Many of my Pittsburgh-area patients are interested in enhancing their breasts, whether they’re seeking to increase their cup size, lift breasts that have sagged and lost volume, or reduce their breast size.
Breast augmentation enhances the size and the shape of breasts using silicone or saline implants. Patients who choose to undergo a breast augmentation have many options to choose from, such as their implant size, shape, projection, incision placement, and type of implant. I’m here to guide you through all of these decisions, to help you make the right choices for you.
I also frequently perform breast lifts, breast reduction surgery (including gynecomastia surgery for men), and breast reconstruction for women who have undergone a lumpectomy or mastectomy. During your consultation, we will discuss your goals, and I will walk you through my recommendation based on your body type, medical history, lifestyle, and other factors that are personal and unique to you.
BEFORE
AFTER
Abdominoplasty
67 Photos•63 Reviews•422 Q&A•0 Offers
Over the years, Dr. Johns has earned a reputation for excellence in plastic surgery by making his patients his number one priority. Dr. Johns understands that the decision to undergo plastic surgery is never made in haste, and he provides compassionate, not clinical, patient care to help patients understand their options and select the treatment that is best suited for them.
BEFORE
AFTER
Face and Neck Lifts
55 Photos•19 Reviews•144 Q&A•0 Offers
As a plastic and maxillofacial surgeon, facelifts are one of the procedures I perform most frequently for my Pittsburgh-area patients. Our face is usually the first feature that succumbs to signs of aging. This can happen faster and more severely for certain people due to factors like stress, lifestyle, and sun exposure. A facelift can effectively turn back time and restore a naturally youthful look.
During a facelift, I make an incision at the hairline that extends around the ear. I remove any excess fat and sagging skin, while gently lifting the remaining skin and underlying structure to create a contoured, wrinkle-free face and jawline.
For younger patients, I offer a mini facelift. The ideal candidate for a mini lift is someone who is 35 or older with mild to moderate signs of aging. A mini facelift focuses on rejuvenating the lower facial features, and reducing fine lines and wrinkles, while creating more definition between the face and neck.
BEFORE
AFTER
MEET FRANCIS JOHNS, MD
🩺24 YEARS OF EXPERIENCE
Dr. Francis Johns is a board-certified plastic surgeon with over two decades of experience, practicing in Greensburg, Pennsylvania. Known for his surgical expertise in plastic and reconstructive procedures involving the face, breasts, and body, Dr. Johns speci
Before and After Photos
Breast Lift
25 images
Breast Lift with Implants
16 images
QUESTIONS ANSWERED
BROWSE ALL ANSWERS
I have saline implants that are 15 years old. Both appear to need a lift. Is this common?
Asked By:AnonymousANSWERS (1)
Thank you for your question.
Breasts change over time and 15 years is a long time for an implant. From what you are describing the implant may be out of the original pocket that was made for it. I would recommend an in person consultation.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
I feel there's something wrong with my breasts. What kind of operation do I need to fix them after waiting 6 months? (Photo)
Asked By:AnonymousANSWERS (1)
Thank you for your question.
You are very early in the healing process. There is a significant amount of swelling and the implants have not settled in to their pocket. You also have a decent sized implant under muscle, which can take longer to settle. I would give it time, right now everything looks like it is healing well. You need to wait at least 3 months before you make any major decisions.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
Are my breast tuberous and will a breast augmentation fix this? (Photos)
Asked By:AnonymousANSWERS (1)
Thank you for your question.
It does not appear that your breasts are tuberous. Breast augmentation would be a great option to help increase the size and shape.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
Can tubular (tuberous) breast lift be performed without inframammary incision, ie. periareolar incision only? (Photo)
Asked By:AnonymousANSWERS (1)
Thank you for your question.
Based on photos, I would recommend a full lift and not just around the nipple. An in person second opinion would be best to determine if an implant is needed or not. I cannot make the decision based on photos alone.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
How soon is too soon after a BA to get pregnant?
Asked By:AnonymousANSWERS (1)
Thank you for your question.
My recommendation would be to wait until after having children to do the breast augmentation. I would especially take in to consideration if you plan on breast feeding. That can cause some laxity to the breast, so you do not want to get the implants then be left with loose skin over top of them.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
Do I Need a Breast Augmentation, Breast Lift, or Breast Reduction?
Asked By:AnonymousANSWERS (1)
Thank you for your question.
My recommendation based on this photo would be a breast reduction. There is too much laxity to the breast to do an augmentation.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
Can you get a BBL if you’re taking metoprolol?
Asked By:AnonymousANSWERS (1)
Thank you for your question.
