DrNovoa.com

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.