DrNovoa.com

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.

05/26/2026

The Baby Bump may not appear until 28 weeks of pregnancy in women with very toned, strong abdominal muscles and low BMI. It is generally most often seen in first time pregnancy.

05/26/2026

How much does it cost to deliver a baby in El Paso, Texas? 95% of our patients at NMS delivery vaginally. However, self pay patients should budget for the cost of a Cesarean delivery since over 30% of patients in El Paso unfortunately end up with an unnecessary Cesarean section. 🍒✨

05/25/2026

Lawfirms that solicit clients may do so in order to get your name on a list that they use for negotiating power without you ever receiving any compensation after a settlement. on TikTok

05/24/2026

Should your OB care what your Cesarean section SCAR looks like? More than 20% of OBGYNS offer cosmetic services in their practices such as Botox, Fillers, Facial Rejuvenation products, Radio Frequency and Lasers. Some also offer Esthetic Surgery, so why are more offering better Cesarean section incision techniqus. . Daniel Escobar

05/20/2026

There are a number of options available for pain management for Gyn in office procedures. For IUD placement, my general protocol is : 400mcg Misoprostol the night before and day of surgery; Acetaminophen 1000mg plus Ibuprofen 800mg 2 hours before surgery; Bupivacaine/Lidocaine/Tetracaine topical gel on the cervix and in the cervical os. If there is concern about endometrial pain from insertion, tumescent lidocaine infiltration can be used to numb the endometrium. Nitrous oxide ( laughing gas) is great for anxiety and pain. Paracervical blocks although very effective for cervical procedures has a limited affect on the endometrium and has some risks the most common serious side effect is systemic infiltration of lidocaine leading to transient Local Anesthetic Systemic Toxicity (LAST) which is considered a medical emergency. OBGYN using paracervical blocks in the office should be ACLS certificated and have a crash cart on standby.

05/12/2026

Preservé by Motiva is a novel approach to AWAKE breast augmentation based on the proprietary equipment available for the placement of Motiva implants in a subglandular plane. It is based on transaxillary and inframammary incisional approaches and the use of tumescent anesthesia, both with over 20 years of historical precedence.

While I appreciate the fact that plastic surgeons are adopting the proven benefits of AWAKE tumescent lidocaine anesthesia, the cost of this safe and easy technique can be compared to hyperbolic price gouging while taking advantage of the trust that the public has in their surgeons. Rather than promote a safe and cost effective way of breast augmentation, some plastic surgeons are charging 2-4x the cost of a traditional silicone breast augmentation. They should be ashamed of themselves. . Abigail Rodriguez , Elizabeth

05/08/2026

When considering TOLAC/VBAC, consider the following acronym, PLANE.
P- position of the baby. Vertex is ideal. Breech is associated with higher risk of uterine rupture.

L- lower uterine segment thickness (LUST). Greater than 3mm reduces risk of uterine rupture.

A- augmentation, induction or natural labor. Natural labor reduces risk of uterine rupture. STRIPPING MEMBRANES IS CONSIDERED A NATURAL FORM OF INDUCTION OR AUGMENTATION OF LABOR.

N-number of babies and neonatal weight. TWIN VBAC is possible but has a higher risk of complications. Baby weight less than 4000g is associated with a higher success rate and lower risk of uterine rupture.

E- experience and success rate of provider. 70% is considered average. Many providers have very low success rates and refuse to provide their stats.

05/07/2026

Patients thinking about VBAC should consider the following:

1. Experience and success rate of TOLAC/VBAC and TOLA2C/VBA2C of the OBGYN

2. Natural Labor rather than Induction or Augmentation

3. Spontaneous rupture of membranes or Artificial Rupture of Membranes rather than the use of Pitocin

4. No use of Misoprostol

5. The labor room should be close to the OR

6. Epidural line in place

7. Ultrasound confirmation of placenta location: Anterior, Fundal or Posterior

8. Lower Uterine Segment Thickness (LUST) 3mm or greater

9. Estimated fetal weight 4000g or less

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05/06/2026
05/02/2026

Narcotics are not recommended for colposcopy and cervical biopsies. Topical lidocaine, cervical blocks and nitrous oxide (laughing gas) are far superior for pain management. More importantly, if you take a narcotic, you may not be able to drive for hours or even days depending on how much narcotic you are taking. .kenjund

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10781 Pebble Hills
El Paso, TX
79935

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Tuesday 9am - 5pm
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