# Dr. Michele Shermak Plastic Surgery > Board-certified female plastic surgeon in Baltimore Michele Shermak MD can help. Plastic surgery procedures in Maryland, such as breast augmentation, liposuction, tummy tuck and full body tightening after weight loss. This document contains the full content of all pages on this website. --- ## A Passion For Results **Link:** [A Passion For Results](https://www.drshermak.com/) ([md](https://www.drshermak.com/index.html.md)) **Description:** Board-certified female plastic surgeon in Baltimore Michele Shermak MD can help. Plastic surgery procedures in Maryland, such as breast augmentation, liposuction, tummy tuck and full body tightening after weight loss. Plastic Surgery In Baltimore ### Content #### Refined ExcellenceRefined ExcellenceRefined Excellence *Top Plastic Surgery in Baltimore* #### Refined Excellence [.intro.beige.mb0]Dr. Michele Shermak[] [.intro.mb80]is renowned for her exceptional skill in delivering sophisticated and natural-looking cosmetic plastic surgery results.[] Welcome to Michele Shermak, MD, **Plastic Surgery in Baltimore**. Nestled within the quiet charm of the Lutherville area, Dr. Shermak’s office offers a refreshing blend of aesthetic artistry and surgical authority. Discerning patients from Maryland and beyond come to Dr. Shermak for the peace of mind that comes with knowing they are receiving exceptional care and great results, based on her distinguished career spanning over two decades. [Learn More](/about/dr-shermak/) #### Elevating The Art The Art of Aesthetic Surgery *Plastic Surgery Procedures in Baltimore, MD* #### Gallery [.button][Face](/gallery/face/)[] [.button][Breast](/gallery/breast/)[] [.button][Body](/gallery/body/)[] [.button][Skin](/gallery/skin-treatments/)[] #### Surgical BrillianceSurgical BrillianceSurgical Brilliance *Baltimore Plastic Surgeon, Michele Shermak, MD* #### Surgical Brilliance [.beige]Ranked *amongst the best female plastic surgeons in the nation*,[] Dr. Michele Shermak delivers extraordinary cosmetic plastic surgery results that appear both sophisticated and natural-looking. [.button][Learn More](/about/dr-shermak/)[] More than a *board-certified plastic surgeon*, she is a recognized authority within the field, reflecting a career built on integrity and a deep commitment to her patients, setting the standard of surgical excellence. She is frequently sought out for **plastic surgery in Baltimore, Maryland**, and beyond for her innovative body contouring techniques and for her ability to offer dynamic aesthetic transformation for those recovering from massive weight loss. #### Meet Our Caring Team #### Expert Hands At Michele Shermak, MD, Plastic Surgery, Dr. Shermak is supported by an exceptional team, each member dedicated to ensuring your experience is as seamless and reassuring as your results. Our highly skilled professionals share Dr. Shermak’s unwavering commitment to top-quality care, making your comfort and well-being their utmost priority. This includes the distinct advantage of having dedicated anesthesia onsite, providing an unparalleled level of safety and personalized comfort throughout your procedure. From your very first interaction to your final follow-up, our team is known for attentive communication, compassionate support, and meticulous attention to detail for your Baltimore **Plastic Surgery** procedures. [Meet Our Staff](/about/our-staff/) #### “Life changing.“ *Patient Testimonial* “Dr. Michele Shermak is the best of the best. I couldn’t be more pleased with my results. All of the staff are so kind, friendly, and patient. This is the best place!!! Life changing.” –C.T. #### Dr. Shermak's Body Contouring Expertise #### The Shape of Confidence [.intro]Dr. Michele Shermak stands as [] [.intro.black]a distinguished specialist [] [.intro]in body contouring.[] [.button][Explore Body Contouring Procedures](/body/)[] [.button.white-bg][Emsculpt NEO for Stubborn Fat. Try it today.](/body-countouring/emsculpt-neo/)[] For those seeking to refine their silhouette after significant weight loss or to address contours resistant to diet and exercise, Dr. Michele Shermak stands as a distinguished specialist in body contouring. With her profound understanding of the body's natural form, Dr. Shermak has not only mastered but also designed her own advanced techniques to achieve remarkably natural and harmonious results. She possesses particular expertise in challenging areas, such as *thigh lifts*, ensuring a sculpted elegance that genuinely complements your transformed physique. She also specializes in comprehensive procedures like the *Mommy Makeover* and *Daddy Do-Over*, helping patients refine multiple areas in one carefully planned surgery. Her approach is meticulously personalized, reflecting a deep commitment to honesty and integrity in every step of your journey. Experience compassionate, authoritative care from a Baltimore **plastic surgeon** dedicated to helping you embrace your beautifully refined self with renewed confidence and comfort. #### Writing the Book On Body contouring [.brown]In addition to lecturing on topics of body sculpting domestically and internationally,[] Dr. Shermak’s own surgical atlas, "*Body Contouring*," has recently been published by McGraw-Hill in New York and is now used by industry peers for its comprehensive insights into head-to-toe **plastic surgery**. Dr. Shermak's commitment to advancing the field continues with her upcoming text, "Experts in Plastic Surgery," slated for publication by Elsevier in 2026. Ever passionate about education and knowledge, she also contributes to textbooks and scientific journals on a regular basis. #### Elite TreatmentsElite TreatmentsElite Treatments #### Elite Treatments #### Dr. Shermak’s Procedures #### Out-of-Town Patient Concierge Come to Baltimore and learn why Dr. Shermak is among the best plastic surgeons in the nation. As a leader in patient care and aesthetic excellence in **Plastic Surgery** Baltimore and out-of-town patients are warmly welcomed, with many visiting from across the East Coast, Texas, California, Europe, and beyond. With her exceptional artistic eye and insightful approach, Dr. Shermak guides you towards achieving your aesthetic goals. As your patient concierge, the caring staff ensures a rejuvenating experience, securing exclusive hotel rates and guiding you through Baltimore's attractions, making your stay a pampered getaway. Trust in Dr. Shermak, *one of the most respected plastic surgeons* and a *leader in cosmetic enhancements*, with an atmosphere of kindness and courtesy, ensuring your comfort every step of the way. [Learn More About Traveling](/about/out-of-town-patients/) #### Connect & Be Inspired *Follow Us On Social Media* Follow Dr. Shermak and our practice on social media for a sophisticated look at the latest in **plastic surgery**, behind-the-scenes glimpses, and Dr. Shermak's expert insights. Join our community for a dose of inspiration and to see how natural, elegant results are achieved. --- ## 404 **Link:** [404](https://www.drshermak.com/404/) ([md](https://www.drshermak.com/404/index.html.md)) **Description:** 404 | Page Not Found Page Not Found ### Content [Back To Home Page](/) --- ## About **Link:** [About](https://www.drshermak.com/about/) ([md](https://www.drshermak.com/about/index.html.md)) **Description:** Dr. Shermak is considered by her peers and patients alike as among the best female plastic surgeons in the nation. Learn more about her and her practice here. ### Content --- ## Articles **Link:** [Articles](https://www.drshermak.com/about/articles/) ([md](https://www.drshermak.com/about/articles/index.html.md)) **Description:** Read up on the articles provided by Dr. Shermak on procedures including breast augmentation, tummy tucks, and more. ### Content #### Recent Articles --- ## Article: **Link:** [Article:](https://www.drshermak.com/about/articles/breast-augmentation/) ([md](https://www.drshermak.com/about/articles/breast-augmentation/index.html.md)) **Description:** Read more about what you should know regarding breast augmentation surgery. Dr. Michele Shermak has years of skill and experience on breast procedures including breast augmentation, breast lifts, breast implants and more. Breast Augmentation ### Content Dr. Shermak is one of the nation’s most respected plastic surgeons. She is known for her surgical skills, advanced techniques, and the ability to perform breast augmentation to create a breast size and shape perfect for the person – and that look and feel exceptionally natural. She can help you resolve problems such as breast asymmetry, small breasts, or loss of volume after pregnancy and breastfeeding, or weight loss. #### Breast Augmentation,Breast Lift, or both? Sagging breasts benefit from a breast lift either as a single procedure, or in conjunction with a [breast augmentation](/breast/baltimore-breast-augmentation/). A breast lift can provide the illusion that your breasts are fuller by simply returning them to a higher, more youthful position, reshaping the tissue, and removing the excess skin that has given them a sunken, droopy, or deflated look. Breast implants can be added if you have always wanted a bigger cup size or lost volume in your breasts. A breast lift in combination with implants will not only reposition your existing breast tissue but will reposition the nipple structure to a more attractive, youthful position higher on your newly reshaped breasts #### Which implants are right for me? Technological advances have led to a diverse number of options for breast implants. No matter the size, shape, or feel you are looking for, there are implants to suit your vision and will look beautiful and natural on your body. Dr. Shermak will help you evaluate your options by trying on different types, sizes, shapes, to find the perfect breast size for your figure. #### How long is breast augmentation surgery? Each breast augmentation surgery is unique, and the duration of your surgery will depend on size and shape of your implants, the placement of your implants above or below the pectoral muscle, and any added procedures, such as a [breast lift](/breast/breast-lift/). A standard breast augmentation procedure will take between one and three hours. Our skilled plastic surgeon will give you an idea of what to expect at every stage, from surgery through to full recovery. #### Recovery After Breast Augmentation Dr. Shermak will provide specific postoperative care instructions to help you heal quickly. Initial side effects like pain or swelling subside within five to seven days. Most women return to work after approximately one week when they feel comfortable enough to resume light activity. You will likely be able to resume strenuous exercise after about a month to six weeks. Most importantly you should listen to your body. Pushing yourself too hard can result in longer healing time. More rest in the early stages of healing will aid in a smooth recovery. #### How long does a breast augmentation last? Your fuller, rounder breasts can boost self-confidence and flatter your figure for many years to come with the proper care. Modern implants last for many years and are typically covered by a warranty for ten years, although many last far longer. There is no need to replace implants that are doing fine. Dr. Shermak can perform [breast revision surgery](/breast/breast-implant-revision/) to remove or replace implants as a result of rupture, rippling, or the development of scar tissue around the implant (capsular contracture). Pregnancy or significant weight changes can affect the appearance of a breast augmentation. Maintaining a healthy weight is important to maintaining the look of your new breasts. Most of our patients are so pleased with their new breasts that they are inspired to live a healthy lifestyle. --- ## Article: **Link:** [Article:](https://www.drshermak.com/about/articles/tummy-tuck/) ([md](https://www.drshermak.com/about/articles/tummy-tuck/index.html.md)) **Description:** Read about the tummy tuck procedure and how Dr. Shermak is the perfect doctor to perform this procedure. Tummy Tuck ### Content Men and women alike experience a relaxation of the skin and muscle structure, developing fatty deposits on the abdomen due to aging or after significant changes in weight. Women often struggle with a loose, flabby tummy after going through pregnancy – and no diet or exercise can resolve the problem. A [tummy tuck in Maryland](/body/tummy-tuck-baltimore/) performed by leading plastic surgeon Dr. Shermak can help you contour your tummy zone to restore the fit, firm look of youth. Her years of experience and innovative surgical techniques have led to her reputation as the top-ranked plastic surgeon in the Baltimore area. #### What can atummy tuck improve? A tummy tuck, medically termed an abdominoplasty, tightens the abdominal muscles and removes excess skin and tissue, to create a flatter, firmer, abdomen. Men and women may consider a tummy tuck if they experience: - Loose or hanging skin on their stomach - Excess fat and tissue on the abdomen - Stretch marks - Weakened or split abdominal muscles - Decreased self-confidence Women who suffered excessive stretching during pregnancy that damaged the abdomen are likely candidates for a tummy tuck, or men and women who are unhappy with the appearance of a bulging, drooping, or flabby tummy that diet and exercise won’t resolve. Pregnancy, prior surgery, injuries, or the passage of time can weaken the abdominal muscles, so they no longer look firm and fit. A tummy tuck performed by top-rated plastic surgeon in Baltimore, Dr. Shermak can help you look and feel your best – and wear form-fitting clothing with confidence. #### The Differences Between a Tummy Tuck and Liposuction A tummy tuck typically involves an incision across the lower abdomen that allows the surgeon to tighten the muscle structure and remove any excess skin and tissue. [Liposuction](/body/liposuction/) is often performed to remove stubborn fat on the abdomen and love handles. Liposuction is beneficial to those who have unwanted fatty deposits on the midsection, but a tummy tuck is the only way to tighten split or loose muscles, a bulging tummy, or drooping skin and tissue. #### Can my tummy tuck be combined with other procedures? A tummy tuck may be combined with other surgical procedures. It is commonly paired with liposuction on the stomach, back, or love handles to create a trim, fit, flat abdomen. Liposuction can be performed almost any location on the body where pockets of unwanted fat linger. A tummy tuck is also commonly combined with a breast augmentation, breast lift, or both. The combination is often referred to as a Mommy Makeover because of its popularity with mothers who want to restore a post-baby body. Our talented cosmetic surgeon will create a comprehensive treatment plan to help you look younger, fit, and firm, with a perfectly contoured figure – free from the damage done to your body from pregnancy and breastfeeding. #### Tummy Tuck Incision Patterns The surgical incision is typically placed on the lower abdomen just above the pubic area. The exact location can vary slightly, but Dr. Shermak places the incision so it will be hidden and not visible in revealing clothing. The extent of your tummy tuck procedure will determine the length of the incision. A standard tummy tuck will extend from approximately one hip bone to the other. An extended tummy tuck is performed on patients with an excess of loose skin, typically in patients who have had significant weight loss. The incision may extend outward to the sides to allow for more manipulation of the skin and muscles. A mini tummy tuck has a narrower incision. This surgery is appropriate for patients who have loose skin, fat, and tissue below the belly button. A mini tummy tuck involves a smaller incision and typically a shorter recovery time. #### What to Expect After a Tummy Tuck *What to Expect After a Tummy Tuck* You will need approximately two weeks of recovery time before returning to work. Your sutures will be removed after one week. Swelling, bruising, or discomfort are common in the early stages of healing but are managed with prescription pain medication. You need to rest, take it easy, and focus on healing. Plan on having help from a friend or family member during the first few days after your procedure. You will be able to resume light activity within a week of surgery, though you should avoid strenuous exercise at least one to two months, or until Dr. Shermak approves it. #### Tummy TuckBenefits A tummy tuck can help you achieve a tauter, more athletic, flat abdomen that looks youthful and firm – and leaves you feeling empowered and confident. The procedure with tighten your abdominal muscles, reduce the appearance of stretch marks (often removing those on the lower abdomen), and restore a more attractive body shape. --- ## Dr. Michele Shermak **Link:** [Dr. Michele Shermak](https://www.drshermak.com/about/dr-shermak/) ([md](https://www.drshermak.com/about/dr-shermak/index.html.md)) **Description:** Dr. Shermak is a Baltimore Maryland female board certified plastic surgeon who specializes in cosmetic surgery procedures for her Maryland patients. Top Female Plastic Surgeon Baltimore, MD ### Content As a top-ranked board-certified *plastic surgeon in the Baltimore* area, Dr. Shermak offers a unique perspective and intuitive insight to her clients that cannot be found elsewhere. #### A Professional You Can Trust Dr. Shermak believes that undergoing plastic surgery can be one of the most loving and positive actions you will ever take in your life. She is dedicated to restoring beauty, self-confidence, and a positive self-image in her clients so that they might both look and feel their very best. The comfort that patients feel in their own skin after undergoing a successful cosmetic procedure is priceless, and Dr. Shermak works hard to make each client’s goal a reality. Her unquestionable authority is coupled with uncommon artistry and an aesthetic sensibility that creates the kind of natural-looking results that are most in demand by today’s sophisticated clients. #### Meet Dr. Shermak #### Education and Experience A native of Baltimore, Dr. Shermak graduated Phi Beta Kappa and Magna cum Laude from Franklin and Marshall College. She earned her medical degree from the Johns Hopkins School of Medicine and was the first to finish a combined residency program in general and plastic surgery at The Johns Hopkins Hospital. #### American Board of Plastic Surgery *Board of Directors* She is a Fellow of the American College of Surgeons, Board Certified in Plastic Surgery and is an active member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgeons (ASAPS). Dr. Shermak represents the American Board of Plastic Surgery, examining candidates for board certification. As a member of the Board of Directors of the American Board of Plastic Surgery, Dr. Shermak’s expertise, experience, and commitment to excellence are directly responsible for setting the standards to which future generations of plastic surgeons will adhere. #### Further Specialization After completing her plastic surgery training, Dr. Shermak went on to pursue further specialized training in aesthetic, breast, and body contouring surgery in Nashville with Dr. G. Patrick Maxwell and Dr. Jack Fisher. During this time, she learned the latest techniques in body sculpting, including liposuction and body lifts; breast surgery, including primary and complex cosmetic and reconstructive procedures; and facial rejuvenation surgery, including laser resurfacing, facial peels, endoscopic surgery, and facelifts. She now practices privately as a *plastic surgeon in Baltimore*. *Academic Appointments* Dr. Shermak is an Associate Professor in Plastic Surgery at The Johns Hopkins School of Medicine with a part-time faculty position in the Department of Plastic Surgery at Johns Hopkins Hospital. #### Dr. Shermak’s Accomplishments Dr. Shermak has become nationally known for her work with breast and body-lifting procedures and her work with post-pregnancy and massive weight loss patients. She presents at national and international meetings and has authored many publications in the field of plastic and reconstructive surgery, such as textbooks, scientific journal articles, and podium speeches, defining her as a leader in the plastic surgery world. The culmination of all of this work was evidenced by the launch of Dr. Shermak’s surgical atlas focusing on breast and body contouring surgery, published by McGraw Hill in New York in 2010. After a tenure of 22 years at Johns Hopkins University in Baltimore, during which time she served as chief of plastic surgery at the Johns Hopkins Bayview Medical Center, Dr. Shermak transitioned into private practice in Lutherville, MD, and is today known as one of the *best plastic surgeons in the Baltimore, Maryland area*. She has been named a “Top Doc” in plastic surgery for multiple years by Baltimore Magazine and remains on their part-time faculty while also maintaining her academic affiliation with Johns Hopkins School of Medicine to continue on with her interests in teaching and research. In 2017 and 2018, Dr. Shermak was a visiting professor for the national plastic surgery society (ASPS) educational arm, the Plastic Surgery Foundation (PSF). During this time, she visited plastic surgery residency training programs throughout the United States and lectured on body contouring, perioperative safety, and the optimization of surgical outcomes. Dr. Shermak also served as the head of the Cosmetic Surgery program for the annual ASPS meeting. [Check Out Dr. Shermak’s Accomplishments](https://influx-site-assets.s3.us-west-2.amazonaws.com/drshermak.com/files/1689890429-shermak-cv-new.pdf) #### Research and Publications Dr. Shermak has authored many publications in the field of plastic and reconstructive surgery. Her research has focused on the basic science of soft tissue and bone healing, tissue engineering, and the biology of fat, and clinically on breast surgery and body contouring surgery. In addition to writing multiple articles and chapters, Dr. Shermak has authored a comprehensive surgical atlas focusing on breast and body contouring surgery, published by McGraw Hill in New York. She also served as editor-in-chief of Plastic Surgery News, a monthly publication of the ASPS, and PSN online. #### The Shermak Difference #### Our Office Conveniently located in the Baltimore/Lutherville area of Maryland, Dr. Shermak’s office provides you with a sense of comfort and ease as you wait for your appointment. From our kind, helpful staff to our climate-controlled environment, everything at our office is tailored to your satisfaction and peace of mind. We have private, pleasant consultation rooms; world-class technology and equipment; and recovery suites that are soothing and tranquil. The attractive décor throughout gives the impression that you are visiting a luxury hotel or spa rather than an ordinary doctor’s office. #### Our Compassionate Staff As a patient-centric practice, we strive to create an environment where you truly feel heard and understood and where your questions are answered with a friendly, compassionate attitude. Each member of our staff is dedicated to going the extra mile for your success, whether that means assisting you with scheduling, financing, parking, or aftercare. Our team is adamant about maintaining discretion and privacy at all times, so you can focus on a stress-free procedure and recovery. Interested in learning more about what Dr. Shermak and her compassionate team can do for you? Reach out to us at our welcoming Baltimore offices and speak with a team member to set up your consultation today. #### The ASPS Roundtable --- ## In the News **Link:** [In the News](https://www.drshermak.com/about/in-the-news/) ([md](https://www.drshermak.com/about/in-the-news/index.html.md)) **Description:** Dr. Shermak recently received a great review on her Surgical Atlas. Read more about Dr. Shermak’s Surgical Atlas. ### Content #### The Misinformation Epidemic in Aesthetics with Dr. Michele Shermak Dr. Michele Shermak is on a mission to clear up the confusion surrounding plastic surgery. With med spas on every corner and social media full of mixed messages, she’s passionate about making sure patients get the right information from the right sources. That passion led her to chair the American Society of Plastic Surgeons’ Public Education Committee, where she’s elevating patient education across the board. Dr. Shermak breaks down what sets board-certified plastic surgeons apart, from the focus on safety and credentials to the importance of finding a provider who truly listens. She also opens up about the challenges of teaching multiple generations, her favorite creative ways to share trustworthy information, and how platforms like Instagram are shaping the next wave of patient education. As AI revolutionizes aesthetics, Dr. Shermak shares both excitement and caution about how tools like chatbots might change medical education and communication—and why accuracy and privacy still come first. Recorded live at the ASPS Annual Meeting in New Orleans. #### Dr. Shermak Keynote Speaker *at NESPS Annual Meeting* Dr. Shermak was honored to serve as the keynote speaker at the Northeastern Society of Plastic Surgeons (NESPS) Annual Meeting in Baltimore earlier this year. She spoke about her journey throughout her career in Plastic Surgery and paralleled this with advancements made by women in medicine at Johns Hopkins and women in Plastic Surgery in the United States. Her presentation was very well received, engaging colleagues from across the region in a lively discussion about the future of plastic surgery. [Read more about NESPS here](https://www.nesps.org/) #### Dr. Shermak Voted Top Doctor Baltimore 2024 #### ASPS 2024 Highlights #### Premier Cosmetic Surgery Meeting in San Diego I presented at a fun-filled meeting on premier cosmetic surgery. The theme was 80’s/90’s Battle of the Bands, and many of my dear colleagues and I dressed as Robert Palmer “girls” (Here’s a video for the younger audience who may not know who they are: [Robert Palmer - Addicted To Love](https://www.youtube.com/watch?v=XcATvu5f9vE)). I recently participated in the Northeastern Society of Plastic Surgeons workshop meeting in NYC, speaking on Arm Lift and Thigh Lift techniques and safety. This photo is with Dr. Tara Huston who hosted the event along with Dr John Potochny. Behind me is Dr. Rachel Bluebond Langner who trained at John Hopkins and is now at NYU and doing amazingly well. It was so fun to see Dr. Langner and meet Dr. Huston and share some knowledge with my fellow Doctors! #### Honored to join Editorial Board as Associate Editor Honored to join *Editorial Board as Associate Editor* for our *highest ranked journal in plastic surgery*, Plastic and Reconstructive Surgery (the “white journal”). So awesome to join my esteemed colleagues! #### Representing Women as One of America’s Best Female Plastic Surgeons in 2021! On June 16, 2021, Newsweek announced the survey results done with industry peers about the top plastic surgeons in America. 50 female plastic surgeons were highlighted, making the top five percent of more than 8,000 U.S. board-certified plastic surgeons. The results found Dr. Shermak, considered by qualified medical professionals and board-certified plastic surgery peers, to be one of the best breast augmentation and rhinoplasty plastic surgeons in the U.S, and especially noted as ranking as one of the 50 female plastic surgeons out of the top plastic surgeons in America. Dr. Shermak is honored to represent women in medicine and be considered one of America’s best plastic surgeons! #### Officially One of America’s Best Plastic Surgeons 2021! According to one of the most extensive surveys ever conducted on the subject, Dr. Michele Shermak is officially one of America’s best plastic surgeons. The Spring 2021 survey was conducted on industry peers by Newsweek Magazine in collaboration with global information firm Statista. It found that Dr. Shermak is considered by qualified medical professionals and board-certified plastic surgery peers to be one of the best breast augmentation and rhinoplasty plastic surgeons in the U.S as rated. What an honor! #### Dr. Shermak has been voted Best in Cosmetic Surgery Baltimore Jewish Times readers have voted Dr. Shermak the **Best in Cosmetic Surgery** for 2021 #### Dr. Shermak has been published again This time in a Brazilian textbook entitled Gluteal Fat Augmentation. Her chapter focuses on Gluteal Lift. As written by Dr. Foad Nahai in the Forward, "the demand for BBL has and will continue to grow. . . This is a comprehensive work covering all aspects of buttock shaping which will be of great value . . . to the seasoned surgeon who will find valuable information to enhance results, reduce complications, and improve safety." Dr. Shermak performs BBL in her practice and achieves rejuvenated, fresh results in a safe manner. She is committed to the artistry and care necessary to optimizing outcomes. #### I was excited to have a chapter published in the iconic plastic surgery text Spear's Surgery of the Breast, 4th edition. I wrote the chapter discussing achieving symmetry for unilateral (one sided) mastectomy and reconstruction patients, in order to optimize aesthetic outcomes. One of my greatest pleasures is seeing really satisfied, complete breast cancer/reconstruction survivors who feel and look great! #### I was an international faculty member for the Taiwan Society of Plastic Surgeons on Friday 12/4. I shared my experience virtually about the range of Thighlift procedures I perform. #### 49th Annual Aesthetic Plastic Surgery Symposium Dr Michele Shermak, speaking at the FDA panel on Breast Implants, advocating for safety and best outcomes for her cancer, weight loss and cosmetic patients. Here Dr Shermak lectured at the University of Toronto, talking about her evolution in body contouring techniques for Massive Weight Loss patients. Additionally she gave 2 other lectures: one on the full spectrum of Abdominal surgical contouring procedures and the other on Armlift and Thighlift. #### The Opioid Crisis: How did we get here and where do we go from here? Featuring representatives from Greater Baltimore Medical Center, Johns Hopkins Medicine, LifeBridge Health and MedStar Health. Dr Michelle Shermak, President of the Maimonides Committee for the Baltimore Federation, attends a lunch with colleagues at the ASPS Spring Meeting 2019. #### Dr. Shermak visited Professor UT in San Antonio Dr. Shermak had the honor of being the Visiting Professor UT - San Antonio last week. She gave talks, discussed resident cases and hosted a cadaver lab. It was an amazing trip and truly inspiring! Thanks for a wonderful trip. #### Dr. Shermak featured in the Baltimore Magazine February Issue highlighting Women Who Move Maryland #### Dr. Shermak received "Top Doctor" in Baltimore Magazine Rating in every category: Reconstructive, Overall Cosmetic, Facial Cosmetic, and Breast and Body Contouring. #### Dr. Shermak visits San Francisco for Visiting Professorship [.lead][Learn More](https://www.realself.com/RS500)[] Your commitment to patient education along with your unique ability to inspire your patients to share their story with our community have made it possible for millions of people to make informed health and beauty decisions. We thank you for your contribution to our community. Here are just a few ways we’re celebrating your achievement and how you can share the news in your local area: - A national press release that was issued via PRNewswire this morning - A press release template for your personal and local media opportunities - A web-friendly badge you can showcase on your website immediately, and throughout your marketing channels - The complete list of winners is available at realself.com/RS500. #### BALTIMORE STYLE The Transformer A PROFESSIONAL AESTHETICIAN— OF A CERTAIN AGE—PURSUES HER FIRST COSMETIC PROCEDURE. By Arika Casebolt [BALTIMORE STYLE – September 2016](https://www.datocms-assets.com/102353/1689203063-shermak_reprint_092316.pdf) #### Dr. Shermak provides her expertise on Breast Reduction For Young Female Athletes and Men in “His and Hers” in Style Magazine! While [breast augmentation](/breast/baltimore-breast-augmentation/) remains the top plastic surgery in the U.S., more women—and men, too—are opting for liberating breast reduction procedures. #### Meet Your Mentor Baltimore Business Journal-sponsored BizWomen annual event Mentoring Monday, includes Dr. Michele Shermak as one of distinguished female mentors on the program. #### Dr. Shermak honored as one of Maryland's Top 100 Women for 2014 Dr. Shermak was recognized as one of the high-achieving Maryland women who are making an impact through their leadership, community service and mentoring. Dr Shermak listed among Maryland’s 2014 Top 100 Women [Baltimore Mayor Congratulates Dr. Shermak for receiving Top 100 Women Award](https://www.datocms-assets.com/102353/1689204397-comptroller-congratulates-dr-shermak.pdf) [Read Full Article Here](https://mycity4her.com/heads-up-maryland-top-100-2014-winners-announced-congratulations/) #### My breast and body contouring Surgical Atlas has been translated into Spanish! Super-exciting delivery in the mail! #### Dr Shermak Speaks at Spirted Woman Awards Dr. Michele Shermak speaks at Spirited Woman Awards at the Four Seasons, honoring local women who give back to the community. #### Women of Excellence Event At Martin’s West Today was the Women of Excellence event at Martin’s West, featuring Geena Davis, the keynote speaker. I believe there will be a bump in Thelma and Louise downloads – who didn’t love that movie? #### Spirited Women Awards I was so honored to host the Spirited Women awards yesterday at The Four Seasons. What inspiration the award winners provided to us, spending their valuable and limited time giving back to the community. Alice Ann Finnerty from The Turnover Shoppe in Hamden is a wonderful woman, the premier award winner, and The Caroline Center who benefitted from money raised from the event is a wonderful cause worth investigating! Here are some iphone pics, more to come! Congrats to my buddy Lori Villegas! Look for this event next fall! #### Dr. Shermak joins Dr. Christina Li and Dr. Cynthia Long of Sinai Hospital Bariatric Program Dr. Shermak joins Dr. Christina Li and Dr. Cynthia Long of Sinai Hospital Bariatric Program to provide a safe path to wellness for individuals seeking weight loss surgery and body contouring after massive weight loss. #### Comments about blepharoplasty by Dr. Shermak Help! What to do about chin hairs, red eyes, hammertoes, and more. Medical experts tackle a fresh round of embarrassing beauty questions. #### Dr. Shermak recently received a great review on her Surgical Atlas. [Read more about Dr. Shermak’s Surgical Atlas.](/about/dr-shermak/) [Read full article here (PDF format)](https://www.datocms-assets.com/102353/1689205329-shermak-atlas-review1.pdf) #### Dr. Shermak’s New Piece on Mix 106.5 [New promotional radio piece on 106.5! (mp3)](https://www.datocms-assets.com/102353/1689205432-shermakspot3-3.mp3) #### Dr. Shermak’s Radio Ad on Mix 106.5 [Check out Dr. Shermak’s new radio ad on Mix 106.5! (mp3)](https://www.datocms-assets.com/102353/1689205504-shermak-consternation.mp3) #### Dr. Shermak Interview in Baltimore Business Journal #### This is your life Make it Amazing [Schedule a Consultaion](/contact/) --- ## Our Office **Link:** [Our Office](https://www.drshermak.com/about/our-office/) ([md](https://www.drshermak.com/about/our-office/index.html.md)) **Description:** Dr Shermak introduces you to her office, conveniently located right off of 695 in Lutherville. You will feel welcome and comfortable in our state of the art ### Content Michele Shermak MD introduces you to her office, conveniently located right off of 695 in Lutherville. You will feel welcome and comfortable in our state-of-the-art facility. Here, you will meet with Dr. Shermak and her friendly, caring staff. #### A Calming, Comfortable Environment You will experience patient-centered care, driven by compassion, conscientiousness, and a commitment to privacy. The consultation rooms afford a relaxing and professional environment to discuss procedures and treatments. Minor procedures requiring only local anesthesia are performed in our fully accredited private surgical center operating rooms, in addition to more extensive procedures requiring sedation or general anesthesia for patients who qualify for surgery in an ambulatory surgical setting. #### Interview with Dr. Michele Shermak MD #### Surgery Center #### Baltimore Surgical Facility --- ## Compassion, Friendliness, Expertise **Link:** [Compassion, Friendliness, Expertise](https://www.drshermak.com/about/our-staff/) ([md](https://www.drshermak.com/about/our-staff/index.html.md)) **Description:** The staff at The Plastic Surgery Center of Maryland are wholly patient-focused, here to serve you to ease scheduling and any arrangements necessary to make your A Baltimore plastic surgery staff you can rely upon ### Content #### An ExperiencedStaff You Can Count On The staff at The Plastic Surgery Center of Maryland are wholly patient-focused and here to serve you at every phase of your treatment journey. We work to ease scheduling woes and create any arrangements necessary to make your medical experience as seamless as possible. With many years of experience in patient care, this team of dedicated medical professionals is discreet, friendly, and accessible. Please call [(410) 616-3000](tel:(410) 616-3000) to reach our staff. --- ## Out of Town Patients **Link:** [Out of Town Patients](https://www.drshermak.com/about/out-of-town-patients/) ([md](https://www.drshermak.com/about/out-of-town-patients/index.html.md)) **Description:** As one of the most sought-after female plastic surgeons in the United States, Dr. Michele Shermak stays at the forefront of latest procedures and technologies in cosmetic surgery. Many of her patients come in from out of town to have procedures performed by her due to excellent results. ### Content #### Travel for the Transformation You Seek Her detailed and individualized approach to body contouring, and her meticulous attention to detail in plastic surgery procedures for face, body, and breasts draws patients from Baltimore, throughout Maryland, and throughout the country. If you are considering a procedure and live in another city or state, we make planning a trip as easy as possible for you, from start to finish. #### Why Should I Choose Dr. Shermak? As one of the most sought-after female plastic surgeons in the United States, Dr. Michele Shermak stays at the forefront of latest procedures and technologies in cosmetic surgery. She is widely recognized for creating and performing innovative procedures for those who have undergone massive weight loss and has lectured throughout the United States on her body contouring techniques. Dr. Shermak believes that choosing to seek cosmetic surgery can be a radical act of self-love, and she is dedicated to providing artistic, sophisticated, natural-looking results. The skill of your plastic surgeon is the most important aspect of undergoing any body contouring procedure or other enhancement. You can trust Dr. Shermak as one of the most respected plastic surgeons serving in the country, and a leader in the field of cosmetic enhancements for face, breast, and body. Dr. Shermak cultivates an atmosphere of kindness and courtesy in her practice with a staff who do everything possible to make you feel comfortable every step of the way. Come to Baltimore and learn why Dr. Shermak is among the best plastic surgeons in the nation. #### A Makeover Awayfrom Home Think of your time at our private, luxury plastic surgery clinic in Baltimore as a getaway for total rejuvenation. You are spending time away from home to invest in your most precious possession: you! Dr. Shermak is a renowned educator and recognized as one of the most accomplished female plastic surgeons in America. Her calm, conscientious demeanor will immediately set you at ease. Her artistic eye and aesthetic sensibility allow her to advise you of the procedures that will create the look you envision. It all happens while you are free from the cares and concerns of home and work, in the hands of a highly-skilled, board-certified plastic surgeon and her caring staff. #### Words from a Real Patient "To all who seek a solution, "My journey to find a solution for the loose skin on my thighs had been wrought with confusion and hopelessness. I met with countless doctors and all assured me these procedures aren't being done. I live in Beverly Hills and often wondered how could it be that I live in the epicenter of plastic surgery and not a single doctor is qualified to help lift the skin on my thighs so I can start to feel comfortable in my body. Most doctors tell you a thigh lift must leave you with incisions above the waist, and wrapping around the entirety of it nonetheless. There was no way, that wasn't what I needed, nor would that solve my problem and lift the loose skin I had on my thighs. I wanted the skin on the backs of my thighs and the inner thigh to be lifted and the incision created in the crease of my buttocks and into my groin. "After many years, 6 to be exact, I finally thought that maybe I should try outside of Los Angeles and New York. Up until this point I had never considered another city. Then I thought of Medical Schools and where I might seek a solution. Immediately Johns Hopkins came to mind. It is within this exhaustive search in the Baltimore area that I found the solution I had been searching for and more. "Dr. Michele Shermak was the answer to my prayers. I showed her my area of concern at our consultation and she exuded the confidence and concrete assurance I had yearned for from a doctor. She is brilliant and thorough. She quite literally made my dreams a reality with her execution of my procedure. My thighs have been lifted. They are smooth and look incredible. The incision in my butt crease is completely hidden and looks spectacular. The procedure created an even more shapely and attractive backside then I had ever anticipated. "The surgery was performed in the surgical center of her office. The center is well equipped and I was very impressed by all the staff. Everyone I came in contact with was kind and attentive; be it behind the desk, billing, anesthesia, post op care, you name it. My choice to travel from Los Angeles to Baltimore for this procedure, to place myself under Dr. Shermak’s care, was one of the best decisions I’ve made. "I believe that Dr. Shermak’s techniques and understanding of this procedure is both innovative and unparalleled. There was no stone unturned in my quest to find a doctor who could help me and I say with complete and utter honesty that not a single one had the experience and/or knowledge as she has. I hope that anyone reading this, suffering as I did, can make their way to her care, as I have no doubt, that can change ones life. She has forever altered mine and I am eternally grateful." - *Sincerely, R.M.