# West End Plastic Surgery > Plastic surgery in Washington, D.C. We empower individuals to embrace their unique essence. Enhance your face and body with board certified cosmetic surgeons in Washington, D.C. This document contains the full content of all pages on this website. --- ## Beautifully You **Link:** [Beautifully You](https://www.westendplasticsurgery.com/) ([md](https://www.westendplasticsurgery.com/index.html.md)) **Description:** Plastic surgery in Washington, D.C. We empower individuals to embrace their unique essence. Enhance your face and body with board certified cosmetic surgeons in Washington, D.C. Premier Plastic Surgery in Washington, D.C. ### Content #### Aesthetic results you can see *Meet Our Team Of Board-Certified Surgeons* At West End Plastic Surgery, our team of highly skilled and board-certified surgeons combines artistry with precision to deliver personalized, transformative results. From advanced facial rejuvenation to body contouring and breast augmentations, we leverage the latest techniques and technology to meet the unique aesthetic goals of each patient. Patients can trust our surgeons to deliver exceptional results with a focus on safety and satisfaction. #### Sophisticated.Masculine.Authentic. *Aesthetics for Men in Washington, D.C.* At West End Plastic Surgery, we understand that men have unique goals when it comes to aesthetics. Our specialized services are designed to refine masculine features, restore confidence, and deliver results that look natural, not overdone. From surgical procedures such as male facelift, eyelid surgery, rhinoplasty, gynecomastia treatment, and pectoral implants to body contouring with liposuction, our board-certified surgeons tailor each approach to complement a man’s physique and lifestyle. #### Featured Reviews *What Our Patients Say* --- ## 404 **Link:** [404](https://www.westendplasticsurgery.com/404/) ([md](https://www.westendplasticsurgery.com/404/index.html.md)) **Description:** 404 | Page Not Found Page Not Found ### Content [Back To Home Page](/) --- ## About Us **Link:** [About Us](https://www.westendplasticsurgery.com/about/) ([md](https://www.westendplasticsurgery.com/about/index.html.md)) **Description:** At West End Plastic Surgery in Washington, D.C., our plastic surgeons and staff are dedicated to excellence. Learn more about us. ### Content Welcome to West End Plastic Surgery, where transformative beauty meets unparalleled expertise. As a premier cosmetic plastic surgery practice in [Washington, D.C](/location/)., West End Plastic Surgery is guided by the principle of always providing excellence in the delivery of compassionate, sensitive care to our patients and their families. We understand that beauty is deeply personal, and our mission is to empower individuals to embrace their unique essence. Whether you seek subtle enhancements or more comprehensive transformations, our state-of-the-art facility is designed to cater to your every aesthetic need. Dr. Paul G. Ruff IV, Dr. Lexie Wang, Dr. Amir Arsalan, Dr. Anthony Nye, and our team of medical professionals seek to promote the health and well–being of our community while offering innovative plastic surgery and aesthetic treatment solutions to our patients. We believe the doctor-patient relationship is based on mutual trust and thrives when patients are treated with respect and dignity. The team at West End Plastic Surgery is equally adept at both surgical and non–surgical procedures and performs all operations at our fully accredited surgical suite. #### Values - Continuous improvement - Caring - Innovation - Advocacy - Respect - Communication - Integrity - Compassion - Courtesy West End Plastic Surgery in Washington, D.C. is dedicated to improving quality of life. Our goal of restoring and rejuvenating our patients will be guided by the principle that all individuals deserve to be treated with dignity, respect, and courtesy. We will constantly strive to uphold our values and are committed to promoting health, preventing illness, and advancing the well-being of our community. Committed to the highest standards of safety, innovation, and personalized care, our expert team, led by Dr. Paul Ruff, brings a harmonious blend of skill and artistry to every procedure. If you are considering a cosmetic procedure, please [request a consultation](/consultation/) online or call us at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. --- ## Gender Affirmation Surgery in Washington, D.C. **Link:** [Gender Affirmation Surgery in Washington, D.C.](https://www.westendplasticsurgery.com/about/gender-affirmation/) ([md](https://www.westendplasticsurgery.com/about/gender-affirmation/index.html.md)) **Description:** Gender affirmation surgery in Washington, D.C. Compassionate MTF & FTM procedures by experienced surgeon supporting transitions in Washington, D.C. ### Content #### Gender Affirmation Surgery At West End Plastic Surgery, [Dr. Ruff](/about/team/dr-ruff/) and our team are happy to offer the most advanced, personal care in your transition process. Dr. Ruff is a member of the World Professional Association for Transgender Health (WPATH). At West End Plastic Surgery, our surgeons and team are well versed in making your experience as comfortable and informative as possible. Our AAAASF accredited Class C Operating Suite affords our patients one on one care with maximum discretion. #### Female to Male Top Surgery We offer all types of procedures for the reduction of breast tissue to allow you to lead life without having to bind anymore. Most patients are well versed in the more common techniques of mastectomy including a standard incision with free nipple grafting and keyhole technique. We also offer liposuction with J-Plasma skin tightening to provide a virtually scarless technique for select patients. #### Mastectomy with Free Nipple Grafting This is the most common technique we use at West End Plastic Surgery. The surgeon makes an incision in the inframammary fold and carries it to the side (usually along the border of the “pec” muscle shadow) for the best contour. Your surgeon removes and resizes the nipple to create a typical cis-male position, shape, and size (2X2.5 cm oval). The pros of this technique is that it creates a great contour, excellent areolar shape/position and removes excess skin. With this technique, there is loss of nipple sensation and loss of pigment. The loss of pigment can be tattooed back on. This technique also leaves a larger scar and sometimes “dog ears” that may need revision under local anesthesia. #### Keyhole Incision For this technique, your surgeon removes the breast through an incision in the areolar border. The nipple can be resized and moved. This technique is best for patients with minimal excess skin. The keyhole incision involves smaller incisions and faster healing. There is a possibility to retain some nipple sensation and patients are less likely to lose pigment. Unfortunately, this procedure is not possible in all patients. There is still a chance of some excess skin that may need to be removed in the future. Areolar spread is also a possibility. #### Liposuction + Renuvion (J-Plasma) In the past, we have successfully used tiny incisions with [VASER liposuction](/body/liposuction/) to remove breast tissue and obtain some tightening of the skin. This has worked well in patients with minimal breast tissue and excellent skin tone. The issue was that most patients did not fit into this category. Renuvion (J-Plasma) is the newest cutting-edge technology that uses radiofrequency and plasma energy to contract skin much more effectively than any other device used in the past. This allows us to combine VASER liposuction with the Renuvion (J-Plasma) to tighten skin and remove breast tissue on patients with even larger breasts and whose skin tone is not perfect. With this technique there is virtually no scarring, no nipple loss, Patients are likely to keep nipple sensation and results are permanent. For patients choosing this technique, insurance will not cover this procedure. They may also need touch-up surgery to shrink and reposition the nipple/areola. #### Male To Female Top Surgery At West End Plastic Surgery, we strive to give patients the perfect breasts. At your consultation, we have an extensive discussion about your goals and how you want your breast to look. We offer small incision [augmentation](/breast/breast-augmentation/) with silicone implants and can give you the breasts you've always wanted in about an hour. We modify the techniques to make the breasts as feminine as possible and frequently perform [revisions](/breast/breast-implant-revision/) for surgery performed elsewhere in the United States or internationally. #### Facial Feminization Facial feminization is a particular focus of expertise for the surgeons at West End Plastic Surgery. We perform both facial feminization and masculinization procedures to have your face match your identity. We offer the full range of procedures including: #### Body Contouring Your general body shape, muscle structure, and fat distribution can certainly masculinize or feminize your body. The use of liposuction, fat grafting and body implants can help achieve your goals of transitioning. We offer “manscaping” liposuction to masculinize your body by removing fat deposits from areas that are typically feminine areas – inner and outer thighs, lateral chest, etc. Similarly, fat grafting to the buttock area ([Brazilian butt lift](/body/brazilian-butt-lift/)), hips and thighs can feminize your figure. [Body implants ](/body/body-implants/)such as pec implants, buttock implants, bicep/tricep, and calf implants can also be used to contour your figure. #### How Much Does Gender Affirmation Surgery Cost in Washington, D.C.? The cost of Gender Affirmation Surgery starts at around $6,900. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Schedule a Consultation To learn more about any of these gender affirmation procedures, [contact](/contact/) West End Plastic Surgery. Call us at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation with Dr. Ruff. Our practice serves Washington, D.C. and surrounding areas. #### Gender Affirmation Surgery *Frequently Asked Questions* --- ## Giving Back **Link:** [Giving Back](https://www.westendplasticsurgery.com/about/giving-back/) ([md](https://www.westendplasticsurgery.com/about/giving-back/index.html.md)) **Description:** The plastic surgeons in Washington, D.C. at West End Plastic Surgery believe it's important to help local and international causes. ### Content #### Wrinkle Erase for the Cause *From Dr. Paul Ruff IV, M.D.* “If you know anyone who has suffered from any type of cancer, you understand the trials they have endured. In 2016, an estimated 246,660 new cases of invasive breast cancer will be diagnosed in women in the U.S. However, breast cancer rates have been decreasing since 2000 and breast cancer death rates have been decreasing since 1989. Research, awareness and funding have been the keys to this success. The only way to eventually find a cure is through continued support of research. My mother, sister, and mother-in-law are all survivors. Daily I think about the potential impact of this disease on my wife and daughters. I started Wrinkle Erase for the Cause (501(c)(3) #46-0847506) as a unique way to raise donations through some of the common anti-aging and rejuvenating treatments that many people enjoy. Doing something for oneself can be a very powerful way to help someone else. For an entire day we inject [BOTOX® Cosmetic](/injectables-fillers/botox/), [JUVÉDERM®](/injectables-fillers/juvederm/), [Dysport®](/injectables-fillers/dysport/), [Restylane®](/injectables-fillers/restylane/), [XEOMIN®](/injectables-fillers/xeomin/) and [RADIESSE®](/injectables-fillers/radiesse/). We also have raffle items from local businesses, great food, and visits from local celebs. To date we have raised over **$175,000**, with the proceeds from the event donated to Living in Pink, a local charity that helps fund breast cancer research. This year we are thankful for the support of our partners including Erwin Gomez and Karma Beauty Lounge, Coup de Foudre, CompositionID, Galderma, Merz and Allergan. Without their support, this could not be the success that it is. Our goal is to hold this event every year and raise more funds than each previous year until this terrible disease is eradicated. In order to do that we need to pass the word along. Feel free to pass this website along to family, friends and associates, and sign up to be notified of next year’s event. If you are interested in becoming a sponsor, please complete the brief sponsorship form and we will contact you.” #### Mission to Nicaragua Twice per year Dr. Ruff travels to rural Nicaragua with his team of physicians, nurses and anesthetists to perform surgery to correct cleft palate, cleft lip and other acquired birth defects and deformities. This volunteer effort is made in coordination with the Medical Mission Future of Nicaragua Foundation. --- ## In the Media **Link:** [In the Media](https://www.westendplasticsurgery.com/about/in-the-media/) ([md](https://www.westendplasticsurgery.com/about/in-the-media/index.html.md)) **Description:** Learn the latest news about the cosmetic enhancement industry from West End Plastic Surgery in Washington, D.C. ### Content #### Real Housewives of Potomac [.real-housewives-logo][] In Season 3, Dr. Ruff and his staff are featured in episode 10 of Real Housewives of Potomac. Gizelle Bryant comes to the office for a Microneedling treatment with Robyn Dixon. #### Publications Dr. Ruff was the Principal Investigator for the Renuvion study and his contributions were vital for the FDA clearance! [This paper was published in the Aesthetic Surgery Journal](https://pubmed.ncbi.nlm.nih.gov/36883611/) which is a prestigious acknowledgment of his and the team's work. Dr. Ruff and Allison Martinez, our Clinical Research Manager, were both published. The [FDA cleared Renuvion](https://xtalks.com/renuvion-dermal-handpiece-by-apyx-medical-gets-fda-clearance-for-wrinkle-reduction-3138/) for use in improving the appearance of lax skin in the neck and submental region. With this clearance, Renuvion is the only product that is FDA-cleared to improve the appearance of loose skin on the neck and chin. #### FOX 5 News - What the Facts Wednesday: Myths of Cosmetic Surgery Dr. Paul Ruff appears on FOX 5 News to talk about common misconceptions surrounding plastic surgery procedures. Playing the role of game show host, he quizzes the news anchors on their knowledge and explains the benefits — and limitations — of medical technology. --- ## Regenerative Medicine in Washington, D.C. **Link:** [Regenerative Medicine in Washington, D.C.](https://www.westendplasticsurgery.com/about-regenerative-medicine/) ([md](https://www.westendplasticsurgery.com/about-regenerative-medicine/index.html.md)) **Description:** Regenerative medicine in Washington, D.C. Elevate your health with expert, personalized care at West End Regenerative Medicine in Washington, D.C. ### Content #### What is Regenerative Medicine? The word regeneration is derived from the Latin word regenerates which means ‘created again.’ The earliest known use as an adjective is from the fourteenth century. When injured or invaded by disease, our bodies have the innate response to heal and defend. What if it was possible to harness the power of the body to heal and then accelerate it in a clinically relevant way? What if we could help the body heal better? This is the exciting and rapidly evolving field of Regenerative Medicine. Regenerative medicine is a discipline that deals directly with the cells and mechanisms to repair or restore. #### What Is a [#stem-cell]Stem Cell? Of the hundred trillion cells that make up the human body, stem cells are the most important category. They are among the few cells in the body that are specialized and have the potential to become a particular cell type and replace worn and damaged cells. A large number of stem cells exist in adipose or fat tissue. When stem cells are transplanted with fat in the different parts of their body, the majority of them grown and exist in these new areas helping to form new tissue at the transplanted site. By using the regenerative properties of stem cells along with transplanted fat, a marked improvement of survival of these tissues occurs. [Schedule A Consultation](/contact/) #### Common Procedures Using Regenerative Medicine At West End Plastic Surgery, we are using a combination of PRP and Amnion as an adjunct to ablative laser treatments, J-Plasma resurfacing, and wound treatments. We are using PRP with [Microneedling](/laser-treatments/rf-microneedling/) for cosmetic facial procedures, PRP to stimulate hair regrowth, and Amnion to promote wound healing. #### What is PRP? This area of medicine does not stop at the fat-derived stem cells. [PRP](/regenerative-medicine/prp/) is a natural product created from your own body. A small amount of blood is drawn from you and placed in a sterile tube that is spun down in a centrifuge to separate the different components of the blood. Red and white blood cells are divided from the platelets and the plasma (the clear fluid). This plasma now contains a higher than normal number of platelets and is called platelet-rich protein. #### What Is Amnion? Have you ever wondered why babies who undergo fetal surgery heal without scars? The protective properties of the amniotic environment signal the fetal cells to behave in distinct ways that result in scarless healing. Recently, the ability to capture and isolate these signaling molecules became possible. This ushered in a new facet of regenerative capability. The amniotic membrane surrounds and protects the developing fetus in utero and separates mother and fetus. If you were to look closely at the amniotic membrane, you would be able to notice that the membrane is comprised of several layers. The amnion layer of the membrane, or fetal side, has a layer of epithelial cells which can easily be removed with simple cell scraping, revealing a see-through underlying layer. #### How Amnion Is Used Amnion is commonly used in specialties such as ophthalmology for healing of the eye surface. When amnion is applied to damaged skin, such as after laser or plasma resurfacing, the reduction in inflammation and rapid healing dramatically shortens the recovery time. It also likely reduces the risk of unexpected healing complications. Prolonged or irregular healing is a frequent deterrent for those interested in cosmetic procedure. Regenerative medicine is moving towards removing those barriers by improving safety, shortening recovery and consistently providing more consistent results. #### Schedule A Consultation To learn more about how we use regenerative medicine, [contact](/contact/) West End Plastic Surgery or call us at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Our practice](/services/) serves Washington, D.C. and surrounding areas. [Click Here To Contact Us](/contact/) --- ## Private Surgical Suite **Link:** [Private Surgical Suite](https://www.westendplasticsurgery.com/about/surgical-suite/) ([md](https://www.westendplasticsurgery.com/about/surgical-suite/index.html.md)) **Description:** At West End Plastic Surgery, our accredited onsite surgical suite offers our patients in Washington, D.C. a high level of safety and privacy. ### Content Our private surgical suite is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Our facility was designed and built to meet your surgical needs and optimize patient care. Being AAAASF accredited assures you that patient safety is our top priority. We comply with the strict set of AAAASF’s standards and requirements for facility directors, medical specialist certification, and staff credentials. An office-based surgery provides you more privacy and attention than is usually available in a hospital setting. An accredited onsite operating suite also provides continuity – The Board Certified Plastic Surgeons of West End Plastic Surgery can depend, as can you, on the familiarity of the same anesthesiologist, OR nurses, and OR techs who understand their procedures and attention to detail. Dr. Ruff and his team are never rushed nor rescheduled due to emergencies, as often happens in a hospital operating room. Patient safety is assured in our accredited operating suite, as we have access to the same life-saving equipment found in a hospital operating room. Further, since cosmetic patients aren’t sick people, an onsite cosmetic suite hosts far fewer germs and bacteria than does a hospital. Therefore, our patients have a lower risk for infection, which can prolong recovery or result in revision surgery to treat infection and/or the additional scarring that an infection may cause. Although these are obvious benefits for cosmetic surgery patients, it comes at a price, as does everything. Simply put, the ease of building office-based surgeries has created confusion and increased risks for patients seeking cosmetic surgery. In the “old days” when hospitals granted OR privileges to surgeons based on their area of specialty, the hospitals served as “gatekeepers” for patients. If a family doctor requested OR time to perform a cosmetic procedure, he or she was denied because he was not identified as a “plastic surgeon.” With an office-based surgery suite, however, *any* physician can offer cosmetic procedures and perform them in his office, whether he has learned to perform liposuction over a weekend or perfected the procedure over many years of study in an accredited plastic surgery program. We’re delighted that you’re evaluating our practice as a potential for your life-changing cosmetic procedure. We want you to feel safe and comfortable in the knowledge that the surgeons of West End Plastic Surgery are not just board certified in plastic and reconstructive surgery, but have taken additional fellowship training as well. This training, coupled with their innate sense of proportion and symmetry and their “artist’s eye” enables them to provide beautiful results to their patients in a safe environment. #### West End Plastic Surgery is excited to offer Pro-Nox™ as an alternative to anesthesia. PRO-NOX™ is changing the way pain relief is administered and helping men and women feel more comfortable during cosmetic procedures. West End Plastic Surgery, offers PRO-NOX™ to patients living in and around the D.C. Metro area who want a more comfortable cosmetic enhancement experience, without the recovery from anesthesia. #### What is PRO-NOX™ PRO-NOX™ is a patient-controlled analgesia system that is used to relieve pain and anxiety during various cosmetic treatments like injectables or laser procedures, for example. It provides immediate anxiety relief by delivering a 50% oxygen and 50% nitrous oxide mixture on an as-needed basis. It is ideal for any procedure in which the patient may feel pain, discomfort or anxiety. PRO-NOX™ helps patients feel relaxed if they are nervous before or during a procedure by “taking the edge off.” #### Benefits of PRO-NOX™ PRO-NOX™ is an innovative way to manage pain for any office procedure. Its benefits include: #### Is PRO-NOX™ Right for Me? If you are concerned about the pain that may be caused by your procedure, no matter how small of a procedure it is likely that you can benefit from PRO-NOX™. #### How Does PRO-NOX™ work? PRO-NOX™ is self-administered by the patient, so you can be comfortable with the amount of gas that is received and can adjust it based on your needs. The gas is inhaled through the mouth and takes effect almost immediately. The amount of PRO-NOX™ required for relief may vary by patient, but this is what makes the self-administered system so successful. --- ## Accessibility Statement **Link:** [Accessibility Statement](https://www.westendplasticsurgery.com/accessibility/) ([md](https://www.westendplasticsurgery.com/accessibility/index.html.md)) **Description:** West End Plastic Surgery | Accessibility Statement - Our practice serves Washington, D.C. and the surrounding areas. ### Content [.title-md]General[] West End Plastic Surgery strives to ensure that its services are accessible to people with disabilities. West End Plastic Surgery has invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that every person has the right to live with dignity, equality, comfort and independence. [.title-md]Accessibility on West End Plastic Surgery[] West End Plastic Surgery makes available an accessibility the West End Plastic Surgery Accessibility Widget that is powered by a dedicated accessibility server. The software allows the site to improve its compliance with the Web Content Accessibility Guidelines (WCAG 2.0). [.title-md]Enabling the Accessibility Menu[] West End Plastic Surgery's accessibility menu can be enabled by clicking the accessibility menu icon that appears on the corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety. [.title-md]Disclaimer[] West End Plastic Surgery continues its efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities. Despite our efforts to make all pages and content on West End Plastic Surgery fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution. [.title-md]Here For You[] If you are experiencing difficulty with any content on West End Plastic Surgery website, widget, any of its services or require assistance with any part of our site or software, please contact us during normal business hours as detailed below and we will be happy to assist. [.title-md]Contacting Us[] If you wish to report a problem, have any questions or need assistance, [please click here to contact West End Plastic Surgery Customer Support.](/contact/) --- ## Aesthetic Services Washington, D.C. **Link:** [Aesthetic Services Washington, D.C.](https://www.westendplasticsurgery.com/aesthetic-services/) ([md](https://www.westendplasticsurgery.com/aesthetic-services/index.html.md)) **Description:** Aesthetic services in Washington, D.C. Enhance your natural beauty with personalized aesthetic treatments available in Washington, D.C. ### Content #### Select a treatment below to learn more --- ## Blog **Link:** [Blog](https://www.westendplasticsurgery.com/blog/) ([md](https://www.westendplasticsurgery.com/blog/index.html.md)) **Description:** West End Plastic Surgery Blog - Our practice serves Washington, D.C. and surrounding areas. ### Content --- ## 3 Procedures that Don’t Take Much time **Link:** [3 Procedures that Don’t Take Much time](https://www.westendplasticsurgery.com/blog/3-procedures-that-dont-take-much-time/) ([md](https://www.westendplasticsurgery.com/blog/3-procedures-that-dont-take-much-time/index.html.md)) **Description:** In this city, it can seem hard to get out and get a drink, let alone spend days recovering from surgery. ### Content In this city, it can seem hard to get out and get a drink, let alone spend days recovering from surgery. Although nothing will give you the results quite like surgery will, we have a few different options that come pretty close and don’t require the lengthy recovery. ## Botox [Botox](/injectables-fillers/botox/) hasn’t remained one of the most popular non-invasive treatments for nothing. Not only can we perform Botox in under 30 minutes on average, but it gives patients real results in about a week. By temporarily alleviating fine lines and wrinkles, Botox cannot only give you a more youthful look, but patients tend to use it as a preventative tool as well. ## ThermiRF Nothing can seem quite as deflating to your self-esteem as feeling one way about your health and looking another. If you feel like you are at your prime, but you have loose excess skin, then welcome to the aging club. Unfortunately, no matter how healthy and fit we are, our skin starts to lose collagen and elastin in it, which leads to looser skin. ThermiRF uses radiofrequency energy to start a chain reaction of remodeling, which leads to tighter skin and a more toned appearance over. Plus, only one treatment is necessary. ## Waxing Having hair on your underarms, bikini line, back, and legs is a no-no in today’s world. Although laser hair removal is safe and effective, it does require a bit more time. With regular waxes, patients tend to see that their hair isn’t as thick as it once was and that they don’t have to shave nearly as often (which is another time saver). Plus, waxes are fast and can be done on your lunch break. You don’t’ have to find much time to do these three things. To learn more, contact our Washington, D.C. office and [call us](/contact/) at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/specials/) --- ## 3 Things You may Not Know About a Tummy Tuck **Link:** [3 Things You may Not Know About a Tummy Tuck](https://www.westendplasticsurgery.com/blog/3-things-you-may-not-know-about-a-tummy-tuck/) ([md](https://www.westendplasticsurgery.com/blog/3-things-you-may-not-know-about-a-tummy-tuck/index.html.md)) **Description:** With summer just around the corner, you may be thinking of ways that you can hide your stomach behind another layer of clothes while you’re at the pool. ### Content With summer just around the corner, you may be thinking of ways that you can hide your stomach behind another layer of clothes while you’re at the pool. Rather than feeling self-conscious about excess fat and skin on your abdomen, why not let us help you get a stomach that you will feel confident to flaunt at the pool this year with a [tummy tuck](/body/tummy-tuck/)? By removing excess skin from the abdomen and then combining it with some liposuction techniques, we can give you the stomach that you had in your teens. To help you decide whether or not a tummy tuck is the right procedure for you, let’s take a closer look at three unique things about this surgery that you may not know about. ## Your Scar Every surgery involves a scar, but not every scar has to be visible. During your tummy tuck, we will make the incision just above the pubic bone so that it can be concealed by our underwear or bikini bottom. That way nobody has to know that you had this procedure done. ## Liposuction A tummy tuck itself usually just involves removing excess skin from the abdomen and tightening it after extreme weight loss. However, many of our patients also want to get rid of excess fat at the same time which is why we may recommend a tummy tuck with liposuction. During this combined surgery, we will typically start out with liposuction and then finish off with the skin tightening portion of the procedure. One of the unique benefits of doing these two procedures at the same time is that you will only have to worry about one recovery. ## Recovery One of the things that we tell our patients after they get a tummy tuck is to prepare for recovery. Because a tummy tuck is a fairly invasive surgery, it will require a lengthy recovery. On average, you should plan to take a week or two off of work to lay in bed and really rest. Before you go home after surgery, we will give you a list of recovery tips and suggestions. Are you interested in learning a little bit more about tummy tucks? If so, [contact us](/contact/) at our Washington, D.C. office at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/skincare/) --- ## 5 Reasons to Get a Mommy Makeover **Link:** [5 Reasons to Get a Mommy Makeover](https://www.westendplasticsurgery.com/blog/5-reasons-to-get-a-mommy-makeover/) ([md](https://www.westendplasticsurgery.com/blog/5-reasons-to-get-a-mommy-makeover/index.html.md)) **Description:** West End Plastic Surgery 5 Reasons to Get a Mommy Makeover - Mommy Makeover ### Content Mommy makeovers are getting popular by the day for all the right reasons. Most women want to regain their pre-pregnancy bodies back. Our West End Plastic Surgery team usually combines several procedures to ensure you achieve your desired look. A [mommy makeover](/body/mommy-makeover/) can take different forms depending on your aesthetic goals. It involves combining body contouring procedures, such as breast augmentation, tummy tuck, and liposuction. Essentially, our surgeons decide on the most appropriate procedure to correct the most affected body parts. If you’re not sure about getting a mommy makeover, here are five reasons to motivate you. ### 1. Multiple Treatments at One Time One of the main perks of getting a mommy makeover is that it involves more than one treatment to help you regain your pre-pregnancy body back. In most cases, the procedure combines a tummy tuck, breast augmentation, and liposuction (if needed). Our experienced surgeon, Dr. Ruff, will help you decide on the right treatment that suits your goals. Getting all these treatments at the same time reduces the hustle of scheduling appointments, recovery downtime, and even billing. ### 2. Tighten the Loose Skin During pregnancy, your skin stretches as it makes room for your baby. You don’t have to walk around with unsightly loose skin. A tummy tuck procedure tightens the loose skin, ensuring you look younger with a gorgeous figure. ### 3. Eliminate Stretch Marks Getting rid of stretch marks after pregnancy is a common concern most women face. These stretch marks can make you feel less confident, especially when weakening a bikini. A tummy tuck can ensure you don’t have to wait long for the stretch marks to fade off. ### 4. Enhanced Cleavage It’s normal for breasts to lose their shape right after breastfeeding. Breast augmentation at West End Plastic Surgery can help you restore your cleavage, giving you a sexier and more confident appearance. ### 5. The Results are Incredible Getting a mommy makeover delivers incredible results. Besides looking great, you’ll feel happier and more confident with your overall physical appearance. Ready to get your pre-pregnancy body back? [Call](/contact/) [(202) 785-4187](tel:(202) 785-4187) today or visit [www.westendplasticsurgery.com](/) to schedule an appointment with our experienced surgeons in Washington, D.C., Virginia, and Maryland (DMV Area). [Previous Post](/blog/physiq-vs-emsculpt-know-the-difference/) --- ## 7 things to expect from eyelid surgery **Link:** [7 things to expect from eyelid surgery](https://www.westendplasticsurgery.com/blog/7-things-to-expect-from-eyelid-surgery/) ([md](https://www.westendplasticsurgery.com/blog/7-things-to-expect-from-eyelid-surgery/index.html.md)) **Description:** If you live in the Washington, D.C. and are interested in ways to improve the look of your eyes call us at (202) 785-4187 to schedule a consultation. ### Content Eyelid surgery can give your eyes a youthful appearance by removing the puffy areas or “bags” under the eyes, removing excess skin on upper and lower eyelids, or restoring the natural crease line in your [upper eyelids](/face/eyelid-surgery/). Here are seven things you can expect from this popular procedure: - **Surgery is performed on an outpatient basis in most cases.** Patients go home shortly after the procedure. If your surgery is extensive or combined with other procedures, you may need an overnight hospital stay. - **Your discomfort level will improve rapidly after the first two days.** Your eyes will probably feel sticky and itchy and have a burning sensation in the first few days after surgery. And you may experience blurry or double vision. Your eyelids will most likely feel dry and tight, and you may experience mild numbness along the lash line. - **You’ll want to take it easy for the first 3 to 5 days after surgery.** You may be feeling good, but you will want to rest during that first week. Stitches will be removed within a week after surgery and bruising and swelling will begin to fade at that time. - **Most patients return to work within a week to 10 days.** The bruising and swelling subside around this time. You can wear makeup around the eyes within 7 to 10 days and wear contact lenses in 3 to 4 weeks. - **Your scars may look slightly pink for six months or longer.** Eventually, the scars will fade and remaining lines become hidden in the creases of your upper lids and just below the lashes of lower lids or inside the lower lids. - **You will have to be careful with sun exposure. **You will need to wear sunglasses with a special eyelid sunblock for several weeks as your eyes will be sensitive to sunlight, wind and other airborne irritants. You will need to protect your incision scars from sunlight for at least a year after surgery. - **Results generally last between 5 to 10 years**. Aging, gravity and environmental factors all contribute to eventual sagging and drooping of the eyelid area. Following your surgeon’s instructions carefully will help you prolong results. If you live in the Washington, D.C., area and are interested in learning about surgical and non-surgical ways to improve the look of your eyes, call our office at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). [Previous Post](/non-surgical/) --- ## 8 reasons to consider breast augmentation surgery **Link:** [8 reasons to consider breast augmentation surgery](https://www.westendplasticsurgery.com/blog/8-reasons-to-consider-breast-augmentation-surgery/) ([md](https://www.westendplasticsurgery.com/blog/8-reasons-to-consider-breast-augmentation-surgery/index.html.md)) **Description:** Here are some of the top reasons why women choose to undergo breast augmentation surgery. ### Content Even though it’s one of the most popular cosmetic surgical procedures each year, breast augmentation surgery is a personal decision for all patients. Each patient has different reasons for wanting to change the size and shape of their breasts. Here are some of the top reasons why women choose to undergo [breast augmentation surgery](/breast/breast-augmentation/). - Pregnancy has changed the appearance of your breasts. Pregnancy and nursing can cause your breasts to sag and have a deflated appearance. A breast augmentation may also be performed with a breast lift to place your breasts into a youthful appearance. - You’ve lost a lot of weight. Fluctuations in weight can contribute to the loss of volume and sagging appearance of the breasts. A breast lift may also be indicated for patients who want to restore a youthful appearance to their breasts. - You have asymmetrical breasts. If one breast is a different size than the other, breast augmentation surgery can correct this difference. Women who have asymmetrical breasts find it difficult to shop for properly fitting bras, bikini tops and other clothing. - Your breasts didn’t fully develop. Women who have micromastia have underdeveloped breasts, which may be due to hormones or genetics. - You need to reconstruct one or both breasts after breast cancer surgery. If you’ve had a mastectomy, a breast augmentation may be advised as part of your reconstruction plan to help you feel like yourself again after breast cancer treatment. - You want to boost self-esteem. This surgery has a high patient satisfaction rate, and women find an improvement in self-esteem and confidence after undergoing surgery. - You are in good health and have realistic expectations for surgery. Even though breast augmentation surgery has high patient satisfaction, it’s important to understand the limitations and what to expect with your results. - You understand the risks with surgery. All surgeries come with risk, but you can ensure a safe and effective outcome by closely following pre- and post-surgical instructions provided to you by your surgical team. Wondering if you’re a good candidate for breast augmentation surgery? [Call our office today](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Previous Post](/blog/things-to-consider-for-your-breast-augmentation-surgery/) --- ## A Closer Look at Eyelid Surgery **Link:** [A Closer Look at Eyelid Surgery](https://www.westendplasticsurgery.com/blog/a-closer-look-at-eyelid-surgery/) ([md](https://www.westendplasticsurgery.com/blog/a-closer-look-at-eyelid-surgery/index.html.md)) **Description:** Eyelid surgery not only helps you look younger, but it can also help you see better if excess skin and fat are blocking your peripheral vision. ### Content You may notice excess skin and fat covering your upper eyelids as you age. Your lower eyelids may also have excess fat and skin on them. Sometimes, even without aging, you may have droopy eyelids or bags under your eyes. [Eyelid surgery](/face/eyelid-surgery/) can correct these issues and is a popular procedure for many people. In addition to having one or more of the issues listed, you may also be a candidate for eyelid surgery if you lose the natural upper eyelid crease. ## Benefits of Eyelid Surgery Blepharoplasty, or eyelid surgery, has many benefits, including giving your eyes a more youthful appearance. It can also help you see better if the excess skin and fat interfere with your peripheral vision. In many cases, the results of eyelid surgery can last up to 10 years — and in some cases, it has lasted longer. ## What Happens Before Eyelid Surgery Your doctor will take several steps before your eyelid surgery, including: - Going over your medical history and any medications you are taking. - Discussing your alcohol and tobacco use, if applicable. - Testing your vision. - Assessing tear production. - Discussing potential risks for eyelid surgery. - Reviewing various eyelid lift options. - Discussing how your doctor will perform the surgery. - Discussing what you can do before, during, and after surgery. - Answering your questions. ## Restrictions After Eyelid Surgery For the first week: - Stitches Removal: If non-dissolvable stitches are used, they are typically removed within the first week. - Swelling Reduction: Swelling and bruising start to subside, but some residual swelling may persist. - Avoiding Sun Exposure: Protecting the eyes from sun exposure is important during the initial recovery phase. Some common restrictions and timeframes include: - **Reading, watching television, or using a computer:** 2-3 days after surgery. - **Wearing makeup around your eyes:** 7-10 days after surgery. - **Driving:** As soon as you feel comfortable with your vision and the amount of pain you have (if any). - **Wearing Contact Lenses:** 2-3 weeks after surgery. - **Strenuous activity:** Limited for three weeks after surgery. It’s crucial to follow the specific post-operative instructions provided by the surgeon. Individual recovery experiences may vary, and it’s essential to communicate openly with the medical team regarding any questions or concerns during the recovery period. ## Where to Find Eyelid Surgery in Washington, D.C. West End Plastic Surgery serves Washington, D.C., and the surrounding areas. Our experienced team includes facial cosmetic and reconstructive specialist [Dr. Lexie Wang](/about/team/lexie-wang-md/). A board-certified surgeon, Dr. Wang was one of the two surgeons invited to train at the prestigious American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). To schedule a consultation with Dr. Wang, please [request a consultation](/consultation/) online or call [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/what-does-a-non-surgical-butt-lift-do/) --- ## Am I a Candidate for Labiaplasty Surgery? **Link:** [Am I a Candidate for Labiaplasty Surgery?](https://www.westendplasticsurgery.com/blog/am-i-a-candidate-for-labiaplasty-surgery/) ([md](https://www.westendplasticsurgery.com/blog/am-i-a-candidate-for-labiaplasty-surgery/index.html.md)) **Description:** Labiaplasty can solve issues such as large, asymmetrical, or uncomfortable vaginal lips. Find out if you are eligible for this surgery in Washington, D.C. ### Content Are you experiencing discomfort, dissatisfaction, or psychological distress related to the appearance or function of your labia? Labiaplasty surgery might be a solution worth considering. However, before making any decisions, it’s crucial to understand whether you are a suitable candidate for this procedure. Let’s explore what qualifies you for labiaplasty and whether it’s the right choice for your needs. ## What is Labiaplasty Surgery? Labiaplasty surgery, also known as [vaginal rejuvenation](/body/vaginal-rejuvenation/), involves modifying the labia minora (inner lips) and the labia majora (outer lips). The surgery is typically performed to reduce the size or change the shape of the labia, although it can also involve other alterations such as tightening or reshaping. ## What Qualifies You for Labiaplasty? Labiaplasty is typically considered for individuals who experience physical discomfort, psychological distress, or aesthetic concerns related to the size, shape, or symmetry of their labia minora or labia majora. Some common reasons why individuals might consider labiaplasty include: **Physical discomfort: **Large or elongated labia minora can cause discomfort during activities such as exercise, intercourse, or wearing tight clothing. Some individuals may experience irritation, chafing, or pain due to the size or shape of their labia. **Aesthetic concerns: **Some individuals may simply desire a more aesthetically pleasing appearance of their genitalia. They may wish to reduce the size of the labia minora, reshape the labia majora, or achieve symmetry between the labia. **Psychological distress:** Feeling self-conscious or unhappy about the appearance of the genitalia can lead to psychological distress, affecting self-esteem, body image, and sexual confidence. For some individuals, labiaplasty can alleviate these feelings and improve overall well-being. It’s important to note that each individual’s reasons for considering labiaplasty are unique, and the decision to undergo the procedure should be carefully considered. It’s also essential to have realistic expectations about the outcomes of the procedure. The most effective way to determine your suitability for this procedure is to consult with a plastic surgeon. They will evaluate your condition and advise you on whether labiaplasty could be beneficial for you. Our team consists of multiple plastic surgeons who are ready to meet you. By understanding whether you are a suitable candidate for labiaplasty and discussing your concerns with a qualified professional, you can make an informed decision about whether this procedure is right for you. Remember, your comfort, well-being, and satisfaction are paramount, so take the time to explore your options and make a decision that feels right for you. ## Schedule a Labiaplasty Surgery Consultation in Washington, D.C. Ready to have a labiaplasty surgery? [Schedule a consultation](/contact/) at West End Plastic Surgery in Washington, D.C. Our experienced plastic surgeons are here to listen to your concerns and assist you in achieving the confidence and comfort you deserve. Contact West End Plastic Surgery today at [(202) 785-4187](tel:(202) 785-4187) and take the first step toward feeling your best. [Previous Post](/blog/how-to-reduce-swelling-after-rhinoplasty/) --- ## Am I a candidate for vaginal rejuvenation? **Link:** [Am I a candidate for vaginal rejuvenation?](https://www.westendplasticsurgery.com/blog/am-i-a-candidate-for-vaginal-rejuvenation/) ([md](https://www.westendplasticsurgery.com/blog/am-i-a-candidate-for-vaginal-rejuvenation/index.html.md)) **Description:** West End Plastic Surgery Am I a candidate for vaginal rejuvenation? - Vaginal Rejuvenation ### Content Often women will have concerns about the appearance or function of their vaginal area but may not know there is something that can be done, or they may be too embarrassed to talk to their doctor about their concerns. Read on to learn more about the surgical and non-surgical options for vaginal rejuvenation and why it may be right for you. ## Ideal candidates Women of all ages can benefit from [vaginal rejuvenation](/contact/). If you’ve had children, suffer from urinary incontinence, have pain or reduced sensitivity during intercourse, experience vaginal dryness or are unhappy with the appearance of the volva or labia, then you would be a good candidate for vaginal rejuvenation. ## Common procedures Some of the most common procedures for vaginal rejuvenation include labiaplasty, labia majora reshaping, labial reshaping, clitoroplasty, mons pubis reduction, hymenoplasty and ThermiVA non-surgical vaginal rejuvenation. Labiaplasty consists of removing excess tissue or creating a more balanced look to the labia. Often this is an aesthetic and functional problem for women. Age and childbearing can lead to decreased volume in the labia majora. Injections such as Juvederm or Sculptra can give this area a more attractive appearance, but liposuction or VASER Liposelection can offer more permanent results. Clitoroplasty consists of removing and reshaping the skin over the opening of the clitoris. Loose skin on the clitoral hood is often caused by aging and childbearing and can affect stimulation during sexual intercourse. Mons pubis reduction consists of removing excess skin and fat from the mons pubis area, which can enlarge with aging and weight gain. Hymenoplasty, or revirgination, is performed with total discretion as it is often done due to cultural pressures and expectations in anticipation of marriage. ThermiVa is a non-surgical treatment that tightens loose vaginal skin and tightens and rejuvenates the genital area to improve its appearance. If you are interested in learning more about vaginal rejuvenation and the surgical and non-surgical treatment options, [call our office](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Previous Post](/) --- ## A New Approach to Scars with ResurFX **Link:** [A New Approach to Scars with ResurFX](https://www.westendplasticsurgery.com/blog/a-new-approach-to-scars-with-resurfx/) ([md](https://www.westendplasticsurgery.com/blog/a-new-approach-to-scars-with-resurfx/index.html.md)) **Description:** Unsightly scars, whether from acne, an incision, childbirth, or even a bug bite can be frustrating, annoying, and difficult to hide... ### Content Unsightly scars, whether from acne, an incision, childbirth, or even a bug bite can be frustrating, annoying, and difficult to hide. And while concealer and foundation may offer some benefits, the application can be time consuming and cumbersome, especially for larger scars or scars in hard-to-reach places like on the back and—it’s not permanent. Every day you have to start all over with a fresh application. If you are seeking a permanent solution to visible scars, it’s time to come chat about ResurFX™, the latest thinking in laser skin therapy for scars. [ResurFX](/laser-treatments/resurfx/) is a fractional, non-ablative laser resurfacing procedure that creates areas or ‘zones’ of heat injury on the skin which kick-starts natural collagen production, and can lead to a noticeable improvement in the appearance and texture of scars. Featuring CoolScan™, a patent pending algorithm that delivers each fractional laser beam in a precisely controlled manner to protect sensitive skin tissues from overheating, ResurFX offers overs 600 combinations of size, shape, and density to address every type of scar, no matter how old or deep. Unlike previous lasers, which required many, many passes over the skin, treatment with ResurFX may be completed in as little as just one pass, greatly increasing comfort and minimizing treatment time. I have specialized experience working with scars of all sizes and intensity, and together with ResurFX, can help you address your own scar concerns safely, quickly, and professionally. Set up your appointment today! Call **[(202) 785-4187](tel:(202) 785-4187)**, or [Contact the Office](/contact/). I look forward to hearing from you! ###### Norah Clair Gourlay, RN, MSN ###### Aesthetic Nurse Specialist, Nurse Practitioner Student [Previous Post](/blog/lift-and-tone-the-beautiful-reliable-efficient-thermirf/) --- ## A non-surgical option for skin tightening **Link:** [A non-surgical option for skin tightening](https://www.westendplasticsurgery.com/blog/a-non-surgical-option-for-skin-tightening/) ([md](https://www.westendplasticsurgery.com/blog/a-non-surgical-option-for-skin-tightening/index.html.md)) **Description:** West End Plastic Surgery A non-surgical option for skin tightening - Renuvion (J-Plasma) ### Content If you want to erase years of sun damage and tighten loose skin but don’t want to go under the knife yet, then you would be thrilled to know there is a non-surgical procedure for skin tightening called [Renuvion](/laser-treatments/renuvion/). Also known as J-Plasma, Renuvion tightens loose skin without requiring much downtime or scars from surgery. Read on to learn more facts about this revolutionary treatment to help you achieve a more youthful, more confident look. - Renuvion resurfaces skin from above and tightens skin below the skin’s surface by using cold plasma energy to encourage skin to regrow new cells. The Renuvion energy is applied under the skin, heating the collagen and other structures to the temperature needed for optimal tissue contraction. This heating happens quickly, and tissue is cooled back to the baseline immediately. - While any area of the body can benefit from Renuvion treatment, the most common treatment areas include the abdomen, breasts, back, arm, thighs and neck. - Candidates for Renuvion have mild to moderate excess skin but do not want surgical scarring, incisions or downtime. - Renuvion works in one single treatment. Patients will see results soon after the procedure but will continue to see results as the skin tightens over the next several months and year. This is because the skin is remodeling during this time and depositing new collagen. - On the lower face, jawline and neck, Renuvion is used to resurface the skin surface. A special facial hand piece tightens upper and lower eyelids, nasolabial folds, lip lines and jowls. - On the rest of the body, Renuvion is used under the skin surface to tighten the skin above it. - For patients who undergo Renuvion skin resurfacing, you will need up to two weeks of downtime due to the redness and recovery needed. For patients who undergo Renuvion tightening only, you can return to normal activities within just a few days. Renuvion is a popular treatment as it can be combined with other cosmetic procedures to maximize your aesthetic goals and outcomes for a more youthful you. If you are interested in learning more about Renuvion or J-Plasma and whether this treatment would be ideal to achieve your aesthetic goals, call [(202) 785-4187](tel:(202) 785-4187) today to [schedule a consultation](/contact/). [Previous Post](/blog/who-is-a-good-candidate-for-a-lower-body-lift/) --- ## Are You A Good Candidate For A Tummy Tuck **Link:** [Are You A Good Candidate For A Tummy Tuck](https://www.westendplasticsurgery.com/blog/are-you-a-good-candidate-for-a-tummy-tuck/) ([md](https://www.westendplasticsurgery.com/blog/are-you-a-good-candidate-for-a-tummy-tuck/index.html.md)) **Description:** West End Plastic Surgery Are You A Good Candidate For A Tummy Tuck - Tummy Tuck ### Content Whether it’s due to a pregnancy or sudden weight loss, loose skin and weak abdominal muscles can leave you feeling self-conscious. While exercise can help tighten the problem area, it’s often not enough. Suddenly, you have a muffin top, and it is affecting the type of clothes you feel comfortable wearing. At West End Plastic Surgery, Dr. Paul G. Ruff IV, Dr. Catherine Hannan, and Dr. Lauren Patrick specialize in body contouring procedures that include [tummy tucks](/body/tummy-tuck/). ## What to Expect During Your Tummy Tuck Procedure? An abdominoplasty or tummy tuck is either an in or outpatient procedure, It often depends on if the tummy tuck is being combined with another treatment or part of a mommy makeover. The procedure lasts anywhere from two to four hours and is performed under anesthesia. The physician makes an incision across your abdomen with care being taken to avoid your bikini line. West End Plastic Surgery will work with you to ensure the incision doesn’t interfere with the styles of clothing and swimsuits you prefer wearing. Unwanted fat, tissue, and skin are removed from the areas around the incision. Your abdominal muscles are also tightened to prevent the appearance of a muffin top. Stitches close the incision, and a pain reliever helps to alleviate any discomfort. During the healing period, you will wear an elastic abdominal binder for several weeks. ## Is a Tummy Tuck Right for You? How do you know if you are a good candidate for a tummy tuck? Have you recently lost a significant amount of weight? Do you have a protruding stomach that refuses to go away even with diet and exercise? If you answered yes to these questions, you may be a good candidate for a tummy tuck at West End Plastic Surgery. ## Schedule A Consultation at West End Plastic Surgery in Washington, D.C. You can have a smoother, more contoured appearance with a tummy tuck. Contact West End Plastic Surgery today, either online or call their Washington, D.C. office at [(202) 785-4187](tel:(202) 785-4187) for a consultation with one of our board-certified plastic surgeons. [Previous Post](/blog/can-renuvion-help-you-look-younger/) --- ## Are You Considering Breast Augmentation Surgery? **Link:** [Are You Considering Breast Augmentation Surgery?](https://www.westendplasticsurgery.com/blog/are-you-considering-breast-augmentation-surgery/) ([md](https://www.westendplasticsurgery.com/blog/are-you-considering-breast-augmentation-surgery/index.html.md)) **Description:** West End Plastic Surgery Are You Considering Breast Augmentation Surgery? - Breast Augmentation ### Content Breast size can be a sensitive topic. Women with seemingly perfect chests are often highlighted in popular media. While some women are completely satisfied with the size, shape, and appearance of their breasts, it’s not true for everyone. You may feel your breasts are too small for your frame, if so, breast augmentation may be the right solution for you. ## What is a Breast Augmentation Procedure? [Breast augmentation](/breast/breast-augmentation/) is a surgical procedure. It’s one of the most popular cosmetic procedures in the U.S. with a high rate of satisfaction among patients. The procedure entails inserting silicone or saline implants into the breast. A small incision is made in front or behind the pectoral muscle to insert the implants. During your consultation at West End Plastic Surgery, our board-certified surgeon will go over the benefits and drawbacks associated with each type of implant. Breast augmentation changes the size and volume of your breasts, particularly on top. Your breasts are fuller and more asymmetrically shaped. After undergoing breast augmentation women often experience a boost in their self-confidence. Some women feel they can finally wear the styles they love and look great in the clothes. ## Is There a Long Recovery Period? You will feel the effects of the anesthesia, so it is a good idea to have a ride home prearranged. You should expect to feel sore and tired for a couple of days, but most patients report an improvement in their pain after day two. ## What are the Benefits of Breast Augmentation Surgery? The benefits of breast augmentation surgery often vary by patient. Everyone has different goals. Some of the common reasons women decide to undergo the procedure include, - Enlarge your breasts to a more desirable size - Correct a noticeable imbalance in the size of your breasts (asymmetry) - Correct sagging or ptotic breasts - Reconstruct one or more breasts after breast surgery Your unique goals will be discussed during the initial consultation. [Contact](/contact/) West End Plastic Surgery online or call their Washington, D.C. office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation with one of our professionals. [Previous Post](/blog/rahma-scott-pa-c/) --- ## Artist’s Reception Event **Link:** [Artist’s Reception Event](https://www.westendplasticsurgery.com/blog/artists-reception-event/) ([md](https://www.westendplasticsurgery.com/blog/artists-reception-event/index.html.md)) **Description:** We are excited to be planning for our next artist, Dagmara Weinberg. Please join us for a reception to meet her and to see her amazing artwork! RSVP by March 21st. ### Content We are excited to be planning for our next artist, Dagmara Weinberg. Please join us for a reception to meet her and to see her amazing artwork! RSVP by March 21st. [Previous Post](/blog/when-you-may-want-to-consider-waxing/) --- ## Art Work at West End Plastic Surgery – Hamid Lagder **Link:** [Art Work at West End Plastic Surgery – Hamid Lagder](https://www.westendplasticsurgery.com/blog/art-work-at-west-end-plastic-surgery-hamid-ledger/) ([md](https://www.westendplasticsurgery.com/blog/art-work-at-west-end-plastic-surgery-hamid-ledger/index.html.md)) **Description:** With the office renovations at West End Plastic Surgery coming along nicely, we are happy to announce that we have added yet another component to our... ### Content With the office renovations at West End Plastic Surgery complete, we are happy to announce that we have added yet another component to our renovations – Art Work. We are pleased to present to you Hamid Lagder’s art! Born and raised in Morocco in a small village northwest of Marrakesh, Hamid Lagder has always been fascinated by the art of painting from an early age. He enjoys painting abstract art, landscapes and cityscapes in addition to pop portraits. Hamid uses acrylic and mixed media on canvas to achieve a variety of unique textures and vivid colors. His work reflects the cultures and colors of the three countries where he lived — Morocco, Russia and the U.S. — and often has a Moroccan influence. Hamid currently resides in northeast Washington, D.C. The art pieces you are about to see are FOR SALE, so if you would like to purchase or get more information on them, please contact our office at **[(202) 785-4187](tel:(202) 785-4187).** These pieces were influenced by many of the vibrant cities of his native country and by American pop culture. Feel free to contact Hamid Lagder directly if you are interested in his art. Delivery and installation is available. Phone: **[(202) 785-4187](tel:(202) 785-4187)**[.block][] Email: **[hamid_lagder@yahoo.com](mailto:hamid_lagder@yahoo.com)** [Previous Post](/blog/not-all-mommy-makeovers-are-the-same/) --- ## Breast Augmentation: Look Better, Feel Better **Link:** [Breast Augmentation: Look Better, Feel Better](https://www.westendplasticsurgery.com/blog/breast-augmentation-look-better-feel-better/) ([md](https://www.westendplasticsurgery.com/blog/breast-augmentation-look-better-feel-better/index.html.md)) **Description:** If your breasts aren’t living up to the bodily standards you’ve set for yourself, breast augmentation may be just what you need. ### Content Keeping your body up to your standards can sometimes be more complicated than it initially seems. From properly dieting and exercising to living an all-around healthier lifestyle, there is much to handle. This becomes even more troublesome when physical and genetic factors get in the way of both your physical health and mental well-being, such as asymmetrical, sagging, or undersized breasts. And when it comes to your breasts’ effect on your overall well-being, [breast augmentation](/breast/breast-augmentation/) may be just what you need to feel fully satisfied with your body. You may be asking yourself, “Well, what is it that breast augmentation can actually do for me?” Well, the answer is simple. Breast augmentation can: ## **Enlarge Breasts to Your Ideal Size** First and foremost, breast augmentation is a highly sought-after procedure for adjusting (most often increasing) the size of breasts. Though there may be some physical health reasons for enhancing the size of your breasts—such as reconstructing breasts—it is more often approached for aesthetic reasons. Not only can increasing the size of your breasts give you the ideal body you’ve been seeking to achieve, but it can also thereby improve your self-confidence and body image. ## **Effectively Do Away With Asymmetry ** Breast augmentation can also function to correct breast asymmetry of any severity. No two pairs of breasts are exactly alike—similarly, there may even be a difference in size, shape, and resting position between your own two breasts. Though this issue is often primarily a self-image one, there is often discomfort experienced with asymmetrical breasts. Thankfully, both can be resolved with a simple breast augmentation procedure. ## **Correct Sagging and Reshape Your Breasts** Even if your breasts are a size that you are fond of, they may hang lower than you would like them to. Likewise, they may be perfectly symmetrical with one another, but you aren’t all too satisfied with their shape or form. In both instances, breast augmentation can be used to help—whether that’s through molding and reshaping the breast to your preferred look or lifting them so that they rest higher and more comfortably against your chest. ## **Find First-Class Breast Augmentation at West End Plastic Surgery** No matter why you feel like you’d be happier after a breast augmentation, don’t hesitate to consult with the top-notch cosmetic plastic surgeons at West End Plastic Surgery—located in Washington, D.C., and serving the greater DMV area. You can reach their practice by phone at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/how-much-does-a-bbl-cost/) --- ## Breast Augmentation Surgery – So Many Choices! **Link:** [Breast Augmentation Surgery – So Many Choices!](https://www.westendplasticsurgery.com/blog/breast-augmentation-surgery-so-many-choices/) ([md](https://www.westendplasticsurgery.com/blog/breast-augmentation-surgery-so-many-choices/index.html.md)) **Description:** Breast augmentation is one of the most common surgical procedures in the United States and the world. In the US alone, hundreds of thousands of augmentations.. ### Content Breast augmentation is one of the most common surgical procedures in the United States and the world. In the US alone, hundreds of thousands of augmentations are performed each year! It has one of the highest satisfaction rates of any plastic surgery procedure. There are many choices that have to be made before surgery to provide you with the optimal result. Choosing the right surgeon as your guide throughout this process is the first and most critical choice. Characteristics to look for are experience, board certification in plastic surgery, and how well you connect with your surgeon. It is also important to ask “why” he or she makes certain recommendations. Nobody wants a “one size fits all” surgeon who doesn’t individualize the procedure, and performs the same technique on everyone. If your surgeon says “I always put the implant under the muscle” or “I always put it over the muscle” – they may not be assessing your unique breast anatomy. ## What size is right for me? Choosing an implant size is generally the choice that creates the most patient anxiety. Ideally, choosing a cup size gives your surgeon a rough estimate of what your goals are. Remember, cup sizes are not based on a national standard of a “perfect” A, B, C or D cup. Each bra company will have different sizes for the same breast, not to mention that virtually all women (and men) have some asymmetry in the sizes of their breasts. A “C cup” from Victoria’s Secret will be different than a “C cup” from Nordstrom’s. Bringing in pictures of a breast size you want to achieve, sizing in the office and a discussion with your surgeon all come into play. Do you desire a subtle increase in size and fullness to better fit into clothes and restore lost volume after childbearing, weight changes or aging? Is your goal to go significantly larger to attain a goal look? In many cases, the surgeons at West End Plastic Surgery use temporary “sizers” while you’re under anesthesia to test out various sizes of implants before putting in the final, permanent, perfect pair. ## When should I have the procedure performed? While there is no “right” time to perform a breast augmentation, there are several “wrong times”. Ideally patients should be over 18 years old (except in certain cases such as breast deformity), it should not be done for several months after breast feeding is complete (due to the unpredictable results of trying to hit a moving target) and it should be avoided during times of major weight fluctuation for the same reason. ## Should I go under or over the muscle? (or even subfascial or dual plane) There are pros and cons to various levels of placement of the implant. This depends on your breast anatomy, how much time you have to recover, your lifestyle/job, your desired size, whether you need a lift, etc. In order to get the best result, this needs to be individualized to each patient. Do you need a little more lifting than a under the muscle implant can provide? Do you actively move your pectoralis (chest) muscle when you’re working out, is your inframammary fold (breast fold) too high, etc., what type of implant are you using, do you have enough tissue to avoid a step off, etc. You are an individual and in order to get the best result, your surgery has to be individualized. ## Do I need a lift? After weight loss, childbearing or simply just aging, a breast augmentation by itself may not lift the breast enough to achieve a desirable shape. Augmenting a breast without a lift in certain patients can lead to a “snoopy deformity” or “rock in a sock” breast – probably not the look anyone is looking for. In mild cases, placing the implant above the muscle can lead to a small increase in lifting; potentially slightly increasing the size of the implant may help as well. If you have more significant drooping, a periareolar (an incision around the areola), a lollipop (areolar and an up and down incision) or a full anchor type lift (areolar, up and down and under the breast incision) may help you achieve the elevation and shaping that your breast needs. These incisions are on the lower portions of the breast and can be hidden easily in bras, bikinis, or a low cut dress. ## Silicone or Saline? Years ago, the choice was easy – you could only get saline. The implants are cheap, can be put in through smaller incisions (because they’re filled on the table), and certain incisions like the belly button could be used to place the implants. With the reintroduction of silicone implants for cosmetic surgery, the implant choices and quality grew by leaps and bounds. Now the vast majority of implants placed are silicone. They have a more natural feel, less chance of rippling (or waves seen through the skin), better lift and upper breast fullness. The implants also come in different amounts of cohesivity which can better hold their shape (gummy bear implants). This means that even if you were to cut an implant in half, the gel stays bonded to itself and doesn’t go anywhere it’s not meant to. The implants now come in increased fill levels, which gives you better cleavage and less chance of rippling, especially when placed above the muscle. ## What incision should I choose? Questions you might be asking yourself: - Around the nipple, under the breast, through the armpit or a belly button incision? - Which is best for me? Each incision has various pros and cons. Under the breast incisions are the most commonly used (and for good reason). They are small, not easily seen in most patients; they are hidden by clothing and can be used to precisely position an implant and used for any potential future surgeries. A periareolar (around the nipple) incision from 3-9 o’clock, can be good in patients with larger areola, but has a higher risk of disrupting the nerves to the nipple (causing numbness) or interrupting the milk ducts, potentially complicating future issues with breast feeding. A belly button incision is rarely used because it can only be used for saline implants; proper placement of the implant is much less predictable. Armpit incisions can be good in some patients, however the visualization is less, future surgery can be tough through this incision and the positioning can be trickier. Here are the results of a Breast Augmentation Surgery: Front Before 1[.block][] [.hr][] Front After 1[.block][] [.hr][] Side Before 1[.block][] [.hr][] Side After 1[.block][] [.hr][] Side Before 2[.block][] [.hr][] Side After 2[.block][] [.hr][] Front Before 2[.block][] [.hr][] Front After 2[.block][] [.hr][] Make sure to watch the following video to see the actual steps of Breast Augmentation! [.hr][] If you are interested in Breast Augmentation, please call us at **[(202) 785-4187](tel:(202) 785-4187)** or [Contact](/contact/) the office. I look forward to hearing from you! [Previous Post](/blog/art-work-at-west-end-plastic-surgery-hamid-ledger/) --- ## Brow Lifts **Link:** [Brow Lifts](https://www.westendplasticsurgery.com/blog/brow-lifts/) ([md](https://www.westendplasticsurgery.com/blog/brow-lifts/index.html.md)) **Description:** West End Plastic Surgery Brow Lifts - Brow Lift ### Content Your forehead is one of the first places fine lines and wrinkles start appearing. Heavy bangs can hide your brow area, but why limit your hairstyle choices? Residents of Alexandria, Reston, and the surrounding DMV area (Washington, D.C., Virginia, and Maryland) can schedule a consultation with the specialists at West End Plastic Surgery. ## What is a Brow Lift? A [brow lift](/face/brow-lift/) is similar to a facelift. A forehead lift raises droopy brows and smooths out horizontal lines. When fine lines and wrinkles are removed, you have a more youthful appearance. You can also get rid of the bangs and try out new forehead-revealing hairstyles. The procedure involves altering or removing tissue and muscles that are causing the brow to sag or develop wrinkles. You can choose between two methods; both produce astonishing results. The first method uses the traditional incisions made at the hairline. The incision scars are virtually invisible, especially if you have thicker hair. You can also use the endoscopic method. It requires minimal incisions. During your consultation with one of our board-certified surgeons, you can learn more about both types of procedures. ## Is a Brow Lift Right for You? Almost anyone in good physical and mental health and between the ages of 40 and 60 is a good candidate for a brow lift. Brow lifts aren’t only for women. Men are also improving their appearance with the procedure. Guys tend to have heavier brows than women, and it can result in deeper wrinkles. Heavy-looking brows are also a common problem for men. ## How Long Do the Results Last? A brow lift performed by Dr. Ruff at our West End Plastic Surgery clinic can give you a more youthful appearance. Your results can last for up to fifteen years or longer, depending on environmental factors and the aging process. Remember, everyone ages differently. ## Contact West End Plastic Surgery to Learn More About Brow Lifts Dr. Paul G. Ruff IV, along with Drs. Lauren Patrick, Catherine Hannan, and Lexi Wang, are part of the team of medical professionals at West End Plastic Surgery, serving the greater Washington, D.C. area. [Contact](/contact/) their staff online or call [(202) 785-4187](tel:(202) 785-4187) to learn more about a brow lift and the other services we offer. [Previous Post](/blog/how-liposuction-can-get-rid-of-stubborn-fat/) --- ## Can Renuvion® Help You Look Younger? **Link:** [Can Renuvion® Help You Look Younger?](https://www.westendplasticsurgery.com/blog/can-renuvion-help-you-look-younger/) ([md](https://www.westendplasticsurgery.com/blog/can-renuvion-help-you-look-younger/index.html.md)) **Description:** West End Plastic Surgery Can Renuvion® Help You Look Younger? - Renuvion (J-Plasma) ### Content Do you feel younger than you look? It’s a common complaint among men and women. As you age your tissue loses elasticity, causing wrinkles and sagging skin to form. Over-the-counter creams rarely provide noticeable results, but Double Board Certified Plastic Surgeon, Dr. Paul Ruff, at West End Plastic Surgery may have the solution for your aging skin. ## What is Renuvion®? [Renuvion®](/laser-treatments/renuvion/), also known as J-Plasma, uses next-generation technology to tighten the skin below the surface. The procedure also resurfaces the upper layers of skin, minimizing the appearance of sun and age spots. The procedure uses Cold Atmosphere Plasma (CAP) to achieve a level of skin tightening and resurfacing previously not possible with other treatments. Renuvion® is FDA-approved for use in the neck and submental region. It is also the only product with FDA approval for the treatment of loose skin and the chin and neck. Renuvion® can tighten skin on almost any area of the body including: - Abdomen - Breasts - Back - Arm - Thighs - Neck Anyone with mild to moderate sagging skin is often a good candidate for Renuvion® (J-Plasma). Dr. Ruff at West End Plastic Surgery in Washington, D.C. will create a treatment plan that addresses your unique goals. ## What Does Renuvion® Treat? Renuvion® uses plasma energy to tighten and sculpt loose skin and minimize the appearance of dark spots on the skin’s surface. Using a handheld tool, Dr. Ruff can resurface facial and neck skin. The treatment can restore contours to the neck and chin area. It can also tighten the skin around your eyelids, jowls, lips, and nasolabial folds. Women and men with sagging skin on their bodies can also take advantage of Renuvion®. The plasma energy can recontour your arms, breasts, mid back, abdomen, legs, and buttocks. After one treatment, clients start noticing tighter and firmer skin. ## Learn More About Renuvion® at West End Plastic Surgery Renuvion® is a single-treatment, non-invasive therapy that tightens and resurfaces the skin. Age and sun spots seem to disappear, and your skin is tighter and firmer. [Contact](/contact/) West End Plastic Surgery online or call the Washington, D.C. office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Previous Post](/) --- ## Common Places to Get Liposuction **Link:** [Common Places to Get Liposuction](https://www.westendplasticsurgery.com/blog/common-places-to-get-liposuction/) ([md](https://www.westendplasticsurgery.com/blog/common-places-to-get-liposuction/index.html.md)) **Description:** Liposuction provides people with a great way to get rid of excess fat. Click here to learn the best places to get it. ### Content Many people struggle with excess fat. Whether it be because of age, pregnancy, or weight gain, having excess fat is not ideal. Sometimes, even with a proper diet and exercise, it can be impossible to lose it all on your own. While each patient is different in body type and goals, there are some common areas where patients, both male and female, want to lose stubborn fat deposits. Numerous people are turning to [liposuction](/body/liposuction/) to help them achieve their physical goals. In this blog, we cover some of the common areas people get liposuction so you can see if this procedure can be beneficial to you. ## **Common Places For Liposuction** ### Face Facial (Submental) Liposuction removes fat from the chin and neck areas, creating a sharper jawline and eliminating a double chin and any fullness in the neck. Excess fat and sagging skin around the chin/neck area can be due to age, weight, or genetics. This can help slim up these areas to promote a more youthful appearance. ### Upper Arms It’s common for excess fat to accumulate in the upper arm region. Also known as “bat wings,” liposuction in the upper arms helps remove excess fat and tighten the skin, resulting in a more toned and slim appearance. ### Abdomen Everybody wants a flat stomach. For many people, the portion of fat sitting above their abdominal muscles can seem impossible to lose. Liposuction of the abdomen, often referred to as “tummy liposuction,” can help remove excess fat and contour the abdominal area, creating a more defined waistline. ### Hips & Flanks The hips are a spot where lots of excess fat can reside, especially for women. Pregnancy can cause more fat to go to this area, and it can be difficult to get rid of once pregnancy is over. Liposuction in these areas, commonly known as “love handles” or “muffin tops,” can address the accumulation of fat around the sides and back of the waistline. ### Back The back might not be the first place you think of when you think of liposuction. However, it can be beneficial to get liposuction in this area, as it can address “bra rolls” or other pockets of fat that can be present. This can improve overall body contouring. ## **Show the World the New You ** If you think that you could benefit from liposuction, West End Plastic Surgery in Washington, D.C. is the perfect place for you to finally make a change. Our team is full of experienced medical professionals who have the expertise necessary to handle your liposuction with precision and skill. Working with West End Plastic Surgery means that you are working with the best. [Contact us](/contact/) today at [(202) 785-4187](tel:(202) 785-4187) or visit us online at [www.westendplasticsurgery.com](/) to schedule your consultation. [Previous Post](/blog/tips-for-rhinoplasty-recovery/) --- ## Complimentary Neograft Consults & A Bottle of Hair Vitamins **Link:** [Complimentary Neograft Consults & A Bottle of Hair Vitamins](https://www.westendplasticsurgery.com/blog/complimentary-neograft-consults-a-bottle-of-hair-vitamins/) ([md](https://www.westendplasticsurgery.com/blog/complimentary-neograft-consults-a-bottle-of-hair-vitamins/index.html.md)) **Description:** West End Plastic Surgery Complimentary Neograft Consults & A Bottle of Hair Vitamins - ### Content [Previous Post](/blog/7-things-to-expect-from-eyelid-surgery/) --- ## Contour Your Body With a Brazilian Butt Lift **Link:** [Contour Your Body With a Brazilian Butt Lift](https://www.westendplasticsurgery.com/blog/contour-your-body-with-a-brazilian-butt-lift/) ([md](https://www.westendplasticsurgery.com/blog/contour-your-body-with-a-brazilian-butt-lift/index.html.md)) **Description:** West End Plastic Surgery Contour Your Body With a Brazilian Butt Lift - Brazilian Butt Lift ### Content Whether it’s genetics or aging, not everyone is happy with the shape of their buttocks. They can sag, be flat, or be undersized. A [Brazilian butt lift](/body/brazilian-butt-lift/) augments and shapes the buttocks using your fat for a more pronounced, voluminous appearance. It’s also not uncommon for a Brazilian butt lift to be performed with other body contouring procedures. Some common procedures performed with a Brazilian butt lift at West End Plastic Surgery include VASERlipo™, abdominoplasty, thigh lifts, or VASERsmooth™ cellulite reduction. The procedure is often a part of a Mommy Makeover. ## What to Expect During Your Brazilian Butt Lift Surgery An incision will be made on the lower area of the buttock in an inconspicuous location. In most cases, though the incision may be extensive, the surgeons at West End Plastic Surgery will place it in a position that allows you to wear a bathing suit and current clothing styles without the scar being visible. All of the details are discussed during your initial consultation including the placement of the incision. Fat is extracted from other areas of the body, such as the abdomen or thigh, using liposuction. The fat is purified and injected into the buttocks. The surgeon will shape the fat for a voluptuous, natural-looking contour, and excess skin maybe for a smoother result. In some cases, buttock implants may be necessary to further enhance results. Stitches close the incision, gauze dressings, and tape are applied over the surgical area and a compression garment is placed. ## Risks Associated With Brazilian Butt Lift Surgery Risks associated with Brazilian Butt Lift Surgery are rare, but some potential ones include, - Infection - Loss of sensation - Scarring - Asymmetry - Irregular pigmentation These risks can be reduced by following the before and after-surgery care instructions. ## Contact West End Plastic Surgery Today West End Plastic Surgery, Washington, D.C. is committed to helping its clients look and feel their best. Contact their Washington, D.C. office online or call [(202) 785-4187](tel:(202) 785-4187) to [schedule your consultation](/contact/) to learn more about a Brazilian butt-lift and the other procedures the center offers. [Previous Post](/blog/are-you-a-good-candidate-for-a-tummy-tuck/) --- ## Crepey Skin? Try Renuvion (J-Plasma) **Link:** [Crepey Skin? Try Renuvion (J-Plasma)](https://www.westendplasticsurgery.com/blog/crepey-skin-try-j-plasma-renuvion/) ([md](https://www.westendplasticsurgery.com/blog/crepey-skin-try-j-plasma-renuvion/index.html.md)) **Description:** West End Plastic Surgery Crepey Skin? Try Renuvion (J-Plasma) - Renuvion (J-Plasma) ### Content As your skin ages, numerous changes take place that makes your skin look dull, loose, or wrinkled. One of the most visible signs of aging skin is the change to a crepey look. Until recently, there were no surgical treatments available, and those with crepey skin were left hopeful with chemical peels or similar treatments. The Renuvion (J-Plasma) is a revolutionary treatment for crepey skin. Whether used in conjunction with another procedure or not, there is nearly no place on your body Renuvion would not be able to help reduce the appearance of crepey skin. Where previous treatments attempt to address crepey skin from the outside, Renuvion changes your skin from below the surface to give a tighter and more youthful appearance. Using the most abundant form of visible energy in the universe, J-Plasma creates the plasma energy by keeping helium gas at a temperature between 100 and 150 degrees Fahrenheit. The plasma works under the surface of the skin by rearranging the structure and architecture of the skin, to create a toned and less crepey appearance. The [Renuvion procedure](/laser-treatments/renuvion/) is usually performed under general anesthesia or sedation, and results can be seen soon after surgery. The skin will continue to tighten over the following months as skin rebuilds itself within, and creates new collagen. Most patients who undergo a Renuvion procedure can return to work within just a few days, in comparison to other treatments that may require 2 weeks of downtime. Most patients have very minor pain and can get through with just over-the-counter anti-inflammatories. If you want to hear more about Renuvion (J-Plasma) or would like to start achieving your overall aesthetic goals, contact Dr. Paul Ruff and the team, at West End Plastic Surgery in Washington, D.C., at [(202) 785-4187](tel:(202) 785-4187) or visit [www.westendplasticsurgery.com](/) to [schedule a consultation](/contact/) today. Dr. Ruff and his team of expert aestheticians will work with you to develop a treatment plan that provides the longest-lasting results, using safe and easy treatment methods that fit into your schedule. [Previous Post](/body/mommy-makeover/) --- ## Do You Want To Erase The Appearance Of Fine Lines and Wrinkles? **Link:** [Do You Want To Erase The Appearance Of Fine Lines and Wrinkles?](https://www.westendplasticsurgery.com/blog/do-you-want-to-erase-the-appearance-of-fine-lines-and-wrinkles/) ([md](https://www.westendplasticsurgery.com/blog/do-you-want-to-erase-the-appearance-of-fine-lines-and-wrinkles/index.html.md)) **Description:** West End Plastic Surgery Do You Want To Erase The Appearance Of Fine Lines and Wrinkles? - Sculptra® ### Content As you grow older, your skin loses collagen. It typically starts in your twenties and the loss of collagen results in the appearance of fine lines and wrinkles. Facial creams are not enough to reverse the signs of aging, but there are solutions. One, offered at West End Plastic Surgery is an injectable treatment that adds volume to your face. ## What is Sculptra®? [Scultptra](/injectables-fillers/sculptra/) is a dermal filler approved by the FDA in 2004. It is commonly used to treat lipoatrophy, also known as facial volume loss. Your facial skin loses volume as collagen levels decline. The injectable is similar to other dermal fillers, but with one crucial difference. Instead of filling in fine lines and helping to smooth out wrinkles, Sculptra stimulates natural collagen production in your skin. The results look more natural and typically last for two years or longer. ## How is Sculptra® Different From Other Injectables? Traditional dermal fillers are injected close to the skin’s surface. Sculptra® is injected deeper into the skin layers. You will see some noticeable results after the first treatment, but the injectable is designed to work gradually over time through natural collagen production. To achieve maximum results, you will require a few treatments over several weeks. Not only will you look younger and more rejuvenated, but the results can also last for two years or longer. ## Are You a Good Candidate for Sculptra®? Almost everyone is a good candidate for Sculptra. The non-surgical procedure is performed in-office and does not require any downtime. Clients may experience soreness and redness at the injection sites, but it typically dissipates in a few days. Women and men who want to look younger without undergoing surgery are good candidates for Sculptra®. ## Is Sculptra® Only for Facial Treatments? Sculptra® is a safe, synthetic, and biocompatible material that is injected below the surface of the skin in the area of fat loss. It achieves excellent results in all parts of the face including the areas around the eyes and lips, between the mouth and nose, and throughout the cheeks and temples. However, it can also be part of a Brazilian Butt Lift procedure. ## Learn More About Sculptra® [Contact](/contact/) West End Plastic Surgery to learn more about injectable fillers. You can contact the Washington, D.C. office online or call [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Previous Post](/blog/are-you-considering-breast-augmentation-surgery/) --- ## Dr. Lexie Wang’s Mission Trip in Ecuador with the Global Smile Foundation **Link:** [Dr. Lexie Wang’s Mission Trip in Ecuador with the Global Smile Foundation](https://www.westendplasticsurgery.com/blog/dr-lexie-wangs-mission-trip-in-ecuador-with-the-global-smile-foundation/) ([md](https://www.westendplasticsurgery.com/blog/dr-lexie-wangs-mission-trip-in-ecuador-with-the-global-smile-foundation/index.html.md)) **Description:** West End Plastic Surgery Dr. Lexie Wang's Mission Trip in Ecuador with the Global Smile Foundation - ### Content Our Facial Plastic Surgeon, Dr. Lexie Wang, recently returned from a mission trip in Ecuador with the [Global Smile Foundation](https://gsmile.org/?utm_medium=social&utm_source=linktree&utm_campaign=learn+more+about+us%21) (GSF). She repaired cleft palates and performed specialized cleft rhinoplasties and facial nerve procedures. During her two weeks, they provided life-changing surgeries to 56 patients with a cleft, along with nutrition, psychology, speech therapy, and dental care. GSF supports a Comprehensive Cleft Center at Hospital León Becerra to provide a full range of integrated and interdisciplinary cleft care throughout the year, at no cost to all patients and their families. They provide comprehensive cleft care for patients in underserved areas while advancing the level of cleft care provided globally. Dr. Wang was also joined by her fellowship mentors Dr. Babak Azizzadeh and Dr. Grace Peng! **Replace Local Video:** https://www.westendplasticsurgery.com/wp-content/uploads/2023/07/8aa49f49-5c61-4092-8c1b-ff5c3b8067d9.mp4?_=1 [Previous Post](/blog/common-places-to-get-liposuction/) --- ## Eyelid Surgery vs. Non-Surgical Treatments: Which Is Right for You? **Link:** [Eyelid Surgery vs. Non-Surgical Treatments: Which Is Right for You?](https://www.westendplasticsurgery.com/blog/eyelid-surgery-vs-non-surgical-treatments-which-is-right-for-you/) ([md](https://www.westendplasticsurgery.com/blog/eyelid-surgery-vs-non-surgical-treatments-which-is-right-for-you/index.html.md)) **Description:** Discover the differences between eyelid surgery and non-surgical treatments to rejuvenate tired-looking eyes. Get expert guidance in Washington, D.C. ### Content The eyes are often the first feature people notice, and they play a big role in how youthful and energized you appear. If sagging lids, puffiness, or under-eye bags are leaving you looking tired, you may be considering ways to refresh your look. Two options are [eyelid surgery](/face/eyelid-surgery/) (blepharoplasty) and [non-surgical treatments](/non-surgical/). While both can improve the appearance of the eye area, they work differently and are suited to different goals. Here’s what to know. At [West End Plastic Surgery](/about/) in Washington, D.C., Dr. Paul G. Ruff IV and Dr. Lexie Wang, and their expert team provide both surgical eyelid procedures and advanced non-surgical treatments tailored to each patient’s goals. With a commitment to compassion, innovation, and artistry, they deliver safe, personalized care that helps patients achieve refreshed, natural-looking results. ## Eyelid Surgery: Long-Lasting, Transformative Results Eyelid surgery removes or repositions excess fat, skin, and muscle around the upper or lower eyelids. It’s often for individuals with moderate to severe drooping, sagging, or bulging that can’t be corrected with minimally invasive treatments. Recovery is typically one to two weeks, but the outcome is more dramatic and comprehensive than what non-surgical options can offer. Results are also long-lasting, usually for years. ## Non-Surgical Treatments: Subtle, Temporary Improvements Non-surgical options, such as [fillers](/injectables-fillers/) or [Botox](/injectables-fillers/botox/), are suitable for patients who prefer to avoid downtime or surgery. These treatments can smooth fine lines, reduce mild under-eye hollows, and provide subtle lifting. However, results are temporary, lasting from a few months to a couple of years, depending on the treatment. Non-surgical methods are best for those with early signs of aging or for patients who want a quick refresh without committing to surgery. ## Which Option Is Right for You? If your concerns are mild and you’re seeking a quick, less invasive solution, non-surgical treatments may be enough to achieve your goals. On the other hand, if sagging or puffiness is more advanced, eyelid surgery offers the most effective and lasting results. In some cases, combining both approaches provides the best outcome, using surgery for structural correction and non-surgical treatments for ongoing maintenance. ## Refresh Your Look with Eyelid Surgery for a Brighter, More Youthful Appearance in Washington, D.C. Choosing between eyelid surgery and non-surgical treatments depends on your individual concerns, goals, and lifestyle. Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/) to determine the most effective approach for you. [Previous Post](/blog/sculptra-butt-lift-timeline-from-first-treatment-to-final-results/) --- ## Facial Balancing: Benefits of Chin and Neck Liposuction **Link:** [Facial Balancing: Benefits of Chin and Neck Liposuction](https://www.westendplasticsurgery.com/blog/facial-balancing-benefits-of-chin-and-neck-liposuction/) ([md](https://www.westendplasticsurgery.com/blog/facial-balancing-benefits-of-chin-and-neck-liposuction/index.html.md)) **Description:** Liposuction of the chin and neck will improve the appearance of a double chin and help achieve facial balancing. ### Content Believe it or not, liposuction is not just for removing unwanted fat in the stomach area. If you have unwanted fat or sagging skin in your chin and neck area, you can undergo [chin and neck liposuction treatment](/face/neck-liposuction/) to help achieve an improved jawline, change the look of your side profile, and achieve a more balanced face. At West End Plastic Surgery, VASERlipo™ is used during the chin and neck liposuction procedure to target these gentle areas of the face specifically. By contouring, toning, and removing unwanted fat from this area, liposuction will help patients achieve the following: ## Achieve Facial Balance People who have double chins or extra fullness around the chin or neck area can appear to have a lot of volume in the lower half of their face. By removing this unwanted fat and revealing a more prominent jawline, the lower half of the face will become more proportional to the top half of the face, achieving facial balance and a more even look. ## Improve Your Jawline Liposuction in the chin and neck area will result in a sharper, more noticeable jawline. Removing unwanted fat below the chin and neck area can enhance your jawline plus other facial features, such as your mouth and your smile. With this treatment, surgical scarring is often hardly noticeable, so there will be no lasting effect of visible changes to your facial features besides a new and improved jawline! ## Boost Your Self-Confidence For many people, having a slimmer face or simply achieving a balanced, more proportional look can have a huge impact on their self-confidence. When you achieve facial balancing, you can eliminate the need to pose on your “good side” for pictures and stop hiding your smile. By restoring balance to the face that may have gotten lost due to weight gain, weight loss, or age, liposuction can be a life-changing treatment. ## Chin and Neck Liposuction at West End Plastic Surgery If you’re ready to say goodbye to your double chin, sagging skin, or jowls, consider liposuction at West End Plastic Surgery. Call [(202) 785-4187](tel:(202) 785-4187) to find out if you are a candidate for this treatment, or click [here](/contact/) to schedule a consultation at our office in Washington, D.C. [Previous Post](/aesthetic-services/chemical-peels/) --- ## FAQs about VASERLipo **Link:** [FAQs about VASERLipo](https://www.westendplasticsurgery.com/blog/faqs-about-vaserlipo/) ([md](https://www.westendplasticsurgery.com/blog/faqs-about-vaserlipo/index.html.md)) **Description:** Here are some of the most frequently asked questions about the state-of-the-art liposuction treatment called VASERLipo. ### Content It can be incredibly frustrating dealing with stubborn fat pockets that are resistant to even the best diet and exercise program. If you’re close to your ideal body weight but want to improve the contour of your body by getting rid of those fat pockets, you may be a good candidate for liposuction. Liposuction is a procedure done individually or to complement other surgical procedures to contour your body into a more desired shape. Here are some of the most frequently asked questions about the state-of-the-art liposuction treatment called [VASERLipo](/body/liposuction/). ## What is liposuction? Traditional liposuction uses a suction technique to remove fat from specific areas of the body. VASERLipo is a revolutionary technique that targets fat cells without damaging surrounding tissue. This results in more precise and shapely outcomes, with a much faster recovery time. VASERLipo can reduce the appearance of cellulite as well. ## Who are good candidates for this surgical procedure? If you are within 10 to 15 percent of your target body weight, in good health, exercise regularly and consume a healthy diet, you may be a good candidate for VASERLipo. If you have fat deposits and areas of cellulite that have been resistant to diet and exercise, you may be a good candidate. It’s important to know that liposuction is not a weight-loss procedure. ## How is the VASERLipo performed? Liposuction can take anywhere from one to five hours, depending on the extent of treatment. A small incision is made in the treatment area, and a special saline solution will be injected to help numb the area and shrink blood vessels. Dr. Ruff then inserts a thin device that emits ultrasonic waves into the incision area, breaking down the structure of the targeted fat cells into liquid form. What’s revolutionary about this treatment is that the ultrasound energy bounces off nearby vital tissues and leaves them undisturbed. Once the targeted fat cells have become liquid, a small cannula is inserted into the treatment area and moved around gently to remove the liquid. Stitches close the incision, and gauze bandages, tape and compression garments are placed over the surgical area. Patients who undergo VASERLipo will benefit from the less aggressive approach than traditional liposuction, as there isn’t immediate swelling of the treatment areas. Outcomes are closer to ideal results as well. ## Where can liposuction be performed on the body? Liposuction cannulas have become smaller as the treatment has advanced, so liposuction can be performed all over the body. The most common areas that patients have treated are the abdomen and waist, buttocks, back rolls, love handles, inner and outer thighs and knees. VASERLipo can be used on the abdomen, arms, back, hips, outer thighs and even the chin area. If you are interested in scheduling a consultation and you live in Washington, D.C., or surrounding areas, [call our office](/contact/) at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/saline-or-silicone-which-breast-implant-is-right-for-me/) --- ## Fat Transfer vs. Implants: Which Is Best for Breast Augmentation? **Link:** [Fat Transfer vs. Implants: Which Is Best for Breast Augmentation?](https://www.westendplasticsurgery.com/blog/fat-transfer-vs-implants-which-is-best-for-breast-augmentation/) ([md](https://www.westendplasticsurgery.com/blog/fat-transfer-vs-implants-which-is-best-for-breast-augmentation/index.html.md)) **Description:** Breast augmentation in Washington, D.C. can be performed with breast implants or fat transfer. Our plastic surgeons can help inform your choice. ### Content When considering [breast augmentation](/breast/breast-augmentation/), many patients face a key decision: should they opt for implants or choose a fat transfer? Both options have their benefits and limitations, and the right choice depends on your goals, lifestyle, and anatomy. Let’s dive into the details to help you make an informed decision. ## What Is Breast Augmentation? Breast augmentation is a surgical procedure aimed at increasing the size and shape of your breasts. You can achieve this through two main methods: implants and fat transfer. Each option has unique benefits that may appeal to different individuals. ## Understanding Breast Implants Breast implants have long been a popular choice for those seeking increased breast volume and improved shape. Available in saline and silicone varieties, implants can be customized in size, shape, and projection to meet your aesthetic goals. Here are some key points to consider: - **Variety of Options**: Implants come in various sizes and shapes, allowing you to customize the look you desire. - **Long-lasting Results**: Modern implants are designed to be durable, often lasting 10-15 years or longer. - **Quick Recovery**: Many patients return to normal activities within a few weeks. - **Predictable Volume and Shape: **Implants provide a reliable increase in breast size, and your surgeon can help you choose an implant that fits your desired look. - **Ideal for All Body Types: **Implants are suitable for patients with minimal existing breast tissue who want a significant size increase. Breast implants can help you achieve a fuller bust and enhance your overall figure. This method is often preferred for those seeking a significant size increase or a specific [breast shape](https://www.healthline.com/health/breast-shapes). ## Understanding Fat Transfer Fat transfer, also known as autologous fat grafting, uses liposuction to harvest fat from areas like the abdomen, thighs, or flanks. The fat is purified and then strategically injected into the breasts to increase volume. Here’s what you need to know about this option: - **Natural Look and Feel**: Since the material used is your body fat, the results often appear more natural compared to implants. - **Dual Benefit**: You can slim down another area of your body while enhancing your breasts. - **Less Risk of Complications**: Fat transfer typically has fewer risks associated with it than implants, like capsular [contracture or implant rupture](https://consultqd.clevelandclinic.org/addressing-implant-rupture-and-capsular-contracture#:~:text=Implant%20rupture%20occurs%20silently%20in,contracture%2C%20contour%20irregularity%20or%20pain.). Considerations for Fat Transfer: - **Limited Size Increase: **Fat transfer typically offers a more subtle enhancement compared to implants. It may not be suitable for those looking for a significant increase in breast size. - **Variable Results:** Not all the transferred fat survives, and your surgeon may overfill the area to compensate. This can mean that the final outcome may vary. - **Need for Sufficient Donor Fat: **Patients must have enough excess fat to harvest, which may be a limitation for thinner individuals. ## Comparing Fat Transfer and Implants Desired Volume Increase - If you are looking for a dramatic increase in breast size, implants are generally the better option. Fat transfer is best for those desiring a subtle, natural boost. - Feel and Appearance: Fat transfer offers the most natural feel, while implants can provide a more predictable shape and structure. The right choice depends on whether you prioritize natural texture or defined volume. - Scarring and Recovery: Implant surgery typically results in more noticeable scarring and a longer recovery period. Fat transfer leaves only small, inconspicuous scars from liposuction and injection sites, with generally shorter downtime. - Longevity and Maintenance: Implants may require maintenance over time, such as replacement or revision surgeries. Fat transfer results are permanent, but weight fluctuations can affect breast size over the years. ## Which Option Is Right for You? The decision between fat transfer and implants comes down to your personal goals and body type. A consultation with a board-certified plastic surgeon can provide you with an in-depth assessment and guide you to the option that aligns best with your vision. If you value a significant and consistent size increase, implants might be the way to go. However, if you prefer a natural enhancement and have excess fat to spare, fat transfer could be your ideal choice. At West End Plastic Surgery, we take the time to discuss all options and create a customized plan that ensures your safety and satisfaction. ## Schedule a Breast Augmentation Consultation in Washington, D.C. At [West End Plastic Surgery](/), we understand that choosing between breast augmentation options is a personal decision. Contact us today at **[(202) 785-4187](tel:(202) 785-4187)** to [schedule your consultation](/contact/) and take the first step toward the enhanced look you’ve been dreaming of. [Previous Post](/injectables-fillers/botox/) --- ## Gender Affirmation: Quick guide to Male to Female Procedures **Link:** [Gender Affirmation: Quick guide to Male to Female Procedures](https://www.westendplasticsurgery.com/blog/gender-affirmation-quick-guide-to-male-to-female-procedures/) ([md](https://www.westendplasticsurgery.com/blog/gender-affirmation-quick-guide-to-male-to-female-procedures/index.html.md)) **Description:** When it comes to gender affirmation surgery, bringing your physical body closer to your true inner self is the ultimate goal. ### Content When it comes to [gender affirmation surgery](/about/gender-affirmation/), bringing your physical body closer to your true inner self is the ultimate goal. Our surgical team at West End Plastic Surgery has years of experience and expertise in top surgery, facial feminization and body contouring including implants and genital reconstruction. As members of the World Professional Association for Transgender Health (WPATH), both physicians work closely with therapists and regional centers of excellence in the field to make your experience as comfortable, informative and safe as possible with maximum discretion. We offer the most advanced, personal care in your transition process. Here are just some procedures we offer for Male to Female transition to help you feel and look your best. ## Male to Female Top Surgery During your consultation, our surgeons have a detailed discussion about your goals and how you want your breasts to look. Our small-incision augmentation with silicone implants gives you the breasts you’ve always wanted. We continually refine our techniques and frequently perform revisions on patients who have had surgery performed elsewhere. ### Facial Feminization Facial feminization consists of several different procedures depending on your needs, including rhinoplasty, chin augmentation, cheek augmentation and forehead reduction. Some patients may only need to address two areas, while others require multiple procedures to achieve their goals. Often we do these procedures in combination with Botox, fillers and J-Plasma to create the look you desire. ### Body Contouring Liposuction, fat grafting and body implants can help you feminize your body and achieve your goals of transitioning by contouring your figure and giving you the feminine curves you want. ### Revisional Surgery The adage “you get what you pay for” often rings true in plastic surgery, and gender-confirming surgery is no exception. Sometimes patients get surgery overseas or at other institutions that don’t have experience in gender affirmation procedures and end up with bad experiences from free or low-cost injections or poorly done surgery. We do our best to get you the result you desire and deserve. These are only a few ways our surgeons at West End Plastic Surgery can help you achieve your goals with gender affirmation. [Call us](/contact/) at [(202) 785-4187](tel:(202) 785-4187) for a consultation with Dr. Ramineni or Dr. Ruff. [Previous Post](/blog/new-year-new-you-what-you-should-know-about-a-mommy-makeover/) --- ## Gender Affirmation Surgery: How to Prepare **Link:** [Gender Affirmation Surgery: How to Prepare](https://www.westendplasticsurgery.com/blog/gender-affirmation-surgery-how-to-prepare/) ([md](https://www.westendplasticsurgery.com/blog/gender-affirmation-surgery-how-to-prepare/index.html.md)) **Description:** Preparing for gender affirmation surgery can seem overwhelming. Beyond all of the surgical procedures to keep in mind, you also have mental and emotional stress weighing on you. ### Content Preparing for gender affirmation surgery can seem overwhelming. Beyond all of the surgical procedures to keep in mind, you also have mental and emotional stress weighing on you. To ease some of these fears and worries, we’ve put together this guide to help you prepare for [gender affirmation surgery](/about/gender-affirmation/). ## You’re in a Safe Environment Both of our doctors at West End Plastic Surgery are members of the World Professional Association for Transgender Health. This means our doctors work closely with local therapists to provide you with a comfortable experience and the most information as they can. Our world-class operating suite affords our patients one-on-one care with maximum discretion. We want you to feel taken care of and welcome in our clinic. ## Does Insurance Cover Gender Reassignment Surgery? This will vary depending on what insurance coverage you have but healthcare is becoming more and more progressive. Policies are frequently changing and some insurance companies now cover these procedures partially or fully. We are happy to work with you and your insurance company to get the surgeries you are seeking. We have had success obtaining coverage for top surgery, bottom surgery, and even facial feminization surgery in some cases. We also do our best to minimize your out-of-pocket costs and offer financing plans through CareCredit if your insurance will not work with us. ## How Else Can I Prepare? If you have questions regarding the surgical procedure itself, it’s best to speak with a doctor. It’s also important to prepare yourself mentally. If you have questions about what gender affirmation surgery is like, reach out to those who have done it before you. If you don’t know anyone personally, do research online and read first-hand accounts. These conversations may not directly apply to you but should be helpful in moving forward. It’s also important to have a recovery plan in place after your surgery. A support system is vital to your physical and mental recovery. ## Schedule a Consultation If you’d like to learn more about the gender affirmation procedures we offer at West End Plastic Surgery, [call us](/contact/) at [(202) 785-4187](tel:(202) 785-4187). We proudly serve the Washington, D.C. metropolitan area. [Previous Post](/blog/what-can-botox-do/) --- ## How a Rhinoplasty Can Affect Your Entire Face **Link:** [How a Rhinoplasty Can Affect Your Entire Face](https://www.westendplasticsurgery.com/blog/how-a-rhinoplasty-can-affect-your-entire-face/) ([md](https://www.westendplasticsurgery.com/blog/how-a-rhinoplasty-can-affect-your-entire-face/index.html.md)) **Description:** Rhinoplasties can create greater harmony by altering the shape of the nose to be more in line with the rest of your facial features. ### Content Few facial features are as prominent as your nose. One that is too large, small, overturned, or curved can impact your entire facial proportions. Patients who feel self-conscious or unhappy with the contour of their nose have surgical and non-surgical options. A [rhinoplasty](/face/rhinoplasty/), or “nose job”, is the only permanent way to alter the appearance of your nose and bring it into greater harmony with the rest of your face. ## The Impact of Your Nose on Your Facial Structure Because of its central location, the nose can affect the proportions of other facial features. Generally speaking, patients and surgeons aim for proportionate symmetry that creates a harmonious balance among features. A nose that is overly large, small, or otherwise disproportionate to the rest of the face can be reason to pursue a rhinoplasty. Noses can be genetically unfavorable to some patients, or they may experience issues with their nose shape after trauma (such as a nose break). Rhinoplasty is a surgical procedure that improves the shape, size, and contour of the nose to your preferences. During your consultation, you will discuss your desired look with a board-certified plastic surgeon. Here at West End Plastic Surgery in Washington, D.C., that is with Dr. Lexie Wang. Dr. Wang was one of just two surgeons to be awarded a fellowship at the highly prestigious American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), where she trained under legendary surgeon Dr. Paul Nassif. She recently joined the top 7% of U.S. board-certified physicians when she was named a Castle Connolly Rising Star for 2023. When you choose Dr. Wang, you can rest assured that you’re in excellent hands. ## Rhinoplasties Are Individualized Not all rhinoplasty procedures involve giving the nose a full-on makeover. Something as simple as changing the shape of the nose bridge or tip can have a dramatic effect on its overall appearance. While some patients have more dramatic rhinoplasty procedures to correct birth defects or injuries, others opt for procedures as simple as narrowing the nostrils. The key to a good rhinoplasty is finding a doctor who can help you select the right choice for your needs and goals. ## Schedule a Consultation at West End Plastic Surgery If you live in Washington, D.C., or the greater DMV area, please contact us to schedule a rhinoplasty consultation with Dr. Wang. You can request an appointment online or call us at [(202) 785-4187](tel:(202) 785-4187). We look forward to meeting you! [Previous Post](/blog/refresh-your-skin-in-30-minutes-with-a-hydrafacial/) --- ## How Liposuction Can Get Rid of Stubborn Fat **Link:** [How Liposuction Can Get Rid of Stubborn Fat](https://www.westendplasticsurgery.com/blog/how-liposuction-can-get-rid-of-stubborn-fat/) ([md](https://www.westendplasticsurgery.com/blog/how-liposuction-can-get-rid-of-stubborn-fat/index.html.md)) **Description:** West End Plastic Surgery How Liposuction Can Get Rid of Stubborn Fat - Liposuction ### Content You may have wondered about liposuction if you’ve struggled to lose weight, even through diet and exercise. This surgical procedure is designed to help remove stubborn pockets of fat resistant to diet and exercise. While liposuction is not a weight loss solution in and of itself, it can be an effective way to achieve the body contour you desire. [Liposuction](/body/liposuction/) is a surgical procedure that helps remove stubborn pockets of fat. In 2018, this procedure was the second most popular surgical procedure performed in the United States, behind breast augmentation, and rightfully so. A lot of patients feel satisfied and happy after the procedure, as documented by surveys published in the National Library of Medicine. So, how does liposuction help you get rid of stubborn fat? Stubborn fat is usually considered fat that’s resistant to diet and exercise. This type of fat is typically found in areas like the thighs, hips, and belly. Liposuction can help remove this fat type, providing you with a more contoured body. This procedure is performed under general anesthesia, and a small incision is made in the skin. A thin tube, called a cannula, is inserted into the incision and used to break up the fat cells. The stubborn fat is then suctioned out of the body through the cannula. Recovery from liposuction is typically quick, and most people can return to their normal activities within a week. However, it is essential to follow your surgeon’s postoperative instructions to ensure a successful outcome. Although it’s not a weight-loss solution in and of itself, liposuction is considered a safe and effective way to remove stubborn fat that is hard to lose the old-fashioned way, through exercise and diet. It’s also not a quick fix – the results will take time to show up. You’ll need to maintain your weight after surgery if you want to keep the results. And finally, be prepared for some swelling and bruising following surgery – this is normal and should go away within a few weeks. If you’re still on the fence about liposuction, discuss your options with a qualified surgeon. To [learn more](/contact/) about your candidacy for the procedure or get answers to questions you might have, contact West End Plastic Surgery at [(202) 785-4187](tel:(202) 785-4187) or [www.westendplasticsurgery.com](/). [Previous Post](/blog/introducing-dr-lexie-wang/) --- ## How Long Do Breast Implants Last? **Link:** [How Long Do Breast Implants Last?](https://www.westendplasticsurgery.com/blog/how-long-do-breast-implants-last/) ([md](https://www.westendplasticsurgery.com/blog/how-long-do-breast-implants-last/index.html.md)) **Description:** Curious about the lifespan of breast implants? Learn what affects their longevity, average duration, and essential maintenance tips. Get informed now! ### Content [Breast implants,](/breast/) like any other medical device, have a lifespan that varies depending on several factors. While many people opt for breast implants to enhance their appearance or reconstruct their breasts after surgery, it’s important to understand that implants are not lifetime devices. So, how long do breast implants last? However, you might be wondering, how long do breast implants last? Let’s delve into the details. ## What Are Breast Implants? Breast implants are placed under your breast tissue or chest muscles to make your breasts bigger, change their shape, or make them look more even. They address concerns like [breast size](/blog/how-to-choose-the-right-size-of-breasts-for-your-body/) and are commonly used in [breast augmentation](https://www.medicalnewstoday.com/articles/263567) or reconstruction procedures. ## Average Lifespan On average, people can expect breast implants to last 10 to 20 years. However, this doesn’t mean that they need to be replaced exactly after this period and the lifespan can vary from person to person. Some individuals might never need a replacement, while others might need multiple replacements throughout their lives. The longevity of breast implants can be influenced by several factors, including the type of implant, the patient’s body, and any complications that might arise. ## Factors Affecting the Longevity of Breast Implants Although breast implants are made to last a long time, they aren’t forever. Here are some important things that can affect how long they stay in good shape: **Implant Type**: There are two main [types of breast implants](/breast/breast-augmentation/): saline and silicone. Silicone implants usually last longer than saline ones. - Saline Implants: Saline implants are filled with sterile salt water. If they rupture, the saline solution is safely absorbed by the body. These implants may show signs of deflation quickly, which makes it easy to detect a rupture. - Silicone Implants: Silicone implants are filled with a cohesive silicone gel that mimics the feel of natural breast tissue. They are less likely to wrinkle or ripple compared to saline implants. If a silicone implant ruptures, it might not be immediately noticeable, a condition referred to as a “silent rupture.” - **Patient Factors & Lifestyle**: Factors such as age, lifestyle, and genetics can influence the length of time breast implants last. Individual responses to implants vary. Some bodies might react by forming more scar tissue, while others may tolerate the implants well for decades. Activities that involve high impact or significant chest strain can affect the integrity of the implants over time. - **Complications**: Problems like the implant breaking, the tissue around it hardening, or the implant moving can lead to the breast implants not lasting as long. ## Monitoring and Maintenance It’s crucial to monitor the condition of your breast implants and be aware of signs indicating that a replacement might be needed. These signs include: - Noticeable changes in the shape or size of the breast. - Pain or discomfort. - Hardening of the breast (which could indicate capsular contracture). - Asymmetry between the breasts. - Visible wrinkling or rippling of the implant. - Any unusual sensations or changes. Regular check-ups with your plastic surgeon are essential to ensure the health of your implants. In some cases, imaging tests such as MRI or ultrasound might be recommended to assess the condition of the implants. ## Schedule a Breast Implant Consultation in Washington, D.C. While the lifespan of breast implants may vary, they can provide you with long-lasting results and enhance your confidence and self-esteem. If you’re thinking about getting breast implants, talk to a board-certified plastic surgeon. They’ll help you figure out what’s best for you and make a plan that fits your needs. Want to feel more confident with breast implants? Schedule a consultation at West End Plastic Surgery in Washington, D.C. Contact us today at [(202) 785-4187](tel:(202) 785-4187) to [book your appointment](/contact/). [Previous Post](/blog/am-i-a-candidate-for-labiaplasty-surgery/) --- ## How Long Do Results Last After Chin and Neck Liposuction? **Link:** [How Long Do Results Last After Chin and Neck Liposuction?](https://www.westendplasticsurgery.com/blog/how-long-do-results-last-after-chin-and-neck-liposuction/) ([md](https://www.westendplasticsurgery.com/blog/how-long-do-results-last-after-chin-and-neck-liposuction/index.html.md)) **Description:** Want a slimmer, defined neck and jawline? Learn how chin and neck liposuction provides results that last with proper maintenance in Washington, D.C. ### Content Want a slimmer, more defined facial profile? [Chin and neck liposuction](/face/neck-liposuction/) is an ideal solution for individuals seeking long-lasting results. But exactly how long will your results last after undergoing this transformative procedure? The good news is that, for many people, chin and neck liposuction can deliver permanent results, provided certain conditions are met. Here’s what you need to know. At [West End Plastic Surgery](https://../../about/) in Washington, D.C., our expert team, led by Dr. Paul Ruff, Dr. Lexie Wang, and Dr. Amir Arsalan, combines advanced surgical skill with compassionate, individualized care to help patients achieve long-lasting, natural-looking results. Focusing on safety, innovation, and personalized treatment, we empower each patient to confidently embrace their unique beauty while maintaining results for years to come. ## Longevity of Results Fat cells are permanently removed during liposuction, meaning the fat extracted from the chin and neck area will not return. Most patients enjoy their newly contoured neckline years after the procedure. However, it’s important to understand that while the suctioned fat is gone for good, the fat cells left behind can expand if you gain significant weight. Therefore, keeping your weight stable is essential to preserving your results. ## Factors That Influence How Long Results Last Factors that impact the longevity of your chin and neck liposuction results include: - **Lifestyle Choices**: Exercise and a balanced diet will help maintain your new contours. - **Aging Process**: Natural aging can eventually cause skin to lose some elasticity, which may slightly affect the appearance of your neck and jawline over time. - **Skin Quality**: Patients with good skin elasticity often see longer-lasting, more satisfying outcomes. - **Weight Fluctuations**: Significant weight gain after the procedure can diminish the definition achieved through liposuction. ## Can You Extend Your Results? While you can’t stop the natural aging process, you can prolong its effects through healthy living, skincare routines, and occasional non-surgical treatments, such as skin tightening procedures or injectables, to maintain definition. ## Reveal a More Defined Profile with Chin and Neck Liposuction in Washington, D.C. For most patients, chin and neck liposuction results can last forever if weight is well-managed. If you’re considering the procedure, call us at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/) with a skilled plastic surgeon. [Previous Post](/blog/traditional-vs-deep-plane-facelifts-whats-the-difference/) --- ## How Much Does a BBL Cost? **Link:** [How Much Does a BBL Cost?](https://www.westendplasticsurgery.com/blog/how-much-does-a-bbl-cost/) ([md](https://www.westendplasticsurgery.com/blog/how-much-does-a-bbl-cost/index.html.md)) **Description:** Are you looking into a BBL but aren’t sure what it costs? This article breaks down the factors that impact the expenses of a BBL. ### Content In recent years, Brazilian butt lifts, also called [BBL](/body/brazilian-butt-lift/), have gained popularity as more people are seeking a fuller, curvier appearance. A BBL augments the shape of the buttocks using fat tissue. Excess fat is removed from the hips, abdomen, thighs, or other areas and transferred into the buttocks. This procedure optimizes the shape of your buttocks, leaving them fuller and rounder. Are you interested? Read on to learn more about the average expenses. ## **Does Health Insurance Cover a BBL?** A Brazilian butt lift is considered a cosmetic procedure that is done by choice and is not medically necessary. Therefore, health insurance plans do not cover BBLs or other cosmetic procedures. Furthermore, if you have a health savings account (HSA), these also do not cover the expenses of a BBL. ## **How Much Does a BBL Cost?** Several factors can affect how much your BBL will cost, including: - **Area of the country:** Different cities have different economies, so the cost can vary greatly. - **Experience of chosen surgeon:** Surgeons with more years of experience or that are board-certified will likely charge more for their time. - **Hospital vs. outpatient care:** Depending on where the procedure is performed, whether in a hospital, a surgery suite in an office, or an outpatient facility, you can expect different fees. - **Type of liposuction: **If you are having fat removed from more than one area of the body, this will impact the price as well. ## **Request a Consultation With West End Plastic Surgery** If you’re interested in a BBL in Washington, D.C., it’s best to schedule a consultation with one of the experienced doctors at West End Plastic Surgery. They will be able to listen to your goals and provide you with more information on the expected costs based on your desired results. As one of the top-rated plastic surgery practices in Washington, D.C., you can expect dedicated and compassionate care from beginning to end. Contact their office today at (202) 785-4187 or [request a consultation](/consultation/). [Previous Post](/blog/mommy-makeover-how-to-feel-like-yourself-again-after-children/) --- ## How Soon After Giving Birth Can You Get a Tummy Tuck? **Link:** [How Soon After Giving Birth Can You Get a Tummy Tuck?](https://www.westendplasticsurgery.com/blog/how-soon-after-giving-birth-can-you-get-a-tummy-tuck/) ([md](https://www.westendplasticsurgery.com/blog/how-soon-after-giving-birth-can-you-get-a-tummy-tuck/index.html.md)) **Description:** Is it ok to get a tummy tuck right after pregnancy? Learn the recommended timeline and when to schedule your abdominoplasty in Washington, D.C. ### Content Pregnancy is a life-changing experience that can leave lasting effects on a woman’s body, particularly the abdomen. If you’re a new mom struggling with loose skin, stretched muscles, or a persistent belly pooch that no diet or exercise seems to fix, a [tummy tuck](/body/tummy-tuck/) (abdominoplasty) might sound like the perfect solution. But how soon after giving birth can you safely consider this procedure? At [West End Plastic Surgery](/about/) in Washington, D.C., our expert team, including Dr. Paul G. Ruff IV and Dr. Amir Arsalan, understands the physical and emotional journey women face after childbirth and offers personalized tummy tuck procedures to help restore confidence and comfort. With a deep commitment to compassionate care, safety, and innovation, our fully accredited surgical suite provides the ideal setting for your post-pregnancy transformation. ## Wait Until Your Body Has Fully Recovered Although tempting to undergo a tummy tuck right away, we recommend waiting at least 6-12 months after childbirth. This allows your body adequate time to heal, your uterus to shrink back to its original size, and your hormone levels to stabilize. By then, your weight will likely have plateaued, making it easier for your surgeon to create long-lasting, natural-looking results. ## Finish Breastfeeding First If you’re breastfeeding, it’s best to wait until after you’ve completely weaned your baby before moving forward with surgery. Breastfeeding can affect your hormone levels and body composition, influencing surgical outcomes and your body’s healing response. ## Be Done Having Children Tummy tuck results are long-lasting, but another pregnancy can undo the tightening and contouring benefits of the surgery. That’s why many doctors recommend waiting until you’re finished having children before getting a tummy tuck. It’s not a strict rule, but it’s an important consideration if you want to protect your investment. ## Focus on Your Health You should be close to your goal weight and free from complications like infections, blood clots, or postpartum depression before considering surgery. Your doctor will also review your overall health to ensure you’re a good candidate. ## Boost Your Confidence with a Tummy Tuck in Washington, D.C. If you’re past the postpartum healing stage and ready to take the next step, a tummy tuck can help restore your pre-baby shape and boost your self-confidence. Call [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/) with one of our skilled surgeons to discuss the perfect time to reclaim your slim, toned midsection post-childbirth. [Previous Post](/blog/post-treatment-dos-and-donts-after-getting-botox/) --- ## How to Avoid Having Frankenstein-Like Scars After a Breast Augmentation **Link:** [How to Avoid Having Frankenstein-Like Scars After a Breast Augmentation](https://www.westendplasticsurgery.com/blog/how-to-avoid-having-frankenstein-like-scars-after-a-breast-augmentation/) ([md](https://www.westendplasticsurgery.com/blog/how-to-avoid-having-frankenstein-like-scars-after-a-breast-augmentation/index.html.md)) **Description:** If you are interested in getting a breast augmentation but are concerned about potential scarring, then we have a few tips for you. ### Content Even though Frankenstein’s monster is one of the most famous monsters out there— especially during this time of year— he’s not exactly someone that anybody wants to resemble. If you are interested in getting a [breast augmentation](/breast/breast-augmentation/) from West End Plastic Surgery but are concerned about potential scarring afterward, then we have a few tips for you. Although we will send you home with detailed instructions to use after surgery, this article will list some more. ## Massage Around the Scar During your follow-up appointment, we will teach you some massage techniques for you to use during recovery. The goal of massaging your breasts after surgery is to break up any scar tissue on the inside which can lead to a variety of issues later on including hard breasts and a more visible scar on the outside. ## Apply Scar Cream Another thing that we may encourage that you do is to apply a scar lightening cream like Mederma that contains vitamin E in it. Vitamin E is a natural way to help lighten scars that are starting to darken as they heal. Just remember that the key to getting results from using one of these creams is to be really consistent when using it. ## Avoid Tanning If you like to go to tanning beds or take your top off while you’re tanning outside, make sure that you cover up your scars because this will only make them darker. If you can, try to avoid tanning altogether because it’s bad for all parts of your skin. Here at our office, our surgeons make it a priority to ensure that your scars are as small and hidden as possible following any type of surgery that we do. To really make sure that your scars don’t darken, though, follow the tips listed in this article. ## Schedule a Consultation To learn more about how you can lighten your scars, [schedule a consultation](/contact/) at our Washington, D.C. office today and give us a call at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/body/brazilian-butt-lift/) --- ## How to Choose the Right Size of Breasts for Your Body **Link:** [How to Choose the Right Size of Breasts for Your Body](https://www.westendplasticsurgery.com/blog/how-to-choose-the-right-size-of-breasts-for-your-body/) ([md](https://www.westendplasticsurgery.com/blog/how-to-choose-the-right-size-of-breasts-for-your-body/index.html.md)) **Description:** Breast implants are a great way to enhance your body’s appearance and help you feel like a million bucks. Read here to learn more. ### Content [Breast implants](/breast/breast-augmentation/) are a great way to enhance your body’s appearance and help you feel like a million bucks. But once you have decided to get a breast augmentation, the next thing you have to decide (with the help of our staff at West End Plastic Surgery) is what size of implants are best for you and your body. So, where do you even begin? ## Look at Photos This step may sound a bit amateur, but we have found it to be beneficial. Before you come into our office for your initial consultation, look at pictures online of people who have similar body figures as yourself and then try to find people who have the size of breasts that you want. That way when you come into our office, we will have a point of reference. ## 3D Imaging One thing that we offer here at West End Plastic Surgery that a lot of other offices don’t is 3D imaging. By taking a picture of yourself and then photoshopping images of different sized breasts into the picture, we can create a 3D image for you to look at which will essentially help you to see what size of breasts will be good for your body’s frame. ## Try Them On To help our patients choose the right size of breast implant is we let them try on different size implants. These are temporary silicone implants that come in different sizes and can be placed into a stretchable bra so that you can visualize how your breasts will look under your clothes. There is no such thing as one-size-fits-all when it comes to breast implants. We make it our goal to ensure that our patients get the result they want the first time around. This is why we emphasize the importance of choosing the exact size of breasts that you want. With these tools and our expertise, we know that you will feel happy with your end result. Are you ready to learn more about breast implants? [Schedule a consultation](/contact/) at our Washington, D.C. office today and call us at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/) --- ## How to Get Rid of Chronic Headaches **Link:** [How to Get Rid of Chronic Headaches](https://www.westendplasticsurgery.com/blog/how-to-get-rid-of-chronic-headaches/) ([md](https://www.westendplasticsurgery.com/blog/how-to-get-rid-of-chronic-headaches/index.html.md)) **Description:** Suffering from frequent chronic headaches can be debilitating. ### Content Suffering from frequent chronic headaches can be debilitating. If you are experiencing headaches more frequently and you can’t seem to find relief, then we may have a few ideas for you. From IV therapy to Botox, let’s take a closer look at some of the options that you may want to consider. ## IV Therapy One of the things that we specialize here at our Washington, D.C. Office is IV therapy. IV therapy is used to help patients get the hydration, vitamins, and minerals that their body needs to function correctly. In patients who suffer from chronic headaches, we may recommend consistent IV therapy for a few months to help restore the body and make you feel better. A lot of patients ten to not realize how dehydrated they are until we administer an IV to them, and then they absorb it so quickly. And because dehydration is one of the leading causes of headaches, we may be able to save you from some severe pain. ## Drink More Water In addition to getting regular IV treatments, we may also recommend that you drink more water. When it comes to your health and getting rid of headaches, it’s safe to say that you can rarely have enough hydration. ## Botox Botox is most popular for its unique ability to soften fine lines and wrinkles across the forehand and around the eyes, but it’s also excellent at helping treat patients with more medical-based issues like migraines. By injecting Botox directly into the forehead, it has been proven to help relax the facial muscles which can stop migraines even before they begin. We aren’t saying that these things will guarantee that you can kick your headaches to the curb, but they are worth a try. To [learn more](/contact/), contact our Washington, D.C. office today and call us at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/3-procedures-that-dont-take-much-time/) --- ## How to Know If You Need a Breast Reduction **Link:** [How to Know If You Need a Breast Reduction](https://www.westendplasticsurgery.com/blog/how-to-know-if-you-need-a-breast-reduction/) ([md](https://www.westendplasticsurgery.com/blog/how-to-know-if-you-need-a-breast-reduction/index.html.md)) **Description:** Learn the signs that breast reduction surgery may be right for you and how West End Plastic Surgery in Washington, D.C. can help you find relief. ### Content If you’ve been living with overly large breasts, it may be affecting your quality of life due to physical discomfort, emotional stress, and lifestyle limitations. Fortunately, [breast reduction surgery](/breast/breast-reduction/) could provide real relief. Here are some key signs that may indicate it’s time to consider a breast reduction. At [West End Plastic Surgery](/about/) in Washington, D.C., our expert team—including Dr. Paul Ruff and Dr. Amir Arsalan—offers breast reduction procedures with personalized care, safety, and transformative results. We understand that breast size can impact physical and emotional well-being, and we’re here to provide compassionate, dignified support to help you feel confident and comfortable in your body. ## Chronic Pain Heavy breasts can put a strain on the muscles in your upper body, leading to persistent pain in the neck, upper back, or shoulders. If you’ve tried massage therapy, physical therapy, or posture correction with little relief, your breast size could be the root cause. ## Grooves from Bra Straps Deep indentations in your shoulders from bra straps are a sign that your breasts are placing excessive weight on your body. Over time, this can lead to circulation issues and worsening pain. ## Skin Irritation or Rashes Excess skin-on-skin contact beneath the breasts can cause rashes, chafing, and infections—especially in hot or humid climates. If this is a recurring issue, a breast reduction may alleviate the problem. ## Difficulty with Physical Activity Many women with large breasts avoid exercise due to discomfort or lack of support. Whether running, yoga, or even walking, restricted movement or embarrassment may signal that a breast reduction could help restore your confidence and mobility. ## Emotional or Self-Esteem Concerns If you feel self-conscious about your breast size, struggle with finding flattering clothes, or receive unwanted attention, it can take a toll on your mental well-being. Breast reduction can make you more comfortable, boosting body confidence. ## Discover the Life-Changing Benefits of Breast Reduction in Washington, D.C. If these symptoms sound familiar, call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule an appointment ](/contact/)with a board-certified plastic surgeon. We can evaluate your individual needs and discuss whether breast reduction is a safe and beneficial option for you. Don’t ignore the signs—relief, comfort, and confidence may be closer than you think. [Previous Post](/blog/natural-looking-breast-augmentation-how-to-achieve-subtle-beautiful-results/) --- ## How to Know If You’re a Candidate for Buccal Fat Removal **Link:** [How to Know If You’re a Candidate for Buccal Fat Removal](https://www.westendplasticsurgery.com/blog/how-to-know-if-youre-a-candidate-for-buccal-fat-removal/) ([md](https://www.westendplasticsurgery.com/blog/how-to-know-if-youre-a-candidate-for-buccal-fat-removal/index.html.md)) **Description:** Wondering if buccal fat removal is right for you to achieve a slim, defined face? Learn who makes an ideal candidate in Washington, D.C. ### Content [Buccal fat removal](/face/buccal-fat-removal/) can create a slimmer, more contoured appearance by reducing fullness in the cheeks. While many people are intrigued by the promise of a more sculpted face, buccal fat removal may not be right for everyone. Explore who makes a good candidate and see if this procedure fits with your goals. At [West End Plastic Surgery](/about/) in Washington, D.C., our experienced team, led by Dr. Paul Ruff and his colleagues, provides expert guidance to help patients determine if buccal fat removal is the right choice for their unique facial structure and goals. Prioritizing compassionate, personalized care and state-of-the-art surgical techniques, we ensure each patient receives safe, tailored treatment in our fully accredited surgical suite. ## Ideal Candidates for Buccal Fat Removal Buccal fat removal is best for individuals who: - **Have full, round cheeks (“chipmunk cheeks” ):** If you naturally carry extra volume in the midface that doesn’t respond to weight loss, this procedure may help create a more defined facial contour. - **Are in good overall health:** You should be generally healthy to ensure a smooth recovery and optimal results. - **Have stable body weight:** Significant future weight fluctuations can impact your facial appearance and the longevity of the results. - **Are non-smokers or plan to quit:** Smoking can disrupt healing and increase risks. - **Have realistic expectations:** While buccal fat removal can enhance facial definition, it’s not intended for dramatic weight loss or complete facial reshaping. ## Who Should Avoid Buccal Fat Removal? Some individuals may not be suitable candidates for this procedure, including: - **Those with naturally thin faces:** Removing buccal fat in these cases may lead to a hollow or aged appearance over time. - **Older patients concerned about aging:** As we age, natural fat loss occurs in the face, and removing buccal fat may accelerate a sunken look. - **People with certain medical conditions:** Always disclose your full medical history to ensure safety. ## Reveal a Slimmer, More Defined Face with Buccal Fat Removal in Washington, D.C. Buccal fat removal can be a highly effective way to achieve a more contoured look for the right patient. By understanding candidacy criteria, you can take the first step toward making a decision. Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). Your surgeon will examine your facial structure, discuss your goals, and help determine whether buccal fat removal is the best option for you. [Previous Post](/blog/how-long-do-results-last-after-chin-and-neck-liposuction/) --- ## How to prepare for laser hair reduction **Link:** [How to prepare for laser hair reduction](https://www.westendplasticsurgery.com/blog/how-to-prepare-for-laser-hair-reduction/) ([md](https://www.westendplasticsurgery.com/blog/how-to-prepare-for-laser-hair-reduction/index.html.md)) **Description:** West End Plastic Surgery How to prepare for laser hair reduction - ### Content If you’re ready to be done with shaving, waxing, tweezing and other methods to remove unwanted hair, then laser hair reduction may be right for you. It’s a common cosmetic procedure that used pulsed laser energy to beam light directly into hair follicles. The pigment in the follicle absorbs the light, which then destroys the hair. Here are six ways to prepare for [laser hair reduction](/laser-treatments/laser-hair-removal/). ****Avoid waxing and tweezing before treatment.**** You’ll be asked to refrain from waxing, tweezing, even bleaching the hair you want to remove for three or more weeks before your first treatment. You will need to shave right before your appointment, either the morning of or the night before your laser hair reduction. Men will need to have the closest possible shave. ****Please tell us about all your medications.**** If you’re on antibiotics or other medications that could interfere with treatment, you will need to be off of them for some time before starting laser hair removal. You must stop using any products containing Alpha or Beta Hydroxyl acids, Retinol or Retin A for up to five days before treatment. ****Stay out of the sun.**** You will want to avoid sunbathing, tanning beds and even sunless tanners for 4-6 weeks before starting your treatment and for two weeks after treatment. Also wear sunscreen with an SPF of 30 or higher that protects against both UVA and UVB rays, both before and after treatment. ****Drink your water.**** Hydrated skin can tolerate more energy, which makes treatments safe and more effective. ****You may have some redness or minor discomfort after the treatment****. Redness is normal and should subside in just a few hours after laser hair reduction. For any discomfort, you can use a cool cloth or gel ice pack on the area to relieve pain. ****You will probably need multiple treatments.**** Because hair grows in three stages, laser hair reduction is effective on follicles in the full-growth stage. For maximum results, you may need to return for three or more treatments spaced 4-6 weeks apart. If you are interested in learning more about laser hair reduction and live in the Washington, D.C., area, [call our office](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Previous Post](/blog/complimentary-neograft-consults-a-bottle-of-hair-vitamins/) --- ## How to Recover After a BBL **Link:** [How to Recover After a BBL](https://www.westendplasticsurgery.com/blog/how-to-recover-after-a-bbl/) ([md](https://www.westendplasticsurgery.com/blog/how-to-recover-after-a-bbl/index.html.md)) **Description:** With celebrities like Kim Kardashian and Nikki Minaj making big booties something that everybody wants, you may be wondering how you will ever get a derriere that is quite as sexy. ### Content With celebrities like Kim Kardashian and Nikki Minaj making big booties something that everybody wants, you may be wondering how you will ever get a derriere that is quite as sexy. In addition to doing exercises for your buttocks like squats, we may also recommend a procedure called a [Brazilian butt lift or a BBL](/body/brazilian-butt-lift/). During this procedure, we will remove fat from one part of your body and then inject it into your buttocks to give you a fuller look. One of the most important parts of getting a Brazilian butt lift is the recovery. To ensure that you get the best results possible, let’s go over a few recovery tips to follow. ## Don’t Sit On It Yes, it may sound impossible not to be able to sit directly on your buttocks while you are recovering, but it is feasible. Although we don’t recommend sitting at all, if you have to sit at a desk job, then you really don’t have a choice. Try carrying around a donut-shaped seat pillow with you if you do have to sit at work. These types of pillows are great at taking the pressure off of your buttocks so that nothing shifts or moves around. ## Don’t Drive For the first few weeks while you are recovering, we encourage you to not drive. Sitting in the driver’s seat may place a lot of pressure on your buttocks, which is the last thing that we want. Whether you have to ask friends for a ride or take an uber, try to lay down in the backseat of the car so that the pressure is more evenly distributed. ## Watch How You Sleep One of the trickiest parts of recovering from a BBL is figuring out how you can sleep at night. Typically, we will encourage patients to either sleep on their stomachs or their sides. Try getting a pregnancy pillow for the nights because they will support your buttocks and your back so that they don’t get too much pressure on them. If you have any questions at all about the recovery process, contact our office. Ready to schedule your consultation? [Contact](/contact/) our Washington, D.C. office today and call us at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/non-surgical/) --- ## How to Reduce Swelling After Rhinoplasty **Link:** [How to Reduce Swelling After Rhinoplasty](https://www.westendplasticsurgery.com/blog/how-to-reduce-swelling-after-rhinoplasty/) ([md](https://www.westendplasticsurgery.com/blog/how-to-reduce-swelling-after-rhinoplasty/index.html.md)) **Description:** Swelling after nose surgery can be easily managed. Get tips from West End Plastic Surgery. Take advantage of our limited-time rhinoplasty special. ### Content Swelling is a common side effect of [rhinoplasty](/face/rhinoplasty/). Understanding how to reduce swelling after a nose job can help you feel more comfortable and speed up your recovery process. Here are some helpful tips to guide you through this phase. Our team wants to reassure you that swelling is easy to manage and concerns over it shouldn’t keep you from getting this surgery. ## Follow What Your Surgeon Tells You Your surgeon will give you some detailed instructions after your surgery that are specific to what you need to do. It’s important to follow these instructions diligently, like taking any medications your surgeon prescribes and going to your follow-up appointments. Your surgeon may also recommend using nasal sprays or saline rinses. ## Maintain Elevation of Your Head One of the effective and helpful tips for rhinoplasty recovery is to keep your head elevated. When resting or sleeping, use multiple pillows to prop up your head. This position helps promote drainage and prevents fluid from accumulating in your nasal tissues, which can contribute to swelling. ## Apply Cold Compresses Constricting blood vessels and reducing inflammation can be achieved by applying cold compresses to the swollen areas. Apply a provider-approved gel pack, wrapped in a clean cloth, to your under-eye and cheek area and let it sit there for approximately 15 minutes at a time. Never put ice directly on your nose during the healing period. ## Stay Hydrated It’s important to drink lots of water for good health and to lessen swelling after rhinoplasty. Staying properly hydrated may help reduce fluid retention in the body, reducing swelling in turn. It’s best to drink eight glasses of water daily and limit caffeine intake to avoid dehydration. ## Avoid Strenuous Activities While it’s essential to stay active during your recovery, it’s best to avoid strenuous activities that could increase swelling or put strain on your nasal area. Stay away from heavy lifting, intense workouts, and bending over. Stick to light activities like gentle stretching or walking until your surgeon says it’s okay to do more intense exercises. ## Rhinoplasty Special in Washington, D.C. Our practice is committed to breaking down the barriers that prevent people from achieving their cosmetic goals. Swelling is something that can make people think twice about getting rhinoplasty surgery. Fortunately, as you can see above, swelling is easily managed and resolves quickly. Another potential barrier is the cost of rhinoplasty. That’s why we are proud to offer a limited-time rhinoplasty special to make the procedure more accessible. From April – July 2024, any new rhinoplasty with [Dr. Lexie Wang](/about/team/lexie-wang-md/) is 20% off*. *Surgeries must be booked and performed prior to the end of July 2024. ## Schedule a Nose Surgery Consultation Today At West End Plastic Surgery in Washington, D.C., our experienced team dedicates themselves to providing personalized care and support to help you achieve your [facial goals](/blog/how-a-rhinoplasty-can-affect-your-entire-face/). Contact us today to [schedule a consultation](/contact/) at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/how-a-rhinoplasty-can-affect-your-entire-face/) --- ## Introducing Dr. Lexie Wang **Link:** [Introducing Dr. Lexie Wang](https://www.westendplasticsurgery.com/blog/introducing-dr-lexie-wang/) ([md](https://www.westendplasticsurgery.com/blog/introducing-dr-lexie-wang/index.html.md)) **Description:** West End Plastic Surgery Introducing Dr. Lexie Wang - Face Procedures ### Content As we age, our bodies make less collagen, and we start to lose the elasticity in our skin. Since it is one of the most visible parts of our bodies, the face tends to show these changes sooner and more than other areas. Thankfully, there are ways to reverse this trend and restore the youthful and rejuvenated appearance of our faces. There are many procedures available to help, each targeting a specific area. From [facelifts](/face/facelift/) and [brow lifts](/face/brow-lift/), to [eyelid surgery](/face/eyelid-surgery/) and [facial implants](/face/facial-implants/), the number of options can also be overwhelming. It takes the skilled and expert eye from a trained surgeon to know how certain procedures can fit together and to create the best treatment plan for you. West End Plastic Surgery is pleased to announce a new surgeon to the team with such expertise. [Dr. Lexie Wang](/about/team/lexie-wang-md/) is a Facial Plastic and Reconstructive Surgeon who not only specializes in procedures for the face, neck, brows, and nose but also focuses on comprehensive facial aging. By examining and treating the entire face, and not just one area, Dr. Wang can create a more balanced and natural-looking change, rather than a more extensive and often invasive single area treatment. This is a philosophy she reinforced during her fellowship with Dr. Paul Nassif of Beverly Hills, best known for hosting the E! reality TV show “Botched.” What’s more, she brings a strong background working with facial paralysis and advanced complex revision rhinoplasty. Not only are the studies and accolades of Dr. Wang’s Plastic Surgery education impressive, but she also has proven her expert fine motor skills during her Psychiatric Studies at the University of California – San Diego, performing complex dissections of brain samples and studying the physiology of circadian rhythms. Together, Dr. Wang’s training, expertise, and surgical experience will become a great asset to the West End surgical team, and our mission to provide the best patient care. Dr. Wang’s holistic approach to facial plastic and reconstructive surgery will help create great results that are long-lasting, safe, and more natural-looking than addressing stand-alone targeted areas. If you would like to hear more about how you might be able to regain a youthful and rejuvenated look with a holistic approach to plastic surgery, contact the surgical team at West End Plastic Surgery in Washington, D.C., at [(202) 785-4187](tel:(202) 785-4187) or visit [www.westendplasticsurgery.com](/) to schedule a comprehensive exam. [Previous Post](/blog/crepey-skin-try-j-plasma-renuvion/) --- ## Introducing J-Plasma (Renuvion) **Link:** [Introducing J-Plasma (Renuvion)](https://www.westendplasticsurgery.com/blog/introducing-j-plasma/) ([md](https://www.westendplasticsurgery.com/blog/introducing-j-plasma/index.html.md)) **Description:** J-Plasma (Renuvion) represents a paradigm shift in the way that we can resurface skin from above and tighten skin from below the skin’s surface. ### Content J-Plasma (Renuvion) represents a paradigm shift in the way that we can resurface skin from above and tighten skin from below the skin’s surface. This next generation technology uses cold atmosphere plasma (CAP) to achieve a previously unobtainable level of tissue tightening and improvement. Loss of tissue elasticity and tone is a hallmark of aging skin. It is the characteristic change that makes one start to look older than one feels inside. Until recently, no surgical procedure or energy source achieved consistently significant tightening without an extensive recovery. Whether ultrasonic liposuction is used in conjunction with J-Plasma or not, there is hardly an area of the body that cannot be treated. From the jawline and jowls to the calves, any area of skin laxity can be toned with discreetly placed scars about five millimeters in length. Traditional procedures leave unsightly arm, abdomen and thigh scars and result in prolonged recovery and severely limited activity. With J-Plasma, progressive tightening and a rapid return to normal life is expected. J-Plasma in the head and neck region is used as external resurfacing with the power to erase years of sun damage and/or treatment below the skin surface along the lower face, jawline, and neck to restore the contours of younger days. Below the collarbone, J-Plasma is used under the skin surface to tighten and restore the youthful contours of the arms, breasts, abdomen, braline, mid back, flanks, buttocks, thighs, knees, and calves. If you are looking for the etched lines of high definition body contouring or toned contours of youth, the J-Plasma procedure may be for you. Plasma energy is the fourth state of matter. It is the most abundant form of visible energy in the universe. Common examples of plasma in nature are lightening and the Aurora Borealis. When gas is exposed to an electrical charge, plasma energy is created. This technology has been harnessed and used in medicine for decades in various forms. Any general surgery resident is awed at the effectiveness of the argon beam coagulator when they first see it in action. Helium plasma is unique in its requirement for only a small radio frequency charge to activate helium gas resulting in an abundant release of ionic energy. The active plasma beam is hugged by a cloud of cold helium gas, keeping the temperature between 100 to 150 degrees Fahrenheit. The action of the plasma does not appear to rely solely on heat to create change like all other energy based devices. A combination of some heat with ionic and reactive particles from the plasma cloud induce a change in the dermis and underlying architecture. The result is toned skin with a less crepey appearance. These characteristics provide our patients an aesthetic rejuvenation procedure with extraordinary precision, a high safety profile, and previously unobtainable results. [Previous Post](/blog/a-new-approach-to-scars-with-resurfx/) --- ## Introducing TOXBOOSTER: the Ultimate Mash-up of VI Peel & Neurotoxin Injections **Link:** [Introducing TOXBOOSTER: the Ultimate Mash-up of VI Peel & Neurotoxin Injections](https://www.westendplasticsurgery.com/blog/introducing-toxbooster-the-ultimate-mash-up-of-vi-peel-neurotoxin-injections/) ([md](https://www.westendplasticsurgery.com/blog/introducing-toxbooster-the-ultimate-mash-up-of-vi-peel-neurotoxin-injections/index.html.md)) **Description:** West End Plastic Surgery Introducing TOXBOOSTER: the Ultimate Mash-up of VI Peel & Neurotoxin Injections - Chemical Peels ### Content Discover the TOXBOOSTER treatment at West End Plastic Surgery! Get even better results from your regular Neurotoxin (Botox, Dysport, Jeuveau, and Xeomin) injections when you add a VI Peel treatment during the same appointment! Most people consider fine lines and wrinkles to be the main signs of aging. But did you know that dark spots & sun damage inhibit your youthful glow? Does your skin sag and have a rough texture? The VI Peel combined with the Neurotoxin Injection targets ALL signs of aging. Neurotoxins treat dynamic wrinkles on your face, while the VI Peel treats static wrinkles, sun damage, skin texture, and skin laxity. **TOXBOOSTER Benefits:** - Improves rough texture and dullness - Increase collagen production - Lifts sun damage and dark spots - Improves skin sagging and elasticity - Reduces fine lines and wrinkles We know that Neurotoxin Injections work wonders on fine lines and wrinkles around the eyes, forehead, and in between the brows. But what about the rest of your skin? Combination therapies combine multiple modalities, injectables, and topicals (such as peels and skincare products) to deliver anti-aging results simultaneously. A combination therapy can improve wrinkles, texture, dark spots, sun damage, and skin laxity faster and more effectively over a shorter period of time. Besides, who has the time to attend multiple appointments? In a clinical study, patients saw: - 60% decrease in wrinkles (vs 37% with neurotoxin alone) - 70% improvement in skin tone and texture. If you are interested in learning more about this power couple duo, give us a call at [(202) 785-4187](tel:(202) 785-4187) or [click here](/contact/) to schedule a consultation at our office in Washington, D.C. [Previous Post](/injectables-fillers/botox/) --- ## Lift and Tone: The Beautiful, Reliable, Efficient ThermiRF **Link:** [Lift and Tone: The Beautiful, Reliable, Efficient ThermiRF](https://www.westendplasticsurgery.com/blog/lift-and-tone-the-beautiful-reliable-efficient-thermirf/) ([md](https://www.westendplasticsurgery.com/blog/lift-and-tone-the-beautiful-reliable-efficient-thermirf/index.html.md)) **Description:** Aging happens in different ways. The fact that we cannot deny though, is that aging happens. We see ourselves differently than when we were younger. Things... ### Content Aging happens in different ways. The fact that we cannot deny though, is that aging happens. We see ourselves differently than when we were younger. Things aren’t quite in the same place. Skin is a little bit looser. And we don’t match that vision that we have of ourselves when we felt like we were at our best. We also wish that we had the knowledge and wisdom that we have now when we looked at our best. What a great combination that would be. In today’s busy world, keeping ourselves the best that we can be with the least amount of downtime is a big hurdle. Nothing replaces a surgical result quite yet, however non-invasive and micro-invasive technology continues to improve. One device that we have been exceedingly pleased with is ThermiRF. Thermi uses radio-frequency energy to start a chain reaction of remodeling leading to tighter skin and a more toned appearance. Take note that this is only a single treatment. I like seeing my patients regularly and having great relationships with them, but in this city that needs efficiency, Thermi delivers. Radio frequency has been used in medicine for quite some time. Since the turn-of-the-century, its use in cosmetic applications has only improved. After a relatively brief one to one and a half hour treatment (that can often be performed under only local anesthesia), you should be able to progressively see a more refined jaw line and toned neck, lifted and more youthful breasts, a tighter abdomen, less sagging around the knees, or more refined arms. These are the common areas that are treated. If you are a bit anxious, a mild combination of oral medications may be prescribed and taken about forty-five minutes prior to a procedure that makes the procedure much easier to tolerate. This, however, requires a ride from a responsible adult and someone to stay with you until the medications wear off about four to six hours later. During the procedure I will anesthetize the regions to be treated with a local anesthetic mixture. This numbs the area and is often times the most and only uncomfortable portion. If I’m doing my job well I have distracted you through witty conversation or music which makes this part of the process more tolerable. Many patients bring their earbuds and own music to use as a distraction as well. The numbing solution sets for about 10 to 15 minutes prior to starting any treatment. Once the treatment starts, the process takes about an hour or a little bit less. Patients tend to be quite comfortable. Of all of the places that we have seen more discomfort, it is the area around the knees. There may be some swelling and occasional bruising, but this is considered a minimal to no down time procedure. Except for the neck and jawline, most patients may return to all routine and social activity immediately. With the face, there may be one to two days of swelling that may keep one out of social situations. We supply facial treatment patients with a very attractive (think ghost of Marley) facial wrap that Velcro’s at the top of the head and helps control the early swelling and subsequently return to social activity. Think about your colleague who recently had “dental work.” As with any non-invasive to micro-invasive procedures there is not (sadly) an immediate result. This is both good and frustrating. I am as impatient as the next person. The procedure sets up a remodeling response that restores your collagen and internal support architecture back to a more youthful and toned appearance. This takes time; sometimes six to nine months. This way no one is staring, looking or questioning what was done. The gradual results are great for this conservative D.C. society that is often less than open about cosmetic enhancements. Before[.block][] 6 Months[.block][] 15 Months[.block][] [.hr][] This procedure is great for those who want a little pick me up and toning in certain areas but do not have an extensive amount of available downtime. It may be used to tone a facelift result that has started to age after 5 to 7 years. Perking up breasts that have aged through weight fluctuations and childbearing is possible without scars. Adding some focused fat grafting can restore volume simultaneously. Most importantly this is a versatile energy based device with a unique technology to monitor and achieve reliable temperature thresholds necessary to deliver consistent results. Check out typical results and some of the other applications such as vaginal rejuvenation, treatment of hyperhidrosis, and “Botox-like” effect that may last up to two years – Click Here Call **[(202) 785-4187](tel:(202) 785-4187)** or [Contact the Office](/contact/) to schedule your consultation today! I look forward to hearing from you! [Previous Post](/blog/breast-augmentation-surgery-so-many-choices/) --- ## Liposuction vs. Less-Invasive Treatments For Body Fat Reduction **Link:** [Liposuction vs. Less-Invasive Treatments For Body Fat Reduction](https://www.westendplasticsurgery.com/blog/liposuction-vs-less-invasive-treatments-for-body-fat-reduction/) ([md](https://www.westendplasticsurgery.com/blog/liposuction-vs-less-invasive-treatments-for-body-fat-reduction/index.html.md)) **Description:** West End Plastic Surgery Liposuction vs. Less-Invasive Treatments For Body Fat Reduction - Body Contouring ### Content Whether you are just starting to develop an aesthetic treatment routine or plan, or if your current plan is not delivering the results you want, the decision to undergo cosmetic surgery can be challenging. Although many cosmetic surgical procedures have been safely performed for years and come with minimal side effects, you may still have significant concerns. When addressing stubborn body fat, many [non- or less-invasive treatment options ](/non-surgical/)can help when a healthy diet and frequent exercise are not enough. These treatments include using radio-frequency (RF) or thermal energy (either heat or cold) to affect the fat cells below the skin. These treatments safely and painlessly destroy unwanted fat cells and keep them from continuing to grow. Your body then cleans up the dead cells with normal metabolic processes. Plus, these services rarely require anesthesia and are often pain-free, with little to no recovery. Although these are very effective at removing small to moderate amounts of body fat with minimal risks, there are a few drawbacks. One drawback to these less-invasive procedures is they cannot remove as much fat as [surgical liposuction](/body/liposuction/) and may require additional treatments to see the complete desired look. However, the ease and lack of recovery or restrictions after each treatment mean you can safely continue receiving aesthetic improvements and control the specific treatment areas. To remove more significant amounts of fat at one time, liposuction has long been a go-to option for many people. Although a more-invasive surgical procedure, liposuction permanently removes the fat cells from the treatment area. A healthy diet and lifestyle are required to prevent fat cells from growing or returning. If you have stubborn body fat that does not go away with a healthy diet or exercise, the team at West End Plastic Surgery in Washington, D.C., can help you decide if liposuction or a less-invasive treatment is right for you and your aesthetic goals. Call [(202) 785-4187](tel:(202) 785-4187) or visit [www.westendplasticsurgery.com](/) to [schedule an appointment](/contact/) today. [Previous Post](/blog/will-i-need-a-tummy-tuck-after-liposuction/) --- ## Maintenance Speaks: How to Tell If You’re Up For Botox **Link:** [Maintenance Speaks: How to Tell If You’re Up For Botox](https://www.westendplasticsurgery.com/blog/maintenance-speaks-how-to-tell-if-youre-up-for-botox/) ([md](https://www.westendplasticsurgery.com/blog/maintenance-speaks-how-to-tell-if-youre-up-for-botox/index.html.md)) **Description:** Botox treatments are temporary, so they need to be redone periodically. Signs it's time for Botox include the reappearance of fine lines and wrinkles. ### Content Are you wondering if you need a Botox touch-up? If you are new to Botox, you may be wondering how you’ll know when it’s time for your next Botox injection. Let’s take a look at how to know if you need Botox and when to redo Botox. Botox is one of those things that more and more people are starting to feel comfortable talking about. As an injection that is used to soften fine lines and wrinkles on the forehead and around the eyes, Botox lasts an average of three to four months, depending on the patient. If you have just started to get [Botox injections](/injectables-fillers/botox/) from our West End Plastic Surgery office, then you may not be able to tell when you should come in again. Let’s take a closer look at some of the signs that you should look for. ## Facial Movement Botox works by preventing the facial muscles from contracting, which, in turn, leaves you with fewer fine lines and wrinkles. If you have noticed that you have facial movement again when you try to move your forehead or squint your eyes, then it’s a sign that your Botox is wearing off and that you need to get injections again. To really check to see if your facial movement is back, stand in front of the mirror and try to crinkle your forehead to make horizontal lines. Do you see any lines, or is your forehead still smooth? Do you have a hard time making this movement? If you can easily make this movement, then your Botox has worn off and should be redone. ## Fine Lines and Wrinkles Another more obvious thing to look for is the reappearance of fine lines and wrinkles on your forehead and around your eyes. Even though Botox takes about 5 to 7 days to give patients real results, after that time period, your fine lines and wrinkles should be softened for another three to four months on average. If they have started to come back, then it’s time to schedule your next Botox appointment. ## Some Common Botox Questions ### How Long Does Botox Last? Botox can give you great results, but it is temporary. It lasts an average of 3 to 4 months. Exactly when it’s time to get Botox redone will depend on your body and your cosmetic goals. Over time, you may find that you can go longer between Botox sessions. The muscles begin to weaken because they aren’t being used. This allows Botox to last longer. ### How Can You Tell if You Need Botox? If you are noticing facial movement in your forehead or around your eyes, it’s probably time to schedule a Botox appointment. If you see fine lines and wrinkles reappearing, you should get your Botox redone. Generally, you’ll want to space your Botox sessions at least three months apart. However, you can get a Botox touch-up much sooner. You should wait at least two weeks after your initial Botox injection before going for a touch-up because it takes at least two weeks for the full results to be apparent. ### How Can I Make Botox Last Longer? Making your Botox last longer is a great way to reap the maximum benefit from the treatment. First, you’ll need to take a few precautions in the 48 hours after treatment. Sleep on your back for at least two days after Botox. You should also be gentle with your face during this critical period. Avoid exfoliation and rough scrubbing. Apply makeup carefully, and remove it with very gentle pressure. Wash your face with a mild facial cleanser. You’ll also need to avoid hot water. You should also exercise the treatment area every four hours for two days after Botox. In addition to helping the Botox last longer, you’ll see the results of your treatment faster. Instead of the typical ten days, you may have full results in as little as 24 to 48 hours. ### Can You Get More Botox Before It Wears Off? If you want to maintain the results of Botox, you can get additional Botox injections before the effects wear off. It’s important to note that the frequency of Botox treatments should be discussed with a qualified healthcare professional, typically a dermatologist or plastic surgeon. They can assess your individual needs, identify the specific areas you want to address, and provide guidance on the appropriate timing for follow-up injections. [Previous Post](/blog/the-first-non-surgical-bbl-everything-you-need-to-know/) --- ## Mommy Makeover: How To Feel Like Yourself Again After Children **Link:** [Mommy Makeover: How To Feel Like Yourself Again After Children](https://www.westendplasticsurgery.com/blog/mommy-makeover-how-to-feel-like-yourself-again-after-children/) ([md](https://www.westendplasticsurgery.com/blog/mommy-makeover-how-to-feel-like-yourself-again-after-children/index.html.md)) **Description:** If you have had children and are looking to return to your pre-pregnancy body, a mommy makeover may be the solution for you. ### Content Having children is a beautiful experience, and it can be incredible to see how your body can create and sustain new life. That being said, pregnancy takes a toll on the body, and it can be difficult and tiring to get back to feeling like yourself again. While all of the changes to your body can be a reminder of what your body is capable of, it is a source of insecurity for some. A [mommy makeover](/body/mommy-makeover/) is an all-in-one solution for addressing your concerns. ## **How Pregnancy Affects the Body** Pregnancy affects the body in many different ways. When you are carrying your child, the abdominal muscles will begin to separate and weaken, caused by the additional weight and pressure of the child. This added weight will also stretch the stomach’s skin and cause stretch marks. To prepare the body for breastfeeding, you will also notice that your breasts will grow in size. After you have finished breastfeeding your child, the lost volume from the milk can leave your breasts seemingly loose. ## **How Can a Mommy Makeover Make Your Body Feel Like Yours Again?** Exercise and a healthy diet are great for your health and can aid in weight loss after childbirth. However, the separation of the abdominal muscles, loose excess skin, and some stubborn fat deposits may only be repaired with surgical procedures. Some women suffer from diastasis recti (separation of the 6-pack muscles) after pregnancy which is almost impossible to repair without surgery. It’s a common occurrence after pregnancies when the abdomen has to expand to accommodate pregnancy. Because the tissue between the muscles has been permanently stretched, no amount of exercise will restore the shape of the abdomen. The separation can make a person’s belly stick out or bulge. During a Tummy Tuck, the muscles of the abdomen are tightening while also removing excess skin and fat for more comprehensive aesthetic rejuvenation. This results in a smoother, flatter, and more toned abdomen. Childbirth is an amazing process, but it can also feel like your body is no longer yours. [A study ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2796197/#:~:text=Pregnancy%20and%20childbirth%20are%20associated,Carr%2C%20Wetheim%2C%20Paxton%2C%20%26)on the “Predictors of Mothers’ Postpartum Body Dissatisfaction” found that mothers’ satisfaction with their bodies worsened from one month postpartum to nine months. They concluded that it’s important to educate mothers on the changes to their bodies postpartum and to find ways to enhance their self-esteem and body satisfaction. By providing mommy makeovers, which combine a variety of procedures focused on the areas most affected by pregnancy, mothers are able to feel like their body is once again their own. ## **Schedule a Consultation** Becoming a mother is a wonderful experience, but it is also a difficult one, both emotionally and physically. That’s why you deserve to feel confident and return to your pre-pregnancy body if you choose. The professionals at West End Plastic Surgery specialize in mommy makeover procedures in Washington, D.C. Contact their office today at (202) 785-4187 or [request a consultation](/consultation/) online. [Previous Post](/blog/what-a-tummy-tuck-can-do-for-you/) --- ## Nasal Tip Refinement for a Natural Rhinoplasty Outcome **Link:** [Nasal Tip Refinement for a Natural Rhinoplasty Outcome](https://www.westendplasticsurgery.com/blog/nasal-tip-refinement-for-a-natural-rhinoplasty-outcome/) ([md](https://www.westendplasticsurgery.com/blog/nasal-tip-refinement-for-a-natural-rhinoplasty-outcome/index.html.md)) **Description:** Discover how nasal tip refinement at West End Plastic Surgery in Washington, D.C. can achieve a natural, balanced rhinoplasty outcome. ### Content Rhinoplasty, often referred to as a “nose job,” is one of the most sought-after cosmetic procedures worldwide. While the surgery can address various concerns, from correcting breathing issues to reshaping the entire nose, one of the most crucial aspects of achieving a natural-looking result lies in the refinement of the nasal tip. A well-executed nasal tip refinement can enhance facial harmony, ensuring that the results are subtle yet transformative. Achieving a natural-looking[ rhinoplasty ](/face/rhinoplasty/)often hinges on the delicate art of nasal tip refinement. For those concerned with a bulbous, drooping, or asymmetrical nasal tip, this focused technique can be the difference when creating a harmonious and balanced appearance. ## What is Nasal Tip Refinement? Nasal tip refinement is a specialized aspect of rhinoplasty focused on reshaping the tip of the nose to create a more balanced, proportionate appearance. Unlike full rhinoplasty, which may involve altering the bridge, nostrils, or overall size of the nose, nasal tip refinement hones in on the specific structure and contours of the tip. This procedure can address various concerns, such as a nasal tip that is too wide, too round, or lacks definition. Nasal tip refinement aims to enhance the overall facial aesthetic by achieving a more harmonious appearance. For many patients, subtle changes to the nasal tip can make a significant difference, creating a more refined profile without the nose appearing overly altered. This focus on subtlety and balance is what often leads to the most natural-looking results. ## Techniques for Nasal Tip Refinement There are several techniques our surgeon may use to refine the nasal tip: - **Cartilage Reshaping:** The lower lateral cartilages play a significant role in the shape of the nasal tip. By carefully reshaping these cartilages, the surgeon can create a more defined or softened tip, depending on the patient’s aesthetic goals. - **Cartilage Grafting:** In some cases, additional cartilage may be needed to support the nasal tip or to achieve the desired shape. Cartilage grafts, often taken from the patient’s septum or ear, can provide the necessary structure and stability. - **Tip Rotation and Projection:** The angle and projection of the nasal tip are crucial factors in achieving a natural look. Too much rotation can result in an upturned, “piggy” appearance, while too little can make the nose appear droopy. The projection, or how far the tip extends from the face, must also be carefully adjusted to maintain facial harmony. - **Suturing Techniques**: Precision suturing techniques allow the surgeon to refine the nasal tip without the need for extensive cartilage removal. By using strategic sutures, the surgeon can subtly alter the shape and position of the cartilages, ensuring a natural contour. ## **Customization is Key** One of the most important aspects of nasal tip refinement is customization. Every nose is different, and what works for one person may not be suitable for another. A personalized approach is essential for achieving a result that enhances the patient’s natural beauty without appearing overdone. During the consultation process, your surgeon will carefully evaluate the patient’s nasal anatomy, skin thickness, and facial proportions to develop a tailored surgical plan. ## Benefits of Nasal Tip Refinement for a Natural Look One of the primary benefits of nasal tip refinement is its ability to create a natural-looking enhancement. A well-executed tip rhinoplasty can bring the nose into better alignment with the rest of the facial features, enhancing overall symmetry. For example, a bulbous tip can draw unwanted attention and disrupt facial harmony. Refining the nasal tip makes the nose more proportionate, allowing other features like the eyes and mouth to stand out. Another advantage of nasal tip refinement is the precision with which it can be performed. Surgeons can make small adjustments that significantly impact the overall appearance, such as reducing the width of the tip, lifting a drooping tip, or correcting asymmetry. These changes are often subtle but transformative, making the nose look natural and in harmony with the rest of the face. Many patients are concerned about the potential for an unnatural or “overdone” appearance following rhinoplasty. Nasal tip refinement specifically addresses these concerns by focusing on subtlety and maintaining the natural characteristics of the nose. When performed by an experienced surgeon, the results should be so seamless that it may not be immediately obvious that any work was done—only that the patient’s appearance has improved. ## Transform Your Profile in Washington, D.C. Our practice prioritizes safety, precision, and patient satisfaction, making West End Plastic Surgery a trusted choice for those seeking refined, natural outcomes through nasal tip refinement. At West End Plastic Surgery in Washington, D.C., our experienced surgeons specialize in creating personalized rhinoplasty results that enhance your natural beauty. Schedule a consultation with us today to discuss your goals and explore how nasal tip refinement can help you achieve the desired look. [Contact us](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to take the first step toward a more confident you. [Previous Post](/blog/why-consider-tummy-tuck-after-significant-weight-loss/) --- ## Natural-Looking Breast Augmentation: How to Achieve Subtle, Beautiful Results **Link:** [Natural-Looking Breast Augmentation: How to Achieve Subtle, Beautiful Results](https://www.westendplasticsurgery.com/blog/natural-looking-breast-augmentation-how-to-achieve-subtle-beautiful-results/) ([md](https://www.westendplasticsurgery.com/blog/natural-looking-breast-augmentation-how-to-achieve-subtle-beautiful-results/index.html.md)) **Description:** Want a natural-looking breast augmentation? Learn how to choose implant type, size, and placement for subtle, beautiful results in Washington, D.C. ### Content [Breast augmentation](/breast/breast-augmentation/) doesn’t have to mean dramatic changes or an obvious “done” look. Many women today opt for a more natural enhancement that enhances their shape while still feeling like *them*. If you’re considering breast augmentation but want results that are subtle and elegant, here’s what you need to know. At [West End Plastic Surgery](/about/) in Washington, D.C., Dr. Paul G. Ruff IV and Dr. Amir Arsalan specialize in creating natural-looking breast enhancements that complement your body. We take a highly customized approach to every procedure, ensuring your results align with your unique proportions and aesthetic goals. Our team prioritizes safety, innovation, and helping you feel confident and comfortable in your transformation. ## Choosing the Right Implant for a Natural Look Choosing the right implant is one of the biggest factors in achieving subtle, natural-looking results. - **Silicone implants**—especially “gummy bear” implants—have a soft, realistic feel that closely mimics natural breast tissue. - **Fat transfer augmentation** is a great option if you’re looking for a modest enhancement using your fat, creating an even more organic result. ## Finding the Right Size and Shape Selecting the right implant size is key to achieving balance and proportion. Your surgeon will consider: - Your body’s proportions (chest width, rib cage, and existing breast tissue) - Your lifestyle (if you’re highly active, you may prefer a smaller, more comfortable implant) - Your aesthetic goals (a soft, lifted look vs. a more dramatic enhancement) For a natural contour, many patients choose moderate-profile round implants or teardrop-shaped (anatomical) implants, which create a gentle slope similar to natural breasts. ## The Role of Implant Placement Where your implants are placed also impacts how natural they look. - Submuscular placement (under the chest muscle) creates a smoother transition between the implant and natural breast tissue, preventing an overly round or “stuck-on” appearance. - This technique also helps minimize visible implant edges, making the results softer and more seamless. ## Achieving Symmetry and Proportion Most women have some degree of natural asymmetry—and a skilled surgeon will make subtle adjustments to create a harmonious, well-proportioned result. Whether it’s fine-tuning implant size, shape, or positioning, customization is key to a result that looks effortless. ## Choosing the Right Surgeon The experience and expertise of your plastic surgeon make all the difference. A board-certified plastic surgeon known for delivering natural aesthetics can help ensure your results enhance your features without looking overdone. ## Enhance Your Confidence with Natural-Looking Breast Augmentation in Washington, D.C. Breast augmentation doesn’t have to be obvious—it can be beautifully subtle. Curious about your options? [Schedule a consultation](/contact/) at West End Plastic Surgery in Washington, D.C. Call us at [(202) 785-4187](tel:(202) 785-4187) today! [Previous Post](/blog/what-happens-during-a-neck-lift-step-by-step-guide/) --- ## New Year, New You: What you should know about a Mommy Makeover **Link:** [New Year, New You: What you should know about a Mommy Makeover](https://www.westendplasticsurgery.com/blog/new-year-new-you-what-you-should-know-about-a-mommy-makeover/) ([md](https://www.westendplasticsurgery.com/blog/new-year-new-you-what-you-should-know-about-a-mommy-makeover/index.html.md)) **Description:** The countdown to the New Year is on, so why not get start off a new decade with a new you and get your pre-pregnancy body back? ### Content The countdown to the New Year is on, so why not get start off a new decade with a new you and get your pre-pregnancy body back? Consider a consultation with the skilled team at West End Plastic Surgery to discuss a combo procedure called a “[Mommy Makeover](/body/mommy-makeover/).” Here are some common questions about this increasingly popular procedure: ## What is a Mommy Makeover? Pregnancy and childbirth can wreak havoc on a woman’s body, leaving behind loose skin, stretch marks, sagging breasts, damaged abdominal muscles and more. And diet and exercise doesn’t always restore the look you desire. The Mommy Makeover is an all-in-one procedure usually combines a tummy tuck, breast augmentation (with or without a breast lift), and often liposuction and other procedures—even vaginal rejuvenation. ## Is a Mommy Makeover only for moms? Women who have had children aren’t the only ones who can benefit from a Mommy Makeover. As women age, lost breast volume and sagging abdominal skin can happen to anyone, not just women who have had children. ## What if I’m not done having children? Women who have waited at least six months after giving birth to their last child, are in good health, have a positive outlook and realistic expectations make good candidates for this surgery as multiple procedures are involved. If you’re not finished having children, it’s not a good idea to get surgery as further pregnancy and childbirth will undo all the work ## What happens during the consultation with the surgeon? During your consultation, your surgeon will listen to your concerns and wants and outline how the surgery would be performed and what happens before, during and after the procedure and what recovery would look like. ## What does recovery look like with combination procedures? One of the benefits of having an all-in-one surgery is having a single recovery period. Depending on the extent of the surgery, recovery takes about 4 to 6 weeks. Results will slowly emerge as swelling and bruising subside, but it can take several months before you see final results. If you’re interested in getting a Mommy Makeover in Washington, D.C., [call](/contact/) our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Previous Post](/blog/gender-affirmation-surgery-how-to-prepare/) --- ## No If’s, And’s, or Butt’s About It: How to Stay Comfortable After a Butt Lift **Link:** [No If’s, And’s, or Butt’s About It: How to Stay Comfortable After a Butt Lift](https://www.westendplasticsurgery.com/blog/no-ifs-ands-or-butts-about-it-how-to-stay-comfortable-after-a-butt-lift/) ([md](https://www.westendplasticsurgery.com/blog/no-ifs-ands-or-butts-about-it-how-to-stay-comfortable-after-a-butt-lift/index.html.md)) **Description:** Having the perfect Kardashian-like butt isn’t something that comes naturally to many people. If you want to enhance and lift your buttocks at the same time. ### Content Having the perfect Kardashian-like butt isn’t something that comes naturally to many people. If you want to enhance and lift your buttocks at the same time, then we may recommend a popular procedure called a Brazilian Butt Lift (BBL). By extracting fat with liposuction from one part of your body and then injecting it into your buttocks. After it’s been injected into the buttocks, we will shape the fat to give your buttocks a natural-looking contour. In some cases, we may also recommend butt implants to help add more shape and contour to the buttocks. Afterward, everything is stitched up and you will be sent to recovery. Recovery after a butt lift, takes a lot of time. To ensure that you stay as comfortable as possible, we have created a list of a few things you can do. ## Get a Pregnancy Pillow One of the hardest parts about recovering from a [Brazilian Butt Lift](/body/brazilian-butt-lift/) is that you can’t sleep on your back for almost two weeks. Even though you won’t be pregnant after you get a Brazilian Butt Lift, consider picking up a pregnancy pillow. Why? Because they are designed to support your back and your hips while you sleep, they will make it so that you sleep a little bit more comfortably while you’re in recovery. ## Wear Your Compression Garment Just like after any sort of surgical procedure, you will have some swelling after a Brazilian Butt Lift. When we send you home, we will usually send you home wearing a compression garment that covers your entire buttocks and part of your legs. Even though it may not be the sexiest pair of underwear you’ve ever owned, make sure that you wear your compression garments all day, every day for as long as instructed to help ease swelling and make you feel more comfortable. ## Do Some Walking You won’t be able to do any sort of strenuous activities for at least a couple of weeks after surgery, but we do encourage our patients to do some light walking after about one week. The added exercise will get your joints moving, blood flowing, and your endorphins up which will help you feel better overall. If you start to experience more pain when you start walking, give us a call and we may have you come in. Staying comfortable after a BBL may be a little bit difficult because you technically can’t sit for about 10 days on average. However, by using the tips in this article, you can help to speed up your recovery and stay comfy while doing so. To learn more about BBL’s or to schedule a consultation, [contact](/contact/) us at our DC office today at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/the-basics-of-j-plasma-renuvion/) --- ## Not All Mommy Makeovers Are the Same **Link:** [Not All Mommy Makeovers Are the Same](https://www.westendplasticsurgery.com/blog/not-all-mommy-makeovers-are-the-same/) ([md](https://www.westendplasticsurgery.com/blog/not-all-mommy-makeovers-are-the-same/index.html.md)) **Description:** Some women's bodies bounce back after having a baby, no worse for wear. More often, though, the physical toll that occurs after pregnancy, childbirth... ### Content Some women’s bodies bounce back after having a baby, no worse for wear. More often, though, the physical toll that occurs after pregnancy, childbirth, and breastfeeding can transform the body so much that a woman may never again think of shopping for a bikini. A [Mommy Makeover](/body/mommy-makeover/) — which typically includes a [tummy tuck](/body/tummy-tuck/) and [breast augmentation](/breast/breast-augmentation/) at our Washington, D.C. practice — can restore not only your body, but your confidence, too. One of the benefits of mommy makeover surgery is that our surgeons customize a combination of procedures to address the specific concerns of each patient. That may even mean combining a surgical procedure with a nonsurgical treatment, such as [ThermiVa®](/body/vaginal-rejuvenation/). A mommy makeover can be a life-changing procedure for active women who exercise and are in good overall shape but are left with the excess abdominal skin, deflated breasts, or vaginal “looseness” that often occurs after having children. Vaginal rejuvenation — either surgical or nonsurgical — is becoming more popular and can be performed as part of a mommy makeover in some cases. A surgical plan is created during the patient’s consultation, based on the conversation and physical exam that occur, and may include 2 or more of these procedures: - [**Breast Lift**](/breast/breast-lift/)**:** Breastfeeding and gravity are a powerful combination that results in sagging breasts. For women who are happy with the size of their breasts, a lift alone can create the desired appearance. - [**Breast Lift With Implants**](/breast/breast-augmentation/)**:** Breast enhancement surgery that’s part of a mommy makeover commonly combines breast augmentation and a lift to improve the breasts’ shape and size. This is especially true for breasts that appear deflated after a woman breastfeeds her children. Some patients hope to avoid getting a breast lift because it requires an incision on the breast, but implants alone can cause the breasts to sag even more. - [**Tummy Tuck**](/body/tummy-tuck/)**:** Also called an abdominoplasty, a tummy tuck removes the excess, wrinkled skin that is one of the most common aesthetic complaints patients have after having children. No amount of exercise can tighten the skin. During tummy tuck surgery, the surgeon can also repair abdominal muscles that get stretched and separated during pregnancy. - [**Liposuction**](/body/liposuction/)**:** Minimizing excess fat and creating even, contoured results usually require liposuction as part of the tummy tuck procedure. - [**Vaginal Rejuvenation**](/body/vaginal-rejuvenation/)**:** Various options, such as labia majora reshaping, clitoroplasty, or ThermiVa, can address the changes in the appearance and sensitivity of the vagina following childbirth. Combining surgical procedures is common and can be safely and effectively performed by an experienced, board-certified plastic surgeon. Some patients decide to have separate operations to address their concerns, but a mommy makeover offers the advantage of paying certain costs only once and planning for just a single recovery. That can be especially important for moms with younger children. [Contact us](/contact/) or call the office at **[(202) 785-4187](tel:(202) 785-4187)** to schedule your appointment for a Mommy Makeover! Looking forward to hearing from you! [Previous Post](/blog/toxins-fillers-and-lasers-oh-my-how-do-i-choose/) --- ## Open vs. Closed Rhinoplasty: What’s the Difference? **Link:** [Open vs. Closed Rhinoplasty: What’s the Difference?](https://www.westendplasticsurgery.com/blog/open-vs-closed-rhinoplasty-whats-the-difference/) ([md](https://www.westendplasticsurgery.com/blog/open-vs-closed-rhinoplasty-whats-the-difference/index.html.md)) **Description:** Discover the differences between open and closed rhinoplasty and which best suits your goals. Get natural, refined nose job results in Washington, D.C. ### Content When considering nose surgery, one of the first decisions your surgeon will make is whether to perform an open or closed [rhinoplasty](/face/rhinoplasty/). While both techniques enhance the appearance and function of the nose, the approach and recovery process differ. Understanding the differences can help you feel confident about your treatment plan. At [West End Plastic Surgery](/about/) in Washington, D.C., patients experience the perfect balance of artistry and precision from double board-certified facial plastic surgeon, Dr. Lexie Wang, who is dedicated to achieving natural, personalized rhinoplasty results. Guided by a philosophy of compassion, innovation, and integrity, the practice provides advanced open and closed rhinoplasty techniques in a state-of-the-art surgical suite designed for safety, comfort, and exceptional outcomes. ## What Is Open Rhinoplasty? In an **open rhinoplasty**, your surgeon makes a small incision across the columella, the strip of tissue between the nostrils. This allows the nasal skin to be lifted, providing full visibility of the bone and cartilage structure. The open approach gives your surgeon greater precision, making it ideal for complex cases such as major reshaping, revision surgeries, or correcting asymmetry. **Benefits of open rhinoplasty** include improved accuracy and better control over nasal contouring. However, because it involves an external incision, there may be slightly more swelling and a longer recovery period. The good news is that any resulting scar is typically minimal and well-hidden. ## What Is Closed Rhinoplasty? A **closed rhinoplasty**, or endonasal rhinoplasty, involves incisions made entirely inside the nostrils. This technique avoids external scarring and generally results in a quicker recovery. Closed rhinoplasty is often recommended for patients needing minor adjustments, such as subtle tip refinement or dorsal hump reduction. **Benefits of closed rhinoplasty** include reduced swelling, shorter surgery time, and no visible scars. However, because visibility and access are more limited, it’s not always suitable for complex nasal corrections. ## Choosing the Right Approach for You The choice between open or closed rhinoplasty is based on your specific anatomy, goals, and the complexity of your procedure. During your consultation, the surgeon will evaluate your nasal structure and recommend the most effective technique to achieve natural, balanced results. ## Refine Your Profile with Expert Rhinoplasty in Washington, D.C. Both open and closed rhinoplasty can deliver beautiful, lasting improvements when performed by a skilled surgeon. The key is finding a board-certified specialist who understands your goals and customizes your treatment plan for optimal outcomes. Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). [Previous Post](/blog/eyelid-surgery-vs-non-surgical-treatments-which-is-right-for-you/) --- ## PHYSIQ vs. Emsculpt®: Know the Difference **Link:** [PHYSIQ vs. Emsculpt®: Know the Difference](https://www.westendplasticsurgery.com/blog/physiq-vs-emsculpt-know-the-difference/) ([md](https://www.westendplasticsurgery.com/blog/physiq-vs-emsculpt-know-the-difference/index.html.md)) **Description:** West End Plastic Surgery PHYSIQ vs. Emsculpt®: Know the Difference - Body Contouring ### Content You probably know the struggle of getting a toned, physically-fit body. This might mean hitting the gym several times a week consistently over a long period. But what if you could get the body you want with a simple procedure that takes about 30 minutes? What if you could spend less time working out but still get the perfect body shape you desire? Well, it’s possible thanks to non-invasive body contouring procedures – PHYSIQ and Emsculpt®. ## What is PHYSIQ? [PHYSIQ](/body-contouring/physiq/) is an FDA-approved body treatment that targets stubborn fat where exercise and diet might not help. The procedure uses four applicators that can target different body parts in a single session. With PHYSIQ, the procedure can be customized to target specific body parts or a patient’s concerns. PHYSIQ doesn’t just tone your muscles; it also eliminates stubborn fat from specific body parts. Exercise and diet might help you to lose weight, but getting rid of stubborn fat might be difficult. This is where PHYSIQ body contouring treatment can help you achieve your aesthetic goals. PHYSIQ only lasts about 30 minutes, but you’ll need several sessions to achieve your desired results. It’s painless and has no downtime, making it a suitable treatment even when you have a busy schedule. ## How PHYSIQ Compares to Emsculpt® PHYSIQ and Emsculpt® are similar because the treatment options increase muscle stimulation via forced contractions. Think of these contractions as similar to the tons of squats and crunches you do at the gym to get the results you want. While PHYSIQ and Emsculpt® can help with improved definition, PHYSIQ is more effective as it targets stubborn fat. So, it serves more than one purpose to ensure you improve your body’s contours. What’s more, PHYSIQ comes with four applications that can target different body parts, such as the arms, thighs, and but. ### **PHYSIQ vs. Emsculpt®: The Difference** Essentially, PHYSIQ is uniquely designed to treat fat and muscle within the same session. This makes it a more effective option to get your body in shape. Emsculpt® procedure only works on the muscles. At West End Plastic Surgery in Washington, D.C., we can help you achieve your goals. [Call](/contact/) [(202) 785-4187](tel:(202) 785-4187) or visit [www.westendplasticsurgery.com](/) to schedule a PHYSIQ body contouring consultation. [Previous Post](/blog/do-you-want-to-erase-the-appearance-of-fine-lines-and-wrinkles/) --- ## Post-Treatment Dos and Don’ts After Getting BOTOX® **Link:** [Post-Treatment Dos and Don’ts After Getting BOTOX®](https://www.westendplasticsurgery.com/blog/post-treatment-dos-and-donts-after-getting-botox/) ([md](https://www.westendplasticsurgery.com/blog/post-treatment-dos-and-donts-after-getting-botox/index.html.md)) **Description:** Learn what to do and what not to do after getting BOTOX at West End Plastic Surgery, so you can protect results and promote healing in Washington, D.C. ### Content If you’ve been on the hunt for the best way to erase signs of age on the face, you’ve likely considered [BOTOX®](/injectables-fillers/botox/), and for good reason. This quick, minimally invasive treatment smooths lines, eliminates wrinkles, and gives you a fresh look again. However, you may not know that post-treatment care is essential to getting the most from your session and minimizing side effects. Here are some quick dos and don’ts to keep in mind after BOTOX. At [West End Plastic Surgery](/about/) in Washington, D.C., BOTOX Cosmetic treatments are expertly administered by a carefully selected team dedicated to delivering natural-looking, youthful results. Whether seeking subtle enhancements or exploring minimally invasive options, the practice offers a range of personalized anti-aging solutions in a state-of-the-art, compassionate setting. ## Dos After BOTOX **Keep Your Head Elevated** Stay upright for at least four hours after your appointment. This helps the BOTOX settle properly and prevents it from migrating to unintended areas. **Use Gentle Facial Movements** Subtly raising your eyebrows or smiling can help activate the muscles and enhance the effectiveness of the treatment. Just avoid overdoing it. **Stay Hydrated** Drinking plenty of water supports your body’s healing process and promotes overall skin health. **Follow Your Provider’s Instructions** Every patient is different. Your provider may give you personalized guidance based on your unique treatment plan—follow it carefully. ## Don’ts After BOTOX **Don’t Rub or Massage Treated Areas** Try not to touch or apply any pressure at the injection sites for at least 24 hours. Rubbing can cause BOTOX to spread, reducing its precision. **Don’t Exercise Right Away** Skip the gym for 24 hours post-treatment. Strenuous activity increases blood flow, which can interfere with how BOTOX settles. **Don’t Lie Down Too Soon** Reclining too early can cause the product to move. Stick to sitting or standing for the first few hours. **Don’t Consume Alcohol or Blood Thinners** Reduce the risk of bruising by avoiding alcohol and medications like aspirin or ibuprofen before and after your appointment (unless directed by your doctor). ## Refresh Your Look with BOTOX in Washington, D.C. Get started on your rejuvenated face by calling [(202) 785-4187](tel:(202) 785-4187) today to [schedule your appointment](/contact/). BOTOX is a low-downtime treatment, but a little care goes a long way. By following these dos and don’ts, you can enjoy smoother, more youthful-looking skin and maintain your results for months. [Previous Post](/blog/how-to-know-if-you-need-a-breast-reduction/) --- ## Meet Rahma Scott, PA-C **Link:** [Meet Rahma Scott, PA-C](https://www.westendplasticsurgery.com/blog/rahma-scott-pa-c/) ([md](https://www.westendplasticsurgery.com/blog/rahma-scott-pa-c/index.html.md)) **Description:** West End Plastic Surgery Meet Rahma Scott, PA-C - Newsletters ### Content At West End Plastic Surgery in Washington, D.C., we often strive to improve the quality of lives of our patients. We strongly believe everyone deserves to be treated with dignity, respect, and courtesy. To ensure we deliver the best quality care that meets your needs, we have a team of doctors, nurses, and physician assistants working together to provide personalized care for each patient. ## Meet Rahma Scott, PA-C [Rahma Scott](/about/team/rahma-scott-pa-c/) is a Board-Certified Physician Assistant who has been practicing since 2013. She is a Howard University graduate with extensive knowledge and experience in fillers, neuromodulators, chemical peels, lasers, and PRP therapies. Rahma is also a certified National Laser Trainer with hands-on expertise with lasers and other energy-based devices. She also trains other medical practitioners on the same. With her vast experience and knowledge base in plastic and reconstructive surgery, Rahma is respected nationwide. Her motivation is fueled by the belief that people deserve happiness with their inner and outer beauty. As a result, Rahma is dedicated to providing a medical space where patients can achieve their aesthetic goals and, in turn, be more confident and live more fulfilling lives. Rahma’s passion for Aesthetic Medicine stems from her personal struggles with cystic acne in her early 20s. From her experience, she knows how emotional one can get when all attempts to improve their skin are futile. Dealing with skin complications isn’t easy, not to mention the negative psychological effects it has on one’s life. Rahma struggled with cystic acne before finally using medical-grade skin care products, lasers, microneedling, and chemical peels in her skincare routine. She saw a massive improvement in her skin. The unsightly scars she once had became less visible, acne flares reduced, and post-inflammatory hyperpigmentation improved. Her success with getting healthy and youthful skin motivates her to transform other people’s lives and bring back smiles to their lovely faces. At West End Plastic Surgery, we are extremely excited and honored to have Rahma as part of our team. [Call our offices](/contact/) at [(202) 785-4187](tel:(202) 785-4187) or visit [www.westendplasticsurgery.com](/) to request an appointment with Rahma. [Previous Post](/blog/contour-your-body-with-a-brazilian-butt-lift/) --- ## Refresh Your Skin in 30 Minutes With a Hydrafacial **Link:** [Refresh Your Skin in 30 Minutes With a Hydrafacial](https://www.westendplasticsurgery.com/blog/refresh-your-skin-in-30-minutes-with-a-hydrafacial/) ([md](https://www.westendplasticsurgery.com/blog/refresh-your-skin-in-30-minutes-with-a-hydrafacial/index.html.md)) **Description:** A Hydrafacial® is a fast skin treatment that not only cleanses your pores but exfoliates your epidermis and nourishes your skin. ### Content Ready for a skin refresh? Look no further than Hydrafacial®. This wildly popular skin treatment has gone viral thanks to its instant exfoliation benefits, along with a deep cleanse and hydrating boost thanks to professional-grade serums. We’re proud to now offer this non-surgical, non-invasive skin treatment at our office in Washington, D.C.! ## How Does a Hydrafacial Work? Hydrafacial is a three-step skincare treatment that uses [Vortex Fusion Technology](https://www.hydrafacial.com/about) to refresh and rejuvenate your skin. The process is entirely painless, relaxing, and restorative. During treatment, you will lay back and relax as your provider uses the special Hydrafacial wand to exfoliate, cleanse, and hydrate your skin with enriching serums. ## A 3-in-1 Skincare Solution HydraFacial is renowned for its ability to exfoliate, cleanse, and hydrate the skin in under 45 minutes. In addition to improving overall tone and texture, a HydraFacial is also [clinically proven](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762628/) to be an effective acne treatment. According to the [HydraFacial Skintuition report](https://www.hydrafacial.com/resources/Skintuition-Report_v7.pdf), treatment can address a wide array of concerns including pore size, fine lines, rough texture, hyperpigmentation, dullness, and dryness. ## Skincare Made for Your Complexion A common complaint people have about skincare treatments is they often feel too one-size-fits-all. That is never the case at West End Plastic Surgery, and HydraFacial is a prime example of our commitment to personalized care for every patient. We are able to customize each session to suit your unique skin type and needs. Whether you struggle with dryness, rosacea, acne, or fine lines, we are happy to customize your treatment to give you a gorgeous complexion. Furthermore, choosing specific serum formulations to target skin concerns can help improve your results. We are happy to discuss all your options during a consultation. ## Try Hydrafacial in Washington, D.C. Getting gorgeous skin is easy with a team like ours on your side. From double board-certified plastic surgeon Dr. Paul Gruff to board-certified facial plastic surgeon Dr. Lexie Wang, you have access to the highest level of expertise at West End Plastic Surgery. Let us help you reach your aesthetic goals. Contact us at [(202) 785-4187](tel:(202) 785-4187) or [request your consultation online](/consultation/). We look forward to meeting you! [Previous Post](/face/facelift/) --- ## Rejuvenate your face with fat grafting **Link:** [Rejuvenate your face with fat grafting](https://www.westendplasticsurgery.com/blog/rejuvenate-your-face-with-fat-grafting/) ([md](https://www.westendplasticsurgery.com/blog/rejuvenate-your-face-with-fat-grafting/index.html.md)) **Description:** West End Plastic Surgery Rejuvenate your face with fat grafting - Cosmetic Fat Transfer ### Content If you’ve started to notice a sallow appearance to your face and other changes related to the aging process, then you may be a good candidate for what’s known as [fat grafting](/body/fat-transfer/). Here are some things you should know about this revolutionary facial rejuvenation procedure. ## What is fat grafting? Known as cosmetic fat transfer, fat grafting essentially consists of taking unwanted fat from one part of the body and putting it to use in your face to give it a fuller, more youthful appearance. While it sounds simple and straightforward, there is an art to the process. ## How does it work? This outpatient procedure takes 1-2 hours to complete and can be performed under local anesthesia or local anesthesia with sedation or general anesthesia. Your surgeon will identify areas of your body where the fat grafts will be harvested. These areas are numbed, and small punctures are made. The surgeon will harvest the grafts with low suction to increase the number of living cells. The surgeon then uses an advanced filtering system to isolate, purify and concentrate the cells that will be transferred and discard any undesirable components such as liquid and oil. The fat grafts will then be transferred into small syringes to inject small packets of cells in layers from deep to superficial areas, restoring volume and shape along the way. Sutures are used to close the incisions where the fat was harvested. Patients typically don’t need sutures in the insertion points on their face but are provided cool packs to help control discomfort, swelling and bruising as they sit somewhat upright after the procedure. ## Who are candidates? Both men and women who have lost facial volume are good candidates for this procedure. Patients often have deflation of the cheek bones, narrowing of the temples or shadows and depressions under their eyes. Patients may have wrinkles or furrows on their face and neck, deep creases between the bottom of their nose to the corner of their mouth and a diminished jawline. If you are in good general health and have a positive outlook and realistic expectations for the procedure, you will be a good candidate. If you are ready to achieve a more youthful appearance and are interested in fat grafting, call [(202) 785-4187](tel:(202) 785-4187) today to [schedule a consultation](/contact/). [Previous Post](/blog/what-to-expect-from-a-breast-reduction/) --- ## Renuvion FDA Approved For Liposuction Use, What Does This Mean? **Link:** [Renuvion FDA Approved For Liposuction Use, What Does This Mean?](https://www.westendplasticsurgery.com/blog/renuvion-fda-approved-for-liposuction-use-what-does-this-mean/) ([md](https://www.westendplasticsurgery.com/blog/renuvion-fda-approved-for-liposuction-use-what-does-this-mean/index.html.md)) **Description:** Renuvion has recently been FDA-approved a fourth time. What does this mean for your cosmetic treatments? ### Content Loose skin is a natural part of life and happens as we age. Skin naturally loses collagen and elastin and will sag over time. However, procedures like [Renuvion](/laser-treatments/renuvion/) exist to tighten and reintroduce collagen to the skin. Renuvion has recently received its fourth FDA approval for use in conjunction with liposuction. Let’s explore what exactly Renuvion is, how it works, and what this FDA approval means for minimally invasive skin tightening. ## **What Is Renuvion (J-Plasma)?** Renuvion is a cosmetic procedure using helium plasma (electrified helium gas) with proprietary radiofrequency to tighten skin. It can even be combined with other treatments for enhanced results. It is popularly used on the abdomen, breasts, back, arms, thighs, jawline, and neck. ## **How Does It Work?** Renuvion works by using helium plasma (plasma is the most common state of energy in the universe) with proprietary radiofrequency to heat the collagen tissue underneath the skin. This leads to a certain amount of immediate contraction and promotes further collagen remodeling. A small, discreet incision or opening is created near where Renuvion will be used. Then the device is inserted into the skin and uses dual plasma and radiofrequency energy to tighten the skin through contraction. Skin is then further tightened and often given a more youthful appearance through collagen production and remodeling stimulated by Renuvion. ## **Renuvion FDA Approved For Liposuction** Renuvion has recently been given a fourth cosmetic approval for use by the FDA. Renuvion now has 510(k) clearance for treating the soft tissue after liposuction has been completed. Liposuction is a popular cosmetic treatment to remove fat from a treatment site. However, skin can sometimes appear loose or saggy after enough fat has been removed. This has traditionally been counteracted with things like surgical lifts. Now Renuvion can use plasma to tighten skin after liposuction while remaining minimally invasive. ## **Keeping Up To Date With West End Plastic Surgery** Our team here at West End Plastic Surgery believes in being on the cutting edge of cosmetic treatments so we can provide you with the safest, most efficient, least invasive, and most effective treatment options. That’s why we are proud to offer Renuvion services that now have 510(k) clearance by the FDA for use in conjunction with liposuction. Contact West End Plastic Surgery at [(202) 785-4187](tel:(202) 785-4187) to take the first step toward the skin you deserve. [Previous Post](/blog/renuvion-skin-tightening-procedure-is-fda-cleared/) --- ## RENUVION Skin Tightening Procedure is FDA Cleared **Link:** [RENUVION Skin Tightening Procedure is FDA Cleared](https://www.westendplasticsurgery.com/blog/renuvion-skin-tightening-procedure-is-fda-cleared/) ([md](https://www.westendplasticsurgery.com/blog/renuvion-skin-tightening-procedure-is-fda-cleared/index.html.md)) **Description:** West End Plastic Surgery RENUVION Skin Tightening Procedure is FDA Cleared - Renuvion (J-Plasma) ### Content Aging has its side effects, and most commonly, people are left with loose, sagging skin around their thighs, arms, and jawline. [RENUVION (J-Plasma)](/laser-treatments/renuvion/) is a skin tightening procedure that targets several areas, including: - Neck - Jowls - Breasts - Upper arms - Upper back and bra line - Thighs - Knees - Buttocks - Tummy - Waist - Hips - Lower face ## RENUVION is FDA Approved Our Double Board Certified Plastic Surgeon, Dr. Paul G Ruff, was one of the doctors in the nation who led the study for RENUVION to receive FDA clearance. Dr. Ruff strives to ensure that patients at West End Plastic Surgery achieve their aesthetic goals through the skin tightening procedure. ## How it Works RENUVION getting FDA clearance simply means that it’s a safe procedure that helps patients achieve a younger appearance. This skin-tightening procedure is minimally invasive, and it contours and smoothens different parts of the body for a more youthful look. During the RENUVION procedure, Dr. Ruff inserts a wand under the skin to deliver helium plasma and radiofrequency to collagen-rich tissues that leave the skin looking loose and weary. RENUVION is an effective treatment procedure as it targets collagen fibers responsible for loose skin. The procedure triggers the collagen reproduction process through what is medically termed as neocollagenesis. While our doctors at West End Plastic Surgery can’t stop the aging process, we strive to help patients achieve their aesthetic goals through safe and medically-approved procedures. RENUVION is just one of the many solutions we offer to ensure patients look younger and happy. ## Are You a Good Candidate for RENUVION? RENUVION is perfect for patients looking to tighten the skin on their neck, lower face, or body without going for any surgical procedure. If you want to get tighter and younger-looking skin with minimal downtime, RENUVION is the right procedure for you. If your skin is inelastic and lax due to significant weight loss, pregnancy, or aging, our surgeons will advise you to opt for surgical procedures, such as a tummy tuck, facelift, or arm lift. [Schedule an appointment with Dr. Ruff](/contact/) by calling [(202) 785-4187](tel:(202) 785-4187) today or visiting our website [www.westendplasticsurgery.com](/) to learn more about RENUVION and other skin-tightening solutions we offer in Washington, D.C. [Previous Post](/blog/5-reasons-to-get-a-mommy-makeover/) --- ## Saline or Silicone: Which breast implant is right for me? **Link:** [Saline or Silicone: Which breast implant is right for me?](https://www.westendplasticsurgery.com/blog/saline-or-silicone-which-breast-implant-is-right-for-me/) ([md](https://www.westendplasticsurgery.com/blog/saline-or-silicone-which-breast-implant-is-right-for-me/index.html.md)) **Description:** Breast augmentation surgery is the most popular cosmetic surgery today, as women seek larger and fuller breasts for cosmetic reasons or for reconstructive purposes, such as after mastectomy for breast cancer. ### Content [Breast augmentation surgery](/breast/breast-augmentation/) is the most popular cosmetic surgery today, as women seek larger and fuller breasts for cosmetic reasons or for reconstructive purposes, such as after mastectomy for breast cancer. There are two types of breast implants used in breast augmentation. Read on to learn the differences. ## Silicone breast implants Silicone implants have a silicone outer shell that is pre-filled with silicone gel material. It’s the most popular option as patients believe the gel feels most like natural breast tissue. As these implants are pre-filled, they will require slightly larger incisions than saline. If there is a leak or rupture, silicone implants may not deflate and require imaging such as an MRI to detect the rupture. Silicone implants are FDA-approved for women who are at least age 22 or any age for breast reconstruction. These are a good choice for women who have very little breast tissue, are thin or want to minimize rippling. When it comes to silicone breast implants, you can choose more highly cohesive implants called “gummy bear” implants. These retain their shape better and are slightly firmer than silicone gel implants. They hold together if the shell is ruptured. ## Saline breast implants Saline implants also have a silicone outer shell, but these implants aren’t filled with the sterile saltwater solution until after placement. The advantage to this is that the volume can be adjusted and the incisions are smaller than with silicone gel implants. These implants are FDA-approved for women age 18 or older or for any woman age for reconstruction. Saline breast implants are ideal for women who want smaller incisions or have sufficient breast tissue to cover the implant for a more natural look. If there is a leak or rupture, the saline implant deflates quickly and the saline solution is absorbed and expelled by the body naturally. If you are in good health and have realistic expectations for breast augmentation surgery, you may be an ideal candidate for the procedure. If you live in Washington, D.C., or surrounding areas, [call our office](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Previous Post](/blog/what-to-expect-with-breast-reduction-surgery/) --- ## Sculptra® Butt Lift Timeline: From First Treatment to Final Results **Link:** [Sculptra® Butt Lift Timeline: From First Treatment to Final Results](https://www.westendplasticsurgery.com/blog/sculptra-butt-lift-timeline-from-first-treatment-to-final-results/) ([md](https://www.westendplasticsurgery.com/blog/sculptra-butt-lift-timeline-from-first-treatment-to-final-results/index.html.md)) **Description:** Discover what to expect from a Sculptra Butt Lift, from first treatment to final results. Achieve a full backside without surgery in Washington, D.C. ### Content If you’re considering a [Sculptra® Butt Lift](/injectables-fillers/sculptra/), you may be wondering how soon you’ll notice results. Unlike surgical procedures that deliver immediate changes, Sculptra works gradually by stimulating your body’s natural collagen production. Here’s a clear look at what you can expect from the first treatment to your final results. At [West End Plastic Surgery](/about/) in Washington, D.C., our team of expert surgeons, including Dr. Paul Ruff, Dr. Lexie Wang, and Dr. Amir Arsalan, combines innovation with compassionate care to deliver natural, confidence-boosting results. Whether you’re considering a Sculptra Butt Lift or another enhancement, our state-of-the-art facility is dedicated to providing safe, personalized treatments that empower you to embrace your unique beauty. ## Immediately After Treatment Right after your injections, you’ll likely notice a fuller look in the treated area. This is due to the water and solution mixed with Sculptra, not the actual collagen growth. This initial plumpness usually subsides within a few days, giving you a preview of your enhanced shape. ## Weeks 2-6: Collagen Activation Begins Approximately two to three weeks after treatment, your body starts producing new collagen. This is when subtle improvements begin to appear. Your buttocks will gradually feel firmer and look smoother, with volume slowly building. Many patients schedule a second session within this period to enhance results. ## Months 2-4: Noticeable Volume and Shape By the two- to four-month mark, collagen production is in full swing. You’ll see visible lifting, improved contours, and a natural fullness that enhances your figure without looking overdone. Most patients require a series of two to three treatments, spaced several weeks apart, to reach their desired look. ## Months 6-12: Final Results Reveal Your results peak as collagen continues to develop. By this stage, you’ll enjoy a rounder, lifted appearance that feels soft and natural. Best of all, results can last up to two years, with occasional maintenance sessions recommended to preserve your shape. ## Long-Term Outlook Because Sculptra causes your body to produce its own collagen, results improve gradually and last longer than traditional fillers. Maintaining a healthy lifestyle with nutrition and regular exercise, can help prolong your outcome. ## Boost Your Curves Naturally with a Sculptra Butt Lift in Washington, D.C. The Sculptra Butt Lift is not an instant transformation but a gradual enhancement that unfolds over several months. Patience pays off with natural, long-lasting results that subtly lift and contour your figure. Ready to get started? Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). [Previous Post](/blog/how-to-know-if-youre-a-candidate-for-buccal-fat-removal/) --- ## The Basics of Renuvion (J-Plasma) **Link:** [The Basics of Renuvion (J-Plasma)](https://www.westendplasticsurgery.com/blog/the-basics-of-j-plasma-renuvion/) ([md](https://www.westendplasticsurgery.com/blog/the-basics-of-j-plasma-renuvion/index.html.md)) **Description:** Losing weight is an accomplishment that’s definitely worth celebrating. ### Content Losing weight is an accomplishment that’s definitely worth celebrating. Whether you recently lost weight because of a baby delivery or due to diet and exercise, you definitely deserve the opportunity to show your new body off. However, if you lost a lot of weight that left you with some excess skin in the process, you may feel a little bit embarrassed about showing off your new figure. Even though there are skin tightening procedures that are very successful, they aren’t for everyone. If you want to tighten your loose skin without having to go under the knife, then Renuvion (J-Plasma) may be the perfect solution for you. ## What Is J Plasma? The J Plasma Renuvion procedures use a combination of cold helium plasma and RF energy to help tighten the skin and increase collagen. Unlike other procedures that damage surrounding tissues, the RF energy used in this procedure uses controlled precision to eliminate unintended tissue trauma. ## What Is Recovery Like? Depending on the area that we are treating you may be able to go back to work and regular activities in just a few days. If, however, we are doing J Plasma facial resurfacing, recovery may last anywhere from 2-4 weeks. Depending on the area being treated, we may just send you home with some Motrin or Tylenol. For more extensive areas, however, we do prescribe narcotic pain medication that should only be needed for the first couple of days after surgery. ## Am I a Good Candidate? There is no definitive way for us to determine your candidacy for this procedure without you coming into our office for a consultation appointment. Typically, patients who have loose skin that needs some tightening are more suitable candidates for this procedure. Are you interested in taking the next steps to learn more about this procedure? If so, [contact](/contact/) our Washington, D.C. office at [(202) 785-4187](tel:(202) 785-4187) [Previous Post](/skincare/) --- ## The Best Treatments for Sagging Jowls: Non-Surgical and Surgical Solutions **Link:** [The Best Treatments for Sagging Jowls: Non-Surgical and Surgical Solutions](https://www.westendplasticsurgery.com/blog/the-best-treatments-for-sagging-jowls-non-surgical-and-surgical-solutions/) ([md](https://www.westendplasticsurgery.com/blog/the-best-treatments-for-sagging-jowls-non-surgical-and-surgical-solutions/index.html.md)) **Description:** Discover how liposuction and muscle repair in Washington, D.C., can help you achieve a toned, ideal waistline. Learn about options to enhance your body contour. ### Content As we age, sagging jowls can be one of the first signs that our skin is losing its elasticity. They can give the face a heavier, older look, and for many, this change around the jawline feels at odds with how they feel inside. The good news? There are a variety of effective treatments available, both surgical and non-surgical, to help lift and define the lower face. In this post, we’ll explore the best treatments available for sagging jowls so that you can decide which approach best suits your needs. ## Non-Surgical Treatments for Sagging Jowls **Radiofrequency Microneedling (Virtue RF)** Radiofrequency (RF) microneedling, like the Virtue RF, combines microneedling with radiofrequency energy to stimulate collagen production deep within the skin. The RF energy heats underlying tissue, promoting a firming and tightening effect over time, making it ideal for those with mild jowl sagging. - Best for: Mild to moderate sagging. - Downtime: Mild redness and swelling for a day or two. - Results: Gradual, improving over 3-6 months as new collagen forms. **Dermal Fillers ** Dermal fillers can provide a quick lift to sagging jowls by restoring lost volume in the cheeks and around the jawline. By filling these areas, fillers create a subtle lift, reducing the appearance of jowls and creating a more youthful contour. - Best for: Early signs of sagging. - Downtime: Minimal, with some mild swelling or bruising. - Results: Immediate, lasting from 6 months to 2 years, depending on the type of filler used. **Botox for Jawline Contouring** While Botox doesn’t lift sagging skin, it can contour the jawline by relaxing the masseter muscles, making the jawline look slimmer and more sculpted. - Best For: Those looking to soften a square jawline and improve overall facial harmony. - Pros: Quick and effective with no recovery time. - Cons: Results last 3-6 months and do not address significant sagging. **Renuvion (J-Plasma) Skin Tightening (Non-Surgical & Surgical)** Renuvion combines helium plasma and radiofrequency energy to create controlled tissue contraction, tightening the skin from within. This treatment is often paired with liposuction for optimal contouring and can provide noticeable improvement in the appearance of jowls. This can be performed under local anesthesia or general anesthesia. - Best for: Moderate sagging and those seeking a more defined jawline without a facelift. - Downtime: Mild swelling, with results improving over several months. - Results: Long-lasting, with significant tightening visible over 6-12 months. ## Surgical Treatments for Sagging Jowls **Facelift/Deep Plane Facelift ** For more advanced signs of aging, a deep plane facelift offers the most comprehensive rejuvenation. This technique lifts deeper facial layers, giving dramatic and natural results that can last over a decade. - Best for: Significant sagging and jowling. - Downtime: 2-3 weeks for most people, with final results visible after several months. - Results: Long-lasting, with some patients experiencing results for up to 15 years. **Mini Facelift** A mini-facelift targets the lower half of the face, including the jowls and jawline. The surgeon lifts and repositions underlying tissue, creating a more youthful contour with longer-lasting results compared to non-surgical options. - Best for: Moderate to severe sagging. - Downtime: 1-2 weeks, depending on the individual. - Results: Long-lasting (typically 5-10 years or more). **Neck Lift** Often performed in conjunction with a facelift, a neck lift focuses on tightening the skin and muscles around the neck and jawline. This procedure can significantly improve the appearance of sagging jowls. - Best For: Patients with sagging jowls and excess skin under the chin and neck. - Pros: Long-lasting results and a smooth, youthful neck and jawline. - Cons: Requires surgery and recovery time. ## Which Treatment Is Right for You? When it comes to treating sagging jowls, there is no one-size-fits-all solution. The choice depends on several factors, including the severity of the sagging, your age, skin quality, and your personal preferences regarding downtime and longevity of results. Consulting with a board-certified plastic surgeon or an experienced aesthetic specialist is essential to develop a treatment plan tailored to your goals. ## Schedule a Consultation in Washington, D.C. At West End Plastic Surgery, we offer a full range of options, from non-surgical skin-tightening treatments to surgical lifts. Book a consultation today to discover the best approach for your unique needs and reclaim a youthful, defined jawline! If you’re ready to learn more, contact [West End Plastic Surgery](/) at [(202) 785-4187](tel:(202) 785-4187)** **to [schedule a consultation](/contact/). Our experienced team is here to answer your questions and guide you through the process. Your journey to a more sculpted body starts here. [Previous Post](/blog/fat-transfer-vs-implants-which-is-best-for-breast-augmentation/) --- ## The First Non-Surgical BBL: Everything You Need to Know **Link:** [The First Non-Surgical BBL: Everything You Need to Know](https://www.westendplasticsurgery.com/blog/the-first-non-surgical-bbl-everything-you-need-to-know/) ([md](https://www.westendplasticsurgery.com/blog/the-first-non-surgical-bbl-everything-you-need-to-know/index.html.md)) **Description:** A Sculptra® butt lift is a non-surgical alternative to butt augmentation that can give you a fuller posterior using dermal filler. ### Content Many patients are shocked to learn that a BBL doesn’t always require surgery. Dermal filler can provide the enhancement you’ve been looking for in our Washington, D.C., office! A [Sculptra®](/injectables-fillers/sculptra/) butt lift can help volumize and lift the buttocks without the need for fat grafting and liposuction. ## A Fuller Posterior Thanks to Filler Traditional Brazilian butt lift procedures are also known as buttocks augmentation or buttocks enhancement. They involve using fat taken from the hips, abdomen, lower back, or thighs, purifying it, and transferring it to your posterior. Your surgeon injects the fat directly into the buttocks at specific points to enhance the lift, shape, and volume. The results are incredible, but many patients want to avoid the need for liposuction or surgery. To meet their demands, experts have developed a method of using the dermal filler Sculptra to enhance the gluteal region. ## The Benefits of a Non-Surgical BBL Sculptra is typically used as a dermal filler to address age-related skin concerns. When it comes to buttocks enhancement, the filler offers long-lasting lift and volume to give you a perkier posterior without the risk of liposuction complications. A Sculptra butt lift stimulates collagen through [poly-L-lactic acid](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10286883/), a biodegradable compound, which boosts volume. The results are natural-looking and last two to five years, depending on your anatomy and body’s absorption rate. ## A Great Alternative if You Don’t Qualify for a BBL Some patients do not have enough body fat to qualify for a traditional Brazilian butt lift. In the past, their only other option was implants, which is still a surgical procedure. Sculptra opens the doorway for non-surgical enhancement that creates a more voluminous, shapely gluteal region without incisions. It is important to note that a non-surgical BBL is not typically a one-time procedure. To achieve the best results, most patients require three treatments over the course of three months. ## Discuss Non-Surgical BBL With Us If you are ready to explore your treatment options, please contact us at West End Plastic Surgery in Washington, D.C. Our staff of board-certified plastic surgeons, physician assistants, nursing professionals, and aestheticians are committed to helping you achieve your dream body. Please [request your consultation online](/consultation/) or call the office at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/skincare/) --- ## The Positive Impact of Neck Lift Surgery **Link:** [The Positive Impact of Neck Lift Surgery](https://www.westendplasticsurgery.com/blog/the-positive-impact-of-neck-lift-surgery/) ([md](https://www.westendplasticsurgery.com/blog/the-positive-impact-of-neck-lift-surgery/index.html.md)) **Description:** Enhance your facial aesthetics with neck lift surgery. Discover its benefits and expert care at West End Plastic Surgery in Washington, D.C. ### Content As we age, the effects of gravity, sun exposure, and the natural loss of skin elasticity become increasingly apparent, particularly in the neck area. The skin around the neck can lose its elasticity, leading to sagging and the development of what is commonly referred to as a “turkey neck.” Additionally, weight fluctuations and genetic factors can contribute to the appearance of an aged neck. For many, these changes can affect self-esteem and how they feel about their overall appearance. [Neck lift surgery](/face/neck-lift/) offers a solution to these concerns, providing a range of positive impacts that can enhance both appearance and confidence. Here are some of the positive impacts of neck lift surgery. ## What Is Neck Lift Surgery? Neck lift surgery (also referred to as platysmaplasty) is a cosmetic procedure designed to improve the appearance of the neck and jawline by removing excess skin and fat, tightening underlying muscles, and redraping the skin to create a smoother, more youthful contour. This procedure can address issues such as neck bands, jowls, and excess fat deposits under the chin. The procedure can be performed alone or in conjunction with other facial surgeries, such as a facelift or liposuction, for more comprehensive rejuvenation. ## Benefits of Neck Lift Surgery - **Youthful Appearance: **One of the most significant benefits of neck lift surgery is the restoration of a youthful appearance. By addressing sagging skin, deep creases, and fatty deposits, the procedure can help you achieve a more toned and youthful neck and jawline. This can make a considerable difference in how old you look and feel. - **Enhanced Facial Harmony:** A neck lift can significantly improve the balance between your neck and face. By creating a smoother, more defined neck contour, the procedure can enhance your overall facial harmony and make you look more youthful. - **Better-Defined Jawline:** A well-defined jawline is often associated with youth and vitality. Neck lift surgery can remove excess fat and tighten the skin around the jawline, creating a more sculpted and attractive profile. This can also improve the balance and harmony of your facial features. - **Boosted Self-Confidence: **Many people find that addressing visible [signs of aging](https://www.jeffersonhealth.org/your-health/living-well/signs-of-aging-you-shouldnt-ignore) boosts their self-esteem. The psychological benefits of looking younger and more vibrant are profound. Many patients report increased self-confidence and self-esteem following their neck lift surgery. Feeling good about your appearance can positively impact various aspects of your life, from social interactions to professional opportunities. - **Improved Skin Quality:** In addition to tightening and lifting, a neck lift can also improve the quality of the skin. The removal of excess skin can help reduce the appearance of fine lines and wrinkles while repositioning the skin can enhance its overall texture and tone. - **Natural-Looking Results:** Modern neck lift techniques are designed to produce natural-looking results. We can achieve a rejuvenated appearance without the telltale signs of surgery, such as overly tight skin or visible scars. This ensures that you look like a more refreshed version of yourself rather than appearing “done.” - **Long-Lasting Effects: **While no procedure can halt the aging process entirely, the results of a neck lift are long-lasting. Most patients enjoy the benefits of their surgery for many years, especially when combined with a healthy lifestyle and good skincare practices. This long-term improvement makes the investment in neck lift surgery worthwhile. Neck lift surgery can have a profoundly positive impact on your appearance and self-confidence. By addressing the signs of aging in the neck and jawline, this procedure can help you achieve a more youthful, refreshed look that aligns with how you feel inside. ## Schedule a Neck Lift Consultation in Washington, D.C. If you’re interested in learning more about how neck lift surgery can enhance your facial aesthetics, we invite you to contact West End Plastic Surgery. Our team of experts is here to address your questions and guide you through the process, helping you weigh the available options and make the right decisions about your care. Call us today at **[(202) 785-4187](tel:(202) 785-4187)** to schedule your consultation and take the first step toward a more youthful, confident you. [Previous Post](/blog/welcome-dr-amir-arsalan-to-west-end-plastic-surgery/) --- ## The Science of Wrinkles (And What to Do About Them) **Link:** [The Science of Wrinkles (And What to Do About Them)](https://www.westendplasticsurgery.com/blog/the-science-of-wrinkles-and-what-to-do-about-them/) ([md](https://www.westendplasticsurgery.com/blog/the-science-of-wrinkles-and-what-to-do-about-them/index.html.md)) **Description:** Discover the science behind wrinkles and how you can treat yours at West End Plastic Surgery in Washington, D.C. ### Content Medically speaking, wrinkles are known as rhytids, but we often call them by where they appear on our bodies — crow’s feet around the eyes, bunny lines around the nose, worry lines on the forehead. No matter the type, you likely want to know the best wrinkle treatment to give you naturally smooth skin. There is nothing wrong with wrinkles or the signs of aging, but we understand that these skin changes can take a toll on your self-confidence. Read on to learn more about how wrinkles form, and some of our top recommendations for addressing them based on your skin, age, and preferences. ## How Wrinkles Form Wrinkles are caused by natural aging. More specifically, wrinkles form as collagen breaks down. By age 50, some people have as much as 50% less collagen than they did when they were younger. Collagen is responsible for skin elasticity, along with elastin, another protein. Lower levels cause looser, sagging skin that can cause telltale creases and pronounced folds. Most people first notice wrinkles emerge in places where their faces move often — expressions like smiling, frowning, and scowling can all cause fine lines to form with age. Genetics also play a role in wrinkle formation. Up to 60% of a person’s wrinkle formation can be attributed to their genes. However, lifestyle factors play a significant role, too. You can prevent wrinkles by avoiding excessive sun exposure, tanning, heavy alcohol consumption, and smoking. ## What Are the Best Wrinkle Treatments? Wrinkles are inevitable — and they’re also the most common reason people seek plastic surgery. Over the years, dozens of procedures have emerged that offer great results and the ability to customize care for each patient’s needs. There are both surgical and non-surgical wrinkle treatments available. Surgically, procedures like a [facelift](/face/facelift/), [blepharoplasty](/face/eyelid-surgery/), and [neck lift](/face/neck-lift/) can dramatically reduce the appearance of wrinkles and fine lines. Non-surgical options, like[ injectables](/injectables-fillers/), [microneedling](https://westendregenmed.com/services/vivace/), [laser treatments](/laser-treatments/), and [chemical peels](/aesthetic-services/chemical-peels/), offer patients an easy way to address their skin concerns with little to no downtime or invasive procedures. For patients 45 and older, surgical procedures may offer greater results because of their skin laxity (sagging). Adults in their 20s-30s can benefit from preventative, non-surgical treatments and a healthy lifestyle that naturally prevents excessive wrinkle formation. ## Get Personalized Treatment For Wrinkles in Washington, D.C. At West End Plastic Surgery, we pride ourselves on bringing our patients the most compassionate, individual care. Drs. Paul G. Ruff IV, Lauren Patrick, Catherine Hannan, and Lexie Wang understand that beauty is far more than skin-deep. They are highly trained in all types of plastic surgery and always go above and beyond to make sure their patients look and feel their best. Please request a consultation with one of our esteemed plastic surgeons by calling [(202) 785-4187](tel:(202) 785-4187). You can also [complete our online contact form](/contact/). [Previous Post](/blog/introducing-toxbooster-the-ultimate-mash-up-of-vi-peel-neurotoxin-injections/) --- ## The solution for tired-looking eyes **Link:** [The solution for tired-looking eyes](https://www.westendplasticsurgery.com/blog/the-solution-for-tired-looking-eyes/) ([md](https://www.westendplasticsurgery.com/blog/the-solution-for-tired-looking-eyes/index.html.md)) **Description:** West End Plastic Surgery The solution for tired-looking eyes - Eyelid Surgery ### Content The eyes are the often the first area of the face that show the signs of aging. Sagging, wrinkles and puffiness can make you look tired or older than you are. If this sounds like you, then you may be a candidate for [eyelid surgery](/face/eyelid-surgery/). Read on to learn more about this plastic surgery procedure and why it’s so popular among patients as they age. - Eyelid surgery, also known as blepharoplasty or eyelid lift, removes excess fat and skin from the upper and lower eyelids, corrects drooping upper lids and reduces puffy bags below the eyes. - Eyelid surgery is a popular plastic surgery procedure among both men and women. It’s a safe, effective procedure that delivers subtle results. No one will know you had work done unless you tell them, but they will notice that you have a more refreshed appearance. - One of the reasons why it’s so popular is because incisions on both the upper and lower eyelids are designed to be hidden. On the upper eyelid, the incision is made at the natural crease, and the remaining scar will fade and soften over time. On the lower eyelid, the incision is made at the lash line or inside so that the scar isn’t visible or as visible. Incisions are closed with very small stitches. - In most cases, this surgery is performed on an outpatient basis. If your surgery is extensive or combined with other procedures, you may need an overnight stay in the hospital. - Patients can start wearing makeup again about a week after surgery, at which time they can return to work or school and other activities. You can drive as soon as you feel comfortable. You’ll want to avoid strenuous activities for at least three weeks after surgery. - Your scars may look slightly pink for six months or longer, but will fade into a nearly invisible white line. It’s important that you protect the scars from sunlight for at least a year after surgery to keep them from discoloration or darkening. Thinking eyelid surgery could be right for you? Call [(202) 785-4187](tel:(202) 785-4187) today to [schedule a consultation](/contact/). [Previous Post](/blog/rejuvenate-your-face-with-fat-grafting/) --- ## Things to consider for your breast augmentation surgery **Link:** [Things to consider for your breast augmentation surgery](https://www.westendplasticsurgery.com/blog/things-to-consider-for-your-breast-augmentation-surgery/) ([md](https://www.westendplasticsurgery.com/blog/things-to-consider-for-your-breast-augmentation-surgery/index.html.md)) **Description:** As the most popular cosmetic surgery in the United States, with more than 300,000 surgeries performed each year, breast augmentation surgery has come a long way. ### Content As the most popular cosmetic surgery in the United States, with more than 300,000 surgeries performed each year, [breast augmentation surgery](/breast/breast-augmentation/) has come a long way. If you’re considering this popular surgery, you will have lots to discuss during your thorough consultation. With the guidance of your surgeon, you will need to decide the type of implants you want as well as their size, texture, shape and position. Here, we talk about all the considerations that go into choosing implants. ## Implant type Breast implants are made of outer silicone shells that are filled with either saline or silicone gel. Each type offers its own benefits over the other. Saline implants are made of sterile saltwater solution and are filled after placement, which means incisions can be smaller. Silicone gel implants are pre-filled, which means they require larger incisions to insert the implant into the breast implant pocket. Silicone implants tend to be the most popular implant type because they feel most like natural breast tissue. One of the biggest drawbacks to silicone implants is that you may not know if they rupture and may require an MRI to detect, whereas when a saline implant ruptures, the implant collapses as the sterile saltwater is absorbed and naturally expelled by the body. ## Implant size During your consultation, your surgeon will use several approaches to help you visualize and choose the right size for you. You will review photos of women who have the breast size and shape you desire. 3-D imaging software will show what you might look like with various types and sizes of implants. You can also touch and feel various sizes and shapes of implants as well. ## Implant shape You also will determine the shape of the implant, which is either round or shaped. They are also called anatomical, teardrop or contoured. Round implants increase fullness, while teardrop implants have a gentler slope and fullness at the bottom for a natural breast shape. ## Implant surface Implants are made using either smooth or textured surfaces. Smooth textured implants can slide around more freely in the implant pocket, while textured implants help the body adhere to the surface of the implant to prevent it from shifting. Shaped implants are made with textured surfaces for this reason. If you are ready to talk about getting a breast augmentation in the New Year, call our office at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). [Previous Post](/laser-treatments/laser-hair-removal/) --- ## Tips For Rhinoplasty Recovery **Link:** [Tips For Rhinoplasty Recovery](https://www.westendplasticsurgery.com/blog/tips-for-rhinoplasty-recovery/) ([md](https://www.westendplasticsurgery.com/blog/tips-for-rhinoplasty-recovery/index.html.md)) **Description:** Rhinoplasty recovery is important for a successful procedure. Let’s look at some tips for recovery. ### Content Rhinoplasty is the surgical altering of the nose, often for cosmetic purposes. Finally getting the rhinoplasty you’ve been looking for can be exciting. However, the most important thing to do after rhinoplasty is proper aftercare. Like with all surgeries, making sure your body heals properly is key to a successful procedure. Thankfully, your surgeon will send you home with the information you need to have a smooth recovery. Let’s go over some tips for [rhinoplasty](/face/rhinoplasty/) recovery. ## **Tips For Recovery** ### Get Lots Of Rest Getting plenty of sleep is important for anyone, but is especially important when your body is healing. Your body uses far less energy and resources while you’re sleeping which allows the body to focus on and promote healing in areas that need it. Sleep with your head elevated for the first week (extra 1-2 pillows). Try to sleep on your back for the first week but if you wake up in the morning and are not on your back, you are fine. Resting is important but we also recommend light walks — no more than 15-20 minutes. Gentle walking helps decrease swelling and improve blood circulation. It also makes you and your body feel better. ### Reduce Swelling Your nose is most likely going to be swollen after rhinoplasty. This is the body’s natural reaction to a surgical procedure. However, it’s best to do what we can to reduce that swelling. Keep your head elevated to approximately 45 degrees for the first week (at least above the level of the heart). It’s recommended that you gently ice your nose and for the first 3 days apply cool compresses to your eyes to decrease swelling. The light 15-20 minute walks will also help with swelling. ### Keep It Healthy Your diet and water intake are important to rhinoplasty recovery. Your body needs the right amount of water and nutrients to heal as efficiently as possible. Make sure you’re eating a balanced diet and drinking plenty of water during your recovery period. ### Using a Humidifier It is extremely important that the inside of your nose is moist. A humidifier can be helpful to prevent dry crusting inside the nose and prevent a dry mouth/throat from mouth breathing when asleep. ### Avoid Nose Contact Your nose has to heal after rhinoplasty and needs to be as undisturbed as possible. This means you should avoid blowing your nose, touching your nose, and anything else that brings unneeded nose contact. Do not blow your nose for 2 weeks after surgery. Use the nasal rinse if you feel stuffy. Avoid glasses resting on your nose for 1 month after surgery (you can use rhinoshields or other devices to rest the glasses). You can safely wear contacts. ## **Trust the Professionals** As mentioned before, the most important thing is to follow your surgeon’s instructions. Our team at West End Plastic Surgery understands that cosmetic procedures don’t end with surgery but when our patient is fully healed and satisfied. Our staff will walk you through every step of the surgical process and make sure you’re sent home with all the information you need to have a successful recovery. We will then continue with follow-up appointments to ensure healing is going appropriately. Contact West End Plastic Surgery at [(202) 785-4187](tel:(202) 785-4187) for a team of doctors dedicated to surgical success. [Previous Post](/blog/renuvion-fda-approved-for-liposuction-use-what-does-this-mean/) --- ## Toxins, Fillers and Lasers…Oh My! How do I Choose? **Link:** [Toxins, Fillers and Lasers…Oh My! How do I Choose?](https://www.westendplasticsurgery.com/blog/toxins-fillers-and-lasers-oh-my-how-do-i-choose/) ([md](https://www.westendplasticsurgery.com/blog/toxins-fillers-and-lasers-oh-my-how-do-i-choose/index.html.md)) **Description:** The most recent statistics from the American Society for Plastic Surgeons confirm that the trend towards non-surgical options continues ### Content The most recent statistics from the [American Society for Plastic Surgeons](https://www.plasticsurgery.org/) confirm that the trend towards non-surgical options continues. We are a society of instant gratification and clearly, surgery means recovery and down time. Toxins, fillers and lasers have been the foundation and remain at the forefront of the movement towards non-surgical cosmetic solutions. They are reliable, time tested and continually improving. **Toxins** (scary but generic term that encompasses the first wrinkle reducer we will talk about) are used to treat lines and wrinkles due to muscle activity. The common ones are the 11’s between the brows, forehead lines and the crow’s feet by the eyes. There are currently three FDA approved toxins available in the United States: [Botox](/injectables-fillers/botox/), [Dysport](/injectables-fillers/dysport/) and [Xeomin](/injectables-fillers/xeomin/). The active component is the same. All the studies that have been performed prove that they all have similar onset, results, duration and safety profiles. Many patients every year come to the office interested in toxins but afraid because of the association with botulism. With appropriate dosing, they are safer than having a bottle of Tylenol in your medicine cabinet. In spite of that, the results speak for themselves. A skilled injector who is good at reading faces can reduce excessive lines, reshape a face and maintaing dynamic expression before you can finish reciting your ABC’s. The results will last about four months on average, but your skin will love you because it has been free of the stress that regular movement places on it. If you think toxins are powerful, **Fillers** can be true wrinkle erasers. The two together are even more effective! The array of fillers is ever evolving and many new options are on the horizon. I recall the early days of collagen and the great but short lived results. Now we have hyaluronic acids ([Restylane](/injectables-fillers/juvederm/), and [Juvederm](/injectables-fillers/juvederm/) product lines), plus calcium hydroxyapatite (say that three times fast) which is [Radiesse](/injectables-fillers/radiesse/) and poly-L-lactic acid (the names keep getting better) or [Sculptra](/injectables-fillers/sculptra/) for pan facial volume restoration. With all the direct to consumer marketing about treating our parentheses (naso-labial folds) it is hard to know which filler is best. They all have their place and unique properties that make them better for different concerns. The most common “complication” is under-treatment due to budgetary constraints but a desire to treat multiple areas with clearly not enough product. Once again, an expert injector with a keen eye for detail should guide a patient so that they can get the most improvement for the dollar spent. On average, most fillers last about nine to twelve months. Finally we come to the **lasers**. The three options together are a rejuvenation trifecta. I hear all the time that a patient was taking a selfie and all of a sudden noticed a little waddle under the chin, jowls, or spots that they hadn’t seen before. The damage from sun and other stressors unfortunately do not show up for years. Lasers can help restore the elasticity and tone to the skin as well as reduce the brown spots and redness that often accompanies the aging process. [IPL](/laser-treatments/ipl-laser/) and [ResurFX](/laser-treatments/resurfx/) are two lasers that do not typically require any recovery or down time, but treat a wide range of concerns. Multiple treatments are required, but they are very effective and may be used on most skin types. Fractional lasers come with recovery time, but more dramatic results. [Clear and Brilliant](/laser-treatments/clear-and-brilliant-laser/), ActiveFX, DeepFX and TotalFX are some of the most effective fractional treatments available. Your skin type, concerns, particular issues and tolerance for recovery will dictate what is best for you. Before ResurFX[.block][] [.hr][] After ResurFX[.block][] Photos courtesy of Matteo Tretti Clementoni, M.D. All of us look at ourselves very differently than anyone else will ever look at us. We see the imperfections that no one else sees. Thankfully there are reliable, [non-surgical options](/non-surgical/) for these concerns. It is apparent that starting early holds back the hands of time and dismisses the wrinkles that would have appeared. Starting early or late is up to the individual, but when you are at a class reunion or family gathering and everyone around you looks significantly older, a flicker of internal happiness will glow through and you will be thanking yourself. Most importantly, see a board certified physician in one of the three primary specialties: plastic surgery, dermatology, or facial plastic surgery, if you are considering any of these treatments. If you have any questions, or want to schedule an appointment to receive your non-surgical treatment, [contact](/contact/) West End Plastic Surgery or give us a call at [(202) 785-4187](tel:(202) 785-4187). Looking forward to hearing from you! [Previous Post](/body/vaginal-rejuvenation/) --- ## Traditional vs. Deep Plane Facelifts: What’s the Difference? **Link:** [Traditional vs. Deep Plane Facelifts: What’s the Difference?](https://www.westendplasticsurgery.com/blog/traditional-vs-deep-plane-facelifts-whats-the-difference/) ([md](https://www.westendplasticsurgery.com/blog/traditional-vs-deep-plane-facelifts-whats-the-difference/index.html.md)) **Description:** Discover the differences between traditional and deep plane facelifts. Learn which facelift option is right for you in Washington, D.C. ### Content When considering facial rejuvenation, the [facelift](/face/facelift/) is a time-tested procedure that can take years off your appearance. But not all facelifts are created equal. Two common surgical approaches are the traditional facelift and the deep plane facelift. Understanding their differences can help you make a decision about which might be best for your goals. At [West End Plastic Surgery](/about/) in Washington, D.C., patients exploring traditional or deep plane facelifts can trust in the expertise of a renowned surgical team committed to delivering natural-looking, transformative results. Led by Dr. Paul Ruff, Dr. Lexie Wang, and Dr. Amir Arsalan, the practice blends advanced techniques with compassionate, personalized care in a state-of-the-art facility. ## What Is a Traditional Facelift? A traditional facelift, also known as an SMAS (Superficial Musculoaponeurotic System) facelift, tightens the skin and underlying muscle layers to reduce sagging in the mid to lower face and jawline. Your surgeon places incisions along the hairline and around the ears, then lifts and repositions facial tissues and removes excess skin for a firmer, youthful contour. **Benefits of a Traditional Facelift:** - Effective at reducing loose skin and wrinkles - Can be customized for individual aging concerns - Less invasive than deep plane surgery - Shorter recovery time in many cases ## What Is a Deep Plane Facelift? A deep plane facelift goes further by lifting the deeper facial tissues and ligaments beneath the SMAS layer. Rather than just pulling or tightening, this technique repositions drooping structures more naturally. It’s particularly effective for restoring cheek volume and smoothing nasolabial folds (the lines between the nose and mouth). **Benefits of a Deep Plane Facelift:** - More natural-looking, longer-lasting results - Improved midface volume and definition - Better correction of deep creases and jowls - Often avoids the “pulled” look ## Reveal a Younger You with Facelift Options in Washington, D.C. The choice between a traditional and a deep-plane facelift depends on age, skin elasticity, aesthetic goals, and facial anatomy. While traditional facelifts may suit those with moderate signs of aging, deep-plane facelifts are ideal for more advanced aging or more comprehensive and natural-looking results. Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/) with one of our board-certified plastic surgeons who can determine the most appropriate technique for your needs. Whichever you choose, both procedures can dramatically enhance your appearance and confidence. [Previous Post](/blog/how-soon-after-giving-birth-can-you-get-a-tummy-tuck/) --- ## Artist’s Reception Event **Link:** [Artist’s Reception Event](https://www.westendplasticsurgery.com/blog/upcoming-events/artists-reception-event/) ([md](https://www.westendplasticsurgery.com/blog/upcoming-events/artists-reception-event/index.html.md)) **Description:** We are excited to be planning for our next artist, Dagmara Weinberg. Please join us for a reception to meet her and to see her amazing artwork! RSVP by March 21st. ### Content We are excited to be planning for our next artist, Dagmara Weinberg. Please join us for a reception to meet her and to see her amazing artwork! RSVP by March 21st. [Previous Post](/blog/when-you-may-want-to-consider-waxing/) --- ## Welcome Dr. Amir Arsalan to West End Plastic Surgery! **Link:** [Welcome Dr. Amir Arsalan to West End Plastic Surgery!](https://www.westendplasticsurgery.com/blog/welcome-dr-amir-arsalan-to-west-end-plastic-surgery/) ([md](https://www.westendplasticsurgery.com/blog/welcome-dr-amir-arsalan-to-west-end-plastic-surgery/index.html.md)) **Description:** West End Plastic Surgery Welcome Dr. Amir Arsalan to West End Plastic Surgery! - Practice News ### Content We are thrilled to introduce Dr. Amir Arsalan, a Board-Certified Plastic Surgeon, who is joining our esteemed team. Dr. Arsalan brings a wealth of experience and a profound dedication to patient care, specializing in breast and body procedures, while also offering facial surgeries. His arrival marks an exciting new chapter for our practice and for the patients in the DMV area. ## A Journey of Excellence Dr. Arsalan’s journey in medicine is marked by a series of impressive academic and professional achievements. He graduated cum laude from the College of William and Mary and went on to earn his Doctor of Medicine degree from Eastern Virginia Medical School. His academic excellence continued as he completed two years of General Surgery Residency at Christiana Care Hospital in Delaware, where he was at the top of his class and scored in the 94th percentile nationwide on the American Board of Surgery In-Training Exam. ## Specialized Training Dr. Arsalan was selected for the highly coveted position in an integrated Plastic and Reconstructive Surgery program at Loma Linda Medical Center. This prestigious training allowed him to work with world-class surgeons across Southern California, including Beverly Hills and Orange County. His comprehensive training provided him with extensive exposure to cosmetic plastic surgery of the face, breast, and body. ## Proven Expertise After completing his residency, Dr. Arsalan began his practice in Virginia Beach, where he treated over 2,000 patients in the Hampton Roads community over the past 2 years. His move to our practice in the DMV area is driven by his desire to return home to Northern Virginia and offer his West Coast training and expertise to our local patients. ## A Personal Touch Dr. Arsalan is not only a highly skilled surgeon but also a compassionate caregiver who prioritizes the well-being and satisfaction of his patients. His approach to plastic surgery combines technical excellence with a personalized touch, ensuring that each patient receives the best possible care. Patients can look forward to benefiting from his innovative techniques and personalized care. ## Education and Credentials - Undergraduate Degree: The College of William and Mary - Doctor of Medicine (MD): Eastern Virginia Medical School - General Surgery Residency: Christiana Care Hospital - Integrated Plastic Surgery Residency: Loma Linda University ## What This Means for Our Patients Dr. Arsalan’s arrival enhances our ability to offer state-of-the-art procedures and comprehensive care tailored to each patient’s unique needs. His expertise in breast and body procedures, combined with his proficiency in facial surgeries, ensures that our patients receive the highest standard of care. We are confident that Dr. Arsalan’s contributions will further elevate the quality of service we provide. Join us in welcoming Dr. Amir Arsalan to West End Plastic Surgery. We look forward to the positive impact he will make and the exceptional care he will deliver to our patients. For more information or to schedule a consultation with Dr. Arsalan, please contact our office at [(202) 785-4187](tel:(202) 785-4187) or email [info@westendplasticsurgery.com](mailto:info@westendplasticsurgery.com) [Previous Post](/blog/how-long-do-breast-implants-last/) --- ## What a Tummy Tuck Can Do For You **Link:** [What a Tummy Tuck Can Do For You](https://www.westendplasticsurgery.com/blog/what-a-tummy-tuck-can-do-for-you/) ([md](https://www.westendplasticsurgery.com/blog/what-a-tummy-tuck-can-do-for-you/index.html.md)) **Description:** Tummy tucks are a great way to enhance your appearance. Click here to learn what a tummy tuck can do for you ### Content Life events can cause your skin to stretch and fat to build up through your midsection such as massive weight loss or pregnancy. Taking on these issues alone can feel like an impossible task. This struggle to improve your figure can hurt your self-confidence and overall quality of life. Luckily, there are treatment options that can help you regain a slim appearance. Many people are utilizing the [tummy tuck](/body/tummy-tuck/) procedure to get their bodies back. By repairing your abdominal muscles and getting rid of excess skin and fat, a tummy tuck can point you in the right direction toward a happier and healthier life. In this blog, we are going to discuss some benefits of the tummy tuck and why it could be exactly what you need. ## **Benefits ** ### **Improved Abdominal Contour** One of the primary benefits of a tummy tuck is the improvement in abdominal contour. The procedure helps to remove excess skin and fat that may be resistant to diet and exercise, resulting in a flatter, firmer, and more toned abdomen. ### **Correction of Muscle Separation (Diastasis Recti)** Tummy tucks repair separated or torn abdominal muscles, giving you a stronger, more stable core. Pregnancy or significant weight fluctuations can cause a condition known as diastasis recti, where the abdominal muscles separate due to the abdomen being stretched. Because the tissue between the muscles has been permanently stretched, no amount of exercise will restore the shape of the abdomen. The separation can make a person’s belly stick out or bulge. During a Tummy Tuck, the muscles of the abdomen are tightening while also removing excess skin and fat for more comprehensive aesthetic rejuvenation. This results in a smoother, flatter, and more toned abdomen. ### Postpartum Body Restoration Pregnancy and childbirth can cause significant changes to a woman’s body, particularly the abdominal region. A tummy tuck can help mothers restore their pre-pregnancy body shape by eliminating excess skin, tightening the muscles, and enhancing overall abdominal contour. This procedure is often combined with other mommy makeover surgeries, such as breast augmentation or lift, to achieve a comprehensive rejuvenation of the body. ### Reduction of Stretch Marks Although a tummy tuck is not specifically aimed at removing stretch marks, it can significantly reduce their appearance. During the procedure, excess skin containing stretch marks is excised, leading to their removal from the treated area. The remaining stretch marks, typically located below the navel, may become less visible or more easily concealable. ### Improve Your Self-Confidence When you look good, you feel good. And that is precisely what a tummy tuck can give you. Many people who have loose or sagging abdominal skin feel self-conscious about their appearance. The tummy tuck works to get rid of excess skin and fat in the abdominal region, leaving you with a slimmer, more contoured figure. Feeling more confident in your body can positively impact various aspects of your life, including social interactions and personal relationships. ## **Get Your Tummy Tuck At West End Plastic Surgery ** A tummy tuck can provide you with numerous benefits that can help you achieve a more contoured appearance. If you think that a tummy tuck could be a good fit for you, West End Plastic Surgery in Washington, D.C. is the best place for you to get that stronger, more toned core that you are looking for. The team at West End Plastic Surgery is full of experienced medical professionals who are ready to help you achieve your goals. [Contact us](/contact/) today at [(202) 785-4187](tel:(202) 785-4187) or visit us online at [www.westendplasticsurgery.com](/) to schedule your consultation. We look forward to working with you! [Previous Post](/blog/dr-lexie-wangs-mission-trip-in-ecuador-with-the-global-smile-foundation/) --- ## What Can Botox Do? **Link:** [What Can Botox Do?](https://www.westendplasticsurgery.com/blog/what-can-botox-do/) ([md](https://www.westendplasticsurgery.com/blog/what-can-botox-do/index.html.md)) **Description:** Botox is perhaps one of the best-known treatments for minimizing the appearance of wrinkles and fine lines in your skin. ### Content Botox is perhaps one of the best-known treatments for minimizing the appearance of wrinkles and fine lines in your skin. But did you know that Botox also has other uses? From excessive sweating to lazy eyes to migraines, Botox can be used to treat a variety of ailments. Here are a few of the [Botox treatments](/injectables-fillers/botox/) we offer. ## First things first, what is Botox? Botox or botulinum toxin is produced by the bacterium Clostridium botulinum. In the 1970s, scientists originally were using botulinum toxin to treat strabismus (i.e., crossed eyes). While researchers were testing this treatment on monkeys, they noticed that botulinum toxin reduced wrinkles. Nowadays, in addition to treating wrinkles, it is injected underneath the skin to treat a variety of conditions. ## Excessive Sweating (Hyperhidrosis) Everybody sweats, but some people sweat more than others. The technical term for this excessive sweating syndrome is hyperhidrosis. This excess sweat can be a source of embarrassment in social situations especially if it manifests on hands or other visible areas. Botox works in this case because it blocks the nerves responsible for activating the sweat glands. If prescription antiperspirants and other medications haven’t worked to manage your hyperhidrosis, Botox may be a good option. ## Teeth Grinding Another use for Botox is treating bruxism, also known as teeth grinding. Unconscious teeth clenching and grinding, either while awake or asleep, can lead to physical painful and severe dental problems. Some of these dental issues include loss of tooth enamel, increased tooth sensitivity, and chipping or flattening of the teeth. In addition to dental issues, chronic teeth grinding can cause headaches, earaches, facial pain, and migraines. Botox injections are not a cure for bruxism, but they can help control uncomfortable symptoms better than a nightguard for some patients. ## Wrinkles Of course, there’s always the tried-and-true use of Botox – anti-aging. Botox is used for the temporary smoothing of frown lines, but can also be used for horizontal forehead lines, crow’s feet, marionette lines near the corners of the mouth, and “smoker’s lines” around the lips. If you’re interested in Botox for any of these conditions or others and you’re in the Washington, D.C. area, [schedule a consultation](/contact/) with us today by calling at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/how-to-recover-after-a-bbl/) --- ## What Does a Non-Surgical Butt Lift Do? **Link:** [What Does a Non-Surgical Butt Lift Do?](https://www.westendplasticsurgery.com/blog/what-does-a-non-surgical-butt-lift-do/) ([md](https://www.westendplasticsurgery.com/blog/what-does-a-non-surgical-butt-lift-do/index.html.md)) **Description:** A non-surgical Brazillian butt lift (BBL) offers in-office butt augmentation without the need for general anesthesia, incisions, or implants. ### Content A non-surgical [Brazillian butt lift (BBL)](/body/brazilian-butt-lift/), AKA the “liquid butt lift,” is a modern spin on butt augmentation that allows you to enhance your posterior without the need for implants or invasive surgery. All it takes is a series of injections in our office, and you can achieve a fuller, shapely derrière. Thanks to the power of fillers — particularly [Sculptra®](/injectables-fillers/sculptra/) and [Radiesse](/injectables-fillers/radiesse/) — both men and women can enhance their buttocks without the downtime and complications of traditional surgical augmentation. We are proud to provide the world’s first dermal filler liquid butt lift at our plastic surgery office in Washington, D.C. Our team is excited about the opportunities this treatment presents for patients, and we want to help you learn everything you need to know about non-surgical BBLs to discover if this is the treatment you’ve been looking for! ## How a Non-Surgical BBL Works View this post on Instagram [A post shared by West End Plastic Surgery (@westendplasticsurgery)](https://www.instagram.com/reel/C1nGHEAxhz7/?utm_source=ig_embed&utm_campaign=loading) The magic of a non-surgical BBL lies in dermal filler. Sculptra® and Radiesse are used off-label to add volume and contour to the buttocks. Hyaluronic acid formulas offer a biocompatible, safe way to enhance the size, shape, and contour of your buttocks without the need for surgery. When injected into the skin, it stimulates collagen production, leading to improved skin elasticity and volume over time. Say goodbye to extensive bruising, swelling, discomfort, and post-op worries, and say hello to a fuller, more voluminous posterior that makes you feel more confident in your body. It also **Limited Time Offer: **Enjoy $750 off your non-surgical BBL treatment in 2024! Email [vanessa@westendplasticsurgery.com](mailto:vanessa@westendplasticsurgery.com) or call 202.785.4187 today. ## What a Non-Surgical Butt Lift Can Do There is far more to non-surgical butt augmentation than simply creating a larger posterior. Non-surgical BBLs can effectively: - Create subtle volume to enhance symmetry - Contour the buttocks for perfect roundness - Removes hip dips - Reduce the appearance of cellulite, stretch marks, and dimples For anyone looking to lift, sculpt, and tone their buttocks without surgery, our experienced medical injectors can help. Thanks to the safety of dermal fillers, more patients than ever can enhance their posteriors without the need for invasive treatment. As a bonus, the use of dermal filler for butt augmentation can be more affordable than a surgical BBL. And because the results are temporary and dissolvable upon request, you can try the liquid approach to buttocks enhancement with fewer risks and worries about not liking the end result! ## Schedule a Consult Today! All of our providers are offering in-person and virtual non-surgical BBL consults. [Contact West End Plastic Surgery](/contact/) in Washington, D.C., today to arrange your appointment! We can’t wait to speak with you. [Previous Post](/blog/maintenance-speaks-how-to-tell-if-youre-up-for-botox/) --- ## What Happens During a Neck Lift? Step-by-Step Guide **Link:** [What Happens During a Neck Lift? Step-by-Step Guide](https://www.westendplasticsurgery.com/blog/what-happens-during-a-neck-lift-step-by-step-guide/) ([md](https://www.westendplasticsurgery.com/blog/what-happens-during-a-neck-lift-step-by-step-guide/index.html.md)) **Description:** Take years off your appearance with a neck lift performed by an expert Washington, D.C., surgeon. Here are the steps of this transformative procedure. ### Content Did you know your neck could be revealing your true age or even making you look older than you are? A [neck lift](/face/neck-lift/) (lower rhytidectomy) is a cosmetic surgery to tighten loose skin, remove excess fat, and redefine the jawline and neck for a more youthful appearance. If you’re considering a neck lift, here’s step-by-step what happens during the procedure. At [West End Plastic Surgery](/about/) in Washington, D.C., our board-certified surgeons, including Dr. Paul G. Ruff IV and Dr. Lexie Wang, specialize in advanced neck lift procedures designed to tighten and rejuvenate the neck for a youthful, contoured appearance. Our AAAASF-accredited surgical suite ensures the highest safety, precision, and personalized care standards, giving patients a seamless and private surgical experience from consultation to recovery. ## Step 1: Consultation and Pre-Op Preparation Before surgery, you’ll meet with your plastic surgeon for a consultation. During this appointment: - Your surgeon will evaluate your neck’s skin elasticity, muscle tone, and fat distribution. - You’ll discuss your goals, medical history, and whether a full neck lift or a mini neck lift is best for you. - Pre-op instructions will include avoiding blood-thinning medications, alcohol, and smoking before surgery. ## Step 2: Anesthesia Administration On the day of your procedure, you are given local anesthesia and sedation or general anesthesia to ensure a pain-free experience. Your surgeon will recommend one based on your specific needs. ## Step 3: Making the Incisions Incision placement depends on the extent of your procedure: - A traditional neck lift involves incisions behind the ears and under the chin. - A limited-incision neck lift may involve smaller incisions around the ears. ## Step 4: Fat Removal & Muscle Tightening Excess fat is removed or repositioned using liposuction or direct excision. Then, the muscle is tightened to reduce banding and improve neck contour. ## Step 5: Skin Redraping & Trimming Once the underlying structures are reshaped, the skin is carefully re-draped over the neck. Any extra skin is trimmed to create a smoother, firmer look. ## Step 6: Closing the Incisions The surgeon closes the incisions with sutures or skin adhesive, which will be removed or dissolve on their own within a few weeks. ## Step 7: Recovery & Healing After the procedure: - Expect some swelling and bruising for the first week. - Most patients return to light activities within 10-14 days. - Full results become visible within a few months as swelling subsides. ## Look Young and Fresh with a Neck Lift in Washington, D.C. A neck lift can dramatically rejuvenate your profile, helping you achieve a firmer, youthful neck and jawline. Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). [Previous Post](/injectables-fillers/sculptra/) --- ## What to expect from a breast reduction **Link:** [What to expect from a breast reduction](https://www.westendplasticsurgery.com/blog/what-to-expect-from-a-breast-reduction/) ([md](https://www.westendplasticsurgery.com/blog/what-to-expect-from-a-breast-reduction/index.html.md)) **Description:** West End Plastic Surgery What to expect from a breast reduction - Breast Reduction for Women ### Content For women who undergo breast reduction surgery, the one thing that most say is that they wish they had done it sooner. Also known as [reduction mammaplasty](/breast/breast-reduction/), a breast reduction consists of removing excess fat, glandular tissue and skin from the breast to achieve a size that’s more in proportion with your body. *If you’re considering a breast reduction, here are seven things you can expect from this life-changing surgery:* - Surgery also alleviates discomfort associated with a condition called macromastia, which means excessively large breasts. - This condition can cause pain that makes it difficult to participate in common physical activities. Many women suffer from back, neck and shoulder pain caused by the weight of their breasts. Some even have shoulder indentations from the bra straps or skin irritation around the breast creases. - Excessively large breasts can cause not only physical distress, but emotional distress as well. Many women experience significant mental health problems because of the size of their breasts. - Even if you don’t have medical issues related to the size of your breasts, you can get a breast reduction as an aesthetic surgical procedure. Many patients choose this because of wardrobe discomfort or social stigmas. - Women who are in good physical health and don’t smoke make good candidates for breast reduction surgery. If you have realistic expectations and a healthy frame of mind, you will do well with this surgery. - A breast reduction may be covered by health insurance, but you will need to work with your insurance company to see if you qualify for coverage. While many insurance plans cover this surgery, others do not. - Talk to your doctor if you are planning on future pregnancies. Many women don’t know that a reduction can affect your ability to breastfeed. Changes can happen in the breasts during pregnancy as well, altering the outcome. A breast reduction can be a life-changing experience for a woman who is concerned with the size of her breasts. To learn more, schedule a consultation by [calling](/contact/) [(202) 785-4187](tel:(202) 785-4187) today. [Previous Post](/blog/am-i-a-candidate-for-vaginal-rejuvenation/) --- ## What to expect from brow lift surgery **Link:** [What to expect from brow lift surgery](https://www.westendplasticsurgery.com/blog/what-to-expect-from-brow-lift-surgery/) ([md](https://www.westendplasticsurgery.com/blog/what-to-expect-from-brow-lift-surgery/index.html.md)) **Description:** West End Plastic Surgery What to expect from brow lift surgery - Brow Lift ### Content If you feel like you look angry or tired all the time, then you can probably blame aging and genetics. As we age, the skin on our face shows lines and wrinkles, especially in the upper third of the face. Some people inherit conditions such as a low, heavy brow or overhanging skin above their nose, making them look older than they are. The good news is that there is a popular plastic surgery that can correct these concerns and give you a more youthful appearance. *Read on to learn what you can expect from [brow lift surgery](/face/brow-lift/). * - Also known as a forehead lift, a brow lift corrects drooping brows and improves the appearance of horizontal lines and wrinkles in the forehead as well as the vertical lines between the eyebrows. - There are two different techniques to perform a brow lift. During a traditional brow lift, there is one long incision made from one ear to the other across the top of the forehead in the hairline. The skin of the forehead is lifted away so underlying tissue can be removed, altered and repositioned. The eyebrows may be elevated at this time. Excess skin will be trimmed away before the incision is closed with sutures or surgical clips. - For an endoscopic brow lift, several small incisions are made within the hairlines. An endoscope is inserted through one of the incisions. This instrument with a camera at the end gives a good view of the area under the forehead skin. Other tools are inserted through the other incisions to manipulate the tissue as necessary prior to the incisions being closed. - The incisions for both techniques are placed within the hairline or in an area that will be less visible once the incision is healed. It will take several months to a year for scars to fade. - No matter which method is used for your surgery, you will achieve the same results: a smoother forehead with a more youthful-looking and raised brow. - Many patients go back to work within 7-10 days after surgery. You can start driving as soon as you are comfortable, but you’ll want to avoid any strenuous activity or exercise for several weeks after surgery. If you are interested in learning more brow lift surgery, call [(202) 785-4187](tel:(202) 785-4187) today to [schedule a consultation](/contact/). [Previous Post](/blog/the-solution-for-tired-looking-eyes/) --- ## What to Expect from Your Filler and Botox Consultation **Link:** [What to Expect from Your Filler and Botox Consultation](https://www.westendplasticsurgery.com/blog/what-to-expect-from-your-filler-and-botox-consultation/) ([md](https://www.westendplasticsurgery.com/blog/what-to-expect-from-your-filler-and-botox-consultation/index.html.md)) **Description:** Before we perform any injectables on our patients, we ask that you come into our office for a brief consultation. ### Content Before we perform any [injectables](/injectables-fillers/) on our patients, we ask that you come into our office for a brief consultation. You consultation will give us the opportunity to help you determine which injectables will give you the results that you want. But, what exactly can you expect from your consultation? ## Voice Your Concerns Typically, during the first part of your consultation, we will have you express your concerns with us. For instance, is your concern more with your fine lines and wrinkles or is it more with volume loss? Once you have established your concerns, then we will move onto the next step of the consultation: the analysis. ## An analysis One of the biggest reasons why we have our patients come into our office is so that we can perform a full facial analysis both statically and dynamically. But how? We will actually have you make certain facial expressions and we will watch you talk; both of these things will allow us to see where you may benefit from things like Botox and fillers. Additionally, we will take a look at where you may have volume deficiencies or volume excess in your skin. ## Create a Plan The final step of your consultation is to create a plan of where we think you would most benefit from Botox and fillers. During this time, we also encourage our patients to ask any questions for voice any concerns— our goal is to make sure that you leave our office feeling excited and confident. Your injectable consultation is designed to help you feel comfortable in your decisions and to ensure that you get the results that you’re hoping for. If you want to [schedule your consultation](/contact/), contact our Washington, D.C. office today and call us at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/3-things-you-may-not-know-about-a-tummy-tuck/) --- ## What to expect with breast reduction surgery **Link:** [What to expect with breast reduction surgery](https://www.westendplasticsurgery.com/blog/what-to-expect-with-breast-reduction-surgery/) ([md](https://www.westendplasticsurgery.com/blog/what-to-expect-with-breast-reduction-surgery/index.html.md)) **Description:** Very large, heavy breasts can cause a variety of medical problems, hygiene concerns and emotional distress. ### Content Very large, heavy breasts can cause a variety of medical problems, hygiene concerns and emotional distress. Women who turn to [breast reduction](/breast/breast-reduction/) surgery find great satisfaction and increased confidence. Here’s what you can expect from this popular surgical procedure. ## Candidates for surgery Also known as reduction mammaplasty, breast reduction is a surgery that provides much relief to women with very large breasts. They often suffer from discomfort and pain in the back, neck and shoulders. They may have poor posture and grooves in their shoulders from bra straps. They may be dealing with skin irritations and rashes underneath the breasts. Women who have these problems are candidates for breast reduction surgery. If you are bothered by the feeling that your breasts are too large, are out of proportion with the rest of your body, and that their size limits your physical activity, you would make a good candidate. Women who are considering surgery need to be in good physical health and have realistic expectations for surgery. Women who are breastfeeding or intend to breastfeed are not candidates for surgery. ## Surgery and incisions Breast reduction surgery consists of removing fat, glandular tissue and skin from breasts, contouring smaller, lighter, firmer breasts. Incisions are made in the nipple-areola complex, which is the dark area around the nipple. The incisions extend down to the breast crease and occasionally along the crease. The nipple and areolas are repositioned into the new breasts, and large areolas are reduced at this time as well. Stitches are used to close the incisions, and drains are often put into place to help drain blood and fluid that may collect in the surgical area. The breasts are taped, and a surgical bra is placed over them before you go into recovery. The results of your breast reduction surgery are permanent, and many women wish they had gotten the surgery years before once they experience the relief and new breast size and shape. If you live in Washington, D.C., or surrounding areas, and are interested in learning more about breast reduction surgery, [call our office](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to speak with a staff member and schedule a consultation. [Previous Post](/breast/breast-augmentation/) --- ## When You May Want to Consider Waxing **Link:** [When You May Want to Consider Waxing](https://www.westendplasticsurgery.com/blog/when-you-may-want-to-consider-waxing/) ([md](https://www.westendplasticsurgery.com/blog/when-you-may-want-to-consider-waxing/index.html.md)) **Description:** Waxing is not for everyone, so how can you tell if waxing is something that you may want to consider doing? Let’s take a closer look. ### Content If you have never waxed before, then you may not think that you’ll ever do it. If a razor and some shave cream have been your friend so far, then why make the change? Here at West End Plastic Surgery, we like to help patients get their ideal body and skin, and one of the best ways that we can do that is with professional waxing. But, we do understand that waxing is not for everyone, so how can you tell if waxing is something that you may want to consider doing? Let’s take a closer look. ## You Get Ingrown Hairs If you are notorious for getting ingrown hairs on your bikini area, your underarms, or anywhere else on your body, then you may want to consider waxing. Waxing is one of the fastest ways to get rid of ingrown hairs because it actually pulls the hairs from the follicle which can prevent ingrown hairs from happening. And as long as you keep it up, you shouldn’t have to worry about those pesky hairs coming back anytime soon. ## You Get Razor Burn Another reason why you may want to ditch your razor and try professional waxing is if you get razor burn. Razor burn can be caused by a variety of things including a dirty razor, dry skin, or just even sensitive skin altogether. By creating itching and burning bumps across your skin, razor burn isn’t something that anyone wants to experience. When you wax, however, we can get rid of any and all razor burn because we don’t use a razor at all; it’s as simple as that. ## You Are Sick of Shaving One of the downfalls of shaving is that many people have to shave either every day or every other day to maintain results. With waxing, however, you won’t have to get waxed for at least two weeks on average which means that you get to spend less time shaving and more time doing whatever else in the morning before work. ## Schedule a Consultation Do you want to schedule your first waxing session? [Contact](/contact/) our Washington, D.C. office today and give us a call at [(202) 785-4187](tel:(202) 785-4187). [Previous Post](/blog/how-to-avoid-having-frankenstein-like-scars-after-a-breast-augmentation/) --- ## Which Chemical Peel is Right for Your Skin Type? **Link:** [Which Chemical Peel is Right for Your Skin Type?](https://www.westendplasticsurgery.com/blog/which-chemical-peel-is-right-for-your-skin-type/) ([md](https://www.westendplasticsurgery.com/blog/which-chemical-peel-is-right-for-your-skin-type/index.html.md)) **Description:** Discover which chemical peel is best for your skin type. Learn how peels safely refresh dull, dry, or uneven skin this November in Washington, D.C. ### Content As fall continues to bring cooler, drier air, many of us notice our skin looking a little dull, parched, or uneven. This seasonal shift makes it the perfect time to freshen your complexion with a [chemical peel](/aesthetic-services/chemical-peels/), a highly customizable treatment that gently exfoliates and reveals radiant, healthier skin beneath. Whether you’re dealing with dryness, oiliness, or sensitivity, finding the right peel for your skin type can make all the difference in achieving that fresh, confident glow all season long. At [West End Plastic Surgery](/about/) in Washington, D.C., patients can experience the perfect blend of science and artistry in a compassionate, patient-centered environment. Our expert aesthetic team offers innovative skincare treatments, including customized chemical peels, designed to rejuvenate the skin safely and beautifully while honoring each individual’s unique essence. ## **For Oily or Acne-Prone Skin** If you are constantly battling breakouts or excess oil, a salicylic acid peel is often ideal. The beta-hydroxy acid penetrates deep into pores to clear out any oil, dirt, and dead skin cells that may be contributing to your acne. It also helps calm inflammation and prevent future breakouts, making it a great option for maintaining clearer skin. ## **For Dry or Sensitive Skin** Those with delicate or easily irritated skin should look for lactic acid peels. Derived from milk, lactic acid is gentle yet effective at exfoliating while increasing hydration. It’s a great choice for people with mild discoloration or early signs of aging who want smoother skin without harshness. ## **For Combination or Normal Skin** If your skin is both oily and dry in different areas, glycolic acid peels can help balance your complexion. This popular alpha-hydroxy acid promotes collagen production and brightens dull skin, making it a go-to for improving texture and tone. ## **For Mature or Sun-Damaged Skin** Those dealing with fine lines, wrinkles, or sun damage can benefit from a TCA (trichloroacetic acid) peel. TCA peels are medium-depth treatments that target deeper skin layers to improve elasticity and reduce pigmentation, revealing a more youthful glow. ## Give Your Skin Some Love this Fall with a Chemical Peel in Washington, D.C. Choosing the right chemical peel can transform your skin’s health and appearance. During your consultation, our skincare team will recommend the safest and most effective formula your specific concerns. With expert guidance, you can achieve a radiant, even complexion that lasts all season long. Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). [Previous Post](/blog/open-vs-closed-rhinoplasty-whats-the-difference/) --- ## Who is a good candidate for a lower body lift? **Link:** [Who is a good candidate for a lower body lift?](https://www.westendplasticsurgery.com/blog/who-is-a-good-candidate-for-a-lower-body-lift/) ([md](https://www.westendplasticsurgery.com/blog/who-is-a-good-candidate-for-a-lower-body-lift/index.html.md)) **Description:** West End Plastic Surgery Who is a good candidate for a lower body lift? - Body Implants ### Content Often, women who have experienced pregnancy or men and women who have lost a significant amount of weight may have loose, sagging skin and excess fat that doesn’t respond to diet and exercise. A lower [body lift](/body/body-implants/) is an extensive surgery that can recontour your lower body and give you the results you desire. Read on to learn more about this procedure and who makes a good candidate for surgery. You may be a good candidate if you have excess, loose, sagging skin on the lower body. If you have weakened lower body muscles or excess fat that is concentrated below the skin, then you may be a good candidate. Patients should be in good health, relatively good shape and at or near their desired body weight. If you are not at or near your desired body weight, then you may want to wait to have this procedure. You don’t want to go under the knife an additional time to remove additional excess skin once you do reach your ideal weight. A lower body lift is an extensive surgery as it requires long incisions. The length of the incisions depend on how much skin is being removed. The incisions may stretch across the abdomen and into the upper buttock and outer and inner thigh. Incisions are placed in places where they can be hidden as much as possible to help hide the scars. Scars will fade over time, but you may see some scars once you’ve healed. During surgery, excess sagging skin and fat are removed from the buttock and thigh areas. Remaining skin and tissue are lifted and contoured to give you a smoother, tighter appearance. Once the incisions are closed, gauze dressings are placed over them, and you may need temporary drains to help remove excess fluid. You’ll wear a tight-fitting compression garment over the surgical site to support the body and provide maximum results. This is an inpatient surgery done under general anesthesia and takes up to five hours to complete. You will need to spend 1-2 nights in the hospital after surgery for recovery. If you are interested in learning whether you are a candidate for a lower body lift surgery, call [(202) 785-4187](tel:(202) 785-4187) today to [schedule a consultation](/contact/). [Previous Post](/blog/what-to-expect-from-brow-lift-surgery/) --- ## Why Consider Tummy Tuck After Significant Weight Loss? **Link:** [Why Consider Tummy Tuck After Significant Weight Loss?](https://www.westendplasticsurgery.com/blog/why-consider-tummy-tuck-after-significant-weight-loss/) ([md](https://www.westendplasticsurgery.com/blog/why-consider-tummy-tuck-after-significant-weight-loss/index.html.md)) **Description:** Learn why tummy tuck is beneficial after significant weight loss. West End Plastic Surgery in Washington, D.C. can help you achieve a firmer, toned look. ### Content Losing a substantial amount of weight is a monumental achievement that can significantly improve your health and overall quality of life. However, while shedding those extra pounds is an incredible accomplishment, many people find that their journey doesn’t end there. One very common issue after significant weight loss is excess, sagging skin, particularly around the abdominal area. This is where a [Tummy tuck](/body/tummy-tuck/), or abdominoplasty, can be highly beneficial. ## What is a Tummy Tuck? A tummy tuck, also known as abdominoplasty, is a surgical procedure that removes excess fat and skin from the abdomen and tightens the muscles of the abdominal wall. It helps restore weakened muscles to create a smoother and firmer abdominal profile. It offers several benefits that can help you fully enjoy the results of your weight loss journey. ## Benefits of Tummy Tuck After Significant Weight Loss - **Restoring abdominal contour: **After losing considerable weight, the skin and muscles in the abdomen often do not retract to fit the new body shape. This can leave behind loose, sagging skin that you may not be able to manage through diet and exercise. A tummy tuck removes this excess skin and tightens the underlying muscles. - **Improved Appearance and Confidence:** Excess skin can make it difficult to fully appreciate your weight loss success. It can also make it challenging to find clothing that fits properly and flatters your new body shape. A tummy tuck can enhance your silhouette, helping you look and feel your best. - **Enhances Physical Comfort: **Loose skin, especially within skin folds, can cause chafing, rashes, and even infections, making everyday activities painful. A tummy tuck removes this problematic skin, allowing you to move more comfortably and engage in discomfort-free activities. - **Correction of Abdominal Muscle Separation: **Significant, rapid weight loss can also weaken the abdominal muscles, leading to poor posture and back pain. Significant weight loss can sometimes lead to the separation of abdominal muscles, a condition known as diastasis recti. A tummy tuck can repair and tighten these muscles, which can help improve core strength and stability. This can contribute to overall better physical health and well-being. - **Better Skin Health: **Excess skin is not just a cosmetic concern; it can also lead to health issues such as skin irritation, rashes, and infections. By removing the surplus skin, you can improve your skin health and avoid these potential problems. - **Motivation to Maintain Weight Loss:** Seeing the final results of your weight loss journey can be incredibly motivating. A tummy tuck can provide the finishing touch to your transformation, inspiring you to maintain your healthy habits and stay committed to your fitness goals. A tummy tuck can be a transformative procedure for individuals who have achieved significant weight loss. By addressing excess skin and muscle laxity, it can enhance your appearance, boost your confidence, and improve your quality of life. Your weight loss journey is a testament to your dedication and hard work, and a tummy tuck could be the final step in achieving the body you’ve worked so hard for. ## Book Your Tummy Tuck Consultation in Washington, D.C. By addressing the issue of excess skin, tummy tuck enables you to fully embrace the results of your weight loss journey. If you are considering this procedure, call our Washington, D.C. office at [(202) 785-4187](tel:(202) 785-4187) and book a consultation with West End Plastic Surgery to learn more. Welcome your new look with greater confidence through the tummy tuck procedure. [Previous Post](/blog/the-positive-impact-of-neck-lift-surgery/) --- ## Why Sculptra® Butt Lift is a Great Non-Surgical Alternative **Link:** [Why Sculptra® Butt Lift is a Great Non-Surgical Alternative](https://www.westendplasticsurgery.com/blog/why-sculptra-butt-lift-is-a-great-non-surgical-alternative/) ([md](https://www.westendplasticsurgery.com/blog/why-sculptra-butt-lift-is-a-great-non-surgical-alternative/index.html.md)) **Description:** Discover why the Sculptra® butt lift is a safe, non-surgical alternative for enhancing your curves at West End Plastic Surgery in Washington, D.C. ### Content The [Sculptra® butt lift](/injectables-fillers/sculptra/) delivers a safe, non-surgical approach to improving the shape and fullness of the buttocks, avoiding the need for traditional surgery. Popular in Washington, D.C., it provides a safer, minimally invasive alternative to traditional procedures. At West End Plastic Surgery, [our skilled team](/about/team/), led by Dr. Paul G. Ruff IV, Dr. Lexie Wang, and Dr. Amir Arsalan, delivers exceptional results using the latest in aesthetic treatments. Dr. Ruff, founder of West End Plastic Surgery, has over 25 years of experience and has performed over 18,000 procedures. He’s joined by Dr. Wang, a board-certified surgeon specializing in cosmetic and reconstructive procedures, and Dr. Arsalan, an expert in breast and body cosmetic surgery. Our team is committed to helping you reach your aesthetic goals through safe and effective non-surgical treatments, such as the Sculptra butt lift. ## Key Benefits of the Sculptra Butt Lift The Sculptra butt lift is a non-surgical aesthetic option that uses Sculptra, an FDA-approved dermal filler, to stimulate collagen production and gradually enhance the shape and volume of the buttocks. Here are some of the primary benefits: - **Non-Surgical & Minimally Invasive: **Unlike traditional surgical butt lifts, the Sculptra procedure does not require anesthesia, incisions, or long recovery times. The treatment consists of multiple injections, offering a convenient alternative for those looking to avoid surgery. - **Natural-Looking Results: **The Sculptra butt lift works by encouraging the body’s natural collagen production, leading to gradual and subtle improvements. This process helps achieve more natural-looking results as the enhancements develop over several weeks or months. - **Customization: **Every individual has different goals for their appearance, and the Sculptra butt lift can be tailored to meet specific needs. Whether you seek a subtle lift or a more pronounced enhancement, the procedure can be customized to suit your unique goals, ensuring you achieve the outcome you desire. - **Safety & Low Risk: **Because it is non-surgical, the Sculptra butt lift carries a lower risk of complications compared to traditional surgical options. There is no risk of scarring, and side effects are typically minimal, including mild swelling or bruising at the injection sites. - **Quick Recovery Time: **With the Sculptra butt lift, there is little to no downtime. Most people can resume their daily routines soon after the procedure, making it perfect for those with hectic schedules. This is a significant advantage over surgical butt lifts, which require a more extended recovery period. ## Who Should Consider a Sculptra Butt Lift? The Sculptra butt lift is a great choice for those looking to enhance their curves without the risks or downtime of surgery. Good candidates include: - Those looking for a natural-looking boost in volume and shape. - People who prefer gradual results that develop over time. - Individuals with realistic expectations about what non-surgical enhancement can achieve. If you’re seeking a subtle improvement and are not ready for surgery, the Sculptra butt lift could be the perfect solution for you. ## Enhance Your Curves in Washington, D.C. If you’re ready to improve your shape without undergoing surgery, a Sculptra butt lift at West End Plastic Surgery may be the answer. [Schedule a consultation](/contact/) with our team to learn more about how this non-surgical procedure can help you achieve your desired look. Contact us today at [(202) 785-4187](tel:(202) 785-4187) to find out if the Sculptra butt lift is the right choice for you. [Previous Post](/face/facelift/) --- ## Will I Need a Tummy Tuck After Liposuction? **Link:** [Will I Need a Tummy Tuck After Liposuction?](https://www.westendplasticsurgery.com/blog/will-i-need-a-tummy-tuck-after-liposuction/) ([md](https://www.westendplasticsurgery.com/blog/will-i-need-a-tummy-tuck-after-liposuction/index.html.md)) **Description:** West End Plastic Surgery Will I Need a Tummy Tuck After Liposuction? - Latest News ### Content There are many treatment options to help remove stubborn and unwanted body fat and excess weight. Non-invasive treatments that use thermal radio-frequency energy can successfully remove small to moderate amounts of body fat. However, a more-invasive procedure might be required for more significant amounts. [Liposuction](/body/liposuction/) is a cosmetic surgical procedure used for many years to safely and permanently remove significant amounts of suborn body fat, especially around the abdominal area. Performed under general anesthesia, your surgeon uses a small catheter inserted below the skin to destroy the fat cells and make them easier to remove. The suction in the catheter then permanently removes the fat. This differs slightly from other non-invasive treatments that leave the dead fat cells inside for your body to “clean up” using your natural metabolic processes. While liposuction can remove a significant amount of body fat, there is a limit to how much can be safely removed in a single surgery. However, this can still be significant and potentially create unwanted aesthetic effects. Since liposuction only removes fat from below the skin, excess and flabby skin can remain if a significant amount of fat is removed at once. In these cases, a tummy tuck procedure can be performed in conjunction with liposuction to help fully achieve your desired look. The tummy tuck procedure is considered more invasive and generally takes about 2 to 4 hours to perform. Although there will be a small incision line, this can usually be hidden below your bikini line. A tummy tuck procedure is also a great option if significant weight loss has occurred naturally or after childbirth. This helps to remove excess skin and create a more toned appearance. If you are considering liposuction but are concerned with the amount of fat to be removed, [call the team](/contact/) at West End Plastic Surgery in Washington, D.C., at [(202) 785-4187](tel:(202) 785-4187) or visit [www.westendplasticsurgery.com](/). After a comprehensive consultation, you will have a customized treatment plan to help you achieve all your aesthetic goals. [Previous Post](/body/tummy-tuck/) --- ## Cosmetic Body Contouring Washington, D.C. **Link:** [Cosmetic Body Contouring Washington, D.C.](https://www.westendplasticsurgery.com/body/) ([md](https://www.westendplasticsurgery.com/body/index.html.md)) **Description:** Cosmetic body contouring in Washington, D.C. Board certified plastic surgeons exceeding expectations with stunning body sculpting results in Washington, D.C. ### Content #### Select a topic below to learn more: --- ## Body Contouring Treatments Washington, D.C. **Link:** [Body Contouring Treatments Washington, D.C.](https://www.westendplasticsurgery.com/body-contouring/) ([md](https://www.westendplasticsurgery.com/body-contouring/index.html.md)) **Description:** Body Contouring Treatments available at West End Plastic Surgery in Washington, D.C. ### Content --- ## Cosmetic Breast Procedures Washington, D.C. **Link:** [Cosmetic Breast Procedures Washington, D.C.](https://www.westendplasticsurgery.com/breast/) ([md](https://www.westendplasticsurgery.com/breast/index.html.md)) **Description:** Cosmetic breast procedures in Washington, D.C. Achieve your dream breasts with our board-certified surgeons, providing superior cosmetic breast surgery in Washington. ### Content #### Breast Procedures Overview at West End Plastic Surgery For many women, the size and shape of their breasts has a tremendous impact on their overall self esteem and health. At West End Plastic Surgery, we understand the desire to improve the appearance of your breasts. There are many different procedures offered at West End Plastic Surgery to help you reach your desired goals. These procedures include the following: - Breast Augmentation - Breast Lift - Breast Reduction for Women - Breast Reduction for Men - Breast Augmentation Revision - Nipple & Areola Reduction - Renuvion (J-Plasma) #### Patient Testimonials: #### Breast Procedures Overview *Frequently Asked Questions* #### Schedule a Breast Procedure To learn more about breast procedures offered at West End Plastic Surgery, [contact](/contact/) our office at [(202) 785-4187](tel:202-785-4187). Our practice serves Washington, D.C. and surrounding areas in Maryland and Virginia. --- ## Request Your Consultation **Link:** [Request Your Consultation](https://www.westendplasticsurgery.com/consultation/) ([md](https://www.westendplasticsurgery.com/consultation/index.html.md)) **Description:** Request your plastic surgery consultation with West End Plastic Surgery today! Our practice provides services to Washington, D.C. and surrounding areas. ### Content #### Office Information *West End Plastic Surgery* --- ## Contact Us **Link:** [Contact Us](https://www.westendplasticsurgery.com/contact/) ([md](https://www.westendplasticsurgery.com/contact/index.html.md)) **Description:** Get in touch with West End Plastic Surgery in Washington, D.C. Call, email, or visit our office for consultations, appointments, and inquiries. West End Plastic Surgery ### Content --- ## Facial Cosmetic Procedures Washington, D.C. **Link:** [Facial Cosmetic Procedures Washington, D.C.](https://www.westendplasticsurgery.com/face/) ([md](https://www.westendplasticsurgery.com/face/index.html.md)) **Description:** Facial Cosmetic Procedures in Washington, D.C. Enhance your appearance and regain confidence with any of our surgical or non-surgical face procedures. ### Content #### Facial Cosmetic Procedures at West End Plastic Surgery **Facial cosmetic procedures** can dramatically rejuvenate your appearance, refine your features, and restore youthful contours. Whether you want a more defined jawline, smoother skin, or better facial symmetry, today's innovative surgical and minimally invasive techniques offer tailored solutions. At West End Plastic Surgery, [our expert team of physicians](/about/team/) offers the latest face surgery techniques to patients in Washington, D.C., and surrounding areas. With face surgery, you can restore your facial beauty and get a youthful appearance with natural results. #### Facial Cosmetic Procedures #### Face Procedures #### Why Choose West End Plastic Surgery At [West End Plastic Surgery](/about/), we believe that beauty is personal—and so is your care. Located in the heart of Washington, D.C., our premier cosmetic practice is founded on compassion, respect, and excellence. Whether you're seeking a subtle refinement or a transformative change, our board-certified surgeons—Dr. Paul G. Ruff IV, Dr. Lexie Wang, and Dr. Amir Arsalan—are dedicated to helping you feel confident and empowered in your skin. Our fully accredited surgical suite and advanced aesthetic technology ensure a safe, comfortable, and private experience. Our commitment to *personalized care and innovation* truly sets us apart. We prioritize building genuine relationships rooted in trust, treating each patient with the dignity, courtesy, and understanding they deserve. Our values of compassion, continuous improvement, and integrity guide everything we do, from initial consultation to final results. #### Reveal the Best Version of You with Facial Cosmetic Procedures in Washington, D.C. Whether you're considering a single procedure or a combination approach, facial cosmetic surgery is about restoring confidence and enhancing natural beauty. Call us at [202-869-1900](tel:202-869-1900) today to [book a personalized appointment](/contact/). Our board-certified plastic surgeons can help you explore options and customize a treatment plan. --- ## Facebook Privacy Policy **Link:** [Facebook Privacy Policy](https://www.westendplasticsurgery.com/facebook-privacy-policy/) ([md](https://www.westendplasticsurgery.com/facebook-privacy-policy/index.html.md)) **Description:** West End Plastic Surgery | Facebook Privacy Policy - Our practice serves Washington, D.C. and the surrounding areas. ### Content #### West End Plastic Surgery Privacy Policy West End Plastic Surgery has created this privacy statement in order to demonstrate our firm commitment to privacy. The following discloses our information gathering and dissemination practices for this website: westendplasticsurgery.com. If at any time you find this privacy policy unacceptable, you must immediately leave this website. We respect your privacy. Any information we collect from you, including your email address, will simply be used to send you the information you have requested. We will not give or sell your personal information to any unaffiliated third party. If you give us your email and permission to send more information, you may opt out of receiving any additional email messages at any time, by unsubscribing from our email lis #### Information Gathering We use your IP address to help diagnose problems with our server and to administer our website by (1) identifying which parts of our site are most heavily used (2) to tailor site content to user needs and (3) to generate aggregate statistical reports. We do not link IP addresses to anything personally identifiable. This means that user sessions will be tracked, but the users will remain anonymous. You need not provide West End Plastic Surgery with personally identifying information (e.g., name, telephone number, email address, city and/or state of residence) as a condition of using our site. However, your failure to provide certain personally identifying information when asked will prevent certain features of the website from functioning or will prevent West End Plastic Surgery from effectively responding to certain of your requests. The website will collect only that personally identifying information that you affirmatively provide in response to a direct request. We use a tool called "Google Analytics" to collect information about use of this site. Google Analytics collects information such as how often users visit this site, what pages they visit when they do so, and what other sites they used prior to coming to this site. We use the information we get from Google Analytics only to improve our website. 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Please refer to your browser settings for additional information on disabling cookies or visit Google Analytics' currently available opt-outs for the web. #### Third Party Sites Links within our site may connect to external sites outside of our domain as a convenience to you. If you use these links, you will leave West End Plastic Surgery site. We are not responsible for the privacy practices or the content of such websites, and do not make any representations about them. Before visiting or providing personally identifying information to any third-party website, you should review its privacy policy and practices, and should take those steps necessary to, in your discretion, protect your privacy. #### Copyright Unless otherwise noted, all contents of West End Plastic Surgery website are copyright. All rights reserved. #### Security West End Plastic Surgery has implemented and maintains reasonable security procedures and practices to protect against the unauthorized access, use, modification, destruction or disclosure of your personally-identifying information. #### Equal Opportunity / Affirmative Action West End Plastic Surgery is committed to a policy of equal treatment and opportunity in every aspect of its relations with its faculty, students, and staff members, without regard to age, citizenship status, color, disability, marital or parental status, national origin, race, religion, sex, or sexual orientation. #### Contacting the Homepage If you have any questions about this privacy statement, the practices of this site, or your dealings with this website, you can contact West End Plastic Surgery Phone: [(202) 785-4187](tel:(202) 785-4187) Email: [info@westendplasticsurgery.com](mailto:info@westendplasticsurgery.com) --- ## Financing **Link:** [Financing](https://www.westendplasticsurgery.com/financing/) ([md](https://www.westendplasticsurgery.com/financing/index.html.md)) **Description:** Discover flexible financing options at West End Plastic Surgery to make your aesthetic goals affordable with easy payment plans tailored to your needs. ### Content *West End Plastic Surgery accepts cash, Visa, MasterCard, Discover, and American Express.* Payment by check is also accepted. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. Please [contact us](/contact/) for more information. --- ## Hair Restoration Washington, D.C. **Link:** [Hair Restoration Washington, D.C.](https://www.westendplasticsurgery.com/hair-restoration/) ([md](https://www.westendplasticsurgery.com/hair-restoration/index.html.md)) **Description:** Hair Restoration services available in Washington, D.C. at West End Plastic Surgery. ### Content --- ## HIPAA Privacy Policy **Link:** [HIPAA Privacy Policy](https://www.westendplasticsurgery.com/hipaa-privacy-policy/) ([md](https://www.westendplasticsurgery.com/hipaa-privacy-policy/index.html.md)) **Description:** HIPAA Privacy Policy ### Content #### Summary of the Hipaa Privacy Rule *Introduction* The *Standards for Privacy of Individually Identifiable Health Information *("Privacy Rule") establishes, for the first time, a set of national standards for the protection of certain health information. The U.S. Department of Health and Human Services ("HHS") issued the Privacy Rule to implement the requirement of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). 1 The Privacy Rule standards address the use and disclosure of individuals' health information—called "protected health information" by organizations subject to the Privacy Rule — called "covered entities," as well as standards for individuals' privacy rights to understand and control how their health information is used. Within HHS, the Office for Civil Rights ("OCR") has responsibility for implementing and enforcing the Privacy Rule with respect to voluntary compliance activities and civil money penalties. A major goal of the Privacy Rule is to assure that individuals' health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being.The Rule strikes a balance that permits important uses of information, while protecting the privacy of people who seek care and healing. Given that the health care marketplace is diverse, the Rule is designed to be flexible and comprehensive to cover the variety of uses and disclosures that need to be addressed. This is a summary of key elements of the Privacy Rule and not a complete or comprehensive guide to compliance. Entities regulated by the Rule are obligated to comply with all of its applicable requirements and should not rely on this summary as a source of legal information or advice. To make it easier for entities to review the complete requirements of the Rule, provisions of the Rule referenced in this summary are cited in notes at the end of this document. To view the entire Rule, and for other additional helpful information about how it applies, see the OCR website: https://www.hhs.gov/ocr/hipaa. In the event of a conflict between this summary and the Rule, the Rule governs.Links to the OCR Guidance Document are provided throughout this paper. Provisions of the Rule referenced in this summary are cited in endnotes at the end of this document. To review the entire Rule itself, and for other additional helpful information about how it applies, see the OCR website: https://www.hhs.gov/ocr/hipaa. #### Statutory & Regulatory Background The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, was enacted on August 21, 1996. Sections 261 through 264 of HIPAA require the Secretary of HHS to publicize standards for the electronic exchange, privacy and security of health information. Collectively these are known as the *Administrative Simplification *provisions. HIPAA required the Secretary to issue privacy regulations governing individually identifiable health information, if Congress did not enact privacy legislation within OCR Privacy Rule Summary 2 Last Revised 05/03 three years of the passage of HIPAA. Because Congress did not enact privacy legislation, HHS developed a proposed rule and released it for public comment onNovember 3, 1999. The Department received over 52,000 public comments. The final regulation, the Privacy Rule, was published December 28, 2000.2 In March 2002, the Department proposed and released for public comment modifications to the Privacy Rule. The Department received over 11,000 comments. The final modifications were published in final form on August 14, 2002.3 A text combining the final regulation and the modifications can be found at 45 CFR Part 160 and Part 164, Subparts A and E on the OCR website: https://www.hhs.gov/ocr/hipaa. #### Who is Covered by the Privacy Rule The Privacy Rule, as well as all the Administrative Simplification rules, apply to health plans, health care clearinghouses, and to any health care provider who transmits health information in electronic form in connection with transactions for which the Secretary of HHS has adopted standards under HIPAA (the "covered entities"). For help in determining whether you are covered, use the decision tool at: [.break-all]https://www.cms.hhs.gov/hipaa/hipaa2/support/tools/decisionsupport/default.asp.[] #### OCR Privacy Rule Summary 3 Last Revised 05/03 **Health Care Clearinghouses. ***Health care clearinghouses *are entities that process nonstandard information they receive from another entity into a standard (i.e., standard format or data content), or vice versa. 7 In most instances, health care clearinghouses will receive individually identifiable health information only when they are providing these processing services to a health plan or health care provider as a business associate. In such instances, only certain provisions of the Privacy Rule are applicable to the health care clearinghouse's uses and disclosures of protected health information. 8 Health care clearinghouses include billing services, repricing companies, community health management information systems, and value-added networks and switches if these entities perform clearinghouse functions. **Business** **Associates** **Business Associate Defined. **In general, a business associate is a person or organization, other than a member of a covered entity's workforce, that performs certain functions or activities on behalf of, or provides certain services to, a covered entity that involve the use or disclosure of individually identifiable health information. Business associate functions or activities on behalf of a covered entity include claims processing, data analysis, utilization review, and billing.9 Business associate services to a covered entity are limited to legal, actuarial, accounting, consulting, data aggregation, management, administrative, accreditation, or financial services. However, persons or organizations are not considered business associates if their functions or services do not involve the use or disclosure of protected health information, and where any access to protected health information by such persons would be incidental, if at all. A covered entity can be the business associate of another covered entity. **Business Associate Contract. **When a covered entity uses a contractor or other nonworkforce member to perform *"business associate" *services or activities, the Rule requires that the covered entity include certain protections for the information in a business associate agreement (in certain circumstances governmental entities may use alternative means to achieve the same protections). In the business associate contract, a covered entity must impose specified written safeguards on the individually identifiable health information used or disclosed by its business associates.10 Moreover, a covered entity may not contractually authorize its business associate to make any use or disclosure of protected health information that would violate the Rule. Covered entities that have an existing written contract or agreement with business associates prior to October 15, 2002, which is not renewed or modified prior to April 14, 2003, are permitted to continue to operate under that contract until they renew the contract or April 14, 2004, whichever is first.11 Sample business associate contract language is available on the OCR website at: https://www.hhs.gov/ocr/hipaa/contractprov.html. Also see OCR "Business Associate" Guidance. **What** **Information is** **Protected** **Protected Health Information. **The Privacy Rule protects all *"individually* *identifiable health information" *held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this information "*protected health information (PHI)*."12 OCR Privacy Rule Summary 4 Last Revised 05/03 *"Individually identifiable health information" *is information, including demographic data, that relates to: • the individual's past, present or future physical or mental health or condition, • the provision of health care to the individual, or • the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe can be used to identify the individual.13 Individually identifiable health information includes many common identifiers (e.g*.*, name, address, birth date, Social Security Number). The Privacy Rule excludes from protected health information employment records that a covered entity maintains in its capacity as an employer and education and certain other records subject to, or defined in, the Family Educational Rights and Privacy Act, 20 U.S.C. §1232g. **De-Identified Health Information. **There are no restrictions on the use or disclosure of de-identified health information.14 De-identified health information neither identifies nor provides a reasonable basis to identify an individual. There are two ways to de-identify information; either: 1) a formal determination by a qualified statistician; or 2) the removal of specified identifiers of the individual and of the individual's relatives, household members, and employers is required, and is adequate only if the covered entity has no actual knowledge that the remaining information could be used to identify the individual.15 #### General Principle for Uses and Disclosures **Basic Principle. **A major purpose of the Privacy Rule is to define and limit the circumstances in which an individual's protected heath information may be used or disclosed by covered entities. A covered entity may not use or disclose protected health information, except either: (1) as the Privacy Rule permits or requires; or (2) as the individual who is the subject of the information (or the individual's personal representative) authorizes in writing.16 **Required Disclosures. **A covered entity must disclose protected health information in only two situations: (a) to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information; and (b) to HHS when it is undertaking a compliance investigation or review or enforcement action.17 See OCR "Government Access" Guidance. #### Permitted Uses and Disclosures **Permitted Uses and Disclosures. **A covered entity is permitted, but not required, to use and disclose protected health information, without an individual's authorization, for the following purposes or situations: (1) To the Individual (unless required for access or accounting of disclosures); (2) Treatment, Payment, and Health Care Operations; (3) Opportunity to Agree or Object; (4) Incident to an otherwise permitted use and disclosure; (5) Public Interest and Benefit Activities; and OCR Privacy Rule Summary 5 Last Revised 05/03 (6) Limited Data Set for the purposes of research, public health or health care operations.18 Covered entities may rely on professional ethics and best judgments in deciding which of these permissive uses and disclosures to make. **(1) To the Individual. **A covered entity may disclose protected health information to the individual who is the subject of the information. **(2) Treatment, Payment, Health Care Operations. **A covered entity may use and disclose protected health information for its own treatment, payment, and health care operations activities.19 A covered entity also may disclose protected health information for the treatment activities of any health care provider, the payment activities of another covered entity and of any health care provider, or the health care operations of another covered entity involving either quality or competency assurance activities or fraud and abuse detection and compliance activities, if both covered entities have or had a relationship with the individual and the protected health information pertains to the relationship. See OCR "Treatment, Payment, Health Care Operations" Guidance. ***Treatment ***is the provision, coordination, or management of health care and related services for an individual by one or more health care providers, including consultation between providers regarding a patient and referral of a patient by one provider to another.20 ***Payment ***encompasses activities of a health plan to obtain premiums, determine or fulfill responsibilities for coverage and provision of benefits, and furnish or obtain reimbursement for health care delivered to an individual21 and activities of a health care provider to obtain payment or be reimbursed for the provision of health care to an individual. ***Health care operations ***are any of the following activities: (a) quality assessment and improvement activities, including case management and care coordination; (b) competency assurance activities, including provider or health plan performance evaluation, credentialing, and accreditation; (c) conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs; (d) specified insurance functions, such as underwriting, risk rating, and reinsuring risk; (e) business planning, development, management, and administration; and (f) business management and general administrative activities of the entity, including but not limited to: de-identifying protected health information, creating a limited data set, and certain fundraising for the benefit of the covered entity.22 Most uses and disclosures of psychotherapy notes for treatment, payment, and health care operations purposes require an authorization as described below.23 Obtaining "consent" (written permission from individuals to use and disclose their protected health information for treatment, payment, and health care operations) is optional under the Privacy Rule for all covered entities.24 The content of a consent form, and the process for obtaining consent, are at the discretion of the covered entity electing to seek consent. #### OCR Privacy Rule Summary 6 Last Revised 05/03 **(3) Uses and Disclosures with Opportunity to Agree or Object. **Informal permission may be obtained by asking the individual outright, or by circumstances that clearly give the individual the opportunity to agree, acquiesce, or object. Where the individual is incapacitated, in an emergency situation, or not available, covered entities generally may make such uses and disclosures, if in the exercise of their professional judgment, the use or disclosure is determined to be in the best interests of the individual. ***Facility Directories. ***It is a common practice in many health care facilities, such as hospitals, to maintain a directory of patient contact information. A covered health care provider may rely on an individual's informal permission to list in its facility directory the individual's name, general condition, religious affiliation, and location in the provider's facility.25 The provider may then disclose the individual's condition and location in the facility to anyone asking for the individual by name, and also may disclose religious affiliation to clergy. Members of the clergy are not required to ask for the individual by name when inquiring about patient religious affiliation. ***For Notification and Other Purposes. ***A covered entity also may rely on a individual's informal permission to disclose to the individual's family, relatives, or friends, or to other persons whom the individual identifies, protected health information directly relevant to that person's involvement in the individual's care or payment for care. 26 This provision, for example, allows a pharmacist to dispense filled prescriptions to a person acting on behalf of the patient. Similarly, a covered entity may rely on an individual's informal permission to use or disclose protected health information for the purpose of notifying (including identifying or locating) family members, personal representatives, or others responsible for the individual's care of the individual's location, general condition, or death. In addition, protected health information may be disclosed for notification purposes to public or private entities authorized by law or charter to assist in disaster relief efforts. **(4) Incidental Use and Disclosure. **The Privacy Rule does not require that every risk of an incidental use or disclosure of protected health information be eliminated. A use or disclosure of this information that occurs as a result of, or as "incident to," an otherwise permitted use or disclosure is permitted as long as the covered entity has adopted reasonable safeguards as required by the Privacy Rule, and the information being shared was limited to the "minimum necessary," as required by the Privacy Rule.27 See OCR "Incidental Uses and Disclosures" Guidance. **(5) Public Interest and Benefit Activities. **The Privacy Rule permits use and disclosure of protected health information, without an individual's authorization or permission, for 12 national priority purposes.28 These disclosures are permitted, although not required, by the Rule in recognition of the important uses made of health information outside of the health care context. Specific conditions or limitations apply to each public interest purpose, striking the balance between the individual privacy interest and the public interest need for this information. ***Required by Law. ***Covered entities may use and disclose protected health information without individual authorization as *required by law *(including by OCR Privacy Rule Summary 7 Last Revised 05/03 statute, regulation, or court orders).29 ***Public Health Activities. ***Covered entities may disclose protected health information to: (1) public health authorities authorized by law to collect or receive such information for preventing or controlling disease, injury, or disability and to public health or other government authorities authorized to receive reports of child abuse and neglect; (2) entities subject to FDA regulation regarding FDA regulated products or activities for purposes such as adverse event reporting, tracking of products, product recalls, and postmarketing surveillance; (3) individuals who may have contracted or been exposed to a communicable disease when notification is authorized by law; and (4) employers, regarding employees, when requested by employers, for information concerning a work-related illness or injury or workplace related medical surveillance, because such information is needed by the employer to comply with the Occupational Safety and Health Administration (OHSA), the Mine Safety and Health Administration (MHSA), or similar state law.30 See OCR "Public Health" Guidance; CDC Public Health and HIPAA Guidance. ***Victims of Abuse, Neglect or Domestic Violence. ***In certain circumstances, covered entities may disclose protected health information to appropriate government authorities regarding victims of abuse, neglect, or domestic violence.31 ***Health Oversight Activities. ***Covered entities may disclose protected health information to health oversight agencies (as defined in the Rule) for purposes of legally authorized health oversight activities, such as audits and investigations necessary for oversight of the health care system and government benefit programs.32 ***Judicial and Administrative Proceedings. ***Covered entities may disclos eprotected health information in a judicial or administrative proceeding if the request for the information is through an order from a court or administrative tribunal. Such information may also be disclosed in response to a subpoena or other lawful process if certain assurances regarding notice to the individual or a protective order are provided.33 ***Law Enforcement Purposes. ***Covered entities may disclose protected health information to law enforcement officials for law enforcement purposes under the following six circumstances, and subject to specified conditions: (1) as required by law (including court orders, court-ordered warrants, subpoenas) and administrative requests; (2) to identify or locate a suspect, fugitive, material witness, or missing person; (3) in response to a law enforcement official's request for information about a victim or suspected victim of a crime; (4) to alert law enforcement of a person's death, if the covered entity suspects that criminal activity caused the death; (5) when a covered entity believes that protected health information is evidence of a crime that occurred on its premises; and (6) by a covered health care provider in a medical emergency not occurring on its premises, when necessary to inform law enforcement about the commission and nature of a crime, the location of the crime or crime victims, and the perpetrator of the crime.34 OCR Privacy Rule Summary 8 Last Revised 05/03 ***Decedents. ***Covered entities may disclose protected health information to funeral directors as needed, and to coroners or medical examiners to identify a deceased person, determine the cause of death, and perform other functions authorized by law.35 ***Cadaveric Organ, Eye, or Tissue Donation. ***Covered entities may use or disclose protected health information to facilitate the donation and transplantation of cadaveric organs, eyes, and tissue.36 ***Research*. **"Research" is any systematic investigation designed to develop or contribute to generalizable knowledge.37 The Privacy Rule permits a covered entity to use and disclose protected health information for research purposes, without an individual's authorization, provided the covered entity obtains either: (1) documentation that an alteration or waiver of individuals' authorization for the use or disclosure of protected health information about them for research purposes has been approved by an Institutional Review Board or Privacy Board; (2) representations from the researcher that the use or disclosure of the protected health information is solely to prepare a research protocol or for similar purpose preparatory to research, that the researcher will not remove any protected health information from the covered entity, and that protected health information for which access is sought is necessary for the research; or (3) representations from the researcher that the use or disclosure sought is solely for research on the protected health information of decedents, that the protected health information sought is necessary for the research, and, at the request of the covered entity, documentation of the death of the individuals about whom information is sought.38 A covered entity also may use or disclose, without an individuals' authorization, a limited data set of protected health information for research purposes (see discussion below).39 See OCR "Research" Guidance; NIH Protecting PHI in Research. ***Serious Threat to Health or Safety. ***Covered entities may disclose protected health information that they believe is necessary to prevent or lessen a serious and imminent threat to a person or the public, when such disclosure is made to someone they believe can prevent or lessen the threat (including the target of the threat). Covered entities may also disclose to law enforcement if the information is needed to identify or apprehend an escapee or violent criminal.40 ***Essential Government Functions. ***An authorization is not required to use or disclose protected health information for certain essential government functions. Such functions include: assuring proper execution of a military mission, conducting intelligence and national security activities that are authorized by law, providing protective services to the President, making medical suitability determinations for U.S. State Department employees, protecting the health and safety of inmates or employees in a correctional institution, and determining eligibility for or conducting enrollment in certain government benefit programs.41 OCR Privacy Rule Summary 9 Last Revised 05/03 ***Workers' Compensation. ***Covered entities may disclose protected health information as authorized by, and to comply with, workers' compensation laws and other similar programs providing benefits for work-related injuries or illnesses.42 See OCR "Workers' Compensation" Guidance. **(6) Limited Data Set**. A limited data set is protected health information from which certain specified direct identifiers of individuals and their relatives, household members, and employers have been removed.43 A limited data set may be used and disclosed for research, health care operations, and public health purposes, provide the recipient enters into a data use agreement promising specified safeguards for the protected health information within the limited data set. **Authorized** **Uses and** **Disclosures** **Authorization. **A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.44 A covered entity may not condition treatment, payment, enrollment, or benefits eligibility on an individual granting an authorization, except in limited circumstances.45 An authorization must be written in specific terms. It may allow use and disclosureof protected health information by the covered entity seeking the authorization, or by a third party. Examples of disclosures that would require an individual's authorization include disclosures to a life insurer for coverage purposes, disclosures to an employer of the results of a pre-employment physical or lab test, or disclosures to a pharmaceutical firm for their own marketing purposes. All authorizations must be in plain language, and contain specific information regarding the information to be disclosed or used, the person(s) disclosing and receiving the information, expiration, right to revoke in writing, and other data. The Privacy Rule contains transition provisions applicable to authorizations and other express legal permissions obtained prior to April 14, 2003. 46 **Psychotherapy Notes**47**. **A covered entity must obtain an individual's authorizationto use or disclose psychotherapy notes with the following exceptions48: • The covered entity who originated the notes may use them for treatment. • A covered entity may use or disclose, without an individual's authorization, the psychotherapy notes, for its own training, and to defend itself in legal proceedings brought by the individual, for HHS to investigate or determine the covered entity's compliance with the Privacy Rules, to avert a serious and imminent threat to public health or safety, to a health oversight agency for lawful oversight of the originator of the psychotherapy notes, for the lawful activities of a coroner or medical examiner or as required by law. **Marketing. **Marketing is any communication about a product or service that encourages recipients to purchase or use the product or service.49 The Privacy Rule carves out the following health-related activities from this definition of marketing: • Communications to describe health-related products or services, or payment OCR Privacy Rule Summary 10 Last Revised 05/03 for them, provided by or included in a benefit plan of the covered entity making the communication; • Communications about participating providers in a provider or health plan network, replacement of or enhancements to a health plan, and health-related products or services available only to a health plan's enrollees that add value to, but are not part of, the benefits plan; • Communications for treatment of the individual; and • Communications for case management or care coordination for the individual, or to direct or recommend alternative treatments, therapies, health care providers, or care settings to the individual. Marketing also is an arrangement between a covered entity and any other entity whereby the covered entity discloses protected health information, in exchange for direct or indirect remuneration, for the other entity to communicate about its own products or services encouraging the use or purchase of those products or services. A covered entity must obtain an authorization to use or disclose protected health information for marketing, except for face-to-face marketing communications between a covered entity and an individual, and for a covered entity's provision of promotional gifts of nominal value. No authorization is needed, however, to make a communication that falls within one of the exceptions to the marketing definition. An authorization for marketing that involves the covered entity's receipt of direct or indirect remuneration from a third party must reveal that fact. See OCR "Marketing" Guidance. Limiting Uses and Disclosures to the Minimum Necessary **Minimum Necessary. **A central aspect of the Privacy Rule is the principle of "minimum necessary" use and disclosure. A covered entity must make reasonable efforts to use, disclose, and request only the minimum amount of protected health information needed to accomplish the intended purpose of the use, disclosure, or request.50 A covered entity must develop and implement policies and procedures to reasonably limit uses and disclosures to the minimum necessary. When the minimum necessary standard applies to a use or disclosure, a covered entity may not use, disclose, or request the entire medical record for a particular purpose, unless it can specifically justify the whole record as the amount reasonably needed for the purpose. See OCR "Minimum Necessary" Guidance. The minimum necessary requirement is not imposed in any of the following circumstances: (a) disclosure to or a request by a health care provider for treatment; (b) disclosure to an individual who is the subject of the information, or the individual's personal representative; (c) use or disclosure made pursuant to an authorization; (d) disclosure to HHS for complaint investigation, compliance review or enforcement; (e) use or disclosure that is required by law; or (f) use or disclosure required for compliance with the HIPAA Transactions Rule or other HIPAA Administrative Simplification Rules. **Access and Uses. **For internal uses, a covered entity must develop and implement policies and procedures that restrict access and uses of protected health information based on the specific roles of the members of their workforce. These policies and procedures must identify the persons, or classes of persons, in the workforce who need access to protected health information to carry out their duties, the categories of OCR Privacy Rule Summary 11 Last Revised 05/03 protected health information to which access is needed, and any conditions under which they need the information to do their jobs. **Disclosures and Requests for Disclosures. **Covered entities must establish and implement policies and procedures (which may be standard protocols) for *routine,* *recurring disclosures, or requests for disclosures, *that limits the protected health information disclosed to that which is the minimum amount reasonably necessary to achieve the purpose of the disclosure. Individual review of each disclosure is not required. For non-routine, non-recurring disclosures, or requests for disclosures that it makes*, *covered entities must develop criteria designed to limit disclosures to the information reasonably necessary to accomplish the purpose of the disclosure and review each of these requests individually in accordance with the established criteria. **Reasonable Reliance. **If another covered entity makes a request for protected health information, a covered entity may rely, if reasonable under the circumstances, on the request as complying with this minimum necessary standard. Similarly, a covered ntity may rely upon requests as being the minimum necessary protected health information from: (a) a public official, (b) a professional (such as an attorney accountant) who is the covered entity's business associate, seeking the information to provide services to or for the covered entity; or (c) a researcher who provides the documentation or representation required by the Privacy Rule for research. #### Notice and Other Individual Rights **Privacy Practices Notice*. ***Each covered entity, with certain exceptions, must provide a notice of its privacy practices.51 The Privacy Rule requires that the notice contain certain elements. The notice must describe the ways in which the covered entity may use and disclose protected health information. The notice must state the covered entity's duties to protect privacy, provide a notice of privacy practices, and abide by the terms of the current notice. The notice must describe individuals' rights, including the right to complain to HHS and to the covered entity if they believe their privacy rights have been violated. The notice must include a point of contact for further information and for making complaints to the covered entity. Covered entities must act in accordance with their notices. The Rule also contains specific distribution requirements for direct treatment providers, all other health care providers, and health plans. See OCR "Notice" Guidance. • **Notice Distribution. **A covered health care provider with a *direct treatment* *relationship *with individuals must deliver a privacy practices notice to patients starting April 14, 2003 as follows: o Not later than the first service encounter by personal delivery (for patient visits), by automatic and contemporaneous electronic response (for electronic service delivery), and by prompt mailing (for telephonic service delivery); o By posting the notice at each service delivery site in a clear and prominent place where people seeking service may reasonably be expected to be able to read the notice; and o In emergency treatment situations, the provider must furnish its notice as soon as practicable after the emergency abates. OCR Privacy Rule Summary 12 Last Revised 05/03 Covered entities, whether *direct treatment providers *or *indirect treatment* *providers *(such as laboratories) or *health plans *must supply notice to anyone on request.52 A covered entity must also make its notice electronically available on any web site it maintains for customer service or benefits information. The covered entities in an *organized health care arrangement *may use a joint privacy practices notice, as long as each agrees to abide by the notice content with respect to the protected health information created or received in connection with participation in the arrangement.53 Distribution of a joint notice by any covered entity participating in the organized health care arrangement at the first point that an OHCA member has an obligation to provide notice satisfies the distribution obligation of the other participants in the organized health care arrangement. A health plan must distribute its privacy practices notice to each of its enrollees by its Privacy Rule compliance date. Thereafter, the health plan must give its notice to each new enrollee at enrollment, and send a reminder to every enrollee at least once every three years that the notice is available upon request. A health plan satisfies its distribution obligation by furnishing the notice to the "named insured," that is, the subscriber for coverage that also applies to spouses and dependents. • **Acknowledgement of Notice Receipt. **A covered health care provider with a direct treatment relationship with individuals must make a good faith effort to obtain written acknowledgement from patients of receipt of the privacy practices notice.54 The Privacy Rule does not prescribe any particular content for the acknowledgement. The provider must document the reason for any failure to obtain the patient's written acknowledgement. The provider is relieved of the need to request acknowledgement in an emergency treatment situation. **Access. **Except in certain circumstances, individuals have the right to review and obtain a copy of their protected health information in a covered entity's *designated* *record set*.55 The "designated record set" is that group of records maintained by or for a covered entity that is used, in whole or part, to make decisions about individuals, or that is a provider's medical and billing records about individuals or a health plan's enrollment, payment, claims adjudication, and case or medical management record systems.56 The Rule excepts from the right of access the following protected health information: psychotherapy notes, information compiled for legal proceedings, laboratory results to which the Clinical Laboratory Improvement Act (CLIA) prohibits access, or information held by certain research laboratories. For information included within the right of access, covered entities may deny an individual access in certain specified situations, such as when a health care professional believes access could cause harm to the individual or another. In such situations, the individual must be given the right to have such denials reviewed by a licensed health care professional for a second opinion.57 Covered entities may impose reasonable, cost-based fees for the cost of copying and postage. **Amendment. **The Rule gives individuals the right to have covered entities amend their protected health information in a designated record set when that information is OCR Privacy Rule Summary 13 Last Revised 05/03 inaccurate or incomplete. 58 If a covered entity accepts an amendment request, it must make reasonable efforts to provide the amendment to persons that the individual has identified as needing it, and to persons that the covered entity knows might rely on the information to the individual's detriment.59 If the request is denied, covered entities must provide the individual with a written denial and allow the individual to submit a statement of disagreement for inclusion in the record. The Rule specifies processes for requesting and responding to a request for amendment. A covered entity must amend protected health information in its designated record set upon receipt of notice to amend from another covered entity. **Disclosure Accounting*. ***Individuals have a right to an accounting of the disclosures of their protected health information by a covered entity or the covered entity's business associates.60 The maximum disclosure accounting period is the six years immediately preceding the accounting request, except a covered entity is not obligated to account for any disclosure made before its Privacy Rule compliance date. The Privacy Rule does not require accounting for disclosures: (a) for treatment, payment, or health care operations; (b) to the individual or the individual's personal representative; (c) for notification of or to persons involved in an individual's health care or payment for health care, for disaster relief, or for facility directories; (d) pursuant to an authorization; (e) of a limited data set; (f) for national security or intelligence purposes; (g) to correctional institutions or law enforcement officials for certain purposes regarding inmates or individuals in lawful custody; or (h) incident to otherwise permitted or required uses or disclosures. Accounting for disclosures to health oversight agencies and law enforcement officials must be temporarily suspended on their written representation that an accounting would likely impede their activities. **Restriction Request. **Individuals have the right to request that a covered entity restrict use or disclosure of protected health information for treatment, payment or health care operations, disclosure to persons involved in the individual's health care or payment for health care, or disclosure to notify family members or others about the individual's general condition, location, or death.61 A covered entity is under no obligation to agree to requests for restrictions. A covered entity that does agree must comply with the agreed restrictions, except for purposes of treating the individual in a medical emergency.62 **Confidential Communications Requirements*. ***Health plans and covered health care providers must permit individuals to request an alternative means or location for receiving communications of protected health information by means other than those that the covered entity typically employs.63 For example, an individual may request that the provider communicate with the individual through a designated address or phone number. Similarly, an individual may request that the provider send communications in a closed envelope rather than a post card. Health plans must accommodate reasonable requests if the individual indicates that the disclosure of all or part of the protected health information could endanger the individual. The health plan may not question the individual's statement of endangerment. Any covered entity may condition compliance with a confidential communication request on the individual specifying an alternative address or method of contact and explaining how any payment will be handled. OCR Privacy Rule Summary 14 Last Revised 05/03 **Administrative** **Requirements** HHS recognizes that covered entities range from the smallest provider to the largest, multi-state health plan. Therefore the flexibility and scalability of the Rule are intended to allow covered entities to analyze their own needs and implement solutions appropriate for their own environment. What is appropriate for a particular covered entity will depend on the nature of the covered entity's business, as well as the covered entity's size and resources. **Privacy Policies and Procedures. **A covered entity must develop and implement written privacy policies and procedures that are consistent with the Privacy Rule.64 **Privacy Personnel. **A covered entity must designate a privacy official responsible for developing and implementing its privacy policies and procedures, and a contact person or contact office responsible for receiving complaints and providing individuals with information on the covered entity's privacy practices.65 **Workforce Training and Management. **Workforce members include employees, volunteers, trainees, and may also include other persons whose conduct is under the direct control of the entity (whether or not they are paid by the entity).66 A covered entity must train all workforce members on its privacy policies and procedures, as necessary and appropriate for them to carry out their functions.67 A covered entity must have and apply appropriate sanctions against workforce members who violate its privacy policies and procedures or the Privacy Rule.68 **Mitigation. **A covered entity must mitigate, to the extent practicable, any harmful effect it learns was caused by use or disclosure of protected health information by its workforce or its business associates in violation of its privacy policies and procedures or the Privacy Rule.69 **Data Safeguards. **A covered entity must maintain reasonable and appropriate administrative, technical, and physical safeguards to prevent intentional or unintentional use or disclosure of protected health information in violation of the Privacy Rule and to limit its incidental use and disclosure pursuant to otherwise permitted or required use or disclosure.70 For example, such safeguards might include shredding documents containing protected health information before discarding them, securing medical records with lock and key or pass code, and limiting access to keys or pass codes. See OCR "Incidental Uses and Disclosures" Guidance. **Complaints. **A covered entity must have procedures for individuals to complain about its compliance with its privacy policies and procedures and the Privacy Rule.71 The covered entity must explain those procedures in its privacy practices notice.72 Among other things, the covered entity must identify to whom individuals can submit complaints to at the covered entity and advise that complaints also can be submitted to the Secretary of HHS. **Retaliation and Waiver. **A covered entity may not retaliate against a person for exercising rights provided by the Privacy Rule, for assisting in an investigation by HHS or another appropriate authority, or for opposing an act or practice that the person believes in good faith violates the Privacy Rule.73 A covered entity may not OCR Privacy Rule Summary 15 Last Revised 05/03 require an individual to waive any right under the Privacy Rule as a condition for obtaining treatment, payment, and enrollment or benefits eligibility.74 **Documentation and Record Retention. **A covered entity must maintain, until six years after the later of the date of their creation or last effective date, its privacy policies and procedures, its privacy practices notices, disposition of complaints, and other actions, activities, and designations that the Privacy Rule requires to be documented.75 **Fully-Insured Group Health Plan Exception. **The only administrative obligations with which a fully-insured group health plan that has no more than enrollment data and summary health information is required to comply are the (1) ban on retaliatory acts and waiver of individual rights, and (2) documentation requirements with respect to plan documents if such documents are amended to provide for the disclosure of protected health information to the plan sponsor by a health insurance issuer or HMO that services the group health plan.76 #### Organizational Options The Rule contains provisions that address a variety of organizational issues that may affect the operation of the privacy protections. **Hybrid Entity. **The Privacy Rule permits a covered entity that is a single legal entity and that conducts both covered and non-covered functions to elect to be a "hybrid entity."77 (The activities that make a person or organization a covered entity are its "covered functions."78) To be a hybrid entity, the covered entity must designate in writing its operations that perform covered functions as one or more "health care components." After making this designation, most of the requirements of the Privacy Rule will apply only to the health care components. A covered entity that does not make this designation is subject in its entirety to the Privacy Rule. **Affiliated Covered Entity. **Legally separate covered entities that are affiliated by common ownership or control may designate themselves (including their health care components) as a single covered entity for Privacy Rule compliance.79 The designation must be in writing. An affiliated covered entity that performs multiple covered functions must operate its different covered functions in compliance with the Privacy Rule provisions applicable to those covered functions. **Organized Health Care Arrangement. **The Privacy Rule identifies relationships in which participating covered entities share protected health information to manage and benefit their common enterprise as "organized health care arrangements."80 Covered entities in an organized health care arrangement can share protected health information with each other for the arrangement's joint health care operations.81 **Covered Entities With Multiple Covered Functions. **A covered entity that performs multiple covered functions must operate its different covered functions in compliance with the Privacy Rule provisions applicable to those covered functions.82 The covered entity may not use or disclose the protected health information of an individual who receives services from one covered function (e.g., health care provider) for another covered function (e.g., health plan) if the individual is not involved with the other function. OCR Privacy Rule Summary 16 Last Revised 05/03 **Group Health Plan disclosures to Plan Sponsors. **A group health plan and the health insurer or HMO offered by the plan may disclose the following protected health information to the "plan sponsor"—the employer, union, or other employee organization that sponsors and maintains the group health plan83: • Enrollment or disenrollment information with respect to the group health plan or a health insurer or HMO offered by the plan. • If requested by the plan sponsor, summary health information for the plan sponsor to use to obtain premium bids for providing health insurance coverage through the group health plan, or to modify, amend, or terminate the group health plan. "Summary health information" is information that summarizes claims history, claims expenses, or types of claims experience of the individuals for whom the plan sponsor has provided health benefits through the group health plan, and that is stripped of all individual identifiers other than five digit zip code (though it need not qualify as de-identified protected health information). • Protected health information of the group health plan's enrollees for the plan sponsor to perform plan administration functions. The plan must receive certification from the plan sponsor that the group health plan document has been amended to impose restrictions on the plan sponsor's use and disclosure of the protected health information. These restrictions must include the representation that the plan sponsor will not use or disclose the protected health information for any employment-related action or decision or in connection with any other benefit plan. #### Other Provisions: *Personal Representatives and Minors* **Personal Representatives. **The Privacy Rule requires a covered entity to treat a *"personal representative" *the same as the individual, with respect to uses and disclosures of the individual's protected health information, as well as their individual's rights under the Rule.84 A personal representative is a person legally authorized to make health care decisions on an individual's behalf or to act for a deceased individual or the estate. The Privacy Rule permits an exception when a covered entity has a reasonable belief that the personal representative may be abusing or neglecting the individual, or that treating the person as the personal representative could otherwise endanger the individual. **Special case: Minors. **In most cases, parents are the personal representatives for their minor children. Therefore, in most cases, parents can exercise individual rights, such as access to the medical record, on behalf of their minor children. In certain exceptional cases, the parent is not considered the personal representative. In these situations, the Privacy Rule defers to State and other law to determine the rights of parents to access and control the protected health information of their minor children. If State and other law is silent concerning parental access to the minor's protected health information, a covered entity has discretion to provide or deny a parent access to the minor's health information, provided the decision is made by a licensed healthcare professional in the exercise of professional judgment. See OCR "Personal Representatives" Guidance. OCR Privacy Rule Summary 17 Last Revised 05/03 **State Law** **Preemption. **In general, State laws that are contrary to the Privacy Rule are preempted by the federal requirements, which means that the federal requirements will apply.85 "Contrary" means that it would be impossible for a covered entity to comply with both the State and federal requirements, or that the provision of State law is an obstacle to accomplishing the full purposes and objectives of the Administrative Simplification provisions of HIPAA.86 The Privacy Rule provides exceptions to the general rule of federal preemption for contrary State laws that (1) relate to the privacy of individually identifiable health information and provide greater privacy protections or privacy rights with respect to such information, (2) provide for the reporting of disease or injury, child abuse, birth, or death, or for public health surveillance, investigation, or intervention, or (3) require certain health plan reporting, such as for management or financial audits. **Exception Determination. **In addition, preemption of a contrary State law will not occur if HHS determines, in response to a request from a State or other entity or person, that the State law: • Is necessary to prevent fraud and abuse related to the provision of or payment for health care, • Is necessary to ensure appropriate State regulation of insurance and health plans to the extent expressly authorized by statute or regulation, • Is necessary for State reporting on health care delivery or costs, • Is necessary for purposes of serving a compelling public health, safety, or welfare need, and, if a Privacy Rule provision is at issue, if the Secretary determines that the intrusion into privacy is warranted when balanced against the need to be served; or • Has as its principal purpose the regulation of the manufacture, registration, distribution, dispensing, or other control of any controlled substances (as defined in 21 U.S.C. 802), or that is deemed a controlled substance by State law. **Enforcement** **and Penalties **f**or** **Noncompliance** **Compliance. **Consistent with the principles for achieving compliance provided in the Rule, HHS will seek the cooperation of covered entities and may provide technical assistance to help them comply voluntarily with the Rule.87 The Rule provides processes for persons to file complaints with HHS, describes the responsibilities of covered entities to provide records and compliance reports and to cooperate with, and permit access to information for, investigations and compliance reviews. **Civil Money Penalties. **HHS may impose civil money penalties on a covered entity of $100 per failure to comply with a Privacy Rule requirement.88 That penalty may not exceed $25,000 per year for multiple violations of the identical Privacy Rule requirement in a calendar year. HHS may not impose a civil money penalty under specific circumstances, such as when a violation is due to reasonable cause and did not involve willful neglect and the covered entity corrected the violation within 30 days of when it knew or should have known of the violation. OCR Privacy Rule Summary 18 Last Revised 05/03 --- ## Cosmetic Injectables Washington, D.C. **Link:** [Cosmetic Injectables Washington, D.C.](https://www.westendplasticsurgery.com/injectables-fillers/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/index.html.md)) **Description:** Non-surgical cosmetic injectables and fillers, for wrinkle reduction and treatment in Washington D.C at West End Plastic Surgery. ### Content #### Cosmetic Injectables at a Glance At [West End Plastic Surgery](/about/), we offer a variety of injectable fillers to treat unwanted signs of aging including wrinkles, fine lines, and lost volume. Schedule a [consultation](/consultation/) with one of our providers to see which injectable is best for you! Call us at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### Select a treatment below to learn more: #### Schedule Your Consultation Today! If you are interested in any of our injectables at West End Plastic Surgery, contact us at [(202) 785-4187](tel:(202) 785-4187) to schedule a [consultation](/consultation/) with one of our providers or aestheticians. Our practice serves Washington D.C and surrounding areas. --- ## Laser Skin Treatments Washington, D.C. **Link:** [Laser Skin Treatments Washington, D.C.](https://www.westendplasticsurgery.com/laser-treatments/) ([md](https://www.westendplasticsurgery.com/laser-treatments/index.html.md)) **Description:** Laser skin treatments in Washington, D.C. Refresh and revitalize your skin while removing imperfections. ### Content #### Select a treatment below to learn more: #### What are the various laser treatments used for? At West End Plastic Surgery, we offer a wide assortment of **laser treatments**. These treatments address everything from sun spots to broken facial capillaries, from acne scarring to lines and wrinkles, from removing unwanted hair to removing unwanted tattoos. The different treatments utilizing different laser platforms work to *rejuvenate and resurface the skin on different levels*. Some toil mostly in the epidermis, targeting the melanin in dark spots and the hemoglobin in telangiectasias. Others work in the dermis, delivering heat energy to trigger a boost in collagen production that rejuvenates the skin from within. Others fractionally penetrate the skin to improve texture and skin quality. Others remove the outer epidermis, “resurfacing” the skin more deeply. [Schedule Your Consultation Today!](/consultation/) #### How do these laser skin treatments work? Laser is an acronym that stands for light amplification by stimulated emission of radiation. Lasers deliver a single, narrow wavelength of light energy onto the skin. The wavelength and the pulse duration of the beam of energy vary with different platforms and treatments. Generally speaking, the longer the wavelength, the deeper it penetrates. The shorter the pulse duration, the better it works on small targets. Just for the sake of the overview we want our patients to have here (please click on the individual treatment links for detailed explanations of each), we’re going to break these **laser skin treatments** into four categories: anti-redness, pigmentation, non-ablative resurfacing, and ablative resurfacing. #### Who is an ideal candidate for a laser skin treatment? A better question would be “Who wouldn’t be an ideal candidate?” Every one of us has some or all of the skin issues treated with our various laser treatments at West End Plastic Surgery. That’s part of the beaty of the diverse array of laser treatments we offer — one is sure to match the problem you would like to improve. Really the only people not great candidates for these treatments are those with active skin infections. If you’re prone to the development of keloid scars, some of these treatments are not recommended. Also, some more aggressive laser treatments are not a good match for patients with darker skin tones, as they can create areas of hyperpigmentation. [Questions? Call Us](tel:(202) 785-4187) #### How long do the various laser treatments offered at West End take? The duration of your laser session varies depending upon the area being treated and the laser treatment itself. Many *skin rejuvenation treatments*, such as ThermiTight, Clear + Brilliant, and IPL, take just 30 minutes or so. Laser hair removal and laser tattoo removal, on the other hand, may only take 15-30 minutes but they require a series of sessions to remove the hair or the tattoo. During your [consultation](/consultation/), where we match your skin issues with the perfect laser treatment, we can tell you how long the session will take and if there is any recovery/downtime. #### How long will my results from laser treatments last? **Laser treatments provide a mix of permanent results and results that last for a year or two** but then succumb to the aging process. For instance, IPL treatments to remove broken capillaries on your nose remove the vessels permanently. But that doesn’t mean you won’t produce new capillaries in the future. Clear + Brilliant is intended to help head off some of the signs of aging before they become very prevalent, but you’ll still age. Laser hair removal provides from 80 to 90 percent permanent hair removal across the treated areas. If some of the follicles are damaged but not destroyed, they can return to hair growth. Hormonal changes can also have the same effect. ThermiVA tightens vaginal tissues for up to two years, but again, the march of time wins in the end, requiring maintenance treatments down the road. #### Patient Testimonials: #### Are laser treatments safe? All of the laser treatments we offer at [West End Plastic Surgery](/) have been cleared by the FDA. Each of our staff members handling these treatments has received training direct from the laser manufacturers before being able to perform these treatments. These are safe and effective treatments. #### Schedule Your Consultation Today! Interested in learning more about our laser services? Call our office at [(202) 785-4187](tel:(202) 785-4187) to [schedule your consultation](/contact/) today! Our practice serves Washington, D.C. & all nearby areas. --- ## Our Location **Link:** [Our Location](https://www.westendplasticsurgery.com/location/) ([md](https://www.westendplasticsurgery.com/location/index.html.md)) **Description:** Get directions to West End Plastic Surgery in the beautiful West End area of Washington, D.C. ### Content West End Plastic Surgery is located in Washington, D.C.'s dynamic West End at the threshold of Georgetown. Our building entrance is at the corner of 25th Street and M Street, NW. #### Parking Options #### Directions from Metro Stations To walk from nearby Metro stations, please follow the directions below: - From the Foggy Bottom/GWU station on the Orange or Blue lines: Turn left after exiting the station, walk to the circle and veer left. Continue down Pennsylvania Avenue, then go right on 24th Street. We are on the corner of M and 25th Streets at 2440 M Street, NW. We are on the 2nd floor, Suites 200. - From the Dupont Circle station on the Red Line (about a 15 minute walk): From the circle (Dupont South exit) walk down New Hampshire Avenue, continuing past the Front Page Restaurant. After 3 blocks, go right on M Street at the corner where Meiwah Restaurant is located. Walk 2 blocks, going past the fire station. We are on the left side of the street on the corner of 25th and M Streets at 2440 M Street, NW. We are on the 2nd floor, Suites 200. --- ## Medical Disclaimer **Link:** [Medical Disclaimer](https://www.westendplasticsurgery.com/medical-disclaimer/) ([md](https://www.westendplasticsurgery.com/medical-disclaimer/index.html.md)) **Description:** All content and media on this website are for informational purposes only. They are not a substitute for professional medical advice and should not be relied upon for personal health decisions. Always consult a qualified healthcare provider with any questions about your health, medical condition, or a potential procedure. Never ignore or delay seeking professional medical advice. ### Content All content and media on this website are for **informational purposes only**. They are **not a substitute for professional medical advice** and should not be relied upon for personal health decisions. Always consult a qualified healthcare provider with any questions about your health, medical condition, or a potential procedure. Never ignore or delay seeking professional medical advice because of something you have read here. If you think you may be experiencing a medical emergency, call your doctor, go to the nearest emergency department, or contact emergency services immediately. This website does **not provide all the information required for informed consent** for any surgical or medical procedure. **Results vary by patient**, and no guarantee is expressed or implied by any photo, testimonial, video, or statement on this site. “Before” and “after” images and patient testimonials represent individual experiences and may not reflect typical results. Use of any information from this website is **at your own risk**. Links to external websites or educational materials not created by this practice are followed at your own discretion. This practice is not responsible for the accuracy or claims of third-party sources. If you have questions about this disclaimer or the information provided, please contact our office. --- ## Memberships **Link:** [Memberships](https://www.westendplasticsurgery.com/memberships/) ([md](https://www.westendplasticsurgery.com/memberships/index.html.md)) **Description:** Memberships at West End Plastic Surgery. Discover our prestigious affiliations reflecting our commitment to excellence in patient care and safety. ### Content --- ## Non-Surgical Cosmetic Treatments Washington, D.C. **Link:** [Non-Surgical Cosmetic Treatments Washington, D.C.](https://www.westendplasticsurgery.com/non-surgical/) ([md](https://www.westendplasticsurgery.com/non-surgical/index.html.md)) **Description:** Enhance your face and body with non-surgical cosmetic treatments in Washington, D.C. ### Content #### Non Surgical Services at West End Plastic Surgery West End Plastic Surgery offers an array of *minimally invasive cosmetic procedures* to help you achieve your aesthetic goals, ranging from laser hair removal to injections of BOTOX® Cosmetic. Many men and women who want to look more youthful but aren’t ready for [cosmetic surgery](/surgical/) can choose from injectables and other medical spa treatments. #### Your Non-Surgical Options *Aesthetic Services* #### Body Treatments #### Injectables #### Lasers & Energy #### Hair Restoration If you live in Washington, D.C. or surrounding communities like Arlington and Bethesda, [our team](/about/team/) has got your skin care needs covered. [Request a consultation](/consultation/) online to meet with one of our providers. You can also call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### Before & After Photo Gallery We’re as thrilled with our patients’ results as they are. Check out [our before-and-after photo gallery](/gallery/) and see for yourself the kind of work our talented surgeons do. [Photo Gallery](/gallery/) --- ## Notice To Patients Open Payments Database **Link:** [Notice To Patients Open Payments Database](https://www.westendplasticsurgery.com/open-payment-database-notice/) ([md](https://www.westendplasticsurgery.com/open-payment-database-notice/index.html.md)) **Description:** Notice To Patients Open Payments Database ### Content For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public. You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: [https://openpaymentsdata.cms.gov/](https://openpaymentsdata.cms.gov/) --- ## Resources **Link:** [Resources](https://www.westendplasticsurgery.com/patient-resources/) ([md](https://www.westendplasticsurgery.com/patient-resources/index.html.md)) **Description:** Find the resources needed to assist you when you select West End Plastic Surgery in Washington, D.C. ### Content Patients who choose West End Plastic Surgery in Washington, D.C. enjoy the support of a knowledgeable and friendly staff from their first contact with us. In addition to our website, we offer several resources designed to enhance the efficiency and ease of your visits to our offices. Call us at [(202) 785-4187](tel:(202) 785-4187) if you have additional questions, or [request a consultation](/consultation/) online. #### 2025 Policy Updates In our continuous effort to enhance our service quality and ensure the best experience for our patients, while also accounting for our provider’s time, we have decided to implement the following changes to our office policies: - Deposit Requirement for Appointments Exceeding 90 minutes: Starting 5/01/2025, a 50% deposit will be required for appointments that are longer than 90 minutes. This deposit will be collected at the time of booking to secure the appointment slot. Should you cancel the appointment within the 24-hour cancellation period, you will forfeit your deposit. Should you “No Show” to your appointment, you will forfeit your deposit. - Consultation Fees: To streamline our scheduling process, we will be requiring all consultation fees to be charged at the time of booking to secure the appointment slot. For appointments with our surgeons, the consultation fee is $200. For appointments with our aesthetic provider, the consultation fee is $75. Rhinoplasty (nose) consultations are $300, and this fee may be higher depending on the complexity of the consultation. Your Patient Care Coordinator will discuss any additional details or fees with you prior to scheduling. As a friendly reminder, in alignment with our commitment to respecting our provider’s time, our Cancellation and No-Show Policy still stands as previously implemented. Should you cancel within 24 hours of your appointment time or do not come to your scheduled appointment, your card on file will be automatically charged $175. We believe that these updates will help us better serve our patients while ensuring efficient appointment scheduling and resource management. Your cooperation and understanding are greatly appreciated as we implement these changes. Should you have any questions or require further clarification regarding these policy updates, please do not hesitate to contact our office at [(202) 785-4187](tel:(202) 785-4187). #### Out of Town Patients Get information on local hotels offering preferred rates for our patients. [View Hotels](https://www.westendplasticsurgery.com/patient-resources/out-of-town-patients/) #### Patient Care Instructions Detailed instructions for pre- and post-operation care. #### Pre-Op: #### Post-Op: --- ## Out of Town Patients **Link:** [Out of Town Patients](https://www.westendplasticsurgery.com/patient-resources/out-of-town-patients/) ([md](https://www.westendplasticsurgery.com/patient-resources/out-of-town-patients/index.html.md)) **Description:** Traveling for surgery? Get resources for accommodations, transportation, and post-op care to make your visit to Washington ### Content #### Traveling for Transformation *Out of Town Patients | West End Plastic Surgery, Washington, D.C.* Traveling for plastic surgery should feel seamless, comfortable, and worry-free. At West End Plastic Surgery, we welcome patients from across the country and around the world, providing personalized guidance every step of the way. From planning your trip to your recovery in Washington, D.C., we make the experience convenient, safe, and tailored to your needs. [Let Us Coordinate Your Trip ](/contact/) #### Journey in Comfort *Out-of-Town Patient Quick Guide* Your well-being is our top priority. Our team ensures you feel supported from the moment you schedule your procedure until you safely return home. Whether it’s arranging private follow-up visits, coordinating accommodations, or answering your questions along the way, we are here to provide expert care every step of the journey. #### Personalized Planning *Concierge-Level Coordination* Our team assists with all the details of your visit, from scheduling your consultation and procedures to arranging accommodations and follow-up care. We understand that traveling for surgery requires extra planning, and we strive to make every aspect of your journey as effortless as possible. #### Rest and Recover *Recommended Accommodations* For our out-of-town patients, we recommend staying at the **Fairmont Washington, D.C.**, located just steps from our office: [.block]Fairmont[] [2401 M Street NW, [.block]Washington, D.C. 20037](https://www.google.com/maps/place/Fairmont+Washington+D.C.,+Georgetown/@38.9055619,-77.0538243,17z/data=!4m8!1m2!2m1!1sFairmont++2401+M+Street+NW+Washington,+D.C.+20037!3m4!1s0x89b7b7b5cdb53203:0xa0d0181f9f73ae80!8m2!3d38.9057482!4d-77.0516729)[] [.block]Tel: [1-800-257-7544](tel:1-800-257-7544)[] The Fairmont offers luxurious accommodations and attentive service, providing the ideal environment for rest and recovery. [Check Availability & Rates](https://www.fairmont.com/reservations/check-availability/?hc=WDC&pc=NMDL) #### Private In-Room Follow-Up For out-of-town patients staying at the **Fairmont Washington, D.C.**, we offer a personalized touch: Dr. Ruff will come to your room for your follow-up appointment, ensuring your comfort and convenience during your recovery. #### Airports, Access, and Ease *Airports* Whether you're arriving from near or far, our team is here to assist with travel arrangements and ensure your experience is as seamless as possible. --- ## Plastic Surgery Maryland **Link:** [Plastic Surgery Maryland](https://www.westendplasticsurgery.com/plastic-surgery-maryland/) ([md](https://www.westendplasticsurgery.com/plastic-surgery-maryland/index.html.md)) **Description:** West End Plastic Surgery offers expert plastic surgery for our Maryland patients. Cosmetic, reconstructive, and non-surgical procedures tailored to your goals. ### Content #### Where Your Story Shapes the Results *West End Plastic Surgery* Plastic surgery has long been a trusted way to enhance your natural features, restore your confidence, and improve your quality of life. At West End Plastic Surgery, patients from Maryland and beyond turn to our team of board-certified plastic surgeons for advanced techniques in cosmetic surgery, reconstructive surgery, and non-surgical procedures. With a focus on patient care, safety, and artistry, we provide a broad range of treatments to help patients look and feel their best at every stage of life. #### Recognized Leaders in the Art of Transformation *Meet Our Experienced Plastic Surgeons* Our surgeons bring decades of expertise in plastic and reconstructive surgery, including aesthetic plastic surgery, craniofacial surgery, oral and maxillofacial surgery, hand surgery, and breast reconstruction. With training recognized by the American Board of Plastic Surgery and international organizations such as the Royal College, our surgeons are leaders in their fields. They combine advanced surgical specialty techniques with a deep commitment to patient safety and recovery. From managing trauma and congenital defects like cleft lip and palate, to performing elective surgery such as breast augmentation or forehead lift, our team provides the highest level of care. [Meet Our Team](/about/team/) #### The Face You Show the World *Our Facial Plastic Surgery Procedures* Facial plastic surgery is one of the most prominent areas of our practice. Procedures like facelift, brow lift, and neck lift are performed to correct signs of aging such as sagging skin and wrinkles, while eyelid surgery and lip lift address the eyes and mouth for a refreshed, youthful appearance. Rhinoplasty and facial implants can reshape the nose, chin, or cheek structures for improved harmony and balance. Each procedure is tailored to maintain natural function while enhancing form, helping patients feel confident in how they present to the world. #### A Shape That Feels Truly Yours *Body Procedures* Body contouring helps patients refine their shape and restore confidence in their appearance. Liposuction and 360 liposuction are among the most commonly performed cosmetic procedures, reducing stubborn fat deposits that do not respond to diet or exercise. Tummy tuck surgery tightens the abdominal area after pregnancy or weight loss, while a mommy makeover combines multiple procedures such as breast lift, breast augmentation, and liposuction for full rejuvenation. Brazilian butt lift and cosmetic fat transfer use the patient’s own tissue for natural enhancement, while body implants and post-bariatric surgery reshape areas affected by significant weight changes. #### A Sharper Look for a Stronger You *Procedures for Men* More men are seeking cosmetic plastic surgery and aesthetic surgery than ever before. At West End Plastic Surgery, our surgeons specialize in procedures designed with male features and goals in mind. Male facelift, eyelid surgery for men, and male rhinoplasty refine the face without feminizing it. Liposuction for men and pectoral implants address the body, while gynecomastia surgery (male breast reduction) corrects enlarged breast tissue. Men can also benefit from injectables and non-surgical procedures that reduce wrinkles, define the jawline, and refresh the skin with minimal downtime. #### Achieve the Results You’ve Always Wanted *Revision Plastic Surgery* Patients who have had previous cosmetic surgery may sometimes desire correction or refinement. Our surgeons are experienced in managing revision plastic surgery, from breast augmentation revision to correction of previous cosmetic surgery results involving the nose, face, or body. Revision procedures require a higher level of expertise, as surgeons must work with scar tissue, grafts, and affected structures while preserving function and improving form. At West End Plastic Surgery, patients can trust that their concerns will be carefully managed with precision and compassion. #### Keep You Moving Forward *Non-Surgical Treatments* Not every patient requires surgery to achieve their desired results. Our non-surgical procedures range from cosmetic injectables such as Botox, Juvederm, and Sculptra, to advanced skin treatments like RF microneedling, laser skin resurfacing, chemical peels, and dermaplaning. Non-invasive body treatments like CoolSculpting and lymphatic drainage massage help with contouring and recovery. These aesthetic procedures are performed by skilled providers using advanced technologies, offering improvements in skin, neck, and facial appearance with little to no downtime. #### Confidence That Travels Home With You *Out of Town Patients* Patients often travel to West End Plastic Surgery from across Maryland, the greater D.C. area, and beyond to experience our recognized expertise and personalized care. Our team assists out-of-town patients with every detail, from travel coordination to recovery planning, ensuring a smooth, comfortable treatment experience. Whether undergoing reconstructive surgery for congenital conditions or elective surgery such as liposuction or breast augmentation, patients find a supportive connection that makes their experience seamless and stress-free. #### Plastic Surgery *Frequently Asked Questions* --- ## Plastic Surgery Virginia **Link:** [Plastic Surgery Virginia](https://www.westendplasticsurgery.com/plastic-surgery-virgina/) ([md](https://www.westendplasticsurgery.com/plastic-surgery-virgina/index.html.md)) **Description:** Our Virginia patients choose West End Plastic Surgery for advanced aesthetic surgery, reconstructive care, and nonsurgical treatments in the heart of the DC Metro area. ### Content #### A Destination for Change *Welcome to West End Plastic Surgery* At West End Plastic Surgery, we regularly welcome patients from across Virginia, the DC Metro area, and the greater DMV who travel to Washington, D.C., to experience world-class care in plastic surgery, reconstructive surgery, and cosmetic procedures. Our practice is known for its artistry, advanced technologies, and physicians who see each patient as a whole person—not just a surgery. Whether you are considering aesthetic plastic surgery, breast reconstruction, or non-surgical procedures, our team creates results that feel natural, authentic, and deeply personal. #### Guided by Experience, Focused on You *Our Plastic Surgeons* Our plastic surgeons are recognized leaders in the broad field of plastic and reconstructive surgery, trained in specialties such as aesthetic surgery, craniofacial surgery, and breast reconstruction. Certified by the American Board of Plastic Surgery and recognized by global organizations like the Royal College, they bring unmatched training, expertise, and artistry to every procedure, from elective cosmetic surgeries like breast lift and abdominoplasty to complex reconstructive and revision procedures like revision rhinoplasty. [Meet Our Providers](/about/team/) #### A Reflection of Your True Self *Facial Plastic Surgery Procedures* Facial plastic surgery enhances the features that define your expression. At West End Plastic Surgery, we offer facelifts, eyelid surgery (blepharoplasty), brow lifts, and rhinoplasty to soften signs of aging in the face and bring harmony to your appearance. Chin and cheek procedures, along with neck lift and neck liposuction, create balance and refinement. Every plastic surgery treatment is designed to reflect your identity by delivering a natural appearance that feels both fresh and authentic. #### Proportion With Precision *Body Plastic Surgery Procedures* Body procedures at our practice allow patients to step into a form that feels right for their life and energy. Liposuction, 360 liposuction, and tummy tuck surgery remove stubborn fat and restore abdominal contour. Mommy makeover surgery combines breast lift, breast augmentation, and body contouring for women seeking renewal after pregnancy. Brazilian butt lift, cosmetic fat transfer, and body implants reshape areas where tissue volume has shifted or been lost. Each procedure is performed with care, safety, and artistry, delivering results that reflect your efforts and help you feel at home in your own body. #### Exquisitely Tailored Treatments *Plastic Surgery for Men* More men across Virginia and the DMV are choosing plastic surgery tailored to enhance masculine features. From male facelift and male eyelid surgery to gynecomastia surgery (male breast reduction) and pectoral implants, we offer effective solutions that restore balance and definition. Cosmetic procedures like Botox, dermal fillers, and RF microneedling allow for subtle enhancements with minimal downtime. #### Restoring Trust in Your Surgical Journey *Revision Plastic Surgery* Revision plastic surgery to correct the results of a previous procedure requires advanced surgical expertise, particularly when addressing scar tissue, structural concerns, or an unsatisfactory outcome. Our team regularly performs revision rhinoplasty, breast augmentation correction, and complex facial or body reconstruction. Whether your concerns are aesthetic or functional, we help restore your confidence and satisfaction in the process. #### Everyday Enhancement *Non-Surgical Treatments* Our practice also offers a full range of non-surgical procedures for patients who want effective results without downtime. Injectable cosmetic treatments like Botox, Sculptra, and Juvederm enhance facial features and smooth wrinkles. Energy-based services like RF microneedling, CO2 laser resurfacing, and Clear + Brilliant promote skin rejuvenation. CoolSculpting and Ballancer Pro assist with body contouring, while chemical peels, facials, and skincare treatments support healthy, youthful-looking skin. #### Seamless Care forPatients Beyond D.C. *Out of Town Patients* Patients frequently travel from Virginia, Maryland, and across the DMV to Washington, D.C., to receive care at West End Plastic Surgery. Our team provides guidance on every detail, from travel and accommodations to recovery support, so the experience is seamless from start to finish. No matter where you begin your journey, you leave with results and care that travel home with you. #### Plastic Surgery *Frequently Asked Questions* --- ## 2025 Policy Updates **Link:** [2025 Policy Updates](https://www.westendplasticsurgery.com/policy-updates/) ([md](https://www.westendplasticsurgery.com/policy-updates/index.html.md)) **Description:** Stay informed with the latest 2024 policy updates from West End Plastic Surgery for enhanced patient care and service. ### Content In our continuous effort to enhance our service quality and ensure the best experience for our patients, while also accounting for our provider’s time, we have decided to implement the following changes to our office policies: - Deposit Requirement for Appointments Exceeding 90 minutes: Starting 5/01/2025, a 50% deposit will be required for appointments that are longer than 90 minutes. This deposit will be collected at the time of booking to secure the appointment slot. Should you cancel the appointment within the 24-hour cancellation period, you will forfeit your deposit. Should you “No Show” to your appointment, you will forfeit your deposit. - Consultation Fees: To streamline our scheduling process, we will be requiring all consultation fees to be charged at the time of booking to secure the appointment slot. For appointments with our surgeons, the consultation fee is $200. For appointments with our aesthetic provider, the consultation fee is $75. As a friendly reminder, in alignment with our commitment to respecting our provider’s time, our Cancellation and No-Show Policy still stands as previously implemented. Should you cancel within 24 hours of your appointment time or do not come to your scheduled appointment, there will be a charge of $175. We believe that these updates will help us better serve our patients while ensuring efficient appointment scheduling and resource management. Your cooperation and understanding are greatly appreciated as we implement these changes. Should you have any questions or require further clarification regarding these policy updates, please do not hesitate to contact our office at [(202) 785-4187](tel:(202) 785-4187). --- ## Privacy Policy **Link:** [Privacy Policy](https://www.westendplasticsurgery.com/privacy-policy/) ([md](https://www.westendplasticsurgery.com/privacy-policy/index.html.md)) **Description:** Read the Privacy Policy of West End Plastic Surgery to understand how we protect your personal information and ensure confidentiality. ### Content Last updated: March 10, 2021 This Privacy Policy describes Our policies and procedures on the collection, use and disclosure of Your information when You use the Service and tells You about Your privacy rights and how the law protects You. We use Your Personal data to provide and improve the Service. By using the Service, You agree to the collection and use of information in accordance with this Privacy Policy. [.title-md]**Interpretation and Definitions**[] [.title-sm]**Interpretation**[] The words of which the initial letter is capitalized have meanings defined under the following conditions. The following definitions shall have the same meaning regardless of whether they appear in singular or in plural. [.title-sm]**Definitions**[] For the purposes of this Privacy Policy: - **You** means the individual accessing or using the Service, or the company, or other legal entity on behalf of which such individual is accessing or using the Service, as applicable. Under GDPR (General Data Protection Regulation), You can be referred to as the Data Subject or as the User as you are the individual using the Service. - **Company** (referred to as either "the Company", "We", "Us" or "Our" in this Agreement) refers to West End Plastic Surgery, 2440 M St, NW #200, Washington, D.C. 20037. For the purpose of the GDPR, the Company is the Data Controller. - **Affiliate** means an entity that controls, is controlled by or is under common control with a party, where "control" means ownership of 50% or more of the shares, equity interest or other securities entitled to vote for election of directors or other managing authority. - **Account** means a unique account created for You to access our Service or parts of our Service. - **Website** refers to West End Plastic Surgery, accessible from [https://www.westendplasticsurgery.com](https://www.westendplasticsurgery.com/) - **Service** refers to the Website. - **Country** refers to: D.C., United States - **Service Provider** means any natural or legal person who processes the data on behalf of the Company. It refers to third-party companies or individuals employed by the Company to facilitate the Service, to provide the Service on behalf of the Company, to perform services related to the Service or to assist the Company in analyzing how the Service is used. For the purpose of the GDPR, Service Providers are considered Data Processors. - **Third-party Social Media Service** refers to any website or any social network website through which a User can log in or create an account to use the Service. - **Facebook Fan Page** is a public profile specifically created by the Company on the Facebook social network, accessible from [https://www.facebook.com/](https://www.facebook.com/) - **Personal Data** is any information that relates to an identified or identifiable individual.For the purposes for GDPR, Personal Data means any information relating to You such as a name, an identification number, location data, online identifier or to one or more factors specific to the physical, physiological, genetic, mental, economic, cultural or social identity.For the purposes of the CCPA, Personal Data means any information that identifies, relates to, describes or is capable of being associated with, or could reasonably be linked, directly or indirectly, with You. - **Cookies** are small files that are placed on Your computer, mobile device or any other device by a website, containing the details of Your browsing history on that website among its many uses. - **Device** means any device that can access the Service such as a computer, a cellphone or a digital tablet. - **Usage Data** refers to data collected automatically, either generated by the use of the Service or from the Service infrastructure itself (for example, the duration of a page visit). - **Data Controller**, for the purposes of the GDPR (General Data Protection Regulation), refers to the Company as the legal person which alone or jointly with others determines the purposes and means of the processing of Personal Data. - **Do Not Track** (DNT) is a concept that has been promoted by US regulatory authorities, in particular the U.S. Federal Trade Commission (FTC), for the Internet industry to develop and implement a mechanism for allowing internet users to control the tracking of their online activities across websites. - **Business**, for the purpose of the CCPA (California Consumer Privacy Act), refers to the Company as the legal entity that collects Consumers' personal information and determines the purposes and means of the processing of Consumers' personal information, or on behalf of which such information is collected and that alone, or jointly with others, determines the purposes and means of the processing of consumers' personal information, that does business in the State of California. - **Consumer**, for the purpose of the CCPA (California Consumer Privacy Act), means a natural person who is a California resident. A resident, as defined in the law, includes (1) every individual who is in the USA for other than a temporary or transitory purpose, and (2) every individual who is domiciled in the USA who is outside the USA for a temporary or transitory purpose. - **Sale**, for the purpose of the CCPA (California Consumer Privacy Act), means selling, renting, releasing, disclosing, disseminating, making available, transferring, or otherwise communicating orally, in writing, or by electronic or other means, a Consumer's Personal information to another business or a third party for monetary or other valuable consideration. [.title-md]**Collecting and Using Your Personal Data**[] [.title-sm]**Types of Data Collected**[] **Personal Data** While using Our Service, We may ask You to provide Us with certain personally identifiable information that can be used to contact or identify You. Personally identifiable information may include, but is not limited to: - Email address - First name and last name - Address, State, Province, ZIP/Postal code, City - Usage Data **Usage Data** Usage Data is collected automatically when using the Service. Usage Data may include information such as Your Device's Internet Protocol address (e.g. IP address), browser type, browser version, the pages of our Service that You visit, the time and date of Your visit, the time spent on those pages, unique device identifiers and other diagnostic data. When You access the Service by or through a mobile device, We may collect certain information automatically, including, but not limited to, the type of mobile device You use, Your mobile device unique ID, the IP address of Your mobile device, Your mobile operating system, the type of mobile Internet browser You use, unique device identifiers and other diagnostic data. We may also collect information that Your browser sends whenever You visit our Service or when You access the Service by or through a mobile device. **Tracking Technologies and Cookies** We use Cookies and similar tracking technologies to track the activity on Our Service and store certain information. Tracking technologies used are beacons, tags, and scripts to collect and track information and to improve and analyze Our Service. You can instruct Your browser to refuse all Cookies or to indicate when a Cookie is being sent. However, if You do not accept Cookies, You may not be able to use some parts of our Service. Cookies can be "Persistent" or "Session" Cookies. Persistent Cookies remain on your personal computer or mobile device when You go offline, while Session Cookies are deleted as soon as You close your web browser. We use both session and persistent Cookies for the purposes set out below: - **Necessary / Essential Cookies** - Type: Session Cookies - Administered by: Us - Purpose: These Cookies are essential to provide You with services available through the Website and to enable You to use some of its features. They help to authenticate users and prevent fraudulent use of user accounts. Without these Cookies, the services that You have asked for cannot be provided, and We only use these Cookies to provide You with those services. - **Cookies Policy / Notice Acceptance Cookies** - Type: Persistent Cookies - Administered by: Us - Purpose: These Cookies identify if users have accepted the use of cookies on the Website. - **Functionality Cookies** - Type: Persistent Cookies - Administered by: Us - Purpose: These Cookies allow us to remember choices You make when You use the Website, such as remembering your login details or language preference. The purpose of these Cookies is to provide You with a more personal experience and to avoid You having to re-enter your preferences every time You use the Website. - **Tracking and Performance Cookies** - Type: Persistent Cookies - Administered by: Third-Parties - Purpose: These Cookies are used to track information about traffic to the Website and how users use the Website. The information gathered via these Cookies may directly or indirectly identify you as an individual visitor. This is because the information collected is typically linked to a pseudonymous identifier associated with the device you use to access the Website. We may also use these Cookies to test new advertisements, pages, features or new functionality of the Website to see how our users react to them. [.title-md]**Use of Your Personal Data**[] The Company may use Personal Data for the following purposes: - **To provide and maintain our Service**, including to monitor the usage of our Service. - **To manage Your Account:** to manage Your registration as a user of the Service. The Personal Data You provide can give You access to different functionalities of the Service that are available to You as a registered user. - **For the performance of a contract:** the development, compliance and undertaking of the purchase contract for the products, items or services You have purchased or of any other contract with Us through the Service. - **To contact You:** To contact You by email, telephone calls, SMS, or other equivalent forms of electronic communication, such as a mobile application's push notifications regarding updates or informative communications related to the functionalities, products or contracted services, including the security updates, when necessary or reasonable for their implementation. - **To provide You** with news, special offers and general information about other goods, services and events which we offer that are similar to those that you have already purchased or enquired about unless You have opted not to receive such information. - **To manage Your requests:** To attend and manage Your requests to Us. We may share your personal information in the following situations: - **With Service Providers:** We may share Your personal information with Service Providers to monitor and analyze the use of our Service, for payment processing, to contact You. - **For Business transfers:** We may share or transfer Your personal information in connection with, or during negotiations of, any merger, sale of Company assets, financing, or acquisition of all or a portion of our business to another company - **With Affiliates:** We may share Your information with Our affiliates, in which case we will require those affiliates to honor this Privacy Policy. Affiliates include Our parent company and any other subsidiaries, joint venture partners or other companies that We control or that are under common control with Us. - **With Business partners:** We may share Your information with Our business partners to offer You certain products, services or promotions. - **With other users:** when You share personal information or otherwise interact in the public areas with other users, such information may be viewed by all users and may be publicly distributed outside. If You interact with other users or register through a Third-Party Social Media Service, Your contacts on the Third-Party Social Media Service may see Your name, profile, pictures and description of Your activity. Similarly, other users will be able to view descriptions of Your activity, communicate with You and view Your profile. [.title-md]**Retention of Your Personal Data**[] The Company will retain Your Personal Data only for as long as is necessary for the purposes set out in this Privacy Policy. We will retain and use Your Personal Data to the extent necessary to comply with our legal obligations (for example, if we are required to retain your data to comply with applicable laws), resolve disputes, and enforce our legal agreements and policies. The Company will also retain Usage Data for internal analysis purposes. Usage Data is generally retained for a shorter period of time, except when this data is used to strengthen the security or to improve the functionality of Our Service, or We are legally obligated to retain this data for longer time periods. [.title-md]**Transfer of Your Personal Data**[] Your information, including Personal Data, is processed at the Company's operating offices and in any other places where the parties involved in the processing are located. It means that this information may be transferred to — and maintained on — computers located outside of Your state, province, country or other governmental jurisdiction where the data protection laws may differ than those from Your jurisdiction. Your consent to this Privacy Policy followed by Your submission of such information represents Your agreement to that transfer. The Company will take all steps reasonably necessary to ensure that Your data is treated securely and in accordance with this Privacy Policy and no transfer of Your Personal Data will take place to an organization or a country unless there are adequate controls in place including the security of Your data and other personal information. [.title-md]**Disclosure of Your Personal Data**[] **SMS consent is not shared with third parties or affiliates for marketing purposes.