Photo Gallery
Browse the before & after photos in my Photo Gallery:
Case Description
1 of 95
This 62-year-old bookkeeper wanted a new and refreshed look to go with a career change. She underwent a face-lift and was ready to start training for her new job 2 weeks later.
Case Description
2 of 95
This 50 something grandmother (!), lost a lot of weight through diet and exercise. She knew she could not exercise her skin so she decided to have plastic surgery. I performed a breast lift and an abdominioplasty on her during one surgical setting. It was a long day for both of us but so worth it. Now her husband is on the diet and exercise bandwagon and they both completed the Seattle Rock and Roll Marathon. They are one fit and attractive granny and grampy dynamic duo.
Case Description
3 of 95
This 62 year old Seattle University graduate student wanted a fuller and uplifted mid face. A mid face lift was done though incisions under her eye and though her crows feet. A fixation device was inserted to literally pull the cheek up into a position that it likely was about 20 years ago. The face will heal into its new, higher position while the fixation device dissolves over about 6 months. She was pleased with her rapid recovery and is pleased with her more youthful appearance.
Case Description
4 of 95
This 20 something nurse wanted fuller lips. Her lips were nicely shaped and well balanced. I injected one syringe of Juvederm, one of the HA fillers into her lips taking care to inject all areas evenly. She has a nice result and will likely be back for topping off as the Juvederm gradually reabsorbs over a year or so.
Case Description
5 of 95
This 20-year-old lost weight through diet and exercise but his enlarged breasts persisted. He underwent treatment with a combination of liposuction and excision of breast tissue.
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6 of 95
This 38-year-old carpenter wanted a more defined jaw line and neck. She had liposuction to this area. She was surprised (but I wasn’t) by the minimal amount of discomfort and her quick recovery.
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7 of 95
This 56 year old Seattle dog trainer was tired of looking tired despite a good night’s sleep. She underwent upper and lower lid blepharoplasty and a brow lift through her upper eyelid incision using an Endotine fixation device. Her recovery was quite rapid and she was back in action with those naughty dogs in just over a week.
Case Description
8 of 95
This young man was just out of high school when he suffered a dog bite to his upper lip. I stitched him up in the emergency room. Fortunately, all the pieces of his lip were there for repair. Sometimes, Fido gets a big chunk leaving the patient and the doctor with some missing parts. The first photo is taken several months after the attack. The scar is red and obvious. The second photo is taken 3 years after the attack. Mother Nature has faded and flattened the scar so it barely shows.
Case Description
9 of 95
This 24-year-old social worker had life saving intestinal surgery as a newborn. She was left with a large indented scar. She underwent revision of the scar and repair of the underlying muscle to obtain a smooth contour.
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This 22-year-old did not like her "puffy" and low set nipples. She underwent a periareolar breast lift that improved the contour and shape of her nipples. Her scars are still red at three months. They will fade over time.
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11 of 95
This 20 something accountant desired fuller lips. Fat was taken from her abdomen and transferred to her lips.
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12 of 95
This 30ish artist had always been bothered by her prominent ears. She underwent otoplasty and now enjoys greater freedom with her hair styling.
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13 of 95
32 year old woman with a long history of heaviness in her neck. She underwent submental liposuction with local anesthesia.
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This 46-year-old outdoor enthusiast has marked sun damage. She underwent a 6-week intensive skin care program using Obagi products and Retin A. She will need to continue a maintenance program and become well acquainted with hats and sunscreen to maintain this marked improvement.
Case Description
15 of 95
This 45 year old Seattle first responder was height/weight proportionate but could not lose his love handles. I performed liposuction to this area and he was back in action and in uniform within a couple of days.
Case Description
16 of 95
This 30 something mother of two experienced deflation of her breasts and laxity of her abdomen after childbearing. Once her kids were out of diapers and able to climb into their car seats she underwent surgery to put her back to her pre-mom condition (or maybe even a little better). I performed a breast augmentation and abdominoplasty on her. She required a revision on her breasts to improve implant position. She is very careful about diet and exercise and has even slimmed down a few pounds. She looks great and feels great.
Case Description
17 of 95
49 year old designer with deep creases around her mouth.
She underwent lipostructure (fat transfer) to this area to soften her
appearance.
