SanMateoPlasticSurgery.com 'Before and after'
Dr. Pertsch's patients transformed
'Before and after' : photos and clinical
vignettes of Dr. Pertsch's other patients that have already had the
procedures you're interested in. (Used only with patient
permission)
Please note: California Consumer
Protection Reforms in 1999 includes SB 836. This legislation requires
"... all 'before and after' photographs to be comparable in
presentation so that results are not distorted by favorable
poses/lighting, and they must contain a statement that the same
'before and after' results may not occur for all patients. Prohibited
are photographs that do not clearly identify the subject is a model
or if they do not accurately depict the results of the procedure
advertised."
** Indicates pictures now available for these topics.
**Abdominoplasty
(tummy tuck) Removes loose abdominal skin, tightens bulging stomach,
and removes many stretch marks
**Abdominoplasty
(tummy tuck) and breast augmentation at the same
operation
Blepharoplasty To remove
drooping and sagging areas around eyelids.
**Breast augmentation
**Breast augmentation
revisions ie. additional surgeries to improve
appearance)
Breast lift
**Breast
augmentation and lift (augmentation mastopexy) To restore
fullness in the upper breast with or without significant volume
increase
Breast reduction
Brow lift
Canthoplasty
Cheek thinning (buccal fat
pad removal): round face made more angular. "Have you lost
weight..."
**Cheek
augmentation (malar augmentation)
Chemical peel A Facelift
Alternative.
**Chin
augmentation
Chin augmentation
and rhinoplasty
**Ear
setback : Reduction of prominent ears (setback otoplasty)
**Facelift
Laser resurfacing: A
Facelift alternative.
**Liposuction
Lower body lift
Medial thigh lift
**Rhinoplasty
(to change appearance of the nose)
Rhino-implant
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'Before and after': Dr. Pertsch's patients transformed
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Abdominoplasty: 'before and
after'
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'Before and after': Dr. Pertsch's patients transformed
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Abdominoplasty
(tummy tuck) and breast augmentation at the same operation

33
yr. old mother of 10 yr. and 14 yr. old sons 5'5" 155 lb. with
drooping breasts did not want breast lift scars. Abdomen bulged
when relaxed: 36
C to 36 D. Abdominoplasty approach subglandular textured round
saline implants 460 cc R and 450 cc L. Patient's enthusiasm led to
15 lb. weight loss after surgery.
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'Before and after': Dr. Pertsch's patients transformed
Breast
augmentation: 'before and after'

42 year old mother of 18 yr.old son and 15 yr. old daughter. D.S.
liked her fullness with pregnancies, tired of uncomfortable padded
brassieres, and oversized t-shirts and clothes designed to obscure
her chest size. D.S.
is 5'6" 124 lbs. 32AA or 32 A before now 120 lbs. 34D after
periareolar, submuscular breast augmentation with McGhan
smooth round 510 cc implants filled to 530 cc on the R and 540 cc
on the left. Her very soft, mobile implants give a natural feel.
Patient recalled nothing of surgery after concious sedation
technique administered by Dr. Pertsch.

R.B. is a 23 year old 5'5" tall and weighed 125 lb. size
3A- before this surgery. After, 34 C using submuscular 375 cc
Mentor smooth implants filled to 425 cc on the right and 400 cc on
the left via periareolar incisions. 'After' photographs taken 2.5
years after surgery. Patient had no recollection of surgery with
Dr. Pertsch's administration of IV/local conscious sedation
anesthesia.

35 year old 5' 1" 110 lb. size 34 B- before to her desired 36D
after. Periareolar approach, smooth round 510 cc saline
implants under the pectoralis major muscle.

26 year old woman initially sought a breastlift (mastopexy).
However, upon seeing the extra scarring for a lift
decided to get whatever benefit she could from a breast
augmentation without a lift. R.B. is 5'4" tall and
weighed 120 lb. size 36 small C before this surgery. After, 36
full C using 375 cc Mentor textured implants filled to 375 cc on
both sides inserted via periareolar incision. Implants placed
above the muscle directly under the breast tissue.

31
year old 5' 2" 115 lb. size 34 B before to 36C after.
Periareolar approach, smooth round saline implants under the
pectoralis muscle sized 450 cc R & 435 L.

32
year old 5' 2" 117 lb. size 34 C before to 36D after.
Periareolar approach, smooth round saline implants under the
pectoralis muscle. Implants size 450 cc R & 435 L removed and
size 850 cc inserted in each side.

33
yr. old mother of 10 yr. and 14 yr. old sons 5'5" 155 lb. with
drooping breasts did not want breast lift scars: 36
C to 36 D. Abdominoplasty approach subglandular textured round
saline implants 460 cc R and 450 cc L. Patient's enthusiasm led to
15 lb. weight loss after surgery.

38
yr. old mother of 9 yr. old son 5' 4" 128 lb. 34 A - 36 B before
now larger via periareolar approach, smooth round 360 cc R and
375 cc L saline implants under the pectoralis muscle. Also had
simultaneous tummy-tuck and hip liposuction.
Breast augmentation: revisions
ie. additional surgery to improve appearance

41year old mother of 3 children was very
happy after her first breast augmentation performed elsewhere 12
years ago. She had gone from a B- cup to a loose D or full C size.
However, after losing 30 lbs (170 -> 142) she lost much breast
volume. Also she had developed significant sagging. Although
a breastlift was discussed she wished to avoid the extra scarring
and proceed
with larger silicone gel
implants. R.B. is 5'4"
tall and weighed 145 lb. size 36 C with 280 cc gel implants before
this surgery. After, patient very happy with appearance using
submuscular 600cc high profile Mcghan textured gel implants. While
a 36 D brassiere fits size 36DD is more comfortable. 'After'
photographs taken 6.5 months after surgery. Patient had no
recollection of surgery with Dr. Pertsch's administration of
IV/local conscious sedation anesthesia.
Breast
augmentation and lift

28 yr. old woman with a 6 yr. old son lost size and shape after 2
years of breast feeding. 5'8' 130 lbs 32C before, 32DD after
augmentation mastopexy (breast augmentation and lift at the same
operation) using smooth round implants under pectoralis muscle 420
cc R and 430 cc L.
Browlift

52 year old wished to have appearance about her eyes improved. She
liked the look when elevating the outer aspect of the eyebrow with
her finger. G.N. was 5'4" and 117 lb. Patient had no recollection
of the surgery after IV sedation by Dr. Pertsch. 'After'
photographs taken 3 months one week after surgery. Patient
also had upper and lower eyelid procedure at the same time.
Cheek augmentation
Chin augmentation
(augmentation genioplasty) 'before and after'
Ear setback (ear pinning,
setback otoplasty) 'before and after'

32
year old mother of 2 always wore her hair down to hide prominent
ears before surgery.
Facelift

58
year old woman had considered facial improvement for some time
before proceeding also had eyelid and brow procedures.
Liposuction
- 36 yr. old woman with moderate skin laxity for inner and outer
thigh liposuction. Wet/ tumescent technique.
- 35 yr. old woman underwent liposuction of the abdomen, hips,
inner and outer thighs.


37 yr. old mother with 7 yr. old daughter had liposuction
of abdomen, hips, inner and outer thighs. Detail of right hip
and abdomen shown here 4 months 1 week after surgery.
Rhinoplasty