Welcome to a new era of South Florida Plastic Surgery! We are a state-of-the-art, fully accredited clinical and surgical facility, with a warm and capable staff ready to fulfill your needs from the moment you walk in. Plastic Surgery Institute of Miami is deeply committed to your health, your safety, and your results.
Hi there! I see you have developed some asymmetries of your lower face and jaw region. Sometimes this can be secondary to trauma, or even daily habits like which side of your face you sleep on daily. I have a couple of suggestions for you, starting from least invasive to most:
1. Injectable filler may help harmonize the left and right jaw if placed judiciously. I caution that this can potentially lead to heaviness of the lower face over time or with too much filler.
2. Similarly, strategic fat grafting may help.
3. A face lift is a more invasive but more predictable way to enhance your jawline on both sides of the face and decrease the asymmetries, as it can all be corrected intraoperatively. Doing this to one side of the face alone is not a great option, so this would necessitate a procedure to both sides of your face. This is likely your best option.
Board Eligible Plastic Surgeon
It is generally considered safe to undergo rhinoplasty 3 to 6 months after breast implant revision with fat grafting, as this timeframe allows the body to heal, reduces inflammation, and minimizes the risk of complications such as infection or capsular contracture. To further lower these risks, it is essential to follow post-operative care instructions, maintain proper hygiene, avoid smoking, and monitor for any signs of infection, such as redness, swelling, or fever.
Board Certified Plastic Surgeon
Breast augmentation for patients with dense breast tissue is absolutely possible. It’s essential to continue regular mammograms and ultrasound checkups based on your age and medical history. Additionally, following FDA recommendations, you should monitor your implants with a high-resolution ultrasound or breast MRI at 5-6 years and every 2-3 years thereafter to ensure their integrity
Board Certified Plastic Surgeon
Achieving a natural-looking breast augmentation is definitely possible. Opting for silicone gel implants, like Motiva Ergonomix or Mentor MemoryGel, can help create a soft, natural feel with gentle movement and a subtle, sagging appearance.
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Me realize un cambio de implantes con el Dr.Puyana y estoy increíblemente feliz con mi resultado el Dr es muy profesional siempre desde la consulta ha estado presente los follow up siempre me ha acompañado en mi proceso y estoy muy feliz con mi resultado,gracias Dr.Puyana!
Where to begin? Well let's just start at the age I began paying more attention to my looks... 15 years old me, Russian Jew here. I've had this dream of getting my nose done for as long as I can remember. I've gone to many different appointments through the years from the age 18 and on. I've sat and stared at my before and after photographs from those others surgeons, sh*t I've even kept them on my phone and contemplated back and forth for soooo long ! I am now 27 years old.... when I was just about to turn 27 my wonderful boyfriend and I had a heart to heart conversation, and for once in my life opened up about an insecurity I've had for 12 years ! My nose ! Of course hearing me say that he was taken aback and right away said " what ? Your nose ? Really ? " and he continued to listen to me and man did I cry... I told him about how much I've thought of it, how many times I've one back on the idea and how often I would go back and compare the " hypothetical before and after " from consultations in the past. I was never happy ... I was never satisfied with what other doctors thought suited me... I held back sooo much all these years. And I can finally say it was worth it. My Boyfriend said to me " I love you the way you are, but if there is something in your heart and it's been a dream of yours let's work together on just looking for a new doctor, let's get you consultations, let's see if you could actually find someone who can meet your " ideal nose " and work with the vision you have in mind ". So he recommended this app (Real Self) and we began to search, he was extremely supportive, not critical, nothing. And that meant so much and made this process so much smoother, it made me be less critical of myself. We live in NYC, and boy we the prices higher here for rhinoplasty's. He suggested we look in Florida... and so we did... and we found it ! Dr. GHERSHI ! From the very flight to MIAMI, to the first consultation, to my nerves being all over the place, to meeting the doctor , shedding some unforeseen tears, to taking the coolest photos on their 3D camera! And seeing myself legit in 3D !!! ( do not wear makeup, cause girl, you will see your pimples gasping for air hahaha ) anyways... he was so detailed and like the wave of a wand showed me what could me... and gave me the room to ask for editing.... fast forward ... that was November 2023.... surgery date ... December 2023.... I'm in my gown, my wonderful man is in the waiting room .... and I began to get ready for surgery.... ( I looked so cute in the gown! And the fuzzy socks they gave me ) anyways hahaa... I don't remember anything that came after that, just that I woke up asking for my boyfriend and the sweet nurse told me that I had surgery, that he is right outside, and that everything went by very well. So recovering was an interesting journey, and man do you need to remind yourself ... this is part of the process, I didn't feel much pain to be honest it was more of a discomfort, sleeping elevated was a