: Before & After Photos

How a Neck Lift is Performed 

There are several different techniques that I use to improve the appearance of your neck.

Sometimes, you only require liposuction – the process of removing fat from in the neck under the chin using a small tube called a cannula, with applied suction. This works for the superficial fat – fat that is on top of the muscles of your neck. Typically, recovery from this procedure takes only one to two weeks – you’ll be driving at one week and at the gym doing a light workout by two weeks. You will need to wear a compressive sling around your head to help the neck settle into its new position and that sling is worn for one week following surgery. By three weeks following surgery, there are no limitations on activity.

The next step, depending on your particular anatomy, may involve working on the muscles and deep fat of the neck. The angle between your jaw and neck might not be 90-degrees because of the shape of a vestigial muscle called the platysma. This muscle doesn’t perform any critical function in the body, but it can lead to a “turkey neck.” Platysma muscle surgery is a minor procedure that takes place under local anesthetic with sedation or general anesthesia. It focuses on restructuring the muscular sling that defines your jawline. Recovery typically comprises five to seven days off work and then limited physical activity for several weeks after that.

If the skin around the neck is very saggy or droopy, we may need to go beyond the procedures described above. Often, the only option is to remove skin behind the ear if excess skin is an issue and your skin elasticity is not good. Also, enlarged glands in the neck and deep fat that exists below the muscles in the neck may need to be reduced. Recovery here depends on your age and the extent of your procedure. I can provide an estimate on a case by case basis. Again, most patients are presentable and back at work within 7 -10 days, and at 6 weeks there are no restrictions. Between week one and week 6 I grade your activity depending on the speed of your individual recovery.

Neck Lift Recovery Overview

Following your neck surgery, I place a bandage just for cosmetic purposes, if you are going home. If you choose to stay overnight in the hospital following your surgery, no bandages are used. I typically use a drain that is removed one or two days after surgery. The drain reduces swelling and bruising and is easy to manage.

You will get a set of instructions on how to manage your recovery. Typically, you will need to keep your head elevated (to prevent excess pressure), and to avoid twisting or bending your neck. You will also need to abstain from placing any ice on the neck since this can reduce blood flow to the affected tissues and cause scarring.

In conclusion, recovery from a neck lift usually requires around five to seven days off work and then a couple of weeks of reduced activities. The results, however, are long-lasting and profound, making it a popular procedure.

Am I a Good Candidate for a Neck Lift?

The best candidates for a neck lift are typically people in their forties or younger who want to enhance their neck profile. Ideally, you should have good skin tone, even if you have poor definition around the jawline and neck. Older patients typically require a face and neck lift performed together. There are of course exceptions and this age rule is merely a guide. At your consultation, I’ll review your options in detail.

Take the Next Step

Would you like to improve the way that your neck looks and feel your best? Get in touch with Dr. Barnett M.D. today to discuss your needs. Consultations are available at our San Francisco and Walnut Creek offices and Virtually online. Call (415) 879-8735 to make your booking and ask any pre-consultation questions you may have.

What Is Breast Augmentation?

Breast augmentation is a procedure designed to add volume and change the shape of your breasts to one that better fits your goals and ideals. Breast Augmentation is ideal for women who want larger breasts rather than those who are satisfied with their breast size, and are interested in lifting, rather than enlarging. Breast augmentations are done with implants strategically placed either above or below the chest muscles. There are many different types of implants, so there are a lot of options to choose from. At times, women want more fullness on the upper portion of the breast while others are looking for a gentle slope to the upper portion of the breast. Implant profile – low, medium, or high – can alter the shape of your breast. Well placed implants can also give the illusion of a lift, positioning the implant in the right place relative to your natural breast and your chest wall. Keep in mind, the breast “mound”, following breast augmentation, is a combination of your natural breast tissue and the implant that is added in the augmentation procedure.

Sizing and Breast Implants

Many people describe the size they want through cup size, but I have found this to be a very inaccurate measurement— bra companies have not standardized these measurements and different sizes look different on different people. I make sure to discuss this with you very carefully to make sure we understand what is the best size for you. We will do sizing using different size bras and different size implant sizers. This way we can make sure that your results are what you want and that you’ll be happy with your augmentation for years to come.

What Is A Breast Lift?

If you’re less concerned with changing your breast size and more concerned with reshaping or perking up your existing breasts, a breast lift may be the answer. Position and shape are just as important as size, and I consider this procedure to be just as crucial to have in my repertoire as augmentations. Breast lifts are ideal for addressing sagging breasts which are often the result of the following situations:

•  Shrunken Breast Tissue After Breastfeeding or Menopause
• Weight Loss/Stretched Skin Envelope
• Asymmetry
• Low Nipple Position

Breast drooping, called ptosis, is common to experience as you age. Thankfully, I can generally reverse it and get you back to feeling confident in your body.

Shaping and Lifting

One advantage of a breast lift is that implants may not be required– by reshaping fatty tissue and reshaping the breast gland, you can achieve great results. I will also focus my attention on the skin, which acts as natural support. By lifting and reshaping your breast tissue beneath the skin, I can reposition the breast to where you want them to be. In many instances, the nipple can be repositioned higher on the breast for a “perkier” appearance.

Breast Lift and/or Breast Augmentation?

At first, It may be hard to decide which option is right for you. In fact, many women who feel they only need a breast lift undergo the combined procedure of breast augmentation and lift once they understand the benefits. If you’re unsure of what the best option is for you, our consultation will address all your questions and provide you with the information that will empower you to make the right decision. From your first screening to the end of recovery, our office is here to help.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735. Renee or Laurie will help you and answer any pre-consultation questions you may have!

For the right woman, a breast augmentation can be a life-changing experience. As a board-certified plastic surgeon, I meet with hundreds of women each year who are interested in exploring their options when it comes to implants. While most are suitable candidates, there are issues that are important to consider when deciding on the surgery.

There are several qualifying characteristics that will determine whether you’re a good fit for breast augmentation. While not all of the below are deal breakers, they are all worth considering. During your initial consult, I’ll discuss each of the following in more depth. It is critical that you are well informed before you make the final decision, and I will provide you with all the information you need to know to make the decision that’s right for you.

#1: You Should Be in Good General Health, including Good Mental Health

Having a healthy immune system can go a long way towards facilitating a speedy recovery. Before considering surgery, you should be upfront with your surgeon about any underlying medical conditions you might have. This allows us to ensure an optimal outcome without any surprises.

Let me know any and all medications you are taking – including birth control pills, aspirin, anti-inflammatory medications like Advil, Motrin, ibuprofen, Aleve, Bayer, Bufferin, Excedrin, and anything else.

Let me know if you use any recreational drugs – no judgement here but it’s important because certain recreational drugs can result in problems with anesthesia during the surgery.

Let me know if you’re under a lot of stress, feeling depressed, or feeling out of sorts. Life is stressful for everyone, and I certainly understand that, but if you’re feeling unusually stressed, please let me know. Breast augmentation is a wonderful procedure, and is designed to make your breasts more attractive and your body shape more in line with your desires, but it is not a solution for depression and won’t solve relationship issues.

#2: You are a Non-Smoker or Willing to Temporarily Stop Smoking.

Smoking is a big no-no when it comes to surgery of any kind. It can inhibit the healing process and prolong your overall recovery. If you currently smoke and are considering a breast augmentation, I recommend stopping immediately. You should be a non-smoker at least 2-weeks before surgery and throughout your entire recovery process.

#3: You are Doing It for Yourself

You should never undergo any cosmetic surgery for anyone aside from yourself. If a husband, boyfriend, or partner is the sole reason for your decision to get implants, you might not be a good fit for the surgery. That doesn’t mean that your partner should not be involved with the decision, it means that you and you alone make all final decisions regarding the procedure, including size and deciding to go ahead. On occasions, patients have told me that they are under pressure from a partner – if that’s the case for you, please call me in advance of the consultation, or at any time, and we can discuss appropriate strategies for dealing with the pressure you’re receiving. Remember – you are in control!

