Locations
Vitenas Cosmetic Surgery
Houston
About
Bio
Our focus in cosmetic surgery is dedicated to the fine art of achieving beautiful and natural appearing aesthetic results in the safest possible environment and with the greatest attention to personalized care. We believe every patient is unique and requires a personalized plan to achieve their goals. This requires understanding on the part of patient and surgeon, mutual agreement on the goals and personal trust. We believe in the relentless pursuit of perfection and see no substitute for trying to obtain it in all that we do. We want our patients to feel welcome in our office and establish long term relationships for their needs. Lastly we cannot over emphasize the important nature of the artistic component of cosmetic surgery, it is, above all else t
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Cosmetic Surgery
General Surgery
Oral and Maxillofacial Surgery
Plastic Surgery
Doctor Q&A
57 Answers
42 Agrees
The number of answers this doctor has agreed with.
A 20-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Mole excision: If they bother you then you can have them excised by a plastic surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Sunscreen: Use frequent applications of sunscreen and avoid long periods of sun exposure.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Warm compress: I would placed a warm compress and then some Bacitracin ointment. Irrigation with saline nasal spray would also help.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 57-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Rectal spasm: Botox will relieve spasm for several months. Nitroglycerin cream also works well for temporary relief.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 36-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Skin resurfacing: Although chemical peels have been a mainstay of treatment for years the co2 laser has also been used as well as other types of lasers.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Rest and avoid salt: A good way to treat swollen eyes is to avoid salty foods and get rest. In addition you can place some tucks (witch hazel) pads in the refrigerator an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
CoolSculpting ?: CoolSculpting is a non-surgical procedure that uses a controlled device to freeze and destroy fat. Fatty areas are gently pinched between the CoolScul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
I agree with Dr. C: You can try Ibuprofen but you may indeed want to seek the opinion of a local physician.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 32-year-old member asked:
I want to be a trucker but i understand they get skin cancer easier than other people, is this true?

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Trucker Skin Ca.: It is not that it is easier to get skin cancer but rather the skin is exposed more to the sun especially the left side.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 23-year-old male asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
They are sun related: Pigmentated spots on the hands are sually related to sun exposure and can be treated by a variety of means such as intense pulse light therapy, laser,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Nerve damage: Tthe numbness could be a result of a severed nerve or an injured nerve such as a bruise on the nerve itself. Sometimes swelling from a hematoma pressi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Weight loss skin: The best remedy for that is to see a board certified plastic surgeon to be evaluated for a tummy tuck or body lift.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Rosacea causes: The etiology of rosacea is unknown but related to climatic exposures, vasculature, chemical and ingested agents, and inflammation. There appears to be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Breast Red/Lift: A breast reduction removes breast tissue and extra skin and moves the nipple areolar complex upward. A breast lift usually removes skin with minimall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Seeing Real Results: As the body eliminates the fatty tissue, after a CoolSculpting procedure, the results will start to show. Patients may notice these changes in as litt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsAnswered >2 years ago
A 37-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Cellulite: Massage does not help cellulite. Mesotherapy is a good solution.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Artefill: Artefill is a permanent filler and causes problems because of its permanency when used for treatment of wrinkles.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Internal bleeding: Usually gastroscopy can identify the source of bleeding and it can be stopped.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
It is better: Rejuvenation of the vagina tighten up the entrance and the canal and provides better sensation for the male and the female in most cases/.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
It is a retinoid: Renova (tretinoin) is a retinoid similar to Retin-A which is used to treat the fine lines of the face. Chemically the compounds are related to vitami... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 16-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Differin adn Retin A (tretinoin): If you are starting to peel just decrease the frequency of usage of these products.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
The skin will sag: As one ages the skin loses its elasticity and begins to sag. It is important to get on a good skin regimen early in life and avoid excessive skin exp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Monocryl absorable: Vaginoplasty excision is closed with 2:0 monocryl sutures in the main floor of the vagina. A 2:0 monocryl with a ur-6 needle is used to tighten the m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Fees for tummy tuck: Fees for a tummy tuck range from 7500-12500 for the surgeon's fee and the mastopext ranges from 6000.00 - 12000 depending on if implants are used conc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Appendicitis: An upset stomach usually occurs in the epigastrium or upper mid abdomen. Appendicitis usually starts with right lower quadrant abdominal pain. It usu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Very satisfying: The advantages of a breast reduction are lessback and neck pain from large pendulous breasts. I have seen many patients still breast feed after a bre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years agoMerged
