Luis F. Rodriguez Terry, M.D.
Diplomate, American Board of Plastic Surgery
Dr. Luis Rodríguez Terry, Medical Director of the Plastic Surgery Institute, received his bachelor’s degree from Brown University. He pursued his medical career at the Stanford University School of Medicine, and his training in General, and Plastic and Reconstructive Surgery, at the Stanford University Medical Center. During this period, he participated in medical research and has published in leading medical journals, among them, Plastic and Reconstructive Surgery, Annals of Plastic Surgery, and the British Journal of Plastic Surgery.
Dr. Rodríguez Terry has advanced training in Craniofacial Surgery, Endoscopic Body and Facial Surgery, as well as Laser Surgery. He is certified by the American Board of Plastic Surgery, and is a member of the American Society of Plastic Surgery, the Puerto Rico Society of Plastic Surgery, and the American Medical Association.
Dr. Rodriguez Terry has been a faculty member of the Unversity of Puerto Rico School of Medicine.
A constant participant of local and international conferences, Dr. Rodríguez Terry strives for the highest standards of care in parallel with the latest techniques in plastic surgery. His interest in cosmetic plastic surgery has made him a regular participant of medical expert panels and guest of many local and international television programs.
He has been the plastic surgery consultant for the Miss Universe and Miss World Puerto Rico organizations, participating in the preparation of Denise Quinones, Miss Universe 2001, Alba Reyes, 2nd runner-up Miss Universe 2004 and Ingrid Rivera, runner-up Miss World 2005
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Services:
The Plastic Surgery Institute provides medical-esthetic services of the highest quality, supported by the safest and most advanced technology available.
Most procedures are ambulatory and require only local anesthesia and sedation. These are performed in the office surgical suite or in a licensed ambulatory surgery center specializing in cosmetic surgery. Surgery that may require overnight hospitalization is performed at an accredited multi-specialty hospital.
Non- invasive treatments such Photorejuvenation, Laser Depilation, Laser Vein and Age Spot Removal, Skin Fillers, Radiesse, Restylane, Perlane, Botox and Threads Lifts are performed by or under the direct supervision of Dr. Rodriguez Terry.
Facelift, Necklift, and Mini-facelift
Changes due to aging and gravity begin to appear in the fourth decade of life. Factors such as heredity, sun exposure, and cigarette use can accelerate this process. Age-related changes include drooping of the facial soft tissues, laxity of the skin in the neck and jowls, as well as accumulation of fat in the neck and face. More subtle changes include thinning lips, fine wrinkles around the mouth and face, and drooping chin.
Facial aging can be improved with a facelift or a necklift, or in less advanced cases with a mini- facelift. These procedures enhance the face and neck by removing excess fat, tightening of the muscles and redraping of the skin. They are mainly performed on patients over 40, with more natural and durable results the younger the age.
Face- and necklift scars are hidden within skin folds and lines around the ear, chin crease and scalp. When these heal, they become virtually undetectable.
In the mini-facelift, the scars are more limited and the recovery time may be shorter. Facelifts are often performed as part of a complete “facial rejuvenation”, which includes browlift, eyelid surgery and laser resurfacing.
Browlift
The position of the eyebrows affects the overall appearance of the eyes and face. Low-set eyebrows, known as “brow ptosis”, can make a person appear tired or angry. Occasionally brow ptosis may be confused with ‘heavy eyelids’.
The browlift is a procedure which raises the position of the eyebrows, corrects their inclination, and improves forehead wrinkles. A browlift can be combined with eyelid surgery or a facelift to produce a more complete facial rejuvenation. In young patients with low-set eyebrows, a browlift can produce a stunning change in appearance.
Mid-Facelift
The “midface” refers to the middle section of the face, including the cheeks and “cheek bones”.
This is one of the first areas to show changes due to gravity, with deepening of the nasolabial fold (the crease between the nose and the corner of the mouth).
