Naples MD

Instant Neck Lift

Manuel M. Pena, M.D. 2 #BarbedSutureNeckLift, #Knifeless Neck lifts, #NonSurgicalNeckLifts, #ThermiTightNeckLift 1:01 PM

As  minimally invasive facial rejuvenation technologies improve we start getting closer to obtaining surgical like results without a scalpel.  At the present there is not a single non/surgical or minimally invasive  modality that seems to get the results people were looking for in a nonsurgical neck lift.  I have combined, micro-Lipo suction, internal injectable radiofrequency (ThermiTight), and barbed absorbable suspension sutures to create and almost instant result that improves with time and usually last several years. The procedure that I call "The Instant Neck Lift"  is performed under local anesthesia and usually takes less than an hour to complete.<br />
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The patient goes home with a compressive dressing which is removed.  The next morning and then they wear it at bedtime only for approximately 2-3 weeks.  Bruising is minimal because we use only blunt needles and normal activities can be resumed almost immediately with the exception of heavy exercise that may affect the effectiveness of the barbed sutures.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9MbvdENl_mZJdKPyZwV_dcKeITsEbMWK3eXlX4zCKOw5kOaZniWEwFDezlKB40shKtWebcaZqY3mr5i1PUZmFK88o9DBCEuisw2h_DnpYfL-p5ZWve9_ol6ijcTeSIbsvghLVG8ewcmE/s1600/Tbilisi+Powerpoint%252C+++%252820180622100941616%2529+20180622101048601.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9MbvdENl_mZJdKPyZwV_dcKeITsEbMWK3eXlX4zCKOw5kOaZniWEwFDezlKB40shKtWebcaZqY3mr5i1PUZmFK88o9DBCEuisw2h_DnpYfL-p5ZWve9_ol6ijcTeSIbsvghLVG8ewcmE/s320/Tbilisi+Powerpoint%252C+++%252820180622100941616%2529+20180622101048601.jpg" width="320" /></a></div>
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                                          Insertion of Barbed Absorbable Sutures</h4>
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While the results are immediate (, micro-Lipo suction fat removal + the immediate suspension and tightening of skin along the jawline with the barbed absorbable sutures), the internal radiofrequency heating starts up process of shrinking or as I like to say shrink wrapping the skin of the neck.  This process takes up to a year and serial photograph showed the neck looking better and better over this period of time.  If you're interested in finding out inferior candidate for this procedure.  Please call my office at 239-348-7362. Pena Plastic Surgery in Naples since 1990.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixmes2mkHg0HWnblPAZgv5Lx-aBbAainJ8DqXV93qFFVwDSbIpIE05kh1PNBfz4BAwwg_XRTh5Pp0dBbLd-iNzRwC2XGSu_OqwwkzhzfxO2HvyFP8SPhTvHcJSYePChOkjE99aLKplqmg/s1600/Thermineck3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixmes2mkHg0HWnblPAZgv5Lx-aBbAainJ8DqXV93qFFVwDSbIpIE05kh1PNBfz4BAwwg_XRTh5Pp0dBbLd-iNzRwC2XGSu_OqwwkzhzfxO2HvyFP8SPhTvHcJSYePChOkjE99aLKplqmg/s320/Thermineck3.jpg" width="320" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiB9_FDv_924tHoZMNnbbGZ7CLpRTmhcO12EC0PQRJ7_2UKFYj22OThZnJI5wkr8P4tpJe1yi9XYjCgYW18slW_2mHOYwdLgArOy0Hf3cTqFZZUA_2SxkJc0U3NtJysU6pSqmhR2kB-Bzo/s1600/ThermiNeckpost3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiB9_FDv_924tHoZMNnbbGZ7CLpRTmhcO12EC0PQRJ7_2UKFYj22OThZnJI5wkr8P4tpJe1yi9XYjCgYW18slW_2mHOYwdLgArOy0Hf3cTqFZZUA_2SxkJc0U3NtJysU6pSqmhR2kB-Bzo/s320/ThermiNeckpost3.jpg" width="320" /></a></div>
This was taken 3 1/2 weeks later because the procedure was performed  2 days prior to Hurricane Irma and immediated follow up was impossible.  Here is an interview  with the patient concerning this procedure.
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Instant Neck Lift

Manuel M. Pena, M.D. 2 #BarbedSutureNeckLift, #Knifeless Neck lifts, #NonSurgicalNeckLifts, #ThermiTightNeckLift 1:01 PM

Microneedling with PRP for Hair Growth

Manuel M. Pena, M.D. 3 Hair Grafts, Hair growth, Hair Plugs, Hair Stimulation, Hair Thinning, Microneedling, Platelet Rich Plasma, PRP 9:22 AM

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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.  <a data-cke-saved-href="http://www.dr-pena.com/prp-platelet-rich-plasma-and-fat-replacement-options.html" href="http://www.dr-pena.com/prp-platelet-rich-plasma-and-fat-replacement-options.html" style="color: #0782c1;"><u><em><strong>Platelet rich plasma</strong></em></u></a> 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 <u><strong>epithelial growth factors </strong></u>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%). </div>
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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.</div>
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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<a data-cke-saved-href="http://www.dr-pena.com/microneedling-with-platelet-rich-plasma.html" href="http://www.dr-pena.com/microneedling-with-platelet-rich-plasma.html" style="color: #0782c1;"> </a><u><em><strong><a data-cke-saved-href="http://www.dr-pena.com/microneedling-with-platelet-rich-plasma.html" href="http://www.dr-pena.com/microneedling-with-platelet-rich-plasma.html" style="color: #0782c1;">Microneedling with PR</a></strong></em></u><a data-cke-saved-href="http://www.dr-pena.com/microneedling-with-platelet-rich-plasma.html" href="http://www.dr-pena.com/microneedling-with-platelet-rich-plasma.html" style="color: #0782c1;"><u>P</u></a></div>
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                                 Microneedling with PRP</h2>
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This process is not only for<em><strong> male pattern baldness</strong></em> but also useful for the <em><strong>thinning hair</strong></em> experienced by more and more <em><strong>women</strong></em> these days.  Recent studies have  shown this to be highly effective in treating <em><strong>alopecia areata</strong></em> 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<a data-cke-saved-href="https://www.la-piel.com/" href="https://www.la-piel.com/" style="color: #0782c1;"><u><strong> La-Piel Spa</strong></u></a> at 239-352-5554 for your evaluation and to get you started on stimulation of your own lush beautiful hair.</div>

