Novoa MedSpa

06/18/2026

06/11/2026

Dr. Novoa is a pioneer in the surgical technique known as fully conscious tumescent lidocaine breast augmentation or AWAKE breast augmentation.

Beginning in 2008, Dr. Novoa trained with Dr. Anil Gandhi the creator of AWAKE Breast Augmentation.

The technique allows for the placement of saline or silicone breast implants up to 800cc size in a submuscular plane (below the muscle).

Using only tumescent lidocaine without the use of narcotics or anxiolytics, IV sedation or General Anesthesia, AWAKE breast augmentation takes less than one hour.

The significant benefits of this technique are its safety and the fact that it allows the patient to see the range of implant sizes and allows the patient to make the final decision on implant size before closing.

There are no surprises or guess work since the patient makes the final decision on size, not the surgeon.

Dr. Novoa has performed over 4000 fully conscious tumescent lidocaine breast augmentation since 2008. He lectures on this procedure at international conferences. He is published and peer reviewed and he has written Chapters on tumescent anesthesia in the Springer Medical Series.