Luis A. Picard-Ami, MD, MSc, FACS

For the past year, I have been contemplating facial cosmetic surgery to restore some of the firmness that more than six decades of living had taken from
me, leaving me with facial laxity, hooded eyes and sagging jowls and neck.

When it’s your face, you can’t make cosmetic procedure decisions lightly without fully researching the work, and most importantly the surgeon who will perform the work. My research led me to surgeons from Beverly Hills to Washington, DC.

A planned trip to Panama, resulted in expanding my search there, too, and a consultation with plastic surgeon, Dr. Luis Picard-Ami. I knew from our first consultation that Dr. Picard-Ami would be the one that I would put my faith in, and that trust was well-placed.

Dr. Picard-Ami is truly a remarkable plastic surgeon. His attention to detail, accessibility, and genuine care for his patients set him apart.

From the moment I met with Dr. Picard-Ami, I felt valued and heard. He took the time to listen to my concerns, answer all of my questions, and alleviate any anxieties I had about the procedures he recommended which, incidentally, were the same things that the other plastic surgeons with large social media followings, recommended.
Throughout the entire process, Dr. Picard-Ami remained accessible, promptly responding to my calls and emails, which provided me with peace of mind. His compassionate bedside manner and unwavering support made me feel comfortable and confident every step of the way. This is important because I had complications caused by my blood pressure. Even in the face of complications, Dr. Picard-Ami remained in control and handled the emergent situation, and was always, always, always available to answer my questions and ease my concerns.

I cannot recommend Dr. Picard-Ami enough for his exceptional care and commitment to his patients' well-being.

A month out of surgery and I am healing nicely. I’ve gotten numerous compliments from friends and family who think Panama agreed with me; no one asked if I had work done.

My intention was to be a better version of me. Dr. Picard-Ami promised to give me that and he delivered. I only have one regret: I wish I could have Dr. Luis Picard-Ami for ALL of my health-care needs. He is wonderful!

I am a 62 year old woman who came to Dr Ami with droopy eyelids and bags under my eyes. I thought that removing the bags would be the procedure he would recommend. He told me that would only create dark concave circles instead. So, he pulled up the extra skin under my eyes and removed the upper eyelid skin to create a natural looking eye instead. I am so pleased with my results! People are telling me I look so “bright” now. Many do not know I had a procedure done, only that I look great. I feel so much better about myself. I highly recommend Dr Ami. He is personable, down to earth with no pretense and makes one feel at ease.

From beginning to end, coupled with preoperative discussions and post operative appointments and therapies, no question was left unanswered. Every step of the way, my questions and concerns were handled in a timely manner and with careful thought. Every staff member was exceptional. In my case, I had some post-surgical complications. When the doctor became aware of my complications, he personally contacted me immediately, to discuss next steps toward resolution. In addition, he made the time on his calendar to resolve my complications, immediately.

As a medical sales professional, I have the access and resources to information that the average person may not. When I decided to have surgery, after meeting with Dr. Picard, my decision was easy. The entire process exceeded my expectations.

At the time I write this, I am approximately 3 weeks post op and the follow up and communications continue to be timely and thorough; even though I am in the USA now. As a result of the excellent service and results that I received, I plan to have another surgery in the future and I will use Dr. Luis Picard-Ami, Jr. again.

I had an awesome experience with Dr. Picard-Ami. He was very professional and informative of all the steps I would be going through. I found him to be very attentive to every question and concern I had. No matter how busy he was, he always found the time to personally e-mail or call me to address my concerns.. His staff was equally pleasant to work with. I highly recommend Dr. Picard-Ami.

My experience with Dr. Luis Picard-Ami Jr and his staff at Impilo Plastic Surgery and Medical Spa has been extraordinary! The first consultation was very thorough. Dr. Picard-Ami spent a great deal of time examining me and addressing all my questions and concerns. Once the decision was made to move forward (due to COVID-19 it was a year in planning) he continued to respond to my emails and text messages, usually within 24 hours. 

He or his staff made all the arrangements for me, from the time I landed at the airport until I returned to the airport. This included getting through immigration and customs, as well as transportation to/from the airport and hotel. The added services of The Panama Clinic made this experience easier and less stressful. The fact that the hotel was connected to the hospital made getting to and from appointments convenient. 


The Impilo staff was professional, friendly, and caring. Many spoke English and those who did not go out of their way to make themselves understood.

The surgery, Brachioplasty, circumferential belt lipectomy, and medial thigh lift, went well and I am incredibly pleased with the results. I totally recommend Dr. Luis Picard-Ami Jr and the Impilo Plastic Surgery and Medical Spa.

After exploring lower face & neck lift surgery in my home state and finding it far more expensive than I was comfortable with, I looked for more affordable options abroad and discovered the services of Dr. Luis Picard-Ami, Jr. in Panama City. Six months after an initial consultation in his office at the Punta Pacifica Hospital (one of the best hospitals in Central America), I returned to Panama in late June and underwent face and neck lift surgery under his most capable hands at his surgical facility in the Congrejo neighborhood of Panama City. A bit past three months post-surgery I can report how happy I am with the results of his work and how satisfied I am with the entire experience. Dr. Picard-Ami is a very experienced and very talented plastic surgeon. Fluent in English (the good doctor spent a decade practicing in Miami), he is also a very warm and friendly person. He exudes confidence and is very reassuring, and he provided great personal care to me during the two weeks I remained in the city during the initial recovery period and removal of sutures. I have nothing but the highest praise for him, his personal staff, and the tender services of his affiliated massage therapists who provided physical therapy post-surgery. Being a medical tourist takes some courage and costs added money to stay in-country for a while, but the professionalism of the services that can be had at a most affordable price outside the U.S. can't be beat. Based on my experience in Panama (and this was the first overseas time among four plastic surgery procedures I have had on my face over the course of 40 years - all of which have been very personally satisfying), prospective patients should definitely consider looking abroad. Panama City is a great place to consider for the excellence of the facilities, the professionalism of the doctors and support personnel, and the warmth and friendliness of the Panamanian people.

I’m a 61year old female who had their first plastic surgery Jan 2019. Doctor Picard Ami is an excellent surgeon with a personal interest in the best and most realistic outcomes. I loved my results!!!

I went to Dr. Picard-Ami after losing a lot of weight and needing to get extra skin removed and a breast augmentation. He and his staff were wonderful. I have had such a wonderful and lasting result from this surgery. I highly recommend his services and I have suggested him to many of my friends who want to have some "touch ups" done. When I am ready for additional work, I will definitely be touching base with Dr. Picard-Ami again.

I had an amazing experience with Dr. Picard Ami and his staff before and after de surgery. Always made me feel comfortable and safe. Had a smooth recovery, perfect scarring and I feel my nipples perfectly! Always answered my texts and calls If I had any questions! If I get anything done again I would go to Dr. Picard Ami without hesitation! No complaints and I'm extremely happy with my results! The best in Panama!

Dr Picard Ami performed my tummy tuck and various liposuction. I had gastric bypass surgery 10 years prior and had to save for a number of years to afford the surgery. Having it near home was out of the question so I started looking at options outside of the US. From the moment I spoke with Dr. Picard-Ami I knew I had made the right decision. He and his team made planning my treatment abroad so much easier. Communication was superior. The surgery center was perfect. Their care superior. Dr. Picard-Ami made me not just look better physically by removing the excess skin, but her made me feel better as a person. I can’t thank him enough.