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David A. Sieber, MD, FACS

Board Certified Plastic Surgeon

4.9 (98 Reviews)
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4.9
98 reviews
10.2%
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David A. Sieber, MD, FACS
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Worth ItBreast Implant Removal
cw2831

I Am Happy with my Breast Implant Removal with Fat Transfer, Vaser Liposuction of Abdomen and Flanks and Renuvion

Long review alert. Sharing the review I would have wanted to read when I was doing my research. TL:DR - I am a 39-year-old, mid-sized woman who has gained and lost weight several times, had a breast implant removal with fat transfer, vaser liposuction, and Renuvion, and I am very happy with my results. They were life-changing. I waited just over a year (Surgery date: September 20th, 2024) to write this review. I cannot explain how pleased I am with my removal and fat transfer. Healing was bumpy, but over a year later, you can't tell that I had breast implants for almost 10 years. I'm not sure how, but my removal scars from Dr. Sieber look better than my original implant scars. I was so concerned that I would have sagging skin, and somehow my breasts just went back to "normal," but because I had fat transfer, they're better. And my abdomen? I have a smaller waist now that I did not have before, and according to my last DEXA scan, second only to my head, my core / trunk is the area of my body that has the highest percentage of lean muscle mass and lowest percentage of body fat. CONTEXT + EXPERIENCE: I had implants that were too large, caused physical pain, and started to look unusual on my body. Removing them took years off my body, and to everyone's surprise, my face. I knew that I didn't want to get implants again, and as I was also dealing with stubborn belly fat, fat transfer was a strong alternative that happened to necessitate liposuction. I went in very nervous, I thought my case would be more complicated by the fact that I am not thin, I am a person of color/have highly melanated skin, and I hadn’t had the best experience with scarring. I shared my concerns with Dr. Sieber (and every other surgeon I consulted with) openly, and if they're your concerns as well, I would recommend doing the same. It turns out these concerns aren’t unique at all, but they are very real, and it’s helpful to understand how your surgeon responds to and approaches them, as well as his or her experience with similar cases. Dr. Sieber had operated successfully on people with heavily pigmented skin (higher sensitivity to hyperpigmentation and, unfortunately, medical neglect) prior to me, directly addressed elevated risk and variations in outcomes in patients with higher than average BMIs, assured me that he would close my incision points himself, and overall responded and engaged professionally. My breasts healed surprisingly quickly. Within the first week, I could lift my hands over my head and move normally. I had no pain. Liposuction was much more difficult, but Dr. Sieber and his staff were available for check-ins, questions, and comments. Dr. Sieber himself checked in on me. As I'd read online, liposuction recovery is painful/challenging, even with medication. It is not unbearable, but it is incredibly unpleasant. Getting up and down was difficult. My sister took care of me, and I also called in a nurse for one day. Just over a year and three months later, and I love my breasts today more than I ever loved my breast implants. Additionally, I've lost ~25 pounds since the surgery, and not only did my breasts not deflate (grateful for this), but my lipo results / waistline look(s) even better. This surgery is singlehandedly one of the best decisions I've made in my life, and I only wish I'd done it sooner. CONSULTATIONS / PRE-OP / BEDSIDE MANNER: Choosing a surgeon is a very personal decision, so I'll share my process and what I optimized for. I consulted with three surgeons, all ranked very, very highly, including the surgeon who originally placed my implants. I had several visits with Dr. Sieber prior to deciding to move forward. My focus was experience and expertise, professionalism, and my personal comfort level. Admittedly, I have to be really honest here: I was specifically told to manage my expectations around Dr. Sieber's bedside manner. That was a reasonable caution, but it isn't what I'm opting for in major, life-altering surgery. I assumed he would be very judgmental and rude, and he just wasn’t. As a person with a neurodivergent