7 Questions To Ask Your Plastic Surgeon

by David Newman, MD | Oct 7, 2019 | Blog

7 Questions To Ask Your Plastic Surgeon

Considering Plastic Surgery? Here’s What You Should Know

If you’re thinking about plastic surgery, it’s natural to have questions—not just about procedures, but about your surgeon’s training, the facility, and even what the term “plastic surgery” really means. In this blog, we’re answering some of the most common questions patients ask—from the benefits of having a private surgery center to what board certification really means, and even whether plastic surgery can become addictive. Whether you’re just starting to explore your options or preparing for a consultation, this guide will give you honest, helpful insights to make informed decisions about your care.

1. Do you have your own surgery center?

Plastic Surgeons who have their own surgery center wish the most privacy and best care for their patients. When doctors own their own center they are more involved with the care process, not just bopping in to do surgery somewhere and leaving. They work on quality improvement of the center and that means patients are better cared for.

When patients are cared for by one team that supports one doctor, the team can work better with the plastic surgeon to deliver consistent care at the highest and safest level.

2. I know you are board-certified, but what are you certified to do?

The free enterprise system of the United States allows doctors to set up their own board! These boards may not be recognized by The American Board of Medical Specialties. This Board determines whether a specialty board is legitimate based on many factors including whether a board has core principles not present in other boards. That doesn’t mean that unapproved boards are not of high quality but that patients should evaluate more deeply, unapproved board members training and compare it with the training of other physicians that have been chosen and trained through more conventional programs approved by The American Board of Medical Specialties.

3. What is the difference between a plastic surgeon and a facial plastic surgeon?

Plastic surgeons go through a long program of general surgery and then are chosen by other plastic surgeons to enter a two or three-year plastic surgery training experience. Facial plastic surgeons go through a long program of ear nose and throat training and then do a one-year fellowship in cosmetic surgery of the face. The Board of Facial Plastic Surgery is not approved by The American Board of Medical Specialties because, at its core, it is not different than the field of plastic surgery.

So it may appear, superficially, that facial plastic surgeons are better trained to do facial cosmetic surgery because the name implies they are more specialized but the opposite may be true. It depends more on how much time a physician is spending doing cosmetic surgery on the face and the results they are able to achieve. It therefore is very important for patients who are considering facial plastic surgery to find out more about the physician and especially important to view before and after photos of their previous patients.

4. Can Patients really become addicted to plastic surgery?

Basically, anyone can become addicted to anything because that’s how we are as people! But generally, and for most patients, doctors limit how much plastic surgery they will let patients have just because they don’t want a “bad rap” in their community. We see “plastic surgery junkies” on TV but for the most part, patients are not having surgery to excess.

5. Do Plastic Surgeons use plastic?

The word “plastic” in plastic surgery comes from the Greek word plasticos which means “to shape or mold.” The only plastic-like materials used in plastic surgery are silicone rubber products used in chin and cheek implants and the shell or balloon outer part of breast implants is made of silicone sheeting.

6. At what age should I have plastic surgery?

As a general rule, surgery treats problems and problems can occur at any and every age. As long as a patient is healthy, they can have the surgery if it addresses the problem that bothers them.

7. Do breast implants cause disease or cancer?

The plastic surgery scientific community knew that breast implants were safe by the 70s because larger studies had been done to prove they were safe. Despite that, breasts were taken from the market in the late 80s even though it was well-known that implants had a high safety margin.

Recently, cases of breast implant associated lymphoma have occurred but are exceedingly rare. All of the known cases have occurred in association with textured surface breast implants and almost entirely from one company’s textured implant.

Final Thoughts

Choosing to undergo plastic surgery is a deeply personal decision, and being well-informed is one of the best ways to feel confident in your choice. From understanding your surgeon’s credentials to knowing what to expect from a procedure, asking the right questions is key. At the end of the day, your safety, comfort, and satisfaction matter most. So take your time, do your research, and don’t hesitate to speak directly with your surgeon about any concerns. The right team will always support your journey with honesty, skill, and care.