#4: You Have Time to Adequately Recover

With our busy lifestyles today, it’s important to ensure you’re taking enough time to recover. Pushing yourself too hard too soon can prolong the healing process and put you at risk for certain complications. I always recommend taking at least 4 days away from work or school, but certainly more if your position entails heavy lifting or strenuous activities. We’ll discuss the appropriate recovery period for you at your consultation. Also keep in mind that while you may be back to work in as little as 4 days, temporary swelling and bruising from the surgery may limit your choices of clothing, and certainly activities including sex and working out/running.

#5: You Have Realistic Expectations

Finally, you must go into the procedure with realistic expectations. Yes, your breasts will be immediately fuller and more shapely. However, it can take a number of months for your new breasts to fully settle into their new position. This can be a frustrating time for many women who are ready to jump into their new bikini-ready body right away. And while I use advanced techniques to minimize scarring, some scarring is inevitable.

If you’re ready to boost your self-image with breast augmentation, and you’ve weighed the pros and cons thoroughly, you’re most likely a good candidate for the procedure.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735. Renee or Laurie will help you and answer any pre-consultation questions you may have!

Are My Results Permanent?

For the vast majority of patients, Gynecomastia surgery results are permanent. Certain procedures may require touch-ups over time, but unless you experience excessive weight gain, you can be confident that this is a once-in-a-lifetime procedure. Certain medications, steroid use, and medical conditions can cause return of the gynecomastia, and this will be discussed at your consultation.

How Do I Know if I am a Candidate for Male Breast Reduction?

The best candidates are healthy males who are close to their ideal weight. Gynecomastia surgery is not a procedure to correct obesity, but even in overweight patients, breast contouring can provide a dramatic improvement. If you have tried other methods to reduce your enlarged breasts, including weight loss, this procedure may be for you. As with any cosmetic procedure, it is important to have realistic expectations about optimal outcomes. Men taking steroids are not good candidates for this surgery.

Should I have Male Breast Reduction Surgery?

That’s a question only you can answer. Gynecomastia surgery can improve your self-confidence and increase your satisfaction with your body. You don’t have to make a decision during the first visit, and you may discover that male breast reduction isn’t right for you. Whatever you decide, I’ll be there to answer any questions you have in detail during your consultation.

Laser Skin Tightening

While “Laser” represents a very specific type of technology, many people use the term “Laser” to describe all of the non-surgical energy-based treatments for facial aging.  There is a multitude, including brand names like Fraxel™, Ulthera™, and Thermage™. For ease of discussion, I’ll continue to use the term “Laser” even though not all the treatments use laser technology.  Non-surgical, laser skin tightening treatments encourage the growth of new collagen in your face. The laser heats the collagen under the surface of your skin, causing it to tighten.

What are the Benefits of Laser Skin Tightening?

These procedures are safe, effective, and require no incisions.  With some of the procedures, either numbing cream or nerve block injections may be used.  They are designed to produce smoother and younger-looking skin. Some will also reduce skin discoloration and small veins.

What are the Drawbacks of Laser Skin Tightening?

While the recovery is significantly less than with surgical treatments, the results are limited both immediately, and in the long term.  Depending on the technology, you’ll generally need multiple treatments to maximize the result, sometimes upwards of six treatments. Because of swelling of the skin from the treatment, fine lines are greatly improved immediately following the treatment, but much of that improvement will be lost when the swelling subsides within a few weeks. The limited collagen production that occurs with these treatments take time, so it can take 3-6 months for optimal results. This treatment is not ideal if you have excessive skin laxity due to aging, sun damage with loss of elasticity, or weight loss.

Facelift

Facelifts reposition the skin and muscles to give your skin a tighter, more youthful appearance, as well as remove excessive skin. I specialize in the deep plane facelift (also called a two-layer lift), which lifts both the skin and the second layer of fibrous tissue and muscle. Lifting these layers separately prevents direct tension on the skin, allowing for a more dramatic, yet natural-looking and long-lasting result.

What are the Benefits of a Facelift?

The most positive aspect of a facelift is that with only one procedure, many facial imperfections can be addressed.  It results in a long-lasting, often dramatic rejuvenation, that is natural-looking.  Complementary procedures can be incorporated into the facelift, reducing cost and recovery time from multiple surgeries.

What are the Drawbacks with a Facelift?

Facelifts are surgery and therefore are more expensive. While complications are very uncommon, there are greater risks with facial surgery compared to laser skin procedures.

What Results Can I Expect from a Facelift?

A facelift can improve or reverse signs of aging in your mid-to-lower face. After surgery, you’ll have a smoother neck and jawline which is long-lasting.  The majority of our patients require no additional facial surgery for 12-15 years, and as aging following a well done two-layer facelift is natural, subsequent surgeries are not required. While the initial recovery is longer than a Laser treatment, the results from a facelift require only a single procedure. If you’re after quick improvements with lasting results, a facelift is a great choice.

Which Gives the Best Results?

This is important – these are not competitive procedures.  Facelift surgery will give you the optimal result and will dramatically reduce visible signs of aging in comparison to laser skin tightening. Laser skin tightening may be less invasive, but in terms of results – a facelift gives the best results. Laser skin treatments, particularly those that improve fine lines, pigmentation, and small veins and red spots, are an excellent complement either before or after facelift surgery.

 If you need a facelift, you need a facelift!  Laser treatments are not designed to provide the kind of improvement you’ll see with a facelift… but not everyone needs a facelift.  If you have expectations that are in line with what the different procedures can deliver, you’ll generally be very happy with the outcome of the procedure you choose.  If you expect a laser treatment to give you the same results as a facelift, you’ll be disappointed.

If you’re not sure which procedure is right for you, you’ll benefit from a consultation with me. I’ll listen to your aesthetic goals, as well as answer any questions you may have. With the right procedure, you can take years off your appearance and no one will know you’ve had work done.

Are There Any Downsides?

One major downside of arm lift surgery is the incision scar, which is permanent. I do my best to place these in areas that are easily hidden, but clothes that show off the upper arm may also reveal the scar. Most patients feel the scar is worth the benefits of their improved, more toned upper arms. This is an important consideration and will be discussed in detail at your consultation.

Patients may experience a change in skin sensation. The repositioning of your arm tissues during surgery can affect superficial sensory nerves, leaving you with temporary numbness. Prolonged swelling occasionally occurs, but is almost always self-limited.  While brachioplasty is a safe procedure with very high patient satisfaction, like every other surgical procedure, there are risks. These will be discussed in detail at your consultation.

Is It the Right Choice for Me?

An arm lift can benefit most healthy adults with a clear understanding of what this procedure involves. If you are significantly overweight or your weight fluctuates frequently, I may caution against undergoing this procedure. The best way to determine if you’re a good candidate for Brachioplasty is to schedule a consultation with a board-certified surgeon such as myself. I will listen to your aesthetic goals, review your available options, and explain all aspects of the procedure, including possible risks and optimal outcomes.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735. Renee or Laurie will help you and answer any pre-consultation questions you may have!

Scarring is inevitable with any surgical procedure – it’s part of our skin’s way of healing a wound by building new tissue. An abdominoplasty (tummy tuck) is no different. If you’re getting a tummy tuck, you can expect to have a scar. Still, there are steps you can take to minimize their long-term visibility before and after your surgery. While I take great care to leave you with the least visible scar possible, most patients find the results of their tummy tuck to be well-worth any scarring.

What’s Involved in the Procedure?

After making an incision, the skin in your abdominal region is lifted so that excess fat can be removed, and the abdominal muscles can be tightened. The skin is then re draped and the excess is removed.

What Types of Scars Can I Expect?

