Washington DC Plastic Surgeon
2440 M St. NW , Ste. 200
Washington, District of Columbia 20037 US
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18 years experience
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"I gave him this rating because he used a substance under my eyes that he had little experience with hyaluranidase to correct restylene gone bad - my eyes were swollen like a black eye and there were horrible lu..." "He called me from his personal cell phone the night of surgery to check in and answered a call in the middle of the night when I was in a lot of pain." "The doctor I had was amazing, and so was his staff."

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3.9 out of 5 stars 3.9 stars from 20 reviews See details Hide details
4.0 out of 5 stars Doctor's bedside manner
4.0 out of 5 stars Answered my questions
4.0 out of 5 stars After care follow-up
4.0 out of 5 stars Time spent with me
4.0 out of 5 stars Phone or email responsiveness
4.0 out of 5 stars Staff professionalism & courtesy
4.0 out of 5 stars Payment process
4.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Mommy Makeover

Fantastic and talented surgeon, exceptional staff from beginning to the finish line! So happy!

I originally consulted Dr. Ruff for my droopy eyelids, hernia and loose skin (from weight loss), around my abdomen. After an incredibly thorough consultation and much consideration, I proceeded to have the ENTIRE MOMMY MAKEOVER, including my upper and lower eyelids. I never thought that I would ever be discussing breast implants and could not be happier with the results. My total result is...

5 out of 5 stars Diastasis Recti Repair

Extremely Happy with the Results

Dr. Ruff is very professional and has a kind, positive manner. Post surgery he provides his cell phone to call for any questions or concerns - very responsive. I'm extremely happy with the results and so glad I did the abdominoplasty! You can tell he is proud of his work. His staff is friendly and it's easy to get appointments.

5 out of 5 stars Tummy Tuck

Dr. Ruff helped change my life!

Dr. Ruff and his entire staff have been amazing through my abdominoplasty, liposuction & fat grafting procedures. From the moment I came into the office for my initial consult, Dr. Ruff, Catherine and the entire staff went above and beyond to make sure that I had all of the information for this surgery, felt comfortable and answered any and all questions that I had. Dr. Ruff was extremely...

5 out of 5 stars Brazilian Butt Lift

I can not thank him enough!

Dr. Paul Ruff is an excellent surgeon. I am extremely happy with the results of my lipo , Brazilian butt lift , breast implants and the outstanding job he did. I strongly recomend doctor Ruff . he is a perfectionist , caring and a very honest Doctor He gives his best effort to all of his patients, he has my trust and I will recommend him again and again! I can not thank him enough!

5 out of 5 stars Eyelid Surgery

I Look my Best Ever...and Nobody Can Figure out Why...not Even my Parents!

Beside that the results speak for themselves (see above review), he is passionate about his work and I don't get the feeling that he is just doing it for the money yet he is worth every penny I paid, looks at your whole face and gives you recommendations based on greatest impact not highest expense and he has great bedside manners (which in my experience is unusual)

5 out of 5 stars Eyelid Surgery

Lower Eyelid Blepharoplasty Finally Helped Me Look My Real Age! - Washington, DC

The doctor I had was amazing, and so was his staff. He had great experience/credentials and was very approachable during the initial consultation and throughout the entire process, even afterward, giving me as much time as I needed to have my questions fully answered. I liked that his ego was in check and he seemed modest, compared to some other doctors in this business. His patient coordinator was fantastic, and basically walked me through exactly what I would need to do leadng up to the procedure, and also how to finance it (Two Words: CARE CREDIT!!!) Dr. R had a great bedside manner during the procedure, and I knew I was in good hands, even though I was so groggy and disoriented. One of the neatest things was that his practice pays to put you and your companion who helped you leave the hospital up in a nearby hotel for that night. He then paid a courtesy call on me the next morning, which was so re-assuring, since I wanted peace of mind that everything had gone okay and that my current post-surgery condition was normal. Dr. R was great afterwards as well, having me come in for regular follow-ups for the next few months (usually every other week or so) to check my progress. I can't say enough how happy I am with him and his whole team. I have gone back for several other smaller in-office procedures with this doctor, and am grateful that I found a place which has such a dedicated and responsible staff and really puts the patient first.

