Athena Plastic Surgery

Avron Lipshitz, MD - Stuart & West Palm Beach, FL

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Are You a Candidate for Sculptra?

Sculptra is a poly-L -lactic acid-based dermal filler designed to restore volume to your skin. It was originally designed to non-invasively augment the cheeks of individuals with HIV. However, as research into the safety and efficacy of this dermal filler continued, it was discovered to be effective for augmenting several other regions. At Athena Plastic Surgery in Stuart, FL, we can answer your questions about who is a good candidate for this treatment and viable anti-aging alternatives. 

 

Are You a Good Candidate for Sculptra? 

A great thing about poly-L -lactic acid (PLLA) is that it is incredibly safe. However, it is not the appropriate treatment for every cosmetic concern. For example, it can safely and effectively augment the cheeks, enhance the contours of the chin and jawline and restore volume to hollow temples. However, it is not appropriate for augmenting the lips or adding volume to the upper eyelids. Here’s a closer look at signs you may be a good candidate for treatment:

You Are Concerned About the Appearance of Your Cheeks

If you are concerned about the appearance of your cheeks, Sculptra may be the perfect dermal filler for you. After all, it was originally designed to restore volume to the cheeks and enhance the appearance of the cheekbones. You will also probably be a good candidate for this dermal filler if the skin around your cheekbones is sagging and you wish to lift that skin without undergoing an invasive procedure. When the cheeks are augmented, the skin lifts naturally.

You Are Concerned About the Appearance of Your Temples

Another sign that this dermal filler may be right for you is that you are concerned about the appearance of your temples. After just three to six quick treatment sessions, you can expect the volume of your temples to increase by an astonishing 40%, helping you look years younger. Even better, the results of these sessions will last several years without you needing to make any lifestyle changes to support the health of your collagen.

You Are Concerned About the Appearance of Your Nasolabial Folds

You may be a good candidate for Sculptra if you are concerned about the appearance of your nasolabial folds. Nasolabial folds are the deep folds that run vertically between your nose and mouth, making you look years older than you actually are. These deep folds are most commonly caused by muscle hyperactivity in the area, but you may be the perfect candidate for this filler if your nasolabial folds are caused by age-related volume loss.

You Are Concerned About the Appearance of Your Jowls

In the past, the only way to lift sagging jowls was to undergo an extensive, invasive procedure that required six weeks of restricting recovery. On top of the restrictions to daily routines, like lifting over nine pounds, it required one to two weeks off from work. If you don’t have the time, money or desire for that, you need PLLA injects to lift your sagging jowls effortlessly.

There is no downtime, discomfort or pain associated with this treatment and your usual weekly activities will not be restricted. There is no more convenient solution on the market.

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You Are Concerned About the Appearance of Your Marionette Lines

Marionette lines are long, vertical lines that appear around the corners of your mouth. When caused by hyperactive muscles, they worsen when your face is emotive, such as when you smile or laugh. However, they can also be caused by volume loss due to age. The latter is the type of marionette lines this injectable can treat, and the results can last up to five years.

Keep in mind, numerous factors affect how long the results of treatment will last for you. Take, for example, the treatment of marionette lines. The volume loss-related lines may not return for five years, but you may develop lines caused by muscle hyperactivity within five years of your treatment session. Therefore, you may need another cosmetic treatment before localized volume loss occurs. Here are other factors that affect the durability of treatment:

  • Whether you smoke
  • Whether you drink alcohol
  • Whether you expose yourself to UV rays unprotected
  • How well you stay hydrated
  • How nutritious your meals are
  • How relaxed you can remain

 

A Critical Note on Relaxation

It may not seem intuitive at first, but your final results will last longer if you’re better at remaining calm. When you’re psychologically stressed, your body produces more cortisol, the stress hormone. There are several effects this hormone has on the body; one effect is breaking down the collagen and elastin in the skin. Collagen and elastin are the special proteins and fibers that keep your skin smooth, and this filler works by inducing collagen.

You wouldn’t drink two meal replacement shakes on top of your regular meals when you’re trying to lose weight, would you? The same logic applies to stress and this dermal filler. Stress will only increase the rate at which your final results fade. While we know you can’t just eliminate every stressor in your life, you can be mindful of your thoughts and separate them. For example, thinking “I recognize I feel frustrated about the gridlock” separates you from the frustration.