The size, location, and visibility of scars will depend on the type of abdominoplasty you need. If you need a mini-tuck, you will have a smaller, more easily hidden scar as a result of the smaller incision. The scar is usually below the belly button and only a little longer than a C-section scar.

For more traditional tummy tucks, the scar will be from hip to hip and well-hidden in the bikini line. You will have a scar around your belly button since it’s typically relocated during your procedure.

If you have experienced significant weight loss, you can expect a large upside-down T-shaped scar across the abdomen. This is usually because there is horizontal skin excess as well as vertical excess, so the incision will extend up the midline of the abdomen.

What Kind of Scarring is Normal?

The scar from a tummy tuck is permanent, but I do my best to produce the smallest, thinnest, least visible scar possible. Scars also mature over a period of one to two years and become significantly less visible with time.  If you have undergone a cesarean section, I often am able to incorporate your existing scar into the new scar or remove the old scar entirely.

Although your scar will be mostly healed after 12 weeks, it can take up to a year to fully heal. Following my pre- and post-operative care instructions will give you the best chance of minimizing the visibility of your scars.

What Can I Do Before Surgery To Prevent Scarring?

During your surgical planning appointment, bring underwear or bikini bottoms so you can get a clear idea of where the scarring will be in relation to your panty line. You should also bring up any specific concerns you may have regarding scarring. Prior to your procedure, you should stop smoking for at least six weeks to reduce complications.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735. Renee or Laurie will help you and answer any pre-consultation questions you may have!

We are socialized to look at each other in the eyes when we communicate, and as a result, we become very sensitive to eyelid changes.  Aging, stress, and health are reflected in the appearance of our eyes, often long before we see those changes in other areas of our face. You see those changes, and others do as well!   Ready to erase years off your face, but curious about what to expect during blepharoplasty (eyelid lift) recovery? Don’t worry. I’ll help you determine which procedure will achieve your desired results, and provide you with a comprehensive recovery plan for achieving an optimal outcome.

I’ll use my advanced surgical skills and artistry to complete this 1-1.5 hour procedure in a relatively painless, simple procedure.

Early Recovery

Every person is unique and recovers at a different pace. Recovering from blepharoplasty is short and straightforward, though it can result in temporary side effects (such as minor blurring of your vision and light sensitivity). Bruising and swelling typically peak 3-4 days after surgery and can last anywhere between 10-14 days.  With make-up and glasses (pull out those readers!) you’ll often be ready to return to work and social activity in a week.

Other general recovery recommendations:

• Avoid blood-thinning medications, vitamins, and supplements ahead of surgery
• Use Arnica before and after surgery
• Use a cold compress to reduce swelling
• Protect your eyes from the sun, water, and other irritants
• Get plenty of rest
• Minimize screen-time for one week

Some patients experience mild discomfort, dry eyes, and irritation, which can be managed with medication or lubricating ointment.

When can I go Back to Work and Resume other Activities?

Excess strain on your eyes or body can cause bleeding, extending your total recovery time. It’s best to start slow and listen to your body. If your eyes become tired, dry, or scratchy, it’s probably time to stop and rest.

All external skin sutures are removed by four to seven days following surgery.  On your lower eyelids, I often use an internal dissolvable suspension stitch for lower eyelid surgery, which takes between four and six weeks to fully dissolve. During this time, your lower eyelid is held up at a slight angle to prevent it from drooping as you heal. Once the stitches have dissolved, your eye will return to its normal shape.

Returning to Work

Patients are usually able to return to work after 5 to 7 days, with some exceptions. If you work from home or have a job that isn’t physically strenuous, you may be able to return to work as soon as two days. You can expect to have visible stitches until they are removed at four to seven days post-surgery. In procedures where only fat pads are removed from below the lower eyelid, stitches are not required. Bruising and swelling may be present for 10-14 days.

Resuming Exercise

When it comes to light exercise, sports, or more strenuous activities, it’s important to remember that recovery time depends a lot on your overall health. Non-smokers tend to heal quicker than smokers, and can usually resume their normal workout routine after two weeks.

How Long Before I See Final Results from My Blepharoplasty?

The results of blepharoplasty are long-lasting. You’ll get a nice boost to your self-confidence from your newly rejuvenated, well-rested appearance.  With a board-certified plastic surgeon, most patients experience optimal results within three to six weeks. Your appearance will continue to improve over three or four months.  If you have an important social event, where photos will be taken, it’s probably a good idea to complete your surgery six to eight weeks ahead of the event.

Although good results are expected, the natural aging process does not stop. Additionally, desired results may not be possible with a single procedure, necessitating a secondary surgery. For a majority of patients, needing more than a minor touch-up is rare, even after ten to fifteen years.

More and more women are turning to mommy makeover procedures to restore their pre-pregnancy figure. It’s very common for women to feel uncomfortable with the way their body looks after childbearing and nursing. While motherhood is a natural and beautiful process, many women find that their body doesn’t bounce back from the weight change, the muscle stretching, and the metabolic changes that occur with pregnancy.

As a board-certified surgeon, I routinely perform mommy makeover procedures of all types. Each treatment is highly personalized for the individual woman. We’ll sit down and discuss the concerns post-pregnancy and determine a treatment plan to get you looking and feeling your best. The goal is to maximize your overall results while maintaining a single recovery process.

What Procedures are Included?

A mommy makeover is a term used to describe a combination of procedures aimed at returning your body to pre-pregnancy shape (or better). From injectables to vaginal rejuvenation, your options are quite broad. That said, there are some procedures that are more common than others. The top three commonly-requested procedures within a mommy makeover are as follows.

Tummy Tuck (Abdominoplasty)

It’s no secret that the abdominal area is significantly affected by pregnancy and childbearing. A tummy tuck is often done to eliminate sagging skin, remove isolated pockets of fat, and tighten the abdominal wall. In some cases, a tummy tuck may also be able to address stretch marks found below the belly button. There are several types of abdominoplasty procedures that can each be customized based on your specific needs.

Breast Enhancement

Breast enhancement is another commonly-requested procedure after pregnancy and nursing. Some women opt for breast reduction, while others may choose to have a breast lift with or without augmentation (implants). There is no right or wrong answer.

Liposuction

Liposuction is sometimes paired with tummy tuck procedures or can be done alone in areas like the inner and outer thighs, flanks (above the hip) and other areas as well.

What’s Right for You?

What’s right for one woman may not be the best route to take for your individual concerns. A consultation with a skilled surgeon is the best way to find out which procedure(s) will achieve your ultimate goals. A mommy makeover can help you feel good in your own skin so you can confidently take on the next chapter of your life – motherhood.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Many women that come into our office are unhappy with the shape and size of their breasts after pregnancy, nursing, or menopause, or just from the natural changes that occur with age. If you’re like most, deciphering which procedure is right for you can be complicated. A breast lift, or mastopexy, is a surgical procedure that’s designed to change the shape of your breasts. This breast enhancement procedure can address a variety of concerns ranging from skin laxity to loss of firmness.

What Can A Breast Lift Accomplish?

No two breast lifts are performed exactly the same for every woman. The procedure is highly individualized based on your concerns and goals. Once we’ve determined what you’d like to accomplish, I’ll create a custom treatment plan that can restore a youthful appearance that will give you the best breasts of your life.

As a board-certified surgeon, I routinely perform breasts lifts to;

• Reduce sagging
• Remove excess skin
• Minimize the appearance of stretch marks
• Re-size or reposition the nipple
• Provide symmetry if the two breasts are different

The improved outward appearance of your new breasts is just one benefit of breast lift surgery. Many women find themselves enjoying an improved self-image and a boost in self-confidence after breast enhancement procedures.

