Herte Center For Cosmetic Surgery

Plastic Surgeon

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PHILOSOPHY

Beautifying Las Vegans for more than 20 years, Dr. Mary C. Herte focuses all of her extensive experience and skills on helping her patients discover and achieve their personal best. A member of the American Society for Aesthetic Plastic Surgery, Dr. Herte has developed an aesthetic sense of creativity that serves her today in her problem solving approach to plastic surgery.

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I give 100 percent every time.
Dr. Mary Herte
Plastic Surgeon
Las Vegas, Nevada

Services Offered

  • Liposuction and Body Sculpture
  • Abdominoplasty
  • Breast Enhancement
  • Facial Rejuvenation
  • Aesthetic Injectables

A Minute With

1.
MY HAPPIEST PROFESSIONAL MOMENTS
Being fully present in every moment is the key to a happy career
2.
CAREER-DEFINING PROCEDURE
When I saw a child with a cleft lip, nose and lip distorted and parts missing, transformed into a normal baby in the arms of a joyful weeping mother, I was hooked—I thought that plastic surgery was magic and I wanted to do magic
3.
THE BIGGEST MISCONCEPTION ABOUT MY FIELD
Most people have the belief that new technologies are making healing faster and surgery scarless, but unfortunately, the body has not had an upgrade in thousands of years (we are still at version 1.0) and we still must heal in the same slow way
4.
MY DREAM INNOVATION
I would invent a topical serum to restore the elastic fibers in the skin
5.
WHAT SETS MY PRACTICE APART
Unhurried face time with your plastic surgeon
6.
HOW I MAKE THE BEST FIRST IMPRESSION
With a genuine and welcoming smile and a professional and confident presence
7.
MY MOST UNIQUE PERSONALITY TRAIT
Problem-solving skills
8.
MY OPERATING ROOM PLAYLIST
We play upbeat positive tunes in surgery to create an environment conducive to a positive healing and recovery process for our patients
9.
THREE WORDS THAT BEST DESCRIBE ME
Genuine, meticulous, nurturing

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Philosophy

Beautifying Las Vegans for more than 20 years, Dr. Mary C. Herte focuses all of her extensive experience and skills on helping her patients discover and achieve their personal best. A member of the American Society for Aesthetic Plastic Surgery, Dr. Herte has developed an aesthetic sense of creativity that serves her today in her problem solving approach to plastic surgery.

About My Practice:

What health and beauty tip can you pass along to readers?

Treat your skin well by avoiding the sun and protecting it with SPF.

What do you think makes a procedure successful?

Well, I always strive to achieve results that enhance each person's natural beauty while preserving individuality and uniqueness. I aim for a sense of personal harmony, culminating in patients who still look like themselves, only better.

What steps do you take to deliver second-to-none care?

We measure each aspect of patient care against the mission statement I crafted with my staff a decade ago, to achieve unsurpassed patient care, radiant beauty and surgical excellence. I'll stop and ask myself, 'are we producing the best results, the best experience and unparalleled service?' I want to ensure that we are giving each patient nothing short of our absolute best efforts.

About Me:

What alternative occupation would you choose?

I can't imagine myself doing anything I would love as much as plastic surgery.

What have you done to advance the field?

While serving as the youngest-ever Plastic Surgery Research Fellow at Eastern Virginia Graduate School of Medicine, my research on the use of ultrasound helped set the stage for the current practice of using ultrasound for liposuction fat removal.

What is your favorite part of your job?

Performing surgery. It can help greatly improve one's life. I also enjoy the interaction with patients and look forward to hearing how surgery helped change their lives for the better.

What is the best advice you've received?

People are more important than things.

Testimonials

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About Me

Restoring Youth

To restore youthfulness and volume to this 58-year-old patient’s face and cheeks, Dr. Herte performed a facelift with fat injections and upper blepharoplasty (eyelid surgery).

I want to look younger. Where do I start?

When a patient comes to me looking tired and worn and ask­ing to look younger, we work together, balancing the patient’s aesthetic goals and lifestyle with today’s many choices for facial rejuvenation—from laser resurfacing to fillers to facelift surgery. We modify procedures to make recovery easier and strive for the ultimate goal of a natural, more rested appear­ance without changing who you are.

Rested Appearance

Concerned with always looking tired, even when he wasn’t, this 54-year-old patient sought Dr. Herte, who performed upper and lower blepharoplasty, as well as Botox® injections.

All About You

Performing all surgical procedures in her practice’s fully accredited surgical suite, “I always sit down and reassure patients before surgery. I am standing right next to them, usually holding their hand, while they fall asleep,” explains Dr. Herte, who feels the consistency of working with the same staff, during consultations and while in surgery, creates more intimacy. Personally calling patients after surgery and working with board-certified anesthesiologists, Dr. Herte believes treating patients as she, herself, would like to be treated translates into a respectful, dignified experience for patients. To further realize this “all about you” philosophy, Dr. Herte’s facility offers referrals for post-surgical nursing amenities for patients requiring extra care. “When I meet a patient in consultation, we settle in together in oversized easy chairs. Such attention to detail is our way of saying, ‘Welcome. We’re here to accommodate you. Let’s get to know each other.’

Education & Credentials

EDUCATION:

Undergraduate:

  • B.S., Mount Mary College, Milwaukee, Wisconsin

Degree:

  • University of Wisconsin School of Medicine , Madison, Wisconsin

Residency:

  • University of Wisconsin, Madison, Wisconsin

Fellowship:

  • Research Fellow - Plastic Surgery Department, Eastern Virginia Graduate School of Medicine, Department of Plastic Surgery, Norfolk, Virginia
  • Plastic Surgery Fellowship, University of Wisconsin, Madison, Wisconsin

BOARD-CERTIFICATION:

  • American Board of Plastic Surgery

AFFILIATIONS:

  • American Society of Plastic Surgeons
  • American Medical Women’s Association
  • Association of Women Surgeons
  • Fellow, American College of Surgeons

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FAQ's

Q. What is the benefit of using the External Ultrasound Method during liposuction?

What our experts say:

When you use ultrasound on the skin, it penetrates through to the fat to loosen the fat cells, making it easier to remove the fat. When it’s placed on the skin (instead of inside the incision), there is much less risk of over-melting the fat and burning the skin from the inside. It’s a little safer with an added benefit of triggering some collagen contraction in the skin during the treatment. It helps to shrink the skin into a new shape a little bit better. Because the fat cells are looser, we can use smaller cannulas to remove the fat, which leaves smaller scars. We always try to hide incisions in natural creases or places that are not revealed by clothing you wear.  It’s really important to consider where the scars will be.  That’s why you have to go to a reputable surgeon. Scars should be hidden:  In the belly button, in the groin crease, the buttock crease or someplace where they are unobtrusive.