* #### Come for the Procedures, Leave Refreshed and Revitalized Dr. Shermak is recognized for her exceptional skills in creating beautiful, natural-looking aesthetic results. When you leave our Baltimore facilities and return home, you will look and feel younger, more vital, and fully refreshed and rejuvenated. [.button.active]Privacy is our Priority[] The choice to seek cosmetic surgery is a deeply personal, and we know that some patients want this choice to be kept private. We want you to be assured that your confidentiality and comfort are among our priorities. The secret behind how refreshed and youthful you appear is safe with us – we operate with discretion and privacy. [.button.inactive]Our Patients Come First[] Our patient-centered practice has been designed around creating the most positive patient experience. Our treatment rooms offer complete privacy, so you can consult with Dr. Shermak comfortably, and our luxe décor provides the backdrop for a tranquil, pleasant experience throughout your stay. [.button.inactive]Where to Stay[] Allow us to act as your Patient Concierge during your stay. Our office has secured exclusive rates at local hotels for your convenience. In order to receive these exclusive rates, simply contact our office and we will gladly connect you. We can recommend the local places to go, from shopping to restaurants to enjoying learning about Baltimore’s rich history or wherever your interests lie. If you are ready to be pampered while you rejuvenate your face and body, our team of professionals is here to guide you. [.button.inactive]Visiting Baltimore[] The city of Baltimore has a rich history as an important American seaport and is the birthplace of “The Star Spangled Banner.” Explore the National Aquarium or the Chesapeake Bay Maritime Museum at the Inner Harbor. If you are a lover of the arts, you can take a stroll through the Baltimore Museum of Art or attend a performance of the Maryland Symphony Orchestra. Or you can simply wander along Baltimore’s scenic Inner Harbor. #### Office Recommendations Planning a trip to [Baltimore for plastic surgery](/)? Here are some great places to stay and eat during your visit! --- ## Robyn Cooke, CRNA **Link:** [Robyn Cooke, CRNA](https://www.drshermak.com/about/robyn-cooke/) ([md](https://www.drshermak.com/about/robyn-cooke/index.html.md)) **Description:** Robyn Cooke, CRNA, leads the anesthesia team at Michele Shermak, MD, with decades of experience from Johns Hopkins, Shock Trauma, and more. Learn more about her role. ### Content #### Head of Anesthesia | Michele Shermak, MD, Baltimore & Lutherville #### Robyn Cooke, CRNA *A Trusted Hand in Every Procedure* At Michele Shermak, MD, we know that expert anesthesia care is essential to a safe and positive surgical experience. That’s why we are proud to have Robyn Cooke, CRNA, leading our in-house anesthesia services. Robyn brings decades of advanced training and clinical experience from some of the region’s most respected institutions, including Johns Hopkins, University of Maryland Shock Trauma, and Franklin Square Hospital. She is not only technically skilled but also highly attuned to the comfort and well-being of each patient under her care. In the operating suite, Robyn is calm, precise, and focused—exactly the kind of provider you want watching over you when you're most vulnerable. Her presence brings a reassuring confidence to our patients and a smooth, steady partnership to our surgical team. #### A Background Built on Excellence Robyn’s training and clinical foundation were shaped by some of the most demanding anesthesia environments in the country. Her years at Shock Trauma provided her with experience in high-pressure, complex cases where rapid decisions and steady execution are crucial. At Johns Hopkins and Franklin Square, she honed her precision and developed a deep understanding of both inpatient and outpatient surgical anesthesia. Today, she brings that same level of vigilance and attention to every patient who walks through our doors, whether they’re undergoing a local in-office procedure or a more comprehensive surgical experience. #### The Face Behind the Mask Robyn is not only a leader in her field—she’s also a joy to work with. Her warmth, humor, and compassion create an environment where patients feel safe, heard, and genuinely cared for. She takes the time to get to know each individual’s health history and comfort level, making sure anesthesia plans are tailored and thoroughly explained. When she's not in the operating room, Robyn enjoys spending time with her family and taking care of her small farm (fondly referred to as her “farm-ette”). She’s equally at home gardening, traveling internationally, or enjoying Maryland’s beloved beaches “down the ocean.” #### Why an Experienced Anesthesiologist Matters Anesthesia is one of the most important—and often overlooked—aspects of your surgical care. At our practice, it’s not an afterthought. With Robyn leading the charge, you can feel confident that your comfort, safety, and well-being are fully supported from the first moment to the last. --- ## Thank You Cards **Link:** [Thank You Cards](https://www.drshermak.com/about/thank-you-cards/) ([md](https://www.drshermak.com/about/thank-you-cards/index.html.md)) **Description:** Have a look at the enormous amount of thank you cards we have received. ### Content #### Review sites --- ## Our Accessibility Statement **Link:** [Our Accessibility Statement](https://www.drshermak.com/accessibility/) ([md](https://www.drshermak.com/accessibility/index.html.md)) **Description:** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities. View our Accessibility Statement here. ### Content **General** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that website accessibility efforts assist all users and that every person has the right to live with dignity, equality, comfort and independence. **Accessibility on Our Site** We make available a Web Accessibility Widget, which improves this site's compliance with the Web Content Accessibility Guidelines (WCAG 2.1). **Enabling the Accessibility Menu** Our accessibility menu can be enabled by clicking the accessibility menu icon that appears on the corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety. **Disclaimer** We continue our efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities. In an ongoing effort to continually improve and remediate accessibility issues, we also regularly scan our site with an Accessibility Scanner to identify and fix every possible accessibility barrier on our site. Despite our efforts to make all pages and content on our site fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution. **Here For You** If you are experiencing difficulty with any content on our site or require assistance with any part of our site, please contact us during normal business hours as detailed below and we will be happy to assist. **Contact Us** If you have any questions, need assistance, or want to report an accessibility issue, please call us at [123.456.7890](tel:123.456.7890) or fill out the [contact form](/contact/) on our website. --- ## Blog **Link:** [Blog](https://www.drshermak.com/blog/) ([md](https://www.drshermak.com/blog/index.html.md)) **Description:** Blog. Dr. Michele Shermak. ### Content --- ## America’s Most Compassionate Doctors – Patients’ Choice Award **Link:** [America’s Most Compassionate Doctors – Patients’ Choice Award](https://www.drshermak.com/blog/americas-most-compassionate-doctors-patients-choice-award/) ([md](https://www.drshermak.com/blog/americas-most-compassionate-doctors-patients-choice-award/index.html.md)) **Description:** Patients' Choice recognition reflects the difference doctors make in the lives of their patients. The honor is bestowed on physicians and dentists who ### Content Patients’ Choice recognition reflects the difference doctors make in the lives of their patients. The honor is bestowed on physicians and dentists who have received near perfect scores, as voted by their patients. Every month, more than 200,000 patients across the U.S. provide online feedback about their experiences with their physicians and dentists. They provide overall opinions and rate various components of care, such as bedside manner, doctor-patient face time, degree of follow-up, and courtesy of office staff. [Back to Blog](/blog/) --- ## The Age of Aesthetic Transformation: Are Patients Seeking Facelifts Earlier than Ever Before? **Link:** [The Age of Aesthetic Transformation: Are Patients Seeking Facelifts Earlier than Ever Before?](https://www.drshermak.com/blog/are-patients-seeking-facelifts-earlier-than-ever/) ([md](https://www.drshermak.com/blog/are-patients-seeking-facelifts-earlier-than-ever/index.html.md)) **Description:** Dr. Shermak provides facelift procedures to patients of all ages, helping them identify the areas that are troubling them and achieving a full rejuvenation. Looking into the changing landscape of facial rejuvenation and the reasons behind this shift can shed light on what it means for the future of aesthetic medicine. ### Content In the world of aesthetic medicine, trends are always in a state of flux. Once primarily sought after by mature individuals looking to turn back the clock, facelifts are increasingly being embraced by younger patients. One naturally wonders if facelifts are being pursued at earlier ages than ever before. Dr. Shermak provides [facelift surgery in Baltimore](/face/facelift-baltimore/) to patients of all ages, helping them identify the areas that are troubling them and achieving full rejuvenation. Looking into the changing landscape of facial rejuvenation and the reasons behind this shift can shed light on what it means for the future of aesthetic medicine. ## The traditional facelift Traditionally, facelifts were considered a surgical procedure reserved for those in their late 40s, 50s, and beyond. This procedure, also known as rhytidectomy, initially aimed to address significant signs of aging, including sagging skin, deep wrinkles, and loss of facial volume. It involved lifting and tightening the skin and underlying muscles to create a more youthful appearance. With advancements in non-surgical treatments, the procedure has evolved to address a wider array of issues for patients of various ages. ## The rise of preventative aesthetics The past decade has seen a surge in non-invasive or minimally invasive aesthetic treatments. Some of these include [BOTOX](/injectables-fillers/botox/), dermal fillers, laser therapy, and [chemical peels](/skin-treatments/chemical-peel/). Many of these treatments are embraced by individuals in their 30s and even 20s as a preventive measure against visible aging. This shift towards preventative aesthetics reflects a desire to maintain youthful features rather than undergoing a dramatic transformation later in life. ## What Dr. Shermak has to say “People are definitely coming in at earlier ages and this is certainly driven by social media which sets aesthetic goals for those who aspire toward influencers' appearances. Most come in at 50-60’s, but we also see women in their 30’s or 40’s looking for facelift to improve the contours of their face or for other facial contouring procedures like neck liposuction and buccal fat pad removal to thin the face. A patient is only as old as his/her health so we can operate on someone who is healthy – this is more important than age. We could operate on an 80 year old if he/she is healthy and they seem like a qualified, competent patient.” ## Reasons behind the shift Several factors contribute to this shift in patient demographics seeking facial rejuvenation: - Social media and self-image: The rise of social media platforms has placed greater emphasis on appearance. Young people are exposed to edited and filtered images daily, leading to increased self-awareness of facial imperfections. As a result, individuals are more inclined to address minor flaws earlier. - Accessibility: Non-surgical treatments are more accessible than ever. They are offered in a wide range of clinics, making it easier for people to access these procedures. - Minimal downtime: Many non-surgical treatments involve minimal downtime, allowing individuals to return to their daily activities right away. This convenience is appealing to younger patients with busy lifestyles. - Improved results: Advancements in technology and techniques have made non-surgical options more effective. Patients can achieve natural-looking results without undergoing surgery. - Changing perceptions of aging: Society's perception of aging has evolved. People are no longer willing to accept the inevitability of aging gracefully but instead strive to age on their terms. ## The age of preventative treatments The trend towards seeking facelifts at a younger age doesn't necessarily mean that traditional facelifts are becoming obsolete. Instead, it highlights a broader shift in the field of aesthetic medicine. Preventative treatments, such as BOTOX to target early wrinkles or dermal fillers to restore volume loss, are becoming increasingly popular. Patients are becoming more proactive in their approach to aging, recognizing that early intervention can lead to more subtle and natural results. This trend aligns with the idea of embracing aging as a gradual process rather than a sudden transformation. ## What does the future hold? The future of aesthetic medicine appears to be rooted in customization. Patients now have a vast array of options to tailor their treatments to their specific needs. While some may choose non-surgical treatments in their 30s to maintain youthful features, others may opt for traditional facelifts in their 50s to address more advanced signs of aging. Additionally, emerging technologies, such as regenerative medicine and stem cell therapy, hold promise for further transforming the field of facial rejuvenation. These innovations may provide even more options for patients looking to enhance their appearance while minimizing downtime and invasiveness. ## What is the takeaway? The shifting demographic of patients seeking facelifts earlier than ever before reflects a changing landscape in the world of aesthetic medicine. As society's perception of aging continues to evolve, patients are increasingly embracing preventative aesthetics to maintain their youthful looks. With an array of non-surgical options available, customization and early intervention have become key themes in the age of aesthetic transformation. The future of facial rejuvenation promises even more possibilities for individuals to age on their own terms. Dr. Shermak and his team of industry professionals have years of experience in performing facelift procedures on patients of all ages. Reach out to our office today to set up a private consultation and learn more about your treatment options. [Back to Blog](/blog/) --- ## Are you interested in Breast Enhancement and not Breast Implants? **Link:** [Are you interested in Breast Enhancement and not Breast Implants?](https://www.drshermak.com/blog/are-you-interested-in-breast-enhancement-and-not-breast-implants/) ([md](https://www.drshermak.com/blog/are-you-interested-in-breast-enhancement-and-not-breast-implants/index.html.md)) **Description:** For women interested in breast enhancement - with the added benefit of liposuction of a problem area – fat transfer is an optimal procedure. This ### Content For women interested in [breast enhancement](/breast/fat-transfer/) – with the added benefit of liposuction of a problem area – fat transfer is an optimal procedure. This procedure, performed under general anesthesia, provides a subtle breast augmentation using the body’s own natural fat. The gain is up to a cup size, which may be increased with subsequent surgical sessions. The fat in the breast adopts its new home as if it was there forever! Some of the fat may absorb – up to 30% – but what remains will remain over the course of time. The fat not only enhances volume, but also rejuvenates the skin and “drape” of the breast. And the area liposuctioned – typically the back, abdomen, and/or inner thigh – will look more sculpted. This is truly a “win-win” proposition! Surgery may take as little as 1-2 hours and downtime is less than a week, with barely perceptible scars. If you are interested in this procedure, please call [(410) 616-3000](tel:(410) 616-3000) to schedule your consultation. [Back to Blog](/blog/) --- ## Abdominal Contouring 411 **Link:** [Abdominal Contouring 411](https://www.drshermak.com/blog/baltimore-abdominal-contouring-411/) ([md](https://www.drshermak.com/blog/baltimore-abdominal-contouring-411/index.html.md)) **Description:** Many men and women come to the plastic surgeon looking to improve the appearance of their abdomen. Genetics, weight changes, pregnancy, surgery and ### Content Many men and women come to the plastic surgeon looking to improve the appearance of their abdomen. Genetics, weight changes, pregnancy, surgery and medical issues can lead to an abdominal appearance that may cause personal dissatisfaction and merit improvement. Here is the 411 on abdominal contouring. Generally abdominal contouring falls into two main categories: liposuction and tummy tuck. Sometimes the 2 methodologies may be combined. [Liposuction](/body/liposuction/) is a method of removing fat through barely perceptible incisions. Whether performed with traditional, power-assisted or ultrasound-assisted technique, the goal is to flatten the abdomen and reduce the torso through fat removal only, with the expectation of some skin retraction from scarring. If the fat is believed to be inside the abdomen around the bowels, liposuction is not beneficial. If someone has lax skin or abdominal muscles, significant abdominal scarring or hernias, liposuction is not typically the best option. The benefit of liposuction is that when performed in the right patient, a healthy individual with focal fat deposits, the results are fabulous and recovery is easy. [Tummy tuck](/body/tummy-tuck-baltimore/) is a more involved approach to abdominal contouring. It improves contour by tightening the abdominal muscles that may split with pregnancy, weight changes, or prior surgery; with significant skin removal and tightening, and adjunctive liposuction to the waist and hip, as needed. The incision tends to travel from hip to hip, and around the belly button. Recovery may take as little as 2 weeks, or longer depending on the exact procedure performed. The results of tummy tuck are tried and true. It is important to follow instructions around the time of surgery to achieve the best results and recovery. It is important to meet with a Board-certified plastic surgeon with all the tools in her/his belt to achieve the contour results you desire most safely and appropriately. Other doctors who provide cosmetic surgery are typically limited in their scope, training and knowledge about complex abdominal issues. Tummy tuck and liposuction are amongst the top 5 surgical procedures performed by plastic surgeons because the results are successful in reaching a high level of patient satisfaction. [Back to Blog](/blog/) --- ## Nose Reshaping: Unlocking Beauty and Breathing with Rhinoplasty **Link:** [Nose Reshaping: Unlocking Beauty and Breathing with Rhinoplasty](https://www.drshermak.com/blog/baltimore-cosmetic-and-corrective-nose-surgery/) ([md](https://www.drshermak.com/blog/baltimore-cosmetic-and-corrective-nose-surgery/index.html.md)) **Description:** Rhinoplasty is a procedure to improve the aesthetic and/or function of the nose. Many people, both men and women, do not like the appearance of their ### Content [Rhinoplasty](/face/rhinoplasty/), a versatile surgical procedure, addresses both aesthetic and functional concerns related to the nose. This transformative surgery is sought after by individuals of all genders who are dissatisfied with their nasal appearance or experience difficulties in breathing due to structural issues. ## Customizable for all nose types Aesthetic concerns can vary widely. Some individuals may perceive their noses as too large or too small in proportion to their facial features. Others may have prominent bumps or noticeable indentations, especially when viewed from the side. Additionally, some people are self-conscious about the size or shape of their nostrils. These aesthetic issues prompt many to seek rhinoplasty as a solution. ## Addressing functionality On the functional side, structural abnormalities can significantly hinder normal breathing through the nose. The deviated septum is a common example of this, often leading to reduced airflow and discomfort. Trauma or injury to the nose can also result in both functional and aesthetic problems that can be effectively addressed through rhinoplasty. ## Experience improved breathing and confidence [Dr. Michele Shermak](/about/dr-shermak/), M.D., a skilled practitioner in the field, offers comprehensive consultations for those interested in exploring rhinoplasty further. Whether you're looking to enhance the appearance of your nose or improve its function, we invite you to learn more about rhinoplasty and its potential benefits. [Schedule a consultation](/contact/) with Dr. Shermak to discuss your specific goals and explore how rhinoplasty can help you achieve the results you desire. [Back to Blog](/blog/) --- ## Cosmetic Surgery Photo Gallery **Link:** [Cosmetic Surgery Photo Gallery](https://www.drshermak.com/blog/baltimore-cosmetic-surgery-photo-gallery/) ([md](https://www.drshermak.com/blog/baltimore-cosmetic-surgery-photo-gallery/index.html.md)) **Description:** Cosmetic Surgery Photo Gallery If you are in the process of looking for a Plastic Surgeon, it can be overwhelming to know what to look for and ask. The ### Content Cosmetic Surgery Photo Gallery If you are in the process of looking for a Plastic Surgeon, it can be overwhelming to know what to look for and ask. The first thing you’ll want to check is if they are board certified. Check out the Plastic Surgeon’s training and education and how long they’ve been a Plastic Surgeon in your area. These are all important things to know. True success in this business is marked by the patient’s satisfaction in the Plastic Surgeon’s work. The best way to asses this is by reading patient testimonials and viewing Before and After photos. Before and After photos are very beneficial for prospective patients to look at. As you look at a Plastic Surgeon’s work, ask yourself if you would be happy with the results achieved in the photo. Keep in mind that each patient comes into the office with different sets of goals and needs, but if, in general, you feel positive about the results achieved, that is a good sign that that Plastic Surgeon may be able to achieve your goals. As always, it’s important to remember to have realistic expectations and not aim to look like anyone other than an enhanced version of yourself. [View our previous patients Facial Rejuvenation, Body and Breast Procedure results!](/gallery/) [Back to Blog](/blog/) --- ## Fat Transfer – Smooth Out Old Lines and Creases **Link:** [Fat Transfer – Smooth Out Old Lines and Creases](https://www.drshermak.com/blog/baltimore-fat-transfer-smooth-out-old-lines-and-creases/) ([md](https://www.drshermak.com/blog/baltimore-fat-transfer-smooth-out-old-lines-and-creases/index.html.md)) **Description:** Fat Transfer – Smooth Out Old Lines and Creases With time is happens to all of us… the signs of aging. First, there’s the fine lines, then creases, ### Content Fat Transfer – Smooth Out Old Lines and Creases With time is happens to all of us… the signs of aging. First, there’s the fine lines, then creases, finally full-on wrinkles and perhaps even the dreaded “sunken in cheeks” look- which really only seems to be appealing on the cat-walk. Did you know this is due to a loss of fat? Strange to think that many of us struggle to lose weight all our lives only to find out that a bit of it is actually needed to keep us looking young and healthy. Even some skin scars from youth acne or chicken pox can be helped by Fat Transfer treatments. In a [Fat Transfer procedure](/face/facial-fat-transfers/), fat is taken from another part of your body and then processed, purified and the best of it is re-injected into the needed area. The great thing about opting for a fat transfer vs other options, is there is literally no-risk of allergic reaction to worry about. Before you make any decisions, however, you’ll want to schedule an appointment with a board-certified, skilled plastic surgeon. Give us a call or send us a message! [Back to Blog](/blog/) --- ## Empowering Confidence: How Otoplasty Can Transform Lives **Link:** [Empowering Confidence: How Otoplasty Can Transform Lives](https://www.drshermak.com/blog/baltimore-otoplasty/) ([md](https://www.drshermak.com/blog/baltimore-otoplasty/index.html.md)) **Description:** Otoplasty - Ear Surgery Children with overly-prominent ears can be subject to terrible teasing from their peers causing them to lose confidence and suffer ### Content Children and adolescents with prominent ears can face significant emotional challenges due to teasing and bullying, which may have a lasting impact on their self-esteem and confidence. [Dr. Shermak](/about/dr-shermak/), a board-certified Plastic Surgeon in Baltimore, has made a positive difference in the lives of numerous patients by helping them achieve a more natural ear appearance and increased self-assurance through [Otoplasty surgery](/face/ear-surgery/). ## Understanding Otoplasty Otoplasty, also referred to as [Ear Surgery](/face/ear-surgery/), is a specialized procedure designed to address various concerns related to the ears. It involves techniques such as pinning back the ears, reshaping the ear cartilage, and resizing the ears to create a more harmonious and balanced appearance. The specific approach used in Otoplasty varies depending on the individual patient's unique needs and goals. ## Boost your self image with Otoplasty If you or your child are unhappy with the size, shape, or prominence of your ears and wish to explore the possibilities of Otoplasty, we encourage you to reach out to our office. Dr. Shermak provides comprehensive consultations to discuss your concerns, evaluate your specific situation, and determine the most appropriate treatment plan for your goals. Don't let ear-related concerns affect your confidence and self-image any longer—[contact us today](/contact/) to schedule a consultation and take the first step toward achieving the ear appearance you desire. [Back to Blog](/blog/) --- ## Brazilian Butt Lift (BBL) Deaths in Miami **Link:** [Brazilian Butt Lift (BBL) Deaths in Miami](https://www.drshermak.com/blog/bbl-deaths-miami/) ([md](https://www.drshermak.com/blog/bbl-deaths-miami/index.html.md)) **Description:** Dr. Michele Shermak, a board-certified plastic surgeon, speaks out about Brazilian Butt Lift deaths in Miami, FL. ### Content [Back to Blog](/blog/) --- ## Beyond Aging: Understanding the Motivations Behind Facelift Surgery **Link:** [Beyond Aging: Understanding the Motivations Behind Facelift Surgery](https://www.drshermak.com/blog/beyond-aging-understanding-the-motivations-behind-facelift-surgery/) ([md](https://www.drshermak.com/blog/beyond-aging-understanding-the-motivations-behind-facelift-surgery/index.html.md)) **Description:** Facelift surgery, or rhytidectomy, is a transformative procedure designed to address signs of aging in the face and neck, allowing individuals to achieve a... ### Content [Facelift](/face/facelift-baltimore/) surgery, or [rhytidectomy](/face/facelift-baltimore/), is a transformative procedure designed to address signs of aging in the face and neck, allowing individuals to achieve a rejuvenated and refreshed appearance. However, the motivations behind seeking facelift surgery extend beyond simply addressing the physical effects of aging. At our practice, we understand that these procedures are not abstract plans but decisions rooted in deeply personal factors. And each one is uniquely personal to each individual. We see ourselves as a guide to help you navigate this journey, so to that end, let’s delve into the multifaceted reasons that motivate people to pursue facelift surgery, shedding light on the diverse motivations and personal aspirations underpinning this transformative decision. ## Reasons for Seeking Facelift Surgery When individuals consider facelift surgery, they are often motivated by physical, emotional, and social factors that influence their desire for facial rejuvenation. [Dr. Michele Shermak](/about/dr-shermak/), our board-certified plastic surgeon, provides valuable insights into the reasons that prompt people to seek facelift surgery, offering a comprehensive understanding of the diverse motivations that drive individuals to pursue this transformative procedure. ### Q: What are some of the reasons people come to you? Is it because they look tired? Perhaps sagging features? What else? Yes, those are all common reasons people come to me seeking a facelift. They feel that they look tired or angry, or they hate their neck and do not like how they look in photos or online Zoom conferences. Also, along those lines, I’ll often meet with patients who have a big event approaching, like a family wedding. Dr. Shermak's response highlights the multifaceted reasons that prompt individuals to consider facelift surgery. From addressing physical concerns such as looking tired or sagging to emotional factors related to self-perception and social interactions, the motivations for pursuing facelift surgery are diverse and deeply personal. ## Enhancing Facial Harmony and Confidence One of the primary motivations behind facelift surgery is the desire to restore facial harmony and confidence. As individuals age, the effects of gravity, loss of skin elasticity, and changes in facial volume can lead to a tired or aged appearance. Facelift surgery offers a comprehensive approach to rejuvenating the face and neck, addressing concerns such as sagging skin, deep creases, jowls, and a lack of definition in the jawline. By restoring facial contours and creating a more youthful and refreshed appearance, individuals can regain a sense of harmony and confidence in their overall facial aesthetic. ## Emotional Well-Being and Self-Image Beyond the physical aspects, the decision to undergo facelift surgery often stems from emotional considerations related to self-image and well-being. Many individuals experience a sense of dissatisfaction with their appearance as they notice the signs of aging taking a toll on their self-image. Facelift surgery can play a pivotal role in addressing these emotional concerns by allowing individuals to rejuvenate their facial features, leading to a renewed sense of self-confidence and positive self-image. ## Social and Professional Impact The desire to look and feel one's best extends to social and professional spheres, where individuals seek to present a vibrant and energetic image that aligns with their inner vitality. Whether attending social events, participating in professional engagements, or appearing on digital communication platforms such as video conferences, the appearance of aging can impact how individuals are perceived. Facelift surgery can serve as a means to project a more vibrant and youthful image, contributing to enhanced confidence and a positive impact on social and professional interactions. ## Personal Milestones and Special Events Another significant motivation for undergoing facelift surgery is the anticipation of personal milestones and special events. Whether it's a milestone birthday, a family wedding, or a long-awaited celebration, individuals often seek facelift surgery to look and feel their best for these significant occasions. The desire to present a rejuvenated and refreshed appearance during essential life events underscores the emotional significance of the decision to undergo facelift surgery. ## Experience You Can Trust At our practice, we truly understand just how personal the motivations behind facelift surgery are. By understanding the diverse reasons that motivate our patients to seek facelift surgery, we believe we can better tailor our procedures to meet their needs. If you are considering facelift surgery to achieve a more youthful and refreshed appearance, we encourage you to [schedule a consultation](/contact/) with Dr. Shermak today. Rest assured, whatever your motivations, we’re here to help guide you to the results you desire. [Back to Blog](/blog/) --- ## Boomer men take the Botox plunge **Link:** [Boomer men take the Botox plunge](https://www.drshermak.com/blog/boomer-men-take-the-botox-plunge/) ([md](https://www.drshermak.com/blog/boomer-men-take-the-botox-plunge/index.html.md)) **Description:** Elizabeth O'Brien's Retire Well Last Update: 6:15 AM ET Oct 16, 2013 The pressure to look youthful at work is prompting more men to try cosmetic ### Content Elizabeth O’Brien’s Retire Well Last Update: 6:15 AM ET Oct 16, 2013 The pressure to look youthful at work is prompting more men to try cosmetic procedures, doctors and employment experts say. …Read the rest of the story [Back to Blog](/blog/) --- ## Balancing Beauty: How Breast Asymmetry Correction Can Boost Confidence **Link:** [Balancing Beauty: How Breast Asymmetry Correction Can Boost Confidence](https://www.drshermak.com/blog/breast-asymmetry-correction/) ([md](https://www.drshermak.com/blog/breast-asymmetry-correction/index.html.md)) **Description:** Breast Asymmetry Correction Most women have some slight variance between their breasts, but for some women this difference is more pronounce. Women with a ### Content Many women naturally have some degree of breast asymmetry, which is quite common. However, for some women, this difference in breast size is more significant, leading to feelings of self-consciousness and lowered self-esteem. Fortunately, there are effective solutions available to address breast asymmetry and help women feel more confident about their bodies. ## Addressing breast asymmetry [Breast asymmetry correction](/breast/breast-asymmetry/) can be achieved through various approaches tailored to the individual's specific needs. If one breast is underdeveloped compared to the other, [breast augmentation](/breast/baltimore-breast-augmentation/) with implants can help achieve a more balanced and harmonious appearance. Conversely, if one breast is overdeveloped, [breast reduction](/breast/breast-reduction/) can be performed to bring about symmetry. ## The consultation process In some cases, achieving the desired results may also require a [breast lift](/breast/breast-lift/) or nipple repositioning to ensure a natural and aesthetically pleasing outcome. The best way to determine if you are a suitable candidate for breast asymmetry correction is to [schedule a consultation](/contact/) with [Dr. Michele Shermak](/about/dr-shermak/), M.D., a board-certified plastic surgeon. During your consultation, Dr. Shermak will assess your unique situation, discuss your goals and concerns, and work with you to develop a personalized treatment plan. Her expertise and experience enable her to recommend the most appropriate approach to achieve your desired results. ## Address breast asymmetry and experience a higher quality of life Don't let breast asymmetry affect your self-confidence any longer. If you are interested in learning more about breast asymmetry correction or wish to explore your options further, please reach out to us today to schedule a consultation with Dr. Shermak. We are here to help you achieve the balanced and beautiful breast appearance you desire. [Back to Blog](/blog/) --- ## Breast Augmentation and Exercise **Link:** [Breast Augmentation and Exercise](https://www.drshermak.com/blog/breast-augmentation-and-exercise/) ([md](https://www.drshermak.com/blog/breast-augmentation-and-exercise/index.html.md)) **Description:** Your exercise regime is an important aspect of your health, and many patients are anxious to get back to their routines as quickly as possible following ### Content Your exercise regime is an important aspect of your health, and many patients are anxious to get back to their routines as quickly as possible following breast augmentation surgery. It is important, however, to allow your body to heal properly following breast augmentation to avoid the risk of developing complications. While it can seem torturous to spend the weeks following your [breast augmentation in Baltimore](/breast/baltimore-breast-augmentation/) out of the gym or your favorite yoga class, the long-term health and success of your new curves are dependent on how closely you follow the aftercare instructions provided by Dr. Michele Shermak. ## Is it Safe to Exercise Following Breast Augmentation? One of the greatest concerns regarding exercise following breast augmentation is the healing process of the pectoralis muscles following breast augmentation. Since many breast implants are placed under this muscle group, the muscle will need to heal from surgical trauma before it will be safe for your body to resume exercise. The capsule which will hold your implants in place is delicately forming following your surgery and will need time to form and protect the location of the implant. Activities which jar the muscle or create pushing or pulling on this muscle group increase the risk of capsular contracture or movement of the implant, which could ultimately lead to the need for revision surgery. ## The Importance of Rest The most important thing that you can do during the weeks following breast augmentation is to rest. Your body will be working very hard to repair itself and recover from the trauma of surgery, and you should do everything you can to encourage that process. Eating healthy, nutrient-dense foods will go a long way in assisting with the healing process, as will maintaining adequate hydration. Learn to listen to your body and follow the hints it sends you. Soon enough you will be able to return to your beloved workout routine and will be able to show off your sensuous new curves. ## What Types of Exercise may I Resume Following Breast Augmentation? During the first few weeks following your [breast augmentation in Baltimore](/breast/baltimore-breast-augmentation/), your muscles and incisions will be particularly susceptible to injury. You should not attempt to lift anything greater than ten pounds or perform any action which might strain the muscle structure. After two weeks, you may resume normal activities, but avoid strenuous motions. It is still necessary to avoid activities which may elevate your heart rate during this time. Here are a few guidelines: - – Cardio: very light cardio such as walking or riding a stationary bike may be resumed three to four weeks following surgery providing that there is no impact of any kind. - – Yoga and Pilates: light yoga and Pilates are acceptable following three to four weeks, provided you don’t perform postures which require arm strength. You should also be very careful of any motions which require an increased range of motion while your body continues to heal. - – Weightlifting: three to four weeks following surgery, you may begin to lift objects which are ten pounds. Lower body activities should be resumed first. Approximately six weeks following breast augmentation, and after you get Dr. Shermak’s approval, you may resume your usual fitness routine. The most important thing is to listen to your body and proceed slowly, knowing that you will be back in top shape in no time! [Back to Blog](/blog/) --- ## Breast Augmentation in Mommy Makeover **Link:** [Breast Augmentation in Mommy Makeover](https://www.drshermak.com/blog/breast-augmentation-in-mommy-makeover/) ([md](https://www.drshermak.com/blog/breast-augmentation-in-mommy-makeover/index.html.md)) **Description:** Many women come to see me for Mommy Makeover, but are not quite sure what the procedure of Mommy Makeover entails – they just know they need it. Generally ### Content Many women come to see me for Mommy Makeover, but are not quite sure what the procedure of Mommy Makeover entails – they just know they need it. Generally speaking, Mommy Makeover includes surgery on the breasts and abdomen, with possible additional contouring of the back, maybe a Labiaplasty to refresh the body after childbirth. Breast Surgery as a component of [Mommy Makeover](/body/mommy-makeover/) may include [Breast Augmentation](/breast/baltimore-breast-augmentation/), [Breast Lift](/breast/breast-lift/), or a combination of the two. Breast Augmentation is great for the woman pursuing Mommy Makeover who has suffered deflation of the breasts after having babies, often after breastfeeding. Deflation may be asymmetrical. Breast Augmentation helps provide volume, fill loose skin, lift and center the nipple areolar complex and improve asymmetric volume. Breast Augmentation alone may not be the best solution for a woman with significant droop to nipple position or who has super lax, excessive skin – these women may benefit from a breast lift in conjunction with implants. Generally though, implant placement alone provides a great solution. I help my patients in a sizing process to choose the best implant for their breast dimension and size goal. We also discuss the merits of silicone vs. saline implants, as well as round vs. shaped implants. The implants improve volume, lift, symmetry and cleavage. Breasts can regain their more youthful appearance. Some women might choose an upgrade, achieving more preferred cleavage and size relative to their pre-baby breasts. Recovery from our [breast augmentation in Baltimore](/breast/baltimore-breast-augmentation/) is relatively easy. Downtime is minimal, less than a week, and I ask my patients to hold off on strenuous upper body exertion for one month. My patients literally get in the shower the next day and drive within days of surgery. My patients often have lots of people who depend on them. They appreciate being able to do something for themselves without impeding everyone else’s schedule. I often hear from my patients “Why did I wait so long?” No need to wait any longer! [Back to Blog](/blog/) --- ## Breast Augmentation Surgery – Accepted the World Over **Link:** [Breast Augmentation Surgery – Accepted the World Over](https://www.drshermak.com/blog/breast-augmentation-surgery-accepted-the-world-over/) ([md](https://www.drshermak.com/blog/breast-augmentation-surgery-accepted-the-world-over/index.html.md)) **Description:** Breast