ARNOLD ALMONTE
His Plastic and Reconstructive Surgery training took place at major trauma centers including Lincoln Medical Center in the Bronx, NY, Westchester Medical Center in Valhalla, NY, St. Christophers Children’Äôs Hospital, Hahnemann Medical Center and St. Mary’Äôs Medical Center in Philadelphia.

The Almonte Center in El Dorado Hills, CA has been providing specialized cosmetic surgery to patients in El Dorado, Sacramento, and Placer counties. Patients have come from as far as Lake Tahoe, Los Angeles, and San Francisco for his expertise and personalized care.

The services he offers range from non-surgical cosmetic procedures such as Botox, Restylane, and NIA 24 Skin Care, to an array of popular surgeries such as breast augmentation, liposuction, facelifts, and tummytucks.

Dr. Almonte specializes in the ALift, a minifacelift done under local anesthesia designed to rejuvenate and tighten the face in about an hour. The recovery is quick and the results are amazing. It will remove 10 - 15 years off your look.

What sets Dr. Almonte apart is his unique ability to connect with his patients, truly understand their needs, and walk them step by step through their procedures. From the initial consultation to the unveiling of the final result, patients feel a sense of security with Dr. Almonte. It is his belief and philosophy that gaining a patient’Äôs trust is a physician’Äôs greatest responsibility. Through hard work and dedication, extensive training, and attention to detail, Dr. Almonte has made it his mission to maintain that trust.

MEDICAL TRAINING

Below is the complete list of Dr. Almonte’Äôs training and professional affiliations.

UNDERGRADUATE
Bachelor’Äôs of Science in Physical Therapy 1985-1989
Loma Linda University
Loma Linda, California

MEDICAL SCHOOL
University of Osteopathic Medicine and Health Sciences 1992-1996
Des Moines, Iowa

OSTEOPATHIC INTERNSHIP
Peninsula Hospital Center 1996-1997
Far Rockaway, New York

RESIDENCY in GENERAL SURGERY
Harbor-UCLA Medical Center 1997-1999
Torrance, California

St. John’Äôs Episcopal Hospital 1999-2002
Far Rockaway, New York

FELLOWSHIP in HAND SURGERY
Lincoln Medical Center
Bronx, New York

RESIDENCY in PLASTIC AND RECONSTRUCTIVE SURGERY
Philadelphia College of Osteopathic Medicine
Philadelphia, Pennsylvania

HOSPITAL AFFILIATIONS HOSPITAL AFFILIATIONS:

Marshall Medical Center
Placerville, CA
(530) 626-2656
www.marshallmedical.org

Marshall Surgery Center
Cameron Park, CA
(530) 676-6120

Folsom Surgery Center
Folsom, CA
(916) 673-1990

Mercy-Folsom Hospital
Folsom, CA
(916) 983-7490
www.mercyfolsom.org

Sutter Amador Hospital
200 Mission Blvd.
Jackson, CA 95642
(209) 223-7500
www.sutteramador.org

Amador Surgery Center
223 Clinton Road Suite 204
Jackson, CA 95642
(209) 257-1593

Sutter-Roseville Medical Center
Roseville, CA
www.sutterroseville.org/

PROFESSIONAL MEMBERSHIPS

Amador Chamber of Commerce
- www.amadorcountychamber.com

American College of Osteopathic Surgeons
- www.facos.org

American Osteopathic Association
- www.osteopathic.org

Osteopathic Physicians and Surgeons of California
- www.opsc.org

Greater Sacramento Society of Plastic Surgeons
- www.plasticsurgeonsofsacramento.com

El Dorado Hills Chamber of Commerce
- www.eldoradohillschamber.org

American Academy of Cosmetic Surgeons
- www.cosmeticsurgery.org

COMMUNITY OUTREACH COMMUNITY OUTREACH:
Seminars on breast reconstruction for women at the following breast cancer support groups.

"Save Ourselves"
Sacramento, CA
(916) 448-5432
www.save-ourselves.org

"Hooters"
Contact Person: Charlie Hall
Placerville, CA
(530) 344-3963

"Faith Eternal"
Contact person: Nancy Eide
El Dorado Hills, CA
(530) 957-2680

WHAT IS A D.O.?

D.O. is a Doctor of Osteoapathic Medicine. When choosing a doctor for your family, it's important to know all of your options, including the type of physician you see. Many people don't realize there are two types of physicians: MDs and DOs, or Doctors of Osteopathic Medicine. Doctors of Osteopathic Medicine are fully licensed physicians and surgeons who practice in all areas of medicine. They may be certified to specialize in family medicine, obstetrics and gynecology, pediatrics, surgery, internal medicine, and all other specialties, including plastic and reconstructive surgery.