Case Description
18 of 95
his 60 year old money manager appreciated that her round face made her look youthful. She did not, however, appreciate the extra fat in her neck and along her jawline. She underwent a lower face lift to address this problem. She needed a minor revision to improve the area directly under her chin. Despite having to go back for a second surgery, she is very pleased with her result and feels it has given her an excellent return on her investment.
Case Description
19 of 95
This lovely retired nurse wanted to look as youthful as she felt but did not want to undergo surgery. Her social life was much too busy for any down time. She underwent injection with several syringes of Restylane, one of the several HA fillers. This filled in a lot of her wrinkles and also made her jaw line much more balanced. And best of all, she looks really natural and did not have to cancel even one lunch date.
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20 of 95
32 year old with fat deposits in abdomen and flanks that were unresponsive to diet and excercise. He underwent liposuction of these areas under IV sedation and local anesthesia. A total of 850 cc of fat was removed.
Case Description
21 of 95
This lady had a divot following upper arm liposuction by another surgeon. She underwent transfer of fat from her hips to the upper arm with improvement in the appearance and tenderness of the area.
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22 of 95
This 26 year old nurse was tired of his love handles that would not budge despite being height weight proportionate and very fit. I removed 2500 cc of fat from his lovehandles with power assisted liposuction. He just a few weeks out from surgery in these photos.
Case Description
23 of 95
This 43 year old attorney was fit and at a healthy weight. He wanted some trimming of his “spare tire”. Liposuction was performed and about 1000 cc (2.2 pounds) of fat was removed. He should have a life -long improvement if he is able to maintain his current weight. The tape on his abdomen is being used to flatten out at scar from a cat bite.
Case Description
24 of 95
This 40 year old fireman presented with these stubborn lovehandles. He’d been working on them with diet and exercise for years. I was able to remove them with liposuction in about an hour as an outpatient. He was back in uniform and climbing the ladder after a week.
Case Description
25 of 95
This 35 year old hair stylist has a lovely figure except for some recalcitrant fat on her tummy and hips. Liposuction helped define these areas. She was back to work after 4 days. She should have a long lasting benefit unless she gains a lot of weight
Case Description
26 of 95
This 35 year old hair stylist has a lovely figure except for some recalcitrant fat on her tummy and hips. Liposuction helped define these areas. She was back to work after 4 days. She should have a long lasting benefit unless she gains a lot of weight.
Case Description
27 of 95
This 19 year old wanted more youthful appearing breasts. She underwent a vertical reduction which improved the position of her nipples and the shape of her breasts.
Case Description
28 of 95
This retired schoolteacher was tired of looking tired. She underwent an extensive upper and lower eyelid blepharoplasty and also a canthopexy which is a procedure to help support the lateral part of the eyelid during healing.
Case Description
29 of 95
This 22 year old crack Seattle softball pitcher had failed repeated attempts to reshape her midsection through diet and exercise. Her health was excellent and her expectations were reasonable. She knew I would not be delivering a 22 inch waistline or a six pack. She underwent two sessions of liposuction, 3 months apart which removed about 21 pounds of pure fat from her midsection. She can expect a lifelong improvement if she is able to maintain her new post liposuction “set point weight” of 164 lbs. So far, so good. She is highly motivated to protect this investment in herself.
Case Description
30 of 95
This Santa (really) was returning from a corporate event and slipped and fell on the sidewalk. He suffered a complex laceration to his face. I stitched him up in the emergency room and five months later he’s almost as good as new. By the way, there was no lump of coal in my stocking on Christmas morning.
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31 of 95
This 40-something international business woman wanted to restore some youthful fullness to her face. Fat was harvested from her hips and abdomen and carefully placed into her face. She is shown 5 years after her procedure.
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This 45-year-old architect didn’t mind being the oldest mom in her daughter’s kindergarten class, but didn’t want to look like the oldest. A face-lift and upper eyelid blepharoplasty gave her a more refreshed and youthful look. Her scar below her earlobe will require a revision to make it less noticeable.
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33 of 95
This 60 year old lost 70 pounds through diet and exercise and rewarded herself with a face-lift and upper blepharoplasty. Less expensive and longer lasting than a sports car!
