I had a failed breast implant surgery from another surgeon. The breasts devolved capsular contracture and one side traveled upward resulting in one high riding breast and one regular. This made my chest look disfigured. The other surgeon did not follow up with me or care. I went several years with my breasts this way before consulting with Beautologie. I was extremely nervous but after going through a breast implant replacement and having the scar tissue scraped out with Dr. Knoetgen , the breast healed better than expected. There were several follow up appointments to monitor the healing process. Every three months for the next year. My next appointment is soon and if I’m not completely happy or need anything else then Dr. Knoetgen is willing to go back in and do anything else that can help. Overall they look much much better and I am so relieved and happy I didn’t wind up botched. Dr. Knoetgen is really good at what he does. When you go into beautologie, you can see all his awards on the hallway wall including an award for being the most caring/compassionate. The awards are impressive and grateful to have found a surgeon that was knew what to do and how to do it. Scraping scar tissue and replacing implants gone wrong is no easy task. Thank you Dr. Knoetgen! As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.
Dr Knoetgen was a phenomenal surgeon! The whole process of my breast augmentation and tummy tuck was top notch! He listened to what I wanted, and was honest and realistic with me. He didn't try to push me to make certain decisions, but gave me the information to make my own informed decisions. He did an excellent job on my surgery and I couldn't be happier with my results! I have and would continue to refer all of my friends and family to him for anything they might want done. As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.
Amazing experience from start to finish. All the staff made me feel comfortable. Highly recommend Dr. James Knoetgen. He did a phenomenal job. Very clean inside. Surgery recovery wasn’t bad at all!
I have been so excited to post my review for this office. I have to say #1, my coordinator Ginger was the absolutely sweetest and down to earth soul. She truly made me feel at home. Her knowledge was out of this world. Karol was my nurse towards the end for pre-labs and also my post op care. She is freaking amazing and sweet. Love her. The receptionist is by far adorable. She immediately greets you and is super quick with check in. Everyone in the office is perfect. Okay now to the amazing Dr.Knoetgen, I am just so utterly grateful. After losing over 70lbs on my own I had so much skin and no boobs. Lol. My 5 kids took not just milk but it all. From the very beginning before surgery he made me feel so comfortable and not nervous at all. He explained everything well and was superhonest.I had a Mommy Make Over with 450cc saline implants. The morning of surgery was honestly fast. His staff day of surgery was amazing and kind and his anesthesiologist was absolutely amazing and sweet. My recovery went smooth, painless and fast. My scar for tummytuck is low and straight, My belly button looks natural and amazing and boobs are freaking perky and plump. Im so obsessed with the overall experience and look. No complications. No pain. Back to being a nail tech at 3weeks post op.I'm currently 1month post op and feel and look amazing. Skinny and not boxy at all. . Dr.Knoetgen is the G.O.A.T of it all. He's an artist.Book with him you will regret it if you go elsewhere
The best in California!!! If you are far or close just choose Dr.Knoetgen. he is the best. 5 kids later and losing 70+lbs I needed his magic. He snatched me up. The best! pain free and fast recovery. . Updated on 11 Sep 2023: I have been so excited to post my review for this office. I have to say #1, my coordinator Ginger was the absolutely sweetest and down to earth soul. She truly made me feel at home. Her knowledge was out of this world. Karol was my nurse towards the end for pre-labs and also my post op care. She is freaking amazing and sweet. Love her. The receptionist is by far adorable. She immediately greets you and is super quick with check in. Everyone in the office is perfect. Okay now to the amazing Dr.Knoetgen, I am just so utterly grateful. After losing over 70lbs on my own I had so much skin and no boobs. Lol. My 5 kids took not just milk but it all. From the very beginning before surgery he made me feel so comfortable and not nervous at all. He explained everything well and was superhonest. I had a Mommy Make Over with 450cc saline implants. The morning of surgery was honestly fast. His staff day of surgery was amazing and kind and his anesthesiologist was absolutely amazing and sweet. My recovery went smooth, painless and fast. My scar for tummytuck is low and straight, My belly button looks natural and amazing and boobs are freaking perky and plump. Im so obsessed with the overall experience and look. No complications. No pain. Back to being a nail tech at 3weeks post op. I'm currently 1month post op and feel and look amazing. Skinny and not boxy at all. . Dr.Knoetgen is the G.O.A.T of it all. He's an artist. Follow my Instagram for thr pre-surgery and post at @marisachavez4. Book with him you will regret it if you go elsewhere
