Dr. Honrado’s Facial Plastic Surgery Blog

What is the Alma VShape?

What is the Alma VShape Procedure Infographic

What is the Alma VShape?

What is it?

  • It’s a product with an advanced radiofrequency (RF) device for tightening skin and reducing wrinkles.


  • Helps:
    • Target fat
    • Tighten skin
    • Reduce stretch marks
    • Treats cellulite

All in one treatment!

  • Named the Most Promising New Anesthetic Technology in the 2006 Laser & Light Technology Choice Awards.


  • The VShape, with its JuVaShape technology (the highest and most powerful technology in the market):
    • Uses focused thermo energy to address fat reduction and loose skin in different parts of the body such as:
    •  Neck
    • Face
    • It can address unwanted fat in the neck and chin area.
  • The radiofrequency technology destroys the fat cells out of the body:
    • The body will flush the fat cells naturally.
  • For best results, an 8-session treatment program is ideal.


  • The procedure will stimulate the body’s metabolism so the body itself can flush out the fat cells and it will stimulate collagen production in the dermis.
  • With the Alma VShape, we can select two modes of RF treatment, delivering heat at different tissue depths.
    • One mode will target specifically fat cells.
    • The other mode will tighten skin.
    • A combination of these two modes will focus on cellulite.

The procedure is painless and there is no downtime.


Rhinoplasty: The Third Most Performed Surgery of 2016



The nose is perhaps one of the most aesthetically influential features of your face.

An oversized or misshapen nose can not only affect your appearance but your confidence and self-esteem as well.

What is it?

  • A Rhinoplasty procedure:
    • Is a surgical reshaping of the nose.
    • Can be done either for aesthetical or functional reasons.
    • Can help correct chronic congestion and, breathing problems.
  • A Rhinoplasty surgery can change:
    • Nose size
      • To create facial balance.
      • It can be reshaped larger or smaller.
    • Nose width
      • At the bridge.
      • In the size and position of nostrils.
    • Nose profile
      • To correct:
        • Visible humps and bumps.
        • Depressions on the bridge.
        • Indentations
        • Other defects
      • Nasal tip
        • To correct a nasal tip that is:
          • Enlarged or bulbous.
          • Drooping
          • Upturned
          • Hooked
        • Nostrils
          • Large
          • Wide
          • Upturned
        • Nasal asymmetry
          • Nose is angled differently in relation to the upper lip.

The Procedure

  1. Is done under general or local anesthesia.
  2. It is generally done as an outpatient procedure.
  3. Incisions are made to access the cartilage that supports the nose:
    • Closed procedure: Incisions are hidden in the nose.
    • Open procedure: Incision is made of the skin tissue that separates the nostrils.
  1. Depending on the objective:
    • Bone and cartilage are removed.
    • Tissue may be added.
  2. After the nose cartilage and bone have been reshaped, skin and tissue is redraped over the structure of the nose.
  3. A splint is placed outside the nose to support the new shape of the nose while it heals.
  4. After approximately one week, the splint and bandages are removed.


  1. Face will feel puffy.
  2. Area around eyes and nose will be swollen and bruised.
  3. It’s recommended to apply cold compressions to reduce swelling and pain.
  4. Most of swelling and bruising will improve in about 10 to 14 days.
  5. Keep your head elevated and still for first few days.
  6. Several weeks of recovery are needed before any strenuous activity can be done.


  1. Are permanent.
  2. Injuries experienced later as well as other factors can alter the nose’s appearance.
  3. Appearance will get altered if surgery is done on a nose that hasn’t fully developed.

Complete development:

  • 15 or 16 years in females
  • 17 or 18 years in males


  1. Bleeding
  2. Injury or holes to the septum.
  3. Skin problems:
    1. Breakdown of skin tissue.
    2. Skin irritation from tape and bandaging.
  4. Infection
  5. Nasal blockage caused by swelling.
  6. Change in skin sensation.
  7. Anesthesia risks.
  8. Scarring issues.

As with other surgical procedures, make sure you have clear, realistic expectations about the surgery’s results, and share these with your plastic surgeon.

Rhinoplasty Candidates

                  A good candidate for a rhinoplasty procedure will:

  • Have a complete facial growth development.
  • Be physically healthy.
  • Not smoke.
  • Have a positive mindset and realistic goals.


