Choosing facial plastic surgery is a personal decision—one that should be guided by expertise, thoughtful planning, and a clear understanding of your goals. Whether you’re looking to restore a more youthful appearance, refine facial proportions, or improve nasal function, every procedure should be tailored to your unique anatomy rather than following a one-size-fits-all approach.
At Aesthetic Surgery Center: Michael R. Macdonald, M.D., facial plastic surgery combines advanced surgical techniques with an artistic understanding of facial harmony. Every treatment plan is designed to enhance your natural features while preserving the expressions and characteristics that make you uniquely you.

The most successful facial plastic surgery is often the least obvious.
Rather than creating dramatic changes, Dr. Michael Macdonald focuses on achieving refined, balanced improvements that complement your natural appearance. Every recommendation begins with a comprehensive evaluation of your facial anatomy, skin quality, lifestyle, and long-term goals.
Whether your concerns are related to aging, facial balance, or breathing, the objective is always the same: deliver results that look authentic, age gracefully, and help you feel more confident without looking overdone.
Every patient has different reasons for considering facial plastic surgery. Some want to restore youthful definition, while others are looking to improve facial proportions or address functional concerns that affect breathing.
To make it easier to explore your options, our surgical procedures are organized into two primary areas of care.
Restore a Refreshed, More Youthful Appearance
As we age, the face naturally loses volume and elasticity. Skin begins to relax, brows may descend, eyelids can appear heavier, and the jawline gradually becomes less defined.
Facial rejuvenation surgery is designed to address these changes while maintaining your natural facial expression and individuality.
Facelift
Restore definition to the lower face and jawline while reducing visible signs of facial aging.
Eyelid Surgery
Refresh tired or heavy-looking eyes by addressing excess skin and puffiness around the upper and lower eyelids.
Brow Lift
Elevate the brow to create a brighter, more refreshed appearance while softening forehead aging.
Refine Facial Balance and Improve Structural Harmony
Some procedures focus less on aging and more on improving facial proportion and overall balance. Whether refining the nose, enhancing chin projection, or improving ear position, these procedures are carefully planned to complement the rest of your facial features.
Rhinoplasty
Improve nasal appearance, breathing, or both through personalized surgical planning.
Chin Implants
Enhance chin projection to create better balance between the nose, chin, and jawline.
Ear Refinement (Otoplasty)
Reshape or reposition the ears to improve facial symmetry and overall harmony.
Neck & Body Liposuction
Remove localized fat deposits to refine the jawline, neck, and select body areas for improved contour.

Facial plastic surgery requires more than technical precision—it requires an understanding of how every feature works together to create overall facial harmony.
As a board-certified facial plastic surgeon serving San Francisco and the Bay Area, Dr. Macdonald has dedicated his practice to procedures of the face, head, and neck. This focused expertise allows him to develop highly individualized treatment plans that prioritize natural-looking outcomes, facial balance, and long-term patient satisfaction.
Patients choose Dr. Macdonald because they value:
Every consultation is centered on helping patients make informed decisions with confidence.
Below are answers to common questions about hair removal.
Laser hair removal uses light energy to target pigment within the hair follicle. The heat reduces the follicle’s ability to produce new hair while protecting the surrounding skin.
Most patients require a series of 3–6 treatments because hair grows in different cycles. Maintenance treatments may be recommended depending on the treatment area and individual hair growth.
Laser hair removal provides long-lasting hair reduction. While many follicles stop producing hair, occasional maintenance treatments may be needed over time.
Most patients describe treatment as comfortable, with a warming or light snapping sensation. Advanced cooling technology helps improve comfort during treatment.
Laser hair removal can be performed on the face, neck, underarms, arms, chest, back, abdomen, bikini area, and legs.
Yes. Laser hair removal can often be incorporated into a personalized skin rejuvenation plan alongside treatments such as BBL® Photo Rejuvenation, chemical peels, or clinical facials, depending on your goals.
You don’t need to know which treatment you want—that conversation starts with understanding your goals. A consultation with Dr. Macdonald offers honest guidance, clear options, and a personalized plan designed around you.

Let us help you achieve your aesthetic goals with confidence and ease.