In some cases, a facelift can improve the cheek area. However, many younger persons with midface descent do not require a full facelift, and can benefit from this procedure alone. Mid-
facelifts can be performed using endoscopic techniques, and can be combined with a browlift
and a facelift for a more dramatic rejuvenation.
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Eyelid Surgery (Blepharoplasty)
This procedure corrects drooping or heavy upper eyelids, and puffy bags in the lower lids. Excess fat and skin are removed and the lids are “tightened” to restore a more youthful appearance to the eyes. There are different blepharoplasty techniques which can be tailored to the patient’s needs; these can also be combined with procedures such as a facelift or browlift to produce a more dramatic facial rejuvenation.
Nasal Surgery (Rhinoplasty)
In addition to its breathing function, the nose has a critical role in facial appearance. In a rhinoplasty the surgeon reshapes the nose by reducing or increasing its size, removing a hump, changing the shape of the bridge or the tip, adjusting the shape and size of the nostrils, or correcting the angle between the nose and the upper lip.
When a patient has already had a rhinoplasty and requires revision, this is referred to as a secondary rhinoplasty. Cosmetic nasal surgery can be performed in girls as young as 15, and in boys after 17 years of age.
Ear Surgery (Otoplasty)
Ear surgery, known as otoplasty, is used to reposition prominent ears closer to the head; abnormally-shaped or asymmetric ears can also be transformed. This surgery can be performed in patients as young as five years of age.
Facial Implants
Implants can be used to improve the appearance and harmony of the face. Utilizing specially designed implants, it is possible to increase chin projection, fill the cheeks, change the
shape of the jaw or enhance the contour of the nose. Implants come in a variety of shapes and sizes, as well as materials. The materials they are made of are flexible and biocompatible. Because of this, they are permanent, though easily removable if necessary.
Facial and Neck Liposuction
As we age, we tend to accumulate fat in the neck and lower face, resulting in a “double chin”. This “double chin” appearance can be aggravated by a receding chin. Luckily, this problem has a quick and simple solution. Contouring of the face and neck can be done using liposuction, sometimes in combination with a chin implant.
Results are best in younger patients with good skin elasticity. If there is skin and muscle laxity, a neck- or face-lift may be necessary for optimal results.
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Breast Lift (Mastopexy)
Mastopexy or breast lift corrects the changes caused by pregnancy, aging and breast-feeding. Because of these changes the breast tissue tends to shrink, and the position of the areola descends, causing a drooping or ptosis of the breast. A breast lift raises and reshapes the breast by removing the excess of skin. Discrepancies of size and shape can also be improved through a mastopexy.
Several types of mastopexy are offered by Dr. Rodriguez Terry. The newer techniques, called vertical-scar or short-scar mastopexy, offer the advantage of less scars and improved shape compared to the older techniques. With these new techniques, the long horizontal scar below the breast is eliminated. The resulting scars are limited to the areola or the areola and a vertical scar below it.
Breast Augmentation
Breast augmentation is one of the most popular elective surgeries today. The goal is to enlarge the size of the breasts utilizing saline or silicone gel-filled implants. There are three types of placement techniques:
1) trans-axillary augmentation (incision in the
axilla);
2) periareolar augmentation (incision in the lower border of the areola); and
3) inframammary crease augmentation (incision in the fold below the breast).
In addition, implants can be placed either above or below the pectoral muscle (submammary or subpectoral pocket, respectively). Which technique is used will depend on factors including your body form, and the shape and symmetry of the breasts. The approach (incision site and pocket type), implant size and material (saline or silicone gel) are selected by the patient in coordination with the surgeon.
Breast Reduction
Heavy breasts (breast hypertrophy) may be associated with upper back and neck pain. A breast reduction may be indicated in these patients for medical reasons. Breast reduction
surgery also improves the appearance of heavy, fallen breasts by reducing the size and lifting the position of the areola and surrounding tissues, giving the breasts a more youthful appearance.
There are several techniques available for breast reduction. These vary in the types of scars they produce. Which technique is used will depend primarily on the amount of reduction that is required.