Breast Lift: Recovery and Results

A breast lift is generally done on an outpatient basis. I typically recommend taking at least 7 days for rest and relaxation before slowly resuming a normal activity schedule. Afterward, you can start to incorporate non-strenuous activities as you see fit. More strenuous tasks like exercise should be put on hold for at least 2-3 weeks. Although you’ll generally feel pretty good around this time, full recovery can take 6 weeks.

While the improvement is immediately apparent following surgery, the breasts need to settle and the swelling needs to disappear.  Finally, the scars from the surgery will fade. There are changes for up to 2 years following the surgery.

Am I A Candidate for a Breast Lift?

If you would like to restore a perkier, more youthful appearance to your breasts, you may be a suitable candidate for the procedure. Women considering breast lift surgery should be in otherwise good general health with realistic expectations.

I generally recommend putting any breast enhancement procedures on hold until after you’ve had completed having children since pregnancy following a breast lift can significantly impact the results of your procedure. It’s important to note, a breast lift cannot dramatically change the size of your breasts.

For the best possible outcome, I almost always suggest pairing breast implants, even a very small implant, with your lift.  Doing so can address pregnancy and/or age-related volume loss. At the time of your initial consultation, we’ll discuss all of your options more in-depth so you can make an informed decision about what’s right for you.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

#3: Semi Long-Lasting Results

The great thing about HA fillers is being able to achieve semi long-lasting results. Many men and women even opt for injectables prior to surgery to see what their end-results may look like. Although an optimal outcome is dependent on your goals and the application, hyaluronic gel fillers can last anywhere from 3-months for the thinnest fillers used for very fine lines, to  2+ years for the thickest fillers, used for volume replacement and augmentation of the facial foundation. During your initial consult, we’ll discuss all aspects of your procedure including the projected longevity.

#4: Minimal Risks

While no procedure is truly risk-free, HA fillers have a very high safety profile.  Hyaluronic acid is a naturally-occurring substance found within the body. HA is known for its ability to plump and hydrate the skin from within. There are minimal risks involved with the procedure and no allergy test is needed. Hyaluronic gel treatments are a safe and effective method to maintain the results you’ve come to love.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Dermal Fillers

Dermal fillers can be an ideal solution for patients that would like to correct minor sagging without going under the knife. However, patients should be aware that results are typically subtle and short-lived. Treatments are done in-office and take just a few minutes. The strategy is to fill the depression just in front of the jowl (called the pre-jowl sulcus) which softens the shadow that we see. This is a camouflage technique as it doesn’t actually change the jowl, but for smaller jowls it works! If you understand the procedure and have realistic expectations, chances are good you’ll be happy with this approach.

Liposuction of the Jowls

Where fillers and fat grafting try to remove the depression in front of the jowl, in some cases the problem is excess fat just below the skin in the actual jowl region. Suction removal of this fat can quickly improve the contour, smoothing the jawline contour. Liposuction doesn’t remove any skin, so this only works if your skin elasticity is very good.

Lower Facelift

Lower facelift surgery is great for addressing a variety of aging concerns on the mid-to-lower face. During the procedure, I’ll make small incisions that allow me to reposition fat pads, tighten underlying muscles, and remove any excess skin causing stubborn jowls. A lower facelift might be a good choice for you if you’d like a significantly younger-looking appearance with minimal downtime. If there is loss of bone or fat in the pre-jowl sulcus, I may recommend fat grafting to this area in addition to the lower facelift.

Neck Lift Procedures

The best way to address substantial skin laxity in the jowl area is a neck lift procedure. This procedure, particularly when combined with the facelift and possibly fat grafting if needed, is the gold standard. It provides significant improvement to your facial contours from every angle. Neck lifts are generally considered a once-in-a-lifetime procedure for most aging adults. The benefits from the facelift and fat grafting is permanent, but ongoing aging may require additional surgery to maintain the results you’ll realize from these procedures.

What’s Right for Me?

As a board-certified surgeon, I’ll work with you to ensure you get the most out of your procedure whether it be surgical or non-surgical. I work hand-in-hand with each patient individually to craft a treatment plan that will provide maximum results with minimal recovery. After a careful evaluation of your concerns, and speaking with you about your short and long-term goals, we’ll have a better understanding of what’s right for you.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Studies have shown, based on self-reported quality of life metrics, that a well planned and executed breast augmentation can give a woman a newfound sense of self-confidence and improve her overall quality of life. Thanks to the latest surgical advancements and implant types, it is easier for the well trained and experienced breast augmentation expert to obtain natural-looking results. Today, we’ll take a closer look at a few things to consider in the planning stages of your augmentation to ensure you get the results you want.

#1: Choose A Skilled Surgeon

As a board-certified surgeon myself, I understand the level of skill, expertise, and artistry it takes to accomplish natural-looking augmentations. I cannot recommend enough that you choose a surgeon that routinely performs your specific procedure and one who is certified by The American Board of Plastic Surgery. This certification will help ensure your surgeon is committed to continuing education and follows a strict code of both ethics and safety standards. There are many other certifying boards, so “Board Certified” alone is not enough – make sure it is the American Board of Plastic Surgery.

Board-certification is just the beginning. Experience and an artistic eye are equally important. Years of experience, having performed many thousands of breast augmentations, provides one with the expertise to handle all situations and breast types to assure the best possible outcome. The goal is not to simply perform the operation, the goal is to safely create beautiful breasts.

#2: Size Matters

The first instinct many women have is to increase their breast size by several cups. However, you may not realize just how dramatic your results can be without going too large. I typically encourage women to opt for a breast implant that is proportionate to her individual frame. Proportion still means that there is a range of size – and the best method I’ve found for determining the correct size for you is to bring a number of different tops to your sizing visit – a tank top, tighter fitting T-shirt, a loose blouse, and if you wear a specific uniform for work, bring that as well. You will try on multiple bras with different implant sizes. This will allow you to have an excellent idea of what your final result will be based on this sizing method. I have tried and eventually abandoned computer imaging for breast size selection – the implant sizing method is more accurate and results in greater satisfaction. Size matters!

#3: Explore Your Implant Options

Over the past 10 years, a large number of new implants have been brought to market. There are different shapes and different fill characteristics. While the majority of women choose cohesive silicone gel filled implants, saline filled are still popular as well. I generally recommend a submuscular placement to give you the most natural contours and prevent future rippling down the line.

#4: Consider A Breast Lift

Although breast augmentation can produce game-changing results on its own, many women can benefit from the addition of a breast lift. Implants increase the size and enhance the shape of your breasts but if your breasts droop, a lift might be worth considering to reduce excess skin, enhance breast shape, and reposition the nipples for a perkier appearance. If I feel that a lift would be beneficial to you, at your initial visit I will show you what a lift can accomplish with a temporary taping of your breasts to create the lift.

As previously mentioned, the best first step to achieve a natural breast augmentation is through an in-person consultation with a board-certified surgeon such as myself. I’’ll speak with you about your ultimate goals and discuss all of your options in-depth. Together, we’ll be able to craft a custom procedure that’ll have you looking and feeling your best.

Insurance Coverage

Insurance does not cover cosmetic breast surgery. It may cover some of the cost of Functional Breast Surgery. The insurance issue is always a major source of frustration for both patients and surgeons. The decision of whether a surgery is cosmetic/aesthetic or functional is made by the insurance company and not the patient, patient’s employer, or surgeon. At your consultation, we can discuss the likelihood of obtaining insurance coverage, but ultimately that will be decided by your insurance company. Often, a process known as pre-authorization, where medical records, photographs, and a request letter, are sent to your insurance company in advance of the surgery, can assist you in determining your out of pocket expenses. Dr. Barnett is not a “participating physician” with any insurance companies, and while our office will work with you while you try to obtain pre-authorization, the patient remains responsible for communicating with their insurance company and for all costs related to my surgical fees and non insurance covered hospital and anesthesiologist fees. Our office will provide you with a quote for your surgery based on self-pay (not insurance pay) pricing. Dr. Barnett’s fees are fixed, and the hospital, surgery center, and anesthesiologists have fixed hourly rates for self-pay patients. Dr. Barnett’s fees do not vary if you can or cannot obtain insurance coverage. With insurance, hospital, surgery center, and anesthesiology fees do vary based on negotiated agreements and the negotiated fees may be higher or lower than the self-pay fees. We can discuss this with you further at your appointment.