If you are in the Murrieta, Temecula, Menifee area, consider having your plastic surgery and cosmetic procedures performed at Newman Plastic Surgery. Contact us today to schedule a consultation or procedure.

Fillers

by David Newman, MD | Oct 2, 2019 | Aesthetics, Blog

Fillers are a class of injectable medication designed to soften and sometimes flatten folds, depressions and wrinkles of the skin. They are produced predominantly by US companies and are sold as syringes containing one cc. of clear gel product that is sterile and ready for immediate use. In the US, patients are only treated with fillers by physicians and nurses. These materials were first used to treat facial wrinkles and skin folds around the mouth but their use has expanded to include augmenting the bony surfaces of the face such as the cheekbone, chin and jaw line. Recently, fillers have found use in nonsurgical rhinoplasty (nose job) and treating surface changes after rhinoplasty surgery. Fillers are also currently used to fill areas of muscle loss due to the aging process and other causes. The most common area for this muscle loss treatment is in the temple areas on the side of the face.

The filler substances currently in use are composed of a chemical called hyaluronic acid, also known as “HA”. The HA that is used for cosmetic purposes is completely man-made but hyaluronic acid is a significant component of human skin. HA is found in all layers of the skin but especially under the uppermost layer of skin called epidermis. Within skin, hyaluronic acid is important in skin support and is a key component of skin healing. Hyaluronic acid is a small chemical but can be synthesized into a polymer of many of the same units. Longer polymers can last longer under the skin and therefore fewer treatments are required. The chemical polymers can also be modified to change their consistency and feel as well as other properties.

There are currently about twenty fillers on the market and the most common fillers for wrinkles and skin folds are the juvederm line of products and the perlane/restylane group of products. The most often currently used product for enhancing bony prominences is Voluma. The FDA currently approves all facial fillers and the approval not only clears these products for use but for use in specific areas of the face. Physicians and “nurse injectors” are instructed by the FDA to use these specific for specific areas but injectors often also use product in areas not mentioned by the FDA. These areas are referred to as “off label” locations. Off-label use can be safe and effective but should be discussed with the treating physician.

Fillers are commonly confused with Botox treatment. The rule is that fillers fill and Botox paralyzes muscles to lessen wrinkles. Botox is most commonly used for wrinkles that occur between the eyebrows, over the forehead and within the Crow’s foot area outside the eyes near the temple. There are some parts of the face where both Botox and fillers can be of use. For example, the corrugator muscle folds the skin between the eyebrows. When patients are younger, muscle overactivity leads only to folding in this area and Botox is a great fix. But with the aging process, permanent wrinkles can be seen even when the patient is not flexing these muscles. It is at this point where fillers can be used effectively to soften and flatten wrinkles and folds.

Facial filler side effects most commonly encountered include irregularities that can occur under the skin, pain bruising, itching and rash. The types of dermal fillers used can all have these side effects and some of the side effects are related to the experience of the injector.

How Much Does Rhinoplasty Cost?

by David Newman, MD | Oct 2, 2019 | Blog, Face

How Much Does Rhinoplasty Cost?

How much does Rhinoplasty cost?

The average cost of rhinoplasty in the United States typically ranges from $5,000 to $15,000, depending on the complexity of the procedure, surgeon experience, and location. This cost usually includes surgeon fees, anesthesia, and facility charges. However, rhinoplasty (nose jobs) can vary in cost depending upon the surgeon, the type of surgery that is being performed and the location of the procedure.

Rhinoplasties are one of the most gratifying surgeries performed by plastic surgeons today because of the prominent place the nose has on the face. It’s one of the first things others see when they look at us. We also associate something of our personality and ascribe some personality traits to our nose and so, when the nose becomes obvious we feel it is “too much’ and wish to diminish the effects of the shape to match more the shape of the average nose.