augmentation procedures have grown steadily in popularity since first performed in the 1960’s. The number of procedures has remained ### Content Breast augmentation procedures have grown steadily in popularity since first performed in the 1960’s. The number of procedures has remained recession-proof, experiencing steady growth even in economic downturns. The success and popularity of [breast augmentation](/breast/baltimore-breast-augmentation/) procedures can be explained by society’s growing acceptance of cosmetic procedures, advancements in surgical techniques, and more natural-looking results. ## About Breast Augmentation Women may consider a breast augmentation if they want to: - Increase the size of their breasts - Bring harmony to their features - Restore symmetry to their breasts - Increase projection after loss of volume Silicone and saline implants are the most common types of implants. When breast augmentations were first conceived, there were only a few different shapes or sizes of implants. Now they come in hundreds of sizes and shapes and can be customized to each individual. Dr. Shermak also offers an innovative fat transfer breast augmentation procedure that utilizes unwanted fat from another area of your body. The fat is purified and injected into your breasts for added volume. This procedure lends itself to a completely natural look and feel because implants are not necessary. ## How popular is breast augmentation surgery? Since the year 2000, cosmetic procedures have risen in popularity by [115%](https://www.plasticsurgery.org/news/press-releases/new-statistics-reflect-the-changing-face-of-plastic-surgery). Although some procedures come and go as trends evolve, breast augmentation remains the most popular cosmetic surgical procedure. According to the American Society of Plastic Surgeons, cosmetic surgical procedures rose by 1% in 2017. Breast augmentation itself grew by [3%](https://www.plasticsurgery.org/documents/News/Statistics/2017/plastic-surgery-statistics-infographic-2017.pdf), with over 300,000 procedures performed last year alone. With the steady growth of [breast augmentation](/breast/baltimore-breast-augmentation/) over the last 50 years, it’s safe to say that the procedure is a staple for cosmetic surgeons everywhere. ## Normalizing Breast Augmentation Procedures As cosmetic surgery becomes destigmatized, more and more people are accepting of the decision to go under the knife. Being happy with your body can boost your self-esteem and have a domino effect. Heightened confidence in yourself can lead to accomplishments in other areas of your life. There are many factors that have led to greater acceptance of cosmetic procedures. The three most common are as follows. ### Prominent Public Figures Celebrities and other public figures have always gone to great lengths to maintain a certain image. In recent years those prominent figures have become more open about their cosmetic procedures, leading to greater knowledge and acceptance. More and more people are becoming accepting of cosmetic procedures as they begin to understand the safe nature of the procedures and the positive effect it can have on self-confidence. ### Better Techniques, Fewer Complications The last few decades have led to technological advancements and a deeper understanding of the long terms results of cosmetic procedures. Complications are very rare, and modern implants have a much lower risk of rupture than older implants. Dr. Shermak uses surgical techniques that minimize visible scarring after a breast augmentation procedure. The incision is most commonly placed in the breast fold and is concealed by the natural contours of your breast. ### Natural Results Implant size and placement are crucial for the overall outcome of your breast augmentation. Dr. Shermak has an in-depth consultation with each patient where you will discuss your desired breast size and what looks best for your frame and features. You will also try on bras with implants in them to ensure the correct size is chosen. During the procedure, the implants can be placed above or below your chest muscle. They are most often placed under the muscle because the tissue conceals the implant and gives it a more natural feel. The implant will resemble real breast tissue and ages well. Cosmetic surgery is more accepted now than ever before. The decision to undergo a cosmetic procedure is deeply personal, but you can feel comfortable in that decision with an experienced surgeon like Dr. Shermak. [Back to Blog](/blog/) --- ## BREAST CANCER DOESN’T JUST HAPPEN IN OCTOBER **Link:** [BREAST CANCER DOESN’T JUST HAPPEN IN OCTOBER](https://www.drshermak.com/blog/breast-cancer-doesnt-just-happen-in-october/) ([md](https://www.drshermak.com/blog/breast-cancer-doesnt-just-happen-in-october/index.html.md)) **Description:** BREAST CANCER DOESN’T JUST HAPPEN IN OCTOBER I just returned from the Northeastern Society of Plastic Surgeons meeting in Providence, Rhode Island. I had ### Content BREAST CANCER DOESN’T JUST HAPPEN IN OCTOBER I just returned from the Northeastern Society of Plastic Surgeons meeting in Providence, Rhode Island. I had the distinct honor of participating in a breast reconstruction panel moderated by Dr. Sumner Slavin of Beth Israel-Deaconess Hospital in Boston. My co-panelists included Dr. Amy Colwell from Massachusetts General Hospital in Boston and Dr. Mihye Choi from New York City. The focus of the panel was the impact of body weight on breast reconstruction alternatives. We were also asked to comment on new innovations that really appear to have revolutionized contemporary breast reconstruction. How does body type impact breast reconstruction decision-making? Interesting findings include that women across a spectrum of body types can all have very nice results. Larger women may benefit from utilizing tissue from the abdomen or back to create better proportionality, while smaller proportioned women do really well with implants, often placed in what is primarily a single stage procedure. New trends in breast reconstruction that are “here to stay” include fat transfer to smooth results and fill contour irregularities (bonus liposuction!); anatomically-shaped, form-stable silicone gel implants to allow more natural look and match to the native, unoperated breast; and single stage implant reconstruction. These are all very exciting innovations. The results seen in [breast reconstruction](/breast/breast-reconstruction/) continue to evolve, and the past 2 years has seen a particular explosion in innovation for primary breast reconstruction, and for women who are ready for an upgrade. If you have any questions and would like to explore options that are best for you, please call[(410) 616-3000](tel:(410) 616-3000) to schedule an appointment with Dr. Shermak, or visit drshermak.com. [Back to Blog](/blog/) --- ## Breast cancer doesn’t just happen in October 3 **Link:** [Breast cancer doesn’t just happen in October 3](https://www.drshermak.com/blog/breast-cancer-doesnt-just-happen-in-october-3/) ([md](https://www.drshermak.com/blog/breast-cancer-doesnt-just-happen-in-october-3/index.html.md)) **Description:** Breast cancer doesn't just happen in October A recent study published by JAMA in September 2015 investigating a large number of women treated for Ductal ### Content Breast cancer doesn’t just happen in October A recent study published by JAMA in September 2015 investigating a large number of women treated for Ductal Carcinoma in situ (DCIS) demonstrates that mastectomy treatment is not necessary. A majority of the 100,000 patients in the DCIS database the researchers used, from a national cancer registry, had lumpectomies, and nearly all the rest had mastectomies. Their chance of dying of breast cancer in the two decades after treatment was 3.3 percent, no matter which procedure they had, about the same as an average woman’s chance of dying of breast cancer. The data showed that some patients were at higher risk: those younger than 40, black women and those whose abnormal cells had molecular markers found in advanced cancers with poorer prognoses. We have also seen in our practice that women with biopsy-proven DCIS seen on MRI as involving an extensive area, that invasive cancer may actually be diagnosed from the cancer specimen once the “DCIS” is removed. Women diagnosed with DCIS and breast cancer present with a broad spectrum of involvement and severity, so it is impossible to have universal, broadly applicable rules on appropriate therapy. Women need to be advised by a medical or surgical specialist who is focused on breast cancer treatment to best understand the most optimal care specific to them. [Back to Blog](/blog/) --- ## Breast Cancer Patient Education Act becomes law **Link:** [Breast Cancer Patient Education Act becomes law](https://www.drshermak.com/blog/breast-cancer-patient-education-act-becomes-law/) ([md](https://www.drshermak.com/blog/breast-cancer-patient-education-act-becomes-law/index.html.md)) **Description:** ASPS efforts yield victory Breast Cancer Patient Education Act becomes law When the Women's Health and Cancer Rights Act (WHCRA) was enacted into law in ### Content ASPS efforts yield victory Breast Cancer Patient Education Act becomes law When the Women’s Health and Cancer Rights Act (WHCRA) was enacted into law in 1998, it was considered a watershed moment for breast cancer reconstruction. The legislation introduced and established a federal mandate that requires all payers that provide coverage for breast cancer treatment to also cover reconstruction and prostheses. At the time, the [plastic surgery](/) community saw this as a solution to breast cancer patient-access problems related to reconstructive services. Unfortunately, this mandate alone has not sufficiently increased access to reconstructive services – and women continue to live without reconstruction simply because they’re not aware that it’s a covered benefit. In response, ASPS worked with Congress to introduce the Breast Cancer Patient Education Act (BCPEA), which takes direct aim at this lack of information. On December 18, 2015, the journey that began with the passage of the WHCRA came one sizeable step closer to completion when the BCPEA was signed into law by President Obama. ‘A huge victory’ “This is a huge victory for ASPS,” says ASPS President David Song, MD, MBA. “Most importantly, it’s a victory for breast cancer survivors. It’s shameful that women don’t undergo breast reconstruction – a crucial part of the healing process that they have a federal right to – simply because they weren’t given adequate information.’ Under the new law, the HHS secretary is required to plan and implement an education campaign that informs breast cancer patients about the availability and coverage of breast reconstruction and other post-mastectomy alternatives. Educational materials created by the secretary will inform women of their right to breast reconstruction under federal law, and provide women with information about when breast reconstruction or prostheses may be appropriate within their recovery plan. This campaign will support existing material on breast-cancer awareness already created by the Office of Women’s Health and the Office of Minority Health – therefore, it will not result in any new federal spending. ASPS Legislative Advocacy Committee Federal Chair Gregory Greco, DO, says the newly signed BCPEA “will address a problem that’s more severe than I think most people realize. The American Cancer Society projects more than 230,000 new cases of invasive breast cancer in 2015. “Sadly, though, less than half of all women requiring a mastectomy are even offered reconstruction,” he adds. “Coverage is mandated, yet less than half of these women ever get to have this conversation. We have to do better.” Better coverage, better education In this important instance, doing better means not just patient education, but also education of other health-care providers. Through the BCPEA, ASPS hopes to foster a broader understanding of breast cancer treatment, according to ASPS President-elect Debra Johnson, MD. “Women are quite frightened by the breast cancer diagnosis, and they want the cancer removed as quickly as possible,” Dr. Johnson says. “The haste to extirpate the disease can mean that women aren’t offered the chance to meet with a plastic surgeon. But we know how disturbing the body-image change of mastectomy can be to a woman. Plastic surgeons and breast reconstruction must be an integral part of the breast-cancer treatment team.” ASPS has worked to spread greater awareness among health-care providers through the Breast Cancer Patient Education Act Coalition and its annual Breast Reconstruction Awareness Day. With passage of the BCPEA, patients and their providers will have increased awareness of treatment options. ASPS has worked tirelessly to advance the BCPEA since its 2012 introduction. The Society has organized multiple, grassroots campaigns that helped ASPS members connect with their representatives in Congress, to ask that they cosponsor the legislation; made the BCPEA a primary focus of its federal ASPS Legislative Advocacy Fly-In events, where over the years ASPS members conducted hundreds of face-to-face meetings on the Hill in support of the bill; worked with the bill’s congressional sponsors to organize letters in which they directly requested the support of their colleagues, as well as briefings where they joined physicians and patient advocates to educate congressional staff about breast reconstruction; and developed a far-reaching coalition of medical society and patient advocacy stakeholder groups. Redoubled efforts This year saw an escalation of these efforts, as ASPS redoubled its grassroots efforts and expanded on them with a new “sign-on” e-mail approach that resulted in the highest total to date of ASPS member contacts with members of Congress. To supplement this grassroots work, ASPS has increased its efforts to grow the ASPS-led BCPEA Coalition, which has resulted in a record-high 40 members. Among the new additions to this group are major national supporters, including the AMA, the American Cancer Society’s Cancer Action Network, the ACS’s Commission on Cancer, and the Susan G. Komen Foundation. ASPS has also devised and executed a massive, targeted direct-outreach strategy that resulted in 85 meetings with members of the House and Senate committees with jurisdiction over the bill; members of the Congressional Doctor’s Caucus; and members of Congress who were previously visited during an ASPS Fly-In event. When the latter events are taken into account, ASPS and Hart Health Strategies, its federal lobbying partners, conducted 161 meetings on the BCPEA in 2015, directly leading to 22 of the 25 first-time congressional sponsors added this year. Forming a critical mass While none of these efforts alone were enough to move the needle in Congress, in combination they were an undertaking that ASPS Board Vice President, Health Policy & Advocacy Anne Taylor, MD, describes as being so substantial that “they ultimately became a testament to the commitment of our members, to the commitment and competence of our professional staff and, more than anything else, to the fact that even a small group of people can make major change if they are willing to put in the work. “If you’ve attended an ASPS Fly-In event during the last four years, contributed to PlastyPAC, written a letter to your member of Congress or picked up the phone and called, then this victory is your victory,” Dr. Taylor adds. “This was accomplished because our members believed it was the right thing to do, and our team in Arlington Heights and Washington, D.C., channeled that belief into action. This is a proud day.” [Back to Blog](/blog/) --- ## Breast Implants and Associated ALCL – Evidence-Based Data **Link:** [Breast Implants and Associated ALCL – Evidence-Based Data](https://www.drshermak.com/blog/breast-implants-and-associated-alcl-evidence-based-data/) ([md](https://www.drshermak.com/blog/breast-implants-and-associated-alcl-evidence-based-data/index.html.md)) **Description:** Breast Implants and Associated ALCL – Evidence-Based Data Breast Augmentation is one of the most popular plastic surgical procedures performed in the ### Content Breast Implants and Associated ALCL – Evidence-Based Data Breast Augmentation is one of the most popular plastic surgical procedures performed in the United States, leap-frogging with [Liposuction](/body/liposuction/) on alternate years. The story of ALCL has hit the news, causing concern in women who have implants or who are considering Breast Augmentation. Let me provide you some factual data about ALCL. ALCL is a rare form of lymphoma that has been found in proximity to breast implants – not in breast tissue- and more specifically, textured implants, and even more specific than that, mostly the Allergan or Natrelle brand implant. ALCL presents as swelling of the implant 2-28 years after surgery. This can be worked up with an ultrasound and fluid sampling. Out of about 300,000 breast augmentations performed annually in the United States, the lifetime risk of developing ALCL is 1:30,000 to 1:50,000. (The risk of normal everyday activities like driving is much higher than this!) If ALCL is diagnosed, treatment includes removal of the implant and surrounding “capsule,” or scar tissue the body forms around implants; and in most cases, surgery alone resolves ALCL. A multidisciplinary team would take care of a woman diagnosed with ALCL to assure she gets the most optimal treatment. Currently due to the low risk of ALCL, Breast Augmentation is still being readily performed without any limitation, and textured implants are still utilized (I particularly like the shaped textured implants for my breast cancer reconstruction patients who need to achieve symmetry with their other breast). I currently use Mentor and Sientra products which are particularly low risk. The national plastic surgery organizations such as ASPS and ASAPS are keeping membership up to date on any new developments while working closely with the FDA. More information can be found at [www.plasticsurgery.org/alcl](https://www.plasticsurgery.org/for-medical-professionals/health-policy/bia-alcl-physician-resources). I am happy to meet with women interested in [Breast Augmentation](/breast/baltimore-breast-augmentation/) and who desire a more full discussion about the surgery. It is one of the highest patient satisfaction procedures with predictable results and low risk and recovery. Please call my office if you are interested in a consultation at [(410) 616-3000](tel:(410) 616-3000) or check out [Dr. Shermak’s blog](/blog/) to learn more from one of Baltimore’s top breast surgeons, MD, Dr. Michele Shermak. [Back to Blog](/blog/) --- ## Can I give you a hug? **Link:** [Can I give you a hug?](https://www.drshermak.com/blog/can-i-give-you-a-hug/) ([md](https://www.drshermak.com/blog/can-i-give-you-a-hug/index.html.md)) **Description:** Plastic surgery is a deeply personal, often chosen path men and women, young and old, take to achieve goals that are otherwise unattainable. Genetic ### Content Plastic surgery is a deeply personal, often chosen path men and women, young and old, take to achieve goals that are otherwise unattainable. Genetic predispositions, surgical experiences, developmental issues, pregnancy and cancer diagnosis can result in changes to the body and an appearance that impacts confidence in the way you appear. Sometimes surgery is the only option available to consciously improve the situation in order to achieve complete confidence in your appearance. Confidence is so important! Confidence is attractive and beckons to those who surround it. People want to know what confident people are about. And confidence may be impaired by something those around you cannot even see. But you know. One of my greatest joys is providing plastic surgery treatment to individuals looking to change something in their appearance that is hindering their total confidence. After taking a thorough history and listening to “pie in the sky” goals, I provide a surgical plan that is collaborative. I account for communicated goals and temper them with medical or financial limitations. And after completion of treatment, patients often ask, “Can I give you a hug?” I hear this many times a week. Of course! Truth is, I have actually been hugging them all along! [Back to Blog](/blog/) --- ## Celebrating Excellence: Dr. Michele Shermak Honored as a 2025 Castle Connolly Top Doctor **Link:** [Celebrating Excellence: Dr. Michele Shermak Honored as a 2025 Castle Connolly Top Doctor](https://www.drshermak.com/blog/celebrating-excellence-dr-michele-shermak-honored-as-a-2025-castle-connolly-top-d/) ([md](https://www.drshermak.com/blog/celebrating-excellence-dr-michele-shermak-honored-as-a-2025-castle-connolly-top-d/index.html.md)) **Description:** We are thrilled to announce that Dr. Michele Shermak has been recognized as a Castle Connolly Top Doctor for 2025—a prestigious honor awarded only to... ### Content We are thrilled to announce that Dr. Michele Shermak has been recognized as a [Castle Connolly Top Doctor for 2025](https://www.castleconnolly.com/top-doctors/michele-a-shermak-plastic-surgery-62cc000684)—a prestigious honor awarded only to those embodying excellence in plastic surgery. ## What is the Castle Connolly Top Doctor Award? The [Castle Connolly](https://www.castleconnolly.com/) Top Doctor Award is one of the highest accolades in the medical community. It represents the top 7% of over 1 million practicing physicians across the United States. More than 70,000 physicians earn this distinction yearly through a rigorous selection process that emphasizes clinical excellence and outstanding interpersonal skills. ### Award Highlights - Only physicians nominated by their esteemed peers are considered, reflecting the deep respect and trust Dr. Shermak has earned within the medical community - A dedicated physician-led research team meticulously reviews each nomination to ensure that only the most qualified and compassionate doctors are honored - Spanning all 50 states and covering every major specialty, the award is a testament to a physician’s dedication to providing superior patient care ## How Dr. Shermak Became a Top Doctor Dr. Shermak’s recognition as a Castle Connolly Top Doctor reflects her exceptional skills, innovative techniques, and compassionate patient care, which consistently set her apart in cosmetic plastic surgery. Her ability to achieve natural-looking, sophisticated results has transformed the lives of her patients and earned her the respect and admiration of her peers nationwide. Some of the achievements that led to this honor include the following: - **Innovative Body Contouring:** Dr. Shermak is celebrated for her cutting-edge body contouring techniques, particularly her expertise in assisting patients recovering from significant weight loss. - **Comprehensive Care for Diverse Needs:** From breast augmentation and revision to minimally-invasive facial treatments, her ability to tailor procedures to each patient’s unique needs ensures optimal and harmonious results. - **Educational Leadership:** As an esteemed author and lecturer, Dr. Shermak contributes significantly to advancing plastic surgery through her published works and educational initiatives. [Back to Blog](/blog/) --- ## Combining Liposuction with a Tummy Tuck: What You Need to Know for Optimal Results **Link:** [Combining Liposuction with a Tummy Tuck: What You Need to Know for Optimal Results](https://www.drshermak.com/blog/combining-liposuction-with-a-tummy-tuck-what-you-need-to-know-for-optimal-results/) ([md](https://www.drshermak.com/blog/combining-liposuction-with-a-tummy-tuck-what-you-need-to-know-for-optimal-results/index.html.md)) **Description:** For patients seeking a more sculpted, youthful abdomen, two procedures consistently deliver dramatic and lasting results: liposuction and a tummy ... ### Content For patients seeking a more sculpted, youthful abdomen, two procedures consistently deliver dramatic and lasting results: [liposuction](/body/liposuction/) and a tummy tuck (abdominoplasty). While each procedure alone can significantly enhance body contours, combining them offers a powerful, comprehensive approach to total abdominal rejuvenation. At her Baltimore practice, Dr. Michele Shermak, a board-certified plastic surgeon specializing in body contouring, routinely performs these procedures together to help patients achieve refined, natural-looking outcomes. ## **Why Combine Liposuction with a Tummy Tuck?** A [tummy tuck](/body/tummy-tuck-baltimore/) focuses on removing excess skin and tightening weakened abdominal muscles, often caused by pregnancy or significant weight loss. However, it doesn’t address fat deposits outside the central abdomen—particularly around the flanks, hips, or lower back. This is where liposuction comes in. Liposuction can target these stubborn fat areas, improving definition and waistline contour. When combined with a tummy tuck, it enhances the overall result, delivering a smoother, more contoured silhouette that a tummy tuck alone cannot achieve. ## **Who Is a Good Candidate for a Combined Procedure?** Ideal candidates for this combined approach typically have: Loose or hanging abdominal skin Weakened or separated abdominal muscles (diastasis recti) Localized fat pockets in the abdomen, flanks, or back Good overall health and realistic expectations During your consultation, Dr. Shermak will perform a thorough evaluation to determine whether a combination of liposuction and tummy tuck is appropriate for your goals and anatomy. ## **Is It Safe to Combine the Two Procedures?** Yes—when performed by an experienced, board-certified plastic surgeon, combining these procedures is both safe and effective. Dr. Shermak prioritizes patient safety and customizes each surgical plan to ensure optimal outcomes with minimal risk. Her advanced surgical techniques and attention to detail have earned her a reputation as one of Baltimore’s top plastic surgeons. Combining procedures also means a single recovery period, reducing the overall time away from work or daily responsibilities compared to having the surgeries done separately. ## **What Can I Expect During Recovery?** Recovery from a combined [liposuction](/body/liposuction/) and [tummy tuck procedure](/body/tummy-tuck-baltimore/) typically takes about two to three weeks for light activity and six weeks for full healing. Some swelling and bruising are normal, and compression garments may be worn to support the area and reduce fluid retention. Dr. Shermak and her team provide detailed aftercare instructions and are available throughout your recovery to monitor healing and ensure you’re progressing comfortably and safely. ## **Long-Term Results** Patients who undergo both procedures together often enjoy long-lasting, transformative results. With a healthy lifestyle, including proper diet and regular exercise, your new contours can be maintained for many years. The combined approach not only enhances aesthetics but also boosts confidence and comfort in clothing and swimwear. ## **Schedule a Consultation with Dr. Shermak** If you’re ready to take the next step toward a more contoured, confident you, schedule a consultation with Dr. Michele Shermak. With her personalized approach and surgical expertise, she’ll help you determine the best treatment plan for your unique goals. [Contact us today](/contact/) to get started on your transformation. [Back to Blog](/blog/) --- ## Combining Procedures: Is it Safe to Undergo Multiple Surgeries at Once? **Link:** [Combining Procedures: Is it Safe to Undergo Multiple Surgeries at Once?](https://www.drshermak.com/blog/combining-procedures-is-it-safe-to-undergo-multiple-surgeries-at-once/) ([md](https://www.drshermak.com/blog/combining-procedures-is-it-safe-to-undergo-multiple-surgeries-at-once/index.html.md)) **Description:** Many people I see who are interested in discussing plastic surgery come in to address not just one procedure or body region but multiple. Scenarios i... ### Content Many people I see who are interested in discussing [plastic surgery](/) come in to address not just one procedure or body region but multiple. Scenarios include women interested in a [Facelift](/face/facelift-baltimore/), [Neck lift](/face/neck-lift/), and [Eyelid Surgery](/face/blepharoplasty/) who would also like to address sagging skin in the arms or legs; women who are finished having children and want to improve breast perkiness with a [Breast lift](/breast/breast-lift/) or [Breast Augmentation](/breast/baltimore-breast-augmentation/) and improve abdominal skin and muscle tautness with a [Tummy Tuck](/body/tummy-tuck-baltimore/); men who desire contouring of their chest, abdomen and back with [Liposuction](/body/liposuction/); and individuals who have experienced significant weight loss who might want to discuss lifting and skin reduction from the neck down, or a subset of that. As long as the individual is healthy, performing surgery on multiple body regions is a terrific idea! The efficiency in recovery, cost, and “getting it all done” in one setting is so appealing. Everyone is busy, so condensing a plastic surgery treatment to one surgery is a saver of both time and money. Certainly, there are time limits for safe surgery or procedures that counteract each other, and these vary depending on the patient and the surgeries to be performed. As an example, breast and abdominal surgery are a great combination; abdomen and back contouring are highly complementary; however, upper and lower back lift procedures limit each other and are best not performed together. Some patients do better with a single focused surgery for personal reasons related to health, the duration of recovery anticipated, and the assistance they may need related to their responsibilities. Some just want one area addressed, like those who undergo a Breast Augmentation or [Labiaplasty](/body/labiaplasty/). The benefit of seeing a [board-certified plastic surgeon](/about/dr-shermak/) is my comprehensive “toolbelt” and ability to individualize treatment plans according to a strong track record. Is it finally your time to coordinate your personal plan? [Back to Blog](/blog/) --- ## Did she or didn’t she? **Link:** [Did she or didn’t she?](https://www.drshermak.com/blog/did-she-or-didnt-she-2/) ([md](https://www.drshermak.com/blog/did-she-or-didnt-she-2/index.html.md)) **Description:** Did she or didn’t she? This is often the goal for my patients in considering a post-operative outcome, looking enhanced but not over the top, looking ### Content Did she or didn’t she? This is often the goal for my patients in considering a post-operative outcome, looking enhanced but not over the top, looking rejuvenated but not different. Most women don’t want Pamela Anderson’s breasts or Joan Rivers’ face. Is it possible to pursue plastic surgery to achieve the real you that’s hiding inside or the person you feel you physically can and should be, without drawing too much attention? The answer is definitively “yes!” This goes for minimally invasive and surgical treatments. Minimally invasive injectibles include [Botox](/injectables-fillers/botox/) and botox-like medications, including Dysport and fillers. Botox and Dysport smooth lines in the forehead and around the eyes, and can even soften early neck banding or frowning at the corners of the mouth. Injectible fillers like Juvederm, Perlane and Restylane soften harsh creases, plump wrinkles around the mouth, and fill a tired lower lid/tear trough that accompany aging and tissue deflation from youth. Sculptra is a facelift-in-a-bottle, and with 3 treatments, the face is filled and lifted without a single scar. These treatments are performed in the office in less than 30 minutes, and with possible redness, swelling or bruising that may occur, you are essentially on your way and back to activities by the following day. Results refresh the face in a subtle, unrecognizable way. Surgery results can similarly fly under the radar, except for a visible change in self-confidence and a new spring in the step. Facial procedures like Blepharoplasty, Brow lift, [Facelift](/face/facelift-baltimore/) and Neck Lift turn back the clock to wake up and refresh the face. Breast reduction improves functionality and self confidence. [Breast augmentation](/breast/baltimore-breast-augmentation/) enhances proportionality, possibly with some “umph.” [Tummy Tuck](/body/tummy-tuck-baltimore/) helps regain the abdomen you had prior to weight changes, pregnancy and/or surgical procedures. Liposuction similarly assists in achieving a fit appearance which may be the jumpstart to a new fitness regimen. All of these surgical procedures may require less recovery time than you thought was necessary! Did she or didn’t she? The only one who needs to know is you! The exact change may be difficult for your friends and peers to discern . . . all they should notice is that you are more refreshed, energized, and confident. [Back to Blog](/blog/) --- ## Dip your toe in the pool with minimally invasive treatments! **Link:** [Dip your toe in the pool with minimally invasive treatments!](https://www.drshermak.com/blog/dip-your-toe-in-the-pool-with-minimally-invasive-treatments/) ([md](https://www.drshermak.com/blog/dip-your-toe-in-the-pool-with-minimally-invasive-treatments/index.html.md)) **Description:** I see many men and women in their 20’s, 30’s, 40’s and 50’s who desire a fresher appearance. While some, like the 20-somethings, do not merit a surgical ### Content I see many men and women in their 20’s, 30’s, 40’s and 50’s who desire a fresher appearance. While some, like the 20-somethings, do not merit a surgical procedure, individuals with manifestations of aging who would benefit from a surgical procedure might not be ready for this step. For both of these groups, minimally invasive treatments are a GREAT way to go! No scars and little to no downtime – who can beat that? The best products we have available now are the “botox products” and fillers. The Botox Products that are available are Botox Cosmetic and Dysport. (Link to Allergan (Botox) and Medicis (Dysport) websites.) The active ingredient in both is botulinum toxin, which works to weaken muscles that cause wrinkles and lines in the face. These products treat creasing in the forehead, frown lines between the brows, and smile lines/crow’s feet on the sides of the eyes. We are now using Botox and Dysport to shape the brow as well, raising the outer brow to correct hooding and open the eye! Botox and Dysport can also be used to treat the frown that develops at the corners of the mouth and banding in the neck. There is minimal discomfort and treatment is so fast. Botox products are the most economical way to go in achieving cosmetic improvement. The most common fillers are Restylane, Perlane and Juvederm XC (Link to Medicis for Restylane and Perlane, and to Allergan for Juvederm). Fillers are optimal for adding volume to facial wrinkles/creases in the cheek and around the mouth: in the fold between the nose and lip; to the side of the mouth; and to the lips. These products last 6 months to a year depending on the treatment region. They come with lidocaine already in the preparation, making treatment comfortable. Sculptra (Link to Sanofi-Aventis website) is a more robust volumizer for the cheek area. Facial rejuvenation requires not only lifting sagging tissues but also improving fullness and volume. Sculptra has beautiful, long term results, reducing the distance between the lower eyelid and cheek fullness, improving youthfulness of the face. A deflated face that has a “A” shape will be converted to a “V” shape with 2-3 treatments. Keep your eyes open for greater media attention to Sculptra! All of these treatments refresh the face, take minimal time to perform and have little to no downtime. So come dip your toe in the pool! What are you waiting for? Contact Dr. Michele Shermak’s staff at [(410) 616-3000](tel:(410) 616-3000) to arrange a time to meet with Dr. Shermak to discuss which options are best for you! [Back to Blog](/blog/) --- ## Dip your toe in the pool with minimally invasive treatments! 2 **Link:** [Dip your toe in the pool with minimally invasive treatments! 2](https://www.drshermak.com/blog/dip-your-toe-in-the-pool-with-minimally-invasive-treatments-2/) ([md](https://www.drshermak.com/blog/dip-your-toe-in-the-pool-with-minimally-invasive-treatments-2/index.html.md)) **Description:** I see many men and women in their 20's, 30's, 40's and 50's who desire facial freshening without committing to surgery. Some might not frankly need a ### Content I see many men and women in their 20’s, 30’s, 40’s and 50’s who desire facial freshening without committing to surgery. Some might not frankly need a surgical procedure, particularly the 20/30-somethings. Some actually might benefit from a surgical procedure, but they don’t want it. For this large, heterogeneous group, minimally invasive treatments are a GREAT way to go! No scars and little to no downtime – who can beat that? The best products we have available now are the “botox products” and fillers. The Botox Products that are available are[ Botox Cosmetic and Dysport](/injectables-fillers/botox/). The active ingredient in both is botulinum toxin. This will weaken muscles that cause wrinkles and lines in the face. It is best for treating creasing in the forehead, frown lines between the brows, and smile lines/crow’s feet on the sides of the eyes. We are now using Botox and Dysport to shape the brow as well, raising the outer brow to correct hooding and open the eye! Botox and Dysport can also be used to treat the frown that develops at the corners of the mouth and early banding in the neck! There is minimal discomfort and treatment is so fast. The most common fillers are Belotero, Restylane, Perlane and Juvederm XC. Fillers are optimal for adding volume to facial wrinkles/creases below the eyes: in the fold between the nose and lip; marionette lines; around and on the side of the mouth; and the lips. These products last 6 months to a year depending on the treatment region. They come with lidocaine already in the preparation, making treatment comfortable, although prior to injection, numbing medication is applied directly to the face. [Sculptra](/injectables-fillers/sculptra/) is a volumizer for the temple, cheek and jowl area. Rejuvenation comprises not only lifting lax and sagging tissues but also improving fullness and volume. Sculptra has beautiful, long term results, reducing the distance between the lower eyelid and cheek fullness, smoothing folds, and improving youthfulness of the face. A deflated face that has a “A” shape will be converted to a “V” shape with 3 treatments. All of these treatments refresh the face, take minimal time to perform and have little to no downtime. So come dip your toe in the pool! What are you waiting for? Not for a good deal! Check out our holiday specials, starting November 1, 2013! Call now for an appointment with Dr. Shermak at [(410) 616-3000](tel:(410) 616-3000) to take advantage of the holiday specials. Located near Baltimore MD. [Back to Blog](/blog/) --- ## Dip your toe in the pool with minimally invasive treatments! 3 **Link:** [Dip your toe in the pool with minimally invasive treatments! 