** [.title-sm]**Business Transactions**[] If the Company is involved in a merger, acquisition or asset sale, Your Personal Data may be transferred. We will provide notice before Your Personal Data is transferred and becomes subject to a different Privacy Policy. [.title-sm]**Law enforcement**[] Under certain circumstances, the Company may be required to disclose Your Personal Data if required to do so by law or in response to valid requests by public authorities (e.g. a court or a government agency). [.title-sm]**Other legal requirements**[] The Company may disclose Your Personal Data in the good faith belief that such action is necessary to: - Comply with a legal obligation - Protect and defend the rights or property of the Company - Prevent or investigate possible wrongdoing in connection with the Service - Protect the personal safety of Users of the Service or the public - Protect against legal liability [.title-md]**Security of Your Personal Data**[] The security of Your Personal Data is important to Us, but remember that no method of transmission over the Internet, or method of electronic storage is 100% secure. While We strive to use commercially acceptable means to protect Your Personal Data, We cannot guarantee its absolute security. [.title-md]**Detailed Information on the Processing of Your Personal Data**[] Service Providers have access to Your Personal Data only to perform their tasks on Our behalf and are obligated not to disclose or use it for any other purpose. [.title-sm]**Analytics**[] We may use third-party Service providers to monitor and analyze the use of our Service. - **Google Analytics** is a web analytics service offered by Google that tracks and reports website traffic. Google uses the data collected to track and monitor the use of our Service. This data is shared with other Google services. Google may use the collected data to contextualise and personalise the ads of its own advertising network. You can opt-out of having made your activity on the Service available to Google Analytics by installing the Google Analytics opt-out browser add-on. The add-on prevents the Google Analytics JavaScript (ga.js, analytics.js and dc.js) from sharing information with Google Analytics about visits activity. For more information on the privacy practices of Google, please visit the Google Privacy & Terms web page: [https://policies.google.com/privacy](https://policies.google.com/privacy) [.title-sm]**Email Marketing**[] We may use Your Personal Data to contact You with newsletters, marketing or promotional materials and other information that may be of interest to You. You may opt-out of receiving any, or all, of these communications from Us by following the unsubscribe link or instructions provided in any email We send or by contacting Us. We may use Email Marketing Service Providers to manage and send emails to You. [.title-sm]**Payments**[] We may provide paid products and/or services within the Service. In that case, we may use third-party services for payment processing (e.g. payment processors). We will not store or collect Your payment card details. That information is provided directly to Our third-party payment processors whose use of Your personal information is governed by their Privacy Policy. These payment processors adhere to the standards set by PCI-DSS as managed by the PCI Security Standards Council, which is a joint effort of brands like Visa, Mastercard, American Express and Discover. PCI-DSS requirements help ensure the secure handling of payment information. [.title-md]**GDPR Privacy**[] [.title-sm]**Legal Basis for Processing Personal Data under GDPR**[] We may process Personal Data under the following conditions: - **Consent:** You have given Your consent for processing Personal Data for one or more specific purposes. - **Performance of a contract:** Provision of Personal Data is necessary for the performance of an agreement with You and/or for any pre-contractual obligations thereof. - **Legal obligations:** Processing Personal Data is necessary for compliance with a legal obligation to which the Company is subject. - **Vital interests:** Processing Personal Data is necessary in order to protect Your vital interests or of another natural person. - **Public interests:** Processing Personal Data is related to a task that is carried out in the public interest or in the exercise of official authority vested in the Company. - **Legitimate interests:** Processing Personal Data is necessary for the purposes of the legitimate interests pursued by the Company. In any case, the Company will gladly help to clarify the specific legal basis that applies to the processing, and in particular whether the provision of Personal Data is a statutory or contractual requirement, or a requirement necessary to enter into a contract. [.title-sm]**Your Rights under the GDPR**[] The Company undertakes to respect the confidentiality of Your Personal Data and to guarantee You can exercise Your rights. You have the right under this Privacy Policy, and by law if You are within the EU, to: - **Request access to Your Personal Data.** The right to access, update or delete the information We have on You. Whenever made possible, you can access, update or request deletion of Your Personal Data directly within Your account settings section. If you are unable to perform these actions yourself, please contact Us to assist You. This also enables You to receive a copy of the Personal Data We hold about You. - **Request correction of the Personal Data that We hold about You.** You have the right to to have any incomplete or inaccurate information We hold about You corrected. - **Object to processing of Your Personal Data.** This right exists where We are relying on a legitimate interest as the legal basis for Our processing and there is something about Your particular situation, which makes You want to object to our processing of Your Personal Data on this ground. You also have the right to object where We are processing Your Personal Data for direct marketing purposes. - **Request erasure of Your Personal Data.** You have the right to ask Us to delete or remove Personal Data when there is no good reason for Us to continue processing it. - **Request the transfer of Your Personal Data.** We will provide to You, or to a third-party You have chosen, Your Personal Data in a structured, commonly used, machine-readable format. Please note that this right only applies to automated information which You initially provided consent for Us to use or where We used the information to perform a contract with You. - **Withdraw Your consent.** You have the right to withdraw Your consent on using your Personal Data. If You withdraw Your consent, We may not be able to provide You with access to certain specific functionalities of the Service. [.title-sm]**Exercising of Your GDPR Data Protection Rights**[] You may exercise Your rights of access, rectification, cancellation and opposition by contacting Us. Please note that we may ask You to verify Your identity before responding to such requests. If You make a request, We will try our best to respond to You as soon as possible. You have the right to complain to a Data Protection Authority about Our collection and use of Your Personal Data. For more information, if You are in the European Economic Area (EEA), please contact Your local data protection authority in the EEA. [.title-md]**Facebook Fan Page**[] [.title-sm]**Data Controller for the Facebook Fan Page**[] The Company is the Data Controller of Your Personal Data collected while using the Service. As operator of the Facebook Fan Page, the Company and the operator of the social network Facebook are Joint Controllers. The Company has entered into agreements with Facebook that define the terms for use of the Facebook Fan Page, among other things. These terms are mostly based on the Facebook Terms of Service: [https://www.facebook.com/terms.php](https://www.facebook.com/terms.php) Visit the Facebook Privacy Policy [https://www.facebook.com/policy.php](https://www.facebook.com/policy.php) for more information about how Facebook manages Personal data or contact Facebook online, or by mail: Facebook, Inc. ATTN, Privacy Operations, 1601 Willow Road, Menlo Park, CA 94025, United States. [.title-sm]**Facebook Insights**[] We use the Facebook Insights function in connection with the operation of the Facebook Fan Page and on the basis of the GDPR, in order to obtain anonymized statistical data about Our users. For this purpose, Facebook places a Cookie on the device of the user visiting Our Facebook Fan Page. Each Cookie contains a unique identifier code and remains active for a period of two years, except when it is deleted before the end of this period. Facebook receives, records and processes the information stored in the Cookie, especially when the user visits the Facebook services, services that are provided by other members of the Facebook Fan Page and services by other companies that use Facebook services. For more information on the privacy practices of Facebook, please visit Facebook Privacy Policy here: [https://www.facebook.com/full_data_use_policy](https://www.facebook.com/full_data_use_policy) [.title-md]**CCPA Privacy**[] [.title-sm]**Your Rights under the CCPA**[] Under this Privacy Policy, and by law if You are a resident of California, You have the following rights: - **The right to notice.** You must be properly notified which categories of Personal Data are being collected and the purposes for which the Personal Data is being used. - **The right to access / the right to request.** The CCPA permits You to request and obtain from the Company information regarding the disclosure of Your Personal Data that has been collected in the past 12 months by the Company or its subsidiaries to a third-party for the third party's direct marketing purposes. - **The right to say no to the sale of Personal Data.** You also have the right to ask the Company not to sell Your Personal Data to third parties. You can submit such a request by visiting our "Do Not Sell My Personal Information" section. - **The right to know about Your Personal Data.** You have the right to request and obtain from the Company information regarding the disclosure of the following: - The categories of Personal Data collected - The sources from which the Personal Data was collected - The business or commercial purpose for collecting or selling the Personal Data - Categories of third parties with whom We share Personal Data - The specific pieces of Personal Data we collected about You - **The right to delete Personal Data.** You also have the right to request the deletion of Your Personal Data that have been collected in the past 12 months. - **The right not to be discriminated against.** You have the right not to be discriminated against for exercising any of Your Consumer's rights, including by: - Denying goods or services to You - Charging different prices or rates for goods or services, including the use of discounts or other benefits or imposing penalties - Providing a different level or quality of goods or services to You - Suggesting that You will receive a different price or rate for goods or services or a different level or quality of goods or services. [.title-md]**Exercising Your CCPA Data Protection Rights**[] In order to exercise any of Your rights under the CCPA, and if you are a California resident, You can email or call us or visit our "Do Not Sell My Personal Information" section. The Company will disclose and deliver the required information free of charge within 45 days of receiving Your verifiable request. The time period to provide the required information may be extended once by an additional 45 days when reasonable necessary and with prior notice. [.title-md]**Do Not Sell My Personal Information**[] We do not sell personal information. However, the Service Providers we partner with (for example, our advertising partners) may use technology on the Service that "sells" personal information as defined by the CCPA law. If you wish to opt out of the use of your personal information for interest-based advertising purposes and these potential sales as defined under CCPA law, you may do so by following the instructions below. Please note that any opt out is specific to the browser You use. You may need to opt out on every browser that you use. [.title-sm]**Desktop Browser**[] You can opt out of receiving ads that are personalized as served by other Service Providers by following our instructions presented on the Service: - Use an "Ad Block" browser extension [.title-sm]**Mobile Devices**[] Your mobile device may give you the ability to opt out of the use of information about the apps you use in order to serve you ads that are targeted to your interests: - "Opt out of Interest-Based Ads" or "Opt out of Ads Personalization" on Android devices - "Limit Ad Tracking" on iOS devices You can also stop the collection of location information from Your mobile device by changing the preferences on your mobile device. [.title-md]"Do Not Track" Policy as Required by California Online Privacy Protection Act (CalOPPA)[] Our Service does not respond to Do Not Track signals. However, some third party websites do keep track of Your browsing activities. If You are visiting such websites, You can set Your preferences in Your web browser to inform websites that You do not want to be tracked. You can enable or disable DNT by visiting the preferences or settings page of Your web browser. [.title-md]**Children's Privacy**[] Our Service does not address anyone under the age of 13. We do not knowingly collect personally identifiable information from anyone under the age of 13. If You are a parent or guardian and You are aware that Your child has provided Us with Personal Data, please contact Us. If We become aware that We have collected Personal Data from anyone under the age of 13 without verification of parental consent, We take steps to remove that information from Our servers. If We need to rely on consent as a legal basis for processing Your information and Your country requires consent from a parent, We may require Your parent's consent before We collect and use that information. [.title-md]Links to Other Websites[] Our Service may contain links to other websites that are not operated by Us. If You click on a third party link, You will be directed to that third party's site. We strongly advise You to review the Privacy Policy of every site You visit. We have no control over and assume no responsibility for the content, privacy policies or practices of any third party sites or services. [.title-md]**Changes to this Privacy Policy**[] We may update our Privacy Policy from time to time. We will notify You of any changes by posting the new Privacy Policy on this page. We will let You know via email and/or a prominent notice on Our Service, prior to the change becoming effective and update the "Last updated" date at the top of this Privacy Policy. You are advised to review this Privacy Policy periodically for any changes. Changes to this Privacy Policy are effective when they are posted on this page. [.title-md]**SMS Marketing Policy**[] Note: This section applies specifically to SMS marketing and does not replace our general Privacy Policy. **Collection of Phone Numbers** We collect your phone number only when voluntarily provided, such as during transactions, inquiries, or when signing up for promotional messages. You can opt in during your initial interaction with our website, through a pop-up, or by checking an SMS consent box on a form. **Use of Phone Numbers for SMS** Your phone number may be used to send such as special offers and discounts. These may include appointment reminders, service updates, and special discounts. Standard SMS carrier charges may apply. **Opting Out of Marketing Messages** You may opt out of receiving SMS marketing messages at any time by:- Texting STOP- Texting UNSUBSCRIBEPlease allow up to 10 business days for the opt-out process to take effect. **Privacy of Phone Numbers** After opting out, your phone number will not be sold or transferred to third parties for marketing purposes. Limited sharing with subcontractors for support services (e.g., customer service) may occur. **Access to Promotions and Discounts** Opting into SMS is not required to access promotions or discounts, which may also be available directly on our website. **Changes to This Policy** We may update this policy periodically. Significant changes will be posted on our website. - West End Plastic Surgery - By visiting the page on our website: [https://www.westendplasticsurgery.com/contact](/contact/) - By emailing us directly at: info@westendplasticsurgery.com - During after Hours, call: (202) 785-4187 --- ## Regenerative Medicine Washington, D.C. **Link:** [Regenerative Medicine Washington, D.C.](https://www.westendplasticsurgery.com/regenerative-medicine/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine/index.html.md)) **Description:** Regenerative Services in Washington, D.C. We specialize in therapies to alleviate pain & restore mobility to improve your life in Washington, D.C. ### Content #### What People Say About Us! #### Schedule Your Consultation Today! Interested in learning more about our services? Call [(202) 785-4187](tel:(202) 785-4187) to schedule your consultation today! Serving Washington, D.C. & all nearby areas. [Contact Us Today](/consultation/) --- ## Testimonial **Link:** [Testimonial](https://www.westendplasticsurgery.com/regenerative-medicine-testimonials/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine-testimonials/index.html.md)) **Description:** Experience the transformational journey of our patients in Washington, D.C. through their testimonials. West End Regenerative Medicine - your path to wellness. ### Content #### Patient Reviews West End Regenerative Medicine is rated 5 out of 5.0 based on 39 ratings. --- ## Related Resources **Link:** [Related Resources](https://www.westendplasticsurgery.com/related-resources/) ([md](https://www.westendplasticsurgery.com/related-resources/index.html.md)) **Description:** Related Resources ### Content #### American Society of Plastic Surgeons (ASPS) Dr. Ruff is an active member of the American Society of Plastic Surgeons. The ASPS was established over 75 years ago and is the largest plastic surgery specialty organization in the world. ASPS Member Surgeons have more than six years of surgical training and experience, with at least three years specifically in plastic surgery. Visit [www.plasticsurgery.org](https://www.plasticsurgery.org/) to learn more #### American Society for Aesthetic Plastic Surgery (ASAPS) Dr. Ruff is a member of the American Society for Aesthetic Plastic Surgery, an organization of board-certified plastic surgeons specializing in cosmetic plastic surgery. With over 2,500 members in the United States, Canada, and other parts of the world, ASAPS is dedicated to advancing the science, art, and safe practice of aesthetic plastic surgery. Visit [www.surgery.org](https://www.surgery.org/) to learn more #### American College of Surgeons (ACS) Dr. Ruff is a fellow of the American College of Surgeons, a scientific and educational association of surgeons that was founded in 1913 to improve the quality of care for the surgical patient by setting high standards for surgical education and practice. Visit [www.facs.org](https://www.facs.org/) to learn more --- ## Research and Development **Link:** [Research and Development](https://www.westendplasticsurgery.com/research-and-development/) ([md](https://www.westendplasticsurgery.com/research-and-development/index.html.md)) **Description:** Leading research and development in Washington, D.C. Expert innovation and care in cosmetic solutions at West End Plastic Surgery. ### Content #### Are you displeased with the size and/or shape of your labia? *Do you have physical discomfort while sitting, exercising, or having sex? Are you self-conscious due to labial size or appearance? If you answered yes, you may be eligible for our clinical trial.* - Qualified study participants will receive a minimally invasive labiaplasty procedure using a helium plasma device. Study visits will take place at West End Plastic Surgery. - This is a product evaluation study to evaluate the safety and effectiveness of a device to improve the appearance of loose, saggy skin of the labia. - You will undergo a one-time study treatment and participate in 5 follow-up evaluations over 6 months. You will be compensated for your time attending follow-up appointments. **Basic qualification criteria:** - 35-70 years old - In general good health - Have excess labia - Seeking improvement of the appearance of lax tissue in the labia - Allow photographs for clinical research purposes and potential publication Our Research & Development team at WEPS is excited to provide a space for innovation and growth within the field of plastic surgery. Research is necessary for medical advancement and allows for our practice to provide the best possible care to patients. Every physician is responsible for evaluating their own practice and is continually adjusting better the safety and efficacy of their practice but having our own R&D department allows for a formal and regulated space to evaluate outcomes. Without inquiring minds, like Dr. Ruff’s, medicine would be at a standstill, and it is because of research, like his, that allows for further development and growth of the practice. High-quality clinical research is essential for the discovery and development of new treatments as well as for ensuring that existing treatments are being performed in the best possible way. By participating in clinical research, WEPS receives early access to new technologies, devices, and techniques. And with early implementation, we have greater insight into their efficacy as well as improved patient safety. Patients who choose to participate in clinical research studies gain a thorough and comprehensive understanding of the treatment(s) and/or procedure(s) they undergo. There are more frequent, designated evaluation points above standard clinical assessments when it comes to research studies and oftentimes patients feel they get even more attention and oversight of their care as a result. With a consistent follow-up schedule and a steady line of communication between patients and research staff, our participants form strong relationships with their physicians and our R&D team. Our R&D team is proud to offer this rewarding opportunity to our patients and we welcome your participation! Allison Martinez is our Clinical Research Manager. If you are interested in learning more about the research at WEPS or if you are interested in participating in any current or future clinical research studies, Allison is the best point of contact. You can reach her at [allison@westendplasticsurgery.com](mailto:allison@westendplasticsurgery.com) or at [(202) 785-4187](tel:(202) 785-4187) ext. 612. --- ## Reviews **Link:** [Reviews](https://www.westendplasticsurgery.com/reviews/) ([md](https://www.westendplasticsurgery.com/reviews/index.html.md)) **Description:** Click here to view our reviews. West End Plastic Surgery serves Washington, D.C. and the surrounding areas. ### Content #### Share Your Opinion of West End Plastic Surgery Your opinion matters to us! Please review us online! *If you would like to review us on Google, you must be logged into your Google account to write a review. Google Signup Instructions » --- ## Sitemap **Link:** [Sitemap](https://www.westendplasticsurgery.com/sitemap/) ([md](https://www.westendplasticsurgery.com/sitemap/index.html.md)) **Description:** Explore the sitemap of West End Plastic Surgery for easy navigation to our services, team, and patient resources. Discover expert care and solutions today. --- ## Specials & Events **Link:** [Specials & Events](https://www.westendplasticsurgery.com/specials/) ([md](https://www.westendplasticsurgery.com/specials/index.html.md)) **Description:** Take advantage of special offers and events at West End Plastic Surgery in Washington, D.C. ### Content #### Learn More Call us today at [(202) 785-4187](tel:(202) 785-4187) or [contact us](/contact/) to take advantage of our Specials or to inquire about setting up a private party! At West End Plastic Surgery we’re committed to providing the best cosmetic services available, while offering many fun benefits to our cosmetic plastic surgery patients in Washington, D.C. Check this page frequently for information about our current and upcoming events and promotions. --- ## Cosmetic Surgery Washington, D.C. **Link:** [Cosmetic Surgery Washington, D.C.](https://www.westendplasticsurgery.com/surgical/) ([md](https://www.westendplasticsurgery.com/surgical/index.html.md)) **Description:** Washington, D.C. Cosmetic surgery at West End Plastic Surgery. Excellent, natural-looking results from board certified plastic surgeons. ### Content #### An Artist’s Eye, A Plastic Surgeon’s Touch One of the guiding values at [West End Plastic Surgery](/about/) in Washington, D.C. is offering excellent cosmetic plastic surgery solutions to men and women in a safe and compassionate environment where our patients are treated with respect. Renowned for their technical prowess and artistic vision, [Dr. Paul G. Ruff IV](/about/team/dr-ruff/), and our board certified surgeons specialize in cosmetic and reconstructive breast surgery, body contouring procedures, and facial rejuvenation through plastic surgery. Our patients come from Alexandria, Arlington, Reston, and the surrounding areas to get results that match their cosmetic goals. #### Breast Procedures *Select a procedure below to learn more:* #### Body *Select a procedure below to learn more:* #### Face *Select a procedure below to learn more:* #### Male Plastic Surgery *Select a procedure below to learn more:* #### Revisions *Select a topic below to learn more:* #### What People Say About Us! #### Before & After Photo Gallery We’re as thrilled with our patients’ results as they are. Check out our *before-and-after photo gallery* and see for yourself the kind of work our talented surgeons do. [View Gallery](/gallery/) If you live in Washington, D.C. or surrounding communities like Arlington and Bethesda, [our doctors](/about/team/) have got your skin care needs covered. [Request a consultation](/consultation/) online to meet with Dr. Ruff or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. [Schedule Your Consultation](/consultation/) --- ## Terms of Use **Link:** [Terms of Use](https://www.westendplasticsurgery.com/terms-of-use/) ([md](https://www.westendplasticsurgery.com/terms-of-use/index.html.md)) **Description:** Review the terms and conditions for using West End Plastic Surgery’s website. Learn about your rights, responsibilities, and important policies. ### Content 1. This World Wide Web site with its home page in the domain '[https://www.westendplasticsurgery.com](https://www.westendplasticsurgery.com/)', hereinafter referred to as the Website, is an information service provided by West End Plastic Surgery at no charge to users of the World Wide Web, with the express condition that these users agree to be bound by the terms and conditions set forth in this Terms of Use Agreement. West End Plastic Surgery reserves the right to change these terms and conditions at any time, and you agree to abide by the most recent version of this Terms of Use Agreement each time you view and use the Website. You are accordingly advised to consult the Terms of Use Agreement each time you view and use the Website. Do not use the Website if you do not agree to all of the following terms and conditions. 2. You acknowledge that the information on the Website is provided 'as is' for general information only. It is not intended to provide medical advice, and should not be relied upon as a substitute for consultations with qualified health professionals who are familiar with your individual medical needs. West End Plastic Surgery makes no warranties of any kind regarding this Website, including but not limited to any warranty of accuracy, completeness, currency, reliability, merchantability or fitness for a particular purpose, or any warranty that these pages, or the computer server which makes them available, are free of viruses or other harmful elements, and such warranties are expressly disclaimed. 3. You agree that you will hold harmless West End Plastic Surgery and its shareholders, officers, directors, and employees from all claims arising out of or related to your access or use of, or your inability to access or use, this Website or the information contained in this Website or other websites to which it is linked, including but not limited to claims that you have found something you have heard, viewed or downloaded from this Website or any other website to which it is linked to be obscene, offensive, defamatory, or infringing upon your intellectual property rights. In no event will West End Plastic Surgery or any of the information contributors to the Website be liable to you or anyone else for any decision made or action taken by you in reliance on such information or for any consequential, special or similar damages, even if West End Plastic Surgery has been advised of the possibility of such damages. 4. You acknowledge that the opinions and recommendations contained in this Website are not necessarily those of West End Plastic Surgery nor are they endorsed by Advice Media. 5. West End Plastic Surgery may provide links on the Website to other websites which are not under the control of West End Plastic Surgery. In general, any website which has an address (or URL) not containing 'https://www.westendplasticsurgery.com' is such a website. These links are provided for convenience or reference only and are not intended as an endorsement by West End Plastic Surgery of the organization or individual operating the website or a warranty of any type regarding the website or the information on the website. 6. You may provide hypertext links to this Website on another website, provided that: (a) the link be a text-only link clearly marked 'Advice Media Site', (b) the link must 'point' to the URL 'https://www.westendplasticsurgery.com' and not to other pages within the Website, (c) the appearance, position and other aspects of the link may not be such as to damage or dilute the goodwill associated with West End Plastic Surgery's name and trademarks, (d) the appearance, position and other aspects of the link may not create the false appearance that an entity other than West End Plastic Surgery is associated with or sponsored by West End Plastic Surgery, (e) the link, when activated by a user, must display this Website full-screen and not within a 'frame' on the linked website, and (f) West End Plastic Surgery reserves the right to revoke its consent to any link at any time at its sole discretion by amending this Terms of Use Agreement. You agree that any other hypertext links to this Website must be approved in writing by West End Plastic Surgery. 7. The works of authorship contained in this Website, including but not limited to all design, text and images, are owned or licensed by West End Plastic Surgeryand Advice Media, hereinafter referred to as Advice Media, or its suppliers and contributors, and may not be copied, reproduced, transmitted, displayed, performed, distributed, rented, sublicensed, altered, stored by subsequent use or otherwise used in whole or in part in any manner without West End Plastic Surgery's prior written consent, except that the user may make such temporary copies in a single computer's RAM and hard drive as is necessary to browse the Website, and that the user may produce one permanent printout of each page of the Website (unmodified in form, with a copy of this Terms of Use Agreement attached) to be used by the user for personal and non-commercial uses which do not harm the reputation of West End Plastic Surgery or Advice Media 8. This Website (excluding linked sites) is controlled by Advice Media which is headquartered in the State of New York, in the United States of America. It may be accessed from all 50 states, as well as from other countries around the world. Because each of these places has laws that may differ from those of New York, by accessing this Website you agree that the statutes and laws of the State of New York, without regard to conflicts of law principles thereof, will apply to all matters arising from or relating to the use of this Website. You also agree and hereby submit to the exclusive legal jurisdiction and venues of the Courts of Nassau County, New York and the United States District Court for the Southern District of New York with respect to such matters. West End Plastic Surgery and Advice Media. make no representation that materials on the Website are appropriate or available for use in other locations, and accessing them from territories where their contents are illegal is hereby prohibited. Individuals or organizations choosing to access this Website from other locations do so of their own initiative and are responsible for compliance with local laws. 9. Advice Media, its logo, nameplates are trademarks of Advice Media and are protected by international laws and treaty provisions. 10. All text and electronic images on this Website are copyrighted materials which are either registered copyrights, unregistered common law copyrights, registered trademarks or salesmarks of West End Plastic Surgery or Advice Media, its suppliers or contributors. Any attempt to infringe upon or to circumvent these copyrights or trademarks will subject the infringing individual or organization to severe criminal and civil penalties as prescribed by law. [.title-md]**SMS TERMS OF SERVICE**[] **Terms & Conditions Section** 1) SMS Consent Communication: The information (Phone Numbers) obtained as part of the SMS consent process will not be shared with third parties for marketing purposes. 2) Types of SMS Communications: If you have consented to receive text messages from West End Plastic Surgery, you may receive messages related to the following: - Patient Status Update - Follow-up messages - Conversational Messages Example: “Hi, this is, OR Nurse from West End Plastic Surgery. [Patient’s Name] is out of surgery and resting in recovery. You can head back around [pickup time]. Let me know if you have any questions! Reply STOP to opt-out” 3) Message Frequency: Message frequency may vary depending on the type of communication. For example, you may receive up to 2 SMS messages per week regarding your appointments or account status. 4) Potential Fees for SMS Messaging: Please note that standard message and data rates may apply, depending on your carrier’s pricing plan. These fees may vary if the message is sent domestically or internationally. 5) Opt-In Method: You may opt-in to receive SMS messages from West End Plastic Surgery in the following ways: - We Ask them Verbally 6) Opt-Out Method: You can opt out of receiving SMS messages at any time. To do so, simply reply “STOP” to any SMS message you receive. Alternatively, you can contact us directly to request removal from our messaging list. 7) Help: If you are experiencing any issues, you can reply with the keyword HELP. Or, you can get help directly from us at info@westnedplasticsurgery.com Additional Options: If you do not wish to receive SMS messages, you can choose not to check the SMS consent box on our forms. 8) Standard Messaging Disclosures: - Message and data rates may apply. - You can opt-out at any time by texting “STOP.” - For assistance, text “HELP” or visit our Privacy Policy page at https://westendplasticsurgery.com/privacy-policy/. - Message frequency may vary --- ## Testimonials **Link:** [Testimonials](https://www.westendplasticsurgery.com/testimonials/) ([md](https://www.westendplasticsurgery.com/testimonials/index.html.md)) **Description:** Read patient testimonials for West End Plastic Surgery to learn about their exceptional care and transformative results from real experiences. ### Content #### Patient Reviews *What Our Patients Say* --- ## Virtual Consultations **Link:** [Virtual Consultations](https://www.westendplasticsurgery.com/virtual-consultations/) ([md](https://www.westendplasticsurgery.com/virtual-consultations/index.html.md)) **Description:** Experience expert care with virtual consultations at West End Plastic Surgery. Convenient, confidential, and personalized treatment from the comfort of home. ### Content #### Featured Services --- ## West End Plastic Surgery Patient Rewards App **Link:** [West End Plastic Surgery Patient Rewards App](https://www.westendplasticsurgery.com/west-end-plastic-surgery-patient-rewards-app/) ([md](https://www.westendplasticsurgery.com/west-end-plastic-surgery-patient-rewards-app/index.html.md)) **Description:** Discover the West End Plastic Surgery Patient Rewards App earn points, unlock exclusive offers, and save on your favorite treatments and services. ### Content #### Join the West End Patient Rewards Program *A More Beautiful Experience Begins Here* Receive $50 toward any service just for signing up. Start your journey with exclusive offers, rewards, and more. [Join & Claim Your $50](https://westendplasticsurgery.repeatmd.app/signin) #### Why Join? - $50 sign-up reward - Points earned with every visit - App-only promotions and flash offers - VIP pricing on select services and memberships - Financing through Affirm• Personalized updates and events *Check in, redeem rewards, and explore memberships — all from your phone!* #### Unlock Exclusive Benefits This isn’t just a rewards program, it’s your gateway to curated beauty, expert care, and exclusive membership privileges. Join one of our curated memberships designed to elevate every visit. #### Have questions? Call us at [(202) 785-4187](tel:(202) 785-4187) or email [info@WestEndPlasticSurgery.com](mailto:info@WestEndPlasticSurgery.com) West End Plastic Surgery | Washington, D.C. --- ## Male Facelift **Link:** [Male Facelift](https://www.westendplasticsurgery.com/face/male-facelift/) ([md](https://www.westendplasticsurgery.com/face/male-facelift/index.html.md)) **Type:** Service **Description:** Restore a youthful, masculine look with a male facelift at West End Plastic Surgery in Washington, D.C. Tailored results, natural confidence. ### Content #### Restore Your Confidence. Preserve Your Masculinity. *Male Facelift Surgery at West End Plastic Surgery* Aging affects men differently from women. Lax skin, deep creases, and loss of jawline definition can make you look older or more tired than you feel. A facelift tailored for men addresses these concerns while maintaining masculine features and a natural appearance. At West End Plastic Surgery, our board-certified surgeons understand the subtle differences that make a male facelift unique. Every procedure is tailored to your facial structure and goals, ensuring results that look refreshed, natural, and authentically you. #### Male Facelift at a Glance - **Restores Jawline Definition **-** **Reduces jowls for a stronger profile - **Smooths Deep Creases **- Improves lines around the nose and mouth - **Natural, Masculine Results** - Enhances without feminizing - **Lasting Improvement** - Results endure for years with proper care - **Personalized Approach** - Every surgery tailored to individual goals #### A Procedure Designed for Men *What Is a Male Facelift?* A male facelift (rhytidectomy) is a surgical procedure that reduces visible signs of aging in the lower face and neck. Unlike traditional facelifts, which often focus on creating softness, a male facelift emphasizes definition, preserving angular, masculine features while restoring youthful firmness. By tightening underlying muscles, removing excess skin, and repositioning tissue, a facelift for men can address sagging, deep folds, and a softened jawline in a way that looks strong and natural. #### Precision in Every Step *What Is the Male Facelift Procedure Like?* The male facelift procedure is performed under general anesthesia in our accredited surgical facility. Incisions are typically placed around the ears and along the hairline and carefully designed to remain discreet within short hairstyles. During surgery, underlying muscles are tightened, excess skin is removed, and tissues are repositioned for a firmer, more youthful appearance. In some cases, procedures such as neck lift, eyelid surgery, or fat grafting may be performed simultaneously for balanced results. After surgery, patients return home the same day under the care of a friend or family member. #### Addressing the Most Common Concerns *What Conditions Does a Male Facelift Address?* - Sagging skin along the jawline and neck - Deep creases around the nose and mouth - Jowls or loss of facial definition - Loose skin in the lower face or under the chin - A tired or aged appearance that doesn’t match your inner vitality #### Natural Results That Last *What Are the Benefits of a Male Facelift?* A male facelift restores a sharper, more defined appearance by tightening sagging skin, smoothing deep lines, and improving the contours of the jawline and neck, all while preserving masculine facial features. Tailoring each procedure to the patient’s unique facial anatomy, our experienced plastic surgeons deliver natural-looking rejuvenation. This procedure is an effective solution for men seeking a refreshed, more youthful look that aligns with their energy and lifestyle. #### Rejuvenation That Preserves Your Edge *Am I a Candidate for a Male Facelift?* Men experiencing visible signs of aging, such as sagging skin, jowls, deep creases, or loss of jawline definition, may be candidates for a male facelift. Ideal candidates are generally healthy, nonsmokers, and have realistic expectations about the outcome of the procedure. This personalized surgery provides long-lasting results that look natural and preserve the patient’s unique facial character. #### Experience. Precision. Trust. *Why Choose West End Plastic Surgery for a Male Facelift?* Our board-certified surgeons combine advanced surgical skill with an in-depth understanding of male facial anatomy. We know that men want subtle, natural improvements, not a “pulled” look. At West End Plastic Surgery, you’ll receive care from a team known for precision, artistry, and discretion. With state-of-the-art surgical facilities in Washington, D.C., and a commitment to personalized care, we help every patient feel confident from consultation through recovery. #### Male Facelift *Frequently Asked Questions* --- ## Venus Nova **Link:** [Venus Nova](https://www.westendplasticsurgery.com/body-contouring/venus-nova/) ([md](https://www.westendplasticsurgery.com/body-contouring/venus-nova/index.html.md)) **Type:** Service **Description:** Explore Venus Nova in Washington, D.C. at West End Plastic Surgery for non-invasive body sculpting, skin rejuvenation, muscle tone, and smoother texture. ### Content #### A Smarter Sculpting Tool *Venus Nova at West End Plastic Surgery* Exercise can build strength and improve shape, but it doesn't always change skin texture, mild laxity, or the uneven softness that settles into certain areas. You may be active, healthy, and consistent, but still notice cellulite on the thighs, reduced firmness through the abdomen, or less definition than you want in photos, fitted clothing, or everyday movement. Venus Nova gives West End Plastic Surgery in Washington, D.C., a non-invasive way to approach body sculpting and skin rejuvenation together. This platform uses electrical muscle stimulation, radiofrequency energy, pulsed electromagnetic fields, and suction technology to support muscle conditioning, firmer-looking skin, smoother texture, and gradual contour refinement. [Schedule Your Consultation](/consultation/) #### The Multi-Tasking Treatment *What is Venus Nova?* Venus Nova is a non-invasive body sculpting and skin rejuvenation platform that combines electrical muscle stimulation, Multi-Polar radiofrequency, pulsed electromagnetic fields, and suction technology to support muscle conditioning, firmer-looking skin, smoother texture, cellulite improvement, and contour refinement without surgery. Venus Nova is not a one-note body treatment. Some applicators focus on muscle conditioning. Others focus on radiofrequency-based skin and tissue support. The provider can choose the applicator, settings, and treatment sequence based on the area being treated and the concern you want to address. #### Venus Nova at a Glance #### Texture, Tone, Definition *What can Venus Nova be used to treat?* Venus Nova can support several body and skin concerns in one treatment plan. Many patients aren't dealing with one isolated issue: their abdomen may feel softer, the thighs may have cellulite texture, the skin may look less firm than it used to. The goal is to match your treatment to what your tissue needs. #### The Technology, Simplified *How does Venus Nova work?* Venus Nova works by bringing several forms of energy and tissue contact into one treatment platform. Your provider chooses the technology based on the treatment goal. Muscle tone, skin firmness, cellulite texture, and facial wrinkles need different approaches. #### Subtle Work, Real Support *What are the benefits of Venus Nova?* Venus Nova is appealing for patients who want improvement without choosing a more involved procedure. It can support body sculpting and skin rejuvenation in one plan, with minimal interruption to your schedule. Benefits may include: - No incisions - No anesthesia - Little to no downtime for most patients - Muscle conditioning during treatment - RF-based support for firmer-looking skin - Smoother-looking cellulite texture - Face and body treatment options - Adjustable intensity - A series-based plan for steady improvement - Maintenance support after weight loss or other body contouring treatments The biggest benefit is flexibility. Venus Nova can be used for the patient who wants better tone, the patient who wants smoother texture, or the patient who wants to support skin firmness after body changes. #### Fit Comes First *Am I a candidate for Venus Nova?* Good candidates for Venus Nova want non-surgical improvement in muscle tone, mild skin laxity, cellulite texture, facial wrinkles, or body contour support. The best candidates understand that Venus Nova creates refinement over a series, not a surgical-level change in one visit. This is where a consultation helps. Some patients come in asking for a device treatment and learn that CoolSculpting, liposuction, Renuvion, tummy tuck surgery, or post-weight-loss surgery would make more sense. Others are relieved to hear that surgery is more than they need. [Schedule Your Consultation](/consultation/) #### Simple Prep, Better Sessions *How should I prepare for Venus Nova?* Venus Nova does not require intense preparation. Your provider may adjust instructions based on the treatment area and technology used. - Arrive with clean skin in the treatment area. - Skip heavy lotion, oils, or self-tanner before your appointment. - Drink water before and after treatment. - Tell your provider about implanted devices, recent procedures, medications, and health conditions. - Avoid excess sun exposure before skin-focused treatments. - Wear clothing that gives access to the treatment area. - Ask about your series, timeline, cost, and maintenance plan before treatment begins. If you have a medical implant, recent surgery, or a skin irritation in the treatment area, bring it up before the session starts. #### The Session, Step By Step *What is a Venus Nova appointment like?* A Venus Nova appointment is non-invasive. The sensation depends on the applicator used. You may feel warmth, suction, strong muscle contractions, or a mix of those sensations during the same visit. #### After The Appointment *Recovery After Venus Nova* Most patients return to normal routines after Venus Nova. Depending on the area and settings, you may have temporary warmth, pinkness, tenderness, or muscle fatigue. For EMS treatment, the area can feel like it went through a tough workout. #### The Series Does The Work *When will I see results from Venus Nova?* Venus Nova results are best when they have the chance to build over a treatment series. Some patients notice a temporary firmness after an initial session, while skin texture, cellulite, contour, and collagen-related changes take more time. Your result depends on the area treated, the number of sessions, your tissue quality, weight stability, and the concern being addressed. #### How long do Venus Nova results last? Venus Nova results vary because muscle tone, skin firmness, cellulite texture, and contour support all behave in different ways. Muscle tone needs upkeep. Skin firmness changes with age, sun exposure, hormones, weight shifts, and collagen response. Cellulite can improve in appearance, but it is a structural texture concern that needs management over time. Your maintenance routine will depend on your goals and how your body responds to the treatment. #### Your Treatment Rhythm *How many Venus Nova sessions will I need?* Most patients need a series of Venus Nova treatments. The number of sessions depends on the area, applicator, concern, and amount of change your tissue can support. #### Pick The Right Tool *Venus Nova vs. Other Treatment Options* Venus Nova is a strong option for patients who want non-invasive support for tone, firmness, cellulite texture, wrinkles, or contour refinement. Other treatments may be better for fat reduction, surgical tightening, skin resurfacing, or more advanced body reshaping. We can compare these options and go over the full information on them during your consultation. You don’t have to guess which treatment fits. #### Pairings With A Purpose *Can Venus Nova be combined with other treatments?* Venus Nova can be part of a larger treatment plan when your goals involve skin, tone, body contour, or maintenance. The best pairing depends on what needs attention first. Possible treatment combinations include: - CoolSculpting + Venus Nova for fat reduction plus tone and firmness support - Liposuction + Venus Nova for contouring plus non-surgical maintenance after healing - Renuvion + Venus Nova for tissue contraction plus ongoing skin support - RF microneedling + Venus Nova for texture and firmness planning - Post-weight-loss surgery + Venus Nova for maintenance once cleared - Menopause Makeover planning + Venus Nova for body and skin changes tied to midlife tissue shifts #### After The Weight Comes Off *Venus Nova for GLP-1 and Post-Weight-Loss Changes* Weight loss can feel like a major win and still leave some unfinished business. Patients may notice softer contours, reduced tone, mild laxity, or cellulite that looks more visible after body volume changes. Venus Nova may help support firmness, tone, and smoother texture in the right patient. It cannot remove heavy loose skin. It cannot replace a tummy tuck, arm lift, thigh lift, or body lift when surgery is the honest answer. Patients using GLP-1 medications or losing a meaningful amount of weight may notice changes that dieting alone does not address. Skin can look softer. Muscle tone may feel less defined. Cellulite may become more visible as volume changes. Venus Nova can help support firmness, tone, and smoother texture in the right patient. Some patients need maintenance, some need surgery, and some need a plan that uses both at the right time. #### Device Choice Needs Judgment *Why choose West End Plastic Surgery for Venus Nova?* Venus Nova is only as good as the plan behind it. At West End Plastic Surgery, your treatment is guided by a team that understands surgical and non-surgical body contouring, skin rejuvenation, and long-term maintenance. A device-only approach can miss the reason an area looks the way it does. Loose skin, muscle tone, fat distribution, cellulite texture, and skin quality do not respond to the same treatment. Our providers can evaluate the area and tell you when Venus Nova makes sense, when another treatment would work better, and when surgery is the more honest recommendation. Patients in Washington, D.C., come to West End Plastic Surgery for refined results, clear planning, and care that respects real schedules. Venus Nova fits that philosophy for the right candidate: non-invasive, adjustable, and built for visible improvement without a long recovery window. #### Start With The Right Plan *Schedule a Venus Nova Consultation in Washington, D.C.* Venus Nova may be a smart fit if you want to improve tone, firmness, cellulite texture, wrinkles, or body contour without surgery. The best way to know is to have the area evaluated by a provider who can compare the full range of surgical and non-surgical options. Request your consultation with West End Plastic Surgery in Washington, D.C. [Schedule Your Consultation](/consultation/) #### Venus Nova *Frequently Asked Questions* --- ## Deep Plane Facelift **Link:** [Deep Plane Facelift](https://www.westendplasticsurgery.com/face/deep-plane-facelift/) ([md](https://www.westendplasticsurgery.com/face/deep-plane-facelift/index.html.md)) **Type:** Service **Description:** Discover how a deep plane facelift at West End Plastic Surgery restores youthful contours with natural-looking results and minimal tension. ### Content #### Subtle, Sophisticated sculpting *Deep Plane Facelift at West End Plastic Surgery* Aging affects more than the surface of your skin. Over time, the deeper facial tissues also lose their youthful lift. To address the underlying causes of facial aging, our surgical team specializes in the deep plane facelift. Rather than simply tightening loose skin, this sophisticated facelift technique repositions the deeper layers to restore a refreshed, youthful appearance. Each procedure is designed around the patient's facial anatomy and signs of aging, smoothing nasolabial folds, lifting sagging cheeks, and sculpting the jawline and neck for comprehensive facial rejuvenation. #### Deep Plane Facelift at a Glance - **Lift at the Source** - Repositions deeper facial tissues and connective tissue to address sagging skin and deep wrinkles - **Natural Appearance** - Restores facial contours and expression without the tight look sometimes seen with other facelift techniques - **Hidden Incisions** - Deep plane facelift incisions are placed within the hairline and around the ear for minimal scarring - **Comprehensive Facial Rejuvenation** - Often combined with a neck lift or facial fat transfer for a more complete transformation - **Recovery Process **- Most patients return to normal activities within 2–3 weeks #### What Sets the Deep Plane Facelift Apart *What Is a Deep Plane Facelift?* A deep plane facelift is a state-of-the-art facial plastic surgery technique designed to reposition deeper tissues rather than just tighten the skin. Unlike a traditional facelift, which mainly pulls the top layers, the deep plane facelift approach releases and lifts the deeper facial structures, including the superficial musculoaponeurotic system (SMAS), facial muscles, and facial retaining ligaments. By targeting the root causes of facial aging, the deep plane facelift offers natural-looking, long-lasting rejuvenation for patients with significant signs of aging. #### Meticulous Techniques Meet Aesthetic Artistry *What Is the Deep Plane Facelift Procedure Like?* Your deep plane facelift surgery is performed in our accredited surgical suite under general anesthesia. Using carefully planned incisions hidden along the hairline and curves of the ear, your surgeon lifts the deeper facial structures and repositions the SMAS, fat pads, and ligaments. Excess skin is then carefully trimmed, redraped, and secured with a tension-free skin closure. This surgical technique allows for smoother facial contours without the pulled look sometimes associated with older facelift techniques. Many patients combine their procedure with a neck lift or deep neck lift to address excess skin and create a harmonious, more youthful appearance. #### Target The Deeper Causes of Facial Aging *What Concerns Does a Deep Plane Facelift Treat?* The deep plane facelift aims to correct some of the most significant signs of facial aging, including: - Sagging skin of the cheeks and jawline - Deep nasolabial folds and marionette lines - Volume descent in the midface or buccal fat pad area - Jowls and neck laxity requiring neck rejuvenation - Deep wrinkles and hollow cheeks A deep plane facelift is especially effective for patients seeking more dramatic yet natural results than other facelift procedures. #### Enhance The Power Of Deep Facial Rejuvenation *What Are the Benefits of a Deep Plane Facelift?* By restoring the balance and vitality of the facial features, a deep plane facelift can also provide a meaningful boost in self-confidence. Because it addresses the deeper layers of the face, the deep plane facelift technique produces smoother contours, softer lines, and a more natural-looking, youthful appearance. Benefits of a deep plane facelift include: #### From Mild Sagging to Deeper Wrinkles *Am I a Candidate for a Deep Plane Facelift?* You may be an ideal candidate for a deep plane facelift if you are bothered by moderate to significant skin laxity, sagging cheeks or jowls, or deep facial folds. This facial plastic surgery option is suited for patients in good health who desire long-term, natural results rather than temporary skin tightening. It’s also a good option for revision cases for those who have had other facelift techniques and want a more advanced approach. #### Guidance and Support for Every Step *Deep Plane Facelift Recovery* After your deep plane facelift procedure, you’ll go home the same day with detailed instructions for your healing process. Swelling, bruising, and mild discomfort are normal during the first week and can be managed with prescribed pain medication. Sutures are typically removed within 5–7 days, and most patients return to social activities within 2–3 weeks. Because the facial skin is not pulled tightly, there’s less tension and a smoother recovery process compared with older facelift procedures. At West End Plastic Surgery, your care extends well beyond the procedure. Your surgeon will check your healing at post-op appointments and remain available to address questions or concerns at any time. #### Put Your Most Confident Face Forward *Deep Plane Facelift Results* The results of a deep plane facelift are both natural and long-lasting, giving you a refreshed appearance that preserves your unique facial anatomy. You’ll see a lifted jawline, softened folds, and restored midface volume with results that often last 10–15 years. While the natural aging process continues, your face will still look younger and more balanced than if you had not undergone surgery. #### An Elevated Experience With Exceptional Results *Why Choose West End Plastic Surgeryfor a Deep Plane Facelift?* At West End Plastic Surgery, your deep plane facelift surgery is performed by a skilled facial plastic surgeon with extensive experience in facelift techniques and the deep plane approach. Our board-certified team works closely alongside each patient, tailoring their treatment to their unique facial anatomy and aesthetic goals. We prioritize a transparent, collaborative process, ensuring your desired outcomes are achieved. From consultation to recovery, our focus is on safety, artistry, and long-lasting, natural-looking results. #### Deep Plane Facelift *Frequently Asked Questions* --- ## Brazilian Butt Lift **Link:** [Brazilian Butt Lift](https://www.westendplasticsurgery.com/body/brazilian-butt-lift/) ([md](https://www.westendplasticsurgery.com/body/brazilian-butt-lift/index.html.md)) **Type:** Service **Description:** Enhance your silhouette with board certified surgeons providing superior Washington, D.C. Brazilian butt lift results. ### Content #### BBL at West End Plastic Surgery Are you ready to feel confident in your body? For some people, this confidence may come from achieving a much more lifted look to their buttocks! Thankfully, under the expertise of Dr. Paul G. Ruff and Dr. Amir Arsalan who specializes in our **Brazilian butt lift** procedure, patients all over the Washington, D.C., Maryland, and Virginia have been able to achieve their desired look. At West End Plastic Surgery, we understand the importance of looking good and feeling better in your own skin. That’s why we’re thrilled to inform patients about the details of our Brazilian butt lift procedure. If you’re wondering if this procedure is right for you, read our FAQ below: #### What is a Brazilian Butt Lift? A Brazilian butt lift (**BBL**) at our Washington, D.C. practice is a surgical procedure that augments and/or shapes the buttocks with your own fat for a more pronounced, voluminous appearance. The procedure is particularly effective when flabby “orange peel” skin is present or when the buttocks are flat or undersized. In many cases, the Brazilian butt lift is performed in combination with other body contouring procedures such as VASERlipo™, a [Mommy Makeover](/body/mommy-makeover/), [abdominoplasty](/body/tummy-tuck/), [thigh lifts](/body/thigh-lift/), or VASERsmooth™ cellulite reduction. When you schedule a consultation with us, Dr. Ruff, Dr. Arsalan, and their team will help determine the procedure that will best help you achieve your body aesthetic goals. [Schedule a Consultation Today](/consultation/) We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/body/brazilian-butt-lift/) and see for yourself the kind of work our talented surgeons do. #### Are You a Good Candidate for a Brazilian Butt Lift? If you feel that your buttock is flat or doesn't match the contours of the rest of your body, or if your skin in that area is excessively loose and flabby and exercise and dieting have been unable to correct the problem, you are likely a **good candidate for a Brazilian butt lift**. #### How Much Does a Brazilian Butt Lift (BBL) Cost in Washington, D.C.? **The cost of a Brazilian Butt Lift (BBL) starts at around $10,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Meeting With the Doctor About a BBL Prior to **scheduling your Washington, D.C. Brazilian butt lift**, you will meet at length with your surgeon and their staff at West End Plastic Surgery to determine whether the procedure is right for you and to answer any questions you may have. At this initial [consultation](/consultation/), your buttock, waist, and thigh regions will be evaluated, and we will discuss how you want this area to look after surgery. #### BBL Procedure Dr. Ruff, Dr. Arsalan, or one of our board-certified plastic surgeons will perform this procedure in our state-of-the-art, AAAASF-certified surgical suite, where they are dedicated to your complete comfort during and after the procedure. We use either general anesthesia or local anesthesia with sedation depending on the extent of the procedure. The surgery takes between one to five hours to complete. We will discuss the type of anesthesia and the anticipated length of your procedure at your initial consultation. To start the surgery, your surgeon makes an incision high on the lower area of the buttock in as inconspicuous a location as possible. In most cases, though the incision may be extensive, they place it in a position that will allow you to wear a bathing suit and current clothing styles without the scar being visible. We will discuss the exact placement of your incision with you during your initial consultation. #### Recovery After Brazilian Butt Lift #### Immediately After Your BBL Surgery In our Washington, D.C. practice, Dr. Ruff and Dr. Arsalan performs Brazilian butt lift surgery on an outpatient basis for most cases. You can go home shortly after your surgery is completed. You may be sleepy from the anesthesia and the area around your incisions will be sore, so you will need to have someone drive you home. Once you go home, you may want to have someone stay with you for the first few days because you may experience moderate discomfort. #### The First 24 to 28 Hours After Your Surgery During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and may experience mild to moderate discomfort Your surgeon will prescribe pain medication to alleviate as much of the discomfort as possible. There will be moderate swelling, tenderness, and bruising in the area of the incision; this will gradually disappear within the first month after your surgery. Your discomfort level will improve rapidly after the first two days. #### The First 2 Weeks After Surgery You will notice a marked improvement in your discomfort level during the first few weeks after your surgery: - You will experience moderate swelling, tenderness, and bruising in the area of the incision. This will gradually disappear within the first two weeks after surgery, with most of the swelling and bruising disappearing within a month. - When sitting or lying down, choose the position that is most comfortable for you and approved by your surgeon and staff. No matter which position you choose, you will not be able to avoid putting some pressure on the treated area. Try to change positions every 30 minutes to keep from placing too much stress or weight on any one area. - You can shower (no bath) as soon as your surgeon permits you to do so. For most patients, this is three to five days after surgery. Treat the surgical tape placed over your incision like your own skin — soap, rinse, and dry off normally. If the strips become loose or curl on the ends, you can snip the ends off or remove them completely. #### Resuming Your Normal Routine After a **BBL** Washington, D.C. patients will all heal at different rates and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within two to three weeks after your procedure. If your work is strenuous, plan to stay home from work for four to six weeks, depending on how you heal and the type of work you do. - You should walk every day, beginning the day after your surgery. Do as much walking as you can, but be sure to take things at your own pace. - You can resume driving as soon as you experience no pain, usually two to six weeks after your surgery. - You can most likely return to your physical exercise program within six weeks of your buttock lift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars caused by the incision should be protected from sunlight for at least a year after surgery. #### Read what our BBL patients are saying! [Click here to read more reviews.](/testimonials/) #### Things to Be Aware of After BBL Surgery - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several months to disappear. - The skin in the area of your surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - You may notice a tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure. - All symptoms of Brazilian butt lift surgery generally disappear within 4 to 6 months of the procedure. #### What Are Possible Side Effects or Risks with a BBL? All surgical procedures have some degree of risk; however, major complications from **Brazilian butt lift surgery** in our Washington, D.C. practice are unusual. During your initial [consultation](/consultation/), your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following your pre- and post-surgery instructions. Our team will be with you every step of the way to ensure a safe and pleasing outcome. #### How Long Will the Results of Your Brazilian Butt Lift Last? **Brazilian butt lift surgery dramatically improves the appearance of your buttock and upper thigh region**. Skin appears tighter and smoother, and the buttocks have a larger, more pronounced shape. These results generally last five to ten years, however, large weight fluctuations or pregnancy will affect how long the results last. #### Brazilian Butt Lift *Frequently Asked Questions* #### Schedule a Washington, D.C. BBL Consultation If you are interested in Brazilian Butt Lift and want to see if you are a candidate, contact West End Plastic Surgery by filling out an [online consultation form](/consultation/). [Dr. Paul G. Ruff](/about/team/dr-ruff/) and [Dr. Amir Arsalan](/about/team/amir-arsalan-md/) are board-certified plastic surgeons and are regarded as some of the most skilled plastic surgeons serving patients in the DMV area. They and their dedicated team are ready to help you achieve your body aesthetic goals. Call us at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. Our practice serves Washington, D.C. and surrounding areas. [Click Here to Contact Us](/consultation/) --- ## PRP **Link:** [PRP](https://www.westendplasticsurgery.com/regenerative-medicine/prp/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine/prp/index.html.md)) **Type:** Service **Description:** Platelet Rich Plasma (PRP) therapy in Washington, D.C. Accelerate healing and improve skin health with (PRP) therapy in Washington, D.C. ### Content #### What is Platelet Rich Plasma? PRP (Platelet Rich Protein) is a natural product created from your own body. A small amount of blood is drawn from you and placed in a sterile tube that is spun down in a centrifuge to separate the different components of the blood. Red and white blood cells are divided from the platelets and the plasma (the clear fluid). This plasma now contains a higher than normal number of platelets and is called platelet-rich protein. #### Benefits of PRP Platelets are the cells in the blood that help tissue to heal and grow cells. The PRP Injected into specific areas of the skin, act as a matrix that promotes your own collagen to grow, regenerate tissue, and thus acts as to naturally smooth and tighten the skin. In this way, PRP softens wrinkles and creates smoother skin texture and tone. PRP is also used to promote healing after ablative laser treatments and J-Plasma resurfacing [treatments](/services/). #### What People Say About Us! #### What Should I Expect During My PRP Treatment? Platelet-rich plasma is frequently used for aesthetic purposes. The treatment begins with a simple blood draw. Once the blood has been drawn, we place the vials into a machine that separates the platelets from other elements of the blood. After the platelets have been purified, they’re ready to use. #### Microneedling With PRP At Our Washington, D.C. Office PRP is a popular addition to [microneedling.](/regenerative-medicine/microneedling/) This approach uses your own blood platelets to enhance your results. Blood platelets serve many important purposes, including aiding in the healing process by helping blood to clot. They also contain growth factors which constantly replenish the tissues throughout your body. #### Candidates For Microneedling With PRP Microneedling with PRP may be an excellent treatment for adults who are interested in improving the appearance of the skin on their face or body. In addition to infusing aging skin with rejuvenating collagen, [microneedling](/regenerative-medicine/microneedling/) treatment is also commonly used to reduce the appearance of stretch marks and scars. The gentleness and adjustability of this treatment make microneedling with PRP suitable for individuals for whom laser treatments are not appropriate. [Schedule A Consultation Today](/contact/) #### Is Microneedling With PRP Safe? Microneedling with PRP is considered safe for all skin types. The micro-injuries that are induced by the tiny needles close very shortly after treatment, restoring the skin’s protection from outside influence. The PRP that is applied to the skin after the micro-injuries are created contains numerous growth factors and healing substances, further enhancing both the safety and efficacy of treatment. #### PRP Hair Restoration In Washinton D.C. PRP has shown promise in hair restoration. When used in this capacity, the purified platelets are injected directly into the scalp to encourage growth in areas of thinning hair or baldness. We’re proud to offer this emerging technique for hair restoration here in Washington, D.C. Patients who undergo a hair restoration procedure with PRP may return to their normal activities the same day, as no sedation is required. #### Can Anyone Receive PRP Hair Restoration? PRP treatment for hair restoration is generally safe for most men and women. Studies indicate that this technique is most effective at correcting androgenic alopecia, or pattern baldness. Impressive results have been achieved with: - Men with male pattern baldness - Women experiencing hair thinning or loss related to menopause or hormone imbalance - Individuals whose hair loss began within the 5 years prior to treatment. #### Risks Associated With PRP Hair Restoration Microneedling with PRP uses sterile instruments and a substance that is obtained from the patient’s blood. his technique holds no risk of allergic or adverse reaction because the ingredients that stimulate tissue regeneration come from the body. Though not serious risks, certain side effects are associated with microneedling or injections of PRP into the scalp. These include bruising, swelling, tenderness, and oozing from injection points. There is a minor risk of scarring where PRP is injected, though this is minor. Most side effects of PRP hair restoration resolve within 5 days without further treatment. #### How Many Microneedling With PRP treatments Are Needed? The number of [treatments](/services/) that are needed depends on the condition of the skin, the healing response that occurs after treatment, and the desired outcome. When addressing the earliest signs of aging or undergoing microneedling with PRP to postpone the onset of cosmetic aging, a person may benefit from one to two treatments a year. When the signs of aging, scarring, stretch marks, or other concerns are more significant, 3 to 6 treatment sessions scheduled a few weeks apart may be recommended. A detailed treatment plan is discussed during our initial consultation. #### Schedule A Consultation If you are interested in the PRP treatment for microneedling or hair restoration, call [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). West End Plastic Surgery serves patients in Washington, D.C. and surrounding areas. [Click Here To Contact Us](/contact/) --- ## Motus | Laser Hair Removal **Link:** [Motus | Laser Hair Removal](https://www.westendplasticsurgery.com/laser-treatments/motus-laser-hair-removal/) ([md](https://www.westendplasticsurgery.com/laser-treatments/motus-laser-hair-removal/index.html.md)) **Type:** Service **Description:** Experience smooth, lasting results with Motus Laser Hair Removal in Washington, D.C. at West End Plastic Surgery. Safe, effective, and gentle. ### Content #### Coming Soon --- ## Brachioplasty **Link:** [Brachioplasty](https://www.westendplasticsurgery.com/body/brachioplasty/) ([md](https://www.westendplasticsurgery.com/body/brachioplasty/index.html.md)) **Type:** Service **Description:** Remove excess skin and fat in the upper arm for a toned appearance, with board certified Washington, D.C. brachioplasty surgeons at West End Plastic Surgery. ### Content #### Upper Arm Lift at West End Plastic Surgery Upper arm skin can become loose and flabby as we age and gain weight. An *arm lift*, also known as a **brachioplasty**, removes loose skin and excess fat deposits from the upper arms. In some cases, an upper arm lift performed in Washington, D.C. at West End Plastic Surgery can be combined with VASERlipo™ liposuction. We are excited that JPlasma is now an option for an arm lift and will have only minimal downtime and very small incisions! Working with the team at West End Plastic Surgery, you can help determine the appropriate treatment plan to get the results you want. If you live in the Washington, D.C. area and are considering an upper arm lift, [request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) and a member of our knowledgeable staff can schedule a consultation. #### Are You a Good Candidate for a Brachioplasty? If through age, weight gain, or genetic predisposition, your upper arm area has excess or sagging skin that does not respond to diet or exercise, *you may be an ideal candidate for an upper arm lift*. #### How Much Does a Brachioplasty Cost in Washington, D.C.? **The cost of an Arm Lift starts at around $7,900**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Meeting With Your Brachioplasty Surgeon Prior to scheduling your Washington, D.C. upper arm lift, you will meet at length with Dr. Ruff or any of our Board Certified Plastic Surgeons at West End Plastic Surgery to determine whether the procedure is right for you and to answer any questions you may have. At this initial consultation, your upper arm region will be evaluated, you will discuss how you want this area to look after surgery, and it will be determined whether [liposuction](/body/liposuction/) will also be used to enhance the appearance of your upper arms. #### For J-Plasma Candidates **Prior to surgery, the team at West End Plastic Surgery will:** - Review the various upper arm lift options with you - Clearly discuss the potential risks of the procedure - Outline in detail how the surgery is performed and what you can expect before, during, and after the procedure - Provide detailed cost and payment information - Answer all your questions **You will be asked to provide:** - Details about your medical history - A list of all medications you currently take, including over-the-counter medications such as aspirin, vitamins, and herbal supplements - Information regarding your tobacco and alcohol use #### How Brachioplasty is Performed (Non J-Plasma Procedures) Your *upper arm lift procedure* will be performed in our state-of-the-art surgical suite or at one of the area hospitals where Dr. Ruff operates. The procedure is usually performed using general anesthesia and takes from 1 to 5 hours to complete depending on the extent of the procedure. To start the surgery, the doctor makes an incision starting near the elbow, along the back of the arm, and into the armpit. Though the incision may be lengthy, it is placed in as inconspicuous a position as possible, toward the back of the inner arm. The exact placement of your incision will be discussed with you during your initial consultation. Once the incision is made, the doctor removes excess fat and trims away unwanted skin. Stitches are then used to close the incision. Once the incision is stitched, gauze dressings and tape are applied over the surgical area and an elastic sleeve is placed over your arm to promote healing. These dressings and the elastic sleeve are to be worn at all times for several days after your surgery. #### What To Expect After Your Brachioplasty Surgery (JPlasma Expectations Above) #### Immediately After Your Surgery In most cases, *upper arm lift surgery is performed on an outpatient basis*. You usually go home shortly after your surgery is completed. You may be sleepy from the anesthesia and the area around your incisions will be sore, so you will need to have someone drive you home. Once you go home, you may want to have someone stay with you for the first few days because you may experience mild to moderate discomfort. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. #### The First 24 to 48 Hours After Your Surgery During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and may experience discomfort in the area of the surgery. Pain medication will alleviate much of the discomfort. There will be moderate swelling and bruising in the area of the incisions; this will gradually disappear within the first month after your surgery. Your discomfort level will improve rapidly after the first 2 days. You must wear the elastic sleeves placed over your arms after surgery at all times for the first several days after surgery. These sleeves help the healing process and will be removed at your postoperative visit with Dr. Ruff 5 to 7 days after the surgery. Small amounts of bleeding and oozing are normal in the first few days after surgery. If you see more than just a slow staining of the gauze dressing, apply pressure to the area with your hand for 20 to 30 minutes to stop the bleeding. If this does not stop the bleeding, call West End Plastic Surgery. Heavy bleeding is rare, but if it does happen, call right away. #### The First 2 Weeks After Surgery You will notice a marked improvement in your discomfort level during the first few weeks after your surgery: - You can shower or bathe as soon as Dr. Ruff removes the elastic sleeves placed over your arms after surgery. Treat the surgical tape placed over your incision like your own skin — bathe and dry off normally. If the strips become loose or curl on the ends, you can snip the ends off or remove them completely. - You can resume driving as soon as you experience no pain. - Your stitches will be removed within 2 to 4 weeks of your surgery. #### Resuming Your Normal Routine Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - Be careful and gentle while using your arms for the first 3 to 4 weeks after surgery. The doctor will tell you when you can resume using your arms as you did prior to your surgery. - Swelling and bruising gradually disappear within 3 to 4 weeks of surgery. - You can most likely return to work or school within 2 to 3 weeks after your procedure. If your work is strenuous, plan to stay home from work for 4 to 8 weeks, depending on how you heal and the type of work you do. - You can most likely return to your physical exercise program within 6 weeks of your arm lift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars caused by the incision should be protected from sunlight for at least a year after surgery. #### Things to Be Aware of After Your Brachioplasty - Initially, your surgical scars will appear red or dark pink and very narrow. Your scars may widen over time; this is something that cannot be predicted or controlled. Your surgical scars will fade in 6 to 24 months, depending on your skin tone and color. - Healing does not always occur evenly from side to side and your arms may heal at different rates and in different ways. - On rare occasions, surgical interference with the body’s lymph drainage system may require use of a compression “stocking” for the upper arm after surgery. This problem is minor and does not last long. - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several months to disappear. - The skin in the area of your surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - You may notice a tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure. - All swelling in the area of your surgery will be gone within 3 to 6 months. #### What Are Possible Side Effects or Risks? Like all surgical procedures, there are risks associated with upper arm lifts. During your initial consultation with Dr. Ruff and his staff of West End Plastic Surgery, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre- and post-surgery instructions provided to you. Dr. Ruff and his staff of the practice will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following: - Infection - Loss of sensation - Damage to sensory nerves - Areas of wrinkling or slight depression in the skin - Scarring #### Are there other procedures that could be done along with brachioplasty to enhance the overall appearance of my arms? [Liposuction](/body/liposuction/) is sometimes used in addition to upper arm lift surgery to enhance the overall appearance of this area. Dr. Ruff is one of the first specialists in the Washington, D.C. area certified to perform VASERlipo™, a much gentler form of liposuction that can be used to *remove fat in the upper arm region*. #### Will My Insurance Coverage Pay For My Upper Arm Lift? **Brachioplasty** is considered cosmetic surgery and, therefore, is not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during your initial consultation. --- ## Brow Lift **Link:** [Brow Lift](https://www.westendplasticsurgery.com/face/brow-lift/) ([md](https://www.westendplasticsurgery.com/face/brow-lift/index.html.md)) **Type:** Service **Description:** Rejuvenate your appearance with a Washington, D.C. brow lift at West End Plastic Surgery, lifting sagging brows and smoothing forehead wrinkles. Achieve natural, youthful results. ### Content #### Brow Lift at West End Plastic Surgery A **brow lift** restores a more youthful, refreshed look to the area above the eyes, which is often one of the first areas to show signs of aging. Also called a *forehead lift*, a brow lift is offered in Washington, D.C. at West End Plastic Surgery to correct drooping brows and reduce the horizontal lines and furrows that often appear in the forehead. During a brow lift, the muscles and tissues that cause the drooping or furrowing are removed or altered in order to smooth the forehead, raise the eyebrows, and minimize lines. If you live in Alexandria, Reston, or the surrounding areas and are considering a brow lift, [request a consultation](/consultation/) online with our [doctors](/about/team/) to discuss whether you are a good candidate for the procedure. Or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### Are You a Good Candidate for a Brow Lift? A **brow lift** is most commonly performed on men and women between ages 40 and 60 who are in good overall health. The brow lift can also help people of any age who have developed furrows or lines due to stress or muscle activity and people who have inherited conditions such as a *low, heavy brow* or overhanging skin above the nose. We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/face/brow-lift/) and see for yourself the kind of work our talented surgeons do. #### Meeting With Your Plastic Surgeon Your consultation with [Dr. Ruff](/about/team/dr-ruff/) or [Dr. Wang](/blog/introducing-dr-lexie-wang/) is the time to discuss your cosmetic goals. Your surgeon evaluates your facial structure to determine whether a brow lift is right for you and which method suits you best: the traditional “open” method or the endoscopic method. He will thoroughly explain the procedure and its expected results and answer your questions. The type of anesthesia to be used, potential risks of the procedure, and cost and payment information are discussed. You’re asked to provide a medical history. #### How Much Does a Brow Lift Cost in Washington, D.C.? The **cost of a Brow Lift starts at around $4,000**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How the Brow Lift Procedure Is Performed Surgery is performed in our state-of-the-art-surgical suite. The *surgery takes 1 to 3 hours* and is performed using either general anesthesia or local anesthesia with sedation. The type of anesthesia used and the anticipated length of your procedure will be discussed with you at your initial consultation. In most cases, the surgery is performed on an outpatient basis and you go home within a few hours of the procedure. If your brow lift is extensive (or combined with other procedures), a stay of 1 to 2 nights in the hospital may be required. **There are 2 ways to perform a brow lift**. In the traditional method, the necessary incisions are hidden just beneath the hairline. In the second method, a viewing instrument called an endoscope is used, providing minimal incisions. No matter which method is used, the results are the same: smoother forehead skin and a raised and more youthful-looking brow. Working with your plastic surgeon at West End Plastic Surgery, you can determine which method is right for you and be assured of a safe and pleasing outcome. Before the surgery begins, markings will be made at the incision points and your hair may be tied back with rubber bands on either side of the targeted incision area. Your head will not be shaved, but hair growing along the incision line may need to be trimmed. In the traditional “open” surgical technique, an incision is made starting near one ear, running across the top of the head, and ending at the other ear (this is often referred to as a headphone-like pattern). The incision is usually made well behind the hairline so that it is not visible. If your hairline is high or receding, the doctor may elect to make the incision right at the hairline to avoid adding any more height to the forehead and occasionally may advance the hairline to a more youthful appearance. If you are bald or are losing your hair, the incision is often made at mid-scalp level, following the natural pattern of the skull bones. The placement of your incision will be discussed with you during your initial consultation, as well as ways you can hide the incision after surgery. #### Brow Lift Patient Testimonial #### What To Expect After Your Brow Lift Surgery #### Immediately After Your Surgery In most cases, **brow lift surgery** is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and the surgical area will be sore, so you will need to have someone drive you home. Once you go home, you may want to have someone stay with you for the first few days. If your brow lift is performed at the hospital, you can expect to stay in the hospital for 1 to 2 nights. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. #### Resuming Your Normal Routine Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within 1 week to 10 days after your surgery. - You can resume driving as soon as you feel comfortable doing so. - You can most likely return to your physical exercise program within 6 weeks of your forehead lift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - Most of the visible signs of your surgery should fade within about 3 weeks. - Prolonged exposure to heat and sun should be limited for several months. - The scars caused by the incision should be protected from sunlight for at least a year after surgery. #### Things to Be Aware of After Your Brow Lift Surgery - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several months to disappear. - You may notice an itching or tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure. - Some of your hair around the incision may fall out and may temporarily be a bit thinner than normal. Normal hair growth usually resumes within a few weeks to a month. Permanent hair loss is rare. #### What Are Possible Side Effects or Risks? All surgical procedures have some degree of risk; however, major complications from forehead lift surgery are unusual. During your initial [consultation](/consultation/) with Dr. Ruff or Dr. Wang at West End Plastic Surgery, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre-and post-surgery instructions provided to you. Your surgeon and his staff will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following: - Infection - Permanent numbness - Nerve damage - Hair loss - Scarring #### How Long Will the Results of Your Brow Lift Last? With **brow lift surgery** Washington, D.C. patients are likely to achieve a more a more youthful and rested appearance. These results generally last 5 to 15 years and longer in many cases. It is important to keep in mind that the effects of aging, gravity, and environmental factors will eventually cause lines and furrows to reappear in your forehead region. #### Schedule A Brow Lift Consultation In Washington, D.C.! The [expert plastic surgeons](/about/team/) of West End Plastic Surgery like Dr. Ruff and Dr. Wang offer the latest brow lift techniques to patients in D.C. and the surrounding areas. Call [(202) 785-4187](tel:(202) 785-4187) or fill out an appointment request form in our [contact page](/contact/) for your one-on-one brow lift consultation! Our practice looks forward to answering any questions you may have and helping you determine whether you are a candidate for treatment. #### Brow Lift *Frequently Asked Questions* --- ## Sculptra **Link:** [Sculptra](https://www.westendplasticsurgery.com/injectables-fillers/sculptra/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/sculptra/index.html.md)) **Type:** Service **Description:** Sculptra® treatments in Washington, D.C. Create a fuller, more youthful appearance to your face by reducing facial lines and wrinkles with Sculptra in Washington, D.C. ### Content #### Sculptra® at West End Plastic Surgery Sculptra® is a non-surgical, cosmetic treatment for reducing facial lines and wrinkles and creating a fuller, more youthful appearance to your face. Also known as the “liquid facelift,” Sculptra® works by both filling in lines and wrinkles and by stimulating your body to produce new collagen and underlying tissue. Sculptra achieves excellent results as a global volumizer of the face. Sculptra® is a safe, Federal Food and Drug Administration (FDA) approved synthetic material that is injected below the surface of the skin directly into the areas of the face that appear sunken or hollow. Unlike many of the injectable facial fillers, the results achieved with Sculptra® can last two years or more because it causes the body to stimulate its own collagen. Of course, results may vary among individuals. #### What Is Sculptra®? Sculptra is a volumizing injectable treatment that is often referred to as a dermal filler. This product, made from poly-L-lactic acid (PLLA), reinforces the skin's structure while simultaneously stimulating collagen remodeling in the deeper layers of the skin. poly-L-lactic acid is a synthetic gel that comes from the same lactic acid that the body produces naturally. This substance is also very similar to what is used to make dissolvable stitches, indicating its safety for injectable use. Sculptra has been developed to restore fullness to the face and correct moderate to severe lines and creases such as smile lines, marionette lines, and nasolabial folds. Getting older may mean collecting memories and wisdom, but it also means losing volume across the structural areas of the face. As we age, the very structure of our face can change as a result of thinning and volume loss. Without sufficient volume in the soft tissues, the face may begin to look more angular and hollowed over time. At West End Plastic Surgery, we offer several choices for beautiful, natural-looking facial restoration. Sculptra is one of them. [.mw300.block][] #### Where Can Sculptra® Be Used? Facial fat loss is the loss of fat beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. This condition can occur due to the effects of aging or certain illnesses. Sculptra® is a safe, synthetic, and biocompatible material that is injected below the surface of the skin in the area of fat loss. It achieves excellent results in all parts of the face including the areas around the eyes and lips, between the mouth and nose, and throughout the cheeks and temples. #### Non-Surgical Butt Lift (BBL) with Sculptra The Sculptra® BBL fills in the dimples, hollowness, and creases to create a fuller, more voluminous butt with injections. The correction is seen immediately, but subsides rather quickly because it is mostly saline. Over the next few weeks, collagen is gradually built up from the injections, and the appearance of your results improve. A Brazilian Butt Lift with Sculptra® is an extremely easy procedure to perform. There is no [liposuction](/body/liposuction/) required, no healing/soreness from fat harvest, no need to sit on donuts or in some cases “avoid sitting at all costs”. The procedure takes 30 minutes and is nearly painless. #### What Are the Benefits of a Sculptra® Butt Lift? There are several distinct benefits of Sculptra® Butt Lift procedures instead of a surgical Brazilian Butt Lift, including the following: - No anesthetic injections are necessary - Wonderful for lean patients desiring a fuller, shapelier buttock - Creates a perky, toned, and smooth buttock - Reduce the appearance of cellulite, stretch marks, and dimples on the skin - Subtle, natural-looking results - Provides a subtle lift and volume to the buttocks area #### How Long Does Sculptra® Last? Sculptra® treatment provides a gradual and significant increase in skin thickness, improving the appearance of folds, indentations, and sunken areas in the face and neck. The results achieved by Sculptra® are natural looking and appear gradually over a few weeks time. Because Sculptra® stimulates the body to produce its own collagen, the results can last up to two years or longer in some cases. Our team may suggest minor touch-up treatments to maintain the desired effect. Of course, results may vary and it is best to discuss your individual case with [Dr. Ruff](/about/team/dr-ruff/) and [his staff](/about/team/) at West End Plastic Surgery during your initial consultation. #### Sculptra® Treatment Sculptra® is a crystal clear gel. Its injected directly into the skin in tiny amounts using an ultra-fine needle. The gel fills the skin’s wrinkles and depressions by plumping the skin with water-binding, naturally occurring hyaluronic acid. The doctor may numb the treatment area, however, there is minimal discomfort during or after the procedure. The procedure is simple, convenient, and results are practically instantaneous. Sculptra® treatments produce a low occurrence of side effects. The most common side effects are temporary redness and mild swelling at the injection site. Both the redness and the swelling generally disappear within seven days of your treatment. #### Pre Treatment Instructions Prior to your Sculptra treatment please make sure you have not been taking aspirin, ibuprofen, or any other blood thinning medication or supplement for 5-7 days. #### Post Treatment Instructions - A temporary amount of mild-moderate swelling and redness at the injection site can occur immediately after treatment. This is a normal occurrence and will reduce over the next few days. Cold compresses or ice packs on the treatment area can improve comfort. - Bruising at the injection site is a common side effect. The extent and duration of bruising can decrease by applying cold compresses and using a topical arnica gel within the first 24 hours after treatment. - It is normal to experience some tenderness at treatment site for a few days. - Massage the treated areas with a firm circular motion 3 times daily, for 5 minutes and continue this for 7 days following any injection session. - A few hours after treatment you may wash the injection site. Please avoid aggressive scrubbing or rubbing. - Makeup can be applied shortly after treatment unless otherwise noted by treatment provider. Please make sure to apply gently over treatment site. - Avoid exercise or alcohol for 6 hours after treatment. - DO NOT have laser, microdermabrasion, chemical peel, or any other aggressive treatments over treatment site for a minimum of 2 weeks. - Avoid sunbathing or excessive UV exposure until the redness and swelling subside. - Immediately report any worsening, persistent symptoms, or side effects to the office. - Follow up injections should be within 4-6 weeks. #### Schedule a Consultation To learn more about Sculptra® and how it can help reduce your fine lines and wrinkles, call [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). #### Sculptra® *Frequently Asked Questions* --- ## Gynecomastia Surgery **Link:** [Gynecomastia Surgery](https://www.westendplasticsurgery.com/breast/gynecomastia-surgery/) ([md](https://www.westendplasticsurgery.com/breast/gynecomastia-surgery/index.html.md)) **Type:** Service **Description:** Washington, D.C. gynecomastia surgery. Achieve a masculine chest with board-certified surgeons providing superior male breast reduction results. ### Content #### Male Breast Reduction at West End Plastic Surgery Some men have enlarged breasts due to weight gain or a genetic condition called **gynecomastia**. *Male breast reduction surgery* in Washington, D.C. at West End Plastic Surgery is a safe and effective procedure. [Dr. Paul G. Ruff IV](/about/team/dr-ruff/), Dr. Amir Arsalan, and our team of surgeons work with you to determine the best way to decrease the size of your breasts and enhance your chest’s appearance. If you feel self-conscious and are looking in Washington, D.C. for a surgeon to perform male breast reduction, [request a consultation](/consultation/) online. #### What Is Gynecomastia? Gynecomastia is a condition that results in the overdevelopment of fat deposits in male breasts. These growths resemble the appearance of female breasts, resulting in a lack of confidence and self-esteem issues in men. This is a common condition that most commonly occurs in teenage boys due to hormone changes but can continue into adulthood. Gynecomastia is often attributed to excess weight and many men do not seek treatment. Unfortunately, a good diet and exercise are not a solution to male breast development. The best treatment for this condition is **gynecomastia surgery**. We’re as thrilled with our patients’ results as they are. Check out our [before-and-after gynecomastia photo gallery](/gallery/breast/gynecomastia/) and see for yourself the kind of work our talented surgeons do. #### Symptoms of Gynecomastia Gynecomastia is often attributed to excess weight gain. The main symptom of this condition is the development of breast-like growths on the male chest. In many cases, gynecomastia is presented as a rubber-like firm mass of flesh beneath the nipple. Male breasts tend to be more sensitive than usual, and measure at least two inches in diameter. If you experience any of these symptoms, and cannot seem to *get rid of male breasts* after weight loss, you may suffer from gynecomastia. #### What Causes Gynecomastia? Gynecomastia can occur either in the teenage years or when men reach middle age and above. Both ages are a time of fluctuating hormones. Below is a list of possible causes and influences of gynecomastia in men: - Anxiety drugs - Heavy drinking - Marijuana use - Weight gain - Aging - Steroids - Antibiotics - Hormone fluctuations #### Who Is a Good Candidate for Gynecomastia Surgery? If dieting and muscle toning exercises haven’t reduced the size of your breasts and you are generally in good health, you may be an ideal candidate for **Washington, D.C. gynecomastia surgery**. Men from Alexandria, Reston, and throughout the D.C. region often choose surgery to correct gynecomastia. It’s important to understand the limitations of breast reduction surgery and to have a clear picture of what your chest area will look like after the procedure. Before meeting with one of our Board Certified Plastic Surgeons at their [plastic surgery office](/about/surgical-suite/), you’ll want to be certain that your gynecomastia is not caused by another medical condition. Visit your family doctor to rule out any conditions, such as hormonal imbalances, that may be causing your enlarged breast tissue. Be aware that certain lifestyle choices, such as the use of steroids or marijuana, can also cause or contribute to enlargement of male breasts. If your family doctor or internist rule out any underlying medical cause for enlargement of your breast tissue, surgery could be an appropriate treatment path. #### Gynecomastia Surgery Consultation At your [consultation](/consultation/), your surgeon will evaluate your chest area and breasts and review your cosmetic goals and expectations for male breast reduction and review all the options available to you. #### How Much Does Gynecomastia Surgery Cost in Washington, D.C.? **The cost of a Washington, D.C. gynecomastia surgery starts at around $6,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Gynecomastia Surgery Procedure Your male breast reduction procedure is performed in our on-site state-of-the-art [surgical suite](/about/surgical-suite/). You’ll appreciate the additional care, attention, and safety of our surgical suite, where our surgeons have all the latest technologies and equipment updates available to serve your needs. The procedure generally takes 1 to 2 hours to complete and may be performed either under general anesthesia or with local anesthesia with sedation. Our team does everything possible to ensure your comfort during the procedure and your happiness with the outcome. #### Resuming Normal Activities After Gynecomastia Surgery With **gynecomastia surgery** Washington, D.C. patients heal at different rates, as is common in all major surgical procedures for anyone. You are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within 2 or 3 days after your procedure, unless your work is strenuous. - You can resume driving as soon as you experience no pain when you turn the steering wheel, usually within a week for cars with power steering and a little longer for manual steering. - Two weeks after surgery, you can begin to sleep without the special elastic garment you will have been wearing. However, you should continue to wear this garment during the day for 4 weeks after your surgery. - Strenuous exercise can begin in about 3 weeks after surgery. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars on your chest should be protected from sunlight for at least a year after surgery. #### What to Expect Immediately After Gynecomastia Surgery In most cases, you will be ready to go home shortly after the gynecomastia procedure. You will need to have someone drive you home after the surgery because you may be a bit sleepy after the anesthesia. During surgery, your breasts will have been covered with a gauze dressing and a surgical compression garment to help hold your newly contoured chest in the correct position. A small tube called a drain may be inserted into each breast to help drain off excess fluid; you will be given instructions on how to care for the drains, which are removed within a few days of surgery. #### What to Expect 1-2 Days Post Gynecomastia Surgery During the first 24 to 48 hours after your procedure, you may feel tired from the anesthesia and sore from the surgery. Dr. Ruff and Dr. Arsalan may prescribe pain medication to alleviate much of the discomfort, although most patients require only Tylenol. Your discomfort level will improve rapidly after the first 2 days. You can take a shower or bath the day after your surgery; however, don’t let the bandages covering your incisions get overly wet. If drains were inserted, you can take a shower or bath as soon as the drains are removed, usually in about 2 to 3 days. You can take off the surgical corset placed over your breasts after the surgery during your shower or bath, but it must be worn at all other times (even while sleeping) for the first 2 weeks after your surgery. #### What to Expect the First Two Weeks After Male Breast Reduction You will notice a marked improvement in your comfort level during the first few weeks after your surgery: - The gauze dressings placed over your breasts during surgery will be removed 1 to 2 days after surgery. - Any non-dissolving stitches around the areola will be removed 5 to 7 days after surgery. - Any bruising you experience will usually disappear in about 2 weeks. You should sleep on your back for the first week after surgery to help keep your chest in the correct position during initial healing. Placing pillows on either side of your [body](/body/) often helps ensure that you do not roll onto your side while sleeping. #### Things to Be Aware of After Your Gynecomastia Surgery - You may feel tired for several weeks after your surgery. Listen to your body, and rest when you need to. - You may see a small amount of fluid draining from your surgical incisions. Some crusting in the area is also normal. However, if you have bleeding or intense pain, call West End Plastic Surgery right away. - You will lose some feeling in your chest skin due to swelling. This usually fades within 6 to 8 weeks but can take up to a year to disappear completely. - Your breasts may heal at different rates. One side may swell, one may feel less comfortable, or the shape of one breast may look different than the other. This is normal; however, when your body is fully recovered, your chest area will look symmetrical and natural. #### Risks of Gynecomastia Surgery As with any surgical procedure, there are risks associated with male breast reduction. During your initial [consultation](/consultation/) at our Washington, D.C. plastic surgery office, Dr. Ruff and Dr. Arsalan will review these risks. As with any surgery, you can help reduce the risks of the procedure by closely following the instructions provided to you by Dr. Ruff, Dr. Arsalan, and the staff of West End Plastic Surgery, who will be with you every step of the way to ensure that your procedure goes smoothly and that you have the outcome you desire. Most likely risks include the following: - Sensation changes - Scars - Asymmetry - Loss of sensation #### How Long Will the Results of Your Male Breast Reduction Last? **The results of your Washington, D.C. gynecomastia surgery are permanent**. However, weight gain may cause the breasts to appear larger again. Keep in mind that aging will also continue to have an effect on the body. #### Schedule a Consultation Interested in *treating your gynecomastia with male breast reduction surgery*? Serving the Arlington and Reston areas in addition to Washington, D.C., we invite you to [request a consultation](/consultation/) online tor call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Click Here to Contact Us](/consultation/) --- ## Thigh Lift **Link:** [Thigh Lift](https://www.westendplasticsurgery.com/body/thigh-lift/) ([md](https://www.westendplasticsurgery.com/body/thigh-lift/index.html.md)) **Type:** Service **Description:** Thigh lift in Washington, D.C. Remove excess skin and fat for a toned appearance with board certified surgeons providing stunning thigh lift results in Washington, D.C. ### Content #### Thigh Lift at West End Plastic Surgery A thigh lift removes excess skin and fat to slim and contour the area of the upper thighs. It is particularly effective tightening flabby, “orange peel” skin. In many cases, Dr. Paul G. Ruff IV and Dr. Arsalan combine a thigh lift at our Washington, D.C. practice with a buttock lift, which removes excess fat and skin from the buttock area. Working with Dr. Ruff, Dr. Arsalan and their staff at West End Plastic Surgery, you can determine the procedure that is right for you and be assured of the results you hope for. If you live in Reston, Alexandria, or the surrounding region and are considering a thigh lift, [request a consultation](/consultation/) online to meet with Dr. Ruff or Dr. Arsalan, or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### Are You a Good Candidate for a Thigh Lift? If your upper thighs have unwanted fat that bulges out under the buttocks, your skin in that area is excessively loose and flabby, and exercise and dieting have been unable to correct the problem, you are most likely a good candidate for a thigh lift. In most cases, a thigh lift is performed at the same time as a [buttock lift](/body/brazilian-butt-lift/). We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. [Before & After Photo Gallery](/gallery/) #### Meeting With Dr. Ruff or Dr. Arsalan Prior to scheduling your thigh lift, you will have a lengthy consultation with Dr. Ruff or Dr. Arsalan and this staff at West End Plastic Surgery to determine whether the procedure is right for you and to answer any questions you may have. At this initial meeting, your buttock and thigh region will be evaluated and you will discuss how you want this area to look after surgery. You will also decide if you’d like to have a buttock lift performed at the same time as your thigh lift. #### How Much Does a Thigh Lift Cost in Washington, D.C.? The cost of a Thigh Lift starts at around $9,500. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How the Procedure Is Performed Your thigh lift procedure will be performed in our state-of-the-art surgical suite. The surgery usually takes from 1 to 5 hours to complete. The type of anesthesia used and the anticipated length of your procedure will be discussed with you at your initial consultation. If your thigh or thigh and buttock lift is extensive, it may be performed at the hospital using general anesthesia. In most cases, you will stay in the hospital for 1 to 2 nights depending on the amount of pain you experience. At your initial meeting with the doctor, it will be determined if your surgery will be performed at the hospital or at West End Plastic Surgery. #### What To Expect After Your Surgery #### Immediately After Your Surgery In most cases, thigh or thigh and buttock lift surgery is performed on an outpatient basis. You usually go home shortly after your surgery is completed. You may be sleepy from the anesthesia and the area around your incisions will be sore, so you will need to have someone drive you home. Once you go home, you may want to have someone stay with you for the first few days because you may experience moderate discomfort. If the procedure is performed at the hospital, you can expect to stay in the hospital for 1 to 2 nights. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. #### The First 24 to 48 Hours After Your Surgery During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and may experience mild to moderate discomfort. The doctor will prescribe pain medication to alleviate as much of the discomfort as possible. There will be moderate swelling, tenderness, and bruising in the area of the incisions; this will gradually disappear within the first month after your surgery. Your discomfort level will improve rapidly after the first 2 days. Small amounts of bleeding and oozing are normal in the first few days after surgery. If you see more than just a slow staining of the gauze dressing, apply pressure to the area with your hand for 20 to 30 minutes to stop the bleeding. If this does not stop the bleeding, call West End Plastic Surgery. Heavy bleeding is rare, but if it does happen, call right away. #### The First 2 Weeks After Surgery You will notice a marked improvement in your discomfort level during the first few weeks after your surgery: - You will experience moderate swelling, tenderness, and bruising in the area of the incision. This will gradually disappear within the first 2 weeks after surgery, with most of the swelling and bruising disappearing within a month. - When sitting or lying down, choose the position that is most comfortable for you. No matter which position you choose, you will not be able to avoid putting some pressure on the treated area. Try to change positions every 30 minutes to keep from placing too much stress or weight on any one area. - You can shower or bathe as soon as you feel comfortable doing so. Treat the surgical tape placed over your incision like your own skin — bathe and dry off normally. If the strips become loose or curl on the ends, you can snip the ends off or remove them completely. #### Resuming Your Normal Routine Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within 2 to 3 weeks after your procedure. If your work is strenuous, plan to stay home from work for 4 to 8 weeks, depending on how you heal and the type of work you do. - You should walk every day, beginning the day after your surgery. Do as much walking as you can, but be sure to take things at your own pace. - You can resume driving as soon as you experience no pain. - You can most likely return to your physical exercise program within 6 weeks of your thigh lift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars caused by the incisions should be protected from sunlight for at least a year after surgery. #### Things to Be Aware of After Your Surgery - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several months to disappear. - The skin in the area of your surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - You may notice a tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure. - All symptoms of thigh lift surgery generally disappear within 4 to 6 months of the procedure. #### Thigh Lift *Frequently Asked Questions* --- ## Facials **Link:** [Facials](https://www.westendplasticsurgery.com/aesthetic-services/facials/) ([md](https://www.westendplasticsurgery.com/aesthetic-services/facials/index.html.md)) **Type:** Service **Description:** Rejuvenate and hydrate your face with Washington, D.C. facial cosmetic treatments at West End Plastic Surgery. ### Content #### Facials at West End Plastic Surgery At West End Plastic Surgery, we understand that every individual's skin is unique, and therefore requires personalized care. [Our team](/about/team/) of experienced aestheticians meticulously craft and tailor your facial treatment to address your specific concerns and goals. Whether you're aiming to combat signs of aging, improve skin texture, or achieve a radiant complexion, our **Washington, D.C. facials** cater to all skin types and concerns. #### Benefits of Our Facials By choosing West End Plastic Surgery for your **facial treatments**, you can expect to experience a multitude of benefits, including: - **Improved Skin Tone and Texture: **Facials help to exfoliate dead skin cells, unclog pores, and promote cell turnover, resulting in smoother, more radiant skin. - **Reduced Signs of Aging:** By stimulating collagen production, increasing blood circulation, and promoting cellular renewal, facials can diminish the appearance of fine lines, wrinkles, and age spots. - **Deep Cleansing: **Rid your skin of impurities, excess oil, and debris for a clearer, healthier complexion. - **Prevention of Skin Issues:** Regular facials help to prevent common skin concerns such as acne, congestion, and uneven skin tone by keeping the skin clean, balanced, and healthy. - **Hydration and Nourishment: **Replenish and nourish your skin with essential vitamins, antioxidants, and moisture for a youthful glow. - **Customized Solutions: **Receive personalized care tailored to your unique skin concerns and goals, ensuring maximum results and satisfaction. #### What to Expect During Your Facial During your **facial** Washington, D.C.'s skilled aestheticians at West End Plastic Surgery will conduct a thorough skin analysis to assess your skin type, concerns, and goals. Based on this evaluation, they will customize a treatment plan tailored to your needs. *Our facials typically last between 1 and 2 hours*, providing ample time for deep cleansing, exfoliation, extraction (if necessary), and nourishment. We offer a range of additional treatments that can be incorporated into your facial experience, including: #### How often should I get a facial? The frequency of **facials** depends on your skin type, concerns, and goals. For optimal results, *we recommend scheduling a facial every 4-6 weeks* to maintain healthy, radiant skin. However, our aestheticians will assess your skin during each appointment and provide personalized recommendations tailored to your individual needs. #### What do I need to know before my first facial? Before your **first facial appointment**, it's essential to communicate your skin concerns, allergies, and any medications you're currently taking to your aesthetician. This information helps us customize your facial experience to address your specific needs and ensure the best possible results. Please avoid excessive sun exposure, exfoliators or active products ie. glycolic, salicylic, retinal 3 days prior to your treatment. Arriving with clean skin, free from makeup and impurities, allows our aestheticians to focus on nourishing and revitalizing your skin effectively. #### How long after a facial can you wear makeup? After your **Washington, D.C. facial**, it's recommended to wait at least 24 hours before applying makeup. This allows your skin to fully absorb the benefits of the treatment and minimizes the risk of irritation or clogged pores. #### Schedule Your Facial Today Ready to revitalize your skin and achieve a radiant complexion? Schedule your **personalized facial** at West End Plastic Surgery today. Our experienced aestheticians are here to help you look and feel your best, one facial at a time. Contact us to book your appointment or learn more about our facial treatments. --- ## Facelift **Link:** [Facelift](https://www.westendplasticsurgery.com/face/facelift/) ([md](https://www.westendplasticsurgery.com/face/facelift/index.html.md)) **Type:** Service **Description:** Facelift surgery in Washington, D.C. Renew your appearance with board certified plastic surgeons providing stunning, natural-looking facelift results in Washington, D.C. ### Content #### What is a Facelift? A facelift erases the most visible signs of aging on the lower two-thirds of your face. It removes loose and sagging skin from the area, tightening the underlying muscles and support structures to provide a more youthful and rejuvenated appearance; it may improve your self-image as well. Dr. Ruff and Dr. Wang's facelift results are natural and don't have the “pulled look” or abnormal hairline and sideburns that some people develop after surgery. They also use specialized techniques and perioperative care to minimize any downtime. [Request an Appointment Online](/consultation/) #### Facelift Techniques There are several techniques used to perform a facelift, each done in its own way and each with its own benefits: - With the **mini-lift**, a small incision is made in front of each ear and a small area of skin is lifted. This technique is particularly suited for patients in their late 30s or early 40s because it targets the early signs of aging. - The “**weekend facelift**” uses liposuction to remove excess fat from the chin and uses lasers to constrict the fat cells and tighten the surrounding tissues of the neck area. This procedure works well for people who primarily wish to tighten the jowls to reduce the heavy look under the chin. - In the **traditional facelift**, an incision is made at the hairline, excess skin is removed, the remaining skin is pulled and tightened, and stitches are used to close the incision. The traditional facelift is used when there are large amounts of sagging and drooping skin to be removed from the neck and lower face. - The **deep plane facelift** is the most complete and restorative facelift approach. With this procedure, the incisions are similar to the traditional facelift but the sagging tissues are completely released along a natural anatomical plane allowing for a tension-free rejuvenation of the neck, lower face, and cheek. It can be considered for patients of any age but is most suitable for those in their 50s-70s. #### What is a Deep Plane Facelift? *Facelift surgery has improved a great deal over time.* Originally, this facial rejuvenation surgery focused only on the skin, pulling it tighter and trimming excess to smooth away wrinkles around the nose and mouth. The problem, as you may know, was that most facelifts incurred a telltale windblown look. The improvement upon the traditional skin-only facelift was the movement into a deeper area of tissue, the SMAS (superficial musculoaponeurotic system). This is the layer of fascia and connective tissue under the skin. To restore more youthful facial contours, the SMAS facelift cuts a small section of tissue from the sides of the face and pulls the connective layer tighter, then smoothes the skin over it. This is advantageous, but not as much so as the deep plane facelift, which our surgeons perform. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### What are the Advantages of a Deep Plane Facelift Combined with a Neck Lift? There are several reasons to consider a deep plane facelift. This technique is routinely performed on patients as young as their fifties as well as patients into their seventies. Some of the advantages of the deep plane facelift include: - **Meticulous redistribution of fat**. With age, the structure of the face inverts, with more volume resting at the jawline and upper neck. Redistribution of fat moves volume back up to the cheek area where it would sit on a more youthful face. - **Smoother skin**. As the aging process robs the skin of collagen, elastin, and other vital nutrients, it becomes loose, crepe-like, and wrinkled. Tightening the skin over the new, smooth SMAS and muscle layer, the deep plane facelift achieves natural-looking firmness and texture from the neck to the mid-face. - **Lasting results**. A deep plane facelift can make you look a decade younger. The results of this procedure can last a decade or longer. Your results will be influenced by your genes as well as the habits that you keep maintaining your new youthful appearance. #### Who Is A Good Candidate for a Facelift? The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well defined. Most patients are in their 40s to 60s, but facelifts can be successful for people well into their 70s and 80s. If you are generally healthy, have realistic views about the results you can expect, and have any of the following conditions, you may be a good candidate for the procedure: - You feel younger than what you see in the mirror - You are tired of non-surgical treatments like injectable fillers, lasers, or Botox - You have lost the youthful contour around your face or neck - You are noticing deeper wrinkles and furrows on your lower face or neck - You have deep creases forming between the bottom of your nose and the corner of your mouth - You have a disappearing jawline - You notice a sagging or heavy chin - You are ready to do something for yourself If you have only early signs of facial aging, you may be a candidate for a non-surgical approach. Dr. Ruff and Dr. Wang will discuss minimally invasive options such as [ThermiSmooth™, ThermiTight™](/laser-treatments/), or J-Plasma skin tightening if they suit your needs. #### What To Expect During A Facelift Consultation During your extensive consultation, your surgeon will evaluate your facial and neck structure, your skin elasticity, and your underlying muscle tone to determine whether a facelift is right for you and which technique suits you best. [Dr. Ruff](/about/team/dr-ruff/) and [Dr. Wang](/about/team/lexie-wang-md/) will thoroughly explain each technique along with its risks, benefits, and recovery times. You will be asked to describe in detail how you want your face and neck to look after your facelift. Working together, you and the doctor will decide which technique will give you the results you desire. #### How Much Does a Deep Plane Facelift Cost in Washington, D.C.? The cost of a Deep Plane Facelift starts at around $20,000 but is subject to the physician. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### What is the Anticipated Recovery Time for a Deep Plane Facelift? A traditional facelift may require two to four weeks of recovery to overcome swelling, bruising, and discomfort. The deep plane facelift may require you to take at least three weeks off work and social engagements. It's necessary to wear a compression garment around the chin and head for one to two weeks after this facelift. You may also have drains placed at the conclusion of your surgery to prevent fluid from building up in the surgical area. Drains can help prevent unwanted complications such as seroma and can also facilitate the reduction of swelling. Depending on how well you progress after surgery, you may return to work as early as two to three weeks post-op. It's imperative that you take it slow when going back to work and that you strictly avoid strenuous activities for at least six weeks following a deep plane facelift. This should be taken into consideration when determining how much time you will need to take off from work. #### Will There be Scars After a Facelift? *Initially, the incisions may seem very obvious, but eventually, they blend seamlessly into the skin and become undetectable.