Microneedling with PRP for Hair Growth

Manuel M. Pena, M.D. 3 Hair Grafts, Hair growth, Hair Plugs, Hair Stimulation, Hair Thinning, Microneedling, Platelet Rich Plasma, PRP 9:22 AM

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 …

My Cup Runneth Over

Manuel M. Pena, M.D. 2 breast augmentation, breast sizes, changing breast implant sizes 12:18 PM

A recent study performed using 3-D imaging concluded that it takes an increase of 130 ccs to 150 ccs to increased a woman's breast by 1 size.  This is approximately 4-1/2 ounces of volume increase.  I have used this formula for many years before this was confirmed by this study based on my interpretation and personal history of having performed 2000 or so <i><u><a href="http://www.dr-pena.com/breast-augmentation.html">breast augmentations.</a></u></i> <br />
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The most common comment to the here after breast augmentation is "I wish I had gone bigger".  The psychology of this is based on the fact that the body image changes over a 3-6 month period.  At that point what ever size you are  you feel like you have always been that size.  I often spent 30 minutes or more going through the 3-D visualization of a prospective patient with their new implant options.  After reviewing 5 or 10 different sizes and how they would look on that individual, they asked me "Dr. what size is that?".  when I tried to explain that I have no idea but that if it looks good then that is the one that they should go with they tell me they want to be a specific size.</div>
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Commonly, I have been asked to increase the current <b><a href="http://www.dr-pena.com/blog/infographic-all-about-breast-implants.html">implant </a></b>by 1 size or 2 sizes and I used the above formula.  That works a little bit more efficiently because the natural breast compression that occurs during the initial breast augmentation has already occurred.  What I mean is that when you have led stay a 300 cc natural size breast and you put a 300 cc implant you do not get a 600 cc size breast.  What happens?  The breast tissue is quite compressible whereas silicone and saline aren't.  The final result may be anywhere from 450 cc to 550 cc depending on the compressabilty of the natural breast itself.</div>
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With the new 3-D imaging we can give you a much better idea of what you will like after breast augmentation but it will still be just a guesstimate.</div>
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My Cup Runneth Over

Manuel M. Pena, M.D. 2 breast augmentation, breast sizes, changing breast implant sizes 12:18 PM

SculptSure uses Laser energy to Bust unwanted fat!

Manuel M. Pena, M.D. 3 Fat reduction, laser lipo, Non-surgical fat reduction, weight loss 2:18 PM

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Do you Have areas of unwanted fat deposit?  Do you have 25 minutes? SculptSure Is the latest technology used to get rid of fat.  Up to now there was surgery, fat freezing, ultrasound busting, and dieting.  Now using the same laser wave length used for destroying fat using a fiberoptic delivery system called SmartLipo, Fat deposits are diminished in destroyed ingest 25 minutes.  In a painless Spa Visit you can get rid of up to 24% of the fat in in the given area with each session of SculptSure.  Since the fat is destroyed but remains in place while the body gets rid of it, the final results are seen in 3 months.  You will start seen the early results at 1 month to 6 weeks. </div>
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 Up to now the most effective way to get rid of fat without surgery was freezing it. Problem is that this often left a sharp demarcation and could potentially cause long term hypersensitivity in the areas treated.  For this procedure you  needed  a bulge to stick into the fat freezing machine. Small problem areas simply could not be treated. That is where the precision of laser light energy comes in!</div>
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<img alt="Image result for sculpsure" 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" 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The <a href="http://www.dr-pena.com/sculpsure.html">SculptSure</a> procedure can be repeated in the same area and because of the unique properties of the laser energy the effect tapers nicely preventing visible cutoffs.  The only postprocedural instructions include light exercise for a couple of weeks and massaging the area gently for a few minutes a day for the next few days.</div>
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While this is no substitute for healthy lifestyle including proper diet and exercise, it can let you target those stubborn areas that bother you even when your at your ideal body weight.  For me that area was my love handles.  I am approximately 2-1/2 months after my procedure and have notices significant improvement. I look forward to getting the final photographs and posting them here and  on my website.  Please call La-Piel Spa at 239-352-5554 for a free consultation.<a href="http://www.dr-pena.com/sculpsure.html">http://www.dr-pena.com/sculpsure.html</a></div>

SculptSure uses Laser energy to Bust unwanted fat!

Manuel M. Pena, M.D. 3 Fat reduction, laser lipo, Non-surgical fat reduction, weight loss 2:18 PM

Do you Have areas of unwanted fat deposit? Do you have 25 minutes? SculptSure Is the latest technology used to get rid of fat. Up to now there was surgery, fat freezing, ultrasound busting, and die…

Double Chin Dilemma..."inject-away"

Manuel M. Pena, M.D. 2 double chin, fat chin, fat neck, submental fullness 7:03 AM

