Is a board certified plastic and reconstructive surgeon trained at The Cleveland Clinic that specializes in face, breast, and body procedures.

Dr. Rafael A. Couto is a board certified plastic and reconstructive surgeon trained at The Cleveland Clinic that specializes in face, breast, and body procedures.

His passion for plastic surgery, innovation, and scientific research allowed him to learn from internationally recognized plastic surgeons and make great clinical and scientific contributions in his field.

He has lectured and published on over 50 occasions on topics pertaining to cosmetic surgery, pediatric plastic surgery, and congenital anomalies, as well as reconstructive surgery after cancer.He has volunteered in numerous mission trips in Latin America and Puerto Rico, providing reconstructive surgeries to children with congenital deformities. As the medical director of Couto Plastic Surgery, his goal is to enhance the aesthetic look and functionality of each of his patients in a natural and safe manner through the use of cutting edge surgical and non-surgical techniques and minimally invasive technology.

Education and Training

Dr. Rafael A. Couto completed his bachelor’s degree at Boston University and obtained his doctorate in medicine (M.D.) at University of Puerto Rico School of Medicine. During his medical studies, he was selected to complete a clinical fellowship in lymphedema and vascular anomalies and executed a clinical translational research at the prestigious Children’s Hospital Boston at Harvard Medical School.

Dr. Couto completed his plastic and reconstructive surgery training at the world-renowned Cleveland Clinic Foundation in Cleveland, Ohio, under the chairman and expert in facial aesthetic surgery, Dr. James E. Zins. This institution is considered #2 in the world by Newsweek and Becker’s Hospital Review and among the top hospitals in the United States by U.S. News and World Report. He was fortunate to join the Department of Plastic Surgery, which was responsible for both the first face transplant in the United States, and years later, the youngest face transplant performed to date. During this time, he gained extensive experience in aesthetic surgery, craniofacial surgery, reconstructive surgery, microsurgery, and surgery of the hand and wrist. He worked closely with international leaders in surgery and helped perform operations only offered at a handful of centers in the world. In his last year of training, he served as Chief Resident and enjoyed helping many patients achieve their goals with surgery or injectables in his own cosmetic clinic.

Dr. Couto then completed a fellowship in advanced aesthetic plastic surgery, minimally invasive technology, and cosmetic medicine at the University of Texas Southwestern Medical Center in Dallas, Texas under Drs. William P. Adams, Jr and Jeffrey M. Kenkel—globally recognized experts in cosmetic surgery. This program is one of the few American Society of Aesthetic Plastic Surgery (ASAPS) endorsed fellowships in the world, and consequently, one of the most prestigious aesthetic surgery training programs in the nation. During this time, he was privileged to work alongside and learn from numerous renowned experts in the field of aesthetic plastic surgery, with a distinct focus on the face, nose, breasts, body, and skin rejuvenation.

In July of 2020, Dr. Couto moved back to his homeland of Puerto Rico with his wife and goldendoodle and opened his private practice. In his free time Dr. Couto enjoys playing beach tennis and golf, spending time with his family and bbqing. Presently, Dr. Couto is part of the medical faculty of the San Jorge Children’s Hospital Foundation in San Juan, where they perform reconstructive operations on children and adolescents with craniofacial deformities.

Medical Training at a Glance:

  • American Board of Plastic Surgery Board Certified
  • Plastic and Reconstructive Surgery Residency: The Cleveland Clinic Foundation
  • Aesthetic Plastic Surgery Fellowship: University of Texas Southwestern Medical Center
  • Lymphedema and Vascular Anomaly Fellowship: Children’s Hospital Boston at Harvard Medical School

Areas of Expertise

Dr. Couto specializes in aesthetic plastic surgery of the face, breast, and body. He also performs non-surgical cosmetic procedures, such as injectables and skin resurfacing.

Because of his strong passion for facial rejuvenation, Dr. Couto has co-authored multiple scientific articles and book chapters about facelift and necklift. Furthermore, Dr. Couto has been previously selected as a faculty member of the annual American Society Plastic Surgery (ASPS) facial rejuvenation course led by Dr. James E. Zins.

Dr. Couto trained under the guidance of Dr. William P. Adams Jr., a giant in the field of breast cosmetic surgery. He specialized in complex cosmetic breast surgery, including breast revisions and congenital breast anomalies. Together with Dr. Adams, Dr. Couto has published various papers on cosmetic breast surgery in the main journals and textbooks of this field.

Cleveland Clinic Foundation is one of the major surgical centers of the world; therefore, complex surgical cases are the usual for their surgeons. Dr. Couto was part of thousands of complex cosmetic and reconstructive operations, specializing in oncologic skin, breast, musculoskeletal, and head & neck reconstruction.

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