Cosmetic and Plastic Surgery by Dr. Manuel Gigena

Refresh, Refine & Transform

There are many reasons to have a facial plastic surgery, and identifying your own reasons is an important part of the process. When you look in the mirror, what features do you currently like? What features do you not like? How has your face changed over the years?

During a consultation with Dr. Manuel Gigena, FACS, he will review the answers to your questions and conduct a full face evaluation. After the exam, he will share suggestions for improvement and what can be done to refresh and refine your look.


Facial Procedures

Facelift/Necklift (Rhytidectomy/SeptoPlasty)

The goal of a facelift is to improve the symptoms of aging in the face and neck. These include sagging, deep fold lines, jowls and extra fat appearing as a double chin for “turkey neck”. 

Facial Fat Transplant

A fat transplant transfer is done to fill facial creases and deep fold lines, which restores facial contours. Fat is taken from a donor area and injected into cheeks, chin, under-eye area and add volume to lips. This is an option for those who aren’t ready for a face lift.


Also known as facial fillers, injectables are used to rejuvenate facial skin by reducing or eliminating wrinkles, rasing scar depression, enhanicng list and replacing solf-tissue volume loss. These products provide temporary to long-lasting solutions.

Scar Revision

A scar is an area of fibrous tissue that replaces normal skin after injury. While a natural part of the healing process, scars can make a person self-conscious. Scar revision minimizes a scar so it is more consistent with your skin tone and texture.

Skin Cancer Removal

Using special techniques to preserve your health and appearance, cancerous growths and other skin lesions can be surgically removed.

Ear Surgery (Otoplasty)

Appropriate for children and adults, ear surgery creates a more natural shape that then brings balance and proportion to the ears and face. This procedure changes overly large and/or protruding ears, and corrects poor results of previous ear surgeries.

Brow Lift

A brow (or forehead) lift can create a more youthful look by reducing forehead and frown lines; raising sagging brows; and positioning the eyebrows in a more aesthetic position.

Eyelid surgery (Blepharoplasty)

Perfomed on the upper lids and/or lower lids, eyelid surgery can reujuvenate the area around your eyes. It is done to remove sagging skin, reduce puffiness and bags, and correct drooping lower eyelids that reveal white below the iris.

Neck Lift

A neck lift may be recommended when, due to aging, a person’s neck area doesn’t match his or her upper facial features. Jowls, excess fatty deposits, loose neck skin and abnormal contours can be corrected wit this procedure.


Often referred to as a “nose job” or “nose reshaping”, this procedure is done to create facial harmony, correct nasal proportions and correct structural nasal defects.  

Call us at 503-435-NEWU (6398) with questions.