Q. Will I have six-pack abs after a tummy tuck?

What our experts say:

Six-pack abs are related to how much you work out and how defined your abdominal muscles are. You can get them, but with a lot of work.  If there is fatty tissue covering them, you will not see them.  You have to get really thin, with no fat layer, in order to look sculpted. There are special diets that help you to lean down in order to get that appearance of muscle sculpting; however, for most people that’s not really a lifestyle option. Doctors can do liposculpting in order to get something that looks like a “six pack,” but, in my opinion, it does not look natural.  If we remove enough fat to show the abs in sculpted layers like when in training, the skin will adhere to the muscle and will look unnatural.  I don’t recommend removing that much fat with a surgical procedure.  It will heal in an unnatural-looking way. I’m a physician not a magician. I can’t wave a magic wand and change someone who’s chubby into a lean lanky person.

Q. How do you know what size and shape and of breast implant is the right one?

What our experts say:

I usually help the patient choose their size and shape based on chest-size measurements and how much volume they want.  We start with size and then go with shape.  A teardrop shape versus a round one doesn’t really matter because they all look like a teardrop in the body.  Some people want the teardrop shape because they think it will look natural, but that is possible with round implants, too, if they are the proper size.  I have patients try implants on in a try-on bra with their clothes on because the patient is the best judge of what is right for her. Trying them on is key. It’s based on what kind of image the patient wants to have with her new breasts; whether she’s athletic, a model, flashy or a stripper.  We start with implant choices that will fit her body, and the patient will tell me what she’s looking for, and we go up and down from there.  I have developed an eye and ear for what patients want.  It’s all about what will balance the figure and what style the patient wants to project.  It may not be my style, but it is their decision. Every surgeon has their own idea of what looks good and guides the patient to what they have had good experiences with. I like smooth, round implants because, with proper massage to keep scar tissue from forming, they give a natural, soft look. Textured implants can be more visible in thin women. 

Q. Where is the best place for the incision when doing breast augmentation?

What our experts say:

I prefer placing incisions under the breast crease.  It allows me to go around breast tissue and not through it; and I have access to the pocket with minimal bruising and bleeding. It’s a really good access incision.  When the breast is relaxed, the incision is tucked under the breast so you don’t see it.  If it’s around the areola, the incision is right in front of you, and you can see the white line.  Many incisions around the areola are terrific, and some do prefer them, so if that’s what the patient wants, I’m happy to do them. I don’t recommend armpit or belly button incisions because the distance to where the implant goes is so long, it’s hard to stop bleeding and place it properly in the pocket.  There is not good position control.  You don’t show your breast to very many people, but everyone can see your armpit if the scar is there. I prefer to keep incisions hidden.

Q. Is it ever “too late” for a facelift?

What our experts say:

I think if you are in good health, you can have one at any age.  Some of my patients are over 80. And I definitely have facelift patients in their 70s. I don’t think you’re ever too young either, but you need to have something to fix. You should have it done when you need it.  The top-end restriction is all a matter of health. If you’re healthy and are motivated to do it, a facelift can be a good thing that makes you feel good about yourself.  That being said, the more inelastic your skin is, the more difficult it is to get a long-lasting and effective facelift; but it will always be a little better than what you had.  Poor skin quality will undermine your facelift result.  The best results require good skin condition as well as surgical lifting. We can do facial rejuvenation, to address the issues because the skin has to hold the stretch.  Skin rejuvenation is a very important part of keeping your facelift results, or getting a good facelift result.  Younger quality skin will hold up better than an older skin quality.  Using skin rejuvenation techniques, like laser resurfacing, can be helpful in protecting your investment both before and after a facelift, so you don’t have to keep relifting.

Q. What is the best way to rejuvenate the face? Surgically? Non-surgically?

What our experts say:

It’s complicated.  I consider multiple areas of aging that occur in face: Loss of volume, skin quality, changes in elasticity, pigments problems, overactivity of the muscles that leave wrinkles when you move your face, and looseness of the skin (hanging skin in the neck, drooping of the cheeks and eyebrows). All areas need to be addressed in different ways to get the best result.  To turn back the clock, loose skin needs to be lifted surgically to remove excess skin and to reposition the skin as well as it’s deeper layers.  We have to also look at skin quality—crepiness, pigmentation, does it look soft or watery.  If you have a tight face with old skin, it will not look rejuvenated. The patient may need good skin care, topical treatments and laser resurfacing.  If we do just a lift so the skin is tight, but there is no softness from loss of volume, than the patient looks pulled and sometimes skeletal, so we have to add volume.  In the old days, we just did lifting, which made patients look pulled. The skin looked like it was stretched over bone because we didn’t have any other options.  Today, we can give patients a natural and soft appearance which is what youth looks like. Adding volume gives us that more youthful look. We can add volume to lips and cheeks; we can fix the skin with laser resurfacing and we can treat overactive muscles that distort the skin with Botox, Xeomin, and Dysport—which can be helpful in stablizing and preserving a browlift.  You have to protect your investment and keep your results. You have to start early to preserve your skin.

Q. What areas does a mini facelift address? How long do results of a mini facelift last?

What our experts say:

A mini facelift refers to a limited incision, which means restricting the incision to a short incision in front of the ears and around the earlobe a little bit.  There is less skin removal, so fewer areas of the face can be addressed.  One thing it doesn’t address is the neck. That requires an incision around the ear and up into the hair.  A lot of patients want a mini lift because of the smaller incisions, but they want to have neck improvement so they are disappointed. A mini facelift can’t address the neck, it can only address the cheeks and sometimes the jawline. The results depend on the patient’s age and how extensive the skin laxity is or how much skin damage there is.  Most people get 5 years out of them if done properly, and if there is tightening of the inner muscles layers. It’s best for patients who have very little neck laxity and mostly cheek and lower face relaxation.  Sometimes more is less. One of the things about a facelift that people fear is that they will look like they have been in a wind tunnel. When doing a mini lift, the only place to pull is directly toward the ear, so they will get a smaller scar, but not the look they wanted. If the incision is limited, there is a pull from the nose to the ear which will look artificial. They don’t realize that you have to release skin from its underpinning and pull up to look more natural. So really, the direction of gravity is from the eyebrow to the chin and not from the ear to nose. We need to make the incision longer and loosen the skin more to get a more natural draping.  In reality, limiting your procedure will actually cause you to look more artificial. We have to look at what needs to be lifted and what we are trying to accomplish.  We have to look at what the result will be, not the procedure.