                  Rhinoplasty costs include:

  • Anesthesia fees
  • Hospital or surgical facility costs
  • Medical tests
  • Post-surgery garments
  • Prescriptions for medications
  • Surgeon’s fee

According to a 2014 statistics from the American Society of Plastic Surgeons, the average rhinoplasty cost is $4,694.

                  *This fee does not include anesthesia, operating room facilities, and other expenses.*

Let’s Talk Fillers and Volume Enhancers

Let's Talk Fillers and Volume Enhancers Infographic

Fillers and Volume Enhancers are one of the best non-surgical options to help you restore your face of the hollow, wrinkled and sunken look caused mainly by the passage of time.

Cosmetic fillers and volume enhancers:

  • Restore and add elasticity to your face immediately.
  • Do not require a surgical intervention.
  • Have little to no downtime.
  • Can return the fullness to your:
    • Cheeks
    • Lips
    • Forehead
    • Eye area

Top 4 Fillers and Volume Enhancers

  1. Botox

What is it?

  • Purified protein that gently decreases muscular activity.
  • Nonsurgical treatment.
  • Smoothes moderate to severe lines:
    • Between eyebrows
    • On forehead
    • Around eyes, lips, nose, and neck.
  • Temporary treatment but lasts as long as you continue treatments.

The treatment

  • Botox is injected into the muscles. Muscles are the ones to blame for facial wrinkles.
  •  Duration is about 10 minutes.
  • Avoid immediate vigorous athletic activity.
  • Redness and swelling resolves in hours.

The Results

  • Forehead lines and crow’s feet are diminished or erased.
  • Other facial wrinkles smooth out naturally.
  1. Juvederm

What is it?

  • A long lasting injectable hyaluronic acid dermal filler.
  • Nonsurgical treatment.
  • For moderate to severe facial wrinkles and folds:
    •  Nasolabial folds – smile lines (outer edge of nostrils to corners of the mouth)
    • Marionette lines- laugh lines (below corners of the mouth)
    • Lips
    • Cheeks
    • Nose
    • Along the jawline
  • It is firm but not hard.
  • Strongly resistant to degradation over time.

The Treatment

  • Juvederm is injected into the desired areas of treatment.
  • Juvederm will hydrate the skin and increase the capacity of the skin to hold water making skin look fresher and fuller.
  • Duration is from 15 to 60 minutes depending on the areas treated.
  • Juvederm contains lidocaine (pain reducer), for greater comfort.
  • Recovery and downtime are minimal.
  • Avoid vigorous exercise, sun or heat exposure, and alcoholic beverages.

The Results

  • Results are natural and instantly visible.
  • They long lasting from 1 to up to 2 years.
  • Only one treatment might be necessary for optimal results.
  1. Sculptra

What is it?

  • A poly-L-lactic acid (PLLA) collagen stimulator injectable that helps to gradually  replace lost collagen.
  • Sculptra is NOT a filler, but a volume enhancer.
  • It helps restores the deep, underlying structure of the skin.
  • Nonsurgical treatment.
  • For shallow to deep facial wrinkles and folds:
    •  Nasolabial folds – smile lines (outer edge of nostrils to corners of the mouth)
    • Marionette lines – laugh lines (below corners of the mouth)
    • Chin wrinkles

The Treatment

  • Sculptra is injected into the desired areas of treatment.
  • Treatment is injected into the deep dermis, where strands of collagen support your skin’s structure.
  • The typical treatment will be of minimum 3 injections over the course of 3 to 4 months.

The Results

  • The results will appear gradually with treatments.
  • Results can last to up to 2 years.
  1. Restylane

What is it?

  • A hyaluronic acid comprised of a clear gel that already exists in the human body which provides volume and fullness to the skin.
  • It’s biodegradable and completely biocompatible with the natural tissues of your face.
  •  For the correction of moderate to severe facial wrinkles and folds:
    • Nasolabial folds – smile lines (outer edge of nostrils to corners of the mouth)
  • It’s most popular use is as a lip filler.

The Treatment

  • Restylane is injected into the desired areas of treatment.
  • The gel integrates into the dermal tissue and attracts and attaches to water molecules to help maintain the volume.
  • Usually performed with local anesthesia.
  • Duration is from 15 to 60 minutes depending on the areas treated.
  • Recovery and downtime are minimal.
  • Avoid vigorous exercise, sun or heat exposure, and alcoholic beverages.

The Results

  • Results are fully evident within a few days of treatment.
  • Up to 80% of wrinkle reduction.
  • Results will last from 4 to 6 months.