The online consultation is a pre-evaluation that helps us prepare a budget according to the patient’s needs.
This online consultation does not replace the physical consultation with the plastic surgeon under any circumstances. It only serves to have an estimate of the cost of plastic surgery and other details involved.
We have Online Consultation, which is a pre-evaluation that helps us prepare a budget for the procedure you wish to perform.
Online consultation is very easy to request, since you only have to complete the form with your data and select in the list the procedure that you wish to perform, and you give it to SEND.
In your email you will receive a pre-evaluation, with some routine questions to know if you are or are not a candidate for the procedure you want, and photos of the area to be worked are requested.
You must send at least 3 photos, from each side, front and back of the area to work. You can avoid that your face appears in the photo, but it is very important that the area to work is totally visible to evaluate you.
If it is a body procedure, it should be with little clothing, only the necessary one, you can use underwear or swimsuit.
In the event that the procedure has to do with the breasts, avoid using the bra to appreciate what you want to improve.
The plastic surgeon specializes in surgery whose main objective is to repair, rebuild; besides correcting functional defects. For this, various techniques are applied, and grafts or implants are used as necessary. Must have a general medical degree and specialize in plastic surgery. The years needed to complete the training are two (2) years in general surgery and three (3) years of plastic surgery, with its title or diploma that accredits him as a plastic and reconstructive surgeon.
The usual ways to get a plastic surgeon’s consultation can be the recommendation, the referral by a treating doctor, or through the search of professionals on the Internet.
In the Dominican Republic there is the Dominican Society of Plastic, Reconstructive and Aesthetic Surgery (Sodocipre), as well as other related international societies such as the Ibero Latin American Federation of Plastic Surgery (Filacp).
See Dr. Franklin Peña accreditations
The most prudent thing to do is to wait until the breastfeeding process is completed in order to schedule a plastic surgery.
The first thing you should do is complete the Online Consultation to get your quote. After receiving the communication in your email, you can take it as a reference budget to plan your trip.
We can provide recommendations for houses of recovery in Santo Domingo of our confidence. This procedure must be done directly through our office to coordinate the details, you can do it at 809-535-6060 or 829-471-5842.
The time you will need to be in Santo Domingo, will depend on the procedure you wish to perform, but usually, it requires at least three (3) weeks before taking a flight.
Unfortunately, the ARS does not offer coverage for aesthetic plastic surgery of any kind. But, at the time of performing the surgery with Dr. Franklin Peña you get a specialized insurance in plastic surgery of wide coverage.
Request more details about surgery insurance
The level of pain in the postoperative period of plastic and aesthetic surgeries varies depending on the patient. Anyway, you can contemplate certain generalities.
PAIN LEVELS, references:
- (+ + +) Major pain
- (+ +) Moderate pain
- (+) Minor pain
| Aesthetic surgery | Pain level | Duration |
|---|---|---|
| Gluteoplasty (buttock augmentation by implants) | (+ + +) | 1 week |
| Abdominoplasty | (+ +) | 5 days |
| Dermolipectomy of the thighs (lifting) | (+ +) | 5 days |
| Retroglandular breast augmentation | (+ +) | 5 days |
| Extensive Liposculpture | (+ +) | 4 days |
| Otoplasty | (+) | 4 days |
| Breast lift | (+) | 2 days |
| Facelift | (+) | 2 days |
| Eyelid surgery | (+) | 2 days |
| Rhinoplasty | (+) | 2 days |
Yes, several surgeries can be combined, as long as the patient’s health allows it. There are procedures that complement each other such as tummy tuck and liposculpture. The combination of multiple surgeries has many advantages since its combination allows minimizing the number of exposures to anesthetics and recovery times. In addition, the costs of plastic surgeries include anesthesia fees, operating room and surgeon fees. When the patient is subjected to several surgeries at the same time, he will only have to pay one anesthesia and the fees of the operating room. Ask for our combined procedure packages.
Knowing what type of clothing to wear after plastic liposuction surgery or liposculpture is key to the recovery process. That’s why, before wanting to look fashionable, you should think about feeling comfortable in order to obtain a fast and successful cure:
-To have the compression garments or the belt recommended by your surgeon.
-Loose and comfortable clothing (do not wear your best clothes, since there is a certain probability of loss of fluid at the site of the incision) -Personal hygiene items -If your surgery is breast augmentation, make sure that all shirts or blouses are loose, so you can move and have flexibility, remember that your blouse size may vary after a breast augmentation.
Ideally, do not worry about adjusting to your dream size, since inflammation can last a few weeks.
No, if it’s in good hands. The effect produced by the botulinum toxin is the slowing down of the muscular action of the muscle that is infiltrated, thus preventing its contraction and therefore the formation of wrinkles in the area.
