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.

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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.

How a Mommy Makeover Can Help You Recover Your Pre-Pregnancy Body

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Motherhood takes a toll on a woman’s body, with many impacts—such as weight gain, sagging breasts, stretch marks and muscle tone loss—similar to that caused by aging. More than half of postpartum mothers express disappointment with the changes and failure to return to their pre-pregnancy figures, and some could undoubtedly benefit from a mommy makeover. Naples, Florida-based Gardner Plastic Surgery has a long, successful track record of using mommy makeovers to help mothers of all ages restore the youthful body shape and look they enjoyed prior to pregnancy. Dr. Paul Gardner and Dr. Leo Baccaro specialize in mommy makeovers to address stubborn fat around the stomach, arms and thighs; correct sagging skin and stretch marks; and correct the childbirth and nursing-related impacts to the breasts.

What Exactly is a Mommy Makeover

A mommy makeover is not a single procedure, but rather a series of procedures designed to restore your body to its pre-pregnancy shape and appearance. Every woman’s body is different. The specific impacts from childbearing vary, and patient’s aesthetic goals are individual and unique. Each mommy makeover is tailored specifically for each patient. Among the mommy makeover procedures offered by Gardner Plastic Surgery are:

 

  • Abdominoplasty (Tummy Tuck)
  • Liposuction
  • Breast Lift
  • Breast Reduction
  • Breast Augmentation
  • Breast Lift + Augmentation

Tummy Tuck Versus Liposuction

Tummy tuck and liposuction procedures both remove fat, but the tummy tuck is designed specifically to reduce abdominal fat, loose skin and stretch marks, as well as tighten muscles and connective tissue. Also known as an “abdominoplasty,” a tummy tuck targets the changes caused by the pregnancy related expansion of your midsection. A liposuction can remove the excess midsection fat caused by pregnancy, but does not specifically tighten skin, muscle and connective tissue. Your Doctor may recommend a combination of tummy tuck and liposuction, and the latter procedure may also be used as part of your mommy makeover to reduce postpartum weight gain in other areas of your body, such as the thighs, buttocks and arms.

Mommy Makeover Breast Procedures

Pregnancy and subsequent nursing generally causes changes in the breasts of postpartum mothers. Most women’s breasts swell to a much larger size during pregnancy, with some remaining enlarged after pregnancy and nursing. In some cases, the enlarged breasts cause discomfort and back pain, and some women just do not like the new enlarged size and shape of their postpartum breasts. A breast reduction is designed to remove fat and excess tissue, and tighten the surrounding skin, with the goal of returning the breasts to their pre-pregnancy size, shape, and while improving nipple position.

Other than enlarging the breasts, pregnancy and nursing might cause breasts to sag, lose their volume, become uneven or misshapen, expand the areolas, or deform the nipples. Breast lifts can restore uneven and sagging breasts and adjust expanded areolas and reshape nipples. Those women who have lost size and shape may want to consider breast augmentation, which restores the size and shape with implants. With some mommy makeovers, your doctor may recommend a combination breast lift and augmentation for optimal results.

Dr. Paul Gardner, Dr. Leo Baccaro and the Naples, Florida-based cosmetic surgery practice has established a sterling reputation for mommy makeover surgical skill and artistry. The doctors work closely with all patients at this southwest Florida cosmetic surgery practice to tailor results that will help them recover their pre-pregnancy appearance and enhance their inner vitality. If you would like to learn more about mommy makeovers contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

Considering Nipples and Areolas as Part of Overall Breast Aesthetics

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Breast augmentation and breast lifts may be among the most popular procedures in the field of cosmetic surgery, but cosmetic procedures for the nipples and areolas can also deliver significant aesthetic enhancements. This is because the nipple and surrounding areola—the pigmented skin around the nipples—serve as a central focal point for each breast. Their look, shape and placement help define the overall appearance and symmetry of the breasts.

As found with other physical features, potential imperfections with the nipples and areolas can be a natural factor present since birth, or can evolve over time due to developmental and hormonal reasons. Additionally, trauma due to an accident or surgery can bring noticeable changes. Whatever the source of dissatisfaction with one’s nipples and/or areolas, plastic surgeons offer a number of procedures designed to correct potential flaws.

Cosmetic Procedures for the Nipples and Areolas

Cosmetic procedures for nipples and areolas are often performed in conjunction with other procedures, such as breast lifts, breast reductions, augmentation or as part of reconstructive surgery. However, the following aesthetic procedures can also be performed as stand-alone surgeries:

  • Breast Lift
  • Nipple Reduction
  • Inverted Nipple Correction
  • Supernumerary Nipple Correction
  • Areola Reshaping

Breast lifts are among the most sought after cosmetic procedure involving nipples and areolas. Clinically referred to as “breast ptosis,” nipples that are positioned too low relative to the rest of the breast are often found in patients with enlarged breasts, or can develop over time due to aging skin, or after breast-feeding. Breast ptosis correction lifts the nipples to a more aesthetic position, and can improve overall symmetry by re-positioning nipples that are too narrowly or widely spread apart. The procedure will also help improve size, shape, and symmetry of the areolas while giving the breast a more youthful appearance.

