Dr. Peña Plastic Surgery Blog

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

Thursday, February 25, 2010

Infection/ Reaction to Hydrelle

I tried Hydrelle in my cheeks when it first came out with excellent results. I repeated this injection about 7 weeks ago. About 12 days ago started having swelling and redness in one cheek then the other. Despite aggressive oral antibiotics , injections of Hyalouronidase, and intermittent oral and IM corticosteroids I have quite a reaction that is only now starting to turn around. I now find many similar stories o the net from several plastic surgeons around the country. With so many serious reactions to Hydrelle in such a limited time, I think this product should not/ will not last long on the market!
I am glad this happened to me rather than one of my patients that would be freaking out and rightly so. I have used Juvederm for 2 years and over 400 patients (including my own cheeks) and I have never seen anything like this.

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posted by Manuel M. Pena, M.D. at 7:46 AM

Monday, February 15, 2010

Get the Fat OUT!

Just got back from a major cosmetic surgery meeting last nite. How many ways will someone come up to 'get the fat out'. There is traditional Liposuction (hohumm), tumescent liposuction, Vaser Assisted (the ultrasound I use), six different 'Laser Assisted' liposuction devices, a water pick device (Water Jet)liposucttion. They all claim to be gentler and perhaps be better. The laser devices claim they can shrink the skin thus perhaps avoiding excisional surgery in borderline patients. These are the same claims made by the ultrasound assisted proponents originally.

Then there are the non invasive devices. Zerona a low energy laser that when applied to the body from a few inches away will cause a signal to your fat cells to open their walls and let their fat leak out. The lymphatic then gets rid of it. (but how long before they start filling up again). Not approved for 'slimming' yet.I have been following the Ultrashape.. an external ultrasound device that ruptures fat cells by concentrating external ultrasound energy beams from different directions in one area and blasting fat cells. (no FDA approval yet).Another device actually claims to freeze your fat from application OUTSIDE the body thus injuring the fat cells so that they die and are eliminated. The usual Radio frequency devices are still trying to find a home somewhere as they now claim they can 'zap' fat away.

All sounds too good to be true. Let's see which ones are around in two years.

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posted by Manuel M. Pena, M.D. at 4:19 PM

Botox/ Dysport study 3 month results

I examined and interviewed all four patients that I enrolled in my study three months ago. I also found out which side was Dysport and which side was Botox. The results were exactly the same for both the patoent and me, the examiner. So folks... stay tune to see if on lasts longer than the other.

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posted by Manuel M. Pena, M.D. at 4:13 PM

Tuesday, February 2, 2010

What is the Best Age for Breast Augmentation?

The actual best age for breast augmentation is, at best, unique to each person. At our Fort Myers breast augmentation clinic, I perform a thorough medical examination and review of your medical history. Many factors determine the best age for this procedure, that the standard FDA approved age minimum of 18 years, and statistically best age of less than 50 years are not universally engraved in stone.

Personal information includes having complete breast development. Results can change if breast augmentation is done when breasts are still developing. For this reason the American Society of Plastic Surgeons (ASPS) recommends 21 years as a minimum age for breast augmentation surgery. Exceptions to the age recommendations are made if there are severe breast asymmetries which can be severely crippling to young women.

Emotional maturity is another important factor that suggests waiting until you are in your mid-20s before having this surgery. What appeals to you at a young age may not seem important later. Other factors, like anticipated pregnancies, breast feeding and lifestyle need to be considered.

Women approaching age 50 need to have realistic expectations. Age-related changes affect the quality of their skin and body structure. If they have not taken excellent care of their bodies throughout life, plastic surgery will not be a miracle cure. Older bodies do not heal as well as younger ones. Age-related diseases can remain hidden yet still have a negative effect.

Please contact Fort Myers breast augmentation surgeon, Manuel Peña, M.D. for a personalized consultation about your goals for fuller or perkier breasts.

posted by Tiffany at 2:44 PM

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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