I had a mommy make over back in October by Dr knoetgen, he is amazing and made my experience so easy, nothing of what I thought it would be base of experiences of people I know who had plastic surgery in the past … my experience was so easy …. Ginger was my coordinator and answer all of my questions she went above and beyond to make me feel comfortable, help me with all the million questions I had… Maribel was my nurse she was so helpful, I was going back and forth with my implants size she let me try the sizers over and over again and told me if I wasn’t sure yet I don’t have to make my decision right away and I can always choose later on on the road since my implants are going to be saline so that make me feel I wasn’t in a rush to choose and want to make the right choice and not to regret it later… My consultation was in the end of July 2022 and my surgery was scheduled for August 30th 2022… the day before surgery I test positive for COVID so my surgery was postpone for October 20th 2022 my dr was making sure I was in good health to proceed with my surgery and my health was good … the only thing that sucks about that it’s that I had to redo all my lab work and pay for it ($460 ) since my insurance won’t cover:/ The day of surgery I was so nervous I don’t know why I thought I was prepared for it since I had 4 previous c sections !! But all the staff at the surgery center were so professional and make me feel comfortable especially my admission nurse and the anesthesiologist he was my favorite!!!! He make sure I was calm and relax, he star a conversation with me while the nurses help me getting into the surgery bed and all I remember is him putting the mask on my face and I was out … when I open my eye again I was in the recovery room looked at my ride (my mom ) receiving instructions …. The staff ask me how I feel and I remember ask how many pounds of skin the dr Take of me ( I know weird :/) and if I could drink my coffee because that morning I didn’t have one lol … My first 2 weeks went by fast no pain at all in my tummy or my liposuction areas only on my breast they hurt until my 1 month , right now I’m 6 week post op and feel no pain at all , my boobs are healing good and getting on their place slowly but surely:) my incisions are looking good except for one of my liposuction hole that one it’s not healing fast enough.! I’m still bloated and just wasn’t for my next appointment I need to ask Dr knoetgen if this still normal? Before getting my surgery I always wonder if the tummy tuck hurts more that a c section and I guess that’s one of the main question a lot of women have and let me tell you tummy tuck it’s nothing in compares with a c section , c section hurts the most well that’s on my opinion, I think the pain pump made I so easy for me I didn’t have any pain in my tummy area … what it hurts the most are the drains and if they stay longer than 10 day ( in my case one was out in 7 days the second one at 2 weeks ) Overall my whole experience is excellent so far :)
I got my mommy makeover September 22, 2021 I have been so excited to get this done and I’m so glad I did. I’m three weeks out and I’m finally starting to feel back to normal. Every recovery is different. I’m so happy w my breast size and my new tummy. I went with high profile 400cc Mentor gummy.
Hoping to provide an honest, thorough review. I had my first consult in nov. 2020 virtually due to COVID. I decided I wanted an in person consult before making my decision. I was asked to pay $100 or put down a deposit, so put down my deposit. Attended in person and respectfully, DR recommended I lose weight prior to procedure. Fast forward a few months and 20 pounds down, ( thanks for the motivation, Dr. K) He agreed I was ready for surgery. I am now 9 days post op and I feel amazing!!!! I had the TT, lipo flanks, lipo mons. I only had one drain that was removed yesterday. THE DRAIN WAS MY ONLY COMPLAINT, BE PREPARED FOR IT! It stings and throbs like crazy. It Kept me up at night. thankfully, I only had one and it was removed fairly early as I really didn’t have a lot of fluid I guess. I think my swelling has substantially subsided as my tummy is quite flat. The side where my drain was is a little lumpy in my opinion, but I think it’s due to not wearing compression garment low enough over drain site due to pain. I’m now wearing it lower and a little tighter and have noticed an improvement. Not flawless like the other side, but I’m monitoring it. My incision is very low, pretty straight so I’m happy about that. I dress pretty modest in public, so no one will ever see my TT scar, however, my belly button is depressing. I was not prepared for the shock I am in over it. I’ve done some research and found that it’s common to look wild initially, so I will give it some time, 9-12 months before I decide if I want a revision. It looks big, stretched out, and just ugly. I try not to look at it. Time heals all things! Staff were great, nurses, scheduling coordinator, and even anesthesiologist was super cool. I REALLY liked Heather as well. Dr. Knoetgen is a very laid back kind of dr who I thought was real easy to talk to. Beautologie was the 4th place I had a consultation with, and I have no regrets at all!!! Will post pics soon and updates.
