Tacoma Plastic Surgeon
419 South L St. Tacoma WA 98405
Tacoma, Washington 98405 US
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21 years experience
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4.3 out of 5 stars 4.3 stars from 6 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
5.0 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 Breast Implant Revision


Wow! Dr Semlacher is absolutely fantastic! He is incredibly knowledgeable, polite, professional and caring. His work is very natural looking and there is ZERO scaring. I had no bruising and minimal pain. He has a kind, gentle bedside manor and is very trustworthy. I felt he had my best interest at hand and is very genuine. I only wanted the BEST for my surgery so I flew to him in Tacoma! I'd go back in a heart beat!

5 out of 5 stars Breast Reconstruction Revision

Best Doctor Ever! - Tacoma, WA

June 2016 I had a double mastectomy and reconstruction started at the same time. Unfortunately Dr. Semlacher wasn't my first reconstruction doctor. That doctor left me with results I wasn't even somewhat happy with and I did not want my final surgery to be with that doctor. I searched high and low hoping to find not only a new doctor that I would feel more confident and comfortable with, but...

5 out of 5 stars Breast Augmentation

Amazing Breast Augmentation Results - Tacoma, WA

I had breast augmentation with Dr. Semlacher back in 2007. Since day one I have been impressed & happy with my results. They look very natural & fit my body perfectly! After all of these years they still look so natural. He has great bedside manner & is very helpful through the process! Thank you Dr. Semlacher!

5 out of 5 stars Tummy Tuck

39 Years Old, 4 Kids and Got a Tummy Tuck - Sacramento, CA

I was very impressed with my Tummy Tuck procedure that Dr. Semlacher performed for me. When I first went searching online I wasn't sure who the right Dr would be for me but once I met Dr. Semlacher in-person I knew he was a match. His experience and references is what sealed the deal. I found him to be very personable, honest, informative and took the time with me to answer all my questions...

5 out of 5 stars Breast Implant Revision

Young @ Heart - Carmichael, CA

Professional staff & Dr. Semlacher is a wonderful plastic surgeon. I am very grateful for his abilities as a surgeon & love my look with the exchange of my implants. His care before & after are exceptional. Also , I feel much more "natural" & recovered so quickly with his care & attention to avoid any problems associated with my surgery.

1 out of 5 stars Breast Implant Revision

Breast Augmentation

If you are looking to have a breast augmentation; I would encourage you to look elsewhere other than Dr. Semlacher. He is arrogant, apathetic, has poor communication skills, does not take the time to really understand his patients needs and desires. I recently went to him and had a suboptimal result which should have been apparent during the procedure. He then offered up some alternatives...

*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 Royal College of Physicians and Surgeons of Canada - Plastic Surgery


American Society of Plastic Surgeons (ASPS)
Canadian Society for Aesthetic Plastic Surgery (CSAPS)

Consultation Fee


Hospital Privileges

Dr. Semlacher has hospital affiliations at Mary Bridge Children's Hospital and Clinics. Multicare Tacoma General Hospital., Franciscan Health System St. Joseoh's Medical Center.


  • Undergraduate & Medical School

    Medical: MD, University of British Columbia, Canada
  • Post-Medical School Training

    Internship: University of British Columbia, Canada
    Residency: Plastic Surgery, University of Calgary, Alberta, Canada
    Cosmetic Surgery, University of California, Irvine
    Cosmetic Surgery, University of Hawaii

Treatments offered by Roy A. Semlacher, MD

Most popular answers from Roy A. Semlacher, MD

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I'm 5'1", 115 lbs, 34A looking to go to a 34 C. Ideally I just want a natural look. Any suggestions? (photos)

As a rule of thumb to increase 1 cup size you need to add 190cc so to go up 2 cup sizes would be 380cc. Therefore 375 cc should achieve what you want.... READ MORE

Do I need a lift? Or will an augmentation do just fine? (Photo)

If your nipple lies below a line that you draw along the crease from the transition from breast tissue to the upper abdomen ( Infra mammary fold) then... READ MORE

Breast augmentation and work. What are my options if I do not want to take off nor do I want to take 6 weeks of non-paid leave?

Each physician has his own protocol and preferences. Mine are as follows. If you have a desk job you can have surgery on a Friday and be back to work... READ MORE

Wondering about shape and distance between breasts. Any suggestions? (photos)

I am assuming that you had your implants placed submuscular. The distance between your breasts is determined by where your pectoralis major muscle... READ MORE

Will 325cc or 345cc give me the "natural" look, although I realize there is no "cup" size. I want full B/small C

As a rule of thumb to increase one cup size in a normal sized lady takes about 190cc. Therefore if you want to go up 2 cups sizes it would be about... READ MORE

Is a regular Breast Augmentation best for me? (photos)

A dual plane breast augmentation with silicone would give you a nice result. From the photos there is no reason to consider a lift. I would approach... READ MORE

How do I help my plastic surgeon find the perfect size for me?

This is a very common question and concern for patients seeking breast augmentation.  The best way is to use the rice /water test. You can fill ... READ MORE

Should I wait until after I have a baby to get implants?

Yes, the smart thing to do before you have breast augmentation is have your  children first, if you plan to have them. The reasoning is as follows. W... 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.