What’s Right for Me?

In most cases, patients typically come into my office with an understanding of the goals they’d like to achieve whether they’re functional or aesthetic. We will spend quite a bit of time educating you about the process, anticipated results, recovery time risks and potential complications. This holds whether your issues are Aesthetic or Cosmetic. Your satisfaction is our goal.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

More and more men are spending time and money on their outward appearance, and for  good reason! The way people look at us can have a significant impact on the way we see ourselves. We’re able to feel more confident in every aspect of our lives from work, to social situations, and even in our family lives. Eyelid lifts are one of the most commonly requested procedures among men.

Sagging upper lids and excess skin and protruding fat bags don’t have to take over your life. As a board-certified surgeon, I’ve helped countless men (and women) transform an exhausted appearance into a more youthful, well-rested look. I work with each of my patients independently to create a customized treatment plan that will produce natural-looking results each and every time.

Is An Eyelid Lift Different for Men?

While the fundamentals are the same the aesthetic is different.  Every surgery is customized, and gender, ethnic look, and your goals are critical to consider.  In general, the surgery is a bit more conservative in men, and browlifts, which are often performed in women at the same time as the eyelid lift in women, are not common in men.  Guys tend to have thicker skin than women as well as a richer blood supply than female facial skin. As a result, men are at a greater risk for hematoma (pooling of blood) after surgery which can lead to more scarring if surgery isn’t done correctly.

As your surgeon, it’s my job to ensure you’ll achieve the results you want while maintaining your masculine features. My suggestion for any guy that’s seeking cosmetic procedures is that they find a surgeon with extensive experience performing surgeries on men. While before and after photos can help you determine projected results, it is also a good idea to ask your surgeon how often they perform surgeries for men.

Liposuction is the ideal procedure for men and women who are bothered by localized fat pockets that aren’t responding to traditional weight loss methods. Certain areas around the face, neck, and body are hard to treat with diet and exercise alone. While a patient may be nearly satisfied with their progress, liposuction can help them sculpt their final figure and give them a newfound sense of self-confidence.

Throughout treatment, I use the latest, most state-of-the-art forms of liposuction combined with advanced surgical skill. Depending on the area being treated and the amount of fat to be removed, you may be better suited for tumescent liposuction, ultrasound-assisted, or laser-assisted liposuction. Thanks to modern technology, liposuction comes with many clear advantages for patients including minimal downtime.

When Can I Start More Strenuous Activities?

More strenuous activities can be gradually incorporated into your routine as you feel comfortable. Bruising typically lasts about 1-3 weeks, and the majority of swelling will subside after about 6-weeks. A compression garment should be worn throughout the first week and at night as necessary to minimize swelling. During this time, it’s essential to listen to your body and not push yourself too hard otherwise you risk prolonging the healing process.

Every patient has a different recovery period according to his or her body as well as the location and amount of fat being removed. As a board-certified surgeon, I work closely with each patient to ensure an optimal outcome with as little recovery as possible. I’ll provide you with a post-surgical recovery plan that’s personalized based on your individual surgery and lifestyle.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Am I a Candidate for a Brow Lift?

You may be a good fit for brow lift procedures if your primary concerns are on the upper portion of the face. Ideally, you will retain some facial fullness on the upper cheeks, the under-eye area, and have minimal skin laxity on the mid-to-lower face. During a brow lift procedure, I will meticulously work to reposition the hairline and minimize;

• Vertical Wrinkles Between the Brows
• Horizontal Forehead Lines
• Droopy or Overhanging Eyebrows

In some cases, you may be a good candidate for combination procedures including an eyelid lift. While a brow lift is a fantastic procedure on its own, a blepharoplasty can do wonders for patients that appear tired, sad, or angry due to puffy or sagging eyelids.

During your in-person consultation, we’ll discuss your concerns in detail and talk about what you’d like to get out of your surgery. Afterward, I’ll create a customized surgical plan to help you safely and effectively meet your end-goals. As a board-certified facial plastic surgeon, I’ve been able to provide countless patients with natural-looking results they love.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

Non-surgical cosmetic procedures have been gaining popularity in recent years for good reasons. The fillers available and the results obtained, when performed appropriately, are better and better. I believe in fillers as an option, and I offer them and do all the injections myself in my practice. Unfortunately, I see all too many cases where they are used inappropriately. While dermal fillers offer promising results, they are not an alternative to a facelift. If you are looking to address minor early-on signs of aging with a quick, in-office visit, or to maintain the results of your facelift by addressing limited areas, fillers may be right for you. However, the majority of patients concerned about significant aging will see more advantages with traditional facelift procedures.

Injectables can be a tempting option for patients with busy lifestyles. That’s why, as a board-certified plastic surgeon, I pair advanced surgical techniques with the skill and artistry necessary to maximize your results with as little downtime as possible. Today, we’ll take a look at a few reasons you should consider a facelift over dermal fillers.

#1: Natural-Looking Results

When done incorrectly, dermal fillers can leave patients with an unnatural appearance. Many patients (and providers) tend to overcompensate with fillers, which can lead to distorted facial proportions or unwanted facial stiffness. If you decide to opt for injectables to address your anti-aging concerns, be sure to choose a skilled provider with expertise in facial anatomy.

#2: The No-Downtime Myth

It’s true – you’ll be able to get back to work and most of your normal routines directly after soft tissue fillers. However, many patients aren’t aware of the potential complications and side effects they face with fillers. Many patients can expect tenderness, swelling, and even bruising for up to 10-14 days following treatment with fillers. Fillers are temporary meaning multiple ongoing trips to the office – and that time takes you away from the office and your family. Pair that with potential bruising and swelling with each treatment, and your total downtime from fillers quickly surpasses the recovery from a well-performed facelift.

#3: Effectively Address More Concerns

Dermal fillers can be effective for limited volumizing of the face, but their main indication is addressing wrinkles and depressions in the skin. Pushing the envelope by using more and more fillers to avoid a facelift creates facial distortion – which we all see! A facelift can address sagging skin, reposition fat pads, and restore a more youthful appearance. The facelift alone can address limited facial volume loss and when paired with fat grafting, using your own body fat, can address moderate to severe volume loss with a natural supple result.

#4: Similar Price Tags

While dermal fillers are certainly less expensive initially, the cost of your treatments can quickly add up. Maintaining results means keeping up with treatments on a regular basis.

Furthermore, most patients need more and more product to get the results they want after each treatment making them less cost-effective in the long run. Facelift procedures are a one-time procedure with a single expense.

#5: Long-Term Results

Dermal fillers are naturally reabsorbed into the body over time. Your minimally-invasive procedure may need to be repeated several times per year depending on the treatment area and your natural aging process. With a traditional facelift,you’ll be able to enjoy long-lasting results for 10-15 years. Best yet, you’ll always have a younger-looking appearance than if you hadn’t had the procedure done.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D.to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have! *Results may vary

Day-Of Procedure

Abdominoplasties are done as an inpatient procedure under general anesthesia. You’ll stay one night in the hospital then be discharged the following morning.

Week One: Recovery

During the first several days, you can expect discomfort and swelling to be at their worst. However, cool (not ice) packs and prescription pain medication are typically enough to keep discomfort to a minimum. Although rest is your primary goal, you’re encouraged to take short walks around the house every several hours to increase circulation and blood flow.

