Legacy of Excellence:
San Francisco’s Premier
Breast & Body Plastic Surgeon
30+ Years
of Experience
Double
Board Certified
Plastic Surgeon
Trusted by
Thousands
A Legacy of Patient Satisfaction
Harvard & UCLA
Trained








30 years of Trusted Excellence in Breast and Body Surgery
Leonard W. Gray, MD, FACS: Double Board-Certified Plastic Surgeon
Dr. Gray is a double board-certified plastic surgeon with over 30 years of experience dedicated to breast and body procedures. Educated and trained at Berkeley, UCLA, and Harvard, he brings elite technical skill and a genuine commitment to patient safety, comfort, and natural-looking results. As a San Francisco native, he has spent his entire career serving the Bay Area with the same personal care and precision that have earned him the trust of patients and peers alike
Featured Procedures
Select a Treatment Below to See More
Surgical Specialties
Breast Augmentation
Breast augmentation in San Francisco with double board-certified plastic surgeon Dr. Leonard Gray uses silicone or saline implants from Mentor, Sientra, and Motiva to create fuller, natural-looking breasts. Dr. Gray has performed more than 10,000 breast procedures and customizes implant size, profile, and placement to each patient’s anatomy. Most patients return to desk work in 1 to 2 weeks.
Surgical Specialties
Breast Lift
A breast lift raises and reshapes sagging breasts by removing excess skin and repositioning the breast tissue and nipple for a more youthful contour. Dr. Gray offers vertical, anchor, and Benelli lifts, along with a scarless BodyTite option, and most surgical patients return to work in about a week.
Surgical Specialties
Mommy Makeover
A mommy makeover combines procedures such as breast augmentation or a lift, tummy tuck, and liposuction into one customized surgery to restore your shape after pregnancy and breastfeeding. Dr. Gray completes most plans in a single session with one recovery period, and many patients return to desk work in 10 to 14 days.
Surgical Specialties
Liposuction
Liposuction permanently removes stubborn fat that resists diet and exercise from areas like the abdomen, flanks, thighs, arms, and chin. Dr. Gray uses power-assisted liposuction through a few small, hidden incisions for smooth, even contours, and most patients return to desk work in 1 to 2 weeks.
Surgical Specialties
Breast Revision
Breast revision corrects or updates a previous augmentation, whether you want a new size or need treatment for capsular contracture, implant rupture, or malposition. Dr. Gray uses existing incisions whenever possible, and his use of Strattice™ in capsular contracture revision has lowered recurrence in his practice to less than 1%.
Surgical Specialties
Tummy Tuck
A tummy tuck (abdominoplasty) removes loose skin and excess fat and repairs separated abdominal muscles after pregnancy or significant weight loss. Dr. Gray places a low, short scar within the bikini line and recreates a natural-looking belly button. A mini tummy tuck is available for concerns limited to below the navel.
Surgical Specialties
Motiva Preservé
Preservé by Motiva® is a less invasive breast augmentation technique that uses specialized instruments to place Motiva SmoothSilk Ergonomix® implants while helping preserve natural breast tissue, the chest muscle, and nipple sensation. It is designed for first-time breast augmentation, with or without a lift, and may allow a more comfortable recovery.
Nurse Practitioner | Non-Surgical Aesthetics
Meghan Crotty MSN, RN, FNP-C
Meghan Crotty, MSN, RN, FNP-C, is a board-certified Family Nurse Practitioner who joined Bay Area Plastic Surgery in 2021. She provides compassionate support throughout the surgical journey while offering advanced non-surgical treatments including neuromodulators, dermal fillers, Potenza™ RF microneedling, Emface®, Emsculpt NEO®, PRF hair restoration, and GLP-1 weight management.
Featured Non-Surgical Procedures
Frequently Asked Questions
How do I choose the best plastic surgeon in San Francisco?
Dr. Leonard Gray is a board-certified plastic surgeon in San Francisco who operates in an on-site AAAASF-accredited suite and specializes in breast and body procedures, including breast revision and gender-affirming work. Patients should meet their surgeon directly through consultation, review before-and-after photos and reviews, and feel comfortable with their surgeon before booking their procedure.
What cosmetic procedures are most popular in the Bay Area?
The procedures requested most often in the Bay Area are breast augmentation, breast lift and revision, liposuction, and tummy tuck, along with neuromodulators and fillers. These procedures happen to be the focus of Dr. Gray’s practice: breast and body surgery, with non-surgical care in the same office.
Demand for plastic surgery typically follows common needs after pregnancy, weight change, or prior implant surgery. The right procedure depends on your anatomy, which is determined in consultation.
How much does plastic surgery cost in San Francisco?
Plastic surgery in San Francisco is priced by procedure. A written quote is given after consultation with Dr. Gray. An in-office consultation is $200; a virtual consultation is $100.
Typical Bay Area plastic surgery ranges are about $9,000–$16,000 for breast augmentation and higher for revision, lift, tummy tuck, or combined body procedures. Dr Gray’s fee for breast augmentation starts at $14,000. The quote includes the surgeon, facility, and anesthesia. Financing is available through CareCredit, Alphaeon, and Cherry.
How long is recovery after plastic surgery?
Recovery depends on the operation. After breast augmentation with Dr. Gray, most patients return to desk work in one to two weeks. After liposuction, about half the swelling is gone by one month and nearly all is resolved by four months. A tummy tuck generally requires more time off before full activity than breast or liposuction surgery.
Your exact plan for work, exercise, and garments is set during your consultation.
Am I a good candidate for plastic surgery?
Good candidates are in stable health, at a steady weight, and have a clear goal that surgery can improve. Dr. Gray confirms candidacy after an in-person exam rather than from photos alone or a virtual consultation.
Prior surgery, anatomy, and help at home during recovery also matter. If surgery is not the right next step for you, Dr. Gray will let you know during consultation.