Silcone Gel-filled Breast Implants

  • A silicone gel-filled breast implant is an implant shell made of silicone elastomer (rubber) filled with silicone gel as opposed to being filled with saline. Saline implants also have a silicone elastomer shell.

  •  Silicones, whether used as an oil, gel, or solid are used extensively in the medical field. Silicones are used for coating surgical needles, suture thread. Protective silicone coatings have been used in pacemakers and heart valves, artificial joints and facial implants as well as in tissue expanders and breast implants.

  • The advantage is silicone feels more natural than saline and can sometimes look more natural than saline (very little chance of rippling). Silicone implants are not adjustable and cannot be manipulated at the time of surgery as can saline implants. Silicone implants are more expensive that saline implants.

  • There have been reports in literature of reported medical conditions in women with silicone gel-filled breast implants. Many of these conditions have been evaluated with no cause and effect relationship estabilished. There has been no conclusive evidence that silicone materials in breast implants increased the risk of developing breast cancer of connective tissue disease. Patients do need to be aware of these possible conditions. Please call our office for detail regarding these conditions at 915-541-1225.

  • Unlike saline implants, rupture of a silicone implant can not always be detected on routine examination. If a rupture is suspected, an MRI would be requested to determine if the implant had ruptured.

  • Reports in medical literature indicate that patients with breast implants are not at a greater risk than those without breast implants (saline or silicone) for developing breast cancer. The patient should continue to do breast self-exams and maintain regular check ups with their physician.

Body Surgery for Men

  • Body contouring is a variety of procedures with the overall goal of re-shaping or contouring the body. This includes liposuction, tummy tuck, body lifts, etc.

BOTOX® Cosmetic and Facial Fillers

  • No. You may expect a marked improvement in your frown lines, and, a generally more relaxed and refreshed appearance. You will not appear to have had “work done”.

  • The only expression you will lose is the unintentional frown caused by the overactive muscles between your brows.

  • Patients who are pregnant, nursing or trying to become pregnant should not use BOTOX® Cosmetic. Patients with certain neurological disorders such as ALS, Myasthenia Gravis or Lambert-Eaton syndrome may be at increased risk of serious side effects.

  • It generally remains only in the treated muscle and gradually disappears without breaking down or traveling throughout the body.

  • There may be brief, mild swelling and redness and/or slight temporary bruising at injection sites. You will be advised to avoid touching the treated areas, remain upright for 3-4 hours after treatment and to avoid strenuous exercise for the rest of the day. BOTOX® Cosmetic begins to work in 2-4 days in most people. The longer the muscles are relaxed the less visible the wrinkles will become.

  • BOTOX ® Cosmetic is a natural protein which in very low doses relaxes the overactive muscles that cause frown lines to form. This results in facial rejuvenation. BOTOX® Cosmetic is the trade name for Botulinum Toxin Type A.

  • The most common side effects include bruising at the injection site, headache, flu symptoms, temporary eyelid droop, and nausea.

  • BOTOX® Cosmetic has been safely used to treat a variety of conditions since the 1970’s, and is FDA approved for the temporary treatment of frown lines in people aged 18 to 65.

  • It lasts about 4 months, after which lines gradually revert to their pre-treatment appearance.

  • There is minimal discomfort from the injections. The needle is tiny and the areas to be treated are cooled to minimize discomfort and reduce risk of bruising.

Breast Lift (Mastopexy)

Breast Revision Surgery

Chin Augmentation

El Paso Facial Rejuvenation - Non-Surgical Facial Filler

Fat Transfer-Facial

Hair Removal

  • Hair removal patients may require 1-2 maintenance sessions per year after completion of the initial treatment sessions.

  • There are three growth cycles: active (anagen), regression (catagen) and resting (telogen). The laser energy targets the hair in the active (anagen) hair growth cycle only. Repeated laser hair removal treatments are needed to ensure that as hair enters the active stage it will be treated.


  • All areas, with the exception of the areas surrounding the eyes, may be targeted laser hair removal treatment.

  • Immediately after laser treatment one may experience slight redness or mild swelling of the treatment area that can last from a few minutes to two days depending on the coarseness of the hair. Normally, patients return to their regularly routine immediately. Use of adequate sunblock with a minimum SPF protection of 30 is necessary.

