By Beth Landman | June 28, 2013 | People
Dr. Julio Gallo: the face
Expertise: Founder of The Miami Institute located within the Four Seasons Hotel on Brickell, Dr. Julio Gallo specializes in rejuvenating the face with a combination of classic face-lift surgery and cuttingedge antiaging procedures.
Beauty philosophy: “The scalpel is the ultimate tool, but not the only one,” says Gallo, who does a full analysis, including metabolic and hormone-level testing, before embarking on an age-defying program. “Thyroid issues can create wrinkling of the skin, so that would be addressed with supplementation,” he notes.
Technique: “I prefer to use multiple modalities when performing facial plastic surgeries because it provides a more natural result and a faster recovery,” Gallo says. “Cellular therapies such as stem cells harvested from a patient’s fat and platelet- rich plasma (PRP) from the patient’s blood provide additional support to the body’s healing. Other products such as Laviv, [a filler cultured] from a patient’s fibroblasts, fill lines and improve the overall complexion of the skin. As a final touch, I use different lasers to resurface the skin, remove stains and blemishes, and reduce fine lines.”
Education: Gallo graduated from the University of Chicago Pritzker School of Medicine. He is board-certified in facial plastic and reconstructive surgery, with almost 20 years of experience. He still teaches and assists at the university.
On the horizon: Gallo utilizes intravenous infusions of high-dose vitamins, minerals, and nutrients to help the body recover more rapidly after surgery, and he sees more use of the patient’s own body in future facial antiaging. “Biotech firms will be able to engineer tissue from a patient’s genes, making a piece of bone or skin. We will be able to naturally re-create a youthful face with an individual’s DNA map.”
Dr. Leonard Roudner: breasts
Expertise: Although the arena of breast augmentation is filled with “confection” references like gummy bear implants, doughnut lifts, and lollipop incisions, it’s nothing to take lightly. The No. 1 cosmetic operation in the US, it’s rife with overinflated and uneven results. It takes a keen vision and artistic hand to manage expectations and produce a beautiful, natural outcome.
Beauty philosophy: “Every girl has her own idea of what she wants to look like, and I am here to help her achieve that, as well as advise,’’ says Roudner, though he will turn down patients whose ideas are unreasonable or extreme. “I reject patients who don’t have realistic expectations, like a thin girl who wants very large implants,” he says. “In Miami, 18-year-olds are now requesting larger breasts from their parents [for graduation gifts] instead of cars.”
Technique: There are many ways to alter the size of a breast—a variety of implants and methods of inserting them. “I prefer silicone because it’s more like breast tissue,” Roudner says. “With saline, you can often see and feel wrinkles. The implants we use now are cohesive gel—they are safer and don’t leak like the old ones.” As for incisions, he goes in through the areola. “The scar virtually disappears,” he promises.
Education: After attending medical school in Australia, the Melbourne native did three years of surgical training in Miami and another three years of plastic surgery training at Loyola University Cook County Hospital in Chicago. He is certified by the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS). Roudner has been in private practice since 1981 and performs a thousand operations each year.
On the horizon: While admittedly farfetched, Roudner offers this futuristic view: “One day I hope we will be able to manipulate genes or use stem cells to adjust the size of breasts without surgery. But silicone implants aren’t going away any time soon.”
THE GAME CHANGER
Dr. Roger K. Khouri: fat grafting
Expertise: A pioneer in fat grafting, Dr. Roger K. Khouri uses a patient’s own resources to mold a better body. He founded the Miami Breast Center and has made major breakthroughs in substituting fat for implants in both breast and butt augmentations.
Beauty philosophy: Although implants and injectables have been mainstays of aesthetic medicine, Khouri believes in the more natural approach. “Some follow the route of modifying the body by inserting foreign materials, which is easier because an implant is more predictable, but the body doesn’t like to have foreign materials inserted,” he says. “Fat, once the most dreaded thing in the body, is now liquid gold!”
