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Dr Paiva is a Doctor of Dental Surgery, specialized in Implatology, Forensic Dentist and Prosthetic Dentist. He has also a course in oral microsurgery, laser therapy, MBA in Marketing and several courses in the area of facial aesthetics. A few years ago he started studying aesthetics and facial function, with the concept of Orofacial harmonization. The intention was to provide the best for his patients because quite often when finishing a complete oral rehabilitation, he could notice the disharmony between the facial structures of the maxillofacial complex. With this new philosophy of work, he began to incorporate esthetic treatments of facial rejuvenation in his clinic. He uses in his daily routine hyaluronic acid, PDO wires (polydoxynone), Botulinum Toxin, and Platelet Rich Fibrin. He developed the approach called 5 steps concept, which is a globalized concept of facial rejuvenation.