Most patients seek consultation for nasal surgery because they feel their nose is simply too large for their face. Women may especially have smaller faces and sometimes their nose grows to resemble the shape and size of one of their relatives. There may be other aspects of the nose that bothers patients and it is also often the case that the nose simply does not “go” with the rest of the face. For example, some patients have a long and angular nose that seems to droop and point downward, especially when they smile. They may see that this shape simply doesn’t match other features of their face that may be more round.

Rhinoplasty surgery goals include not only reshaping the nose to gain improvement but also viewing the nose artistically to see how the nose relates to the face. In this fashion, changes can be made that appear most natural because the nose then becomes part of the face and blends in better.

Closed Rhinoplasty

Most procedures to reduce the size of the nose and make other changes are done as closed rhinoplasty. All incisions are made inside the nose and the structure of the nose is altered (bone and cartillage) through these inside incisions. Closed rhinoplasty is often the least expensive option when considering what type of rhinoplasty is best but sometimes open rhinoplasty is necessary to get patients to their goals.

Open Rhinoplasty

There are some shape issues for which open rhinoplasty is a better choice. These shape problems invariably involve the nasal tip, whether it be deficient (doesn’t stick out far enough), or is irregular or asymmetrical. In these situations, the incisions located inside the nose are extended across the columella (the part of the nose at the bottom between the nostrils) and the skin of the lower part of the nose is lifted so that the surgeon can see the tip directly to make changes in the cartilage of the tip.

There are other situations where open rhinoplasty is the preferred choice and also, there are surgeons who do all of their rhinoplasties open. Open rhinoplasty takes, on average two to three times longer depending on what needs to be done and so are significantly more costly.

Breathing Problems

Some patients who wish to gain cosmetic improvement with rhinoplasty may also have difficulty breathing through their nose. They may have a deviated septum which blocks air flow through one or both sides of the nose or they may have another cause of blockage that can be addressed at surgery.

In these cases, rhinoplasty can be combined with airway surgery. Medical insurance never pays for cosmetic rhinoplasty, but it does pay for airway surgery, and the rhinoplasty surgeon can apply to the patient’s insurance carrier to see if they will cover such surgery. Some surgeons will discount the cost of the airway surgery when it is performed with rhinoplasty because when airway surgery is performed in a patient who is a good candidate for it, the patient can have very significant functional improvement in their breathing.

It is very important to remember that cosmetic rhinoplasty generally doesn’t affect a patient’s breathing when it is performed by itself. That is because inspired air flows downward after entering the nostrils. So removal of the bump on the nose doesn’t decrease air flow.

Final Thoughts: Is Rhinoplasty Worth the Cost?

Rhinoplasty is one of the most transformative cosmetic procedures available, offering both aesthetic and functional benefits. While the cost of rhinoplasty can vary widely based on your surgeon, location, and procedure complexity, many patients find the investment well worth it for improved confidence and facial harmony. Understanding the full breakdown of expenses can help you plan ahead and avoid surprises.

Ready to explore your options?

Schedule a consultation today to receive a personalized rhinoplasty quote and learn more about what’s possible for your nose and your overall appearance. Our team is here to guide you every step of the way.

Lip Injections in Temecula, CA: What To Expect

by David Newman, MD | Oct 2, 2019 | Aesthetics, Blog

Lip Injections in Temecula, CA: What To Expect

Enhancing your lips has never been easier or more natural-looking. At Newman Plastic Surgery in Temecula, CA, we offer advanced lip filler treatments using safe and effective hyaluronic acid-based products like Juvederm. Whether you’re looking to boost volume, define your lip shape, or smooth fine lines, our personalized approach to lip injections can help you achieve beautiful, balanced results.

What Are Lip Injections?

Lip injections use dermal fillers, typically composed of hyaluronic acid, to enhance the shape, size, and structure of the lips. These fillers often include lidocaine, a local anesthetic that minimizes discomfort during the procedure.

