CO2 laser nose rejuvenation

Rejuvenation of the Nose The nose ages just like the rest of the face. An aged nose is more porous with horizontal wrinkles and falling tip. The lowering of the nasal tip and the appearance of horizontal wrinkles are caused by lowering of the forehead and accompanied by a decrease in the eyebrows and eyelids. Reposition of the nasal tip and removal of horizontal wrinkles can be resolved with a minimal incision on the wrinkles, this is a fast, effective procedure and the patient continues immediately with its activity. When the patient presents in addition to the descent of the nasal ...

Ganglion or synovial cyst

Ganglion cysts are the most frequent benign formations of the hand. They occur frequently in the joints of the hand and the wrist. The most common place is the back of the wrist, on the palm of the hand and on the fingers. They have a circular shape, can be soft or hard and are filled with clear gelatinous liquid. The cause is attributed to inflammatory processes of the joints (arthritis) and tendons (tendinitis). The cysts closest to the fingertips are usually associated with an arthritic osseous spur. They may or may not be painful. In some cases they may cause joint mobility d...


Hemorrhoids are varicose dilatations in the anal canal covered by the anal mucosa. Hemorrhoids are usually hereditary. Constipation and pregnancy increase intra-abdominal pressure and promote hemorrhoidal prolapse. Laser Treatment At Hoogstra Medical Centers we use two types of Laser for the non- Surgical treatment of internal and external hemorrhoids. The Carbon Dioxide Laser that produces cutting and coagulation of hemorrhoids with minimal damage to neighboring tissue. And the Vascular Laser 980nm and 1,064nm long pulse to produce an intravascular coagulation similar to what is done w...


Phimosis is a condition of the penis where the foreskin cannot be fully retracted. In phimosis, the opening of the foreskin is too narrow to allow the head of the penis to come out. Phimosis is normal in the newborn and disappears around the age of 13. Phimosis causes difficulty in urination and sexual intercourse. Phimosis can be produced by: 1. The tip of the foreskin is too narrow. 2. The inner surface of the foreskin is attached to the glans. This is normal in children and abnormal in adults. 3. The frenum of the penis is too short to allow complete retraction of the foreskin. ...

Short frenulum

The frenulum of the penis or preputial frenulum is a skin fold that is covered by the foreskin. When the frenulum is too short it restricts the movement of the foreskin, which causes discomfort during sexual activity. When the penis is erect and the frenulum is too short, it causes the penile-glans head to swerve downwards. This causes pain, difficulty in penetration and may even be torn and bleeding. These tears on healing can shorten the frenulum further and aggravate the situation. Frenulumplasty Dr. Ricardo Hoogstra performs this procedure with local anesthesia, which is we...

Augmentation of Labia Major

The aging process can cause a loose of the youthful and appearance of emptiness of the major Labia. Hoogstra Medical Center treat the aging of the labia major, adding volume, either with hyaluronic acid or fat from the patient's own. We can also tighten and rejuvenate the skin with carbon dioxide Laser as we do with the skin of the face. Hyaluronic acids which we place are usually Voluma of the laboratory Allergan who has a 20-month period. This is a procedure quick, simple, painless and the patient continues immediately with no downtime. If we have to make a fat graft  and a carbo...

Fordyce Spots or Stains

Stains or Fordyce spots are the white approximately 1 to 3 mm that may appear on the lips, penis, scrotum and vulva. They are enlarged sebaceous glands, are non-malignant lesions and do not require treatment, except that disturb aesthetically. In which case, the best treatment is drainage with the Laser Lotus, which without requiring anesthesia produces a micro incision on the gland that allows drainage of its content. The patient can continue immediately with their activity and showering the same day. Treatment and post treatment is painless. To ask about this treatment, please ent...

Complications related to silicone injection in lips

For years it has been shown that liquid silicone is harmful to the body and should not be used as filler. Today although the application of liquid silicone as filling material is prohibited. Some medical doctors  and nonmedical professionals  are still using. At first the results seem to be good, but after a few months will begin to notice the complications associated with this terrible product. The silicone causes an inflammation in the tissue where it is housed, which slowly leads to damage of the same. The body reacts to this product inflammatory forming granulomas, palpable tumors, a...

Underarm fat

Excess fat around the axillary cumbersome and unsightly. Most often they occur in overweight patients, but also can be seen in thin patients. Differential diagnoses The most common differential diagnoses are with Axillary lipomas, mammary gland Axillary and axillary nodes. Treatment In Hoogstra Medical Center we perform Lipo Laser Diode modeling that allows the destruction of adipose tissue and skin contraction. We introduce a 1 mm cannula through a minimal incision usually not sutured. It is an outpatient procedure, the patient continues its activity immediately . Many patients ...