challenge but I had a great neck pillow, and I had the best person taking care of me . Of course before you get surgery the office give you a list of things they think will be useful for you to have. In addition to getting your medication filled, the pain pills come in handy but I tried to push past it. And you can too! If you can't they are there for that reason! Definitely drink a lot of fluids, bruise gel, pineapple juice, ice roller, and patience!!! You'll be just fine ! The day that the cast gets removed .... *****WARNING *** do not have expectations! Do not think you're gonna look like the baddest b***h that ever walked the planet... you will not ! In fact tell yourself that that will be you, after you fully start to heal, bruising goes down and you actually practiced patience . I'm not gonna lie, I cried when the cast came off ... I had built up this " OMG it's happening im gonna be sooo pretty " don't ! I repeat don't ! You will be ... just wait ... trust me !!!! It's super important you tape your nose ! Esp after that sexy cast comes off ! ( for one I cried and was swollen !!!! But don't worry honey buns ... it will all get better !!!! Tape ! Tape ! Tape !!!!! Then you'll have a one week follow up... then a one month ... then a 2 ( if required) then a 3.... there's definitely a 3 month follow up .... and then a 6 month. I just came back from my 6 month follow up last month .... and girl ........!!!! I am the baddest b***ch that ever walked this planet, and all the other ones !!!! Not only did I get a great job tapping from Dr.GHERSHI, ( consistency! Consistency! Consistency! ) but he said my nose looks very very good !!!! And that it's healing perfectly!!! Said he will see me in one year and to continue tapping ! You best believe... I cried. It's been 6 months...or 7 actually... I've never been happier, I've never been more grateful, I'm still in shock, I've never had to practice this amount of patience in my life.... I love who I see in the mirror ! I love how I feel , I love not freaking feeling so not present because I'm concerned with " omg my nose ... or don't laugh to hard it's gonna droop, or don't style your hair up ... use your hair to hide your nose ... getting Surgery is not an easy decision, I was lucky enough to have my boyfriend and him being the way he is ( extremely supportive and understanding) some of you will prob have that... hopefully, or some kind of support system, and some of you will have no one or people around you telling you other wise... Remember this.... ITS YOUR LIFE, You will only regret not doing something !!! I can sit here forever and write, but if you're like me in anyway... just do it !!! I'm so happy things fell into place !! I'm so grateful to my boyfriend!! He made this all happen !! And I'm grateful to have such a wonderful team at The Plastic Surgery Institute Of Miami!!! Thank you ! Dr.ghersi is a magician ! Go for it ! With all my heart !!! DO IT !!!!!!!!
Estuve en las mejores manos, excelente doctor. Mi cirugía hasta el momento que voy de recuperación en mi 1 mes ha sido todo un éxito. Desde que inicie el proceso de mi cirugía todos fueron muy atentos y lo han sido hasta el día de hoy Lo recomiendo al 100 %
It's been a month since I did my full abdominoplastya and breast lift with dr. Puyana. He is an amazing doctor. From the initial consultation to the return visits he was very detailed oriented, very meticulous, and super atentive to your needs. His team is great also, kudos to Mariana, she is always available and ready to help. Overall I would recommend him and his team with my eyes closed :)
Puyana's is the best, the change he made in my breasts was too amazing, my healing was perfect thanks to his delicacy in each suture, I recommend the doctor for your surgery. Everything is amazing, from the pre-operative to the recovery.
Mi experiencia con el Dr. Salomón Puyana fue increíble. Desde el principio estaba asustada por la cirugía, pero el fue extremadamente paciente contestando cada una de mis preguntas y me sentí segura. El fue calmado y muy gentil, se tomó el tiempo de explicarme el proceso de la cirugía y de la recuperación, también puedo añadir que todo su equipo se portó de maravilla conmigo. Con respecto a los resultados que obtuve, estoy MUY FELIZ. El Dr Salomón hizo exactamente lo que yo le pedí, me siento muy complacida, el es extraordinario!!
I love my results Dr. ghersi knows what he's doing. For some reason not too many doctors know what to do with an African nose. My results are natural ,and beautiful. I recommend him to anyone getting Rhinoplasty.
I had my rhinoplasty with Dr. Ghersi about 4 months ago and I can’t be more happy with my results. Him and his staff are super professional and answered all my questions since day 1. Recovery was super fast and easy, no pain at all. I know there is still time left for my nose to heal but I am already loving the results. Best doctor in Miami area, 100% recommend Dr. Ghersi for rhinoplasty!!!
Dr. Puyana is simply the best plastic surgeon in Miami! I've been getting Botox, fillers, and other procedures with him for over 4 years now, and I couldn't be happier with the results. He takes great care to understand my expectations and consistently exceeds them every time, ensuring symmetry, harmony, and a natural look. He goes above and beyond to provide the highest quality of care, safety, and technology on each treatment. Dr. Puyana is truly exceptional.
El doctor Puyana cumplió con todas mis espectativas, en definitiva un gran profesional, hizo un trabajo excelente y así como es su trabajo es de persona. Muy amable y atento, lo recomiendo a ojos cerrados
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