DOss obtain the same type of training that MDs do: four years of college, four years of medical school, followed by three to six years in internships and residencies to prepare for their chosen specialties. Both MDs and DOs must pass comparable exams to gain their state licenses. In California, DOs are licensed and regulated by the Osteopathic Medical Board of California (www.ombc.ca.gov)

DOs bring something extra to medicine. DOs practice a "whole person" approach to health care-instead of just treating specific symptoms or illnesses, they regard your body as an integrated whole. A strong focus on preventive health care is undertaken.

Dr. Arnold Almonte is proud of his background as an osteopathic physician. He has integrated his knowledge in osteopathic medicine with his extensive and rigorous training as a plastic and reconstructive surgeon. His approach to your care will be one of competence as well as compassion.

In addition to being a member of several professional organiziations, Dr. Almonte is a longstanding member of the American Osteopathic Association (www.osteopathic.org), the American College of Osteopathic Surgeons (www.facos.org), and the Osteopathic Physicians and Surgeons of California (www.opsc.org). As a plastic and reconstructive surgeon, he is also a member of the American Academy of Cosmetic Surgery (www.cosmeticsurgery.org).

Hospital affiliations include Sutter-Roseville Medical Center in Roseville, CA, Mercy-Folsom Hospital in Folsom, CA, and Marshall Medical Center in Placerville, CA.

Dr. Almonte is Board Certified by the American Osteopathic Board of Surgery, www.aobs.org

Our Plastic Surgery Services for El Dorado Hills, Folsom, Sacramento, Placerville, Amador, Cameron Park, Shingle Springs, Diamond Springs, Elk Grove, Fair Oaks, Rancho Cordova, Rocklin, Granite Bay and Northern California

• Breast Augmentation
• Breastlift
• Breast Reduction
• Liposuction
• Facelift
• Blepharoplasty (Eyelid Surgery)

COSMETIC PROCEDURES

BREAST AUGMENTATION

Breast augmentation (also called augmentation mammoplasty) is a cosmetic procedure that uses implants to enlarge and shape the breasts. Your new look will bring you greater freedom with fashion and may give your self-image a boost as well.

WHY CHOOSE TO HAVE BREAST AUGMENTATION?

If you often wish that your breasts were larger, fuller, or more shapely, breast augmentation surgery may be the right choice for you. Breast augmentation (also called augmentation mammoplasty) is a cosmetic procedure that uses implants to enlarge and shape the breasts. Your new look will bring you greater freedom with fashion and may give your self-image a boost as well.

Women who choose to have breast augmentation surgery do so to improve their self-image. Some feel dissatisfied because their breasts never developed to a size that meets their expectations. Others want to bring balance to a breast that is somewhat smaller than the other. Often, women want the procedure to restore their natural breast volume, which may have decreased as a result of pregnancy, weight loss or aging.

WHO IS A GOOD CANDIDATE FOR BREAST AUGMENTATION?

Any one of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:
- You are bothered by the feeling that your breasts are too small
- Weight loss has changed the size and shape of your breasts
- After having children, your breasts have become smaller and have lost their firmness
- Dresses that fit well around your hips are often too large at the bustline
- One of your breasts is noticeably smaller than the other
- You feel self-conscious wearing a swimsuit or form-fitting top.

SEVERAL "MUSTS" FOR ANYONE CONSIDERING BREAST AUGMENTATION

In addition, there are several "musts" for anyone considering breast augmentation:
- If you are a young woman, your breast development must be complete
- You must be emotionally mature and fully understand your own motivations for wanting the procedure (the best reason is to feel better about yourself)
- You must have realistic expectations, knowing that the procedure can bring improvement, but not perfection.

THE FIRST STEP

A personal consultation is the first step for every patient considering breast augmentation. During this meeting, Dr. Almonte will assess your physical and emotional health and discuss your specific cosmetic goals for surgery.

BREAST LIFT

WHAT CAN A BREAST LIFT DO FOR ME?

In breast lift surgery, also called mastopexy, the breasts are raised, the nipples are repositioned and the areolas (the darker skin around the nipples) may be reduced in size. If you have lost breast volume over the years and you want to add more fullness, implants may be inserted during breast lift surgery to increase breast size.

WHAT AGE CAN A BREAST LIFT BE PERFORMED?

A breast lift can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Pregnancy and breast-feeding may affect the size and shape of your breasts, so you may wish to postpone surgery until after having children. Still, many women elect to go forward with the surgery before having children, knowing that they can address any pregnancy-related changes later. The milk ducts and nipples typically are not affected during breast lift surgery, so usually the procedure will not alter your ability to breast-feed.