You Have a Couple of Hours to Spare

You are probably a good candidate for this dermal filler if you have a couple of hours to spare. Treating an area can take anywhere from 15 to 60 minutes depending on the complexity of the issue you are trying to resolve. If you are trying to restore volume to several large areas, such as your jawline and your cheeks, a single treatment session may take 90 minutes or more.

Furthermore, you may need anywhere between one and six treatment sessions to achieve your desired aesthetic. Most people only need two or three sessions spaced four to six weeks apart, so it’s best to have a flexible supervisor who will let you take a long lunch or have at least 1.5 days of PTO you can use over the course of a few months.

What Are Some Signs This Treatment Isn’t Right for Me?

As stated previously, this dermal filler is not FDA-approved for use around the eyes or in the lips. Therefore, if you are concerned about upper eyelid wrinkles, lower eyelid bags, thin lips or asymmetrical lips, you will need to find a more suitable dermal filler. Here are a couple of other signs that this treatment may not be appropriate for you.

You’re Pregnant or Nursing

Independent clinical researchers test cosmetic treatments on a wide variety of people to determine both safety and efficacy. However, they do not test these treatments on women who are pregnant or breastfeeding. Therefore, the FDA has no trial results to review on this segment of the population and cannot approve this treatment for such individuals.

If you’re pregnant and know that you won’t breastfeed your infant, you can consider treatment once you’re feeling up to it. As much as you may want to improve your appearance now, there’s no need to rush. If you’re currently breastfeeding your infant, wait until he or she is weaned off of your milk completely. There is no evidence to suggest that PLLA can pass through breast milk and harm an infant, but it is not worth the risk.

You’re Under 18 Years of Age or Older Than 65

This dermal filler is usually used as an anti-aging treatment, but it is also used commonly to add volume after significant weight loss. If you’re not 18 yet, you must wait until you turn 18 to consider this treatment. Furthermore, this treatment may not be the ideal solution for your cosmetic concerns if you are over the age of 65. We’ll discuss your medical history and health status at your initial consultation to determine if it is appropriate for you.

Your Skin Is Irritated

You must hold off on treatment if your skin is irritated on the day of your scheduled treatment. Examples of skin irritation include sunburn, rashes, acne and active infections.

How Can I Enhance My Appearance if This Treatment Isn’t Right for Me? 

If a PLLA-based dermal filler isn’t appropriate for your aesthetic goals, you’re in luck. We offer a wide variety of dermal fillers, each with unique benefits. The appropriate dermal filler for you depends on the goals you’re trying to achieve, but we can give you a brief overview of some of our most popular services to give you an idea of what may work for you.

Juvederm Ultra

If you’re looking for a dramatic improvement to the appearance of your lips, look no further than Juvederm Ultra. This incredibly advanced hyaluronic acid-based dermal filler was designed specifically to augment your lips safely. Manufactured by Allergan, this dermal filler takes very little time to inject, with the entire treatment lasting only 15 to 60 minutes depending on the exact results you’re looking for.

Thanks to the highly advanced cross-linking technology of the hyaluronic acid molecules, the full results last a year. However, it may be 18 months before the results fade to the point that you want a maintenance treatment. Even better, you will see an immediate improvement in the appearance of your lips, with the full results being visible within 14 days. As added bonuses, there is no downtime, there is no recovery period and the results look completely natural!

Revanesse Versa

Revanesse Versa is another great choice if you’re looking to plump up your pout. If you’re looking to increase the sultriness of your smile, we’ll talk about what that looks like to you during your initial consultation. Versa is another hyaluronic acid-based dermal filler, but the molecules aren’t as robust as the molecules found in Juvederm Ultra’s formula. You can expect the final results of this treatment to be subtler and last between three and six months.

Belotero Balance

You should also not despair if you wish to eliminate dark circles and bags beneath your eyes. Belotero Balance is exactly what you need. This is yet another hyaluronic acid-based dermal filler, and the FDA approved ti for injection around the eyes. Like Versa, the molecules used in this formula are small and smooth, providing smooth, natural-looking results. Whether you have a moderate or severe concern, the results of treatment will last up to a year. 

 

Rejuvenate Your Skin and Restore Youthful Volume Today

If you believe adding volume to your skin would improve your self-confidence, you are probably a good candidate for Sculptra. To find out for sure if this aesthetic treatment is appropriate for you, contact us right away at Athena Plastic Surgery in Stuart, FL to schedule your initial consultation. We’ll see you soon!

