surgery treatment and recovery regimen

During the surgery, incision patterns vary depending upon the scope of treatment and location of areas being treated, but each incision made is used for fat and skin removal, after which the underlying tissue is reshaped and tightened, while the overlaying skin is lifted, smoothed and sutured back into place at the incision site. In some cases, liposuction may be utilized alone or as an adjunct of the thighplasty procedure.

As an outpatient procedure, Dr. Baccaro’s patients are typically released to go home shortly after the procedure itself, which can take two to three hours. Patients can expect to experience bruising, swelling and soreness in the thigh area, but this will be alleviated to some extent with prescribed pain and anti-inflammatory medications. Compression bandages may be used, and post-surgery drainage devices are inserted to collect excess fluid. Dr. Baccaro may suggest other post-operative care conditions as warranted. Most patients are able to return to work within a week to 10 days, and can resume physical activity within four to six weeks.        

Contact Gardner Plastic Surgery for Your Thigh Lift

If you would like to learn more about sculpting your thighs with a thighplasty at Naples, Florida-based Gardner Plastic Surgery, Dr. Baccaro has a keen eye for aesthetic detail and extensive training from some of the top names in the art of cosmetic surgery. To learn more about how Dr. Baccaro and Gardner Plastic Surgery can help reshape, tone, and firm your thighs, contact us today at 239.566.2611 to schedule your initial consultation.

 

Brazilian Butt Lift Continues to Soar in Popularity

brazilian butt lift surgery in naples florida

The Brazilian Butt Lift has been the third fastest growing cosmetic surgery so far this century—a 254 percent increase in annual procedures performed compared with 2000. Naples, Florida-based Gardner Plastic Surgery is proud to have a dedicated surgeon on staff  with extensive training in plastic and reconstructive surgery at the world-renowned Houston Methodist Hospital in the Texas Medical Center, Dr. Leopoldo M. Baccaro. Dr. Baccaro offers the Brazilian Butt Lift as an option to enhance the hips and buttocks.

 

What is a Brazilian Butt Lift?

The Brazilian Butt Lift is a two-step procedure utilizing liposuction and fat transfer to enhance the aesthetic appeal of the hips and buttocks. The procedure helps correct flattening, sagging and unbalancing of the buttocks region that happens to people as they age,as a result of reduced exercise, or simply due to genetics. The Brazilian Butt Lift is considered an alternative option to the traditional butt lift, which relies on silicone implants to achieve the firming, plumper look.

The liposuction component of the Brazilian Butt Lift provides further aesthetic enhancement by removing fatty deposits in other parts of the body. When removed from the waist and thighs, this can result in an immediate slimming effect that further enhances the patient’s silhouette . This excess fat is then grafted into the patient’s upper buttocks region to achieve the pronounced curve and appearance of higher, fuller and more firm buttocks.  

 

What to Expect From Your Brazilian Butt Lift Procedure

A Brazilian Butt Lift procedure at Gardner Plastic Surgery begins with an initial consultation and physical examination with Dr. Baccaro, who needs to determine which fatty deposits can be removed from other parts of the body for the best effect. The consultation will also include a detailed discussion about the aesthetic goals you want to achieve with the procedure.

The actual surgery is usually performed as an outpatient procedure using either general anesthesia or intravenous sedation and local anesthesia. To help reduce signs of visible scarring, the procedure relies on small, carefully placed incisions for both the liposuction and grafting components of the procedure.

The procedure itself can be successfully conducted in an afternoon, with limited pain and discomfort; however, patients will need about two weeks of careful down time for successful recovery. Not only is this downtime needed for surgery recovery, but to provide time for the grafted fat to successfully meld into its new location in the body. During this recovery period, patients need to avoid sitting or lying directly on the buttocks. Dr. Baccaro will provide other recommendations for successful recovery and buttocks shape retention as needed.      

 

Contact Gardner Plastic Surgery for Your Brazilian Butt Lift

If you are considering the enhancement of your posterior with the Brazilian Butt Lift, Dr. Baccaro, of Naples, Florida-based Gardner Plastic Surgery has a keen eye for aesthetic detail and extensive training and experience in fat transfer techniques. To learn more about how Dr. Baccaro and Gardner Plastic Surgery can help reshape your buttocks and slim your physique with its two-step Brazilian Butt Lift, contact us today at 239.566.2611 to schedule your initial consultation.

