RENUVA the Filler that Stimulates your own fat

MTF,the worlds larges accredited tissue bank, has just introduced RENUVA!   This is an Allograft Adipose Matrix  or in plain English, adipose cellular material from the highest quality donors. The "remnants" of the fat cells (processed to keep the fat stimulation properties) have no imunogenic activity. Thus no skin test is necessary. No anesthesia is necessary! This could replace fat grafts in small volumes  and can be used to correct minor "dents". Of course this is being used in cosmetic procedures to replace certain fillers. Cheeks and hands  are two areas that have caught the attention of some of the early adopters of this new Biostimulator.

Cheek Volume Restoration


Individual results may vary.

Hand Rejuvenation


  In essence the material comes in a syringe and it is prepared by mixing or rehydrating it with saline. It is then ready for injection! The material tricks the body into making fat where it has been injected. Most studies demonstrate a forty percent volume retention long term in areas treated with RENUVA. As larger volumes become available surgeons and dermatologists will address "Larger targets" such as buttocks or even breasts! 

While Autologous Fat grafts will not be replaced by these Allograft Adipose Matrixes, they will add one more tool into our cosmetic and reconstructive group of options. The growth factors contained in the Renuva has even been shown to help heal certain types of wounds and soften longstanding scars much like those autologous fat grafts/ Call the office at 2390348-7362 to see if this could be benficial to your goals.

Quiz: Finding the Right Nonsurgical Procedure

Naples plastic surgeon Dr. Manuel Peña offers a number of nonsurgical options, enabling him to address many skin imperfections – including signs of aging – without surgical risks or lengthy recovery times. But how can you tell which cosmetic service is right for your specific concerns?

The short quiz below can help you start thinking about the treatments best for your needs, though nothing can replace a one-on-one consultation with Dr. Peña. Give us a call at 239-348-7362 to schedule a consultation and learn more. Located in Naples, Peña Plastic Surgery serves men and women living in Ft. Myers, Estero, Bonita Springs, and surrounding areas.

Dr. Peña offers many nonsurgical facial rejuvenation services at La Piel Medical Spa including age rejuvenation, hydrotherapy, and normalizing treatments for all skin types. Give us a call at 239-348-7362 to schedule your consultation, complete with a Visia Skin Evaluation, to learn how we can help you look and feel your absolute best. 

Silhouette Instalift, the “new and Improved” absorbable Thread lifts

In 2004 I was one of the first four physicians in Florida to introduce the thread lift into my practice.  We had imported a surgeon from Mexico that had trained with a Russian surgeon who developed it to teach  us.. instantaneously we were able to lift eyebrows, cheeks, jaw lines, and even necks.  This was all done under local anesthesia and results were pretty impressive for up to 3 months or so.*  After that the results slowly faded away and only the problems remained.  These were somewhat stiff threads with barbs on them.   When an individual would raise their eyebrows very much or smile aggressively,  the ends of these threads would try to poke out through the skin.  sometimes dimpling required removal which was not often that easy to do.  I only found one patient with a significant long-lasting result at over a year.  After approximately 60 patient's and allowed this appointment I gave up the procedure before most people were introducing it into the practice. 

Good things however came from this early work with barbed sutures.  Absorbable barbed sutures have now become the mainstay of plastic surgery closures making the scars better faster, decreasing operative time, and improving the quality of plastic surgery in general.* Several Lasting suture-based thread lifts are still available but have gotten poor results in recent studies and I have chosen to stay away from these.

I have been following the development and introduction of the next generation of "Thread Lifts" which has been under development for quite a few years.  It uses absorbable suture and individually tied on absorbable cones with the same bidirectional technology that give a rapid and visible result.* Having trained with these new absorbable threads, I quickly found the benefits which include ease of placement, reversibility in the direction of the lifting vector and the fact that they would absorb, negating the need to remove them if there was a problem. The material that makes up the cones of the is notable for 3 or Instalift, is poly-L Lactic acid which is the material that causes collagen replenishment when using SCULPTRA® Aesthetic!  Thus the volume is increased where you most need it.  While the threads or absorbed in a little bit over a year the results linger for several more years.  Downtime can be as little as a few hours and as much as a weekend.* 

 In other countries similar "cone based" threads are being evaluated for breast and buttocks lifting. Stay Tuned! 

*Individual results may vary. Consult with Dr. Peña to see if you are a candidate.

Choosing the Best Dermal Filler

To learn about your dermal filler options in Naples, Florida, call board-certified plastic surgeon Dr. Manuel Peña at (239) 348-7362 and schedule a consultation todayDermal fillers provide a nonsurgical way to soften facial features and restore a fuller and more youthful appearance. Naples plastic surgeon Dr. Manuel Peña offers a range of dermal filler options, each of which is designed to address specific concerns. The best way to learn which of these nonsurgical facial rejuvenation options is best for your needs is through a one-on-one consultation at our comfortable plastic surgery office. Please call 239-348-7362 to schedule your initial consultation today.

Dermal Fillers Available at our Naples, Florida Plastic Surgery Office

Dermal fillers offered by our board-certified plastic surgeon include:

  • Belotero Balance®
  • Juvéderm® and JUVÉDERM VOLUMA® XC
  • Restylane® and Perlane®
  • Sculptra® Aesthetic

Some of these are hyaluronic acid dermal fillers. Others have active ingredients including poly-L-lactic acid or calcium hydroxyapatite. These active ingredients are designed to target specific concerns, making different dermal fillers better suited for different patients. During your initial consultation with Dr. Peña, the filler formulated to address your needs can be determined. In cases where multiple fillers will be best, Dr. Peña will explain the benefits and limitations of each to help ensure you are provided the information you need to choose the dermal filler or fillers you feel are most appropriate for your concerns.

If you are considering nonsurgical facial rejuvenation in Naples, Estero, Bonita Springs, or Ft. Myers, Florida, please contact Peña Plastic Surgery to schedule your dermal filler consultation today.

Endoscopic Brow Lift and Subcutaneous Browlift

The endoscopic brow lift technique allows Naples plastic surgeon Dr. Manuel Peña to address creases and wrinkles throughout the forehead. For this procedure, Dr. Peña makes small incisions just above the hairline and, using advanced technology, addresses signs of aging with incredibly small surgical instruments.

Endoscopic brow lift surgery can help reduce recovery time and limit some risks associated with surgical operations, but it may not be enough to address more advanced instances of skin laxity or deeper creases and wrinkles.

More commonly today I use a simpler and more direct method of lifting the lateral 2/3 of the brow called the Lateral Subcutaneous Brow Lift.  This I often do under local anesthesia and is a great adjunct to upper eyelid surgery for the lateral heavy hooding. I do not have access to the frowning muscles but BOTOX® does a great job keeping those under control.

If you are interested in learning more about your facelift options in Naples, please call board-certified plastic surgeon Dr. Manuel Peña at 239-348-7362 today and schedule your initial consultation.

Endoscopic Brow Lift Candidates

Candidates for an endoscopic facelift procedure should be nonsmokers who are in generally good health. Although it is less invasive than other brow lift options, endoscopic surgery will still require a recovery period during which activities are limited. To be a good candidate for this procedure, you must be physically prepared for a surgical operation and willing to limit activities while you recover. Dr. Peña can discuss these things with you in greater detail during your initial consultation.

To schedule your brow lift consultation, please contact Peña Plastic Surgery today. Dr. Peña serves Naples, Ft. Myers, and all surrounding Florida communities.