Stye and chalazion

Meibomian glands are secreting fat to tear, which prevents evaporation and drying the eye. Certain skin germs forming a plug, so the gland cap and swells: thus the stye is formed. The first symptoms of a stye usually include pain, redness, itching and tearing. Clinically you can observe a reddish bump on the edge of the lid and the base of the lashes, usually with a period of small pus in the center; If a stye does not drain and does not heal, it can turn into a chalazion. Chalazion tend to develop farther from the edge of the eyelid than styes. The most common home remedies are intended ...

Rejuvenation Earlobe

The Earlobe is subject to the effects of gravity and aging like the rest of the face. An ear lobe aged is elongates and has wrinkles and lost volume. In Hoogstra Medical Centers have the tools to reverse these signs. The carbon dioxide laser stimulates collagen fibers, it produces shortening and recover the lost volume. The result is maintained over time. Usually a single session is enough to achieve the desired result. Resurfacing carbon dioxide laser is an outpatient procedure. Dr. Ricardo Hoogstra has over 20 years of clinical experience and is visited by patients from around the w...

Epididymal Cyst

An epididymal cyst is a fluid-filled sac which grows at the top end of the testicle. It is benign (ie not caused by cancer). Some men get only one; others get several on both testicles. The first thing you notice is a lump. Epididymal cysts cause no discomfort and you may be unaware that a small one is present unless it gets larger. Treatment Surgical removal may be necessary if they become painful or don't start to shrink. Sclerotherapy used to be performed as an alternative to surgery. It involves injecting the cyst with a liquid called a sclerosant. However, it is not often done the...

Bartholinitis, Cysts Bartholin gland

What is Bartholin gland? Bartholin gland is located between the labia majora and the vaginal wall. If we compare the vagina with a clock, these glands would be found around 4 and 8 o'clock. Normally, they are invisible and its function is the lubrication of the vagina. Bartholinitis It is the inflammation of the Bartholin's glands, To clog the small hole where it exits the fluid secreted by the gland, the liquid is still produced but not having output accumulates and begins to form a round bulge on the edge of the vagina. Symptoms are pain and tumor that can reach the size of a walnut...

Fat bags of Bichat

They are a fat accumulation located inside of the cheek. Fat bags of Bichat are located between the masseter and buccinator, on both sides of the face. The bags of Bichat can be removed easily. In some patients these fat pockets are very large giving a very round face. This volume of fat is not related to the patient's weight, it is more due to a hereditary familial and racial constitution. There are thin patients with bulky cheeks and viceversa. Removal of adipose Bichat bags reduces the volume of the cheeks and gives to the face a refined appearance. The removal of the fat bags of...

Eyelid rejuvenation in Asian patients

Párpados en pacientes asiáticos
The peculiarity of the Asian patient about the appearance of the eye area, makes eyelid surgery has certain guidelines for a natural result, rejuvenating expression without losing the defining characteristics of this ethnic group. To learn more about this treatment, please enter here.


Ectropion is an alteration in the eyelid position in which it is everted and away from the eyeball, so that the inner surface is exposed (conjunctiva). In most patients ectropion occurs in the lower eyelid. SYMPTOMS Painful dry eye, tearing, redness of the eyelid, conjunctivitis. CAUSES It occurs in elderly patients, by a weakness of the orbicularis muscle myoneural plate. We also see very often in eyelid surgery. Other causes include facial paralysis, sequelae of burn, etc. COMPLICATIONS If the ectropion is not resolved in time, corneal ulcers and eye infections can result which...

Female intimate surgery : Labioplasty

Aesthetics labia minora Labia majora cover the labia minora. The excess labia minora may occur from childhood (rarely) in adolescent development (most common) or after childbirth (most frequent). The excess and protrusion of labia minora causes aesthetic and functional alterations. Aches or pains to walk and/or play sports, discomfort or pain when wearing tight clothing and/or dispauremia (pain and discomfort with vaginal intercourse). In the Hoogstra Clinic we perform this type of intervention with laser technology. We will make you feel comfortable and improve the aesthetics of the...

Supernumerary nipple

Soon you will find here information about this treatment that performs Hoogstra Centros Médicos. To make a consultation online, enter here.


Gynecomastia and excess fatty tissue in the chest. Gynecomastia is the abnormal enlargement of the mammary glands in the man usually affects their self-esteem. Gynecomastia and excess adipose tissue in Thorax region is often associated with obesity and increased hormones such as prolactin and estrogen. The increase in breast size is usually associated with an imbalance between estrogen (the female hormone) and testosterone (male hormone). Gynecomastia in patients with overweight is usually associated with fatty liver, increased uric acid and triglycerides. Patients with prominent bell...

