Surgical Procedures
in San Francisco
Home | Aesthetic Procedures | Surgical Procedures
Comprehensive, Natural-Looking Results Built Around Your Anatomy
Surgical procedures offer the most comprehensive, longest-lasting results for patients addressing visible signs of aging, facial proportion, or body contour. Every surgical plan with Dr. Michael Macdonald begins with a full evaluation of your anatomy, skin quality, and goals — so the outcome looks intentional and natural, never overdone.
Our surgical procedures span facial rejuvenation and facial contouring, giving patients a full range of options whether the goal is restoring a more youthful appearance or refining facial balance and proportion.
Explore Our Surgical Procedures
Facelift & Necklift
Restores definition to the lower face, jawline, and neck by lifting and repositioning underlying tissue — smoothing visible signs of aging without an overdone look.
Brow Lift
Elevates a descending brow to open the eyes and soften forehead aging, creating a brighter, more rested appearance.
Eyelid Surgery
Addresses heaviness, puffiness, and a tired appearance around the upper and lower eyelids with precise, natural-looking correction.
Rhinoplasty
Refines nasal shape, improves facial balance, and, when needed, corrects functional breathing concerns through the nose.
Chin Implants
Enhances chin projection to bring the profile into better balance with the nose and jawline.
Ear Refinement (Otoplasty)
Reshapes or repositions the ears to improve facial symmetry, most often for prominent or asymmetric ears.
Liposuction – Neck & Body
Removes localized fat deposits to refine the jawline, neck, and select body areas for a more defined contour.
Why Choose Dr. Macdonald for Surgical Procedures
Dr. Michael Macdonald is a double board-certified facial plastic surgeon — a Diplomat of the American Board of Facial Plastic and Reconstructive Surgery and a Diplomat of the American Board of Otolaryngology–Head and Neck Surgery — whose practice is devoted exclusively to the face, head, and neck. Patients choose him for personalized surgical planning, deep expertise in facial anatomy, a conservative and natural aesthetic philosophy, and honest recommendations based on individual goals.
Frequently Asked Questions About Surgical Procedures
Below are answers to common questions about Surgical Procedures if you have any further questions, please reach out to us, we will gladly give you all the answers you are looking for.
How do I know if I need surgery, or if a non-surgical option is enough?
It depends on the severity of the concern and how long-lasting you want the result to be. Surgical procedures address structural change (sagging skin, volume loss, facial proportion) more comprehensively and for longer than non-surgical treatments. A consultation will help determine which is appropriate for your goals.
Can I combine multiple surgical procedures?
Yes. It's common to combine procedures that complement one another — for example, a facelift with a brow lift and eyelid surgery, or rhinoplasty with a chin implant — to achieve a more balanced, cohesive result in a single recovery period.
How long is recovery after facial surgery?
Recovery varies by procedure. Most patients see initial improvement within one to two weeks and can resume normal activities, with final results developing over several months as swelling fully resolves.
Will surgery make me look "different"?
Dr. Macdonald's approach prioritizes results that look like a more rested, refined version of you — not an altered one. Every surgical plan is built to preserve your natural expression and identity.
Is rhinoplasty only cosmetic, or can it also help with breathing?
Rhinoplasty can address both. Many patients combine cosmetic rhinoplasty with functional correction of a deviated septum. If breathing is your primary concern, see our [Functional and Breathing Solutions] page.
Begin With a Conversation
A surgical plan starts with a clear understanding of your goals, not a procedure you've already settled on. Dr. Macdonald will guide you through your options with the same precision he brings to every case.
Let us help you achieve your aesthetic goals with confidence and ease.