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DrNovoa.com Dr. Novoa is a Women’s Health Advocate specializing in fully conscious or AWAKE cosmetic and ob/gyn

Dr. Novoa is currently the only Cosmetic OB/GYN in the El Paso area providing services to include Cosmetic Surgery, Reproductive Health, Sexual Medicine, Obstetrics/Gynecology and AWAKE procedures as well as primary case services and high-risk obstetrical care to include Vaginal Birth After Cesarean Section (VBAC) and Vaginal Birth After Cesarean Section x2 (VBA2C). As a Cosmetic OB/GYN, Dr. Novoa practices a multi-disciplinary "Minimally Invasive Surgery" approach to the management of women's health care. The philosophy of Minimally Invasive Surgery (MIS) is fundamentally based on the practice of medical techniques that prevent surgery, and, when surgery is necessary, it is the practice of surgical techniques that minimize scarring and shorten the period of postoperative recovery. It is the practice of medicine which reduces the risks of Cesarean Section (C/S) and the promotion of the Vaginal Birth After Cesarean Section (VBAC). When a Cesarean Section is necessary, it is the practice of surgical techniques that reduce the size and appearance of C/S scarring to include the use of absorbable sutures rather than staples. Cosmetic Practice
Dr, Novoa is an internationally recognized expert in the field of AWAKE or fully conscious cosmetic surgeries having written and published medical protocols regarding the use of tumescent anesthesia to include both lidocaine and ropivacine anesthesics. Dr. Novoa provides the following AWAKE Procedures to his patients wishing cosmetic improvement: AWAKE Breast Augmentation,
AWAKE Liposuction, AWAKE Lipoabdominoplasty (Tummy Tuck), AWAKE Vaginal Rejuvenation and Virginal Size Restoration Surgery

Gynecology Practice
Dr. Novoa is trained in minimally invasive laparoscopic surgery, as well as, in-office and outpatient procedures for the diagnosis and management of urinary incontinence, abnormal vaginal bleeding and abnormal Pap smears. He also specializes in pelvic reconstructive surgery for the treatment of vaginal and uterine prolapse and procidentia, as well as, Cosmetic Gynecology. Currently, he offers the unique surgery known as Virginal Size Restoration surgery (VSRS). He has performed hundreds of vaginal and vulvar modifications following vaginal delivery, which has placed him in an small group of reconstructive pelvic surgeons and cosmetic gynecologists. Obstetrical Practice
Dr. Novoa specializes in both low and high risk obstetrics and has impressive success rates with both uncomplicated and high-risk vaginal deliveries such as the VBAC. Despite delivering more than 3000 babies since starting his practice in 1999, and currently delivering around 150-200 babies per year, Dr. Novoa has one of the lowest primary Cesarean section rates in the United States which is currently lower than 10 percent for primary Cesarean Section deliveries*. His delivery stats are available online with monthly primary C/S rates as low as 10%, which is 3x lower than the national average. His current rate of Cesarean section for the VBAC//VBA2C is also 10%.*

*The current rate of Cesarean Section in the US is above 30 percent. The World Health Organization (WHO), and the US Department of Health and Human Services (Healthy People 2010) recommend a primary Cesarean section rate at or below 15 percent. Each of these organizations also encourage offering TOL/VBAC to patients although fewer than 5 percent of Obstetricians offer this service. Office Practice
Dr. Novoa manages a variety of traditional Gynecological office services. He is also the director of the Novoa Women and Teen Centers specializing in the management of high risk patients in regarding to Reproductive Services, Sexual Dysfunction Disorders and Sexually Transmitted Infections (STIs). Charity Projects and Patient Advocacy Programs

Dr. Novoa works with a number of charity and patient advocacy groups dedicating approximately 20% of his practice in assisting womens' groups that benefit from the advise of medical specialists. Dr. Novoa is currently a member of a number of Facebook Forums to include ESSURE PROBLEMS, POST TUBAL LIGATION SYNDROME, VAGINAL BIRTH AFTER CESAREAN SECTION (VBAC), CESAREAN SECTION, and VAGINAL MESH support groups totaling more than 20,000 followers. Dr. Novoa is a leading advocate in the fight to have the ESSURE Permanent Birth Control Device and Vaginal Mesh devices taken off the market, as well as, an advocate for the immediate reduction in the rate of Cesarean Section in the United States. Dr. Novoa is also a vocal critic of the policies of the American Board of Obstetricans and Gynecologist (ABOG) and American Congress of Obstetrics and Gynecology (ACOG) regarding the unprofessional behavior of many of their members which have lead to the continued pain and suffering of hundreds of thousands of women and their families in regards to OB/GYN care. AWARDS
Dr. Novoa was a 2015 Finalist for Best of the Best, Best Doctor by What's Up Magazine. He received the 2012 & 2013 Patient's Choice Awards for being one of Texas' Favorite Physicians while also receiving the 2012 & 2013 Most Compassionate Doctor Awards. He also consistently scores high on evaluations by Physician Evaluation sites, such as www.vitals.com and received the 2014 Top 10 Doctor Award. For his cosmetic practice, he was awarded the 2010 & 2011 Best of the Best Award for Best Place for a Nip-Tuck by What's Up magazine.

10/21/2026

Misoprostol via any route is generally contraindicated in the Trial of Labor After Cesarean (TOLAC) due to the significantly increased risk of uterine rupture as compared to spontaneous labor or pitocin. Vinn

Convert a prominent easily visible Cesarean section scar with an AWAKE Micro-Brazilian bikini incision in less than an h...
10/19/2026

Convert a prominent easily visible Cesarean section scar with an AWAKE Micro-Brazilian bikini incision in less than an hour.