Umbilicated nipples

Flat, inverted and sunk Nipples. The normal nipple projecting is 1 cm from the areola skin. Flat, inverted, sunk Nipples are not projected from the areola Skin. If you want to check how are your nipples, first look at them in front of a mirror, if protrude approximately one centimeter they are normal. Place your index finger and thumb on the areola and performs gentle massage, if the nipple is projected forward is a sign of normality, if this does not happen, it is possible that your nipple is flat. However if the massage the nipple areola is dipped into the areolar skin. You have an inv...

Neck Laser Lipolysis

Fatty neck Excessive fat in the neck can be caused by heredity, overweight, for diseases such as hypothyroidism and Cushing syndrome. Fatty neck makes us look obese and older. Neck Laser lipolysis is a minimally invasive procedure with immediate recovery. The procedure remodeling the neck without scarring or skin out. The neck Laser lipolysis is a new procedure in laser technology that allows us to return in 30 minutes neck youth without the patient leaves their daily activities. The Laser lipolysis is indicated for women and men with excess fat in the neck that want to improve their...

Mastopexia: sagging breasts

The fall of the female breast is called breast ptosis. Woman's breasts as the years pass and by circumstances such as pregnancy and lactation, decreased turgor pressure and lose weight, tissues, mammary gland, skin and ligaments stretch, and descended beyond the breast submammary. To solve this problem and return to the torso youth and beauty, cosmetic surgery breast lift, breast lift or mastopexy is performed. - If the patient has sagging breasts and the breast are small, it is very likely that prosthesis placement through minimal scars can be achieved given size and lifting. If the ...

Laser treatment for adiposite and cellulite

Laser treatment for adiposite and cellulite
Hoogstra Medical Center presents a less aggressive and safer solution for the elimination of located adiposities and to improve the cellulite. A fiber laser of high precision of a 1 mm is goes into the adipose tissue, the energy of the laser dissolves the fat and comes out from the small incision made to penetrate the laser fiber. Once the procedure is done, a cannula of 1 mm finishes inhaling the residual fat and the leftovers of adipose tissue. The Fox is a Laser equipment of diode of 980 nm. This portable equipment of a high precision, was made in Germany. It´s specially designed to get...

Non invasive modelation

non invasive modelation
Laser system noninvasive i- lipo for body fat reduction is based on applying a visible light lase, which stimulates adipose tissue cells located below the skin (adipocytes ) to transform the accumulated fats into fatty acids. These are sent by natural means into the bloodstream to be consumed in a session of intense physical activity. Being a noninvasive procedure, it is necessary to use scalpel or are at risk. But the results indicate that not only improves the physical condition of the patient and aesthetics but also lowers blood pressure, glucose levels, cholesterol and blood lipids. A ...

Advanced Body remodeling

The Hoogstra Medical Center has the latest technology for body shaping . A high precision surgical technique to model body areas considered unsightly by fatty deposits in a session of about an hour. This method avoids traumatic incisions such as sutures and large scars. The process is usually done under local anesthesia and does not require hospitalization. The patient leaves the procedure and continues with his life almost immediately. A body area is treated per session. The most requested areas are abdomen, waist, knees, inner thigh and chin. A high precision optical fiber of 1 mm in...

Laser to remove benign tumors on cysts and skin

Sebaceous cysts frequently originate from hair follicles (Pilar Cysts) or from the epidermis (epidermoid cysts). They are located frequently on the face , neck and torso. They are moving masses that move freely under the skin, grow slowly and do not cause any pain. They get infected quite often and present the following symptoms and signs: skin redness, pain, increase in local temperature and drainage of a white-gray material that looks much like cottage cheese. Conventional treatment includes surgical resection of the cyst and neighboring skin. The newest treatment includes the use of...

Invisible lift

invisible lifting
The descent of the eyebrows together with forehead wrinkles , frown and crow’s feet give the appearance of anger, sadness and old age. What is laser skin resurfacing? Laser skin resurfacing, also know as a laser peel, laser vaporization and lasabrasion, can reduce facial wrinkles, scars and blemishes. Our clinic have Newer laser technologies which give us a new level of control in laser surfacing, permitting extreme precision, especially in delicate areas. Today video endoscopic techniques allow us to reposition the eyebrows, clear eyes and wrinkles reduce. Invisible lift rejuvenates the...

Prostheses without visible scars

Although there is increasing amount of information on this topic, there are doubts and myths common to all patients. Here we will try to answer some of the frequently asked questions, and we will make a series of educational videos where patients can share their experiences before, during and after surgery. One of the most difficult problems in augmentative breast surgery is the choice of the prosthesis size . With our video series that we are editing and our advice, I will give you based on my experience over 25 years in the placement of breast implants believe that you will get to the day o...

Augmentative Surgery Chin, Prosthetic chin

Augmentative chin surgery is a procedure that can produce significant improvements in facial profile and harmony. It is especially indicated in patients who are born with underdeveloped mandible. Many young patients come to my office asking for a nose surgery, clinical assessment before I see that the nose appears to be bigger than it actually is because the chin is small. Augmentative chin surgery is performed as a single procedure or associated with a rhinoplasty. With this procedures, face gets beauty and harmony. To learn more about this treatment, please enter here. &...