It was amazing! I was so extremely happy with my results. I have gotten my boobs done here and I tell all my friends to come here for theirs. Love it! Everyone is so nice and they always answered my questions. Thank you!
About a year ago I was asked about my pregnancy for the last time. I haven’t been pregnant for 8.5 years, but I looked it, apparently. Dr Knoetgen gave me his honest and expert recommendation (which is more than I can say of his local competitor) so I trusted him. He even worked with me on price to try to match the competitor, but in the end I was willing to pay a little extra for his care. I started 5’6” and 157 lbs. I am now about 159 pounds. I have only done spin classes for exercise, so I know know I need to focus more on strengthening my core to improve my results. That will be my next step so that I Can gain the most out of this surgery. I hope my pics and recommendation help you with your decision! Updated on 10 Aug 2019: I’ve started working out and again, doing boot camp for the past 8 weeks. Not one person has asked if I’m pregnant. Scar is not much better, but I don’t mind. Clothes fit so much better. I have not lost any weight over this year, in fact I’ve gained a couple pounds but I wear smaller shirts and my pants fit more at my natural waist where they used to sit lower below my belly. And I feel stronger! :)
It's quite common for scar tissue, especially after surgery, to feel a bit grainy or have small lumps—these are usually fibrous nodules or adhesions forming as part of the healing process. At 6 months post-op, some firmness and irregular texture can still be normal as your body continues remodeling the tissue. That said, the fact that one side is painful and has distinct nodules while the other is smooth does suggest some differences in healing or possibly minor complications like localized inflammation, small areas of fibrosis, or even trapped nerves. Here are a few things to consider • Normal healing: Scar tissue often feels firm or lumpy for many months and can remain somewhat tender. • Pain: Persistent pain or increasing pain isn't typical and might warrant evaluation. • Nodules: Small nodules can be from excess collagen or scar contracture but could also be small cysts or granulomas. • Infection or inflammation: If you have redness, warmth, swelling, or worsening pain, that needs prompt attention. • Physical therapy or massage: Gentle scar massage can sometimes help soften the tissue and improve mobility. • Consult your surgeon or a specialist: Since it's painful and uneven, it’s a good idea to get a professional assessment to rule out complications like hypertrophic scarring, keloids, or other issues. If the pain is worsening or you notice any signs of infection, increased swelling, or changes in the scar, definitely seek medical advice sooner rather than later.
Yes, what you're describing is actually a very common concern and, in many cases, a mini arm lift or limited-incision brachioplasty can absolutely target just the lower portion of the upper arms — specifically the area near the inner arm, close to the elbow. Here’s a quick breakdown for you: Mini Arm Lift for Lower Arm Skin Laxity • Target Area: Can focus on loose skin confined to the lower part of the upper arm (the "distal" upper arm), especially if it's limited to the last 2–3 inches above the elbow. • Incision Location: Typically, a short, discreet incision can be made within the natural creases of the arm or just above the elbow area, depending on your anatomy. • Candidacy: If your skin laxity is mild to moderate and well-localized, you’re likely a good candidate for this more conservative approach. Benefits • Smaller scar, often hidden or less noticeable • Faster recovery compared to a full arm lift • Avoids the long scar that typically extends from the armpit to the elbow in full brachioplasty Things to Keep in Mind • Skin Elasticity: If your skin is too loose, a mini arm lift may not provide adequate tightening, and your surgeon might recommend a slightly longer incision for best results. • Surgeon Expertise: Not all surgeons offer short-scar arm lifts, so you’ll want to consult with one experienced in tailored, minimal-scar procedures. • Possibly Combine: Some patients combine this with non-surgical skin tightening (like radiofrequency or laser) to improve results in borderline cases. I recommend scheduling a consultation with a board-certified plastic surgeon who specializes in post-weight loss body contouring. They can evaluate whether a mini lift, a skin-only excision, or possibly a combination of minor lift and skin tightening would be your best option.