3](https://www.drshermak.com/blog/dip-your-toe-in-the-pool-with-minimally-invasive-treatments-3/) ([md](https://www.drshermak.com/blog/dip-your-toe-in-the-pool-with-minimally-invasive-treatments-3/index.html.md)) **Description:** All of these treatments refresh the face, take minimal time to perform and have little to no downtime. So come dip your toe in the pool! What are you waiting for? ### Content I see many men and women in their 20’s, 30’s, 40’s and 50’s who would like a subtle spruce up without surgery. Some might not frankly need a surgical procedure, particularly the 20-somethings. Some actually might benefit from a surgical procedure, but they either don’t need it or don’t want it. For this group, minimally invasive treatments are a GREAT way to go! No scars and little to no downtime – who can beat that? The best products we have available now are the “botox products” and fillers. The Botox Products that are available are [Botox Cosmetic](https://www.botoxcosmetic.com/) and [Dysport](https://www.dysportusa.com/). The active ingredient in both is botulinum toxin. This will weaken muscles that cause wrinkles and lines in the face. It is best for treating creasing in the forehead, frown lines between the brows, and smile lines/crow’s feet on the sides of the eyes. We are now using Botox and Dysport to shape the brow as well, raising the outer brow to correct hooding and open the eye! Botox and Dysport can also be used to treat the frown that develops at the corners of the mouth and banding in the neck! There is minimal discomfort and treatment is so fast. The most common fillers are [Restylane](https://www.restylaneusa.com/), Perlane and [Juvederm XC](https://www.juvederm.com/). Fillers are optimal for adding volume to facial wrinkles/creases below the eyes: in the fold between the nose and lip; to the side of the mouth; and to the lips. These products last 6 months to a year depending on the treatment region. They come with lidocaine already in the preparation, making treatment comfortable. [Sculptra](https://www.sculptrausa.com/) is a new volumizer for the cheek area. Rejuvenation we are finding comprises not only lifting lax and sagging tissues affected by age and gravity but also improving fullness and volume. Sculptra has beautiful, long term results, reducing the distance between the lower eyelid and cheek fullness, improving youthfulness of the face. A deflated face that has a “A” shape will be converted to a “V”shape with 2-3 treatments. Keep your eyes open for greater media attention to Sculptra! All of these treatments refresh the face, take minimal time to perform and have little to no downtime. So come dip your toe in the pool! What are you waiting for? [Back to Blog](/blog/) --- ## Does Fat Transfer Breast Augmentation Look Natural? **Link:** [Does Fat Transfer Breast Augmentation Look Natural?](https://www.drshermak.com/blog/does-fat-transfer-breast-augmentation-look-natural/) ([md](https://www.drshermak.com/blog/does-fat-transfer-breast-augmentation-look-natural/index.html.md)) **Description:** Fat Transfer Breast Augmentation is becoming increasingly popular. This is a procedure that is appealing for first time augmentation in women who want to ### Content [Fat Transfer Breast Augmentation](/breast/fat-transfer/) is becoming increasingly popular. This is a procedure that is appealing for first time augmentation in women who want to avoid an implant and who also want the added benefit of [Liposuction](/body/liposuction/) of a body region to provide the fat needed to augment the breast. It is also a nice added procedure to a [breast lift](/breast/breast-lift/) for women who want some added cleavage, particularly in post menopausal women or women who have sustained significant weight loss. And another excellent group of women who are candidates for Fat Transfer are those who had breast augmentation with implants and are ready to have their implants out, but are anxious about an extreme sudden loss of volume. ## The Results Results I see with Fat transfer to the breast are lovely: not as large as with an implant, but there is definite increase in size, with added roundness and lift in the breast and less emptiness in the upper chest between the collarbone and the breast mound. There is an improved freshness to the tissues as the fat provides not only volume but also a stem cell effect, so the breast and nipple are rounder and softer and the skin becomes more youthful and healthy. The most important aspects to this procedure include gentle management of the fat that goes into the breast as well as limiting the volume of fat that goes in, to assure proper healing and respect for the limits the breast tissue can heal. This optimizes “take” and reduces the risk of cyst formation. The paradox of this procedure is the smaller the breast, the less fat can be transferred – the host tissue can only provide circulation to fat that is in touch with it. Many women therefore return for second or even third rounds of fat transfer to achieve larger cup sizes: as the initial fat heals, this in turn can provide more host tissue to fat grafted to the area. Generally I promise ½ to 1 cup size with 1 round of fat grafting. ## What are the Donor Regions? Donor regions for fat to the breast are many. The best site for fat harvest is the abdomen, as the location is convenient and allows for a win-win result with gently larger breasts and a flatter abdomen, improving the whole “landscape view.” Other donor sites include the arms, inner and outer thighs, knees and back. A fat source is required, so really thin women might not have enough. The results are amazing and the recovery is relatively easy. Within 7-10 days physical activity should be at regular level and all sutures are out. Special compression garments and massage are recommended for the area that is liposuctioned. I am hugely excited about Fat Transfer Breast Augmentation and my patients’ experiences with it! [Contact me for a consultation](/contact/). [Back to Blog](/blog/) --- ## Do Tummy Tuck Scars Go Away? **Link:** [Do Tummy Tuck Scars Go Away?](https://www.drshermak.com/blog/do-tummy-tuck-scars-go-away/) ([md](https://www.drshermak.com/blog/do-tummy-tuck-scars-go-away/index.html.md)) **Description:** Many people looking for significant results from a tummy tuck or any other plastic surgery procedure might be discouraged by scars necessary to doing the ### Content Many people looking for significant results from a [tummy tuck](/body/tummy-tuck-baltimore/) or any other plastic surgery procedure might be discouraged by scars necessary to doing the surgery. Scars are the result of skin removal – skin removal is not possible without them. The goal of the plastic surgeon is to allow for impactful results while minimizing visibility of scars. Potential patients may settle for procedures that don’t scar, but this often proves to be a poor long term financial decision with disappointing subtle results. Minimal scars, minimal results! How do plastic surgeons minimize scar? Intraoperatively surgeons do their best to delicately handle tissues, and allow for a careful closure of all incisions in multiple layers. After surgery, patients follow up with their surgeon over the course of the first year for tips on creating the most beautiful, least visible scars with topical applications, massage and special garments. While minimally invasive procedures work extremely well in the face, impactful surgery on the [breast](/breast/) and [body](/body/) often require skin removal and tissue tightening to allow tautness and a sculpted look. Surgical scars necessary to performing these surgeries should not be a deterrent to achieving life changing plastic surgery results. Be sure to look at Photo Galleries to get a real sense of likely scar appearance. [Back to Blog](/blog/) --- ## Dr. Michele Shermak is Officially One of America’s Best Plastic Surgeons 2021 **Link:** [Dr. Michele Shermak is Officially One of America’s Best Plastic Surgeons 2021](https://www.drshermak.com/blog/dr-michele-shermak-is-officially-one-of-americas-best-plastic-surgeons-2021/) ([md](https://www.drshermak.com/blog/dr-michele-shermak-is-officially-one-of-americas-best-plastic-surgeons-2021/index.html.md)) **Description:** According to one of the most extensive surveys ever conducted on the subject, Dr. Michele Shermak is officially one of America’s best plastic surgeons of 2021. ### Content In collaboration with global information firm STATISTA, NEWSWEEK magazine recently conducted one of the most extensive surveys of plastic surgeons and medical professionals in America to determine who qualified peers are considered the “Best Plastic Surgeons ” America” as of 2021. Baltimore board-certified plastic surgeon Dr. Michele Shermak is now officially one of America’s Best Plastic Surgeons as of 2021! Five thousand medical professionals and plastic surgery peers were asked to select their best plastic surgeon out of more than 7,000 board-certified potential candidates. Those surveyed were then also asked to rate their nominee’s quality of preoperative, surgical, and postoperative care, as well as the results they obtained for patients. Dr. Shermak was chosen as one of America’s best plastic surgeons for breast augmentation and rhinoplasty surgery. - America’s Best Plastic Surgeons 2021: Rhinoplasty - #60 Michele Shermak - America’s Best Plastic Surgeons 2021: Breast Augmentation - #156 Michele Shermak “I am so pleased to announce that I have been recognized on Newsweek’s list of America’s Best Plastic Surgeons for 2021!” “This is an amazing achievement, and I am so honored. I am dedicated to restoring beauty, self-confidence, and a positive self-image in my clients so that they feel and look their very best. The comfort that my patients feel in their skin after undergoing a successful cosmetic procedure is priceless, and I work hard to make each of my client’s goals a reality.” [Back to Blog](/blog/) --- ## Dr Michele Shermak speaks at the Northeastern Society of Plastic Surgeons **Link:** [Dr Michele Shermak speaks at the Northeastern Society of Plastic Surgeons](https://www.drshermak.com/blog/dr-michele-shermak-speaks-at-the-northeastern-society-of-plastic-surgeons/) ([md](https://www.drshermak.com/blog/dr-michele-shermak-speaks-at-the-northeastern-society-of-plastic-surgeons/index.html.md)) **Description:** Michele Shermak speaks at the Northeastern Society of Plastic Surgeons It's not just about the excellent results you see in the end in the Photo Galleries ### Content Michele Shermak speaks at the Northeastern Society of Plastic Surgeons Female Plastic Surgeon It’s not just about the excellent results you see in the end in the Photo Galleries – it’s about safety and planning to optimize cosmetic outcomes and recovery in body contouring procedures! This has always been my emphasis. I will be a panelist with Drs. Alan Matarasso and Dennis Hurwitz presenting on just that topic to the annual meeting of the Northeastern Society of Plastic Surgeons in Philadelphia today! [Back to Blog](/blog/) --- ## Dr. Shermak Discusses Motiva Breast Implants **Link:** [Dr. Shermak Discusses Motiva Breast Implants](https://www.drshermak.com/blog/dr-shermak-discusses-motiva-breast-implants/) ([md](https://www.drshermak.com/blog/dr-shermak-discusses-motiva-breast-implants/index.html.md)) **Description:** I always enjoy welcoming patients who are curious about Breast Augmentation—whether you're just beginning to explore your options or you’ve been thinking about it for a while. It's truly a privilege to walk alongside you through such a meaningful, confidence-boosting journey. ### Content ## Why Dr. Shermak Loves Breast Augmentation and the Motiva Implant " One of my favorite procedures to perform is Breast Augmentation. I love the predictability in outcomes and how well worked out this procedure is. My patients take part in a very comprehensive discussion prior to surgery at the consultation so that they fully understand the procedure. I pay particular attention to achieving the size goals desired with an interactive sizing session at that time. I love that the FDA, breast implant companies, board-certified plastic surgeons, and patients have all worked hand-in-hand to optimize the safety of this procedure. The most recent addition to the Breast Augmentation field as of September 2024 is the FDA approval of Motiva implants, the newest generation of gel implants available. Why am I so excited about these implants? First, I appreciate having the ability to offer all kinds of options to my patients so that they can make the best decision for themselves and check all the boxes. I enjoy having many tools in my tool belt to allow my patients the best opportunity in reaching their goals. The Motiva implant is particularly “bougie.” It’s a cohesive gummy bear gel implant that has excellent long-term outcomes and safety profile. The implants come in 2 flavors: a nice full round implant, as well as one that is more anatomically shaped(they do cost several hundred dollars more than our standard gel implants). I have sample implants on hand so patients can understand the feel of each type of implant and can make their best choice. So far, our patients who have undergone [Motiva breast implant augmentation](/breast/motiva-breast-implants/) have been really happy! The implants provide a really nice, full, fresh look. Of course, size outcome will vary depending upon how full the patient desires to be. Surgery is performed in my office surgery center and is completed in almost 1 hour. Postoperative downtime is minimal, with my patients showering the next day and driving within days of surgery. I always enjoy welcoming patients who are curious about Breast Augmentation—whether you're just beginning to explore your options or you’ve been thinking about it for a while. It's truly a privilege to walk alongside you through such a meaningful, confidence-boosting journey. With Motiva implants now part of our wide range of offerings, I’m excited to bring even more options to the table to help you feel your absolute best. " [~ Dr. Michele Shermak](/about/dr-shermak/) If you have any questions about [breast augmentation](/breast/baltimore-breast-augmentation/), contact Dr. Shermak’s office today to [schedule a consultation](/contact/)! [Back to Blog](/blog/) --- ## Dr. Shermak Now Offers the Preservé Technique for Breast Augmentation **Link:** [Dr. Shermak Now Offers the Preservé Technique for Breast Augmentation](https://www.drshermak.com/blog/dr-shermak-now-offers-the-preserve-technique-for-breast-augmentation/) ([md](https://www.drshermak.com/blog/dr-shermak-now-offers-the-preserve-technique-for-breast-augmentation/index.html.md)) **Description:** Dr. Shermak now offers the Preservé technique with Motiva implants, a less invasive approach to breast augmentation with easier recovery. ### Content ## ## A New Option for Women With Busy Lives For many women, the question is not just whether they want breast augmentation. It is whether they can realistically fit surgery and recovery into their lives. Between work, family, exercise, travel, and everything else, the idea of stepping back for recovery can be hard to picture. That's part of why Dr. Shermak pays such close attention to new techniques and new technology. The goal isn't to offer something new for the sake of it. She wants to bring in advances that make surgery easier on patients while still delivering beautiful results. The Preservé technique for breast augmentation, used with Motiva breast implants, is one of those advances. Dr. Shermak now offers this approach with Motiva breast implants, giving the right patient a more refined way to approach breast enhancement. The technique is designed to use a smaller incision, preserve more of the breast’s natural structures, and support a smoother recovery. For women who want beautiful results and a less disruptive surgical experience, it's worth understanding more about. ## What Is the Preservé Technique? The Preservé technique is a newer approach to breast augmentation surgery that is performed with the Motiva implant platform. It's designed to create space for the implant with less disruption to the surrounding tissues than a more traditional approach. In practical terms, that means the procedure is built around: - A small incision - Minimal disruption to the natural breast tissue - Preservation of important support structures - No cutting through the chest muscle - An easier early recovery for the right patient This is still surgery, and it should be understood that way. The difference is in how the surgery is carried out. Preservé is designed to be gentler on the tissues from the beginning, which can make a real difference in your recovery. ## Why Motiva Implants Matter Preservé is performed with Motiva breast implants. In the United States, the FDA approved Motiva SmoothSilk Round and SmoothSilk Round Ergonomix silicone gel breast implants in 2024 for women aged 22 and older seeking primary breast augmentation or revision augmentation. These are silicone gel-filled implants with approved labeling that outlines indications, risks, and benefits. The Preservé technique is specifically associated with the Motiva SmoothSilk Ergonomix platform. The implant and the method of insertion are meant to work together. That is part of what gives this technique its distinct character. For the patient, the main point is straightforward: implant design and surgical technique come together to create a more measured, tissue-conscious approach to breast augmentation. ## How Preservé Differs From Traditional Breast Augmentation The most important difference is how the implant pocket is created and how much tissue disruption is involved. In traditional breast augmentation, the surgical plan may involve more dissection, depending on anatomy and implant choice. Preservé is designed to be a less invasive technique. It focuses on preserving more of the native breast tissues and avoiding disruption to the chest muscle. That has several implications for your experience: - A smaller scar - Less trauma to the surrounding breast tissue - A recovery that may feel easier in the first days and weeks - A result that is often associated with a softer, more balanced look Some women want a dramatic change in breast size. Others want a subtle increase that looks very natural. Good breast augmentation can accommodate either goal. What Preservé changes is the surgical path used to get there. ## Why This Matters for Women With Busy, Active Lives Many women who consider plastic surgery are not hesitating because they are unsure about the result. They are trying to picture the recovery. You're thinking about work, childcare, social obligations, travel, and how much time you can realistically step away from normal life. That's where a less disruptive technique becomes especially meaningful. A small incision, preservation of natural breast tissue functionality, and less disruption to the surrounding tissues can make surgery feel more manageable from the start. Recovery still requires care, rest, and good judgment. But it can be easier to fit into your real life. This technique can also be appealing for women traveling from out of town for surgery. When early recovery is smoother, the logistics around travel, time away, and returning home can feel more manageable as well. ## What Motiva SmoothSilk Ergonomix Adds The Motiva SmoothSilk Ergonomix implant is part of what gives this technique its appeal. Motiva implants are designed to move more naturally with the body and adapt to changes in posture and motion. When you are looking at breast implants, you're looking at more than just cup size. You are looking at how the breasts look in motion, how they sit, and whether the results look and feel natural. That's where implant design matters. Some women want more upper pole fullness and a rounder look. Some want a softer contour. Some prefer smaller implants and a subtle increase. Others want more volume. Implant choice depends on anatomy, preference, and what kind of result suits the patient best. ## Safety, Tissue Response, and Long-Term Considerations Patients are asking more informed questions about implants than they used to, which is a very good thing! Your chances of long-term success go way up when you are asking questions and talking with your surgeon about the process. Breast implants are not lifetime devices. The FDA is clear about that, and patients should understand the need for long-term follow-up, routine monitoring, and ongoing discussions about implant health over time. For patients, the takeaway is simple: safety is never one single factor. It is the implant, the surgical technique, the surgeon’s experience, the clinical setting, and the quality of follow-up care. Each step needs to be carried out with care. ## Who May Be a Good Fit for Preservé The Preservé technique can be a strong option for women who want: - A subtle increase or moderate enhancement - A small incision - Less disruption to the tissues - A smoother early recovery - Natural-looking results - An implant and technique designed to preserve more of the breast’s support structures It may also appeal to women who have been interested in breast enhancement for some time, but have delayed surgery because the idea of a more involved recovery felt difficult to manage. ## When Another Technique May Make More Sense Preservé is an exciting development, but it is not the right answer for every patient. Some women want a much larger change in breast size. Some want a different implant profile or a different type of fullness. Some have anatomy that calls for another approach to implant placement. Others may need a more traditional method based on tissue thickness, breast shape, or other surgical considerations. This is all sorted out in a consultation where you and your surgeon can discuss your goals and find the right approach. The best technique is the one that fits the patient, not the one with the newest name. ## Why Dr. Shermak Is Offering It Dr. Shermak is offering the Preservé technique because it gives the right patient another thoughtful option in breast surgery. It may allow for: - A smaller incision - Less disruption to the tissues - A smoother recovery - A balanced, elegant result This technique requires dedicated training. Dr. Shermak is fully certified in it, which is an important part of why she is comfortable offering it to her patients. A newer technique only matters if it is used with sound judgment, careful patient selection, and a clear understanding of where it fits. ## Questions Patients Commonly Ask ### Is the Preservé technique the same as regular breast augmentation? No. It's still breast augmentation surgery, but it uses a different method of implant placement and is designed to preserve more of the surrounding breast structures than a more traditional approach. ### Are Motiva implants required? Yes. Preservé is specifically associated with Motiva implants, particularly the SmoothSilk Ergonomix platform. ### Are these silicone breast implants? Yes. The Motiva devices approved in the United States are silicone gel breast implants. ### Does less invasive mean no recovery? No. This is still surgery. Healing time is still required. The difference is that the operation is designed to be less disruptive to the tissues, which may support a smoother early recovery. ### Is this only for subtle results? Not necessarily, but it is more closely associated with balanced, conservative augmentation than with very large-volume changes. The best choice still depends on the patient’s anatomy and goals. ### Does this eliminate the risk of capsular contracture? No implant or surgical technique eliminates that risk. What can be said is that implant design and tissue response remain important areas of research, and that continues to shape innovation in the field. ## What Comes Next A consultation is where Dr. Shermak can evaluate your anatomy, your goals, and the kind of result you want to achieve. That includes: - How much volume you want - How your tissues behave - What implant size and profile suit your frame - Whether a less invasive approach like Preservé is the best fit - Whether another technique would better support your goals For the right patient, the Preservé technique for breast augmentation offers a beautiful way to approach surgery with less disruption, a smaller incision, and a recovery that feels more manageable. Dr. Shermak is pleased to offer it as part of her breast augmentation practice in Baltimore. --- ## Dr. Shermak provides her expertise on Breast Reduction for Young Female Athletes and Men in “His and Hers” in Style Magazine! **Link:** [Dr. Shermak provides her expertise on Breast Reduction for Young Female Athletes and Men in “His and Hers” in Style Magazine!](https://www.drshermak.com/blog/dr-shermak-provides-her-expertise-on-breast-reduction-for-young-female-athletes-and-men-in-his-and-hers-in-style-magazine/) ([md](https://www.drshermak.com/blog/dr-shermak-provides-her-expertise-on-breast-reduction-for-young-female-athletes-and-men-in-his-and-hers-in-style-magazine/index.html.md)) **Description:** Dr. Shermak provides her expertise on Breast Reduction for Young Female Athletes and Men in "His and Hers" in Style Magazine! Style JulyAug15 ### Content Dr. Shermak provides her expertise on Breast Reduction for Young Female Athletes and Men in “His and Hers” in Style Magazine! Style JulyAug15 His&Hers [Back to Blog](/blog/) --- ## Dr. Shermak’s Interview with Health About Cardi B’s Plastic Surgery Experience **Link:** [Dr. Shermak’s Interview with Health About Cardi B’s Plastic Surgery Experience](https://www.drshermak.com/blog/dr-shermaks-interview-with-health-about-cardi-bs-plastic-surgery-experience/) ([md](https://www.drshermak.com/blog/dr-shermaks-interview-with-health-about-cardi-bs-plastic-surgery-experience/index.html.md)) **Description:** Dr. Shermak tells Health the process after plastic surgery and how swelling is pretty common. She brings this to light about Cardi B's experience on a ### Content Dr. Shermak tells Health the process after [plastic surgery](/) and how swelling is pretty common. She brings this to light about Cardi B’s experience on a plane after having liposuction and breast surgery. [Baltimore Board-certified plastic surgeon, Michele Shermak, MD, FACS](/about/), tells Health, “The body has a systemic reaction to surgery. The initial reaction is usually the body just kind of holding onto fluids through inflammation for about four days. That’s the first period of swelling, but the second can last about four months.” Why would Cardi B’s feet swell if she had surgery on her stomach and breasts? “It’s all gravitational,” Dr. Shermak says. “If we do surgery on the legs, for example, the ankles will swell. If we do surgery on the stomach, the pubic area will swell. If we do surgery on the face, the neck will swell. It’s a continuous body region. Everything is connected. So, because it’s gravitational, the feet are the area that see the most swelling, even for torso procedures.” Dr. Shermak believes that Cardi has probably been experiencing more swelling while flying because, on a plane, she’s not up and moving around as much. Sitting still for too long can decrease blood circulation in the legs and result in blood clots. “I always tell my patients to wear the seatbelt loose, hydrate well, and try to walk around during the flight,” she says. Dr. Shermak says it’s important to rest, elevate the area of the body that’s swollen, apply ice packs when sitting or lying down and cut back on sodium. [Back to Blog](/blog/) --- ## Elevate Your New Year: Embracing Plastic Surgery in Your Resolutions **Link:** [Elevate Your New Year: Embracing Plastic Surgery in Your Resolutions](https://www.drshermak.com/blog/elevate-your-new-year-embracing-plastic-surgery-in-your-resolutions/) ([md](https://www.drshermak.com/blog/elevate-your-new-year-embracing-plastic-surgery-in-your-resolutions/index.html.md)) **Description:** As the start of a new year, it's normal to contemplate embracing positive change and personal transformation. And if you're considering aesthetic enh... ### Content As the start of a new year, it’s normal to contemplate embracing positive change and personal transformation. And if you're considering aesthetic enhancements and seeking to elevate your self-confidence, plastic surgery can be a powerful tool for achieving your goals. [Dr. Michele Shermak](/about/dr-shermak/), our top-ranked board-certified plastic surgeon in Baltimore, MD, offers her clients a unique perspective and intuitive insight, providing dedicated support and exceptional results. Let's explore how plastic surgery can be integrated into your New Year's resolutions to embrace self-care, confidence, and positive transformation. ## Setting Personal Transformation Goals The beginning of a new year often prompts us to reflect on our goals and aspirations. Considering plastic surgery as a tool for achieving specific aesthetic goals can empower you to address areas of concern and enhance your overall appearance. Whether it's sculpting your body through [liposuction](/body/liposuction/), rejuvenating your facial features with a [facelift](/face/facelift-baltimore/), or strengthening the contours of your breasts through [augmentation](/breast/baltimore-breast-augmentation/), plastic surgery offers transformative possibilities that align with your desires for self-improvement and renewed confidence. ## Understanding Different Procedures Plastic surgery encompasses diverse procedures designed to address your specific concerns and contribute to your overall well-being. From [body contouring](/body/) and [facial rejuvenation](/face/) to [breast enhancement](/breast/) and [skin rejuvenation](/skin-treatments/), the variety of available procedures caters to your different aesthetic goals and personal preferences. Understanding the nuances of each procedure empowers you to make informed decisions that align with your desired outcomes, ultimately supporting your journey toward self-transformation and enhanced self-image. ## Choosing the Right Time Incorporating plastic surgery into your New Year's resolutions involves thoughtful planning and consideration of timing. Assessing factors such as recovery time, scheduling, and aligning the procedure with your personal milestones is crucial for the seamless integration of plastic surgery into your resolutions. By strategically planning the timing of the procedure, you can optimize your recovery process and align your transformative journey with the fresh start of the new year, setting the stage for a positive and empowering experience. ## Emphasizing Self-Care and Confidence Viewing plastic surgery as a form of self-care underscores the importance of prioritizing your well-being and self-confidence. By addressing areas of concern and enhancing your natural features, you can experience a profound boost in self-esteem and a renewed sense of confidence. And best of all, embracing plastic surgery as a means of self-care allows you to take proactive steps towards feeling good about yourself, fostering a positive self-image, and adopting a newfound sense of empowerment as you enter the new year. We truly believe in this emphasis on self-care and confidence as a path toward personal growth and transformation. ## Expert Guidance Finding the right plastic surgeon is crucial to embarking on a plastic surgery journey that suits your unique needs. Seeking out qualified and experienced plastic surgeons, such as Dr. Shermak, ensures that you receive exceptional care, personalized attention, and outstanding results. We also recommend scheduling a consultation to discuss your goals, ask questions, and gain valuable insights into the procedures that best align with your aspirations. Building a supportive network of healthcare professionals and loved ones during the decision-making process provides essential encouragement and guidance, reinforcing the importance of a well-rounded support system throughout your transformative journey. ## We’re Here for You As the New Year unfolds, the prospect of embracing [plastic surgery](/) as part of your resolutions offers a pathway to personal transformation, enhanced self-confidence, and a renewed sense of well-being. Dr. Michele Shermak, our top-ranked board-certified plastic surgeon in Baltimore, MD, offers her clients a unique perspective and intuitive insight, providing dedicated support and exceptional results. By setting personal transformation goals, understanding different procedures, choosing the right time, emphasizing self-care and confidence, and seeking expert guidance, you can integrate plastic surgery into your resolutions with confidence and optimism. So why not start this year with a fundamental change towards rejuvenation and revitalization? [Contact us today](/contact/) for a consultation. [Back to Blog](/blog/) --- ## Exploring the Longevity of Facelifts: How Long Can You Expect Results to Last? **Link:** [Exploring the Longevity of Facelifts: How Long Can You Expect Results to Last?](https://www.drshermak.com/blog/exploring-the-longevity-of-facelifts-how-long-can-you-expect-results-to-last/) ([md](https://www.drshermak.com/blog/exploring-the-longevity-of-facelifts-how-long-can-you-expect-results-to-last/index.html.md)) **Description:** Facelift surgery, also known as rhytidectomy, is a powerful tool for addressing signs of aging in the face and neck. It's an elegant procedure that o... ### Content [Facelift surgery](/face/facelift-baltimore/), also known as [rhytidectomy](/face/facelift-baltimore/), is a powerful tool for addressing signs of aging in the face and neck. It’s an elegant procedure that offers a chance for a revitalized and more youthful appearance. But when considering a facelift, many of our patients come to us with the question: how long do the results last? At our practice, led by our esteemed board-certified plastic surgeon, [Dr. Michele Shermak](/about/dr-shermak/), we love answering such questions to help our clients navigate their journey and get the results they deserve. To that end, let’s examine the factors that may affect the lifespan of your facelift results. ## How Long Does a Facelift Usually Last? When it comes to the longevity of facelifts, the average duration of results is around eight years. This estimate takes into account a broad spectrum of skin types, ranging from individuals with lax, wrinkly, sun-damaged skin to those with barely a wrinkle. It's important to note that while the aging process continues after a facelift, the procedure does slow down the overall clock of aging. This means that someone who undergoes a facelift will age at a slower pace due to the improved tautness and scar tissue resulting from the surgery. ## Factors Influencing Longevity Several factors can influence the longevity of facelift results. These include individual variations in skin type, lifestyle choices, and the natural aging process. While the average duration of results is around eight years, it's essential to recognize that each person's experience may differ based on these factors. ## Skin Type and Aging Process The longevity of facelift results is closely tied to your skin type. Factors like skin laxity, sun damage, and the presence of wrinkles can all influence how long the effects of the procedure will last. It's worth noting that individuals with more resilient skin may experience longer-lasting results compared to those with more pronounced signs of aging, highlighting the personalized nature of facelift outcomes. ## Lifestyle Choices Your lifestyle choices, including sun exposure, smoking, and skincare habits, can significantly influence how long your facelift results endure. Engaging in protective measures such as shielding your skin from sun damage, abstaining from smoking, and adhering to a consistent skincare routine can play a pivotal role in contributing to the prolonged effects of the facelift, underscoring the importance of holistic care in maintaining lasting results. ## Natural Aging Process While a facelift can effectively address signs of aging, it's crucial to recognize that the natural aging process continues after the procedure. As you can imagine, your unique genetic makeup and overall health will still influence the aging process of your face, which in turn may affect how long the results of a facelift last. ## We’ve Got You Covered As you can see, a number of factors may influence the duration of your facelift results. Rest assured, Dr. Shermak and our team understand the importance of addressing your unique concerns and tailoring procedures to meet your specific needs. If you're considering a [facelift](/face/facelift-baltimore/) to achieve a more youthful and rejuvenated appearance, we encourage you to [schedule a consultation with Dr. Shermak](/contact/) to explore your options. We're here to guide you on your journey to lasting, natural-looking results. [Back to Blog](/blog/) --- ## Exploring the Surge in Eyelid Lifts and Brow Lifts: Innovations and Appeal **Link:** [Exploring the Surge in Eyelid Lifts and Brow Lifts: Innovations and Appeal](https://www.drshermak.com/blog/exploring-the-surge-in-eyelid-lifts-and-brow-lifts-innovations-and-appeal/) ([md](https://www.drshermak.com/blog/exploring-the-surge-in-eyelid-lifts-and-brow-lifts-innovations-and-appeal/index.html.md)) **Description:** In recent years, eyelid and brow lifts have emerged as increasingly sought-after cosmetic procedures. These surgeries offer a chance to revitalize your app... ### Content In recent years, [eyelid](/face/blepharoplasty/) and [brow lifts](/face/brow-lift/) have emerged as increasingly sought-after cosmetic procedures. These surgeries offer a chance to revitalize your appearance and achieve a more youthful look. With the growing demand for these transformative surgeries, patients are intrigued by the advancements fueling their popularity and the factors contributing to their effectiveness. At our practice, under the guidance of board-certified plastic surgeon [Dr. Michele Shermak](/about/dr-shermak/), we're committed to exploring the growing popularity of eyelid lifts and brow lifts. Join us as we uncover the innovations driving their appeal and examine the factors shaping their lasting impact on facial rejuvenation. ## The Surge in Eyelid Lifts and Brow Lifts **Q: Are you seeing more eyelid lifts and brow lifts?** Dr. Shermak: "Eyelid lifts and brow lifts are definitely increasing in frequency. There are innovations to traditional techniques that make these procedures even more appealing now. For example, with a brow lift, we can do approaches from the temple to help elevate the side of the brow, which may look better than overall brow lifting. We have become really experienced with small incision approaches with the endoscope as well. And with upper lids, I can even do it under local anesthesia in the office! Eyelids and brow are small procedures that refresh the whole face." ## Evolution of Techniques: In recent years, eyelid and brow lifts have seen remarkable technological advancements, contributing to their increased effectiveness and appeal. Traditional approaches have been refined to accommodate the evolving preferences of patients seeking facial rejuvenation. For instance, temple approaches for brow lifts have gained popularity, allowing for more precise elevation of the brow's side. Additionally, small incision endoscopic procedures have become increasingly favored, enabling surgeons to achieve natural-looking results with minimal scarring. These innovative techniques offer patients the opportunity to enhance their appearance with greater precision and subtlety, aligning with the modern aesthetic ideal of natural beauty. ## Benefits of Local Anesthesia: A notable trend in the surge of eyelid lifts and brow lifts is the adoption of local anesthesia, particularly for upper eyelid surgery. This shift represents a departure from traditional approaches that relied on general anesthesia, offering several advantages for patients. By undergoing these procedures under local anesthesia, patients experience reduced recovery time and enhanced comfort during and after surgery. Dr. Shermak's expertise in administering local anesthesia in the office setting underscores the convenience and efficiency of this approach, providing patients with a more comfortable and streamlined experience. ## Refreshed Facial Appearance: Although [eyelid lifts](/face/blepharoplasty/) and [brow lifts](/face/brow-lift/) are often considered minor procedures, their impact on the overall facial appearance is significant. These surgeries can achieve a remarkable transformation by addressing issues such as drooping eyelids and sagging brows, revitalizing the entire face. [Dr. Shermak](/about/dr-shermak/) emphasizes the transformative effects of these procedures, highlighting their ability to restore a youthful and rejuvenated appearance. With subtle yet impactful enhancements, eyelid lifts and brow lifts offer individuals the opportunity to achieve natural-looking results that enhance their facial features and boost their confidence. ## Get the Results You Deserve As you can see, when it comes to the world of cosmetic enhancements, the surge in popularity of eyelid lifts and brow lifts reflects just how much these procedures can have on one's overall appearance. Dr. Shermak's unwavering commitment to staying abreast of the latest techniques and her dedication to personalized care ensures that you receive the highest standard of guidance and support as you explore the possibilities of rejuvenation through these transformative procedures. We invite you to [schedule a consultation today](/contact/) and take the first step towards discovering the rejuvenating potential of eyelid and brow lifts. [Back to Blog](/blog/) --- ## Facelift Perfection: The Art of Harmonizing with Fat Injections **Link:** [Facelift Perfection: The Art of Harmonizing with Fat Injections](https://www.drshermak.com/blog/facelift-perfection-the-art-of-harmonizing-with-fat-injections/) ([md](https://www.drshermak.com/blog/facelift-perfection-the-art-of-harmonizing-with-fat-injections/index.html.md)) **Description:** In our practice, we strongly advocate empowering our clients through knowledge and understanding of procedures. To this end, Dr. Michele Shermak, our estee... ### Content In our practice, we strongly advocate empowering our clients through knowledge and understanding of procedures. To this end, [Dr. Michele Shermak](/about/dr-shermak/), our esteemed board-certified [plastic surgeon](/about/dr-shermak/), provides valuable insights and expert advice on the recovery journey following a [facelift](/face/facelift-baltimore/), aiming to support and guide her patients through this transformative process. So, let’s dive into the world of facelift enhancements as we explore the transformative impact of incorporating fat injections. Together, we will uncover the intricate details of this complementary procedure, understanding how it works to restore lost volume and promote a natural, youthful appearance. From the science behind [fat grafting](/face/facial-fat-transfers/) to its versatile applications in areas like temples, cheeks, and chin, discover the synergy between facelifts and fat injections for stunning, long-lasting results. ## Understanding the Art of Fat Injections Fat injections, also known as fat grafting or fat transfer, involve the transfer of a patient's fat from one area of the body to another. This technique has been widely embraced in cosmetic surgery for its versatility and natural results. When integrated into facelift procedures, fat injections can address volume loss, enhance facial contours, and improve overall aesthetic harmony. ## Benefits of Harmonizing Facelifts with Fat Injections The combination of facelifts and fat injections offers myriad benefits that contribute to achieving facial rejuvenation perfection. Here are some of the standout benefits you can expect: - **Natural Results**: Fat injections restore lost volume naturally and harmoniously, avoiding the appearance of an overly "pulled" or "stretched" look often associated with traditional facelifts. - **Long-Lasting Effects**: Unlike synthetic fillers, fat injections have the potential to provide long-lasting results, as the transferred fat becomes integrated into the facial tissues, maintaining volume and contour over time. - **Customized Enhancement**: Fat injections allow for precise sculpting and contouring, enabling surgeons to tailor the procedure to each patient's unique facial anatomy and aesthetic goals. ## Insights from Dr. Shermak ### Q. I’ve read that fat injections with facelifts make it more natural looking. Do you do that, and if so, how does that work? “Fat injections are a perfect complement to facelift. We know there are defined anatomical fat compartments deep and superficial in the face. This fat atrophies over time, leading to a more deflated older look. A youthful face is fresh and full, with a nice junction point between the lower lid and cheeks. So, fat grafting can help restore the fat we lose as we age. Fat adds volume and stem cells, so it not only helps create a beautiful upward sweep but also a fresher appearance to the skin, with improved structural support. Fat is great for the temples, cheeks, “marionette lines,” and chin.” ## Techniques for Harmonizing Facelifts with Fat Injections Integrating fat injections into facelift procedures requires a meticulous and artistic approach to achieve optimal results. Several techniques are employed to ensure the harmonious blending of facelifts with fat injections: - **Strategic Fat Harvesting**: The process begins with gently extracting fat from donor areas such as the abdomen, thighs, or flanks using specialized liposuction techniques, ensuring the preservation of fat cell viability. - **Purification and Processing**: The harvested fat is carefully processed to remove impurities, excess fluids, and non-viable fat cells. This purification step is crucial for enhancing the survival rate of the transferred fat and ensuring a smooth, natural appearance post-procedure. - **Customized Injection Technique**: The