WHO IS A GOOD CANDIDATE FOR A BREAST LIFT?

You may be a good candidate for breast lift surgery if you have any of the following conditions:
- Breasts are pendulous, but are a size that is satisfactory to you
- Breasts lack substance or firmness
- Nipples and areolas point downward, especially if they are positioned below the breast crease

In many cases, women seek breast lift surgery to correct inherited traits or asymmetry--- one breast may be firm and well-developed while the other is not. Breasts of any size can be lifted. However, the results are more long lasting for women whose breasts are smaller and lighter.

THE FIRST STEP

A personal consultation is the first step for every patient considering a breast lift. During this meeting, Dr. Almonte will assess your physical and emotional health and discuss your specific goals for the surgical procedure.

BREAST REDUCTION

RELIEF AND NEW SENSE OF FREEDOM

You'll also get significant relief from many physical and emotional discomforts, a new sense of freedom in your exercise and physical activity, and the ability to wear a greater variety of clothing styles. In fact, of all the procedures that Dr. Almonte performs, breast reduction ranks among the highest in patient satisfaction.

WHAT IS BREAST REDUCTION?

Breast reduction, also called reduction mammoplasty, is a procedure that removes excess breast tissue and skin, making your breasts more proportional to the rest of your body. The areola (the pigmented skin surrounding the nipple) may be reduced and repositioned as well.

WHAT AGE CAN A BREAST REDUCTION BE PERFORMED?

Breast reduction can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breast-feeding may affect the size and shape of your breasts. If you plan to breast-feed in the future, you should discuss this with Dr. Almonte.

WHO IS A GOOD CANDIDATE FOR A BREAST REDUCTION?

You may be a good candidate for breast reduction if you have any of the following conditions:
- Back, neck or shoulder pain caused by the weight of your breasts
- Heavy, sagging breasts with very low nipples and areolas
- Breast that are too large in proportion to your body frame
- Skin irritation beneath the breasts
- Indentations in your shoulders caused by tight bra straps
- Restriction of physical activity due to the size and weight of your breasts
- Feelings of self-consciousness about the large size of your breasts
- One breast that is much larger than the other

THE FIRST STEP

A personal consultation is the first step for every patient considering breast reduction. During this meeting, Dr. Almonte will assess your physical and emotional health and discuss your specific goals for the surgical procedure.

ABDOMINOPLASTY

PHYSICALLY FIT APPEARANCE

A flat stomach is important to a physically fit appearance. However, a healthy diet and regular abdominal workouts can sometimes do little to eliminate accumulations of excess fat and loose, sagging skin in the abdominal area. If you are bothered by these appearance problems, abdominoplasty (also called tummy tuck) may be a good choice for you.

Abdominoplasty is best suited to women and men who are in relatively good shape, but have loose abdominal fat that won't respond to dieting or exercise.

WHO IS A GOOD CANDIDATE FOR ABDOMINOPLASTY?

You may be a good candidate for abdominoplasty if you have one or more of the following conditions:
- An abdomen that protrudes and is out of proportion to the rest of the body
- Abdominal muscles that have been weakened by pregnancy or aging
- Excess fat that is concentrated beneath the abdominal skin.

If you plan to become pregnant or plan to lose a significant amount of weight, you should discuss these plans with Dr. Almonte. Scars from previous abdominal surgeries may limit the results of an abdominoplasty. However, in some cases, an existing scar can be used for the new incision, as is often the case for women with Cesarean section scars.

THE FIRST STEP

A personal consultation is the first step for every patient considering abdominoplasty. During this meeting, Dr. Almonte will assess your physical and emotional health and discuss your specific cosmetic goals for the surgery.

LIPOSUCTION

A FIT AND WELL-PROPORTIONED BODY

In today's world, looking and feeling good means having a fit, well-proportioned body. However, for many people, this may seem like an unreachable goal. Sometimes even a strict diet or a disciplined exercise program can't conquer stubborn areas of excess fat.

WHAT IS LIPOSUCTION?

Liposuction, also called lipoplasty, is a surgical procedure that removes deposits of excess fat from specific areas of the body, face or neck. Liposuction can be used to slim the hips and thighs, flatten the abdomen, shape the calves and ankles or eliminate a double chin.

Liposuction is most commonly recommended for men and women of normal weight who simply want to improve their body contour. The procedure can produce excellent results for people who have deposits of excess fat that make certain body areas appear disproportionately large. Although liposuction is not a treatment for obesity, it can permanently alter body proportion and is sometimes the only way to eliminate fat deposits that do not respond to diet and exercise.

WHO IS A GOOD CANDIDATE FOR LIPOSUCTION?

