I am 70 years old and in excellent shape.  I sometimes hike 30 miles  a day.  I met Dr Commons while hiking with a outdoor group on Mt Shasta. (We all made it!).  I mentioned to him that I had a bulging stomach and other than that I was tough as nails.  He told me that he did tummy tucks every week in his practice.   I had a trail side consult and scheduled a formal appointment.   Dr Commons told me I had a hernia and separation of my rectus muscles.   My stomach was bulging.  I asked him about a mini tummy tuck and he said a mini tummy tuck does MINI.   I needed maxi.  I had a tummy tuck, muscle 4 layer repair, large skin resection, a little liposuction, and a new belly button fashioned from my old one.   I am a new woman.  Look at my shaoe.  I have not looked so good since age 24 and before kids.   Wow.  Dr Commons changed my life.  I have a beautiful figure and feel beautiful.  Dr C is wonderful.   Janice R. Los Altos, California, 94022

My hip flank area above my buttocks made it impossible for me to look good in most clothing items.  I was a slender marathon runner but had this deposit of fat around my middle section.  Dr Commons explained it was a lidysproportion and could not be dieted away any more than a large nose or dumbo ears.  I had a very simple liposuction at Dr Commons facility.  It was a breeze.  I was back to work in 3 days and never needed more than Advil for pain.  I felt safe and cared for by Dr Commons and his marvelous staff. This was a perfect experience in every way.  I feel so great in my bathing suit and don’t have to hide-up my weird middle which is now beautiful.  Thanks George Commons.  I love you .   Marcy Z.  San Francisco Bay Area.

Liposuction of flanks-hip area with buttocks reshaping in the process.  Very happy patient.

LOWER EYELID BAGS AFTER JUVEDERM. WHY? HYALURONIDASE ALWAYS WORKS!

By George W. Commons, MD – Palo Alto Plastic Surgeon

This doctor is a board certified surgeon who is an active member of the American Society for Aesthetic Plastic Surgery (ASAPS).
ASAPS is a leading association for aesthetic plastic surgeons.
Learn more

I firmly believe lower eyelid injections with Juvederm are excellent but must be done on a serial basis.   I have inadvertantly become a local referral center for hyluronidase treatment after Juvederm or Restylane mishaps.  I bought the kit for one of my patients so I was the local guy with the hyalronidase.   The biggest problems are the patients that had large amounts injected at on setting.  This is not ideal.  Do  2 or 3 small treatments and this will not happen.  Once it does happen, I have found the following will work.   Stick with the hyluronidase. It will work.  If the batch your doctor is using is not working, ask the doctor to order new and current hyaluronidase.  It must be kept refridgerated so if left out it is useless.   It must be in date.  I am convinced there are simply weak batches of hyluronidase.  Hyaluronidase is expensive and must be ordered in 12 vial lots.  Each vial must be used once and tossed.  I have found in resistant cases that simply using a little more and a little stronger usually does it.  In summary……Hyaluronidase will work but it must be a new batch that has been well treated and refridgerated.  Like fine wine, if mistreated it is useless.   DO NOT DO SURGERY.  YOU WILL BE MUCH WORSE.  I HAVE SEEN THIS HAPPEN ALSO.     Hyaluronidase always wouks if done PROPERLY.  Keep the faith but insist on the above. Because it is costly some may be tempted to use outdated stuff.  Cant do that.  As wonderful as hyluronidase is it is a very very fussy product that demands much love and care and attention to guidelines.   Also check your pre op photos to be sure you are perceiving  things correctly.  Live Forward.  Dr Commons

2 seconds ago

My face was getting way ahead of my body and brain in the age arena.   On of my kids friends thought I was the Grandmother.  Pain!  Anyway I had eye bags, jowls, a   turkey neck; I looked really old.   My Brother in Law jokingly told me to stay indoor on Thanksgiving Day because my Turkey neck may get me shot.  Oh my?  I could have shot him.  Anyway I saw 3 doctors and chose Dr Commons because he had done a facelift for my family doctor and for her sister.  I choose Dr Commons and am totally pleased.  I had a forehead lift, eyelids,  facelift, and peel and look as great as I feel.   Thanks Dr Commons for restoring me to look my age or younger and not 15 years older.  I look natural and had a safe secure experience.   Anna G, Cupertino, California.

