30+ Years
Plastic Surgery Excellence
Double Board-Certified
Plastic Surgeon
HARVARD & UCLA
Trained
AAAASF-Accredited
Surgical Facility
Cosmetic Plastic Surgery in San Francisco – Dr. Leonard Gray
Pregnancy, weight changes, aging, and genetics can change the way your breasts, body, and face look over time, and some of these changes cannot be improved through diet, exercise, or skincare alone. Cosmetic plastic surgery offers a way to restore balance, refine your features, and help you feel more confident in your appearance.
Board-certified plastic surgeon Dr. Leonard Gray has performed more than 10,000 breast procedures and offers a full range of breast, body, and facial surgery. He believes that well-informed patients make the best decisions, so he takes the time to explain each option, what results to expect, and what recovery will involve before you move forward.
Learn more about our surgical procedures below or schedule a one-on-one consultation with Dr. Leonard Gray today! Call 415-434-8858 or fill out our online form to get started.
Cosmetic Plastic Surgery Before & After Photos in San Francisco
Leonard W. Gray, MD, FACS: Double Board-Certified Plastic Surgeon
30+ years of breast and body expertise
What Types of Plastic Surgery Does Dr. Gray Offer?
Dr. Gray offers surgical procedures in three categories: breast, body, and face. Select a procedure below to learn more.
Breast Surgery
Whether you want to add volume, correct sagging, or update a previous augmentation, Dr. Gray offers a range of cosmetic breast surgery options tailored to your anatomy and goals.
- Breast Augmentation: Silicone or saline implants from Mentor, Sientra, and Motiva create fuller, more balanced breasts, and most patients return to desk work in about 1 to 2 weeks.
- Motiva Breast Implants: These 6th-generation silicone implants feature Ergonomix2® adaptive shaping and a SmoothSilk® surface, and are designed to move and feel like natural breast tissue.
- Breast Lift: Vertical, inferior pedicle (anchor), and Benelli lift techniques raise sagging breasts to a more youthful position and can resize or reposition the areolas.
- Breast Augmentation with Lift: Implants and a lift are combined in one surgery for women who have lost volume and also developed sagging, often after pregnancy or weight loss.
- Breast Revision: Revision surgery exchanges, repositions, or removes implants, and Dr. Gray’s use of Strattice™ in capsular contracture revision has lowered recurrence in his practice to less than 1%.
Body Surgery
Stubborn fat, loose skin, and stretched muscles often remain after pregnancy or weight loss. Dr. Gray’s body contouring procedures are designed to create smooth, balanced results.
- Liposuction: Power-assisted liposuction permanently removes stubborn pockets of fat from areas such as the abdomen, flanks, thighs, arms, and under the chin.
- Tummy Tuck (Abdominoplasty): Excess abdominal skin and fat are removed and stretched muscles are repaired, with a low scar placed within the bikini line and a natural-looking belly button.
- Mommy Makeover: Breast and body procedures, such as breast augmentation or lift, tummy tuck, and liposuction, are combined into one surgery with a single recovery period.
- Labiaplasty: Enlarged labia minora are reduced to relieve discomfort with clothing, exercise, and intimacy, using a technique that preserves natural color, contour, and sensation.
- Brazilian Butt Lift: Your own fat, removed with liposuction, is transferred to the buttocks and injected only above the muscle for a safe, natural, uplifted contour.
- Gynecomastia: Male breast reduction removes excess glandular tissue and fat through small incisions on the side of the chest, avoiding a visible scar around the areola.
Face Surgery
Dr. Gray’s facial plastic surgery procedures are carefully planned to refresh and refine your features for a natural result that still looks like you.
- Facelift: Often combined with a neck lift, a facelift tightens the SMAS layer beneath the skin to smooth jowls and restore a defined jawline without a pulled or windblown look.
- Eyelid Surgery: Blepharoplasty removes or repositions excess skin and fat from the upper and lower eyelids, with incisions placed within natural creases.
- Rhinoplasty: Using an open or closed approach, rhinoplasty improves the shape, size, and balance of the nose, and can also open the nasal passages for better breathing.
Cosmetic Plastic Surgery FAQs
How do I know which procedure is right for me?
The right procedure depends on your main concern and goals. During your consultation, Dr. Gray will evaluate your anatomy, discuss your options and their tradeoffs, and recommend a plan that fits your goals and recovery needs. He values patient education, so you’ll understand each option before you decide.
Where are surgical procedures performed?
Dr. Gray performs surgery in Bay Area Plastic Surgery’s AAAASF-accredited, on-site surgical suite at 450 Sutter Street in San Francisco. Most procedures are outpatient, so patients return home the same day.
What type of anesthesia is used?
Most surgical procedures, including breast augmentation, tummy tuck, liposuction, facelift, eyelid surgery, and rhinoplasty, are performed under general anesthesia. For some breast and tummy tuck procedures, Dr. Gray also uses Exparel®, a numbing medication that can reduce pain for up to four days.
Can I combine more than one procedure?
Yes. Many patients combine procedures, such as breast augmentation with a lift, liposuction with a tummy tuck, or eyelid surgery with a facelift. A mommy makeover combines breast and body procedures into one surgery, which means a single recovery period.
How long is recovery after plastic surgery?
Recovery depends on the procedure. Most breast augmentation and liposuction patients return to desk work in 1 to 2 weeks, eyelid surgery patients in 7 to 14 days, and mommy makeover patients in 10 to 14 days. Strenuous exercise is usually avoided for several weeks, and Dr. Gray provides a personalized recovery timeline for your plan.
Will I have visible scars?
All surgery involves incisions, but Dr. Gray places them in discreet locations, such as within the breast fold, the bikini line, natural eyelid creases, or the hairline, so they are as hidden as possible. Scars typically fade over time, and his patients receive Biocorneum® scar cream to support healing.
Does Dr. Gray perform plastic surgery for men?
Yes. Dr. Gray regularly performs liposuction, tummy tucks, gynecomastia surgery, eyelid surgery, and other procedures for men.
Should I wait until I’m done having children?
For procedures such as a tummy tuck, breast lift, or mommy makeover, Dr. Gray generally recommends waiting until you are finished having children, since a future pregnancy can stretch the skin and change your results.
Does insurance cover cosmetic surgery?
Most cosmetic procedures are not covered by insurance and are paid for out of pocket. In some cases, such as certain gynecomastia patients, surgery may be considered medically necessary, and our team can discuss what documentation may be required.
How much does plastic surgery cost in San Francisco?
Cost depends on the procedure, the complexity of your surgery, and whether procedures are combined. Dr. Gray and his team will provide a detailed estimate after your consultation, and financing options are available.
Do you offer virtual consultations?
Yes. Virtual consultations are available for select patients and early planning, which can be especially helpful for fly-in patients traveling from outside the Bay Area.