As long as the condition you are taking the Metroprolol for is under control you will be fine. Just make your surgeon and anesthesia group aware of your medications prior to surgery.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
When you get BBL do you lose body fat or do you lose weight?
Asked By:AnonymousANSWERS (1)
Thank you for your question.
Liposuction is the removal of fat, which in turn does change your body composition. If you are having the fat re-injected to another area, the composition may not be changed that much.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
Botox made my smile teethless. Can Botox lift my lips back up? (photos)
Asked By:AnonymousANSWERS (1)
Thank you for your question.
Unfortunately, there is nothing to do to speed up Botox wearing off. It can take anywhere from 3-4 months to go back to normal.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
Age 55, interested in having fat removed and skin tightened on arms. What are my options? (photos)
Asked By:AnonymousANSWERS (1)
Thank you for your question.
Based on photos, you would be a great candidate for arm surgery. I would recommend an in person evaluation to determine what your best option would be. The cost varies from state to state and even doctor to doctor.
Francis Johns, MD
Board Certified Plastic Surgeon
4.9 | 195 reviews
Francis Johns, MD reviews
RATING DETAILS
4.9
195 reviews
All reviews are evaluated by the RealSelf team to ensure they're written by patients like you and meet our guidelines. Your results may vary. Doctors can never pay to have reviews removed or hidden.
Dr Johns and his staff are amazing. They make you feel as though you are their only patient. As a retired nurse I can say that Dr Johns compassion and his incredible attention to detail make him an outstanding surgeon and human being!!
Amazing skills and passion for plastic surgery
Meticulously talented
Wonderful work
I highly recommend him, great bedside manners
Takes his time and makes sure he does it right
His depth of knowledge and surgical skills are impeccable
I underwent a neck lift 01/16/25. When I saw the before and after photos (less than 8 weeks later), I could not believe surgery could make such a huge and positive difference in how I felt about looking in the mirror. The results are amazing and natural. Friends and family agree.
Dr. Johns and his office and nursing staff were great from the first consultation. I met with other surgeons who weren’t as thorough in explaining the procedures (plus some of their staff looked overfilled which gave me pause). He explained the SMAS procedure in detail and the years of experience he had performing that procedure.
He is also personable and has a wonderful manner. His office and nursing staff were great! They were patient in answering my ongoing questions and addressing concerns. At surgery time, I felt truly cared for by Sam and Haley.
I am so happy that I found this practice and highly recommend it. It’s called “Artisan” for a reason! I should also mention, I felt his charges were fair and reasonable and in line with national averages
I went in the office unsure of what to expect, I was self conscious, scared, and just unsure because i had sagging skin. I walked through the doors and immediately felt welcomed. I felt like I was appreciated, and that was before I even decided if I was going to have surgery. Everyone was so kind! They treated me like i was important! When the dr came in, he guided me through the best decision for my age and for what i envisioned. I ended up with a smaller scar than I expected and a much better body!! The recovery was better than anticipated! I followed their post op instructions to the t and i was so comfortable the entire time. During my post op visit they made me feel like i was a diamond, I have never felt more confident with how I looked and I owe that to Dr. Johns and his staff!!
Dr. John’s did a wonderful job with my FDL tummy tuck on 11/3/2024 I will be year po! I highly recommend him. I’d never thought I would be able to wear a two piece again. I feel more comfortable in jeans too! I love my results!
Amazing! He was very clear and open about the procedure and recovery. I could not be happier with my results I 1000% would recommend Dr. Johns! My incisions and scars look amazing they are hardly noticeable, I feel confident, and super happy in my body again!
From consultation to post op everything was perfect. Dr John’s and his staff made sure to answer all of my questions and made me feel very comfortable. All the staff at the surgery center was very comforting during the process as well. Dr John’s is very talented and I couldn’t be happier with my results. I have zero complaints and wouldn’t have trusted anyone else.
Dr. Johns is absolutely amazing! I cannot recommend him and the Artisan team enough, as they are all so incredible! Anytime a friend mentions about wanting their nose done, I always recommend that they go here since it’s friendly, affordable, and trustworthy!
Staff is great to work with and very helpful. Dr. John's is wonderful! He takes his time when meeting with his patients. I never felt like he was giving me a sales pitch. I also loved that I got to meet with him on my initial visit. When I was looking at other places, it was usually not an option until you committed to the surgery.
I had a mastectomy in 2021 and met with two plastic surgeons for reconstruction. I was basically told to accept what is.
Dr Johns was very considerate of my needs. He made me feel at ease and comfortable at the very first consultation. The surgery was successful and I was feeling back to normal in a few days. His staff is also very friendly and helpful.
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