Q. Are there any risks involved with doing liposuction?

What our experts say:

The primary risks are extensive bruising, surface skin irregularity and looseness of skin (if there is too much fat removed). With laser and ultrasonic liposuction, you have to choose an experienced surgeon because of possible injury to the skin. You don’t want too much taken out because there can be blood-loss related to bruising; which can be dangerous. However, with an experienced practitioner it is a very safe and satisfying procedure. 

Q. Do you use different methods of liposuction for different areas of the body? What type is used for the thigh, butt area? Tummy? Arms?

What our experts say:

I use pretty much the same technique equally because it works well for me; which is the modified tumescent technique with external ultrasound, unless it’s a delicate area. I like to stay really safe and effective. I always default back to what’s safe for the patient.

Q. Can you use liposuction for breast reduction?

What our experts say:

Breast reduction can be done with liposuction; however, it doesn’t address important issues like excess skin and laxity. Breasts are loose and droopy ordinarily.  If you just do liposuction, you have an empty bag of skin that’s not an attractive breast.  It’s very limited in how much we can remove and what the patient’s expectation is.  Another limitation is that liposuction only removes fat, not breast tissue.  Most women with overly large breasts have too much breast tissue, which is firm and is not removed by liposuction.  Sometimes they can end up with lumpiness from the internal breast tissue being revealed after the removal of the fat. 

Q. How is external ultrasound used during a tummy tuck?

What our experts say:

During a tummy tuck, I don’t use it very much unless I’m doing an extra area of liposuction.  We don’t use a lot of liposuction during a tummy tuck.  It can cause stress to the skin. We are surgically removing fat and the skin attached to it.  It’s mostly overhang. 

Q. How many parts of my body can I “lift” at one time without risks or complications? How many procedures can I have done at once?

What our experts say:

I’m very safety conscious. I usually recommend patients separate them out; but it depends on how extensive the procedures are.  If they want an extensive tummy tuck, breast lift and arm lift, I recommend they split them up into three separate procedures.  When you start disabling multiple parts of the body, you start to have risks of blood clots in the legs, pneumonia, and healing problems.  Most people want to get back to normal activities, and with more than one procedure, you can’t move around properly.  So, you have to think about how much time you really have to recover.  Most people think it’s better to have a single healing time, but what they are really doing is extending that healing time.  Your body can’t handle that much trauma at one time. So it’s no longer one-to-two weeks of healing anymore for a tummy tuck, if you add a breast augmentation. You can’t move and are at the mercy of your caretakers. However, a tummy tuck with lower-eyelid surgery would be a nice combination.  Some doctors don’t think about what’s smart and safe for the patient. It’s best to keep the complication rate low, separate out the procedures and keep the surgical time short. Somewhere between 6.5 to 7 hours should be the absolute maximum.  Anesthesia time over 7 hours adds to the complication rate. 

Q. What’s better, a saline implant or a silicone one?

What our experts say:

Saline versus silicone is a personal choice. I personally prefer silicone gel because it’s longer-lasting and more natural looking. If someone is extremely thin, you can see rippling and fluid movement with saline. Also, when a saline implant wears out, it deflates and then it is a social emergency.  It’s not convenient for many patients.

Q. What is the best technique to minimize scarring with a breast lift or reduction?

What our experts say:

Many women, when considering a breast lift, want to keep scars to absolute an minimum; but that is a way to end up with worse scars.  There is always an incision around the areola. When it’s made all by itself, the white skin around it is removed and the areola is inset into that and lifted.  This causes it to be stretched to the new shape and lifted and gathered. Sometimes limiting the incision to just the areola will make the areola really large and the scar lift.  I recommend doing the full-anchor approach or a lollipop (with no under-the-breast incision). You need a vertical incision to take the pressure off of the areola. Sometimes more is less.  If I can do the proper incision and move tension off of the scar that is most visible, then they will have a better scar that is less visible.  Otherwise, the scar will be so bad you will be unhappy.  You have to look at the dynamics of the breast and the scar tissue and how the skin pulls.  Sometimes this requires adding additional scars that take tension off the scars that are most noticeable. It’s making a trade. In a breast lift, we are trading scars for shape. If someone is truly unhappy with the shape of their breast, then they have to be willing to accept a trade to get the benefit they are looking for.  It is worth it. Scars tend to look good with time.  If not, we can improve them with scar management treatments. There are topicals, injectables and laser treatments that can make scars look as best as possible. 

Q. Are there any risks associated with breast augmentation?

What our experts say:

As with any surgery, there are, but they are fairly minimal and fully discussed with the patient.  The biggest surgical risks are hematoma (a localized swelling filled with blood), which requires reoperation; but it’s not very common. There will be bruising, swelling, and scars. The most common issue is the hardening of the breast, where the scar tissue shrinks and contracts around the implants. This is minimized by following-up with patients. I work hard to get patients to be good at breast compression massage which keeps them from tightening up. Implants will also break someday.  We can’t guarantee that they last forever. Saline implants last 7 to 10 years; and silicone gels on average last 15 to 25 years. They all need to be replaced. It’s a personal choice when to replace them. I do not necessarily recommend them being replaced pro-actively; but like a car, I want to change the tires before there is a blowout. Most patients want to be as safe as possible; and they don’t want to have to adjust their life to accommodate a social emergency.  If you have silicone implants, start planning to have them replaced at 15 years.  We have to be more proactive with silicone gel because of the concern of having a broken implant in your body; and they will wear out at some point.  

Q. What steps can I take early on to prevent aging?

What our experts say:

I think if you have deep furrow s between your eyebrows or a strong smile, the number one thing to do is Botox to keep from pulling your brow down.  Then you won’t need a browlift later on.  I do much fewer of them today. Botox is keeping patients from having their brows descend as aggressively and it keeps the upper lids from looking heavy. You can treat the muscles around the eyes so you won’t have crow’s feet that can close your eyes. If not treated early, they will etch permanent lines in your skin. You also need a good medical skin care system and a good sunscreen to prevent damage.  If you are concerned with your skin, or if you have any problems with your skin, you have to go to an SPF 25 or 30 physical block with more titanium and micronized zinc. They are more reflective and good for sensitive skin (as opposed to chemical sunscreens). Use topical chemicals to stimulate your skin, and have deep cleansing treatments in your doctor’s office like glycolic, lactic or salicylic acids combined with something else. But, if I had to pick one cosmetic to use, it would be sunscreen. Use it every day and reapply it if you are going to be out for a while.