refined fat is skillfully injected into targeted areas of the face, considering the patient's unique facial structure and desired outcome. The surgeon's artistic eye and precision are pivotal in achieving balanced and symmetrical results. ## Outcomes and Expectations Harmonizing facelifts with fat injections yields transformative outcomes beyond traditional facial rejuvenation. Patients can expect the following results from this integrated approach: - **Enhanced Volume and Contour**: Fat injections effectively restore lost volume and contour to the face, addressing areas such as the cheeks, temples, and under-eye hollows to achieve a more youthful and balanced appearance. - **Improved Skin Quality**: The regenerative properties of transferred fat can enhance skin quality, promoting a smoother, more radiant complexion and reducing the appearance of fine lines and wrinkles. - **Natural Longevity**: With proper integration and healing, the transferred fat becomes a permanent part of the recipient's facial anatomy, providing enduring results that evolve naturally with aging. ## Experience the Difference As you can see, the integration of facelifts with fat injections presents a refined method for facial rejuvenation, granting patients the chance to attain enduring, natural, and balanced results. So, if you are considering this transformative approach, we encourage you to [schedule a consultation](/contact/) with Dr. Shermak today to explore the possibilities for your personalized facial rejuvenation journey. [Back to Blog](/blog/) --- ## Facelift Recovery Unveiled: A Timeline to Radiant Results **Link:** [Facelift Recovery Unveiled: A Timeline to Radiant Results](https://www.drshermak.com/blog/facelift-recovery-unveiled-a-timeline-to-radiant-results/) ([md](https://www.drshermak.com/blog/facelift-recovery-unveiled-a-timeline-to-radiant-results/index.html.md)) **Description:** At our practice, we believe that an informed client is an empowered client. To that end, in this piece, Dr. Michele Shermak, our board-certified plastic su... ### Content At our practice, we believe that an informed client is an empowered client. To that end, in this piece, [Dr. Michele Shermak](/about/dr-shermak/), our board-certified plastic surgeon, sheds light on the transformative process of facelift recovery, offering expert guidance and intuitive insights to her patients. Herein, we will explore the swift journey to rejuvenation as we delve into the average recovery time for [facelift procedures](/face/facelift-baltimore/) and uncover the stages of healing, from stitch removal in just one week to achieving a great look within a month. This way, you can better see how facelift recovery compares to other cosmetic surgeries and gain insights into postoperative care for optimal results. ## Understanding Facelift Recovery The recovery timeline for a facelift is a crucial aspect of the overall surgical experience. And it’s worth noting that Dr. Shermak emphasizes that the average time for facelift recovery is faster than that of breast and body procedures. Stitches are typically removed in just one week after the surgery, marking the initial stage of the healing process. At this point, patients are generally free to resume their nonstrenuous, routine activities. By the two-week mark, patients should see noticeable improvements in their appearance, with the full extent of the results becoming increasingly apparent by the one-month milestone. This accelerated recovery timeline sets facelift procedures apart, offering patients a relatively swift path to achieving their desired rejuvenated look. ## Navigating the Initial Week During the first week following a facelift, patients can expect to experience some swelling and bruising, which are common side effects of the procedure. Dr. Shermak advises her patients to follow postoperative care instructions diligently, including keeping the head elevated and applying cold compresses to alleviate swelling. Stitches are typically removed at the one-week mark, marking a significant milestone in the recovery process. This initial phase sets the stage for the subsequent stages of healing, paving the way for a smoother and more comfortable recovery journey. ## Evolving Appearance at Two Weeks As the second week unfolds, patients should begin to witness a remarkable transformation in their appearance. Swelling and bruising tend to subside, revealing a more refined and rejuvenated facial contour. Dr. Shermak underscores the importance of patience during this stage, as the gradual improvement in appearance signifies the natural progression of the healing process. By this point, patients can typically resume their nonstrenuous, routine activities, allowing them to ease into their daily lives with renewed confidence and vitality. ## Achieving Radiant Results at One Month By the one-month mark, patients undergoing a facelift procedure can expect to witness the full extent of their radiant results. Dr. Shermak emphasizes that most swelling and bruising have subsided at this stage, allowing the rejuvenated facial features to take center stage. Patients often report feeling more confident and satisfied with their appearance as the transformative effects of the facelift become increasingly evident. The enhanced contours and tightened skin contribute to a youthful and revitalized aesthetic, reflecting the culmination of the recovery journey and the achievement of radiant results. ## Insights from Dr. Shermak ### Q. What is the average time for recovery of a facelift? [.block][]“Recovery from a facelift is faster than the breast and body. Stitches are removed in 1 week after surgery. Patients are typically free to do their nonstrenuous, routine activities at that time. By two weeks, the patient should look good, and by a month, great." ## Postoperative Care for Optimal Results Postoperative care is pivotal in ensuring optimal results and a smooth recovery journey. Dr. Shermak advises her patients to adhere to prescribed postoperative care instructions, including maintaining a healthy lifestyle, avoiding strenuous activities, and attending follow-up appointments to monitor their progress. By prioritizing postoperative care, patients can enhance the longevity of their facelift results and experience a seamless recovery process. ## Let Us Be Your Guide As you can see, the path to achieving radiant results through facelift recovery involves a rapid and transformative timeline, especially under the expert guidance of Dr. Shermak. Patients can embark on this rejuvenating journey with confidence and optimism by having a deeper understanding of the healing stages, experiencing the accelerated recovery process, and prioritizing postoperative care. So why delay? [Call us to schedule a consultation](/contact/) with Dr. Shermak today to begin your transformative facelift journey. [Back to Blog](/blog/) --- ## Fitness and Plastic Surgery: The Perfect Pair **Link:** [Fitness and Plastic Surgery: The Perfect Pair](https://www.drshermak.com/blog/fitness-and-plastic-surgery-the-perfect-pair/) ([md](https://www.drshermak.com/blog/fitness-and-plastic-surgery-the-perfect-pair/index.html.md)) **Description:** Why talk about fitness in a surgical blog? Because fitness will optimize surgical outcomes, and as a plastic surgeon aiming to get the best possible ### Content Why talk about fitness in a surgical blog? Because fitness will optimize surgical outcomes, and as a plastic surgeon aiming to get the best possible results, I cannot deny that it takes more than surgery to get my patients superior results. The better your health, the better your surgical outcome. Plastic surgery is not a cure for poor health; plastic surgery is meant to improve upon focal physical problems to enhance health. An aging face, deflated breasts, lax abdomen, localized fat – these garden variety plastic surgery problems result from genetics, giving birth, aging. Medical issues need to be addressed prior to plastic surgery procedures. A healthy body maximizes the surgical results plastic surgeons create. Thinner skin, sculpted muscles, excellent core fitness and posture undoubtedly assure the outcomes of surgery on the torso, for example. A healthy body also contributes to a healthy mind and spirit, and although we don’t know how this impacts individuals on a cellular level, the benefits of general well-being and a positive outlook are undeniable. After surgical recovery is complete, usually within 4 weeks with uncomplicated healing, I strongly encourage my patients to return (or go to) the gym and participate in a fitness regimen. Barre, yoga, pilates, and swimming are wonderful, low impact programs that strengthen the core and trim the body. Working with a professional trainer is also a great way to reach fitness milestones. My patients who strive for fitness and lead a healthy lifestyle have the best results I have seen! [Back to Blog](/blog/) --- ## How Do Different Implant Profiles Affect the Final Aesthetic Outcome of Breast Augmentation? **Link:** [How Do Different Implant Profiles Affect the Final Aesthetic Outcome of Breast Augmentation?](https://www.drshermak.com/blog/how-do-different-implant-profiles-affect-the-final-aesthetic-outcome-of-breast-au/) ([md](https://www.drshermak.com/blog/how-do-different-implant-profiles-affect-the-final-aesthetic-outcome-of-breast-au/index.html.md)) **Description:** Implant sizing is more complicated than just choosing a volume. The most important measure in determining the best implant option for my patients is the ba... ### Content Implant sizing is more complicated than just choosing a volume. The most important measure in determining the best implant option for my patients is the base width of the breast. Based on this, we can determine the diameter of a potential implant. There is a range of projections associated with a given diameter, and this is the implant profile. All implant manufacturers have a range of implants available for each given width/diameter. Projections range from the most conservative moderate projection to a moderate plus, high profile, ultra high profile, and then on to the more overfilled gummy bear implants to provide a fuller look. The implant profile will help determine the final cup size. It’s important to not only have a conversation but also to sample the appearance of these implants in a bra at the time of consultation, and I like to size with implants that match those we would place in the operating room, with a fitted bra. That way, we can determine the most exact, best implant to reach my patient’s goal and have her wake up in the recovery room, look down, and see exactly what she expected. Sizing is critical to the predictability of [breast augmentation](/breast/baltimore-breast-augmentation/) outcomes, and implant profile determines fullness. Sometimes, a higher profile implant is necessary to get to a given cup size. Many of my patients are deflated after significant weight loss or having children, and therefore, to get to an average C cup, for example, they may need a relatively high-profile implant. I tell my patients that the outcome is determined by A) the base size of the breast and B) the size of the implant. If we need to place a higher profile implant to get to even a full C, then that’s the way it should be. This is the implant profile concept, which is the key variable in augmented breast outcome, not just volume. [Back to Blog](/blog/) --- ## How Does a Butt Lift Procedure Differ for Patients with a History of Significant Weight Fluctuations? **Link:** [How Does a Butt Lift Procedure Differ for Patients with a History of Significant Weight Fluctuations?](https://www.drshermak.com/blog/how-does-a-butt-lift-procedure-differ-for-patients-with-a-history-of-significant/) ([md](https://www.drshermak.com/blog/how-does-a-butt-lift-procedure-differ-for-patients-with-a-history-of-significant/index.html.md)) **Description:** “Brazilian Butt Lift” - BBL - has become infamous on social media, but what about “Buttock Lift” after Significant Weight Los... ### Content “[Brazilian Butt Lift](/body/brazilian-butt-lift/)” – BBL - has become infamous on social media, but what about “Buttock Lift” after Significant Weight Loss? Is it the same thing? The short answer is “no.” Buttock lift after significant weight loss – however the weight loss is achieved - is a true lift of lax, deflated, excess skin in the lower back that occurs with significant weight loss. The buttock in these cases loses a lot of soft tissue and can be hidden under the elongated back skin. To address this area, I remove the excess skin in the lower back, but maintain the deeper tissue to help augment the volume deficient buttocks. The buttocks after surgery are lifted with more volume and roundness. When performed in conjunction with tummy tuck, either in a single stage or 2-staged, there is added improvement in the hip/waist area, “saddlebags” and even in the inner thighs - lots of adjacent lift in addition to the buttocks.[.block][][.block][] [BBL](/body/brazilian-butt-lift/) is not an actual lift but rather a trick of the eye. BBL includes liposuction of the back area above the buttocks, and the fat removed is transferred to the buttock and sometimes outer thigh region. The “subtraction-addition” leads to a more round appearing buttock that largely depends on sculpted reduction of the hip and waist. BBL is not typically performed in the setting of significant weight loss as the primary issue is excess skin, not fat, but if there is usable fat present, it can certainly be recycled to augment a buttock lift performed to address changes associated with weight loss. [Buttock Lift](/body/brazilian-butt-lift/) can be a huge refresher to the body, allowing the buttocks to look better in fitted clothing, at the gym, and in bathing suits. The procedure is tailored to each individual presentation and goal. If this is of interest to you, call Dr. Michele Shermak, board certified plastic surgeon in Baltimore, who specializes in this procedure: [(410) 616-3000](tel:(410) 616-3000). She looks forward to seeing you! [Back to Blog](/blog/) --- ## How do silicone implants hold up over time, and when should they be replaced? **Link:** [How do silicone implants hold up over time, and when should they be replaced?](https://www.drshermak.com/blog/how-do-silicone-implants-hold-up-over-time-and-when-should-they-be-replaced/) ([md](https://www.drshermak.com/blog/how-do-silicone-implants-hold-up-over-time-and-when-should-they-be-replaced/index.html.md)) **Description:** It is so interesting. There's an urban tale floating around that breast implants last for 10 years, and those with implants should consult with a pla... ### Content It is so interesting. There’s an urban tale floating around that [breast implants](/breast/baltimore-breast-augmentation/) last for 10 years, and those with implants should consult with a plastic surgeon 10 years out from their augmentation to plan next steps. Ten years? There is no scientific data to back up this information. On looking at the number alone, I always think: what a round number, so perfect. In considering the life span of breast implants I share with my patients breast implant companies like Mentor and Allergan are absolutely obsessive about the quality of manufacturing implants. About 5 years ago Mentor recalled all their saline implants because the stamp that identifies implant volume was a little off center and there was concern this could create a vulnerability in the integrity of the implant shell. No implants actually were reported to have been damaged by this stamping flaw. Mentor company was just super proactive about it. Further, all the companies warranty their implants 100% for at least 3 years. If an implant needs to be replaced, all of the costs associated with implant replacement are covered. And if a different sized implant is desired in the revision, fine. And if the opposite implant needs to be replaced as a result to keep things symmetrical, also fine! The companies are obsessive over the perfection of their implants, both saline and silicone gel. So what do I tell my patients? I tell them that I would expect their implants to last 20-25 years. I tell them that saline implant durability is not quite as good as silicone gel implant integrity. I tell them that every now and then, there is an implant with a problem, but usually, that is identifiable within a year, and replacement will be 100% covered. Patients should come in for evaluation if they note a change in shape, tightness, volume, symmetry or become more aware of the implant. This may be a sign that the implant is wearing. That may be the time to replace the implant. And certainly many women experience body image transitions over time: an implant that was perfect in a woman’s 20’s may not fit her 40’s lifestyle or aesthetic goals – for example. So the implants can be removed, replaced, with or without ancillary procedures like a [breast lift](/breast/breast-lift/) or [liposuction](/body/liposuction/) and [fat transfer](/breast/fat-transfer/). And a [plastic surgeon](/about/dr-shermak/) certified by the American Board of Plastic Surgeons is the safest, most well equipped provider to service breast implant revision needs. Much of my practice is rooted in revising [breast augmentation surgery](/breast/baltimore-breast-augmentation/), and I really enjoy this satisfied group of patients! [Back to Blog](/blog/) --- ## How Dr. Shermak Approaches Natural-Looking Breast Augmentation **Link:** [How Dr. Shermak Approaches Natural-Looking Breast Augmentation](https://www.drshermak.com/blog/how-dr-shermak-approaches-natural-looking-breast-augmentation/) ([md](https://www.drshermak.com/blog/how-dr-shermak-approaches-natural-looking-breast-augmentation/index.html.md)) **Description:** Learn how Dr. Shermak creates natural-looking breast augmentation results through personalized sizing, implant selection, and balanced proportions. ### Content Many women who visit Dr. Michele Shermak for breast augmentation have thought about it for a long time. They’ve collected photos, experimented with different bras, or noticed changes in their breasts after pregnancy, breastfeeding, weight loss, or aging. Some have always wanted fuller breasts, while others miss the volume they once had. They have concerns that are sometimes difficult to express, like becoming larger than they want or having breasts that don’t suit their body. Most importantly, they still want to look like themselves. Dr. Shermak takes these concerns seriously. She begins each breast augmentation by focusing on the individual: her body, her preferences, her lifestyle, and the changes she wants. Achieving a natural look starts with understanding the person, not just their chest. ## **What Natural-Looking Means in Dr. Shermak's Practice** Natural-looking breast augmentation means the breasts fit the patient’s body and match what she wants. It isn’t about a specific size. A petite woman might choose a subtle change, while someone with a broader chest may need more volume for balance. Another may want fuller cleavage but still prefer a natural look. Dr. Shermak considers the width of the chest, how much breast tissue is present, the position of each breast, and the skin’s strength. She also looks at the overall body shape. The same implant could look subtle on one person and more noticeable on another. The natural breast shape matters just as much as the implant. Breast tissue helps cover the implant and smooth the transition from the upper chest. Thin tissue can make implant edges or rippling more visible. Stretched skin might need extra support beyond what an implant offers. Dr. Shermak takes all of this into account when planning treatment. ## **The Consultation Does the Heavy Lifting** Breast augmentation starts long before surgery. In the consultation, Dr. Shermak asks what the patient wants to change and what she hopes to keep. Patients can try real implants in a bra to see how different sizes look. Dr. Shermak personally helps with sizing and encourages patients to return before surgery if they want to try again. There’s no rush; patients should take their time to decide. Reference photos help patients show what they like, but their own body will affect the final result. Dr. Shermak uses these images to understand each request and then considers how it fits the patient’s body. Activities like running, work, childcare, and clothing choices all influence how a woman feels about breast volume as well. The implants should fit her real life. ## **Cup Size Can Muddy the Issue** Cup size isn’t a reliable measurement for surgery. Bra sizes vary between brands, and the cup letter doesn’t tell you about width or projection. Breast implants are measured in cubic centimeters (cc), and volume is just one factor to consider. The width of the implant affects how it fits across the breast, while the profile determines how far it sticks out from the chest. If an implant is too wide or too narrow, it can change the breast’s shape. Dr. Shermak looks at width, profile, volume, tissue coverage, and the patient’s goals together. Silicone and saline breast implants feel different, though both have a silicone shell. Saline implants are filled with saltwater after they’re placed, which is helpful if the breasts need different amounts. Silicone implants are filled with gel and usually feel softer, especially in women with less tissue. The choice depends on the patient’s body and preferences. ## **Where Surgical Technique Shows Up** An implant can be placed above the chest muscle, under the muscle, or partly covered by muscle at the top. Each option changes how much tissue covers the implant, how it moves, and how recovery feels. Dr. Shermak picks the placement that fits each patient best. Breast augmentation is done under general anesthesia and usually doesn’t require an overnight stay. Incisions can be made under the breast, around the areola, or in the armpit. Dr. Shermak decides on the best spot based on the implant, the patient’s anatomy, and what she needs for access. She uses a temporary sizer to check proportions before placing the final implant. For some patients, Dr. Shermak offers the[ Preservé technique](https://www.drshermak.com/blog/dr-shermak-now-offers-the-preserve-technique-for-breast-augmentation/) with Motiva implants. This method uses a smaller incision and preserves more of the breast’s support structures, which can make the early recovery period easier. ## **Natural-Looking Results Can Still Be Noticeable** Smaller breast implants are more popular now, but Dr. Shermak doesn’t see small as the only right choice. Some women want a subtle change after pregnancy, while others want a noticeable increase in size or more fullness at the top of the breast. A good result can match any of these goals. A more important question is how much volume the body and breast tissue can support comfortably. Larger implants add more weight to the skin and internal structures over time. Dr. Shermak talks about these long-term effects as well as the look the patient wants now. As a board-certified plastic surgeon, Dr. Shermak explains what a chosen size could mean for tissue coverage, exercise, and long-term support. The final decision always belongs to the patient. ## **When a Breast Lift Belongs in the Plan** Breast augmentation adds or restores volume, but it can’t fix every change in breast position. Pregnancy, breastfeeding, weight loss, and aging can stretch the skin and lower the breast tissue. A large implant might make the breasts heavier without giving the desired shape. In these cases, Dr. Shermak may suggest a[ breast lift](https://www.drshermak.com/breast/breast-lift/) along with augmentation. The lift raises and reshapes the breast, while the implant adds volume. By treating position and volume separately, she can better control the final result. [Breast fat transfer](https://www.drshermak.com/breast/fat-transfer/) can soften the edge of an implant, improve uneven contours, or add a small amount of volume, but it can’t replace the support of a lift if the breast has sagged. ## **Why Some Women Are Choosing Smaller Implants** Many women with breast implants also want a more natural look. A patient might have been happy with her original augmentation but now feels the size doesn’t fit her anymore. Changes like pregnancy, weight shifts, menopause, exercise, or new clothing styles can all affect what feels right. Some women want [implant revision](https://www.drshermak.com/breast/breast-implant-revision/) because their implants feel heavy or look too noticeable. Others experience movement, rippling, rupture, or capsular contracture, which happens when scar tissue tightens around the implant. Patients with symptoms they believe are linked to breast implant illness should get a medical evaluation and have an honest talk about what research can and can’t tell us. Downsizing allows a woman to keep her implants but with less volume or projection.[ Breast explant surgery](https://www.drshermak.com/breast/breast-explant/) removes the implants completely. As a woman’s needs change, breast surgery can adapt to her current situation. ## **Downsizing Can Be Real Revision Surgery** Switching from a large implant to a smaller one might seem straightforward, but the breast tissue may react differently. A large implant can stretch the skin and the pocket inside the breast. If the new implant is much smaller, it might move, sit too low, or leave the breast looking deflated unless the space is repaired. Dr. Shermak checks the implant’s position, the pocket, nipple placement, breast tissue, and skin quality. A small change might only need a direct swap, but a bigger reduction could require pocket repair, a breast lift, fat transfer, or a combination of these methods. Revision surgery requires a different set of skills than first-time augmentation. The surgeon needs to know how the first surgery changed the breast and how factors like implant weight, scar tissue, and aging have played a role. Dr. Shermak has performed over 1,800 breast augmentations and uses that experience to guide decisions about volume, support, and shape. ## **A Breast Augmentation Should Still Feel Right Years Later** Breast implants aren’t meant to last a lifetime. Patients might need another surgery due to rupture, capsular contracture, changes in position, or simply a new preference. Women with silicone gel implants should follow their surgeon’s and manufacturer’s monitoring advice. Regular breast cancer screening is still important after augmentation, and the imaging center should be told about the implants. It’s impossible to predict every change that pregnancy, weight, hormones, or age might bring. Having a good plan gives patients a solid starting point. Dr. Shermak always aims for results that suit the woman as she is now and respect her natural tissue. The implant might be small or large, but success means the patient looks in the mirror and still sees herself. --- ## How is the cost of plastic surgery procedures determined? **Link:** [How is the cost of plastic surgery procedures determined?](https://www.drshermak.com/blog/how-is-the-cost-of-plastic-surgery-procedures-determined/) ([md](https://www.drshermak.com/blog/how-is-the-cost-of-plastic-surgery-procedures-determined/index.html.md)) **Description:** One of the most common questions we get is related to cost of plastic surgery procedures. To pull back the curtain a bit, I want to share why procedures co... ### Content One of the most common questions we get is related to cost of plastic surgery procedures. To pull back the curtain a bit, I want to share why procedures cost what they do. There are 3 components that go into a plastic surgery quote: - **Surgeon’s professional fee **– this is determined by duration and complexity of surgery, and level of experience. In some markets- particularly big metropolitan areas- costs can be relatively high and are related to years of experience and frankly gamesmanship in consumerism (the greater the cost, the greater the perceived value and cache: a business strategy that does not necessarily ensure quality. But who feels comfortable going to the cheapest guy?) We don’t do that. We like to keep costs to our patients down as best as we can. - **Anesthesia provider**- also determined by time surgery takes and regional rates that come from cost of living and of practicing medicine - **Facility costs** – this includes equipment, staff, supplies, medications, and garments. Surgery time and regional costs for rent and staffing impact cost. For this reason it may be worth traveling to an accessible city which is more affordable with less overhead passed onto the patient (like coming to Baltimore from DC or Philadelphia!) Keep in mind that cost determination goes beyond just surgery time. While one surgeon’s time in the OR might seem short, this often reflects a greater surgical mastery and not a lower level of complexity. As a renowned plastic surgeon once said- “It took me 30 years to be able to do this in 30 minutes.” And more to think about- pairing surgeries is cheaper than performing each surgical procedure independently. Cost is money, time to recover, and getting everything you need addressed in one procedure (or as few as possible). One nonstop flight is cheaper than 2 individual flights with one takeoff, staff and service. It is well worth [discussing](/contact/) whether you are a candidate for combining surgeries with your plastic surgeon. [Back to Blog](/blog/) --- ## How Long Does It take for Swelling To Go Down After Facial Fat Transfer? **Link:** [How Long Does It take for Swelling To Go Down After Facial Fat Transfer?](https://www.drshermak.com/blog/how-long-does-it-take-for-swelling-to-go-down-after-facial-fat-transfer/) ([md](https://www.drshermak.com/blog/how-long-does-it-take-for-swelling-to-go-down-after-facial-fat-transfer/index.html.md)) **Description:** Facial Fat Transfer is an increasingly popular procedure to restore fat volume in the face which deflates with aging. Anatomical fat compartments in the ### Content [Facial Fat Transfer](/face/facial-fat-transfers/) is an increasingly popular procedure to restore fat volume in the face which deflates with aging. Anatomical fat compartments in the superficial and deep planes of the face have been identified and studies have demonstrated that this fat reduces over time to result in visible aging, an even greater factor to aging than descent. Fat transfer to the face is performed either as a primary procedure to address aging of the face or as an adjunct in [facelifting](/face/facelift-baltimore/). Fat not only adds volume but also stem cell effect which results in biological change of the structural tissues and skin of the face, an effect which supercedes the results of adding volume alone. The volume of fat applied to the face differs on a case by case basis, depending on patient factors: the need for volume, locations that will be addressed, and desired appearance. Very small aliquots of fat may be applied to the forehead, upper brow and area around the eyes to refresh these areas. Fat may also supplement the temple area which thins greatly as we age. Moderate amounts of fat – several cc’s- may be applied to deep creases on the face, particularly the nasolabial and marionette lines, to help elevate the depressed lines and build up structure in the face supporting the area around the mouth. This fat restores crumbling pillars in the central mid and lower face. Fat may be placed in the lips for plumping and rejuvenation with reduction of lines around the lips. Fat may be placed in the cheek in the mid face and along the side over the cheekbones to achieve lift, and in the chin area to improve profile projection or skin quality and cobblestoning with animation. Furthermore, fat can be placed in the nasal area to correct asymmetries, improve contours and projection, or revise undesired outcomes after [Rhinoplasty](/face/rhinoplasty/). Typically in these facial fat transfer procedures, full facial treatment with fat can range in volume from 10cc up to 40cc with only 2 to 3 small imperceptible incisions on either side of the face. Fat takes some time to settle in the face where it is injected. It may take about 2 weeks to have the public not appreciate an intervention was performed, only seeing a refreshed appearance (maybe some time on vacation or a new haircut?) Usually within 6 weeks, swelling is 80% gone and results can be appreciated. It takes a full 3 months to see final results, with swelling down and absorption no longer occurring. On average “take” of fat transferred is 70% and up, utilizing fat that has been isolated from oil and numbing solutions and managed as atraumatically as possible. Sometimes there may be palpable lumps in the face or lip and these can be massaged out over time. Facial augmentation outcome may be impacted by overall weight change, and weight gain might amplify fat in the face. The important thing is that Facial Fat Transfer outcome depends on patient input and results should be within a realm of expectation. Also extremely important is to be safe and have this procedure performed by a [board certified plastic surgeon](/about/dr-shermak/) who understands anatomy and blood flow in the face which will best avoid a potentially devastating complication, possible but far less likely with an experienced knowledgeable provider. If Facial Fat Transfer sounds appealing to you, then [call me to schedule a consultation](/contact/) to obtain more information and see if this is a procedure you are interested in pursuing. [Back to Blog](/blog/) --- ## How Long Does It Take to See Ulthera Results? **Link:** [How Long Does It Take to See Ulthera Results?](https://www.drshermak.com/blog/how-long-does-it-take-to-see-ulthera-results/) ([md](https://www.drshermak.com/blog/how-long-does-it-take-to-see-ulthera-results/index.html.md)) **Description:** How Long Does It Take to See Ulthera Results? Ultherapy is a noninvasive treatment that comprises administration of ultrasound energy to facial tissues ### Content How Long Does It Take to See Ulthera Results? Ultherapy is a noninvasive treatment that comprises administration of ultrasound energy to facial tissues deep to the skin. Skin Procedures Baltimore This energy results in heating of the tissues, which causes inflammation, deposition of new collagen, and resulting tightening and rejuvenation. Ultherapy bypasses the skin surface, so individuals with darker skin tones who do not qualify for laser therapy do qualify for Ultherapy! Ultherapy involves no incisions, no downtime, and is a one time procedure which takes between 30 minutes and 90 minutes depending on areas treated. Ultherapy is applied to treat brow hooding, smile lines around the eyes, cheek deflation and sag, nasolabial folds and marionette lines, jowls, and fullness and laxity in the neck. Because Ultherapy creates remodeling in the facial tissues, results are not immediate. While individuals treated may see results within 6 weeks, it takes up to 6 months to get a better assessment of final treatment outcome. If the outcome is favorable, another Ulthera treatment may be discussed to get even better results and stave off the need/desire for surgical rejuvenation even longer. Please contact [Dr. Michele Shermak](/) and call her office at [(410) 616-3000](tel:(410) 616-3000) to see if Ultherapy is a procedure that might be right for you! [Back to Blog](/blog/) --- ## How Safe is Mommy Makeover Surgery? **Link:** [How Safe is Mommy Makeover Surgery?](https://www.drshermak.com/blog/how-safe-is-mommy-makeover-surgery/) ([md](https://www.drshermak.com/blog/how-safe-is-mommy-makeover-surgery/index.html.md)) **Description:** Women like yourself who undergo a Mommy Makeover are Moms. You are organized and want to assure that when you choose to undergo elective surgery that the ### Content Women like yourself who undergo a [Mommy Makeover](/body/mommy-makeover/) are Moms. You are organized and want to assure that when you choose to undergo elective surgery that the surgery is safe so that you can return to caring for your family as quickly as possible. You are used to being a “care-er,” not a “care-ee.” The most important thing you can do to ensure safety is to find a board certified, competent, reliable [plastic surgeon](/) not far from your home who will be accessible to you before and after surgery. You should be healthy medically, and if there are medical issues, share them with your surgeon. These issues might not totally block your access to surgery, but surgery might need to be tapered down or delayed to assure optimal healing and recovery. You should follow the recommendations of your surgeon and doctor, be completely candid about any medical issues for which you are being treated, as well as any problems experienced with surgery in the past, and be open to strategies that are necessary to optimize success. This is a collaborative process. While you want surgery to be affordable, you should not pursue the cheapest deal – this is surgery, not groceries. You don’t want to be lured to another state or country for promises of low costs. Low costs may reflect lower quality of care or cut corners, and lack of accreditation. And who will take care of you if you need followup and have left the location of your surgeon? The most important thing to assuring safety is to find a competent, board certified plastic surgeon who will safeguard you from problems and provide comprehensive care, including caring for predictable complications that could occur. If you are interested in learning more about Mommy Makeover surgery, [please contact Dr. Michele Shermak](/contact/) at drshermak.com or call her office at [(410) 616-3000](tel:(410) 616-3000) to schedule an appointment. [Back to Blog](/blog/) --- ## How to Choose the Best Plastic Surgeon for You **Link:** [How to Choose the Best Plastic Surgeon for You](https://www.drshermak.com/blog/how-to-choose-the-best-plastic-surgeon-for-you/) ([md](https://www.drshermak.com/blog/how-to-choose-the-best-plastic-surgeon-for-you/index.html.md)) **Description:** So you’ve made your decision. You’re going to go for it. You’re going to get that plastic surgical procedure you have been wanting for so long. Time to do ### Content So you’ve made your decision. You’re going to go for it. You’re going to get that plastic surgical procedure you have been wanting for so long. Time to do something for yourself. And your friends who have done this are so happy and look so good! You know the surgery will present an investment in time and money, and you want to do it right. Here are some tips in finding the best plastic surgeon to ensure an optimal experience and outcome: - The plastic surgeon must be board certified in Plastic Surgery. Be sure the surgeon is certified by the American Board of Plastic Surgery, the only true plastic surgery board. There are so many “wannabe boards” for cosmetic medicine. Only truly board certified plastic surgeons are listed on plasticsurgery.org and abplasticsurgery.org. Board certified plastic surgeons are all rigorously trained and adhere to a rigid credentialing process. Plastic surgery, even if elective in nature, is still surgery so you need to assure you are in the best hands to navigate you through your [plastic surgery](/) journey as safely as possible. - Talk to your friends who had plastic surgery. If they are happy with their experience, and particularly if they had the procedure you want to get, then ask your friends for their surgeons’ names and check them against plasticsurgery.org and abplasticsurgery.org to assure this is a board certified plastic surgeon. - Check out some plastic surgery websites of practices near you. Review the surgeon’s credentials and look at her/his [photo gallery](/gallery/) to see representative work for body regions in which you are interested. - Think about getting a couple of consults. Get a feel for the surgeon, her/his staff, and the [facilities](/about/our-office/), and be sure you are comfortable. Chemistry here is important. You need to be comfortable with the feel of the place, with your ability to be fully educated and ask any questions, and with your anticipation of operative and postoperative care. You need an interactive, collaborative relationship with the surgeon and her/his staff. If not, move on to another – you are sure to find a fit which you know is the best one. - Do not prioritize a bargain over safety when it comes to your health and well-being. Unsafe options for plastic surgery are being marketed for their low expense, including attractive locations outside of the United States, or facilities in the United States which are business/franchise sites in a strip mall. Up front savings may almost surely guarantee a great deal of personal and fiscal expense afterward if your surgery is done by a non-credentialed surgeon. You may have surgery in unsafe facilities by an un-credentialed surgeon using unsafe materials, and you will not get follow-up. [Baltimore plastic surgeon](/), Dr. Shermak, has been Board Certified in Plastic Surgery since 2000, and she complied with all that is required to maintain her certification from the [American Board of Plastic Surgery](https://www.abplasticsurgery.org/). She is an Oral Board Examiner for board eligible surgeons taking the Oral part of the Board Certifying Exam. You may call [(410) 616-3000](tel:(410) 616-3000) to schedule an appointment. And check out Dr. Shermak’s website at [drshermak.com](/) to learn more about her and her practice. [Back to Blog](/blog/) --- ## Is It Safe to Combine Multiple Body Contouring Procedures (e.g., Tummy Tuck, Brachioplasty, Thigh Lift) in One Surgery After Weight Loss? **Link:** [Is It Safe to Combine Multiple Body Contouring Procedures (e.g., Tummy Tuck, Brachioplasty, Thigh Lift) in One Surgery After Weight Loss?](https://www.drshermak.com/blog/is-it-safe-to-combine-multiple-body-contouring-procedures-e-g-tummy-tuck-brachiop/) ([md](https://www.drshermak.com/blog/is-it-safe-to-combine-multiple-body-contouring-procedures-e-g-tummy-tuck-brachiop/index.html.md)) **Description:** I have the great privilege of meeting with many weight loss patients who are looking to improve their face, breasts, and body. Significant weight loss affe... ### Content I have the great privilege of meeting with many weight loss patients who are looking to improve their face, breasts, and body. Significant weight loss affects the body from head to toe, and therefore, I often discuss the treatment of multiple body regions in the initial consultation. Many patients want to understand their options for face, arms, chest/breast, torso, and/or thighs. Prior to embarking on this discussion, I check the patient’s past medical history, including medical conditions, medications, previous