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34 of 95
This 58 year engineer wanted to look more alert. He underwent eyelid surgery and a brow lift through his upper eyelid incision (transblepharoplasty browlift). In addition to his healthier look, he is indeed much healthier. Surgery gave him the motivation to quit smoking. I’ll take credit for his eyelids and brow but his improved complexion is from his own hard work to kick his long standing smoking habit.
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35 of 95
This 35-year-old distance runner wanted her face to look as youthful as the rest of her. She underwent a facelift to restore a youthful jaw line and neck.
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This 50 year old graphic designer was a fashion victim in the 70’s. Those big hoop earrings stretched out her formerly cute little earlobes. I reduced her lobes under a local anesthetic. She said is wasn’t half as painful as her last trip to the dentist. I’ll re-pierce her ears in the near future.
Case Description
37 of 95
This 42 year old Seattle sound engineer suffered a laceration to his left ear several years ago. The resultant scar on his ear developed into a “keloid” which is a scar gone wild that becomes thick and rubbery and overgrows the boundary of the initial scar. These can be very difficult to treat and have a high incidence of recurrence after surgical incision. I excised his keloid almost two years ago. In addition to careful excision and closure, I treated him with a pressure earring for about 6 months and injected the area with tiny doses of steroids several times. He remains keloid free.
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38 of 95
This 25 year old had breast asymmetry since puberty. We were able to correct this with breast augmentation using a small implant on the right and a larger one on the left. She now is happy to wear a C cup brassiere without having to stuff one side.
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39 of 95
This 46 year old jeweler underwent chin and neck liposuction and injection of Restylane to her nasolabial creases (the lines that run from the nose to the mouth). These procedures, along with a new hair style, took at least 10 years off her appearance. She will need to repeat the Restylane injections every 6 to 12 months to maintain the improvement in that area. The liposuction result should be permanent unless she gains a lot of weight.
Case Description
40 of 95
65 year old gentleman suffered injury to his facial nerve in a car accident. He was left with a paralyzed and sagging left brow which interfered with his vision. A unilateral brow lift helped to restore his forehead to its normal position.
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41 of 95
This 65 year proud grandmother of 9 felt her full breasts were contributing to her upper back pain. She underwent a reduction (453 grams on the right and 545 grams on the left). She’s smaller, perkier and her back feels better. Just in time to pick up grandchild number 10.
Case Description
42 of 95
This 54 year old Seattle biotech research chemist underwent breast reduction. Her bra size dropped from a DD to a C cup. She loves to hike in the mountains near Seattle and finds that she can carry a heavier back pack now that her front pack has been reduced.
Case Description
43 of 95
This 66 year old lady decided she had had enough with her overly large breasts. I did a breast reduction on her and took her from a DD to C bra. Her back feels better and she has more energy to enjoy her grandchildren. Her only regret is that she didn’t do this 30 years ago!
Case Description
44 of 95
This 62 year old lady is fit and youthful until she takes off her support bra. I performed a breast lift on her and she is happy to have her nipples where they were in high school. No implant was used. It’s all “real”. Her red scars will fade with time.
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45 of 95
This 45 year old chef wanted small, “French style” breasts. She had a reduction of 90 grams on each side and could easily go topless on the Rivera. Tres bien!
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46 of 95
20 year old college student with back, neck and shoulder pain secondary to the weight of her breasts. She underwent a breast reduction, 545 grams removed from the right side and 717 grams removed from the left side.
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24 year old homemaker with severe back problems due to her large breasts. She underwent a breast reduction with 2953 grams removed from the right side and 2666 grams removed from the left side.
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46 year old woman several years after a mastectomy for breast cancer. She underwent a reconstruction with skin and muscle from her back and a breast implant. She also had a balancing breast reduction of the opposite side to improve symmetry. She declined nipple reconstruction.
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This 45-year-old teacher was slender except for her upper arms. She underwent liposuction to this area.
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50 of 95
This 41 year old clothing designer had breast augmentation with saline implants 15 years ago in Eastern Washington. Before her augmentation, she had significant breast asymmetry and she knew that one implant was larger than the other. She presented to me with deflation on the left side. We were unable to obtain her records from her previous surgery which would have indicated the sizes of the implants. I elected to purposefully deflate the right side so I could examine her and size her for new implants. I removed her deflated implants and re-augmented her with Silicone gel implants 300cc on the left and 371cc on the right. We were both very pleased with her final result.