Q. Do I have to have a cast on my nose after a rhinoplasty?

What our experts say:

Rhinoplasty that involves changes in the bone structure usually requires a splint or cast because the nose bones are broken and moved.  The patient will have a splint or cast in place for 7 to 10 days to ensure the bones are sticky and in place and secure before the cast is removed.  If just the tip of the nose is adjusted, then a cast or splint is usually not necessary; and usually the nose is just taped.  Recovery will vary with the specific surgeon.  Generally speaking, if there are nasal packs (which is the worst part because you can’t breathe out of your nose) you will have them 2 to 7 days, and a cast for 7 to 10 days if nose bones were broken.  The worst thing with rhinoplasty is that, although you will see some shape changes while recovering, swelling occurs right away and takes a long time to resolve.  You won’t see the final result until 6 to 12 months in the future.  You have to be very patient. The most annoying thing is that the nose is stuffy afterwards and the swelling shifts around like when you have a cold.  Occasionally, nose bleeds can occur in the first 2 weeks; and you can’t strain or lift anything heavy. You have to be gentle with your nose. It’s very fragile afterwards.  Most surgeons don’t let you wear glasses for 3 to 6 weeks if the nose bones were adjusted. 

Q. Is the fat transfer for butt enhancement permanent?

What our experts say:

Fat transfer is long lasting but cannot be considered permanent unless your weight and fitness level remains stable at all times.  Any weight loss or fat loss in the body can shift out of the area that you want stay plumped up with your fat grafts!  The other problem with fat grafting is that the fat may or may not actually attach itself to its new location and survive the transplantation process.  Whatever you have as a result at about 5 months, I have found, usually is going to persist in place. Weight loss, of course can unbalance the smoothness of contour and reduce the overall results.  

Q. What can I do when the weight just won’t come off despite my best efforts?

What our experts say:

If you have problems with achieving a healthy weight, you may need to consult a physician who specializes in weight loss management to help you to address whatever is blocking you from the healthy body and weight that you are striving for.  Many weight loss programs are available to kick start your weight loss and support your progress. If you have a healthy (for you) weight and lifestyle and you still have figure problems with localized areas of fat that just won’t budge despite diet and exercise, you are an excellent candidate for body sculpting with liposuction to achieve a more balanced and smooth figure.  Many people look to liposuction as a weight loss technique, but is really best used as a sculpting technique to smooth disproportionate areas of fat that cause bulges or an uneven silhouette.   I always ask my patients what weight they would like to be at to be their personal best.  If that weight is really an attempt to get rid of that “last problem area” and my patient  is happy with all of her other body areas, then I will recommend liposuction for that last fat deposit and try to get the patient to stop stressing over her weight!

Q. For how long can I wait to get pregnant after liposuction and breast lift surgery?

What our experts say:

Once you are healed and off all medications, you should be safe to attempt to get pregnant.  However, if you are anxious to have another pregnancy as soon as possible, it might be smart to wait until all of the negative fat deposit and skin stretching effects of that pregnancy are completed  and you are in a resting phase between pregnancies or totally finished with your babies before going forward with your surgery.  Especially in terms of breast lift, each pregnancy will cause re-stretching of the breast skin and then loss of the pregnancy and breast feeding volume of the breast causing skin laxity and drooping again.  Each subsequent pregnancy may (or may not) require additional lifting to keep your breasts looking their best.  Hormonal changes of pregnancy, as well as the weight gain that goes along with any normal pregnancy, can cause shifts in your  fatty deposits and may also unbalance your figure despite the most beautiful pre-pregnancy liposuction results.  Additional liposuction contouring may be required post pregnancy.

Q. Is the fat transfer for butt enhancement permanent?

What our experts say:

Fat transfer is long lasting but cannot be considered permanent unless your weight and fitness level remains stable at all times.  Any weight loss or fat loss in the body can shift out of the area that you want stay plumped up with your fat grafts!  The other problem with fat grafting is that the fat may or may not actually attach itself to its new location and survive the transplantation process.  Whatever you have as a result at about 5 months, I have found, usually is going to persist in place. Weight loss, of course can unbalance the smoothness of contour and reduce the overall results.

Q. What can I do when the weight just won’t come off despite my best efforts?

What our experts say:

If you have problems with achieving a healthy weight, you may need to consult a physician who specializes in weight loss management to help you to address whatever is blocking you from the healthy body and weight that you are striving for.  Many weight loss programs are available to kick start your weight loss and support your progress. If you have a healthy (for you) weight and lifestyle and you still have figure problems with localized areas of fat that just won’t budge despite diet and exercise, you are an excellent candidate for body sculpting with liposuction to achieve a more balanced and smooth figure.  Many people look to liposuction as a weight loss technique, but is really best used as a sculpting technique to smooth disproportionate areas of fat that cause bulges or an uneven silhouette.   I always ask my patients what weight they would like to be at to be their personal best.  If that weight is really an attempt to get rid of that “last problem area” and my patient  is happy with all of her other body areas, then I will recommend liposuction for that last fat deposit and try to get the patient to stop stressing over her weight!

Q. How long should I wait to get pregnant after undergoing liposuction and breast lift surgery?

What our experts say:

Once you are healed and off all medications, you should be safe to attempt to get pregnant.  However, if you are anxious to have another pregnancy as soon as possible, it might be smart to wait until all of the negative fat deposit and skin stretching effects of that pregnancy are completed  and you are in a resting phase between pregnancies or totally finished with your babies before going forward with your surgery.  Especially in terms of breast lift, each pregnancy will cause re-stretching of the breast skin and then loss of the pregnancy and breast feeding volume of the breast causing skin laxity and drooping again.  Each subsequent pregnancy may (or may not) require additional lifting to keep your breasts looking their best.  Hormonal changes of pregnancy, as well as the weight gain that goes along with any normal pregnancy, can cause shifts in your  fatty deposits and may also unbalance your figure despite the most beautiful pre-pregnancy liposuction results.  Additional liposuction contouring may be required post pregnancy.

