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Dr. Manuel Peña Featured in Augusta University Magazine

Naples Plastic Surgeon Dr. Manuel PenaDr. Peña Manuel received his medical degree from the Medical College of Georgia (MCG) in 1981. After completing his general surgery residency and fellowship at Charity Hospital, Tulane University and Jackson Memorial Hospital, University of Miami, he would return to MCG to complete his plastic surgery residency. While a good student and a now a well-respected alumnus, an article featuring Dr. Peña in the latest MCG magazine focuses not on his professional accomplishments as a plastic surgeon, but on his mission trips and philanthropy.

Dr. Peña came to the United States with his family in 1964. Leaving Cuba just a few years following Castro’s rise to power, the Peña family spent several months in Mexico waiting for visa approval before finally landing in Miami, where Dr. Peña and his parents were reunited with his sister who had earlier been sent to live with godparents.

Life in those early years was not always easy for the Peña family, but all the same, Dr. Peña remembers the newly free family being together and supportive. All of these things – leaving Cuba, finding a new home, adjusting to a new county, dealing with economic and social disparity – likely played a role in Dr. Peña’s desire to help, serving to fuel his mission work later in life.

 “We were together, we were free, and the world was there for the taking.” – Dr. Peña

Dr. Peña has completed nine mission trips and provided surgical care for over 250 patients who otherwise would have gone without assistance. In addition to his mission trips to Africa, Burkina Faso, Jamaica, and South America, Dr. Peña routinely hosts fundraisers in and around Naples to raise money for the equipment and supplies needed on these trips.  Contact our office to learn how you can help support these mission trips.

“There’s a great old Chinese proverb. It’s better to light one candle than to curse the darkness. You do just a little bit. That’s all you can do. You can’t fix the world, but if something comes up and you can fix it, you do it.” – Dr. Peña

Dr. Peña is a board-certified plastic surgeon serving Estero, Ft. Myers, Bonita Springs, and surrounding areas from his office in Naples. If you are looking for an experienced, dedicated, and caring plastic surgeon in Florida, give us a call at 239-348-7362 to schedule a consultation today.

Body Contouring Options

Board-certified plastic surgeon Dr. Manuel Peña offers a range of body contouring procedures that can be used alone or in combination to produce a toned, trimmed, and attractive physique. If there are areas of your body that you are unhappy with, areas that are obscured by loose skin, excess fat, or a lumpy and uneven appearance, give us a call at 239-348-7362 to schedule a consultation at our Naples, FL office and learn how Dr. Peña can help you look and feel your absolute best.

Liposuction

Liposuction is the most popular body contouring treatment at our Southwest Florida location. With this procedure, Dr. Peña can target stubborn deposits of fat in nearly any area of the body, helping restore ideal contours to the treatment area.

Dr. Peña offers PAL (power assisted liposuction), a technique that uses special surgical tools to break even the most tenacious fat deposits apart, allowing for more thorough removal of unwanted fat. Using this technique may also help reduce postoperative discomfort and can help shorten recovery. During your initial consultation, Dr. Peña would be happy to discuss liposuction in greater detail to help you determineif it is a good fit for your body.

Liposuction is an incredibly effective way to eliminate fat deposits that have failed to respond to diet and exercise, but it is not the most effective way to deal with loose skin, stretch marks, and other side-effects of weight gain. For those issues, lift or tuck procedures will need to be combined with liposuction.

Which lift or tuck procedure is right for you? Read on to learn more.

Tummy Tuck

Tummy Tuck Naples, FLTummy tuck (abdominoplasty) is designed to restore both strength and beauty to the entire midsection of the body. Tummy tuck surgery is used to:

  • Remove loose and sagging skin from the abdomen and hips
  • Draw in the waist
  • Reattach abdominal muscles that have separated (diastasis recti)

Deep core muscles can separate with weight gain and pregnancy. These muscles often cannot be restored through exercise, and failure to reattach them may increase chances for herniation. Tummy tuck surgery, while cosmetic in aim, addresses this medical issue to help prevent herniation and assist in rebuilding strength. Pulling the abdominal wall together also cinches the waist, producing more defined and pleasing contours throughout the midsection of the body.

Tummy tuck surgery is a popular option following both weight loss and pregnancy because it is capable of eliminating abdominal fat along with sagging skin, stretch marks, and other issues brought about by an expanding abdominal area.

Butt Lift

Dr. Peña offers the popular Brazilian Butt Lift, a procedure in which your own fat is used to augment, redefine, and enhance your backside. Butt lift surgery can be used to produce a fuller, firmer, and more lifted appearance, helping create ideal contours for your entire lower body.