surgeries, and stability of weight loss. Another important variable includes nutritional issues and whether the individual is smoking or vaping, as that injects a variable that can have detrimental effects on healing. We also want to be sure that weight loss is optimal, and despite great gains and weight loss, I still like to limit my BMI to 35 or less to help reduce the risk of complications from surgery. When my patients are paying very good money for surgery, the best thing we can do is remove any modifiable variables that could hurt the outcome. [.block][]As long as a patient has good health, good weight stability, and appears to be an optimal surgical candidate, we figure out the body regions that are most important to the patient and come up with a surgical plan that makes sense and is safety focused. Most combination procedures include addressing the abdomen. Common early combinations include work on the arms continuous into the chest region (upper [body lift](/body/body-lift/)); and [lower body lift](/body/body-lift/) with attention to the abdomen, back and thigh regions. Typically, surgery lasts anywhere from two hours to seven hours, and I perform it in a fully accredited surgical center. We are not only concerned preoperatively about how to keep surgery safe, but that concern is further addressed during surgery and after surgery to minimize risk. [.block][]It’s very exciting to see the impact that [body lifts](/body/body-lift/) can have after massive weight loss. Bringing the healthy inside out is truly remarkable and leads to confidence that is unsurpassed. I love being able to participate in patients’ weight loss journeys in this way. [Back to Blog](/blog/) --- ## Is Liposuction for You? **Link:** [Is Liposuction for You?](https://www.drshermak.com/blog/is-liposuction-for-you/) ([md](https://www.drshermak.com/blog/is-liposuction-for-you/index.html.md)) **Description:** Liposuction is an impactful procedure with little downtime – this is why it often shows up as the #1 Surgical Procedure plastic surgeons perform. Many ### Content Liposuction is an impactful procedure with little downtime – this is why it often shows up as the #1 Surgical Procedure plastic surgeons perform. Many people come in for consultation hoping they are a candidate for Liposuction. Here are some characteristics that better qualify individuals for Liposuction: - Good health and fitness - Healthy weight - Good skin quality - Focal fat/problem area Fat that is removed may also be recycled back into the body: to the face, breasts and/or booty. Fat grafting is a smart way to move fat from an undesirable part of the body to a place requiring more fullness and rejuvenation. Many are interested in learning more about – or have undergone – “lunchtime” fat reduction procedures that do not require anesthesia. SmartLipo, CoolSculpt, Bodytite all have cool catch-names and promise results, but provide very limited results. What you put in is what you get out: there is no magic. I see individuals who have spent good money on lackluster, barely there results from minimally invasive fat reduction/sculpting technologies. It makes better sense to spend your valuable money and time on the gold standard surgical procedure with guaranteed RESULTS! before (top row), after (bottom row) Let’s see if you are a candidate for Liposuction. Look for more information at [https://www.drshermak.com/body/liposuction/](/body/liposuction/) and don’t hesitate to [schedule a consultation with Dr. Shermak](/contact/). [Back to Blog](/blog/) --- ## It May Be Time To Get Your Implants Checked **Link:** [It May Be Time To Get Your Implants Checked](https://www.drshermak.com/blog/it-may-be-time-to-get-your-implants-checked/) ([md](https://www.drshermak.com/blog/it-may-be-time-to-get-your-implants-checked/index.html.md)) **Description:** Breast implant surgery results are dynamic. Implants settle and may wear down, but more significantly, the body changes over time resulting in potential ### Content Breast implant surgery results are dynamic. Implants settle and may wear down, but more significantly, the body changes over time resulting in potential need to revise. The female body changes significantly from young adulthood, to postpartum, to menopausal. The breast will enlarge with increased weight, will deflate with decreased weight (more exaggerated with massive weight loss), and the chest wall and body typically increase in size. Young women who initially present with congenital breast asymmetry often see movement toward recurrence of their initial presentation over time. Changes in the female body and implant integrity may warrant a visit with a board certified plastic surgeon for professional input on your current status, and to learn about options available to you to refresh the appearance of the breasts. What are some of these options? The easiest implant revision is to remove the implant altogether. There is no way to exactly predict what you will be left with after removal, but this is oftentimes leads to a nice result, particularly in women looking for a slimmer more petite look. Women may always revisit options after implant removal for second stage rebuilding. Many women opt to replace the implants. The great news is that currently implants have reached a very advanced generation: the outer shell is more durable and the silicone in silicone implants is now a cross-linked, form stable product which will maintain its shape over time and ripples far less. Worn implants no longer infiltrate local chest tissues like they did in the early 1990’s. The implant product lines are extensive, accounting for the broad spectrum of female body types and fullness preferences. There are also biologic products to provide better reinforcement of breast shape and support for implants, in case the breasts have been stretched out over time. Some women get a breastlift, with or without implant, after initial implant removal, mostly in a one stage procedure. Breastlift is an option you can discuss with your surgeon, depending on aging changes in the breast and your aesthetic goals. If you are unsure whether or not you want to commit to a breastlift with implant revision, you can always hold off to a later time. Consulting with a board certified plastic surgeon is the best option to learning about a treatment plan that will help you meet your goals as safely and efficiently as possible, with the most optimal cosmetic result. Be sure to review the surgeon’s before and after photos to learn more about the surgeon’s experience and typical outcomes. You may call [(410) 616-3000](tel:(410) 616-3000) to schedule a consultation with Dr. Shermak who is extensively experienced in primary and revision breast surgery, and feel free to check out her website at drshermak.com to learn more about Breast Implant Revisions. [Back to Blog](/blog/) --- ## Labiaplasty is not an unusual or offbeat procedure to pursue **Link:** [Labiaplasty is not an unusual or offbeat procedure to pursue](https://www.drshermak.com/blog/labiaplasty-is-not-an-unusual-or-offbeat-procedure-to-pursue-2/) ([md](https://www.drshermak.com/blog/labiaplasty-is-not-an-unusual-or-offbeat-procedure-to-pursue-2/index.html.md)) **Description:** Labiaplasty is not an unusual or offbeat procedure to pursue Labiaplasty is a procedure that women normally pursue to reduce either the labia minora (the ### Content Labiaplasty is not an unusual or offbeat procedure to pursue Labiaplasty is a procedure that women normally pursue to reduce either the labia minora (the skin surrounding the vaginal opening) or the labia majora which are the external folds of skin surrounding the structures of the vulva. Many women have enlarged labial skin which gets pinched and is painful during physical activity, sitting, and sexual intercourse. The skin can also get pinched in undergarments.This skin redundancy may occur secondary to pregnancy or may be a developmental phenomenon. Labiaplasty allows women to experience reduced discomfort during intercourse or athletics; to lessen discomfort from underclothing; to have better hygiene; and importantly, to improve cosmetic appearance and self esteem. Labiaplasty is an outpatient surgical procedure performed under sedation and local anesthesia. After surgery, there may be some discomfort and swelling which usually subside and disappear within one to two weeks. Satisfaction is high in women who choose to undergo the procedure. If you are interested in labiaplasty, please contact Dr. Michele Shermak at 410.616.3000 to schedule an appointment. Please also visit drshermak.com. [Back to Blog](/blog/) --- ## Let's Compare: Deep Plane Facelift vs SMAS Facelift **Link:** [Let's Compare: Deep Plane Facelift vs SMAS Facelift](https://www.drshermak.com/blog/lets-compare-deep-plane-facelift-vs-smas-facelift/) ([md](https://www.drshermak.com/blog/lets-compare-deep-plane-facelift-vs-smas-facelift/index.html.md)) **Description:** Wondering about a deep plane facelift vs SMAS facelift? Dr. Shermak compares these techniques to help you find the most natural, safe path to surgical facial rejuvenation. ### Content If you’ve been looking into ways to refresh your look, you’ve probably seen two names pop up a lot: the deep plane facelift and the SMAS facelift. It’s easy to get a certain idea about these procedures from a quick social media post or a headline, but there is a lot more to the story than what you see in a 30-second clip. As a surgeon, I’m a big believer in having a solid plan. To make a good plan, you need good information. I want to give you a clear, honest look at these two choices so you can figure out which one fits your face, your goals, and your life. ## Facelift Techniques At A Glance ### The SMAS Facelift (The Shermak Approach) - The Goal: A refreshed, natural, and elegant look. - The Method: Lifts and tightens the muscle layer (SMAS) to fix sagging. - Typical Recovery: Most patients feel ready for a dinner date in 10–14 days. - Anesthesia: Safe, on-site care with our dedicated anesthesia team. ### The Deep Plane Facelift - The Goal: A bigger, more dramatic change for the jawline and the middle of the face. - The Method: Moves deep fat and muscle all together as one unit. - Typical Recovery: Usually needs 3–4 weeks for deep-tissue swelling to go down. - Anesthesia: Safe, on-site care with our dedicated anesthesia team. ## What is the Difference Between a Deep Plane and SMAS Facelift? When we look at a deep plane facelift and SMAS facelift, the main difference is how deep the surgeon goes. A SMAS facelift tightens the superficial musculoaponeurotic system (that’s just a fancy name for the layer of tissue that covers your facial muscles). A deep plane facelift goes deeper. It unhooks the facial retaining ligaments (the anchors of the face) to move the whole facial unit, including deep fat and muscle. Both of these are types of facial rejuvenation, but they work on different levels. In my Baltimore office, I usually prefer the SMAS method. It gives a beautiful, rested look and is generally safer for the patient. ## The SMAS Technique: Prioritizing Natural Refinement The SMAS facelift is often thought of as the gold standard for people who want to look like themselves, just a lot more well-rested. When we talk about the superficial musculoaponeurotic system, we are talking about the strong, fibrous layer that connects your facial muscles to your skin. ### Structural Support: Tightening the Foundation, Not Just the Skin The biggest mistake in early cosmetic surgery was just pulling the skin. When you only pull the skin, you get that wind-swept or surprised look that everyone is afraid of. In a SMAS facelift procedure, we aren't just pulling. We are moving the foundation of the face back where it belongs. By lifting and tightening this superficial muscular layer, the skin on top just rests naturally over a younger-looking shape. It’s like fixing a saggy sofa by tightening the frame instead of just stretching new fabric over the old, broken springs. By working on the SMAS layer, we make sure the lift comes from the inside. This helps restore youthful facial contours that last much longer than just a skin-only lift. ### Discreet Healing: How We Place Tension to Minimize Scars One of the first things patients ask me is, "Where will my scars be?" The secret to a natural appearance isn't just a steady hand. It’s all about where you put the pull or the tension. Because we put all the lifting power on the strong superficial musculoaponeurotic system, there isn't too much tension on the skin where the cuts are made. This allows for what we call tension-free skin closure. Basically, the edges of the skin meet up softly and heal into a very fine, flat line. We hide these lines along the natural curves of the ear and into the hair. Whether you’re at a party or wearing your hair up at the gym, your surgery should stay your secret. It also helps us avoid the pixie ear deformity, which is when the earlobe looks like it’s being pulled down toward the jaw. ### Safe Trajectory: Staying in a Protected Part of the Face As a board-certified plastic surgeon, my number one job is to keep you safe. One reason SMAS facelift results are so consistent is that the surgery stays in a very safe part of the face. The facial nerve branches, the tiny wires that let you smile, blink, and show emotion, live deep under the SMAS layer. By staying on top of that layer, we can get a great lift while staying far away from those important nerves. This gives us plenty of room to work while keeping the risk of a facial nerve injury very low. ## The Deep Plane Technique: Deep Structural Shift The deep plane facelift has become a very popular term lately. You’ve probably seen it on Instagram or TikTok. The deep plane technique is a powerful tool for comprehensive facial rejuvenation, but it’s a big procedure that isn't the right choice for everyone. ### Comprehensive Rejuvenation: Moving Fat and Muscle Together While the SMAS lift tightens the girdle of the face, the deep plane lift goes a level deeper. In this surgical technique, we unhook the facial retaining ligaments. These are the strong bands that hold your facial tissue to the bone. Once those are released, the muscle and the malar fat pad (the fat in your cheeks) can be moved together as one big piece. For patients with a lot of skin laxity, meaning their skin is very loose, the deep plane approach can be very effective. If you feel like your cheeks have fallen all the way down to your jaw, this plane facelift can move them back up. It’s a big shift that fills out the cheeks and smooths out deep nasolabial folds (the lines from your nose to your mouth). ### The Complexity Factor: Working Near the Facial Nerves If you are thinking about deep plane facelift surgery, you should know that the process gets a lot more complicated. Because the facial plastic surgeon is working under the muscle layer, they are working right in the same area as the facial nerve. This takes a lot of skill and a deep understanding of facial anatomy. While deep plane face lifting can look amazing, there is less room for error. This is why it is so important to choose a board-certified plastic surgeon who knows exactly how those deeper anatomical structures are laid out. ### Managing the "Ugly Phase": The Logistics of Deep Tissue Healing I believe in being totally honest about deep plane facelift recovery. Because this surgery involves more tinkering with deeper tissues and unhooking ligaments, the body reacts more strongly. Deep plane facelift surgery usually causes a lot more swelling than a SMAS lift, and it stays around longer. If you have a busy life, you have to plan for more time at home. You might not see your more youthful appearance for three or four weeks because those deeper layers need time to calm down and heal. ## The Key Differences: A Side-by-Side Comparison - How long it lasts: Both help restore youthful facial contours. Some doctors argue that the deep plane facelift offers a longer-lasting lift because the ligaments are unhooked. However, a well-done SMAS lift also lasts for many years. - The target areas: The SMAS facelift is great for the jawline and neck. An extended deep plane facelift is often better for the middle of the face and very deep lines. - Your age: I often find that younger patients or people with moderate facial aging do great with a SMAS lift. People with very sagging skin and sagging cheeks might need the more invasive surgery of a deep plane. - Risk: All surgery has risks. But because the deep plane is so close to the facial nerve, you need a very experienced facial plastic surgeon. ## "A La Carte" Aesthetics: Your Results, Your Way In my office, I don't believe in one size fits all. I also don't believe in pushing patients to fix parts of their face that don't bother them. Cosmetic surgery should be a conversation where we decide what you actually need. - The Stand-Alone Neck Lift: Some people have great faces but have lax skin on their neck (sometimes called a turkey neck). We can do a neck lift by itself to tighten the platysma muscle and give you a sharp, clean jawline. - Adding On: Sometimes, a facelift is only part of the answer. We can add eyelid surgery to wake up tired eyes, or remove a buccal fat pad to slim down the lower face. - Local Anesthesia: We can do smaller things, like a lip lift, right here in Lutherville while you are awake. This keeps things simple and helps you keep a natural appearance. - No-Nonsense Recovery: You don't need fancy massages or expensive laser treatments to heal. If the facelift surgery is done right and you eat well, your body will do the work. ## The Logistics of Healing: What to Expect Whether we do a plane facelift or SMAS lift, healing is a process we plan for together. ### The First 48 Hours Right after your facelift procedure, you will be bruised and swollen. We keep a close eye on you to make sure everything is healing right and to prevent things like a hematoma formation (a pocket of blood under the skin). This is the time to stay on the couch and rest. ### Week One: The Turning Point After about a week, we usually take out your stitches. You will still have some swelling and redundant skin (extra skin) that looks a bit puffy, but the worst of the discomfort is usually over. You’ll start to see a noticeable improvement. ### Week Two and Beyond For SMAS patients, this is usually when you feel ready to go out to dinner. If you had a deep plane, you might still be dealing with some swelling in your deep wrinkles. We make sure you stay out of the sun so you get those natural-looking results. ## Why Choose Dr. Shermak for Your Facial Rejuvenation? Choosing your facial plastic surgeon is the biggest part of your plan. You are picking a doctor's experience and their eye for detail. I am a board-certified plastic surgeon. I actually wrote one of the textbooks that other surgeons use to learn advanced facelift techniques. My office has its own private surgery center with a dedicated anesthesia team to keep you safe. Whether we are fixing excess skin, deep wrinkles, or the deeper structures of your face, I am committed to giving you a result that looks like you, just younger and more vibrant. We don’t just do a facelift surgery. We create a plan that fits your unique facial structure and helps you get that youthful appearance back. Are you ready to see which tool in our toolbox is right for you? [Schedule a Consultation at Dr. Shermak's Lutherville Office](https://www.drshermak.com/consultation/) ## Frequently Asked Questions About Facelifts ### Does a facelift fix my skin quality? A facelift surgery fixes sagging skin and sagging cheeks, but it doesn't change the texture of the skin. If you have sun damage or fine lines, we can add things like chemical peels to help restore youthful facial contours. ### Will I look done or fake? The goal of a modern facelift procedure is a natural appearance. By tightening the superficial muscular layer or the deeper anatomical structures instead of just pulling the skin, we avoid that fake, wind-tunnel look. ### How long do the results last? We can't stop time, but a facelift turns back the clock by about 10 years. Both the SMAS facelift and the deep plane facelift last a long time, but how you age later depends on your lifestyle and your genes. ### Can I have a second facelift later? Yes. This is called revision surgery. If you had a facelift 10 or 15 years ago and want to refresh your look, we can look at your SMAS layer and create a safe plan to help you look your best again. ### Is a deep plane facelift worth the extra recovery time? It depends on your face! If you have very deep lines and heavy sagging cheeks, the deep plane might give you a more noticeable improvement. If you mostly want to fix your jawline and neck, a SMAS lift can give you natural-looking results with less downtime. --- ## Liposuction and Recovery **Link:** [Liposuction and Recovery](https://www.drshermak.com/blog/liposuction-and-recovery/) ([md](https://www.drshermak.com/blog/liposuction-and-recovery/index.html.md)) **Description:** Taking care of your body is one of the best investments you can make. Even with the best intentions, and focusing on a healthy lifestyle, you may still ### Content Taking care of your body is one of the best investments you can make. Even with the best intentions, and focusing on a healthy lifestyle, you may still have stubborn pockets of fat that refuse to respond to diet and exercise. Instead of beating yourself up, perhaps it’s time to take control and resculpt your figure with [liposuction](/body/liposuction/). Liposuction can help to contour stubborn areas of your body, remove excess fatty tissue, and give your confidence a boost in the process. If you’ve decided to do something about excess fat and are considering liposuction from Dr. Michele Shermak, here are a few things you need to know. - Board-certified [plastic surgeon in Baltimore](/), Dr. Michele Shermak, is a master in liposuction procedures and has lectured about best practices and cutting-edge techniques both in the United States and across the globe. She has helped countless patients achieve a more attractive figure with liposuction. - Liposuction is one of the most common plastic surgery procedures performed in the United States. - Liposuction is designed to remove pockets of fatty tissue in the body which do not respond to diet and exercise. Using small, discreetly placed incisions, liposuction can help shape and recontour areas of the body by removing fat cells in the target areas. Once removed from your body, the extracted fat cells are gone for good. - Liposuction may be used to remove unwanted fat cells from the hips, inner and outer thighs, abdomen, back, chest, love handles, arms, neck, and knees. Dr. Shermak has extensive experience in advanced liposuction techniques and offers a fully-customized procedure designed to produce exceptional results. - Liposuction is performed as an outpatient procedure in the privacy and comfort of our state-of-the-art outpatient surgical center. Dr. Shermak will make small, carefully placed incisions through which a cannula (hollow needle) will be inserted. This cannula will be used to gently suction out unwanted fatty tissue from areas with an excess. After the target zone reaches the slimmer, more defined look you envision, the treatment is complete. - Gentle walks after your [liposuction in Baltimore](/body/liposuction/) will encourage circulation to speed the healing process. You may experience mild to moderate swelling, bruising, soreness, or numbness in the days and weeks following your surgery. Dr. Shermak will prescribe pain medication to alleviate any discomfort. Compression garments should be worn to reduce post-operative swelling and aid in healing. Most patients find they are ready to work in a week following their procedure. You can resume more vigorous exercise in approximately two to three weeks, after being given the go-ahead by Dr. Shermak. Dr. Michele Shermak is recognized as being among the top board-certified plastic surgeons practicing in Maryland. Her kind, compassionate demeanor is matched by her outstanding surgical skills and artistry in body sculpting. She will work with you to achieve your vision for your body. You’ll be amazed at the boost in confidence you experience when the unwanted fatty deposits are gone forever! [Back to Blog](/blog/) --- ## Liposuction: More Effective Body Contouring than CoolSculpting **Link:** [Liposuction: More Effective Body Contouring than CoolSculpting](https://www.drshermak.com/blog/liposuction-more-effective-body-contouring-than-coolsculpting/) ([md](https://www.drshermak.com/blog/liposuction-more-effective-body-contouring-than-coolsculpting/index.html.md)) **Description:** Liposuction or CoolSculpting? Widely recognized as the top plastic surgeon in Baltimore, Dr. Michele Shermak frequently meets with new patients who have ### Content Liposuction or CoolSculpting?Widely recognized as the top plastic surgeon in Baltimore, Dr. Michele Shermak frequently meets with new patients who have questions about liposuction versus CoolSculpting, a heavily-promoted fat loss treatment many have read about as a viable alternative to liposuction. But what is the difference between liposuction and CoolSculpting? What is CoolSculpting? How does it work? And how do you decide what option is best for you? ### Liposuction vs. CoolSculpting Liposuction is a minor surgery, performed as an outpatient procedure, to remove excess fat from specific parts of the body through discreet incisions. CoolSculpting is a non-invasive procedure that uses a process called cryolipolysis, in which fat cells are frozen and then shed by the body over several months. ### Body sculpting techniques – what works best? Both liposuction and CoolSculpting procedures are fat-loss, as opposed to weight-loss, procedures that target isolated areas of excess fat that cannot be reduced through diet or exercise, and both procedures are recommended for adult men and women who live healthy lifestyles and want to rid their bodies of stubborn extra fat. Liposuction results With liposuction, the fatty deposits are accessed directly and removed, with no need to have “enough” fat in a targeted area to be pulled into a device. The area with excess fat, whether on buttocks, love handles, thighs, back, neck, or upper arms can be precisely targeted and removed, forever. So, what’s best for you? It is vital that you have a treatment you can trust to achieve the results you envision, and Dr. Shermak advises liposuction as being a far superior method for custom body sculpting. CoolSculpting results Dr. Shermak does not offer CoolSculpting as the results aren’t as effective as Liposuction. The primary difference between the two procedures is that a custom liposuction treatment is a minor surgical procedure that removes fat in targeted areas, while CoolSculpting works by sucking a fatty area up into a treatment device, which then freezes the area. For the device to perform, it must pull the fat deep into the treatment device. CoolSculpting poses a risk of achieving uneven results, one of the most common complaints. An unfortunate side effect of CoolSculpting can be a hardened lump of fat in the shape of the device, called paradoxical adipose hyperplasia, appearing in one out of 138 patients. The unsightly lump may then need to be removed with liposuction. ### Differences in safety and results The questions Dr. Shermak has received in her Baltimore plastic surgery practice are mainly concerned with the efficacy and safety of newer technology like CoolSculpting when compared to the more thoroughly-researched and documented results of liposuction. We’ve broken it down for you: ## Liposuction pros and cons People who wish to re-sculpt a part of their body plagued by excess fat often seek out liposuction as the best, and safest, option to rebuild their confidence and enjoy a more sculpted figure. It is for this reason that liposuction is one of the most routinely-performed plastic surgeries in the United States. ### A single procedure In a single outpatient procedure, liposuction gives patients the option to remove excess fat through small incisions on a targeted location of the body, extracting excess fat to create a more sculpted physique. Liposuction procedures may be combined with additional skin-tightening or other rejuvenating procedures for a fully-customized body transformation. Dr. Shermak uses advanced techniques in all of the procedures she performs, ensuring that each patient she welcomes into her Baltimore plastic surgery practice will have an effective procedure, a safe and smooth recovery time, limited side-effects, and results that are as expected, and exceptionally attractive. ### Liposuction Costs Liposuction is a cosmetic procedure and not covered by insurance, although Dr. Shermak is always happy to work out payment plan options with her Baltimore plastic surgery clients. Dr. Shermak recommends liposuction over CoolSculpting as a safer and more effective body contouring procedure as well as time-saving as it only requires one treatment as opposed to several treatments like CoolSculpting. ## CoolSculpting Pros & Cons People who want to reduce areas of excess fat and are eager to avoid even minimally-invasive surgeries like liposuction are often drawn to procedures like CoolSculpting, which offers the promise of body-transformation without surgery. CoolSculpting literature suggests that when patients treat excess fat with cryolipolysis (freezing fat cells), their bodies respond by destroying and then naturally shedding the frozen fat cells from the body, to create a slimmer physique. A treatment lasts 35-60 minutes and promises little-to-no recovery time. ### CoolSculpting costs CoolSculpting is not covered by insurance. Unlike liposuction, which is typically a single procedure, CoolSculpting patients are typically encouraged to have more than one procedure to see results, which can significantly increase the cost of treatment as well as the time commitment in reaching the desired results. ### How many inches will you lose with CoolSculpting? CoolSculpting does not provide guarantees as to how many inches you will lose and offers no promises as to how long results will last (or how cryolipolysis may affect your body long-term). Although FDA-approved since 2017, CoolSculpting is still a relatively new technology that has a limited amount of research and market data widely available to the public. This means some associated risks may be not yet be discovered. ## Liposuction or CoolSculpting – what’s the best treatment? If you are a healthy individual interested in reducing unsightly fatty areas on your body, you have options. You will have to decide if the time and expense of the results you can count on from liposuction is right for you, or if you want to take the risk on a procedure like CoolSculpting to attempt to get similar results. Ultimately, you will decide what is best for you and your body. Rated a RealSelf “Top Doctor,” Dr. Michele Shermak offers some of the best liposuction results Baltimore Maryland has to offer. As mentioned earlier, Dr. Shermak does not offer CoolSculpting at her plastic surgery facility as she highly recommends liposuction over CoolSculpting as a safe and more effective body contouring procedure. Dr. Shermak is deeply devoted to working with you to answer any questions or concerns you may have with liposuction. To schedule an appointment to address questions and concerns you may have, please don’t hesitate to contact Dr. Shermak. [Back to Blog](/blog/) --- ## Liposuction, One of the Most Popular Surgical Procedures **Link:** [Liposuction, One of the Most Popular Surgical Procedures](https://www.drshermak.com/blog/liposuction-one-of-the-most-popular-surgical-procedures/) ([md](https://www.drshermak.com/blog/liposuction-one-of-the-most-popular-surgical-procedures/index.html.md)) **Description:** Liposuction is one of the most popular surgical procedures performed by plastic surgeons. In the right patient, results can be amazingly impactful with ### Content Liposuction is one of the most popular surgical procedures performed by plastic surgeons. In the right patient, results can be amazingly impactful with minimal scars and relatively easy recovery. Who is the best candidate for Liposuction? Men or women who are healthy and have focal fat “problem areas”. [Liposuction](/body/liposuction/) can be performed on multiple body regions, including the neck, arms, chest, abdomen, back, thighs and calves. Techniques are in place for smoother contours. I use Power Assisted Liposuction (PAL) which breaks up fat while removing fat. This allows the surgeon to place a greater focus on contours and less on sheer fat removal. If it sounds too good to be true, it is! There are many machines in the market which promise huge results in a doctor’s office with no downtime. I see many people who have undergone treatments with these technologies after spending big money, with little to no result, or worse, deformity and laxity in areas that were previously taut, like the crease under the buttocks. A surgical liposuction procedure typically takes 1-3 hours in an outpatient setting and leads to a 100% result, money well spent. Fat removed may be used for a better purpose. Many individuals choose to save some of the fat removed and place it in the face for softening, rejuvenation and improvement of the skin. Fat may be placed in the breasts for subtle [breast augmentation](/breast/baltimore-breast-augmentation/). Fat may also be placed in the hip/buttock area to rejuvenate this area and provide more curves. If you are looking to improve contours of your face, breast or body and want to see if you are an optimal candidate for Liposuction, call [(410) 616-3000](tel:(410) 616-3000) to schedule a consultation with [Board-certified Baltimore plastic surgeon](/), Dr. Michele Shermak. [Back to Blog](/blog/) --- ## Look into a tummy tuck at the time of hernia repair **Link:** [Look into a tummy tuck at the time of hernia repair](https://www.drshermak.com/blog/look-into-a-tummy-tuck-at-the-time-of-hernia-repair/) ([md](https://www.drshermak.com/blog/look-into-a-tummy-tuck-at-the-time-of-hernia-repair/index.html.md)) **Description:** Many of us have hernias we live with: in the belly button, in the groin, in a previous surgical site. As a Board Certified Plastic Surgeon, I see many men ### Content Many of us have hernias we live with: in the belly button, in the groin, in a previous surgical site. As a Board Certified Plastic Surgeon, I see many men and women with hernias who present to me for treatment of the hernia. Sometimes I see patients relatively soon after hernia repair has already taken place, with an abdominal contour that they would like to treat: too much skin, lax musculature, and/or unsatisfactory scars that may be totally unrelated to the hernia. I like to live life in as efficient manner as possible, so if I can effectively kill 2 birds with one stone, I will. General surgeons and plastic surgeons often collaborate together to take care of different surgical issues in a single patient at the same time. And why not a 2 for 1? While you get the hernia fixed, the abdominal contouring procedure can take place. There are so many benefits beyond surgical time savings. You have one recovery period, often unaltered by performing the additional plastic surgical procedure. With the collaborative effort you can get the best possible result for both procedures. If there is no communication, the general surgeon may do something in the hernia repair that cuts out contouring alternatives. Two heads are better than one! Finally, there is a financial savings, as stand alone cosmetic surgical procedures cost more than one tacked onto a reconstructive, insured procedure. In light of all of the benefits, be proactive and talk to your general surgeon if you desire to get more than a hernia repair out of the surgical procedure. [Back to Blog](/blog/) --- ## Male Facial Enhancement **Link:** [Male Facial Enhancement](https://www.drshermak.com/blog/male-facial-enhancement/) ([md](https://www.drshermak.com/blog/male-facial-enhancement/index.html.md)) **Description:** Many men are interested in addressing facial improvement in order to appear more: YouthfulVigorousCompetitive There is a well understood connection ### Content Many men are interested in addressing facial improvement in order to appear more: - Youthful - Vigorous - Competitive There is a well understood connection between perception and physical traits. Despite not being true or actual, physical attributes may lead to a perception of lack of wellness, energy and strength. Making physical improvements can transform these perceptions; and more importantly, provide confidence. Beyond any lack in physical attributes, a confident demeanor coaxes others to want to know what you are about. The way we work and play today is more casual and often depends on how well we communicate in short bytes through video. How business is being conducted is dramatically changing, and very quickly. Business is more global and more virtual. We depend on video as a means for others to assess our personality and ability to get the job done. Much is read into physical appearance, and weak features may be perceived as functional weakness. A bland presentation and expectation of winning on the basis of years of experience are not the recipe for success any longer. Think TED talk – energy, confidence, and intelligent, quick communication, with feedback based on what is said and not said. [Injectables](/injectables-fillers/dermal-fillers/) are a great treatment option for men to achieve a stronger, more refreshed appearance that has a far broader outcome than just an improvement in looks. These treatments are scarless, quick and quite impactful, with no downtime. They are meant to enhance, not change, appearance. And they are well tested and safe. Top treatments for men include: - Crows feet and forehead lines. [Botox](/injectables-fillers/botox/), or “bro-tox” as media has popularized this treatment, can reduce lines associated with skin thinning and muscle activity around the eyes which can age the face. - Cheek Fill to provide a healthy, more vigorous appearance with more visible cheekbones. - Jawline and Chin Augmentation to create a more well defined jawline and improve balance of the lower face. This is achieved well with [fillers](/injectables-fillers/dermal-fillers/), many of which last over a year. - Chin Fat Reduction with [Kybella](/injectables-fillers/kybella/), which may also be used for jowl reduction, to give the impression of weight loss and a stronger chin. - Skin quality may be improved with [fillers](/injectables-fillers/dermal-fillers/), as well as daily skin care. None of these treatments require an incision, and all may be done in a stepwise fashion to more gradually and seamlessly achieved results. Millenial guys are already doing this prospectively, pre-juvenating. This is something post millennial guys can do for themselves, on their own accord, without hesitation, once the benefits are understood. [Back to Blog](/blog/) --- ## Massive weight loss body contouring surgery **Link:** [Massive weight loss body contouring surgery](https://www.drshermak.com/blog/massive-weight-loss-body-contouring-surgery/) ([md](https://www.drshermak.com/blog/massive-weight-loss-body-contouring-surgery/index.html.md)) **Description:** While it is true that obesity is prevalent throughout our country, there has been a corresponding increase in numbers of individuals pursuing massive ### Content While it is true that obesity is prevalent throughout our country, there has been a corresponding increase in numbers of individuals pursuing massive weight loss, defined as loss of greater than 100 lbs, or 50% of excess weight. Some achieve significant weight loss through diet and exercise, while others undergo surgical means of weight loss, such as lap bands, gastric sleeves, and gastric bypass surgery. Significant weight loss in individuals suffering from obesity will reverse many detrimental medical conditions, such as diabetes, sleep apnea, and hypertension. Long term success in weight loss will ultimately add many meaningful, happy, healthy years onto their lives. After sustaining significant weight loss, individuals may suffer from functional and cosmetic consequences of lax, redundant skin. Weight loss changes can impact the face and neck, chest, arms, abdomen, upper and lower back, and/or the thighs. Board-certified plastic surgeons have been trained in techniques to rejuvenate and reverse changes related to weight loss, with removal of excess skin and improvement of skin tautness. Safety is the priority of the plastic surgeon, followed by achieving cosmetic improvement according to the individual’s goals. Please refer to my [Photo Gallery](/gallery/) to view representative results. Scheduling a consultation with a Board-certified plastic surgeon is the first step, and one can easily be found in your area by searching the website www.plasticsurgery.org. At the time of consultation, the plastic surgeon will review your goals and medical history, and discuss appropriate surgical options, as well as risk and recovery. Representative patient photos will help educate you about realistic outcomes to expect, and what this particular surgeon can reasonably achieve for you. Be sure to understand the surgery process as well, and that your surgery will be performed in an accredited facility. Also be sure to understand the recovery process, with follow-up visits most optimally occurring within a week of surgery, and weekly initially to assure you are recovering well. If you are interested in understanding more about massive weight loss body contouring surgery and your specific options, please contact Dr. Shermak to schedule an appointment at your convenience at [(410) 616-3000](tel:(410) 616-3000). [Back to Blog](/blog/) --- ## Maximizing the Longevity of Your Facelift: Tips for Prolonging Results **Link:** [Maximizing the Longevity of Your Facelift: Tips for Prolonging Results](https://www.drshermak.com/blog/maximizing-the-longevity-of-your-facelift-tips-for-prolonging-results/) ([md](https://www.drshermak.com/blog/maximizing-the-longevity-of-your-facelift-tips-for-prolonging-results/index.html.md)) **Description:** When it comes to maximizing the longevity of your facelift results, it's natural to seek guidance on how to maintain the rejuvenated and youthful appearanc... ### Content When it comes to maximizing the longevity of your [facelift](/face/facelift-baltimore/) results, it's natural to seek guidance on how to maintain the rejuvenated and youthful appearance achieved through this transformative procedure. At our practice, we