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                         Double Chin Nonsurgical Options</h2>
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 If you have a double chin, you have  more options on how to deal with it than ever before. Even 10 years ago there was only surgical solutions which included liposuction (of one form or another: tumescent, ultrasound assisted , or laser assisted) or actually performing a neck lift where the fat is actually removed surgically and the skin is tightened!  Even today these two surgical methods offer the most efficient and consistent way of dealing with a problem.  The trend  today, however,  is to avoid surgery and embrace nonsurgical options. Here are the most noteworthy:<br />
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These options include: </h3>
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Radiofrequency </h4>
Fat ablation and skin tightening using radiofrequency.  <b><i><a href="http://www.dr-pena.com/thermitight.html">TherniTight)</a></i></b>, while not "noninvasive" since it involves administering local anesthesia and using a needle underneath the skin, it is definitely and nonsurgical procedure.  Radiofrequency energy is administered  through the needle and heats up the surrounding tissues and overlying skin.  If the temperatures reach 70°C the fat tissue is destroyed and the overlying skin is tightened.  Lower temperatures are used to just tighten the skin. This is a gradual process that may take up to 3-6 months to see the final results. The sister procedure ThermiSmooth can be totally noninvasive and the radiofrequency energy is applied through the skin.  Many other systems  such as  Exilis/ Thermi250, etc use the external  non invasive approach .   These however are much less efficient at fixing the double chin dilemma since the temperature that is required to affect the fat and even the skin can be quite high and somewhat uncomfortable.</div>
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Microfocused Ultra sound </h4>
 Microfocused ultrasound is one of the later entries into the field. The device approved in the US is "Ulthera".  While it has enjoyed some success the discomfort during treatments  and unpredictable results have limited it from being totally embraced by the aesthetic community.  This uses focused medium frequency ultra sound energy to "heat up" fat cells by causing them to vibrate. When the "magic" temperatures between 65 and  70°C is reached the fat is destroyed and the body eventually starts an inflammatory process to get rid of it.  It too requires weeks to months to get final results.</div>
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 Freezing the Fat </h4>
has now been adapted to treat the double chin or submental area.  Zeltiq/ Coolsculpting as it is known has been one of the fastest growing masses of nonsurgical fat removal over the last 5 years.  Generally if you can fit whatever area you want to minimize into one of the heads of the machine then he will have some a fact.  By freezing the fat it has a same effect as if it were reaching the magic 70°C but in the other direction.  The fat also died is 1 it is frozen.  The body will take it away over the next few weeks to few months.  The question is how much skin tightening in the overlying tissue will occur and how efficient will it be!<br />
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Related Articles:<br />
<br />
<a href="http://www.dr-pena.com/kybella.html"><i><b>Kybella</b></i></a><br />
<br />
To find out more about the "Dissolving Fat Injection" solution....<br />
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<a href="http://www.dr-pena.com/blog/double-chin-fat-melting-injection.html" target="_blank">CONTINUE READING ARTICLE </a> </h3>
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Double Chin Dilemma..."inject-away"

Manuel M. Pena, M.D. 2 double chin, fat chin, fat neck, submental fullness 7:03 AM

Double Chin Nonsurgical Options If you have a double chin, you have more options on how to deal with it than ever before. Even 10 years ago there was only surgical solution…

Will Weight Change Affect Liposuction or Tummy Tuck Results?

Manuel M. Pena, M.D. 0 9:55 AM

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<span style="background-color: white; color: #333333; font-family: Roboto, arial, sans-serif; font-size: 13px; line-height: 17px;">What Happens If I Gain Weight After Liposuction Or A Tummy Tuck? </span></h1>

Will Weight Change Affect Liposuction or Tummy Tuck Results?

Manuel M. Pena, M.D. 0 9:55 AM

What Happens If I Gain Weight After Liposuction Or A Tummy Tuck? Call 239-348-7362 or visit http://dr-pena.comOkay so the most frequent questions that I get is "what happens if I gain weight after a…

Life Saving "Nose Job"

Manuel M. Pena, M.D. 2 Nose Jobs 11:21 AM

<h2 style="text-align: center;">
<a href="http://www.naples-md.com/2016/05/life-saving-nose-job.html">Life Saving "Nose Job"</a></h2>
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Not all "Nose Jobs" are jut for looks and to breathe better!  Veterinarians  in South Africa have developed a surgery that essentially replaces a Rhinoceros' Horn after poachers have cut it off and left them for dead.  Rhino horns have the mistaken fame of being aphrodisiacs (For men of course)!<br />
<b><i>For the Full story:<a href="http://www.earthtouchnews.com/environmental-crime/poaching/groundbreaking-facial-surgery-for-hope-the-rhino-video">http://www.earthtouchnews.com/environmental-crime/poaching/groundbreaking-facial-surgery-for-hope-the-rhino-video</a></i></b><br />
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<b><br /></b>
Medical Articles Of Interest:<br />
<div style="text-align: left;">
<a href="http://www.naples-md.com/2015/01/how-to-avoid-facelift.html">How to avoid a Facelift</a><br />
<a href="http://www.naples-md.com/2014/12/botox-breast-lift.html">BOTOX® Breast Lift</a><br />
<span style="color: #0000ee; text-decoration: underline;">When Is The Best Time To Have A Facelift</span><br />
<span style="color: #0000ee; text-decoration: underline;">Non Surgical Skin Tightening</span><br />
<span style="color: #0000ee; text-decoration: underline;">Plastic Surgery Questions Commonly Asked</span><br />
<span style="color: #0000ee; text-decoration: underline;">Non-Surgical rejuvenation Botox, Juvederm, and Voluma versus a Facelift Surgery</span><br />
<span style="color: #0000ee; text-decoration: underline;">Vaginal Rejuvenation with Spectacular results</span><br />
<span style="color: #0000ee; text-decoration: underline;"><br /></span>
</div>
<div style="text-align: left;">
<br /></div>
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<br /></div>

Life Saving "Nose Job"

Manuel M. Pena, M.D. 2 Nose Jobs 11:21 AM

Life Saving "Nose Job" Not all "Nose Jobs" are jut for looks and to breathe better! Veterinarians in South Africa have developed a surgery that essentially replaces a Rhinoceros' Horn after poacher…

ThermiVa non-Surgical Vaginal Rejuvenation with Spectacular results!

