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!

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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.

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.

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

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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.

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.