To perform a butt lift, Dr. Peña will first need to select an area of your body through which fat can be extracted with liposuction. This allows the butt lift procedure to sculpt additional areas of the body while enhancing the derriere. Augmenting your buttocks with your own fat is also a longer-lasting and safer alternative to buttock implants which can be rejected by the body and cause serious complications.

Other Lift Procedures

In addition to liposuction, tummy tuck, and butt lift, Dr. Peña offers:

  • Thigh lift to sculpt the upper legs
  • Arm lift to eliminate loose and flabby arm skin
  • Neck lift to remove fat deposits in the chin and neck

Body lift surgery, a complex procedure in which multiple lift and tuck procedures are combined, is available for men and women experiencing diminished definition throughout the body. This particular option is often best as a post-bariatric surgery procedure as it addresses all of the issues brought about by rapid weight loss.

Mommy Makeover

The mommy makeover procedure combines body contouring options like liposuction and tummy tuck with breast surgery to fully address those areas most impacted by pregnancy and nursing. While not strictly a body contouring procedure, mommy makeover surgery often includes many of these services, enabling Dr. Peña to produce an appearance that is both womanly and youthful.

Each mommy makeover procedure is different because no two women experience identical changes following pregnancy. The best way to learn which body and breast procedures would be of most benefit to your body is through a one-on-one consultation at the Naples, Florida office of Peña Plastic Surgery.

Alternatives to Surgery

Surgical body contouring is incredibly effective, but it is entirely unnecessary for some patients. As alternatives to body contouring surgery, Dr. Peña is pleased to offer:

  • SculpSure® – Also known as “laser liposuction,” SculpSure® uses laser energy to emulsify fat deposits, allowing for their removal through the body’s natural process of elimination. This nonsurgical body contouring treatment can be used nearly anywhere liposuction can and is a wonderful alternative for people who are not interested in a more invasive procedure
  • Kybella® – Utilizing an acid extracted from the human body, Kybella® safely and effectively eliminates fat deposits underneath the chin. A nonsurgical alternative to neck lift for the removal of double chin, Kybella® can help redefine the jawline and restore a lifted and better-contoured appearance to the lower face
  • ThermiTight™ – ThermiTight™ uses radio frequency to stimulate collagen production and eliminate skin laxity throughout the body. As with its fellow Thermi products, ThermiSmooth™ for the face and ThermiVa™ for the vaginal area, ThermiTight™ does not address fat deposits, but it is a wonderful alternative to surgical lift procedures for patients who do not require fat removal as well

Choosing the Right Procedure for Your Needs

Dr. Peña offers many surgical and nonsurgical body contouring options to better serve the needs of people living throughout Southwest Florida. The best way to learn which of these is optimal for your needs is by calling our office at 239-348-7362 to schedule your confidential consultation with our board-certified plastic surgeon. This consultation will give you an opportunity to ask any questions you may have about your surgical options, our practice, financing, and other pertinent issues. It will also give Dr. Peña an opportunity to openly and honestly discuss our services, what you can expect from treatment, and how you can maintain your results following surgery.

Dr. Peña is a board-certified plastic surgeon with over 35 years of experience. He serves the Southwest Florida communities of Ft. Myers, Bonita Springs, Marco Island, and Estero from our comfortable and convenient Naples location.

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 anti-aging, 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. 

Hair Growth Stimulation Strategies

            Hair Stimulation Strategies

Androgenic alopecia (hair loss sensitive to Testosterone) is the most common type of hair loss in both men and women. Follicles are “ miniaturized” and hair gets thinner before it falls out. All the following treatments work better on recent hair loss and in areas that still have some active but miniaturized follicles.  If these methods are to work there will be results in 6-9 months usually at the most 12 months.  Occasionally the PRP injections will work even in  cases of autoimmune types of alopecia.

Topical treatments for alopecia have been around for over 20 years in the form of minoxidil (Rogaine).  This was originally a blood pressure medication and has been recently found to probably increase the circulation to the hair follicles.  This is in contrast with the oral agents such as finasteride (Propecia) that are 5-alpha reductase inhibitors (they block the conversion of testosterone to  dihydrotestosterone).  As you can imagine the side effects of these agents orally can be significant and they can include loss of libido difficulty with ejaculation and so forth.  Although topical compounds from these have been made the original minoxidil Rogaine formulations were now well received by the public probably because of the high percentage of propylene glycol used as a delivery agent.  A much better formulation 82M was developed which included minoxidil at 7% plus tretinoin (which helps the absorption of the rest of the medications), a topical steroid most commonly betamethasone and an organic 5 alpha reductase inhibitor Oleanic Acid.

