5th Avenue Plastic Surgery - Delray Beach

I had liposuction on my inner/outer thighs with Renuvion, plus high-def lipo on my abdomen, hips, and back with Dr. Johanna D’Agostino at 5th Avenue Plastic Surgery in 2023. The results are beyond amazing!

Dr. D’Agostino is not only exceptionally talented but also an artist in her field. Her expertise, precision, and aesthetic eye have given me results that exceeded my expectations. Dr. D’Agostino is patient, caring, compassionate, attentive, and truly invested in her patients. I could not be more thrilled and highly recommend her.

The 5th Avenue Plastic Surgery facility and staff are outstanding — a modern, state-of-the-art practice with professional, caring staff. They offer hyperbaric oxygen therapy and red-light therapy in addition to their beautiful surgery and recovery facilities. I could not recommend them more highly!

I just wanted to share that Dr. Mascaro also performed a brow lift and blepharoplasty on me. It does take some time to fully settle, but the end results are truly worth it (took nearly 8-9 months for me to really love it). Even more reassuring, though, is Dr. Mascaro’s exceptional communication and follow-up during the months when things don’t feel quite perfect. He’s always willing to listen and address any concerns to ensure everything turns out just right.

I had lip surgery with Dr. Mascaró a year ago, so this review comes after some real time to reflect, it’s not just a post-op high. What stood out most to me was his straightforward and honest approach, no fluff, no confusing talk, just clear communication and professionalism from the start. That gave me a strong sense of trust in him and his work.

I also want to thank his team, they were incredibly responsive and kind, always getting back to me quickly with answers to my questions. That kind of communication really helped me feel safe and supported throughout the process.

I would definitely consider returning for future treatments.

Dr. D’Agostino did an amazinggggg job with my procedure. She took the time to understand what it was that I wanted to do and she absolutely nailed it. After I was all healed, I was excited to go show her how it turned out. I couldn’t be happier and I feel more confident after having done the procedure. Definitely do a consult with her!

Incredible doctor. I had a phenomenal lip lift but I want to warn people about a brow lift. Do your due diligence. Ask the right questions.
I went in for a consult for a Bleph and he said I was a candidate for a brow lift as well. I have regretted it since day one. It’s now been 7 months and I am trying sooooo hard to be patient for it to settle. But it’s become apparent it completely changed my look. I HATE photos of myself now. I had Botox trying to settle it. And worst of all I used to look 5 years younger than my actual age and in the last 6 months have been called old! My self esteem has really crashed.
Mascaro is a great doc. love love my lips. Referred many friends to him…:: But I wish I had slowed down and just did the Bleph that I thought I needed and not this raised brow , tiny-old-lady-eye I am now dealing with. The grass isn’t always greener on the other side.

Updated on 26 Apr 2025:
I received a few messages about Mascaro- He is a really great doctor. Truly. Just really do your due diligence and ask the right questions. I wish I would have asked “Will this change the shape of my eyes? “
My almond shaped eyes were better than the shape of them now in my opinion, I don’t look bad, just different and I don’t photo well.
Anyways- either the bleph made my eyes too hollow or the brow lift pulled horizontal and not enough on the sides so they just look more round and slanted downward than the almond like before. But I would still go back to Mascaro but next time be more direct with the outcome I am looking for.

(Plus I also had another doctor virtually recommend I need a bleph which I thought was odd considering I had just done it!)

Dr. Tzikas has been super helpful and informative regarding a strange situation I have after surgery with a different surgeon. I live in Indiana and I've chatted with him twice virtually. He's been great about answering my questions and making me feel at ease. Now I just need to figure out how I'm going to leave my elderly mom for a little while to get to Florida for surgery. Very impressed!

