Bay Area Facial Plastic Surgeon
500 Sutter St, Suite 430
San Francisco, California 94102 US
Call Doctor Write a Review

Treatment Pricing

40K profile views
21 years experience
348 expert answers
Last contacted by
a user ...

RealSelf community says

"I am able to breathe in a way that was not possible before the operation and the results look very natural." "He showed me tons of B patient rhinoplasty photos, but most importantly was able to find one with a nose that looked much like mine." "He explained in detail how it works best in a series of treatments so I fully understood the process and had a favorable outcome."

Write a review

Are you a patient of Michael R. Macdonald, MD?

Write a Review



4.6 out of 5 stars 4.6 stars from 18 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
Narrow 18 reviews by:
Sort by:
  • Featured
  • Highest Rating
  • Lowest Rating
  • Recent
Treatment results may vary

5 out of 5 stars Eyelid Surgery

I wanted to enhance my eyes - Upper Eyelid Surgery - San Francisco, CA

Dr. M delivered the natural and professional look that I was looking for and is a great communicator, setting me at ease before, during and after the surgery

1 out of 5 stars SMAS Facelift

See picture

Picture.. should say it all. Don't think about it. All fixed now.. to great expense but this is HIS WORK. DrMac needed to do a procedure ($) and I was looking for a timeline. We rushed-- he overcommitted and WAY under delivered. I've had his work redone -- mostly on the right side of face. Other Drs stated" not a personalized procedure". On my terrible neck-- almost sure I was his first...

5 out of 5 stars Revision Rhinoplasty

A Third Rhinoplasty? Please Help! - San Francisco, CA

Great experience. All questions and concerns were answered. Highly recommended.

5 out of 5 stars Liposuction

Abdominal Flank Liposuction - San Francisco, CA

Dr McDonald answered all my questions, and concerns I had regarding my surgery. I was given personal attention and care through the whole process. If you're looking for a doctor that's genuinely kind and cares for his patients , look no further.

5 out of 5 stars Eyelid Surgery

57 Year Old Male, Lower Eyelid Bags. San Francisco, CA

Dr Michael Macdonald was terrific, as was his staff.

5 out of 5 stars Liposuction

Fantastic Result - San Francisco, CA

I decided to have liposuction done on my little lower belly pooch/small fat roll that I've had for the past 8-10 years. I'm in my late 40's and tall and thin but no matter what I did the pooch would not go away. It would hang over my jeans when I sat down and prevented me from wearing slim cut dresses that I love. Dr. Michael MacDonald exceeded my expectations! I haven't seen my stomach...

5 out of 5 stars Skintyte

Skintyte, Nano Laser Peel, Botox and Voluma - San Francisco, CA

His staff is beyond awesome ! He is also very helpful and answers questions. He has great deals on skintyte and nano laser peel, i have have had it done there a couple of times already. Skintyte can be painful since it is heating you up, and especially if its on the bone. The nano peel is not so bad. He did Voluma (2ccs) on my chin and cheeks cost was ($1000/each), which is the normal rate it...

1 out of 5 stars Skintyte

Skin Tightening & Safety - Seriously? - Bay Area, CA

I bought some SkinTyte sessions from this doctor and got no benefit at all from them plus he ignored my concerns about the safety of the machine. Initially the doctor said the results would be apparent after a few months so I waited, continued the series, but with no results. About halfway through the series, I wrote him a letter telling him I’d had no results so far and that I was also c...

5 out of 5 stars Photofacial

BBL and Botox - Fantastic Results! - San Francisco, CA

Great experience with Dr. Michael Macdonald. He performed BBL Photorejuventation in November to remove years of sun damage. Very few days downtime. Recovery was exactly as I was told. And the results are fantastic. My skin is clear, smooth, even. Wearing very little face makeup these days and loving it! On top of that, Dr. Macdonald was wonderful to work with - knowledgeable, professional,...

5 out of 5 stars Laser Resurfacing

I Can't Wait to See Dr Michael! - San Francisco, CA

I've heard amazing stories about Dr Michael how professional knowledgeable and nice person he is, So I'm super excited to met him tomorrow for my first time Laser Skin Resurfacing. TBH I was scared about buying the deal he has on but after ready about him I decided to go for it, and I hope everything will be at my expectations, I will post about the procedure and how it will goes...

*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 Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology


American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)
Fellow, American College of Surgeons (FACS)

Consultation Fee

$150. Mention RealSelf when scheduling

Awards & Recognition

RealSelf Top Doctor

Hospital Privileges

Dr. Macdonald has hospital affiliations at St Francis Memorial Hospital, Alameda County Medical Center.