Q. I want to look younger. Where do I start?

What our experts say:

When a patient comes to me looking tired and worn and asking to look younger, we work together, balancing the patient's aesthetic goals and lifestyle with today's many choices for facial rejuvenation, from laser resurfacing to fillers to facelift surgery. We modify procedures to make recovery easier and strive for the ultimate goal of a natural, more rested appearance without changing who you are.
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About Dr. Mary Herte
About Me

What alternative occupation would you choose?

I can't imagine myself doing anything I would love as much as plastic surgery.

What have you done to advance the field?

While serving as the youngest-ever Plastic Surgery Research Fellow at Eastern Virginia Graduate School of Medicine, my research on the use of ultrasound helped set the stage for the current practice of using ultrasound for liposuction fat removal.

What is your favorite part of your job?

Performing surgery. It can help greatly improve one's life. I also enjoy the interaction with patients and look forward to hearing how surgery helped change their lives for the better.

What is the best advice you've received?

People are more important than things.

About My Practice

What health and beauty tip can you pass along to readers?

Treat your skin well by avoiding the sun and protecting it with SPF.

What do you think makes a procedure successful?

Well, I always strive to achieve results that enhance each person's natural beauty while preserving individuality and uniqueness. I aim for a sense of personal harmony, culminating in patients who still look like themselves, only better.

What steps do you take to deliver second-to-none care?

We measure each aspect of patient care against the mission statement I crafted with my staff a decade ago, to achieve unsurpassed patient care, radiant beauty and surgical excellence. I'll stop and ask myself, 'are we producing the best results, the best experience and unparalleled service?' I want to ensure that we are giving each patient nothing short of our absolute best efforts.

Education & Credentials

EDUCATION:

Undergraduate:

  • B.S., Mount Mary College, Milwaukee, Wisconsin

Degree:

  • University of Wisconsin School of Medicine , Madison, Wisconsin

Residency:

  • University of Wisconsin, Madison, Wisconsin

Fellowship:

  • Research Fellow - Plastic Surgery Department, Eastern Virginia Graduate School of Medicine, Department of Plastic Surgery, Norfolk, Virginia
  • Plastic Surgery Fellowship, University of Wisconsin, Madison, Wisconsin

BOARD-CERTIFICATION:

  • American Board of Plastic Surgery

AFFILIATIONS:

  • American Society of Plastic Surgeons
  • American Medical Women’s Association
  • Association of Women Surgeons
  • Fellow, American College of Surgeons
A Minute With

MY HAPPIEST PROFESSIONAL MOMENTS

Being fully present in every moment is the key to a happy career

CAREER-DEFINING PROCEDURE

When I saw a child with a cleft lip, nose and lip distorted and parts missing, transformed into a normal baby in the arms of a joyful weeping mother, I was hooked—I thought that plastic surgery was magic and I wanted to do magic

THE BIGGEST MISCONCEPTION ABOUT MY FIELD

Most people have the belief that new technologies are making healing faster and surgery scarless, but unfortunately, the body has not had an upgrade in thousands of years (we are still at version 1.0) and we still must heal in the same slow way

MY DREAM INNOVATION

I would invent a topical serum to restore the elastic fibers in the skin

WHAT SETS MY PRACTICE APART

Unhurried face time with your plastic surgeon

HOW I MAKE THE BEST FIRST IMPRESSION

With a genuine and welcoming smile and a professional and confident presence

MY MOST UNIQUE PERSONALITY TRAIT

Problem-solving skills

MY OPERATING ROOM PLAYLIST

We play upbeat positive tunes in surgery to create an environment conducive to a positive healing and recovery process for our patients

THREE WORDS THAT BEST DESCRIBE ME

Genuine, meticulous, nurturing

Insights

Restoring Youth

To restore youthfulness and volume to this 58-year-old patient’s face and cheeks, Dr. Herte performed a facelift with fat injections and upper blepharoplasty (eyelid surgery).

I want to look younger. Where do I start?

When a patient comes to me looking tired and worn and ask­ing to look younger, we work together, balancing the patient’s aesthetic goals and lifestyle with today’s many choices for facial rejuvenation—from laser resurfacing to fillers to facelift surgery. We modify procedures to make recovery easier and strive for the ultimate goal of a natural, more rested appear­ance without changing who you are.

Rested Appearance

Concerned with always looking tired, even when he wasn’t, this 54-year-old patient sought Dr. Herte, who performed upper and lower blepharoplasty, as well as Botox® injections.

All About You

Performing all surgical procedures in her practice’s fully accredited surgical suite, “I always sit down and reassure patients before surgery. I am standing right next to them, usually holding their hand, while they fall asleep,” explains Dr. Herte, who feels the consistency of working with the same staff, during consultations and while in surgery, creates more intimacy. Personally calling patients after surgery and working with board-certified anesthesiologists, Dr. Herte believes treating patients as she, herself, would like to be treated translates into a respectful, dignified experience for patients. To further realize this “all about you” philosophy, Dr. Herte’s facility offers referrals for post-surgical nursing amenities for patients requiring extra care. “When I meet a patient in consultation, we settle in together in oversized easy chairs. Such attention to detail is our way of saying, ‘Welcome. We’re here to accommodate you. Let’s get to know each other.’

FAQ

Q. What is the benefit of using the External Ultrasound Method during liposuction?

What our experts say:

When you use ultrasound on the skin, it penetrates through to the fat to loosen the fat cells, making it easier to remove the fat. When it’s placed on the skin (instead of inside the incision), there is much less risk of over-melting the fat and burning the skin from the inside. It’s a little safer with an added benefit of triggering some collagen contraction in the skin during the treatment. It helps to shrink the skin into a new shape a little bit better. Because the fat cells are looser, we can use smaller cannulas to remove the fat, which leaves smaller scars. We always try to hide incisions in natural creases or places that are not revealed by clothing you wear.  It’s really important to consider where the scars will be.  That’s why you have to go to a reputable surgeon. Scars should be hidden:  In the belly button, in the groin crease, the buttock crease or someplace where they are unobtrusive.