10/16/2026

Is vaginal laxity a possibility after vaginal delivery? YES.

Vaginal laxity is a well known condition associated with vaginal birth. While it can improve in a majority of women during the postpartum period, it can be permanent in 10-30% of women.The risk increases with each subsequent vaginal delivery and with the delivery of above average weight babies. This topic is often considered a cosmetic rather than traditional medical condition requiring surgical correction. K

What Is a Micro-Brazilian Cesarean Incision?Developed by Dr. Julio Cesar Novoa, MD — Cosmetic OB/GYN Surgeon, 2017The Mi...
10/14/2026

What Is a Micro-Brazilian Cesarean Incision?

Developed by Dr. Julio Cesar Novoa, MD — Cosmetic OB/GYN Surgeon, 2017

The Micro-Brazilian Cesarean Incision (MBI) is a term coined by cosmetic obstetrician-gynecologist Dr. Julio Cesar Novoa, MD, in 2017 to describe a modification of the traditional Pfannenstiel incision used during Cesarean section delivery.

The technique was developed with the goal of combining the surgical requirements of Cesarean delivery with an improved cosmetic appearance of the lower abdomen.

1. A Lower, More Concealed Incision

Unlike the traditional Pfannenstiel incision, which may remain visible when wearing revealing clothing, particularly a bikini, the Micro-Brazilian Incision is positioned lower, within the region of the mons p***s.

The objective is to conceal the resulting Cesarean scar beneath the fabric of a Brazilian-style thong bikini, minimizing its visibility.

This approach emphasizes that the cosmetic appearance of a Cesarean incision should be considered alongside the obstetric and surgical requirements of the delivery.

2. Reducing Scar Adhesions and Tethering

An additional objective of the Micro-Brazilian technique is to minimize unfavorable scar formation associated with adhesions between the skin, subcutaneous tissues, and underlying re**us fascia.

Traditional Pfannenstiel incisions are sometimes placed within or near the suprapubic crease. In certain patients, healing in this region may result in scar tethering, particularly when the subcutaneous tissue layers are not adequately reconstructed.

Dr. Novoa's approach emphasizes careful restoration of the subcutaneous anatomy, including appropriate management of Scarpa's fascia, to reduce the potential for scar adherence to deeper tissues.

Scar tethering may contribute to:

- Reduced mobility of the skin and scar.
- Persistent localized discomfort or pain.
- An indented or depressed Cesarean scar.
- Increased prominence of the overlying suprapubic skin fold, commonly described as the Cesarean apron.

Although anatomically plausible, the degree to which this particular incision and closure technique reduces these complications compared with conventional Pfannenstiel incisions has not been established through comparative clinical studies.

3. Cosmetic Objectives

The Micro-Brazilian Cesarean Incision is designed to achieve several cosmetic goals:

- Lower scar placement: Positioning the incision within the mons p***s when anatomically and surgically appropriate.
- Improved concealment: Allowing the healed incision to remain less visible beneath bikini-style clothing.
- Improved scar mobility: Minimizing adhesions between the superficial and deeper abdominal tissues.
- Reduced scar indentation: Supporting a smoother transition between the lower abdominal skin and mons p***s.
- Improved abdominal contour: Reducing unfavorable scar tethering that may accentuate the Cesarean apron.

4. The Importance of Surgical Technique

The cosmetic outcome of a Cesarean section depends on more than the location of the skin incision.

Attention to tissue handling, hemostasis, appropriate anatomical closure, wound tension, and postoperative healing is essential.

The Micro-Brazilian approach emphasizes preservation and reconstruction of the relevant abdominal wall and subcutaneous tissue planes, including Scarpa's fascia, when appropriate.

The incision location must also permit safe access for delivery. A lower skin incision does not necessarily change the location or type of uterine incision.

Conclusion

The Micro-Brazilian Cesarean Incision represents Dr. Novoa's cosmetic modification of the traditional Pfannenstiel approach, with an emphasis on lower scar placement, bikini-line concealment, and meticulous anatomical closure.

Its guiding principle is simple:

“If you have to have a Cesarean section, shouldn't it have a cosmetic appearance as well?”

Clinical note: The Micro-Brazilian Incision is a surgeon-defined technique rather than a separately standardized incision category. Claims of reduced pain, adhesions, Cesarean apron formation, or equivalent safety require comparative clinical evidence. Individual results depend on anatomy, surgical circumstances, and healing.

10/13/2026
CESAREAN APRON REVISION SURGERY The Mommy Pouch and Cesarean apron can be associated with a significant level of self co...
10/13/2026

CESAREAN APRON REVISION SURGERY

The Mommy Pouch and Cesarean apron can be associated with a significant level of self consciousness. The aesthetic correction of this area via a Mini-Tummy Tuck can significantly improve a patient's self-esteem.

Please call 915 595 9944 for more information.
10/12/2026

Please call 915 595 9944 for more information.

Celebrating our Repeat of Best of the Border and winner of Best of Texas with our mommy pouch plus BBL for $3000.
10/09/2026

Celebrating our Repeat of Best of the Border and winner of Best of Texas with our mommy pouch plus BBL for $3000.

10/01/2026

WE WON BEST OF TEXAS, OBGYN 2026!!!

Danielle and I would like to thank everyone that voted for us to include our TOLAC/VBAC, BII, Filshie clips, Essure, IUD, Office Pain Management and Natural Delivery friends.

We couldn't have done it without you.

We are a Finalist for Best of the Border, El Paso. We won last year, so hopefully it will be a Repeat.

Thank you again for supporting our advocacy for women through our Women’s Health Advocacy Alliance (WHAA). Novoa

Address

10781 Pebble Hills
El Paso, TX
79935

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm

Telephone

+19155959944

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