I’m three weeks post-op and love how I look! Dr. Mascaro performed three procedures on me: lip lift, earlobe reduction, and temporal tuck (eliminating droopy skin at my temples). Dr. Mascaro understood and flawlessly achieved exactly the result I wanted: to look like a believably better version of myself. As impressive as his surgical skill was the patient experience his staff provided from my very first contact. The surgical coordinator responded promptly to my every email—and I emailed her increasingly often as my surgery date approached. I flew in from out of state and needed to stay till the sutures were removed. His office gave me a list of nearby accommodations, from which I chose a reasonably priced and beautifully appointed Airbnb that offered a discount for his patients. In sum, I am wildly enthusiastic about Dr. Mascaro’s work and his attention to detail in every aspect of the experience!

Updated on 10 Jan 2025:
I’m very pleased with the results of all three procedures—lip lift, earlobe reduction, and temporal tuck. I know that anybody reading this is wishing for pics, but I’m terrible at selfies and also didn’t take any “befores.” So this update is about my lip lift recovery experience. For reference, I’m 70 years old.

First, my appearance has continued to improve, especially in the last few weeks. Even at one month post-op, I felt like I still had a little swelling in my lower jaw area, although I think it was apparent only to me, and why would there be swelling that far from the surgical site anyway? I don’t know. I do know that I have my usual lower-face contour now. Also, now, at two-months post-op, my upper lip is slightly more sloped along the sides than it was earlier—again, probably perceptible only to me.

Second, I’m still not used to my new, fuller upper lip! It’s proportional to my other facial features and natural looking to me when I catch sight of my face in a mirror or store window. But I’m startled every time. Who’d have imagined that I’d need to mentally adjust to looking better??

Well worth the wait. For all the hype, Dr Mascaro deserves even more of it. I live in south Florida but travel to Tampa for my injections. I will make the hike for talent. When I asked my superstar injector at Elan who she recommends for a Blenheim, she said Dr Mascaro, without question. It just so happened he is in my backyard. When I sat down with him for my consult, I would’ve done anything he recommended. He insisted I only needed my eyes and a little spot under my chin addressed- the rest that I was asking for would be years down the road. My trust in him grew even stronger that day. My experience on surgery day far exceeded my expectations. Everything in the building is beautiful and calming. The staff is over the top when it comes to putting you at ease and ensuring you are comfortable. They even numbed my arm before the needle went in. At follow-ups, I was offered sparkling or still water- WHAT?!! Dr Mascaro’s results are so good, these extras aren’t necessary but he does it because that’s just who he is. I could not be more pleased with my results. Dare I say- I cannot wait to go back.

It took me a while to write this review, but better late than never! This surgery has made me look about 10 years younger. Dr. Mascaro is an excellent professional and I am 100% satisfied with my results! In the photo, it had only been seven days since the surgery. My recovery was very quick, and I think it took me about a month to look and speak completely naturally, as if I hadn’t gone through surgery. The only giveaway might have been every time I tried to smile, because at first, my teeth didn’t show completely. The area took a bit longer to regain normal mobility and elasticity. It took me approximately six months to be able to fully smile and show all my teeth again, just like before the surgery.

This surgery greatly improved my smile, making it look more natural, youthful, and less strained (before, I had to make a greater effort to show all my teeth). Over time, my lip has lowered a bit (though never as much as before the surgery), but I expected this because the doctor had mentioned it before the procedure.

I am grateful to Dr. Mascaro for the care I received. The doctor was very approachable throughout the entire process, and I was able to communicate with him directly whenever I had any questions during my recovery. I’ve read about people who choose to undergo the surgery again after several years since lips naturally thin over time. If I had to have this surgery again, I would definitely go back to Dr. Mascaro.

I also feel very thankful for Realself and everyone who shares their reviews and experiences here. Reading reviews truly helped me a lot in making my decision.

Dr .D’Agostino did such a fantastic job. She is by far one of the best plastic surgeons in south Florida . She is by far the best surgeons I have been too. Her eye for perfection, her general warmth and care prior and post surgery was just fantastic! My results came out better than I expected .