We have this available as a topical agent by itself or as a shampoo with or without some of the other delivery system such as the micro-needling and micro-needling with PRP.  In addition to this will also offer oral agents that are purely building blocks for the hair follicles.  Essentially vitamins that the body continues to stimulate and maintained good hair growth.

Now a little bit about what happens with the PRP  and with some of the other growth factor stimulation of the hair follicles.  The hair follicles have been found to be stimulated by several things from low level laser treatments that are springing up all over the place to increase the blood supply through minoxidil topically or by blocking the action of testosterone on the health follicles through some of the blocking agents (as a medication or an organic compound).  Most recently the stimulation of the follicles directly by platelet derived growth factors such as VEGF also known as  vascular endolthelial growth factor and several others found in the platelets have adirect stimulatory effect on the numbers of hair follicles that are active and the thickness of the hair they produce!.

                          Microneedling+ PRP

 

 

Other Growth factors derived from fat cells have also been used with Microneddling and have been shown to have a stimulatory  effect on the hair follicles. These are producta available "Off the shelf" without requiring a blood draw ad platelet gel preparation. These substances combined with mechanical stimulaion caused by the micronnedling itself can lead to a "perfect storm" type  of effect.

 

Option #1 oral supplements to stimulate

Option #2 oral supplements plus a topical agent such as 82M which come by a high percentage minoxidil with tretinoin and betamethasone along with oleanic acid (to block testosterone from becoming dihydrotestosterone). The Shampoo 82 S  has pure organic agents

Option #3 addition of micro-needling using 82M or another off-the-shelf hair growth stimulation with the growth factors derived from fat cells.

 

Option #4 is the most aggressive which includes micro-needling with PRP and any of the additional oral or topical agents post procedure.  Both option #3 and #4 are spaced about 4-6 weeks apart and include a series of 3 treatments for maximum stimulation.  Expect significant improvement proximal 6 weeks after the second treatment.  Yearly treatments are recommended for maintenance of maximal stimulation of growth.  Not all treatments will work on everyone and sometimes we have to try different ones to maximize  hair growth.

 

 

 

 

 

Hair Growth Stimulation using Microneedling and PRP

The more we learn about our body's ability to stimulate healing and regenerate itself,  the more we find innovative ways to restore the failing parts of her body.  Platelet rich plasma also known as PRP is a highly concentrated suspension of our own bodies healing triggering bodies known as platelets.  They contain a myriad of hormones or 'factors' that begin and stimulate the process of 'wound healing' and repair in many different ways.  For hair stimulation the epithelial growth factors are the most valuable.  The stimulate the hair follicles in 2 ways.  First is  to increase the circulation to the follicles  at critical moments in the development of the hair thus making the hair thicker (up to 40%)  and 'waking' up some of the hair follicles that were in the resting or dormant phase (>20%). 

The Platelet Rich Plasma (PRP) is made by drawing your blood and centrifuging or spinning this blood to concentrate the platelets and remove the red blood cells.  This allows only the stimulating platelets without the remaining parts of the blood which can have an irritating the effect.

So what is the process to get the platelet gel to the targeted hair follicles.  One way to admisnister it is to inject the scalp or any other area in which you want to stimulate hair growth at a level where these hair follicles are (between 2 and 3 mm deep)  or we can use a micro-needling device which essentially pokes tiny needle holes to the same level.  The needle holes themselves will stimulate a similar response from the hair follicles and this is only augmented by the application of the platelet gel that trickle down into these holes while they are still open.  This is usually combined with an injection of the remainder of the platelet gel deep to the hair follicles after the micro-needling.Thus the term Microneedling with PRP

                                 Microneedling with PRP

This process is not only for male pattern baldness but also useful for the thinning hair experienced by more and more women these days.  Recent studies have  shown this to be highly effective in treating alopecia areata which appears to have an autoimmune component.  The process is repeated an average of 3 times about 6 weeks apart.  We start seeing significant improvement at the 3-4 month stage after the initial treatment.  And it is recommended that once a year  another session of micro-needling plus PRP is used as a booster to keep the hair growth:.  We often combined this with topical applications which work in many different ways.  The most common affect is to block the testosterone effect on the hair follicle itself and other parts of these formula help keep the scalp cleaned by turning over the new cells and clearing the path for the hair follicle growth.  Please call La-Piel Spa at 239-352-5554 for your evaluation and to get you started on stimulation of your own lush beautiful hair.