I generally ask that you come in for a follow-up visit and exam about 1-week post-op. Drains are generally NOT used, and sutures are the absorbable type (except around the belly button). I place a special clear dressing over your incisions at surgery, and I will change those dressings at your first appointment. The dressing, called Tegaderm®, protects the incision, promotes healing, and minimizes scarring. Tegaderm® is as thin as Saran Wrap® so it is invisible under your clothing.

Week Two: Recovery

Much of swelling should subside within about 2-weeks. Most patients feel good getting back to their normal routine with restrictions. You can gradually incorporate more strenuous activities including light exercise as your energy levels increase. Although full recovery can take much longer, the majority of men and women feel much better after 2-weeks.

Full Recovery from a Tummy Tuck

Full recovery from tummy tuck procedures can vary dramatically from patient to patient. In most cases, you can expect gradual improvement over the course of several weeks to several months. Heavy lifting, swimming, hot tubs, and high impact activities like running should be avoided for approximately 6-weeks following your procedure.

At the time of your initial consultation, we’ll discuss everything you need to know about your upcoming procedure in-depth. I’ll then create a customized procedure to suit your goals along with an individualized recovery plan. I’ll be at your side throughout every step of your procedure to ensure an optimal outcome with minimal pain, side effects, and downtime.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have! *Results may vary

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Facelift surgery can be a game-changer for many men and women. They’re able to achieve a younger, more youthful contoured facial appearance with a single procedure. Today, we’re going to address one of the most commonly asked questions “Are there any scars with a facelift?” Understandably, scarring can be a valid concern with any surgery, but I’ve got good news for you!  

Through advanced surgical techniques, patients are able to get the results they want with almost no visible signs that they’ve had any surgery at all. You’ll achieve a refreshed, naturally-younger looking you with minimal downtime, and generally virtually invisible scars.

Where Are Incisions Made?

Reality check – there is no such thing as a facelift without incisions.  To recontour and reposition structures in the face that have sagged and drooped, we have to make incisions in the skin.  While I perform the latest techniques, including minimal incision facelifts, your particular anatomy and desires determine what has to be done – and what has to be done always involves some skin incisions. The goal is to make those incisions invisible to both you and your friends and loved ones (as well as those jealous people you also know!!!)

During facelift procedures, incisions are typically made in well-hidden locations. In most cases, I will create an incision along the base of the sideburn, beveled so that when your hair grows it will grow through the incision and conceal it.  I then move just in front of the ear, in the natural crease and shadow line where the upper ear touches the cheek. I continue in that crease line to the tragus – the little flap of skin and cartilage that covers the ear canal.  At that point, I go inside the ear, then just in front of the earlobe where it connects to the cheek. I then turn around and under the earlobe into the crease in the back of behind the ear up to the hair then either into the hair-bearing scalp or along the hairline behind your ear.  The purpose of hugging the ear so closely is to take advantage of natural shadows and creases.  That way, any residual scar that is seen will appear to be a crease line, not a scar!

When a neck lift is performed with the facelift, a small incision is made under the chin – this generally appears as a natural skin crease.  No additional skin incisions are necessary for the neck lift.

Concealing the incisions in shadow and crease lines is the first step. Gentle handling of the skin during surgery is critical, and obsessive attention to suturing technique is also necessary to make your incisions virtually invisible. Skin staples, which were developed in the 1970s, are a quick way to close skin incisions but are not a substitute for artistic suturing using sutures that are often thinner than a human hair.  I never ever use staples to close the skin… and I never will!  

When done correctly by a skilled surgeon, facelift scars are almost non-existent. I work in such a way as to meticulously open and close my incisions to minimize tissue disruption. This specialized technique ensures an optimal outcome with minimal swelling, bruising, post-surgical bleeding, or scars.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

While some patients opt to have a mini facelift procedure in their mid-to-late 30s as early aging begins, the most common age for facelifts these days is anywhere from 40-60 as more visible signs of aging occur. I’ve performed first facelifts on patients in their early 80’s, many of whom had thought about a facelift for years, then, for any number of reasons, decided that now was the time. Let’s take a look at a few determining factors that may make you a candidate for facelift surgery.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

What’s Right for You?

During your initial consultation, Dr. Barnett will walk you through all of your options and discuss every aspect of your procedure in-depth. You’ll learn how you can prepare for your upcoming procedure for a quick and easy recovery. Each patient will receive multiple follow-up visits at no cost to ensure an optimal outcome without complications. Dr. Barnett sees all his breast patients annually, and there is never a charge for follow-up check-ups!

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

How Long Will Your Surgery Last?

The longevity of your facelift surgery depends greatly on your overall health and lifestyle before, during, and after your procedure. The aging process is gradual and continuous, although we tend to age in cycles – typically people tend to look the same for 5 to 7 years, and then go through an accelerated aging cycle that occurs over 6 months. Then things stabilize again for another 5 to 7 years. So, again typically, patients notice a relatively sudden change at the 5 to 7 year mark, and then a second change 5 to 7 years later. Most patients find that they will go through two accelerated aging cycles (10 to 14 years) before considering additional surgery. The good news is, you’ll always look better than you would if you’d chosen not to have the surgery – if you had an identical twin, you did the surgery but your twin did not – 14 years later you might consider additional surgery but you’d still look better than your twin (who didn’t come to Dr. Barnett!!!).

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221. Renee or Laurie will help you and answer any pre-consultation questions you may have!

*Individual results may vary.

Fat grafting, or fat transfer, is a more involved procedure that requires a skilled surgeon. The minimally-invasive procedure removes your fat (it has to be yours – no “friend” donations!) from the abdomen, thighs, or anywhere excess fatty tissue can be found. The fat is then purified and placed in a more aesthetically pleasing location. The process can take much longer than a quick injectable filler. I only do fat grafting in the operating room (anesthesia may or may not be required).  I frequently do fat grafting with other procedures, such as a facelift, and so many times the patient is already in the OR.  And, if you’re having liposuction to remove fat, it’s a good time to put the removed fat to use!

What about results? Patients will see noticeable results immediately after their appointment with both treatments. Generally, there is more swelling with fat grafting because, in general, substantially more fat is placed than fillers, and more areas are treated.  For larger volumes, fat is much more natural – it is living and moves and feels like living tissue.  Large volumes of filler can give the face a stiff look, and move as a block when the patient smiles.  This is sometimes referred to as “Pillow Face”.  Fillers are much better for small areas, fine wrinkles, and touch-ups – as well as being much less expensive.  However, fat grafting is considered a ‘lifetime’ procedure because fat cells that make it through the injection process remain intact for good. Dermal fillers on the other hand, can last anywhere from several months up to 1-2 years, and then have to be replaced.  The cost for fillers is ongoing.

Fat grafting can be safer for some patients. Because we’re using autologous fat (fat from your own body), we’re reducing the chance of a possible allergic reaction to a foreign substance.

So – both fat and fillers are excellent techniques to deal with volume or wrinkle issues.  They each have positive and negative aspects.  One is not “better” than the other – they both have their place. A doctor that offers both can give you an honest discussion of the options.  Doctors or nurses that only offer fillers may be anti-fat simply because they can’t offer fat grafting and they’ll “sell” what they have.

I offer and believe in both – I’ll work with you to determine which is better for a given issue, and many of my patients receive both from me.

What’s Right for You?

At your initial consultation, I’ll explain all of your anti-aging options in-depth. Fat grafting can be done on its own or paired with other procedures for even more dramatic results. Together, we’ll create a treatment plan that’s appropriate for your individual needs.

Take the Step Next

Ready to look and feel your best? Schedule a consultation to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221.  Renee or Laurie will help you and answer any pre-consultation questions you may have!

Breast augmentations can be a life-changing event for the right woman. In women who naturally develop small breasts and are unhappy with their figure, breast augmentation can provide the shape and balance many desire.  Also, the procedure can restore breast volume lost as a result of childbearing, nursing, or the natural aging process. Implants can also help boost self-esteem and self-confidence in women who are unhappy with the current size and shape of their breasts.