believe in assisting you with these concerns long after the day of your initial procedure. To that end, [Dr. Michele Shermak](/about/dr-shermak/), our esteemed board-certified plastic surgeon, is here to provide comprehensive support and valuable insights to help you navigate how to make the most of your facelift procedure for years to come. So, together, let's delve into the strategies and tips that can empower you to prolong and preserve the benefits of your facelift for the long term. ## Healthy Diet and Excellent Nutrition Ensuring your diet is rich in nutritious foods is essential for preserving the outcomes of your facelift. Boosting your skin's health and overall well-being is possible by adding nutrient-rich foods like fruits, vegetables, lean proteins, and healthy fats to your diet. Vitamins A, C, and E, along with omega-3 fatty acids found in these foods, can enhance skin elasticity and resilience, potentially extending the benefits of your facelift. ## Sun Avoidance and Protection Protecting your skin from sun damage will also help you maintain the longevity of your facelift results. Avoiding prolonged sun exposure, especially during peak hours, and using protective measures such as broad-spectrum sunscreen, hats, and sunglasses can help safeguard your skin from harmful UV rays. By minimizing sun damage, you can preserve the youthful and rejuvenated appearance achieved through your facelift. ## Excellent Skincare Regimen An excellent skincare routine is instrumental in prolonging the results of your facelift. Incorporating high-quality skincare products such as Retin-A, Vitamin C serums, moisturizers, and SPF can help maintain skin health and combat signs of aging. These products can promote collagen production, protect against environmental damage, and enhance overall skin vitality, contributing to the long-term success of your facelift. ## Post-Procedure Care and Follow-Up Following your facelift procedure, diligent post-procedure care, and regular follow-up appointments are key to maximizing your results. Adhering to Dr. Shermak’s post-operative instructions, attending scheduled follow-up visits, and promptly addressing any concerns that may arise are crucial steps in optimizing the outcome of your facelift. Taking an active role in your post-procedure care and keeping the lines of communication open with your medical team can significantly enhance the long-term effectiveness of your facelift and help address any concerns promptly. ## We’re Here to Be Your Guide When it comes to maximizing the longevity of your [facelift](/face/facelift-baltimore/) results, it's evident that taking proactive steps can significantly impact the lasting effects of the procedure. At our practice, we are committed to providing ongoing, personalized guidance and support as you navigate your journey toward prolonged and satisfying outcomes. We believe in working with you to develop a plan to prioritize a healthy diet, sun protection, and a comprehensive skincare regimen to help you achieve enduring and exceptional results. If you have any questions or want to explore further strategies for optimizing your facelift results, we encourage you to [schedule a consultation with Dr. Shermak](/contact/). [Back to Blog](/blog/) --- ## Mini facelift improves the jawline beautifully **Link:** [Mini facelift improves the jawline beautifully](https://www.drshermak.com/blog/mini-facelift-improves-the-jawline-beautifully/) ([md](https://www.drshermak.com/blog/mini-facelift-improves-the-jawline-beautifully/index.html.md)) **Description:** Mini Facelift I have women see me who pull up on their jawline and ask for surgical results similar to what they are simulating. In the proper candidate, ### Content Mini Facelift I have women see me who pull up on their jawline and ask for surgical results similar to what they are simulating. In the proper candidate, a minimal incision procedure under local anesthesia may be all that is necessary in achieving this goal. Candidates for this procedure tend to be healthy and thin, somewhere between 40 and 60 years old, with nice cheek structure but laxity along the jawline indicating aging. The neck is not significantly lax or full. This is a mini procedure that is great for freshening the face in a remarkable way. When your friends see you, they should see a more refreshed face, a change they cannot put their finger on – just something pretty and positive. The associated confidence boost helps create an even greater impact on those around you. The procedure is performed under only local anesthesia, so patients can drive themselves to the office and home afterward. The incision hugs the ear in creases that are well hidden. Sutures are removed 1 week later. There is no necessary downtime. My patients love this procedure. It is not expensive, requires minimal healing, has no downtime, and has visible results with a single procedure. Please call [(410) 616-3000](tel:(410) 616-3000) to schedule a consultation with Dr. Shermak. She can see if you are a good candidate for her [mini facelift procedure](/face/facelift-baltimore/), or any other plastic surgery procedure. [Back to Blog](/blog/) --- ## More options for breast reconstruction surgery **Link:** [More options for breast reconstruction surgery](https://www.drshermak.com/blog/more-options-for-breast-reconstruction-surgery/) ([md](https://www.drshermak.com/blog/more-options-for-breast-reconstruction-surgery/index.html.md)) **Description:** More options for breast reconstruction surgery This article is a complimentary preview of The Daily Record’s Path To Excellence – A Women’s Guide to ### Content More options for breast reconstruction surgery This article is a complimentary preview of The Daily Record’s Path To Excellence – A Women’s Guide to Business. To enjoy unlimited access, take advantage of our special offer that includes a ticket to Leading Women in December 2015. Women facing breast cancer and mastectomy now have options that allow a faster, more cosmetically appealing reconstruction. Dr. Michele Shermak, a partner at [The Plastic Surgery Center of Maryland](/) based in Lutherville, said that her breast cancer patients are seeing better outcomes. Last year, Shermak’s patient Lauren Akerboom went through a one-step double mastectomy and immediate reconstruction procedure. “I was able to wake up from surgery and look down and have breasts, which a lot of ladies don’t have that ability to do,” Akerboom said. “I feel like despite the fact that I had this crazy life event as young as I was, I was able to wake up and feel like a woman through the whole thing.” Traditionally, surgeons use an inflatable in different stages to slowly expand space for an implant as the body regenerates skin lost during surgery. Because it has been determined nipples don’t carry a lot of breast tissue, more of the exterior of the breast can now be saved and used during reconstruction instead. Shermak has worked on the approach to use different tweaks depending on the patient’s body type and cup size. The scar in such a procedure is usually hidden in the crease. “It doesn’t really hit your eye like an old scar used to,” Shermak said. “And also they are waking up with full-sized breasts now as opposed to a fraction of what they were before the surgery.” Not all patients are good candidates for the [immediate breast reconstruction surgery](/breast/breast-reconstruction/); factors such as disease close to the nipple, bigger breasts with more droop, tobacco history and others are considered. In Akerboom’s case, she had just weaned her one-year-old daughter from breastfeeding when she noticed the lump in her breast. The next day, the 33-year-old mother of two went to see a doctor and subsequent tests revealed she had stage one breast cancer. Gene tests revealed she was genetically predisposed to breast and ovarian cancer with a harmful BRCA1 mutation and a family history of breast cancer. She was advised to get chemotherapy, a double mastectomy and a supracervical hysterectomy (in a separate surgery). It was something Akerboom knew more than a little about: as a physical therapist at St. Joseph Medical Center, about 40 percent of her patients have breast cancer. She knew exactly what she would face with recovery. She found out she was a candidate for the one-step nipple-sparing surgery, and selected Shermak for reconstruction because of her experience in that procedure. “She was very down to earth. I immediately felt comfortable with her, she has a very good bedside manner, and she answered all the questions that we had,” Akerboom said. Akerboom has seen physical therapy patients who have range of motion issues or tightness in the chest near the scar area, but she did not have any of those problems. She attributes that to the type of surgery as well as the fact she did not have radiation. The surgery revealed her cancer had been killed by the chemotherapy and she has a good prognosis to live a normal life. “She was just A-plus perfect as far as her recovery,” Shermak said. “We used a shaped silicone gel implant, and did nipple sparing. Her breasts look amazing.” Shermak’s medical degree is from the Johns Hopkins School of Medicine, where she was the first to finish a combined residency program in general and plastic surgery, and then traveled to Nashville, Tenn., for further training with Dr. G. Patrick Maxwell and Dr. Jack Fisher in body contouring surgery including breast surgery and many other procedures. She has served as the chief of plastic surgery at Johns Hopkins Bayview Medical Center and switched to private practice in 2010. Another major advance Shermak has seen for breast cancer patients is in the area of genetic testing — within the past two years, the panel of genes being tested has expanded, she said. About 40 percent of Shermak’s patients are breast cancer-related reconstructions, so helping them through it is something especially important to her. “I want them to fell that people are taking care of them, who care about the whole process and making it as seamless as possible,” said Shermak, one of Maryland’s Top 100 Women. Another trend she has noticed is more women are asking for double mastectomies when they have cancer in only one breast, even if they do not test positive for gene mutations and the surgeon recommends against a bilateral, or double, mastectomy. Age and career issues often play into those decisions, she said. It is easier for Shermak to achieve symmetry when reconstructing both at once, but she said she has good options to achieve the same symmetry while saving the healthy breast. For some of the young women who come in to see her, they use the opportunity to get fuller, perkier breasts. “It puts a silver lining in the cloud,” she said. Source: [The Daily Record](https://thedailyrecord.com/2015/10/14/more-options-for-breast-reconstruction-surgery/) [Back to Blog](/blog/) --- ## Navigating Cosmetic Surgery: Striking the Balance Between Youthful and Natural **Link:** [Navigating Cosmetic Surgery: Striking the Balance Between Youthful and Natural](https://www.drshermak.com/blog/navigating-cosmetic-surgery-striking-the-balance-between-youthful-and-natural/) ([md](https://www.drshermak.com/blog/navigating-cosmetic-surgery-striking-the-balance-between-youthful-and-natural/index.html.md)) **Description:** Cosmetic surgery allows individuals to enhance their appearance, restore confidence, and achieve a rejuvenated look. However, one of the key considerations... ### Content Cosmetic surgery allows individuals to enhance their appearance, restore confidence, and achieve a rejuvenated look. However, one of the key considerations for anyone considering cosmetic procedures is striking the delicate balance between achieving a more youthful appearance and maintaining a natural look that aligns with their unique features and personal aesthetic. Our practice strives to help our clients hit their aesthetic goals while maintaining a natural, organic look. To better explain how we achieve this, let’s explore the nuances of navigating cosmetic surgery and hear from our esteemed board-certified plastic surgeon, [Dr. Michele Shermak](/about/dr-shermak/), on the matter. ## Understanding Patients' Goals When it comes to cosmetic surgery, patients' goals and aspirations are diverse and multifaceted. Some individuals seek to look noticeably younger, while others aim to enhance their features subtly and naturally. Dr. Shermak emphasizes that patients' desires can vary based on their geographic location and personal preferences. In the northeast, for example, the emphasis is often on achieving a "non-facelift" [facelift](/face/facelift-baltimore/) outcome, where patients desire a refreshed appearance without looking drastically different. The goal is for patients to see a reflection in the mirror that aligns with their self-perception of youthfulness. However, Dr. Shermak also acknowledges that some patients may seek to make more significant changes to their facial features. As long as these goals are reasonable and safely achievable, she supports such aspirations, citing [rhinoplasty](/face/rhinoplasty/) as an example of altering facial features in a positive and transformative way. ## Striking the Balance: Youthful Yet Natural The art of achieving a youthful yet natural appearance through cosmetic surgery lies in the careful balance between addressing specific concerns while preserving each patient's inherent beauty and individuality. Whether the goal is to reduce signs of aging, enhance facial contours, or refine particular features, the approach should always prioritize creating harmonious and authentic results. ## Cosmetic Surgery Techniques for Natural Results A skilled and experienced plastic surgeon can employ various cosmetic surgery techniques to achieve natural-looking results while addressing the patient's aesthetic goals. Procedures such as facelifts, [eyelid surgery](/face/blepharoplasty/), rhinoplasty, and [fat injections](/face/facial-fat-transfers/) can be tailored to enhance the overall appearance without compromising the individual's natural beauty. ## Insights from Dr. Michele Shermak ### Q: Do patients generally want to look younger or just much better? Patients’ goals vary. In my neck of the woods—the northeast—people want to look fresher and not different. We want to go for a “non-facelift” facelift outcome where my patients should look in the mirror after surgery and see the face they expect to see—we all fancy ourselves to be younger than we are. So, a facelift should turn back the clock. Some patients aim to change their features, and as long as it is reasonable and can be safely accomplished, I think that is great. We do that with rhinoplasty. Why not with other facial features? Dr. Shermak's perspective underscores the importance of tailoring cosmetic procedures to meet each patient's unique desires, ensuring that the results address specific concerns and reflect the individual's self-perception and aspirations for a more youthful and rejuvenated appearance. ## The Transformative Power of Individualized Care Ultimately, the success of cosmetic surgery in achieving a balanced, youthful, and natural appearance hinges on the individualized approach taken by the plastic surgeon. By considering each patient's unique facial anatomy, aesthetic preferences, and desired outcomes, the surgeon can develop a customized treatment plan that addresses specific concerns while preserving the natural beauty and character of the individual. During your consultation with Dr. Shermak, you can collaborate on a plan that meets your particular needs in a way that will leave you feeling empowered and ready to move forward. This personalized approach fosters trust, confidence, and satisfaction, leading to outcomes that enhance your appearance and reflect your authentic self. ## Finding a Balance That’s Right for You Navigating cosmetic surgery to achieve a natural-looking result involves a collaborative effort between the patient and the plastic surgeon. By articulating their goals, embracing innovation, and seeking individualized care, patients can achieve transformative results that rejuvenate their appearance while maintaining a natural and authentic look. With a commitment to open communication, realistic expectations, and personalized attention, individuals can embark on a cosmetic surgery journey that empowers them to embrace their desired sense of youthfulness while preserving the unique characteristics that define their natural beauty. If you are considering cosmetic surgery to achieve a more youthful and natural appearance, we encourage you to [schedule a consultation](/contact/) with Dr. Shermak today. Together, you can explore personalized treatment options and embark on a transformative journey that aligns with your aesthetic goals and aspirations. [Back to Blog](/blog/) --- ## Neck Tightening – Are you ready for this? **Link:** [Neck Tightening – Are you ready for this?](https://www.drshermak.com/blog/neck-tightening-are-you-ready-for-this/) ([md](https://www.drshermak.com/blog/neck-tightening-are-you-ready-for-this/index.html.md)) **Description:** Neck Tightening – Are you ready for this? Neck aging is a focus for many of my patients. Significant weight loss, aging, accumulated sun exposure and ### Content Neck Tightening – Are you ready for this? Neck aging is a focus for many of my patients. Significant weight loss, aging, accumulated sun exposure and genetics all contribute to necks with banding, jowling along the jaw line, and lax skin. (Remember Ally Mcbeal and the waddle fetish?) I see this in women in their 40’s and older. While injectibles do a nice job on smoothing lines and crevices in the face, the neck demands more. Early banding and good skin quality may be remedied by Botox or Dysport injections. These medications weaken muscles, and may resolve early banding. The first two treatments should take place 3-4 months apart, and then can lengthen to every 6-9 months. These injections are also great in alleviating lines that encircle the neck. Greater skin and muscle laxity require surgical neck lifting. With a hidden incision around the ear and possibly under the neck, muscle laxity can be tightened, and excess skin can be removed, smoothing the neck and jawline in a beautiful, natural way. Incisions fall into normal skin creases and become imperceptible over the course of several months. Sutures are out within a week, and downtime is less than you might think! This procedure refreshes the appearance and turns back the clock. Neck Lifting can be combined with other procedures. Peels improve skin quality of the face. Surgical procedures to rejuvenate the eyelids (blepharoplasty), brow lift and facelift are natural accompaniments to neck lifting. Breast and body procedures such as [liposuction](/body/liposuction/) and [tummy tuck](/body/tummy-tuck-baltimore/) may also be performed, as desired. Surgery is performed in an accredited facility either on site in our ambulatory surgery center or at a local hospital, with safety as the ultimate priority. Please contact Dr. Shermak by email at [[email protected](mailto: drshermak@drshermak.com)], or make an appointment by calling [(410) 616-3000](tel:(410) 616-3000) to meet with Dr. Shermak to discuss your best options in reaching your aesthetic goals. [Back to Blog](/blog/) --- ## Unlocking Timeless Beauty: Non-Surgical Cosmetic Procedures for a Youthful You **Link:** [Unlocking Timeless Beauty: Non-Surgical Cosmetic Procedures for a Youthful You](https://www.drshermak.com/blog/noninvasive-facelift/) ([md](https://www.drshermak.com/blog/noninvasive-facelift/index.html.md)) **Description:** The wonderful thing about cosmetic plastic surgery today is that you don’t actually need to have surgery to get some incredible rejuvenating results! ### Content In the realm of cosmetic plastic surgery today, patients can achieve remarkable results without having to undergo surgery, leaving them with no scars and a refreshed, youthful appearance. While surgical procedures are championed for achieving life-long results, noninvasive treatments can provide a fantastic alternative for tackling wrinkles and sagging, all without the need for downtime. ## The power of neuromodulators [BOTOX](/injectables-fillers/botox/) and [Dysport](/injectables-fillers/dysport/) are two renowned injectable neuromodulators that work wonders on wrinkles caused by muscle activity. Whether it's those pesky lines between your brows, forehead furrows, or the crow's feet around your eyes, these treatments have got you covered. They can even address the downward pull at the corners of your mouth and the neck banding that can give away your age. ## Dermal fillers: Restoring plumpness to the skin But that's not all; fillers like [Restylane](/injectables-fillers/restylane/), [Juvederm](/injectables-fillers/juvederm/), and Perlane can also be your noninvasive allies. They work their magic by reducing creases under your eyes (those notorious tear troughs), the lines that run from your nose to your mouth (nasolabial folds), and even those marionette lines around your chin. These fillers plump up these areas, making your face appear more youthful. Additionally, those looking to restore volume to their cheeks, smooth their chins, and give sagging skin around the jawline a lift, volumizers like Sculptra and Voluma are excellent choices. A session typically takes only 20-45 minutes, allowing patients to get back to their daily activities. It should be noted, however, that these treatments require some maintenance to maintain the results over time. ## Ultherapy Now, let's talk about Ultherapy, an FDA-approved ultrasound treatment that rejuvenates your face in a unique way. It works by lifting the brows, cheeks, and neck while smoothing out fine lines around your eyes, mouth, and neck. What's fantastic about Ultherapy is that it's a one-time treatment that might need a touch-up after about 2.5 years. Depending on the areas you want to address, a session can take anywhere from 30 minutes to 1.5 hours. Ultherapy is especially great for counteracting any brow lowering that might occur after Neurotoxin treatment. Combining these treatments can create a harmonious effect, smoothing your forehead and lifting your brow for a complete rejuvenation. ## What is the takeaway? If you've been interested in facial rejuvenation but are hesitant about undergoing surgery, there are now alternative options that can help you get to where you want to be. [Dr. Michele Shermak](/about/dr-shermak/), a renowned female plastic surgeon, offers these noninvasive treatments in Baltimore, MD. Give her office a call at [(410) 616-3000](tel:(410) 616-3000) to [schedule a complimentary consultation](/contact/) and start your journey towards a more youthful you. [Back to Blog](/blog/) --- ## One of America’s Best Female Plastic Surgeons in 2021! **Link:** [One of America’s Best Female Plastic Surgeons in 2021!](https://www.drshermak.com/blog/one-of-americas-best-female-plastic-surgeons-in-2021/) ([md](https://www.drshermak.com/blog/one-of-americas-best-female-plastic-surgeons-in-2021/index.html.md)) **Description:** Learn more about Dr. Shermak and her most recent award. ### Content Dr. Shermak is proud to represent women in the field of plastic surgery. She is very honored to be ranked in the top five percent of women in plastic surgery across the nation. Newsweek magazine recently conducted one of the most extensive surveys of plastic surgeons and medical professionals in America in collaboration with global information firm STATISTA. Their survey was done to determine who qualified as the nation’s top plastic surgeons, based on the views and expertise of their peers, fellow plastic surgeons. Baltimore board-certified plastic surgeon Dr. Michele Shermak ranked as one of the “Best Plastic Surgeons ” in America” as of 2021! Now Dr. Shermak is in the news again, noted by the Surgical Times in their prestigious list of America’s Best Female Surgeons! Five thousand medical professionals and plastic surgery peers were asked to select their best plastic surgeon out of more than 7,000 board-certified potential candidates. Those surveyed were then also asked to rate their nominee’s quality of preoperative, surgical, and postoperative care, as well as the results they obtained for patients. Dr. Shermak was ranked in two of the 83 positions across all four lists that are filled by the best 50 female plastic surgeons in America. These 50 female plastic surgeons are in the top five percent of more than 8,000 U.S. board-certified plastic surgeons according to the survey methodology used. ## Dr. Shermak ranked in the following categories: America’s Best Plastic Surgeons 2021: Rhinoplasty - 60 Michele Shermak America’s Best Plastic Surgeons 2021: Breast Augmentation - #156 Michele Shermak Dr. Shermak is proud to represent women in medicine, and she is honored to be ranked in the top five percent of women in plastic surgery across the nation. “This is an amazing achievement, and I am so honored. I am dedicated to restoring beauty, self-confidence, and a positive self-image in my clients so that they feel and look their very best. The comfort that my patients feel in their skin after undergoing a successful cosmetic procedure is priceless, and I work hard to make each of my client’s goals a reality.” To read the full article, [click here.](https://surgicaltimes.com/best-female-plastic-surgeons-2021/) [Back to Blog](/blog/) --- ## Posh Spice is the New Soccer Mom **Link:** [Posh Spice is the New Soccer Mom](https://www.drshermak.com/blog/posh-spice-is-the-new-soccer-mom/) ([md](https://www.drshermak.com/blog/posh-spice-is-the-new-soccer-mom/index.html.md)) **Description:** Yes, this is true. We know and love the traditional soccer mom. In the past we gave her a “pass” for her unkempt appearance, lack of fitness, grooming, ### Content Yes, this is true. We know and love the traditional soccer mom. In the past we gave her a “pass” for her unkempt appearance, lack of fitness, grooming, and style because it was understood that she does not have time for herself. We recognized that she was juggling a busy life the best she could, with all of her needs put on the back burner behind all of her charges. And in walks Posh. She is beautiful, tailored, slim, fit, assured, and commands the room (or the sidelines) – her whole family does. She has been through 4 pregnancies! She manages her professional and personal life with style and grace. She has set a new bar for soccer moms everywhere. What is the contemporary soccer mom to do? She can carry on as she has, or she might shift focus to look after her own health and well-being, requiring an even more tenuous, tight balancing act. Diet and exercise are critical to a healthy lifestyle. After these initial steps, a board-certified plastic surgeon may be enlisted to help put the Mommy Makeover over-the-top. Minimally invasive, quick in-office procedures may help provide the necessary basics. Skin care regimens and intermittent peels improve overall skin quality and health. Latisse application nightly improves lash appearance and length. Injectibles such as Botox and Dysport smooth furrows between and around the eyes and forehead. Injectable fillers such as Restylane, Perlane, Juvederm, and Sculptra reverse deflation in the face that comes with aging, filling the nasolabial fold, lower lid, cheek and lip. Injectible treatments take place in a 30 minute office visit, and may be associated with minor bruising, swelling or redness that takes several days to recover. [Mommy makeover](/body/mommy-makeover/) may also benefit from surgical procedures on the breast and abdomen. Breast surgery includes augmentation, lift, reduction, and the spectrum of treatment is broader than ever, including fat transfer to help provide breast lift and volume. Abdominal surgery comprises [liposuction](/body/liposuction/) and[ tummy tuck](/body/tummy-tuck-baltimore/) Liposuction in the proper patient requires minimal downtime and return to routine activities typically in a week. Tummy tuck characteristically requires 2 weeks of recovery, and the results are unparalleled. Not too many of us have the means Posh Spice has at her disposal. Please visit with Dr. Shermak to discuss minimally invasive and surgical options that might fall into your wish list and price point. You may be pleasantly surprised by what Dr. Shermak can offer you! [Back to Blog](/blog/) --- ## Preparing for Your First Liposuction: What to Expect Before, During, and After **Link:** [Preparing for Your First Liposuction: What to Expect Before, During, and After](https://www.drshermak.com/blog/preparing-for-your-first-liposuction-what-to-expect-before-during-and-after/) ([md](https://www.drshermak.com/blog/preparing-for-your-first-liposuction-what-to-expect-before-during-and-after/index.html.md)) **Description:** Liposuction is one of the most popular cosmetic procedures for patients looking to remove stubborn fat and sculpt their body. If you're considering y... ### Content Liposuction is one of the most popular cosmetic procedures for patients looking to remove stubborn fat and sculpt their body. If you’re considering your first liposuction procedure, understanding what to expect before, during, and after surgery can help you feel confident and prepared. ## Before Your Liposuction Procedure Preparation is key to a successful liposuction experience. Here’s what typically happens during the pre-operative phase: ### 1. Initial Consultation During your consultation with Dr. Shermak, you’ll discuss your goals, medical history, and ideal results. This is your chance to ask questions and learn which liposuction techniques are best for your body type. ### 2. Medical Evaluation A thorough evaluation ensures you’re a good candidate for liposuction. Blood tests, medications review, and an assessment of your overall health are common steps. ### 3. Pre-Operative Instructions You’ll receive guidance on: - Avoiding certain medications or supplements that may increase bleeding - Fasting before surgery if sedation or general anesthesia is planned - Planning for recovery, including arranging transportation and post-op help ## During Your Liposuction Procedure Liposuction is typically performed under local anesthesia with sedation or general anesthesia, depending on the treatment area and amount of fat being removed. ### Step-by-Step Overview - **Anesthesia Administration:** Ensures comfort and safety throughout the procedure. - **Small Incisions:** Tiny incisions are made in discreet locations near the target area. - **Fat Removal:** A thin cannula is inserted to suction out excess fat, sculpting the area. - **Closing Incisions:** Incisions are closed with sutures, and compression garments are applied to minimize swelling and support healing. The procedure usually takes between one to several hours, depending on the areas treated. ## After Your Liposuction Procedure Proper post-operative care is essential to achieving the best results. Here’s what you can expect: ### 1. Recovery and Swelling Mild swelling, bruising, and discomfort are normal. Compression garments help reduce swelling and support skin retraction. ### 2. Activity Restrictions Avoid strenuous activities for the first few weeks. Light walking is encouraged to improve circulation and reduce the risk of blood clots. ### 3. Follow-Up Visits Dr. Shermak will schedule follow-up appointments to monitor healing, remove sutures if needed, and ensure results are progressing as expected. ### 4. Long-Term Results Final results may take several months to appear as swelling subsides and your body adjusts. Maintaining a healthy lifestyle is key to preserving your new shape. ## Tips for a Smooth Liposuction Experience - Follow all pre- and post-operative instructions carefully. - Arrange for support at home during the first few days. - Stay hydrated and eat a balanced diet to aid recovery. - Communicate openly with your surgeon about any concerns or unusual symptoms. ## Ready to Transform Your Body? If you’ve been struggling with stubborn fat despite diet and exercise, liposuction may be the solution you’ve been looking for. Schedule a consultation with Dr. Michele Shermak in Baltimore to explore your options and take the first step toward a more confident you. [Schedule your liposuction consultation](/contact/) today. [Learn More About Liposuction](/body/liposuction/) [Back to Blog](/blog/) --- ## The Procedures Most Commonly Associated With Facial Plastic Surgery **Link:** [The Procedures Most Commonly Associated With Facial Plastic Surgery](https://www.drshermak.com/blog/procedures-commonly-associated-with-facial-plastic-surgery/) ([md](https://www.drshermak.com/blog/procedures-commonly-associated-with-facial-plastic-surgery/index.html.md)) **Description:** Which procedures are commonly associated with facial plastic surgery? Learn what a surgeon uses to treat the eyes, neck, jawline, nose, and more. ### Content ## ## **Facial Plastic Surgery Is Not One Decision** Many people know that something in their face looks different, but they’re not completely sure what they’re actually seeing. When we start seeing signs of aging, it's always something different. Some people are more focused on their eyelids. Some think it’s their neck. Some are bothered by their jawline, but the real change may be higher in the face or tied to volume loss through the cheeks. They know they look more tired, heavier, or older. They just can’t always put their finger on why. That’s what makes facial plastic surgery more nuanced than people expect. The face doesn’t age in one place only. The brow, eyelids, cheeks, jawline, and neck all change in different ways and at different times. A patient may come in convinced she needs eyelid surgery and turn out to be dealing with brow descent. Another may focus on the neck when the lower face and jawline are part of the same picture. Someone else may think she needs a lift when the real issue is volume loss. A good consultation is where that gets sorted out. Once the source of the concern becomes clearer, the procedures themselves start to make more sense. But before your consultation, you should know a bit more about the common facial procedures and why we use each one. The more you know going into your consultation, the better equipped you'll be to get the outcome you want. ## **The Procedures Most Commonly Linked To Facial Rejuvenation** ### **Facelift** Most patients don’t come in asking for a facelift right away. They say their jawline looks softer. They say the lower face feels heavier than it used to. They’re noticing deeper folds around the mouth, early jowling, or a face that looks more tired even when they feel perfectly well. And they want to know what they should do about it. A facelift may be the solution. A facelift is used to improve sagging through the lower face and jawline. It helps when the issue is descent and heaviness, not just skin texture. It can refresh the lower face in a way that fillers, skin treatments, or non-surgical procedures can’t. It won’t fix every sign of aging, and it isn’t supposed to. It’s aimed at a specific part of the face, which is why it can be so effective for the right patient and too limited for someone whose concerns sit elsewhere. ### **Deep Plane Facelift** Some patients already know they’re interested in a facelift. Others have started hearing more specific terms, including deep plane facelift, and want to understand where that fits. A deep plane facelift is still a facelift. The difference is in how the lift is performed and which deeper tissues are released and repositioned. From a patient’s point of view, the more useful question isn’t which phrase sounds more advanced. It’s which approach fits her anatomy, how much descent is present, and what kind of result she’s hoping for. ### **Neck Lift** For some patients, the neck is the first place that starts to bother them. They notice loose skin, fullness under the chin, muscle banding, or a neck angle that looks softer than it used to. In those cases, the neck isn’t just part of the picture. It is the picture. A neck lift treats those changes directly. A facelift improves the lower face and jawline. A neck lift focuses more closely on the neck itself. Some patients need one. Some need both. The answer depends on where the change is actually showing up and what’s driving it. If the jawline still looks fairly strong but the neck has become loose or heavy, the discussion may center around the neck first. ### **Rhinoplasty** Some facial plastic surgery has nothing to do with aging at all. Rhinoplasty, or a nose job, is a good example. A patient may be bothered by the bridge, the tip, the profile, or the way the nose fits with the rest of the face, and they’ve had attention on it for years. In other cases, breathing is part of the concern too. The nose sits in the center of the face, so even a small change can alter facial balance in a noticeable way. That’s why rhinoplasty is such a central part of facial cosmetic surgery. It’s feature-focused, but the effect reaches across the whole face. A patient may not be thinking specifically about plastic surgery, but she knows that her nose has never felt right on her face. ### **Brow Lift** The upper face can be tricky because it’s easy to misread. A patient may think her eyelids are the issue because they look heavier. Then, on closer look, the brow has dropped and is pushing extra weight downward. That changes the whole conversation. A brow lift, also called a forehead lift, is used when the brow sits lower, the upper face feels heavy, or forehead wrinkles and deeper lines between the brows have become more prominent. It treats a different area than facelift or neck surgery. That may sound obvious when you say it out loud, but it’s exactly the kind of distinction patients are trying to sort through when they look in the mirror and feel that something is off. ### **Chin Implant** Some patients are bothered by a soft jawline because of loose neck skin. Others have a chin that doesn’t project enough to balance the cheeks, nose, and upper face. A chin implant can add projection to the lower face and improve the way the profile and jawline relate to the rest of the face. It may be considered on its own or with rhinoplasty, facelift, or neck lift. ### **Blepharoplasty** The eye area is one of the first places people start to notice aging. Patients will say they look tired all the time, even when they’re sleeping well and feel fine. They may feel like their eyes look smaller, heavier, or more closed off than they used to. Others are more bothered by puffiness or bags under the eyes. That’s where blepharoplasty, or cosmetic eyelid surgery, comes in. It treats excess upper lid skin, puffiness, and under-eye bags. Some patients need eyelid surgery. Some are dealing with brow descent. Some are seeing both at once. That’s why the eye area deserves a careful look. Upper lid blepharoplasty primarily removes excess skin that can make the eyes look heavy. Lower lid blepharoplasty focuses more on visible fat pockets beneath the eyes. The brow also needs a close look, since a low brow can add weight above the eyelids and change what appears to be an eyelid concern. Blepharoplasty is one of the most common facial plastic surgery procedures for a reason. The eyes change early, and they change the way the whole face reads. ### **Facial Fat Grafting** Not every face looks older because it has dropped. Some faces look older because they’ve flattened out. The cheeks lose fullness, the under-eye area starts to hollow, and the face can look sharper, more tired, or a little drawn, even when the skin itself isn’t especially loose. Facial fat transfer uses the patient’s own fat to restore volume in areas that have started to look hollow or flat. It can be placed in the cheeks, temples, under-eye area, or other parts of the face where lost fullness is changing the overall balance. Because volume loss shows up in so many different ways, fat transfer can complement a wide range of facial procedures. Dr. Shermak may add this to a facelift, brow lift, neck lift, or eyelid procedure when lifting alone won’t address everything the patient is seeing. She also uses it with nearly every lower lid blepharoplasty to support the lower lid during healing and smooth the transition between the eyelid and cheek after the visible fat pockets have been addressed. ### **Lip Lift** A lip lift is a smaller procedure, but it can change facial balance more than people expect. Some patients feel the upper lip has lengthened over time. Some notice less tooth show when they smile. Some feel the mouth area has flattened and want a structural change rather than temporary volume. A lip lift changes the position of the upper lip. It’s different from injectables or dermal fillers. It’s a surgical adjustment in proportion, and for the right patient, it can make the mouth look more open and better balanced with the rest of the face. ### **Otoplasty** Otoplasty belongs in this discussion because the ears affect the way the face reads as a whole. Some patients have been bothered by prominent ears since childhood. Others are more focused on asymmetry or shape. It’s not unusual for someone to feel self-conscious about their ears for years and then decide it’s finally time to address them. It’s not an anti-aging procedure. It’s still part of facial plastic surgery because it changes proportion and balance. The same is true of a lot of facial procedures. They don’t all aim to make the face look younger. Some are there to improve appearance in a more targeted way. ### **Buccal Fat Removal** Buccal fat removal is about contour. It’s used in selected patients who want less fullness through the lower cheek area. This is a different kind of conversation from facelift, neck lift, or brow lift. It’s less about looking refreshed and more about changing shape. Some procedures are aimed at aging. Others are aimed at facial contour. Buccal fat removal falls into the second group. It’s a procedure that needs restraint and good judgment, because the goal isn’t to hollow the face out. It’s to refine fullness in a way that still suits the patient’s natural structure. ## **Why These Procedures Are So Often Combined** The face doesn’t age all at once, and it doesn’t age in one direction. A patient may have lower-face heaviness, but the eyes are also starting to look tired. Another may want a sharper jawline, but the face has also lost volume through the cheeks. A third may come in focused on the eyelids, and the brow turns out to be part of the same picture. That’s why some procedures are combined. One part of the face may need lifting. Another may need volume. Another may need skin removal. The goal isn’t to pile these procedures together. The goal is to match the treatment to what’s actually happening in each part of the face. That’s also why a consultation can change a patient’s initial assumptions. She may walk in focused on one detail and leave with a clearer sense of the full picture. ## **What’s the Best Age for Facial Plastic Surgery?