Why Patients Choose Lip Fillers

Patients choose lip enhancement for several reasons:

To add volume to naturally thin lips
To balance uneven lips
To define the lip line and Cupid’s bow
To reduce fine lines around the mouth
To create a more youthful appearance

Before and After: What Results Can You Expect?

Before lip injections, patients may feel their lips appear small, flat, or lack definition. Some notice that the pink portion of the lip seems to roll inward, or that their lips don’t match the rest of their facial features. Others feel like they simply “have no lips.”

After lip enhancement, patients often report:

Fuller, more youthful lips
Enhanced lip shape and symmetry
Better definition of the lip border

Results are natural-looking, helping patients look refreshed without appearing “overdone.”

What to Expect During and After the Procedure

Lip injections are quick, non-surgical, and typically completed in under 30 minutes; perfect for a lunch break appointment. Mild to moderate discomfort is normal, but most fillers contain lidocaine to minimize pain.

Recovery Timeline:

Day 1–2: Mild to moderate swelling, little to no pain
Day 3–7: Swelling decreases, lips settle into their shape
Day 7–10: Final results are visible
Duration: Results typically last up to 12 months

Do Lip Injections Hurt?

Most patients experience mild discomfort during injections. Because the fillers contain lidocaine, the area numbs quickly. For sensitive patients, a dental block can be used to completely numb the lips before the procedure, improving overall comfort.

What Not to Do After Lip Injections

To ensure optimal results:

Avoid exercise or strenuous activity for at least 8 hours
Use a gentle cleanser if needed
Keep lips moisturized with Aquaphor ointment
Avoid touching or massaging the area

How Long Do Lip Fillers Last?

The results of hyaluronic acid-based lip fillers, like Juvederm, typically last 9 to 12 months, though individual results vary depending on metabolism and lifestyle.

Natural-Looking Lip Fillers

Although hyaluronic acid used in fillers is synthetically made, it is identical to a substance found naturally in the skin. It helps retain moisture, improve skin elasticity, and supports healing; making it both safe and “natural-feeling.”

Side Effects and Risks

Common side effects include:

Swelling
Bruising
Redness or itching at the injection site

Less commonly, small bumps may form but typically resolve on their own.

Cost of Juvederm Lip Injections in Temecula

Costs vary based on the type of filler and the amount used. In Temecula, most lip injections are competitively priced. Be cautious of providers offering prices that seem unusually low, as quality and safety should always come first.

Frequently Asked Questions

How long do lip fillers last?

Most fillers last about 9 to 12 months, depending on the product and patient.

Do lip injections hurt?

Thanks to built-in numbing agents and optional dental blocks, most patients report only mild discomfort during treatment.

What if I only want one lip enhanced?

That’s totally fine! Some patients opt to enhance just the upper or lower lip for better balance.

Are the results instant?

Yes, but expect swelling for 1–2 days. Final results appear by day 7 to 10.

Lip Injections Near Me in Temecula

When friends or family see your results up close, they’ll be amazed at how natural and balanced your lips look. Forget the overdone appearances shown on TV—our approach is focused on harmony, youthfulness, and enhancing your unique beauty.

Schedule Your Lip Filler Consultation in Temecula

Ready to enhance your natural beauty with fuller, more defined lips? Contact Newman Plastic Surgery in Temecula today to schedule a consultation for Juvederm lip injections. Our experienced team will guide you through every step to ensure your results are beautiful and natural-looking.

Book Your Consultation Now »

How Much Does Breast Augmentation Cost In California?

by David Newman, MD | Sep 26, 2019 | Blog, Breast

How Much Does Breast Augmentation Cost In California?

Breast Augmentation is one of the most gratifying cosmetic procedures offered by plastic surgeons today. In fact, studies show a 95% satisfaction rate with this surgery, which is one of the highest rates among all procedures.

A large number of patients have breast augmentation when they are in their younger years, when they are just joining the workforce, are in school, or otherwise find it difficult to fund surgery.