Technique: “We gently and with minimal trauma harvest the fat with a fine cannula the size of an IV needle instead of the standard garden-hose cannula that leaves a scar,” Khouri explains. “Then we sprinkle back tiny fat droplets over the breast or buttocks like seeds in a field so they can take root and survive. Although the butt is a large field, you have to be a craftsman and fill it one drop at a time,” he insists. “Otherwise the fat cells won’t develop new circulation and they will die.”
Education: A board-certified plastic surgeon, Khouri was trained in general surgery at the University of North Carolina, plastic surgery at Brown University, reconstructive microsurgery at New York University, and hand surgery at Harvard. He was professor of plastic surgery at Washington University before moving to Miami, and he invented the Brava system, which enlarges the breast by stretching the skin, making it ready to accommodate the infusion of fat.
On the horizon: “A lot of what we do in plastic surgery today is nipping, tucking, and filling,” Khouri says. “There will be less and less of this as we learn to harness the body’s own regenerative powers. We will even be able to rejuvenate older skin this way.”
Dr. Robert Simons: nose
Expertise: The nose sits in the middle of a face, so there’s not much room for error: One millimeter can make the difference between an elegant proboscis and one that is porcine. A member of The Miami Institute team, Dr. Robert Simons has spent 40 years refining noses while maintaining each patient’s uniqueness. “Miami is very international, and there is more of an appreciation for ethnicity and individuality,” he notes.
Beauty philosophy: Guided by the idea that there is a dynamic harmony to the face, Simons assesses all features and may adjust the chin as well as the nose to create symmetry. He feels that even a minor adjustment can make a major difference. “With a face-lift, you do a lot to achieve a little; with a nose, you do a little to achieve a lot,” he asserts. And, he feels, a beautified nose is meant to bring out the best in your other features. “A well-done rhinoplasty should be seen in the eyes, not the nose.”
Technique: Simons is a minimalist; he doesn’t believe in excising tissue, preferring to reposition it and strengthen a profile. “The cute, little nose is an old concept,” he says. He is not a fan of the popular open rhinoplasty; his incision is made inside the nose so there is no chance of scarring.
Education: Trained in New York at Mount Sinai Hospital, Simons headed south in the ’70s and became director of facial plastic and reconstructive surgery at the University of Miami. He is the former president of the American Academy of Facial Plastic and Reconstructive Surgery and former president of the American Board of Facial Plastic and Reconstructive Surgery.
On the horizon: “Rhinoplasty has become recognized as an antiaging procedure—if you lift the nose tip, it automatically gives a more youthful appearance.”
Dr. Constantino Mendieta: buttocks
Expertise: Dr. Constantino Mendieta literally wrote the book on butt lifts, The Art of Gluteal Sculpting. In 2000, after Jennifer Lopez appeared in a sheer green dress at the Grammys, his business started to boom. “When they think of the butt, people often think of Brazil, but the craze really started in Miami; then I mainstreamed it,” he says.
Beauty philosophy: “There is a power to the booty that you are not going to find in the breast,” insists Mendieta, who can even take overweight women from self-conscious to sexy and confident. “Finally, supermodels have something to be envious of.”
Technique: “Initially, I started just making butts bigger with implants, but then I realized it was more about shape—and with fat I can transform and shape bodies rather than just enlarge them. Now 98 percent of my work is done with fat,” he says. If women are too thin to provide the necessary “ammunition,” he sends them to “booty camp.” As he describes it, “I have to fatten them up, like getting the turkey ready for Thanksgiving. I have them go to McDonald’s and other junk-food places. It’s the best prescription: They get to eat cake and ice cream for two to three weeks.”
Education: Mendieta attended The Royal College of Surgeons of Edinburgh and held an aesthetic fellowship at Harvard University.
Contribution: “I came up with various classifications for buttocks that exist, which allows us to change them to the most attractive, which is the rounded-A,” Mendieta says. “There is a wider rounded-A, like the rear popularized by Jennifer Lopez and Kim Kardashian, and a more narrow-A, like Pippa Middleton’s.”
On the horizon: “Companies are now at work trying to find a new, safe filler that will be FDAapproved as a less expensive alternative to fat, so that more women will be able to reshape their butts,” he notes.
Photography by brian smith