Got it — you had a tummy tuck 2 years ago, but now you’re dealing with stubborn love handles and some loose skin that won’t respond to exercise. Here’s a breakdown of the best options to address that: 1. Liposuction • Removes excess fat deposits in targeted areas like love handles. • Since the tummy tuck addressed the abdomen but not necessarily the flanks, liposuction can contour those side areas effectively. • Liposuction alone doesn’t tighten loose skin much, so if skin laxity is moderate, it can still be a good option. 2. Liposuction + Skin Tightening Treatments If loose skin is a concern along with fat, combining liposuction with: • Radiofrequency (RF) treatments like Morpheus8 or BodyTite • Or laser-assisted liposuction which stimulates collagen and tightens skin, can improve both fat removal and skin tightening. 3. Body Contouring Surgery (Secondary or Revision) • If your skin looseness is significant, you might need a revision tummy tuck or body lift that includes excision of loose skin around the flanks. • This is a more extensive surgery but provides dramatic results for excess skin and fat around love handles. 4. Non-Surgical Fat Reduction Options like CoolSculpting can reduce fat but usually require good skin elasticity to avoid sagging. For loose skin, this might not be ideal alone. Start with a consultation with a board-certified plastic surgeon who can evaluate your current skin quality and fat distribution. Likely, liposuction combined with skin tightening technology will be the best balance for contouring love handles with minimal downtime.
That sounds really frustrating! To answer your question: liposuction itself doesn’t cause fat to “move around” your body, but it can change how and where your body stores fat afterward. Here’s what’s likely going on 1. Liposuction removes fat cells permanently from specific areas, so those spots have fewer fat cells to store fat in the future. 2. When you gain weight after liposuction, the fat has to go somewhere — and it often goes to areas that were NOT treated by the liposuction, because those fat cells are still there and can expand. 3. This can make it feel like your fat is “moving” to unusual or unexpected places (like your forearms or other spots), especially if your body’s natural fat distribution changes with weight fluctuations, hormones, or aging. 4. Also, sometimes the treated areas can appear more “deflated” as you lose fat, which might make other areas look more pronounced. In your case, after losing weight post-liposuction, your body may be redistributing fat differently and since some areas had fat cells removed, other areas that weren’t treated might now stand out more. Tips • Maintaining a stable, healthy weight after liposuction can help keep results balanced. • If fat redistribution is a big concern, you could discuss with your doctor whether additional contouring or treatments might help. • Hormonal changes or other factors might also influence fat distribution, so it’s worth mentioning those to your doctor.
Yes, it is generally possible to undergo plastic surgery, including a mommy makeover, if you have bipolar disorder. However, there are several important considerations to ensure your safety and best outcomes: Key Factors 1. Psychiatric Stability Most plastic surgeons will require that your bipolar disorder is well-managed and stable before approving you for surgery. This usually means you’ve had no recent manic, hypomanic, or severe depressive episodes, and you’re compliant with your treatment plan. 2. Mental Health Clearance Many surgeons will ask for a clearance letter from your psychiatrist or mental health provider stating that you are emotionally stable, understand the risks, and can manage the recovery process responsibly. 3. Medication Use (including Wellbutrin) o Wellbutrin (bupropion) is commonly continued through surgery. It typically does not need to be stopped for most plastic surgeries, but your plastic surgeon and anesthesiologist must be aware of all your medications. o The decision about medications is always individualized. Some antidepressants can interact with anesthesia or increase bleeding risk, but Wellbutrin is not usually one of them. o Never stop taking psychiatric medications without direct instruction from your prescribing doctor. 4. Anesthesia Considerations Your anesthesiologist will carefully review your medications and mental health status to ensure a safe plan. 5. Post-Operative Support Recovery from a mommy makeover is both physically and emotionally demanding. Having a strong support system and continued mental health follow-up is crucial. You can typically have plastic surgery like a mommy makeover while being bipolar and taking medications like Wellbutrin, as long as you are: • Stable • Cleared by your mental health provider • Open about your full medical history with your surgical team You usually don’t have to stop Wellbutrin, but your surgeon and anesthesiologist will make the final decision in collaboration with your psychiatrist.