Manuel M. Pena, M.D. 4 Non Surgical Vaginal rejuvenation. Stress urinary incontinence, Non-Surgical vaginal rejuvenation, Vaginal lubrication., Vaginal Rejuvenation 2:21 PM

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<b>Vaginal Rejuvination</b></h2>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqGBbWPOlr666SVJVmPQCBeyoQyJtVmYgPvLQRDYJ2xjN5m28oSXkcqTstjvo6EEHmNXGHf42lnKFaeowE76P4fPM4JPCGR-0cYTMRainKpeWj7EjjVV7QSPRxG2UHcPj959PbpXDjA1w/s1600/Vaginal+Rejuvination.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="193" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqGBbWPOlr666SVJVmPQCBeyoQyJtVmYgPvLQRDYJ2xjN5m28oSXkcqTstjvo6EEHmNXGHf42lnKFaeowE76P4fPM4JPCGR-0cYTMRainKpeWj7EjjVV7QSPRxG2UHcPj959PbpXDjA1w/s320/Vaginal+Rejuvination.png" width="320" /></a></div>
<b><i><a href="http://www.dr-pena.com/ThermiVa.html">ThermiVa u</a></i></b>ses Radiofrequency during three 25 minute  treatments to treat Vaginal Laxity, Stress urinary incontinence, Vaginal Dryness, and decreased sexual pleasure. These treatments have been described as pleasurable and you have absolutely ZERO down time.  The visual improvement is usually dramatic after the first treatment and persists until your second treatment 4 weeks later. Vaginal Lubrication is increased even during the procedure and the stress urinary incontinence shows signs of improving in 24 hours after the treatment.  Your "enhanced " sexual experience can begin the moment you get home since there is no down time. "Designer Vaginal Rejuvenation"  treatments such as this will complete the Mommy Makeover!</div>
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ThermiVa Results</h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNoAKXfQw9ZBiOaeJNhQc9yxys-nqyq9GXCVkqWP94zjmYz2a4FtahLeAnstxsvasCtBqiqohj5J6bdyuD2jwtzKgSM7l20RFdk6w4Q_oI8tb7wyTiZG55ckeCves1DuKxYKgitm6KkJ4/s1600/Vagina1%252C+Thermiva++%252820150812081958461%2529+20150812082024294.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNoAKXfQw9ZBiOaeJNhQc9yxys-nqyq9GXCVkqWP94zjmYz2a4FtahLeAnstxsvasCtBqiqohj5J6bdyuD2jwtzKgSM7l20RFdk6w4Q_oI8tb7wyTiZG55ckeCves1DuKxYKgitm6KkJ4/s320/Vagina1%252C+Thermiva++%252820150812081958461%2529+20150812082024294.jpg" width="240" /></a></h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLA5v6r8n3mO5Si3p7SPS0XnKOE8wc0yBdqMYAfyi82dlYUYspDZiUlcwkgttQHy_VoslcsUa8eQVTEvJB8SNFgrenFs0LWdC1_EF182PgLBlFlCb2hFD268GOgZy2uf_t1V4FM0SMf3c/s1600/Vagina1%252C+Thermiva++%252820150812081958461%2529+20150812082028038.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLA5v6r8n3mO5Si3p7SPS0XnKOE8wc0yBdqMYAfyi82dlYUYspDZiUlcwkgttQHy_VoslcsUa8eQVTEvJB8SNFgrenFs0LWdC1_EF182PgLBlFlCb2hFD268GOgZy2uf_t1V4FM0SMf3c/s320/Vagina1%252C+Thermiva++%252820150812081958461%2529+20150812082028038.jpg" width="240" /></a></div>
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Immediate results after one ThermiVa treatment</div>
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One Month Post Procedure!</h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjz8EW3l-y5a8pnmF4j2zeowYAxp19JtVfH7lCTPk7-EkbcgOxcsQJccikUqBpbvga9Mr7lx2-ACeN_lc6dZvuTQ0onG3QFgPkuPVMvH9mkXNdQIalIYLzfVP-fT06AiyOlG_hCugwMwXg/s1600/Vagina1%252C+Thermiva++%252820150812081958461%2529+20150901180301917.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjz8EW3l-y5a8pnmF4j2zeowYAxp19JtVfH7lCTPk7-EkbcgOxcsQJccikUqBpbvga9Mr7lx2-ACeN_lc6dZvuTQ0onG3QFgPkuPVMvH9mkXNdQIalIYLzfVP-fT06AiyOlG_hCugwMwXg/s320/Vagina1%252C+Thermiva++%252820150812081958461%2529+20150901180301917.jpg" width="320" /></a></div>
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Same patient with lasting results one month after first treatment now ready for second of three treatments.</div>
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<b><i><a href="http://www.dr-pena.com/">Pena Plastic Surgery in Naples</a></i></b> now offering this revolutionary treatment  for the aging and relaxation of vaginal tissues and improvement of stress urinary incontinence!</div>
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Related Articles:<br />
<a href="http://www.naples-md.com/2015/07/thermitght-thermismooth-thermidry-come.html">ThermiTight, ThermiSmooth, and ThermiDry come to Naples</a><br />
<a href="http://www.naples-md.com/2015/06/non-surgical-skin-tightening-using.html">Non-Surgical Skin Tightening Using Injectible RF</a>

ThermiVa non-Surgical Vaginal Rejuvenation with Spectacular results!

Manuel M. Pena, M.D. 4 Non Surgical Vaginal rejuvenation. Stress urinary incontinence, Non-Surgical vaginal rejuvenation, Vaginal lubrication., Vaginal Rejuvenation 2:21 PM

Vaginal Rejuvination ThermiVa uses Radiofrequency during three 25 minute treatments to treat Vaginal Laxity, Stress urinary incontinence, Vaginal Dryness, and decreased sexual pleasure. These treatm…

Options in Non-Surgical rejuvenation Botox, Juvederm, and Voluma versus a Facelift Surgery

Manuel M. Pena, M.D. 28 and Voluma versus a Facelift Surgery, Juvederm, Non-Surgical rejuvenation Botox 2:12 PM