People of almost any age may undergo liposuction; however, patients with good skin elasticity will achieve the smoothest contour after fat is removed. You may be a good candidate for liposuction if you desire fat removal or contouring in any of the following areas:

Liposuction Can:
- Be performed on several, areas of the body at the same time or be done in conjunction with other cosmetic surgery procedures, as long as you understand that there is increased risk and your surgeon feels that having multiple procedures is a safe option for you.
- Be used to treat some cases of gynecomastia, or male breast enlargement, which occurs in both teenagers and adult men.

Liposuction Can't:
- Serve as a substitute for dieting and exercise
- Effectively treat cellulite (a condition that gives the skin a dimpled appearance)

Also, certain medical conditions may complicate liposuction. They include: diabetes, high blood pressure or heart disease, and previous surgery near the area to be contoured. It's important to let Dr. Almonte know if you have any of these medical conditions or if you have had surgery in the past.

THE FIRST STEP

A personal consultation is the first step for every patient considering liposuction. During this meeting, Dr. Almonte will assess your physical and emotional health and discuss your specific cosmetic goals for the procedure.

FACELIFT

MAKING THE FACE MORE YOUTHFUL

Some of the most visible signs of aging first appear on the face. Although the changes appear gradually, there may come a day when you look in the mirror and decide that the face you see doesn't reflect the way you feel about yourself.

WHO IS A GOOD CANDIDATE FOR A FACE LIFT?

Facelifts are most commonly performed on patients in the 40-60 age range. However, the procedure can produce good results for people in their 60s, 70s and 80s as well. You may be a good candidate for a facelift if you have any of the following types of conditions:

- A deep line that runs from the corner of your nose to the corner of your mouth
- Loss of a well-defined jawline
- Deep wrinkles in the cheeks and sagging skin near the cheekbones
- Loose skin, wrinkles, or excess fatty tissue in the neck.

Facelift surgery needs to be approached with extra caution if you have any of the following medical conditions:
- Uncontrolled high blood pressure
- Blood-clotting problems
- The tendency to form excessive scars

THE FIRST STEP

A personal consultation is the first step for every patient considering a facelift. During this meeting, Dr. Almonte will assess your physical and emotional health and discuss your specific cosmetic goals for surgery.

You should arrive at the consultation prepared to provide complete information about:
- Previous surgeries
- Past and present medical conditions
- Treatments you have received
- Medications that you are taking, including nutritional supplements and herbal remedies.

If you are overweight and have a realistic desire to lose more that 15 pounds, your weight loss could affect your results. It's important to discuss these plans with Dr. Almonte.

During your physical evaluation, Dr. Almonte will assess your bone structure and the underlying tissues of the face. The thickness, texture and elasticity of your skin and the severity of the wrinkles and folds will also be considered. Your hairline will be examined to determine where incisions can be discreetly placed. All of these factors will be considered in developing your surgical plan.

Dr. Almonte may explain additional procedures that can be performed along with a facelift to meet your appearance goals. For example, a facelift is frequently combined with:
- A forehead lift, to correct lines or furrows in the brow
- Eyelid surgery, to eliminate drooping upper eyelids or bags beneath the eyes
- Nose reshaping
- Skin treatments, such as chemical peels, to minimize fine wrinkles.

BLEPHAROPLASTY (EYELID SURGERY)

WHAT IS BLEPAROPLASTY?

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat--usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

Blepharoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Almonte.

WHO IS A GOOD CANDIDATE FOR BLEPHAROPLASTY?

The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.

A few medical conditions make blepharoplasty more risky. They include thyroid problems such as hypothyroidism and Graves' disease, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease, and diabetes. A detached retina or glaucoma is also reason for caution; check with your ophthalmologist before you have surgery.

COMPLICATIONS ARE INFREQUENT AND USUALLY MINOR

When eyelid surgery is performed, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.

The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; your surgeon can remove them easily with a very fine needle.

THE INITIAL CONSULTATION

The initial consultation with Dr. Almonte is very important. He will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform your surgeon if you have any allergies; if you're taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.

In this consultation, Dr. Almonte will test your vision and assess your tear production. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along.

You and Dr. Almonte should carefully discuss your goals and expectations for this surgery. You'll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Contact The Almonte Center For Plastic And Reconstructive Surgery

The Almonte Center for Plastic and Reconstructive Surgery, Dr. Arnold Almonte, D.O.

El Dorado Hills Office:
991 Governor Drive Suite 104
El Dorado Hills, CA 95762
Phone: (916) 933-1113
Fax: (916) 933-1551

Jackson Office:
817 Court Street Suite 8
Jackson, CA 95642
Phone: (209) 223-4853