  • Laser hair removal is very safe under physician supervision. Our technicians are thoroughly trained in laser safety and technique according to proposed guidelines by the Texas State Board of Medical Examiners.

  • Pain is variable per patient. Some treatment areas are more sensitive than others and may require topical anesthetic before treatment. Most patients experience a moderate stinging sensation, more so in areas of dense hair growth.

  • Prices vary according to the treatment site as well as the estimated length of time the treatment will take. Our staff is available to advise patients regarding treatment cost of specific areas as well as current seasonal promotions.

  • The number of treatments is affected by the hair density, the area being treated and the growth cycle of the hair. Additional factors such as age, ethnicity, weight, hormone fluctuation, some medications and metabolism influence hair growth. Experience tells us that 4-8 treatments spaced 4-12 weeks apart results in permanent hair reduction.

  • The length of a treatment is determined by the density of hair growth and size of the surface area being treated. Smaller areas may require 15 minutes, while larger areas may take an hour or longer.

  • The laser removes facial and body hair by selectively targeting melanin (pigment) inside the hair follicle generating heat energy at the root of the hair which destroys the hair without damaging the skin.

  • With proper skin assessment and typing by an experienced technician, incorporating the use of longer pulse widths, and doing preliminary test areas, darker skin types may be treated.

Juvéderm® Injectable Filler


  • Body contouring is a variety of procedures with the overall goal of re-shaping or contouring the body. This includes liposuction, tummy tuck, body lifts, etc.


  • Liposuction removes subcutaneous fat between the skin and muscle. This is done with small incisions and the use of a narrow cannula usually under general anesthesia. Fluid is placed in the fat first, this helps minimize blood loss, and then the fat is removed. It is the most common cosmetic procedure performed in the United States.

  • Liposuction can be performed on almost any part of the body where there is excess fat such as the abdomen, hips, arms, thighs, back, neck, etc. Your cosmetic surgeon will be able to inform you of the best liposuction option for your particular situation.

  • Depending on the procedures and the time there is a wide range of fees. The surgeon’s fees can range from $1,500 to 8,000. When anesthesia and surgical center fees are added it is about 50% more.

  • Yes, the fat cells that are removed are permanently gone. However, if a patient continues to gain weight after the surgery the fat cells that remain can continue to grow or fat could be deposited on another part of the body.

  • This a debated point. Some plastic surgeons feel one is superior to the other. The bottom line is they can all work well and can give the patient great results. What is more important is the skill of the surgeon using the instrument and not the instrument itself.

  • If performed by a qualified physician on a healthy patient the procedure should be extremely safe.

  • No, liposuction is for contouring. Often time a patient may loose some weight as a result of liposuction but this should not be the primary reason to perform the procedure. In fact liposuction does not substitute diet and exercise and patients that get the best results are those who exercise and watch what they eat afterward. However, a patient will often decrease a dress size or two and loose inches from their waist.

  • No, liposuction is intended for patients in overall good health. It does not improve or remove stretched out or hanging skin and it does not improve or remove stretch marks. For patients with loose or stretched out skin a tummy tuck is often better.

  • The American Society of Plastic Surgeons recommends that if performing liposuction on an out patient basis no more that five liters of fat should be remove in one surgery.


  • On occasion they may cover certain procedures. However, there usually needs to be documentation of a medical necessity reason. This would include such things as a chronic rash or infection.

  • If the patient is having multiple areas treated or larger amount of fat is to be removed then general anesthesia is usually necessary. If there is only a small amount of fat removal or few areas are to be treated then this can usually be done under local anesthesia.

  • No, there are a lot of other products and procedures on the market that claim to do a lot of magnificent things. In reality, none of these things have had any true scientific test to prove their claims on a long-term basis. If it sounds too good to be true, it usually is.

  • Liposuction provides improvement on the upper arms in patients that have good skin elasticity and mild skin laxity. For the patient with marked skin laxity excision may be a more appropriate procedure.

  • Yes, there are basically 3 types of liposuction. Suction assisted liposuction, power assisted liposuction, ultrasonic assisted liposuction. All accomplish the same end result with some variations on the technology.  


Liposuction with Fat Transfer to the Buttocks

Ear Surgery - Otoplasty

Plastic Surgery for Massive Weight Loss Patients

Tummy Tuck

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