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<a href="http://www.dr-pena.com/botox.html"><span style="color: #0563c1; font-family: "arial";">BOTOX® Cosmetic</span></a><span style="font-family: "arial";"> is a nonsurgical cosmetic option that addresses fine lines and wrinkles throughout the face. Dr. P<span style="mso-bidi-font-family: Arial;">e</span>ña injects BOTOX® Cosmetic into specifically targeted problem areas to relax muscles and produce a smooth and flawless look. A single BOTOX® Cosmetic treatment can take several years off of your appearance, but results are temporary. To maintain a smooth complexion, you will need to visit our office every three to four months for additional treatments.</span></div>
<br />
<span style="font-family: "arial";">If you are unhappy with the impact aging has had on your facial appearance, there are many treatments that can be used to restore a smooth and youthful look. Which one is best for your needs can most easily be determined by meeting with board-certified Fort Myers plastic surgeon Dr. Manuel P<span style="mso-bidi-font-family: Arial;">e</span>ña for a facial rejuvenation consultation.</span><br />
<br />
<span style="font-family: "arial";">Two of the most popular cosmetic options offered by Dr. P<span style="mso-bidi-font-family: Arial;">e</span>ña are BOTOX® Cosmetic and facelift surgery. However, while both of these can produce a noticeably more youthful appearance, they offer very different benefits.</span><br />
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I often get asked:"<a href="http://www.dr-pena.com/blog/when-is-the-best-time-to-have-a-face-lift.html">when is the best time to have a Face Lift?</a>"<br />
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<a href="http://www.dr-pena.com/sites/www.dr-pena.com/files/styles/custom_image_lightbox/public/facelift01-detail-03-b1_0.jpg?itok=cvG59hkE" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://www.dr-pena.com/sites/www.dr-pena.com/files/styles/custom_image_lightbox/public/facelift01-detail-03-b1_0.jpg?itok=cvG59hkE" /></a><a href="http://www.dr-pena.com/facelift.html"><span style="color: #0563c1; font-family: "arial";">Facelift surgery</span></a><span style="font-family: "arial";"> addresses loose and sagging skin in the neck, along the jawline, and throughout the lower and mid-face. This cosmetic surgery procedure is also used to lift underlying facial muscles and tighten skin – eliminating deep lines and wrinkles around the mouth and nose. Facelift surgery can remove up to ten years from your appearance and provide long-lasting results.</span><br />
<a href="http://www.dr-pena.com/sites/www.dr-pena.com/files/styles/custom_image_lightbox/public/facelift01-detail-03-a1_0.jpg?itok=_mFGKgs7" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://www.dr-pena.com/sites/www.dr-pena.com/files/styles/custom_image_lightbox/public/facelift01-detail-03-a1_0.jpg?itok=_mFGKgs7" /></a><br />
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<span style="font-family: "arial";">Dr. Pe<span style="mso-bidi-font-family: Arial;">ñ</span>a also offers volume replacement options including Voluma<span style="mso-bidi-font-family: Arial;">™</span>, Sculptra, and other </span><a href="http://www.dr-pena.com/dermal-fillers.html"><span style="color: #0563c1; font-family: "arial";">dermal fillers</span></a><span style="font-family: "arial";">, as well as facial rejuvenation through fat injections and grafts. These may be a better alternative for people seeking a nonsurgical solution that lasts longer than BOTOX® Cosmetic. Dr. Pe<span style="mso-bidi-font-family: Arial;">ñ</span>a can discuss this in greater detail during your initial consultation.</span><br />
<span style="font-family: "arial";"><br /></span>
<span style="font-family: "arial";">For other Non-Surgical options we have incorporated <a href="http://www.dr-pena.com/blog/thermitight-thermidry-thermismooth-in-naples-florida.html">ThermiTight, injectible RF. </a></span><br />
<br />
<span style="font-family: "arial";">If you are looking for the facial rejuvenation treatment best suited to help you reach your goals, please </span><a href="http://www.dr-pena.com/contact-us.html"><span style="font-family: "arial";"><span style="color: #0563c1;">contact P</span><span style="mso-bidi-font-family: Arial;"><span style="color: #0563c1;">e</span></span><span style="color: #0563c1;">ña Plastic Surgery</span></span></a><span style="font-family: "arial";"> today. Based in Naples, Dr. Pe<span style="mso-bidi-font-family: Arial;">ñ</span>a welcomes patients from Fort Myers, Bonita Springs, and s</span><span style="font-family: "arial";">urrounding areas of Florida. </span><br />
<span style="font-family: "arial";"><br /></span>
<span style="font-family: "arial";">Other related articles:</span><br />
<span style="font-family: "arial";"><a href="http://www.naples-md.com/2015/06/non-surgical-skin-tightening-using.html">ThermiTight NonSurgical facial rejuvenation</a></span><br />
<a href="http://www.naples-md.com/2015/01/how-to-avoid-facelift.html">How to Avoid a Facelift</a>

Options in Non-Surgical rejuvenation Botox, Juvederm, and Voluma versus a Facelift Surgery

Manuel M. Pena, M.D. 28 and Voluma versus a Facelift Surgery, Juvederm, Non-Surgical rejuvenation Botox 2:12 PM

BOTOX® Cosmetic is a nonsurgical cosmetic option that addresses fine lines and wrinkles throughout the face. Dr. Peña injects BOTOX® Cosmetic into specifically targeted problem areas to relax muscles…

Plastic Surgery Questions Commonly Asked

Ron Abboud 50 Plastic Surgery Questions Commonly Asked 11:48 AM

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<a href="http://www.naples-md.com/2015/07/plastic-surgery-questions-commonly-asked.html" target="_blank">Plastic Surgery Questions Commonly Asked</a></h2>
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<title>Commonly Asked Questions Involving Plastic Surgery - when you have questions involving plastic surgery you should call 239-348-7362 for assistance, you are our number one priority. . . . .  </title>