communication style (I don’t even think he knew this, as I never mentioned it) with anxiety around surgery, I value very direct communication, which is exactly what he delivered. This was both HELPFUL and necessary for me, not offensive. To this end, I thought the nurse who was there on the day of surgery could have been nicer / more empathetic, but I found Dr. Sieber himself to be a professional with relatively high EQ, which is what I was looking for. In my evaluation, I ranked him number two out of the three surgeons in bedside manner but number one in experience, professionalism, and comfort level. In my opinion, niceness without does not keep you alive if something goes wrong. Just a note that if you require someone who is overly nice and accommodating, you may judge this differently. Dr. Sieber did not recommend or push a litany of add-on procedures. To my knowledge, he was not critical of any part of my body (the reverse is a major red flag in any surgeon btw). There was no sense of urgency around doing my surgery. I actually left my first consultation wondering if surgery was necessary at all. Initially, I asked about a tummy tuck with breast implant removal during my consult, but he assured me, more than once, that it was not necessary. RISKS I wanted a surgeon who would manage my expectations well. Dr. Sieber shared that fat transfers are not always successful, that a large percentage of the fat dies / fades, and that shape cannot be guaranteed. He also cautioned me that Renuvion (on the abdomen) may not be effective or could only show very limited improvement, and liposuction on a patient with above-average BMI could offer a sub-optimal outcome. I am so glad I knew all of this beforehand. While not critical, he did recommend waiting to reduce my BMI before proceeding with surgery (I was only one point over his cut off). I chose not to at the time, but as a result of the surgery found it much easier to lose weight afterward and have. RESULTS Breast implant removal and fat transfer: I LOVE my breasts. Some fat did die, and swelling (which contributes to early volume) went down, but my breasts still look great, somehow my breast shape looks better than it ever has, my symmetry looks near perfect (I initially got breast implants due to very small breasts and *significant* asymmetry), and the proportions look very natural. I did text Dr. Sieber in a panic about six weeks out when one breast looked larger than the other, but I believe that must have been due to swelling going down faster on one than the other. Today, they look very close to each other in symmetry. My scars are under my breasts and look like short, single lines. Aesthetically, they look much much much better than my original breast implant scars. It’s clear he listened to my concerns here. I embarked on a wellness journey since surgery and have lost around 25-30 pounds since. I’m not sure how, but my breasts did not deflate and somehow look better; the same is true for my liposuction. Liposuction: Several people thought - and still think - I’ve had a BBL. I did not. I got liposuction of the abdomen and flanks only with Renuvion of the abdomen, and my silhouette looks much more feminine. I did not get any fat transferred to my backside, but my new contours (along with strength training) have contributed to a fuller look in my buttocks and an hourglass shape. My abs look very natural. My scars are small and hidden in my bikini line and bra strap. They are single small circles at each location, smaller than a penny. Renuvion: I am not entirely sure it was worth it. Dr. Sieber was right in managing my expectations here. Improvement was relatively minimal. I have noticed that my skin is not as saggy as many patients I’ve seen online, and from certain angles, not noticeable, but I do still have some laxity from losing and gaining 45-50 pounds several times, that was not necessarily helped by liposuction. Now that I’m a year out and 25+ pounds lighter, I plan to go back for microneedling or laser treatments. I wouldn’t know what my stomach would have looked like had I got liposuction and not had Renuvion, so I’d recommend using your own judgment here. Scarring: I didn’t have the patience for scar gel, and my scars healed fine. Short straight line under each breast, one <1 inch scar in bikini line, one <1 inch scar in bra line. I may get laser treatment in the future. None are visible in a bikini, and none bother me today. WOULD I GO TO DR. SIEBER AGAIN? Yes. Emphatically yes, even if just to get advice on an issue he himself may not directly address.