It may still make sense to have this surgery, both because of the high satisfaction rate and because the beneficial effects of the surgery are so long-lasting. Breast implants provide for a permanent size that never changes during a patient’s lifetime.

Implants also affect shape and make the breast appear natural and youthful, even when patients are in their older years. Breast implants also allow for greater ease in the wearing of different styles of clothing. In a way, breast augmentation surgery might be considered a worthwhile investment.

Breast implant surgery is generally performed under anesthesia, and so support personnel are required to provide the safest and most pleasant experience. Staffing for surgery involves not only the physician performing the procedure but also an anesthesiologist and nursing staff, as well as other operating room personnel.

The surgery must also be performed in an accredited surgery center, and all materials and procedures must comply with the best standards and practices.

Despite the high cost of providing this high level of medical care, competition has made breast augmentation surgery affordable for almost every patient. One factor has put an upward pressure on the cost of breast augmentation surgery.

If you are in the Temecula, Murrieta, and Menifee area and are considering breast augmentation surgery, contact Newman Plastic Surgery to schedule a consultation.

Breast Implant Cost

In the 1980s, there were two types of implants available: saline and silicone-filled breast implants. The cost of the implants was so low that they represented approximately 4% of the total cost of the surgery, and so breast augmentation prices remained low.

More recently, breast implant manufacturers have brought different types of breast implants to the market at higher prices. Most significantly, “gummy bear implants” were introduced, and these breast implants have a thicker silicone gel fill than previous gel breast implants. When gummy bear implants are used, they drive the implant cost to account for 30% of the total cost of surgery.

Gummy Bear Implants: Higher Cost, But Are They Better?

The breast implant manufacturers state in their sales literature that gummy bear implants support the upper part of the breast more than saline implants and more than their other silicone gel breast implants. They also state that it is more difficult to “feel” the implant and that, therefore, the results of breast augmentation surgery are more natural with the gummy bear implants. These claims have not been confirmed yet by an independent scientific study.

As mentioned above, breast implants are quite durable when one considers that they move with the patient’s movements and appear totally natural and part of the patient’s natural anatomy for many years. Patients, in consultation are encouraged to feel the different types of implants, to “try on” the implants in a specially designed bra and also to look at breast implants before and after photos.

One issue that might affect a patient’s shape with gummy implants is that, with time, and as normal breast tissue is lost, the more solid shape of these implants may become more noticeable. Gummy bear implants are relatively new, and although they are FDA approved, it may take some years of actual patient experience to determine what the long-term effects are on the shape of the breast as compared with the current saline and silicone gel alternatives.

Fat Transfer Breast Augmentation

Recent innovations in the field of liposuction and fat transfer have made the use of fat an alternative to enlarge the breast.

Benefits of the use of fat are that no foreign object (i.e., a breast implant) is required. The greatest negatives regarding the use of fat to enlarge the breast are the degree to which the breast can be enlarged, which is a fraction of one cup size, and that multiple treatments may be required. The average increase in cup size when patients opt for breast implants to enlarge the breasts is between one to two cup sizes.

Additionally, with time, the fat that has been transferred may be lost, whereas breast implant volume never changes, with the exception of the occurrence of deflation, which is uncommon. Thus, for now, fat transfer breast augmentation is probably not the best option for patients seeking breast augmentation, but technological advancements may change that.

Breast Lift With Implants

Some patients may develop loosening of their breasts, especially after childbirth and with breastfeeding, and this can cause the breast to droop. The other issue with drooping is that, at the same time, there is a loss of tissue in the upper part of the breast, and so the breast can appear less full.

Patients who develop drooping of their breast and also note loss of fullness in the upper part of the breast usually require a breast augmentation with a breast lift. Since this surgery takes at least twice as long to perform, the cost is higher. There may be alternatives, and so it is important to discuss these with your plastic surgeon.

Dr. Newman is a board-certified plastic surgeon who has performed numerous breast augmentation procedures throughout his career. Contact Newman Plastic Surgery today to schedule your breast augmentation surgery consultation.