Vaginal rejuvenation

vagina rejuvenation
No one wants to age or lose optimal function anywhere, and this includes the vagina. In vaginal relaxation; the muscles have poor tone, strength and control. The internal and external diameters increase. The muscles of the perineum are weak. Under these circumstances, the vagina is no longer at its optimum physiological state. As a result, sexual pleasure is diminished. Laser Vaginal Rejuvenation was designed to enhance sexual gratification. For patients with involuntary loss of urine when coughing, sneezing, laughing or exercise. Laser Vaginal Rejuvenation effectively enhance vagina...


This operation consists on the removing of the skin excess and abdominal fat, and correction of muscle flaccidity. This situation of excess skin and abdominal wall relaxation usually occurs in patients who have had weight gain and subsequent loss or women who have had multiple pregnancies. Abdominoplasty gets a firmer flatter abdomen, and a narrower waist. The intervention was performed under local or epidural anesthesia and sedation. I perform the incision above the pubic hair and its size depends on the amount of tissue to be resected. Usually the patient wanders to 24 Hs. &n...

Lifting of the arms

arms lifting
 The passage of time and the decrease in weight produced flaccidity of all tissues of the body, the skin of the arms is no exception to this phenomenon. This generates in the person who suffers an aesthetic discomfort. In our center, patients of both sexes comes to solve this situation. The difficulty which existe is the unsightly scar left by the conventional technique (see first part of the video). The skin of the inner arm for his anatomical feature is not adequate to accommodate a scar, which most of the time despite the precautions taken by the surgeon trained in this procedure ...

Face and neck

face and neck
The face begins to show signs of aging as wrinkles become more pronounced, the grooves deepen, the maxillary branch loses definition, cheeks lose volume, neck gains volume and lost definition. When this process begins and its signs are emerging, it is feasible to treat conservatively or minimally invasive. See our web site: What are my possibilities before entering the Surgery room? Face Refresh bladeless Forehead, eyebrows and periorbital wrinkles Skin Rejuvenation with the CO2 laser Naso labial furrows and chinned lip Tear through Lips If you notice that your face has lost the ov...

Ear lobe, close the hole

With the popularity of earrings as accessories, elongation, or tear, and even a complete tear of the earlobes have become very common. These tears are often the result of heavy earrings, or a strong sudden pull down of the earrings. Lobes also lengthen over the years and are tuned, this leads to the patient's desire to give volume and shortening. The closure of the orifice of the lobes is done under local anesthesia, is a quick procedure, the patient is immediately to your normal life and the ring is placed in the same act on a high and generally a bit more centered place. To learn...


Cosmetic surgery of the nose improves shape, size, general appearance of the face and also corrects breathing problems. It is done with local anesthesia and intravenous sedation, so it manages to combine comfort and safety. Rhinoplasty is a painless surgical procedure which takes approximately 30-45 minutes. The postoperative (unlike what people think) is not painful and recovery is fast, some people go to work after 48-72 Hrs To learn more about this treatment, please enter here.

Eyelid rejuvenation without visible scars

The eyes are one of the first parts of the face that shows signs of aging. It is often an inherited tendency as in young patients of both sexes with bulging bags and dark circles. Other factors are produced by solar damage over time. Aged eyelids show the following signs: 1) Excess skin and lowering the upper and lower eyelids. 2) Bulging fat bags. 3) Wrinkles. 4) spots. 5) dark circles. All this gives the face a tired and aged look. Eyelid Surgery assisted by laser seeks to recover fresh, relaxed, natural and youthful eyes. Laser assisted transconjunctival blepharoplasty. It involv...

Skin papules

A papule is a type of skin lesion, circumscribed, elevated, well-defined edges, solid content. Most of these lesions is elevated above the level of the surrounding skin and not the deeper planes, but may involve both dermis and epidermis. Conventional treatments are: - Electrocoagulation. - Cryosurgery. - Scalpel surgery. At Hoogstra Medical Center, Erbium Laser is used with Lotus II which can vaporize the lesion selectively without affecting the surrounding tissues. Removal of skin papules with Laser Lotus is a more effective, quick, painless with excellent cosmetic outcome pro...

Ears – Otoplasty

orejas -otoplastía
Cosmetic surgery of the ears. Otoplasty is a simple and short intervention used to correct the shape and size of the ears, or the angle formed by the face. The most common modification is performed on the so-called "ear pinning " or " protruding ears ". Ears also fixed the glass or the deformations resulting from trauma. The protruding or prominent ears are important because complex, especially in children and youth, but also adults. Usually operated from age 8, when the outcome the intervention does not affect its evolution. To learn more about this treatment, please enter here.