* This is a close-up of a patient who had a Facelift with Dr. Wang. Below are the stages of incision healing after a Facelift: **1. Immediate Postoperative Stage (0-2 weeks): **During this stage, the scars will be red, swollen, and possibly raised. It’s normal for scars to look their worst during this early healing period. **2. Early Healing Stage (2 weeks to 2 months):** As the swelling decreases, the scars will gradually begin to fade from red to pink. However, they may still be somewhat noticeable during this stage. **3. Intermediate Healing Stage (2-6 months):** By this stage, the scars should continue to lighten in color and flatten. They may become less noticeable, blending in more with the surrounding skin. **4. Late Healing Stage (6 months to 1 year):** Most of the improvement in scar appearance typically occurs within the first year after surgery. By this time, the scars should continue to fade and become less prominent. **5. Long-Term Healing (1 year and beyond):** After the first year, the scars will likely continue to fade and may eventually become barely noticeable. It’s important to note that individual results may vary, and some people may experience faster or slower scar fading than others. Additionally, factors such as genetics, skin type, sun exposure, and scar care practices can influence the healing process and final appearance of the scars #### What do I need to do after my Facelift Surgery? In nearly all cases, facelift surgery is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and the surgical area may be sore, so you will need to have someone drive you home.. Once you go home you may want to have someone stay with you for the first few days. There will be some bruising, swelling and numbness. You will need to keep your head elevated for a few days after surgery to help reduce the swelling. Pain medication will be prescribed to provide maximum comfort. #### Resuming Your Normal Routine After Facelift Surgery Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work within 10 days – 2 weeks of your surgery. - You can resume driving as soon as you feel comfortable doing so. - You can most likely return to your physical exercise program within 2-6 weeks of your facelift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - Most of the visible signs of your surgery should fade within about 2-3 weeks. - Prolonged exposure to heat and sun should be limited for several months. The scars caused by the incision should be protected from sunlight for at least a year after surgery. #### What do I need to be aware of After Your Facelift Surgery? - Bruising and swelling usually decrease enough so that you can comfortably go out in public about 10 to 20 days after your surgery. - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several weeks to disappear. - Generally, the scalp heals at a slower rate than the face or neck. For this reason, any surgical clips used in your scalp will be left in longer than the stitches in your face and neck. - Some of your hair around the incision may fall out and may temporarily be a bit thinner than normal. Normal hair growth usually resumes within a few weeks or a month. Permanent hair loss is rare. - Your face and neck will feel dry. Apply a good fragrance-free moisturizer frequently. - Avoid saunas and steam baths the first few months after your surgery. - Protect your scars with sunscreen for at least 6 months after surgery. Use an SPF 15 (or greater) sunscreen every time you are outside. Apply the sunscreen before applying makeup. - Hair texture and manageability can change temporarily as a reaction to surgery. Wait at least 6 weeks before coloring, highlighting, or perming your hair once it returns to its normal texture. #### What are the Possible Risks and Complications of a Facelift? All surgical procedures have some degree of risk, however, major complications from facelift surgery are unusual. During your initial consultation at [West End Plastic Surgery](/), your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre- and post-surgery instructions provided to you. Your doctor and his staff will be with you every step of the way to ensure a safe and pleasing outcome. Possible risks include the following: - Infection - Nerve damage - Hair loss - Asymmetry - Blood or fluid collection - Skin sloughing, delayed healing at the incision points - Wide or thickened scars #### How Long Will the Results of Your Facelift Last? A facelift removes excess skin and repositions fat and muscle to reduce jowls and smooth the jawline for a more youthful appearance. These results generally last between 5 to 15 years or longer in many cases, depending on the type and style of facelift performed. It is important to keep in mind that the effects of aging, gravity, and environmental factors will continue to affect the smoothness, sagging, and wrinkling of your face and neck. Meticulous skin care is critical to maximize the effectiveness and longevity of your surgical results. #### Are there other procedures that could be done along with facelift surgery to enhance the overall appearance of my face? A facelift is often performed in conjunction with a [neck lift](/face/neck-lift/), brow lift, lip lift, or eyelid surgery to enhance the overall youthful appearance. Skin resurfacing techniques such as laser or Renuvion (J-Plasma) can also be performed in conjunction with surgery to “polish” the final result. [BOTOX® Cosmetic](/injectables-fillers/botox/) injections are a non-surgical alternative that may temporarily reduce the number of lines and wrinkles in your face and neck. #### Will Insurance Cover a Facelift? A facelift is considered cosmetic surgery and, therefore, is not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during your initial consultation. #### Alternatives to Facelift Surgery BOTOX combined with injections of fillers, such as [JUVÉDERM®](/injectables-fillers/juvederm/) can be used in some cases as a non-surgical alternative to a facelift. These injections can reduce or eliminate lines and furrows by either filling them in or by blocking the nerve impulses to temporarily paralyze the muscles that cause wrinkles. Meticulous skin care may also help improve the tone, texture, and occasionally the contour of your facial skin. Laser resurfacing with the [ResurFX™](/laser-treatments/resurfx/) or [Clear + Brilliant®](/laser-treatments/clear-and-brilliant-laser/) systems or chemical peels may also provide a less-invasive alternative to surgery. #### Schedule a Consultation Patients visit [West End Plastic Surgery](/about/) for facelift surgery in Washington, D.C. from Alexandria, Reston, surrounding communities, and internationally. [Request a consultation](/consultation/) online to meet with [Dr. Ruff](/about/team/dr-ruff/) or [Dr. Wang](/about/team/lexie-wang-md/), who will help determine whether you’re a good candidate for the procedure. Or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. [Request A Facelift Consultation](/consultation/) #### Featured Services --- ## Red Light Therapy **Link:** [Red Light Therapy](https://www.westendplasticsurgery.com/aesthetic-services/led-lights/) ([md](https://www.westendplasticsurgery.com/aesthetic-services/led-lights/index.html.md)) **Type:** Service **Description:** Reduce the appearance of fine lines, wrinkles, uneven skin tone, and pore size with Washington, D.C. red light therapy at West End Plastic Surgery. ### Content #### Red Light Therapy at West End Plastic Surgery LED is great for reducing the appearance of fine lines and wrinkles, improving uneven skin tone, reducing pores size, and brightening the skin. At [West End Plastic Surgery](/about/), we are proud to be using **Omnilux red light therapy**, a non-invasive, non-ablative treatment that is safe for patients. - Omnilux therapy comes with three different light therapies. - Omnilux Blue is for acne prone skin. - Omnilux Revive is for reducing inflammatory response in the skin. - Omnilux Plus is for increased tone in the newly produced collagen. LED stands for Light Emitting Diode, which is a computer chip encased in a glass-like resin, which emits therapeutic wavelengths (or colors) of light energy. Not to be confused with laser, LED **red light therapy** was originally developed to fast-track the healing of wounds and post-surgery scars. The rejuvenation of healthy skin, too, was a happy coincidence. When the therapeutic light energy is in the correct wavelength, the cells in the dermis layer of skin will convert that light energy into ATP (adenosine triphosphate), which is the fuel that the cell uses to do its job. The fibroblast cells in the dermis layer have the job of producing collagen (which give the skin fullness or that plumped look) and elastin (which give the skin the ability to bounce back), giving the cells a ‘full tank of fuel’ and these fibroblast cells start to produce collagen and elastin. The result is the complexion is plumped up with new collagen (which pushes the folds of the wrinkles out) and new elastin (which helps to tighten the skin and give it more elasticity). For optimal results, *we recommend a series of 8-10 treatments*. --- ## Chemical Peels **Link:** [Chemical Peels](https://www.westendplasticsurgery.com/aesthetic-services/chemical-peels/) ([md](https://www.westendplasticsurgery.com/aesthetic-services/chemical-peels/index.html.md)) **Type:** Service **Description:** Smooth and refine your face. Facial skin resurfacing with Washington, D.C. chemical peels at West End Plastic Surgery. ### Content #### What is a Chemical Peel? A **chemical peel** is a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin is also temporarily more sensitive to the sun. At West End Plastic Surgery, [our team of Aestheticians](/about/team/) will discuss the various chemical peel options with you to ensure the best possible outcome for your skin. #### The VI Peel Introducing the **VI Peel**! This chemical peel addresses fine lines and wrinkles, acne and acne scarring, hyperpigmentation from sun damage, and melasma, and promotes smoother skin texture by refining pores, controlling oil, and stimulating collagen production. The downtime and discomfort are minimal. Described by its founders as a “great first-time peel for all age groups who want fresh, healthy, radiant skin.” The VI Peel is a fix-all for a variety of skin types and conditions. It infuses the skin with beneficial ingredients and is less about actually making the skin peel. The VI Peel contains a blend of active ingredients including trichloroacetic acid (TCA), retinoic acid, salicylic acid, phenol, vitamin C, and a blend of minerals. These ingredients all have fantastic benefits, like improving texture and tone, rejuvenating the skin, and helping to prevent further damage. It also contains pain-numbing ingredients to reduce the burning sensation and most say they don’t feel any burning during the treatment. VI Peel infuses the skin with beneficial ingredients and is less about actually making the skin peel. #### Before & After 2 VI Peel Treatments: #### Benefits of the VI Peel There are five different versions of the VI Peel available, each tailored to address a specific concern; however, the overall benefits include: - **Reducing acne and acne scars:** The VI Peel treats acne symptoms and reduces scarring caused by acne. It smooths skin texture, brightens dark areas, soothes inflammation, and increases collagen to plump depressed or pitted skin. Ice pick scars, rolling scars, and boxcar scars can all be treated. All scars respond differently to the VI Peel, and multiple sessions or a combination of treatments may be necessary. - **Diminishing sun spots and hyperpigmentation:** VI Peel's synergistic blend of ingredients brightens skin, diminishes sun spots, and leaves the complexion glowing. - **Smoothing over fine lines and wrinkles:** Acids, antioxidants, and exfoliants penetrate deeply into the skin, stimulating collagen and elastin production for a smoother, firmer, more youthful appearance. #### What’s in the VI Peel? Like other chemical peels, a VI Peel works by exfoliating your skin and stimulating the production of new proteins. VI Peels is made up of a blend of ingredients that include: #### Introducing TOXBOOSTER *The Ultimate Combo: VI Peel + Neurotoxins* Get even better results from your regular Neurotoxin ([Botox](/injectables-fillers/botox/), [Dysport](/injectables-fillers/dysport/), [Jeuveau](/injectables-fillers/jeuveau/), and [Xeomin](/injectables-fillers/xeomin/)) injections when you add a VI Peel treatment during the same appointment! Most people consider fine lines and wrinkles to be the main signs of aging but did you know that dark spots & sun damage inhibit your youthful glow? Does your skin sag and have a rough texture? The VI Peel combined with the Neurotoxin Injection targets ALL signs of aging. Neurotoxins treat dynamic wrinkles on your face, while the *VI Peel treats static wrinkles, sun damage, skin texture, and skin laxity*. #### TOXBOOSTER Benefits: - Improves rough texture and dullness - Increase collagen production - Lifts sun damage and dark spots - Improves skin sagging and elasticity - Reduces fine lines and wrinkles We know that Neurotoxin Injections work wonders on fine lines and wrinkles around the eyes, forehead, and in between the brows. But what about the rest of your skin? Combination therapies combine multiple modalities, injectables, and topicals (such as peels and skincare products) to deliver anti-aging results simultaneously. A combination therapy can improve wrinkles, texture, dark spots, sun damage, and skin laxity faster and more effectively over a shorter period of time. **In a clinical study, patients saw:** 60% decrease in wrinkles (vs 37% with neurotoxin alone)70% improvement in skin tone and texture. #### What Areas Can Be Treated with a Chemical Peel? **Chemical peels** are normally used to refresh the skin on the face. However, treatment may also be conducted on the neck, décolleté and the backs of the hands. #### Benefits of Facial Peels There are several advantages to **Washington, D.C. chemical peel treatments**, especially when peels are conducted periodically. Benefits that our patients appreciate include: - Chemical peels remove the outer layer of dead and damaged cells that inhibit product absorption. By removing debris, chemical peels increase the efficacy of skin care products. - Peels can be customized to meet a variety of needs, from sunspots to acne scars. Because formulas can be adjusted, chemical peels are accessible to people of all skin types and tones. - Minimal downtime treatment can be developed around your needs. - Cellular turnover achieved with a custom peel provides excellent results for melasma. #### What Types of Chemical Peels Are Offered? There are three basic types of chemical peels: #### What Should I Expect During A Chemical Peel Chemical peel treatment begins with gentle face cleansing while the patient lies comfortably on the treatment table. After cleansing, the eyes may be covered with gauze or cotton. Depending on the depth of peel selected, a topical or regional anesthetic may be used before the chemical solution is applied. Oral pain medication may be taken prior to treatment. Anesthetic is discussed in advanced to ensure patient comfort. The selected chemical peel solution is carefully applied to the skin avoiding delicate areas such as the eyelids. The liquid will then remain on the skin for several minutes to allow it to dry. As the chemical ingredients are absorbed into the epidermis, slight tingling or burning may occur. Your provider remains nearby in order to quickly address any concerns or reaction. Our careful selection of chemical peel ingredients for each patient minimizes this risk. #### Schedule a Consultation If you are interested in **Chemical Peels** and would like to know more information, contact West End Plastic Surgery at [(202) 785-4187](tel:(202) 785-4187) to schedule a [consultation](/consultation/). Our practice serves Washington, D.C. and surrounding areas. #### Chemical Peels *Frequently Asked Questions* --- ## Post Weight Loss Surgery **Link:** [Post Weight Loss Surgery](https://www.westendplasticsurgery.com/body/post-bariatric/) ([md](https://www.westendplasticsurgery.com/body/post-bariatric/index.html.md)) **Type:** Service **Description:** Post weight loss cosmetic body contouring in Washington, D.C. Tighten up your figure with board certified plastic surgeons providing great results in Washington, D.C. ### Content #### Complete Your Transformation With Confidence *Post Bariatric Surgery at West End Plastic Surgery* Losing a significant amount of weight is a major personal accomplishment that often elicits compliments from friends impressed with your commitment and fortitude. While their praise feels good, you might remain self-conscious about your body because excess skin — stretched to the point it can’t shrink back to your new shape — is draped over your waist like a deflated balloon. #### Post Bariatric Surgery at a Glance - **Excess Skin Removal - **Eliminate stretched or sagging skin after weight loss surgery - **Custom Body Contouring Surgery - **Target the abdomen, arms, thighs, breasts, and buttocks - **Long-Lasting Benefits - **Natural contours restored for comfort and confidence - **Safe, Staged Approach - **Sometimes performed in multiple procedures for optimal healing - **Personalized Care -** Plans tailored to the unique needs of bariatric patients Want to see more of the incredible transformations our talented team of skilled surgeons, nurses, and aesthetic experts can achieve? Check out our gallery for more amazing before and after images! From surgical procedures to non-surgical treatments, our experts deliver stunning results that help our patients look and feel their best. [Click to explore](/gallery/)! #### Refining Your Results. Restoring Balance. *What Is Post Bariatric Surgery?* Post-bariatric body contouring, also called skin removal surgery or bariatric body contouring, is a series of plastic surgery procedures performed after gastric bypass surgery, sleeve gastrectomy, or other bariatric procedures. These surgeries address the challenges of excess skin, extra fat, and tissues that no longer have the ability to shrink after rapid weight loss. #### Tailored to Each Patient *What Is Post-Bariatric Surgery Like?* Every post-bariatric body contouring journey is unique. Our plastic surgeons create customized treatment plans based on the amount of weight lost, current health factors, and your individual goals. - **Planning** – Some patients undergo one operation, while others require two procedures or staged surgeries to ensure patient safety and optimal wound healing. - **During Surgery** – Performed under anesthesia, body contouring surgery may take several hours to perform depending on the number of areas addressed. - **Recovery** – Most patients need several weeks before resuming normal physical activity, with ongoing support from our team to ensure the best outcome. #### Personalized Options *Body Contouring Procedures* #### Targeted Solutions for Every Concern *What Areas Can Be Addressed?* By combining body contouring procedures, we can reshape multiple areas while prioritizing patient safety and recovery. - **Abdomen and Waist** – Tummy tuck to tighten skin and muscles - **Arms** – Arm lift to remove sagging skin and improve tone - **Thighs** – Thigh lift to refine contours and reduce excess skin and fat - **Breasts and Chest** – Breast lift or breast reduction to restore proportion - **Back and Buttocks** – Body lift to smooth skin and redefine your shape #### Complete Your Weight Loss Journey *What Are the Benefits of Post Bariatric Surgery?* Patients choose post-bariatric body contouring at West End Plastic Surgery to remove excess skin after massive weight loss. Improve comfort by reducing irritation and chafing, restore mobility, and make physical activity easier. The results of these procedures also highlight the results of bariatric surgery and weight loss efforts, helping patients achieve a proportional, balanced body shape, improve clothing fit, and boost overall self-confidence. #### Designed Around You *Am I a Candidate for Post Bariatric Surgery?* You may be a good candidate for post bariatric body contouring procedures if you: - Have experienced major weight loss and have kept your weight stable for 6–12 months - Have extra skin, sagging tissues, or areas of excess fat affecting comfort - Are in good health, with no uncontrolled diabetes or severe nutritional deficiencies - Are prepared for a staged body contouring surgery if multiple areas need to be addressed - Have realistic expectations about surgical scars, recovery, and outcomes #### Safe Healing. Lasting Confidence. *Post Bariatric Surgery Recovery* Recovery varies depending on the number of body contouring procedures performed. Most patients can expect: - **Initial Downtime** – Several weeks of limited activity to promote safe wound healing - **Garments** – Use of compression garments to reduce swelling and support tissues - **Scars** – Carefully placed incisions that fade over time, balanced against the benefits of smooth contours - **Follow-Up** – Close monitoring by our plastic surgeons to ensure a safe recovery While recovery may take time, patients find the benefits of achieving a restored shape, improved comfort, and long-term confidence well worth the journey. #### Your Transformation, Fully Achieved. *Post Bariatric Surgery Results* Results are long-lasting and reveal the body you’ve worked so hard for. By eliminating excess skin and reshaping contours, patients see: - Smoother, more proportional lines - Enhanced comfort for movement and activity - Results that reflect the substantial amount of weight lost - Greater confidence and quality of life Final results improve as swelling decreases, scars fade, and your body adapts to its new shape. #### Expertise. Safety. Compassion. *Why Choose West End Plastic Surgery for Post Bariatric Body Contouring?* At West End Plastic Surgery, our board-certified plastic surgeons are experienced in treating bariatric patients and the unique challenges of post-bariatric body contouring. We focus on patient safety, careful planning, and advanced techniques to deliver the best possible outcomes. We understand the journey of weight loss patients—from obesity and bariatric procedures to the final stage of reshaping. Our team provides premium, compassionate care that supports you at every step. #### Post Bariatric Surgery *Frequently Asked Questions* --- ## Mommy Makeover **Link:** [Mommy Makeover](https://www.westendplasticsurgery.com/body/mommy-makeover/) ([md](https://www.westendplasticsurgery.com/body/mommy-makeover/index.html.md)) **Type:** Service **Description:** Mommy makeover in Washington, D.C. Get your pre-baby body back with board certified surgeons providing stunning mommy makeover results in Washington, D.C. ### Content #### Mommy Makeover at West End Plastic Surgery Many of our patients that visit our practice in Washington, D.C. that are considering a Mommy Makeover want a personal transformation to address unwanted physical changes after pregnancy, childbirth, and breastfeeding. Our Mommy Makeover patients span a lot of age groups, but they share a common goal of wanting to reclaim confidence in their bodies. #### What Is A Mommy Makeover? It’s simply a term that refers to a specialized combination of [body contouring](/body/) procedures, performed together to improve the physical changes that linger long after pregnancy. A Mommy Makeover has no set components; each procedure is custom-tailored to fit the individual patient's unique needs. However, the surgical approach generally starts with a breast and abdomen contouring procedure, then adding additional elements as needed, like [vaginal rejuvenation](/body/vaginal-rejuvenation/). Motherhood is perhaps an obvious prerequisite, but the procedure — combining cosmetic breast surgery with body contouring procedures — can benefit patients who haven’t been pregnant. This is because many of the same changes seen after having children, such as lost breast volume and sagging abdominal skin, can also occur as you age. A Mommy Makeover can reshape your breasts and restore their volume, and create a flatter tummy. A good candidate is in good overall health and is unsatisfied with the appearance of her body. Many of our patients say they want to feel comfortable wearing tight clothes or bikinis. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### What To Expect During Your Mommy Makeover Consultation Discussing aesthetic concerns about your body is very personal. Our surgeons strive to help patients feel relaxed during the consultation. Establishing a patient-surgeon relationship based on trust and honesty is one of the keys to getting results that meet and exceed his patients’ expectations. During the consultation, your surgeon asks about your specific cosmetic goals and he performs a thorough physical exam. This is a great time for you to ask questions about the procedures involved in a Mommy Makeover. #### Mommy Makeover Results by Dr. Arsalan: #### How Much Does a Mommy Makeover Cost in Washington, D.C.? The cost of a Mommy Makeover starts at around $18,500. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### What Procedures Are Involved In a Mommy Makeover? [Dr. Ruff](/about/team/dr-ruff/), Dr. Arsalan, and our team of surgeons create a customized surgical plan for your Mommy Makeover based on the concerns you describe during your consultation and physical examination. The most common procedures involved in a Mommy Makeover include [breast augmentation](/breast/breast-augmentation/) (with or without a breast lift), a tummy tuck, and liposuction. Many patients are also now asking about having surgical or nonsurgical vaginal rejuvenation (using [ThermiVa®](/body/vaginal-rejuvenation/)) as part of a Mommy Makeover. #### Breast Augmentation Women who breastfeed often want breast implants to restore the lost breast volume. In many cases, implants can create the perky, more youthful breast shape desired. When breast sagging is significant, though, the best approach is likely to combine a breast lift with augmentation. Dr. Ruff and Dr. Arsalan expertise in cosmetic breast surgery helps patients make the decisions associated with the procedure. #### Learn More About Each Procedure [Request a Consultation](/contact/) #### Mommy Makeover Recovery Each patient at our practice receives detailed postoperative instructions to help promote a quick healing process and minimize any risks of complications. One of the benefits of combining procedures in a Mommy Makeover is not having to make arrangements for multiple recoveries. For most patients, the abdomen requires the most time to heal. It’s important that you follow your surgeon’s instructions to avoid lifting anything heavy, including small children, during your recovery. Depending on the extent of the surgery, recovery typically takes 4 to 6 weeks. Swelling and bruising gradually resolve during this time, and the results of your Mommy Makeover will slowly emerge. However, it can be several more months before the final results are apparent. #### Can I Get a Mommy Makeover If I Want More Children? It isn’t a good idea to get a Mommy Makeover until you’re finished having children. A pregnancy and childbirth will likely undo all the work that’s performed. There are alternative treatments, including VASERlipo, which can be used to reduce fat in targeted areas, even when you’re still planning to have more children. #### Mommy Makeover Patient Testimonial [Google Reviews](https://www.google.com/maps/place/West+End+Plastic+Surgery/@38.9047978,-77.0551235,17z/data=!3m1!4b1!4m7!3m6!1s0x89b7b7b44544b03b:0x3cf379de56941126!8m2!3d38.9047978!4d-77.0529348!9m1!1b1) #### Schedule a Consultation If you’re looking for a plastic surgeon in Washington, D.C. who specializes in Mommy Makeover procedures. Request a [consultation online](/contact/) or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. West End Plastic Surgery serves Washington, D.C. and surrounding areas. #### Mommy Makeover *Frequently Asked Questions* --- ## Restylane **Link:** [Restylane](https://www.westendplasticsurgery.com/injectables-fillers/restylane/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/restylane/index.html.md)) **Type:** Service **Description:** Restylane in Washington, D.C. Smooth facial wrinkles and restore youthful volume with this safe, natural hyaluronic acid dermal filler injections in Washington, D.C. ### Content #### What is Restylane®? Restylane® is a safe, and natural cosmetic dermal filler that enhances the youthfulness of your face by restoring volume and fullness to the skin to correct facial wrinkles, folds, and furrows. It is made of hyaluronic acid, a natural substance that already exists in the human body. The hyaluronic acid contained in Restylane is hydrophilic or “water-loving,” meaning that once injected into the face, Restylane maintains its shape by binding to the body’s own moisture. It is this ability to bind with water that helps provide results lasting up to six months. And because Restylane is free from animal proteins, the risk of allergic reactions or the transmission of animal-based disease is limited. Restylane has been used in more than 1.5 million treatments in over 60 countries. It is only available through a licensed practitioner and has helped hundreds of men and women restore and rejuvenate facial features. #### Who is a candidate for Restylane®? Restylane® is an excellent treatment option for adults of all ages. While there are situations in which a surgical lift will achieve optimal results, Restylane® fillers have been designed to improve mild to severe wrinkles, creases, and volume-loss issues. If you are a healthy adult, are not pregnant or breastfeeding, and can understand what dermal fillers can and cannot achieve for you after talking with one of our providers, then you may be an ideal candidate for treatment. The image on the right is after Restylane Contour. Want to see more of the incredible transformations our talented team of skilled surgeons, nurses, and aesthetic experts can achieve? [**Check out our gallery for amazing before and after images!**](/gallery/) From surgical procedures to non-surgical treatments, our experts deliver stunning results that help our patients look and feel their best. [Click the link to explore](/gallery/)! #### Is Restylane® safe? Since 1996, over 1.5 million Restylane® treatments have been safely administered by dermatologists and plastic surgeons in more than 60 countries. Restylane® has been approved by the Federal Drug Administration (FDA) for use in the United States for the treatment of facial wrinkles and volume deficits in the backs of the hands. Restylane® is free from animal proteins so the risk of allergic reactions or the transmission of animal-based disease is limited and Restylane® treatments produce a low occurrence of side effects. The most commonly reported side effects are temporary redness and mild swelling at the injection site. During your initial consultation, a staff member at West End Plastic Surgery will address any safety concerns you have regarding the use of Restylane®. #### Types of Restylane® Filler The Restylane line of hyaluronic acid (HA) dermal fillers is the broadest portfolio of fillers in the United States, including: - Restylane Kysse - Restylane Contour - Restylane Eyelight - Restylane Lyft - Restylane Refyne - Restylane Defyne - Restylane Silk - Restylane-L #### Restylane® Kysse Restylane® Kysse is a uniquely soft and cushiony hyaluronic acid dermal filler that is designed specifically for the lips. It can be injected into the body of the upper and lower lips to correct deflation or build natural-looking fullness, and may also be injected into the fine lines that can develop around the mouth. Made with XpresHAn Technology™, Restylane® Kysse does not cause the lips to look or feel firm; they remain kissably soft. #### Restylane® Contour Restylane Contour is a hyaluronic acid-based dermal filler specifically designed to restore volume and enhance the shape and definition of the cheeks. It utilizes XpresHAn Technology, which allows the filler to move naturally with facial expressions, providing a flexible, soft, and natural-looking result. This makes it ideal for patients seeking cheek augmentation that maintains a natural appearance, even with dynamic facial movements. Restylane Contour can also help create subtle lift and improve overall facial balance. #### Restylane® Eyelight ™ Say goodbye to dark under-eye shadows and brighten up your look with Restylane® Eyelight™! It's a hyaluronic acid injectable filler for the treatment of the tear trough area that reduces dark under-eye shadows and grooves and stops your eyes from looking tired. A small amount of Eyelight™ is placed under the eye to fill the groove. With the groove filled and the volume replaced, shadows and dark circles under the eyes will decrease, giving you a refreshed and less tired appearance. Shadows and dark circles under the eyes can be caused by many things, such as hyperpigmentation or superficial veins. Eyebags and puffiness can also contribute. However, in the majority of cases, a lack of volume below the eyes is what creates the hollows that make us look tired. The area that is affected by volume loss is often called the “tear trough”. The tear trough area starts at the inner corner of the eye and forms a half-circle under the eye. [.block][] #### Restylane® Lyft With age and the loss of collagen and elastin, the face changes shape. It may look flat across the cheek area and wider or droopy at the jawline. Restylane® Lyft is formulated specifically for volumizing and lifting. It is formulated with more density than other Restylane® products so that it may be deposited into deeper layers of the skin to create more youthful contours. In addition to enhancing the cheek contours, Lyft may be used to smooth deeper wrinkles and creases. #### Restylane® Refyne and Defyne Restylane Refyne and Restylane Defyne are FDA-approved to smooth smile and laugh lines. These fillers are designed with XpresHAn Technology™, which creates a smooth, injectable gel that can give the skin a natural, soft look, and is proven to maintain natural movement in the lower part of the face. Since the lower part of the face is constantly in motion, it’s important to use a filler that supports natural movement and facial expressions. Results with Restylane Refyne and Restylane Defyne are clinically proven to last up to 12 months. #### Are Restylane® Injections painful? No. Dermal filler injections are not only convenient but they are also virtually painless. That said, injections are injections. You will feel a slight poke or pinching sensation during your procedure, but it should not be painful. For women, it can be advantageous to schedule [injectable treatments](/injectables-fillers/) mid-cycle rather than close to menstruation. If you are concerned about discomfort, talk to your provider ahead of time to determine which over-the-counter pain reliever you might take to enhance your pain tolerance without increasing your risk of swelling and bruising. #### Will there be different results based on which type of Restylane® you use? Yes and no. Yes, results will be different in terms of softness or structure and longevity. No, results won’t be different in terms of the beautiful, natural appearance we achieve. Our experienced providers select the most appropriate Restylane® formula based on your skin and your desired improvements. During your consultation, we can discuss the expected outcome as it relates to these factors. #### Can you combine different Restylane® products in one treatment? Yes! Many people combine various Restylane® products into one appointment. Each product has the same base ingredient, but each is formulated with unique characteristics. For example, based on the product descriptions on this page, Restylane® Refyne and Defyne are made with XpresHAn Technology™ that moves with the most movable parts of the face, whereas Restylane® Silk is formulated with an ultra-soft composition that is perfect for the lips. When you visit us for your dermal filler consultation, we can discuss which product or combination of products would be ideal for you. #### Restylane® Treatment Restylane®, a crystal clear gel, is injected directly into the skin in tiny amounts using an ultra-fine needle. The gel fills the skin’s wrinkles and depressions by plumping the skin with water-binding, naturally occurring hyaluronic acid. The doctor may numb the treated area, however, there is minimal discomfort during or after the procedure. The procedure is simple and convenient and results are practically instantaneous. Restylane® treatments produce a low occurrence of side effects. The most commonly reported side effects are temporary redness and mild swelling at the injection site. Both the redness and the swelling generally disappear within seven days of your treatment. #### Restylane® Pre Treatment Instructions: Prior to your Restylane treatment please make sure you have not been taking aspirin, ibuprofen, or any other blood thinning medication or supplement for 5-7 days. #### Restylane® Post treatment Instructions: - A temporary amount of mild-moderate swelling and redness at the injection site can be expected immediately after treatment. This is a normal occurrence and will reduce over the next few days. Cold compresses or ice packs may be applied to the area as needed for comfort. - Bruising at the injection site is a commonly reported side effect. The extent and duration of bruising can be decreased by applying cold compresses and using a topical arnica gel within the first 24 hours after treatment. - It is normal to experience some tenderness at treatment site for a few days. - The injection site may be gently washed a few hours after treatment. Please avoid aggressive scrubbing, rubbing, or exfoliation until swelling and redness subsides. - Makeup may be applied shortly after treatment unless otherwise noted by treatment provider. Please make sure to apply gently over treatment site. - Avoid exercise or alcohol for 6 hours after treatment. - Do not have laser, microdermabrasion, chemical peel, or any other aggressive treatments over treatment site for a minimum of 2 weeks. - It is not uncommon to feel irregularities or undulations under the skin when pressing on the treated area, please do not massage unless otherwise directed by your provider. - Sunbathing or excessive UV exposure should be avoided until the redness and swelling has subsided. #### Is there recovery involved with Restylane®? No. You may return to work and other light activities right away after your Restylane® treatment. While there is no downtime after Restylane® injections, there are suggestions to help you maximize the efficacy of your treatment and avoid unnecessary side effects. To ensure that Restylane® does not migrate away from injection sites, providers suggest that patients avoid strenuous exercise, excessive heat, and massage of the treatment area for at least 24 to 48 hours after treatment. This means you should not schedule a massage or dentist appointment within a few days after your visit with us. In addition to postponing strenuous exercise or other activities for 24 to 48 hours, you should also be very mindful of sun exposure. Wear sunscreen and a wide-brimmed hat when you go outdoors and do not schedule an appointment at your tanning salon. #### How long does Restylane® last? The unique hydrophilic nature of Restylane delivers results that generally last for about six months. And, because Restylane binds to the water in your body, its cosmetic effects are maintained until the injected material is nearly gone. Of course, individual results may vary and it is best to discuss your individual case with Dr. Ruff and the team at West End Plastic Surgery during your initial consultation. #### How often can you receive Restylane® Treatment? The body naturally contains hyaluronic acid, the base ingredient in all Restylane® products, and it naturally breaks down hyaluronic acid with repetitive use. Retreatment can be scheduled according to the speed at which the product is broken down, and this can vary based on several factors, including sun exposure. On average, more structural Restylane® products, such as Refyne and Defyne, can last 18 months or more. Softer, subtler fillers that are ideal for fine lines and lip augmentation may last up to 12 months. Every situation is unique so we encourage our patients to check in with their results, and with us, periodically. #### Patient Testimonial #### Schedule a Restylane® treatment consultation in D.C.! If you wish to learn more about Restylane® or any of the other dermal fillers offered at West End Plastic Surgery, please give us a call at [(202) 785-4187](tel:(202) 785-4187) today! Or, you can also fill out the form in our [contact page](/contact/), and our office will help you set up your appointment with one of our [talented physicians](/about/team/). We look forward to serving you! --- ## Laser Genesis **Link:** [Laser Genesis](https://www.westendplasticsurgery.com/laser-treatments/laser-genesis/) ([md](https://www.westendplasticsurgery.com/laser-treatments/laser-genesis/index.html.md)) **Type:** Service **Description:** Laser Genesis in Washington, D.C. Rejuvenate your appearance! Unlock the secret to youthful, luminous skin with Laser Genesis in Washington, D.C. ### Content #### Laser Genesis at West End Plastic Surgery Laser Genesis is a non-ablative laser that utilizes short bursts of energy, called micropulses, to gently resurface the skin. This gentle laser treatment works by heating the outermost layers of the dermis while also boosting collagen production. By stimulating collagen regrowth, Laser Genesis effectively reduces the appearance of fine lines and wrinkles, tightens pores, improves the overall tone and texture of the skin, gets rid of sun damage, and helps to diminish any redness on the skin. As a rejuvenating skin treatment, Laser Genesis restores a youthful glow while minimizing other skin imperfections The Laser Genesis device is safe for all skin types and unlike other [laser treatments](/laser-treatments/), it has minimal downtime and delivers big results! #### What Does the Laser Genesis Treat? Laser Genesis was specifically designed to treat a wide range of skin imperfections, including: - Uneven skin tone and texture - Acne scarring - Rosacea and melasma - Fine lines and wrinkles - Sun damage - Hyperpigmentation *The results below are from *[*Rahma Scott*](/about/team/rahma-scott-pa-c/)* treating the patient’s acne, hyperpigmentation, redness, and uneven skin tone with two treatments of Laser Genesis. * #### Who Is a Candidate for Laser Genesis Treatment? Laser Genesis is one of the best non-invasive treatments for patients who are looking to address the early signs of aging and improve the overall appearance of their skin. Because Laser Genesis treatments are safe for all skin types, most patients can benefit from the procedure, regardless of skin tone. #### What to Expect During Treatment? Since Laser Genesis is a non-ablative laser treatment, topical anesthesia isn’t necessary. However, some patients do choose to have a topical numbing cream applied for improved comfort. You will need to wear protective eyewear during treatment to protect your eyes from the laser. After prepping your skin, the laser’s handpiece will be gently moved back and forth across the treatment area. As the device moves across your skin, you may feel a warm or tingling sensation. Your exact treatment time may range between 30 to 60 minutes, depending on the number of treatment areas. #### Benefits of Laser Genesis: #### Why Choose West End for Laser Genesis Treatment? -**Experience and Expertise:** At West End Plastic Surgery, our team of highly skilled plastic surgeons are extremely knowledgeable and have extensive experience. We have an in-depth understanding of not only the latest laser technology but also dermatology. -**Personalized Approach:** Every patient’s needs and aesthetic goals are different. That’s why we personalize your Laser Genesis treatment plan to address your concerns and help you reach your aesthetic goals. Experience the rejuvenating benefits of Laser Genesis at West End Plastic Surgery, conveniently located in Washington, DC. [Contact us](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to learn more about Laser Genesis or to schedule an appointment. --- ## Renuvion | Skin Treament **Link:** [Renuvion | Skin Treament](https://www.westendplasticsurgery.com/laser-treatments/renuvion-skin/) ([md](https://www.westendplasticsurgery.com/laser-treatments/renuvion-skin/index.html.md)) **Type:** Service **Description:** Renuvion skin resurfacing in Washington, D.C. Rejuvenate, tighten, and smooth the skin with board certified surgeons providing stunning skin resurfacing results in Washington, D.C. ### Content #### What is Renuvion Skin Resurfacing? This revolutionary skin resurfacing treatment is changing the aesthetic industry. Dr. Paul Ruff is proud to offer Renuvion Skin Resurfacing. Renuvion uses incredibly precise cold energy to turn back the hands of time and dramatically reduce the signs of aging. While the [Renuvion Face](/laser-treatments/renuvion-face/) and [Renuvion Body](/laser-treatments/renuvion-body/) procedures use cold plasma energy under the skin, Renuvion skin resurfacing uses cold plasma on the surface of the skin to ablate and smooth – virtually taking years off your face. #### How Much Does Renuvion Resurfacing Cost in Washington, D.C.? The cost of Renuvion Resurfacing starts at around $10,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Renuvion Skin Resurfacing Treatment Renuvion skin resurfacing uses cold plasma energy to promote skin tightening and rejuvenation, as well as encouraging your skin to regrow new cells. Utilizing ionized helium gas, [Dr. Ruff](/about/team/dr-ruff/) is able to ablate tissue at an extremely low, controlled temperature. This allows for minimal collateral damage to surrounding tissue. The technology was developed for controlled and precise medical applications such as removing cancerous lesions and was found to be beneficial in aesthetic and cosmetic practices due to the incredible cellular rejuvenation. This plasma is different from the plasma that we use for our PRP Treatments which is the platelet rich plasma found in our blood. With the cold plasma energy of Renuvion skin resurfacing we can treat delicate areas such as the eyelids without causing damage to the surrounding treatment area. Our board-certified plastic surgeons perform your skin resurfacing treatment as an outpatient procedure. Dr. Ruff uses the wand and gently “paint” the areas of the face with the cold plasma energy. Patients can treat the full face or target the peri-oral (mouth) or peri-ocular (eye) area. Renuvion skin resurfacing can be added to any of our cosmetic procedures for remarkable results. #### Renuvion Skin Consultation Our team will assist you with all the information you need for exceptional results with your Renuvion skin resurfacing procedure. We will address all your concerns ahead of time and discuss what your desired results are. The surgeon will also discuss the techniques and anesthesia options. Prior to your procedure, we may have you do a series of two [chemical peels](/aesthetic-services/chemical-peels/) to prepare your skin to ensure the best possible outcome. #### Recovery After Renuvion Skin Resurfacing To decrease the swelling and to escalate the healing process, after your procedure, you will have an combination of PRP and [amnion](/regenerative-medicine/#amnion), followed by a moisture infusing mask which will be kept on for 1-3 days. 5 days post procedure, you will need to return to the office for a cleansing facial. Typically, 5 days after that you will return for another facial and to make sure you are healing properly. Initial swelling and bruising can take one to three weeks to resolve. It will take at least several months until the final result becomes stable. Skin resurfacing can cause pinkness for six to ten weeks post procedure. Make-up can easily cover this pinkness. Patients can take over the counter Tylenol to treat minor discomfort. #### Schedule a Consultation For more information about Renuvion skin resurfacing, contact West End Plastic Surgery. [Request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation at our Washington, D.C. office. [Click Here to Contact Us](/contact/) --- ## Skincare **Link:** [Skincare](https://www.westendplasticsurgery.com/skincare/) ([md](https://www.westendplasticsurgery.com/skincare/index.html.md)) **Type:** Service **Description:** Non-surgical skincare options in Washington. D.C. Dr. Lexie Wang delivers tailored solutions for your skin's unique needs. ### Content #### Skincare at West End Plastic Surgery Choosing the right skincare product can be challenging when faced with so many options available at the store or online. Over-the-counter options like Sephora or CVS may seem like a money-saving solution, but do they really work? In our practice, we assist patients in establishing and creating a comprehensive at-home skincare routine so they can optimize their surgical and non-surgical treatments. Skincare practices are an essential part of self-care, so the products you incorporate into those routines should also be carefully considered. Our knowledgeable team is ready to guide you through all your skincare options and help you find the perfect regimen for your unique beauty journey. If you would like to schedule a skin and skincare consultation with one of our Medical Aestheticians, give us a call at [(202) 785-4187](tel:(202) 785-4187) or [submit a request on our website.](/consultation/) #### Below you will find all the medical-grade skincare products we offer at West End Plastic Surgery: [Click To Schedule A Skincare Consultation](/consultation/) --- ## Skin Removal Surgery **Link:** [Skin Removal Surgery](https://www.westendplasticsurgery.com/body/skin-removal-surgery/) ([md](https://www.westendplasticsurgery.com/body/skin-removal-surgery/index.html.md)) **Type:** Service **Description:** Skin reduction in Washington, D.C. Remove excess skin for a toned appearance with board certified surgeons providing stunning skin reduction results in Washington, D.C. ### Content #### Skin Reduction at West End Plastic Surgery At West End Plastic Surgery, we understand the incredible journey of massive weight loss, whether achieved through lifestyle changes or bariatric surgery. However, after reaching your weight-loss goals, you may face a new challenge: excess, sagging skin. Our skin reduction procedures are designed to help you achieve a more sculpted and contoured body, allowing you to fully enjoy the results of your hard work. If your self-esteem is affected by excessive skin following pregnancy or bariatric surgery, [request a consultation](/consultation/) at West End Plastic Surgery, which serves Alexandria, Reston, and other areas surrounding D.C. Or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### Benefits of Skin Reduction Surgery - **Improved Comfort and Mobility **Excess skin can cause irritation, chafing, and even infections, especially in areas where skin folds overlap. Removing this excess skin not only enhances your comfort but also makes physical activities like exercising and walking easier and more enjoyable. - **Enhanced Appearance **Loose skin can hide the dramatic results of your weight loss. Skin reduction surgery tightens and reshapes your body, revealing the toned contours you’ve worked so hard to achieve. Patients often report feeling more confident and satisfied with their appearance. - **Better-Fitting Clothes **Sagging skin can make it difficult to find clothing that fits well. By removing excess skin, you’ll enjoy a wider range of clothing options that fit your body beautifully and comfortably. - **Boosted Confidence and Self-Esteem **Completing your weight-loss journey with skin reduction surgery can provide a significant boost to your self-esteem. Feeling comfortable and confident in your body empowers you to embrace life to the fullest. - **Improved Hygiene **Skin folds can trap moisture, leading to rashes, infections, and unpleasant odors. Skin reduction surgery eliminates these issues, improving overall hygiene and comfort. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Are You a Good Candidate for a Skin Reduction Procedure? If you are in good health and have realistic expectations regarding the results of your skin reduction surgery, you are an ideal candidate for the procedure. While a skin reduction procedure will reduce the amount of sagging skin and excess tissue, no surgical procedure can re-create the tight and firm skin of your youth. #### Meeting With Our Surgeons Prior to scheduling your skin reduction procedure, you will meet at length with our Surgeon and the staff at West End Plastic Surgery. You will have your areas of concern evaluated, and you will discuss how you want your body to look after the procedure. #### How Skin Reduction Is Performed If your primary concern is that of loose skin, the muscles and tissues beneath your skin are in good condition, and the area to be treated is not substantial, your procedure may be performed under local anesthesia in Dr. Ruff’s accredited on-site surgery suite. Local anesthesia plus the addition of IV sedation is also an option, but for those with a great deal of skin to be removed, general anesthesia will be used. Decisions about anesthesia will be confirmed with you at your consultation prior to scheduling your procedure. #### What To Expect After Your Surgery #### Immediately After Your Surgery In most cases, you will be ready to go home shortly after the procedure. Because you may be a bit sleepy after the anesthesia and will experience a good deal of soreness in the area of your incisions, it is important for someone to drive you home after your surgery. You may also want to have someone stay with you for the first day or 2 after your procedure, to eliminate the need to lift, stretch, or put any undue pressure on the sutures. #### The First 24 to 48 Hours After Your Surgery During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia. But because the focus of surgery was on skin rather than muscle, bone, or other tissues, you will likely feel less discomfort than with other cosmetic procedures. Tylenol is generally adequate for discomfort, although Dr. Ruff can prescribe pain medication for you if you need it. Your comfort level will improve rapidly after the first 2 days. #### The First 2 Weeks After Surgery - You will notice a marked improvement in your comfort level during the first few days after your surgery. - Any bruising you experience will usually disappear in about 2 weeks. - Some patients experience a burning or itching sensation in their skin, which generally disappears within 7 to 14 days after surgery. - Avoid heavy lifting and straining for at least 2 weeks. The video below shows what to expect at your 1 week, 1 month, and 3-month Torsoplasty post-operative appointments. Dr. Ruff performed body contouring to remove redundant skin and fat after a massive weight loss of over 200 lbs. More specifically, he performed a Circumferential Torsoplasty with Liposuction and Renuvion Skin Tightening of the chest, axilla, flanks, abdomen, and thighs. #### Resuming Your Normal Routine Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within 3 to 5 days after your procedure, unless your work is strenuous. - You can resume driving within a week. However, if your skin reduction procedure involved the thighs or buttocks, you may find driving uncomfortable for the first several weeks. Dr. Ruff will advise you as to when driving will be comfortable and permitted. - Strenuous exercise can begin about 3 weeks after surgery. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars should be protected from sunlight for at least a year after surgery. #### Things to Be Aware of After Your Skin Reduction Procedure Your skin may appear shiny due to swelling. Within a few weeks, the swelling will disappear and your skin will return to a normal appearance. #### Skin Reduction *Frequently Asked Questions* --- ## Ayon | Body Contouring **Link:** [Ayon | Body Contouring](https://www.westendplasticsurgery.com/body/ayon-body-contouring/) ([md](https://www.westendplasticsurgery.com/body/ayon-body-contouring/index.html.md)) **Type:** Service **Description:** Achieve refined contours and tighter skin with AYON, a minimally invasive surgical treatment offered at West End Plastic Surgery in Washington, D.C. ### Content #### A Revolution in Surgical Technology *AYON at West End Plastic Surgery* At West End Plastic Surgery, we’re excited to introduce **AYON by Apyx**, the advanced all‑in‑one surgical platform incorporating the latest generation of Renuvion® skin-tightening technology. This innovative system is designed to enhance the results across a variety of procedures, from skin tightening to body contouring and sculpting, delivering greater precision, efficiency, and safety for every patient. AYON is an advanced surgical device that *firms loose skin and refines body contours with minimal invasiveness*. Known for producing smooth, natural-looking results with a shorter recovery time compared to traditional surgery, AYON enables our providers to sculpt the body with precision and care. #### AYON Body Contouring at a Glance - **What It Is - **Surgical device for body contouring and skin tightening - **Procedure Duration - **Typically 1–3 hours, depending on the area treated - **Recovery - **Minimal downtime; most patients resume light activity in days - **Results - **Firmer, smoother contours that appear natural and proportionate - **Treatment Areas - **Abdomen, arms, thighs, flanks, and other regions with loose skin #### Next-Level Body Contouring *What is AYON?* AYON is an advanced all‑in‑one body contouring system cleared by the FDA for surgical aesthetic use. It combines fat removal, skin tightening, and tissue contraction in one platform, enabling surgeons to contour the body more precisely while minimizing trauma to surrounding tissues. **AYON** is especially effective in areas where liposuction may remove fat but leave the skin loose or sagging. By encouraging skin contraction, AYON can be used in conjunction with fat reduction or as a standalone treatment, resulting in smoother, more sculpted, and youthful contours. Its minimally invasive approach helps reduce recovery time while refining body lines, making it an excellent option for patients seeking noticeable, natural-looking results. #### Step Into Seamless Contouring *What is the AYON Procedure Like?* On surgery day, the targeted area is marked and prepared under anesthesia. A small, specialized device is inserted through tiny access points to deliver ultrasound-assisted liposuction for fat removal, tighten skin, and remodel underlying tissue. The procedure is performed with precision to ensure smooth, even results. Most treatments are outpatient, allowing patients to return home the same day. #### Your Contour Concerns *What Conditions Does AYON Address?* **AYON** treats: #### Targeted Tightening *What Areas of the Body Can AYON Address?* **AYON** can be used on the abdomen, flanks, thighs, arms, and other regions with loose skin, offering *targeted tightening and improved contours*. #### Sculpt, Tighten, Refine *What Are the Benefits of AYON?* **AYON body contouring** offers a range of advantages for those seeking a more sculpted physique. Here are some of the key benefits: #### Finding Your Perfect Contour Solution *Am I a Candidate for AYON?* Ideal candidates are individuals wishing to address localized fat deposits or mild to moderate skin laxity who are in good overall health. **AYON is not a weight-loss solution but rather a body contouring and skin-tightening procedure**. Patients should have realistic expectations and understand the importance of maintaining a stable weight to maintain long-lasting results. #### Smooth Sailing *AYON Recovery* Following **AYON**, most patients notice only mild swelling or bruising, which generally subsides within a few days. Wearing a compression garment may help enhance results and support healing. Light activity can usually be resumed quickly, while full activity is typically allowed within two to three weeks. Our team will provide clear post-operative instructions to guide your recovery and help achieve the best possible outcome. #### Lasting Contours, Natural Beauty *AYON Results* Patients notice *immediate improvement in skin tightness and body contours*, with continued refinement over several weeks as collagen production is stimulated. Results are long-lasting when patients maintain a healthy lifestyle, enjoying firmer, smoother skin and sculpted body contours. #### Elevating Contouring with Innovation and Skill *Why Choose West End Plastic Surgery for AYON?* West End Plastic Surgery offers expert guidance and meticulous execution of **AYON treatments**. Our providers combine advanced technology with a personalized approach, ensuring that each patient achieves refined, natural-looking results in a safe and supportive environment. From consultation to recovery, our team is committed to making your body contouring experience seamless, comfortable, and transformative. #### AYON *Frequently Asked Questions* --- ## Vivace **Link:** [Vivace](https://www.westendplasticsurgery.com/regenerative-medicine/vivace/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine/vivace/index.html.md)) **Type:** Service **Description:** Virtue/Vivace Microneedling in Washington, D.C. From boosting collagen to improving texture, offers tailored solutions for your needs. ### Content #### Virtue/Vivace Virtue microneedling is a revolutionary radiofrequency device that can transform your skin with minimal to zero downtime. It targets the “foundation” of your skin to stimulate collagen, which improves irregularities, as well as signs of aging like loose skin, wrinkles, and uneven texture. It can even be used for stubborn acne scars. With essentially no recovery, Virtue is an easy choice to give you dramatically smoother, younger-looking skin. Call our D.C. office today at [(202) 785-4187](tel:(202) 785-4187) learn more or to determine whether you are a candidate for treatment! #### What is Virtue? Virtue is a state-of-the-art radiofrequency microneedling device that uses 36 tiny gold-plated needles to deliver a very specific amount of energy at various depths beneath your skin. These small controlled injuries stimulate the body’s production of collagen, which leads to both immediate as well as long term improvements. The minimally-invasive benefits of Virtue are especially helpful for your face but can also be used to tighten areas like your neck, abdomen, arms, and more! #### Virtue Improves: - Fine lines or deep wrinkles - Acne scars - Sun damage - Dullness/texture - Loose skin #### How is Virtue different? Traditional (non-energy) [microneedling](/regenerative-medicine/microneedling/) has been popular for decades and has proven benefits for your skin. However, the improvements are modest and usually limited. Applying radiofrequency energy to the needles creates a stronger message to your skin, resulting in more collagen production and significantly greater enhancement. Compared to other energy-based microneedling devices available, Virtue excels in patient comfort and satisfaction due to the robotic precision in which the energy is delivered. This results in a near painless experience with almost no downtime. Typical [treatments](/services/) can be done on your lunch break without any need to hide! #### How does Virtue work? Virtue passes radiofrequency energy through tiny needles into specific layers of your skin. The depth can be customized down to 0.1mm to absolutely ensure that only the intended location is being affected. This allows for an effective treatment, without the recovery associated with less precise methods. While you may notice improvements after just one treatment, most patients choose a Virtue series, which consists of four treatments spaced one month apart. Results are usually apparent within several months and continue to get better and better over the course of one year. #### Am I a candidate for Virtue? You are a good candidate for a Virtue treatment if you are looking to reduce the appearance of fine lines or improve skin texture, contour, or laxity. Your skin will look healthier, younger, and more radiant. However, if you have significant recent sun exposure, it may be best to wait until you are back to baseline. Since Virtue is treating below the pigment cells, it is safe to use on darker skin tones as well! [Contact Us Today](/contact/) #### Vivace *Frequently Asked Questions* #### What People Say About Us! #### Schedule a Virtue treatment consultation in D.C.! Be sure to give us a call at [(202) 785-4187](tel:(202) 785-4187) or fill out the appointment request form in our [contact page](/contact/). Our experienced team can answer any questions you have regarding the Virtue treatment and can help you determine whether you are a candidate for treatment! --- ## Clear + Brilliant Laser **Link:** [Clear + Brilliant Laser](https://www.westendplasticsurgery.com/laser-treatments/clear-and-brilliant-laser/) ([md](https://www.westendplasticsurgery.com/laser-treatments/clear-and-brilliant-laser/index.html.md)) **Type:** Service **Description:** Clear + Brilliant laser treatment in Washington, D.C. Improve your complexion and helps you maintain a gorgeous glow. ### Content #### Clear + Brilliant at West End Plastic Surgery Laser devices are among the most popular cosmetic treatments in the nation. Today’s aesthetic patients have many options, from superficial treatments to deep ablative lasers. If you’re new to laser treatments, Clear + Brilliant is an excellent option to gently renew your skin and maintain its youthful glow. Learn why this laser treatment is popular with our Washington, D.C.-area patients of all ages who are interested in meaningful skin improvement that goes a step beyond at-home treatments. Men and women come from communities throughout metro Washington, D.C. for laser skin resurfacing with Clear + Brilliant. You can [request a consultation](/consultation/) online to meet with [our doctors](/about/team/) or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### What is Clear + Brilliant? Clear + Brilliant is a gentle, non-ablative, fractional laser device that can be used to enhance most skin types. Unlike more significant types of laser resurfacing, Clear + Brilliant was designed to add subtle, overall improvement to skin rather than treat deeper aesthetic concerns. It’s quite effective at evening out irregular tone, brightening the complexion, shrinking pores, and adding a noticeable radiance that looks great on everybody. Clear + Brilliant may be appropriate for you if you agree with any of the following statements: - I’m interested in taking preventive measures to stay ahead of the aging process. - I’m satisfied with the way my skin looks today and wish to maintain its condition for as long as possible. - I already take good care of my skin, but I want to give my at-home routine a boost. - I’m not interested in undergoing surgery or deeper resurfacing treatments that may require downtime. Clear + Brilliant works by creating a pattern of very small, invisible treatment zones on your skin. Your skin responds by going into “healing mode,” creating an excess of its own collagen. The result is softer, smoother, more even-toned skin that looks and feels incredibly healthy. Most patients require a series of several treatments, spaced a few weeks apart, to achieve their aesthetic goals. Others opt to visit us regularly as a routine part of their normal skincare routines or even combine Clear + Brilliant with treatments such as platelet-rich plasma (PRP), microdermabrasion or [chemical peels](/aesthetic-services/chemical-peels/). At your first appointment, our aesthetic professionals work closely with you to help you develop a treatment plan that aligns with your goals, skin type, lifestyle, and budget. #### Schedule a Consultation If you are interested in Clear + Brilliant laser treatment, visit us at West End Plastic Surgery. [Contact us](/contact/) at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation today. #### Clear + Brilliant Laser Treatment *Frequently Asked Questions* --- ## Xeomin **Link:** [Xeomin](https://www.westendplasticsurgery.com/injectables-fillers/xeomin/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/xeomin/index.html.md)) **Type:** Service **Description:** Xeomin in Washington, D.C. Eliminate fine lines, wrinkles and folds with expert Xeomin wrinkle reduction treatments in Washington, D.C. ### Content #### Xeomin® at West End Plastic Surgery XEOMIN® was developed by Merz Aesthetics and is one of the latest treatments for wrinkle reduction on the market today. XEOMIN® (incobotulinumtoxinA) has been approved by the FDA for the temporary improvement in the appearance of moderate to severe glabellar lines (frown lines between the eyebrows) in adult patients. #### Is it safe? XEOMIN® procedures are completely safe when performed under proper sterilization and sanitation guidelines. These guidelines include the following: - All equipment and supplies should be pre-sterilized and disposed of in a sanitary manner. - Gloves should be new for each client and changed periodically during the procedure. - The room or treatment area should be in an area free from other contaminants. - All needles should be new and sterile for each client. West End Plastic Surgery adheres to the most stringent sterilization and sanitary guidelines. #### Where can it be used? XEOMIN® can be used on virtually any area of the body. Areas that are commonly treated include the eyebrows, forehead, eyelids, lips, neck, jawline and the breast areola after breast surgery. XEOMIN® is also commonly used under the arms for excessive sweating. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work [our talented surgeons](/about/team/) and nurses do. #### How long does it last? Results vary depending on the area and amount used. It typically lasts up to 4 months. #### Your Treatment XEOMIN® treatment includes an initial consultation, and facial evaluation. An individualized treatment plan to achieve your goals is created. The treatment takes only a few minutes and is nearly painless. Details about how your XEOMIN® treatment will be performed will be provided during your initial consultation. #### Pre-treatment Instructions: Prior to your treatment please make sure you have not been taking aspirin, ibuprofen, or any other blood thinning medication or supplement for 5-7 days. #### Post-treatment Instructions: - Remain upright for 4 hours after injection, keeping your head above your heart. - Exaggerate facial expressions in treated areas for 1 hour after injection. - Tiny bumps and marks at the injection sites usually disappear within a few hours. - With any injection procedure bruising is possible; if it occurs apply ice to area for 20 minutes. You may also use an OTC topical Arnica product. - Headaches can occur after Xeomin® treatments. If you have a headache we recommend you avoid aspirin or aspirin containing products. You may use Motrin, Tylenol, and/or cool compresses. If headache is unrelenting or continues to get worse, please contact the office. - DO NOT participate in yoga or other rigorous exercise activities for the 1st 24 hours after treatment. - DO NOT massage or manipulate injection sites for 48 hours after injection. - Schedule your follow up appointment (if applicable) prior to leaving office. - Results are expected within 3-5 days after injection, with maximum effect by 2 weeks. Please visit [www.xeominaesthetic.com](https://www.xeominaesthetic.com/) for more information about XEOMIN®. --- ## AlloClae Advanced Structural Fat Filler **Link:** [AlloClae Advanced Structural Fat Filler](https://www.westendplasticsurgery.com/injectables-fillers/alloclae-advanced-structural-fat-filler/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/alloclae-advanced-structural-fat-filler/index.html.md)) **Type:** Service **Description:** AlloClae™ in Washington, D.C. Restore natural contours and volume with advanced structural fat filler treatment in Washington, D.C. ### Content #### AlloClae at West End Plastic Surgery AlloClae™ is a breakthrough regenerative treatment now offered at West End Plastic Surgery, designed to restore natural volume, contour, and definition using a structurally supportive allograft derived from human adipose tissue. Unlike traditional dermal fillers, AlloClae integrates into the body to stimulate long-lasting volume and collagen renewal. If you’ve struggled with contour irregularities after [liposuction](/body/liposuction/), volume loss due to aging, or asymmetries in areas like the hips, buttocks, or face, AlloClae may be the transformative solution you’ve been waiting for. #### What Is AlloClae? AlloClae is a biocompatible, adipose-derived tissue matrix that mimics the body’s natural fat structure. Once injected, it acts as a scaffold to support tissue regeneration and collagen stimulation, helping to rebuild soft tissue volume and smooth contour irregularities. This treatment is ideal for patients looking for a [**non-surgical**](/non-surgical/) way to enhance shape, correct unevenness, or improve results from previous body procedures. [.mw400.block][] #### Who Is a Good Candidate? *You may be a candidate for AlloClae if you:* - Have volume loss or contour irregularities from aging, liposuction, or other procedures - Want a regenerative alternative to traditional fillers - Are looking for natural-looking, long-lasting results - Prefer not to undergo fat grafting or more invasive surgery We’ll help determine if AlloClae is right for you during your personalized consultation. #### Areas That Can Be Treated AlloClae is incredibly versatile and can be used to improve shape, volume, and symmetry in areas such as: - **Hip dips** - **Buttocks** - **Post-liposuction depressions** - **Lower abdomen** - **Thighs** - **Hands** Hip Dip Treatment with AlloClae [.mw300.block][] #### What to Expect During Treatment AlloClae is performed in-office by one of our board-certified plastic surgeons. The procedure involves injecting the product precisely into areas of volume deficiency or contour concern. Most patients experience minimal downtime, and results continue to improve as the body naturally incorporates the matrix and regenerates collagen. Treatments typically take **30–60 minutes** depending on the area number of areas treated. #### Schedule Your Consultation Ready to restore your natural contours and achieve smoother, more youthful volume? [Our team](/about/team/) at West End Plastic Surgery is here to help you explore whether AlloClae is the right fit for your goals. **Call us at [(202) 785-4187](tel:(202) 785-4187)** or Click [**here **](/consultation/)to schedule your consultation online #### AlloClae *Frequently Asked Questions* --- ## Pectoral Implants **Link:** [Pectoral Implants](https://www.westendplasticsurgery.com/breast/pectoral-implants/) ([md](https://www.westendplasticsurgery.com/breast/pectoral-implants/index.html.md)) **Type:** Service **Description:** Enhance chest shape and definition with Washington, D.C. pectoral implants at West End Plastic Surgery. ### Content #### Strength. Symmetry. Definition. *Pectoral Implants at West End Plastic Surgery* For many men, a well-defined chest is a hallmark of strength and masculinity. But genetics, injuries, or limited results from exercise can prevent even the most dedicated men from achieving the chest contour they want. **Pectoral implants** offer a permanent solution. By surgically placing solid, medical-grade implants beneath the chest muscles, this procedure enhances shape, size, and symmetry—creating a sculpted, masculine chest that looks natural both in and out of clothing. At West End Plastic Surgery, our board-certified surgeons tailor every procedure to match your anatomy and aesthetic goals. #### Pectoral Implants at a Glance - **Stronger Contour** – Creates definition in the upper chest - **Masculine Shape** – Enhances size and symmetry without looking artificial - **Custom Fit** – Implants selected and positioned for your body frame - **Lasting Results** – Permanent improvement with proper care - **Versatile Benefits** – Suitable for cosmetic enhancement or reconstructive needs #### A Defined Look, Designed for You *What Are Pectoral Implants?* With our **pectoral implants** Washington, D.C. patients have solid silicone devices placed beneath the chest muscles to enhance the size and definition of the pectoral area. Unlike soft breast implants, pectoral implants are firm and designed to mimic the natural feel of muscle. This procedure is popular among men who: - Want more chest definition than exercise alone provides - Desire correction of chest asymmetry - Have underdeveloped chest muscles due to genetics or injury - Are seeking reconstructive enhancement following trauma or surgery #### Precision in Placement *What Is the Pectoral Implant Procedure Like?* The procedure is performed under general anesthesia in our accredited surgical facility. Incisions are typically made in the underarm area to avoid visible scarring on the chest. Through these incisions, implants are carefully placed beneath the pectoralis major muscle. The implants are shaped and sized to fit your natural chest structure, ensuring a masculine, natural look. The surgery usually takes 1–2 hours, and most men return home the same day. #### For Aesthetic and Reconstructive Needs *What Conditions Do Pectoral Implants Address?* **Pectoral implants** can address various concerns related to chest aesthetics and development. Consider the following reasons for seeking *pectoral augmentation*: - Lack of chest muscle development despite exercise - Congenital chest wall deformities or asymmetry - Underdeveloped pectoral muscles due to genetics - Chest reconstruction following injury or surgery - Desire for a more defined, masculine chest contour #### Confidence That Shows in Every Shirt *What Are the Benefits of Pectoral Implants?* **Men choose pectoral implants to**: #### Is This the Right Choice for You? *Am I a Candidate for Pectoral Implants?* You may be a good candidate for **pectoral implants in Washington, D.C.** if you are: - A healthy man with realistic expectations - Unhappy with the size, shape, or definition of your chest - Unable to achieve desired muscle growth through exercise - Seeking reconstructive correction for asymmetry or deformity - Willing to commit to recovery and follow-up care During your [consultation](/consultation/), our surgeons will review your health history, discuss implant options, and help determine whether this procedure aligns with your goals. #### A Straightforward Recovery *Pectoral Implant Recovery* Recovery from **pectoral implant surgery** is typically 1–2 weeks before returning to light activities, with full exercise resuming after 4–6 weeks. Swelling and tightness in the chest are normal during the first week. Our team provides detailed aftercare instructions, including how to care for your incisions and when to return for follow-up visits. Most scars are hidden discreetly in the natural crease of the underarm. #### Results That Redefine Masculinity *Pectoral Implant Results* **Pectoral implant results are visible immediately**, with final definition becoming clear as swelling subsides over the first few months. Pectoral implants provide long-lasting enhancement, giving you a strong, sculpted chest that looks natural in every setting. With proper care, results are permanent and designed to age naturally with your body. #### Trusted Expertise. Natural-Looking Results. *Why Choose West End Plastic Surgery for Pectoral Implants?* At West End Plastic Surgery, our [board-certified surgeons](/about/team/) specialize in procedures that enhance masculine features with precision and artistry. We understand that men want definition and strength—not an artificial look. From initial [consultation](/consultation/) to recovery, you’ll receive personalized care in a discreet, supportive environment. With advanced techniques, custom implant options, and a commitment to natural results, our team helps men achieve the chest contour they’ve always wanted. #### Pectoral Implants *Frequently Asked Questions* --- ## Jeuveau **Link:** [Jeuveau](https://www.westendplasticsurgery.com/injectables-fillers/jeuveau/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/jeuveau/index.html.md)) **Type:** Service **Description:** Jeuveau® in Washington, D.C. Eliminate fine lines, wrinkles and folds with expert Jeuveau wrinkle reduction treatments in Washington, D.C. ### Content #### Jeuveau® at West End Plastic Surgery West End Plastic Surgery was the very first practice in Washington, D.C. to receive Jeuveau®! Jeuveau® by Evolus is now FDA approved neurotoxin for the temporary improvement of moderate to severe glabellar lines in adults. Jeuveau® is an alternative to [BOTOX](/injectables-fillers/botox/), [Dysport](/injectables-fillers/dysport/), or [Xeomin](/injectables-fillers/xeomin/) and is a great choice if you are looking for a more youthful appearance. Jueveau can treat forehead lines, crow’s feet, and wrinkles around the mouth. #### How Effective is Jeuveau Compared to Similar Products like Botox? According to studies and surveys, the cosmetic results of Jeuveau are very similar to other neuromodulators, namely Botox. Being the most well-known neuromodulator wrinkle-reducer, Botox is the standard to which other products adhere. In surveys, patients treated with both reported no discernable difference in terms of their rejuvenated appearance. Additionally, the side effects that are associated with these cosmetic treatments are very similar in presentation and management. It is important to note that if you are sensitive or allergic to the ingredients in Botox, you may also have a similar response to Jeuveau. The [experienced team at West End Plastic Surgery](/about/team/) is dedicated to safety, comfort, and optimal results. Here, you can expect your provider to conduct a thorough consultation and examination to determine which treatment or treatments are right for you. To arrange a visit today, [contact our Washington, D.C. office](/contact/) at [(202) 785-4187](tel:(202) 785-4187). [.mw300.block][] #### How Many Jeuveau Treatments are Needed for the Best Results? Jeuveau is designed to work after just one round of injections. As a neuromodulator, Jeuveau works more gradually than dermal fillers. You can expect an improvement in your rejuvenated face over the course of about one week. After that, you do not need further injections until you begin to notice a recurrence of frown lines, crow's feet, and other dynamic creases. #### Can Jeuveau be Combined with Other Cosmetic Procedures? Like Botox and Xeomin, Jeuveau can also be combined with dermal fillers to acheive more substantial facial rejuvenation in a single appointment. When you consult with us about your cosmetic goals, we will take in the information you provide about your concerns and devise a personalized treatment plan around them. It is then in your hands whether you undergo complementary treatments at one time or you space them apart. #### Pre Treatment Instructions: - Prior to your treatment please make sure you have not been taking aspirin, ibuprofen, or any other blood thinning medication or supplement for 5-7 days. - Please do not consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of bruising) - Please come to your appointment with clean skin, free of any make-up or lotions/creams. #### Post Treatment Instructions: - Remain upright for 4 hours after injection, keeping your head above your heart. - Exaggerate facial expressions in treated areas for 1 hour after injection. - Tiny bumps and marks at the injection sites usually disappear within a few hours. - With any injection procedure bruising is possible; if it occurs apply ice to the area for 20 minutes. You may also use an OTC topical Arnica product. - Headaches can occur after treatments. If you have a headache we recommend you avoid aspirin or aspirin-containing products. You may use Motrin, Tylenol, and/or cool compresses. If the headache is unrelenting or continues to get worse, please contact the office. - DO NOT participate in yoga or other rigorous exercise activities for the 1st 24 hours after treatment. - DO NOT massage or manipulate injection sites for 48 hours after injection. - Schedule a follow-up appointment (if applicable) prior to leaving the office. - Results are expected within 3 to 5 days after injection, with a maximum effect by 2 weeks. #### Is Receiving Jeuveau Cosmetic Injections Painful? Your Jeuveau injectable treatment will not hurt. If you've received Botox or dermal fillers, you know what it will feel like to get Jeuveau. If you're receiving your first injectable treatment, you can expect us to provide precise, gentle injections to the treatment area. Our careful use of a tiny needle results in a virtually painless experience. You may feel a slight pinch with each injection. Usually, every tiny injection after the first feels less and less noticeable. If you're concerned about your first injectable experience being painful, please talk to your provider! We are more than happy to discuss ways that your appointment can be extremely pleasant. --- ## IPL Laser **Link:** [IPL Laser](https://www.westendplasticsurgery.com/laser-treatments/ipl-laser/) ([md](https://www.westendplasticsurgery.com/laser-treatments/ipl-laser/index.html.md)) **Type:** Service **Description:** IPL skin treatments in Washington, D.C. Address skin concerns, including redness & irritation, with almost no downtime using intense pulsed light treatments in Washington, D.C. ### Content #### What is it? *Intense Pulsed Light at West End Plastic Surgery* Commonly called IPL or photo facial is used to address many skin concerns such as redness and hyperpigmentation with virtually no downtime. IPL uses light energy to reverse the visible signs of aging from general environmental wear and tear. It can also help stimulate collagen production reducing the appearance of fine lines and wrinkles. #### What are the Benefits of IPL Treatments? At [West End Plastic Surgery](/about/), all of our non-surgical treatments seek to improve your skin. IPL photofacials benefit your skin in two ways. First, these light treatments target your pigmentation problems such as age spots. The darker cells absorb the IPL energy and the melanin pigment fragments. The body then absorbs the pigment cells and the spots become less and less visible. With facial surface veins, the energy is absorbed by the dark blood, heating the vein. This heating causes the vein wall to collapse and close off the vein. The body then scavenges the vein and it completely disappears. Second, the IPL energy penetrates the epidermis layer of the skin (the outer layer) and gently heats the dermis, the skin’s second layer. When the body senses this heating in the dermis it responds as if it has been wounded by producing new amounts of collagen and sending it to the “wounded” area. Since collagen provides the skin’s underlying support structure, this firms your skin and reduces lines and wrinkles. [.mw300.block][] [Request a Consultation](/contact/) #### Who is a Good Candidate for an IPL Photofacial at West End? IPL photofacials are primarily used for addressing pigmentation issues. So, if you have blotchy, sun-damaged skin with lots of freckles, IPL photofacials are an effective treatment. They also shrink large pores, remove broken capillaries, and lessen fine lines and wrinkles. Rosacea responds to IPL treatments. IPL photofacials are not effective for darker skin tones or deeply tanned skin, as the IPL wavelengths cannot differentiate between the age spots/pigmentation problems and the rest of the darkened skin. If you’re using Retin-A, doxycycline, or other medications, they will have to be stopped for one week prior to your photofacial at West End. #### How is an IPL Treatment Performed? To start your IPL photofacial, we rub gel on your clean skin, and we give you a pair dark glasses to protect your eyes from the light rays. If you desire, we also can apply topical numbing cream to reduce the sensations of the treatment. We then place the IPL handpiece on the skin of the treatment area. The handpiece slides across the skin delivering light pulses. When the IPL device delivers the light pulse, you’ll feel a slight sting. Patients equate this with a small rubber band being plucked lightly against your skin. This process is repeated until the entire face or other targeted area is completely covered. This typically takes between 20 and 30 minutes. #### IPL For Acne Treatment The Stellar M22™ IPL (Intense Pulsed Light) Acne treatment enables your physician to greatly improve your skin appearance, reduce your acne, while at the same time treat the redness and pigmentation of your skin. The unique Stellar M22™ IPL technology utilizes light flashes over the treated area, triggering biochemical response that will eventually eliminate the bacteria within the pores. IPL is a non-invasive solution on inflammatory acne with less collateral effects than oral medication. #### How does IPL work for acne? IPL is one of the most commonly administered form of light therapy in dermatological applications. IPL systems are designed to deliver many rapid, highly intense and controlled pulses of light – the controlled pulsing prevents thermal damage to your skin and minimizes discomfort. IPL technology treats your acne with specific wavelengths of light targeting bacteria in the skin, as well as inflamed sebaceous glands that contribute to break-outs. IPL energy (at various wavelengths) is also used to selectively destroy pigment clusters, blood-filled capillary veins, or hair, depending on the intended nature of the treatment.** ** To ensure utmost comfort, your physician should apply cold coupling gel on the treatment area. Depending on your specific concern, you can expect the session to last 15-20 minutes. You may experience a warm sensation as the light is applied to the skin, but the treatment is gentle and should not feel uncomfortable. #### IPL for Rosacea treatment Your physician can now treat your Rosacea symptoms and ensure great looking skin, while treating not only the redness and flush, but also removing skin imperfections and stimulate collagen and elastin fiber production. Stellar M22™ Rosacea treatment uses Lumenis’ IPL (Intense Pulsed Light) technology with OPT™ to gently target the vascular condition. #### How does Stellar M22™ IPL work for Rosacea? The IPL (Intense Pulsed Light) technology allows treatment of Rosacea symptoms like flushing, redness and visible blood vessels, as well as improving the overall appearance of your skin. Stellar M22™ IPL with Optimal Pulse Technology (OPT™) enables your clinician to customize the treatment according to your skin type, condition severity, and desired results, with maximum safety. Light pulses penetrate the tissue and create heat inside the blood vessels, which closes the vessels’ walls, eventually causes them to disappear. Just before treatment, your physician will apply a thin layer of clear gel onto the treatment area. Depending on your specific concern, you can expect the session to last 15-30 minutes. You may experience a warm sensation as the light is applied to the skin, but the treatment is gentle and should not feel uncomfortable. #### When will I see results? The Stellar M22™ IPL Rosacea treatment tones down redness, flushing, and visible small blood vessels, over a series of treatments spaced 4-6 weeks apart. #### Vein & Vascular Treatment with IPL The Stellar M22™ treatments enable your physician to effectively treat spider veins, reticular veins (blue veins), broken capillaries and rosacea. Our unique technology enables optimal tailoring of the light source and energy to effectively target the vascular condition and cause it to fade away. #### Vascular Technology The laser or IPL create heat inside the blood vessels, which closes the vein’s walls, eventually causing the vein to disappear. The laser is very precise and only impacts the selected blood vessel and none of the surrounding skin. The IPL filter also targets the blood only and none of the surrounding skin. Both Lumenis technologies enable cooling of your skin between pulses, which reduces the chance of skin damage, producing great results. Just before treatment, your physician will apply a thin layer of clear gel onto the treatment area. During treatment, your physician will treat the targeted veins by applying a few pulses on each blood vessel source. The treatment will take between 10-20 minutes, depending on the number of blood vessels being treated. During the treatment you may experience a stinging or burning sensation, but it is tolerable. #### Post Treatment Instructions - Your skin may be irritated or red and feel as though you have mild sunburn. This is a normal occurrence and you may apply cool, not cold compresses to the treatment site. Do not apply ice or anything frozen directly to the skin. Apply cool compresses for no longer than 20-minute intervals. - Avoid the use of alpha or beta hydroxyl products, retinols, or Retin A products for 24 hrs after your treatment as they could create additional irritation. After 24 hrs you may resume your prescribed skin care regimen. - Flaking and crusting may occur. Do not attempt to exfoliate or remove any crusting. Areas with heavy sun damage and brown spots will darken over the first 24 hrs after treatment. Some of the red areas may intensify as well. Do not pick or abrade the area. This is part of the normal response to treatment and will clear on its own in 3-7 days. If you experience any open wounds contact our office immediately. - Maintain hydration. Drink plenty of non-alcoholic, caffeine-free and sodium-free beverages and keep skin well hydrated as directed. - Cleanse and treat your skin as prescribed. Follow the directions you are given for your skin condition and goals. Proper skin care is essential to support the effects of your IPL treatment. - Do not expose your skin to direct sunlight for a minimum of 3 days. Good sun protection is essential following treatment. If you are outdoors apply a minimum SPF 30 and wear sun protective clothing and headwear. Following IPL therapy your skin is highly susceptible to sunburn or the formation of irregular, darkened pigmentation. Therefore, Sun protection is required for life to maintain the results you have achieved. - Follow-up as directed. Your treatment may require several treatments of many weeks to achieve optimal results. Results may not be visible after each treatment but may develop gradually in the weeks that follow. It is essential that your progress is monitored throughout your treatment cycle. Keep your appointments as directed. #### How Much Does an IPL Cost? The cost of your IPL photofacial at West End Plastic Surgery will depend upon the size of the areas you’ve elected to treat. Your cost is based upon the length of time it takes to adequately cover your target areas. This can vary widely between patients. During your consultation we’ll learn exactly the issues or areas you’re seeking to address. At that point, we can give you the exact cost of your IPL photofacial. #### Is IPL Safe? Are There Risks or Side Effects? These are very low-risk procedures, as they are completely non-ablative and non-invasive. Unlike laser resurfacing, the light energy is not removing any skin. It is simply penetrating the outer layer and targeting the darker colors of the sun damaged skin and blood vessels beneath the surface. There isn’t any recovery after our IPL photofacials at West End Plastic Surgery. Your skin may be somewhat red after your session, but that passes in a few hours. #### Patient Testimonial #### Schedule Your Consultation Today! Interested in learning more about our IPL Treatments? Call [(202) 785-4187](tel:(202) 785-4187) to [schedule your consultation](/contact/) with [West End Plastic Surgery](/about/team/) today! --- ## Short Scar Facelift **Link:** [Short Scar Facelift](https://www.westendplasticsurgery.com/face/s-lift/) ([md](https://www.westendplasticsurgery.com/face/s-lift/index.html.md)) **Type:** Service **Description:** Short scar facelift in Washington, D.C. Look years younger with board certified plastic surgeons providing stunning S-lift facelift results in Washington, D.C. ### Content #### Rediscover a More Youthful You *S Lift at West End Plastic Surgery* We see ourselves in ways that no one else does. As we age, at some point we look in the mirror, and the person looking back is not quite who we remember. Youth and vitality have given way to something less vibrant. A short scar facelift offers maximal rejuvenation with minimal, hidden incisions. Known as an S Lift, it focuses on repairing the lower two-thirds of the face, including sagging cheek skin and jowls, and enhancing the youthful contours of the mid-face. Shorter incisions frequently mean shorter recovery, which is attractive to busy professionals. West End Plastic Surgery, which serves the D.C. region, including Reston and Alexandria, is chosen by facelift patients who want a personalized plan to achieve their rejuvenation goals. Request a consultation online to meet with Dr. Ruff or call the office at 202-785-4187 to schedule an appointment. #### Short Scar Facelift at a Glance - **Shorter Incisions, Shorter Recovery Time** - The signature S-shaped incision is placed discreetly along the natural creases of the ear and hairline, allowing for minimal scarring. - **Safe Procedure With Long-Lasting Results** - This minimally invasive facelift is typically performed under local anesthesia or light sedation for fewer risks and a faster recovery. - **Tailored for Your Aesthetic Goals** - Patients with mild to moderate skin laxity achieve natural-looking results without the downtime of a traditional facelift. - **Refines the Lower Face and Neck** - The S Lift focuses on tightening sagging skin and redefining the jawline for a more youthful appearance. - **Board-Certified Surgeons** - Performed by experienced surgeons in our accredited facility to ensure your safety and satisfaction. #### A Smarter Solution for Facial Aging *What Is an S Lift?* An S Lift, also known as a short scar facelift or mini facelift, is a specialized facial rejuvenation procedure designed to refresh the lower face and neck using smaller, discreet incisions. The innovative S Lift technique involves a gently curved S-shaped incision placed along the natural contours of the ear and hairline, allowing your surgeon to tighten underlying tissue, reposition fat, and remove or redrape excess skin to restore youthful definition. By focusing on the lower third of the face—where jowls, sagging skin, and deep folds often appear—the S Lift facelift creates smoother, firmer contours without the extended downtime of a traditional facelift. #### Before & After Photo Gallery We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. [View Gallery](/gallery/) #### Personalized Planning *Meeting With Your Plastic Surgeon* Prior to scheduling your facelift, you will have an extensive consultation with your board-certified surgeon and the team at West End Plastic Surgery. The goals of the consultation are to evaluate your facial and neck structure, skin elasticity, and facial volume, and underlying muscle tone to determine if an S Lift is right for you. Adjunctive procedures will be recommended if needed to create harmonious rejuvenation. Your plastic surgeon will thoroughly explain each technique along with its risks, benefits, and recovery times. You will be asked to describe in detail how you want your face and neck to look after your S Lift. Working together, you and the doctor will decide which technique will give you the results you desire. Your plastic surgeon and his staff at West End Plastic Surgery will: - Review the S Lift and adjunctive procedures with you - Clearly discuss the potential risks of each procedure - Outline in detail how the surgery is performed and what you can expect before, during, and after the procedure - Provide detailed cost and payment information - Answer all your questions You will be asked to provide: Details about your medical history - A list of all medications you currently take, including over-the-counter medications such as aspirin, vitamins, and herbal supplements - Information regarding your tobacco and alcohol use #### A Closer Look at the Short Scar Facelift *How the S Lift Procedure Is Performed* Your S Lift procedure will be performed in our state-of-the-art AAAASF-certified surgical suite. Your S Lift will take between 2 to 4 hours to complete and can be performed either under general anesthesia or local anesthesia with sedation, depending on what you and the doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be lightly sedated, and your face and neck area will be numbed. You will be awake but will be relaxed and will feel no discomfort. The type of anesthesia used, our surgical facility, and any other recommended procedures will be discussed with you at your initial consultation. Your surgeon will make an incision beginning at your hairline or within the hair at the temple, extending within the natural lines and contours of the ear. Rarely, the incision is carried a short distance behind the earlobe. If your neck is also being lifted, your surgeon will make a small incision under your chin. The incisions are designed to be inconspicuous once healed. #### Sculpting the Lower Face With Precision *What Conditions Does an S Lift Address?* The S Lift, also known as a short scar facelift or mini facelift, is designed to treat early to moderate signs of aging in the lower face and neck. The innovative S Lift technique reduces jowls, sagging skin, and deepening folds around the mouth and nose, often called nasolabial folds. By repositioning underlying tissue and tightening skin, the S Lift procedure restores youthful contours to the lower third of the face without the longer downtime associated with a full facelift. Many patients also choose to combine the S Lift with a neck lift or other procedures for more comprehensive facial rejuvenation. #### A Natural Lift With a Lighter Touch *What Are the Benefits of an S Lift?* The S Lift offers a unique combination of subtlety and impact. Using smaller, S-shaped incisions placed around the ear and hairline, S Lift surgery minimizes visible scarring while tightening tissue and repositioning fat for a naturally youthful appearance. Because it’s a minimally invasive facelift technique, most patients enjoy a shorter recovery time than with a traditional facelift, allowing them to resume normal activities within weeks. This lift technique softens deep folds and sagging skin and refreshes the lower face and neck without the overdone look often associated with older methods. Many patients report improved self-confidence, feeling their outward appearance better matches their inner vitality. #### When an S Lift Makes the Most Sense *Are You a Good Candidate for an S Lift?* The best candidate for an S Lift is a man or woman whose cheek skin has begun to sag with early jowls starting to form, but whose skin still has some elasticity, whose bone structure is strong and well defined, and whose neck skin tone is still good. Most patients are in their late 30s to 50s, but S Lifts can be successfully performed on people well into their 60s and 70s. Some patients with minor signs of facial aging may be candidates for a non-surgical approach. Dr. Ruff can discuss minimally invasive options such as [Ultherapy® skin tightening](/laser-treatments/) instead of or in addition to surgery. If you are generally healthy, have realistic views about the results that can be achieved with an S Lift, and have any of the following conditions, you may be a good candidate for the procedure: #### What Healing Looks Like, Day by Day *What To Expect After Your Surgery* #### Immediately After Your Surgery In most cases, S Lift surgery is performed on an outpatient basis, and you go home shortly after the surgery. You may be sleepy from the anesthesia, and the surgical area will be sore, so you will need to have someone drive you home. Once you go home, you may want to have someone stay with you for the first few days. There will be some bruising, swelling, and numbness. You will need to keep your head elevated and avoid any strenuous activity for a few days after surgery to help reduce the swelling and avoid complications. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. #### The First 24 to 48 Hours After Your Surgery *You may experience some numbness and temporary discomfort around the incisions.* Any pain or discomfort you experience can be controlled with prescribed medication. You will also experience swelling and some bruising. You will need to keep your head elevated for the first few days after surgery to reduce the swelling of your face and neck. Your discomfort level will improve rapidly after the first 2 days. Your surgeon will remove your bandages at your first postoperative visit. There may be a small amount of bleeding around your incisions. This is normal and can usually be controlled by applying light pressure to the area. If the bleeding does not respond to light pressure or becomes heavy, call West End Plastic Surgery for further instructions. You can usually wash your hair 48 hours after surgery (or 24 hours after the drains are removed). However, if you dry your hair, keep the dryer on the lowest setting because your scalp may be numb, and there is a risk that you might burn yourself. #### Things to Be Aware of After Your Surgery - Bruising and swelling usually decrease enough so that you can comfortably go out in public about 10 to 20 days after your surgery. - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several weeks to months to disappear. - Generally, the scalp heals at a slower rate than the face or neck. For this reason, any surgical clips used in your scalp will be left in longer than the stitches in your face and neck. - Some of your hair around the incision may fall out and may temporarily be a bit thinner than normal. Normal hair growth usually resumes within a few weeks or a month. Permanent hair loss is rare. - Your face and neck will feel dry. Apply a good, fragrance-free moisturizer frequently. - Avoid saunas and steam baths for the first few months after your surgery. - Protect your scars with sunscreen for at least 6 months after surgery. Use an SPF 15 (or greater) sunscreen every time you are outside. Apply the sunscreen before applying makeup. - Hair texture and manageability can change temporarily as a reaction to surgery. Wait at least 4 weeks before coloring, highlighting, or perming your hair once it returns to its normal texture. #### A Fresh Look That Lasts for Years *How Long Will the Results of Your S Lift Last?* An S Lift removes excess skin and repositions fat and muscle to reduce jowls and smooth the jawline for a more youthful appearance. These results generally last between 5 to 10 years, or longer in many cases. It is important to keep in mind that the effects of aging, gravity, and environmental factors will continue to affect the smoothness, sagging, and wrinkling of your face and neck. Meticulous skin care is critical to maximize the effectiveness and longevity of your surgical results. #### Exceptional Care for Exceptional Results *How Long Will the Results of Your S Lift Last?* At West End Plastic Surgery, each S Lift procedure is performed by a board-certified surgeon with advanced training in facial plastic surgery. Our team takes the time to understand your medical history, facial anatomy, and aesthetic goals to design a lift that enhances your natural beauty. By combining the S Lift technique with other complementary procedures when needed, we help you achieve long-lasting results that feel authentic to you. From your initial consultation, where all your questions are answered, to your recovery, our surgical team prioritizes patient safety, minimal complications, and outcomes that restore confidence and balance. #### Questions You May Have *S Lift Frequently Asked Questions* --- ## Breast Reduction Surgery **Link:** [Breast Reduction Surgery](https://www.westendplasticsurgery.com/breast/breast-reduction/) ([md](https://www.westendplasticsurgery.com/breast/breast-reduction/index.html.md)) **Type:** Service **Description:** Washington, D.C. breast reduction surgery. Reduce breast size and reclaim your life. Board-certified cosmetic surgeons freeing women from large, heavy breasts. ### Content #### What Is Breast Reduction Surgery? **Breast reduction**, or a *reduction mammoplasty*, is a procedure wherein fat, skin, and glandular tissue are removed from the breasts. The result of this is smaller, more comfortable breasts. Excessively large and heavy breasts can undermine your confidence and cause health problems that affect your quality of life. Relief is possible at West End Plastic Surgery in Washington, D.C. through breast reduction surgery. Our surgeons are highly trained with significant experience in cosmetic breast surgery, including breast reduction. [Request a consultation online](/consultation/) #### Benefits Of Breast Reduction Surgery In this surgical procedure, excess breast tissue, fat, and skin are removed from very large, heavy, or hanging breasts. Benefits of receiving **breast reduction surgery** include: - Reducing or eliminating various medical problems caused by heavy breasts - Balancing the overall figure with a more proportioned breast size - Increasing your confidence by enhancing your breast appearance Be sure to ask your doctor about what will personally benefit you from this procedure. The best way to ensure being happy with your results is to have realistic expectations. #### Breast Reduction Results by Dr. Arsalan: We’re as thrilled with our patients’ results as they are. [Check out our before-and-after photo gallery](/gallery/breast/breast-reduction/) and see for yourself the kind of work our talented surgeons do. #### Good Candidates For A Breast Reduction If you are in good general health with fully developed breasts and experience any of the following conditions, you may be a good candidate for **Washington, DC breast reduction surgery**: - Your heavy breasts cause medical problems such as neck and back pain, skin irritation or rashes, difficulty breathing at times, or changes in your bone structure - Your breast size limits your physical activity - Your overly large breasts make you feel self-conscious about your appearance - Your breasts are out of proportion with the rest of your body #### Your Breast Reduction Consultation Prior to your surgery, you will have an initial [consultation](/consultation/) with your surgeon and the [staff](/about/team/amir-arsalan-md/) of West End Plastic Surgery. At this consultation, your breasts will be evaluated and you will discuss your goals and expectations for the surgery. We will discuss how large and which shape you would like your breasts to be, as well as the position of the nipple and areola. #### Video of Breast Reduction Journey: From Triple D to Full C Two years ago, Juley made the life-changing decision to undergo a **Breast Reduction** with Dr. Amir Arsalan, and she couldn’t be happier with the results! In this heartfelt testimonial, Juley shares how the procedure has improved her daily life and well-being. #### How Much Does a Breast Reduction Cost in Washington, DC? **The cost of Breast Reduction Surgery starts at around $9,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Breast Reduction Procedure Your **breast reduction procedure** is performed in our state-of-the-art surgical suite or at one of the area hospitals where Dr. Ruff, Dr. Arsalan, and our surgeons operate. Your surgeon and their staff are dedicated to ensuring your complete comfort during and after the procedure, as well as your satisfaction with the outcome. The procedure generally takes 2 to 4 hours and is performed under general anesthesia. Your surgeon will make incisions in the nipple-areola complex (the dark area around the nipple). The incisions extend below the nipples and occasionally into the fold under your breast. The surgeon removes excess breast tissue, fat, and skin, contours a new breast shape, and repositions the nipple and areola. Stitches are used to close the incisions. Drains are frequently put in place to drain any blood or fluid that may collect in the surgical area. Taping and a surgical bra are placed over your breasts before you leave the operating suite. #### Breast Reduction Results by Dr. Arsalan: #### What To Expect Immediately After Breast Reduction Surgery In most cases after **breast reduction surgery** Washington, DC patients will be ready to go home shortly after the procedure. You will need to have someone drive you home after the surgery because you may be a bit sleepy after the anesthesia. During surgery, your breasts will be covered with a gauze dressing, and a surgical bra will be placed over the dressings to help hold your newly contoured breasts in the correct position. A small tube called a drain may be inserted into each breast to help drain off excess fluid; you will be given instructions on how to care for the drains. #### What To Expect 1-2 Days Post Reduction Mammaplasty Surgery During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and sore from the surgery. Your surgeon will prescribe pain medication to alleviate much of the discomfort. Your discomfort level will improve rapidly after the first 2 days. You can take a shower or bath the day after your surgery; however, don’t let the bandages covering your incisions get overly wet. You can take off the surgical bra placed over your breasts after the surgery during your shower or bath, but it must be worn at all other times (even while sleeping) for the first 2 weeks after your surgery. #### What To Expect The First Two Weeks After The Reduction Mammaplasty Procedure - You will notice a marked improvement in your discomfort level during the first few weeks after your surgery. - The gauze dressings placed over your breasts during surgery will be removed 1 to 2 days after surgery. - Most of the stitches will dissolve; any non-dissolving stitches around the areola will be removed 5 to 7 days after surgery. Remaining stitches will be removed within 2 to 3 weeks. - Any bruising you experience will usually disappear in about 2 weeks. - Your stitches will be removed within 10 to 20 days after surgery. You should sleep on your back for the first week after surgery to help keep your breasts in the correct position during initial healing. Placing pillows on either side of your body often helps ensure that you do not roll onto your side while sleeping. #### How Long Will The Breast Reduction Results Last? *The results of your breast reduction are permanent*. However, keep in mind that your breasts may change as a normal part of the aging process. #### Resuming Normal Activities After Breast Reduction Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within a week after your procedure, unless your work is strenuous. - You can resume driving as soon as you experience no pain when you turn the steering wheel, usually within a week for cars with power steering and a little longer for manual steering. - Two weeks after surgery, you can begin to sleep without the special elastic bra you’ve been wearing. However, you should continue to wear this bra during the day for 4 to 6 weeks after your surgery. #### Things To Be Aware Of After Breast Reduction Surgery - You may feel tired for several weeks after your surgery. Listen to your body, and rest when you need to. - You may see a small amount of fluid draining from your surgical incisions. Some crusting in the area is also normal. However, if you have bleeding that does not respond to 20 minutes of direct pressure or you have intense pain, call West End Plastic Surgery staff right away. - You will lose some feeling in your nipples and breast skin, caused by swelling after surgery. This usually fades within 6 to 8 weeks but can take up to a year. - Your breasts may heal at different rates. One breast may swell, one may feel less comfortable, or the shapes of your breasts may look different. This is normal, however, when your body is fully recovered, your breasts will look very similar and natural. - The skin of your breasts may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - You may experience random shooting pains in your breasts for a few months. These are a normal part of the healing process. - During your first menstrual period after surgery, your breasts may swell and hurt. #### Risks of Breast Reduction Surgery As with any surgical procedure, there are risks associated with breast reduction. During your initial meeting with the doctor, these risks will be discussed and it will be determined whether you are a good candidate for breast reduction. Most likely risks include the following: - Loss of nipple-areola complex - Sensation changes - Scars - Uneven breasts - Breastfeeding limitations - Breast hardness As with any surgery, you can help reduce the risks of the procedure by closely following the instructions provided. Dr. Ruff, Dr. Arsalan, and the staff of West End Plastic Surgery will be with you every step of the way to ensure that your procedure is a success. #### Breast Reduction Surgery *Frequently Asked Questions* #### Schedule a Consultation If you or someone you know is interested in **breast reduction**, it’s time to contact the highly experienced [surgical team](/about/team/) at West End Plastic Surgery. Serving the Arlington and Reston areas in addition to Washington, D.C., we invite you to [request an online consultation](/consultation/) or or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. --- ## ResurFX **Link:** [ResurFX](https://www.westendplasticsurgery.com/laser-treatments/resurfx/) ([md](https://www.westendplasticsurgery.com/laser-treatments/resurfx/index.html.md)) **Type:** Service **Description:** Laser skin resurfacing in Washington, D.C. Reducing cosmetic skin concerns and improve your complexion with ResurFX™ skin resurfacing treatments in Washington, D.C. ### Content #### What is ResurFX? ResurFX is one of our most popular non-ablative laser skin treatments, offering Washington, D.C.-area men and women a wonderful option for reducing cosmetic skin concerns and generally improving their complexions. This impressive system can treat a wide range of concerns, from stretch marks and laxity to discoloration, age spots, and scars. By encouraging the skin to build more of its own collagen, ResurFX creates lasting, beautiful improvement with virtually no downtime. #### Areas Treated With ResurFX Because it uses a treatment head that’s capable of emitting laser energy in a variety of shapes and patterns, ResurFX can be used on skin irregularities all over the face and body. These include stretch marks on the breasts or elsewhere, sun damage on the décolletage or hands, and fine lines on the face. During your first appointment at [West End Plastic Surgery](/about/gender-affirmation/), your practitioner will work with you to develop a treatment plan that precisely suits your needs. #### Conditions Treated With Skin Resurfacing Because it’s a fairly gentle treatment, ResurFX is an effective solution for many different aesthetic concerns, both environmental and age-related. We often recommend it for the following #### How Does ResurFX Work? ResurFX works by delivering laser energy to the skin’s deeper layers without removing its outermost layer. Instead of using a solid beam of laser light, fractional lasers, including ResurFX, deliver light through tiny, evenly spaced dots. This ensures pinpoint accuracy and also accelerates the healing process. #### Laser Resurfacing Treatment Although most patients find the treatment to be comfortable on its own, we often apply a light topical anesthetic to ensure your comfort. Your practitioner applies special shields to your eyes to protect them from the laser’s bright light. We then adjust the laser’s settings to tailor the treatment to the needs of your skin. We then pass the laser handpiece over your treatment area, administering short bursts of laser energy. You may feel a strong sensation of warmth, but the treatment is not painful. Only 1 pass over the skin is needed, and most treatments take about 30 minutes, depending on the size of the area. ResurFX is equipped with proprietary CoolScan™ technology to monitor temperature and the patented Chill Tip™ to offer your skin an extra level of protection during treatment. [.mw300.block][] #### What To Expect After Laser Treatment Immediately following treatment, your practitioner gives you ice packs or cold compresses to prevent unnecessary swelling or redness. It’s important to protect your skin from the sun while it heals, because these types of resurfacing treatments can make skin especially sensitive to sunlight. Reapply sunblock often throughout the day, wear sunglasses, and avoid going outside in the afternoon, when the sun is at its most intense. For several days after treatment, your skin may look and feel red and slightly swollen — as if you have a mild sunburn. This is normal, and most redness can be concealed with makeup. This redness gives way to some roughness and flaking, which can persist until about day 5. #### ResurFX Results Because ResurFX stimulates your skin to produce new collagen, results take some time to develop. You can expect to see your results peak after about 1 week. Your skin will be markedly smoother and more even-toned. With repeated treatments, usually spaced about 1 month apart, you’ll also see a gradual reduction in dark spots and other areas of irregularity. Your practitioner gives you a more accurate idea for how long you can expect to enjoy your results, as well as recommendations for what you can do to prolong them. Other treatments, such as platelet-rich plasma (PRP), microdermabrasion or a [chemical peel](/aesthetic-services/chemical-peels/) can further enhance your results. ResurFX is also a popular complementary procedure to [IPL](/laser-treatments/ipl-laser/). When the 2 procedures are performed together, it’s called a “photofractional” treatment. #### Is Skin Resurfacing Safe? Yes. At West End Plastic Surgery, we offer only those services that have been carefully vetted for safety and effectiveness. Additionally, ResurFX is cleared by the FDA. Because it’s non-ablative, ResurFX is extremely well-tolerated. The treatment also carries minimal risk of long-term damage or discoloration. Our practitioners take care to maintain your safety and comfort both during and after your treatment. #### Schedule a Consultation Men and women come from communities throughout metro Washington, D.C. for laser skin resurfacing with ResurFX. You can [request a consultation](/consultation/) online to meet with our doctors or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. --- ## Liquid Rhinoplasty **Link:** [Liquid Rhinoplasty](https://www.westendplasticsurgery.com/injectables-fillers/liquid-rhinoplasty/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/liquid-rhinoplasty/index.html.md)) **Type:** Service **Description:** Liquid Rhinoplasty in Washington, D.C. Get the look you desire with non-surgical nose job performed by a double board-certified plastic surgeon in Washington. ### Content #### Non-Surgical Nose Job (“Liquid Rhinoplasty”) in Washington, D.C. At **West End Plastic Surgery**, we offer **liquid rhinoplasty**, also known as a **non-surgical nose job**, for patients looking to enhance their nasal appearance without surgery. This advanced procedure uses **dermal fillers** to refine the shape of the nose, correct asymmetry, and smooth out bumps - all with **minimal downtime** and **no incisions**. #### Who Is a Good Candidate for Liquid Rhinoplasty? Liquid rhinoplasty is an excellent option for individuals who: - Want to improve the shape of their nose without surgery - Have small nasal bumps or irregularities that can be smoothed out with filler - Desire better nasal tip definition or minor asymmetry correction - Are looking for a temporary solution before committing to surgical rhinoplasty However, **liquid rhinoplasty is not ideal for** patients who want to **reduce the overall size of their nose** or have **significant structural issues** that require surgical correction. During your consultation, [**Dr. Lexie Wang**](/about/team/lexie-wang-md/) or [**Dr. Anthony Nye**](/about/team/anthony-nye-md/) will assess your goals and determine if this procedure is right for you. #### Before & After Photo Gallery [.mw500.block][] We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/) and see for yourself the kind of work our talented surgeons and nurses do. #### Risks and Considerations of Non-Surgical Rhinoplasty While **liquid rhinoplasty** offers immediate results with little recovery time, it does come with certain risks, including: - **Vascular Complications:** The nose has a complex network of blood vessels, and improper injection techniques can **block blood flow**, leading to serious complications like **skin necrosis** or **vision impairment**. - **Infection:** As with any injectable treatment, there is a small risk of **infection** at the injection site. - **Asymmetry or Irregularities:** Results depend on precise filler placement. Uneven distribution may require **adjustments** or **dissolving the filler** if needed. - **Temporary Results:** Unlike **surgical rhinoplasty**, the effects of liquid rhinoplasty **fade over time**, requiring periodic maintenance treatments. Due to these risks, it is **crucial** to choose an experienced **facial plastic surgeon** like **Dr. Wang**, who specializes in **advanced filler techniques** and understands nasal anatomy in depth. #### Cost of Liquid Rhinoplasty at West End Plastic Surgery At **West End Plastic Surgery in Washington, D.C.**, **Dr. Lexie Wang and Dr. Anthony Nye** personally perform all **liquid rhinoplasty** procedures. Since this treatment requires **expert precision and a deep understanding of nasal aesthetics**, there is an **added surgeon’s fee** for her specialized skill. Additionally, because **non-surgical rhinoplasty is temporary**, maintenance treatments are necessary to sustain your desired results over time. #### Schedule Your Liquid Rhinoplasty Consultation Today! [Request a Consultation](/contact/) --- ## Rib Remodeling **Link:** [Rib Remodeling](https://www.westendplasticsurgery.com/body/rib-remodeling/) ([md](https://www.westendplasticsurgery.com/body/rib-remodeling/index.html.md)) **Type:** Service **Description:** Discover rib remodeling at West End Plastic Surgery in D.C.—a specialized procedure to refine the waistline, enhance proportions, and achieve lasting contour. ### Content #### Refining Contours, Redefining Confidence *Rib Remodeling at West End Plastic Surgery* At West End Plastic Surgery in Washington, D.C., we are among a select group of practices offering rib remodeling. A highly specialized procedure designed to subtly narrow the waist and enhance torso proportions. Whether performed as a standalone surgery or combined with body contouring procedures, rib remodeling can refine the shape of the midsection and create a more balanced, sculpted silhouette. With advanced expertise and an uncompromising focus on patient safety, our board-certified surgeons deliver results that are both sophisticated and natural. #### Rib Remodeling at a Glance - **Purpose:** Refines the waistline and enhances torso proportions - **Benefits:** Creates a narrower, more contoured silhouette - **Procedure Type:** Surgical, typically performed under general anesthesia - **Downtime:** 1–2 weeks for initial recovery; full activity in 4–6 weeks - **Longevity:** Results are long-lasting with proper care and lifestyle #### Advanced Contouring for the Midsection *What is Rib Remodeling?* Aesthetic rib cage remodeling, sometimes referred to as rib contouring or rib repositioning surgery. Is a surgical procedure that modifies the lower ribs to achieve a slimmer, more tapered waistline. At West End Plastic Surgery, our surgeons use refined techniques to safely reduce rib projection, giving patients a smoother, more contoured torso. This procedure is often chosen by individuals who have not achieved their desired results through diet, exercise, or other body contouring methods. #### Precision Body Sculpting *What is the Rib Remodeling Procedure Like?* The rib remodeling or rib repositioning procedure is performed under general anesthesia. During the procedure, small incisions are made to access and carefully contour the targeted lower ribs, typically the floating ribs. Depending on the patient’s goals, the surgery may involve rib removal or reshaping to create a more defined waistline. Incisions are placed meticulously to ensure minimal scarring and achieve a natural-looking result. #### The Hourglass Figure You Envision *What Conditions Does Rib Remodeling Address?* - Wide or boxy waistline despite diet and exercise - Lack of natural torso taper or contour - Desire for a narrower waist and improved body proportions - Complementary refinement after massive weight loss or body contouring surgery #### Embrace a Slimmer Waist *What Areas of the Body Can Rib Remodeling Address?* Rib remodeling specifically targets the **lower ribcage** to influence the shape and contour of the **waist and torso**. #### A Tailored Silhouette with Lasting Impact *What Are the Benefits of Rib Remodeling?* - Creates a narrower, more defined waistline - Enhances natural curves and proportions to sculpt an "hourglass" figure - Provides lasting results when paired with healthy habits - Can be combined with other body contouring procedures for optimal outcomes - Improves confidence and satisfaction with overall body appearance - A more feminine and natural appearance for transgender patients #### A Shape You'll Love *Am I a Candidate for Rib Remodeling?* Ideal candidates for rib remodeling are: - In good overall health - Seeking a slimmer, more contoured waistline - Have realistic expectations about surgical outcomes - Willing to follow recovery and aftercare instructions - Patients who smoke or have significant health concerns may need to address those factors before surgery. #### Support and Guidance Every Step of the Way *Rib Remodeling Recovery* Most patients take 1–2 weeks away from work and regular activities, with light movement encouraged soon after surgery to aid healing. Full return to exercise typically occurs within 4–6 weeks. Temporary swelling, soreness, and tightness in the torso are normal and subside with time. At West End Plastic Surgery, our team provides detailed aftercare guidance, including the use of compression garments and activity modifications, to ensure the smoothest possible recovery. #### Slim, Sleek Contours *Rib Remodeling Results* Results are visible once initial swelling subsides, with the final outcome continuing to refine over several months. Patients enjoy a slimmer waistline, smoother torso, and enhanced proportions that complement their natural frame. Rib remodeling produces lasting results, especially when supported by a healthy lifestyle, and offers patients a renewed sense of balance and confidence in their body’s appearance. #### Expert Surgical Technique, Transformative Procedures *Why Choose West End Plastic Surgery for Rib Remodeling?* Rib remodeling is a highly specialized surgical procedure that requires advanced skill and experience. At West End Plastic Surgery, our board-certified plastic surgeons, including Dr. Paul Ruff, recognized as a Castle Connolly and Washingtonian Top Doctor, bring over two decades of expertise in complex body contouring. With a commitment to safety, precision, and natural-looking results, we are proud to be among the leading practices in Washington, D.C., offering this innovative procedure. #### Rib Remodeling *Frequently Asked Questions* --- ## Exosomes **Link:** [Exosomes](https://www.westendplasticsurgery.com/injectables-fillers/exosomes/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/exosomes/index.html.md)) **Type:** Service **Description:** Exosome therapy at West End Plastic Surgery uses regenerative cell technology to support skin rejuvenation, healing, and hair restoration. ### Content #### Advanced Regeneration. Visible Renewal. *Exosome Therapy at West End Plastic Surgery* Regenerative medicine is transforming the way we approach aesthetics. One of the most exciting developments is **exosome therapy**—a cutting-edge treatment that uses naturally occurring cellular messengers to encourage repair, reduce inflammation, and support rejuvenation from within. At West End Plastic Surgery, exosome therapy is used to enhance skin quality, speed recovery after treatments, and even support hair restoration. Our board-certified providers integrate this advanced therapy with proven aesthetic procedures to deliver results that look natural and last. #### Exosome Therapy at a Glance - **Regenerative Support** – Delivers growth factors and signaling proteins - **Collagen Boost** – Encourages natural production of collagen and elastin - **Versatile Benefits** – Improves skin tone, texture, and hair density - **Enhancement Option** – Often combined with microneedling, lasers, or PRP - **Minimal Downtime** – Quick recovery with long-term benefits #### Healing Messages at the Cellular Level *What Is Exosome Therapy?* Exosomes are tiny extracellular vesicles released by cells that carry important proteins, lipids, and genetic material. They act as messengers, delivering signals that help regulate healing, reduce inflammation, and stimulate regeneration. In aesthetics, exosome therapy harnesses these powerful signals to promote skin repair, improve elasticity, and restore a healthier, more youthful appearance. They are also being studied and used to support hair growth by creating an optimal environment for follicle health. #### Simple Integration, Enhanced Results *What Is the Exosome Therapy Procedure Like?* Exosome therapy can be performed alone or in combination with other treatments, such as microneedling, laser resurfacing, or hair restoration procedures. The treatment is applied topically or injected into the targeted area, where exosomes quickly begin interacting with local cells to encourage repair and regeneration. Most sessions take less than an hour. There is little to no discomfort, and patients typically return to normal activities the same day. #### From Skin Rejuvenation to Hair Restoration *What Conditions Does Exosome Therapy Address?* Exosome therapy is a cutting-edge regenerative treatment that harnesses the power of exosomes to rejuvenate and heal the body. It can address a variety of aesthetic and dermatological concerns. - Fine lines and wrinkles - Uneven skin tone or texture - Skin laxity or loss of elasticity - Scarring from acne or injury - Hair thinning and shedding - Post-procedure recovery (microneedling, lasers, chemical peels) #### Advanced Results, Naturally *What Are the Benefits of Exosome Therapy?* Exosome therapy is valued for its ability to support natural regeneration without surgery or synthetic fillers. Benefits include: #### For Men and Women Seeking Regeneration *Am I a Candidate for Exosome Therapy?* Exosome therapy is safe for most healthy adults and may be especially beneficial if you are: - Looking to enhance the results of microneedling or laser treatments - Interested in improving skin quality and reducing visible signs of aging - Experiencing early signs of hair thinning or loss - Seeking non-surgical, regenerative options for skin and hair health Your provider will review your goals and determine if exosome therapy is an appropriate choice for you. #### Quick Recovery, Gradual Improvement *Exosome Therapy Recovery* There is little to no downtime after exosome therapy. Some patients may experience mild redness or sensitivity in treated areas for 24–48 hours, especially when combined with microneedling or laser treatments. Results improve gradually over weeks to months as collagen production increases and regenerative processes unfold. #### Lasting Regeneration, Visible Results *Exosome Therapy Results* While individual results vary, many patients notice improvements in skin tone, texture, and elasticity within a few weeks. For hair restoration, results typically develop over several months as healthier growth patterns emerge. Exosome therapy continues to work over time, with results enhanced when performed as part of a series or in combination with other treatments. #### Innovation MeetsExpertise *Why Choose West End Plastic Surgery for Exosome Therapy?* At West End Plastic Surgery, we combine advanced regenerative treatments with proven aesthetic expertise. Our providers are highly trained in the use of exosomes and integrate them thoughtfully into personalized treatment plans. With state-of-the-art techniques and a commitment to natural results, we help patients achieve healthier skin, stronger hair, and long-lasting confidence. #### Exosome Therapy *Frequently Asked Questions* --- ## Male Rhinoplasty **Link:** [Male Rhinoplasty](https://www.westendplasticsurgery.com/face/male-rhinoplasty/) ([md](https://www.westendplasticsurgery.com/face/male-rhinoplasty/index.html.md)) **Type:** Service **Description:** Refine your nose while preserving masculine strength with male rhinoplasty at West End Plastic Surgery in Washington, D.C. ### Content #### Refined. Balanced. Confident. *Male Rhinoplasty at West End Plastic Surgery* The nose is one of the most defining features of the male face. Even subtle changes can shift balance, highlight the eyes and jawline, and transform overall appearance. Male rhinoplasty, or nose reshaping surgery, is designed to improve nasal proportions and breathing function while preserving masculine strength and character. At West End Plastic Surgery, our board-certified surgeons understand the unique considerations of rhinoplasty for men. We focus on creating results that look natural, proportional, and distinctly masculine—never overdone. #### Male Rhinoplasty at a Glance - **Improved Proportion** – Refines nasal shape to enhance overall facial balance - **Masculine Preservation** – Maintains strong, defined features - **Breathing Benefits** – Corrects structural issues that impair airflow - **Custom Approach** – Tailored to your goals, face, and profile - **Lasting Confidence** – Results designed to endure for years #### Strength in Subtlety *What Is Male Rhinoplasty?* Male rhinoplasty is a surgical procedure that reshapes the nose for improved appearance and/or function. For men, the goal is often to reduce a nasal hump, refine a bulbous tip, or correct asymmetry without feminizing the face. The surgery can also address functional problems such as a deviated septum that causes breathing difficulties. By carefully sculpting cartilage and bone, our surgeons can create a nose that looks proportional while preserving the angular, masculine features that define the male face. #### A Customized Surgical Process *What Is the Male Rhinoplasty Procedure Like?* Rhinoplasty for men is typically performed under general anesthesia in our accredited surgical facility. Depending on your goals, the surgeon may use either an **open** or **closed** rhinoplasty technique: - **Closed Rhinoplasty** – Incisions are hidden inside the nostrils, leaving no external scars. - **Open Rhinoplasty** – A small incision is placed across the columella (the strip of tissue between the nostrils), allowing more precise access to reshape bone and cartilage. The procedure usually takes 2–3 hours. After surgery, a splint is applied to support the nose during healing, and most patients return home the same day. #### Balancing Form and Function *What Conditions Does Male Rhinoplasty Address?* Male rhinoplasty addresses a range of concerns, including both cosmetic and functional issues. It can reshape the nose to improve its appearance and correct structural issues that may impede breathing. - Dorsal hump (bump on the bridge of the nose) - Bulbous or drooping nasal tip - Crooked or asymmetrical nose - Nose that appears too large or disproportionate - Wide or flared nostrils - Breathing issues due to a deviated septum or structural problems - Nasal trauma or injury repair #### Confidence From Every Angle *What Are the Benefits of Male Rhinoplasty?* Men choose rhinoplasty at West End Plastic Surgery to: #### Is This the Right Choice for You? *Am I a Candidate for Male Rhinoplasty?* You may be a good candidate if you are: - A healthy man, ideally over the age of 18 (when nasal growth is complete) - Concerned about the shape, size, or function of your nose - Seeking natural, proportional results—not drastic change - Free from major health issues that could interfere with surgery or healing - Realistic about what rhinoplasty can achieve During your consultation, our surgeons will use advanced imaging to help you visualize potential results and ensure your goals align with what’s possible. #### Healing With Precision *Male Rhinoplasty Recovery* Recovery typically takes 1–2 weeks before returning to work or social activities. You may experience swelling, bruising around the eyes, and nasal congestion during this time. A splint is usually removed within a week. Strenuous activity should be avoided for 3–4 weeks. While swelling improves significantly after the first month, subtle changes continue to refine for up to a year. Our team provides detailed aftercare instructions and follow-up visits to ensure optimal healing. #### Expertise That Inspires Trust *Why Choose West End Plastic Surgery for Male Rhinoplasty?