Q. Will I have six-pack abs after a tummy tuck?

What our experts say:

Six-pack abs are related to how much you work out and how defined your abdominal muscles are. You can get them, but with a lot of work.  If there is fatty tissue covering them, you will not see them.  You have to get really thin, with no fat layer, in order to look sculpted. There are special diets that help you to lean down in order to get that appearance of muscle sculpting; however, for most people that’s not really a lifestyle option. Doctors can do liposculpting in order to get something that looks like a “six pack,” but, in my opinion, it does not look natural.  If we remove enough fat to show the abs in sculpted layers like when in training, the skin will adhere to the muscle and will look unnatural.  I don’t recommend removing that much fat with a surgical procedure.  It will heal in an unnatural-looking way. I’m a physician not a magician. I can’t wave a magic wand and change someone who’s chubby into a lean lanky person.

Q. How do you know what size and shape and of breast implant is the right one?

What our experts say:

I usually help the patient choose their size and shape based on chest-size measurements and how much volume they want.  We start with size and then go with shape.  A teardrop shape versus a round one doesn’t really matter because they all look like a teardrop in the body.  Some people want the teardrop shape because they think it will look natural, but that is possible with round implants, too, if they are the proper size.  I have patients try implants on in a try-on bra with their clothes on because the patient is the best judge of what is right for her. Trying them on is key. It’s based on what kind of image the patient wants to have with her new breasts; whether she’s athletic, a model, flashy or a stripper.  We start with implant choices that will fit her body, and the patient will tell me what she’s looking for, and we go up and down from there.  I have developed an eye and ear for what patients want.  It’s all about what will balance the figure and what style the patient wants to project.  It may not be my style, but it is their decision. Every surgeon has their own idea of what looks good and guides the patient to what they have had good experiences with. I like smooth, round implants because, with proper massage to keep scar tissue from forming, they give a natural, soft look. Textured implants can be more visible in thin women. 

Q. Where is the best place for the incision when doing breast augmentation?

What our experts say:

I prefer placing incisions under the breast crease.  It allows me to go around breast tissue and not through it; and I have access to the pocket with minimal bruising and bleeding. It’s a really good access incision.  When the breast is relaxed, the incision is tucked under the breast so you don’t see it.  If it’s around the areola, the incision is right in front of you, and you can see the white line.  Many incisions around the areola are terrific, and some do prefer them, so if that’s what the patient wants, I’m happy to do them. I don’t recommend armpit or belly button incisions because the distance to where the implant goes is so long, it’s hard to stop bleeding and place it properly in the pocket.  There is not good position control.  You don’t show your breast to very many people, but everyone can see your armpit if the scar is there. I prefer to keep incisions hidden.

Q. Is it ever “too late” for a facelift?

What our experts say:

I think if you are in good health, you can have one at any age.  Some of my patients are over 80. And I definitely have facelift patients in their 70s. I don’t think you’re ever too young either, but you need to have something to fix. You should have it done when you need it.  The top-end restriction is all a matter of health. If you’re healthy and are motivated to do it, a facelift can be a good thing that makes you feel good about yourself.  That being said, the more inelastic your skin is, the more difficult it is to get a long-lasting and effective facelift; but it will always be a little better than what you had.  Poor skin quality will undermine your facelift result.  The best results require good skin condition as well as surgical lifting. We can do facial rejuvenation, to address the issues because the skin has to hold the stretch.  Skin rejuvenation is a very important part of keeping your facelift results, or getting a good facelift result.  Younger quality skin will hold up better than an older skin quality.  Using skin rejuvenation techniques, like laser resurfacing, can be helpful in protecting your investment both before and after a facelift, so you don’t have to keep relifting.

Q. What is the best way to rejuvenate the face? Surgically? Non-surgically?

What our experts say:

It’s complicated.  I consider multiple areas of aging that occur in face: Loss of volume, skin quality, changes in elasticity, pigments problems, overactivity of the muscles that leave wrinkles when you move your face, and looseness of the skin (hanging skin in the neck, drooping of the cheeks and eyebrows). All areas need to be addressed in different ways to get the best result.  To turn back the clock, loose skin needs to be lifted surgically to remove excess skin and to reposition the skin as well as it’s deeper layers.  We have to also look at skin quality—crepiness, pigmentation, does it look soft or watery.  If you have a tight face with old skin, it will not look rejuvenated. The patient may need good skin care, topical treatments and laser resurfacing.  If we do just a lift so the skin is tight, but there is no softness from loss of volume, than the patient looks pulled and sometimes skeletal, so we have to add volume.  In the old days, we just did lifting, which made patients look pulled. The skin looked like it was stretched over bone because we didn’t have any other options.  Today, we can give patients a natural and soft appearance which is what youth looks like. Adding volume gives us that more youthful look. We can add volume to lips and cheeks; we can fix the skin with laser resurfacing and we can treat overactive muscles that distort the skin with Botox, Xeomin, and Dysport—which can be helpful in stablizing and preserving a browlift.  You have to protect your investment and keep your results. You have to start early to preserve your skin.

Q. What areas does a mini facelift address? How long do results of a mini facelift last?

What our experts say:

A mini facelift refers to a limited incision, which means restricting the incision to a short incision in front of the ears and around the earlobe a little bit.  There is less skin removal, so fewer areas of the face can be addressed.  One thing it doesn’t address is the neck. That requires an incision around the ear and up into the hair.  A lot of patients want a mini lift because of the smaller incisions, but they want to have neck improvement so they are disappointed. A mini facelift can’t address the neck, it can only address the cheeks and sometimes the jawline. The results depend on the patient’s age and how extensive the skin laxity is or how much skin damage there is.  Most people get 5 years out of them if done properly, and if there is tightening of the inner muscles layers. It’s best for patients who have very little neck laxity and mostly cheek and lower face relaxation.  Sometimes more is less. One of the things about a facelift that people fear is that they will look like they have been in a wind tunnel. When doing a mini lift, the only place to pull is directly toward the ear, so they will get a smaller scar, but not the look they wanted. If the incision is limited, there is a pull from the nose to the ear which will look artificial. They don’t realize that you have to release skin from its underpinning and pull up to look more natural. So really, the direction of gravity is from the eyebrow to the chin and not from the ear to nose. We need to make the incision longer and loosen the skin more to get a more natural draping.  In reality, limiting your procedure will actually cause you to look more artificial. We have to look at what needs to be lifted and what we are trying to accomplish.  We have to look at what the result will be, not the procedure.