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<a href="https://www.blogger.com/blogger.g?blogID=7983924137504698438#" onclick="return playVideo("selectDemo4","videoPlayback")">Why Do I Need Fat Grafts Were Fillers With My Face Lift?</a><br />
<a href="https://www.blogger.com/blogger.g?blogID=7983924137504698438#" onclick="return playVideo("selectDemo5","videoPlayback")">Will My Insurance Pay For My Upper Eye Lid Blepharoplasty?</a><br />
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ARTICLES<br />
<h4 style="color: #333333; line-height: 18px; text-align: start;">
<span style="font-family: Times, Times New Roman, serif;">Medical Articles Of Interest:</span></h4>
<a href="http://www.naples-md.com/2015/07/plastic-surgery-questions-commonly-asked.html" target="_blank">Plastic Surgery Questions Commonly Asked</a><br />
<h4 style="background-color: white; color: #333333; margin: 0px 0px 10px;">
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<span style="font-family: Times, Times New Roman, serif; line-height: 18px;"><a href="http://www.naples-md.com/2014/11/non-invasive-skin-tightening-still-not.html" style="font-weight: normal;" target="_blank">Non Invasive Skin Tightening still 'not quite there'</a></span></div>
<div style="text-align: start;">
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Plastic Surgery Questions Commonly Asked

Ron Abboud 50 Plastic Surgery Questions Commonly Asked 11:48 AM

Plastic Surgery Questions Commonly Asked Commonly Asked Questions Involving Plastic Surgery - when you have questions involving plastic surgery you should call 239-348-7362 for assistance, you are ou…

ThermiTght, ThermiSmooth, ThermiDry come to Naples

Manuel M. Pena, M.D. 1 arm tightening, excessive sweating treatments, hyperhidrosis, loose skin knees, neck tightening, Skin Tightening non surgical 10:02 AM

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<a href="http://www.dr-pena.com/blog/thermitight-thermidry-thermismooth-in-naples-florida.html"><em><strong>ThermiTight</strong></em> </a>was just introduced to our patients at Pena Plastic Surgery. This technology allows tightening of skin anywhere in the Body without "surgery". The <em>'injectibel radiofrequency</em>' probe is inserted just under the skin after a local anesthetic has been injected. The skin and the underlying attachments to deeper tissues are tightened and stimulated to produce collagen and elastin to smooth the area. Final results may take as long as 6-9 months to see. Areas where this has been used effectively with amazing results include: the lower face and neck, the arms, the knees, and pretty much anywhere where there is loose skin. The post procedure discomfort is <strong>MINIMAL</strong> and downtime is also. It is not a substitute for surgery in those cases where only surgery is indicated but it does allow certain individuals who may not need surgery or are not ready for surgery, to have a great option.<br />
<img src="https://christinebrownmd.files.wordpress.com/2014/12/thermitight-b-a-4.png" /></div>
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The same device can be used in  a similar fashion to take care of excessive underarm sweating by "stunning" the sweat glands. This procedure is Called <em><strong><a href="http://www.dr-pena.com/blog/thermitight-thermidry-thermismooth-in-naples-florida.html">ThermiDry</a> </strong></em>for the hyperhidrosis (excessive underarm sweating). This procedure can be permanent but often requires a touch up.The alternative medical treatment is either Botox or a procedure involving operating on the nerves in the neck.</div>
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 The nonsurgical treatment of the under eye bags is also very exciting and is totally Non-Invasive and takes abou 15 minutes a session (4 sessions each 2 weeks apart). No anesthesia is required and the small pad/probe heats and stimulates the collagen in the traeted tissues. This is called <em><strong><a href="http://www.dr-pena.com/blog/thermitight-thermidry-thermismooth-in-naples-florida.html">ThermiSmooth</a></strong></em>.<strong><em></em></strong></div>
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Please call our office at 239-348-7362  to get started<br />
"Tightening up"!</div>

ThermiTght, ThermiSmooth, ThermiDry come to Naples

Manuel M. Pena, M.D. 1 arm tightening, excessive sweating treatments, hyperhidrosis, loose skin knees, neck tightening, Skin Tightening non surgical 10:02 AM

ThermiTight was just introduced to our patients at Pena Plastic Surgery. This technology allows tightening of skin anywhere in the Body without "surgery". The 'injectibel radiofrequency' probe is ins…

Non Surgical Skin Tightening using Injectible RF

Manuel M. Pena, M.D. 10 Non Surgical skin tightening, Non Surgical Vaginal rejuvenation. Urinary Stress incontinence 2:20 PM

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<a href="http://www.naples-md.com/2015/06/non-surgical-skin-tightening-using.html">Non Surgical Skin Tightening using Injectible RF</a></h2>
<h4>
The non surgical rejuvenation world took a big leap forward by introducing "injectible Radio Frequency" based 'inside to outside" RF thermal heating/ stimulation of skin and supporting fibers to tighten and lift the skin without cutting or burning the skin! The company <b><i><a href="http://www.dr-pena.com/blog/thermitight-thermidry-thermismooth-in-naples-florida.html" rel="nofollow" target="_blank">THERMI AESTHETICS</a></i></b> has been working on this for quite a few years. Primarily used for neck skin, it can be used for laxity anywhere in the body including the arms and knees. Performed under local anesthesia the procedure usually takes less than an hour to complete and recovery is days rather than weeks. Final results obtained in 4 to 12 weeks.</h4>
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<i>ThermiTight</i><a href="https://d1qkyo3pi1c9bx.cloudfront.net/D7021408-671F-42FA-837E-DEB20A6B3D76/f2119dde-d41c-4536-be42-222173c3866f_h.png" imageanchor="1"><img border="0" src="https://d1qkyo3pi1c9bx.cloudfront.net/D7021408-671F-42FA-837E-DEB20A6B3D76/f2119dde-d41c-4536-be42-222173c3866f_h.png" /></a></h3>
Other uses for Radio Frequency include "non invasive" facial skin tightening or<a href="http://www.dr-pena.com/blog/thermitight-thermidry-thermismooth-in-naples-florida.html" rel="nofollow" target="_blank"> <i><b>ThermiSmooth</b>.</i></a> A <i>Non Surgival Vaginal Tightening </i>procedure called <i><b><a href="http://www.dr-pena.com/blog/thermiva-non-surgical-vaginal-tightening-and-treatment-for-stress-incontinence.html" rel="nofollow" target="_blank">ThermiVa</a></b></i> appears to significantly shrink loose vaginal tissues inside and out. The improvement of post-partum urinary stress incontinence has been remarkable!<br />
We are very excited to start offering this service here in at the Pena Plastic Surgery clinic in Naples, Florida.<br />
<br />
Related Articles:<br />
<b><a href="http://dr-pena.blogspot.com/2014/03/fractora-in-naples.html">Fractora in Naples</a></b><br />
<b><a href="http://dr-pena.blogspot.com/2014/01/fractional-resurfacing-has-evolved.html">Fractora the evolution</a></b><br />
<b><a href="http://dr-pena.blogspot.com/2014/04/am-i-good-candidate-for-fractora.html">Am I a Good candidate for Fractora?</a></b><br />
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<b><a href="http://www.naples-md.com/2014/03/fractora-skin-resurfacing-is-solution.html">Fractora is the solution to rejuvenating damaged skin</a></b><br />
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Non Surgical Skin Tightening using Injectible RF

