Gary H. Manchester, MD (retired)

San Diego Plastic Surgeon
3720 Fourth Avenue
San Diego, California 92103-4203 US
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45 years experience
149 expert answers
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Treatment results may vary

5 out of 5 stars Rhinoplasty


I am EXTREMELY self-conscious about the bump on my nose. i know, rationally, that it isn't that bad, but i just hate it so much. i only want the hump shaved down. that's pretty safe/successful, right? i only ask because i have heard some horror stories on here. the front of my nose is fine. i just want the bump fixed. i will be getting the nose job sometime this summer, but am starting...

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Surgery - General and American Board of Plastic Surgery


American Society of Plastic Surgeons (ASPS)

Consultation Fee


Hospital Privileges

Dr. Manchester has hospital affiliations at Scripps Mercy Hospital; Scripps Memorial Hospital, La Jolla.


  • Undergraduate & Medical School

    Undergraduate: Dartmouth College, Hanover, NH
    Medical: Harvard Medical School, Boston, MA
  • Post-Medical School Training

    Residency: University of Kansas Medical Center, Plastic Surgery
    Fellowship: NIH Research Fellowship, Biophysics and Cardiac Surgery, University of Chicago Medical School, Chicago, IL

Treatments offered at The Manchester Clinic of Plastic Surgery

Blog Posts and Articles

7 Steps to Picking the Right Plastic Surgeon for You

With a constant need to look healthier and more youthful, the question "How do I find a good plastic surgeon?" is being asked more frequently each day. The answer is simple and can be found with only a little bit of work. This is because most of the work has already been done for you. Each year U.S....

Patient's Guide to Proper Scar Care

I am often asked, "How can I get a good scar?" While not obvious, the answer is quite simple. The majority of the population, about 98%, does not have a problem healing yet the majority achieve less than the optimal result following surgery. This happens for one of two reasons. The first reason...

Most popular answers from Gary H. Manchester, MD (retired)

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How Long Does Latisse Last? Are Results Permanent?

Latisse is not permanent but it can last a long time. I have patients use it for one or two month till they see the results they want. At that time... READ MORE

How Much Does Breast Explantation Cost?

Removing a breast implant is quick and easy, less than 30 minutes for both sides. The old incision is used for the removal and it can be done through... READ MORE

Is Sheyla Hershey, Biggest Breast Implants in the World, in Danger?

I have had two patients that have had these large implants inserted. Only bad can happen. All of my colleagues are correct in their responses. I had... READ MORE

Nipple and Areola Caved in After Explant Surgery. Permanent?

Your result is most likely permanent. This happens when a woman has had her implants in over a long period of time and she is older. At the time of... READ MORE

How Effective is a Brow Lift?

The standard brow lift is a quick operation and gives a very predictable result. The eyebrows are lifted and can be made symmetrical in height with... READ MORE

What Happens to the Pocket After Breast Implant Removal?

Breast capsule removal does not pose a problem. The reminaing space contracts and the capsule (scar tissue) is absorbed into the body. You should not... READ MORE

Possible Deep Burn from TCA Chemical Peel Kit

Your repeated treatment with 8% did not increase with each application. You appear to be having a normal response to the chemical. I would not do... READ MORE

Care Credit - Breast Implant Financing Options

Most doctors add carecredit fees to your bill.  You do the math.  Some stores do not  accept American Express for the very same reason... READ MORE

Sleeping on Stomach or Side After Breast Implants (Long-Term)

This can be a real problem after very large implants have been inserted into a small woman.  I have seen referals that state they need a pillow... READ MORE

Is It True That my Breast Will Look Better After Breast Implant Removal?

I would remove your breast implants as soon as possible if size is what bothers you. The longer you leave them in the more your skin will stretch,... READ MORE

Before and After Photos by Dr. Manchester

Gary H. Manchester, MD (retired) has shared 27 before and after pictures with 345 helpful votes from the RealSelf community.

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.