5 out of 5 stars Breast Augmentation

My two new girls

I honestly felt as if Dr. Ruff assigned one of his staff members to me from the moment I met Michelle. Any question I had (no matter the time because I had her cell phone number) was answered fully and completely. Even when I thought i wanted to cancel because of nervousness she was not pushy or anything. She got me right in to see Dr. Ruff again and he answered all of my questions again. The BIGGEST plus is that they do 3D imaging which shows what your body will look like with breasts not finding other pictures and that helped tremendously. Dr. Ruff was there when I got out of surgery to ensure I was okay and he called me that night to make sure that I was still doing good. Awesome customer service, awesome in everything. I am very pleased and would recommend him to anyone!

5 out of 5 stars Latisse

Found Latisse for a Great Price - and It Works! - Arlington, VA

Dr R is in Washington DC. A friend referred him to me. He is a super personable Dr. I having gone to him for Botox, Juvederm, Latisse and I recently had breast implant replacement and a brazillian butt lift through him. I'm still recovering from the surgery, but so far I am! please with the results! His Botox and filler injection techniques are excellent!

5 out of 5 stars Vaser Liposuction

Recent Vaser Lipo on Inner Thighs, Waist Area, Flanks and Lower Abs - Washington, DC

I workout pretty much 6 days a week cardio/strength, but there are areas of my body that will never respond to workout - namely areas above that I had worked on - also I'm 50 and had 2 kids. I had vaser lipo March 1 in the morning and was able to move up and about once I got home, sit up and walk around to use bathroom - which is what they want u to do. I was out of it following IV...

5 out of 5 stars Labiaplasty

Labiaplasty, Best Decision Ever! - Washington, DC

Doctor Ruff talked to me throughout the procedure which helped me forget that it was being done. Then he checked up on me that following day to answer any questions I had. My experience was more than I could of ever asked for.

*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 for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Fellow, American College of Surgeons (FACS)

Consultation Fee

$150. Dr. Ruff and his treatment team will review your medical history and perform your medical exam with respect to your concerns. A comprehensive and customized treatment plan will be developed with the information provided during your consultation.

Hospital Privileges

Dr. Ruff has hospital affiliations at Washington Hospital Center, Sibley Memorial Hospital, Georgetown University Hospital, George Washington University Hospital, Suburban Hospital, Center for Ambulatory Surgery, Inc..


  • Undergraduate & Medical School

    Undergraduate: BS, Georgetown University
    Medical: MD, Eastern Virginia Medical School
  • Post-Medical School Training

    Residency: General Surgery, Washington Hospital Center
    Critical Care Medicine, Washington Hospital Center
    Plastic Surgery, UCSD Medical Center

Treatments offered at West End Plastic Surgery

Most popular answers from Paul G. Ruff IV, MD, FACS

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Does ThermiVa Treat Leaky Bladder Symptoms?

I hear about this problem constantly from our friends and most of our mommy makeover patients.  Jogging on the trail near our house, working out at ... READ MORE

Just quit using Cocaine, Breast Aug scheduled 1 week from now, do I need to worry about the Anesthia?

Good job on stopping the cocaine use. It will clear your system fairly quickly, but the long-term effects of using it for the past 18 months, may... READ MORE

How to Make Your Boobs Bigger - Pills or Creams?

There is no miracle pill or cream that will safely or reliably lead to stable breast enlargement. At this time, the only FDA approved option is... READ MORE

Is it better to get breast implants on top or under the muscle?

Thank you for your question as this is a very common one. The factors that determine the optimal pocket plane for an implant include your skin and... READ MORE

Can I make my uneven breasts symmetrical without implants? Can uneven nipples be fixed with a fat transfer to one breast?

Thank you for your question as this is a very common concern, True symmetry is uncommon, whereas the lack of symmetry that you describe is quite... READ MORE

Is ThermiVa a Non-invasive Procedure?

ThermiVA is considered a non-invasive procedure used for vaginal rejuvenation and treating the symptoms of vaginal atrophy. Depending on the treatment... READ MORE

What specifically would you do to give a mom of 2 the perfect breasts for a petite frame? (Photo)

Thank you for your question. After completing child bearing and breast feeding, many women would like to restore or rejuvenate their breast to what... READ MORE

Why are doctors not willing to use Exparal Pain Relief?

I have been using Exparel for all of my excisional body contouring, including tummy tucks, and breast surgery since it was introduced. We have found... READ MORE

I am 24 days post op and have a very large swelling at the base of my tummy right above my incision (Photo)

Congratulations on making the decision and having a surgery that you have wanted. You will ultimately be very happy. Recovery is difficult regardless... READ MORE

C-section. What can I do for this extra skin?

Thank you for your question. Congratulations on the recent weight loss. It is frustrating, though, to see changes elsewhere and not in a spot that one... READ MORE

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