Dr Commons did a beautiful  facelift for me in  March of last year.  I am delighted and am now having Dr Commons do Botox and Juvederm for me.  I am 64 and look in my late 40s.  My eyes are so perfect and  they could be taken for those of a person in their 20s.   I am so happy.  I was treated with caring and respect and felt totally safe throughout.  Go to Dr Commons.  Shirley L., Los Angeles.

My name is Cara L.H.  I had a facelift by George Commons, Md sbout 20 months ago.  My results are wonderful and my husband is about to have a face with Dr Commons.   At Common’s Plastic Surgery Center you will feel safe and extremely well treated.  A major emphasis on safety is stressed by Commons and the Anesthesia Group, Quad AAA.   An anesthesiologist is present 100% of the time.  As far as results are concerned Commons always says, “perfect will be just fine”, and believe me results and safety are both perfect.  Go with confidence.  For awhile I let Commons patients call me ,but just writing a review of my experience works better for all.  Go with confidence.  Cara L.H.

Exercise after a face lift. When? How much? How Rigorous?

By George W. Commons, MD – Palo Alto Plastic Surgeon   650-328-4570     www.gcommonsmd.com     www.facebook.com/plasticsurgery      Adjunct Clinical Associate Professor of Surgery,  Stanford University School of Medicine

This doctor is a board certified surgeon who is an active member of the American Society for Aesthetic Plastic Surgery (ASAPS).
ASAPS is a leading association for aesthetic plastic surgeons.
Learn more

I am very liberal regardina facelift and exercise.  I ask patients to walk but don’t run for the first two weeks.  No gym for two weeks.  No straining for two weeks.  Just gentle progressive normal walking.   At two weeks I have allowed patients to go for it.  I tell them it may hurt to do it but THEY CANNOT AND WILL NOT HURT THEMSELVES WITH RIGOROUS EXERCISE.  I tell patients to let comfort be their guide after two weeks.  I feel strongly that after two weeks there is virtually zero rrisk of bleeding which is the main concern for the first two weeks.   At two weeks you may sky dive, bungie cord jump, or whatever.  If you swell a little or more so what? That will go away.  Sweating helps get rid of Sodium and will soon aid in swelling reduction.  I know I am quite liberal on this and other surgeries;  all are told to go for it after two full weeks post op.  Now understand that if some problem comes up during the first two weeks,  (infection, wound problems, etc), my advice will take this into account and a more conservative approach will be applied.  I have follow this course for over 25 years and over 1700 + facelifts of all types and I have NEVER regreted getting patients exercising at two weeks.  People haveing cosmetic surgery are not invalids.  They are dynamic active people and they WANT TO GET ON WITH IT.  ONWARD I say.  My Best,  G Commons

Botox is certainly the wonder drug of the 2000s and beyond.   Of the many cosmetic and functional uses, correction of wet and odorous feet is very special to those that suffer.   Treatment consists of placing the feet in a large surgical glove filled with Emla numbing cream for at least one hour.   With the foot 95 % numb injection is comfortable and easy.  It takes 75 to 100 units per foot but is worth it to those that have the problem.  Longevity is 6 months or longer.  Cost ranges around $1750 to $2250 for both feet.  It is a great treatment that works.  Call for info.  650-328-4570    www.gcommonsmd.com      www.facebook.com/plasticsurgery1

Lip and Mouth concerns may be congenitally based or an age acquired problem. If lips are excessively large or asymmetric, they can be reduced or adjusted. If lips are thin and deficient, they can be made fuller. Lip enhancement can be accomplished with fat transplantation which can be of long term or semi permanent durability. Other fillers include hyaluronic fillers such as JuvedermT and Restylane®. Lip reduction is a pure surgical reduction procedure.

Major issues about the mouth and lip area include lines. These lines are somewhat based both on age and heredity. Smoking certainly does not help. The primary causes of lines include fat and collagen loss. The corrective procedures include dermabrasion, chemical peels (see non-surgical section), and fat injections or hyaluronic fillers. It is possible to return lips to a youthful fullness and reduce lining by 90% or more. This often takes more than one procedure.       See Photos on www.facebook.com/plasticsurgery1       www.gcommonsmd.com        Consult   650-328-4570