Dr. Peña Plastic Surgery Blog

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

Monday, March 15, 2010

Hydrelle reaction/ infection

Finally getting over my reaction to Hydrelle. I have had to inject Hyalouronidase about 5 times and there is still some material left there. I will not use this stuff again!

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posted by Manuel M. Pena, M.D. at 6:15 AM

Friday, March 12, 2010

Hydrelle reaction/ infection

I am glad to be 99% better. That was a scary 3 weeks. I wish I could post my pictures but I am having problems uploading photos. I hope I can get the word out to my colleagues so this will not happen to them.

I believe using hydrelle will cause an unacceptable amount of problems and reactions.

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posted by Manuel M. Pena, M.D. at 7:02 AM

Thursday, March 11, 2010

Which Laser Treatment is Right for Me?

Laser treatments can improve the look of your skin in just one session. But not all treatments are equal. Naples Laser Treatment offers different levels of treatment based upon individual needs and preferences. If you are wondering which laser treatment is right for you, the following should help explain the differences.

There are three levels of laser treatment that I offer in my Naples clinic. we use the Visia skin analysis system to evaluate your skin and the Fraxel® Laser Skin Resurfacing system for treatment.

The Fraxel® system treats skin based on three levels of care known as

  • Fraxel re:fine™ treatment–for prevention and maintenance
  • Fraxel re:store™ treatment–for mild to severe skin damage

These treatments take only a short time, often less than 30 minutes. With the re:fine™ treatment you can return to work, looking better, immediately. With the re:store™ treatment you can return to work the next day.

We use a one pass CO2 scanning laser to achieve similar results to the Fraxel repair system.

If you are ready for younger, healthier skin please contact Manuel Peña, M.D., Naples laser treatment professional in Florida.

posted by Tiffany at 3:20 PM

Tuesday, March 9, 2010

Hydrelle Reaction personal experience


6 weeks after injecting Hydrelle into my cheeks i developed swelling, redness, and firm bumps. I treated it with local antibiotics, oral and injectible steroids and dissolving enzymes called hyalouronidase. I had to drain the areas several times. I received a memo from Coapt ( the company that markets Hydrelle) about 2 weeks ago and after it started recommending it only be used in the nasolabial folds and the marionette lines. Whoops, too late for me.

I am so glad this happened to me and not to one of my patients. I am having troubles uploading photos to this Blog but they will be here soon.

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posted by Manuel M. Pena, M.D. at 12:51 PM

Photos of My Hydrelle Reaction

Here they are: scary pictures of myself Manuel M. Pena, M.D. approximately 6 weeks after I injected Hydrelle into my malar areas. About a week before these photos I had received a memo from Coapt Corp. (the marketers of Hydrelle) recommending that this material only be used in the Nasolabial folds and Oral commisures. Whoops a bit too late for me!

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posted by Manuel M. Pena, M.D. at 9:48 AM

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

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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