Case Description
51 of 95
This 60-year-old retired lady had deflation on her right 20 year old saline implant. A full bosom was still important to her and she enjoyed excellent health and an active life style. She underwent implant removal and replacement with 260cc saline implant under the muscle.
Case Description
52 of 95
This 50-year-old physical therapist had high profile breast implants for several years. She was unhappy with her asymmetry and unnatural shape. She underwent implant removal, revision of the left implant pocket and replacement with 240 cc low profile implants. She is satisfied with her more symmetric and natural looking breasts.
Case Description
53 of 95
This 58-year-old personal shopper had five implant procedures over 20 years (including removal, replacement and revision of gel implants) by various surgeons. Three years ago she presented with a left implant that rode too high and a right breast with a “socked in” scar. Her left implant pocket was lowered and her deformity on the right was found to be a malpositioned pectoralis muscle. The muscle was put back into position on her rib cage. New gel implants were placed above the muscle and so far, so good. Maybe the sixth time was a charm.
Case Description
54 of 95
This 50 year old lady had deflation of her right 15 year old implant. I replaced her implants with 300 cc saline implants. She was an overseas patient and her recovery was so uneventful, she was able to enjoy exploring Seattle for several days prior to flying home.
Case Description
55 of 95
This 38-year-old mother of two developed a fluid collection (seroma) around her left breast implant. This is a rare complication of breast augmentation. I have had two such patients in my practice since 1991. After drainage, the seroma recurred and she elected to have her implants removed. She is thinking of having another augmentation.
Case Description
56 of 95
This 45 year old triathlete wanted to downsize her implants. I removed her 300 cc implants and replaced them with 150 cc implants and did a breast lift and nipple reduction. If she takes a few minutes off her time, I hope she gives me the credit!
Case Description
57 of 95
This 50-year-old homemaker had implants placed over 20 years ago. They developed leakage and firmness. She had the implants and surrounding scar tissue removed and then a breast lift. She was pleasantly surprised to fill out a C cup.
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58 of 95
This 67 year old artist wanted to enjoy her golden years implant free. Her implants were 30+ years old! I removed them and did a breast lift. She is thrilled with her result.
Case Description
59 of 95
This 49 year old blues artist had her breast implants for over 20 years. Over the last year, the left side had become firm and painful and I thought it had likely leaked or ruptured. My suspicion was confirmed at the time of surgery. I removed her implants and the scar tissue surrounding them and did a breast lift. She’s no longer singing “My Achy, Breaky Implant Blues.”
Case Description
60 of 95
This 58 year old lady had implants twenty years ago. She had put on a little weight and felt her implants had become more matronly than fetching. She had her implants removed and feels very comfortable in her “own skin”. Swinging the tennis racket is a little more comfortable as well.
Case Description
61 of 95
This 42 year old dentist underwent breast augmentation with 300 cc saline implants placed under the muscle. She developed capsular contracture on the left (difficult to appreciate in a photo) that made her left side firm and uncomfortable. She underwent capsulectomy which is a procedure where the excessively thick scar capsule is removed. She is now nice and soft on both sides. She now wears a C or D cup brassiere.
Case Description
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20 year old secretary with breast asymmetry. She underwent a right breast enlargement with a 300 cc round saline implant in the subglandular position using an inframammary incision.
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This 62-year-old golf pro had a basal cell cancer excised from her forehead by her dermatologist who used a procedure called “Moh’s excision”. The cancer was removed bit by bit and examined under the microscope until all of the cancer was removed. With Moh’s excision, recurrence rate is very low (under 5%) but the defect can be quite large. This lady had reconstruction with a forehead flap. She’s back in the swing and hopefully using sun block.
Case Description
64 of 95
This 40 something Bellevue interior designer lost a little weight and was left with some sagging and deflation of her breasts. I performed a breast augmentation on her with 300 cc gel implants and also lifted her nipples with a periareolar breast lift. She’s happy with her result and her gecko tattoo is all smiles.