* At West End Plastic Surgery, our board-certified surgeons bring advanced skill, artistry, and experience in rhinoplasty for men. We know the importance of maintaining masculine definition while refining nasal shape and function. With personalized care, state-of-the-art techniques, and a discreet, supportive environment, we help every patient achieve results that look natural, strong, and balanced. #### Male Rhinoplasty *Frequently Asked Questions* --- ## Previous Cosmetic Surgery Revision **Link:** [Previous Cosmetic Surgery Revision](https://www.westendplasticsurgery.com/revision-plastic-surgery/) ([md](https://www.westendplasticsurgery.com/revision-plastic-surgery/index.html.md)) **Type:** Service **Description:** Previous cosmetic surgery revision in Washington, D.C. West End Plastic Surgery offers expert care and stunning results in Washington, D.C. ### Content #### Previous Cosmetic Surgery Revision at West End Plastic Surgery If you are dissatisfied with the results of a previous cosmetic or reconstructive surgery procedure, our board-certified plastic surgeons at West End Plastic Surgery in Washington, D.C., can help you to realize the results you seek in a caring and compassionate manner. Plastic surgery that ends with unacceptable results is associated with regret, depression, and compromised self-esteem. This is everything that plastic surgery is intended to avoid. Unfortunately, even a perfectly performed procedure does not mean a perfect result. #### Before & After Photo Gallery We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work [our talented surgeons](/about/team/) do. Our Plastic Surgeon, Dr. Paul G. Ruff, Dr. Lexie Wang, and Dr. Amir Arsalan, are experts in revision plastic and reconstructive surgery. Our office is conveniently located in Georgetown and is a quick drive from Northern Virginia, Maryland, and nearby cities such as Potomac, McLean, and Alexandria. Three international airports in the metropolitan region also offer easy access from anywhere in the nation and the world. During your private consultation in his Washington, D.C., cosmetic surgery office, you and our surgeons will meet to discuss your concerns. After examination, they will share their ideas and options to repair your previous procedure, including anesthetic options, recovery time, and risks. If further surgery is required, you will feel comfortable with the discreet care provided at our AAAASF-certified surgical suite. Please review the procedure(s) on this website that pertains to your previous surgery for information about our practice. View our before and after pictures to see our results. Then call us at [(202) 785-4187](tel:(202) 785-4187) to [schedule your personal consultation](/contact/). You’ll be glad you did! --- ## Microneedling With Exosomes **Link:** [Microneedling With Exosomes](https://www.westendplasticsurgery.com/regenerative-medicine/microneedling-with-exosomes/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine/microneedling-with-exosomes/index.html.md)) **Type:** Service **Description:** Microneedling with Exosomes in Washington, D.C. dvanced treatment for collagen boost, fine lines, and skin repair in Washington, D.C. ### Content #### Discover the Ultimate in Skin Rejuvenation Microneedling with Exosomes is a cutting-edge treatment designed to rejuvenate and revitalize your skin. At West End Plastic Surgery, we combine the proven benefits of microneedling with the powerful regenerative properties of exosomes to achieve smoother, clearer, and healthier skin. #### What is Microneedling with Exosomes? Microneedling is a minimally invasive procedure that uses tiny needles to create controlled micro-injuries in the skin, triggering the body’s natural healing response. This process stimulates collagen production, improves texture, and promotes healthier skin overall. When combined with exosomes, the treatment reaches an entirely new level of efficacy. Exosomes are microscopic, naturally occurring particles derived from stem cells, rich in growth factors, proteins, and RNA that help repair and regenerate damaged skin. They amplify the benefits of microneedling by accelerating healing, reducing inflammation, and promoting long-term skin rejuvenation. #### What to Expect During Treatment The procedure begins with a consultation to assess your skin and determine if Microneedling with Exosomes is the right treatment for you. A topical numbing cream is applied to ensure your comfort throughout the procedure. Our skilled providers will then use a specialized device to create micro-injuries in your skin, followed by the application of exosomes to enhance the healing process. Treatment typically takes about 30 to 45 minutes, and the exosome serum is absorbed directly into the skin for maximum efficacy. #### Why Choose Microneedling with Exosomes? #### What Are the Benefits of Microneedling with Exosomes? - Smoothens Fine Lines & Wrinkles - Reduces Acne Scars & - Hyperpigmentation - Improves Skin Firmness & Elasticity - Restores Radiance & Glow - Minimizes Pore Size - Non-Invasive, Fast Recovery #### Is Microneedling with Exosomes Right for Me? Microneedling with Exosomes is ideal for anyone looking to improve skin texture, reduce the appearance of scars, and restore a youthful glow without the need for invasive surgery. During your consultation, we’ll discuss your goals and create a personalized treatment plan to achieve the results you desire. [Contact Us Today](/contact/) --- ## Juvederm **Link:** [Juvederm](https://www.westendplasticsurgery.com/injectables-fillers/juvederm/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/juvederm/index.html.md)) **Type:** Service **Description:** JUVÉDERM® in Washington, D.C. Instantly smooth facial wrinkles and restore volume with long-lasting hyaluronic acid filler injections in Washington, D.C. ### Content #### What is JUVÉDERM®? JUVÉDERM® is an FDA approved injectable gel that is available West End Plastic Surgery in Washington, D.C. The smooth consistency of this filler helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds such as your “smile lines” or “parentheses”. #### How Does JUVÉDERM® Treat Wrinkles? JUVÉDERM® is made of hyaluronic acid, a naturally occurring substance in your skin that helps to add volume and hydration. JUVÉDERM® injectable gel employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid for long-lasting results. This advanced manufacturing process works to create a smooth consistency gel that flows easily into the skin and provides a smooth, natural look and feel. All other currently approved hyaluronic acid dermal fillers are made of granular consistency gels. JUVÉDERM® is the first hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in persons of color. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons and nurses do. #### Types of JUVÉDERM® Filler: #### Is BOTOX® Cosmetic or JUVÉDERM® Better? When it comes to the JUVÉDERM® vs. [BOTOX® Cosmetic](/injectables-fillers/botox/) debate, there’s no one-size-fits-all approach. Both can enhance your appearance and minimize signs of aging, but they work in very different ways. JUVÉDERM® adds volume to smooth away fine lines and wrinkles. It can also enhance your existing features. If your primary goal is restoring sunken cheeks or plumping the lips, JUVÉDERM® is likely the better pick. BOTOX® Cosmetic uses a protein derived from botulinum toxin to temporarily relax facial muscles and reduce the appearance of dynamic wrinkles. Treatment areas include the glabella lines between the brows (sometimes called 11s), deep creases on the forehead, tiny wrinkles around the lips (lipstick lines) or eyes (Crow’s feet), and creases on the neck. Because there are unique benefits and limitations to both [injectables](/injectables-fillers/), many of our patients choose to combine BOTOX® Cosmetic and JUVÉDERM® to get the aesthetic results they want. #### What Areas Can JUVÉDERM® Treat? JUVÉDERM® injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face. By injecting JUVÉDERM® into the mid to deep dermis (below the outer layer of skin), the appearance of moderate to severe facial wrinkles and folds, such as nasolabial folds can be dramatically improved. #### Non-Surgical Nose Job (“Liquid Rhinoplasty”) Interested in a [Rhinoplasty](/face/rhinoplasty/) but don’t want surgery or you’re not ready? Did you know that we can use Hyaluronic Acid Fillers in your nose to shape, contour, and sometimes mimic surgical results? In this video, Dr. Lexie Wang is discussing “Liquid Rhinoplasties”, also known as a non-surgical nose job. She explains the procedure and its advantages, as well as who is a good candidate and the risks. #### JUVÉDERM® VOLUX™ XC for Jawline Definition Many factors contribute to how our jawline changes as we age, including loss of facial fat and genetic predispositions. JUVÉDERM® VOLUX™ XC, the latest product in the line of dermal fillers, is specially formulated to combat a loss of definition around the jaw. It’s also currently the only FDA-approved filler designed for this purpose. #### What To Expect During JUVÉDERM® Treatment No anesthesia is required for your JUVÉDERM® treatment, although your doctor may numb the area with a cold pack or anesthetic cream. The injection site will be determined by examining the appearance of the skin throughout your face and neck area. Your doctor will use an ultra-fine needle to inject JUVÉDERM® into those areas of your face that appear sunken or hollow. The entire procedure takes about 10 minutes and there is minimal discomfort during or after the procedure. Most patients compare the injection to the feeling of a pinprick. #### JUVÉDERM® Pre Treatment Instructions: Prior to your treatment please make sure you have not been taking aspirin, ibuprofen, or any other blood thinning medication or supplement for 5-7 days. #### JUVÉDERM® Post Treatment Instructions: - A temporary amount of mild-moderate swelling and redness at the injection site can be expected immediately after treatment. This is a normal occurrence and will reduce over the next few days. Cold compresses or ice packs may be applied to the area as needed for comfort. - Bruising at the injection site is a commonly reported side effect. The extent and duration of bruising can be decreased by applying cold compresses and using a topical arnica gel within the first 24 hours after treatment. - It is normal to experience some tenderness at the treatment site for a few days. - The injection site may be gently washed a few hours after treatment. Please avoid aggressive scrubbing, rubbing, or exfoliation until swelling and redness subsides. - Makeup may be applied shortly after treatment unless otherwise noted by the treatment provider. Please make sure to apply gently over the treatment site. - Avoid exercise or alcohol for 6 hours after treatment. - Do not have laser, microdermabrasion, chemical peel, or any other aggressive treatments over the treatment site for a minimum of 2 weeks. - It is not uncommon to feel irregularities or undulations under the skin when pressing on the treated area, please do not massage unless otherwise directed by your provider. - Sunbathing or excessive UV exposure should be avoided until the redness and swelling have subsided. #### Recovery After JUVÉDERM® Injections Within the first 24 hours, you should avoid strenuous exercise, extensive sun or heat exposure, and alcoholic beverages. Exposure to any of the above may cause temporary redness, swelling, and/or itching at the injection sites. If there is swelling, you may need to place an ice pack over the swollen area. Be sure to report any redness and/or visible swelling that lasts for more than a few days or any other symptoms that cause you concern. #### How Long Do JUVÉDERM® Results Last? The unique formulation of JUVÉDERM® provides results that last up to 6 months or longer. Correction is temporary; therefore, touch-up injections, as well as repeat injections, are usually needed to maintain optimal corrections. Of course, results may vary and it is best to discuss your individual case with your doctor at West End Plastic Surgery during your initial consultation. #### Lip Augmentation with JUVÉDERM® #### Side Effects Of Injections Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is a risk of infection. #### Schedule a Consultation If you are interested in JUVÉDERM® injectable filler for treating wrinkles, [contact](/contact/) West End Plastic Surgery. Call us at [(202) 785-4187](tel:(202) 785-4187) to schedule your consultation! Our practice serves Washington, D.C. and surrounding areas. --- ## Revision Rhinoplasty **Link:** [Revision Rhinoplasty](https://www.westendplasticsurgery.com/face/revision-rhinoplasty/) ([md](https://www.westendplasticsurgery.com/face/revision-rhinoplasty/index.html.md)) **Type:** Service **Description:** Revision Rhinoplasty in Washington, D.C. Achieve natural, lasting results with top facial plastic surgeon offering expert care in Washington, D.C. ### Content #### Restoring Balance, Refining Results *Revision Rhinoplasty at West End Plastic Surgery* A successful rhinoplasty can transform a patient’s appearance and breathing function, but when results from a previous surgery do not align with your expectations, you may require a revision rhinoplasty. At West End Plastic Surgery, we specialize in addressing both the aesthetic and functional challenges that arise from a previous rhinoplasty surgery. Our Double Board-Certified Facial Plastic Surgeon, Dr. Lexie Wang, brings a high level of skill and experience to these complex facial plastic surgery procedures, ensuring that every patient receives personalized, comprehensive care. #### Revision Rhinoplasty at a Glance - **Purpose:** Correct or improve results of a prior rhinoplasty - **Procedure Type:** Surgical, often more complex than primary rhinoplasty - **Benefits**: Restores nasal function, refines appearance, balances facial features - **Downtime**: About 1–2 weeks for initial recovery, full healing may take up to a year - **Longevity**: Results are long-lasting, often permanent Want to see more of the incredible transformations our talented team of skilled surgeons, nurses, and aesthetic experts can achieve? Check out our gallery for more amazing before and after images! From surgical procedures to non-surgical treatments, our experts deliver stunning results that help our patients look and feel their best.[ Click here to explore!](/gallery/face/nose-job-rhinoplasty/) #### Refining the Results of Your Initial Rhinoplasty *What Is Revision Rhinoplasty?* Revision rhinoplasty, or secondary rhinoplasty, is a corrective surgical procedure aimed at resolving issues stemming from a prior nasal surgery. This can include a previous septoplasty, rhinoplasty, or even skin cancer surgery involving the nose. Whether it’s addressing asymmetry, structural collapse, excessive scar tissue, or ongoing breathing difficulties, Dr. Lexie Wang is equipped to provide solutions that improve both form and function. #### Primary Rhinoplasty vs Revision Rhinoplasty Primary rhinoplasty is the first rhinoplasty that a patient undergoes. In most cases, primary rhinoplasty yields ideal, permanent results and is the only surgery necessary. However, occasionally, unfavorable results or future trauma can necessitate additional surgery. This is called a revision rhinoplasty. Although both procedures are performed similarly, revision rhinoplasty does require extra care due to its complexities, as noted below. #### Undergoing Revision Rhinoplasty Surgery *Why Is Revision Rhinoplasty More Complex?* Revision rhinoplasty is often more complicated than primary procedures due to factors like: - Scar tissue from the initial surgery - Altered nasal anatomy - Limited availability of natural cartilage for structural support - Altered blood supply from previous surgery leads to a higher risk of complications This complexity requires advanced surgical planning and a deep understanding of nasal anatomy to achieve optimal results. #### Types of Rhinoplasty Grafts for Revision Procedures To restore and enhance the nasal structure during revision rhinoplasty, we may need to use grafts. These grafts reinforce weak areas, improve nasal contours, and enhance functionality. Here’s a look at the various graft options available: #### A Higher Level of Care *Innovative Solutions for Functional Challenges* In some revision cases, structural support alone is not enough to correct nasal airflow issues. For patients experiencing persistent nasal obstruction or overactive nasal nerves, we offer additional treatments like: #### Aesthetic and Functional Harmony *What Conditions Does Revision Rhinoplasty Address?* - Persistent nasal asymmetry or irregular contour - Breathing difficulties after a previous rhinoplasty - Over-resection or collapse of nasal cartilage - Residual hump, droop, or deviation - Overall dissatisfaction with appearance after surgery #### Refining Function, Restoring Confidence *What Are the Benefits of Revision Rhinoplasty?* - Improves nasal breathing and airflow - Corrects irregularities or asymmetry from prior surgery - Restores structural integrity of the nose - Enhances overall facial balance and aesthetics - Provides long-term, natural-looking results #### The Revision Rhinoplasty Consultation Your journey begins with a detailed consultation with Dr. Lexie Wang. She will review your medical history, discuss your concerns, and understand the outcomes you are hoping to achieve. It can be extremely helpful for the consultation for you to collect the operative reports from any previous nose surgeries. Using advanced imaging and analysis, she will assess: - The structure and stability of your nasal framework - Areas of scarring or deficiency - The impact of the previous surgery on nasal function and aesthetics During this consultation, Dr. Wang will discuss potential surgical plans, the types of grafts that may be required, and any special concerns related directly to your needs. Each patient’s case is unique, and we customize our surgical approach to meet your specific needs. A comprehensive plan will outline the necessary steps to achieve improved symmetry, structural support, and nasal airflow. ***PLEASE NOTE: The consultation fee for primary rhinoplasty and revision rhinoplasty is $300. It will be applied towards the cost of the surgery should you decide to proceed with it.** #### A Thoughtful Path to Healing *Rhinoplasty Recovery Process* Rhinoplasty surgery is typically performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and you will feel mild to moderate discomfort so it is important to have someone drive you home after your surgery. You may also want to have someone stay with you for the first few days after surgery. In the first 24 hours after surgery, your face will feel puffy, your nose may ache, and you may have a dull headache. You can use the prescribed pain medication to alleviate much of this discomfort. Most patients are up and around one to two days after surgery. The swelling and bruising around your nose will increase at first, reaching its peak about two to four days after the surgery. Applying cold compresses will help ease the pain and reduce the swelling and bruising. #### Things To Be Aware Of After Your Surgery - You should not blow your nose for several weeks or so after surgery to give the tissue a chance to heal. You should make every effort to avoid rubbing, bumping, or hitting your nose for several weeks. - After surgery small burst blood vessels may appear as tiny red spots on the skin’s surface. These spots are usually minor but can be permanent in some cases. - When rhinoplasty is performed from inside the nose there is no visible scarring. When the incision is made across the bottom of the nose or when the procedure corrects wide nostrils, the scars are minor and are usually not visible within a few weeks of surgery. - Minimize sun exposure for up to one year following surgery. - The doctor will schedule regular follow-up visits in the months after your surgery. If anything unusual or troubling develops between visits, call West End Plastic Surgery right away. #### Lasting Balance, Natural Elegance *When Can I Expect to See the Full Results of My Rhinoplasty?* There are two stages to your rhinoplasty recovery, after which your results are definitive. The first stage involves the decrease of visible swelling and bruising. That stage can take about two weeks to one month to reach the point at which you feel comfortable returning to work and social engagements. Keep in mind that, at the two-week mark, moderate swelling may remain. This final stage takes one to three years to resolve, and in cases of revision rhinoplasty, you should expect a longer recovery time. You may notice what we call “semi-final” results as soon as three months after your rhinoplasty procedure. By that time, the majority of your swelling should be gone. From then on, minor changes related to swelling may continue. These, however, are so gradual and subtle that you may not even notice. #### Expertise That Inspires Confidence *Why Choose West End Plastic Surgery for Revision Rhinoplasty?* Dr. Lexie Wang combines precision, artistry, and extensive experience to deliver exceptional results in even the most complex revision cases. We are committed to achieving the best possible outcomes for our patients, using advanced techniques and innovative treatments to improve both aesthetics and function. #### Revision Rhinoplasty *Frequently Asked Questions* --- ## Eyelid Surgery **Link:** [Eyelid Surgery](https://www.westendplasticsurgery.com/face/eyelid-surgery/) ([md](https://www.westendplasticsurgery.com/face/eyelid-surgery/index.html.md)) **Type:** Service **Description:** Eyelid surgery in Washington, D.C. Look younger and more refreshed with board certified plastic surgeons providing stunning blepharoplasty results in Washington, D.C. ### Content #### What is Eyelid Surgery (Blepharoplasty)? An eyelid lift removes excess fat and skin from the upper and lower eyelids, correcting drooping upper lids and reducing puffy bags below your eyes. At West End Plastic Surgery in Washington, D.C., eyelid surgery is one of the most popular procedures performed by [Dr. Lexie Wang](/about/team/lexie-wang-md/) & [Dr. Paul Ruff](/about/team/dr-ruff/). If you are considering eyelid surgery (blepharoplasty) in the Washington, D.C. area, [request a consultation](/consultation/) online to meet our surgeons, or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### Am I a Good Candidate for an Eyelid Lift? An ideal candidate for an eyelid lift is someone in general good health, who has realistic expectations about the procedure, and who has one or more of the following characteristics. Most candidates are 35 years of age or older, but if your droopy eyelids are an inherited condition you may decide to have the surgery at a younger age. - Puffy areas or “bags” under the eyes - Excessive skin or sagging of your upper eyelids - Excessive skin on your lower eyelids - Loss of your natural upper eyelid crease We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Your Consultation With Your Plastic Surgeon *Prior to scheduling your eyelid lift, you will have an extensive consultation with Dr. Wang or Dr. Ruff.* The goals of the consultation are to evaluate your facial structure to determine whether an eyelid lift will give you the facial enhancement you desire and to assess your specific risks for the procedure. Your plastic surgeon will thoroughly explain the procedure and its expected results and answer any questions you have. They may also recommend combining your eyelid lift with another procedure, such as a [brow lift](/face/brow-lift/), to meet your cosmetic goals. The type of anesthesia to be used and cost and payment information will also be discussed. You will be asked to provide a medical history and explain the results you hope to achieve with an eyelid lift. #### How Much Does a Blepharoplasty (Eyelid Lift) Cost in Washington, D.C.? The cost of a Blepharoplasty (Eyelid Lift) starts at around $4,500. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Blepharoplasty Procedure Your eyelid lift procedure will be performed in our state-of-the-art surgical suite. The procedure generally takes 1 to 3 hours to complete depending on how extensive it is. The surgery is usually performed using local anesthesia with sedation. You may feel a bit of tugging around your eyelid area but will experience no discomfort. General anesthesia can be used if you would rather be completely asleep during the procedure. Your doctor makes small incisions following the natural lines of your eyelids. These incisions are made in the creases of your upper lids and just below the lashes of your lower lids or inside the lower lids. The incisions may extend into the crow’s feet or laugh lines at the outer corners of the eyes. Working through these incisions, your doctor separates the skin from underlying tissue and muscle, removes excess fat, and trims any sagging skin and muscle. If you are having all 4 eyelids done, your doctor will work on the upper lids first, then the lower ones. The incisions are then closed with very small stitches. Ointment is placed in your eyes and bandages are placed over your eyes for the first 24 hours after surgery. #### What to Expect During Eyelid Surgery Recovery #### Immediately After Your Surgery In most cases, eyelid lift surgery is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and your eyelids will feel tight and sore as the anesthesia wears off. Pain medication will help you control this discomfort. It is important to have someone drive you home after surgery and to stay with you for the first few days after surgery. Your eyes also will appear bruised. Bruising varies among patients and usually reaches its peak during the first week after surgery. The discoloration disappears 2 to 4 weeks after your eyelid lift. #### The First 24 to 48 Hours After Your Surgery In the first few days after surgery, your eyes will most likely feel sticky and itchy, and you may experience a burning sensation. Your eyelids also may feel dry and tight. You may also have some numbness along your lash line. Your discomfort level will improve rapidly after the first 2 days, but it is still important to keep regular activities to a minimum for the first 3 to 5 days after your procedure. There may be some bruising and swelling around your eyes. You can use cold compresses (a medium-sized bag of frozen peas works well) to help reduce these conditions. You may have slight bleeding from your incisions. This is nothing to worry about and can usually be controlled by firmly holding a pad or sponge on the area for 10 to 20 minutes. You can clean off any dried or clotted blood with soap and water or diluted peroxide. If the bleeding does not stop, call West End Plastic Surgery for further instructions. #### The First 2 Weeks After Surgery In most cases, eyelid lift surgery is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and your eyelids will feel tight and sore as the anesthesia wears off. Pain medication will help you control this discomfort. It is important to have someone drive you home after surgery and to stay with you for the first few days after surgery. Your eyes also will appear bruised. Bruising varies among patients and usually reaches its peak during the first week after surgery. The discoloration disappears 2 to 4 weeks after your eyelid lift. #### Resuming Your Normal Routine Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You may read or watch TV within 3 days of your surgery. - You can most likely return to work or school within 7 to 10 days after your surgery. - You may resume driving as soon as you feel comfortable doing so. - You can most likely return to your physical exercise program within 3 weeks of your eyelid lift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - Your scars may look slightly pink for 6 months, sometimes longer. Eventually, the scars will fade to a nearly invisible white line. Tiny whiteheads may appear after your stitches are taken out and they can be easily removed and cause no scarring. - The scars caused by the incision should be protected from sunlight for at least a year after surgery. - Your eyes will be sensitive to sunlight, wind, or other airborne irritants for several weeks after your surgery. Wear sunglasses, along with a special eyelid sun block whenever you are outside. #### Things to Be Aware of After Your Surgery - It is normal to experience blurry or double vision for a few days after your eyelid procedure. - After surgery, some people have minor trouble closing their eyes to sleep. - The nerves of the lower eyelid may be temporarily affected by the surgery, causing sagging of the margin of the eyelid. This condition usually corrects itself within a few days or weeks. Upward massage and support of the eyelid itself with tape can help the healing process. #### Blepharoplasty Results Eyelid lift surgery can enhance the youthful appearance of your eyes. These results generally last between 5 to 10 years and longer in many cases. It is important to keep in mind that the effects of aging, gravity, and environmental factors will eventually cause sagging and drooping of the eyelid area. #### Eyelid Lift Risks All surgical procedures have some degree of risk; however, major complications from eyelid lift surgery are unusual. During your initial consultation with [Dr. Ruff](/about/team/dr-ruff/) and the staff of [West End Plastic Surgery](/about/), your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre- and post-surgery instructions provided to you. Your doctor and the staff of the practice will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following: - Infection - Dry eyes - Inability to close eyes - Loss of asymmetry of the eyes - Scarring - Hematoma (blood collection) - Asymmetry - Sagging of the lower eyelid (ectropion) #### Schedule a Consultation If you’re in the Washington, D.C. area and considering an Eyelid Lift, contact West End Plastic Surgery. [Request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. #### Eyelid Surgery *Frequently Asked Questions* --- ## Male Plastic Surgery **Link:** [Male Plastic Surgery](https://www.westendplasticsurgery.com/male-plastic-surgery/) ([md](https://www.westendplasticsurgery.com/male-plastic-surgery/index.html.md)) **Type:** Service **Description:** Male Plastic Surgery in Washington, D.C. Look your best while maintaining your natural, masculine features with these cosmetic enhancement options. ### Content #### Male Plastic Surgery at West End Plastic Surgery Male plastic surgery offers men the opportunity to refine their appearance while maintaining natural, masculine features. More men choose cosmetic enhancements to boost confidence, increase career prospects, and enhance overall quality of life. Unlike female procedures, male plastic surgery focuses on preserving strong, defined facial and body contours while achieving natural results. At [West End Plastic Surgery](/about/), our experienced surgeons specialize in the following procedures tailored to the unique aesthetic goals of men, helping them achieve refined and confident results. #### Facial Rejuvenation for Men [**Male Facelift**](/face/male-facelift/)**: **A male facelift tightens sagging skin while maintaining a chiseled jawline and rugged facial structure. A mini facelift addresses early aging, while a full facelift offers more dramatic results. Most men undergo facelifts between 40 and 60, and results typically last 10-15 years. [**Eyelid Surgery for Men**](/face/male-blepharoplasty/)** (Blepharoplasty): **Tired-looking eyes can be corrected with eyelid surgery. Upper eyelid surgery addresses drooping lids, while lower eyelid surgery eliminates puffiness and under-eye bags. Swelling subsides in one to two weeks, and final results are visible within months. [**Male Rhinoplasty**](/face/male-rhinoplasty/)**: **A nose job for men reshapes the nose and enhances nasal proportions while keeping a masculine profile. Full results are visible after a year. #### Hair Transplant for Men [**Male Hair Transplant**](/hair-restoration/male-hair-transplant/)**:** NeoGraft is a cutting-edge, minimally invasive hair restoration technique that utilizes Follicular Unit Extraction (FUE) technology. This method involves harvesting and transplanting hair follicles to thinning or balding regions without stitches or linear scarring. Patients can typically return to activities within a few days, and full hair growth is visible within several months. #### Body Contouring & Fat Reduction for Men [**Liposuction for Men**](/body/liposuction/)**: **Liposuction targets stubborn fat areas, like the abdomen, chest, and love handles, and provides more muscle definition. Most men resume activities within a week. [**Male Breast Reduction**](/breast/gynecomastia-surgery/)** (Gynecomastia Surgery): **Enlarged male breasts can be corrected with liposuction to remove fat and excision to eliminate glandular tissue. Maintaining a healthy lifestyle prevents reappearance. [**Pectoral Implants for Men**](/breast/pectoral-implants/)**: **For men struggling to build chest definition, custom implants enhance shape without appearing artificial. #### Skin Tightening & Anti-Aging for Men [**Renuvion**](/laser-treatments/renuvion/)** (J-Plasma Skin Tightening): **This treatment uses plasma energy to tighten loose skin, typically on the jawline, abdomen, and chest. It is less invasive than traditional lifts. [**Injectables for Men**](/injectables-fillers/)**: **Botox and fillers minimize wrinkles for a youthful look, while maintaining masculine features. #### Why Choose West End Plastic Surgery At [West End Plastic Surgery](/about/), we deliver transformative results through expert care, innovation, and a patient-centered approach. Located in the heart of Washington, D.C., our premier cosmetic plastic surgery practice provides a full range of surgical and non-surgical procedures tailored to the needs of male patients. Our team, led by Dr. Paul G. Ruff IV, Dr. Lexie Wang, and Dr. Amir Arsalan, is dedicated to offering compassionate, personalized treatments that enhance natural masculinity while ensuring the highest standards of safety and excellence. We believe in developing a strong doctor-patient relationship built on trust, respect, and communication to help you achieve your aesthetic goals confidently. Our fully accredited surgical suite provides a private, state-of-the-art setting where patients receive personalized care from a team of highly trained medical professionals. Whether you seek subtle enhancements or a complete transformation, we prioritize your well-being, comfort, and satisfaction. West End Plastic Surgery’s values of continuous improvement, integrity, and patient advocacy ensure you receive the best results in a safe and supportive environment. #### Explore Male Plastic Surgery to Look Your Best in Washington, D.C. If you’re considering male plastic surgery, our expert team is here to help. Call us today at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/) and get started on a more confident you. --- ## Nipple & Areola Reduction **Link:** [Nipple & Areola Reduction](https://www.westendplasticsurgery.com/breast/nipple-areola-reduction/) ([md](https://www.westendplasticsurgery.com/breast/nipple-areola-reduction/index.html.md)) **Type:** Service **Description:** Nipple and areola reduction in Washington, D.C. Redefine your natural beauty with board-certified surgeons offering superior cosmetic breast surgery results in DC. ### Content #### Nipple & Areola Reduction at West End Plastic Surgery Surgery to improve the appearance of large, long, or droopy nipples and overly large or puffy areolas can enhance the size and shape of your breasts. [Dr. Paul G. Ruff IV, M.D., FACS ](/about/team/dr-ruff/), Dr. Amir Arsalan, and our team of board-certified plastic surgeons specialize in cosmetic breast enhancement procedures. One such procedure is nipple and areola reduction. [Our surgeons](/about/team/) are committed to providing the best option for nipple and areola reduction in Washington, D.C., working with you to get excellent results that achieve your cosmetic goals. If you’re insecure about the size of your nipples, the dark area surrounding them, or both, [request a consultation](/consultation/) online at their Washington, D.C. office to discuss whether nipple or areola reduction surgery is appropriate for you. Or call our office at [(202) 785-4187](tel:(202) 785-4187) to speak with a member of the [West End Plastic Surgery](/about/) staff to schedule a consultation. [Schedule a Consultation Today](/consultation/) #### Nipple & Areola Reduction Surgery Your nipple or areola revision procedure is performed in our state of the art surgical suite or at one of the area hospitals where [Dr. Ruff](/about/team/dr-ruff/) and [Dr. Arsalan](/about/team/amir-arsalan-md/) operate. The surgery is performed under local anesthesia and generally takes about an hour to complete. You go home shortly after your surgery. For **nipple reduction**, the doctor makes a small incision on the nipple itself. For areola reduction, the surgeon makes an incision around the perimeter of the areola. In both cases, the incisions heal very quickly. Once the incision is complete, the doctor removes excess tissue from the area of the incision. Stitches are then used to close the incision, and gauze dressings are placed over the breasts. A special surgical bra is placed over your breasts after the surgery to ensure that your breasts are held in the best position for healing. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. [Before & After Photo Gallery](/gallery/breast/) #### Meeting With Your Surgeon At your [consultation](/consultation/) with your surgeon, they provide a clear understanding of the procedure, as well as an accurate picture of how your breasts will look after the surgery. #### How Much Does a Nipple and Areola Reduction Cost in Washington, D.C.? **The cost of a Washington, D.C. Nipple and Areola Reduction starts at around $4,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Immediately After Your Surgery In most cases, you will be ready to go home shortly after your **nipple or areola reduction procedure**. You may be drowsy after the anesthesia, and the area around the incisions will be sore, so it is important to have someone drive you home after your surgery. #### The First 24 to 48 Hours After Your Surgery During the first 24 to 48 hours after your procedure, you may feel tired from the anesthesia and sore from the surgery. Your surgeon will prescribe pain medication to alleviate most of the discomfort. Your discomfort level will improve rapidly after the first 2 days. #### The First 2 Weeks After Surgery You will notice a marked improvement in your discomfort level during the first few weeks after your surgery. Other things to be aware of: - Any bruising you experience will usually disappear in about 2 weeks. - You may experience some numbness in the area of the surgery. This numbness is caused by the swelling of your breasts after surgery and usually disappears within 6 weeks. - You may experience some tingling in the nipple-areola complex after surgery. This is a normal result of the healing process and will go away within 6 weeks of the surgery. - Your stitches will be removed within 5 to 7 days after surgery. #### When Can I Resume Normal Activities After Nipple or Areola Surgery? You are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within a day of your surgery. - You can resume driving within a day or 2 of your surgery. - You should avoid sex for at least the first week after your surgery. - Do not go without a bra for at least 6 weeks after your surgery. - Strenuous exercise can begin about 2 to 3 weeks after your surgery, but remember that everyone heals at different rates so take these activities slowly until you feel ready. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars on your breasts should be protected from sunlight for at least a year after surgery. #### Things to Be Aware of After Your Surgery - The skin of your breasts may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - You may experience some numbness in the area of your surgery, but this generally goes away within 6 weeks of your surgery. - Your breasts may heal at different rates. One breast may swell, one may feel less comfortable, or the shape of your breasts may look different. This is normal, however, when your [body](/body/) is fully recovered, your breasts will look very similar and natural. #### What To Avoid After Nipple or Areola Reduction Surgery #### Side Effects of Nipple and Areola Reduction Surgery Like all surgical procedures, there are risks associated with **nipple or areola reduction surgery**. These risks can be greatly reduced by closely following the instructions provided to you by your surgeon and the staff of West End Plastic Surgery. Some possible side effects include: - Infection - Loss of nipple sensation - Scarring #### How Long Will the Results of Your Nipple or Areola Reduction Last? **Results of your nipple or areola reduction are permanent**; however, keep in mind that your breasts may droop or sag over time as a natural result of the aging process. #### Are there other procedures that could be done along *with nipple or areola reduction to enhance the size and shape of my breasts?* Depending on the size and condition of your breasts, a [breast augmentation](/breast/breast-augmentation/), [breast lift](/breast/breast-lift/), or [breast reduction](/breast/breast-reduction/), could be performed to enhance the size and shape of your breasts. All of these options will be discussed with you when you meet with Dr. Ruff, Dr. Arsalan, or one of our surgeons and their staff at West End Plastic Surgery. #### Will Insurance Cover This Procedure? Nipple or areola reduction is a cosmetic procedure and, therefore, not covered by insurance. You are responsible for the full payment for your procedure. Cost and payment options will be discussed fully with you at your initial consultation. #### Are there alternatives to nipple or areola reduction surgery? There are no non-surgical alternatives that reliably reduce nipple size or projection or areola size. #### Schedule a Consultation If you’re in the Washington, D.C. area and considering nipple or areola reduction surgery, contact West End Plastic Surgery. Request a consultation online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Schedule a Consultation Today](/consultation/) --- ## Vaginal Rejuvenation **Link:** [Vaginal Rejuvenation](https://www.westendplasticsurgery.com/body/vaginal-rejuvenation/) ([md](https://www.westendplasticsurgery.com/body/vaginal-rejuvenation/index.html.md)) **Type:** Service **Description:** Vaginal rejuvenation in Washington, D.C. Enhance your confidence and pleasure with board certified surgeons providing stunning labiaplasty results in Washington, D.C. ### Content #### Vaginal Rejuvenation at West End Plastic Surgery At West End Plastic Surgery, we are dedicated to helping women feel confident and comfortable in every aspect of their lives, including intimate wellness. Vaginal rejuvenation is a term that encompasses a variety of surgical and non-surgical procedures designed to address both aesthetic and functional concerns. Whether you are seeking to improve the appearance of your intimate area, reduce discomfort, or restore function, our expert team offers personalized solutions that are safe, effective, and designed to enhance your quality of life. #### Surgical Treatment Options Depending on your aesthetic goals, what you are expecting from your results, your body’s needs, and your medical history, the type of surgical procedure you may need for vaginal rejuvenation may differ from other patients. During your consultation, we can discuss your goals and determine which surgical option would benefit you most. Below is more information on our different surgical options for vaginal rejuvenation: #### Labiaplasty Labiaplasty is a procedure that has gained popularity over the years for both functional and cosmetic reasons. Whether due to genetics, aging, childbirth, or other factors, many women experience enlarged or asymmetrical labia that may cause discomfort, irritation, or self-consciousness. Labiaplasty offers a solution by reducing the size of the labia and enhancing its overall appearance, resulting in improved confidence and physical comfort. #### Renuvion Labiaplasty Renuvion is a helium-based plasma radiofrequency device that targets the fibro septal network (FSN) allowing us to "shrink" or retract those tissues resulting in a more youthful appearance. Renuvion Labiaplasty is performed under local anesthesia and is well-tolerated with minimal discomfort. It only takes 45-60 minutes, and you can drive yourself home afterward. The recovery is quick, you can return to exercise and daily life as you feel comfortable, and even go back to work immediately after the procedure. Experience lasting benefits in comfort and satisfaction for years to come. #### Benefits of Labiaplasty with Renuvion - Minimally invasive, with enhanced skin tightening and less tissue removal. - Quick in-office procedure, you can drive yourself home - Faster recovery time due to the less invasive nature of the procedure. - Stimulates collagen production for long-term skin rejuvenation. - Ideal for patients with mild to moderate excess tissue or those seeking a refined, less dramatic result. - Swelling and discomfort are typically mild A labiaplasty procedure addresses both the labia majora (outer labia) and the labia minora (inner labia), but how we approach each area is dependent on the specific asymmetries and level of laxity present for each patient. #### Who Is a Good Candidate for Vaginal Rejuvenation? The best candidate for a cosmetic gynecology procedure is a woman with concerns about the size, shape and/or volume of her genitalia. Women of nearly every age, including teens, have found both emotional and physical satisfaction following a vaginal rejuvenation. #### Meeting With Your Surgeon Prior to scheduling your procedure, you will have an extensive consultation with Dr. Ruff or Dr. Arsalan, at their West End Plastic Surgery practice in Washington, D.C. The goals of your consultation are to discuss your concerns so that you and your surgeon can mutually agree upon which procedure(s) will create the results you desire. We will thoroughly explain each procedure along with its risks, benefits, and recovery times. #### Vaginal Rejuvenation Procedure Process Your procedure will be performed in the accredited, state-of-the-art surgical suite located in Dr. Ruff and Dr. Arsalan’s Washington, D.C. plastic surgery office. With extremely rare exceptions, most cosmetic gynecological procedures are outpatient in nature and are performed under local anesthesia. If you’re a bit squeamish about these things, we are happy to provide sedation along with local anesthesia, though sedation requires that a friend or family member drive you home. Most procedures of this nature take approximately 1-2 hours to perform. #### How Much Does Vaginal Rejuvenation Cost in Washington, D.C.? he cost of Vaginal Rejuvenation starts at around $4,500. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Your Recovery *Resuming Normal Activities After Gynecological Surgery* Everyone heals at different rates and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to your physical exercise program within two to four weeks of your procedure. - You may resume intimate activity within six to eight weeks of your procedure. - Most of the visible signs of your surgery should fade within about three weeks. - You can most likely return to work within a day or two of your surgery. - You can resume driving as soon as you feel comfortable doing so. #### Vaginal Rejuvenation *Frequently Asked Questions* #### Schedule a Consultation Interested in improving the appearance and functionality of your most delicate parts? If you’re considering getting vaginal rejuvenation such as Labiaplasty or Labia Augmentation, [request a consultation](/consultation/) online to meet with Dr. Ruff and Dr. Arsalan, or call our office at [(202) 785-4187](tel:(202) 785-4187) to speak with a staff member at West End Plastic Surgery and schedule a consultation. [Request A Consultation](/contact/) --- ## Menopause Makeover **Link:** [Menopause Makeover](https://www.westendplasticsurgery.com/body/menopause-makeover/) ([md](https://www.westendplasticsurgery.com/body/menopause-makeover/index.html.md)) **Type:** Service **Description:** Menopause Makeover in Washington, D.C. Reclaim your youthful glow with customized surgical and non-surgical facial rejuvenation for women over 50. ### Content #### Empowering Women at Every Age *Menopause Makeover at West End Plastic Surgery* Menopause brings major changes to a woman's body, including noticeable effects on the skin. As estrogen levels decrease, signs of aging throughout the face and body become more prominent, often marked by skin laxity, wrinkles, and volume loss. At [West End Plastic Surgery](/about/team/) in Washington, D.C., we believe beauty and confidence don’t end with menopause—they evolve. Our Menopause Makeover addresses these changes through customized [body](/body/) and [facial treatments](/face/) designed for the many women navigating the changes that come with midlife. Our board-certified plastic surgeons and aesthetic specialists combine surgical techniques and cutting-edge non-surgical treatments to rejuvenate the face and body and restore a youthful look. #### Menopause Makeover at a Glance - **Purpose - **Rejuvenates the face and body by addressing hormonal and age-related changes - **Treatment Options - **Custom blend of surgical and non-surgical solutions - **Downtime - **Minimal with non-surgical; several weeks with surgery - **Duration of Results - **Long-lasting results, especially with ongoing skin care - **Ideal For - **Women over 50 experiencing volume loss, skin laxity, and wrinkles #### About Menopausal Skin Changes *What Is a Menopause Makeover?* During menopause, hormonal shifts, particularly the loss of estrogen, lead to changes in the skin's structure and texture. These shifts result in sagging, dryness, and a loss of elasticity. Estrogen is essential to collagen production, and as levels decrease, the skin loses its natural firmness and smoothness. #### Firm Sagging Skin *What is the Menopause Makeover Procedure Like?* A Menopause Makeover at West End Plastic Surgery is not a single procedure, but a comprehensive, personalized plan to address cosmetic menopause symptoms. Whether you are seeking subtle refinements or a more transformative outcome, our goal is to restore youthful contours and improve skin quality with results that look refined, elegant, and authentically you. #### A Sleeker Silhouette *Surgical & Non-Surgical Body Treatments* We offer a full menu of surgical and non-surgical body contouring procedures to help you feel like the most confident version of yourself. Restore breast shape or volume, eliminate stubborn fat pockets, or address other physical changes that many menopausal women experience to make the most of this life transition. #### For Every Chapter of a Woman's Life *What Conditions Does a Menopause Makeover Address?* - Excess skin, skin laxity, and sagging along the jawline and neck - Wrinkles and fine lines due to decreased collagen - Facial volume loss in the cheeks, temples, and under-eyes - Drooping eyelids or puffiness - Uneven texture, dryness, and age spots #### Enhance Natural Beauty While Preserving Authenticity *What Areas of the Body Can a Menopause Makeover Address?* While often focused on the **face and neck**, a Menopause Makeover may also include treatments for the **breasts, abdomen, waistline, and décolletage**, depending on your individual goals. #### Defined Body & Facial Contours *What Are the Benefits of a Menopause Makeover?* A menopause makeover offers a personalized, comprehensive approach to addressing the physical changes that often accompany midlife. By combining surgical and non-surgical treatments, this personalized treatment can restore facial volume, tighten sagging skin, improve body contours, and rejuvenate your overall appearance, all while honoring your natural beauty. Beyond aesthetic improvements, many women find that the results boost their self-confidence and help them feel more aligned with how they see themselves. Tailored to your unique anatomy and goals, a menopause makeover can help you look refreshed, energized, and empowered in this new chapter of life. #### Address Your Unique Aesthetic Concerns *Am I a Candidate for a Menopause Makeover?* A menopause makeover is ideal for women who are experiencing visible signs of aging related to hormonal changes and want to look refreshed while still feeling like themselves. Candidates may notice facial volume loss, sagging skin, or stubborn fat that has appeared or become more resistant to change during menopause. This customized approach is well-suited for women who are healthy enough for elective procedures, have realistic expectations, and are looking for natural-looking results that align with their age and lifestyle. Whether you're seeking subtle enhancements or more noticeable rejuvenation, a menopause makeover can help you feel more confident in this new phase of life. #### Refined, Natural-looking Outcomes *Menopause Makeover Recovery and Results* Recovery from surgical procedures like facelifts can take several weeks, with results becoming more apparent as swelling subsides. Non-surgical treatments typically involve minimal downtime. Maintaining results often requires a combination of proper skin care and periodic touch-ups. Post-treatment skincare routines are crucial for keeping the skin hydrated and protected. Patients consistently report looking more refreshed, vibrant, and confident, without appearing overdone. #### Reclaim Your Youthful Glow with a Menopause Makeover in Washington, D.C. *Why Choose West End Plastic Surgery for Your Menopause Makeover?* At [West End Plastic Surgery](/about/team/), our experienced team, led by plastic surgeons Dr. Paul G. Ruff IV, Dr. Lexie Wang, and Dr. Amir Arsalan takes a personalized approach to facial and body rejuvenation, focusing on the unique challenges women face during menopause. Our reputation and commitment to excellence in cosmetic surgery has earned us recognition, including a feature on an episode of *Real Housewives of Potomac*. #### Menopause Makeover *Frequently Asked Questions* --- ## Body Implants **Link:** [Body Implants](https://www.westendplasticsurgery.com/body/body-implants/) ([md](https://www.westendplasticsurgery.com/body/body-implants/index.html.md)) **Type:** Service **Description:** Body implants in Washington, D.C. Enhance your calves, biceps, butt, and pecs with board certified surgeons providing stunning body implant results in Washington. ### Content #### Body Implants at West End Plastic Surgery When diet and exercise do not give you the shape and contour you want for certain areas of your body, you can surgically enhance those areas with **body implants**. Implants can be used in areas such as the calves, the biceps, the buttocks, or the pectorals. In some cases, body implants are used to correct congenital and physical deformities caused by conditions such as polio, spina bifida, and Poland’s Syndrome that affect muscle growth. #### Are You A Good Candidate for Body Implants? If you are in good health and have tried to enhance your muscle mass and definition through weight lifting exercise with no success, you may be an ideal candidate for **Washington, D.C. body implant surgery**. Dr. Ruff and Dr. Arsalan the team at West End Plastic Surgery will discuss which procedure is right for you, outline the limitations of the procedures, and make sure you achieve the results you desire. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Meeting With Your Surgeon Prior to scheduling your surgery, you will meet at length with your surgeon and their team. You will have your body evaluated and will discuss how you want your body to look after the procedure. With the guidance of your surgeon, you will decide which type of **body implant** is right for you and the size, shape, and position of your implant. #### How Much Do Body Implants Cost in Washington, D.C.? **The cost of Body Implants starts at around $6,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How is a Body Implant Performed? Your Body Implant procedure will be performed in our state of the art surgical suite or at one of the area hospitals where our surgeons are privileged. At West End Plastic Surgery, we are dedicated to ensuring your complete comfort during and after the procedure. **Body implant surgery generally takes one to two hours** to complete and is performed either under general anesthesia or local anesthesia with sedation. The type of anesthesia used and the length of the surgery depend on the type of implant procedure being performed. The type of anesthesia used and the length of your surgery are discussed with you during your initial consultation. #### What To Expect After Your Surgery #### Immediately After Your Surgery In most cases, you will be ready to go home shortly after the procedure. Because you may be a bit sleepy after the anesthesia and will experience soreness in the area of your incision, it is important for someone to drive you home after your surgery. #### The First 24 to 48 Hours After Your Surgery During the first 24 to 48 hours after your procedure, you may feel tired from the anesthesia and sore from the surgery. The doctor will prescribe pain medication to alleviate much of the discomfort. Your discomfort level will improve rapidly after the first two days. Because most body implant surgery is performed endoscopically, the size of the incision is usually less than an inch and there is very little bleeding. #### The First Two Weeks After Surgery You will notice a marked improvement in your discomfort level during the first week after your surgery and you can most likely return to work within a week of your procedure. - Any bruising or swelling you experience will usually disappear in about a week. - Stitches, if not dissolvable, will be removed seven to ten days after surgery. - Avoid heavy lifting and straining for at least two weeks and avoid contact sports for at least eight weeks. #### When Can I Resume Normal Routines After Body Implants? Everyone heals at different rates and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within one to two weeks of your procedure. - You can resume driving as soon as you experience no pain when you turn the steering wheel or use the brakes. - Strenuous exercise can begin in about four weeks after surgery. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars caused by the surgery should be protected from sunlight for at least a year after surgery. #### Things To Be Aware Of After Your Surgery After receiving a **body implant** Washington, D.C. patients need to be aware of these details: - The skin in the area of the surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - Body implants are placed behind muscles and will, therefore, enlarge the bulk of those muscles, but it will not increase the strength or power of the muscle. - Movement of the muscle will not be limited or affected by the use of body implants. #### What Are Possible Side Effects or Risks? Like all surgical procedures, there are risks associated with body implant surgery. During your pre-surgery consultation with the doctor, your individual risks will be assessed and discussed and it will be determined if you are a good candidate for body implant surgery. As with any surgery, you can help reduce the risks associated with your body implant procedure by closely following the instructions provided to you by the staff of West End Plastic Surgery. Dr. Ruff, Dr. Arsalan, and their staff at West End Plastic Surgery will be with you every step of the way to ensure a safe and pleasing outcome. Some possible side effects include: - Infection - Numbness - Implant Shifting - Changes in muscle asymmetry - Scars #### Schedule a Consultation If you’re in the Washington, D.C. area and considering **Body Implants**, contact West End Plastic Surgery. [Request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. --- ## NeoGraft For Eyebrows **Link:** [NeoGraft For Eyebrows](https://www.westendplasticsurgery.com/hair-restoration/eyebrow-hair-transplant/) ([md](https://www.westendplasticsurgery.com/hair-restoration/eyebrow-hair-transplant/index.html.md)) **Type:** Service **Description:** Restore fuller, natural brows with NeoGraft eyebrow restoration at West End Plastic Surgery in Washington, D.C. ### Content #### Balance. Definition. Confidence. *NeoGraft at West End Plastic Surgery* Eyebrows frame the eyes and shape the face. When they are thin, sparse, or missing, it can affect balance, symmetry, and overall expression. Genetics, over-plucking, aging, or injury can all contribute to thinning brows—but restoration is possible. At West End Plastic Surgery, **NeoGraft eyebrow restoration** uses advanced **FUE (Follicular Unit Extraction)** technology to restore natural fullness and definition. By transplanting your own healthy follicles into the brow area, we create authentic, permanent results that grow like natural hair—with no linear scars and little downtime. #### NeoGraft for Eyebrows at a Glance - **Scarless Technique** – No stitches or strip incisions - **Natural Fullness** – Uses your own follicles for authentic results - **Quick Recovery** – Back to regular life in 1–2 days - **Permanent Growth** – Transplanted hairs grow for life - **Custom Design** – Restores symmetry, shape, and density #### A Precise, Artistic Approach *What Is NeoGraft for Eyebrows?* NeoGraft is an advanced hair restoration system that automates FUE for consistency and precision. With eyebrow restoration, donor hair is harvested one follicle at a time—usually from the scalp—then carefully transplanted into the brow area. Each graft is placed at the correct angle and direction to mimic natural brow growth. The result is a fuller, more defined eyebrow that blends seamlessly with your facial features. #### A Comfortable, Custom Treatment *What Is the Procedure Like?* NeoGraft eyebrow restoration is performed under local anesthesia in our Washington, D.C. office. The process includes: - **Harvesting** – Follicles are gently extracted from a donor site. - **Preparation** – Grafts are preserved to maximize survival. - **Placement** – Each follicle is precisely placed to match your natural brow pattern. The procedure usually takes 3–5 hours, depending on the level of restoration. Patients relax comfortably throughout and return home the same day. #### Restoring Shape and Symmetry *What Conditions Does NeoGraft Address?* NeoGraft is an innovative solution for a variety of eyebrow concerns. It effectively addresses both aesthetic desires and conditions that hinder natural brow growth. - Over-plucked or thinned eyebrows - Age-related loss of brow density - Sparse or uneven natural brows - Trauma or scarring that prevents brow growth - Desire for fuller, more defined brows #### Natural Definition, Restored Permanently *What Are the Benefits of NeoGraft for Eyebrows?* Patients choose NeoGraft eyebrow restoration at West End Plastic Surgery because it offers: #### Tailored Care, Lasting Results *Am I a Candidate for NeoGraft Eyebrow Restoration?* You may be a good candidate if you are: - Experiencing thinning or loss of eyebrow hair - Seeking a permanent solution without tattooing or makeup - In good health with adequate donor hair - Interested in restoring symmetry, shape, or fullness During your consultation, our team will review your goals, donor hair availability, and design a plan for natural results. #### Minimal Downtime. Maximum Definition. *NeoGraft Eyebrow Recovery* Most patients return to normal activities within 1–2 days. Mild swelling, redness, or scabbing is common for the first week. Transplanted hairs usually shed in the first month, followed by new growth beginning at 3–4 months. Final results appear gradually over 9–12 months. #### Fuller Brows, Natural Confidence. *NeoGraft Eyebrow Results* NeoGraft provides lasting, natural results. Because transplanted follicles are resistant to thinning, they continue to grow for life. Patients enjoy thicker, well-shaped brows that enhance facial symmetry and overall expression—without daily pencils, powders, or microblading. #### Expertise. Precision. Artistry. *Why Choose West End Plastic Surgery for NeoGraft?* At West End Plastic Surgery, we combine advanced technology with an artistic eye for detail. Our board-certified team understands the precision required to restore brows that look natural and balanced. With personalized care, expert technique, and state-of-the-art tools, we help you achieve the defined, lasting brows you’ve always wanted. #### NeoGraft for Eyebrows *Frequently Asked Questions* --- ## Neograft For Facial Hair **Link:** [Neograft For Facial Hair](https://www.westendplasticsurgery.com/hair-restoration/facial-hair-transplant/) ([md](https://www.westendplasticsurgery.com/hair-restoration/facial-hair-transplant/index.html.md)) **Type:** Service **Description:** Restore natural facial hair with NeoGraft at West End Plastic Surgery in Washington, D.C. Enhance your beard, mustache, or eyebrows with precision FUE technology. ### Content #### Define Your Look. Naturally. *NeoGraft at West End Plastic Surgery* Facial hair plays an important role in framing the face and defining style. For men, a full beard or mustache can enhance masculinity, while for women, balanced and natural brows can restore harmony and expression. Yet patchiness, scarring, or genetics can leave some people struggling to achieve the look they want. At West End Plastic Surgery, **NeoGraft facial hair restoration** uses advanced **FUE (Follicular Unit Extraction)** technology to restore natural growth in the beard, mustache, or eyebrows. The result is thicker, fuller facial hair with no linear scars, minimal downtime, and results that blend seamlessly with your existing hair. #### NeoGraft for Facial Hair at a Glance - **Scarless Technique** – No stitches or strip incisions - **Custom Design** – Tailored beard, mustache, or brow restoration - **Quick Recovery** – Back to normal activity in 1–2 days - **Natural Growth** – Transplanted hairs grow for life - **Precision Placement** – Each follicle positioned for density and balance #### Targeted Restoration. Lasting Confidence. *What Is NeoGraft for Facial Hair?* NeoGraft is a minimally invasive system that automates FUE for accuracy and consistency. Donor hair is taken one follicle at a time from the back or sides of the scalp, then carefully transplanted into the facial area. Whether restoring beard coverage, reshaping mustaches, or thickening eyebrows, each follicle is placed at the right angle and depth for a natural result. Because there are no long incisions, healing is quick, and scars are virtually invisible. #### A Personalized Approach *What Is the Procedure Like?* Facial hair restoration with NeoGraft is performed under local anesthesia at our Washington, D.C. practice. The process includes: - **Harvesting** – Follicles are gently extracted with the NeoGraft device. - **Preparation** – Grafts are preserved to maximize survival. - **Placement** – Hairs are implanted with precision, following your chosen design. The session may take 4–6 hours, depending on the size of the area being restored. Patients are comfortable throughout and able to return home the same day. #### Solutions for Every Style *What Conditions Does NeoGraft Address?* NeoGraft is an innovative solution for individuals seeking to enhance their facial hair. It effectively addresses a range of conditions, from thinning beards to asymmetrical eyebrows, providing a path to fuller and more defined facial features. - Patchy or thinning beards - Sparse mustache growth - Asymmetrical or thin eyebrows - Facial hair loss from scarring or injury - Desire for fuller, more defined facial features #### Tailored to Your Goals *What Are the Benefits of NeoGraft for Facial Hair?* Patients choose NeoGraft at West End Plastic Surgery because it offers: #### Permanent Growth, Natural Confidence *Am I a Candidate for NeoGraft?* You may be a good candidate if you are: - Seeking to enhance your beard, mustache, or eyebrows - Have healthy donor hair on the back or sides of your scalp - In good general health with realistic expectations - Interested in a permanent, natural-looking solution A consultation will determine your candidacy and the number of grafts needed to reach your desired outcome. #### Recovery, Simplified *NeoGraft Facial Hair Recovery* Most patients return to regular activities within 1–2 days. Some swelling, redness, or scabbing may occur in donor and transplant areas, resolving in about a week. Transplanted hairs typically shed in the first month before new growth begins in 3–4 months. Final results are visible within 9–12 months. #### The Look You Wanted *NeoGraft Facial Hair Results* NeoGraft provides long-lasting, natural results. Because transplanted follicles are resistant to thinning, they continue to grow for life. Patients enjoy thicker, fuller facial hair that looks authentic and enhances their overall appearance. #### Expertise. Technology. Confidence. *Why Choose West End Plastic Surgery for NeoGraft?* At West End Plastic Surgery, we combine cutting-edge technology with expert technique to create results that are precise, natural, and tailored to your goals. Our board-certified team designs facial hair restoration plans with artistry and attention to detail, ensuring balance, symmetry, and authenticity. Whether you want a thicker beard, a sharper mustache, or beautifully shaped brows, we help you achieve lasting results with confidence. #### NeoGraft for Facial Hair *Frequently Asked Questions* --- ## Facial Implants **Link:** [Facial Implants](https://www.westendplasticsurgery.com/face/facial-implants/) ([md](https://www.westendplasticsurgery.com/face/facial-implants/index.html.md)) **Type:** Service **Description:** Jaw and chin facial implants in Washington, D.C. Redefine and balance your facial features with board certified surgeons providing stunning facial implant results in Washington, D.C. ### Content #### What Are Facial Implants? At West End Plastic Surgery in Washington, D.C. we offer facial implants to strengthen the jawline or enhance the chin. Dr. Paul Ruff and Dr. Lexie Wang use jaw and chin facial implants to attain symmetry and balance among facial features. Our board-certified plastic surgeons can also surgically correct the chin by moving the chin bone forward or by reducing its prominence. During your consultation with your plastic surgeon at West End Plastic Surgery, you can decide which procedure is right for you and be assured of a safe and pleasing outcome. #### Who Is A Candidate for Facial Implants? If you are in good health and have realistic expectations about your facial implant surgery, you are a good candidate for this procedure. It is also important that you understand and feel you can manage the limitations that occur with certain types of facial implant surgery. These limitations include being unable to freely move your mouth or lips for several weeks after surgery and maintaining a restricted diet. Your surgeon will discuss which facial implant procedure is right for you, outline the limitations of the procedure, and make sure you achieve the results you desire. #### What To Expect During Your Consultation Prior to scheduling your surgery, you will meet for a consultation with our staff and your doctor at West End Plastic Surgery. You will have your facial structure evaluated and will discuss in detail how you want your face to look after your facial implant procedure. With the guidance of the staff, you will decide which type of facial implant is right for you as well as the size, shape, and position of your implant. #### How Much Do Facial (Chin, Jaw, Cheek) Implants Cost in Washington, D.C.? The cost of Facial Implants starts at around $4,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Jaw Implant Surgery For jaw implant surgery, the incisions are made inside the mouth on either side of the lower lip. These incisions provide access and allow your doctor to form a pocket to hold your implant. Dissolvable sutures are normally used to hold your implant in place and to close the incisions. The entire procedure generally takes from 1 to 2 hours to complete. Facial implants are made of a variety of materials. Occasionally, fat deposits are used instead of solid implants. The type of implant to be used will be discussed during your initial meeting with your surgeon. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Can Facial Implants Be Combined With Other Procedures? There are several surgical procedures that can help enhance the face and neck and provide a more youthful appearance. These include: - [Rhinoplasty](/face/rhinoplasty/) - [Eyelid Lift](/face/eyelid-surgery/) - [Brow Lift](/face/brow-lift/) - [Facelift](/face/facelift/) - [Neck Lift](/face/neck-lift/) #### How Long Will the Results of Your Facial Implants Last? The results are permanent if silicone implants are used. If fat deposits are used, the procedure may need to be repeated periodically. It is important to keep in mind that the skin and muscles in your face and neck will continue to change as a result of aging and gravity. #### Recovery After Facial Implant Surgery In most cases, you will be ready to go home shortly after your facial implant procedure. Because you may be a bit sleepy after the anesthesia and will experience soreness in the area of your incision, it is important for someone to drive you home after surgery. If a hospital stay was required, you will go home the day after your surgery. You may want to have someone stay with you for the first few days you are at home. Your ability to open and move your mouth will be limited and you may be on a restricted diet for the first few weeks after your surgery. Most of the discomfort you experience can be controlled with prescribed pain medication. #### The First 24 to 48 Hours After Your Surgery During the first 24 to 48 hours after your facial implant procedure, you may feel tired from the anesthesia and sore from the surgery. The doctor will prescribe pain medication to alleviate much of the discomfort. Your comfort level will improve rapidly after the first 2 days. There will be swelling and bruising in the area of your surgery. Swelling will be particularly pronounced after jaw implant surgery. In most cases, the bruising and swelling will subside within several days. However, with jaw implant surgery, the swelling will usually peak 24 to 48 hours after the procedure and your jaw may remain mildly swollen for several months after the surgery. Some patients may experience a stretched, tight sensation after the surgery, but this usually subsides in a week. Your ability to freely open and move your mouth and lips will be restricted, and you may experience some difficulty with smiling and talking. Your surgeon will provide you with specific post-surgery instructions. These instructions will include dietary restrictions, oral hygiene guidelines, and specific restrictions on your activities. Your first postoperative visit is scheduled within 2 to 3 days after surgery, with follow-up visits scheduled at 1 week, 2 weeks, and 1 month. #### Resuming Your Normal Routine After Facial Surgery Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: #### Possible Side Effects & Risks of Facial Implants After your procedure, the skin in the area of the surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. There will be significant swelling in the case of jaw implant surgery. Though this swelling peaks within 24 to 48 hours, mild swelling may be present for several months and may prevent your final facial contour from becoming apparent until the swelling goes away. During your pre-surgery consultation with your plastic surgeon, your individual risks will be assessed. As with any surgery, you can help reduce the risks associated with your facial implant procedure by closely following the instructions provided to you by our staff at West End Plastic Surgery. We will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following - Infection - Permanent numbness - Nerve irritation - Implant shifting - Asymmetry #### Alternatives to Facial Implants Fillers such as collagen, hyaluronic acid base, hydroxygratite base may provide localized, temporary improvement. Transfer of one’s own fat from another area of the body may also improve facial contour and form. This approach usually requires one to three procedures to achieve the desired result. #### Schedule a Consultation If you would like to find out more about facial implants, contact West End Plastic Surgery. [Request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment with one of our plastic surgeons. Our practice serves Washington, D.C. and surrounding areas. #### Facial Implants *Frequently Asked Questions* [Read More Reviews](/testimonials/) --- ## Tetra CO2 CoolPeel **Link:** [Tetra CO2 CoolPeel](https://www.westendplasticsurgery.com/laser-treatments/tetra-co2-coolpeel/) ([md](https://www.westendplasticsurgery.com/laser-treatments/tetra-co2-coolpeel/index.html.md)) **Type:** Service **Description:** Tetra CoolPeel CO2 laser treatment in Washington, D.C. Reduce the appearance of lines, sun damage, and pores. Improve skin texture with CO2 laser skin resurfacing in Washington, D.C. ### Content #### A Capital Glow *Tetra CoolPeel CO2 at West End Plastic Surgery* CoolPeel™ is an advanced laser treatment that reduces the appearance of fine lines, sun damage, and pores. It also improves skin texture with little to no downtime. As the treatment is delivered, the old and damaged skin is removed and collagen production is stimulated, leaving you with more youthful-looking skin. Tetra CoolPeel™ CO2 is a one-of-a-kind laser that offers fully customizable skin resurfacing treatments and will completely rejuvenate your skin, without the downtime of traditional CO2 lasers. [Schedule a Consultation Today](/contact/) #### Tetra CO₂ CoolPeel at a Glance - **Skin Refinement** – Smooths fine lines, sun damage, and enlarged pores - **Collagen Boost** – Stimulates natural repair for firmer, more radiant skin - **Minimal Downtime** – Redness fades in 1–2 days, with quick recovery - **Fast Treatment** – Sessions typically take 5–20 minutes - **Customizable Results** – Can be enhanced with exosome therapy for faster healing and improved outcomes #### The Next Generation of CO₂ Resurfacing *What is a CoolPeel?* CoolPeel is a brand new way to safely, and comfortably deliver the benefits of a traditional CO2 resurfacing, without the associated downtime. For these treatments, the Tetra laser settings are more conservative, and the energy is spread out over multiple treatment sessions. This way, you notice your benefits gradually and avoid a significant period of recovery. Friends and family will see a more radiant you without the need to hide. #### More Comfort, Less Downtime *How is CoolPeel different?* For decades, CO2 lasers have been the gold standard in skin resurfacing. However, while traditional CO2 lasers can provide wonderful results, they generally require weeks to months of healing. Our Tetra laser can be adjusted to eliminate social downtime! Typical treatments will have you back the very next day. #### Tetra CoolPeel Improves: - Fine lines or deep wrinkles - Age spots - Acne scars - Sun damage - Dullness/texture - Loose skin - Uneven pigmentation and redness #### Inside the CoolPeel Process *How does CoolPeel work?* The Tetra CoolPeel delivers laser energy to your skin, but in a very controlled and specific way. Instead of treating 100% of your skin in one session, the CoolPeel treats a percentage of your skin leaving “islands” of undamaged skin between. The islands of un-treated skin boost recovery and lead to rapid healing. Over a series of treatment sessions, typically four, spaced one month apart, your entire face is gradually resurfaced. When the CoolPeel energy is applied to your skin, the treated areas are stimulated to produce new collagen in multiple layers. Additionally, structural components of skin, such as “elastin” are tightened for long-lasting benefits. We can further control the output of the Tetra CO2 laser to deliver higher energy where necessary to customize the treatment to your specific anatomy and desires. As with our entire practice, designing a bespoke treatment plan for you is paramount. #### Amplify Results, Accelerate Healing *Enhance Healing With Exosomes* For patients seeking to maximize their results, **exosome therapy** can be combined with a CoolPeel treatment. Exosomes are tiny messengers naturally released by cells that deliver growth factors and regenerative signals to surrounding tissue. When applied immediately after a laser session, they help: By combining CoolPeel with exosomes, you amplify the body’s natural repair process, leading to smoother, firmer, and more radiant skin—with minimal downtime. #### The Regenerative Boost Your Skin Loves *Am I a candidate for CoolPeel?* You are a good candidate for a CoolPeel laser treatment if you are looking to reduce the appearance of fine lines and sun damage, minimize pores, and improve skin texture. Your skin will look healthier and younger. However, if you have darker skin tones at baseline, or significant recent sun exposure, you may need to discuss further to see if you are eligible. #### Patient Testimonial [Click Here To Read More Reviews](/testimonials/) #### What to Expect After Treatment *Tetra Co2 Coolpeel Recovery* While downtime is minimal, your skin does need a few days to heal, and how you take care of your skin after treatment is very important. Here’s what to do! #### How Long Do the Results Last? *Tetra Co2 Coolpeel Results* The results of Tetra CoolPeel CO2 treatment are long-lasting. Typically, the skin continues to improve for up to six months as collagen production increases. Patients often see improvements that last for several years as well. Remember that the results' longevity depends on the individual’s skin condition and lifestyle factors. Regular maintenance sessions can further extend the effects of the service. They will keep the skin looking youthful and refreshed. #### Where Science Meets Skin Care *Why Choose West End Plastic Surgery?* [West End Plastic Surgery](/about/gender-affirmation/) stands out as a leading cosmetic plastic surgery practice in Washington, D.C. The facility is renowned for its unwavering commitment to excellence and compassionate care. Choosing West End Plastic Surgery means opting for a practice that prioritizes the aesthetic outcomes and the emotional and physical well-being of its patients. The clinic's [staff](/about/team/) - which includes plastic surgeons, physician assistants, registered nurses, and aestheticians – works hard to foster a comforting and supportive atmosphere for everyone who walks through its doors. #### Call Today For A Tetra CoolPeel CO2 Consultation In D.C.! You can learn all about the benefits of Tetra CoolPeel CO2 and whether you are a candidate by calling [West End Plastic Surgery](/about/) at [(202) 785-4187](tel:(202) 785-4187). Or, you can fill out the form in our [contact page](/contact/), and our office will help you set up a consultation with our [plastic surgeons](/about/team/). Our practice looks forward to serving you! #### Tetra Co2 Coolpeel *Frequently Asked Questions* --- ## Mini Facelift **Link:** [Mini Facelift](https://www.westendplasticsurgery.com/face/mini-facelift/) ([md](https://www.westendplasticsurgery.com/face/mini-facelift/index.html.md)) **Type:** Service **Description:** Refresh your appearance with a mini facelift at West End Plastic Surgery in D.C.—refined contours, natural results, and quicker recovery than a full facelift. ### Content #### Subtle Refinement, Lasting Elegance *Mini Facelift at West End Plastic Surgery* At West End Plastic Surgery in Washington, D.C., we specialize in creating natural, youthful results through advanced facelift techniques tailored to each patient’s goals. Mini facelift surgery is ideal for those seeking a less invasive option to refresh their appearance with a shorter recovery time and minimal scarring. Our board-certified surgeons bring precision, artistry, and compassion to every procedure, ensuring results that look authentically you. #### Mini Facelift at a Glance - **Purpose **-** **Lifts mild to moderate facial sagging and tightens loose skin - **Benefits **- Improves jawline, reduces jowls, softens folds - **Procedure Type **- Surgical, less invasive than a full facelift - **Longevity **- Results last 7–10 years depending on aging and lifestyle factors - **Downtime** - Typically 7–10 days; most return to social activities within two weeks #### A Modern Approach to Facial Rejuvenation *What is a Mini Facelift?* A mini facelift, sometimes called a “short-scar” facelift or a "mini lift", is a facial plastic surgery procedure designed to lift and tighten the lower face and jawline. It addresses early signs of aging, like mild sagging, jowls, or deepening folds, without the more extensive incisions or downtime of a traditional facelift. At West End Plastic Surgery, the mini facelift is tailored to harmonize with your features, enhancing natural contours while preserving individuality. #### Refined Technique, Personalized Care *What is the Mini Facelift Procedure Like?* Performed under general anesthesia or local anesthesia with sedation, the mini facelift uses shorter incisions typically placed discreetly around the ears. Through these incisions, underlying facial tissues are gently lifted and repositioned, tightening sagging skin while refining the jawline. Excess skin is removed, and incisions are closed with precision for minimal scarring. The procedure usually takes 2–3 hours and is often performed on an outpatient basis, allowing patients to return home the same day. #### A Natural & Youthful Appearance *What Conditions Does a Mini Facelift Address?* - Early jowling or sagging skin along the jawline - Mild to moderate laxity in the lower face - Nasolabial folds and marionette lines - Loss of definition in the lower face and upper neck #### Youthful Contours with Minimal Downtime *What Are the Benefits of a Mini Facelift?* Refines the jawline and reduces early jowls #### Choosing Between a Mini Lift & Full Facelift Surgery *Am I a Candidate for a Mini Facelift?* The best candidates for a mini facelift are typically in their 40s to 60s who are beginning to notice early signs of facial aging, such as mild to moderate sagging along the jawline or lower face. During your mini facelift consultation at West End Plastic Surgery, your surgeon will carefully evaluate your facial structure, skin elasticity, and overall goals to determine whether a mini facelift is the right choice. Some patients may achieve better results with a more advanced procedure—such as a **full facelift** or **deep plane facelift**—if aging changes are more pronounced. Others may benefit from **non-surgical treatments** to complement or postpone surgery. Above all, we focus on creating a personalized treatment plan that aligns with your lifestyle, health, and expectations, ensuring refreshed and natural-looking results. #### Smooth Healing, Supported Every Step of the Way *Mini Facelift Recovery* With fewer incisions, a mini facelift or "weekend facelift" delivers a rapid recovery compared to a more invasive full facelift. Most patients take about one week away from work or social events. Swelling and bruising gradually subside within 10–14 days, and makeup can be applied once incisions are healed. Discomfort is typically minimal and managed with prescribed medication. Light activity can resume within days, while strenuous exercise should be avoided for 3–4 weeks. Our team provides detailed aftercare instructions and follow-up visits to ensure a safe and comfortable recovery. #### A Refining Lift That Lasts *Mini Facelift Results* Patients notice immediate improvements in facial definition once swelling subsides, with final results visible within a few weeks. A mini facelift restores youthful contours, reduces sagging, and creates a smoother, more refined jawline—without the overly tightened look of older facelift techniques. Results typically last 7–10 years, and many patients choose to complement their surgery with ongoing non-surgical treatments to maintain a refreshed appearance. #### Experience, Precision, and an Artful Touch *Why Choose West End Plastic Surgery for a Mini Facelift?* At West End Plastic Surgery, our plastic surgeons are leaders in advanced facial rejuvenation, recognized by Castle Connolly Top Doctors and Washingtonian Top Doctors. With over two decades of experience, Dr. Paul Ruff and his team combine surgical artistry with a patient-centered philosophy to deliver results that look natural and harmonious. In our state-of-the-art D.C. facility, you’ll experience concierge-level care, compassionate guidance, and results that enhance your confidence at every stage of life. #### Mini Facelift *Frequently Asked Questions* --- ## Exact RF **Link:** [Exact RF](https://www.westendplasticsurgery.com/regenerative-medicine/exact-rf/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine/exact-rf/index.html.md)) **Type:** Service **Description:** Exact RF Microneedling in Washington, D.C. Reduce fine lines, acne scars & tighten skin with this advanced RF technology in Washington, D.C. ### Content #### Say Goodbye to Under-Eye Bags and Hello to Radiant Skin Exact RF Microneedling is an **advanced skin rejuvenation treatment** that combines the benefits of traditional microneedling with the power of radiofrequency (RF) energy. offering a highly precise and effective solution for reducing fine lines, wrinkles, and under-eye bags. What sets Exact RF Microneedling apart is its ability to target small, delicate areas — like under the eyes and around the lips — using a single-needle device instead of a multi-needle array. This allows for greater accuracy and a more customized approach to improving skin tone, texture, and firmness. #### How Exact RF Works Exact RF Microneedling creates controlled micro-injuries in the skin while simultaneously delivering RF energy deep into the tissue. This dual-action approach stimulates the body’s natural healing response, encouraging the production of collagen and elastin — the essential building blocks of youthful, firm skin. The single-needle device allows for pinpoint precision, making it ideal for treating smaller, delicate areas that require a more refined touch. This *combination of microneedling and RF energy* enhances skin tightening and smoothing, providing noticeable improvements with minimal downtime. #### 4 Key Benefits of Exact RF #### Is Exact RF Microneedling Right for You? **Exact RF Microneedling** is ideal for individuals looking to address: - Fine lines and wrinkles, especially around the eyes and mouth - Mild to moderate skin laxity in the jawline and neck - Uneven skin tone, texture, or acne scarring - Under-eye bags and puffiness - A non-surgical skin tightening solution with minimal downtime #### What to Expect During Exact RF Treatment During your session at West End Plastic Surgery in Washington, D.C., a skilled provider will cleanse the treatment area and apply a numbing cream to enhance comfort. The **Exact RF** device will then be used to create precise micro-channels in the skin while delivering RF energy deep into the tissue. The treatment typically takes about 30 to 45 minutes, depending on the size of the area being treated. After the session, you may experience mild redness and swelling, similar to a mild sunburn, which typically subsides within 24 to 48 hours. Most patients see noticeable improvements in skin texture and tightness within a few weeks, with full results developing over 2 to 3 months as collagen production increases. #### Why Choose Exact RF Over Other Treatments? #### Your Personalized Consultation At West End Plastic Surgery, we believe that every skincare journey should be tailored to the individual. During your [consultation](/consultation/), our expert team will assess your skin concerns, discuss your goals, and create a customized treatment plan designed to deliver optimal results. #### Ready to Elevate Your Skin? Discover the power of precision with **Exact RF** Microneedling in Washington, D.C. Schedule a [consultation](/consultation/) today to learn how this advanced treatment can help you achieve smoother, tighter, more radiant skin. --- ## Eyelid Surgery for Men **Link:** [Eyelid Surgery for Men](https://www.westendplasticsurgery.com/face/male-blepharoplasty/) ([md](https://www.westendplasticsurgery.com/face/male-blepharoplasty/index.html.md)) **Type:** Service **Description:** Refresh tired eyes with male eyelid surgery at West End Plastic Surgery in Washington, D.C. Natural results, sharper confidence. ### Content #### Sharper, Brighter, More Alert *Eyelid Surgery at West End Plastic Surgery* The eyes are often the first feature people notice, and one of the first to show signs of aging. For men, sagging eyelids, puffiness, and under-eye bags can create a tired or aged appearance, even when you feel energized. Eyelid surgery for men corrects these concerns while preserving your natural masculine features. At West End Plastic Surgery, our board-certified surgeons understand the subtleties of male eyelid surgery, ensuring refreshed results that look sharp but subtle. #### Eyelid Surgery for Men at a Glance - **Upper Eyelids** - Removes sagging skin that can make eyes look heavy - **Lower Eyelids** - Reduces puffiness, bags, and under-eye shadows - **Natural, Masculine Results** - Subtle rejuvenates without feminizing your appearance - **Quick Recovery** - Most men return to work within 1–2 weeks - **Long-Lasting Results** - Provides improvements that endure for years #### Look Rested, Not Different *What Is Male Eyelid Surgery?* Eyelid surgery, also known as blepharoplasty, is a procedure that rejuvenates the upper and/or lower eyelids by removing excess skin, tightening muscles, and repositioning or removing fat. For men, the goal is to correct signs of aging while maintaining a masculine eyelid contour. This procedure can improve both your appearance and, in some cases, your vision, removing skin that may droop into your line of sight, while making you look more alert and youthful. #### Precision That Protects Masculinity *What Is the Eyelid Surgery Procedure Like?* Male eyelid surgery is performed under local anesthesia with sedation or general anesthesia as an outpatient procedure. For upper blepharoplasty, incisions are carefully placed within natural creases of the upper eyelids. Lower blepharoplasty incisions are made either just below the lash line or inside the lower lid, making them virtually undetectable once healed. Through these incisions, excess skin is trimmed, fat deposits are sculpted or removed, and muscles are tightened for a refreshed, natural result. The procedure typically takes 1–3 hours, depending on whether the upper, lower, or both eyelids are treated. #### Addressing the Most Common Concerns *What Conditions Does Male Eyelid Surgery Address?* Male eyelid surgery can address a variety of concerns, including: - Drooping or sagging upper eyelids - Puffy eyelids caused by fat deposits - Under-eye bags and dark circles - Excess skin interfering with vision - A tired, aged, or stern appearance #### Sharp, Alert, and Refreshed *What Are the Benefits of Eyelid Surgery for Men?* Eyelid surgery for men offers a powerful yet subtle way to rejuvenate your appearance by removing excess skin and fat from the upper and lower eyelids. This procedure helps eliminate a tired or heavy-lidded appearance, sharpens your gaze, and restores a more alert, youthful look, all while preserving your natural masculine features. The result is a refreshed appearance that enhances your confidence without looking overdone. #### Is This the Right Choice for You? *Am I a Candidate for Male Eyelid Surgery?* If you have drooping upper eyelids, under-eye bags, or puffiness that makes you appear tired or older than you feel, you may be a good candidate for upper, lower, or combined blepharoplasty. Ideal patients are healthy, do not smoke, and want to refresh their appearance while maintaining their natural masculine features. If sagging eyelids are affecting your vision or confidence, eyelid surgery offers a subtle way to restore a more alert, youthful look. #### Trusted Expertise. Tailored Results. *Why Choose West End Plastic Surgery for Male Eyelid Surgery?* At West End Plastic Surgery, we specialize in procedures designed specifically for men. Our board-certified surgeons understand the anatomical and aesthetic differences that matter, ensuring results that are masculine, balanced, and natural-looking. From consultation to recovery, you’ll receive personalized care in a discreet, comfortable environment. With advanced surgical expertise and a reputation for precision, our team helps you look like yourself—just sharper and more refreshed. #### Male Eyelid Surgery *Frequently Asked Questions* --- ## Evolysse **Link:** [Evolysse](https://www.westendplasticsurgery.com/injectables-fillers/evolysse/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/evolysse/index.html.md)) **Type:** Service **Description:** Evolysse dermal fillers in Washington, D.C. Restore youthful contours with board certified plastic surgeon providing aesthetic treatments in Washington, D.C. ### Content #### Advanced Rejuvenation with Cold-X™ Technology At West End Plastic Surgery, we are committed to offering the latest advancements in aesthetic treatments. We are proud to introduce **Evolysse**™ - a next-generation hyaluronic acid (HA) filler line developed by Evolus, the makers of Jeuveau®. Utilizing innovative Cold-X™ Technology, Evolysse™ is designed to provide *natural-looking results with enhanced longevity and minimal downtime*. #### What Is Evolysse? Evolysse™ is a collection of FDA-approved HA fillers that restore volume and smooth facial wrinkles, particularly in dynamic areas such as the nasolabial folds. The **Cold-X™ Technology** preserves the natural structure of HA, allowing for seamless integration into facial tissue and promoting a natural look and feel. #### Evolysse Formulations The **Evolysse line** includes two specialized formulations to address varying aesthetic needs: #### Benefits of Evolysse - **Natural Integration**: Cold-X™ Technology ensures the HA maintains its natural properties, resulting in fillers that move harmoniously with facial expressions. - **Long-Lasting Results**: Clinical studies have demonstrated that Evolysse™ provides improvements lasting up to 12 months. - **Minimal Downtime**: Patients typically experience minimal swelling and can return to daily activities shortly after treatment. - **Enhanced Comfort**: Each formulation contains a small amount of lidocaine to minimize discomfort during injection. #### Is Evolysse Right for You? If you're seeking *a non-surgical solution to address facial wrinkles, volume loss, or to enhance facial contours*, **Evolysse**™ may be an excellent option. Our experienced providers will assess your individual needs and aesthetic goals to determine the most appropriate treatment plan. #### Schedule a Consultation Discover how **Washington DC Evolysse** can help you achieve a refreshed, youthful appearance. Contact West End Plastic Surgery today to schedule your personalized [consultation](/consultation/). --- ## Botox **Link:** [Botox](https://www.westendplasticsurgery.com/injectables-fillers/botox/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/botox/index.html.md)) **Type:** Service **Description:** Expertly administered Washington DC Botox Cosmetic at West End Plastic Surgery will smooth fine lines and wrinkles for a refreshed, youthful appearance. ### Content #### BOTOX® Cosmetic at West End Plastic Surgery There is a reason injections of *Botox Cosmetic* are the most popular cosmetic procedure in the U.S. But what is **Botox**? It's a protein derived from botulinum toxin that is injected underneath the skin in order to minimize or smooth out lines and wrinkles on the face. When low doses of BOTOX® are used, it selectively weakens or relaxes facial muscles, giving the recipient a clean, smooth facial appearance. [Request an Appointment](/consultation/) #### Botox Treatment Areas **BOTOX can be used on virtually any area of the body**. Areas that are commonly treated include: - Eyebrows - Forehead - Eyelids - Lips - Neck - Jawline BOTOX® is also commonly used for excessive sweating (*Hyperhidrosis*), Bruxism (teeth grinding), reducing appearance of platysmal bands, calf reductions and "*gummy smiles*." [.mw300.block][] We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/injectables-fillers/botox/) and see for yourself the kind of work [our talented surgeons](/about/team/) and nurses do. #### What To Expect During Botox Consultation **Botox treatment** includes an initial [consultation](/consultation/), and facial evaluation. An individualized treatment plan to achieve your goals is created. The treatment takes only a few minutes and is nearly painless. Details about how your BOTOX® treatment will be performed will be provided during your initial consultation. #### How Long Do The Results of Botox Last? **Botox typically lasts up to 4 months** but results vary depending on the area and amount used. #### The Ultimate Combo: VI Peel + Botox Get even better results from your regular Botox injections when you add a [VI Peel treatment](/blog/introducing-toxbooster-the-ultimate-mash-up-of-vi-peel-neurotoxin-injections/) during the same appointment! Most people consider fine lines and wrinkles to be the main signs of aging but did you know that dark spots & sun damage inhibit your youthful glow? Does your skin sag and have a rough texture? The **VI Peel combined with Botox** targets ALL signs of aging. Botox treats dynamic wrinkles on your face, while the VI Peel treats static wrinkles, sun damage, skin texture, and skin laxity. #### Introducing TOXBOOSTER [.mw300.block][] #### TOXBOOSTER Benefits: - Improves rough texture and dullness - Increase collagen production - Lifts sun damage and dark spots - Improves skin sagging and elasticity - Reduces fine lines and wrinkles [.mw500.block][] We know that **Botox works wonders on fine lines and wrinkles around the eyes, forehead, and in between the brows**. But what about the rest of your skin? Combination therapies combine multiple modalities, [injectables](/injectables-fillers/), and topicals (such as peels and skincare products) to deliver anti-aging results simultaneously. A combination therapy can improve wrinkles, texture, dark spots, sun damage, and skin laxity faster and more effectively over a shorter period of time. **In a clinical study, patients saw:** - 60% decrease in wrinkles (vs 37% with neurotoxin alone) - 70% improvement in skin tone and texture. [.mw500.block][] #### Botox Pre Treatment Instructions Prior to your treatment please make sure you have not been taking aspirin, ibuprofen, or any other blood thinning medication or supplement for 5-7 days. #### Botox Post Treatment Instructions - Remain upright for 4 hours after injection, keeping your head above your heart. - Exaggerate facial expressions in treated areas for 1 hour after injection. - Tiny bumps and marks at the injection sites usually disappear within a few hours. - With any injection procedure bruising is possible; if it occurs apply ice to area for 20 minutes. You may also use an OTC topical Arnica product. - Headaches can occur after BOTOX® treatments. If you have a headache we recommend you avoid aspirin or aspirin-containing products. You may use Motrin, Tylenol, and/or cool compresses. If the headache is unrelenting or continues to get worse, please contact the office. - DO NOT participate in yoga or other rigorous exercise activities for the 1st 24 hours after treatment. - DO NOT massage or manipulate injection sites for 48 hours after injection. - Schedule a follow up appointment (if applicable) prior to leaving the office. - Results are expected within 3 to 5 days after injection, with maximum effect by 2 weeks. #### Is Botox Safe? Our **Washington DC BOTOX procedures** are completely safe when performed under proper sterilization and sanitation guidelines. These guidelines include the following: - All needles should be new and sterile for each client. - All equipment and supplies should be pre-sterilized and disposed of in a sanitary manner. - Gloves should be new for each client and changed periodically during the procedure. - The room or treatment area should be in an area free from other contaminants. West End Plastic Surgery adheres to the most stringent sterilization and sanitary guidelines. #### Treating Teeth Grinding With Botox Injections **Botox can also be an effective treatment for Bruxism** (*excessive teeth grinding*). In this case, Botox® is injected into the chewing muscles and can block them from contracting, which relieves the grinding. Learn more by watching the video below. #### Risks of Botox Injections Although there are risks, they are rare. Injection site redness, swelling and bruising is possible and temporary if they occur. Eyelid droop, asymmetry, and lack of effect are also rare occurrences. One can have an allergic reaction to BOTOX®. Those taking certain antibiotics are at risk for an adverse reaction. Anyone who is taking an antibiotic is advised to make your provider aware of this before being injected with BOTOX®. Women who are pregnant or breastfeeding are advised to postpone BOTOX® injections until their little ones are no longer dependent upon them for nutrition. #### Schedule a Botox Consultation If you are interested in **BOTOX injections**, [contact](/contact/) West End Plastic Surgery. Men and women who want BOTOX come to D.C. from Alexandria, Arlington, Reston, and other surrounding areas. You can [request a consultation](/consultation/) online to discuss your cosmetic goals, or call us at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation with one of our expert injectors! Our practice serves Washington, D.C. and surrounding areas. --- ## Dermal Fillers **Link:** [Dermal Fillers](https://www.westendplasticsurgery.com/injectables-fillers/dermal-fillers/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/dermal-fillers/index.html.md)) **Type:** Service **Description:** Enhance facial contours and restore volume with FDA-approved Washington DC dermal fillers at West End Plastic Surgery. Minimal downtime. Natural-looking results. ### Content #### Refine Your Look. Radiate Confidence. *Dermal Fillers at West End Plastic Surgery* Age, stress, and facial fat loss can change the way you look, but they don’t have to define how you feel. **Dermal fillers** provide a refined way to restore volume, smooth wrinkles, and subtly enhance your facial structure without the need for surgery. At West End Plastic Surgery in Washington, D.C., our providers use a curated selection of FDA-approved dermal fillers to deliver beautiful, natural-looking results. Whether you want to plump your lips, soften smile lines, or redefine your jawline, our team can tailor your dermal filler treatment plan to match your features, goals, and lifestyle. - **Restore Volume and Contours **- Rebuilds facial volume and sculpts facial contours - **Smooth Deep Wrinkles** - Softens deep creases and skin folds for a more youthful appearance - **Natural-Looking Rejuvenation** - Results designed to enhance—not alter—your look - **Non-Surgical Treatment** - In-office procedure with minimal downtime - **Lasting Results** - Most injectable fillers last 6 months to 2+ years #### The Science Behind Smoother, Fuller Skin *What Are Dermal Fillers?* Dermal fillers are a type of cosmetic injectable designed to restore volume, fill wrinkles, and enhance facial contours. They are often used to treat areas of volume loss caused by aging, genetics, or weight changes. Dermal fillers can smooth fine lines and deep wrinkles, lift sagging skin, and support facial structure, especially in the cheeks, lips, jawline, and around the eyes and mouth. **Dermal fillers** come in a range of formulations, with the most well-known products containing hyaluronic acid (HA). *HA fillers* like Juvederm and Restylane work by drawing hydration to the treatment area to rebuild volume. We also offer fillers made with collagen-stimulating ingredients like calcium hydroxylapatite, poly-L-lactic acid, and polymethyl methacrylate. These filler materials stimulate your body’s natural collagen production or act as volumizing agents to plump and support the skin. *At West End Plastic Surgery, we offer a wide range of high-quality, FDA-approved dermal fillers products:* #### Subtle Enhancements With Surgical-Level Precision *What Is the Dermal Filler Procedure Like?* Your **dermal filler treatment** at West End Plastic Surgery begins with a one-on-one consultation where we discuss your goals, review your medical history, and develop a personalized treatment plan. Before performing your injections, your provider will apply a topical local anesthetic to minimize discomfort. During the procedure, your provider injects your chosen dermal filler into carefully selected areas of the face using precise, controlled techniques. The treatment typically takes 15 to 45 minutes, depending on the number of areas being addressed. Mild swelling or bruising at the injection sites is common but temporary. You will be able to resume most regular activities right away. #### Smooth, Lift, and Define *What Concerns Do Dermal Fillers Address?* With **dermal fillers** Washignton DC patients have an incredibly versatile range of choices and can treat a wide range of cosmetic concerns related to facial aging and volume loss. These include: - Deep wrinkles and skin folds (nasolabial folds, marionette lines, and smile lines) - Flattened cheeks or loss of mid-face volume - Hollow under-eyes and tear troughs - Thin lips or asymmetrical lip shape - Weak jawline and undefined chin - Acne scars or other surface irregularities - Frown lines and crow’s feet Because facial fillers come in various consistencies and formulations, they can be precisely matched to your facial anatomy and the concern being treated. #### Natural-Looking Results With Immediate Impact *What Are the Benefits of Dermal Fillers?* Dermal fillers provide an immediate, non-surgical solution for patients seeking to restore volume, enhance facial contours, and minimize the appearance of deep creases or fine lines. One of the key advantages of **Washington DC dermal filler** treatments is their high level of customization. You can enhance one feature or take a more comprehensive approach for full-face rejuvenation. Beyond visible results, dermal fillers can also offer emotional and social benefits. Many patients feel more confident, refreshed, and at ease knowing their features are in harmony and their appearance reflects how vibrant they feel on the inside. #### Designed for Real Life *Am I a Candidate for Dermal Fillers?* **Dermal fillers** are a suitable option for adults seeking to address volume loss, smooth wrinkles, or refine their facial features without undergoing surgery. Ideal candidates should be in good health, have realistic expectations, and not be pregnant or breastfeeding. Certain medical conditions, like bleeding disorders or severe allergies, may limit your ability to receive filler injections safely. If you're currently taking blood thinners or have a history of serious adverse events associated with dermal fillers, be sure to share this with your provider during your consultation. Your safety is our top priority. #### A Reputation Built on Excellence *Why Choose West End Plastic Surgery for Dermal Fillers?* At West End Plastic Surgery, we bring a blend of medical expertise, advanced technique, and aesthetic vision to every dermal filler procedure. Our board-certified providers are trained in the latest injectable filler techniques and safety protocols, ensuring every treatment is as effective as it is comfortable. Whether you’re new to filler injections or ready to explore more advanced facial contouring, our team will work with you to create results that look beautiful, natural, and uniquely you. #### Dermal Fillers *Frequently Asked Questions* --- ## Chin Filler **Link:** [Chin Filler](https://www.westendplasticsurgery.com/injectables-fillers/chin-filler/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/chin-filler/index.html.md)) **Type:** Service **Description:** Refine your profile with Washington DC chin filler at West End Plastic Surgery. Define your jawline, add projection, and restore balance without surgery. ### Content #### Define Your Profile *Chin Filler at West End Plastic Surgery* A sculpted chin brings harmony to the entire face. For many patients, a weak chin or lack of definition in the chin and jawline can disrupt the balance of the profile. **Chin filler **offers a non-surgical solution to build structure, add chin projection, and reshape the lower face without the need for incisions, downtime, or implants. At West End Plastic Surgery, we use *FDA-approved dermal fillers* to perform precise, natural-looking chin filler injections that refine your facial features and support overall facial symmetry. Whether you’re looking to enhance your side profile, elongate a small chin, or correct volume loss, our providers use advanced injection techniques to deliver results that enhance, not alter, your natural features. #### Chin Filler at a Glance - **Non-Surgical Solution** - No stitches, no permanent chin implant, no recovery time - **Natural Balance** - Creates harmony between the chin, nose, lips, and lower third of the face - **Custom Approach** - Every filler injection is mapped to your unique facial anatomy - **Quick and Comfortable** - Fast treatment made comfortable with numbing cream - **Immediate Structure** - Sculpts and supports the chin region in one session #### Smooth. Sculpted. Seamless. *What Is Chin Filler?* **Chin filler** offers a *non-surgical approach to chin augmentation* that typically uses hyaluronic acid fillers to build volume and redefine the chin area. Precision chin enhancement using dermal fillers is ideal for patients who want to improve the shape, length, or projection of their chin without undergoing a surgical procedure, such as a chin implant procedure. Compared to a permanent chin implant, this minimally invasive option allows for precise sculpting and fine-tuned adjustments, making it especially popular with patients seeking customizable results with lower risk. #### Refined and Totally Personalized *What Is the Chin Filler Procedure Like?* Each **chin filler treatment** begins with a comprehensive [consultation](/consultation/). Our providers assess your medical history, facial shape, and desired aesthetic to create a plan that ensures natural-looking, optimal results. This may include addressing volume loss, facial asymmetry, or balancing the chin and jawline with subtle, strategic filler placement. On treatment day, the injection site is cleansed and numbed using a topical anesthetic. The provider uses a needle or cannula, depending on the technique, to deliver precise filler injections into the chin area. The entire process usually takes under 30 minutes. Most patients describe the procedure as very tolerable. We use techniques to minimize bruising. Patients generally return to their regular routine right away, taking a few simple precautions like avoiding strenuous exercise to ensure smooth healing. #### Contoured Confidence *What Conditions Does Chin Filler Address?* Dermal fillers can also *improve the appearance of nasolabial folds or marionette lines*, or create a smoother transition between the chin and jawline. **Chin filler** is commonly paired with other injectable treatments, such as jawline filler, cheek filler, or lip filler, for more comprehensive facial rejuvenation and profile balancing. Chin filler can subtly but significantly enhance the lower face and overall balance of your profile, especially in patients with: #### Defined Results Without the Downtime. *What Are the Benefits of Chin Filler?* For many patients, chin filler injections offer a subtle but powerful way to enhance the profile, reshape the lower third of the face, and restore balance. Unlike chin implants or neck surgery, this non-surgical option involves no incisions, no general anesthesia, and virtually no recovery period. Many fillers provide immediate structure while also stimulating the soft tissue to hold its shape over time. Because **we use only FDA-approved products like hyaluronic acid fillers and calcium hydroxylapatite**, the results are smooth, predictable, and customizable. Whether you’re correcting lost volume, enhancing chin projection, or balancing the jawline, chin filler allows you to achieve natural-looking results without dramatically altering your appearance. #### Make a Strong Impression *Am I a Candidate for Chin Filler?* You may be an ideal candidate for chin filler if you are over 18, in good health, and looking to improve the shape, projection, or volume of your chin area. **Chin filler** is also a great option if you're interested in non-surgical alternatives to implants or if you want to “test drive” changes before committing to plastic surgery. Chin filler may not be recommended if you have an active skin infection or a history of severe allergies or inflammatory reactions. We’ll walk you through your options and review your medical history to determine if soft tissue augmentation with fillers is the safest and most effective path for your goals. #### Easy on Busy Schedules *Chin Filler Recovery* Recovery after **chin filler injections** is generally quick and uncomplicated. You may experience mild swelling, tenderness, or slight bruising at the injection site, which typically resolves within a few days. Any temporary fullness will fade as the filler settles into the soft tissue. You can return to most activities the same day. We recommend avoiding strenuous exercise, alcohol, and heavy pressure on the chin area for 24–48 hours to support proper healing. Your provider will offer detailed aftercare instructions to reduce the risk of potential complications and help ensure optimal results from your treatment. #### Balance Is Beautiful *Chin Filler Results* Most patients **see results immediately after their chin filler injection**, with improved shape, projection, and definition in the lower face. Minor swelling may affect the initial look, but final results typically become visible within 5–7 days. Hyaluronic acid filler injections in the chin region usually last 9 to 18 months, while calcium hydroxylapatite fillers or poly-l-Lactic acid fillers can last up to two years, depending on your metabolism and the specific product used. Belafill offers the longest-lasting results, with enhanced chin volume enduring for up to 5 years. Your results can be fine-tuned or adjusted over time as needed. Whether you’re enhancing a cleft chin, restoring youthful volume, or balancing your jawline, the improvements from chin filler treatment can be both dramatic and natural when performed with expertise. #### Where Artistry Meets Injectable Expertise *Why Choose West End Plastic Surgery for Chin Filler?* At West End Plastic Surgery, we understand that *facial contouring requires more than just adding volume*. It requires vision, precision, and experience. Our providers are trained in the most advanced injection techniques for the chin and jawline, and we use only premium filler materials backed by the latest clinical studies and safety standards. Our goal is always to create **natural-looking results** that enhance your features without compromising your unique identity. Whether you're new to injectable treatments or refining past work, you'll receive personalized care in a luxury environment that puts your comfort and satisfaction first. #### Chin Filler *Frequently Asked Questions* --- ## Cheek Filler **Link:** [Cheek Filler](https://www.westendplasticsurgery.com/injectables-fillers/cheek-filler/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/cheek-filler/index.html.md)) **Type:** Service **Description:** Restore youthful volume and lift with Washington DC cheek filler at West End Plastic Surgery. Subtle, sculpted results with no surgery or downtime. ### Content #### Lift, Contour, and Define *Cheek Filler at West End Plastic Surgery* Full, lifted cheeks are a defining feature of a youthful face, but volume loss in the midface is one of the earliest and most noticeable signs of aging. Cheek filler offers a non-surgical way to restore that lost volume, subtly lifting the appearance of the cheekbones and enhancing facial harmony without the need for implants or incisions. At West End Plastic Surgery in Washington, D.C., we offer personalized **cheek filler** treatments using premium dermal fillers, including Juvederm Voluma, Restylane Contour, and Restylane Lyft, as well as longer-lasting options such as [Sculptra](/injectables-fillers/sculptra/), [Radiesse](/injectables-fillers/radiesse/), and [Bellafill](/injectables-fillers/bellafill/). Each option is uniquely formulated to enhance cheek volume for more lifted, youthful contours. Whether you're noticing volume loss, deeper nasolabial folds, or simply want more sculpted definition, our experienced providers use precise, customized techniques to lift and refresh the cheeks with artistry and intention. #### Cheek Filler at a Glance - **Immediate Volume** - Adds structure and fullness to hollow or flat cheek areas - **Midface Lift** - Softens smile lines and subtly lifts sagging in the lower face - **No Surgery, No Downtime** - Minimally invasive treatment with no real downtime - **Tailored Results** - Custom treatment planning to restore naturally youthful-looking contours - **Long-Lasting Effect** - Results can last up to two years or longer #### Contour That Elevates Your Entire Look *What Is Cheek Filler?* The **cheek filler treatment** uses injectable dermal fillers to restore volume to the midface, especially the area over the cheekbones and beneath the eyes. Using hyaluronic acid fillers or collagen stimulators, such as poly-L-lactic acid, this cosmetic procedure is designed to support your natural facial tissues and reverse age-related changes in facial structure. #### Customization Meets Comfort *What Is the Cheek Filler Procedure Like?* Your journey starts with a comprehensive [consultation](/consultation/) to evaluate your overall aesthetic goals, facial anatomy, and skin condition. We’ll help you select the best filler type for your needs, whether a hyaluronic acid (HA) filler like Juvederm Voluma or a collagen-stimulating formula like Sculptra. We'll develop a custom treatment plan based on your facial contours and desired cheek volume. #### The Non-Surgical Solution to Volume Loss *What Conditions Does Cheek Filler Address?* With **cheek filler** Washington DC patients have an ideal injectable treatment for addressing a range of concerns, including: - Age-related volume loss and hollowness in the cheek area - Flattened or under-projected cheekbones - Early signs of nasolabial folds, smile lines, or a sagging jawline - General lack of facial symmetry or definition - Desire for high cheekbones or more defined facial contours Many patients benefit from combining cheek filler with other injectable treatments for a comprehensive facial contouring approach. #### Confidence, Defined *What Are the Benefits of Cheek Filler?* **Cheek filler** provides instant structure and volume with no downtime, making it one of the most efficient filler treatments for facial rejuvenation. In a single appointment, it restores mid face volume, softens laugh lines, and redefines your natural bone structure. Because dermal filler injections also boost natural collagen production, many patients see continued improvement over time. The outcome is a refreshed, lifted look that enhances your appearance while preserving the unique character of your features. And the benefits aren’t just aesthetic. Many patients report a boost in confidence and comfort in their skin, knowing their look matches how vibrant they feel inside. #### Vibrant Volume *Am I a Candidate for Cheek Filler?* If you're looking to *correct volume loss*, enhance cheek volume, or achieve a more youthful appearance without surgery, **cheek filler** may be a suitable option. Candidates for dermal filler treatments should be in general good health and have realistic expectations for the procedure and results. Our providers will review your medical history to ensure filler is a safe option for you. We will also help you decide on the best type of filler for your anatomy and goals. Every treatment plan is individualized to ensure optimal, natural-looking outcomes. #### Precise, Personalized Care *Why Choose West End Plastic Surgery for Cheek Filler?* At West End Plastic Surgery, our **cheek filler treatments** reflect both technical precision and artistic vision. Each provider is extensively trained in facial anatomy and injection technique, using advanced methods to safely sculpt, support, and enhance the cheek region. Whether you’re seeking subtle lift or a more contoured facial structure, you’ll receive elevated care tailored to your personal vision, with a focus on safety, comfort, and natural-looking results that truly last. #### Cheek Filler *Frequently Asked Questions* --- ## Microchanneling **Link:** [Microchanneling](https://www.westendplasticsurgery.com/regenerative-medicine/microchanneling/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine/microchanneling/index.html.md)) **Type:** Service **Description:** Microchanneling in Washington, D.C. Experience the power of microchanneling for collagen stimulation and radiant skin in Washington, D.C. ### Content #### Microchanneling at West End Plastic Surgery At West End Regenerative Medicine, our experienced staff offers **microchanneling** as a safe and effective method of restoring the youthful beauty of your face. Our staff uses the latest techniques and tailored treatment plans to help you seamlessly achieve your aesthetic goals. Give us a call at [(202) 785-4187](tel:(202) 785-4187) today to learn more or to book a one-on-one D.C. microchanneling [consultation](/contact/) at our office! #### What is microchanneling? **Microchanneling** is a procedure that uses a single use device to create micro-channels in the skin. Channeling with medical grade hyaluronic acid to infuse the epidermis, you’ll see an immediate suppleness we associate with a youthful complexion. Long term, these channels stimulate your own natural collagen that continually improves texture over time. Initial treatment should be added to any facial where the pores are cleaned. *Schedule separately in-between facials to maintain results and continued collagen stimulation*. #### Microchanneling Patient Testimonial #### Is microchanneling the same as microneedling? First of all, “skin needling” is just a general term used to describe any minimally invasive aesthetic treatment that involves a device utilizing fine needles. Both [microneedling](/laser-treatments/rf-microneedling/) and **microchanneling** fall under this category. Microchanneling, on the other hand, is like the next generation of microneedling. Our doctors provide both microneedling and microchanneling services in D.C. #### Microchanneling vs Microneedling Microneedling and **microchanneling** are different, with microneedling being a more aggressive treatment aimed at driving needles deeper into the tissue in order to generate irritation. The needles create channels through which products that providers apply topically to the area penetrate skin through those channels. #### Benefits of Microchanneling Microchanneling is a *revolutionary skin rejuvenation technique* that offers a multitude of benefits for your skin. Some of the key advantages of undergoing **Washington DC microchanneling treatments** include: #### Before and AfterCare Advice Optimizing your skin’s response to **microchanneling** begins with proper preparation and continues with diligent post-treatment care. Here are essential guidelines to help you maximize results and minimize side effects. #### How Microchanneling Stimulates Collagen Production Microchanneling is more than just a cosmetic procedure; it's a scientifically driven treatment designed to invoke the body's natural healing processes. Here’s how it stimulates collagen production: #### Before Your Microchanneling Treatment - **Avoid Certain Products and Treatments**: At least one week prior to your session, avoid using retinoids, topical antibiotics, exfoliants, or anything that may irritate the skin. It’s also advisable to skip any chemical peels or laser treatments. - **Protect Your Skin from the Sun**: Minimize sun exposure and do not use tanning beds for at least two weeks before treatment. Always apply a broad-spectrum sunscreen with SPF 30 or higher. - **Stay Hydrated**: Hydrated skin responds better to treatment. Drink plenty of water in the days leading up to your session. - **Come Prepared**: Arrive with clean skin free of any makeup, moisturizers, or sunscreen. #### After Your Microchanneling Treatment - **Soothe Your Skin**: Apply a cooling mask or a gentle, hypoallergenic moisturizer to help soothe the skin immediately after treatment. - **Hydration and Protection**: Continue to keep your skin well hydrated with creams and serums recommended by your practitioner. Use a gentle cleanser and continue to apply sunscreen daily. - **Avoid Excessive Heat**: For the first 48 hours post-treatment, avoid exercising, hot showers, saunas, and other activities that may heat up your skin. - **Hands Off**: Avoid touching the treated area to prevent the introduction of bacteria that can lead to breakouts or infections. - **Product Pause**: Wait at least 24 hours before applying makeup or other skincare products beyond those your practitioner recommends. #### Schedule Your Microchanneling Consultation To learn more about **D.C. Microchanneling** and other [procedures](/services/) offered at West End Regenerative Medicine, please fill out our [contact form here](/contact/) or call [(202) 785-4187](tel:(202) 785-4187). Our practice serves Washington, D.C. [Click Here To Contact Us](/consultation/) --- ## Bellafill **Link:** [Bellafill](https://www.westendplasticsurgery.com/injectables-fillers/bellafill/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/bellafill/index.html.md)) **Type:** Service **Description:** A Washington DC Bellafill treatment smoothes wrinkles and acne scars with results that can last up to five years. Learn more at West End Plastic Surgery. ### Content #### Smooth Wrinkles. Restore Volume. Treat Acne Scars. *Bellafill at West End Plastic Surgery* Most dermal fillers provide temporary results, requiring repeat treatments every few months to maintain your look. **Bellafill is different**. As one of the longest-lasting fillers available, Bellafill works immediately to smooth lines and add volume, while also stimulating your body’s own collagen for results that can last up to five years. At **West End Plastic Surgery**, our team of highly trained injectors utilizes Bellafill to help patients achieve smoother, firmer skin and enhanced facial contours with fewer touch-ups. Whether you’re treating **smile lines, acne scars, or volume loss**, Bellafill delivers results that look natural and stand the test of time. #### Bellafill at a Glance - **Instant Results** – Immediate wrinkle reduction and volume restoration - **Long-Lasting** – Results may last up to five years for wrinkles - **Dual Action** – Smooths skin while stimulating collagen production - **Minimally Invasive** – In-office procedure with little downtime - **Acne Scar Treatment** – FDA-approved for treating acne scars in patients over 21 #### A Filler That Does More Than Fill *What Is Bellafill?* Bellafill is a **collagen-based dermal filler** with polymethyl methacrylate (PMMA) microspheres. The collagen gel provides instant volume, while the PMMA microspheres act as a support structure, encouraging your body to produce its own natural collagen over time. This dual-action feature makes Bellafill unique among fillers, offering both immediate improvement and long-lasting results. It’s FDA-approved for treating **nasolabial folds (smile lines)** and **moderate to severe acne scars**, making it a versatile solution for both cosmetic and corrective needs. #### Subtle. Effective. Long-Lasting. *What Is the Bellafill Procedure Like?* Bellafill is performed as an **in-office treatment** that typically takes less than an hour. - **Consultation** – Your injector evaluates your skin, goals, and medical history. - **Preparation** – A small skin test is performed before your first treatment to ensure safety. - **Treatment** – Bellafill is injected using a fine needle into targeted areas like wrinkles or scars. - **Aftercare** – Most patients resume daily activities immediately, with only minor swelling or redness that resolves quickly. Because Bellafill stimulates collagen, improvements continue to develop for months after the initial injections. #### Target Wrinkles. Treat Scars. Restore Volume. *What Conditions Does Bellafill Address?* **Bellafill** is a versatile [dermal filler](/injectables-fillers/dermal-fillers/) designed to address a range of cosmetic concerns. It effectively tackles various signs of aging and skin imperfections, providing long-lasting, natural-looking results. - **Smile Lines (Nasolabial Folds)** – Softens deep lines around the mouth - **Marionette Lines** – Reduces the downward creases from the mouth to the chin - **Acne Scars** – FDA-approved to smooth moderate to severe scars - **Volume Loss** – Restores structure and support in key facial areas - **General Skin Aging** – Improves firmness, texture, and facial balance #### Look Natural. Stay You. *What Are the Benefits of Bellafill?* Patients at West End Plastic Surgery choose **Bellafill** for several compelling reasons. They appreciate the instantaneous results and lack of prolonged recovery time. The enduring enhancements, which can last for up to five years, are a significant draw, along with the continuous skin revitalization promoted by collagen activation. Bellafill is also a reliable and validated treatment for diminishing wrinkles and acne scars. This reduces the need for recurrent treatments often associated with temporary fillers, offering a more lasting solution. #### Find Out If Bellafill Is Right for You *Am I a Candidate for Bellafill?* Your provider will perform a **skin test** before your first treatment to confirm safety. You may be a good candidate if you: #### Quick Treatment. Minimal Downtime. *Bellafill Recovery* Most patients return to their regular routine the same day. Temporary swelling, redness, or bruising at the **injection site** is common but resolves within days. Because Bellafill is non-surgical, there is no extended downtime, though following aftercare instructions helps ensure a **smooth recovery** and optimal results. #### Results That Last Years, Not Months *Bellafill Results* Bellafill provides both instant and progressive results: - **Immediately after treatment** – Wrinkles are softened and volume is restored. - **Over time** – PMMA microspheres encourage **collagen production**, leading to firmer, smoother skin. - **Longevity** – Results last up to **five years for wrinkles** and **one year for acne scars**. This makes Bellafill one of the longest-lasting fillers available today. #### Experience. Precision. Care. *Why Choose West End Plastic Surgery for Bellafill?* At **West End Plastic Surgery**, our team of experienced injectors and **board-certified plastic surgeons** are known for their precision, artistry, and patient-centered care. We specialize in advanced **cosmetic procedures** that deliver natural results without compromising safety. Choosing us for your Bellafill treatment means you’ll receive: - **Expert injectors** with extensive filler experience - **Customized treatment plans** tailored to your goals - **Natural-looking results** that enhance, not change, your appearance - A welcoming environment focused on comfort and trust #### Bellafill *Frequently Asked Questions* --- ## Liposuction **Link:** [Liposuction](https://www.westendplasticsurgery.com/body/liposuction/) ([md](https://www.westendplasticsurgery.com/body/liposuction/index.html.md)) **Type:** Service **Description:** Liposcution in Washington, D.C. Tighten up your figure with board certified plastic surgeons providing stunning Washington, D.C. liposuction results. ### Content #### What is VASERLipo? VASERLipo™ is a revolutionary technique for removing unwanted fat pockets from various parts of the body. This form of **liposuction** can also reduce the appearance of cellulite. Unlike traditional techniques used in other practices, VASERLipo targets fat cells without damaging surrounding tissue. This targeted and less aggressive approach is more precise, gets exceptionally smooth and shapely outcomes, and has a much faster recovery time. [Request a Consultation](/consultation/) #### How is VASERLipo Liposuction Performed? Prior to [scheduling](/consultation/) your **VASERLipo procedure**, patients will meet at length with Dr. Ruff, Dr. Arsalan, and their team at West End Plastic Surgery. They will discuss whether the procedure is right for you, answer any questions you may have, and detail the risks of surgery. Additionally, Dr. Ruff and Dr. Arsalan will evaluate any areas you would like to improve and discuss how you want these areas to look after surgery. Patients will need to provide their medical history and a list of medications they are currently taking, including aspirin, vitamins, and herbal supplements. *Your liposuction procedure will be performed in our state-of-the-art surgical suite* or at one of the area hospitals where our surgeons operate. They have the top technology and special training required to perform this simple and relatively painless procedure that can give you the body you desire. In most cases, local anesthesia with deep sedation can be used. Depending on the extent of the treatment areas, surgery can take from 1 to 5 hours. We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/body/liposuction/) and see for yourself the kind of work our talented surgeons do. #### VASERLipo Target Areas Some areas of the body are better suited for **Liposuction** than others. VASERLipo provides precise results so even delicate areas such as the face can be successfully enhanced. The most common regions for VASERLipo include: - Abdomen - Arms - Back - Chin - Hips & Flanks - [Neck/Chin Area](/face/neck-liposuction/) - Outer/Inner Thighs **This image is 6 weeks post-Vaser Liposuction of the abdomen and flanks with Dr. Amir Arsalan.