Category Archives: Questions of the Day

Questions of the Day

What is too attractive?

Hi Ladies. This FYI for all you beautiful/attractive/sexy ladies that like to dress as attractively as possible when you go to work. The Iowa Supreme Court has upheld a defense of the firing of an employee by her employer because she was “irresistibly attractive” and threatened his marriage even though there was never any sexual harassment or flirtation going on.

Although the laws of Texas are different, employers can fire employees in Texas without cause. So consider the following article before going to work.

What is even more concerning is, What if the GIRLFRIEND doesn’t like you???? In this case, it was the WIFE and marriage, but what if its the girlfriend and someone he is just dating, or that he is just interested in you but has to fire you to avoid issues of sexual harassment????


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Filed under Blog, Cosmetics, Gynecology, Obstetrics, Questions of the Day

ASK DR NOVOA- Cosmetics VS Plastics???? Who is better!

Dear Friends,

I have heard a rumor that at least one plastic surgeon is claiming to have been the first surgeon to bring AWAKE procedures to El Paso and that the reason I charge so low is because I use knock off implants rather than the implants sold by the Allergan Company.

Although i am very disappointed, I am not at all surprised by the unprofessional ethics and behavior of some of the plastic surgeons in El Paso.

In 2008, I, Dr. Novoa, a cosmetic gynecologist, was the first surgeon to perform an AWAKE Breast Augmentation, in the El Paso area. This procedure was created by Dr. Anil Gandhi and is a trademarked procedure .

After I began to do this procedure, many local plastic surgeons were in an uproar stating that AWAKE procedures was a surgical impossibility, that they were barbaric, that they were dangerous and were inferior to General Anesthesia. To this day, this is still commonly stated by Board Certified Plastic surgeons in the area despite the fact that they have never been trained on how to do the procedure and have no research to back up any of their comments. The reasons for their negative comments have been because of professional biases as well as economic losses.

Question, if you were a plastic surgeon charging $10,000 for a Breast Augmentation and a cosmetic gynecologist starting charging $3,500 for the same procedure and at the same level of difficulty, what would you do or say???

In 2010, because of all the negative pressure from the plastic surgeons, I created an instructional video which can be seen on under my name. Since this date, it has been seen 95,000 times and is considered by many as one of the best instructional videos on how to do an AWAKE Breast Augmentation. Rumor has it that even our local Board Certified Plastic surgeons have watched it in order to finally learn how AWAKE Breast Augmentation is done, which is exactly why I created it.

In 2011, that is exactly what happened, with the plastic surgeons offering AWAKE procedures despite the fact that they were doing everything in their power to stop me as a cosmetic gynecologist from doing them.

In September 2012, I published my first paper on AWAKE Breast Augmentation, called TABS or Tumescent Anesthetic Breast Augmentation. It is now considered internationally as peer reviewed paper on AWAKE Breast Augmentation.

I am currently working on two chapter in a soon to be published book on Advance Breast Augmentation and have been invited to speak in Las Vegas in January 2013 at two international cosmetic conferences on the subject of AWAKE Breast Augmentation and the use of High Profile Implants made by the Allergan Company.

Since 2008, I have performed 605 AWAKE Breast Augmentation with complication rates lower than the national average for Board Certified Plastic Surgeons.

I do not claim to be a Plastic Surgeon. I don’t want to be one, because I believe that a Cosmetic OB/GYN is a far more rounded surgeon regarding the medical needs of female patients. I consider myself to be an expert on the female sexual and reproductive specialties of medicine. I also consider myself to be an expert on complicated vaginal deliveries and Cesarean Sections.

The reason I charge lower prices is not because my practice uses inferior products, it is because I provide services based on the economical needs of the women of El Paso, Texas. How can any cosmetic surgeon claim to offer AFFORDABLE PRICES when they charge $10,000 for a procedure which is one third the annual income of most El Pasoans?????

I have put up with this for too many years. Enough is enough.

I am now asking everyone out there to help me stop this unethical behavior.

If asked, Dr. Novoa brought AWAKE Breast Augmentation to El Paso and is still the only surgeon trained by Dr. Gandhi to perform AWAKE and TABS Breast Augmentation as well as AWAKE liposuction, tummy tucks and vaginal rejuvenation surgery.

I am also asking anyone and everyone out there that has personally heard any defamatory comments made by any cosmetic or plastic surgeon about me to contact me.

I guess this is the only way to finally stop all this. What I wanted for the women of El Paso was to provide safe, effective and affordable cosmetic services. What I received back from competitors was expected but I am tired of having to deal with unethical behavior from the shadows and with them hiding behind their well-pressed white coats.


Dr. Novoa

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Filed under Blog, Cosmetics, Obstetrics, Questions of the Day

ASK DR NOVOA- Is it ethical to plan a C-section for a contest?

Question: For the past few years, the first New Year’s Baby born in El Paso has received gifts from one of the El Paso societies.

It has actually gotten pretty competitive with a number of OB doctors intentionally scheduling New Year’s Eve Cesarean Section deliveries in order to help their patients get the prize.

However, this seems both unnatural and unfair. With an elective or scheduled repeat C/S as an option in order to win this contest, it makes it almost impossible for a patient who is trying for a natural vaginal delivery and has been laboring for hours or for days to possibly win. A C/S delivery planned out and timed for delivery can take as little as 15 minutes to perform, while a vaginal delivery can take days.

I had actually agreed to participate not thinking that it had a negative impact, but I am sincerely reconsidering. I have started to get a lot of negative comments about the contest.

As a doctor who strongly supports a woman’s right to have a vaginal delivery, especially in cases of previous C/S (Vaginal Birth After Cesarean Section), I worry that I am sending out the wrong message to take the easy way out and have a C/S in order to win a contest, when the fairest way is to celebrate the delivery of the first baby born by vaginal delivery rather than by C/S.

What do you think? Should there only be one contest or should the first vaginally delivered baby be crowned the first New Year’s Baby of the Year?

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Filed under Blog, Obstetrics, Questions of the Day

ASK DR NOVOA – Midwives and Vaginal Deliveries

A recently published 2009 report from the CDC states that the number of deliveries being done by midwives in the US continues to increase. Congratulations!!!

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ASK DR NOVOA – Is the Cesarean rate too high?

Unfortunately the rate of C/S in the US is almost 33%. During the 1970’s it was only 5%. We need to do better for the benefit of our patients and their babies.

Please see the following Youtube video with more of Dr. Novoa’s thoughts.

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ASK DR NOVOA – What are your thoughts on VBACs?

My thoughts about VBAC or Vaginal Birth After Cesarean section is discussed in the following Youtube video.


Filed under Blog, Obstetrics, Questions of the Day

ASK DR NOVOA – What are some of the questions I should ask when selecting an obstetrician?

I have created a Youtube video which includes 12 questions to ask when selecting an obstetrician.

Please review the video below.

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Filed under Obstetrics, Questions of the Day