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65 of 95
This accountant always wanted a fuller chest and she gave herself one for her 50th birthday. This is what I call an effective, safe and relatively inexpensive mid-life crisis!
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37 year old homemaker desired a breast augmentation. 300 cc anatomic saline implants were placed in a submascular position through an inframammary incision. She went from a 36B to a 36D.
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This 24-year-old computer wiz wanted improvement in the appearance of her tubular breasts. She did not want breast implants. She underwent reshaping of her breasts and areolas through an incision around her areola. She can now go braless without the embarrassment of her prominent areolas. If she changes her mind about implants, I’ll be there for her!
Case Description
68 of 95
This 40 something University of Washington professor and mother of 3 experienced atrophy of her breasts after nursing. She underwent restoration of her breasts with 300 cc saline implants. I also excised the little fatty areas under her arms. This is sometimes a problem area for women and it can usually be addressed with liposuction or direct excision. The scar is usually very acceptable.
Case Description
69 of 95
This 61 year old make-up artist decided to splurge on breast augmentation instead of a used Miata. She has silicone gel implants (330 cc) placed under her pectoral muscle and also had some liposuction of the fatty area near her underarm area. She is thrilled and her implants will likely outlast that used Miata by at least a decade. Good choice!
Case Description
70 of 95
This 45-year-old bass guitarist lost weight through diet and exercise but his gynecomastia (enlarged male breasts) persisted. He underwent male breast reduction using liposuction and incisions around his nipples. He no longer is self conscious about taking off his shirt. Rock on!
Case Description
71 of 95
This 40 something University of Washington professor and mother of 3 experienced atrophy of her breasts after nursing. She underwent restoration of her breasts with 300 cc saline implants. I also excised the little fatty areas under her arms. This is sometimes a problem area for women and it can usually be addressed with liposuction or direct excision. The scar is usually very acceptable.
Case Description
72 of 95
This 45 year old dog trainer had always wanted a fuller bosom to balance her voluptuous hips. After she had successfully launched her children she felt ready to fulfill her wish. She had breast augmentation with saline implants (325 cc on the left, 350 cc on the right) and went from a B to a D cup. Midlife crisis? I don’t think so.
Case Description
73 of 95
This 30 year old mother of 5 decided that when her youngest was out of diapers, she was going to get out of her padded bra. She had 360cc silicone gel implants placed and went from an A cup to a C cup. The feels like she has reclaimed a little shred of her pre-mom self.
Case Description
74 of 95
This 38 year old mother of twins underwent breast augmentation with 400 cc implants. She went from an A to a DD cup which looks fine on her 5’11” frame. You can tell by her tan lines that she loves her breasts but has forgotten my anti-tanning lecture which I have to give many of my patients despite Seattle’s rainy climate. There are more evil tanning beds here than latte stands.
Case Description
75 of 95
This 24 year old Bellevue Community College student was proud to keep her grades up while working full time. She was accepted as a transfer student to the University of Washington. To reward herself, she had the final stage of chest reconstruction. She had had a procedure to correct her caved in breast bone (pectus excavatum) several years previously. I performed breast augmentation with two different sized implants (390 cc on the right and 333 cc on the left) to even her up. She’s thrilled with this result as am I. I love my job!
Case Description
76 of 95
I rarely do cosmetic breast surgery in patients as young as this 17 year old honors student. She was healthy and happy with her body and life but was so tired of (her words), “looking like a 10 year old boy up top”. Her mother had benefited from breast and body contouring I did for her several years ago and was open to having her daughter undergo augmentation. 350 cc saline implants took her from a training bra to a C cup which fits her 5’10” frame very nicely. And she’s kept up her grades. Contrary to some misguided opinions, breast implants don’t make a woman stupid. She’s looking at an early admission program to the University of Washington.
Case Description
77 of 95
This petite 42-year old mother of three wanted restoration of her once full bust line. She underwent augmentation with 270 cc smooth, saline implants in the submuscular position. She went from a 32 A to a 32 C brassiere.
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Breast asymmetry and tubular breast deformity caused embarrassment and discomfort for this 21 year old from the time she started developing. She was treated with a breast reduction and lift on the left side and an augmentation and lift on the right side. She now feels normal and has had a huge improvement in her self esteem. She no longer dreads shopping for bras.
