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Trusted Cosmetic Surgery in St. Augustine, FL
Ponte Vedra & Palencia Cosmetic Surgery is a premier destination for cosmetic surgical and non-surgical treatments, led by board-certified surgeon Dr. R. Gregory Smith. With over two decades of experience, our practice combines advanced techniques with personalized care to help patients achieve natural, transformative results. Dr. Smith's unique background includes dual medical and dental degrees, specialized training in Paris under renowned plastic surgeon Dr. Paul Tessier, and extensive teaching experience at top medical institutions. Our services span breast augmentation, facial rejuvenation, body contouring, and injectables, all performed in a state-of-the-art surgical suite designed for patient comfort. We prioritize patient safety through rigorous adherence to medical standards and continuous education in the latest cosmetic advancements.

Our team guides each patient through every stage of their journey, from initial consultation to post-operative care, ensuring informed decisions and optimal outcomes. Fluent in three languages, Dr. Smith personally oversees all procedures, bringing international expertise to St. Augustine. We maintain affiliations with leading medical organizations, reflecting our commitment to excellence. Patient testimonials consistently highlight our compassionate approach, attention to detail, and the confidence-boosting results we deliver through both surgical and non-invasive treatments.
Services
Breast Augmentation Botox Injections Facial Fillers Liposuction Facelift Breast Reduction Rhinoplasty Tummy Tuck
Highlights and features
  • Board-certified surgeon with 20+ years of experience in cosmetic procedures
  • Personalized care from consultation to recovery with multilingual support
  • State-of-the-art surgical suite with international safety standards
  • Proven track record with 100+ five-star patient testimonials
  • Comprehensive approach combining surgical and non-surgical solutions
Associations and certifications
  • American Board of Oral and Maxillofacial Surgery
  • American Academy of Cosmetic Surgery
What people say
Artistic work Wonderful staff Transformed Perfect harmony Youthful appearance
Services
Breast Augmentation
Breast augmentation enhances breast size and shape using implants or fat transfer techniques. Ideal for women seeking improved proportions and confidence in swimwear or clothing. Our board-certified surgeon ensures natural-looking results through personalized implant selection and precise placement techniques.
Botox Injections
Botox injections temporarily reduce facial wrinkles by relaxing underlying muscles. This quick, non-surgical treatment targets forehead lines, crow's feet, and frown lines. Patients see results within days and enjoy smoother skin for 3-4 months with proper maintenance.
Facial Fillers
Facial fillers restore volume and smooth wrinkles using hyaluronic acid or permanent solutions. Treats nasolabial folds, lips, and sunken cheeks with immediate results. Our specialists use advanced injection techniques to achieve natural, youthful contours without surgery.
Liposuction
Liposuction removes stubborn fat deposits to improve body contours. Common treatment areas include abdomen, thighs, and neck. Board-certified surgeons use advanced techniques for smooth results while maintaining skin integrity and natural proportions.
Facelift
Facelift surgery tightens facial skin and muscles to reduce visible aging. Addresses jowls, neck laxity, and deep wrinkles with customized approaches. Patients enjoy long-lasting results that restore a youthful, refreshed appearance through discreet incisions.
People
R. Gregory Smith, MD
Board-Certified Cosmetic Surgeon
Dr. Smith is a dual-degree surgeon with specialized training in Paris under Dr. Paul Tessier. He holds board certification in Oral and Maxillofacial Surgery, teaches continuing medical education, and has published extensively in cosmetic surgery literature.
Questions
What cosmetic procedures are available for men?
We offer liposuction, rhinoplasty, eyelid surgery, and facial fillers specifically tailored for men seeking natural-looking enhancements while maintaining masculine features.
How long is recovery after breast augmentation?
Most patients return to light activities within 5-7 days, with full recovery taking 4-6 weeks. We provide detailed post-operative care instructions and follow-up appointments.
Do you offer non-surgical facial rejuvenation options?
Yes, we provide Botox, dermal fillers, and facial fat augmentation for immediate wrinkle reduction and volume restoration without surgery.
What sets your practice apart from other cosmetic clinics?
Our board-certified surgeon's unique European training, 20+ years of experience, and personalized approach ensure exceptional results with a focus on natural aesthetics and patient safety.
Are financing options available for cosmetic procedures?
Yes, we offer financing through CareCredit to make cosmetic treatments accessible. Our staff can help you explore payment plans during your consultation.
Reviews (2)
Eileen Grebe
Oct 21, 2015 Report
Eileen Grebe. I have been going to Esthetician, Chris Weber for several years. She has really made a difference with my skin. She does my eyebrows, facials and helps me pick out products that really have helped me make a change in my skin. She has a wonderful personality and always does her best to fit me with my crazy schedule. The staff there also gets great reviews. They are warm and welcoming. I highly recommend a visit.
Jessica Joy
Dec 23, 2014 Report
Dr. Smith was wonderful. He did just as I asked.The staff is very nice. I would definitely recommend him to anyone looking for a wonderful and professional Dr.