A peri-areolar scar technique (around the areola), may be used in patients requiring minimal reduction. The traditional anchor-shaped scar (Weiss-pattern) will be required in patients with very severe hypertrophy. A majority of cases, however, can be performed using the vertical-scar technique, which leaves only a vertical and peri-areolar scars, and avoids the long horizontal scar below the breast. These newer types of reductions are also referred to as short-scar techniques, and offer the advantage of less scars and improved shape and projection.
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Abdominoplasty (Tummy-Tuck)
An abdominoplasty is a procedure that restores the contour of the abdomen, correcting the deformities brought about by pregnancy or weight loss. There are several types of abdominoplasty, but all require suture tightening to flatten and narrow the abdominal wall.
Skin that is loose or damaged by stretch-marks is removed through a scar in the lower part of the abdomen, in the bikini line. Liposuction may be added to remove fat deposits and improve waist contour.
Mini- and Endoscopic Abdominoplasty
This surgery improves the appearance of the body by creating a firmer, flatter abdomen. The difference between full abdominoplasty and mini- or endoscopic abdominoplasty is that these last two are performed in patients who need minimal skin removal, thus limiting the length of the final scar. This scar may be as short as a cesarean scar or slightly longer for the ‘mini-‘procedure.
Body Lift (Belt Lipectomy)
The body lift is indicated in persons who require rejuvenation of multiple body areas, including thighs, buttocks, back, and abdomen. Bariatric surgery patients and persons who have lost a large amount of weight usually have severe skin redundancy and are candidates for this surgery. Persons with severe laxity because of aging and gravity may also be candidates for the body lift.
Remarkable rejuvenation of the lateral thighs, back and abdomen are obtained by lifting and removing the sagging tissues, often in combination with
liposuction.
Liposuction (Liposculpture)
In a liposuction or “liposculpture” the body contours are sculpted by removing fat deposits under the skin. These deposits tend to accumulate in the neck, upper arms, waist, hips and buttocks. In me, fat tends to accumulate in the lower part of the chest, the abdomen and the flanks or “love handles”.
Buttock Augmentation
Flat or underdeveloped buttocks can be frustrating to men and women. Recent trends in body image favor more curvaceous, voluptuous buttocks. At the Plastic Surgery Institute, Dr.
Rodriguez Terry performs buttock augmentation using the autologous fat technique.
In this procedure, your own fat is harvested using liposuction, prepared, and injected into the buttocks using tiny incisions.
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Male Breast Reduction (Gynecomastia)
Breast growth in males is referred to as gynecomastia. Gynecomastia results from accumulation of fatty tissue, breast gland tissue, or both. This condition can be due to changes from puberty, obesity, or “male menopause”.
Botox
Botox is a highly purified toxin which temporarily paralyzes muscles. It is used in minute quantities on the muscles of facial expression to control wrinkles caused by the contraction of these muscles. Botox can help diminish lines around the eyes (crow’s feet), forehead creases, lines between the brows, and neck bands. In certain cases the nasolabial folds can also be improved with Botox. The effects of Botox last four to six months.
Contour /Aptos Threads and Feather-lift
Contour Threads are barbed threads made of surgical suture material which are placed under the skin to elevate the brows and face. These produce a mild rejuvenating effect which can last months to a year. Contour Threads are placed in our office under local anesthesia using tiny incisions in the scalp. Pain and bruising are mild and may take two to three days to disappear.
Soft Tissue Fillers
A variety of soft tissue fillers are available to help fill depressions and facial wrinkles, as well as add fullness to the lips and cheeks. At the Plastic Surgery Institute we use clinically-approved fillers including Restylane, Collagen, Radiesse, and Sculptra. Autologous fat (fat harvested from the patient’s own body) is also used for facial
contouring and rejuvenation. Except for fat, all of the above are temporary fillers which absorb slowly over months to years. The most popular areas for filling are the lips, cheeks, and the nasolabial folds (the crease between the nose and the corner of the mouth)
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