** #### Liposuction with Renuvion **Renuvion is the only device FDA-cleared to be used after liposuction. ** Liposuction effectively removes fat volume, leaving behind empty space which may increase the appearance of excess or loose skin. [Renuvion](/laser-treatments/renuvion/) goes beneath the surface and applies precise energy directly to the source of the loose skin. This energy contracts the collagen fibers and pulls the skin down, closer to the muscle, for a more contoured appearance. By adding Renuvion to these procedures, physicians have another tool to help them obtain optimal liposuction results. Using Renuvion after liposuction allows patients, with minimal to moderate skin redundancy, to attain high-definition results that were once only available with skin excision. **Renuvion and liposuction** are the gold standards for amazing body contouring results. #### Recovery after Liposuction with VASERLipo In most cases, **VASERLipo surgery is performed on an outpatient basis**. You can typically go home shortly after your surgery is complete but the use of anesthesia requires that you do not drive home. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. In most cases, you can remove the dressings over your incision the day after your surgery and can shower as soon as you feel comfortable. Everyone heals at different rates, and you are the best judge of when you are ready for certain activities. Patients often resume all normal activities within 2 to 3 weeks of surgery as the swelling and bruising subside. Walking every day promotes fast healing so patients can drive once they are comfortable and return to work within a week. After about 6 weeks patients can return to their exercise routines. Scars will require the most healing time and should be hidden from the sun for at least a year. #### What Results should I expect after Liposuction using VASERLipo? With VASERLipo, you finally have *a simple and relatively painless way to reshape areas of your body that have collected excess fat deposits*. Although there are limits to the amount of tissue that can be removed, in most cases you can achieve the results you desire. These results last for several years as the fat cells in the treatment area are permanently removed. A healthy lifestyle, regular exercise program, and maintaining an appropriate weight keep your body in the best shape possible. #### How Much Does Vaser Liposuction Cost in Washington, D.C.? **The cost of Vaser Liposuction starts at around $4,000 per hour**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How long after any liposuction procedure will I see my results? At West End Plastic Surgery, we take pride in providing **Washington DC liposuction options** that create less tissue trauma and bruising, require smaller incisions, and make for easier overall recoveries. After any of our liposuction procedures, you’ll initially have compression bandages over the treated area. Those will be replaced relatively quickly with compression garments once your bandages are removed. #### How much weight can you lose with a liposuction procedure? At West End Plastic Surgery, *we require our liposuction patients to be within 10 to 15 percent of their ideal body weight*. That’s because liposuction isn’t a weight-loss procedure; it’s a body contouring procedure. Liposuction is meant to remove stubborn pockets of fat that don’t respond to changes in diet and exercise. It’s actually dangerous to remove too much fat in a single liposuction session. #### CoolSculpting: Non-Surgical Alternative for Liposuction Do you have stubborn fat and you aren’t ready to have Liposuction? West End Plastic Surgery offers CoolSculpting, a non-surgical alternative that freezes away fat. The results achieved with [CoolSculpting](/body-contouring/coolsculpting/) and **Liposuction** are similar - both treatments eliminate stubborn fat from various parts of the body. Specifically, CoolSculpting stimulates the natural elimination of fat without having surgery; liposuction extracts fat through a small tube. Since CoolSculpting is not a surgical procedure, it doesn’t involve incisions or the insertion of a surgical instrument beneath the skin, therefore bruising and swelling are uncommon. However, if you do go with CoolSculpting, multiple treatments would be needed to meet your desired outcome. During your [consultation](/consultation/) at West End Plastic Surgery, our team will review this in detail and discuss a treatment plan that best fits your needs. #### Does Insurance Cover Liposuction Surgery? **Liposuction** is considered cosmetic surgery and, therefore, is not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during your initial [consultation](/consultation/). #### Who Is The Ideal Candidate For Liposuction? Liposuction is one of those procedures that is highly individualized. People get this cosmetic procedure for a variety of reasons, such as feeling self-conscious or having fat deposits that are not going away from eating a healthy diet and exercising. However, liposuction is not a procedure anyone can get on a whim. You must first be deemed a suitable candidate first. #### What Are The Risks of Liposuction? With **liposuction** Washington, D.C. patients can often achieve their ideal appearance. However, this procedure is not for everyone as there are plenty of risks to take into account. Below are the risks of getting liposuction: - Numbness - Increased chance of contracting an infection - Fat embolism - Lidocaine toxicity - A buildup of fluid - Internal puncture - Irregularities with your contour You will need to decide whether or not the benefits of liposuction outweigh the risks. The doctor will go into more detail regarding the risks during your [consultation](/consultation/). #### Are There Different Types of Liposuction? Yes, there are multiple variations of the liposuction procedure. Suction-assisted liposuction is the most commonly performed procedure. It is when a surgical vacuum called a cannula sucks out the unwanted fat deposits after a small incision is made in the target area. Here are the other types of liposuction you can choose from: - Ultrasound-assisted liposuction (UAL) - Laser-assisted liposuction (LAL) - Power-assisted liposuction (PAL) Dr. Paul G. Ruff and Dr. Amir Arsalan will go over these **types of liposuction** in greater detail during your [consultation](/consultation/) with him. #### Are There Any Specific Pre-Surgery Instructions I Need to Follow? Preparing for **liposuction in Washington, D.C.**, involves some essential steps. Your surgeon will provide detailed pre-surgery instructions. They may include: - Avoiding [certain medications](https://www.ncbi.nlm.nih.gov/books/NBK519025/) and supplements, especially those that can increase bleeding risk (blood thinners, NSAIDs, etc.). - [Stopping smoking](https://www.facs.org/for-patients/preparing-for-surgery/quit-smoking/#:~:text=Smoking%20increases%20your%20risk%20of,add%20years%20to%20your%20life.) for at least a few weeks before surgery. Smoking can impede healing. - Asking someone to drive you home post-procedure and stay with you for the first 24 hours. - Ensuring you have comfortable, loose clothing to wear post-surgery. - Staying hydrated and eating a healthy diet to encourage long-term healing. #### Can I Combine Liposuction and Other Surgeries? **Yes, you can combine liposuction with other cosmetic procedures**. Doing so can enhance overall results and reduce the amount of time you spend recovering. Common combinations include: - [**Tummy Tuck**](/body/tummy-tuck/)** (Abdominoplasty)**: Removing excess skin and tightening abdominal muscles along with fat removal. - [**Breast Augmentation**](/breast/breast-augmentation/)** or **[**Breast Reduction**](/breast/breast-reduction/): Sculpting the body for a balanced, proportionate look. - [**Facelift**](/face/facelift/): Enhancing facial contours by removing extra fat in areas like the neck and jowls. #### Should I Wear Compression Garments After Surgery? **Yes, wearing compression garments after liposuction is essential**. They help to: - Reduce swelling - Support the healing tissues - Improve body contours by ensuring the skin contracts smoothly to your new shape. Typically, patients wear these garments for several weeks. Your surgeon will share specific guidelines following your procedure. #### How Do I Maintain My Results After Liposuction? **Maintaining liposuction results** requires a commitment to a healthy lifestyle. Here are some tips to help you keep your new shape: - **Exercise Regularly**: After you’ve recovered, incorporate both cardiovascular and strength-training exercises into your routine. Doing so will help you maintain a healthy weight and muscle tone. - **Eat a Healthy Diet**: Consume a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Avoid excessive sugar and unhealthy fats. - **Stay Hydrated**: Drink plenty of water to stay hydrated and support overall well-being. - **Stick to Your Follow-up Schedule**: Attend scheduled appointments with your surgeon to monitor progress. #### Will I Have Visible Scars After Liposuction? Liposuction involves small incisions, which generally result in minimal scarring. Your surgeon will strategically place incisions in inconspicuous areas to reduce visibility. Over time, any scars that do form will likely fade and become less noticeable. Using surgeon-recommended scar care treatments can also aid in minimizing their appearance. #### What Should I Expect During the Initial Consultation for Liposuction? During the [initial consultation](/consultation/) at West End Plastic Surgery, you can expect a comprehensive and personalized evaluation. Your surgeon will: #### Why Choose West End Plastic Surgery? The [West End Plastic Surgery team](/about/team/) is dedicated to excellence and compassion. Dr. Paul G. Ruff IV, Dr. Amir Arsalan, Dr. Lexie Wang, and our skilled medical professionals work hard to promote our community’s well-being. Dr. Ruff is a double-board-certified plastic surgeon, and Dr. Wang is a board-certified surgeon specializing in cosmetic and reconstructive procedures of the face and neck region. They offer innovative treatments tailored to each patient’s unique needs. They also ensure that everyone is treated with the utmost respect and dignity. At West End Plastic Surgery in Washington, D.C., we value the doctor-patient relationship. We’re committed to fostering mutual trust and understanding throughout your journey. Our team is experienced in both surgical and non-surgical services. It doesn’t matter if you seek **liposuction** or another aesthetic treatment. You can trust that our staff will deliver the highest standards of care and support. #### Schedule a Consultation for Liposuction [Dr. Paul G. Ruff IV, FACS](/about/team/dr-ruff/) and Dr. Amir Arsalan of West End Plastic Surgery is one of the first plastic surgeons certified to perform this advanced type of liposuction in the Washington, D.C. area. If you want to learn more about **VASERLipo**, [request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) and a member of our knowledgeable staff will schedule a consultation. --- ## Laser Hair Removal **Link:** [Laser Hair Removal](https://www.westendplasticsurgery.com/laser-treatments/laser-hair-removal/) ([md](https://www.westendplasticsurgery.com/laser-treatments/laser-hair-removal/index.html.md)) **Type:** Service **Description:** Laser hair removal in Washington, D.C. Get rid of unwanted hair on your face and body with laser hair reduction treatments in Washington, D.C. ### Content #### Laser Hair Reduction at West End Plastic Surgery West End Plastic Surgery is proud to offer laser hair removal, unlike any other laser hair reduction treatment available. Using the most advanced laser technology, this treatment is targeted at reducing unwanted hair growth in most skin types. Here at West End Plastic Surgery, we utilize Lumenis LightSheer Duet as well as Motus AX for hair removal. As many recognize, laser hair removal is one of the most common cosmetic laser procedures. In general, devices for hair removal beam highly concentrated light into hair follicles. Pigment in the follicles absorb the light which then destroys the hair. The most efficacious laser for hair removal (particularly fine and light hair) has historically been the Alexandrite laser. #### Motus AX Hair Removal **Here are the important facts you need to know about our Motus AX laser:** - Treat Light & Dark Skin-types - Pain-Free - Faster Hair Removal - Fewer Treatments compared to typical laser hair removal #### Who is an ideal candidate for laser hair reduction? We all have unwanted hair somewhere on our bodies, so pretty much everyone could benefit from laser hair reduction at [West End Plastic Surgery](https://www.westendplasticsurgery.com/about/). Whether you’re a woman tired of the tedium of shaving your legs or bikini line, or a man looking to get rid of back hair or that arm sweater, it’s rewarding to reduce the unwanted hair permanently. One of the breakthrough benefits of the Motus AX is that it is safe and effective for light to dark skin types. Whether you have fine, light hair or a darker skin tone, the Motus AX can be used to target and permanently remove unwanted hair. The Motus AX may also be used with tanned skin however, it is always recommended that you talk with your physician about your specific skin conditions before treatment. Because we use two different types of lasers for hair reduction at West End, these issues aren’t as much of a problem for our patients. [Call Us Today](tel:(202) 785-4187) #### LightSheer hair removal LightSheer Diode Laser Systems are clinically proven and highly regarded for providing safety, superior results, and patient satisfaction. With 2 different leaser heads, we are able to attack those stubborn unwanted hairs with speed and comfort. #### Laser hair reduction pre and post treatment instructions #### Schedule your consultation If you're interested in learning more about **laser hair reduction** please contact us for a consultation at [(202) 785-4187](tel:(202) 785-4187) or fill out our contact us form below. We will discuss your needs and concerns, and determine your best course of action. #### Laser Hair Reduction *Frequently Asked Questions* --- ## Radiesse **Link:** [Radiesse](https://www.westendplasticsurgery.com/injectables-fillers/radiesse/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/radiesse/index.html.md)) **Type:** Service **Description:** Radiesse in Washington, D.C. Non-surgical facial rejuvenation builds collagen to smooth out deep facial wrinkles, creases, and minimize scars. ### Content #### What Is Radiesse®? Radiesse® is a non-surgical, cosmetic procedure that supplements your skin’s own depleted collagen to smooth out deep facial wrinkles and creases and minimize scars. It is injected just below the surface of the skin and is particularly effective smoothing out the deep wrinkles or creases that appear as folds between the nose and mouth or on the sides of the nose. Radiesse® contains the same compounds found in human bones and teeth so there is almost no risk of allergic reaction. Radiesse® is a safe and proven alternative to bovine collagen injections and solid facial implants. #### Non-Surgical Butt Lift (BBL) with Radiesse A non-surgical BBL or “Liquid BBL” uses a highly diluted form of dermal filler (such as Radiesse or Sculptra) to add volume and lift to the buttocks. This technique combines the filler with saline and lidocaine, thinning the consistency and increasing the volume of the product. It’s then injected into the desired area through a thin cannula. **These non-surgical BBL results are by Rahma Scott! She used 14 syringes of HD Radiesse over two treatments.** It provides a subtle and natural enhancement to the buttocks, achieving a fuller and lifted look without appearing overly augmented or artificial. It creates a perky, toned, and smooth buttock. It can also reduce the appearance of cellulite, stretch marks, and dimples on the skin. [.mw300.block][] We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Schedule Your Consultation for Radiesse at West End Plastic Surgery Today Our [highly experienced team](/about/team/) will work with you to help you achieve the look you want. Whether you want to get rid of wrinkles or build up collagen, our Radiesse treatments are effective at providing youthful, natural-looking results for every patient. To schedule a consultation with us, click [here](/contact/) or call [(202) 785-4187](tel:(202) 785-4187) to reach a team member at our office location in Washington, D.C. #### Radiesse *Frequently Asked Questions* --- ## Dermaplaning **Link:** [Dermaplaning](https://www.westendplasticsurgery.com/aesthetic-services/dermaplaning/) ([md](https://www.westendplasticsurgery.com/aesthetic-services/dermaplaning/index.html.md)) **Type:** Service **Description:** Brighten your complexion with Washington, D.C. dermaplaning treatments at West End Plastic Surgery. ### Content #### What is Dermaplaning? At our Washington, D.C. practice, **dermaplaning** is becoming increasingly popular as a safe, highly effective way to scrape off outer layers of dead skin that cause a dull complexion. During the procedure, one of [our aesthetic specialists](/about/team/) uses a sterile scalpel to exfoliate the skin. There is no downtime and the treatment is complete in less than 30 minutes. #### Dermaplaning Candidates Dermaplaning is recommended for individuals of all skin types, except those with acneic skin — oily skin prone to acne. People with deep, cystic acne should wait until active breakouts are clear before undergoing a dermaplaning treatment. Dermaplaning is a safe exfoliation alternative to [chemical peels](/aesthetic-services/chemical-peels/) for pregnant women or mothers who are breastfeeding. #### What Concerns Can Dermaplaning Treat? With **dermaplaning** Washington, D.C. patients can address concerns about: - Fine lines - Wrinkles - Acne Scars - Surface irregularities #### Benefits of Dermaplaning Dermaplaning is an excellent treatment whether you want a refreshed appearance before an important social event, or you just want to restore a subtle, youthful‐looking shine to your skin. Another benefit of **dermaplaning** is that it helps skin care products penetrate deeper into the skin and helps create a flawless canvas for applying makeup. #### What Results Can Dermaplaning Achieve? *Can Dermaplaning Be Combined With Other Treatments?* After scraping off dead skin cells and the fine, vellus hair (“peach fuzz” or “baby hairs”), the skin is immediately smoother and softer to the touch. Dermaplaning is often combined with a [chemical peel](/aesthetic-services/chemical-peels/), especially for patients who are beginning a new skin care regimen. It can also help prepare the skin for more invasive procedures, such as [laser skin rejuvenation](/laser-treatments/ipl-laser/). #### Dermaplaning Treatment Cost The **cost of dermaplaning averages about $150 to $200**, and patients maintain their refreshed appearance with monthly treatments. #### Schedule A Consultation To learn more about dermaplaning and creating a schedule of regular skin care treatments [in Washington, D.C.](/location/), request a consultation using the [online form](/consultation/), or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. --- ## Neck Liposuction **Link:** [Neck Liposuction](https://www.westendplasticsurgery.com/face/neck-liposuction/) ([md](https://www.westendplasticsurgery.com/face/neck-liposuction/index.html.md)) **Type:** Service **Description:** Chin & Neck Liposuction in Washington, D.C. Get rid of your double chin and enhance your profile and contour with chin and neck VASER liposuction. ### Content #### Chin & Neck Liposuction at West End Plastic Surgery Facial Liposuction removes fat from the chin and neck areas, creating a sharper jawline and eliminating a double chin and any fullness. Excess fat and sagging skin around the chin/neck area can be due to age, weight, or genetics. VASERlipo™ uses special ultrasonic probes designed for the delicate structures of the face that can be used to restore contour, shape, and tone to the face, creating a more youthful and rejuvenated appearance. Using VASER liposuction, we can achieve even greater precision and enhanced results. VASER (Vibration Amplification of Sound Energy at Resonance) uses ultrasound energy to gently break down fat cells before removal, allowing for smoother contours and improved skin retraction compared to traditional methods. [Request an Appointment online](/consultation/) #### Are You A Good Candidate for VASERlipo Rejuvenation of the Face & Neck? The best candidate for VASERlipo Rejuvenation of the face is a man or woman who has begun to notice a sallow, full appearance to the face and neck. Many see deep nasolabial folds, an irregular jawline, jowls, and a full neck. These changes can start as early as the early thirties. Successful VASER Lipo rejuvenation requires skin that is not too loose. Most patients are in their late thirties to fifties, but VASERlipo can be successfully performed on people well into their sixties and seventies. If you are generally healthy, have realistic views about the results that can be achieved with facial liposuction, and have any of the following conditions, you may be a good candidate for the procedure: - A full Neck with a Double or Triple Chin - Moderate jowls - Full cheeks - A diminished jawline - Skin that is not too loose We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### What Should I Expect at my Liposuction Consultation? Prior to scheduling your VASERlipo rejuvenation procedure you will have an extensive consultation with Dr. Ruff, Dr. Wang or one of our board certified plastic surgeons at West End Plastic Surgery. The goals of the consultation are to evaluate your facial and neck structure, your skin elasticity and facial volume, and your underlying muscle tone to determine if facial liposuction is right for you. Adjunctive procedures will be recommended if needed to create a harmonious rejuvenation. Dr. Ruff, Dr. Wang or your surgeon will thoroughly explain each technique along with its risks, benefits, and recovery times. You will be asked to describe in detail how you want your face and neck to look after your facial liposuction. Good quality pictures of the face when you liked what it looked like are helpful in understanding your facial volume changes and aging. Working together, you and the doctor will decide which technique will give you the results you desire. #### How Much Does Submental (Chin and Neck) Liposuction Cost in Washington, D.C.? The cost of Submental (Chin and Neck) Liposuction starts at around $4,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How Is a Neck Liposuction Procedure Performed? Your surgeon will mark the areas of the face to be treated as well as any other areas that will be treated with other procedures if planned. All of the areas will be numbed with local anesthesia for comfort during and after the procedure. Only small, inconspicuous puncture sites are required for the insertion of the probes and cannulas used in the procedure. Protective skin ports are placed that minimize any trauma to the skin and maximize the ability to heal. Once the areas are numbed adequately, the ultrasonic probes, at specific power settings, are used to treat the planned areas of the face. Low power suction and specialty cannulas remove the unwanted fat and debris to create the contours and shape that are desired. Once the desired facial shaping is achieved, the skin ports are removed and the skin port sites are closed with sutures. The fat that is removed is often collected and used for the transfer to sites that need volume to enhance the results. Any other planned procedures are completed. A compression wrap is placed that helps the tissues mold to the desired shape. This also controls the early swelling and bruising that is likely to happen. Patients are provided cool packs and encouraged to sit semi-upright which also helps control swelling and bruising. #### A Patient’s Liposuction Experience with Dr. Ruff: Our patient posted her submental liposuction and renuvion experience with Dr. Ruff on Reddit. To read her full post, [click this link](https://www.reddit.com/r/PlasticSurgery/comments/1541oie/submental_liposuction_and_renuvion_40f/?utm_source=share&utm_medium=ios_app&utm_name=ioscss&utm_content=1&utm_term=1). *“This is the most selfish thing I’ve ever done for myself and I couldn’t be happier. This has already been a huge boost to my self-esteem!* *This was my first elective plastic surgery (I had three breast cancer surgeries in 2020). I wanted to be thorough, so I planned to book at least three consultations in the DC area; I knew there were a few options for the specific procedures, and I wanted multiple opinions. Long story short—trust me that it’s a worthwhile story for another time—I selected my surgeon, Dr Paul G. Ruff IV at West End Plastic Surgery in DC, at my fourth consult. His reputation and before-and-after pics got me in the door, and his keen attention to detail got me to book with him that day."* #### How Long Does a Neck Liposuction Procedure Take? The procedure will take between one to two hours to complete. #### Where is the Procedure Performed? Your liposuction procedure will be performed in our state-of-the-art, AAAASF-certified surgical suite in our office. AAAASF stands for The American Association for Accreditation of Ambulatory Surgery Facilities. An accredited facility must comply with the most stringent set of applicable standards available in the nation and meet their strict requirements for facility directors, medical specialist certification, and staff credentials. Accreditation assures you that patient safety is the top priority. #### Does Neck Liposuction Require Anesthesia? It can be performed either under local anesthesia or local anesthesia with sedation/general anesthesia depending on what you and the doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be awake and the areas to be treated will be numbed. The type of anesthesia used, our surgical facility, and other recommended procedures will be discussed with you at your initial consultation. #### What To Expect After Your Liposuction Surgery #### Immediately After Your Surgery In most cases, VASER Lipo Rejuvenation of the Face surgery is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and the surgical area will be sore so you will need to have someone drive you home unless only local anesthesia was used. There will be some bruising, swelling and numbness. You will need to keep your head elevated and avoid any strenuous activity for a few days after surgery to help reduce the swelling and avoid complications. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. Cool packs to the treated areas will help with comfort, swelling and bruising for the first two to three days. Avoid ice or ice packs applied directly to the skin. #### The First 24 to 48 Hours After Your Surgery You may experience some numbness and temporary discomfort around the incisions and treated areas. Most of the discomfort is likely to be felt along the neck and jawline. Any pain or discomfort you experience can be controlled with prescribed medication if needed. You will also experience swelling and some bruising. You will need to keep your head elevated for the first few days after surgery to reduce the swelling of your face. Your discomfort level will improve rapidly after the first two days. Your doctor will remove your bandages at your first post-operative visit. There may be a small amount of bleeding around your incisions. This is normal and can usually be controlled by applying light pressure to the area. If the bleeding does not respond to light pressure or becomes heavy call West End Plastic Surgery for further instructions. You can usually wash your hair 48hours after surgery. However, if you dry your hair, keep the dryer on the lowest setting since your face and scalp may be numb and there is a risk that you might burn yourself. #### Things To Be Aware Of After Your Surgery - Bruising and swelling usually decrease enough so that you can comfortably go out in public about ten to twenty days after your procedure, frequently sooner. - You may experience a loss of sensation or numbness in the area of your procedure. This is entirely normal and may take several weeks to months to disappear. - Your face and neck will feel dry. Apply a good, fragrance-free moisturizer frequently. If you like, we can recommend one that will enhance your healing . - Avoid saunas and steam baths the first two months after your surgery. - Protect your scars with sunscreen for at least six months after your procedure. Use an SPF 15 (or greater) sunscreen every time you are outside. Apply the sunscreen before applying makeup #### What Are Possible Side Effects or Risks? All surgical procedures have some degree of risk; however, major complications from VASER Lipo Rejuvenation of the Face surgery are unusual. During your initial consultation with Dr. Ruff, Dr. Wang and the surgeons at West End Plastic Surgery, your individual risks will be assessed and discussed. As with any procedure, you can help reduce the risks by closely following the pre and post-procedure instructions provided to you. And Dr. Ruff, Dr. Wang, and his staff will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following: - Infection - Nerve damage - Bruising - Asymmetry - Blood or fluid collection - Contour irregularities - Prolonged swelling - Skin surface burns #### How Long Will the Results of Your VASER Lipo Rejuvenation of the Face Last? VASER Lipo Rejuvenation of the Face restores facial contours associated with the natural aging process to create a more youthful appearance. Although the aging process continues, these results generally last between five to ten years, longer in many cases. It is important to keep in mind that the effects of lifestyle, aging, gravity, and environmental factors will continue to affect the contours, smoothness, sagging, and wrinkling of your face and neck. Meticulous skin care is critical to maximize the effectiveness and longevity of your surgical results. #### Why Choose West End Plastic Surgery for Chin & Neck Liposuction At [West End Plastic Surgery](/about/), we combine transformative artistry with the highest safety and personalized care standards. Located in the heart of Washington, D.C., our practice is led by a team of renowned [plastic surgeons](/about/team/), including Dr. Paul G. Ruff IV and Dr. Lexie Wang, who bring unmatched expertise to every procedure. Dr. Ruff, a double board-certified plastic surgeon with over 25 years of experience and 18,000+ procedures performed, is celebrated for his meticulous attention to detail and natural-looking results. Dr. Wang, a double board-certified surgeon specializing in facial and neck procedures, trained under world-renowned Dr. Paul Nassif and is known for her precision and skill. Together, they offer advanced techniques to help you achieve balanced, harmonious contours. Our fully accredited surgical suite is equipped with cutting-edge technology, ensuring patient safety and comfort throughout your journey. Guided by values like compassion, integrity, and innovation, our team fosters a patient-first environment that emphasizes respect and open communication. With thousands of satisfied patients and accolades, such as *Top Doctor* by *Washingtonian Magazine* and *Castle Connolly*, West End Plastic Surgery is trusted locally, nationally, and internationally for delivering exceptional results. Whether you want to refine your chin, sculpt your neckline, or enhance your overall profile, we will help you with care and confidence. #### Schedule a Consultation To learn more about our Neck Liposuction procedures or about any of our other surgical services, please call us at [(202) 785-4187](tel:(202) 785-4187) to [schedule a consultation](/contact/). West End Plastic Surgery is proud to serve Washington, D.C., and the surrounding areas. #### Chin & Neck Liposuction *Frequently Asked Questions (FAQs)* --- ## Rhinoplasty **Link:** [Rhinoplasty](https://www.westendplasticsurgery.com/face/rhinoplasty/) ([md](https://www.westendplasticsurgery.com/face/rhinoplasty/index.html.md)) **Type:** Service **Description:** Rhinoplasty in Washington, D.C. Improve the size, shape, and contours of your nose with board certified facial surgeons providing stunning rhinoplasty results in Washington, D.C. ### Content #### What is a Rhinoplasty? Board-certified surgeons Dr. Paul G. Ruff and Dr. Lexie Wang perform Rhinoplasty, also called a nose job, in Washington, D.C. to cosmetically reshape your nose and enhance the overall appearance of your face. This procedure is also used for reconstructive reasons to correct injuries, birth defects, and breathing problems. It is one of the most common types of plastic surgery performed today. The meticulous and unique techniques we use at West End Plastic Surgery ensure a beautiful, natural-looking result that can permanently improve the look of your entire face. [Request an Appointment Online](/consultation/) #### Top Reasons for Getting a Rhinoplasty Women and men choose rhinoplasty for a variety of reasons, which often include one or more of the following: - Reducing or increasing the size of the nose - Narrowing the span of the nostrils - Correcting birth defects - Repairing injuries - Relieving breathing problems - Changing the angle between the nose and upper lip - Changing the shape of the tip or the bridge of the nose We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Consultation for a Rhinoplasty Prior to scheduling your nose surgery, you will have an extensive consultation with your surgeon and the team at West End Plastic Surgery. Your plastic surgeon will ask you to detail at length what you want your nose to look like after the surgery. Your nose and facial structure will be evaluated and the surgical possibilities will be discussed with you. Additionally, you may have the option to review digital simulations of your projected surgical result based on photos taken in our state-of-the-art photography studio. The doctor will thoroughly explain the procedure and its expected result and answer any questions you have. If you are unhappy with the results of rhinoplasty by another surgeon, we will discuss the additional details associated with revision rhinoplasty. ***PLEASE NOTE: The consultation fee for primary rhinoplasty and revision rhinoplasty is $300. It will be applied towards the cost of the surgery should you decide to proceed with it.** #### Am I A Good Candidate for Rhinoplasty? The ideal candidates for rhinoplasty are men and women who are in general good health and who have realistic expectations about the procedure. It is best to be at least 15 years of age before considering nose reshaping surgery to ensure that your nose is fully developed and will react well to the surgery. #### How Much Does a Rhinoplasty (Nose Job) Cost in Washington, D.C.? The cost of a Rhinoplasty (Nose Job) starts at around $13,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Can I Improve My Breathing Without Changing The Look Of My Nose? Yes. “Functional rhinoplasty” refers to a version of the surgery that improves the function of your nose without affecting its appearance. This is often performed to remedy a deviated septum and other irregularities that can affect breathing. Although your doctor may need to make very small alterations to the appearance of your nose, its overall size and shape can be preserved. Or, if you have both functional and aesthetic concerns, your doctor can change the look of your nose while improving your ability to breathe. During your consultation, you’ll talk more about the likely outcome you can expect. A deviated septum refers to a condition in which the thin wall (nasal septum) that separates the two nasal passages is displaced or deviated to one side. The nasal septum ideally should be centrally aligned, dividing the nasal cavity into two equal halves. However, due to various factors such as genetics, trauma, or developmental issues, the septum can be off-center, leading to a deviated septum. Common symptoms of a deviated septum include difficulty breathing through one or both nostrils, nasal congestion, frequent nosebleeds, and a tendency to have sinus infections. In some cases, a deviated septum may not cause any noticeable symptoms. #### Rhinoplasty Procedure Your rhinoplasty surgery will be performed at the state-of-the-art surgical suite in our Georgetown plastic surgery center. The surgery can be performed either under general anesthesia or local anesthesia with sedation depending on what you and the doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be lightly sedated and your nose and the surrounding area will be numbed. You will be awake, but will be relaxed and will feel no discomfort. The type of anesthesia used will be discussed with you at your initial consultation. There are two methods for performing rhinoplasty: the closed technique in which the incision is made within the nose and the open technique in which the incision is made between the two nostrils. The type of surgery to be performed will be discussed with you when you meet with your surgeon. With either technique, the surgery generally lasts from one to several hours. Once the incision is made, either within the nose or between the nostrils, the supporting nasal framework of bone and cartilage is accessed. If one of the goals of the surgery is to reduce the size of your nostrils, small incisions are made at their base for this purpose. The bone and cartilage are then sculpted to the shape you and the doctor agreed upon prior to surgery. When the sculpting is complete, the skin is redraped over the new framework of your nose. A splint is applied to protect your nose and help it maintain its new structure. Finally, small sutures are used to close the incision with extreme care. #### Cartilage Grafts for Rhinoplasty Your surgeon may recommend using cartilage “grafts” during your surgery to help provide support or structure. These are generally created by borrowing cartilage from your septum (the dividing wall between the two nasal airways). The cartilage is removed, shaped as necessary, and then re-inserted and sutured into specific locations in and around your nose. If there is not enough cartilage within the septum (due to previous surgery or trauma), then other potential sources would include ear cartilage (without changing the look of the ear) or rib cartilage (often from a tissue bank). The following are some of the more common grafts that can be used during rhinoplasty: #### Innovative Solutions for Functional Challenges In some cases, structural support alone is not enough to correct nasal airflow issues. For patients experiencing persistent nasal obstruction or overactive nasal nerves, we offer additional treatments like: #### Rhinoplasty Recovery Process Rhinoplasty surgery is typically performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and you will feel mild to moderate discomfort so it is important to have someone drive you home after your surgery. You may also want to have someone stay with you for the first few days after surgery. #### What To Expect After Nose Surgery #### Things To Be Aware Of After Your Surgery - You should not blow your nose for several weeks or so after surgery to give the tissue a chance to heal. You should make every effort to avoid rubbing, bumping, or hitting your nose for several weeks. - After surgery small burst blood vessels may appear as tiny red spots on the skin’s surface. These spots are usually minor but can be permanent in some cases. - When rhinoplasty is performed from inside the nose there is no visible scarring. When the incision is made across the bottom the nose or when the procedure corrects wide nostrils, the scars are minor and are usually not visible within a few weeks of surgery. - Minimize sun exposure for up to one year following surgery. - The doctor will schedule regular follow-up visits in the months after your surgery. If anything unusual or troubling develops between visits call West End Plastic Surgery right away. - Internal swelling subsides very gradually, therefore, the final results of your nose surgery may not be apparent for a year or more. #### What Can I Do To Minimize Scarring? Rhinoplasty isn’t known for creating excessive scarring. “Closed” procedures, which are made through the inside of the nostrils, don’t produce any visible scarring at all, while “open” procedures require only a small incision across the strip of skin that separates the nostrils. Although this incision won’t be noticeable to most people once fully healed, closely following your doctor’s instructions can ensure an even more discreet result. It’s also important to protect the incision from the sun in the days, weeks, and months following surgery. Unprotected sun exposure can cause pigmentation irregularities and a more noticeable scar. #### How Long Will the Results of Your Nose Surgery Last? Nose surgery can reshape, resize, and enhance the appearance of your nose. In most cases these results are permanent. Of course, your face, including your nose, will continue to change as you age. #### Risks of Nose Surgery Rhinoplasty isn’t known for creating excessive scarring. “Closed” procedures, which are made through the inside of the nostrils, don’t produce any visible scarring at all, while “open” procedures require only a small incision across the strip of skin that separates the nostrils. Although this incision won’t be noticeable to most people once fully healed, closely following your doctor’s instructions can ensure an even more discreet result. It’s also important to protect the incision from the sun in the days, weeks, and months following surgery. Unprotected sun exposure can cause pigmentation irregularities and a more noticeable scar. All surgical procedures have some degree of risk, however, major complications from rhinoplasty are unusual. During your initial consultation, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre and post-surgery instructions provided to you. Your surgeon and his staff will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following: - Infection - Nosebleeds - Persistent swelling - Asymmetry - Need for further surgery #### Schedule a Consultation Our surgeons are experts in rhinoplasty and will ensure that you have a safe and comfortable procedure and an outcome you are pleased with. To get started, [request a consultation](/consultation/) online, or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule an appointment. #### Rhinoplasty *Frequently Asked Questions* --- ## RF Microneedling **Link:** [RF Microneedling](https://www.westendplasticsurgery.com/laser-treatments/rf-microneedling/) ([md](https://www.westendplasticsurgery.com/laser-treatments/rf-microneedling/index.html.md)) **Type:** Service **Description:** Tighten skin, smooth texture, and boost collagen with RF microneedling at West End Plastic Surgery in Washington, D.C. ### Content #### Smooth, Tighten & Renew *RF Microneedling at West End Plastic Surgery* You don’t need surgery to see real, visible improvement in your skin’s tone and texture. If you're looking to firm loose skin, fade acne scars, and soften fine lines without invasive surgical procedures, RF microneedling may be the solution your skin has been waiting for. This advanced collagen induction therapy merges the precision of microneedling with the skin-firming power of radiofrequency energy, triggering your body’s natural healing process to produce visibly smoother, tighter, more radiant skin. At West End Plastic Surgery in Washington, D.C., our clinically proven RF microneedling treatments are designed to deliver targeted results with minimal downtime. Whether you’re addressing signs of aging, stretch marks, or scarring, our personalized approach ensures your treatment is safe, effective, and tailored to your unique skin goals. #### RF Microneedling at a Glance - **Tightens Skin **-** **Boosts collagen and elastin production for firmer skin - **Reduces Acne Scars** - Breaks up scar tissue and remodels the deeper layers - **Minimal Downtime** - Most patients resume normal activities within 24–48 hours - **Improves Skin Texture** - Refines pores, smooths roughness, and evens tone - **Safe for All Skin Types** - Effective across Fitzpatrick types I–VI #### The Treatment That Rebuilds Skin *What Is RF Microneedling?* RF microneedling is a minimally invasive cosmetic procedure that uses a radiofrequency microneedling device to stimulate collagen and elastin production in the deeper layers of the skin. Tiny needles create controlled micro-injuries in the skin’s surface, while radiofrequency waves heat the underlying tissue to tighten skin and boost collagen production. This dual-action approach is more powerful than traditional microneedling alone. By delivering RF energy deeper into the dermis, RF microneedling helps remodel scar tissue, tighten aging skin, and restore a more youthful complexion. Commonly treated areas include the face, neck, chest, and abdomen. #### Precision-Crafted for Every Skin Type *What Is the RF Microneedling Treatment Like?* Your journey begins with a one-on-one consultation to determine if RF microneedling is the right fit for your skin goals. On treatment day, a topical anesthetic (numbing cream) is applied to reduce discomfort. Once your skin is numb, your provider will gently glide the microneedling device over the treatment area, creating microchannels while delivering fractional radiofrequency heat to the deep tissue. You may experience a slight prickling or warming sensation, but most patients find it very tolerable. Sessions typically last 30–60 minutes, depending on the area being treated. Afterward, you'll experience mild redness, swelling, or sensitivity, similar to a mild sunburn. These effects usually fade within a day or two. #### Targeted Care for Common Concerns *What Conditions Does RF Microneedling Address?* RF microneedling is an excellent choice for patients seeking to enhance their skin's texture, firmness, and tone through a minimally invasive treatment. It’s safe for most skin types, including darker skin. By remodeling the skin from within, RF microneedling can improve a wide range of common concerns: - Acne scars and surgical scars - Fine lines and facial wrinkles - Stretch marks and skin laxity - Sagging skin around the jawline or eyes - Large pores and rough or uneven facial skin - Sun damage and early signs of aging - Mild hyperpigmentation and discoloration #### Powerful, Yet Gentle *What Are the Benefits of RF Microneedling?* RF microneedling provides visible skin improvements without the recovery time associated with more invasive treatments. Stimulating collagen and elastin in the deeper layers of the skin helps soften signs of aging and restore a naturally refined appearance over time. This treatment is also efficient and adaptable. With minimal downtime, most patients return to normal activities within a day or two, making it easy to fit into a busy lifestyle. It’s safe for all skin types and customizable for different concerns, from early aging to scarring or laxity. For many, the benefits extend beyond aesthetics. Patients often report feeling more confident, wearing less makeup, and noticing a lasting, natural glow. It’s a powerful option for anyone ready to invest in their skin without putting life on hold. #### Safe, Effective & Personalized *Am I a Candidate for RF Microneedling?* Most healthy adults are candidates for RF microneedling. It's beneficial if you're bothered by acne scars, fine lines, mild skin laxity, uneven skin texture, or enlarged pores. RF microneedling can also treat stretch marks on the body caused by pregnancy or weight changes. RF microneedling may not be the right fit if you have certain skin conditions, active cold sores, are currently on blood-thinning medication, or have a history of poor wound healing. During your consultation, we’ll review your health history and discuss the safest, most effective path to your desired results. #### A Trusted Choice for Expert Care *Why Choose West End Plastic Surgery for RF Microneedling?* At West End Plastic Surgery, our approach to facial rejuvenation combines the highest level of expertise with the most innovative RF microneedling devices available. Our providers are trained in a range of microneedling treatments and will customize your plan to match your unique skin type, needs, and cosmetic goals. Our minimally invasive treatments produce noticeable improvements in tone, texture, and elasticity without disrupting your life. You’ll receive luxury-level care, thoughtful attention, and a refined experience every step of the way. #### RF Microneedling *Frequently Asked Questions* --- ## Ear Surgery | Otoplasty **Link:** [Ear Surgery | Otoplasty](https://www.westendplasticsurgery.com/face/otoplasty/) ([md](https://www.westendplasticsurgery.com/face/otoplasty/index.html.md)) **Type:** Service **Description:** Cosmetic ear surgery in Washington, D.C. Improve the shape and appearance of your ears with board certified surgeons providing stunning otoplasty results in D.C. ### Content #### Ear Surgery (Otoplasty) at West End Plastic Surgery Ear surgery, known as otoplasty, is performed in our Washington, D.C. practice to set prominent ears back closer to the head or to reduce the size of large ears or earlobes. In most cases, the surgery is performed on children between the ages of four and fourteen. Since the ears are almost fully grown by the age of four, there is no reason to wait until a child is older to have the procedure performed. Ear surgery on adults is also possible and there are generally no additional risks when the surgery is performed on an adult rather than a child. Working with the board-certified plastic surgeons at West End Plastic Surgery, you can be assured of a safe and comfortable procedure with the outcome you desire. #### Are You A Good Candidate for Ear Surgery? The ideal candidate for ear correction surgery is a healthy child between the ages of four and fourteen or an adult in generally good health who has one or more of the following characteristics: - Ears that protrude too far from the head - Ears that are too large and out of proportion to the head - Overly large earlobes We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. [See more here.](/gallery/face/otoplasty/) #### Meeting With Your Plastic Surgeon Prior to scheduling your ear correction surgery, you will meet at length with Dr. Ruff, Dr. Wang, or one of the other providers at West End Plastic Surgery. At this meeting, we will evaluate the size and shape of your ears, or your child’s ears, and determine the best way to perform the procedure. It is generally felt that parents should not insist on the surgery until their child feels ready and wants the change in appearance. Children who want the surgery are generally more cooperative during the healing process and happier with the outcome. During the initial consultation, your surgeon will ask you (or your child) how you would like your ears to look after the procedure. He will also thoroughly explain the procedure and its expected results and answer any questions you have. The type of anesthesia to be used and cost and payment information will also be discussed. You will be asked to provide a medical history. #### How Much Does Ear Surgery (Otoplasty) Cost in Washington, D.C.? The cost of Ear Surgery (Otoplasty) starts at around $5,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How is an Otoplasty Performed? *Your ear surgery will be performed in our state of the art surgical suite.* In some cases with younger children, your surgeon may recommend a hospital stay of one night to better assist with the recovery process. Younger children are usually given general anesthesia so they can sleep throughout the entire procedure. Older children and adults generally receive a local anesthesia with sedation. With local anesthesia, you are awake for the procedure, but relaxed and comfortable. When both ears are being corrected, the surgery usually takes between one to three hours to complete. Your doctor makes a small incision in the back of the ear to expose the cartilage. The cartilage is then molded and bent back toward the head and usually non-removable stitches are used to help maintain the new shape. In some cases, your doctor will remove a piece of the cartilage to provide a more natural looking fold for the ear. #### What To Expect After Your Surgery #### Immediately After Your Surgery In most cases, ear correction surgery is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and the areas around your incisions will feel sore so you should have someone drive you home after the surgery. In the case of young children, a hospital stay of one night may be recommended. Most patients, children and adults alike, can be up and around a few hours after surgery as long as they have recovered from the anesthesia. #### Resuming Your Normal Routine Everyone heals at different rates and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can return to school or work within about a week of your surgery. - You must be careful that the ears are not bent back for at least three weeks after surgery. - Strenuous activity should be avoided for the first four weeks after surgery. #### Things To Be Aware Of After Your Surgery - The dressings placed over your ears must be worn at all times for the first few days after surgery. A soft headband must be worn over your ears whenever you sleep for the first four to six weeks after your surgery. - Ear surgery leaves a faint scar in the back of the ear that will fade with time to a nearly invisible white line. - The scars caused by the incision should be protected from sunlight for at least a year after surgery. - Even when only one ear appears to protrude, surgery is usually performed on both ears to help with the symmetrical look of the ears. - Don’t expect both ears to match exactly – perfect symmetry is both unlikely and unnatural in ears. #### Are There Risks to Ear Correction Surgery? All surgical procedures have some degree of risk; however, complications from ear correction surgery are infrequent and usually minor. During your initial consultation with Dr. Ruff, Dr. Wang or one of the other providers, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre and post-surgery instructions provided to you. Most likely risks include the following: infection, hematoma (blood collection), and/or asymmetry. #### How Long Will the Results of Your Ear Correction Surgery Last? Ear correction surgery can reduce the size and prominence of one or both ears. The results of the surgery are permanent. #### Does Insurance Cover Ear Surgery? Insurance may cover the cost of an otoplasty if ear deformity is from birth, disease, or injury. However, in most cases, ear correction surgery is considered cosmetic surgery and, therefore, not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during your initial consultation. The staff at West End Plastic Surgery will work with you to determine if your procedure is covered by your insurance. #### Schedule A Consultation Call [(202) 785-4187](tel:(202) 785-4187) to [schedule your consultation](/contact/) with [our doctors](/about/team/) today! West End Plastic Surgery serves Washington, D.C. & all nearby areas. --- ## Fat Transfer **Link:** [Fat Transfer](https://www.westendplasticsurgery.com/body/fat-transfer/) ([md](https://www.westendplasticsurgery.com/body/fat-transfer/index.html.md)) **Type:** Service **Description:** Cosmetic fat transfer in Washington, D.C. Get the curves you desire with board-certified plastic surgeons providing stunning fat transfer results in Washington, D.C. ### Content #### Fat Transfer at West End Plastic Surgery Have you ever wished you could take fat from one part of your body where you don’t want it and move it somewhere more useful? Well, you can! **Fat transfer** is the process of using your own fat to enhance or reconstruct your body contours. Fat is your own personalized filler. It is 100% natural, safe, organic, biocompatible, and long-lasting. *Fat Grafting* can be used for facial rejuvenation, breast reconstruction/augmentation, buttocks augmentation, and body contouring. [Schedule a Consultation Today](/consultation/) #### Am I a Good Candidate for Fat Grafting in Washington, D.C.? The best candidate for *facial rejuvenation with fat grafting* is a man or woman who has begun to notice a shallow appearance to the face. Many see deep nasolabial folds, marionette lines, deflation of the cheekbones, narrowing of the temples, or shadows and depressions under the eyes. These changes can start as early as the early 30s. Successful fat grafting requires skin that is not too loose. Most patients are in their late 30s to 50s, but facial rejuvenation with fat grafting can be successfully performed on people well into their 60s and 70s. If you are generally healthy, have a realistic view of the results that can be achieved with facial rejuvenation with fat grafting, and have any of the following conditions, you may be a good candidate for the procedure: - Loss of facial volume in isolated areas, regions, or globally - Wrinkles or furrows on your face or neck - Deep creases forming between the bottom of your nose and the corner of your mouth - A diminished jawline We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/body/cosmetic-fat-transfer/) and see for yourself the kind of work our talented surgeons do. #### What is PureGraft? **PureGraft** is the Gold Standard in Fat Transfer. Puregraft is a state-of-the-art fat grafting system that transfers purified fat from one area of the body to another. *PureGraft removes more than 97% of contaminants*. Their gentle filtration technology helps create a graft that increases viability and the fat is processed in a closed, sterile environment. PureGraft provides consistent, reliable, and natural-looking results. It can be used for facial rejuvenation, breast reconstruction/augmentation, and buttocks augmentation. #### Meeting With Your Plastic Surgeon Your consultation with [Dr. Ruff, ](/about/team/dr-ruff/) [Dr. Arsalan](/about/team/amir-arsalan-md/), and [Dr. Wang](/about/team/lexie-wang-md/) or [our team of surgeons](/about/team/) and their staff is the time to describe your cosmetic goals. Your plastic surgeon evaluates your facial and neck structure, your skin elasticity and facial volume, and your underlying muscle tone to determine whether facial rejuvenation with fat grafting is right for you. Adjunctive procedures will be recommended if needed to create a harmonious rejuvenation. Those might include a [neck lift](/face/neck-lift/), [eyelid surgery](/face/eyelid-surgery/), or [laser resurfacing](/laser-treatments/ipl-laser/). Your surgeon thoroughly explains each technique along with its risks, benefits, and recovery times. #### How the Procedure Is Performed Your facial rejuvenation with **fat grafting procedure** will be performed in our state-of-the-art, AAAASF-certified surgical suite. The procedure will take from 1 to 2 hours to complete and can be performed either under local anesthesia or local anesthesia with sedation/general anesthesia depending on what you and the doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be awake and the areas to be treated will be numbed. The type of anesthesia used, our surgical facility, and other recommended procedures will be discussed with you at your initial consultation. Your plastic surgeon will mark the areas of the face to be injected as well as the area or areas from which the fat grafts will be harvested. All of the areas will be numbed with local anesthesia for comfort during and after the procedure. Only small, inconspicuous puncture sites are required for harvest and re-injection of the fat grafts. Once the areas are numbed, grafts are harvested with low suction in order to enhance the proportion of living cells. Instead of using a centrifuge to purify the fat, our surgeons use the advanced Puregraft® system to optimize results. Puregraft uses a proprietary filtering system to isolate, purify, and concentrate the transferable cells. Any liquid, oil, and other undesirable components are discarded. #### How Much Does a Cosmetic Fat Transfer Cost in Washington, D.C.? The cost of a Cosmetic Fat Transfer starts at around $4,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Breast & Body Contouring With Fat Grafting Fat transfer is becoming more and more popular for patients interested in enhancing the contours of their bodies as word of its effectiveness spreads. Other than facial rejuvenation, the primary ways our surgeons use fat transfer are for breast and buttock augmentation procedures. - [**Breast augmentation**](/breast/breast-augmentation/) using fat offers patients a natural alternative to breast implants, although there are some limitations. Breasts can be enlarged about 1 to 1½ cup sizes in a single procedure using fat transfer, so women interested in a larger augmentation are better suited for breast implants or serial procedures. Good candidates for this procedure also need enough fat to harvest, usually from the abdomen, thighs, hips, or lower back. For those who are good candidates, however, fat transfer has the advantages of being a soft, natural, and permanent alternative to implants. - [**Brazilian butt lift**](/body/brazilian-butt-lift/) surgery is also performed using the fat transfer technique. It is an option for patients who want to enhance the contours of their buttocks but don’t want implants. #### What To Expect After Your Surgery #### Immediately After Your Surgery In most cases, facial rejuvenation with fat grafting surgery is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and the surgical area will be sore so you will need to have someone drive you home unless only local anesthesia was used. There will be some bruising, swelling, and numbness. You will need to keep your head elevated and avoid any strenuous activity for a few days after surgery to help reduce the swelling and avoid complications. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. Cool packs to the treated areas will help with comfort, swelling, and bruising for the first 2 to 3 days. Avoid ice or ice packs applied directly to the skin. #### The First 24 to 48 Hours After Your Surgery You may experience some numbness and temporary discomfort around the incisions and treated areas. Most of the discomfort is likely to be felt at the harvest sites. Any pain or discomfort you experience can be controlled with prescribed medication if needed. You will also experience swelling and some bruising. You will need to keep your head elevated for the first few days after surgery to reduce the swelling of your face. Your discomfort level will improve rapidly after the first 2 days. Your surgeon will remove your bandages at your first postoperative visit. There may be a small amount of bleeding around your incisions. This is normal and can usually be controlled by applying light pressure to the area. If the bleeding does not respond to light pressure or becomes heavy, call West End Plastic Surgery for further instructions. You can usually wash your hair 24 hours after surgery. However, if you dry your hair, keep the dryer on the lowest setting because your scalp may be numb and there is a risk that you might burn yourself. #### The First 2 Weeks After Surgery Although you will be up and around in the first few days after your surgery, please keep in mind that you should take it easy for the first week after surgery. Any non-dissolving stitches will be removed within 5 to 7 days after surgery. You can begin using makeup 2 days after your stitches are removed. Most patients are back to work within 2 weeks of surgery, frequently sooner. You will notice that you will become increasingly more comfortable during the first few weeks after your surgery. You may also notice: - Mild to moderate swelling, tenderness, and bruising in the area of the incisions. This will gradually disappear within the first 2 weeks after surgery with most of the noticeable swelling and bruising disappearing within a month. The swelling may cause it to feel funny when you make certain facial expressions. - Numbness in the area of your incisions; this is normal and may take several weeks to months to disappear completely. - Itching as a result of the healing of the nerves near your incisions or treated areas. This feeling is more pronounced with surgical procedures and may take up to 6 months to disappear completely. #### Resuming Your Normal Routine Everyone heals at different rates and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work within 2 weeks of your surgery. - You can resume driving as soon as you feel comfortable doing so and are not on any narcotics. - You can most likely return to your physical exercise program within 2 to 6 weeks of your procedure. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - Most of the visible signs of your procedure should fade within about 3 weeks. - Prolonged exposure to heat and sun should be limited for several months. - The scars caused by the incision should be protected from sunlight for at least a year after the procedure. #### Things to Be Aware of After Your Surgery After undergoing facial rejuvenation with fat grafting in Washington, D.C., here are some common aftereffects and aftercare tips that you should be aware of: - Bruising and swelling usually decrease enough so that you can comfortably go out in public about 10 to 20 days after your procedure. - You may experience a loss of sensation or numbness in the area of your procedure. This is entirely normal and may take several weeks to months to disappear. - Your face and neck will feel dry. Apply a good, fragrance-free moisturizer frequently. We can recommend one that will enhance your healing if you like. - Avoid saunas and steam baths the first 2 months after your surgery. - Protect your scars with sunscreen for at least 6 months after your procedure. Use an SPF 15 (or greater) sunscreen every time you are outside. Apply the sunscreen before applying makeup. #### What Are Possible Side Effects or Risks? All surgical procedures have some degree of risk, however, major complications from facial rejuvenation with fat grafting surgery are unusual. During your initial consultation with Dr. Ruff, Dr. Arsalan, Dr. Wang and the staff of West End Plastic Surgery, your individual risks will be assessed and discussed. As with any procedure, you can help reduce the risks by closely following the pre- and post-procedure instructions provided to you. Your surgeon and his staff will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following: - Infection - Nerve damage - Bruising - Asymmetry - Blood or fluid collection - Partial or complete graft loss - Prolonged swelling - Donor site contour irregularities #### How Long Will the Results of Your Facial Rejuvenation With Fat Grafting Last? Facial rejuvenation with fat grafting restores facial volume lost with the natural aging process to create a more youthful appearance. These results generally last between 5 to 10 years and longer in many cases. It is important to keep in mind that the effects of aging, gravity, and environmental factors will continue to affect the smoothness, sagging, and wrinkling of your face and neck. Meticulous skin care is critical to maximize the effectiveness and longevity of your surgical results. #### Customizing Your Fat Transfer Procedure A major advantage of fat transfer is its high level of customization to suit your unique aesthetic goals. The process starts with a comprehensive consultation, during which you and your surgeon will discuss your desired results and assess your body type. Together, you'll choose the most suitable donor sites for fat harvesting, typically areas where you have excess fat, such as the abdomen, thighs, or flanks. #### Fat Transfer Frequently Asked Questions *Other Questions You May Have:* #### Why Choose West End Plastic Surgery For Your Fat Transfer? At West End Plastic Surgery, you're in the hands of [an exceptional team](/about/team/) led by Dr. Paul G. Ruff IV, M.D., F.A.C.S., a surgeon with over 25 years of experience and 18,000 procedures performed. Dr. Ruff's expertise and artistic eye have earned him consistent recognition as a Top Doctor in Washingtonian Magazine since 2005 and by Castle Connolly for the past decade, placing him among the top 7% of board-certified doctors nationwide. Joining Dr. Ruff are Dr. Lexie Wang and Dr. Amir Arsalan, both highly trained and board-certified surgeons. Dr. Wang specializes in facial and neck procedures, having completed a prestigious fellowship with the American Academy of Facial Plastic and Reconstructive Surgery in Beverly Hills under the world-renowned Dr. Paul Nassif. Dr. Arsalan focuses on cosmetic surgery of the breast and body, with advanced training at Loma Linda Medical Center, where he worked alongside top surgeons in Southern California. Their combined expertise ensures that when you choose West End Plastic Surgery for your cosmetic fat transfer, you're trusting a team dedicated to delivering personalized, exceptional results tailored to your unique aesthetic goals. #### Read what our patients are saying! #### Schedule a Fat Grafting Consultation To schedule a **Fat Grafting consultation** or make an appointment with a specialist about Facial Rejuvenation, Breast Augmentation or Body Contouring. please call us at [(202) 785-4187](tel:(202) 785-4187) or fill out an [online contact form](/contact/) and our office will be in touch with you. Thank you for choosing West End Plastic Surgery in Washington, D.C.! [Request A Consultation](/consultation/) --- ## Neck Lift **Link:** [Neck Lift](https://www.westendplasticsurgery.com/face/neck-lift/) ([md](https://www.westendplasticsurgery.com/face/neck-lift/index.html.md)) **Type:** Service **Description:** Neck lift surgery in Washington, D.C. Rejuvenate and tighten your neck with board certified facial plastic surgeons providing stunning neck lift results in Washington, D.C. ### Content #### What Is A Neck Lift? A neck lift, also known surgically as a platysmaplasty, is a popular surgical procedure designed to tighten the loose muscles and skin from around the jawline down the neck. As a person ages, it is common to develop sagging skin, excess fat, and muscle laxity around the jawline and neck. It’s nearly impossible to hide a “turkey neck,” which can be due to excess skin or banding of the platysma muscle. Neck lift surgery is offered in Washington, D.C. at West End Plastic Surgery to rejuvenate the neck by directly treating the platysma muscle, which is the band of muscle that extends from the upper collarbone to the edges of the jawbone. After the procedure, you can expect a natural and more youthful appearance of the neck. After meeting with your surgeon, they may determine that you are a better candidate for a J-Plasma Neck Lift. #### Candidates For Neck Lift Surgery An ideal candidate for a neck lift is a man or woman who is between 40 and 70, in good overall health, and has realistic expectations about the procedure. It is helpful if you have good skin tone and elasticity. Your skin and neck structure will be evaluated at your initial consultation to determine whether a neck lift is appropriate for you. People typically choose this procedure to correct one or a combination of the following concerns: - Double chin - Loose neck skin due to age or extreme weight loss - Wrinkled skin in the middle of the neck Some patients with laxity of the neck may be candidates for a non-surgical approach. Your surgeon can discuss minimally invasive options such as JPlamsa, [ThermiTight™](/laser-treatments/) , or [Ultherapy® skin tightening](/laser-treatments/) if you are a good candidate. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### What To Expect From Your Neck Lift Consultation Your consultation with [Dr. Ruff](/about/team/dr-ruff/) and [Dr. Wang](/about/team/lexie-wang-md/) is the time to discuss your cosmetic goals. Your doctor explains the procedure, details his surgical plan, and answers your questions. The type of anesthesia used, potential risks, and cost and payment information are discussed. You will be asked to provide a medical history. #### How Much Does a Deep Plane Neck Lift Cost in Washington, D.C.? The cost of a Deep Plane Neck Lift starts at around $20,000 but is subject to the physician. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Read what our patients are saying! #### The Neck Lift Procedure Your neck lift procedure is performed in our state-of-the-art surgical suite or at one of the area hospitals where our surgeons operate. The surgery can be performed using either general anesthesia or local anesthesia with sedation depending on what you and your doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be lightly sedated and your neck and the surrounding area will be numbed. You will be awake but will be relaxed and will feel no discomfort. The type of anesthesia used as well as the length of your procedure (usually 1 to 3 hours) will be discussed with you at your initial consultation. Working through an incision under the chin, your doctor carefully lifts the skin of the neck, removes excess tissue, and tightens underlying muscles with sutures. Excess skin at the point of the incisions may also be trimmed away. The incisions are then closed with stitches, and a bandage is placed under your chin. An elastic garment is wrapped around your neck and head to aid in the healing process. The bandage and any drains that were used are usually removed the morning after surgery, but the elastic garment must be worn at night for the first 2 weeks after your surgery. #### What To Expect After Your Neck Lift Surgery #### Immediately After Your Surgery In most cases, neck lift surgery is performed on an outpatient basis and you go home shortly after the surgery. You may be sleepy from the anesthesia and the area around your incisions will be sore, so you will need to have someone drive you home. You will have mild discomfort, most of which can be alleviated with prescribed pain medication. #### When Can Normal Activities Be Resumed After My Neck Lift? Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - You can most likely return to work or school within 2 weeks after your surgery. - You can resume driving as soon as you feel comfortable doing so. - You can most likely return to your physical exercise program within 3 weeks of your neck lift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - Most of the visible signs of your surgery should fade within about 3 weeks. #### Things to Be Aware of After Your Surgery - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several months to disappear. - You may notice a tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure. #### Risks Of Neck Lift Surgery All surgical procedures have some degree of risk; however, major complications from neck lift surgery are unusual. During your initial consultation with Dr. Ruff, Dr. Wang, and the staff of West End Plastic Surgery, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre- and post-surgery instructions provided to you. We will be with you every step of the way to ensure a safe and pleasing outcome. Most likely risks include the following: - Infection - Nerve damage - Blood or fluid collection - Asymmetry - Scarring - Distortion of the earlobe #### How Long Will the Results of Your Neck Lift Last? Neck lift surgery can provide you with a more youthful and defined profile. These results generally last 5 to 10 years and longer in many cases. It is important to keep in mind that the effects of aging and gravity will eventually cause the skin and muscles in your neck to become loose and begin to sag. #### What Is J-Plasma? J-Plasma represents a paradigm shift in plastic surgery. J-Plasma is a revolutionary minimally invasive procedure that uses subdermal cold plasma energy to instantly tighten and rejuvenate anywhere on the face and body. A unique alternative to traditional facelifts, tummy tucks and body sculpting, the J-Plasma procedure will shrink and sculpt loose and lax skin without large incisions, downtime or the complications of cosmetic surgery. #### Schedule a Neck Lift Consultation To schedule an appointment for Neck Lift surgery or to set up a consultation with a specialist, please call us at [(202) 785-4187](tel:(202) 785-4187) or fill out an [online contact form](/contact/) and our office will be in touch with you. Thank you for choosing West End Plastic Surgery in Washington, D.C.! #### Questions You May Have *Neck Lift Frequently Asked Questions* --- ## Injectables For Men **Link:** [Injectables For Men](https://www.westendplasticsurgery.com/injectables-fillers/injectables-for-men/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/injectables-for-men/index.html.md)) **Type:** Service **Description:** Smooth lines, restore volume, and refine definition with injectables for men at West End Plastic Surgery in Washington, D.C. ### Content #### Refined. Natural. Masculine. *Injectables at West End Plastic Surgery* More men than ever are turning to non-surgical treatments to stay sharp and confident. Injectables offer a discreet, effective way to soften lines, restore volume, and define masculine features—without the downtime of surgery. At West End Plastic Surgery, our team of experts understands the unique goals of male patients. We use advanced injectable techniques to create natural-looking results that preserve strong features and avoid an overdone or “frozen” appearance. #### Injectables at a Glance - **Wrinkle Relaxers** – Smooth frown lines, crow’s feet, and forehead creases - **Dermal Fillers** – Restore volume to cheeks, jawline, and under-eyes - **Masculine Definition** – Enhance structure without softening features - **Quick Treatment** – Most appointments take under 30 minutes - **No Downtime** – Resume work or social life immediately #### Strong Results, Subtle Touch *What Are Injectables for Men?* Injectables include both **wrinkle relaxers** (such as Botox® and Dysport®) and **dermal fillers** (like Juvéderm® and Restylane®). These treatments target common signs of aging, such as forehead lines, crow’s feet, and volume loss in the cheeks or under eyes. For men, injectables are also used to enhance facial definition—strengthening the jawline, balancing the chin, or refining the nose with non-surgical rhinoplasty. The result is a more rested, youthful, and confident appearance. #### Simple Treatments, Lasting Confidence *What Is the Injectable Procedure Like?* Most injectable treatments take 15–30 minutes and require no anesthesia, though a topical numbing cream may be applied for comfort. Using a fine needle or cannula, your provider places the product precisely into targeted areas. Results depend on the type of injectable: - **Wrinkle relaxers** take a few days to a week to smooth lines, lasting 3–4 months. - **Fillers** provide instant volume and definition, lasting 6–18 months depending on the product. Because treatments are quick and discreet, many men schedule injectables during lunch breaks and return to work right away. #### Solutions for Every Concern *What Conditions Do Injectables Address for Men?* Men seeking a more youthful or refined appearance can benefit from injectables to address a variety of common concerns. These treatments can effectively target several areas. - Forehead creases and frown lines - Crow’s feet around the eyes - Hollow under-eyes or dark circles - Volume loss in cheeks or temples - Weak chin or jawline definition - Nose irregularities (non-surgical rhinoplasty) - Fine lines around the mouth #### Authentic & Distinguished *What Are the Benefits of Injectables for Men?* Men choose injectables at West End Plastic Surgery to: #### Discover Subtle Results, Never Overdone *Am I a Candidate for Injectables?* You may be a good candidate if you’re a healthy man seeking to improve wrinkles, restore volume, or enhance definition without surgery. Injectables are ideal for: - Men in their 30s–60s noticing early or moderate aging signs - Those who want subtle results that preserve masculinity - Men looking for quick, convenient treatments with minimal recovery - Patients not ready for surgical procedures During your consultation, our team will create a personalized treatment plan tailored to your goals and facial structure. #### Back to Business Immediately *Injectable Recovery for Men* Recovery is minimal. You may experience slight redness, swelling, or bruising at the injection sites, which usually resolves within a few days. Most men return to work or the gym immediately. We recommend avoiding strenuous exercise, alcohol, and massaging the treated areas for 24 hours. Your provider will give you detailed aftercare instructions to maximize results. #### Confidence Without the Downtime *Injectable Results for Men* Wrinkle relaxers start to show improvement within 3–7 days, while fillers provide instant enhancement. Full results are visible within 1–2 weeks and can last several months to over a year, depending on the product used. With regular maintenance, results remain consistent and natural-looking, helping you stay sharp and confident long-term. #### Expertise. Precision. Masculine Results. *Why Choose West End Plastic Surgery for Injectables?* At West End Plastic Surgery, we specialize in treatments designed to enhance masculine features without compromising natural strength. Our providers use advanced techniques to ensure precision, subtlety, and balance. From the first consultation to your customized treatment plan, you’ll experience expert care in a discreet, supportive environment. Whether your goal is to smooth lines, restore volume, or define your jawline, we deliver results that look natural—and distinctly you. #### Injectables for Men *Frequently Asked Questions* --- ## Liposuction For Men **Link:** [Liposuction For Men](https://www.westendplasticsurgery.com/body/liposuction-for-men/) ([md](https://www.westendplasticsurgery.com/body/liposuction-for-men/index.html.md)) **Type:** Service **Description:** Define your body and remove stubborn fat with male liposuction at West End Plastic Surgery in Washington, D.C. ### Content #### Stronger Lines. Sharper Definition. *Male Liposuction at West End Plastic Surgery* Even with a disciplined diet and consistent workouts, certain areas of fat can be resistant to change. For men, these pockets of stubborn fat often appear in the abdomen, flanks (“love handles”), chest, or under the chin—areas that can soften definition and obscure muscle tone. Liposuction for men targets and removes these resistant fat cells, sculpting a more defined, masculine physique. At West End Plastic Surgery, our board-certified surgeons specialize in body contouring techniques designed to create natural, proportional results that highlight your body’s strength. #### Male Liposuction at a Glance - **Masculine Contour** – Sculpts sharper lines and definition - **Versatile Application** – Treats abdomen, flanks, chest, neck, and more - **Lasting Results** – Fat cells removed permanently - **Quick Recovery** – Most patients return to work within a week - **Targeted Fat Removal** – Eliminates stubborn fat resistant to diet and exercise #### Refining the Male Physique *What Is Liposuction for Men?* Liposuction for men is a surgical procedure that removes unwanted fat from specific areas of the body. Using a thin tube (cannula), fat cells are gently loosened and suctioned away, resulting in improved contour and definition. Unlike weight loss, which shrinks fat cells, liposuction removes them permanently. For men, the procedure often focuses on enhancing masculine proportions—flattening the abdomen, slimming the waist, or reducing fat in the chest for a stronger, more athletic look. #### Precision in Every Area *What Is the Male Liposuction Procedure Like?* Liposuction is typically performed under general anesthesia or local anesthesia with sedation, depending on the treatment areas. Small incisions are made in discreet locations, and a cannula is inserted to break up and remove fat cells. Advanced techniques such as power-assisted liposuction or ultrasound-assisted liposuction may be used for greater precision and smoother results. The procedure usually takes 1–3 hours, depending on the number of areas treated. Most men return home the same day. #### Targeted Areas, Tailored Results *What Areas Does Liposuction for Men Treat?* - Abdomen and waistline (“spare tire”) - Flanks or “love handles” - Chest (to reduce male breast tissue) - Back and shoulders - Neck and under the chin - Thighs or buttocks Liposuction can be performed alone or combined with other procedures, such as male tummy tuck or gynecomastia surgery, for more comprehensive contouring. #### Sharper, Stronger, More Defined *What Are the Benefits of Liposuction for Men?* Men choose liposuction at West End Plastic Surgery to: - Achieve a flatter, more toned midsection - Eliminate stubborn fat that resists diet and exercise - Create a sharper jawline and neck definition - Enhance chest contour and reduce excess fat - Improve overall body proportion and symmetry - Enjoy long-term results that boost confidence #### Why Men Choose This Procedure *Am I a Candidate for Male Liposuction?* The best candidates are healthy men close to their ideal body weight who struggle with localized fat deposits. Ideal candidates: - Have good skin elasticity for smooth results - Maintain a stable weight through diet and exercise - Do not smoke, or are willing to stop before and after surgery - Have realistic expectations about contouring (not weight loss) During your consultation, our surgeons will help you decide if liposuction alone—or in combination with other body contouring procedures—is best suited for your goals. #### Trusted Experience. Tailored Care. *Why Choose West End Plastic Surgery for Male Liposuction?* At West End Plastic Surgery, our board-certified surgeons understand the unique goals of male patients seeking body contouring. We specialize in advanced liposuction techniques that create natural, masculine definition without compromising proportion. With precision, artistry, and a commitment to individualized care, we help men achieve lasting results in a discreet, supportive environment. From consultation to recovery, you’ll experience the highest level of expertise and trust. #### Male Liposuction *Frequently Asked Questions* --- ## Lip Filler **Link:** [Lip Filler](https://www.westendplasticsurgery.com/injectables-fillers/lip-filler/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/lip-filler/index.html.md)) **Type:** Service **Description:** Enhance volume, shape, or symmetry with lip filler in Washington, D.C. Natural-looking results tailored to your facial anatomy. ### Content #### Rebuild and Refine, Your Way *Lip Filler at West End Plastic Surgery* Lips are one of the most expressive features on the face. Even subtle changes in lip shape or volume can enhance your entire appearance. If you're looking to restore youthful fullness, correct asymmetrical lips, or enhance definition, lip augmentation with dermal fillers offers a highly customizable, non-surgical way to refresh your appearance. At West End Plastic Surgery in Washington, D.C., we offer advanced lip enhancement using FDA-approved hyaluronic acid fillers, such as Juvéderm Ultra and Restylane Kysse. Our experienced providers use refined injection techniques that prioritize balance, shape, and natural proportions, never overfilling or creating an unnatural look. Whether you want a pillowy pout, a subtle lift, or improved symmetry between the upper and lower lips, we’ll work with your aesthetic goals and lip anatomy to deliver natural-looking results that feel authentically you. #### Lip Filler at a Glance - **Custom Shape Control** - Enhance the cupid's bow, correct imbalances, or lift downturned lip corners - **Customized Results** - Ideal for patients seeking subtle refinement or dramatic volume - **Long-Lasting Outcome** - Results typically last 6–12 months, depending on the type of filler used - **Instant Volume** - Adds hydration and plumpness to thin or aging lips - **No Downtime** - In-office procedure with quick results and no downtime #### Elevate Your Entire Look *What Is Lip Filler?* A lip filler treatment uses dermal fillers to enhance lip volume, definition, and hydration. Injectable dermal fillers are gel-like substances containing hyaluronic acid, a naturally occurring humectant that builds volume by drawing hydration to the treatment area. Injectable fillers can add structure, smooth vertical lip lines, and subtly reshape both the upper lip and lower lip for a more aesthetically pleasing look. #### Artistry Meets Skillful Technique *What Is the Lip Filler Procedure Like?* Your appointment begins with a discussion of your medical history, aesthetic preferences, and goals to create a personalized treatment plan. Before the injections, your provider will apply a numbing agent to ensure a comfortable experience. Using an ultra-fine needle or cannula, they will administer the filler at carefully mapped-out injection sites to enhance your lip shape, volume, and symmetry. #### Balance, Shape & Volume *What Concerns Can Lip Filler Address?* Lip filler can treat a variety of concerns in both younger and older patients, including: - Thin lips, whether genetic or age-related - Lip volume loss due to aging or sun exposure - Irregular or undefined cupid’s bow - Disproportion between the upper and lower lips - Nasolabial folds and smile lines affected by lip structure - Heavy or downward-turned mouth corners (oral commissures) Because the lips are so unique, your treatment plan is always personalized and based on your facial structure and aesthetic goals. #### Designed to Fit Your Face *What Are the Benefits of Lip Filler?* Lip fillers do more than create a fuller appearance. They enhance facial contours, refine the lip shape, and soften wrinkles around the mouth. By restoring volume and definition, they help restore the look of youthful lips and smooth out lip lines without surgery. These non-surgical enhancements are reversible, offer predictable treatment results, and come with very minimal downtime. Whether you're interested in adding volume, defining your lip border, or correcting asymmetrical lips, lip filler gives you the flexibility to make changes gradually. Lip filler also makes an excellent complement to other procedures, such as facial contouring with dermal fillers or a surgical lip flip to permanently broaden and enhance the upper lip. #### A Tailored Treatment for Every Smile *Am I a Candidate for Lip Filler?* Most healthy adults seeking lip reshaping or lip enhancement are good candidates for filler. If you’re unhappy with thin lips, uneven proportions, or lack of definition, lip filler can help. We will help you select the right dermal filler formula and injection technique for your specific cosmetic goals. We’ll review your overall health and any relevant medical history, including the use of blood thinners or frequent cold sores, to ensure treatment is appropriate. Lip filler may not be recommended for individuals who are pregnant, breastfeeding, or have active infections in the mouth area. #### Beautiful Results Begin With Skilled Providers *Why Choose West End Plastic Surgery for Lip Filler?* At West End Plastic Surgery, lip filler isn’t just about plump lips. It’s about refining your overall look with intention. We use advanced non-surgical lip augmentation techniques, deep knowledge of lip anatomy, and precise product selection to deliver natural-looking results every time. Our providers include board-certified plastic surgeons, nurse injectors, and physician’s assistants who blend artistry with science. From our selection of high-quality filler products to our precise technique, we offer the latest, safest tools in the industry to help you achieve beautiful, balanced outcomes. #### Lip Filler *Frequently Asked Questions* --- ## NeoGraft For Women **Link:** [NeoGraft For Women](https://www.westendplasticsurgery.com/hair-restoration/hair-transplant-for-women/) ([md](https://www.westendplasticsurgery.com/hair-restoration/hair-transplant-for-women/index.html.md)) **Type:** Service **Description:** Restore fuller, natural hair with NeoGraft for women at West End Plastic Surgery in Washington, D.C. ### Content #### Fuller Hair. Renewed Confidence. *NeoGraft at West End Plastic Surgery* Hair thinning is a concern that affects more than just men. Women make up nearly half of hair loss sufferers, often experiencing diffuse thinning, widening parts, or loss of fullness over time. These changes can feel especially distressing, affecting confidence in both personal and professional life. NeoGraft offers a solution. Utilizing advanced **FUE (Follicular Unit Extraction)** technology, NeoGraft restores natural density without the visible scarring associated with traditional methods. At West End Plastic Surgery, we specialize in delivering results that look natural, feminine, and tailored to your unique hair type and goals. #### NeoGraft at a Glance - **Scarless Approach** – No stitches or linear incisions - **Natural Density** – Restores your own hair for authentic results - **Quick Recovery** – Most women return to daily life in just a few days - **Permanent Growth** – Transplanted follicles continue growing for life - **Custom Hairline Design** – Restores feminine fullness and balance #### Technology Designed for Women *What Is NeoGraft?* NeoGraft is an advanced hair restoration system that automates the FUE process for consistency and precision. Unlike strip methods that remove a section of scalp, NeoGraft extracts individual hair follicles from thicker areas—often the back or sides of the head. These follicles are transplanted into thinning areas to restore fullness and natural density. Because there are no long incisions, recovery is faster, and results blend seamlessly into your natural hair. #### A Comfortable, Custom Treatment *What Is the NeoGraft Procedure Like?* NeoGraft is performed under local anesthesia in our accredited Washington, D.C., facility. The process includes: - **Harvesting** – The device gently extracts individual follicular units. - **Preparation** – Each graft is preserved to maximize survival. - **Placement** – Follicles are implanted into thinning areas according to your personalized plan. Depending on the number of grafts, the procedure may take 4–8 hours. Most women relax, read, or listen to music during treatment. #### Solutions for Female Hair Loss *What Conditions Does NeoGraft Address?* NeoGraft offers an effective solution for various hair loss concerns in women. This innovative procedure can address a range of conditions, helping to restore a fuller, more confident appearance. - Widening part or diffuse thinning - General loss of density - Thinning hair after pregnancy or hormonal shifts - Hairline changes with age - Scar camouflage from previous procedures or injuries #### Lasting Growth. Restored Confidence. *What Are the Benefits of NeoGraft for Women?* Women choose NeoGraft at West End Plastic Surgery to: #### Why Women Choose NeoGraft *Am I a Candidate for NeoGraft?* You may be a good candidate if you are: - A woman experiencing thinning or diffuse hair loss - Someone with enough donor hair in thicker scalp areas - In good overall health with realistic expectations - Interested in a permanent solution that restores your own natural growth Our team will assess your hair loss pattern and create a treatment plan tailored to your goals. #### Minimal Downtime. Natural Growth. *NeoGraft Recovery* Most women resume normal, non-strenuous activities within 1–2 days. Mild swelling, redness, or scabbing in donor and transplant areas is normal for the first week. Transplanted hairs typically shed within the first month before new growth begins in 3–4 months. Full, natural results appear gradually over 9–12 months. #### Fuller Hair, Naturally Yours. *NeoGraft Results* NeoGraft delivers natural, permanent results that continue to improve for up to a year. Because transplanted follicles are resistant to thinning, they grow for life. Women enjoy thicker, fuller hair that looks natural—even on close inspection. The restored density enhances confidence and allows more styling freedom. #### Expertise. Artistry. Personal Care. *Why Choose West End Plastic Surgery for NeoGraft?* At West End Plastic Surgery, we bring together advanced technology, surgical artistry, and a patient-centered approach. Our board-certified team designs hair restoration plans that are personalized, discreet, and focused on creating results that look natural and feminine. We are committed to helping women achieve lasting confidence with fuller, healthier hair. #### NeoGraft for Women *Frequently Asked Questions* --- ## Lower Body Lift **Link:** [Lower Body Lift](https://www.westendplasticsurgery.com/body/lower-body-lift/) ([md](https://www.westendplasticsurgery.com/body/lower-body-lift/index.html.md)) **Type:** Service **Description:** Lower body lift in Washington, D.C. Transform and tighten your lower body with board certified surgeons providing stunning lower body lift results in Washington, D.C. ### Content #### Lower Body Lift at West End Plastic Surgery Lower body lifts tighten thighs and buttocks by removing excess tissue from the lateral hips and inner thighs. A lower body lift helps complete your body’s transformation after significant weight loss. In Washington, D.C., Dr. Paul G. Ruff IV or one of our Board Certifies Plastic Surgeons often combines a tummy tuck or liposuction with lower body surgery to remove saggy and unattractive skin. #### Are You a Good Candidate for a Lower Body Lift? Lower body lift surgery is best suited for people who are generally healthy and in relatively good shape but have loose lower body skin or significant amounts of lower body fat that does not respond to dieting or exercise. You may be a good candidate for this procedure if you have one or more of the following conditions: - Excess or loose, sagging lower body skin - Lower body muscles that have been weakened by pregnancy or aging - Excess fat that is concentrated beneath the lower body skin If you have not yet reached your desired weight, you should most likely postpone your lower body lift surgery because you may need another procedure to remove excess skin that results from additional weight loss. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Meeting With Your Surgeon Prior to scheduling your lower body lift, you will meet at length with Dr. Ruff and his staff at West End Plastic Surgery to evaluate your physical health, to discuss your specific goals for the procedure, and to ensure that you have a realistic view of the results that can be achieved with surgery. In addition, Dr. Ruff will work closely with you to determine which combination of procedures will most likely give you the surgical results you desire. #### How the Procedure Is Performed Your surgery is usually performed at the hospital, where you spend 1 to 2 nights recovering after the surgery. The procedure is performed using general anesthesia and takes about 4 to 5 hours to complete, depending on the extent of the surgery. The surgery may last longer if additional procedures such as a [tummy tuck](/body/tummy-tuck/) are performed at the same time. #### What To Expect After Your Surgery #### Immediately After Your Surgery You will spend 1 to 2 nights in the hospital recovering from your lower body lift. It is important that you have someone to drive you home and to stay with you for the first few days. There may be moderate pain during the first few weeks after your surgery. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. Though you may not be able to stand up completely straight for at least a week after surgery, it is important to start moving and walking within a day of surgery. #### The First 24 to 48 Hours After Your Surgery During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and will experience a good deal of discomfort in the area of the surgery. Pain medication will alleviate much of the discomfort. There will be visible bruising in the area of the surgery and swelling will be severe; the bruising and swelling may take 3 to 4 months to completely disappear. Your discomfort level will improve rapidly after the first 2 days. To facilitate the healing process, it is important to start moving and walking within a day of your surgery. You will wear an elastic body garment for 4 to 6 weeks after your surgery to provide gentle, healing pressure, to provide stability, and to help reduce the risk of blood clots. #### The First 2 Weeks After Surgery You will notice a marked improvement in your discomfort level during the first few weeks after your surgery. The drains that were inserted into the surgical area will be removed within 5 to 10 days of your surgery. Upon release from the hospital, you will be instructed on how to take care of the drains, which are used to allow fluid to drain from the surgical area. Most of the stitches used are dissolving; any non-dissolving sutures used will be removed within 5 to 10 days after surgery. Small amounts of bleeding and oozing are normal in the first few days after surgery. If you see more than just a slow staining of the gauze dressing, apply pressure to the area with your hand for 20 to 30 minutes to stop the bleeding. If this does not stop the bleeding, call West End Plastic Surgery. Heavy bleeding is rare, but if it does happen, call right away. #### Resuming Your Normal Routine Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: - Swelling and bruising gradually disappear within 3 to 4 months of surgery. - You can most likely return to work or school within 2 to 3 weeks after your procedure. If your work is strenuous, plan to stay home from work for 4 to 8 weeks, depending on how you heal and the type of work you do. #### Things to Be Aware of After Your Surgery - Your scars may actually appear to worsen during the first 3 to 6 months after surgery; this is a normal part of the healing process. Within about 9 months of your surgery, your scars will flatten and lighten in color. - Healing does not always occur evenly from side to side, and your thighs may heal at different rates and in different ways. - You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several months to disappear. - The skin in the area of your surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - You may notice a tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure. #### What Are Possible Side Effects or Risks? Like all surgical procedures, there are risks associated with lower body lifts. During your initial consultation with Dr. Ruff, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre- and post-surgery instructions provided to you. Dr. Ruff and his staff will be with you every step of the way to ensure a safe and pleasing outcome. Some possible side effects include: - Infection - Loss of sensation - Damage to sensory nerves - Areas of wrinkling or slight depression in the skin - Changes in the asymmetry of the thighs - Scarring #### How Long Will the Results of Your Lower Body Lift Last? Lower body lift surgery can dramatically tighten sagging thigh, hip, and buttock tissue to nicely enhance the appearance of the hips, flanks, buttocks, and upper lateral thighs. The results are generally permanent; however, large weight gain or pregnancy will affect how long the results last. #### Lower Body Lift *Frequently Asked Questions* --- ## Microneedling **Link:** [Microneedling](https://www.westendplasticsurgery.com/regenerative-medicine/microneedling/) ([md](https://www.westendplasticsurgery.com/regenerative-medicine/microneedling/index.html.md)) **Type:** Service **Description:** Microneedling in Washington, D.C. Achieve smoother, younger-looking skin with advanced microneedling treatments in Washington, D.C. ### Content #### What is microneedling? Microneedling is one of the industry’s most promising skincare innovations, thanks to its minimal invasiveness and impressive versatility. By harnessing your skin’s power to heal itself, microneedling encourages the growth of new collagen for improved tone and texture. Over time, lines, wrinkles, and even some types of scars can fade significantly. Microneedling at [West End Plastic Surgery](/regenerative-medicine/) in Washington, D.C. may become your new favorite skincare ritual. [Schedule An Appointment](/contact/) #### How microneedling works to improve skin Microneedling is a deceptively simple procedure that can yield big results. The microneedling tool looks a bit like a pen with extremely small, nearly microscopic, needles on one end. Your skin care provider moves the device over your skin, creating a number of small punctures. These stimulate your skin to engage its healing capabilities, boosting its production of natural collagen. This is especially noteworthy because the body’s collagen production naturally diminishes over time. Microneedling can help bring collagen back to youthful levels. #### What are the benefits of microneedling? Microneedling is a versatile procedure that can be used to reduce the appearance of the following: - Lax, sagging skin, especially along the jawline - Fine lines and wrinkles - Thin or “crepey” skin - Certain kinds of scars, including acne and chicken pox scars - Enlarged pores #### How is microneedling performed? Our aesthetic professionals perform microneedling in the office as an outpatient procedure. Typically, a light topical anesthetic is applied 30 minutes before the procedure begins. Once the anesthetic has taken effect, your provider passes the microneedling tool over your skin. You won’t feel any discomfort during this time. The process typically lasts less than 1 hour, depending on the area being treated. Some patients get a [dermaplaning](/aesthetic-services/dermaplaning/) treatment before microneedling to maximize the results. Microneedling can also complement the results of other nonsurgical procedures, such as [JUVÉDERM®](/injectables-fillers/juvederm/). #### Combine Microneedling with Platelet Rich Plasma (PRP) [Platelet-rich plasma, or PRP](/regenerative-medicine/prp/), is a popular addition to microneedling at our Washington, D.C. office. This approach uses your own blood platelets to enhance your results. PRP can enhance your microneedling procedure by providing an abundance of growth factors to help your skin revitalize itself. After completing the microneedling process, your practitioner massages the platelets into your skin, where they use the “[micro-channels](/regenerative-medicine/microchanneling/)” created by the microneedling device to access the deeper layers of skin. This can speed up and improve the healing process. #### What To Expect After Microneedling Treatment After your visit, you can return to your usual activities immediately, although your skin may appear red and swollen for the first day or so. Results appear gradually within weeks of your initial procedure, and we may recommend a series of [treatments](/services/) for maximum results. [Contact Us Today](/contact/) #### What People Say About Us! #### Schedule A Microneedling Consultation Get to know more about the possibilities of microneedling in Washington, D.C. [Request a consultation online](/contact/) or call West End Plastic Surgery at [(202) 785-4187](tel:(202) 785-4187). [Click Here To Contact Us](/contact/) --- ## Breast Lift **Link:** [Breast Lift](https://www.westendplasticsurgery.com/breast/breast-lift/) ([md](https://www.westendplasticsurgery.com/breast/breast-lift/index.html.md)) **Type:** Service **Description:** Rejuvenate your body with youthful-looking breasts. Board-certified surgeons delivering superior Washington, D.C. breast lift results. ### Content #### Breast Lift at West End Plastic Surgery As time passes, the shape and position of a woman's breasts change. The drooping and flattening of natural breast tissue can be one of the most dissatisfying aspects of aging. While the right bra can support breast tissue and provide the illusion of shapeliness and perkiness, it does just that, creates an illusion. Breast lift surgery is a gratifying plastic surgery procedure that reshapes the breasts by lifting and tightening the skin and tissue that hold the breast mound. With an abundance of training and experience, the [West End Plastic Surgery team](/about/team/) performs breast lifts that restore natural, gorgeous proportions. #### What is a Breast Lift? **Breast lift**, also known as *mastopexy*, is a surgical procedure that raises and shapes sagging breasts. The procedure can also reduce the size of the darker area around your nipples, the areola, which may have become enlarged due to pregnancy or breastfeeding. A breast lift performed at the Washington, D.C. practice of [Dr. Paul G. Ruff IV](/about/team/dr-ruff/) and Dr. Amir Arsalan provides you with breasts that appear more youthful and perky. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Reasons For Breast Lift Surgery Women seek breast lifts at West End Plastic Surgery to improve the look of breasts that are sagging due to: - Pregnancy - Breastfeeding - A genetic predisposition for sagging breasts - Aging - Post weight loss [Contact Us Today!](/consultation/) #### Are You A Good Candidate for a Breast Lift? Breasts of any size may be lifted with mastopexy; however, better results are generally achieved with smaller breasts. It’s also not unusual for women to need [breast reduction](/breast/breast-reduction/) surgery. That can help ensure larger breasts don’t sag again after getting lifted. It is also worth noting that if you plan to get pregnant, it is usually better to wait until after your pregnancy to undergo a breast lift. This is so that any additional stretching caused by the pregnancy or breastfeeding can be corrected. #### What to Expect at Your Breast Lift Consultation #### Breast Lift with Silicone Implants by Dr. Arsalan: #### How Much Does a Breast Lift Cost in Washington, D.C.? **The cost of a Breast Lift starts at around $9,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### The Breast Lift Procedure Prior to your surgery, you will have an initial evaluation and consultation with your surgeon and the team at [West End Plastic Surgery](/about/). The purpose of this initial meeting is to make sure you are a good candidate for mastopexy and to ensure that you understand and are comfortable with the procedure and understand how your breasts will look after the surgery. Your mastopexy procedure is performed in our state-of-the-art surgical suite or at one of the area hospitals where our Board Certified Plastic Surgeons operate. #### How Long Does it Take To Perform a Breast Lift Procedure? The procedure usually takes 2 to 4 hours to complete. You go home a few hours after your surgery is completed. [View More Before & After Photos](/gallery/breast/breast-lift/) #### Results of Breast Lift Surgery **Breast lift surgery** will elevate your breasts, giving you a more youthful contour. It will also reposition your nipple and areola to a more desired size and height. However, a breast lift will not keep your breasts lifted indefinitely. The effects of aging, gravity, pregnancy, and weight changes will eventually cause your breasts to sag. The amount of “new” sagging is unpredictable and will vary among women. If you have breast augmentation along with your mastopexy, you may find that the results of your breast lift last longer. #### Recovering From Breast Lift Surgery After your surgery is completed, your breasts will be bandaged with gauze and a special surgical bra will be placed over your breasts to hold them in the best position for healing. In most cases, you will be ready to go home shortly after your breast lift procedure. You may be a bit sleepy after the anesthesia, so it is important to have someone drive you home after your surgery. You may also want to have someone stay with you for the first few days after the surgery. #### The First 24 to 48 Hours After Breast Lift Surgery During the first 24 to 48 hours after your procedure, you may feel tired from the anesthesia and sore from the surgery. The doctor will prescribe pain medication to alleviate most of the discomfort. Your discomfort level will improve rapidly after the first 2 days. You may experience some minor bleeding around the incision line in your nipple area and under your breasts; this is perfectly normal. If you experience more than a slow staining of your gauze dressings, applying firm pressure to the area for 30 minutes will usually stop the bleeding. Call the staff at [West End Plastic Surgery](/about/) if the bleeding does not lessen or if the bleeding is heavy, which is very rare. [Schedule a Consultation](/consultation/) #### The First 2 Weeks After Mastopexy You will notice a marked improvement in your discomfort level during the first few weeks after your surgery. Other things to be aware of: The gauze dressings placed over your breasts will be removed a few days after your surgery. Once they are removed, you can take a shower or bath. After the dressings are removed, steri-strips will be placed over your incisions. In the coming days, if the steri-strips come loose, you can simply take them off. Your first postoperative visit usually takes place 2 to 3 days after surgery. Subsequent visits are scheduled every 1 to 2 weeks for the first 6 weeks and then every 1 to 2 months for the next 6 months. Your stitches will be removed within 10 to 20 days after surgery. #### Breast Lift *Frequently Asked Questions* #### Side Effects of Mastopexy With a **breast lift** Washington, D.C. patients have the same types of risks as associated with all surgical procedures, but at West End you're in excellent hands. During your pre-surgery consultation with [Dr. Ruff](/about/team/dr-ruff/) or [Dr. Arsalan](/about/team/amir-arsalan-md/) your individual risks will be assessed and discussed, and it will be determined whether you are a good candidate for mastopexy. As with any surgery, you can help reduce the risks associated with your breast lift surgery by closely following the instructions provided to you by the staff of West End Plastic Surgery. Dr. Ruff, Dr. Arsalan, and their staff will be with you every step of the way to ensure a safe and pleasing outcome. Risks may include the following: - Changes in sensation - Wrinkling - Scarring - Asymmetry - Infection #### Alternatives to Breast Lift Depending on the amount of ptosis or sag, breast augmentation alone may provide an acceptable cosmetic alternative. However, if the nipple-areola complex is too low and the skin is of poor elastic quality, a breast lift is the only way to achieve a more youthful breast shape. #### What Procedures Can Be Combined with a Breast Lift? If you don’t plan to have more children, you may want to combine a breast lift with other procedures, such as [breast augmentation](/breast/breast-augmentation/) and a [tummy tuck](/body/tummy-tuck/), as part of a [Mommy Makeover](/body/mommy-makeover/). #### Breast Lift Patient Testimonial [Read More Reviews](/testimonials/) #### Schedule a Consultation If you are considering a **breast lift**, [request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. West End Plastic Surgery serves Washington, D.C. and surrounding areas. [Request A Consultation](/consultation/) --- ## Tummy Tuck **Link:** [Tummy Tuck](https://www.westendplasticsurgery.com/body/tummy-tuck/) ([md](https://www.westendplasticsurgery.com/body/tummy-tuck/index.html.md)) **Type:** Service **Description:** Tummy tuck in Washington, D.C. Achieve the body profile you've always wanted with board-certified cosmetic surgeons providing stunning tummy tuck results in D.C. ### Content #### Confidence Begins at the Core *Tummy Tuck at West End Plastic Surgery* Even with diet, exercise, or what feels like a million sit-ups, some people still struggle with loose skin, excess fat, and stretched muscles in their abdomen. Weight fluctuations, such as significant weight loss, or pregnancy often leave behind changes in the abdominal area that no amount of gym time can fix. [Request an appointment](/consultation/) #### Tummy Tuck at a Glance - **Removes Excess Skin - **Eliminates sagging or stretched skin after pregnancy or weight loss - **Tightens Muscles - **Repairs separated abdominal muscles for a stronger core - **Contours the Abdomen - **Improves the shape of the stomach area and waistline - **Long-Lasting Results - **Maintained with a stable weight and healthy lifestyle - **Types of Tummy Tucks - **Options include a full abdominoplasty or mini tummy tuck for the lower abdomen We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Smoother, Flatter, Stronger. *What is a Tummy Tuck?* If you’ve lost a significant amount of weight, either after pregnancy or through exercise and dietary changes, excess skin and weakened abdominal muscles can leave you self-conscious about your appearance. [Dr. Paul G. Ruff IV](/about/team/) and Dr. Amir Arsalan specialize in body contouring procedures such as abdominoplasty, commonly called a tummy tuck, at their Washington, D.C. practice. #### Types of Tummy Tucks Tummy tucks are classified into four categories: standard, mini, reverse, and modified, with each category resulting in a different rate of healing. The type of tummy tuck that will be used will be discussed in detail during your meeting with Dr. Ruff, Dr. Arsalan, and their staff, so that the most appropriate technique is used for your body. #### Addressing Common Concerns *What Does a Tummy Tuck Address?* - Loose skin after pregnancy or weight loss - Separated abdominal muscles causing a bulging midsection - Stretch marks on the abdominal skin - Excess fat that resists traditional weight loss methods - A stomach area that feels disproportionate to the rest of the body In some cases, liposuction is combined with a tummy tuck for more comprehensive body contouring. #### Inside the Abdominoplasty Process *Tummy Tuck Procedure* Your surgeon and the team at West End Plastic Surgery will: - Review the various tummy tuck options with you - Clearly discuss the potential risks of the procedure - Outline in detail how the surgery is performed and what you can expect before, during, and after the procedure - Provide detailed cost and payment information - Answer all your questions You will need to provide: - Details about your medical history - A list of all medications you currently take, including over-the-counter medications such as aspirin, vitamins, and herbal supplements - Information regarding your tobacco and alcohol use #### Tummy Tuck Patient Testimonial [Click here to read more reviews](/testimonials/) #### The Sculpted Midsection You’ve Been Working Toward *What Are the Benefits of a Tummy Tuck?* A tummy tuck offers transformative benefits for individuals looking to restore a firmer, flatter abdomen. By removing excess skin and fat and tightening weakened or separated abdominal muscles, it enhances core strength, posture, and body contours, especially after pregnancy or significant weight loss. The procedure can also reduce skin irritation, improve clothing fit, and help patients feel more confident and comfortable in their bodies. #### Is a Tummy Tuck Right for Me? *Abdominoplasty Candidates* If you have been unable to reduce your protruding stomach with weight loss or exercise, you are most likely a good candidate for a tummy tuck. Individuals who have stabilized at their desired weight or who plan no additional pregnancies have better success with tummy tuck surgery. A tummy tuck is often combined with either a [breast lift](/breast/breast-lift/) or a[ breast augmentation](/breast/breast-augmentation/) and lift, in what’s often called a [mommy makeover](/body/mommy-makeover/). Patients who have undergone significant weight loss often benefit from a tummy tuck as part of [post-bariatric body contouring](/body/post-bariatric/). [Schedule a Consultation Today](/contact/) #### Aftercare Essentials *Abdominoplasty Recovery* Once you go home, you will want to have someone stay with you for the first few days. The application of EXPAREL during surgery provides pain relief for approximately the first 72 hours and eliminates the need for a pain pump. Your surgeon will prescribe pain medication to alleviate further discomfort. Although you may not be able to stand up completely straight for at least a week after surgery, it is essential to start moving and walking within a day of the procedure. Once you return home, it is important to move around the house every few hours to reduce the chance of blood clots. #### The First 24 to 48 Hours After Tummy Tuck Surgery During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and may experience mild to moderate discomfort. To reduce the chance of blood clots and to facilitate the healing process, it is important to start moving and walking within a day of your surgery. You will wear an elastic abdominal binder for several weeks after your surgery to provide gentle, healing pressure, support stability, and reduce swelling. The stitches used during your tummy tuck surgery are dissolving. Occasionally, small tags left at the skin surface are clipped at an early postoperative office visit. The drains that were inserted into the surgical area will be removed within a week of your surgery. Upon release from the hospital, you will be instructed on how to take care of the drains, which are used to allow fluid to drain from the surgical area. You can shower the day after the drains are removed. #### The First 2 Weeks After Abdominoplasty You will notice a marked improvement in your discomfort level during the first few weeks after your surgery: - Any bruising you experience will usually disappear in about 2 weeks. - You can most likely resume light activity within 10 to 20 days of your surgery. - We will remove the stitches under your skin 14 to 28 days after your surgery. - Sleeping on your back in a semi-upright position will most likely provide the most comfort and will help with the healing process. - You can shower or bathe as soon as you feel comfortable doing so. Treat the surgical tape placed over your incision like your own skin — bathe and dry off normally. If the strips become loose, or curl on the ends, you can snip the ends off or remove them completely. #### Sleek and Sculpted *Abdominoplasty Results* Tummy tuck surgery results in a flatter and smoother abdomen because the abdominal muscles and stretched skin are tightened during the procedure. The results of the surgery are permanent except in cases of large weight gain or pregnancy after surgery. [Request a Consultation](/contact/) #### Expertise. Safety. Natural Results. *Why Choose West End Plastic Surgery for a Tummy Tuck?* At West End Plastic Surgery, our board-certified plastic surgeons use the latest techniques in aesthetic surgery to create natural, balanced results. We focus on personalized care, patient safety, and attentive support throughout your healing process. Dr. Ruff and Dr. Arsalan are dedicated to helping you achieve the body you want safely and appropriately. Therefore, you will meet at length with the staff before scheduling your tummy tuck surgery. At this meeting, your abdominal muscles will be evaluated, and you will discuss how you want your abdomen to look after your surgery. Our team combines technical precision with compassionate care, ensuring every patient feels supported from consultation through recovery. #### Schedule a Consultation If you’re considering getting plastic surgery to improve the appearance of your abdomen, [request a consultation](/consultation/) online. Or call our office at [(202) 785-4187](tel:(202) 785-4187) to speak with a staff member at West End Plastic Surgery and schedule a consultation. Our practice serves Washington, D.C, and the surrounding areas. [Click Here to Contact Us](/contact/) #### Tummy Tuck *Frequently Asked Questions* --- ## Buccal Fat Removal **Link:** [Buccal Fat Removal](https://www.westendplasticsurgery.com/face/buccal-fat-removal/) ([md](https://www.westendplasticsurgery.com/face/buccal-fat-removal/index.html.md)) **Type:** Service **Description:** Buccal fat removal in Washington, D.C. Shape your face to perfection with board certified plastic surgeons providing stunning cheek fat removal results in D.C. ### Content #### What is buccal fat? Buccal (pronounced buh-kl, like “buckle”) fat is a pad of normal fat that sits within your lower cheeks. It helps to cushion the chewing muscles and is part of a larger collection of fat that extends all the way up to your temple. In some people, the **buccal fat** can be overgrown and lead to excessive fullness in the lower face. #### What is buccal fat removal or reduction? **Buccal fat removal**, or more appropriately *reduction*, is a simple, in-office surgical procedure performed to decrease fullness in the lower cheeks. The procedure is generally performed through a tiny incision on the inside of your cheek and *takes only minutes to complete*. Discomfort is minimal and recovery is straightforward. We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/face/buccal-fat-removal/) and see for yourself the kind of work our talented surgeons do. #### What are the benefits of buccal fat reduction? **Overgrown buccal fat** will cause *excessive fullness in the lower cheeks* which leads to a “rounder” facial appearance. It also decreases the amount of cheek “highlight” present over your cheekbones. By reducing the amount of buccal fat, we can slim your lower face to create more definition and contour, which is often desirable. #### What are the risks of buccal fat reduction? The most concerning risk of **buccal fat reduction** is removing too much. As we age, the buccal fat pad can atrophy and shrink over time. If you are relatively young, it is critical that the procedure be conservative to allow for a natural appearance when you’re older. Otherwise, your cheeks will appear deflated. Patient selection is key to ensure that the procedure is only performed on good candidates who have naturally large amounts of buccal fat. #### During Fat Removal From Face should Anesthesia be Used? If **buccal fat removal** is the only procedure you are having performed then it can easily be done under just local anesthesia, much like a dental operation. However, if the buccal fat reduction is being combined with additional procedures that require deeper anesthesia, then it would simply be included in the overall plan. #### How Much Does Buccal Fat Removal Cost in Washington, D.C.? **The cost of Buccal Fat Removal starts at around $3,000**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### What is the buccal fat removal procedure like? The procedure begins with skin markings on your lower cheeks based on the surgical plan you design with your surgeon. Next, numbing medicine is injected into the inside of your cheeks much like a dental procedure. Once ready, a small incision is made on the inside of your cheek near your upper molar teeth. The buccal fat pad is gently teased out and trimmed using a cautery device. The incision is closed with sutures that dissolve on their own over 1-2 weeks. #### What is involved with recovery after buccal fat removal? After your surgery, your cheeks will be sore, and you’ll have some swelling. Because of your mouth incisions you’ll need to be on a soft diet and use the provided mouth rinse to reduce your risk of infection. You will swish this around your mouth after every meal. The goal is to prevent any fine particles of food from getting stuck in your incisions. You will have swelling, but if you diligently use ice packs or cold compresses for the first two days, you can dramatically lower your swelling. This isn’t an overly painful recovery, and your incisions will heal quickly. Patients can resume their normal activities the next day. #### How should I sleep after having buccal fat removal? After having buccal fat pad removal at [West End](/about/), you’ll need to sleep on your back with your head elevated. This isn’t an absolute requirement, as it is with nose surgery or a [facelift](/face/facelift/), for instance, but doing so greatly helps speed your recovery. #### Am I a good candidate for buccal fat removal? If you feel your lower face is too round or full, compared to the rest of your face or [body](/body/), then you might be a good candidate for buccal fat reduction. It can also help to provide greater contour in your cheekbones. [Patients](/testimonials/) who do well with this procedure often say they grew up with “chipmunk cheeks” that never seemed to go away. If you are curious to see if this is right for you, we would be delighted to see you for a [consultation](/contact/)! [Schedule a Consultation Today](/consultation/) #### What are the risks involved with buccal fat removal? These are simple procedures where our West End board-certified plastic surgeons enter through an incision made within the mouth, locate the buccal pads and remove them. Swelling only last a couple weeks. There isn’t any visible scarring. Most people can get back to their normal activities the next day. These are safe and low-risk minor surgeries. Though not technically a “risk,” at West End Plastic Surgery we advise our patients considering buccal fat removal to consider the long-term results. Defined *cheek hollows* and less fat will look great on a younger patient today, but consideration needs to be given to how it will look as that same person ages. The natural aging process causes fat loss in the face, and this decrease increases with every passing decade. That’s why this procedure is not advised for anyone over the age of 50. So, if you have a relatively thin or angular face now, at a younger age, buccal fat pad removal may leave you looking gaunt, worn, or older than you are in the coming decades. #### Will I be able to eat normally after having buccal fat removal? Watching what you eat is important after these surgeries to protect your incisions. You need to avoid sharp, fine granular foods. Tortilla chips are a no-no, as would be rice or couscous. Smooth foods such as smoothies and mashed potatoes are the way to go for about one week. You’ll also use a special mouthwash to prevent infection. #### Read what our patients are saying! [Click here to read more reviews](/testimonials/) #### Schedule a Buccal Fat Removal Consultation Today! Interested in learning more about our Buccal Fat Removal procedure? Please give us a call at [(202) 785-4187](tel:(202) 785-4187) to [schedule your consultation](/contact/) today with Dr. Ruff or Dr. Wang! [West End Plastic Surgery](/about/) serves Washington, D.C. and all nearby areas. [Request A Consultation](/consultation/) --- ## Breast Augmentation **Link:** [Breast Augmentation](https://www.westendplasticsurgery.com/breast/breast-augmentation/) ([md](https://www.westendplasticsurgery.com/breast/breast-augmentation/index.html.md)) **Type:** Service **Description:** Breast augmentation in Washington, D.C. Achieve your dream breasts with our board-certified surgeons. Superior breast implant results in Washington, D.C. ### Content #### What is Breast Augmentation? If you are unhappy with the size of your breasts and are looking for enhancement, we offer breast augmentation for our patients in Washington, D.C. and surrounding areas. Breast augmentation is a surgical procedure that uses silicone gel or saline breast implants to enhance the size and shape of your breasts. All of our Board Certified Plastic Surgeons at West End Plastic Surgery work closely with you to ensure your breast augmentation goes smoothly. #### Ideal Candidates for Breast Augmentation If you are in good health and have realistic expectations regarding the results of your breast augmentation surgery, you are an ideal candidate for the procedure. Although surgery can enhance the size and shape of your breasts, it is important to understand the limitations of the breast enhancement procedure. At our Washington, D.C. office, our surgeons thoroughly discuss the procedure, along with its limitations, during your initial consultation. If your breasts are sagging due to pregnancy, weight loss, aging, or loss of muscle tone, a [breast lift](/breast/breast-lift/), or mastopexy, can be performed to enhance your breast augmentation. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Benefits of Breast Augmentation Surgery Women choose to have breast augmentation for many reasons. Breast surgery can: - Enlarge your breasts to a more desirable size - Correct a noticeable imbalance in the size of your breasts (asymmetry) - Correct sagging or ptotic breasts - Reconstruct one or more breasts after breast surgery #### What Our Patients Say #### Breast Augmentation Consultation Prior to scheduling your surgery, your surgeon and our staff will meet with you for a thorough [consultation](/consultation/). We will evaluate your breasts and discuss how you want them to look after the procedure. With the guidance of the staff at West End Plastic Surgery, you will decide the type of implants to be used, as well as their size, position, texture, and shape. #### How Much Does a Breast Augmentation Cost in Washington, D.C.? **The cost of a Washington, D.C. Breast Augmentation starts at around $6,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your [consultation](/consultation/), our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Silicone Vs. Saline Breast Implants All breast implants available in the U.S. today have a silicone outer covering called the shell. The choice comes down to the fill material, which can either be saline (a sterile saltwater solution) or silicone. The following table answers common questions for each type of implant. #### Silicone Implant Options Silicone implants continue to increase in popularity whether for primary breast augmentation or an elective implant exchange through [revision breast surgery](/breast/breast-implant-revision/). West End Plastic Surgery offers only FDA-approved silicone breast implants, which generally fall into the following 2 categories according to their consistency: - **Cohesive silicone gel** brands including Allergan Natrelle® and Mentor MemoryGel® feel soft and pliant, and they hold together even when cut (see image). - **Highly cohesive** or form-stable silicone implants (also called “gummy bear” implants) such as Sientra® Silimed-brand, Mentor MemoryShape®, and Allergan Natrelle® 410 shaped implants feel soft and slightly firmer than cohesive silicone gel implants, and they retain their shape better when the patient is standing upright (see demonstration video). #### What Is The Right Size Implant For Me? One of the first things women ask about when choosing breast implants is which size is right. Your surgeon will make the decision easy and often a fun process! They can help you figure this important choice out using several different approaches: - Reviewing photos of women who are the size you want to be. - Using a 3-D imaging software system that takes digital images of you and creates a simulation of what you might look like with various types and sizes of implants. - Providing breast implant “sizers” for you to try on. These are like temporary silicone implants of varying sizes that can be placed into a stretchable bra and worn under a fitted, solid-color T-shirt. It’s a good way to visualize how you might look in clothes. Once your surgeon has a clear understanding of the size you want to be, he or she will determine the implant size that will get you there, taking in account your existing breast tissue, breast skin, and chest wall anatomy. See how a Mentor MemoryShape highly cohesive breast implant holds together when cut. #### 3D Breast Implant Simulator App [This app](https://breastimplantsbymentor.net/en-US/breast-implant-simulator) allows you to take photos of yourself and see different breast implant sizes and shapes on your body in 3D. This helps give you an idea of what type and size implant you would like before coming in for a consultation. The app is fully confidential, all images are only stored on your phone, and no internet connection is needed. [Click to download the 3D Breast Implant Simulator App in the App Store.](https://apps.apple.com/us/app/mentor-breast-simulator/id6503239134) #### Profile & Projection of Breast Implant Both saline and silicone breast implants are available in various **profiles**, also called **projections**. An implant profile is a term that describes the width and depth of the implant. A low-profile implant (top) is wider and flatter than a high-profile implant (bottom), which is more narrow and projects farther (is deeper from front to back). Depending on the implant brand, there are other projections that fall in between the high and low profiles. These options enable [Dr. Ruff](/about/team/dr-ruff/) and [Dr. Arsalan](/about/team/amir-arsalan-md/) to help you attain your desired breast shape in a way that fits naturally with your unique breast anatomy, the width of your chest, and the way your breasts sit on your chest. Properly chosen, the right implant profile can enhance your breasts in the way you want, such as increasing fullness at the top of the breasts or filling out the cleavage between the breasts. #### Breast Implant Shape Another option for both silicone and saline implants is the **shape**, which can either be round or shaped (also called anatomical, teardrop, or contoured). Round implants increase overall breast fullness and are a popular choice. Teardrop implants reflect a natural breast shape with a gentle slope and more fullness at the bottom. #### Breast Augmentation Procedure Your breast augmentation procedure will be performed in our state-of-the-art surgical suite or at one of the area hospitals where our surgeons operate. Dr. Ruff, Dr. Arsalan, and their staff are dedicated to ensuring your complete comfort during and after the procedure. The surgery generally takes 1 to 2 hours to complete. It is performed under general anesthesia. During the procedure, the surgeon makes a small incision in each breast area in order to insert the implants. Your individual anatomy determines the best place for incisions. Your surgeon will make every effort to place the incision in a way that minimizes any resulting scars. Once the incision is made, your surgeon lifts the breast tissue and skin to create a pocket to hold the implant. The pocket will be either directly behind your breast tissue or beneath your chest wall muscle. #### Breast Enlargement with Fat Transfer An increasingly popular option for breast enlargement is using fat taken from other areas of the body to enlarge the breasts. Our Board Certified Plastic Surgeons expertise in this [fat transfer](/body/fat-transfer/) technique offers their patients a soft, natural alternative to breast implants. The procedure, sometimes called fat grafting, is a 3-step process completed during a single operation that takes up to 2 hours. Fat transfer breast augmentation includes: - Liposuction to collect the fat from another area - Purifying the fat - Injection into the breasts All of our surgeons use a liposuction technique called [VASERlipo™](/body/liposuction/) that is ideal for harvesting fat in grafting procedures. This precise and gentle approach to liposuction excels at preserving the viability of the fat cells once they are injected into the breasts. Your surgeon will use a microcannula – a specialized instrument – to perform dozens of tiny injections, layering the fat so that the results look beautifully natural. #### Recovery After Breast Augmentation Surgery In most cases, patients are ready to go home shortly after the procedure. Because you may be a bit sleepy after the anesthesia and will experience a good deal of soreness in the area of your incisions, it is important for someone to drive you home after your surgery. You may also want to have someone stay with you for the first few days after the surgery. During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and sore from the surgery. Your plastic surgeon will prescribe pain medication to alleviate much of your discomfort, which usually improves rapidly after the first 2 days. #### Guidelines For Your Breast Surgery Recovery Everyone heals at different rates and you are the best judge of when you are ready for certain activities. Here are some general guidelines: - You can most likely return to work or school within 3 to 5 days after your procedure unless your work is strenuous. - You can resume driving as soon as you can turn the steering wheel without pain, usually within a week for cars with power steering and a little longer for manual steering. - Two weeks after surgery, you can begin to sleep without the special elastic bra you’ve been wearing. However, you should continue to wear this bra during the day for 4 to 6 weeks after your surgery, unless otherwise instructed by your surgeon. - When you begin to wear your own bras again, you will probably be more comfortable wearing a bra without underwire support until your incisions are healed. - You should always wear a bra, except while sleeping, for 4 to 6 weeks following your surgery. At your follow-up appointment, the doctor will let you know when you can begin to go without a bra. - Strenuous exercise can begin about 3 weeks after surgery. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. - The scars on your breasts should be protected from sunlight for at least a year after surgery. #### Breast Augmentation Results When it comes to **breast augmentation** Washington, D.C. patients to West End Plastic Surgery receive long-term, excellent results. However, keep in mind that as your body ages, your breasts may sag somewhat and the skin may wrinkle over time. Many patients wish to have their implants adjusted over time to maintain as youthful a figure as possible, but this is not a necessity. #### Risks of Breast Surgery Like all surgical procedures, there are risks with breast augmentation. During your pre-surgical consultation with your surgeon, we will assess and discuss your individual risks and determine if you are a good candidate for breast augmentation. As with any surgery, you can help reduce the risks associated with your breast augmentation by closely following the instructions provided to you by our staff. Your surgeon and their team will be with you every step of the way to ensure a safe and pleasing outcome. #### Will Insurance Cover My Breast Augmentation? Except in cases of reconstruction, breast augmentation is considered a cosmetic treatment and, therefore, is not covered by your insurance. You are responsible for the full payment for your procedure. Cost and payment information will be discussed in detail with you during your initial consultation. #### Schedule a Breast Augmentation Consultation If you’re in the Washington, D.C. area and considering **breast augmentation**, contact West End Plastic Surgery. [Request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. [Request A Consultation](/consultation/) --- ## Renuvion **Link:** [Renuvion](https://www.westendplasticsurgery.com/laser-treatments/renuvion/) ([md](https://www.westendplasticsurgery.com/laser-treatments/renuvion/index.html.md)) **Type:** Service **Description:** Renuvion skin tightening in Washington, D.C. Achieve firmer, tighter skin with board certified surgeons providing stunning skin tightening results in Washington, D.C. ### Content #### Renuvion Skin Tightening at West End Plastic Surgery Loss of tissue elasticity and tone is a hallmark of aging skin, it's the characteristic change that makes one start to look older than one feels inside. Until recently, no surgical procedure or energy source achieved consistent significant tightening without an extensive recovery. Renuvion represents a paradigm shift in the way that we can resurface skin from above and tighten skin from below the skin’s surface. This next-generation technology uses Cold Atmosphere Plasma (CAP) to achieve a previously unobtainable level of tissue tightening and improvement. West End Plastic Surgery offers Renuvion for skin tightening. Whether [liposuction](/body/liposuction/) is used in conjunction or not, there isn't an area of the body that Renuvion cannot treat. Our Double Board Certified Plastic Surgeon, [Dr. Paul Ruff](/about/team/dr-ruff/), is one of the nation’s leading experts and trainers for Renuvion. To schedule a consultation at our Washington, D.C. practice, call [(202) 785-4187](tel:(202) 785-4187) today! #### Is Renuvion Safe? Specifically, in the last twelve months, Apyx Medical (the manufacturer of Renuvion) has received **four FDA 510(k) clearances** for the use of their Renuvion handpieces in specific clinical indications, all of which are supported by substantial evidence demonstrating the safety of their products. **Renuvion is FDA-cleared for the use in improving the appearance of lax skin in the neck and submental region**! With this clearance, Renuvion is the only product that is FDA-cleared to improve the appearance of loose skin on the neck and chin. Loss of jawline definition with age is inevitable and can add years to one’s appearance. Renuvion provides a minimally-invasive treatment with minimal downtime. The results reveal a more contoured and smoother neck and jawline. **Dr. Paul Ruff was the primary investor in this study which lead to the FDA approval. **[You can read more about it here](https://apyxmedical.com/apyx-medical-corporation-receives-fda-510k-clearance-for-the-use-of-renuvion-to-improve-appearance-of-lax-loose-skin/). Renuvion also has FDA 510(k) clearance for treating soft tissues after liposuction treatment. **The Renuvion APR handpiece is the only device to have a 510(k) clearance for use following liposuction.** This FDA clearance further demonstrates the safety and effectiveness of Renuvion technology. Already cleared by the FDA for the treatment of neck laxity, facial renewal procedures, and the contraction of soft tissue, Renuvion's latest 510(k) clearance allows physicians to set a new standard for liposuction results when it comes to minimally invasive body contouring. #### What Areas Can Be Treated With Renuvion? From the jawline and jowls to the calves, Renuvion can tone any area of skin laxity with discreetly placed scars about five millimeters in length. Traditional procedures leave unsightly arm, abdomen, and thigh scars and result in prolonged recovery and severely limited activity. With Renuvion, you can expect progressive tightening and a rapid return to normal life. Any area on the body can use Renuvion for skin tightening. The most popular areas for treatment include: - Abdomen - Breasts - Back - Arm - Thighs - Neck #### Renuvion with Liposuction **Renuvion is the only device FDA-cleared to be used after liposuction.** Liposuction effectively removes fat volume, leaving behind empty space which may increase the appearance of excess or loose skin. Renuvion goes beneath the surface and applies precise energy directly to the source of the loose skin. This energy contracts the collagen fibers and pulls the skin down, closer to the muscle, for a more contoured appearance. By adding Renuvion to these procedures, physicians have another tool to help them obtain optimal liposuction results. Using Renuvion after liposuction allows patients, with minimal to moderate skin redundancy, to attain high-definition results that were once only available with skin excision. Renuvion and liposuction are the gold standard for amazing body contouring results. #### Renuvion For Face/Neck Tightening **Renuvion is FDA-cleared for the use in improving the appearance of lax skin in the neck and submental region**! With this clearance, Renuvion is the only product that is FDA-cleared to improve the appearance of loose skin on the neck and chin. Loss of jawline definition with age is inevitable and can add years to one’s appearance. Renuvion provides a minimally-invasive treatment with minimal downtime. The results reveal a more contoured and smoother neck and jawline. **Dr. Paul Ruff was the primary investor in this study which lead to the FDA approval. **[You can read more about it here](https://apyxmedical.com/apyx-medical-corporation-receives-fda-510k-clearance-for-the-use-of-renuvion-to-improve-appearance-of-lax-loose-skin/). [Renuvion ](/laser-treatments/renuvion-face/)in the head and neck region can also be used for skin resurfacing. It has the power to erase years of sun damage and/or treatment below the skin surface along the lower face, jawline, and neck to restore the contours of younger days. The facial handpiece can tighten the upper and lower eyelids, jowls, nasolabial folds, and lip lines. #### How Much Does Renuvion for Lower Face and Neck Cost in Washington, D.C.? The cost of Renuvion for the Lower Face and Neck starts at around $6,500. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Renuvion For The Body Renuvion is used under the skin surface to tighten and restore the youthful contours of the arms, breasts, abdomen, bra-line, mid back, flanks, buttocks, thighs, knees, and calves. If you are looking for the etched lines of high-definition body contouring or toned contours of youth, the Renuvion procedure may be for you. After Liposuction, Renuvion is typically used to tighten the skin. Renuvion has FDA 510(k) clearance for treating soft tissues after liposuction treatment. The Renuvion APR handpiece is the only device to have a 510(k) clearance for use following liposuction. This FDA clearance further demonstrates the safety and effectiveness of Renuvion technology. #### How Much Does Renuvion for Skin Tightening Cost in Washington, D.C.? The cost of Renuvion starts at around $4,000 per hour. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. Want to see more of the incredible transformations our talented team of skilled surgeons, nurses, and aesthetic experts can achieve? Check out our gallery for more amazing before and after images! From surgical procedures to non-surgical treatments, our experts deliver stunning results that help our patients look and feel their best. [Click to explore](/gallery/)! #### Renuvion Candidates Renuvion is an excellent modality for patients with mild to moderate skin excess who do not want scars, incisions, or extended downtime. For the subcutaneous plasma treatment, any skin type is a good candidate. For the facial resurfacing hand-piece, only those with lighter skin types are candidates. #### How Does Renuvion Work? Plasma energy is the fourth state of matter. It is the most abundant form of visible energy in the universe. Common examples of plasma in nature are lighting and the Aurora Borealis. When gas is exposed to an electrical charge, it creates plasma energy. This technology has been harnessed and used in medicine for decades in various forms. Any general surgery resident is awed at the effectiveness of the argon beam coagulator when they first see it in action. Helium plasma is unique in its requirement for only a small radio frequency charge to activate helium gas resulting in an abundant release of ionic energy. The active plasma beam is hugged by a cloud of cold helium gas, keeping the temperature between 100 to 150 degrees Fahrenheit. The action of the plasma does not appear to rely solely on heat to create change like all other energy-based devices. A combination of some heat with ionic and reactive particles from the plasma cloud induce a change in the dermis and underlying architecture. The result is toned skin with a less crepey appearance. These characteristics provide our patients an aesthetic rejuvenation procedure with extraordinary precision, a high safety profile, and previously unobtainable results. [.mw400.block][] #### What Our Patients Say #### Recovery After Renuvion Skin Resurfacing Although most patients are up and about at 2 weeks, there is still redness/erythema that lasts approximately 4 weeks. The energy penetrates deep into the skin for maximal results which does lengthen downtime. This is in contrast to Renuvion tightening where we have had patients go back to work within a few days. For limited areas, most patients only require Motrin or Tylenol during recovery. For more extensive areas, we do prescribe narcotic pain medication. However in our experience, patients usually only take the medication for the first couple of days. #### Learn More About Renuvion #### Schedule A Consultation For more information about Renuvion and to see if you are a good candidate, [contact](/contact/) West End Plastic Surgery. Call [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation. Our practice serves Washington, D.C. and surrounding areas. [Click Here to Contact Us](/contact/) --- ## Renuvion | Body Treatment **Link:** [Renuvion | Body Treatment](https://www.westendplasticsurgery.com/laser-treatments/renuvion-body/) ([md](https://www.westendplasticsurgery.com/laser-treatments/renuvion-body/index.html.md)) **Type:** Service **Description:** Renuvion Skin Tightening in Washington, D.C. Get the tight, sculpted body you want with a minimally invasive, non-surgical skin tightening treatment in Washington, D.C. ### Content #### What is Renuvion Skin Tightening? Renuvion is a revolutionary minimally invasive procedure that uses sub-dermal cold plasma energy to instantly tighten and rejuvenate anywhere on the face and body. A unique alternative to traditional facelifts, tummy tucks, and body sculpting, Renuvion procedures will shrink and sculpt loose and lax skin without large incisions, downtime, or the complications of cosmetic surgery. Renuvion for the body uses cold plasma energy under the skin to tighten, sculpt and rejuvenate the body giving you natural-looking results with minimal downtime and no complications of a traditional [tummy tuck](/body/tummy-tuck/) or body sculpting. Renuvion is unique because the cold plasma energy applied under the skin creates instant skin contraction resulting in improved laxity, tightening, and shrinkage. #### Is Renuvion Safe? Specifically, in the last twelve months, Apyx Medical (the manufacturer of Renuvion) has received **four FDA 510(k) clearances** for the use of their Renuvion handpieces in specific clinical indications, all of which are supported by substantial evidence demonstrating the safety of their products. Renuvion has FDA 510(k) clearance for treating soft tissues after [liposuction](/body/liposuction/) treatment. The Renuvion APR handpiece is the only device to have a 510(k) clearance for use following liposuction. This FDA clearance further demonstrates the safety and effectiveness of Renuvion technology. #### Our Renuvion Results: We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. #### Benefits of Renuvion: - Treat skin on the face, neck and body - No large incisions or revealing scars - Minimal downtime and fast recovery - Safe, quick, and precise - Natural looking results, not overdone #### Renuvion with Liposuction **Renuvion is the only device FDA-cleared to be used after liposuction.** Liposuction effectively removes fat volume, leaving behind empty space which may increase the appearance of excess or loose skin. Renuvion goes beneath the surface and applies precise energy directly to the source of the loose skin. This energy contracts the collagen fibers and pulls the skin down, closer to the muscle, for a more contoured appearance. By adding Renuvion to these procedures, physicians have another tool to help them obtain optimal liposuction results. Using Renuvion after liposuction allows patients, with minimal to moderate skin redundancy, to attain high-definition results that were once only available with skin excision. Renuvion and liposuction are the gold standards for amazing body contouring results. #### Candidates for Renuvion Skin Tightening Renuvion body procedure has been performed on men and women of all age groups ranging from 20-somethings to 70-year-olds. It's ideal for those with mild to moderate loose skin from age, weight loss, or pregnancy. A traditional abdominoplasty or body contouring procedure is recommended for those with more advanced needs. It is also ideal for those who have had non-surgical body contouring or fat reduction treatments but did not see improvement. Patients choose Renuvion because they want instant results without the downtime and large scars from traditional surgery­­­. #### How Much Does Renuvion Cost in Washington, D.C.? The cost of Renuvion starts at around $4,000 per hour. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Areas Treated with Renuvion - Abdomen - Arms - Axillary - Back (upper and lower) - Bra area - Buttocks / Banana Roll - Cellulite - Chest - Flanks - Knees - Thighs (inner and outer) #### What Is Plasma Energy? Cold plasma is created when helium gas is energized by radiofrequency energy and delivered through the device. Because Helium gas is very stable, it can be ionized at very low energy ensuring flexible, precise and safe delivery. Cold plasma is cooler than laser energy making Renuvion body contouring a safer procedure with less risk and damage to the tissue and affording patients a quick recovery. The level of improvement and rejuvenation from cold plasma energy is unrivaled in current technologies. No laser, ultrasound or radiofrequency treatment is capable of safely tightening and firming skin to this level. #### How is Renuvion Performed? Performed in-office and using local, general anesthesia, or PRO-NOX, Dr. Ruff and Dr. Arsalan starts the Renuvion body procedure with tiny, hidden incisions strategically placed based on the area of the body to be treated. Then they uses the device sub-dermally (under the skin) to deliver cold plasma. This instantly tightens, shrinks, and rejuvenates the skin from the inside out. Results are immediate and continue to improve as your body continues to heal. #### Recovery After Renuvion Renuvion body procedure takes about an hour per area and patients can expect initial tightness in the treated area. Pain is minimal and can be lessened with an over-the-counter pain reliever. Patients wear a compression garment for the first 72 hours. Mild swelling and bruising can take one to two weeks to resolve. Most patients are able to resume normal activities as early as one-day post-procedure. #### How long does it take to see results from Renuvion? When the body senses the combination of cold plasma and RF energy delivered by Renuvion, it responds with the classic wound-healing response, even though there isn’t any actual wound. This immediately creates contraction of the soft tissue across the treatment area. From there, the body continues to build new collagen supplies for the next 6 to 9 months; this is the wound-healing response that improves skin tone and tightness from within. #### Is Renuvion painful? For our Renuvion treatments at West End Plastic Surgery, the patient can be under general anesthesia, sedation, or even local anesthesia. The method depends upon the area being treated and the patient’s preferences. Regardless of the anesthesia approach, Renuvion is a painless treatment. Any residual soreness from the tiny injections is easily manageable with over-the-counter pain medication. #### How many Renuvion treatments are needed? These are single, stand-alone treatments. #### Are there any aftercare instructions after a Renuvion treatment? The energy applied through the combination of helium plasma and radiofrequency energy is applied directly into the dermis layer of the skin beneath the epidermis. The skin tightening and collagen increase all occur from the dermis working upward to the outer skin as the results build. Because of that, there aren’t any specific things you need to do for your skin following a Renuvion treatment. #### Why Choose West End Plastic Surgery for Renuvion At [West End Plastic Surgery](/about/) in Washington, D.C., our board-certified surgeons—Dr. Paul G. Ruff IV, Dr. Lexie Wang, and Dr. Amir Arsalan—combine decades of expertise with advanced technology to deliver exceptional results. We specialize in innovative procedures like Renuvion Body Sculpting to tighten and contour the skin with minimal downtime. Known for natural-looking outcomes and personalized care, our team works with patients to develop the best treatment plan for their goals. Our state-of-the-art facility is designed for comfort, safety, and privacy, ensuring an outstanding consultation and recovery experience. With a reputation for precision, artistry, and patient satisfaction, West End Plastic Surgery is your trusted choice for beautifully sculpted contours and renewed confidence. #### Schedule a Consultation For more information about Renuvion body contouring, contact West End Plastic Surgery. [Request a consultation](/consultation/) online or call our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation at our Washington, D.C. office. #### Renuvion Body Sculpting *Frequently Asked Questions* --- ## Dysport **Link:** [Dysport](https://www.westendplasticsurgery.com/injectables-fillers/dysport/) ([md](https://www.westendplasticsurgery.com/injectables-fillers/dysport/index.html.md)) **Type:** Service **Description:** Dysport in Washington, D.C. Smooth frown lines and refresh your appearance with expert wrinkle treatments using Dysport injections in Washington, D.C. ### Content #### What is Dysport®? **Dysport**® is an injection used to improve and reduce the appearance of wrinkles and lines on the face, particularly frown lines between the eyebrows (glabellar lines). It works by temporarily relaxing the muscles responsible for causing wrinkles, resulting in a smoother and more youthful appearance. Dysport is an injectable neurotoxin derived from the bacterium Clostridium botulinum (similar to Botox). #### What is Dysport® Best Used For? - Eliminating wrinkles and lines caused by movement - Excessive sweating (hyperhidrosis) - Creating wider-looking eyes * - Fixing scars * - Reducing pore size * - Lifting the top of the nose * - Lessening a gummy smile * - Treating migraines and TMJ * - Eliminating neck bands and cleavage wrinkles ** indicates off-label use.* We’re as thrilled with our patients’ results as they are. Check out our [before-and-after photo gallery](/gallery/injectables-fillers/dysport/) and see for yourself the kind of work our talented surgeons and nurses do. #### Who is the ideal candidate for Dysport®? Whether Dysport® is right for you depends on the type of wrinkles you’re looking to erase. **Dysport**® only works on dynamic wrinkles that form due to endlessly repeated muscle contractions on the upper third of the face. If you’re looking to address forehead lines, the 11s, and crow’s feet, then your West End surgeon can inject Dysport® to relax the muscles and erase the wrinkles. However, if you’re looking to address lines and wrinkles on the middle to lower face, Dysport® is not the right option. These wrinkles need dermal fillers such as [Juvéderm](/injectables-fillers/juvederm/) or [Restylane](/injectables-fillers/restylane/) instead. #### Dysport® results by Rahma Scott, our board-certified Physician Assistant: [Schedule a Consultation](/consultation/) #### How is a Dysport® injection session done? Like BOTOX, Dysport® is the ultimate “lunchtime treatment.” Our board-certified West End surgeons handle these injections because they demand a thorough knowledge of facial anatomy to target the correct muscles with the neuromodulator. Dysport® is injected with a very tiny needle, and it is not injected to great depth. Patients equate the injections to the feeling of a pinprick, so topical numbing cream is not necessary. **Your entire Dysport® session takes just 15 minutes or so**. Then you can get right back to work or your other normal activities. #### How long will it take for Dysport® to relax my frown lines and crow’s feet? Because **Dysport**® is made with smaller molecules than [BOTOX](/injectables-fillers/botox/) it can start working a little faster. Generally, *Dysport® fully takes effect in about three days.* #### How Long Will My Results Last? Dysport® keeps injected muscles from contracting for about four months. At that point, the muscle will again begin to contract, and the dynamic wrinkle or wrinkles that form on the surface skin will return. Another Dysport® session will maintain your results. [Schedule a Consultation](/consultation/) #### Pre Dysport® Treatment Instructions: Prior to your treatment please make sure you have not been taking aspirin, ibuprofen, or any other blood thinning medication or supplement for 5-7 days. #### What People Say About Us! [Click here to read more reviews](/testimonials/) #### Post Dysport® Treatment Instructions: - Remain upright for 4 hours after injection, keeping your head above your heart. - Exaggerate facial expressions in treated areas for 1 hour after injection. - Tiny bumps and marks at the injection sites usually disappear within a few hours. - With any injection procedure bruising is possible; if it occurs apply ice to area for 20 minutes. You may also use an OTC topical Arnica product. - Headaches can occur after Dysport® treatments. If you have a headache we recommend you avoid aspirin or aspirin containing products. You may use Motrin, Tylenol, and/or cool compresses. If headache is unrelenting or continues to get worse, please contact the office. - DO NOT participate in yoga or other rigorous exercise activities for the 1st 24 hours after treatment. - DO NOT massage or manipulate injection sites for 48 hours after injection. - Schedule your follow up appointment (if applicable) prior to leaving office. - Results are expected within 3-5 days after injection, with maximum effect by 2 weeks. #### How is Botox different than Dysport®? BOTOX and Dysport® are very similar, but they have some subtle differences. Both work the same way on dynamic wrinkles. Some people think Dysport® lasts one month longer than [BOTOX](/injectables-fillers/botox/), but that hasn’t been clinically proven. The two products are diluted differently, so it takes more Dysport® to achieve the same results as BOTOX, but the price is lower, so it equals out in the end. Dysport® is made of smaller molecules compared to BOTOX. This allows Dysport® to start working a day or so faster than BOTOX. It also allows Dysport® to be spread to a larger area. But the smaller molecules also make Dysport® more difficult to work with when treating smaller areas. #### What is the difference between Dysport® and dermal fillers? While all of these are injectables, Dysport® is a *neuromodulator*. It works by relaxing muscles that create wrinkles on the surface of skin when they contract. This happens when we make certain expressions. When injected, Dysport® stops the contractions, so the wrinkles don’t form. Dermal fillers, such as Juvéderm or Radiesse, have no effect on dynamic wrinkles. [Dermal fillers](/injectables-fillers/dermal-fillers/) — the two most popular are Juvéderm and Restylane — work in an entirely different manner. When injected, they simply “fill” in lost volume. This type of wrinkle is known as a “static wrinkle.” These wrinkles and areas of volume loss show themselves at all times and are due to sun damage, loss of collagen production, and personal habits. The most popular fillers are made from hyaluronic acid, a naturally occurring substance in the body that is responsible for hydrating and plumping the skin. When a filler like Juvéderm is injected, the hyaluronic acid binds with nearby water molecules, instantly adding volume and pushing the wrinkled skin upward, erasing the wrinkle. Dysport® doesn’t work on static wrinkles. #### What are the risks involved with Dysport®? Like BOTOX, since its FDA approval in 2009 Dysport® has proven to be highly effective and safe. The main risks or side effects of Dysport® are slight redness and swelling at the injection sites. This usually resolves within the first day. Some patients can develop a headache for a day or so after their injections. The main risk with Dysport® is having it injected by an inexperienced injector. That’s because if Dysport® is injected into the incorrect muscle it can create problems such as a drooping eyelid. This is why you need to trust these injections to [our board-certified plastic surgeons](/about/team/) at West End Plastic Surgery. Our team has extensive knowledge of facial anatomy and experience with injectables ensuring you’ll love the results of your Dysport® injections. #### Schedule A Consultation If you are interested in learning more about **Dysport**®, [contact](/contact/) our office at [(202) 785-4187](tel:(202) 785-4187) to schedule a consultation today. Our office serves Washington, DC and surrounding areas in Maryland and Virginia. --- ## Breast Implant Revision **Link:** [Breast Implant Revision](https://www.westendplasticsurgery.com/breast/breast-implant-revision/) ([md](https://www.westendplasticsurgery.com/breast/breast-implant-revision/index.html.md)) **Type:** Service **Description:** Occasionally one's breast augmentation needs revision. Enhance your silhouette with board-certified surgeons providing superior Washington, D.C. breast implant revision results. ### Content #### What is Breast Implant Revision? The majority of women who have [breast augmentation](/breast/breast-augmentation/) attain beautiful, natural-looking results; however, occasionally results are disappointing or complications arise. Our board-certified plastic surgeons specialize in breast augmentation in Washington, D.C. They have the training and experience needed to help women attain the breast size and shape they want though **breast implant revision** surgery. They can also can exchange or remove implants as a woman’s aesthetic vision and [body](/gallery/body/brazilian-butt-lift/12/) change over time. #### Reasons for Breast Implant Revision Surgery Women visit West End Plastic Surgery in Washington, D.C. for *breast augmentation revision surgery* for a variety of reasons, including: - Exchanging breast implants for a different size, style, or fill material (called elective implant exchange) - Replacing ruptured or leaking implants - Improving disappointing results from previous breast augmentation by other surgeons - Balancing uneven breast size, height, and other asymmetries - Correcting a complication such as capsular contracture (hardening of the scar tissue around the implant), bottoming out (implant drops too low), or symmastia (implants placed too close together) - Removing implants without replacing them (called explantation) We’re as thrilled with our patients’ results as they are. Check out our *before-and-after photo gallery* and see for yourself the kind of work our talented surgeons do. #### Candidates for Breast Implant Revision Surgery If you are in good general health and have realistic expectations regarding the results of your **Washington, D.C. revision surgery**, you are an ideal candidate for the procedure. Your surgeon and our team will work with you to ensure that you know what to expect from your surgery, both physically and psychologically. #### What Should I Expect From My Breast Revision Consultation? During your initial evaluation and [consultation](/consultation/) we make sure you are a good candidate for *breast augmentation revision* or *implant removal surgery* and ensures you understand and are comfortable with the procedure. Your surgeon wants you to have a clear picture of how your breasts will look after the surgery. #### How Much Does Breast Revision Cost in Washington, D.C.? **The cost of a Breast Augmentation Revision starts at around $8,500**. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Breast Implant Revision Procedure Your augmentation revision or breast implant removal procedure will be performed in our state-of-the-art surgical suite or at one of the area hospitals our surgeons operate. When performed to correct complications or improve previous results, revision procedures are usually more complex and time-consuming than the original procedure. Our team is dedicated to ensuring your complete comfort during and after the procedure. The surgery may be performed under either general anesthesia or local anesthesia with sedation. The procedure can take from 30 minutes to 3 or more hours, depending on the correction required. You will go home shortly after your surgery is completed. #### What Should I Expect After My Revision Breast Surgery? Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines: #### Recovery After Revision Breast Augmentation In most cases, you will be ready to go home shortly after your surgery. You may be a bit sleepy after the anesthesia, so it is important to have someone drive you home. During the first 24 to 48 hours after your procedure, you may feel tired from the anesthesia and sore from the surgery. [Dr. Ruff](/about/team/dr-ruff/) and [Dr. Arsalan](/about/team/amir-arsalan-md/) will prescribe pain medication to alleviate most of the discomfort. Your discomfort level will improve rapidly after the first 2 days. Call the staff at West End Plastic Surgery if you have any questions or concerns in the days after your surgery. #### Things to Be Aware of After Your Revision Surgery It is imperative throughout the postoperative process that you follow the directions Dr. Ruff and Dr. Arsalan provides. Things to keep in mind during your recovery include: - The skin of your breasts may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance. - You may experience some numbness in the area of your surgery, but this generally goes away within 6 weeks of your surgery. #### How Long Will the Results of Your Implant Revision Surgery Last? **Revision surgery** provides long-lasting results; however, as your body ages, your breasts may sag or droop due to the natural effects of aging. It is possible to have your implants replaced in the future to maintain as youthful a figure as possible, but this is not a necessity. #### Risks of Breast Implant Revision Surgery As with all surgical procedures, there are risks associated with revision breast augmentation and breast implant removal. As with any surgery, you can help reduce these risks by closely following the instructions provided to you by the staff of West End Plastic Surgery. We will be with you every step of the way to ensure a safe and pleasing outcome. Possible side effects include: - Infection - Loss of nipple sensation - Breast sagging or loose skin - Scarring #### Can I Combine Other Procedures With My Breast Revision? If you are having your implants exchanged or removed, your surgeon may determine it’s safe to perform additional procedures during the same surgery such as [liposuction](/body/liposuction/) or a [tummy tuck](/body/tummy-tuck/). They will review your options with you in detail during your consultation. #### Will My Insurance Pay For My Breast Revision Surgery? In most cases, breast augmentation revision and breast implant removal are considered cosmetic procedures; therefore, these procedures are typically not covered by insurance. You are responsible for the full payment for your procedure. Cost and payment options will be discussed fully with you at your initial consultation. In a few cases where significant capsular contracture has caused breast distortion or severe pain, insurance may be provided. #### How Long After My Breast Augmentation Do I Need To Wait To Have Revision Surgery? We recommend waiting until you have fully healed from the surgery and your implants have settled, which takes about 6 to 9 months. If you are experiencing a complication such as bottoming out or capsular contracture, it may make sense to have surgery sooner. As board-certified plastic surgeons experienced in breast revision surgery, we will help you determine what can be accomplished with revision surgery and give you our opinion about the best timing and approach. #### Alternative to Breast Implant Removal If your breast implants have leaked or ruptured, there is no alternative for repairing them outside of removal and possible replacement. Unless other problems are occurring, there is no need to remove the implants. In some cases, revision without removal is possible for hardened implants. #### Patient Testimonial [Click Here To Read More Reviews](/testimonials/) #### Schedule a Consultation If you’d like to improve your breast augmentation results or you’re interested in *changing your implants*, [request a consultation](/consultation/) online or call us at [(202) 785-4187](tel:(202) 785-4187). West End Plastic Surgery serves Washington, D.C. and surrounding areas. --- ## Lip Lift **Link:** [Lip Lift](https://www.westendplasticsurgery.com/face/lip-lift/) ([md](https://www.westendplasticsurgery.com/face/lip-lift/index.html.md)) **Type:** Service **Description:** Lip lift surgery in Washington, D.C. Transform your smile with board certified plastic surgeons providing stunning lip lift results in Washington, D.C. ### Content #### What is a lip lift? A Lip Lift is a simple, in-office surgical procedure to elevate the upper lip. The upper lip gets longer with age and contributes to a droopy, tired appearance. In these patients, filler just weighs the lip down more and makes the problem worse! The lip lift can either shorten the distance between the nose and mouth to give a subtle, beautiful lift or it can increase the amount of “red show” for a lip that is naturally very thin. It can also be helpful in younger patients as well. This can be performed on its own or in conjunction with other procedures like a [Facelift](/face/facelift/), Eyelid Lift, etc. #### What are the benefits of a lip lift? There are multiple benefits to a properly performed lip lift procedure. As we age the upper lip tends to stretch and lengthen with gravity,much like other parts of your face. This usually results in the red part of the lip “rolling” inward which gives the appearance of thinning. Additionally, the upper lip falls downward and covers the upper teeth which can make the mouth appear older. By shortening the upper lip these changes are reversed and the midface takes on a *lifted* and more rejuvenated appearance. The increased “red show” also provides the lip with a permanent look of greater fullness, which is often desirable in young patients as well. #### What are the techniques of a lip lift? There are several techniques that have been used over the years to perform a lip lift. Original descriptions involve removing skin just above the lip, where the pink portion meets your skin. This can be done across the central part of the lip (the “cupid’s bow”), or at the corners depending on which parts need to be lifted. More modern techniques place the incision just under your nose, allowing the resultant scar to be less visible. A small strip of skin is removed and the area is carefully closed with sutures. The “modified” upper lip lift is the most advanced technique to date and includes more release of the lip and more stable suspension to create a longer-lasting natural result. #### Who is a good candidate for a lip lift? You may be a good candidate for a lip lift if you feel the distance between your nose and lip is too long, or that the upper lip is relatively thin. Often, patients who are good candidates for a lip lift may have had a bad experience previously with lip fillers, which made the lips appear heavy and long instead of plump and balanced. #### Before & After Photo Gallery We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. **These results are by Dr. Lexie Wang** [View Before & After Photo Gallery](/gallery/face/lip-lift/) #### Read what our patients are saying! #### How Much Does a Lip Lift Cost in Washington, D.C.? The cost of a Lip Lift starts at around $4,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### Lip Lift *Frequently Asked Questions* [Schedule a Consultation Today](/contact/) --- ## Renuvion | Face Treatment **Link:** [Renuvion | Face Treatment](https://www.westendplasticsurgery.com/laser-treatments/renuvion-face/) ([md](https://www.westendplasticsurgery.com/laser-treatments/renuvion-face/index.html.md)) **Type:** Service **Description:** Renuvion in Washington, D.C. Achieve smoother, tighter skin with advanced neck and chin skin tightening by experts in Washington, D.C. ### Content #### Renuvion Facial Treatments at West End Plastic Surgery Loose skin around the chin and neck can lower your confidence and make you self-conscious about your appearance. Whether due to aging, weight loss, or genetics, this delicate area is often difficult to tone with lifestyle changes alone. Renuvion, a revolutionary skin tightening [laser treatment](/laser-treatments/), offers a minimally invasive way to give you back your youthful, defined contour. At [West End Plastic Surgery](/about/), our compassionate team is dedicated to providing personalized care and advanced treatments to help you look and feel your best. #### What is Renuvion Face Tightening? Renuvion is the only device that is FDA-cleared for improving the appearance of loose skin on the neck and chin. Renuvion uses cold plasma energy under the skin which immediately causes the skin to tighten and improve skin elasticity- eliminating the “crepey” looking skin. This revolutionary, minimally invasive procedure can provide you with natural-looking results with minimal downtime. #### Real Patient Renuvion Results Want to see more of the incredible transformations our talented team of skilled surgeons, nurses, and aesthetic experts can achieve? Check out our gallery for more amazing before and after images! From surgical procedures to non-surgical treatments, our experts deliver stunning results that help our patients look and feel their best. Click the link to explore! #### Renuvion FDA Clearance Renuvion is **FDA-cleared** for the use in improving the appearance of lax skin on the neck and chin! With this clearance, **Renuvion is the only device that is FDA-cleared to improve the appearance of loose skin on the neck and chin.** Loss of jawline definition with age is inevitable and can add years to one’s appearance. Renuvion provides a minimally-invasive treatment with minimal downtime. The results reveal a more contoured and smoother neck and jawline. **Dr. Paul Ruff was the primary investor in this study which lead to the FDA approval. **[You can read more about it here](https://apyxmedical.com/apyx-medical-corporation-receives-fda-510k-clearance-for-the-use-of-renuvion-to-improve-appearance-of-lax-loose-skin/). Specifically, in the last twelve months, Apyx Medical (the manufacturer of Renuvion) has received** four FDA 510(k) clearances** for the use of their Renuvion handpieces in specific clinical indications, all of which are supported by substantial evidence demonstrating the safety of their products. [Request an Appointment](/contact/) #### What Is Plasma Energy? Cold plasma is created when helium gas is energized by radiofrequency energy and delivered through the device. Because Helium gas is very stable, it can be ionized at very low energy ensuring flexible, precise and safe delivery. Cold plasma is cooler than laser energy making Renuvion Face a safer procedure with less risk and damage to the tissue and affording patients a quick recovery. The level of improvement and rejuvenation from cold plasma energy is unrivaled in current technologies. No laser, ultrasound or radiofrequency treatment is capable of tightening and firming skin to this level. #### Renuvion Results by Dr. Lexie Wang: #### What Are The Benefits of Renuvion For The Face? - Immediate skin tightening - Improved skin elasticity - Eliminates crepey skin #### Who Is The Ideal Candidate For Renuvion Face Tightening? The Renuvion Face procedure can be used on men and women of all skin types and all age groups ranging from 30-somethings to 80-year-olds. It is ideal for those with mild to moderate sagging in the lower face, jawline, jowls, and neck. A [traditional facelift](/face/facelift/) is recommended for those with more advanced needs. Patients choose Renuvion because they want good improvement but don’t want the downtime, expense, and complications of traditional surgery. #### How Much Does Renuvion for Lower Face and Neck Cost in Washington, DC? The cost of Renuvion for the Lower Face and Neck starts at around $6,500. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How Does The Renuvion Face Procedure Work? Performed in-office and using local anesthesia, [Dr. Ruff](/about/team/dr-ruff/) starts the Renuvion face procedure with three tiny, hidden incisions under the chin and behind each ear. They will then use the device sub-dermally (under the skin) to deliver cold plasma, which instantly tightens, shrinks and rejuvenates skin from the inside out. Results are immediate and continue to improve as your body continues to heal. #### What Is Recovery Like After Renuvion Face Tightening? The Renuvion face procedure takes about an hour and patients can expect initial tightness in the treated area. Pain is minimal and can be minimal with an over-the-counter pain reliever. Patients wear a facial compression garment for the first 72-hours. Mild swelling and bruising can take one to two weeks to resolve. Most patients are able to resume normal activities three to five days post-procedure. #### What Happens During A Renuvion Consultation? During your extensive consultation, [Dr. Ruff](/about/team/dr-ruff/) will evaluate your facial and neck structure, your skin elasticity, and your underlying muscle tone. They will thoroughly explain each technique along with its risks, benefits, and recovery times. You will describe in detail how you want your face and neck to look after your procedure. #### Renuvion Results by Dr. Paul Ruff: #### Renuvion Facial Treatment *Frequently Asked Questions* --- ## Earlobe Repair Reduction **Link:** [Earlobe Repair Reduction](https://www.westendplasticsurgery.com/face/earlobe-repair/) ([md](https://www.westendplasticsurgery.com/face/earlobe-repair/index.html.md)) **Type:** Service **Description:** Earlobe repair in Washington, D.C. Revitalize your earlobes with board certified plastic surgeons providing stunning ear lobe repair and reduction results in DC. ### Content #### What is earlobe repair and reduction? Earlobe repair is a simple, in-office procedure to re-shape the lowest portion of your ear. The procedure can be performed for various reasons but is most commonly done to repair a stretched ear piercing that has enlarged over time. It can also be used to repair an earlobe that’s been completely torn through from an accidental earring tug. Additionally, earlobe reduction is a slightly different technique used to trim long or hanging earlobes that are often present in more mature ears. #### Who is a Candidate for Earlobe Repair or Reduction? You may be interested in earlobe repair or reduction if your earlobes are one of the first things you notice about your appearance. Usually, people notice their earlobes because they are detracting or distracting from other facial features. This may be due to a tear or injury or elongation caused by years of wearing heavy earrings. Some people simply have elongated or misshapen earlobes that they would like to correct. If you find the appearance of your ears unsatisfactory because of your earlobes, repair or reduction may be a great choice for you. This minimally-invasive procedure is ideal for healthy adults who can manage a brief recovery period during which they may need to apply a little extra care to their skin. We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do. **After years of wearing gauges, our patient opted for Earlobe Repair with **[**Dr. Wang**](/about/team/lexie-wang-md/)**. This procedure restored her earlobe and now has allowed her to wear regular earrings again** #### How Much Does Earlobe Repair/Reduction Cost in Washington, DC? The cost of Earlobe Repair/Reduction starts at around $2,000. The price will vary depending on the extent of treatment necessary to deliver your desired results. During your consultation, our surgeons will assess your cosmetic goals and develop a treatment plan tailored to meet them. The starting price is provided for your convenience, and it is important to note that it does not encompass facility or anesthesia fees. The comprehensive cost, inclusive of all potential fees, will be confirmed during your visit. We also offer financing options, including [CareCredit® ](https://www.carecredit.com/)and [PatientFi®](https://patientfi.com/), to help you with the cost of your cosmetic surgery. #### How is an earlobe repair performed? The earlobe is marked as necessary with a skin marker to confirm the surgical plan. This is followed by injection of numbing medicine and a cleansing of the ear. If necessary, the old piercing scar is removed to permit proper closure. The extra earlobe skin is gently and carefully trimmed away and then the earlobe is closed with sutures. These sutures are either dissolvable or will be removed about 1 week later. Topical antibiotic ointment is applied to the sutures twice daily for the week. No other medications are necessary. #### Earlobe Repair & Reduction *Frequently Asked Questions* --- ## NeoGraft **Link:** [NeoGraft](https://www.westendplasticsurgery.com/hair-restoration/neograft/) ([md](https://www.westendplasticsurgery.com/hair-restoration/neograft/index.html.md)) **Type:** Service **Description:** Neograft hair restoration in Washington, D.C. Safe, effective, and natural results for a fuller, healthier hairline at West End Plastic Surgery. ### Content #### The Future of Hair Restoration in the Heart of D.C. *NeoGraft Hair Restoration at West End Plastic Surgery* When your hair starts thinning, it can feel like you’re losing more than just strands. It can feel like you’re losing part of yourself. Whether you’re noticing a receding hairline or years of gradual thinning, NeoGraft offers a precise and personalized solution. Unlike older hair transplantation methods, this minimally invasive procedure delivers natural-looking results without a visible linear scar. The board-certified plastic surgeons of the West End Hair Restoration Center offer one of the most advanced hair restoration systems in the hair transplant industry. Combining cosmetic artistry with advanced technology, we create a natural-looking hairline that blends seamlessly with your existing hair, yielding superior results for male and female patients alike. Schedule a consultation to discover how NeoGraft can restore your hair, and your confidence. #### Neograft at a Glance - **Advanced Technology** - Our automated FUE system uses precise pressure control to ensure high-quality grafts - **No Linear Scar **- Automated follicular unit extraction (FUE) preserves the donor site and avoids stitches - **Natural-Looking Results** - Healthy hair follicles grow in naturally to restore fullness - **Minimal Discomfort** - Local anesthesia and suction-assisted follicular extraction minimize discomfort and downtime - **Fast Patient Recovery** - Many patients return to routine activities within days of their NeoGraft procedure #### What Makes NeoGraft Different *What Is NeoGraft?* Hair transplantation involves harvesting donor hair follicles from an area with healthy hair growth and transplanting them to areas experiencing thinning. In the follicular unit extraction method (FUE), the surgeon harvests individual hair follicles, as opposed to the traditional strip method of extracting a section of follicles together. FUE ensures precise follicle placement and avoids creating a linear scar. NeoGraft is the first automated FUE system, using suction-assisted follicular extraction to harvest healthy hair follicles from the donor site. This advanced technology results in a higher rate of graft survival and more natural-looking outcomes compared to other hair restoration procedures. NeoGraft hair transplantation also ensures the most comfortable possible treatment while yielding superior patient outcomes. #### Minimally Invasive. Maximally Precise. *What is the NeoGraft Hair Transplant Procedure Like?* Your NeoGraft journey begins with a thorough evaluation of your hair loss pattern, potential donor areas, and goals. Your provider will walk you through the procedure, create a personalized treatment plan, and help you understand the results you can expect. On the day of your NeoGraft hair transplant, local anesthesia is applied to keep you comfortable. Using the NeoGraft device, our providers extract healthy hair follicles with precise pressure control. This technology minimizes bulb trauma to the harvested follicles, ensuring a high graft count. In other words, NeoGraft helps the maximum number of donor grafts survive the transplantation process and become established in the treatment area. Your provider will implant these grafts into areas with thinning or balding to create a natural-looking hairline. When the procedure is complete, you will return home the same day with clear aftercare instructions to ensure the best outcome. #### Solutions for Men and Women *What Conditions Does NeoGraft Address?* NeoGraft is designed to address hair loss in both male and female patients, including: - A receding hairline - Thinning at the crown - Patchy or thinning facial hair - Overplucked eyebrows - Scarring alopecia (select cases) By combining implantation technology with high-quality grafts, NeoGraft offers superior clinical results without visible scarring. #### Grow Your Confidence *What Are the Benefits of NeoGraft Hair Restoration?* NeoGraft is the gold standard of hair restoration methods. Benefits of NeoGraft include: #### Designed for You *Am I a Candidate for NeoGraft?* Candidates for a NeoGraft hair transplant need to have healthy donor hair at the back or sides of the scalp. The procedure is ideal for male and female patients with mild to moderate hair loss. During your consultation, our experienced providers will learn about your goals, evaluate the donor site, and design a plan tailored to your hair restoration goals. [Schedule Your Consultation](/contact/) #### Caring for Your New Hair *NeoGraft Recovery* Most patients experience only minimal discomfort during recovery and can return to light activities within two to three days. Some redness, swelling, or small scabs may appear in the treated areas but usually resolve within a week. It's important to know that the newly transplanted grafts will typically shed within the first 2–3 weeks. This is a normal and expected part of the hair growth cycle. Once the follicles are settled into place, new hair will begin to grow around the 3–4 month mark. During the first few days, we recommend using a gentle, non-stripping shampoo and avoiding direct pressure on the scalp. Instead of traditional washing, patients are advised to gently rinse and pat the area. Following your provider’s post-procedure care instructions is essential to supporting optimal graft survival. Your provider will check your healing at follow-up appointments and remain fully available should you have any questions or concerns during recovery. #### Feel Like You Again *NeoGraft Results* Patients typically begin to see new hair growth around 3 to 4 months after their NeoGraft procedure. Visible improvements continue over the following months, with full results usually developing by the 12-month mark. Because the transplanted hair follicles are your own, the new growth blends seamlessly with your existing hair, and it’s permanent. But the transformation goes beyond the mirror. Many of our patients say they feel more confident in photos, less self-conscious in social settings, and more comfortable with shorter hairstyles or wearing their hair pulled back. For some, it’s the freedom to stop covering up with hats. For others, it’s the relief of not worrying about camera angles or thinning spots. Whether subtle or significant, the change is deeply personal. Advanced Techniques Meet High-Touch Care. #### Why Choose West End Plastic Surgery for NeoGraft? At West End Plastic Surgery, we offer hair transplants using one of the most advanced hair restoration systems available. Our board-certified plastic surgeon and experienced providers use the latest implantation technology to deliver superior patient outcomes. Located in Washington, D.C., our practice offers a discreet, luxury environment where every patient receives personalized attention and expert care designed around their needs. Call our helpful team at [(202) 785-4187](tel:(202) 785-4187) or schedule your consultation [online](/contact/) to get started today! #### NeoGraft *Frequently Asked Questions* --- ## NeoGraft For Men **Link:** [NeoGraft For Men](https://www.westendplasticsurgery.com/hair-restoration/male-hair-transplant/) ([md](https://www.westendplasticsurgery.com/hair-restoration/male-hair-transplant/index.html.md)) **Type:** Service **Description:** Restore natural hair growth with NeoGraft for men at West End Plastic Surgery in Washington, D.C. ### Content #### Your Hair. Your Confidence. Restored. *NeoGraft at West End Plastic Surgery* Hair loss is one of the most common concerns men face, affecting confidence at work, socially, and personally. While thinning hair or a receding hairline may feel inevitable, today’s technology offers natural, lasting solutions. NeoGraft is an advanced hair restoration procedure that uses **FUE (Follicular Unit Extraction)** to harvest and transplant your own hair follicles with precision. The result is thicker, fuller hair without the visible scars or downtime of older methods. At West End Plastic Surgery, our team specializes in delivering results that look natural, masculine, and tailored to you. #### NeoGraft at a Glance - **Minimally Invasive** – No scalpels, stitches, or linear scars - **Natural Growth** – Uses your own follicles for authentic results - **Quick Recovery** – Most men return to normal activity in a few days - **Permanent Solution** – Transplanted follicles continue growing for life - **Custom Design** – Hairlines crafted for natural, masculine balance #### Precision Technology. Natural Growth. *What Is NeoGraft?* NeoGraft is a state-of-the-art hair restoration system that automates the FUE process, making it faster, more consistent, and less invasive. Instead of removing a strip of scalp (as with traditional methods), NeoGraft extracts individual follicles from the back or sides of the head. These follicles are then transplanted into thinning or balding areas where they continue to grow naturally. With no stitches or large incisions, recovery is quicker, and scarring is virtually undetectable—even with short haircuts. #### A Modern Approach to Hair Restoration *What Is the NeoGraft Procedure Like?* NeoGraft is performed under local anesthesia in our Washington, D.C. office. The process includes: - **Harvesting** – The NeoGraft device gently extracts follicular units one by one. - **Preparation** – Each graft is preserved to ensure survival. - **Placement** – Follicles are implanted in thinning areas following your personalized hairline design. The procedure typically takes 4–8 hours, depending on the number of grafts. Most men spend the session relaxing, watching shows, or listening to music. #### Solutions for Every Stage of Hair Loss *What Conditions Does NeoGraft Address?* NeoGraft offers an effective solution for various hair loss concerns. Here are the conditions it can address: - Receding hairline or widow’s peak - Thinning crown or temples - General hair density loss - Scars from previous hair transplants or injuries - Beard or mustache hair restoration #### Permanent Results. Masculine Confidence. *What Are the Benefits of NeoGraft?* Men choose NeoGraft at West End Plastic Surgery to: #### Is This the Right Choice for You? *Am I a Candidate for NeoGraft?* You may be a good candidate if you are: - Experiencing thinning or balding, but have sufficient donor hair on the back or sides of your head - Seeking a minimally invasive option without visible scarring - In good overall health with realistic expectations - Interested in a permanent solution to restore natural hair growth During your consultation, our team will evaluate your hair loss pattern, donor availability, and long-term goals to design a customized plan. #### Fast Recovery. Lasting Growth. *NeoGraft Recovery* Recovery is typically fast. Most men return to non-strenuous work within one to two days. Some swelling, redness, or scabbing may occur in the donor and transplant areas for about a week. Transplanted hairs usually shed in the first month—a normal part of the cycle—before new growth begins in 3–4 months. Final results are visible within 9–12 months. #### Your Hair. Your Confidence. Restored. *NeoGraft Results* NeoGraft delivers permanent, natural results. Because transplanted follicles are resistant to thinning, they continue to grow for life. Patients notice thickening over the first year, with results that look natural even up close. Whether you’re restoring a receding hairline or filling in thinning areas, the outcome is fuller, stronger hair that enhances your overall appearance. #### Advanced Technology. Expert Care. *Why Choose West End Plastic Surgery for NeoGraft?* At West End Plastic Surgery, we combine cutting-edge hair restoration technology with the expertise of a board-certified team. Our approach prioritizes natural, masculine results that align with your age, features, and goals. With precision, artistry, and a supportive environment, we help men restore not just their hair, but their confidence. #### NeoGraft for Men *Frequently Asked Questions* --- ## Brow & Lash Treatments **Link:** [Brow & Lash Treatments](https://www.westendplasticsurgery.com/aesthetic-services/brow-lash-treatments/) ([md](https://www.westendplasticsurgery.com/aesthetic-services/brow-lash-treatments/index.html.md)) **Type:** Service **Description:** Brow and eyelash treatments in Washington, D.C. Update your look with eyebrow & eyelash tinting, styling and lift in Washington, D.C. ### Content #### Brow & Lash Treatments at West End Plastic Surgery To ensure that your visit to West End Plastic Surgery meets your every need, we are now offering Brow and Lash Treatments. **Brow styling**: Your brows define your face and should be shaped properly. With a brow styling one of [our estheticians](/about/team/) will either wax or tweeze your brows and clean up the shape to fit you. **Brow tint**: Brow tinting uses vegetable dye to enhance the color of your brows. The benefits are immediate. Tint starts to fade in 2 weeks and needs to be redone after 4 weeks. **Lash tint**: Perfect for enhancing light colored lashes. Using vegetable dye we make your lashes pop with color. Most patients opt for the blue black or black dye to really have their eye lashes stand out. Tinting gives the eyes definition and lets you go without mascara. Lash tints last about 4 weeks until eyelashes fall out and are replaced by new ones. #### Meet with a Brow and Lash Specialist To schedule a consultation or make an appointment with an **Eyebrow and Eyelash Styling specialist**, please call us at [(202) 785-4187](tel:(202) 785-4187) or fill out an [online contact form](/contact/) and our office will be in touch with you. Thank you for choosing [West End Plastic Surgery](/about/) in Washington, D.C.! [Request A Consultation](/consultation/) --- ## Physiq **Link:** [Physiq](https://www.westendplasticsurgery.com/body-contouring/physiq/) ([md](https://www.westendplasticsurgery.com/body-contouring/physiq/index.html.md)) **Type:** Service **Description:** PHYSIQ body contouring in Washington, D.C. Combine heat and energy to reduce fat and tone muscle with PHYSIQ body contouring in Washington, D.C. ### Content #### PHYSIQ at West End Plastic Surgery **PHYSIQ** is the most effective, non-invasive body contouring treatment. It's FDA-approved to *treat FAT AND MUSCLE in the same session*! PHYSIQ body contouring combines heat and energy to reduce fat and tone muscle. PHYSIQ is the perfect treatment for ALL bodies and skin types. It has 4 applicators containing Electrical Muscle Stimulation (EMS) and Super-Luminscent Diode Matrix (SDM) technology with the optimal wavelength. This allows for multiple areas to be treated simultaneously for faster treatments. PHYSIQ is the latest, most advanced body treatment technology from the leading Italian laser manufacturer, DEKA. PHYSIQ delivers heat and energy to the targeted area for optimal results without downtime. [Schedule Your Consultation](/consultation/) #### How Does PHYSIQ Work? **PHYSIQ** harnesses a revolutionary combination of radiofrequency (RF) energy and electrical muscle stimulation to target and treat specific areas of the body. Here’s how it works: - **Radiofrequency Energy**: PHYSIQ uses RF energy to heat the deeper layers of your skin, stimulating collagen production and promoting skin tightening. This results in a smoother, firmer appearance. - **Electrical Muscle Stimulation**: Simultaneously, the treatment applies electrical muscle stimulation to contract and strengthen your muscles, enhancing muscle tone and definition. - **Targeted Treatment**: The technology is precisely applied to areas like the thighs, arms, and abdomen, focusing on reducing fat deposits and improving overall body contours. #### What are the Benefits of PHYSIQ? #### What Areas Can I Treat with PHYSIQ? It takes just a few short office visits to see significantly rewarding changes in your shape. **Physiq can be applied to multiple treatment areas in one session**. Common treatment areas include: - Abdomen - Flanks - Chest - Arms - Lower back - Buttocks - Thighs #### Why Choose PHYSIQ? **PHYSIQ is perfect for those seeking a non-invasive solution to body contouring**. With its advanced technology and proven results, you can enjoy a toned, youthful appearance without the gym or surgery. - **Effective Body Toning**: Achieve a more defined and sculpted physique with enhanced muscle tone and strength. - **Skin Tightening**: Experience firmer, smoother skin through advanced collagen stimulation. - **Fat Reduction**: Say goodbye to stubborn fat with targeted fat reduction for a sleeker silhouette. - **Non-surgical**: Enjoy all the benefits of body contouring without the need for surgery, incisions, or downtime. - **Comfort and Convenience**: The treatment is comfortable, with minimal discomfort and no recovery time required. You can resume your daily activities right away. #### What should I expect before, during and after PHYSIQ? When you arrive for your **Washington, DC PHYSIQ appointment**, we will make you comfortable in your treatment room. Your provider will apply thin sheeting over the skin in the treatment area, and then set the applicators into place over the fabric. The applicators are held in place with comfortable straps. While you sit back and relax for thirty minutes, the Physiq device will deliver *body-sculpting energy* to all the right places. After your treatment, it is important to massage the area with the *PHYSIQ body lotion* that was designed to complement your body treatment. One bottle of the PHYSIQ body lotion will allow you to continue this massage, twice daily, between treatments. The area may feel warm for a few hours post-treatment. #### What Makes PHYSIQ a Virtually Pain-Free Treatment? The Physiq device is designed to help you step up your appearance using STEP technology. This combination of Sequential Thermal and Electrical Pulses stimulates fat and muscle tissue simultaneously, quickly, and safely. Each of the Physiq applicators can deliver powerful electrical muscle stimulation to the deep muscle tissue. This works to retrain the muscle in a far more superior fashion than your average workout! *This technology quickly achieves the desired therapeutic temperature for fat reduction*, as well. At the same time, the super-luminescent diode matrix (SDM) cools the skin's surface to prevent overheating and uncomfortable energy spikes. The Physiq treatment is virtually painless because the skin's temperature is maintained while the active thermal energy permeates deeper layers of tissue. Finally, you have literal control and the power to quickly adjust the amount of energy the device sends through your treatment applicators. This allows you to immediately fine-tune your treatment. #### When Will Results Be Noticed? **The Physiq treatment stimulates muscle toning and fat reduction**. These processes take time to achieve noticeable effects, just like a healthy lifestyle does. That said, Physiq speeds up body contouring by delivering ultra-fast, ultra-deep energy to both fat and muscle. You may begin to notice subtle changes right away, even after your first treatment. However, we anticipate that your most rewarding improvements will occur weeks after you have started your sculpting treatment program. This is similar to both surgical and non-surgical body contouring treatments but without any downtime whatsoever. #### Before & After PHYSIQ #### How long is a single Washington, DC PHYSIQ treatment? *Can I treat more than one area in a single session?* **A single PHYSIQ treatment with all four applicators runs for a maximum of 30 minutes**. Smaller areas may take less time. PHYSIQ has four applicators which may be used in sets of two on multiple areas in one single session. A maximum of three areas may be treated in one day. #### Are There Any Risks with PHYSIQ? This *body contouring* device has been designed for speed, efficacy, comfort, and safety. Having a built-in cooling mechanism that prevents heat spikes in the skin, **the Physiq treatment process carries very little risk**. Your provider also places customized sheeting between your skin and each applicator. This is done to maximize the efficiency of the direction of energy through the skin to the target layers of tissue (fat and muscle). Other than a sensation of warmth that can last a few hours after treatment, it is unlikely that you will experience any other side effects. This is one of the most significant advantages of this advanced technology! #### Schedule a PHYSIQ Body Contouring Consultation For more information about **PHYSIQ Body Sculpting treatments** we offer at West End Plastic Surgery in Washington, D.C., please call us at [(202) 785-4187](tel:(202) 785-4187) or fill out a [consultation request form](/consultation/) from our contact page. Thank you for choosing West End Plastic Surgery, we look forward to hearing from you! [Request A Consultation](/consultation/) --- ## Lymphatic Drainage Massage **Link:** [Lymphatic Drainage Massage](https://www.westendplasticsurgery.com/body-contouring/lymphatic-drainage-massage/) ([md](https://www.westendplasticsurgery.com/body-contouring/lymphatic-drainage-massage/index.html.md)) **Type:** Service **Description:** Lymphatic drainage massage in Washington, D.C. Reduce swelling, relieve pain, improve skin appearance and more with lymphatic drain massage in Washington, D.C. ### Content #### Lymphatic Drainage Massage at West End Plastic Surgery **Lymphatic drainage massage** is a therapeutic technique designed to *stimulate the lymphatic system*, which is a key part of the body's immune system. It involves gentle, rhythmic strokes and movements that aim to encourage the flow of lymph fluid through the lymphatic vessels and nodes. The lymphatic system helps remove waste, toxins, and excess fluids from the body tissues. At West End Plastic Surgery, we use a combination of manual lymphatic drainage, ultrasound, radio frequency, and wood therapy to achieve maximum results. During a *lymphatic drainage massage session*, our trained therapist, [Sheena Craig](/about/team/sheena-craig/), applies light pressure in specific directions along the body's lymphatic pathways. This gentle pressure helps to clear blockages or congestion within the lymphatic system, allowing lymph fluid to flow more freely. As a result, the body can better eliminate toxins and excess fluid, leading to potential benefits such as reduced swelling, improved immune function, and detoxification. #### Who Benefits from a Lymphatic Drainage Massage Lymphatic drainage massage can be recommended for various conditions, including lymphedema (*swelling due to lymph fluid buildup*), detoxification, post-surgery recovery (especially after procedures that result in swelling and fluid retention), and to support overall immune system function. Additionally, some people **use lymphatic drainage massage for relaxation and stress relief**. #### Benefits of Lymphatic Drainage Massage After Plastic Surgery *Lymphatic drainage massage can offer several benefits after plastic surgery*. Plastic surgery procedures, such as [liposuction](/body/liposuction/) or [tummy tuck](/body/tummy-tuck/), can lead to swelling, bruising, and fluid retention. **Lymphatic massage** stimulates the lymphatic system, which helps the body eliminate toxins, excess fluid, and waste products more efficiently. #### Lymphatic Drainage Massage Patient Testimonial --- ## CoolSculpting **Link:** [CoolSculpting](https://www.westendplasticsurgery.com/body-contouring/coolsculpting/) ([md](https://www.westendplasticsurgery.com/body-contouring/coolsculpting/index.html.md)) **Type:** Service **Description:** Washington, D.C. CoolSculpting. Freeze the fat away with this pain-free nonsurgical, noninvasive fat-reduction treatment option at West End Plastic Surgery. ### Content #### Every Treatment is Customized to Meet Your Goals **CoolSculpting** is a nonsurgical, noninvasive fat-reduction treatment that originated with a novel discovery. In 1970, a study published in the New England Journal of Medicine revealed that fat cells in the cheeks died when one frequently sucked on frozen popsicles. This discovery went largely unaccounted for until, many years later, doctors revisited the idea and named it cryolipolysis. In 2010, the research and development into cryolipolysis culminated in the FDA approval of the CoolSculpting device. CoolSculpting uses freezing temperatures to break down fat cells without affecting the skin or surrounding tissue. *Get rid of stubborn fat for good*. CoolSculpting is the treatment doctors use most for non-surgical fat reduction. CoolSculpting freezes fat cells and naturally eliminates them. It’s FDA cleared for 9 areas of the body. CoolSculpting is designed to help you achieve your body contouring goals—with no surgery and little to no downtime. During your consultation, you will discuss what areas you'd like to treat and your body contouring goals. Our CoolSculpting Specialist, Sheena Craig, will assess if you’re a candidate for treatment and develop your personalized treatment plan. Personalized treatment plans include how many **Washington, DC CoolSculpting treatment sessions** you’ll need to see your desired result. A treatment session is each time you come in for a treatment appointment with Sheena. Each session may include multiple CoolSculpting treatments. For many patients, two or more treatment sessions are recommended to reach their body contouring goals. [Request A Consultation](/consultation/) #### Our CoolSculpting Before & Afters: #### Sheena Craig- Our CoolSculpting & Body Contouring Specialist [Sheena Craig](/about/team/sheena-craig/) is our CoolSculpting & Body Contouring Specialist at West End Plastic Surgery. With a love for building patient relationships, she strives to understand your cosmetic goals so she can develop a personalized plan to help you achieve them. With over 12 years of experience within the cosmetic industry, Sheena came to West End Plastic Surgery excited to learn and grow her role into direct patient care as a licensed CoolSculpting Specialist. After experiencing postpartum complications, she became hyper-focused on her own body image and sought out treatment from [Dr. Ruff](/about/team/dr-ruff/). She was able to get back to feeling as good about herself as she did prior to having her son. Her desire is to provide her patients with the same level of care she received so they can look and feel their best. #### How does CoolSculpting work? Cryolipolysis works by sucking body tissue up into an applicator of two cooling panels. These panels expose fat cells to extremely cold temperatures. This could be likened to the way a child may such their cheeks in when eating a popsicle. By exposing fat cells to freezing temperatures, **CoolSculpting** targets them for destruction. Fat cells grow crystals and die off over two to three months. The body’s immune system then picks up the destroyed cells and evacuates them through the lymph system. Studies have shown that this fat-reduction method can reduce from 18 to 25% of fat from an area in one treatment. #### How long does CoolSculpting take? **A CoolSculpting treatment typically takes as little as 35-75 minutes**, depending on the area treated, with treatment sessions lasting 1-3 hours on average. For most patients, two or more treatment sessions are recommended to help them reach their body contouring goals. #### What should I expect after CoolSculpting treatment? There is typically **no downtime needed to recover after CoolSculpting**. Patients may experience stinging, tingling, and cramping in the treatment area. Nausea may also occur. These normal side effects start to diminish right away. However, numbness that affects the treatment site can last up to three weeks, resolving gradually up to that point. #### When will I see CoolSculpting results? It takes *a few weeks after fat freezing treatment* for crystals to form in fat cells and for those fat cells to be targeted by the immune system. Patients may begin to see a change in contour as early as two weeks after their treatment. Improvements continue to improve for up to 12 weeks. #### How many CoolSculpting treatments are necessary? The results of a single **CoolSculpting session** can reduce fat in the treatment area by up to 25%. The full extent of fat-reduction is typically not seen for 3 to 4 months. However, we can estimate how many treatments you may need by consulting with you about your goals and evaluating the amount of subcutaneous fat you have in the area you wish to target. We have treated many people using CoolSculpting and have the necessary experience to assist you in getting the sculpted body you want. #### What are the risks of CoolSculpting? Being a nonsurgical, noninvasive treatment, **CoolSculpting enjoys a high success rate coupled with minimal risk**. The most common side effects are lingering numbness and tingling in the treatment area. These sensations can be prolonged in some patients. Though uncommon, there is also a risk of fat cells growing, rather than shrinking, in response to freezing temperature. This condition can be corrected with liposuction. #### CoolSculpting vs. Diet and Exercise Many people mistakenly believe that cryolipolysis is a weight loss solution. There is no evidence to suggest this is remotely true. Cryolipolysis is intended for cosmetic improvement. A CoolSculpting treatment can achieve visible improvements but does not offer any positive health benefits. This is because treatment removes only subcutaneous fat, not the visceral fat that is associated with health concerns such as insulin resistance and high cholesterol. What **Washington, DC CoolSculpting** can do is expedite the elimination of unwanted fat in problem areas that do not respond as expected to healthy lifestyle habits. CoolSculpting, diet, and exercise go together to create the best chance at improving body contours. #### CoolSculpting vs. Liposuction Before *fat freezing therapy*, [liposuction](/body/liposuction/) was the primary method of fat-reduction available. The results that are achieved with **CoolSculpting and liposuction are similar**. Both treatments can permanently eliminate stubborn fat from various parts of the body. Neither is intended for weight loss. Likewise, neither can improve the appearance of loose skin or cellulite. Where CoolSculpting stimulates the natural elimination of fat, liposuction extracts fat through a small tube. This technique requires patients to receive some form of anesthesia, either local or general. Being a surgical procedure, liposuction generally incurs a recovery period of at least a few days. Patients experience bruising and swelling but can also see improvement relatively quickly. Because CoolSculpting does not involve incisions or the insertion of a surgical instrument beneath the skin, bruising and swelling are very uncommon. However, it does take several weeks to see appreciable improvements. Both CoolSculpting and liposuction are considered very safe. #### Schedule Your CoolSculpting Consultation Today! [Request A Consultation](/consultation/) --- ## Ballancer Pro **Link:** [Ballancer Pro](https://www.westendplasticsurgery.com/body-contouring/ballancer-pro-in-washington-d-c/) ([md](https://www.westendplasticsurgery.com/body-contouring/ballancer-pro-in-washington-d-c/index.html.md)) **Type:** Service **Description:** Ballancer Pro in Washington, D.C. Offering advanced lymphatic drainage with board certified plastic surgeon in Washington, D.C. ### Content #### Lymphatic Drainage Meets Modern Wellness At West End Plastic Surgery, we’re proud to offer the **Ballancer® Pro - **a cutting-edge, FDA-cleared compression therapy system designed to enhance recovery, reduce swelling, and promote full-body wellness. This non-invasive treatment is a favorite among post-surgical patients, athletes, and individuals looking to reduce inflammation, improve circulation, and support overall body sculpting in a natural, gentle way. #### What Is Ballancer® Pro? Ballancer® Pro is a *state-of-the-art lymphatic drainage system* that uses gentle, rhythmic compression to stimulate your body’s natural detoxification processes. Often referred to as a “lymphatic massage suit,” the treatment is delivered through specialized pants or jackets that inflate and deflate in carefully sequenced patterns, guiding lymphatic fluid toward the body’s natural elimination pathways. Originally developed for medical use in Europe, **Ballancer® Pro** is now widely recognized for its powerful aesthetic and wellness benefits. #### How Balancer Pro Works *Lymphatic Drainage Meets Modern Wellness* At West End Plastic Surgery, we’re proud to offer the **Ballancer® Pro.** A cutting-edge, FDA-cleared compression therapy system designed to enhance recovery, reduce swelling, and promote full-body wellness. This non-invasive treatment is a favorite among post-surgical patients, athletes, and individuals looking to reduce inflammation, improve circulation, and support overall body sculpting in a natural, gentle way. #### Benefits of Ballancer® Pro #### Who Can Benefit from Balancer Pro This treatment is well-suited for a variety of needs, including: - Post-surgical recovery - Maintenance after body contouring procedures - Athletes seeking muscular recovery - Clients with sluggish circulation or fluid buildup - Anyone interested in boosting lymphatic health and reducing inflammation #### How Balancer Pro is Used **Each session typically lasts 20–40 minutes** and takes place in a quiet, comfortable treatment room. While you relax, the device performs a series of gentle compressions that mimic manual lymphatic massage. Ballancer® Pro can be scheduled as a stand-alone treatment or performed during other aesthetic services - such as [facials](/aesthetic-services/facials/) or [LED light therapy](/aesthetic-services/led-lights/) - for enhanced wellness and more efficient time in the treatment room. #### Schedule Your Appointment **Ballancer® Pro** is an excellent addition to any recovery or wellness plan. To learn more or schedule your session, contact our office today. [Schedule Your Balancer Pro Session](/consultation/) --- ## Lipo 360 **Link:** [Lipo 360](https://www.westendplasticsurgery.com/body/lipo-360/) ([md](https://www.westendplasticsurgery.com/body/lipo-360/index.html.md)) **Type:** Service **Description:** Washington, D.C. Lipo 360 removes excess fat around the entire torso for balanced, natural contours with a single recovery period. Contact West End Plastic Surgery. ### Content #### Redefine Your Waistline With Full-Circle Contouring *360-Degree Liposuction at West End Plastic Surgery* Sometimes diet and exercise aren’t enough to remove stubborn fat from the midsection. Traditional liposuction may target just one area, but 360 liposuction (**Lipo 360**) is different. It treats the entire torso, including the upper and lower abdomen, waist, flanks, and back, to create natural curves and a more balanced appearance. At West End Plastic Surgery, our board-certified surgeons perform *VASER 360 liposuction*, an ultrasound-assisted technique that emulsifies fat for precise removal and smooth, natural curves. #### Lipo 360 at a Glance - **Comprehensive Contouring - **Targets multiple areas at once for full-torso reshaping - **Refined Precision - **VASER ultrasound helps loosen fat for smoother sculpting. - **Minimal Scarring - **Uses small incisions to minimize visible scarring - **Single Recovery Period - **Multiple areas treated at once for optimal results - **Outpatient Procedure -** Typically performed under general anesthesia or local anesthetic #### Reshape More Than Just Your Abdomen *What is Lipo 360?* *360 liposuction* is a body contouring surgery that removes excess fat around the entire torso, not just the stomach. **VASER** (ultrasound-assisted liposuction) helps break up targeted fat while preserving surrounding tissues. This enhanced body contouring method addresses the upper and lower abdomen, flanks, hips, and back in a full circle for a proportionate appearance. Lipo 360 is not a weight loss procedure. It is best suited for patients who are at or near their ideal body weight and want to target unwanted fat deposits that are resistant to diet and exercise. When paired with other cosmetic procedures such as a [tummy tuck](/body/tummy-tuck/) or [Brazilian butt lift](/body/brazilian-butt-lift/), it can further enhance results. #### Precision Treatment. Balanced Results. *What is the Lipo 360 Procedure Like?* **Washington, D.C. Lipo 360** is performed as an outpatient surgical procedure at our state-of-the-art Washington, D.C., facility. - **Anesthesia:** Many patients do well with **local anesthesia and deep sedation**. General anesthesia may be recommended based on your plan and comfort. - **Incisions:** Your provider makes a series of small, strategically placed incisions. - **Tumescent Infiltration:** A saline solution is introduced to numb the area and reduce bleeding. #### A 360-Degree Approach to Sculpting *What Areas Does Lipo 360 Treat?* - **Upper and Lower Abdomen** – Removes abdominal fat and smooths the stomach area - **Waist and Flanks** – Eliminates “love handles” for a slimmer waistline - **Back** – Reduces back fat for a smoother, more balanced look - **Lower Abdomen and Hips** – Complete circumferential shaping for natural curves When combined with other procedures like a [tummy tuck](/body/tummy-tuck/), the results of **Lipo 360** can be even more transformative. #### What to Know Before Saying Yes *Am I a Candidate for 360 Liposuction?* This is not a weight loss procedure. Patients with significant loose skin may benefit from combining liposuction with skin removal surgery, such as a tummy tuck. You may be an **ideal candidate for 360 liposuction** if you: #### Smooth Contours.Lasting Confidence. *What are the Benefits of Lipo 360?* Patients choose **VASER 360** for comprehensive shaping with attention to detail. Ultrasound assistance helps loosen fat for precise removal and even contours. Because fat cells are removed, improvements can be long-lasting with a stable weight. Many patients notice a smoother torso, a defined waistline, and better fit in clothing and swimwear. #### The Path to a Smooth Recovery *360 Lipo Recovery* Recovery time varies depending on the areas treated and the amount of fat removed. **Most VASER 360 liposuction procedures are outpatient**. You will need a ride home and support on the first day. Patients may experience some bruising, tenderness, or mild to moderate pain, which is managed with medication. A compression garment is worn for several weeks to reduce swelling. #### Stunning Contour Revealed *360 Lipo Results* Results from circumferential liposuction are visible within weeks, with further improvement as swelling subsides. Because fat cells are permanently removed, **360 Lipo results are long-lasting** when paired with a healthy lifestyle and stable weight. Patients will see a smoother, firmer, more balanced torso, defined waistline, and more proportionate natural contours. Many people report feeling more confident in clothing and swimwear, enjoying a more youthful, proportional appearance. #### Expertise. Artistry. Safety. *Why Choose West End Plastic Surgery for Lipo 360?* At West End Plastic Surgery, our board-certified surgeons have advanced training in **VASER** techniques, comprehensive torso sculpting, and combination treatment planning. You receive a tailored surgical map, attentive recovery support, and a result that matches your goals. Our comprehensive approach ensures optimal results, whether achieved through 360 liposuction alone or in combination with other cosmetic surgery procedures, such as a tummy tuck or Brazilian butt lift. Schedule your [consultation](/consultation/) today to discuss your goals, have your questions answered, and learn whether 360 liposuction is a good fit for you. #### 360 Lipo *Frequently Asked Questions* --- ## Body **Link:** [Body](https://www.westendplasticsurgery.com/gallery/body/) ([md](https://www.westendplasticsurgery.com/gallery/body/index.html.md)) **Type:** Gallery --- ## Breast **Link:** [Breast](https://www.westendplasticsurgery.com/gallery/breast/) ([md](https://www.westendplasticsurgery.com/gallery/breast/index.html.md)) **Type:** Gallery --- ## Face **Link:** [Face](https://www.westendplasticsurgery.com/gallery/face/) ([md](https://www.westendplasticsurgery.com/gallery/face/index.html.md)) **Type:** Gallery --- ## Aesthetic Services **Link:** [Aesthetic Services](https://www.westendplasticsurgery.com/gallery/aesthetic-services/) ([md](https://www.westendplasticsurgery.com/gallery/aesthetic-services/index.html.md)) **Type:** Gallery --- ## Body Contouring **Link:** [Body Contouring](https://www.westendplasticsurgery.com/gallery/body-contouring/) ([md](https://www.westendplasticsurgery.com/gallery/body-contouring/index.html.md)) **Type:** Gallery --- ## Gender Affirmation **Link:** [Gender Affirmation](https://www.westendplasticsurgery.com/gallery/gender-affirmation/) ([md](https://www.westendplasticsurgery.com/gallery/gender-affirmation/index.html.md)) **Type:** Gallery --- ## Injectables Fillers **Link:** [Injectables Fillers](https://www.westendplasticsurgery.com/gallery/injectables-fillers/) ([md](https://www.westendplasticsurgery.com/gallery/injectables-fillers/index.html.md)) **Type:** Gallery --- ## Allison Martinez **Link:** [Allison Martinez](https://www.westendplasticsurgery.com/about/team/allison-martinez-clinical-research-coordinator/) ([md](https://www.westendplasticsurgery.com/about/team/allison-martinez-clinical-research-coordinator/index.html.md)) **Type:** Team Member **Title:** Clinical Research Manager **Description:** Clinical Research Coordinator Washington, D.C. - Allison Martinez is Clinical Research Coordinator at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content Allison Martinez is the Clinical Research Manager at West End Plastic Surgery. As CRC, she is responsible for the planning and management of studies, enrollment, maintenance, training initiatives, and maintaining compliance with federal, state, and institutional regulations. Above all else, and along with the principal investigator (PI), Allison is responsible for ensuring the protection and well-being of patients who decide to participate in our studies. Our Research & Development team at WEPS is excited to provide a space for innovation and growth within the field of plastic surgery. Research is necessary for medical advancement and allows for our practice to provide the best possible care to patients. Every physician is responsible for evaluating their own practice and is continually making adjustments to better the safety and efficacy of their practice, but having our own R&D department allows for a formal and regulated space to evaluate outcomes. Without inquiring minds, like Dr. Ruff’s, medicine would be at a standstill and it is because of research, like his, that allows for further development and growth of the practice. High-quality clinical research is essential for the discovery and development of new treatments as well as ensuring that existing treatments are being performed in the best possible way. By participating in clinical research, WEPS receives early access to new technologies, devices, and techniques. And with early implementation, we have greater insight into their efficacy as well as improved patient safety. Patients who choose to participate in clinical research studies gain a thorough and comprehensive understanding of the treatment(s) and/or procedure(s) they undergo. There are more frequent, designated evaluation points above standard clinical assessments when it comes to research studies and oftentimes patients feel they get even more attention and oversight of their care as a result. With a consistent follow-up schedule and a steady line of communication between patients and research staff, our participants form strong relationships with their physicians and our R&D team. *Our R&D team is proud to offer this rewarding opportunity to our patients and we welcome your participation!* If you are interested in learning more about the research at WEPS or if you are interested in participating in any current or future clinical research studies, Allison is the best point of contact. You can reach her at [allison@westendplasticsurgery.com ](mailto:allison@westendplasticsurgery.com)or at [(202) 785-4187](tel:(202) 785-4187) ext. 612. --- ## Amir Arsalan, M.D. **Link:** [Amir Arsalan, M.D.](https://www.westendplasticsurgery.com/about/team/amir-arsalan-md/) ([md](https://www.westendplasticsurgery.com/about/team/amir-arsalan-md/index.html.md)) **Type:** Team Member **Title:** Board Certified Plastic Surgeon **Description:** Dr. Amir Arsalan is a board-certified plastic surgeon at West End Plastic Surgery, specializing in advanced aesthetic and reconstructive procedures. ### Content #### Precision. Innovation. Personalized Care. *Amir Arsalan, MD | Board Certified Plastic Surgeon* Dr. Arsalan is Board-Certified by the American Board of Plastic Surgery. He is also a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery. He has a special focus in cosmetic surgery of the Breast and Body. His work combines **surgical precision** with an **artistic eye**, creating outcomes that restore balance, confidence, and harmony. Patients value his approachable demeanor, his dedication to listening, and his ability to make even the most complex procedures feel understandable and comfortable. [Consult with Dr. Arsalan](/contact/) #### Expertise With a Personal Touch *Areas of Specialization* Dr. Arsalan offers a broad range of surgical and non-surgical treatments tailored to his patients’ unique needs, including: - [**Body Contouring** ](/body/)– Abdominoplasty, liposuction, and body lift procedures - [**Breast Surgery**](/breast/) – Augmentation, lifts, reductions, and reconstruction - [**Reconstructive Surgery**](/revision-plastic-surgery/) – Microsurgical techniques for breast and body restoration Every plan is designed to highlight natural beauty, restore balance, and ensure results that feel authentic. #### Results by Dr. Arsalan [View Gallery](/gallery/) #### An Approach That Puts You First *A Philosophy of Patient-Centered Care* For Dr. Arsalan, successful plastic surgery begins with listening. He prioritizes open communication and takes the time to understand each patient’s concerns, lifestyle, and desired outcomes. His approach focuses on: - Respecting individual goals and anatomy - Delivering results that look natural and timeless - Supporting patients throughout their journey with compassion and clarity - Making patients feel empowered in their decision-making process This philosophy allows him to build long-lasting relationships based on trust and confidence. #### Training. Innovation. Commitment. *A Surgeon Committed to Excellence* Dr. Arsalan graduated cum laude from the College of William and Mary in 2011. He earned his Doctor of Medicine degree from Eastern Virginia Medical School in 2015. From there, he completed two years of General Surgery Residency at Christiana Care Hospital in Delaware. He was at the top of his class academically and scored in the 94th percentile nationwide on the American Board of Surgery In Training Exam. During this time, he developed a special interest in plastic surgery. Dr. Arsalan was chosen for a highly coveted position in an integrated Plastic and Reconstructive Surgery program at Loma Linda Medical Center. While there, Dr. Arsalan trained with world-class surgeons all over Southern California, including Beverly Hills and Orange County, providing wide exposure to cosmetic plastic surgery of the face, breast, and body. After residency, he started his initial practice in Virginia Beach, where he treated over 2,000 patients in the Hampton Roads community. Dr. Arsalan is excited to return home to Northern Virginia and bring his West Coast training to the patients in the DMV area. Dr. Arsalan was chosen for a highly coveted position in an integrated Plastic and Reconstructive Surgery program at Loma Linda Medical Center. While there, Dr. Arsalan trained with world-class surgeons all over Southern California, including Beverly Hills and Orange County, providing wide exposure to cosmetic plastic surgery of the face, breast, and body. After residency, he started his initial practice in Virginia Beach, where he treated over 2,000 patients in the Hampton Roads community. Dr. Arsalan is excited to return home to Northern Virginia and bring his West Coast training to the patients in the DMV area. #### Patient Testimonials: #### Behind The Surgeon's Mask *Why Choose Dr. Arsalan?* Choosing Dr. Arsalan means benefiting from his advanced training in both cosmetic and reconstructive surgery, ensuring comprehensive expertise. Patients receive personalized care with treatment plans meticulously designed to align with their individual goals and unique anatomy. Dr. Arsalan's compassionate approach provides warm, approachable, and supportive care from the initial consultation through to full recovery. The focus is always on achieving natural-looking results, enhancing patients' features without ever appearing overdone. Dr. Arsalan is originally from northern Virginia and is excited to return home to provide high-quality care to patients in the DMV area. In his spare time, Dr. Arsalan enjoys hiking, traveling, and making wood-fired pizza. At West End Plastic Surgery, Dr. Arsalan consistently delivers the highest level of expertise, making every patient feel comfortable, truly heard, and deeply cared for at every stage of their journey. To schedule a consult, contact Jessica Stevenson, Dr. Arsalan's Patient Care Coordinator at [202-815-2251](tel:202-815-2251) (call or text) or email her at [Jessica@WestEndPlasticSurgery.com](mailto:Jessica@WestEndPlasticSurgery.com). You can also request an appointment online: [Request a Consultation with Dr. Arsalan](/consultation/) --- ## Anthony Nye, M.D. **Link:** [Anthony Nye, M.D.](https://www.westendplasticsurgery.com/about/team/anthony-nye-md/) ([md](https://www.westendplasticsurgery.com/about/team/anthony-nye-md/index.html.md)) **Type:** Team Member **Title:** Plastic Surgeon **Description:** Fellow Plastic Surgeon Dr. Anthony Nye was born and raised in Indianapolis, Indiana, where his passion for medicine began early. After completing high school in just three years, he spent a gap year working as an office assistant at a family medicine clinic – an experience that solidified his interest in healthcare. ### Content #### Fellow Plastic Surgeon Dr. Anthony Nye was born and raised in Indianapolis, Indiana, where his passion for medicine began early. After completing high school in just three years, he spent a gap year working as an office assistant at a family medicine clinic – an experience that solidified his interest in healthcare. He earned his bachelor’s degree in Cellular Biology from Bob Jones University in Greenville, South Carolina, graduating as valedictorian and receiving multiple departmental and university awards. Dr. Nye then went on to attend the University of South Carolina School of Medicine Greenville on a merit scholarship. Dr. Nye completed his plastic surgery residency at Virginia Commonwealth University in Richmond, one of the most competitive programs in the country, where he received comprehensive training in both reconstructive and aesthetic surgery. In his final year, he served as Chief Academic Resident, developing a structured educational curriculum for junior residents and faculty. He was also awarded a research grant to enhance resident education and received leadership training scholarships from the American Medical Association and the American Society of Plastic Surgeons. Now thrilled to be practicing in the Washington, D.C. metro area, Dr. Nye is proud to join the team at West End Plastic Surgery. He views aesthetic surgery as a unique intersection of artistry and wellness, one that allows for deep, meaningful patient-physician relationships. He believes trust and openness are essential to helping patients reach their personal aesthetic goals. Outside of medicine, Dr. Nye is a classically trained musician who plays both piano and violin. He lives in DC with his husband, his college sweetheart, and their two golden doodles. A self-proclaimed foodie, he loves exploring the city’s vibrant and diverse restaurant scene. Join us in welcoming Dr. Nye to West End Plastic Surgery! To [schedule your consultation](/consultation/) with Dr. Anthony Nye, please call our office at [(202) 785-4187](tel:(202) 785-4187) or [click here](/consultation/). --- ## Bonnie Brenkman **Link:** [Bonnie Brenkman](https://www.westendplasticsurgery.com/about/team/bonnie-brenkman-aesthetician/) ([md](https://www.westendplasticsurgery.com/about/team/bonnie-brenkman-aesthetician/index.html.md)) **Type:** Team Member **Title:** Aesthetician **Description:** Aesthetician Washington, D.C. - Bonnie Brenkman is an Aesthetician at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content From the early age of 19 Bonnie followed her passion and has established herself as a reputable and knowledgeable aesthetician in the DMV area. Starting over 29 years ago, Bonnie began her journey specializing in preventative and corrective skin care working for Aveda, and in just 4 short years had been promoted to head Aesthetician. Monitoring the ongoing marriage of science and skincare and seeking to further pursue a career as a Medical Aesthetician, Bonnie began working for a plastic surgeon 25 years ago and never looked back. Having worked primarily in McLean and the Georgetown area, Bonnie has built a thriving list of patients following her anywhere she may go to practice. Bonnie joined the WEPS team in 2017 and offers extensive knowledge and experience in Laser Resurfacing, IPL and Micro-Needling treatments, Chemical Peels as well as all esthetic services. First and foremost, however, Bonnie firmly believes that the healthiest skin begins with facials and a good home care regimen. Bonnie has always strived to go above and beyond for her patient’s needs, which is reflected in their dedication and extreme loyalty. Many of them have been with her for decades, which speaks volumes to her skills, knowledge, and immense respect in the industry. #### Patient Testimonials: #### Schedule A Consultation [Request a consultation](/consultation/) online or contact us at [info@westendplasticsurgery.com](mailto:info@westendplasticsurgery.com) or call us at [(202) 785-4187](tel:(202) 785-4187) --- ## Christy McHale, B.S.N., C.A.N.S. **Link:** [Christy McHale, B.S.N., C.A.N.S.](https://www.westendplasticsurgery.com/about/team/christy-mchale-bsn-cans/) ([md](https://www.westendplasticsurgery.com/about/team/christy-mchale-bsn-cans/index.html.md)) **Type:** Team Member **Title:** Aesthetic Nurse Injector **Description:** B.S.N., C.A.N.S. Washington, D.C. - Christy McHale is a B.S.N., C.A.N.S. at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content *“I strive to combine my artistic eye for symmetry, balance, and beauty while ensuring client safety and optimal results.” ~ Christy* Christy McHale has established herself as a reputable injector, administering over 8,500 Botox and 4,500 filler treatments. She specializes in the treatment of Botox, dermal fillers, platelet rich plasma, skin care, and aesthetic lasers. Her experiences have allowed her to complete the advanced criteria to become one of only five Certified Aesthetic Nurse Specialist (CANS) in Washington, D.C. Christy began her nursing career in the hospital setting, where she gained experience in treating and understanding wound care. As a Registered Nurse, she gained a broad knowledge of the essentials of skin structure, the healing process, and reviving damaged skin. In 2010, she transitioned to the aesthetic medical industry and was trained in San Diego, California under an oculofacial plastic surgeon. Recently nominated by clients as a Real Self 2017 “Most Loved Injector,” Christy personally invests her time, talent, and efforts into each unique client. Her goal is to use science and technology to produce visible results that enhance the clientele’s unique aesthetic, enabling them to feel their best at any age through individualized care. Christy earned her Bachelors of Science in Nursing (BSN) at Point Loma Nazarene University in San Diego, California. She moved to Washington, D.C. from San Diego in 2014, with her husband Sterling, who works in national politics. #### Results by Christy: #### Patient Testimonials: --- ## Claudia Reyes **Type:** Team Member **Title:** Aesthetic Coordinator / PCC Assistant --- ## Debra K. Schrag, B.S.N., M.S.N. **Link:** [Debra K. Schrag, B.S.N., M.S.N.](https://www.westendplasticsurgery.com/about/team/debra-k-schrag-bsn-msn/) ([md](https://www.westendplasticsurgery.com/about/team/debra-k-schrag-bsn-msn/index.html.md)) **Type:** Team Member **Title:** Administrator of West End Plastic Surgery **Description:** Debra K. Schrag, B.S.N., M.S.N., Administrator at West End Plastic Surgery. Leading our team with expertise and dedication to patient care. ### Content Deb is excited to return as the Administrator of West End Plastic Surgery after 2 years! Deb completed her undergraduate degrees at Virginia Tech and Virginia Commonwealth University and graduated with a bachelor’s in science and nursing. She completed her graduate degree in Nursing at George Washington University, graduating with a Master of Science and Nursing and continued as a Nurse Practitioner. After defeating cancer twice, Deb reflected on her time as a patient and recognized a consistent pattern: the lack of efficient and effective administrative support in medicine. It was then that she decided to transition to the administrative side, where she would be able to put her knack for business management to good use. Deb is a speaker for several device companies, speaking on business growth and development, implementation of new devices, and employee retention and team-building strategies. Deb consults for medical practices and individuals on all aspects of practice management and administration. She was also a trainer for Aesthetic University. Deb served on the advisory board of the School of Nursing at Stratford University. She is also the President of ACCA, a large 501 (c) (3) organization with a $6.5 million operating budget: an alliance of 27 churches providing early childhood development, food, rental assistance, furniture, housing, and many other services to low-income families. Deb is an avid scuba diver, a competitive shooter, and enjoys sailing. --- ## Jamie Herzig, PA-C **Link:** [Jamie Herzig, PA-C](https://www.westendplasticsurgery.com/about/team/jamie-herzig-pac/) ([md](https://www.westendplasticsurgery.com/about/team/jamie-herzig-pac/index.html.md)) **Type:** Team Member **Title:** Physician Assistant **Description:** Jamie is a PA-C at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas ### Content Jamie is a skilled Physician Assistant who brings a wealth of experience to our practice. With a keen eye for aesthetics and a dedication to offering perfection in the patient experience, she works diligently as Dr. Ruff’s “left-hand lady”. Jamie graduated from the Physician Assistant program at Lock Haven University in Pennsylvania in 2010. Since then, her diverse career includes 1.5 years in weight loss medicine and four years in neurosurgery before she found her true passion in plastic surgery. For the past three years, she has worked alongside Dr. Ruff, combining her medical expertise with her aesthetic sensibility to enhance patient outcomes. With a comprehensive background, Jamie excels in patient education, advocacy, and personalized care guiding patients through their pre-operative, post-operative, and follow-up appointments with compassion. Her role extends beyond patient appointments as a sub-investigator on our Research & Development team for ongoing investigational studies, contributing to the advancement of plastic surgery techniques and treatments. Both in research and general clinical practice, she is committed to making patients feel confident and satisfied with their treatments, always maintaining the highest standards of safety and care. Outside of the office, Jamie enjoys shopping, traveling, and spending quality time with her husband, their two songs, and their dog, Daffodil. Her blend of professional expertise and personal passions make her an invaluable member of our team and a trusted advocate for our patients. --- ## Jessica Stevenson **Link:** [Jessica Stevenson](https://www.westendplasticsurgery.com/about/team/jessica-stevenson-pcc/) ([md](https://www.westendplasticsurgery.com/about/team/jessica-stevenson-pcc/index.html.md)) **Type:** Team Member **Title:** Patient Care Coordinator **Description:** Patient Care Coordinator Washington, D.C. - Jessica Stevenson is a Patient Care Coordinator at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content Jessica joins our practice from Boston to continue cultivating her exciting 13-year career in Plastic Surgery! She absolutely fell in love with the industry when she began her journey in Houston and has enjoyed educating patients, offering guidance on pre-and post-operative care, and helping patients navigate the surgical booking process, ever since. She prides herself on being meticulous and exceeding patient expectations. We look forward to welcoming you to West End and working with Jessica and our team during this exciting journey! --- ## John Bing **Link:** [John Bing](https://www.westendplasticsurgery.com/about/team/john-bing-crn/) ([md](https://www.westendplasticsurgery.com/about/team/john-bing-crn/index.html.md)) **Type:** Team Member **Title:** CRNA **Description:** C.R.N.A. Washington, D.C. - John Bing is a C.R.N.A. at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content John Bing, CRNA is the Region 6 Director of the AANA as well as the President of the Diversity Nurse. He is the owner and founder of an independent anesthesia practice, J. Bing and Associates Anesthesia Services. He has provided anesthesia for independent practices, hospitals, and outpatient centers for greater than twenty- five years. He is a graduate of both the University of the District of Columbia and George Washington University’s School of Nurse Anesthesia. Since graduating, his work experience includes The University of Maryland’s Shock Trauma Center, Johns Hopkins University as an independent practitioner for the department of Plastic and Reconstructive Surgery, as well as various independent practices in office base settings and outpatient ambulatory centers. He was the first CRNA to be appointed by Maryland’s Governor Martin O’Malley, to the Board of Nursing. He has served two consecutive terms, as the President of the Maryland Association of Nurse Anesthetists (AANA), and the Chair of their Political Action Committee. Currently, he serves as the Chair for the University of Maryland School of Nursing Board of Visitors, the first nurse anesthetist to assume the position. John’s talents extend beyond the conventional operating room to the makeshift ORs in Central America where he provides anesthesia for the under-served children in need of plastic and reconstructive surgery. John mentors the next generation of under-represented minority nurse anesthetists and most recently, his accomplishments were highlighted in the prestigious Washingtonian Magazine, and Minority Nurse Magazine. --- ## Kelly Rose **Link:** [Kelly Rose](https://www.westendplasticsurgery.com/about/team/kelly-rose-aesthetician/) ([md](https://www.westendplasticsurgery.com/about/team/kelly-rose-aesthetician/index.html.md)) **Type:** Team Member **Title:** Aesthetician **Description:** Aesthetician Washington, D.C. - Kelly Rose is an Aesthetician at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content Kelly has over 14 years’ experience in the aesthetics field with nine of them being in medical aesthetics. She is passionate about helping others look and feel their best. As a teenager she suffered from cystic acne and realized that she wanted to educate and help others with their skin so that they could be confident in themselves and how they look. Her desire is for everyone to know how to take care of their skin and what their individual needs may be as everyone is different. Kelly enjoys treating her clients to not only a results oriented facial treatment but also creating a relaxing environment, where her clients come out feeling amazing. She is also a competitive dressage equestrian spending most of her spare time at the barn with her horse Lilikoi. #### Patient Testimonial: --- ## Kim Neal **Link:** [Kim Neal](https://www.westendplasticsurgery.com/about/team/kim-neal-pcc/) ([md](https://www.westendplasticsurgery.com/about/team/kim-neal-pcc/index.html.md)) **Type:** Team Member **Title:** Patient Care Coordinator **Description:** Patient Care Coordinator Washington, D.C. - Kim Neal is a Patient Care Coordinator at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content Kim is the patient care coordinator for Dr. Paul G. Ruff, IV. As PCC, she serves as the liaison between the patient and Dr. Ruff; to educate, support, and guide you every step of the way. Her goal is to provide you with a safe, enjoyable, and overall wonderful experience. Kim brings us over 25 years of cumulative marketing management and consultative sales experience within the healthcare industry, in both the pharmaceutical and aesthetics fields. Additionally, she has participated in The Ritz Carlton and Disney Institute’s leadership, engagement, and service programs that are tailored to creating an exceptional service culture. Kim utilizes this knowledge and experience to help you look and feel the best version of yourself. Her favorite quote is, “the difference between ordinary and extraordinary is just a little bit of extra” and that’s what she strives to bring to your aesthetic journey. --- ## Kirsten Young, PA-C **Link:** [Kirsten Young, PA-C](https://www.westendplasticsurgery.com/about/team/kirsten-young-pa-c/) ([md](https://www.westendplasticsurgery.com/about/team/kirsten-young-pa-c/index.html.md)) **Type:** Team Member **Title:** Physician Assistant **Description:** Kirsten Young, PA-C at West End Plastic Surgery provides expert aesthetic care and personalized treatments to help you look and feel your best. ### Content #### Board-Certified Physician Assistant Kirsten is a board-certified Physician Assistant with advanced training and experience in both Plastic Surgery and Congenital Cardiothoracic Surgery. Originally from Philadelphia, she earned her undergraduate and graduate degrees from Duquesne University before launching her career at an outpatient plastic surgery center in Exton, PA. Her background also includes specialized experience in Pediatric Cardiothoracic Surgery at the Children’s Hospital of Philadelphia and Children’s National Hospital. In 2024, Kirsten relocated to the Washington, D.C. area, where she returned to her true passion: aesthetic medicine. With a foundation rooted in surgical precision, critical care, and complex perioperative management, she brings meticulous technique, clinical confidence, and a deep commitment to patient education and advocacy to every treatment. Outside of the clinic, Kirsten enjoys spending time with her loved ones, including her golden retriever puppy, Oakli. She’s an avid golfer and skier, a travel enthusiast, and loves discovering new local restaurants. --- ## Lexie Wang, M.D. **Link:** [Lexie Wang, M.D.](https://www.westendplasticsurgery.com/about/team/lexie-wang-md/) ([md](https://www.westendplasticsurgery.com/about/team/lexie-wang-md/index.html.md)) **Type:** Team Member **Title:** Double Board-Certified Facial Plastic Surgeon **Description:** Lexie Wang, M.D., Facial Plastic Surgeon at West End Plastic Surgery. Expert in facial rejuvenation for natural, beautiful results. ### Content #### Elevating Aesthetics *Lexie Wang, MD | Double Board-Certified Facial Plastic Surgeon* Dr. Lexie Wang is a distinguished facial plastic and reconstructive surgeon, renowned for her approach to enhancing facial harmony. She's a Double Board-Certified surgeon who specializes in cosmetic and reconstructive procedures of the face and neck region. Her specialties include Extended [Deep-Plane Face](/face/deep-plane-facelift/) and [Neck Lifts](/face/neck-lift/), [Rhinoplasties](/face/rhinoplasty/), Brow and Eyelid surgeries, and [Lip Lifts](/face/lip-lift/). As well as [hair restoration](/hair-restoration/) and [non-surgical aesthetic treatments](/non-surgical/) [Consult with Dr. Wang](/contact/) #### Where Artistry Meets Versatility *Areas of Specialization* Dr. Lexie Wang provides a wide range of aesthetic and restorative procedures designed to help patients look and feel their best. Her expertise spans both surgical and non-surgical solutions, allowing her to tailor care to each patient’s unique needs and goals. - [**Facial Rejuvenation**](/face/) – Including facelifts, eyelid surgery, and rhinoplasty to restore youthful balance and definition. - [**Non-Surgical Enhancements**](/aesthetic-services/)** **– Precision injectables, laser treatments, and skin therapies for patients seeking subtle, effective results with minimal downtime. With her comprehensive training and artistic eye, Dr. Wang creates results that are refined, natural, and in harmony with each patient’s features. Whether through surgery or advanced non-invasive options, she tailors every treatment plan to support long-lasting confidence. Dr. Wang was one of two surgeons accepted to train at the highly prestigious American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) accredited fellowship in Beverly Hills with the world-renowned surgeon, Dr. Paul Nassif (star of "Botched”). Dr. Wang was selected as a** Castle Connolly 2025 Top Doctor**! This recognition puts her among only 7% of all board-certified doctors in the US! The qualifications include board certification, experience, reputation, and peer recommendations. #### Results by Dr. Lexie Wang [View Gallery](/gallery/) #### Patient Testimonials #### Beauty, Balance, and Respect *Personal Philosophy* Her approach is characterized by a holistic understanding of facial anatomy, ensuring that each procedure enhances natural beauty while maintaining individual identity. Dr. Wang believes in building lasting relationships with her patients, founded on trust and mutual respect. She is committed to guiding individuals through their aesthetic journeys with empathy and expertise, helping them achieve confidence and self-love. #### Foundations of Expertise *Innovation Backed by Experience* Born and raised in nearby Fairfax, Virginia, Dr. Wang attended Thomas Jefferson High School for Science and Technology where her passion for medicine developed. She went on to complete her undergraduate education at the University of California, San Diego (UCSD) in three years, graduating with cum laude honors. After spending a year working in the UCSD Department of Psychiatry, where she studied the physiology of circadian rhythms, she returned to Virginia to attend the University of Virginia School of Medicine. Following medical school, Dr. Wang entered a highly competitive 5-year Otolaryngology Head and Neck Surgery residency at the Virginia Commonwealth University in Richmond. During this time, she was able to develop an expertise in the complex and intricate anatomy of the head and neck region. In her final year of residency, she served as Chief Resident in her department. After residency, Dr. Wang became one of two surgeons accepted to train at the highly prestigious American Academy of Facial Plastic and Reconstructive Surgery accredited fellowship in Beverly Hills, California, with world-renowned surgeons Dr. Paul Nassif (star of E!’s “Botched” and creator NassifMD®), Dr. Babak Azizzadeh (founder of the Facial Paralysis Institute and the Center for Advanced Facial Plastic Surgery), and Dr. Grace Lee Peng. During her tenure, Dr. Wang treated patients from all over the world, learning the nuances of challenging primary and revision facial aesthetic surgery. While there, she also had the privilege to train with other world leaders in the aesthetic medicine and surgery field, including Dr. Guy Massry, Dr. Benjamin Talei, and Dr. Rebecca Fitzgerald. This is where she added a multitude of facial cosmetic and reconstructive surgeries and treatments to her scope of practice, including extended deep-plane face and neck lift techniques, brow and eyelid surgeries, lip lift, primary and revision rhinoplasty, facial nerve reanimation, skin cancer and facial trauma reconstruction, hair restoration, and non-surgical aesthetic treatments (fillers, neuromodulators like Botox, laser treatments, Microneedling, etc.). #### Your Partner in Transformation *Why Choose Dr. Wang?* Choosing the right plastic surgeon is a deeply personal decision. Patients turn to **Dr. Lexie Wang** because of her rare combination of technical excellence, compassionate care, and modern aesthetic vision. At **West End Plastic Surgery**, she has earned a reputation for helping patients feel comfortable, heard, and cared for—while delivering results that look natural and refined. With Dr. Wang, patients experience more than just outstanding surgical skill; they gain a trusted partner who guides them confidently through their transformation with warmth, empathy, and attention to detail. [Request a Consultation with Dr. Wang](/consultation/) --- ## Paul G. Ruff, M.D. **Link:** [Paul G. Ruff, M.D.](https://www.westendplasticsurgery.com/about/team/dr-ruff/) ([md](https://www.westendplasticsurgery.com/about/team/dr-ruff/index.html.md)) **Type:** Team Member **Title:** Double Board-Certified Plastic Surgeon **Description:** Plastic Surgeon Washington, D.C. - Doctor Paul G. Ruff IV is a Plastic Surgeon at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content #### Leader in Aesthetic and Reconstructive Surgery *Paul G. Ruff IV, MD, FACS | Double Board Certified Plastic Surgeon* Dr. Ruff is the founder of West End Plastic Surgery. He is highly regarded as one of the most experienced and skilled specialists in plastic surgery. His reputation for excellent surgical outcomes and compassionate patient care attracts numerous patients from not only all over the DMV area but nationally and internationally as well. Detailed in his approach, Dr. Ruff has an excellent artistic eye combined with over 25+ years of surgical experience and over 18,000 procedures performed. [Request a consultation online ](/contact/) Dr. Ruff has consecutively been voted Top Doctor in the Washingtonian Magazine since 2005 and voted nationally as a Top Doctor by Castle-Connolly for the last ten years. This recognition puts him among only 7% of all board-certified doctors in the US! The qualifications include board certification, experience, reputation, and peer recommendations. Dr. Ruff is considered a world leader in the Renuvion skin tightening technology. He is a medical advisory board member, consultant, and clinical research investigator for Apyx Medical (Renuvion). He trains and lectures both nationally and internationally to surgeons on Renuvion and its incredible advancements in skin tightening. Dr. Ruff was the Principal Investigator for the Renuvion FDA study and his contributions were vital for the FDA clearance. His research was published in the Aesthetic Surgery Journal which is a prestigious acknowledgment of his work. The FDA cleared Renuvion for use in improving the appearance of lax skin in the neck and submental region. Dr. Ruff's work has been published in numerous books and medical journals. [Call Us](tel:(202) 785-4187) Dr. Ruff was featured on the [French television network TF1](https://www.tf1info.fr/international/video-reportage-tf1-chirurgie-esthetique-pourquoi-les-jeunes-americains-veulent-ils-des-machoires-carrees-2289583.html) to discuss jaw filler on men. In recent years, there's been a surge in the demand for cosmetic procedures among men. One particular trend has been catching the eye of many: the rise in men opting for jawline fillers. Many of them express a desire for a more defined and chiseled jawline, which they believe enhances their overall appearance and boosts their confidence. Filler is a great non-surgical option. During this new segment, Dr. Ruff explains this increase in popularity. [Click here to watch the full interview.](https://www.tf1info.fr/international/video-reportage-tf1-chirurgie-esthetique-pourquoi-les-jeunes-americains-veulent-ils-des-machoires-carrees-2289583.html) *“It was as if I walked out of UCSD with a virtual toolbox of reconstructive and cosmetic skills. I have a deep appreciation for the tutelage I received from my talented mentors and for the unique residency program at UCSD. I believe this program was a key factor in my development toward becoming a complete surgeon.”* #### Surgical Expertise. Personal Care. Every treatment plan is customized to fit each patient’s needs, anatomy, and goals, ensuring natural results that enhance rather than change their features. #### Results by Dr. Ruff: [View Gallery](/gallery/) #### Patient Testimonial: #### Giving Back Philanthropy is critical to our mission. Dr. Ruff was exposed to the very personal benefits of helping others early on through his grandfather. At EVMS, he experienced the joy felt by cleft lip and palate patients treated through Operation Smile, which is based in Norfolk. As a plastic surgery resident at UCSD, he was fortunate to accompany the Interface UCSD medical mission group on 8 trips to Mexico to perform reconstructive procedures on children in underserved areas. “The community of giving that exists among the people who went on these trips is truly inspiring. The communities that we helped embraced us, and their generosity for what we did was overwhelming.” Today Dr. Ruff continues this mission through his work with The Future of Nicaragua Foundation, spending nearly 2 weeks each year treating those in remote and underserved areas. He also founded [Wrinkle Erase for the Cause](/about/giving-back/), a non-profit event that raises money for breast cancer research. In the past 4 years during the month of October, he has raised $150,000 that has gone toward research. “I have been blessed with certain talents and skills, and it is my responsibility to use those for the benefit of those in need,” says Dr. Ruff. #### Compassion Meets Precision *A Philosophy of Personalized Care* Dr. Ruff's approach to plastic surgery goes beyond mere physical transformation; it's about harmonizing how you look with how you truly feel inside. He builds his practice on a philosophy of deep listening, ensuring he understands each patient's unique goals. This foundation allows him to provide clear, honest guidance, helping patients navigate their options with confidence. His meticulous attention to detail and commitment to natural-looking, balanced results ensure that every outcome feels authentic to the individual. But Dr. Ruff's support doesn't end with the procedure; he thoughtfully guides patients through every step of their aesthetic journey. Patients consistently commend his warm demeanor and his remarkable ability to make them feel completely at ease, right from their very first consultation. It's this blend of expertise and genuine care that truly sets Dr. Ruff apart. #### Pioneering New Possibilities *Innovation and Education* In addition to his surgical practice, Dr. Ruff is committed to advancing the field of plastic surgery. He has been involved in: - Introducing innovative technologies, including regenerative treatments and advanced laser systems - Educating peers through lectures, conferences, and published work - Mentoring the next generation of plastic surgeons His forward-thinking approach ensures patients at West End Plastic Surgery benefit from the latest techniques, delivered with safety and artistry. [View PDF of Dr. Ruff’s CV](https://influx-site-assets.s3.us-west-2.amazonaws.com/westendplasticsurgery.com/files/dr-ruff-cv-2023.pdf) #### A Reputation Built on Trust *Why Choose Dr. Paul G Ruff?* Choosing Dr. Ruff means entrusting your care to a surgeon with unparalleled experience, stemming from decades of surgical expertise and innovation. Patients consistently achieve natural results, thanks to an aesthetic approach meticulously focused on harmony and balance. Every individual receives personalized care through treatment plans thoughtfully designed around their unique goals, complemented by compassionate support and a warm, patient-first philosophy at every stage. From the initial consultation to the final stages of recovery, Dr. Ruff and his dedicated team are committed to creating a premium, supportive, and truly life-changing experience. #### Schedule a Consultation With Dr. Paul Ruff Discover how Dr. Ruff can help you look and feel your best. Call [(202) 785-4187](tel:(202) 785-4187) or request a consultation online to schedule your private appointment at West End Plastic Surgery in Washington, DC. --- ## Rahma Scott, PA-C **Link:** [Rahma Scott, PA-C](https://www.westendplasticsurgery.com/about/team/rahma-scott-pa-c/) ([md](https://www.westendplasticsurgery.com/about/team/rahma-scott-pa-c/index.html.md)) **Type:** Team Member **Title:** Physician Assistant Aesthetic Injector **Description:** Rahma Scott is a Physician Assistant at West End Plastic Surgery. Our practice serves Washington, D.C. and surrounding areas. ### Content Rahma Scott is a Board-Certified Physician Assistant with over 10 years of experience. She graduated from Howard University’s Physician Assistant Program and has advanced training in neuromodulators, fillers, PRP therapies, chemical peels, and lasers. Rahma is also a National Laser Trainer and trains medical practices across the country on lasers and other energy-based devices. Her goal is to help people feel more confident and beautiful inside and out! She is committed to providing an inclusive medical space where patients are respected, feel safe, and are educated about their treatments. [Request An Appointment With Rahma](/consultation/) *“Together we can craft treatment goals to help you look refreshed, natural, and the best version of yourself!” -Rahma Scott, PA-C* Rahma first developed a passion for Aesthetic Medicine due to her personal struggles with adult cystic acne in her early 20s. Once she began adding medical-grade skin care products, chemical peels, lasers, and microneedling into her skincare routine, she saw significant improvements. Her acne flares reduced in frequency, scars became less visible, and post-inflammatory hyperpigmentation improved. She now loves to bring the same care and attention she gave to her own skin to help others on their skincare journey. #### Results by Rahma: #### Patient Testimonial: You can also call our office at [(202) 785-4187](tel:(202) 785-4187) or email us at [info@westendplasticsurgery.com](mailto:info@westendplasticsurgery.com). --- ## Renee Tucker **Link:** [Renee Tucker](https://www.westendplasticsurgery.com/about/team/renee-tucker-aesthetician/) ([md](https://www.westendplasticsurgery.com/about/team/renee-tucker-aesthetician/index.html.md)) **Type:** Team Member **Title:** Aesthetician **Description:** Discover Renee Tucker, expert aesthetician at West End Plastic Surgery, delivering personalized skincare and beauty solutions. ### Content Renee Tucker is nationally recognized as an expert and leading authority in the field of aesthetic medical skincare. Dedicated to and hands-on with ever-evolving research and discoveries in the science of skin and the demand for the safest, most effective, and advanced aesthetic treatments and products, Renee stays on-trend. She understands the importance of the practical application of aesthetic skincare treatments to modern life and society’s new requirement that skin be photo-ready as well as healthy 24-7. With over several decades of experience achieving superlative results for a loyal, always-increasing clientele of all ages, Renee is known as “the life coach of skin.” Renee has earned her reputation as a skilled innovator and advocate for the health and beauty of her patients by treating each individual’s skin with not only her characteristic focus, unparalleled experience, skill, and highly-trained and intuitive insight, but by also approaching each patient and their unique needs and desires with respect, kindness and compassion. #### Patient Testimonials: --- ## Sabrina Pham, R.N., B.S.N. **Link:** [Sabrina Pham, R.N., B.S.N.](https://www.westendplasticsurgery.com/about/team/sabrina-pham-rn/) ([md](https://www.westendplasticsurgery.com/about/team/sabrina-pham-rn/index.html.md)) **Type:** Team Member **Title:** Aesthetic Nurse Injector **Description:** Meet Sabrina Pham, RN, an experienced aesthetic nurse at West End Plastic Surgery, specializing in non-surgical treatments. ### Content Sabrina is one of our Aesthetic Registered Nurses who specializes in a wide range of non-surgical treatments such as neuromodulators (Botox/Dysport), fillers, skincare, PRP, lasers, and more. Sabrina strives to create natural results to enhance your natural beauty and believes good results should be undetectable. Sabrina graduated from the University of Maryland School of Nursing earning her Bachelor of Science in Nursing. She began her nursing career in the operating room where she worked alongside many physicians specializing in orthopedics, gynecology, plastic surgery, and much more. There, she developed her skills in infection prevention, assessment, and critical thinking. There, she developed her skills in infection prevention, assessment, and critical thinking. Prior to nursing, she was a certified lash technician/artist where she developed her artistic eye and love for creating personalized results to help others feel confident. After working in our very own plastic surgery operating room as a Perioperative Nurse, it was then she found her passion for plastic surgery and aesthetic medicine. Sabrina has completed numerous trainings from some of the top aesthetic companies in the world such as Allergan, Galderma, Evolus, and more. She is passionate about making others look and feel the best version of themselves. She is determined to understand your goals and tailor each treatment to your individual needs while maintaining safety measures throughout. Sabrina is a DMV native and in her free time, she likes to try new food spots in the area and lounge with her 16-year-old dog named Mimi. To see more of her work, follow her on Instagram: [@thenursesabrina](https://www.instagram.com/thenursesabrina/) #### Patient Testimonial: --- ## Sheena Craig **Link:** [Sheena Craig](https://www.westendplasticsurgery.com/about/team/sheena-craig/) ([md](https://www.westendplasticsurgery.com/about/team/sheena-craig/index.html.md)) **Type:** Team Member **Title:** CoolSculpting & Body Contouring Specialist **Description:** Sheena Craig at West End Plastic Surgery. CoolSculpting and body contouring specialist. Achieve your ideal shape with expert care. ### Content Sheena is CoolSculpting & Body Contouring Specialist at West End Plastic Surgery. With a love for building patient relationships, she strives to understand your cosmetic goals so she can develop a personalized plan to help you achieve them. With over 12 years of experience within the cosmetic industry, Sheena came to West End Plastic Surgery excited to learn and grow her role into direct patient care as a licensed CoolSculpting Specialist. After experiencing postpartum complications, she became hyper-focused on her own body image and sought out treatment from Dr. Ruff. She was able to get back to feeling as good about herself as she did prior to having her son. Her desire is to provide her patients with the same level of care she received so they can look and feel their best. --- ## Vanessa Dang **Type:** Team Member **Title:** Patient Care Coordinator --- ## Yusif Ziyadzade **Type:** Team Member **Title:** Marketing Director ---