Having performed over 5,000 successful breast surgeries over the course of my career, I can attest that no two operations are exactly alike. The highly individualized procedure can vary greatly across the country. In San Francisco alone, the cost can range anywhere from $6,500 to $12,000.

Breast Implant “Mills”, where surgeons are hired and paid on a per case basis by companies that aggressively market cheap surgery have driven the price down – unfortunately, that doctor may very well not be available to handle issues or concerns that may potentially arise, and the company that marketed the procedure will frequently direct you back to the surgeon… who’s simply not available.

What Goes into the Price You’ll Pay?

• Implant Type -Your personal preference can play a major role in the cost of your surgery. Silicone implants have a higher price tag than saline due to the manufacturing process and warranty.
• Anesthesiologist -This is a trained professional who monitors you during your surgery and keeps you comfortable throughout via intravenous sedation or general anesthesia. Trust me. You’ll be glad to pay for their contribution to your operation!
• Surgeon Expertise -A surgeon who’s in the early stages of their career is, who is less experienced, and who is trying to build their knowledge base, will often charge less. For the best possible outcome, you’re encouraged to opt for a surgeon such as myself who is 1) Board-certified with the American Board of Plastic Surgery, 2) has the extensive knowledge and training necessary to prevent/address potential complications, and 3) has a large gallery of strong before and after photos that reflect many years of experience.
• Combination Procedures -Many women choose to have a breast lift or another procedure at the same time as their augmentation for a joint recovery time. Breast lift surgery improves loose, sagging skin while reshaping the breast and repositioning the nipple.
• Facility Fees -Surgery requires highly-controlled conditions including a sterile surgical venue and equipment used to ensure patient safety.
• Recovery Expenses -After your surgery, you’ll be placed on several medications to facilitate a speedy recovery as well as supplied a medical support bra.

When budgeting for your breast augmentation, it’s important to consider both the short and long-term benefits. Older breast implants had an average 10-year lifespan – the newest cohesive gel implants will, on average, last much longer. Breast augmentations can help you enjoy a proportionate figure and an improved self-image for a long time to come.  (And shopping for clothes, lingerie, and bathing suits is a lot more fun!)

Take the Next Step

Ready to look and feel your best? Schedule a consultation to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735.  Renee or Laurie will help you and answer any pre-consultation questions you may have!

But, that’s about where the similarities end. Facelift procedures for men are more complicated and require a highly-skilled surgeon with a good deal of technical experience.

Let’s take a look at a few things that your surgeon will have to take into consideration when performing a facelift on a man.

• While women tend to prefer softer facial features, men often seek out more defined, chiseled contours. Feminizing men’s facial features is an absolute no-no!
• Men have stronger ligaments, larger faces, and thicker skin which can make the procedure more complex.
• Incisions for facelifts on women are easier to conceal. Due to premature balding, sideburns, and facial hair, it takes a skilled surgeon to know just where to place an incision when performing a facelift on guys.
• Facial hair also means more blood vessels to contend with. Thanks to our more vascular skin, it puts us at a higher risk for potential complications. Blood pressure levels need to be continuously monitored for men throughout the procedure. Drains and compression dressings are utilized during and post-op to prevent potential hematoma.

Ideally, a knowledgeable board-certified surgeon can produce an optimal outcome for both men and women. In either instance after your procedure, you’ll appear well-rested and youthful without looking like you’ve undergone surgery. Before choosing a surgeon, take a look at their before and after photos and ask about their experience performing facelifts for men.

Ready to look and feel your best? Schedule a consultation to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735.  Renee or Laurie will help you and answer any pre-consultation questions you may have!

What’s Right for Me?

The only way to determine what cosmetic procedure is right for you is through a face to face consultation with a board-certified plastic surgeon such as myself. Although age is not a defining factor, patients who are in their 30s or younger may achieve desired results solely with a neck lift. Men and women in their 40s-50s can likely benefit from a facelift on its own. Typically, when patients reach their 50s a combination procedure is recommended for an optimal outcome.

Ready to look and feel your best? Schedule a consultation to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221.  Renee or Laurie will help you and answer any pre-consultation questions you may have!

One-Week Prior to Surgery

This is the ideal time to take care of any loose odds and ends. Getting your recovery area prepared allows you to exert minimal effort and enjoy maximum comfort throughout your recovery period. Pre-cooking meals, decluttering your home of potential obstacles, and pre-planning your post-surgical wardrobe are all good ideas. Compile non-strenuous entertainment (books, magazines, DVDs, etc.) for the first week following your surgery so you can spend your recovery time doing what you’re supposed to…relaxing and recovering (and catching up on all those “binge-watching” shows you’ve wanted to watch… but haven’t had the time!)

Pick up the medications I’ve prescribed one-week before your appointment.

One-Day Prior to Surgery

Now’s the time to double-check with your designated driver.

Your evening routine should include a light schedule. Washing your hair thoroughly can help prevent the potential for infection. You’ll also be encouraged to avoid alcohol and get a good night’s rest the evening before your appointment. Do not eat any food or water 8-hours prior to your surgery – for most patients that means nothing to eat or drink after midnight.

Day-Of Surgery Preparation

Be on time for the surgery, so you’ll need to wake up early, and build in extra time for the following routine.  Don’t apply lotions, perfumes, hair products, or makeup on the day of your procedure. You can brush your teeth but do not swallow any water. It’s vital that your stomach be empty at the time of your surgery. Plan to arrive 2 hours early to complete paperwork during the check-in process. Bring any medications you’ve been taking (prescription and otherwise).  If you are taking routine medications in the morning, you should have discussed this with Dr. Barnett – some medications should be continued even the morning of surgery (with just a sip of water.)  Any questions, call us to confirm.

Ready to look and feel your best? Schedule a consultation to discuss about your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 362-1221.  Renee or Laurie will help and answer any pre-consultation questions you may have!

With cosmetic breast surgery, I have three options – I can make your breasts larger (breast augmentation or augmentation mammoplasty), I can make your breasts smaller (breast reduction or reduction mammoplasty), and I can lift your breasts (breast lift or mastopexy).  I can also do combinations – breast reduction and lift, or breast augmentation and lift.

A breast augmentation makes your breast larger by placing an implant behind your natural breast – the final size is the combination of the implant I place plus your natural breast tissue. A breast reduction makes your breast smaller by reducing the breast glandular tissue and breast fat, as well as removing extra skin.

What is a Breast Lift?

A breast lift usually involves reshaping the breast tissue into a more attractive form and reducing a small amount of skin. Generally, there should be almost no reduction in the breast size, but very commonly, patients tell me that their breasts appear smaller when they are naked. In a bra, you’ll look the same.

Why Do Lifted Breasts Appear Smaller After the Lift?

Easy answer! Breasts that are droopy also tend to be wide – it’s the pancake effect.  From the front view, when you are naked, the breast is wide.  You don’t notice the lack of forward projection when you’re looking from the front.

When I do the breast lift, I reshape the pancake-shaped breast into a nicer mound, which provides more forward projection– and that generally means less width, sometimes referred to as less “side boob.” Think of a ball of clay. If you put the ball on your chest, it projects outward and the width is relatively small.  If you crush the clay ball against your chest, the forward projection decreases, but the width increases. So – naked your lifted breast will seem smaller, but in a bra it will look the same.

Many patients elect to have a breast augmentation with an implant at the same time as the lift – that provides the nicest shape, and the implant acts to hold the breast in a lifted position, resulting in a better, longer lasting, result.

Take the Next Step

We can discuss all your breast enhancement options at your consultation. Contact us at (415) 879-8735 for a consultation or visit this page to schedule a consultation in our San Francisco or Walnut Creek offices.

Dr. Barnett’s Final Advice

For the safety and protection of all of our patients, we will not release you to a cab or Uber/Lyft driver after surgery, unless you have a friend or family member to accompany you.