Case Description
79 of 95
39 year old mother of two requested breast enlargement. She underwent breast enlargement with 300cc anatomic saline implants in the submascular position through an inframammary incision. Her bra size increased from a 34A to a 34C.
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This 44 year old math teacher was tired of bras that fit either one or the other breasts but never both. She underwent a breast lift on the left and a small breast reduction on the right. Shopping for bras has gone from being a chore to being a pleasure. And look at those tan lines! Shopping for swimwear has been much easier as well.
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23 year old woman with an unsightly scar on her leg secondary to a car accident. She underwent a scar revision with improved appearance of her leg.
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This lovely 65 year old was happy with her appearance except for her scowl lines. She underwent injection of this area with Botox with excellent results.
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50 year old disc jockey with heaviness of her upper lids. She underwent upper lid blepharoplasty and now enjoys improved appearance and vision.
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This 62-year-old schoolteacher wanted a brighter appearance to her upper face. She underwent blepharoplasty and also a brow lift through her upper eyelid incision. The scar through her left eyebrow was from a childhood injury.
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85 of 95
This 39-year-old mother of 4 did not like looking as tired as she often felt. She underwent upper and lower blepharoplasty and now she looks (and feels) more rested.
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86 of 95
This 47 year old gym teacher felt her eyelids made her look tired. I performed a conservative blepharoplasty to brighten her appearance without making her look “done”. That is one of many things I love about practicing in the Pacific Northwest. Nobody wants to look “done”.
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87 of 95
This 55-year-old teacher was bothered by breast asymmetry following treatment for breast cancer to her right breast. She underwent a unilateral vertical breast reduction and now can wear a normal bra with no adjustments.
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88 of 95
This 27-year-old graphic designer wanted fuller breasts. She underwent augmentation with saline implants. The right side was filled to a larger volume than the left to help with her mild preoperative asymmetry.
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This 32 year old mother of two operates a fishing charter boat during the summer. She underwent an abdominoplasty and breast lift to correct her laxity and sagging. Following surgery, she slimmed down further with diet and exercise. You can tell by her tan lines that she is very happy with her restored figure.
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35 year old mother of twins with abdominal scarring and laxity secondary to a C-section. She underwent abdominoplasty to remove the excess skin and fat and to tighten up her lax abdominal muscles.
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91 of 95
This 39 year old mother of one lost 40 pounds through diet and exercise but was still burdened by her abdominal apron and her enlarged mons pubis. She was in excellent health, had a large social network to help her during recovery and her employer was willing to let her take a month off to recover. These factors are very important in determining who is a good candidate for this large of a procedure. After she had accepted the fact that only plastic surgery would solve her “problem area”, she underwent an extended abdominoplasty with removal of 13 pounds of excess skin and fat. I also lifted up and reduced her mons pubis. She had a few areas that took a long time to heal but five months later she looks and feels like a new woman. She’s back at work at one of Seattle’s foodie emporiums managing hundreds of types of very stinky but tasty cheese.
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92 of 95
This lean and athletic 36 year old mother of two finally conceded to the fact that you cannot exercise loose skin or displaced, stretched out muscles into a flat abdomen. After a billion and one abdominal crunches, she came to me and had an abdominoplasty. I also repaired her teeny, tiny umbilical hernia at the same time. She now feels that her right and tight abdomen fits with the rest of her. She’s back to hiking the many wonderful trails in Western Washington with her husband and children.
Case Description
93 of 95
37 year old mother of two with abdominal laxity. She underwent a full abdominoplasty to remove excess skin and fat and to tighten her abdominal muscles.
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94 of 95
This 38 year old underwent breast reduction in her 20’s when she was big busted and moderately overweight. Following weight loss and four children, she was left with almost no breast tissue and very unsightly scars. Three years ago, she underwent revision of her scars and placement of 300cc gel implants. She now wears a 34 C bra and feels like a girl again now that her girls have been restored.
Case Description
95 of 95
This 48 year old children’s author underwent an abdominoplasty. She loved the improved contour but did not like her scar. It did fade considerably over time but she took a walk on the wild side when she turned 50 and turned her scar into a work of art with the help of a tattoo artist. She designed the pattern herself. She now shows off our creation with her newest hobby – belly dancing!