Q. Are there any risks involved with doing liposuction?

What our experts say:

The primary risks are extensive bruising, surface skin irregularity and looseness of skin (if there is too much fat removed). With laser and ultrasonic liposuction, you have to choose an experienced surgeon because of possible injury to the skin. You don’t want too much taken out because there can be blood-loss related to bruising; which can be dangerous. However, with an experienced practitioner it is a very safe and satisfying procedure. 

Q. Do you use different methods of liposuction for different areas of the body? What type is used for the thigh, butt area? Tummy? Arms?

What our experts say:

I use pretty much the same technique equally because it works well for me; which is the modified tumescent technique with external ultrasound, unless it’s a delicate area. I like to stay really safe and effective. I always default back to what’s safe for the patient.

Q. Can you use liposuction for breast reduction?

What our experts say:

Breast reduction can be done with liposuction; however, it doesn’t address important issues like excess skin and laxity. Breasts are loose and droopy ordinarily.  If you just do liposuction, you have an empty bag of skin that’s not an attractive breast.  It’s very limited in how much we can remove and what the patient’s expectation is.  Another limitation is that liposuction only removes fat, not breast tissue.  Most women with overly large breasts have too much breast tissue, which is firm and is not removed by liposuction.  Sometimes they can end up with lumpiness from the internal breast tissue being revealed after the removal of the fat. 

Q. How is external ultrasound used during a tummy tuck?

What our experts say:

During a tummy tuck, I don’t use it very much unless I’m doing an extra area of liposuction.  We don’t use a lot of liposuction during a tummy tuck.  It can cause stress to the skin. We are surgically removing fat and the skin attached to it.  It’s mostly overhang. 

Q. How many parts of my body can I “lift” at one time without risks or complications? How many procedures can I have done at once?

What our experts say:

I’m very safety conscious. I usually recommend patients separate them out; but it depends on how extensive the procedures are.  If they want an extensive tummy tuck, breast lift and arm lift, I recommend they split them up into three separate procedures.  When you start disabling multiple parts of the body, you start to have risks of blood clots in the legs, pneumonia, and healing problems.  Most people want to get back to normal activities, and with more than one procedure, you can’t move around properly.  So, you have to think about how much time you really have to recover.  Most people think it’s better to have a single healing time, but what they are really doing is extending that healing time.  Your body can’t handle that much trauma at one time. So it’s no longer one-to-two weeks of healing anymore for a tummy tuck, if you add a breast augmentation. You can’t move and are at the mercy of your caretakers. However, a tummy tuck with lower-eyelid surgery would be a nice combination.  Some doctors don’t think about what’s smart and safe for the patient. It’s best to keep the complication rate low, separate out the procedures and keep the surgical time short. Somewhere between 6.5 to 7 hours should be the absolute maximum.  Anesthesia time over 7 hours adds to the complication rate. 

Q. What’s better, a saline implant or a silicone one?

What our experts say:

Saline versus silicone is a personal choice. I personally prefer silicone gel because it’s longer-lasting and more natural looking. If someone is extremely thin, you can see rippling and fluid movement with saline. Also, when a saline implant wears out, it deflates and then it is a social emergency.  It’s not convenient for many patients.

Q. What is the best technique to minimize scarring with a breast lift or reduction?

What our experts say:

Many women, when considering a breast lift, want to keep scars to absolute an minimum; but that is a way to end up with worse scars.  There is always an incision around the areola. When it’s made all by itself, the white skin around it is removed and the areola is inset into that and lifted.  This causes it to be stretched to the new shape and lifted and gathered. Sometimes limiting the incision to just the areola will make the areola really large and the scar lift.  I recommend doing the full-anchor approach or a lollipop (with no under-the-breast incision). You need a vertical incision to take the pressure off of the areola. Sometimes more is less.  If I can do the proper incision and move tension off of the scar that is most visible, then they will have a better scar that is less visible.  Otherwise, the scar will be so bad you will be unhappy.  You have to look at the dynamics of the breast and the scar tissue and how the skin pulls.  Sometimes this requires adding additional scars that take tension off the scars that are most noticeable. It’s making a trade. In a breast lift, we are trading scars for shape. If someone is truly unhappy with the shape of their breast, then they have to be willing to accept a trade to get the benefit they are looking for.  It is worth it. Scars tend to look good with time.  If not, we can improve them with scar management treatments. There are topicals, injectables and laser treatments that can make scars look as best as possible. 

Q. Are there any risks associated with breast augmentation?

What our experts say:

As with any surgery, there are, but they are fairly minimal and fully discussed with the patient.  The biggest surgical risks are hematoma (a localized swelling filled with blood), which requires reoperation; but it’s not very common. There will be bruising, swelling, and scars. The most common issue is the hardening of the breast, where the scar tissue shrinks and contracts around the implants. This is minimized by following-up with patients. I work hard to get patients to be good at breast compression massage which keeps them from tightening up. Implants will also break someday.  We can’t guarantee that they last forever. Saline implants last 7 to 10 years; and silicone gels on average last 15 to 25 years. They all need to be replaced. It’s a personal choice when to replace them. I do not necessarily recommend them being replaced pro-actively; but like a car, I want to change the tires before there is a blowout. Most patients want to be as safe as possible; and they don’t want to have to adjust their life to accommodate a social emergency.  If you have silicone implants, start planning to have them replaced at 15 years.  We have to be more proactive with silicone gel because of the concern of having a broken implant in your body; and they will wear out at some point.  

Q. What steps can I take early on to prevent aging?

What our experts say:

I think if you have deep furrow s between your eyebrows or a strong smile, the number one thing to do is Botox to keep from pulling your brow down.  Then you won’t need a browlift later on.  I do much fewer of them today. Botox is keeping patients from having their brows descend as aggressively and it keeps the upper lids from looking heavy. You can treat the muscles around the eyes so you won’t have crow’s feet that can close your eyes. If not treated early, they will etch permanent lines in your skin. You also need a good medical skin care system and a good sunscreen to prevent damage.  If you are concerned with your skin, or if you have any problems with your skin, you have to go to an SPF 25 or 30 physical block with more titanium and micronized zinc. They are more reflective and good for sensitive skin (as opposed to chemical sunscreens). Use topical chemicals to stimulate your skin, and have deep cleansing treatments in your doctor’s office like glycolic, lactic or salicylic acids combined with something else. But, if I had to pick one cosmetic to use, it would be sunscreen. Use it every day and reapply it if you are going to be out for a while.