Manuel M. Pena, M.D. 10 Non Surgical skin tightening, Non Surgical Vaginal rejuvenation. Urinary Stress incontinence 2:20 PM

Non Surgical Skin Tightening using Injectible RF The non surgical rejuvenation world took a big leap forward by introducing "injectible Radio Frequency" based 'inside to outside" RF thermal heating/ …

Lifestyle Lifts ends it's life!

Manuel M. Pena, M.D. 0 Discount Facelift, Lifestyle Lift, Lunchtime facelifts, MACS lift, Mini-Facelift, S-Lift, Short scar facelifts 1:31 PM

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<a href="https://blogger.googleusercontent.com/img/proxy/AVvXsEgK5ncE451408TNmavn4LcOZbITUqS0XveddSWxpWAfptuu0_FHjZpyLpTkID14qpi8vqRqbdF_biSKMuOzc_Xjyuc0h9RGQlUrQOH6rLfBqd-IOQvqCaMSDx12HtOFSErsEhFI2tgAeJj1zkf8VEA-n8Eb_T2XQRqGq7_WxqepOemkrMp9zjupgy43dnTGcEQPsuynZNE-JKI28Pvj9JNGAl8bjf70qzMDp5BqnLJAFVmF1-LDXiSYXP5X3kz2DsBadI_aOj8tujtz4h4SgkUatvxBrpMtI6vK9HmDej04zyh8Am-dbF6U7CVbjaZ89aFPJ_08t7iw6T5Tepp4d0FWfoXcAegG=" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="635611083619258179-vlcsnap-2015-03-04-23h24m56s71" border="0" src="http://www.gannett-cdn.com/-mm-/9e3bff266982469a700bebacaefc86fdaa29e89c/c=242-0-1678-1080&r=x404&c=534x401/local/-/media/2015/03/04/WCNC/WCNC/635611083619258179-vlcsnap-2015-03-04-23h24m56s71.png" style="color: #333333; font-family: Verdana, Geneva, sans-serif; font-size: 12px; line-height: 18px;" /></a>It was going to be the new cosmetic surgery  business model. A new way of delivering quality efficiently at a fraction of the cost! Lifestyle lift abruptly closed its doors after the model business platform failed a midst unhappy patients and reprimands for misrepresenting the truth in advertising. While there was no franchise in Naples, I saw several 'less than happy" patients that had undergone Lifestyle lifts in the Ft Myers office. While you can say every doctor has some unhappy patients, these chose not to go back at all even if it the 'fix' was going to cost more than the original service. While I try to treat everyone fairly, I do charge for my services. I will try to minimize any of those patients that were unhappy or "abandoned' by the closure of the Lifestyle Lift "Chain".<br />
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<span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 14px; line-height: 19.3199996948242px;"><b>"Lifestyle lift patients looking for followup care after "Company" closes its doors suddenly!</b></span><br />
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Turns out that most cosmetic surgery patients want a more personal relationship with their surgeon in such important matters.<br />
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Related articles:<br />
<a href="http://dr-pena.blogspot.com/2015/03/lifestyle-lift-officially-dead.html" target="_blank">Lifestyle Lifts officially Dead!</a><br />
<a href="http://www.naples-md.com/2015/01/how-to-avoid-facelift.html" target="_blank">How to avoid a facelift</a>

Lifestyle Lifts ends it's life!

Manuel M. Pena, M.D. 0 Discount Facelift, Lifestyle Lift, Lunchtime facelifts, MACS lift, Mini-Facelift, S-Lift, Short scar facelifts 1:31 PM

It was going to be the new cosmetic surgery business model. A new way of delivering quality efficiently at a fraction of the cost! Lifestyle lift abruptly closed its doors after the model business p…

How to avoid a Facelift

Manuel M. Pena, M.D. 1 avoiding facelifts, Dermapen, effects of smoking on aging, effects of sun on aging, Nonsurgical Necklifts 11:35 AM

