Surgical vs. Non-surgical Solutions for Turkey Neck

“Turkey neck” is an informal term referring to the appearance of saggy skin below the chin. Also referred to as a wattle, this excess skin develops on most people as a natural part of the aging process when the skin around the neck, chin, and jowls loses its elasticity. It can also be caused by rapid or pronounced weight loss that leaves behind excess skin. No matter the cause, it is a condition that can be treated. Treatment options include both surgical and non-surgical procedures to tighten the skin and/or remove fat deposits to contour the chin and jawline more precisely.

Surgical Options

A woman touching her neck after surgery by Premier Plastic Surgery Arts in Sewell, NJ

Surgical treatment options for turkey neck have been around for considerably longer than the non-surgical treatments and have a long track record of good results. The most common procedure is a lower rhytidectomy surgery, also known as a neck lift. Rhytidectomy surgery involves making an incision into the skin, pulling it taut, trimming away excess tissue, and reattaching at the original incision site. For some patients, pairing a neck lift with minimal chin liposuction to remove the extra fat around the neck is an ideal surgery. A neck lift is an outpatient procedure that can be done under general anesthesia.

Non-surgical Options

For patients experiencing less loose skin and more excess fat under the chin, there are now a handful of non-surgical options available for dealing with turkey neck. One of those options is a Kybella treatment, approved by the FDA in 2015. Over a series of visits, Kybella is injected into the tissue beneath the neck. Kybella uses a patented, synthetic deoxycholic acid to dissolve fat deposits over the course of the treatment, leaving behind firmer skin. Because Kybella is non-invasive, it can be easily worked into most patients’ daily schedules. Kybella injections entail a relatively low risk, but patients may experience temporary swelling, jaw soreness, and numbness near the treatment area.

Dr. William Franckle, FACS, has over 20 years of experience working with patients to correct problem areas like turkey necks. Contact Dr. Franckle’s office at 856-772-6500 for a consultation to learn if one of these options is right for you.

 

Common Skin Problems Easily Treatable With Medical Skin Care Products

Have you tried everything to heal common skin ailments? Changing your diet, reducing stress, and even testing out old wives’ tales—we’ve tried it all too! While some may see improvement from common over-the-counter skin care products, for others, these products are just not enough.

The truth is, it doesn’t occur to many people to explore medical grade products that can knock out skin challenges with ease. Such treatments, like ZO Skin Health, are non-invasive and utilize the most advanced technology to address troublesome skin ailments.

Acne & Blemishes

Acne is a common issue that can persist through adolescence and into adulthood. Although there seems to be a new exfoliating or oil-reducing solution for sale at the drug store each week, medical skin care products are more likely to reduce problematic acne at its root and eliminate it altogether. Often, multiple products work together to treat blemishes as a system. Deep-pore masks can absorb oils and unclog pores, while ingredients like glycerin and tea extracts can gently hydrate and replenish antioxidants in the skin.

An image of skin care products

 

Lines & Wrinkles

Fine lines and wrinkles will eventually affect everyone, but when they spring up prematurely, it can add years to even the healthiest skin. Medical-grade skin care treatments can help to reduce the appearance of wrinkles and restore a healthy, tight appearance to the face. Using active ingredients like retinol, these products spark collagen production to increase elasticity and even out skin tone. A full system of ZO Skin Care products can help reduce other common signs of aging, such as dark spots or sun damage.

Dry Skin

In addition to having effects on the physical appearance of skin, dry skin can be itchy and irritating. In reality, there are a number of different genetic, hormonal, and environmental factors that can contribute to this trait. Medical skin care products can restore lipids in the epidermis and enhance natural oils to highlight a more youthful appearance. Additionally, overnight recovery creams can help reduce redness and even out skin tone.

When looking into medical grade skin care, it’s always best to schedule a consultation with a board-certified physician, like Dr. Franckle, who can properly diagnose skin ailments and determine the best course of action.

 

Benefits of Retinol in Your Daily Skincare Routine

In the quest for a healthy, youthful appearance, we’ve all experimented with many different combinations and compounds in our skin care routine. While some can prove to be ineffective or even harmful, there are a few key ingredients that have been scientifically shown to improve the tone and texture of skin. Retinol is one of the most researched compounds in dermatology and can be an extremely beneficial part of any skincare regimen. Woman touching skin that she treats with retinol that she gets from William Franckle, MD, FACS

What is Retinol?

Retinol is a type of Vitamin A, a necessary nutrient for all humans that’s responsible for a whole host of molecular functions in the body. Unlike many compounds found in skin care products, retinol’s small molecular structure allows it to penetrate through the epidermis (the outermost layer of skin). This allows retinol to reach the dermis (the living tissue beneath the epidermis, aka your true skin) where it can impart long-lasting benefits.

How Does it Help the Skin?

Retinol can improve the look of your skin on the surface by penetrating deep down into the skin and stimulating fibroblasts. Fibroblasts are cells in the human body that are responsible for the synthesis of collagen, the essential protein that holds tissue together. As we age, collagen production slows and enzymes begin to break down our existing collagen, causing wrinkles to appear. Retinol triggers increased collagen production and has been shown to suppress the enzymes responsible for collagen breakdown. This helps prevent wrinkles and improve skin’s elasticity. Retinol also has exfoliating properties that can unclog pores to combat acne. This exfoliating property can help to even skin tone by reducing surface discoloration. Continued use of retinol can act as a mild skin resurfacing treatment revealing newly created collagen and a tighter, toned appearance.

