Reconstructive and Revision Surgery In Miami, FL

• Dr. Pazmiño is known internationally for complex revision surgery and advanced body contouring, and he handles difficult cases many surgeons avoid.
• He has practiced plastic surgery since 2003 and has performed more than 10,000 surgeries. Because many of those surgeries combine several procedures, more than 4,500 of them are revisions.
• Certified and held to the highest standards: Dr. Pazmiño is a board-certified plastic surgeon, certified by the American Board of Plastic Surgery (ABPS), and a Fellow of the American College of Surgeons (FACS). He is a member of the American Society of Plastic Surgeons (ASPS) and The Aesthetic Society (ASAPS).
• Trained at the best, and now training others: He graduated with honors from Harvard University and earned his medical degree with distinction from Baylor College of Medicine. He also completed his general and plastic surgery residency there and served as Chief Resident. Today he teaches the next generation of plastic surgeons as a Clinical Assistant Professor of Plastic Surgery at the University of Miami and the University of Pittsburgh.
• His peers have entrusted him with some of the most important roles in his specialty: As Associate Editor of the Aesthetic Surgery Journal, the #1 scientific journal in aesthetic surgery, he helps decide which research and techniques reach plastic surgeons around the world. He brings that knowledge straight to your care.
• He helps write the safety rules other surgeons follow: He serves on the Board of Directors of The Aesthetic Foundation, where he is Treasurer and Co-Chair of the Scientific Research Committee. He is also Chair of The Aesthetic Society’s Patient Safety Committee. Closer to home, he serves as Treasurer on the Board of Directors of the Florida Society of Plastic Surgeons. He helps set the standards surgeons follow across the country, and he follows them for you.
• Honored for keeping patients safe: He received the Tiffany Award from The Aesthetic Society and the Patient Safety Award from The Aesthetic Foundation.
• Safe, comfortable care. Simple corrections are performed in our office under local anesthesia, and more complex repairs take place in the operating room, with dedicated nursing care and closer monitoring.
• A national leader who still makes time for you: Even with these national roles, Dr. Pazmiño takes the time to listen to your goals, explain every option, and care for you personally.

Revision surgery is central to Dr. Pazmiño’s practice, and his most frequent procedures include:

• Tummy tuck revision
• BBL revision
• Liposuction revision, including correction of asymmetry, irregularities, and extensive fibrosis (firm, scarred tissue beneath the skin)
• Fat grafting revision, to correct uneven or unsatisfactory fat transfer results
• Belly button correction
• Breast augmentation revision, including implant exchange, capsular contracture correction (hardening of the scar tissue around an implant), implant malposition (when an implant has shifted out of position), and implants that sit too low (“bottoming out”)
• Breast lift revision
• Gynecomastia revision, to correct asymmetry or irregularities after previous male breast surgery

If you don’t see your concern listed, any type of revision is open to consultation. Dr. Pazmiño will evaluate your case individually and tell you honestly what can be improved.

You may be a good candidate for revision plastic surgery if you:

• Are unhappy with the result of a previous cosmetic or reconstructive surgery
• Have results that changed after pregnancy, weight changes, or aging
• Are dealing with a complication such as hardened implants, contour deformities, or poor healing
• Have allowed enough time for swelling to resolve, unless a complication needs earlier care
• Are in good health and do not smoke, or are willing to quit
• Have realistic expectations about what a revision can achieve

Revision surgery is highly individual, so Dr. Pazmiño evaluates your tissue, scars, and prior surgical plan before recommending any treatment.

Revision plastic surgery can restore both your appearance and your peace of mind. Key benefits include:

• Correction of asymmetry, irregular contours, and unnatural proportions
• Improvement of poorly placed, wide, or visible scars
• Treatment of implant problems such as capsular contracture or malposition
• Repair of tissue affected by complications from a prior surgery
• A natural-looking result that fits your body
• Renewed confidence after a disappointing experience

Revision surgery rewards careful planning. Dr. Pazmiño will give you personalized instructions, which usually include these steps:

1. Request operative reports, implant cards, and medical records from every previous surgery in the area being revised.
2. Bring photos from before your first surgery, if you have them, to help Dr. Pazmiño understand your goals.
3. Stop smoking and using nicotine products several weeks before surgery, as nicotine impairs healing in previously operated tissue.
4. Reach and maintain a stable weight before your revision.
5. Complete any lab work, imaging, or medical clearance Dr. Pazmiño requests.
6. Avoid aspirin, certain anti-inflammatory medications, supplements, and alcohol, as directed.

1. Follow your procedure-specific instructions exactly, even if they differ from your first surgery.
2. Wear your compression garment or surgical bra as directed.
3. Take short, gentle walks to support circulation and lower the risk of blood clots.
4. Avoid nicotine and eat a protein-rich diet to support healing.
5. Be patient; scar tissue can prolong swelling.
6. Attend all follow-up appointments so that our team can monitor your healing.