Athena Plastic Surgery is led by Dr. Avron H. Lipschitz, MD .
Dr. Lipschitz is a board-certified plastic surgeon serving Stuart, the Treasure Coast, and Palm Beach communities. His training includes plastic and reconstructive surgery fellowship training at Johns Hopkins, and he is certified by the American Board of Plastic Surgery.

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Athena Plastic Surgery

Avron Lipschitz MD
Plastic Surgery Johns Hopkins Fellowship Trained
Double Board Certified by the American Board of Plastic Surgery and America Board of Surgery
ASAPS Member Logo
Member of the American Society for Aesthetic Plastic Surgery
EXCELLENT
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Based on 315 reviews
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Kathleen Hurlburt profile picture
Kathleen Hurlburt
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All aspects of Athena has been an excellent experience
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monique filipiak profile picture
monique filipiak
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I wanted to try a new Glp weight loss product. Brandi was helpful, professional and answered all my questions.
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Channe Coles profile picture
Channe Coles
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This place really has superb service and highly skilled staff from top to bottom. Beautiful office and very welcoming. I would highly recommend.
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Michael G profile picture
Michael G
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Nice practice with a knowledgeable doctor and the staff is awesome.
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Elizabeth Osborn profile picture
Elizabeth Osborn
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+1
I had such a wonderful experience getting lip filler! Dr. Lipschitz took the time to explain everything thoroughly and made sure I felt comfortable throughout the entire process. He was incredibly kind, patient, and really listened to what I wanted. I was hoping for a natural-looking result, and my lips turned out exactly how I envisioned them, beautiful and subtle without looking overdone. I’m so happy with my results and would absolutely recommend him!
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Mark Hirst profile picture
Mark Hirst
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This facility must clearly be rated as one of the top rated plastic surgery centers in Florida. Doctor Lipschitz is world renown and accomplished with a history from Cape Town to the Palm Beaches. The amazing facility in Port St Lucie can accommodate most procedures in house in a state of the art surgery OR that I have personally experienced with excellent results and all in-house. Aesthetics are comparable to the best high end spas and medical receptions anywhere in the world. I have always been extremely happy with the friendly services and fair pricing received over the years. Thank you Doctor Avy !!
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Cornelis Pameijer profile picture
Cornelis Pameijer
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I had a few skin lesions removed of which one required a free skin graft on my forehead. The end result is very nice. Staff and doctor were professional and very pleasant and accommodating. I do recommend without reservations.
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Barbra Pineiro profile picture
Barbra Pineiro
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Dr. Lipschitz is a wonderful surgeon. He is not only kind and easy to speak with, but his skills are impeccable. I have been seeing him for years, ever since he quickly corrected a problem area on my face which a host of doctors said could not be corrected. His skills are unmatched!
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Susan Novak profile picture
Susan Novak
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Great customer service. Professional, relaxed atmosphere.
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Wendy West profile picture
Wendy West
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Dr. Lipschitz is the BEST! Office staff is helpful and kind. A caring and welcoming office really stands out!
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Joyce Armstrong profile picture
Joyce Armstrong
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Dr. Lipshitz makes you really feel comfortable. You know that he and his office are concerned for your well being. My procedure went as I expected. Everything was explained before hand. Dr. Avron is the best.
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Ali Navarro-Jalice profile picture
Ali Navarro-Jalice
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From my very first consultation to every follow-up appointment, my experience with Dr. L (Avron) and his patient coordinator, Terri, has been nothing short of exceptional. Tatiana, his nursing assistant, is also truly amazing. Terri was kind, patient, responsive, and made me feel supported every step of the way. She was the primary factor that promulgated my consideration of Dr. L. Plastic surgery can be overwhelming, but Terri always took the time to answer my questions, ease my concerns, and made me feel like I was her top priority. She is an incredible asset to the practice. This was my fourth plastic surgery procedure, and all of my previous surgeries were performed by well-known surgeons in Miami. I can honestly say that none of them compare to Dr. L. He is just the best in every way and words can’t adequately describe my satiation with his artistry and his medical expertise. Dr. L is, without question, the best plastic surgeon I have ever had. His skills are extraordinary, but what truly sets him apart is who he is as a person. He is humble, compassionate, honest, and genuinely cares about his patients. He never made me feel rushed, took the time to explain everything thoroughly, and his attention to detail is remarkable. Not only is he an incredibly talented surgeon, but he also has a bedside manner that is rare to find. He made me feel safe, confident, and completely cared for throughout the entire process. My results have exceeded my expectations, and even during recovery, I knew I had made the right choice. If you’re considering plastic surgery, I cannot recommend Dr. L and his team highly enough. After four procedures with different surgeons, I can confidently say that I wouldn’t trust anyone else. Dr. L is simply the best, and Terri and Tatiani makes the entire experience even more exceptional. Thank you all for your kindness, professionalism, and for changing my life. I am beyond grateful.