Q. Do I have to have a cast on my nose after a rhinoplasty?

What our experts say:

Rhinoplasty that involves changes in the bone structure usually requires a splint or cast because the nose bones are broken and moved.  The patient will have a splint or cast in place for 7 to 10 days to ensure the bones are sticky and in place and secure before the cast is removed.  If just the tip of the nose is adjusted, then a cast or splint is usually not necessary; and usually the nose is just taped.  Recovery will vary with the specific surgeon.  Generally speaking, if there are nasal packs (which is the worst part because you can’t breathe out of your nose) you will have them 2 to 7 days, and a cast for 7 to 10 days if nose bones were broken.  The worst thing with rhinoplasty is that, although you will see some shape changes while recovering, swelling occurs right away and takes a long time to resolve.  You won’t see the final result until 6 to 12 months in the future.  You have to be very patient. The most annoying thing is that the nose is stuffy afterwards and the swelling shifts around like when you have a cold.  Occasionally, nose bleeds can occur in the first 2 weeks; and you can’t strain or lift anything heavy. You have to be gentle with your nose. It’s very fragile afterwards.  Most surgeons don’t let you wear glasses for 3 to 6 weeks if the nose bones were adjusted. 

Q. Is the fat transfer for butt enhancement permanent?

What our experts say:

Fat transfer is long lasting but cannot be considered permanent unless your weight and fitness level remains stable at all times.  Any weight loss or fat loss in the body can shift out of the area that you want stay plumped up with your fat grafts!  The other problem with fat grafting is that the fat may or may not actually attach itself to its new location and survive the transplantation process.  Whatever you have as a result at about 5 months, I have found, usually is going to persist in place. Weight loss, of course can unbalance the smoothness of contour and reduce the overall results.  

Q. What can I do when the weight just won’t come off despite my best efforts?

What our experts say:

If you have problems with achieving a healthy weight, you may need to consult a physician who specializes in weight loss management to help you to address whatever is blocking you from the healthy body and weight that you are striving for.  Many weight loss programs are available to kick start your weight loss and support your progress. If you have a healthy (for you) weight and lifestyle and you still have figure problems with localized areas of fat that just won’t budge despite diet and exercise, you are an excellent candidate for body sculpting with liposuction to achieve a more balanced and smooth figure.  Many people look to liposuction as a weight loss technique, but is really best used as a sculpting technique to smooth disproportionate areas of fat that cause bulges or an uneven silhouette.   I always ask my patients what weight they would like to be at to be their personal best.  If that weight is really an attempt to get rid of that “last problem area” and my patient  is happy with all of her other body areas, then I will recommend liposuction for that last fat deposit and try to get the patient to stop stressing over her weight!

Q. For how long can I wait to get pregnant after liposuction and breast lift surgery?

What our experts say:

Once you are healed and off all medications, you should be safe to attempt to get pregnant.  However, if you are anxious to have another pregnancy as soon as possible, it might be smart to wait until all of the negative fat deposit and skin stretching effects of that pregnancy are completed  and you are in a resting phase between pregnancies or totally finished with your babies before going forward with your surgery.  Especially in terms of breast lift, each pregnancy will cause re-stretching of the breast skin and then loss of the pregnancy and breast feeding volume of the breast causing skin laxity and drooping again.  Each subsequent pregnancy may (or may not) require additional lifting to keep your breasts looking their best.  Hormonal changes of pregnancy, as well as the weight gain that goes along with any normal pregnancy, can cause shifts in your  fatty deposits and may also unbalance your figure despite the most beautiful pre-pregnancy liposuction results.  Additional liposuction contouring may be required post pregnancy.

Q. Is the fat transfer for butt enhancement permanent?

What our experts say:

Fat transfer is long lasting but cannot be considered permanent unless your weight and fitness level remains stable at all times.  Any weight loss or fat loss in the body can shift out of the area that you want stay plumped up with your fat grafts!  The other problem with fat grafting is that the fat may or may not actually attach itself to its new location and survive the transplantation process.  Whatever you have as a result at about 5 months, I have found, usually is going to persist in place. Weight loss, of course can unbalance the smoothness of contour and reduce the overall results.

Q. What can I do when the weight just won’t come off despite my best efforts?

What our experts say:

If you have problems with achieving a healthy weight, you may need to consult a physician who specializes in weight loss management to help you to address whatever is blocking you from the healthy body and weight that you are striving for.  Many weight loss programs are available to kick start your weight loss and support your progress. If you have a healthy (for you) weight and lifestyle and you still have figure problems with localized areas of fat that just won’t budge despite diet and exercise, you are an excellent candidate for body sculpting with liposuction to achieve a more balanced and smooth figure.  Many people look to liposuction as a weight loss technique, but is really best used as a sculpting technique to smooth disproportionate areas of fat that cause bulges or an uneven silhouette.   I always ask my patients what weight they would like to be at to be their personal best.  If that weight is really an attempt to get rid of that “last problem area” and my patient  is happy with all of her other body areas, then I will recommend liposuction for that last fat deposit and try to get the patient to stop stressing over her weight!

Q. How long should I wait to get pregnant after undergoing liposuction and breast lift surgery?

What our experts say:

Once you are healed and off all medications, you should be safe to attempt to get pregnant.  However, if you are anxious to have another pregnancy as soon as possible, it might be smart to wait until all of the negative fat deposit and skin stretching effects of that pregnancy are completed  and you are in a resting phase between pregnancies or totally finished with your babies before going forward with your surgery.  Especially in terms of breast lift, each pregnancy will cause re-stretching of the breast skin and then loss of the pregnancy and breast feeding volume of the breast causing skin laxity and drooping again.  Each subsequent pregnancy may (or may not) require additional lifting to keep your breasts looking their best.  Hormonal changes of pregnancy, as well as the weight gain that goes along with any normal pregnancy, can cause shifts in your  fatty deposits and may also unbalance your figure despite the most beautiful pre-pregnancy liposuction results.  Additional liposuction contouring may be required post pregnancy.

Q. I want to look younger. Where do I start?

What our experts say:

When a patient comes to me looking tired and worn and asking to look younger, we work together, balancing the patient's aesthetic goals and lifestyle with today's many choices for facial rejuvenation, from laser resurfacing to fillers to facelift surgery. We modify procedures to make recovery easier and strive for the ultimate goal of a natural, more rested appearance without changing who you are.
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Services
  • Liposuction and Body Sculpture
  • Abdominoplasty
  • Breast Enhancement
  • Facial Rejuvenation
  • Aesthetic Injectables

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