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<a href="http://www.naples-md.com/2015/01/how-to-avoid-facelift.html">Identical Twins May Show Us How to avoid a Facelift</a></h2>
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It would seem  to be counterintuitive for a plastic surgeon to write an article on how to avoid a face lift.  Frankly we probably know  more about the subject than anybody else since we've watched our patients literally  grow up and grow older in front of our eyes.   Not only are we trained observers, but we also have the knowledge and tools to slow down (and in some cases reverse) the aging process. A <a href="http://www.nbcnews.com/id/33385839/ns/health-skin_and_beauty/t/twin-study-reveals-secrets-looking-younger/#.VMvUENLF_To" rel="nofollow">recent study</a> performed by a plastic surgeon who made a point to visit an identical twin convention in Twinville, Ohio,  revealed a great deal of information concerning non-genetic factors contributing to the aging process.  First of all you can not deny the influence of genetics on the aging process.  We all have  known  individuals that appear to be much younger than others the same age that take care of themselves in approximately the same manner. There are factors, however,  that will make <b><i>even identical twins </i></b>look significantly different by the time they reach their 40s 50s and 60s. If you are young enough to learn from these twins mistakes then read on.<br />
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Environment Overriding Genetics!</h3>
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1)<i><b> sun exposure</b></i>: there is no doubt that sun worshiping or unprotected exposure during outdoor activities will significantly affect how old you appear.<br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><img height="276" src="http://media4.s-nbcnews.com/j/MSNBC/Components/Slideshows/_production/ss-091019-Twins/ss-091019-Twins_65A-combo.grid-7x2.JPG" style="margin-left: auto; margin-right: auto;" width="320" /></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b><u>Identical Twins</u></b> - Sun and weight difference</td></tr>
</tbody></table>
 Identical Twins that differed in Sun exposure and weight appeared  of significantly different ages.<br />
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2) <b><i>Weight</i></b>: interestingly heavier individuals looked older up to the age of 40 and the extra weight would hide their youthful features. After the age of 40 the extra weight often filled out the loose tissues and wrinkles given a younger appearance paradoxically<br />
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3) <b><i>prolonged use of birth control pills and hormone replacement therapy </i></b>actually had a very positive effect on protection from aging.  The controversies about and prolonged use of birth control pills notwithstanding<br />
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4) <b><i>stress or the avoidance of stress</i></b> has a significant role in how you look. The divorced women that participated appeared to be 1.7 years older than they are married  identical twins! Paradoxically, widows looked two years the younger than they are still married twins.  While marriage can be stressful apparently divorce and financial difficulties can impact negatively on our aging process.<br />
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5) <b><i>smoking</i></b> has long been known to affect the aging appearance.  The classic lines around the lips known as "smokers lines" as well as increase in generalized wrinkling and loss of elasticity are related to the direct negative effect on collagen elastin of tar and nicotine.<br />
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6)  <b><i>excessive alcohol consumption</i></b> speeds up aging despite the current believes that her an ingredient in Red wine known as Resveretrol.  While a glass of wine may be good for your heart, too much can affect the liver and this will have a detrimental effect on the blood vessels in your skin as well as direct damage to your collagen.<br />
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While these results give us information on what not to do in the future they do not shed light on what is available to 'turn things around' now that you're here. I will get into this more in the next few articles, however, the keys include starting  skin care an healthy lifestyle early, consistency, and facial volume replacement.<a href="http://www.dr-pena.com/dermapen.html"> Microneedling with Dermapen and Platelet Derived Growth factors </a>may reverse the damage done with years of bad habits.<br />
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related Articles:<br />
<a href="http://www.naples-md.com/2015/01/blog-post.html" target="_blank">What is the best time to have a facelift?</a><br />
<a href="http://www.naples-md.com/2014/12/non-surgical-neck-lifts.html" target="_blank">Nonsurgical necklifts</a><br />
<a href="http://www.naples-md.com/2014/05/volume-restoration-is-basis-of-facial.html">Restore lost volume before a facelift</a><br />
<a href="http://www.dr-pena.com/facial-rejuvenation-dermapen.html">Dermapen</a>

How to avoid a Facelift

Manuel M. Pena, M.D. 1 avoiding facelifts, Dermapen, effects of smoking on aging, effects of sun on aging, Nonsurgical Necklifts 11:35 AM

Identical Twins May Show Us How to avoid a Facelift It would seem to be counterintuitive for a plastic surgeon to write an article on how to avoid a face lift. Frankly we probably know more about …

When Is The Best Time To Have A Facelift?

Naples MD 1 when is the best time for a face lift 5:35 PM

<h2 style="text-align: center;">
<a href="http://www.naples-md.com/2015/01/blog-post.html">
When Is The Best Time To Have A Facelift?</a><span style="text-align: left;"><a href="http://www.naples-md.com/2015/01/blog-post.html"> </a>  </span></h2>
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<a class="lbp_secondary cboxElement" href="https://www.youtube.com/watch?v=TpVrLUPNJVw;autoplay=1" rel="0" style="text-align: left;">When Is The Best Time To Have A Face Lift</a></h4>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQQx0eARMCuoYmr3NP-vxHstHNym5K__LeeXSmKzpMBUco_SvOW_q5_gfU_32WM3AuwMMm2mI-XXcJnGv2y8AJEvZRJdshA-WkZR8dSGcFshQFnCoIY6E6j35JMEkCAB4wW3ap6EX-bYCk/s1600/Dr+Pena+Q+and+A+-+When+Is+The+Best+Time+For+A+Face+Lift.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQQx0eARMCuoYmr3NP-vxHstHNym5K__LeeXSmKzpMBUco_SvOW_q5_gfU_32WM3AuwMMm2mI-XXcJnGv2y8AJEvZRJdshA-WkZR8dSGcFshQFnCoIY6E6j35JMEkCAB4wW3ap6EX-bYCk/s1600/Dr+Pena+Q+and+A+-+When+Is+The+Best+Time+For+A+Face+Lift.png" /></a></div>
When Is The Best Time To Have A Face Lift? Call 239-348-7362 or visit <a href="http://dr-pena.com/">http://dr-pena.com</a><br />
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The best time to have a face lift is when it bothers you enough to come in for a consult. <br />
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The the longer you have it, the  longer you will enjoy it, the better your health is, the better your tissues are.<br />
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So whenever it bothers her enough to come and that is the right time to get a face lift done.<br />
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Other Videos Of Interest:<br />
<a href="http://youtu.be/TpVrLUPNJVw">http://youtu.be/TpVrLUPNJVw</a><br />
<a href="http://youtu.be/aBovlWdmmbk">http://youtu.be/aBovlWdmmbk</a><br />
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Other Blogs Of Interest:<br />
<a href="http://naplesmd.blogspot.com/">http://naplesmd.blogspot.com</a><br />
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© 2015 <a href="http://vustudios.com/">http://VuStudios.com</a> all rights reserved reproduction of this work is prohibited.<br />
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When Is The Best Time To Have A Facelift?