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Robert Mergupis
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Made my wife feeling very comfortable again, thank you Doc!
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Robert Kunkle profile picture
Robert Kunkle
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Always 100% professional. Would not go elsewhere.
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Anita Russo profile picture
Anita Russo
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I had a few facial procedures done approximately 3 months ago and am very satisfied. I wanted a natural, refreshed look which is exactly what I received. Terri, the surgery coordinator, was kind and an extremely warm person. No amount of questions were too many. She helped make the process seamless.She always got back to me in a timely manner. Dr. L is a warm, caring surgeon. From start to finish and after surgery, he was always available, even providing his cellphone for any questions or concerns. He is a perfectionist which I truly appreciate. I stayed overnight in the surgery suite with a nurse which was most convenient as I was there for next morning appointment to have drains removed, etc. A nice touch was a delicious smoothie early evening and breakfast the next morning. After the surgery, I had lymphatic massages for a few weeks with Meredith, which really helped the healing process. She too, was a sweetheart. I would highly recommend this practice which I believe was a 10 out of 10!
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Chantal C profile picture
Chantal C
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I’m not one to always leave reviews but I felt compelled in this particular instance. As someone who works in the healthcare field, I came in particular, detail-oriented, and with a very long list of questions. Dr. Lipschitz never made me feel like a burden for it. He took his time at every visit, answered everything thoroughly, and he and Terri stayed responsive and available from consult all the way through recovery. His knowledge and skill are evident — and I genuinely believe his expertise has made my recovery smoother than I expected. So far I am very happy with my results. Dr. Schwartz was wonderful as well. The entire staff — Olivia, Meredith, and everyone in between — played a big part in making this a positive experience. Every interaction felt warm, professional, and reassuring. The whole experience exceeded my expectations and I'm grateful to this entire team. I wouldn't hesitate to recommend them.
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Smooth Jazz
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Very professional, informative and transparent
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Ariana Stefanopoulos profile picture
Ariana Stefanopoulos
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Very clean environment and the staff was so friendly and helpful !
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Helen Kleinfeld profile picture
Helen Kleinfeld
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Courteous staff, excellent facility!
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Rebecca Sechrist profile picture
Rebecca Sechrist
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Love the mobile unit! Does a great job visiting mom at the assisted living. Very convenient.
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Laura Garcia Bartenfelder profile picture
Laura Garcia Bartenfelder
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Best plastic surgeon, great work, very professional and great manner - I would never go anywhere else. Amazing meticulous work!
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Diane F. profile picture
Diane F.
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Wonderful, professional and extremely accommodating. Procedure went smoothly...comfort is their big priority. Follow up care was top notch.
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Lauren Eskenazi profile picture
Lauren Eskenazi
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I highly recommend Dr Lipschitz! I came in for help with a facial injury and he was extremely caring, helpful and thorough. The office staff was also very friendly and got me in right away. I would not hesitate to come here again.
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rich barker profile picture
rich barker
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Olivia, Kim, Were efficient over the phone making the appointment, In a timely fashion didn’t have to wait. Meredith an employee that wasn’t there was great at setting me up With Athena plastic surgery. Amanda spoke to me before I spoke to Dr made sure I was comfortable and got all the information for Dr.Dr.Lipschitz was great at counseling explaining a strategy for surgery He wasn’t rushed made sure I understood everything although he was busy..Offices were immaculate, exceptionally Clean all of the staff was very helpful. To say the least, Dr. Lipschitz is extremely qualified.
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judith kaplan
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I walked in without an appointment because I had a wound on my elbow. Lucky me I was well taken care of with a smile.
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Ann Naylor profile picture
Ann Naylor
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Highly recommended! I’ve been coming here since 2018 Recently my essential routine’s are Meredith Spink esthetician. She’s great. A variety of services. The entire The Dr.Lipschitz team is incredible.