Also referred to as “hypertrophy,” enlarged nipples can be caused by natural over-development, or emerge due to the effects of breastfeeding. Some women seek nipple reduction surgery because they are concerned that hypertrophic nipples are too conspicuous, but nipple hypertrophy can also be uncomfortable due to chafing and irritation. There are a number of corrective fixes, but surgical tissue removal is the most common.

Inverted nipples, lack normal protrusion and lie below the surrounding skin surface. It can occur at various stages of a woman’s life; presenting itself in early childhood, during adolescence, or occurring after the breast tissue diminishes with the conclusion of breast feeding. There are different levels of contraction, as well as a variety of causes. In general, surgical fixes rely on releasing the surrounding tissues, and restoring a natural protruding position.

Supernumerary Nipples Are a Common Condition

Supernumerary nipples, which can also include accessory breast tissue, occur in both females and males at a rate of about one out of 18 people. They often resemble moles or other benign skin conditions, but can present more like nipples, and even lactate, depending upon hormonal activity and the amount of accessory breast tissue. Corrective procedures generally include full removal of the supernumerary nipple, areola and all associated breast tissue.

While some areola irregularity or asymmetry is normal, sometimes the imperfections can impair a woman’s self-esteem. Whether the areola is too big, too small or misshapen, surgical improvements generally involves removing skin adjacent to, or within the areola and suturing it and the surrounding skin to provide the desired symmetry, shape and size.

Highly Skilled Nipple and Areola Surgery in Naples, Florida

Naples, Florida-based Gardner Plastic Surgery specializes in all forms of cosmetic breast surgery, including procedures involving the nipples and areolas. As experienced cosmetic breast surgeons, Dr. Paul Gardner and Dr. Leo Baccaro combine their vast knowledge of all breast surgery procedures with the latest surgical techniques and a keen artistic eye to produce outstanding results for their patients. To learn how our doctors can help you achieve the breast symmetry you desire, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

Consider Skin Condition Before Age When Contemplating Facelifts

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Anyone contemplating a facelift generally has numerous questions about the specific procedure and how it will work with their facial structure and skin type. While there are various rejuvenating facial procedures, a range of individual characteristics determines in part the effectiveness and outcomes of each. And while the age of the patient plays a role, age itself should not be the determining factor about making the decision about when to have a facelift.

With a stellar reputation and years of delivering artistic excellence in facelift surgery, Gardner Plastic Surgery has refined the procedures for all ages. Our doctors have gained an acute insight into how each procedure works with various facial structures and skin types, and works closely with each patient to determine and meet their aesthetic goals. Patient age will be an issue raised during the initial consultation in his Naples, Florida-based practice, but skin condition will be the primary consideration in tailoring the procedure.

Types of Facelifts Offered by Gardner Plastic Surgery

In general, there are three types of facelifts:

  • Upper Facelift
  • Mid Facelift
  • Lower Facelift.

A full facelift, as commonly known and offered by both Dr. Gardner and Dr. Baccaro; is a combination of the mid and lower facelift procedures. This covers everything between the eyes and chin, it helps improve cheek fullness, nasolabial folds, jowls, neck contour, and platysmal bands.

The lower facelift is also referred to as a mini facelift and covers everything between the corners of your mouth to the chin. This option improves jowls, neck contour, and platysmal bands. The upper facelift is also known as a brow lift and offered as a separate procedure. Sometimes, it is performed in conjunction with a facelift or blepharoplasty (eyelid surgery.)

The Question of Age Versus Skin Condition

Everyone ages differently, possesses different skin traits and types, and has experienced varied impacts on their skin over the years, caused by such things as the amount of sun exposure, diet, and smoking.

That said, age can play a role on skin elasticity, which in turn helps dictate the overall facelift results and their subsequent longevity. Thus, most women in their mid-forties to early fifties generally have skin elasticity most conducive to generating optimal results. Of course, some women in their sixties and seventies, who have maintained their health and fitness, also have skin that can yield excellent facelift results. While most men don’t seek out information about facelifts until they reach their fifties and sixties, skin elasticities are similar and generate similar age-related results.

Instead of focusing on age, though, our doctors recommend considering the condition of the skin and signs of aging when contemplating a facelift. Focus on:

  • Wrinkles underneath the eyes and crow’s feet
  • Deep lines at the corners of the mouth and around the nose
  • Jowl formation and the loss of jawline definition
  • Overall sagging and loose skin
  • Excess fat deposits in the neck

It is less likely that women and men under the age of 40 will need a facelift. Those starting to worry about signs of aging may want to first consider non-surgical facial rejuvenation techniques as offered by dermal fillers, injectable treatments and other minimally invasive procedures.

Gardner Plastic Surgery is renowned for its surgical skill and artistry with all facelift procedures, Both of our physicians, Dr. Gardner and Dr. Baccaro, are adept at determining which will best serve the skin condition and facial profile of our patients. We work closely with all patients to tailor results that will help recover their youthful-looking appearance and enhance their inner vitality. If you would like to learn more about cosmetic surgery in sunny Southwest Florida, and what our facility may be able to do for you, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation!

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.

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.