  • Undergraduate & Medical School

    Undergraduate: BA Psychology, University of Western Ontario, Ontario, Canada
    Medical: MD, Queen's University Medical School, Ontario, Canada
  • Post-Medical School Training

    Internship: General Surgery, University of Toronto
    General Surgery, Dartmouth College Hitchcock Medical Center
    Otolaryngology, Head & Neck Surgery, University of Toronto
    Fellowships: Facial Plastic & Reconstructive Surgery, University of California, San Francisco

Treatments offered at Michael R. Macdonald, MD, FACS, FRCSC | MAC MD aesthetics

Blog Posts and Articles

Cosmetic Medicine Is About More Than Just Beauty & Vanity - It Can Be True Healing on Many Levels

As a San Francisco facial plastic surgeon of nearly 20 years, I have seen my share of extreme vanity and obsessiveness about aesthetic perfection. However, that is not the type of patient I typically attract as I have a reputation for taking a very natural-looking approach to cosmetic improvements. I have also been known to recommend to patients that they should have absolutely no cosmetic work done or less invasive procedures when I feel that's what's in their best interests. That said,...


It may be a bit unorthodox…and it will definitely make you LOL (laugh out loud), but don’t dismiss it until you’ve tried it. It really does work…albeit a temporary solution. To temporarily diminish puffy under-eye bags apply to the swollen area an over-the-counter hemorrhoid ointment such as Preparation H made by Pfizer. Various formulations of the product contain drugs such as phenylephrine, pramoxine, and hydrocortisone. Each of these ingredients works by constricting blood...

Rhinoplasty - The Science of Great Results

When consulting with a plastic surgeon who is well-versed in the intricacies of assessing the factors that lead to a favorable nose job outcome, you will likely be amazed at all that is considered. A well done, natural-looking rhinoplasty is not just about the size and shape of your nose. The type and quality of your skin must also be considered as it impacts how your nose will heal after rhinoplasty. Your nasal cartilage, and its inherent strength or weakness, also affects...

Get snoring relief with The Pillar® Procedure

I am a recognized leader and innovator in the treatment of snoring for patients in the Greater San Francisco Bay Area. As a Diplomate of both the American Board of Facial Plastic & Reconstructive Surgery, as well as the American Board of Otolaryngology - Head and Neck Surgery, I am quite familiar with alleviating obstruction of both oral and nasal airways to improve breathing...which can improve smell, taste, and sleep, while also reducing snoring. Obstruction in the...

Most popular answers from Michael R. Macdonald, MD

Narrow by:

Eyelid Surgery Recovery

The good news is that 2 weeks should be plenty of time for recovery sufficient to return to work. For lower eyelid surgery, the most common approach I... READ MORE

How Long Does Tip Swelling and Hardness Last?

Generally, healing following nasal surgery takes as long as 12-18 months. After it is completely healed, the nose will feel soft and quite natural.... READ MORE

Does the Nose Become Smaller As Scar Tissue Matures?

Yes, the nose does become smaller over time following rhinoplasty surgery. Not only does scar tissue contract, but the post-operative swelling and... READ MORE

Rhinoplasty Swelling

Obvious swelling following rhinoplasty surgery will often last up to 4-6 weeks. I find it particularly important to warn patients that when the nasal... READ MORE

Best Rhinoplasty Excision to Narrow Flared Nostrils?

I prefer nasal sill excisions, along the floor of the nostril, rather than Weir excisions, adjacent to the sides of the nose, since I believe the scar... READ MORE

What is Transconjunctival Blepharoplasty?

Transconjunctival blepharoplasty is my preferred approach to lower eyelid surgery in the majority of my patients. The “conjunctiva”... READ MORE

Is There an Easy Revision of Droopy Nose After a Primary Rhinoplasty? Is It Just the Columella? (photo)

The slight "droopiness" of your nose is referred to as a "hanging columella". In your pictures, this appears to be caused by a slight elongation of... READ MORE

Which Facelift Technique Has Less Complications and Side Effects?

The greatest risks in facelift surgery include injury to the facial nerve, a motor nerve that supplies movement of all areas of the face, and... READ MORE

I'm 36 but Would a Mid-facelift Improve my Long Face and Nasolabial Folds? (photo)

You are an excellent candidate for a mid-face/cheek lift. This procedure, with its small, well-hidden incisions, is specifically designed to... READ MORE

Scar Tissue / Adhesions Post Rhinoplasty

From your description, the most likely cause of your breathing difficulties is a post-operative adhesion between the septum and the lateral wall of... READ MORE

Before and After Photos by Dr. Macdonald

Michael R. Macdonald, MD has shared 60 before and after pictures with 306 helpful votes from the RealSelf community.

Narrow by:
Treatment results may vary

Videos by Michael R. Macdonald, MD

Michael R. Macdonald, MD has shared 1 video.

Narrow by:

Eyelid Rejuvenation Using the Fat and Soft Tissue Transposition Technique

Dr. Michael Macdonald discusses the process of rejuvenating the eyelid by repositioning fat around the area to add volume, live from Nashville at AAFPRS 2016. WATCH VIDEO

There is no recent activity.

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