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meryl abbondanza
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The best doctor and team. Everyone is so caring and supportive. i highly recommend them
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Donna Borges profile picture
Donna Borges
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Dr L and Terri were very professional and made me feel comfortable on my vist
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Tad Allison profile picture
Tad Allison
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I had cancer removed from my nose. Haven’t completed total recovery/healing.
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Harli England profile picture
Harli England
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such a lovely business! very informative and helpful through my friend and i’s consultations!
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Sharon Burke profile picture
Sharon Burke
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Herbert has been a patient for awhile. The staff and Dr are caring and extremely experienced. Herbert is pleased with his care.
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Mariana Munevar profile picture
Mariana Munevar
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Warm welcoming customer service. Staff were attentive and caring. If you are looking for honest and Caring processionals, Athena is highly recommended!
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steve minkler profile picture
steve minkler
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I am in the process of working through some significant skin issues and am so grateful to be under the care of Dr. Lipschitz. I have been very impressed with his professionalism and that of his front office and clinical staff as well. In addition, everyone I have come into contact with there is so caring and friendly. I could not be more pleased with the services of Dr. Lipschitz and Athena Plastic Surgery.
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Lori Riordan profile picture
Lori Riordan
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I feel very blessed to have found Dr. Lipschitz after researching doctors that do reconstructive surgery after having a stoma and coloscopy. His team is very supportive and professional. He has an extensive knowledge of the human body and is always available to answer any questions or concerns you may have. I highly recommend him for any type of plastic surgery or reconstructive procedures. In a world where doctors are so busy he proves to be accessible, accommodating and supportive of his patients.
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Alice O'Shea profile picture
Alice O'Shea
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Athena Plastic Surgery and Dr. Avron Lipschitz were recommended by several of my personal doctors. I am so happy I took professional advice for whom to use for my face lift and arm surgery. I had a face lift on Jan 20, 2026, and my arms done on Feb26,2026. Both surgeries were done perfectly. I had no complications and the results are amazing. My son says I look 30 years younger. The amazing thing is those who did not know me before surgery can not tell I had a face lift. They compliment me on how youthful I look, or my makeup, but no one believes I am 70, or can tell I had a facelift. The sign of a perfect face lift is others can not tell you had one. My mouth does not stretch clear across my face or my skin is not pulled or puckered. But my frown lines that made me look like I had a hinged puppet mouth are completely gone. My neck looks like it did when I was on my 20s. Dr. Lipschitz and his entire staff are so caring and provide the most wonderful services and bedside manner. I am so glad I decided to follow my doctors recommendations and went with the very best. If you would like to talk to a person who had surgery. Have Terri give me your number and name and you can talk to a real patient.
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Azucena Calderon profile picture
Azucena Calderon
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had a great experience at Athena Plastic Surgery. The doctor was very professional, honest, and took the time to explain everything clearly. I really appreciated that they showed me the product before the treatment, which made me feel confident and safe. The staff was kind, and the whole process felt clean and well organized. I’m very happy with my visit and would definitely recommend this place to anyone looking for quality and transparency.
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Gail St Jacques profile picture
Gail St Jacques
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I’m not even sure where to begin. Dr Lipshitz did a deep planing + facelift on me. To say he is an artist and perfectionist is just the beginning. He is compassionate, calming, and reassuring from consultation through where I am in recovery (which is 6 days out).. He and his entire team treat you like family,. I googled and reviewed more surgeons that I can say and my decision to go with Athena Plastic Surgery was the right choice. I would also like to give a special shout out to Terri, the patient liaison. She is more than my go to girl, she has become a friend. She explains and communicates every minutia detail. She and the Dr both gave me their private numbers and said to text or call any time 24/7. Please if you are looking for someone who is leading edge on all procedures at least talk to them, they will not disappoint.
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JP Greco profile picture
JP Greco
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I have been a patient of of athenoplastic surgery and Dr. Avi lipshitz for 9 years. Over the last 9 years he has basically changed my whole life. Always very professional. And caring complete makeover but didn't change the way I looked. Just kept me looking the same youthful self
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Drenda Carter