Eyelid Surgery One of the Top-Five Cosmetic Procedures in the U.S.?

beautiful senior woman with bright face and complexion, discussing eyelid surgery procedure

When people think about cosmetic surgery the first procedures to come to mind are usually breast augmentation, liposuction and facelifts. This makes sense because these procedures are usually among the top-five most commonly performed in the U.S. every year. But did you know that eyelid surgery also tends to make that annual top-five list?

In fact, eyelid surgery, also known as blepharoplasty, was the fourth most common invasive cosmetic procedure performed in 2017, according to the American Society of Plastic Surgeons’ annual statistics report. The society reported that 209,000 blepharoplasties were performed during the year, about the same number as 2016. For context, that is over 80,000 more than the 125,000 or so facelift surgeries reported.

So What is Blepharoplasty?

Blepharoplasty is an advanced plastic surgery procedure that treats age-related changes to the skin and fat around the eyes. These changes tend to emerge because the skin loses its elasticity as we age, and fat around the eye tends to protrude into the eyelids. Some patients may simply have a genetic predisposition for these changes.

In particular, eyelid surgery reduces bagginess and bulging around the upper and lower eyelid areas, and treats under-eye bags and sinking eyelids. Drooping eyelids, which is also known as ptosis, can also be addressed during a blepharoplasty.

These changes to the skin over time, generally give an older and more tired appearance, no matter how well rested. A blepharoplasty is specifically tailored for each patient to reduce these conditions, and generally results in a more youthful, well-rested, and dramatically rejuvenated look.

While a blepharoplasty may eliminate some fine wrinkling below the lower eyelid, it will not eliminate crow’s feet or other facial wrinkles, although it may improve under-eye dark circles. Eyelid surgery does not alter your facial structure or alleviate other age-related conditions, so some patients elect to include other procedures, such as forehead lifts, laser resurfacing and filler injections, with their blepharoplasty. When considering eyelid surgery, make sure to discuss all aesthetic goals with your plastic surgeon.

Blepharoplasty Also Performed for Functional Reasons      

Sometimes excessive skin builds up on the upper eyelids to the extent in which it causes an extra fold of skin to hang over the eyelashes. This extra fold can impede sight lines and impair vision. While health insurance doesn’t generally cover cosmetic procedures, if you can prove that drooping eyelids or extra folds are affecting your vision, your insurance company may cover it. Visual field testing by an ophthalmologist or optometrist should properly evaluate any impaired vision.
Whatever the reasons for considering blepharoplasty, Naples, Florida-based Gardner Plastic Surgery has an excellent track record in successfully performing the procedure. Both Dr. Paul Gardner and Dr. Leo Baccaro are highly competent in these procedures and can help you achieve your aesthetic goals. If you would like to learn more about blepharoplasty and how Gardner Plastic Surgery can help rejuvenate the area around your eyes, and, if needed, improve your vision, contact us today at 239.566.2611 to schedule your initial consultation.

Popular Plastic Surgery For Men

attractive middle aged man smiling, blog post about popular male plastic surgeries

While plastic surgery has long been associated with women, a significant number of men also seek out cosmetic surgery options. In fact, according to the American Society of Plastic Surgeons, more than 1.3 million cosmetic procedures were performed on men in 2017, a one percent increase over 2016. While many men opt for plastic surgery procedures for cosmetic reasons, professional advancement also plays a role. Career advancement in many fields has become exceptionally competitive, spurring some men to seek an edge through the enhancement of good looks and a more youthful appearance.

No matter what the reason, most male plastic surgery procedures are equally popular with women. However, some procedures, remain gender specific. For example, the leading plastic surgery procedure—breast augmentation—was performed exclusively on women in 2017. Likewise, gynecomastia repair (male breast reduction) was performed exclusively on men. Chin augmentation (mentoplasty) is perhaps the most gender neutral procedure, with almost equal numbers of men and women receiving the treatment in 2017.

Most Popular Plastic Surgery Procedures for Men in 2017

On a numbers basis, rhinoplasty (nose reshaping) was the most popular plastic surgery procedure performed on men in 2017. While rhinoplasty can help men look better and feel more confident, the surgery is also often performed on a functional basis to repair broken noses and correct breathing problems caused by a deviated septum.

Eyelid rejuvenation (blepharoplasty) was the second most popular plastic surgery procedure performed on men in 2017. The procedure helps treat sagging skin (eye bags) and reduces fine lines around the upper and lower eyelid areas. Giving patients a more youthful and less fatigued appearance. The procedure can, as well, improve the vision of those patients who have excessive skin on their upper eyelids. Scarring is generally minimal, making the procedure more attractive to men who may tend to be guarded about letting others know that they’ve had cosmetic surgery.