Worth ItMoxi
Rav1013

Highly Recommend Sieber Plastic Surgery

I had an excellent experience during my recent laser treatments and facial. Sally, who performed my laser treatments, and Priscilla, who did my facial, both demonstrated exceptional attention to detail and genuine care throughout the entire process. Sally’s thoughtful approach and attentiveness made what could have been a stressful experience much more comfortable and manageable. Sally took the time to ensure I was well-informed about what to expect, including potential side effects like soreness and bruising. Thanks to her thorough preparation, I knew exactly what to anticipate during recovery. Priscilla was equally attentive and skilled during my facial treatment. The professionalism and compassion shown by the entire staff made all the difference. I’m experiencing the expected post-treatment effects but feel completely confident in the care I received. I would definitely recommend this practice to others seeking laser treatments, injectables, or facial services. Sally’s combination of technical skill and genuine care for client comfort sets Sieber Plastic Surgery apart.

Worth It$65,000Brazilian Butt Lift
heytheremama

Dr. Sieber is a master of his craft - seeing incredible results

Dr. Sieber is incredible at what he does. I went to Airsculpt for liposuction and bbl and they ruined me. Terrible work and painful. I came to Dr. Sieber and I just finished my surgery a week ago. I’m seeing incredible results. I’m so shocked at his artistry. He is a master of his craft. I can’t wait to see how my body turns out a few months from now. It’s only been a week and I’m so happy with the results so far. The pain is here and there but I’m already up and walking day after surgery. I had liposuction on belly (so flat now!), thighs and flanks, bbl, fat transfer to breasts. Thank you, Dr. Sieber!

Worth ItMini Tummy Tuck
Mms2024

My results are natural and scars are minimal!

Best dr in the Bay Area! My results are natural and scars are minimal! Recovery isn’t bad if you follow instructions and I’m now at over a year post op and maintaining and enhancing my results by diet and exercise which he is very upfront about

Worth It$7,000Breast Reduction
Generous43413

I had an excellent experience!

I felt so beautifully cared for at Sieber Plastic Surgery. From my first consultation to my surgery to my followup appointment, I was treated with kindness and professionalism by all of the staff. Dr. Sieber is WONDERFUL, seems to truly enjoy his job, and put me at ease from start to finish. I'm very grateful to have found this practice!

Worth It$390Botox
dewbrows

I honestly think I’ve found the foundation of youth.

I found Dr.Sieber on RealSelf 6-7 years ago, best decision ever. He’s always made me look good. Even though Dr.Sieber doesn’t personally do injectables any more, everyone at his office that I’ve tried (Sally and Armeen) are fantastic as well. I honestly think I’ve found the foundation of youth.

Worth ItTummy Tuck
Warmhearted995622

Amazing - still do a double take when I see myself in the mirror

There are a lot of good plastic surgeons out there but there's only one that's above them all- Dr. Sieber! An unbelievable skilled surgeon/sculptor. I'm almost 6 months post-op (mini tummy tuck/Lipo360/J-Plasma) & still do a double take when I see myself in the mirror (that really me?!); his aesthetics will exceed your expectations. My incision was so meticulously closed- it's fading beautifully. He also has a great knowledgeable team; I saw Sally NP for facial fillers last August, phenomenal! Loved how with less syringes I got better results than I had in the past with other injectors.

Worth ItBreast Augmentation
05meg

High definition lipo 360, inner thigh lipo, mini BBL & breast augmentation

This review is about 8 months overdue. But all I can say is that I'm not only thrilled with my results, I feel lucky to have found Dr. Sieber and his wonderful staff. I had high definition liposuction 360, inner thigh lipo, a mini BBL and a breast augmentation. At my pre-op consult I added a lower bleph and laser resurfacing, so I had a LOT done at one time. I had researched dozens of surgeons throughout the US and Columbia and ultimately decided that Dr. Sieber's approach, technique and style was the best fit for the aesthetic I was hoping for. After 2 kids and some covid weight gain, I just couldn't seem to get my body back to a place that made me feel comfortable. I'm active, work out regularly and just wasn't seeing the changes I wanted to my overall body shape. I had mixed messages from surgeons about needing a mini tummy tuck due to skin laxity, but Dr. Sieber was very convincing in his believe that skin tightening with renuvion would do the job with much less scaring. (And he was right!) My results are better than ANYTHING I expected to achieve. Dr. Sieber was upfront about expectations, and really over delivered. After my surgery he was available to answer my questions or address any concerns and when I did have a complication from the facial resurfacing laser, he came up with a plan to address the complication and make sure I ended up with a beautiful result. I never felt like I was on my own to deal with anything. That said, if you have a major cosmetic surgery, expect to have some post surgery blues. Give yourself time to let your body heal because the results only get better! I would recommend Dr. Sieber and his injector, Sally, to everyone I know. Because of them, I feel like the absolute best version of myself.

