Expert Facial Plastic Surgery in San Francisco
Transform Your Look,
Enhance Your Confidence
Meet Dr. Michael Macdonald
With decades of experience devoted exclusively to the face, Dr. Macdonald has built a reputation for results that feel effortless and natural, never exaggerated or obvious. His work reflects a deep understanding of facial harmony and a respect for each patient’s individuality—an approach shaped by years of advanced training, academic leadership, and a disciplined aesthetic philosophy.
Educated at distinguished institutions in both Canada and the United States, Dr. Macdonald completed advanced fellowship training in facial plastic and reconstructive surgery, refining his expertise at the highest level. That foundation continues to inform every aspect of his practice today, from complex surgical procedures to nuanced facial rejuvenation.
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Facial Rejuvenation
Surgical & Non-Surgical Refinement
A refreshed appearance should never feel artificial. Facial rejuvenation under the care of Dr. Michael Macdonald is guided by balance, proportion, and restraint—enhancing what is already there rather than altering it.
This category is designed for patients who want to look more rested, youthful, and refined while maintaining their natural expression and identity. Treatments range from subtle non-surgical enhancements to advanced surgical solutions, all selected and customized based on facial anatomy, skin quality, and long-term goals.
Whether the concern is early signs of aging or more significant facial changes, every recommendation is made with longevity, harmony, and authenticity in mind.
Facial Contour
& Structural Harmony
Enhancing Balance. Refining Form.
Facial contouring is about structure—not trends. It is the thoughtful refinement of facial proportions to bring features into better alignment with one another.
This category focuses on patients seeking to enhance definition, correct imbalance, or refine prominent features while preserving a natural, cohesive appearance. Dr. Macdonald’s approach emphasizes facial architecture, symmetry, and individualized planning, ensuring results that feel intentional and enduring.
From profile refinement to subtle reshaping, these procedures are designed to support facial harmony rather than draw attention to a single feature.
Advanced Skin Health & Laser Treatments
Refining Texture. Restoring Clarity. Elevating Skin Quality.
Healthy, radiant skin is the foundation of a youthful appearance. Advanced skin treatments under the care of Dr. Michael Macdonald focus on improving tone, texture, and overall skin vitality through carefully selected, technology-driven solutions.
This category is ideal for patients looking to address sun damage, pigmentation, fine lines, redness, uneven texture, or skin laxity—without surgery. Treatments are customized based on skin type, concerns, and long-term goals, often combining modalities for more comprehensive, natural-looking results.
Rather than quick fixes, these therapies are designed to improve skin health over time, supporting a refreshed, luminous appearance that looks effortless and refined.
Functional & Breathing Solutions
Improved Function Without Compromising Appearance
Breathing concerns are often overlooked, yet they can significantly impact quality of life, sleep, and overall well-being. This category focuses on advanced, minimally invasive solutions designed to improve nasal airflow and sinus comfort—while maintaining facial balance and aesthetics.
Dr. Macdonald’s expertise in both facial plastic surgery and head and neck surgery allows for a comprehensive approach that prioritizes function and form. Treatments are carefully planned to address internal nasal structures without altering the external appearance of the nose.
These solutions are ideal for patients experiencing chronic congestion, nasal obstruction, or breathing difficulties who are seeking long-term relief with thoughtful, expert care.
Most Requested Treatments
Thoughtfully Selected. Expertly Performed.
Most patients don’t come in asking for a procedure—they come in wanting to feel better about how they look and how they show up in the world. These treatments are some of the most requested because they offer noticeable improvement while still looking like you.
Whether it’s a small refresh, a refined feature, or clearer, healthier skin, each option below is designed to enhance confidence in a way that feels natural, balanced, and easy to live with.
Before & After Gallery
Real Results. Thoughtfully Achieved.
Subtle changes can make a meaningful difference. Our before-and-after gallery highlights real patients who have chosen treatment with Dr. Michael Macdonald, each with their own goals, anatomy, and reasons for seeking care.
Rather than dramatic transformation, the focus is on balance, refinement, and natural improvement—results that feel authentic and allow patients to look like themselves, just more refreshed and confident.
Every outcome you see reflects a personalized approach. Treatment plans are never one-size-fits-all and are carefully designed to respect facial harmony, long-term results, and individual comfort.
The Stories Behind the Transformations
Real patients. Real experiences. Thoughtful care, clear communication, and results that feel natural—shared in their own words.
Not Sure Where to Start?
You don’t need to know which treatment is right for you—that’s our job. A consultation with Dr. Michael Macdonald is a chance to talk through your concerns, ask questions, and explore options that genuinely fit your goals and lifestyle.
Whether you’re looking for a subtle refresh, a more noticeable change, or simply expert guidance, we’re here to help you make an informed, confident decision—at your pace.
Let us help you achieve your aesthetic goals with confidence and ease.