No. What happens is that in the first few days, due to inflammation, the image seen in the mirror can be strange. When the swelling goes down, that feeling goes away.
Surgery to remove eyelid bags is an aesthetic procedure that achieves the result of disappearing the tired, sad and aging appearance.
It’s the surgery to remove excess skin and fat that accumulates in the abdomen due to pregnancies, obesity and age.
The objectives of the tummy tuck are the flattening and temper of the abdomen giving the appearance of an athletic abdomen, drying the excess skin reducing or eliminating stretch marks with scars located within the bikini line so that they are barely visible, improve the definition of the waist, decrease the thickness of subcutaneous fat around the abdomen and correct the relaxation the abdominal wall.
Normally women seek this surgery after the pregnancies when the skin has become very flaccid and / or with multiple stretch marks. Usually it is recommended to defer this procedure until having more children is not desired, because the skin and muscles can relax again.
It is very important that the patient is emotionally stable, in a small percentage of patients, depression after surgery may be experienced and if there is a previous emotional problem, this period can become a serious illness.
The tummy tuck is usually performed when a person is dissatisfied with the shape of the abdomen. Usually done when women have had pregnancies which have left flaccid skin or with multiple stretch marks and who do not want any more children. The reason is because a new pregnancy will cause again a relaxation of the abdominal wall and the skin and possibly the development of more stretch marks. The miniabdominoplastia is a good alternative in case on which the patient wishes to improve her abdomen but still is not clear or is projected to have more children.
Liposuction is an excellent alternative to improve the abdominal contour when the abdomen skin is of good quality, ie, it does not have much flaccidity and stretch marks and has good elasticity. When the skin is very flaccid and only a liposuction is performed generally the results are unsatisfactory, the skin is often left with multiple irregularities that are difficult to correct.
If the flaccidity is located only in the lower abdomen is an excellent alternative is the miniabdominoplastia.
The abdominoplasty is usually performed under regional anesthesia.
The surgery is designed according to the specific needs and characteristics of each patient.
It’s generally recommended to start the surgery with an abdomen liposuction to reduce subcutaneous fat, a transverse incision in the lower abdomen part is made, so that the scar is located within the bikini line, the tissues are dissected over the muscles until the upper part of the abdomen, then the muscles are taken towards the center improving the waist, the skin is stretched and excesses are dried.
In the advanced skin an orifice is made to relocate the navel in its normal position. Finally drains coming out above the pubic bone are placed and the wounds are closed.
There are different techniques of abdominoplasty, the main difference is usually the direction and location of the scars. It is important to discuss with your surgeon, in advance, the shape and location of scars. Some surgeons make the incision completely horizontal, others use a “V” or “w” shape and others use an incision which follows the bikini line.
I always use a design which follows the bikini line so the scar is perfectly camouflaged with the underwear. Obviously the incision varies according to the type of underwear that the patient uses.
There are also significant differences in the design of the skin cut and the direction in which the latter tightens. I use the design which allows to better define the waistline than conventional abdominoplasty.
You can walk immediately the day after surgery, in fact it is recommended to walk at least 3 or 4 times a day for 1 to 2 minutes each time. It is very possible that you can’t walk fully upright or straight. You will feel the skin of the abdomen warm and usually must walk with a slightly bent back during the first 4 to 5 days. After the fourth day it’s recommended that you try to walk upright, usually the sixth or seventh day you should be able to walk with your back completely straight.
The drains are removed usually after 5 to 7 days depending on the drainage. The use of a belt is recommended postoperatively for some 4 to 6 weeks.
This is not a scar free surgery, in fact, the scars can be severe depending on the amount of skin to remove, how the patient scars, and if you scar well on the skill of the surgeon and the techniques employed.
The scars are located around the navel and transversely in the lower abdomen part so that it can camouflage perfectly with a two piece swimsuit two piece. The length varies depending on the case.
You will experience a noticeable change immediately after surgery. Subsequently inflammation occurs in varying degrees, it is usually higher around the fifth day.
Most of the inflammation has resolved once a month has elapsed, however after the month there is still inflammation and is generally after three months when the final result can be seen regarding the body contour. Scars take between 6-12 months to clear.
When abdominoplasty is performed alone, it will usually require between 2-4 days before you can roam independently. Office work can be resumed in 5 to 7 days, for other jobs it takes from 10 to 14 days. When it’s associated with other procedures, you must expect at least 10 to 14 days.
The abdominoplasty is a safe procedure when performed by a qualified plastic surgeon and on a healthy patient. However there are certain risks that you must know:
Abnormal scars: With a proper technique in most patients the scars are of excellent quality and perfectly camouflage within the bikini line.
