Tag Archives: Cosmetics

ASK DR NOVOA- Consider taking prophylactic antibiotics for dental procedures if you have breast implants in place.

Hi Everyone.

Breast Implant Alert!

As you all know, I am continuing to do research concerning AWAKE Breast Augmentation or Tumescent Anesthetic Breast Surgery (TABS) and the benefits of using high profile implants.

I have posted a couple of videos on the subject on YouTube.com under Ask Dr. Novoa.

I wanted to advise my patients of the following: If you have breast implants and you get an upper respiratory infection, ear infection, or tooth infection to include dental treatment/cleaning or tooth extraction, I am requesting that you consider taking prophylactic antibiotics.

What I have seen in a few patients, months or even years after the placement of implants is that they develop capsular contractures a few days or a few weeks after the infection. I am also recommending the prophylactic use of antibiotics for patients who put braces on their teeth after breast implants are placed.

Further, I am concerned that due to the long process of positional correction of teeth using braces, the risk of infection and seeding of bacteria, especially after an adjustment or tightening, puts patients with braces at an even higher risk of developing capsular contractures.

There is a significant amount of research documenting a link between dental caries and endocarditis (prosthetic heart valves) and the current recommendations are that these patients should take antibiotics when having work done on their teeth. In these cases, a bacterial infection from the mouth enters the circulatory system and the bacteria lodge to the prosthetic heart valves causing a sustained infection.

I believe that there is a similar link between infectious seeding from dental caries, to the lymphatic system of the head, neck and axilla, to the breast, thus causing latent infection of the breast and a rapid inflammatory response and the creation of a capsular contracture.

I am not suggesting that every patient is at risk of getting a capsular contracture, but the literature does suggest that this can occur and I have seen it a few times this year with patients who had their implants placed a few years ago.

Luckily, the use of antibiotics immediately after symptoms have appeared seems to completely reverse the symptoms, so it may be an autoimmune response, but I don’t want my patients taking any chances.

Please also remember that this is a recommendation for my patients only. Very few doctors to include plastic surgeons are looking into this link so you may get an opposing recommendation since they have not seen an association or may have thought of it as a coincidence. Since I have been looking for it and documenting it, I do believe that a link exists.


Dr. Novoa

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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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ASK DR NOVOA – I have heard that there is a type of breast implant that will make your breast continue to grow and can make your breasts grow up to size of watermelons. Is this true?

Unbelieveably, this is actually true. This type of implant was briefly available in the US but was pulled off the market in 2001. The implants are called polypropylene string implants (PSI). The polypropylene IS NOT CIRCULAR, rather it is yarn-like. Once placed in the breast pocket it causes irritation to the implant pocket which causes the production of serum which fills the implant pocket on a continual basis. This causes continuous expansion of the breast after surgery. The fluid must be removed on a continuous basis to keep the breasts from continuing to increase in size. Continual breast growth will eventually result in “extreme, almost cartoonish breast sizes.”

This type of implant is most commonly used by exotic dancers, such as, Chelsea Charms. Attached is a link on Youtube to see what this type of string implant can do to the breast to eventually make them grow to an incredibly large size.

This is more for FYI since PSI is no longer available in either the US or Europe.

Also, there is no other type of implant currently available that results in the continuous increase in breast size once they have been placed.

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ASK DR NOVOA – I wanted to get filler in my lips to make them look sexier. I am worried though, since I see so many movie stars with clown lips after getting filler. What is the story?

Most absorbable fillers such as Juvederm and Restylane work great when injected into lips. Although a little scary and a bit painful, most now come with lidocaine to numb the lips while the procedure is being done.

The amount of filler injected into the lips will vary between person to person. However, this amount is entirely dependent on the patient since it is done one area at a time and the patient is able to view the procedure.

So if you have ever thought of getting fillers, it does not have to end up making you look fake and it can significantly enhance the look of your lips.

The cost varies but averages about $650 per treatment. Each treatment lasts between 3-6 months.

So, if you are afraid of clowns, avoid going to Hollywood or the Circus. 🙂

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ASK DR NOVOA – I recently got breast implants but am worried because I heard they can explode if I get on a plane. Is there any truth to this?


I hear this all the time. This myth has been most recently promoted by the TV SHOW on Spike TV, called “1000 Ways to Die.” It is theoretical possible to rupture an implant with a significant amount of pressure ; however, the level of atmospheric pressure necessary to rupture an implant would have to be so great that it would cause the death of the person from other organ damage.

Again, exploding implants during a plane flight is not possible with either saline or silicone implants. So enjoy ur flight to Disneyland without fear. And feel free to skydive without a worry!!!