Worth ItMommy Makeover
Considerate837608

Finally did it after hating my body - incredible results so far

After 11 years of hating my body, I finally did it. I got a tummy tuck with breast augmentation and lipo/fat transfer to fill in my hip dips. I'm on post op day 4 and am in so much pain. I'm narcotics, Motrin and prescription anti-inflammatory medications but it's still so painful. I'm mostly swollen and that's making it hard to breathe in my faja. Day 2 was bad. Day 3 was the worst so far. Updated on 30 May 2022: I've always wanted a mommy makeover since I had my son at age 17. It was hard to lose my "youthful" body so young and I felt so insecure the past 11 years. I had the mom pooch, love handles (no amount of exercise got rid of that flank fat) and so many stretch marks. My areolas were very, very large too. My friend got her makeover from Dr. Sieber and recommended him to me. I'm so happy I went with him. To be honest, I've only seen a few pics of my body - I haven't looked at it in the mirror yet, but my partner and lymphatic massage therapists have been telling me it looks absolutely INCREDIBLE. One of the massage ladies told me that she has never seen a doctor do as good a job as someone than Dr. Sieber. Updated on 1 Jun 2022: Recovery has been a lot harder than I expected. I thought I’d feel relatively better by PO Day 7, and I guess I do since my family keeps telling me how much better I’m doing, but I just feel so incredibly tired. I’ve been doing lymphatic massages this week and boy do they HURT but I end up significantly less swollen after each one. I still need a walker to move around which blows but it’s hard to stand up straight because of the compression garment. This is a very painful, uncomfortable process. My body looks so much better than it did before though. And I know I’ll be happy in a month to a year that I did this. Dr. Sieber is honestly a gem. He texts every day to make sure I’m okay and answer any questions. He’s readily available if I need him. The ladies at the massage place tell me that Dr. Siebers results are significantly better than any of their other patients. They told me all of his patients rave about him, and they mentioned how popular he’s now getting. So I guess it’s safe to say that his reputation is getting around! One of the women was telling me how her surgeon botched her BBL and how terrible that’s been. I’m grateful for Dr. Sieber because I literally can’t imagine. Do your research folks! Updated on 12 Jun 2022: adding some pics! I’m still SUPER swollen and not walking totally upright yet, but I’m starting to see results and I’m very happy. Dr. Sieber is literally an artist. I can’t imagine having gone anywhere else.

Worth It$9,000Breast Augmentation
Gregarious640521

385cc moderate plus - results look much better than the 3D imaging

Best decision I made was choosing Dr. Sieber for my breast augmentation! I spent years considering this decision and researched countless doctors and I'm so glad I chose him. He is honestly the best medical professional I've ever worked with. Impeccable bedside manner, extremely responsive, always professional and truly cares about giving you the results YOU want. Background story: I'm a mom of 2 kids and spent 2 years breastfeeding. I wanted to replace the volume I lost from having children because I didn't like the way I looked in clothes with my flat chest. About a year ago I started seriously looking at plastic surgeons. One thing that drew me to Dr. Sieber is his 24 hr rapid recovery technique. At first it seemed too good to be true. How could you have surgery and be up on your feet with very little pain the following day? But after reading through his reviews on multiple sites every woman reiterated what he said. So I booked a consultation with him and another surgeon. The other surgeon had been practicing longer, but didn't do rapid recovery and her timeline post-op was much different than Dr. Sieber's. Since I'm a mom and don't have much flexibility to have a longer recovery, I decided to go with Dr. Sieber. All of his pre and post-op instructions were easy to follow. His timeline for recovery was 100% accurate. He sent me a text every day for the first week following the procedure to check in and see how recovery was going. I had my surgery 1 month ago and my scars are already fading. His incision placement is perfect, right in the breast fold. I was worried about space between my breasts because I have broader shoulders and he did a phenomenal job placing my implants. My results look much better than the 3D imaging machine estimated. Dr. Sieber is the best is the Bay!!!