Occasionally by factors specific to the patient enlargement, thickening or dark pigmentation of the scar may occur which may warrant correction. Also a narrowing the navel may occur.
Infection: It’s not frequent. It may occur in 1 to 3% of the cases. It can cause the wound to open.
Necrosis or death of the skin: It occurs in 0.1 to 5% of cases. It is more common in smokers.
It is due to the lack of proper circulation in any segment of skin. Without good circulation the skin dies and becomes a wound which may take time to heal. If the segment of the necrotic skin is large, it may warrant resection of that devitalized tissue. Once surrounding tissue is healthy the closing of the wound may be made.
When this complication is presented it requires a lot of patience from the patient and the surgeon, it’s a process which treatment warrants usually a long time. Usually the end result is satisfactory despite the distress and inconvenience twhich this complication causes.
Pulmonary embolism: It’s a complication which can occur in any prolonged surgery.
It occurs in 0.8% to 1.1% of patients undergoing abdominoplasty.
It is due to the formation of clots in the leg veins and their subsequent release into the lungs in a sudden manner causing respiratory difficulty and may compromise the patient’s life.
For their prevention it’s very important the use of pneumatic compression systems in the legs and early ambulation. This is why we strictly use Flowtron pneumatic compression stockings in all our patients and prophylaxis with low molecular weight heparin.
The stretch marks that are located below the navel and are accompanied by marked flaccidity of the skin can be removed during a tummy tuck. If there is no significant flaccidity in the abdominal skin, the efforts and costs of performing a tummy tuck is not justified just to remove stretch marks, since stretch marks are replaced by a scar. Stretch marks located above the navel are not removed during surgery.
It’s explicit in the name of these procedures. Augmentation refers to the placement of breast prosthesis, which are currently the only proven, safe and of excellent results method, the technical name is mammoplasty augmentation.
In the case of reduction, solves the problem of large and heavy breasts, relieving not only the psychological and esthetic spheres, but also the weight, discomfort, and dermatitis due to excess flaccidity. The technical name is reductive mammoplasty.
In the breasts four types of procedures are performed: augmentation, reduction, lifting or mastopexy (with or without implants); breast reconstruction after breast cancer. Also reduction of the areola and nipple, elements which congenitally or after pregnancy can achieve disproportionate and abnormal sizes.
According to statistics, over 70% of such surgeries are done by women without children. It is proven that it does not affect the breasts, or lactation; nor the sensitivity.
Perfectly. The implants are under the mammary gland and there is very little possibility of problems breastfeeding your baby.
After breastfeeding, the breasts undergo modifications due to the hormonal changes and the weight of the woman. Also, there is no atrophy or impaired mammary gland, becoming flaccid and sagging. Many times it may be necessary a breast lifting or pexia with or without implants; in the case of large breasts, a reduction and lifting or pexia.
It’s the Anglo-Saxon term to refer to a breast lift.
As with any procedure, the preoperative must be thorough. We indicate at least 12 laboratory tests, electrocardiogram, cardiovascular evaluation, preanesthetic evaluation and mammography or ultrasound screening according to the age.
Usually two weeks are enough to return to work, and no strenuous exercise, which is left for after six weeks.
As with any plastic surgery, recovery is a special period in which we are confident that the patients will literally follow all the recommendations, limiting in the case of the breasts, arm movements, holding for two weeks, the elbows close to the body, and only moving them to brush your teeth, washing or combing, nothing more. This will make the result to be successful.
For those patients who do not take care or who can’t carry out the instructions, it is preferable to postpone the surgery or to not perform the surgery until we can be sure that you will take the appropriate cares will be taken and that you will have someone to tend to you in the first days.
Occasionally, if the patient is a candidate, we usually combine the breast surgery with a rhinoplasty, or liposuction. Also the abdominoplasty, which is one of the most combined with breast surgery, provided the patient is a candidate and her exams are correct.
The postoperative brassier is essential to control the inflammation and protect the wounds, we place it immediately as the surgery ends and it must be used from 4 to 6 weeks.
On the second day of the surgery it’s convenient to clean the wounds and take a bath as usual. Applying filtered water in the wounds is important to prevent infection.
No, it lasts approximately 6 months.
Through facial fillers you can combat the loss of volume of the lips. For example, with hyaluronic acid fillers and lipoinjection.
Facial wrinkles and expression lines can be filled with hyaluronic acid.
The main objective is to plan the procedure in such a way that you do not have to use this insurance. But in case there is any inconvenience in the operating room, it covers any impasse during and after surgery.
The economic coverage is up to US$ 18,000, during the next 30 days after the surgery. This guarantees that there will be no extra charge in the event of an infection, opening of a wound or any other detail that may arise.