How Do You Maintain After Plastic Surgery in Temecula

by David Newman, MD | Aug 14, 2018 | Blog

How Do You Maintain After Plastic Surgery in Temecula

How to Maintain Your Plastic Surgery Results in Temecula, Murrieta, and Menifee

You’ve taken a big step by investing in your appearance through cosmetic surgery, whether it was a tummy tuck, liposuction, breast augmentation, facelift, or Botox. At Newman Plastic Surgery, we know your journey doesn’t end in the operating room. True transformation includes maintaining your results for years to come, and that’s why we provide guidance not just before and during your procedure, but well into your recovery and beyond.

Patients in Temecula, Murrieta, and Menifee are active and health-conscious, and maintaining plastic surgery results is often about building sustainable lifestyle habits that fit the local way of life. From choosing nutritious foods to staying active in the beautiful outdoors, here’s how you can make your results last and feel confident every step of the way.

Nourish Your Body with Healthy Eating

Post-surgery, your body will thank you for giving it the nutrients it needs to heal and maintain its new shape. Luckily, the Temecula Valley region is rich with healthy food options. Stock up on organic produce at the Old Town Temecula Farmers Market or grab a clean meal at E.A.T. Marketplace or The Press Espresso. Focus on whole grains, lean proteins, and plenty of fruits and vegetables. Drink plenty of water, especially if you’re enjoying time outdoors or visiting Temecula wineries like Wilson Creek or Callaway, where sun exposure and dehydration can sneak up on you.

Keep Moving: Enjoy the Local Outdoors

Whether you’re recovering from a tummy tuck or breast enhancement, keeping your weight steady and engaging your muscles can help preserve your surgical results. Temecula and its surrounding areas offer plenty of scenic, low-impact options. Start with brisk walks around the Temecula Duck Pond or hike the trails at Santa Rosa Plateau Ecological Reserve in Murrieta. We’re lucky enough to have great weather most of the year, making it possible to do a lot of outdoor activities. Once cleared by your surgeon, you can ease into strength training at EOS Fitness in Menifee or take a rejuvenating yoga class at Yoga for Life in Temecula. Even just being active three times a week can make a big difference.

Commit to Consistent Skin Care

Facial surgery patients should be especially mindful of skin care. Our sunny climate can be harsh on newly treated skin, so sun protection is essential. Use medical-grade skincare recommended by professionals or visit local specialists at places like Skin & Tonik in Murrieta for facials and routine care. Always wear sunscreen, sunglasses, and wide-brimmed hats when exploring outdoor spots like Harveston Lake Park or attending Temecula’s weekend events.

Eliminate Smoking and Limit Alcohol

If you’re a smoker, your recovery and long-term results could be at risk. Nicotine constricts blood vessels and slows healing, which can compromise your cosmetic outcomes. Use your surgery as a fresh start. Temecula and Menifee both offer support groups and smoking cessation resources through community health centers and local clinics. As for alcohol, moderate consumption, especially during wine tasting events or social outings, is fine, but excessive drinking can dehydrate your skin and undermine your wellness goals. Hydrate with water regularly, especially if you’re enjoying outdoor festivals or hot summer days in Southern California.

Stay Connected With Your Plastic Surgeon

Maintaining your results is easier when you stay in touch with your care team. At Newman Plastic Surgery, we offer follow-up visits and personalized guidance to ensure you’re healing properly and feeling your best. Whether you’re from Temecula, Murrieta, or Menifee, our doors are always open to help you stay on track.

Your New Lifestyle Begins Here

Plastic surgery is more than a procedure; it’s a lifestyle choice. By embracing healthy habits and taking advantage of the resources around Temecula Valley, you can preserve your beautiful results and enhance your confidence for years to come.

Have questions or need personalized recommendations? Contact Newman Plastic Surgery today to schedule a consultation and let us help you maintain the look you love.

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