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The visit was smooth and easy the ladies were very kind and attentive to my mothers needs
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Trina
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I’ve had 3 different surgeries recently, and the level of care, and also what Avron did is just amazing. He is very clear on what he is doing, and aftercare is AMAZING. I recently also started some Botox treatments and Meredith is fantastic. All the staff is great and friendly. I HIGHLY recommend Athena for your cosmetic needs!!!!!
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Alan Lulay
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Excellent highly recommend.
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GOOD OLD DAZE
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Gotta say Dr. Lipschtiz is the man… your in good hands… he works miracles and I’m happy with my nose… I had a dog bite scar that split my nose and for many years had to walk around like Frankenstein… it wasn’t a cool scar… After surgery I felt like I finally got rid of the monster… it was a big relief… I am eternally grateful and will sing him praises and give this man his flowers for life… so that’s my 2 cents if your on the fence… its well worth it!!!!
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martha smith
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I am a 76-year-old woman who never had any surgeries before but wanted a full-face lift in my final years on this planet. I interviewed several plastic surgeons and the only one I felt 110% safe and confident with was Dr Lipschitz. He explained ALL to me from the beginning to the end of the procedure. He was there 24/7 after the surgery and beyond. If I needed anything or had any issues he was there. I felt safe and confident that I would be just fine and I was. He helped me calm down and heal in a caring manner. He never complained or felt I was a bother to him. I am so pleased with my results, and I promise you that you will not be disappointed with this dr or his caring staff. This dr is a true masterpiece with his hands and skills to make me look young again at my age. If you don't use this dr you will regret it.
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Angela Garrido
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In being a first timer on January 7, 2026 with Athena Plastic Surgery. My orthopedic Dr as well as my surgeon. He recommended Dr. Lipschitz for help with a non healing incision that was touched by a therapist to soon after surgery. Dr. Lipschitz, is a caring, passionate, and knowledgeable in his field. Today, February 11, the incision is much better than my actual first visit. I am so grateful for his expertise in getting me back on a healing track. Athena has a great staff Brandi, Rachel, Olivia, front desk personnel (don’t want to butcher the spelling of her name - lol) were the main ones I dealt with. I had no bas experiences during my time. I didn’t get a couple of returned calls; however it was not that serious to penalize them. I definitely recommend Athena for beauty enhancements with Dr. Lipschitz. Thank you so much for your service. 100000/10
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Kim Bezer
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I have gone to Meredith for Botox about 3 times. She does an excellent job of pinpointing exactly where I need it and….she is fun!! Sometimes it can be a little intimidating getting self improvement services done but Meredith was so kind and natural. If you are thinking about Botox I highly recommend going to Meredith. And make sure to book a morning appt. She will get your day started with a laugh and a positive outlook! Thank you, Meredith.😀
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Greta Eve
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Dr. Lipschitz is extremely talented and knowledgeable. I am so thrilled with my septorhinoplasty results and I can breathe so much better.
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Greta Eve
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I cannot say enough good things about Athena Plastic Surgery and Doctor Lipschitz, as well as his team. If you go here for anything, you will be in good hands. I can’t believe we have one of the very best plastic surgeons in the whole world, right here in Stuart, Florida.
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Kimberly Breen
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I am so pleased with my experience with Dr. Lipschitz and his team! I’m a teacher and new to the area. One of my child’s parents referred him to me. It wasn’t necessarily an easy case. I had been in a good deal of pain and felt very self conscious. I was so pleased, he listened to me, discussed my options and I was on the books! I felt like I was in good hands and I was! I had gone to other surgeons who ran through a countlessly given speech…I was just another patient. I am very happy with Dr. Lipschitz’s work and I wouldn’t hesitate to recommend him.
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Carrie Gauthier
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I went to Dr. Lipschitz years ago for fillers and I really appreciated that he educated me on both short-and-long-term results. This is why I chose him to do some more maintenance work recently, and once again, he acted with integrity. It was a big decision for me and he and his staff answered my questions candidly and treated me with professionalism and care. The best part is the significant improvement his artistry has made on my appearance, confidence and life overall. Dr. Lipschitz is one of the top plastic surgeons in the country, you can read up on his degrees, honors and extensive training (indcluding a fellowship at Johns Hopkins). I couldn't imagine going anywhere else and I couldn't be happier with my results.
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footankleg
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Dr. Lipschitz is a highly skilled and outstanding plastic surgeon who deeply cares about his patients.

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