Where Can Retinol Be Purchased?

Retinol is readily available in many over the counter products found at drugstores or from online retailers. For some, these non-prescription creams are sufficient. For others, the low amount of active retinol allowed in over the counter products (less than 0.5%) is just not enough. For those not satisfied with over the counter retinol creams, there are prescription options available. Prescription products often contain higher concentrations of retinol. The Brightenx Retinol treatment from ZO Skin Health offers two options, 0.5% and 1.0%, allowing Dr. Franckle to customize to the patient’s skin needs. Those of us with sensitive skin or new to retinol treatments may find it best to start at 0.5%, as retinol is a very powerful ingredient and when not used correctly can cause irritation.

The key to retinol is to stick with the application, as it can take up to 3 months to see the full effects. With such a powerhouse, anti-aging ingredient, It is wise to consult with a medical professional, like Dr. Frankle, when considering a retinol skin care treatment.

Special thanks to Micha Love for the image.

 

What Are Your Options for Facial Implants?

Woman displaying facial implant results from William Franckle, MD, FACS in Vorhees, NJFacial implants are created to enhance the contours of a person’s face. There are many reasons why patients choose facial implants. Whatever the reasoning, there are several options to choose from depending on the desired results. Here’s a look at the top three:

1. Chin Implants

The chin is an integral part of the face’s overall balance, yet it is an area that is commonly overlooked by the general public when researching cosmetic treatments. If the chin is not in proportion with the forehead and midface, an imbalance can be noticeable. Another common complaint is a chin that ‘disappears into the neck’ and makes you look heavier than you are. The purpose of chin implants is to reshape and redefine the chin. Depending on the approach, Dr. Franckle may choose to make an incision inside of the lower lip or in the crease underneath the chin. Once the implant is in and morphed with the jawbone, Dr. Franckle will then symmetrically align it with the rest of your face for a smooth, refined look.

2. Jaw Implants

Similar to a small chin, a weak jawline can leave the bottom of the face looking undefined, without a distinct angle between the lower cheeks and the neck. Inserting a jaw implant can create a clean and concise contour from the ears to the chin and for some, increase the width of the lower third of the face. A jaw implant surgery reconstructs a patient’s profile and helps to prevent sloping around the neck and ears, to further define the facial outline. For some patients, a jaw implant and chin implant may be used for optimal results.

3. Cheek Implants

Cheeks can often look flat or lack definition, throwing off the symmetrical balance of a person’s face. Commonly this happens as we age and we lose fat in our faces, but for some, recessed cheeks is a natural occurrence. Cheek implants, or a cheek augmentation, can give back a well-rounded and fuller midface look. Cheek implants can increase the projection of the cheekbones and display a more defined cheek contour, helping to redefine the facial balance.

Choosing the Right Surgeon

Making the decision to have facial implants is a very personal one. For this reason, it’s important to find a board-certified surgeon that has experience with these types of procedures. At the same time, it is important to explore all of our options. Along with or in place of a facial implant, injectable fillers have been used at our office to add volume to the face. At a consultation with Dr. Franckle, he can determine what option is best for your facial structure as well as your lifestyle.

 

6 Important Questions to Ask Before Rhinoplasty

Rhinoplasty is an important decision. Before moving forward with this procedure, consult with a rhinoplasty surgeon to have questions answered, and to get facts and statistics regarding this operation.

Is the Surgery Painful?

Because this surgery involves the nose and nasal passages, some degree of pain is expected during recovery. Most patients manage this pain effectively with over-the-counter pain relievers, although some people may need stronger medication available by prescription. The discomfort lasts only a short time.

Is Swelling Expected?

Swelling in the eye and nose area is typical, especially immediately after the rhinoplasty. The swelling gradually subsides over the first two weeks, although minor swelling could still be in place six months after the procedure.

questions-1014060_960_720What Type of Bruising is Common?

Everyone has different degrees of sensitivity regarding bruising. Most patients have some bruising under their eyes, usually lasting about ten days. Patients should be able to see the bruising lessen as each day passes.

Is Scarring an Issue?

As with most surgeries, scarring is an after-effect. A closed procedure involves incisions inside the nostrils where no one will see them. Some surgeries involve an incision between the nostrils.

What are the Risks?

As with any surgery, rhinoplasty has some risks. Most patients emerge on the other side of the operation without problems or complications. However, the most typical risks involve bleeding and infection. Some people also experience an adverse reaction to the anesthesia, nerve damage, or scarring.

How Much Time Do I Need Off Work?

The first seven days after surgery are the most difficult with pain, swelling, and bruising. Most people working in a sedentary profession find that taking one week of leave is sufficient. However, anyone wishing to keep the surgery a secret or working in a profession that requires physical activity should take between two and three weeks off work. A rhinoplasty surgeon can provide specific recommendations.

By gathering facts, patients planning rhinoplasty can prepare for the entire process.