Dr. Peña Plastic Surgery Blog

Naples, Fort Myers, Bonita Springs, & Estero, Florida

Saturday, March 28, 2009

Loud implants at high altitude

Recently I saw a patient that had returned from a 4 day ski vacation in Colorado. She was staying at a resort at about 8000 foot elevation. shortly after arriving she noted strange noises coming from her breast any time she moved. These were quite unflattering and did not stop until she was back home at sea level. She had silicone breast implants for about two years and has had no problems before or since with them. I called several plastic surgery colleagues that practice near ski resorts and none had heard of implants making any noise 2 years after surgery!
Another curious thing. if you have experienced such an occurrence please contact me.

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posted by Manuel M. Pena, M.D. at 5:56 AM

Friday, March 20, 2009

lovely lips follow up




Here are Kelly's lips about a month after augmenting them with the solid silicone Permafil lip implants. They are very soft and feel extremely natural.

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posted by Manuel M. Pena, M.D. at 8:48 AM

Mommy Makeover

Childbirth can often change your body in ways that traditional exercising and eating a proper diet may not be able to correct. In specific, the breast are often deflated and heading south as well as a tummy that has lost its muscle tone and may exhibit stretch marks. The increase in fat in the hip area can give a square appearance to the lower body.
The usual consultation starts with what ever bothers that individual the most. But be assured, they will bring up all the rest before the consultation is done. If there is no health issues then a combination surgical procedure will have several advantages. First of all the recovery is done simultaneously, minimizing overall down time. Next the cost of combining surgeries can be be significantly reduced as an incentive by the surgeon. Last but not least is the fact that once you have one procedure you will often notice the 'other areas' more in contrast to the 'up graded' areas.
Breast augmentation with and without lifts are how we deal with the breast. occasionally the breast have enough or too much volume and a lift using your own tissue as an implant is performed or even a reduction/ lift.
The tummy is evaluated for muscle tone and position as well as quality of the skin and fat deposits. Options here range from liposuction using Vaser Ultrasound Assist and a rigorous exercise program to a tummy tuck and hip liposuction. the tummy tucks come in different flavors depending on what you need. The simplest tummy tucks (abdominoplasty) deals only with excess skin and does not require muscle work. A new belly button may or may not be required. The abdominoplasty is called a 'mini' if the belly button is left alone or slid to a lower position. Muscle repositioning and waist reshaping requires a bit more recovery but often yields the most dramatic results.

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posted by Manuel M. Pena, M.D. at 8:06 AM

Friday, March 13, 2009

Latisse for fuller longer lashes

Some great advances in cosmetic medicine have been found by accident. For instance Botox was used for many years to treat children with lazy eye. Later when used for facial spasm in adults someone said "Hey, look my wrinkles are gone where the Botox was injected!". The rest is history. Then Minoxidil was used for high blood pressure when some patients noticed hair growth... thus Rogaine. The rest is history.
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Once again patients using bimatoprost opthalmic drops for their glaucoma noticed their lashes getting thicker and longer... Thus Latisse...drops that are applied to the lashes and will result in beautiful lashes in usually 3-4 weeks. This is by prescription only and their can be some mild transient side effect.. so ask your doctor about this possibility for eyelash enhancement

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posted by Manuel M. Pena, M.D. at 8:00 AM

Sunday, March 8, 2009

The question today is: "Can I afford plastic surgery?". Consider this, what other investment will you be 'wearing' 24 hours a day and enjoying every time you look in the mirror? First of all you must prioritize what bothers you most. Are there minimally invasive ways to achieve your goals? I have noticed a rise in my cosmetic medicine practice while everyone is worried about the economy. This includes Botox treatments and injections of dermal fillers such as Juvederm and Evolence. These injections can erase many lines and wrinkles in just a few minutes at a fraction of the cost of major procedures. Down time (away from work and social functions) is practically non existent!This can be accomplished in the office at a fraction of the cost of major procedures.



The most efficient way to rejuvenate a face is by restoring the volume lost by natural aging. Look at your high school graduation picture. Most striking difference between that image and what you see in the mirror is the volume. Look at the cheeks.. the brow pads above your eyelids... the lips.... the jaw line. Notice the heart shaped face you once had has changed. Yes, some elasticity has left the tissues, but primarily it has been volume loss. We lose several ccs of fat from our face every year primarily in the form of fat. One of the most natural and powerful rejuvenation surgeries I perform is full face fat grafting or 're-volumizing'. I harvest your own fat and transfer it to your face. About 70% of the transferred fat lives forever and if harvested from the areas of your bodies that are 'programmed to grow'(we all know those areas right!) ideally, the volume of your facial fat that continues to be lost will be offset by the fat from other areas that like to 'grow'. Recently the fat around your lower belly has been found to contain the highest amounts of your own stem cells. this makes them particularly hearty and able to help out the quality of surrounding tissues like your skin. The recovery is days rather than weeks and the cost is often half of traditional rejuvenation surgery.

Other options for a dramatic minimally invasive change are the medium depth chemical and laser peels. The recovey is usually about a week. But this is a a whole new topic.

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posted by Manuel M. Pena, M.D. at 5:39 PM

Friday, March 6, 2009











There are many options for lip augmentation. We have excellent fillers that last from 6 months to a bit more than a year. These are different forms of hyalouronic acid such as Juvederm and Restylane. They provide a natural feel in a simple injection form that takes 5 to 10 minutes to perform in the office. You are ready for your public in 24 to 36 hours.

Recently, implants (saline and silicone) have been introduced. Just like breast implants except the silicone is a solid gel rather than a liquid gel. As opposed to the old Goretex and Alloderm (cadaver skin), the extrusion, irregularities, and infection rate is almost nonexistent. They are permanent but can be removed rather easily. Recovery is approximately a week although most people look ok the next day. Different sizes and lengths are available to 'fill' any taste and shape of lips. This is performed under local anesthesia and takes about 30-45 minutes. Some patients take a mild sedative to relax during this quick procedure. Call our office and talk to Kelley one of our recepcionists. She had it done on February 23rd and was back at work on the 24th looking good!. Here she is (top two photos.. 4 days post procedure) and bottom two just before. Stay Tuned....

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posted by Manuel M. Pena, M.D. at 10:41 AM

Welcome to our blog!

Welcome to the Dr. Peña Plastic Surgery Blog

posted by bloggertb at 9:20 AM

Disclaimer: Naples dentist Dr. Manuel Peña website provides information on cosmetic surgery in the Naples, Fort Myers, Bonita Springs, & Estero, areas in Florida. This information is not to be taken as medical advice.
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