

Board Certified Facial Plastic Surgeon
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Dr. Michael R. Macdonald is a double board-certified facial plastic surgeon practicing in San Francisco, California. With over 25 years of experience, Dr. Macdonald has vast experience in the most advanced cosmetic surgery and nonsurgical facial rejuvenation p

Asked By: Sabrina245
ANSWER
Botox is very effective in relaxing the muscles that cause TMJ(jaw pain). The effect is temporary(3 to 6 months), so you would need to have the treatment repeated a few times a year. A Facial Plastic Surgeon is a good choice since the face is the focus of the practice, but there are other providers that can do this procedure well. Just call the office to see if this is a question the front desk person can readily answer. The treatment can slim the face slightly, but it is very subtle and should not change your face a lot. Good luck and be well!Michael R. Macdonald, MD, FACS, FRCSC
Asked By: akw33
ANSWER
Thank you for your question. I don't see any pictures with your questions, so we would definitely need to see you either virtually or in person to see what you're trying to achieve. Most surgeons will be able to show you before and after photo's from actual patients for a nose result similar to what you're seeking. As far as reshaping and contouring your face, I would definitely need to see what you're trying to achieve to see if it's possible. Be Well!Michael R. Macdonald, MD, FACS, FRCSC
Asked By: gracemarie11
ANSWER
Thank you for your question! Based on the photo's, the little bump would be easily smoothed out with rhinoplasty. I would need to see you in person or through a virtual consult to talk to you about narrowing the bridge since it's not as easy to see that in the photo's. Good luck and be well!Michael R. Macdonald, MD, FACS, FRCSC
Asked By: littlesong1024
ANSWER
Nose asymmetry is very common. The left side of our faces are not a perfect match to the right side(there are always subtle differences). In your case, a consultation would be very helpful. It is difficult to determine from one picture what the solution would be. Many offices(including mine) are offering complimentary Face Time consults during this time when we can't see patients in person. I would recommend a consult, so we can see you from different angles. Then we will be able to give you some options to get the symmetry you're seeking. Be Well.Michael R. Macdonald, MD, FACS, FRCSC
Asked By: Fisherdoll17
ANSWER
The short answer is yes! Rhinoplasty, when performed correctly will give you natural results so that you look like the best version of yourself possible. I specialize in natural looking results. Find a Board Certified Facial plastic surgeon with plenty of before and after photo's from actual patients. Your consultation should provide you with all of the information you need to move forward. Be Well!Michael R. Macdonald, MD, FACS, FRCSC
Asked By: Shalini Medhal
ANSWER
Hi! Thank you for your question. I believe a small chin implant will give the balance you're seeking to your profile. It's amazing what a small chin implant can do. Seek a board certified facial plastic surgeon that can show you before and after photo's of work he/she has performed. Be Well!Michael R. Macdonald, MD, FACS, FRCSC
Asked By: WinterWonderland17
ANSWER
We can do a facetime consult, but any elective surgery is not being allowed at the hospital's and surgery centers in our area. So yes, get a consult, but we will all have to wait to do elective surgery.Be Well,Michael R. Macdonald, MD. FACS, FRCSC
Asked By: IsThereHope2020
ANSWER
Since it has been 30 years since you had surgery, a consultation for a revision blepharoplasty(upper eyelids) should be considered. During your appointment, a Board Certified Facial Plastic surgeon will go over all of the options to revise your eye lid surgery. It is important in your pre operative appointment that you are given thorough instructions and consent to the revision, which is standard for any surgery. Good Luck and be well.Michael R. Macdonald, MD, FACS, FRCSC
Asked By: Good6232
ANSWER
When an insurance company denies a request for medically necessary surgery, you may have to appeal. If the appeal also is denied you may have to have the surgeon do a peer to peer review with the insurance company. Upper eyelid surgery is often considered cosmetic and denied fairly regularly. They want to make sure that you meet the criteria before they will approve a surgery like this. Ultimately, you may have to pay privately if you can't convince them that the surgery is affecting your vision. Good luck and be well.Michael R. Macdonald, MD, FACS, FRCSC
Asked By: domino713
ANSWER
Although upper eyelids and brow lift can be performed together, in your case I would just recommend upper blepharoplasty. Your eyebrows look symmetrical and positioned correctly on the brow bone so brow lift isn't necessary. There are many skin treatments available and good medical grade products that can be recommended by Facial Plastic Surgeons as well as Dermatologist's. What ever you choose, Board Certified is best. Be Well!Michael R. Macdonald, MD, FACS, FRCSC
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Consultation fee will be credited towards any service performed the day of your consultation, or credited towards surgeons fees.
Dr. Michael R. Macdonald is highly regarded for his expertise in cosmetic procedures, including , , , , , and . Patients consistently praise his professionalism, knowledge, and the positive outcomes of his treatments. His caring and attentive approach, along with his team's genuine concern for patient well-being, are highlighted in reviews. The office is described as professional, honest, and well-run, with staff noted for their kindness and responsiveness.