A 26-year-old male asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Body Lift benefits: A body lift will not only improve your image but it will help with your hygiene and overall health. Sometimes the bulk of tissue is a physical barrie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 53-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Endometriosis: Dysmenorrhea is painful menses whereas endometriosis is painful implants o endometrial tissue around the uterus or other areas in the body.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 23-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Weight loss gimics: These appliances do not do anything for losing weight, burning fat, or breaking down cellulite. Weight loss and fat burning can only be achieved thro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Lasik: Yes if you have improved vision following the lasik procedure.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 26-year-old male asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Radio frequency lift: Radio frequency treatment has been tried as a skin tightening procedure but I do not think it will help remove massive skin that needs a body lift.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 48-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Ultrasonic Lipo: I am assuming that you are referring to ultrasonic liposuction. In ultrasonic liposuction the cannula is also a heating wand that heats up the fat ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Laser forehead: As long as your eyes are protected and the settings are correct you should have no problem with laser hair removal on any part of your face. Use a ce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Sagging cheek bones: The best treatment for sagging cheek bones is a filler such as fat, radiesse, (dermal fillers) or juvederm ultra plus.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Protective clothing: The best way to avoid sun damage and its seqelae is to avoid the sun. If you must go out and don't want to use sunscreens then you may purchase a hat ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Leptin hormone: Leptin is produced by adipose tissue and is believed to regulate body fat. Increased leptin levels reduce appetite and increase energy expenditure. S... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 29-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
IPL +/- Metrogel: Ipl will treat roscea and make it better. In between treatments Metrogel flagyl) can be applied and this will help with flareups.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 29-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Harr loss cure: Both work well but i prefer propecia (finasteride).
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
1 comment
A 33-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Cellulitis : Cellulitis can cause a reddened area over the breast. This can usually be treated with antibiotics.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 25-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Taper dose : When discontinuing the medication i would taper the dose by half a few days at a time until cessation of the drug.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Thermage: Thermage does not usually affect blood pressure.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Pick Plastic Surgeon: Qord of mouth is good but if none of your friends have use him then go to plastic surgery.Org for board certified plastic surgeons in your area.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old female asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Post rhinoplasty : The tip can remain swollen off and on for a year. As for the nostrils they would have to be seen to make a diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Carnitine Tummy tuck: There should be no problem with taking carnitine after a tummy tuck.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Breast Reduction: After breast reduction there will be some discomfort and possibly swelling. Otherwise you will feel some relief from the removal of excess tissue.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 22-year-old male asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Scar revision: Depending on the appearance of the scar it can be excised and revised or possibly dermabraded. You would need to be seen to complete an evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Comp -endometriosis: Adhesions are the main problem although one may have pain and bowel obstruction. There may be ovarian failure following surgical excision.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Yes it is.: There is an increasing number of women who have laxity in their vaginal are .This causes problems with sexual relations and is the result of multiple ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
Clean and dry: One should try to keep the burn clean and noninfected. Another aid is pressure to the wound from silicone sheeting, .
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. Paul Vitenasanswered
Cosmetic Surgery 41 years experience
IPL treatments: The ipl is very iffective for treating rosacea along with Metronidazole gel topically.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
162
Thank you notes
Aug 2, 2014
Great answers. Thank you!
HealthTap member
Mar 30, 2015
Dr. Vitenas is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Vitenas is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Your answer was short but very informative. Thank you!
HealthTap member
thank u so much for ur answer,hope u have a wonderful day
HealthTap member
Thanks for your quick reply! Thank you for a quick reply!
Education & Training
Medical/Graduate school
Tulane University School of Medicine, LA
Graduated 1982MD
Residency
TULANE MEDICAL CENTER
Residency
TULANE MEDICAL CENTER
Awards
2011 Houston Award winner in the Plastic Surgery Physicians category 2011 US Commerce Association
2011 Platinum Elite 2011 RealSelf.com
Allergan Diamond Account 2011 Allergan
Affiliations
The American Board of Facial Plastic and Reconstructive Surgery
American Society of Plastic & Reconstructive Surgery
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