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ASK DR NOVOA – I work out everyday and have lost weight, but I still can’t lose weight I gained from my kids and the loose skin from my pregnancies. Do I really need a tummytuck or will liposuction fix this?

Above all else, I want to commend anyone willing to exercise in order to look their best.

Unfortunately, there comes a point that no amount of exercise will be able to get you back to your pre-pregnancy look.

IN GENERAL, if you are in a standing position and you can grab 5 inches or a handful of skin and babyfat from ur abdomen and especially each hip, this fat will rarely retract back to your pre-pregnancy figure. Mother Nature created the body to store fat in case of emergency or in the case of starvation. Your body doesn’t know the difference between a diet or starvation. One of the last places it will eliminate fat are the love handles and lower back. And yet elimination of fat in these areas can give you the “hour glass” appearance that most women look for and consider when they look at a slim person.

The tummytuck and liposuction of the love handles and lower back , a procedure called lipoabdominoplasty and body sculpturing can do what exercise will rarely be able to do, even in tri-athletes. The goal is to give you confidence to wear a bikini.

So, if you are not happen with your look and can grab a lot of skin, consider seeing both a cosmetic surgeon and your exercise trainer for optimal results.

And never stop thinking and living healthy. 🙂

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ASK DR NOVOA – How do you determine bra size?

I was surprised to find out that many ladies don’t know how a bra vs. cup size is measured. Well, here is a general way to determine the measurements.

WITH NO BRA ON, do the following:

  1. Wrap a tape measure around your body just under your armpits, around the upper part of your back. It should lay on your chest just above your breasts. Document the measurement in inches. If it is even, this is your band size. If the number is odd, add 1 to it to get your band size.

  2. Measure around your chest at the fullest point of your breasts. Make sure that the tape measure is laying flat around your entire body and does not sag in the back. Note this measurement in inches.

  3. Subtract your band measurement from Step 2 from the measurement in Step 1. The difference determines your cup size.

A difference of 0 to 0.5 inches corresponds to a AA; 1 inch to an A cup; 2 inches, B cup; 3 inches, C cup; 4 inches, D cup; 5 inches, DD or E cup; 6 inches, DDD or F cup; 7 inches, or G cup; 8 inches, or H; 9 inches or I cup; 10 inches or J.

If you want to have a breast augmentation, IN GENERAL, if you are a 36A: adding a saline implant of 300cc size increases you to a 36B; 400cc to a 36C; 500cc to a 36D; 600cc to a 36DD; 700cc to a 36DDD; 800cc to a 36G.

A great place to go to get an exact bra fitting is Dillard’s. They have a professional bra specialist that makes excellent recommendations.
And Yes, I do have patients who are 34-38 G to H sizes.

Hope this helps. 🙂

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68 year old woman gets AWAKE Breast Augmentation

AWAKE Tumescent Breast Augmentation Surgery performed on a 68 year old woman in El Paso, TX.

AWAKE Breast Augmentation- 68 year old woman

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ASK DR NOVOA – Is it possible to liposuction the breast rather than do a breast lift to avoid all those ulgy scars?


Liposuction of the breast is possible and is now commonly used by cosmetic surgeons in an attempt to avoid a breast lift or mastopexy.

The breast tissue is marked and tumescent or local anesthetic is administered to the breast tissue. The procedure can be done while awake or with IV or General Anesthesia.

Up to 30% of the breast tissue can be removed this way with minimal scarring.

The patient then wears a sports bra, day and night for up to 3 months.

Without all the heavy natural breast tissue weighing down the breast, the supporting ligaments are able to retract and a natural lift is achieved.

Down time is minimal and patient can begin to exercise in 2 weeks.

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ASK DR NOVOA – What is Nerium AD?

Nerium AD (Age-Defying) treatment is a night cream developed from the patent-pending extract of the Nerium oleander plant.

According to the company NeriumAD contains the most effective age-defying ingredients, chosen for both their individual and synergistic benefits. These premium ingredients are blended at optimum levels to nourish your skin and provide real results.

Clinical trials conducted by MD Anderson Cancer Institute in Houstion Texas showed significant improvement, up to 30% improvement in the appearance of (1) Fine Lines and Wrinkles (2)Hyperpigmentation (3)Uneven Skin Texture (4)Enlarged Pores
and (5)Aging or Sun-Damaged Skin

We are offering this product at our MedSpa along computerized clinical analysis to independently document improvements to the skin using our Visia Complexion Analysis System.

For maximal benefit, this product should be combined with the use of BOTOX, Juvederm fillers and professional facial treatments.

I doubt anyone can match this offer but we are doing so because we feel that every woman can benefit from this product.

Hey Gentlemen, remember Mother’s Day for your wives.

Hell, even I am using this great product.

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