Liposuction came third in numbers as the most popular cosmetic surgery for men in 2017. The procedure is used primarily to remove hard-to-reduce fat deposits in the abdomen and flanks. Abdominal “etching” is a novel procedure in which using liposuction techniques are used to sculpt the abdomen and help define your underlying musculature.

With up to 50 percent of all men experiencing gynecomastia at some point in their lives, gynecomastia repair also proved popular as a 2017 male plastic surgery option. The Mayo Clinic reports that over 200,000 American men struggle with gynecomastia every year, helping make male breast reduction surgery one of the fastest growing cosmetic surgeries in the U.S.

Rounding out the most popular-by-number 2017 male plastic surgeries performed were:

  • Hair transplantation
  • Facelift (rhytidectomy)
  • Dermabrasion
  • Ear reshaping (Otoplasty)
  • Chin augmentation (mentoplasty)

    Dr. Paul Gardner and Dr. Leopoldo Baccaro have extensive experience providing aesthetic and reconstructive cosmetic surgeries for men. Gardner Plastic Surgery works closely with all male patients in the Naples, Florida-based practice to tailor results that will help them enhance their natural good looks, restore vitality, and boost self-confidence. If you would like to learn more about male plastic surgery options offered by Gardner Plastic Surgery, contact us today at 239.566.2611 to schedule your initial consultation.

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

ideal-implant-breast-augmentation

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.

Consider a New You in the New Year with Gardner Plastic Surgery

new-year-new-you

The current year is quickly coming to a close, and with the impending start of a new year many people take stock of what measures can be taken to renew their selves or otherwise make improvements to their physical and mental wellbeing. While such thinking generally revolves around resolutions concerning diet and exercise, professional cosmetic enhancement provides other means for helping create a new you in the new year.

While Gardner Plastic Surgery offers various cosmetic surgery options designed to enhance facial and body features of both men and women, Dr. Paul Gardner and his highly experienced team also offer a wide range of noninvasive and minimally invasive procedures through Tru Glo Medspa.

Medspa Noninvasive Procedures Include Fillers and Laser Sculpting

A Medspa offers a variety of noninvasive and minimally invasive dermal fillers and laser sculpting procedures in conjunction or as an alternative to many of the surgical enhancements offered by Dr. Gardner. Injectable dermal fillers are used to smooth out the folds and lines in the skin by filling in wrinkles, while laser sculpting procedures rely on targeted laser heating to kill fat cells, tighten the skin and enhance collagen production. Medspa treatments are generally performed quickly and offer the convenience of little to no recovery time, allowing most patients to resume normal daily activities quickly.

Medspa Dermal Filler Options

Belotero™—used specifically to treat moderate to severe lines and wrinkles around the lips.
Botox®—As the most requested noninvasive cosmetic procedure in the U.S., this injectable can reduce wrinkles and fine lines for three to four months.
Juvederm®—used to add volume to sunken areas of the face, fill wrinkles, and plump facial contours, this injectable can also be used in the neck and hands.
Radiesse®—primarily used to treat deep wrinkles, especially deep frown lines and crow’s feet.
Restylane®—used as a volume filler and to treat moderate to severe wrinkles and folds, this injectable is also utilized for lip augmentation and known for its effectiveness at treating laugh and smoker’s lines around the mouth.

Medspa Laser Treatment Options

Cellulaze®—non-invasive laser treatment designed to smooth out cellulite and destroy fat cells, the procedure can also tighten the skin and improve its elasticity.
Precision Tx®—designed to enhance the contours and aesthetics of the jawline and neck, this minimally invasive laser therapy helps stimulate the production of collagen.
Coolsculpting®—non-invasive cryotherapy (cold treatment) designed to destroy fat cells, which are then naturally metabolized and cleared by the body, this treatment has been approved for use on the abdomen, flanks, back, thighs and chin.

Other Medspa Procedures

 

Kybella™—while also an injectable, Kybella is not a “filler,” but instead consists of a synthetic form of a naturally occurring substance that helps break down and absorb fat. The procedure has been approved for the treatment of double chins.
PRP Therapy—consists of plasma injections designed to promote the body’s production of collagen, which in turn should help revitalize the skin and reduce wrinkles and other imperfections.
Latisse®—a treatment applied directly to the eye-lash line that is designed to gradually lengthen and thicken the eyelashes.

Dr. Paul Gardner is renowned for his surgical skill at facial and body contouring, but also appreciates the benefits that can be realized from non-invasive and minimally invasive treatments such as those offered through his practice’s Tru Glo Medspa. If you would like to learn more about Tru Glo Medspa, and the above listed procedures, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.