Take the Next Step

To learn more about the outpatient procedures offered at one of our practices in San Francisco and Walnut Creek, schedule a consultation by filling out the form on this page or calling our office at 415-855-4115.

Ready to look and feel your best? Schedule a consultation to talk about your options today. Consultations are available in both our San Francisco and Walnut Creek offices.You may schedule for either location by calling (415) 879-8735.  Renee or Laurie will help you with the scheduling and answer any pre-consultation questions you may have!

Liposuction

Liposuction is a body contouring procedure that allows women to restore their pre-pregnancy shape (or even better!). Unwanted pockets of fat in the neck, tummy, thighs, hips, bra-area, and more can all be reduced in size with the help of liposuction. I typically suggest liposuction for women who are within 20 pounds of their ideal weight. Many women opt to have both a tummy tuck and liposuction performed at the same time for a dramatic sculpted look.

Ready to look and feel your best? Schedule a consult to talk about your options today. Consultations are available in both our San Francisco and Walnut Creek offices.You may schedule for either location by calling (415) 879-8735.  Renee or Laurie will help you with the scheduling and answer any pre-consultation questions you may have!

In my last blog, I discussed breast implant shapes to explain how I customize my choice of implant for you.  In this blog, I’ll discuss implant size.

Breast implant size is a highly personal decision.  As your surgeon, I will work with you to determine the size that is best for you – it is a collaborative process.  Your overall body shape and size, your chest wall shape and size, the elasticity of your skin, and the incision and implant type you choose determine a range of what I can use during surgery.  The range is generally quite large, and once I examine you and determine a safe range, you will be in charge of deciding the final size.

How Do You Determine What Size You Want to be After Surgery?

There is no perfect, one size fits all method to make the decision.  The decision should not be rushed, and you should do some (fun) homework before you come to my office for the sizing visit.  At the sizing visit, we will finalize the implant size choice.

Before the sizing visit, I recommend the following:

First, collect photos of full dressed (not bathing suits or naked) women in magazines or online.  Focus on photos that contain women who have a body shape similar to yours. Bring photos to my office that show sizes you like, and those you don’t like. Put a sticky note on the picture, and write what you like and don’t like on each photo.

Second, do the same thing with photos of women in bathing suits or naked. Bring those photos to the sizing visit as well.

Third, purchase a bra, two pounds of white rice, and zip close plastic baggies (like Ziploc™ Baggies). The bra should have an underwire and a stretchy cup – not a formed cup and no padding. The underwire should fit your chest and the cup should be too large for your natural breasts. Put the bra on and place different amounts of rice in the baggies, then put the baggies in your bra. Keep trying different amounts of rice until you find a size that you like.

It’s helpful to put on a tank top over the bra and rice and to wear leggings or tight jeans.  You can also try on different clothing outfits that reflect your lifestyle.  When you find an amount of rice that you like, tape the baggie shut (so it won’t leak) and bring the filled baggie in with you to your sizing visit.

If you have different size breasts (very common), adjust the volume of rice in each baggie and mark the baggies right or left.  Bring them to the sizing visit.

Finally, choose three or four different tops that you commonly wear.  Choose tops with and without buttons, both loose and tight.  The plainer the top the better – best if they are solid colors without designs, pleats, or pleats.  Bring them to the sizing visit.

At the sizing visit, I will review the photos and the rice baggies with you, and then repeat the rice test with actual silicone gel implants. I’ll have you try multiple implants and your different tops with each implant. Each time we try on a different implant, we’ll discuss the look and answer any questions you may have.  It’s okay to bring a friend or family member to the sizing visit.

Why do I ask you to do the pre-sizing visit photo collection and rice test?  At the actual sizing visit you will already have an idea of what you’d like to look like after the breast enlargement surgery, and we will be able to focus on fine-tuning your decision.  However, if you don’t have time to do the pre-sizing visit tasks (photos and rice) don’t worry! We’ll figure it out!

Facelifts (rhytidectomy) have been around for over 100 years, but the procedure has changed dramatically over the past 20 years. Correcting fine lines, sagging skin, and excess fat due to aging has been a priority for thousands of years, and believe it or not, some of the treatments, such as fruit acid peels, have been around since Egyptian times. These days, however, facial plastic surgery techniques have improved tremendously. You can now have a younger, fresher-looking, natural appearance with long-lasting results from a simple, safe procedure. As we get older, many of us look in the mirror and wonder: Is it time for a facelift?

How old should I be for a facelift?

Time is cruel to our skin. As we age, our skin becomes thinner and loses its elasticity– causing wrinkles, stretched sagging skin, deep folds, and excess fat below the chin. Because we all age differently, there is no exact rule of thumb when it comes to how old you should be before getting a facelift. On average, most of the patients I see who are good candidates for a facelift are in their 50’s, but I’ve performed facelifts on patients as young as 38 and as old as 82. Lifestyle behaviors such as smoking, drinking, or sun-exposure can accelerate aging and make someone a candidate at a younger age. To determine if a facelift is right for you, a consultation from an experienced cosmetic surgeon, such as myself, is essential.

What are your priorities?

In my practice, priority number one is safety, number two is looking natural, and number three, fulfilling your desires. What you as a patient want is very important, but in my practice, it won’t trump safety and looking natural.  I pride myself on providing you with a comprehensive consultation and realistic assessment of what goals can be obtained, often using computer imaging to provide before and after results for evaluation.

What results can I expect?

During your facelift procedure, sagging skin and muscle tissue is repositioned to correct problem areas. Excess skin from time and gravity may also be removed. Some things that may be corrected include; cheek and jaw definition, tightening and toning of the skin, reducing fine lines and wrinkles, improved facial contours, and removal of fat deposited on the lower jaw and neck. Volume loss in the face is also common, and this can be corrected with fat transfer or use of fillers such as Restylane(TM) or Juvederm(TM), either during or after surgery.  All in all, you’ll look younger and less ‘tired’ after your procedure. Maintaining a healthy skincare regime, along with proper diet and exercise can leave you with longer-lasting results from your surgery.

It’s that time of year again. Active men and women are making the most of the season by suiting up and hitting the slopes (including me!). But many aren’t quite sure how much recovery time they’ll need post-procedure for complete recovery. Eyelid surgery is extremely popular, and winter is a good time for surgery. Recovery time is a common question. Most swelling, bruising, and pain are gone within one to two weeks but that doesn’t necessarily mean you’re fully recovered. Physical activities can elevate blood pressure and prolong your healing time, and skiing also exposes patients to fairly severe environmental conditions – cold, drying wind, and high UV ray exposure from the sun.

When is Skiing an Option?

Although you may feel 100%, your body can take several months to completely heal from surgery. Protective eyewear may not fit properly during the initial healing process. Recovery time varies from patient-to-patient but most non-smokers are healed enough around week two to return to their normal workout regime. If you must participate in a sport that requires protective eyewear, go big. Large goggles that fit securely on your head without slipping and sliding are your best bet.

With the use of proper equipment, you can probably get away with more strenuous activities such as skiing in as little as two-weeks post-op. Remember to start off slow and listen to your body.

When Should I Stop Exercising?

Listen to me first, then once you’ve started exercising, listen to your body.  Excess straining of the eyes after eyelid surgery can cause bleeding and longer recovery time. Exercise can also elevate blood pressure which is typically a no-no post-surgery. Immediately stop physical activities such as skiing if bleeding, swelling, or blurry vision occurs.

If you have further questions or concerns regarding your post-surgery regime, don’t hesitate to call our offices at (415) 879-8735.  To schedule a consult to talk about your options, call us today. Consultations are available in both our San Francisco and Walnut Creek offices.  You may schedule for either location by calling (415) 879-8735.  Renee or Laurie will help you with the scheduling and answer any pre-consultation questions you may have!