** There isn’t one age when facial plastic surgery suddenly becomes appropriate. The right timing comes down to what has changed, how much it bothers you, and which procedure can address it. Years ago, patients were more likely to wait until their 60s and address several areas at once. Surgeons sometimes referred to that approach as “TWT,” or “the whole thing.” A facelift, neck lift, eyelid surgery, and brow lift might all be performed as part of one larger plan. Some patients are starting these conversations earlier. Someone in her 30s or 40s may want to address early jowling, a low brow, changes around the eyes, or the direction in which the facial tissues have begun to shift. She may choose one focused procedure now and consider another later. Facelift consultations among patients in their 30s and 40s have become more common, and smaller or earlier interventions may be considered when a patient’s anatomy supports them. Men and women can both be candidates for facial surgery. Age alone doesn’t decide it. Dr. Shermak looks at the patient’s anatomy, skin quality, facial structure, health, prior procedures, and the changes that are causing concern. The face in front of her is more important than the date on your driver’s license. ## **How Doctors Decide Which Facial Procedure Makes Sense** When the issue is sagging in the lower face or jawline, a facelift or a deep plane facelift may come up. When a patient is bothered by looseness, fullness, or banding through the neck, a neck lift may be right. When the concern is heavy eyelids, puffiness, or droopiness around the eyes, blepharoplasty may be the better fit. When the face has hollowed, facial fat grafting or dermal fillers may help. When the concern is a specific feature, such as the nose, ears, or upper lip, we can look at rhinoplasty, otoplasty, or lip lift. This is also where non-surgical procedures have a place. Botox, fillers, chemical peels, and other cosmetic procedures can help with early changes in the skin, fine lines, sun damage, and texture. They can do useful work. They just don’t do the same job as surgery when the issue is deeper descent, excess skin, or a structural problem. ## **Where Reconstructive Surgery Fits In** Facial plastic surgery isn’t only cosmetic. It also includes reconstructive surgery. A facial plastic surgeon may perform cosmetic procedures such as facelift, rhinoplasty, and blepharoplasty, while also handling reconstructive procedures after injury, prior head and neck surgery, skin cancer, or congenital conditions such as cleft lip. That side of the field focuses on restoring form or function after trauma, disease, or developmental differences. Cosmetic surgery is about appearance. Reconstructive surgery is about correction and restoration. Some patients need facial reconstruction after an accident. Others need reconstruction after cancer removal, a scar problem, or structural damage involving skin, bone, or cartilage. Both are part of the same specialty. That’s one reason the field is broader than people think. ## **What Comes Next** An initial consultation is where all of this gets more specific to you and your features. Dr. Shermak looks at the part of the face that’s bothering you, how the concern shows up at rest and in motion, what has changed over time, and what kind of result you want. Some people need one procedure. Some need two. Some are looking for facial rejuvenation. Others are focused on one feature. From Dr. Shermak’s perspective, the point of the initial visit is to sort that out clearly and build a plan around the face in front of her. --- ## Safety First in Plastic Surgery **Link:** [Safety First in Plastic Surgery](https://www.drshermak.com/blog/safety-first-in-plastic-surgery-in-baltimore/) ([md](https://www.drshermak.com/blog/safety-first-in-plastic-surgery-in-baltimore/index.html.md)) **Description:** Plastic surgery is exciting. It’s typically something individuals actively pursue to reach goals they set for themselves: a flatter abdomen, a perkier ### Content Plastic surgery is exciting. It’s typically something individuals actively pursue to reach goals they set for themselves: a flatter abdomen, a perkier breast, or a more youthful face, for example. But just because you choose to have plastic surgery, does not mean the possibility of risk is absent. Surgery, whether elective or required, is surgery. Here are 5 tips for optimizing safety for your plastic surgery experience: 1. Make sure your surgeon is Board-certified by a “real” board, one that is recognized by the American Board of Medical Specialties. The American Board of Plastic Surgery, for example, demands from its members a very comprehensive, strict process for certification through written and oral examinations, and maintenance of certification. Boards of cosmetic surgery are not ABMS-regulated and membership requires very little to qualify. Check on your surgeon’s credentials. You can check [www.plasticsurgery.org](https://www.plasticsurgery.org/) to make sure your doctor is an ASPS member. 2. Is your health profile as optimal as it can be? Are you eating well? Do you exercise? Do you smoke? The more you do up front to improve your health through excellent diet, exercise and cessation of smoking will optimize outcome in plastic surgery. Plastic surgery is not a substitute for weight loss and good health. This is especially important when you are choosing to pursue a surgery for which you will be paying. 3. Communication must be open and easy with the surgeon you choose. In my practice, the more questions a patient asks, the better! These patients are amongst the best prepared for their surgical experience. Do not be shy with getting all the information you need! And don’t be afraid to share your complete medical history – you need to be honest and frank if there are any issues that may impact your surgery. 4. Check on the facility in which your surgery will be performed. If it is an outpatient, ambulatory surgery site, don’t overdo it. There are safe limits to outpatient surgery. Not every patient is a good candidate for outpatient surgery and may require a hospital-based operation. Individuals who have sleep apnea or latex allergy must go to the hospital. Make sure the surgical center is certified and ask what emergency procedures are in place. 5. Talk to your surgeon about postoperative recovery and duration, and be compliant with instructions. More activity than recommended early after surgery may result in wound healing problems – plan for help if you need it. A little time to rehabilitate will go a long way, considering that a complicated outcome prolongs recovery for an unknown length of time. [Back to Blog](/blog/) --- ## Safety in “Skin Tight-”ening Surgery after Significant Weight Loss **Link:** [Safety in “Skin Tight-”ening Surgery after Significant Weight Loss](https://www.drshermak.com/blog/safety-in-skin-tight-ening-surgery-after-significant-weight-loss/) ([md](https://www.drshermak.com/blog/safety-in-skin-tight-ening-surgery-after-significant-weight-loss/index.html.md)) **Description:** Safety in “Skin Tight-”ening Surgery after Significant Weight Loss My office staff is obsessed over a new television show on TLC called Skin Tight. This ### Content Safety in “Skin Tight-”ening Surgery after Significant Weight Loss My office staff is obsessed over a new television show on TLC called Skin Tight. This show follows individuals who have sustained massive weight loss through surgery or diet. Lauana is one of the first women featured. She lost 170 lbs after Roux en Y gastric bypass surgery. Dr. Now is the surgeon who took care of her, navigating her surgical treatment from weight loss through plastic surgery. After losing 170 lbs, Lauana underwent “plastic” surgery on her arms, breasts, and abdomen, and possibly other body regions, to reduce the excess skin and improve her appearance. She is based in Maryland, and Dr. Now is her weight loss surgeon in Houston, Texas. My staff came to me with the postoperative photos, as they were surprised by how unsightly the cosmetic results were. Lauana is actually very happy with her outcome, and she is healthy and enjoying her results, which is great. My concern with Lauana’s story is that the plastic surgery aspect of her medical care was not performed by a Board Certified Plastic Surgeon. Plastic Surgery training and the specialty’s credentialing process, including a Maintenance of Certification program, assures that plastic surgeons who are classified as Board Certified are thoroughly trained in plastic surgery technique and safety, and that they continue to pursue necessary education and meet necessary standards even after attaining Board Certification long into their mature surgical practices. The American Board of Plastic Surgery is one of a limited number of American Board of Medical Specialties – endorsed medical boards. Performing body contouring on massive weight loss patients requires extreme technical skill in correcting issues related to weight loss related-skin and muscle laxity, with adherence to complication avoidance throughout the entire perioperative course, while also aiming to achieve the best possible aesthetic results in contour and scar outcome. There are potential risks associated with such significant surgery. Traveling from Houston to Maryland amplifies Lauana’s risks. Dr. Now is not a board certified plastic surgeon. Fortunately Lauana came through her surgery safely – not a given – but her scars and contour appearance reflect Dr. Now’s lack of plastic surgery specialized training. Unfortunately general surgeons like weight loss surgeons such as Dr. Now and breast cancer surgeons are taking up plastic surgery to help their “bottom line,” and they are not referring out their patients to the most qualified surgeon to assist in reconstructive care. How does this happen? These patients are totally dedicated to these surgeons for improving their health and life spans and entrust their surgeon to provide them the best possible advice. They are not getting the best advice with a financial conflict of interest like this. While shows like Skin Tight demonstrate the improvement in joy and health of individuals who lose significant weight, it is important to understand the marketing and promotional aspects of shows like this, which do not necessarily coincide with the medical standard of care. It is important that the public understands the difference between the training of a Board Certified plastic surgeon and surgeons who are not Board Certified in plastic surgery. Individuals need to advocate for the best possible medical care. Visit [https://www.drshermak.com/](/) or call [(410) 616-3000](tel:(410) 616-3000) [Back to Blog](/blog/) --- ## Spring is coming! Are you ready Baltimore? **Link:** [Spring is coming! Are you ready Baltimore?](https://www.drshermak.com/blog/spring-is-coming-are-you-ready-baltimore/) ([md](https://www.drshermak.com/blog/spring-is-coming-are-you-ready-baltimore/index.html.md)) **Description:** Once the sun’s warmth starts hitting our faces in February, you can’t help but feel that something good is coming around the corner. Spring is almost ### Content Once the sun’s warmth starts hitting our faces in February, you can’t help but feel that something good is coming around the corner. Spring is almost here, and you’re ready to get outside, shed layers, and show some skin. You are becoming more active, fueled by the energy of the improving climate and more green environment. Are you ready? Beyond diet and exercise, which are crucial to improving your body, plastic surgery procedures help you make that extra step to transform areas that have been stubborn to respond to healthy, non-surgical means. Exercise can only do so much. Facial procedures from minimally invasive to surgical may help. Injectibles can be performed in an office visit and smooth lines and furrows in the face, turn the sides of the mouth up, and/or combat early neck banding. Eyelid surgery can open the eye, and treat the bags and loose skin that impair smooth makeup application. A neck lift can make all the difference in refreshing your look, leading to a smoother neck and jawline. Breast surgery ranges from augmentation to reduction. [Breast augmentation](/breast/baltimore-breast-augmentation/) is amongst the top surgical procedures performed by plastic surgeons. Both saline and silicone implants are available, and breast implant company is sponsoring some nice deals (See Promotions). Breast augmentation can provide better balance and enhancement to your body, not to mention the boost in your self-confidence. [Breast reduction](/breast/breast-reduction/) can also provide balance, enhancement, and self-confidence. But to women who are large-breasted, and may be functionally impaired breast surgery is a major focus for plastic surgeons in the springtime. [Body contouring](/body/body-contouring-after-major-weight-loss/) surgery is another area men and women pursue in the springtime. From [Liposuction ](/body/liposuction/)to [Tummy Tuck](/body/tummy-tuck-baltimore/), body contouring procedures sculpt and tighten areas on the torso impacted by pregnancy, weight change, aging and genetics. Liposuction is perfect for treating focal problem areas, like the abdomen, thigh, flank and knees. Tummy Tuck is an impactful procedure that can convert an unshapely abdomen to a more fit, trim look with muscle and skin tightening. Tummy tuck and Liposuction can complement each other to achieve the best results. If any of these plastic surgery topics strike a chord in you, please contact Dr. Michele Shermak at [(410) 616-3000](tel:(410) 616-3000) to arrange a free consultation soon. Get the leg up on Spring! [Back to Blog](/blog/) --- ## Style Magazine – September 2016 **Link:** [Style Magazine – September 2016](https://www.drshermak.com/blog/style-magazine-september-2016/) ([md](https://www.drshermak.com/blog/style-magazine-september-2016/index.html.md)) **Description:** Style Magazine - September 2016 Click magazine cover to read the article. ### Content Style Magazine – September 2016 [Back to Blog](/blog/) --- ## Textured Breast Implant Concerns – ALCL Q&A **Link:** [Textured Breast Implant Concerns – ALCL Q&A](https://www.drshermak.com/blog/textured-breast-implant-concerns-alcl-qa/) ([md](https://www.drshermak.com/blog/textured-breast-implant-concerns-alcl-qa/index.html.md)) **Description:** Over the past several months, textured breast implants have been in the news. On July 24, 2019 the FDA requested that the Allergan company voluntarily ### Content Over the past several months, textured breast implants have been in the news. On July 24, 2019 the FDA requested that the Allergan company voluntarily recall its Biocell textured implants: [https://www.fda.gov/news-events/press-announcements/fda-takes-action-protect-patients-risk-certain-textured-breast-implants-requests-allergan](https://www.fda.gov/news-events/press-announcements/fda-takes-action-protect-patients-risk-certain-textured-breast-implants-requests-allergan). You may receive information directly from Allergan. I am writing to provide additional information and to discuss what action, if any, is appropriate. What is BIA-ALCL? “Breast Implant Associated Anaplastic Large Cell Lymphoma”, (BIA-ALCL), is a rare form of lymphoma. It is not a cancer that develops in the breast. There are many types of lymphomas. This type of lymphoma develops within the capsule that forms naturally around the implant. Why Just the Allergan BioCell Textured Implants? Some breast implants have a textured surface. The texturing of the Biocell implants is different from the texturing of other implants and has been associated with the highest risk of BIA-ALCL. It is important to know that there have been NO confirmed cases of BIA-ALCL associated with smooth implants. Is Allergan’s Recall like an Automotive Safety Recall? No. There are several different types of FDA recalls. Unlike an automotive recall that seeks to replace the “recalled” part, this type of recall is simply a withdrawal of Biocell implants from future use. The term is a little confusing, but it is the term that the FDA chooses to use. The “recall”, in other words, is directed at Allergan, not at you, the patient, or at your implants. Is Allergan Or The FDA Asking Me To Have My Implants Removed? No, just the opposite. The FDA specifically stated that it does not recommend removal or replacement of Allergan BioCell textured implants in patients who have no symptoms. Why Did Allergan Withdraw Its BioCell Textured Implants? Although there are manufacturers of textured implants other than Allergan, the FDA analysis found that the risk of a BIA-ALCL diagnosis with Allergan products is approximately six times higher than that of other types of texture. 84% of the 573 reported cases have been linked to Allergan BioCell textured products. The diagnosis of BIA-ALCL is rare; the best estimate is thought to be approximately 1:3,000, although some centers have reported higher incidences. How Serious Is BIA-ALCL? When BIA-ALCL is detected and treated early it is usually curable. Of the 573 cases in the world, there have been 33 deaths. Deaths associated with BIA-ALCL are thought to have resulted from delayed diagnosis or inappropriate treatment. The single most important intervention to prevent advanced BIA-ALCL is regular monitoring and early detection. What Symptoms Should I Be Looking For? Unlike breast cancer, BIA-ALCL most commonly presents with swelling of one breast. Other less common symptoms include hardening of the breast, an unusually persistent rash or a palpable mass in the breast or armpit – all easily identified by you. If you have any of these symptoms, please call to schedule an appointment for an examination and if needed, further tests. An ultrasound can detect the presence of fluid, and if present, a small amount can be aspirated with a needle and tested. Should this be positive for tests called CD30 and ALK, a diagnosis of BIA-ALCL will be considered. If the tests are negative, the fluid collection is considered benign. Benign fluid collections, known as seromas, are not uncommon around breast implants so it is important to differentiate them from those associated with ALCL. What If The Tests Confirm BIA-ALCL? In most patients, BIA-ALCL is curable with surgery alone – removing the textured implants and the capsule. Consultations with other medical specialists may be recommended but in most cases there is no need for radiation or chemotherapy. What If I Do Not Have Any Symptoms? The FDA recommends that you do not remove your BioCell textured breast implants at this time. Should you develop any of the signs or symptoms mentioned above, you should make an appointment for evaluation. You are the patient, however, and you do have the option of removing your BioCell implants, with or without replacement with smooth implants. Where Can I Find More To Read? Additional information on ALCL and Allergan’s recall can be found here: - FDA letter 5/3/2019 Summarizing recent FDA committee findings and recommendations: [https://www.fda.gov/news-events/press-announcements/statement-fda-principal-deputy-commissioner-amy-abernethy-md-phd-and-jeff-shuren-md-jd-director-fdas](https://www.fda.gov/news-events/press-announcements/statement-fda-principal-deputy-commissioner-amy-abernethy-md-phd-and-jeff-shuren-md-jd-director-fdas) - FDA Reports of Breast Implant Associated Anaplastic Large Cell Lymphoma [https://www.fda.gov/medical-devices/breast-implants/medical-device-reports-breast-implant-associated-anaplastic-large-cell-lymphoma](https://www.fda.gov/medical-devices/breast-implants/medical-device-reports-breast-implant-associated-anaplastic-large-cell-lymphoma) - Allergan’s Letter to Consumers 8/9/2019 If you have any further concerns or questions and would like to meet with me, please contact my office to schedule an appointment at [(410) 616-3000](tel:(410) 616-3000). -Michele Shermak, M.D. [Back to Blog](/blog/) --- ## The “Angelina Jolie” Procedure **Link:** [The “Angelina Jolie” Procedure](https://www.drshermak.com/blog/the-angelina-jolie-procedure/) ([md](https://www.drshermak.com/blog/the-angelina-jolie-procedure/index.html.md)) **Description:** "My Medical Choice" was written by Angelina Jolie and published by the New York Times on May 14, 2013. Thank goodness for Angelina’s interest in public ### Content “My Medical Choice” was written by Angelina Jolie and published by the New York Times on May 14, 2013. Thank goodness for Angelina’s interest in public health and education! In her essay, she publicly announced that she underwent preventive double mastectomy with immediate reconstruction because she is Breast Cancer Gene (BRCA1) positive. Her gene positivity places her at a high risk of developing breast cancer and ovarian cancer, on the order of 65% and 50%. Her decision to undergo double mastectomy was a “no brainer” for her. She knew she was at significantly increased risk for developing breast and ovarian cancer in the future, and she decided to improve her long term survival for the benefit of her family. She will undergo surgical removal of her ovaries in the future. As she shares, her mother died of ovarian cancer, so Ms. Jolie understands how bad the course of ovarian cancer can be. I have had the good fortune of taking care of many BRCA+ women who were in Ms. Jolie’s shoes, who decided to undergo protective mastectomy procedures paired with reconstruction – I’ve also taken care of women who have novel gene + breast cancer, not BRCA, as more genes associated with breast cancer are being identified. Many of these women fall between the ages of 35 and 50 years of age, so this is a young cancer population. Many women wrestle with the decision about how to proceed if they test positively for the breast cancer gene. The key is finding a multidisciplinary team who specializes in breast cancer treatment to effectively discuss options. Angelina Jolie turned to a team of medical specialists and that is so important to properly gather all of the data necessary to determining each individual’s breast status, and what treatment modalities are best geared to the disease process. Angelina Jolie made a great decision for herself, but that might not be the recipe for success for everyone. I applaud Ms. Jolie for her candor, and for making the conversation on Gene Positive Breast Cancer a more public one. If you have questions about your options for breast cancer reconstruction, please contact Dr. Michele Shermak at [(410) 616-3000](tel:(410) 616-3000) [Back to Blog](/blog/) --- ## The Experience of a Breast Augmentation **Link:** [The Experience of a Breast Augmentation](https://www.drshermak.com/blog/the-experience-of-a-breast-augmentation/) ([md](https://www.drshermak.com/blog/the-experience-of-a-breast-augmentation/index.html.md)) **Description:** Whether you have already decided to undergo breast augmentation surgery, or are still in the decision-making process, more information about what to ### Content Whether you have already decided to undergo [breast augmentation](/breast/baltimore-breast-augmentation/) surgery, or are still in the decision-making process, more information about what to expect can help you make smart decisions. Do your research As with any surgery, is it important to do as much research as you can so you understand what to expect from breast augmentation surgery. It is important that you understand: - How various levels of increases in size to your breasts will look on your frame - If planning an increase, which type of implant would be most successful for you - How much your surgery will cost - Other women’s experiences with breast augmentation That said, no one has the same figure, or breast issue that you have! While reading about other women’s experiences with breast augmentation, no other person’s experiences will give you an exact roadmap. What to expect Your breast augmentation journey is specific to you, but there are some elements to breast augmentation that are true for everyone across the boards, such as: - Never assume that you know what cup size will be “best” on you: cup sizes are not universal! A C cup on one body will never look the same as a C cup on another body because every individual woman’s chest size and shape, height, and body is different. - There are different kinds of implants, and each has its own unique shape and feel. Make sure you are familiar with the differences, so you are happy with your results. Silicone implants tend to feel more similar to natural breast tissue than saline. - Include time off in your calculations. Breast augmentation surgery, while common, is still surgery. Your body will need time to rest and recuperate for a few weeks after your procedure. You will need some help during the first week, especially if you have children. No lifting, stretching, or other physical motions can be performed, to avoid placing strain on the incisions. - Understanding incisions and scar location. Saline implants are filled after placement, with smaller scars – but feel less natural. Many women choose silicone, with incisions in the breast crease where they are virtually invisible, as the breast itself hides the scar. - Everyone’s recovery time is different. You may have a friend who was back to her routine in two weeks, or another person who needed a few months before she was able to return to her workouts. Every person heals at a different rate. - Your body will shift over the course of the first year of your augmentation (so don’t run out and buy brand new bras too soon!) Teamwork There is never a one-size-fits all approach to breast augmentation surgery, so perhaps the most important decision you can make after deciding to undertake a breast augmentation surgery is to choose the plastic surgeon that is right for you! Your surgeon takes more than just your desired outcome into consideration; she is there to make a plan that will make it possible to actually achieve the results you envision. Board-certified [Baltimore plastic surgeon](/), Dr. Michele Shermak, often performs breast revision surgery – a procedure to correct a less-than-satisfactory outcome from a primary surgery. It is not worth taking chances, as you will live with the results of your augmentation for years – the main concern is that your surgery should be performed correctly, the first time. Planning your augmentation includes several critical steps: - Measuring your body to ensure that you choose the best size implants for your body - Evaluating breast size asymmetry so your final result is breasts that are even in size, and appear natural - Evaluating your level of skin elasticity and the quantity of your natural breast tissue to choose optimal size, shape, and projection for your implants, whether silicone or saline - Discussing the option of natural fat transfer as an option for a completely natural, subtle increase in breast size While you are encouraged to do your research and bring in photos of what you hope to achieve, at the end of the day you have choose a plastic surgeon who listens carefully, cares about you as a person, and has a longstanding reputation for surgical excellence. Dr. Michele Shermak offers arguably the best results in [breast augmentation Baltimore](/breast/baltimore-breast-augmentation/), MD has to offer. To schedule a consultation, contact us [here](/contact/). [Back to Blog](/blog/) --- ## The Four Biggest Myths of Breast Augmentation De-Bunked **Link:** [The Four Biggest Myths of Breast Augmentation De-Bunked](https://www.drshermak.com/blog/the-four-biggest-myths-of-breast-augmentation-de-bunked/) ([md](https://www.drshermak.com/blog/the-four-biggest-myths-of-breast-augmentation-de-bunked/index.html.md)) **Description:** Saline implants are safer than silicone In 1991 the FDA made silicone implants unavailable to women seeking cosmetic breast augmentation. This decision ### Content Saline implants are safer than silicone In 1991 the FDA made silicone implants unavailable to women seeking cosmetic [breast augmentation](/breast/baltimore-breast-augmentation/). This decision was fueled by the media and legal community making unsubstantiated claims that silicone implants were dangerously unhealthy, causing autoimmune diseases, cancer, and other major health concerns. This put the onus on plastic surgeons and the implant companies to present data to counteract these claims. Studies were done evaluating women with silicone implants that demonstrated that these women were less likely or equally likely to develop autoimmune diseases compared to women who did not have silicone gel implants. Silicone was also proven to not spread throughout the body. If a silicone implant wears down, the gel and scar tissue remain local to the breast region which requires removal. For 14 years, saline implants were put in women in the United States desiring breast augmentation, and the results are very good. Silicone tends to match the breast density better and clinically seem to be more durable over time. Conclusion, both are safe; the choice that’s ideal for you is really up to you and your surgeon.. Breast implants need to be replaced in 10 years The majority of breast implants placed last far longer than 10 years. A study from at least 15 years ago showed that 25% of women who get saline implants seek a change within 10 years, meaning 75% are happy and maintain their saline implants longer than 10 years. During the FDA scare in the early 90’s, many gel breast implants were removed and studied. Of the thousands of gel implants removed, the average life span was determined to be 15 – 20 years prior to failure. Subtracting 15 years from 1991 means these gel implants were developed in the 70’s, now over 40 years ago! Today the generation of implants has evolved dramatically from decades ago: the outer shell of the implant that holds the gel in is more durable, and the gel inside the implant is more cohesive (cross-linked), reducing the risk of gel oozing through the implant shell. I often explain to patients that today’s gel implants are technologically more advanced, thus can be assumed to be more durable, and could last up to thirty (30) years. Conclusion, each patient’s situation is unique and there are no guarantees but there’s a wide range of options to choose from and your surgeon should take the time to go over them with you in detail so you understand your choices. Breast implants look unnatural I often have women who see me for fat augmentation of the breast because they don’t want the unnatural look of [breast implants](/breast/baltimore-breast-augmentation/). However, some of these women have size goals that surpass how much fat enhancement can be achieved in the breast. In many cases women seek breast augmentation to achieve better proportionality and implants are perfect for this goal. This is where the importance of personalized fit, and attention to detail comes in. I make it a point to offer various options and spend time allowing for a patient to try various sizes in order to ensure to get the best result and most natural fit. Advances in sizing mean that we have access to special implants we can now place in the bra to get an estimate of how certain implant sizes will look. In discussing the procedure details, I review with patients incision placement, implant placement under or over the chest muscle, and the benefits of silicone vs. saline implants. The new generation of gel implants has more cross-linked, cohesive gel which creates a nicer feel and encourages longer implant life span. I have women from their 20’s to 70’s (yes, really!) seeking augmentation not to look big, but to look proportionate, or so they can feel more confident about their appearance dressed, or un-dressed. Conclusion, breast implants require proper fit consultation to ensure the most natural results. If you’re considering implants, make sure the surgeon you choose takes the adequate time needed to ensure size is what you want and need it to be. You will always regret not going bigger Not true! During consultation I learn from discussion what the approximate size goal is. We try on implant sizers to get a good estimation of the ultimate result, which is a great exercise. Women know what they want, and if there is a gray zone, I am here to provide guidance and help you make the right decision. Sizing can always be reviewed right before surgery, particularly if the patient’s significant other could not make it for the original appointment. Women need to pick a size they are happy with, and if that means a B cup, so be it. Breast augmentation is actually one of the most popular surgical procedures performed in plastic surgery because satisfaction is so high. However, satisfaction does not correlate with breast size and each person should access to the proper expertise, information and guidance to help her choose what size is going to be ideal for her. [Back to Blog](/blog/) --- ## The Ozempic Arm Solution **Link:** [The Ozempic Arm Solution](https://www.drshermak.com/blog/the-ozempic-arm-solution/) ([md](https://www.drshermak.com/blog/the-ozempic-arm-solution/index.html.md)) **Description:** Ozempic arm after rapid weight loss? Learn why the upper arms can look deflated, what causes loose skin, and when brachioplasty enters the discussion. ### Content ## ## Why the Upper Arm Can Look Deflated After Rapid Weight Loss Losing a significant amount of weight can change the body in ways patients do not always expect. One of the most common surprises is the upper arm. After rapid weight loss, the arm may look smaller, but it can also develop loose skin, extra tissue, and a deflated appearance that exercise does not fully correct. That is what many patients mean when they talk about “Ozempic arm.” The phrase is informal, but the concern is real. After significant weight loss, your skin does not always contract at the same pace as fat loss. In most cases, the issue is not poor muscle tone or a lack of effort. It is that your body has changed quickly, and your skin has not kept up. That is why patients who lose weight with GLP-1 drugs, weight loss surgery, diet changes, or other health interventions may still feel frustrated by the appearance of the arm. ## What Is Ozempic Arm? Ozempic arm is a non-medical term patients use to describe loose, crepey, or sagging upper-arm skin after rapid weight loss. It usually refers to excess skin and soft tissue changes that become more noticeable after the body loses fat quickly. This is not limited to Ozempic. Similar changes can happen after weight loss or any period of major body change. The common thread is not one medication. It is the pace and amount of weight reduction, along with the skin’s ability to rebound. ## Why the Upper Arm Changes After Significant Weight Loss The upper arm is one of the clearest areas where skin elasticity shows itself. Fat may shrink relatively quickly. Skin often does not. After significant weight loss, patients may notice: - Loose skin under the arm - A flatter, empty look instead of a firm contour - Sagging or drooping from the armpit toward the elbow - Skin that moves separately from the arm itself - Bat wings that remain despite exercise That does not mean anything has gone wrong. It means the body is adapting to a new size, and the skin may not fully tighten on its own. Age, genetics, the amount of body weight lost, and how long the skin was stretched all play a role. ## Is Ozempic Arm Caused by the Medication? Not exactly. The medication may help a patient lose body fat, but it does not directly create a new arm condition. The real issue is what happens when the body becomes smaller and the skin does not shrink to match. This is why similar upper-arm changes can happen after weight loss surgery, prolonged dieting, illness-related unexplained weight loss, or other health conditions that affect body mass. In some settings, prescription medications, chronic illness, changes in metabolism, or even serious diagnoses such as cancer can be associated with unintentional weight loss, which should always be evaluated by a doctor or healthcare provider. ## Why Exercise Helps, but Often Does Not Fix the Problem This is where patients often feel confused. You are working out. You may have improved muscle definition and better muscle tone. You may be following a healthy lifestyle, paying attention to diet, and trying to eat well. The arm still looks loose. That is because exercise builds muscle. It does not remove excess skin. If your upper arm still has significant fat and the skin quality is fairly good, exercise may improve the overall look of the arm. If your main issue is hanging skin after rapid weight loss, the result is usually different. Your arm may be healthier and stronger, but the skin remains the limiting factor. ## Skin, Fat, or Both? Why That Distinction Matters Not every upper arm needs the same treatment. For some, the issue is mostly residual fat. In others, it is mostly skin. In many, it is both. That is one reason this conversation is more nuanced than it sounds online. ### Arms With More Fullness and Decent Skin Tone These patients may still have some extra fat in the arm. In select cases, liposuction may help contour the area. ### Arms With Deflated Skin and Little Remaining Fat These patients often have an empty sleeve effect. The arm is smaller, but the skin hangs. In that setting, removing excess skin becomes the main issue. ### Arms With Both Loose Skin and Excess Soft Tissue These are mixed cases. Sometimes treatment involves more than one technique. Understanding whether the problem is skin, fat, or both helps patients set better expectations. It also helps them understand why a workout plan and a surgical plan are solving different problems. ## What Non-Surgical Treatment Can and Cannot Do Patients understandably ask about skin-tightening devices, injectables, or non-surgical options. Mild skin laxity may respond somewhat to certain treatments. Significant upper-arm laxity after major weight loss is different. In most cases, non-surgical treatment does not remove enough extra skin to create a major change in the upper arm. It may help texture slightly. It usually does not fully correct sagging tissue after significant weight loss. That is why brachioplasty, also called an arm lift, comes up so often in this discussion. ## What Is Brachioplasty? Brachioplasty is an arm lift surgery that removes excess skin and reshapes the upper arm after weight loss, aging, or tissue laxity. It’s designed for patients whose main concern is hanging or drooping tissue rather than fullness alone. A well-planned arm lift focuses on contour, not just size. The goal is to improve the line of the arm when excess skin has become the issue that exercise cannot fix. For some patients, liposuction may be part of the plan. For others, the bigger issue is removing excess skin and reshaping the soft tissue envelope. Brachioplasty is a general term for skin removal from the arm. There are different types of brachioplasty designs. In some cases, just a small amount of skin is removed in the upper arm with a small scar to help improve tautness. The next level of brachioplasty is for the arm, from the elbow to the underarm. Finally, likely the more popular armlift in Dr. Shermak's practice, is the extended armlift with removal of skin from the elbow, to the underarm and down the side of breast, like an "L" excision. This armlift is great for those who have sustained significant weight loss and works exceedingly well paired with breastlift surgery. Dr. Shermak examines her patients and will determine according to the patient's goals which armlift best suits each individual patient. ## When Arm Lift Surgery Makes Sense After Weight Loss An arm lift surgery discussion usually becomes relevant when: - A patient has had significant weight loss - The upper arm has visible loose skin - The tissue looks deflated rather than just full - Exercise has improved strength but not contour - Weight has reached a more stable weight - The patient understands there will be a visible scar This does not mean every patient with Ozempic arm needs surgery. It means there is a point where the conversation changes from “How do I tone this area?” to “What is actually causing this shape?” ## The Tradeoff Patients Think About Most: The Scar For most people considering brachioplasty, the central question is not whether the procedure works. It is whether they are comfortable with the scar. An arm lift requires an incision, and that means a scar. Depending on the amount of skin that needs to be removed, the incision may run along the underside or inner aspect of the upper arm. More skin laxity usually means a longer incision and a more noticeable scar. That tradeoff deserves plain language. There is no point in softening it. Patients often find themselves deciding between two things: - Living with hanging extra tissue - Accepting a scar in exchange for a smoother shape That is a personal decision. For some, the scar feels worth it. For others, it does not. Either response is reasonable. Dr. Shermak works with her patients typically 100% focusing on scar outcome about a month after surgery and over the first 6-12 months. Proper management with garments, massage and special topical treatments assist in creating the best, least visible scars. ## Why Stable Weight Matters Before a Surgical Procedure This is one of the most important parts of the conversation. Patients often ask when they should come in. A planning visit can be useful during active weight loss. Surgery timing is different. Before an arm lift surgery or any surgical procedure, patients generally do best when they are close to a stable weight and maintaining a healthy lifestyle. That matters for several reasons: - Tissue quality - Healing - Nutritional status - The durability of the result If a patient is still in a steep downward phase of weight loss, still adjusting medications, or still trying to reach a healthy weight, the best next step may be education and planning, not immediate surgery. ## Recovery After Brachioplasty: What Patients Should Expect Recovery should be described clearly. This is surgery, not a quick in-office fix. After brachioplasty, patients can expect swelling, bruising, soreness, and temporary activity limits. Many will wear a compression garment for several weeks to support healing and help control swelling. Depending on the case, there may be restrictions on lifting, workouts, and repetitive arm motion while the incision heals. Common recovery points include: - Temporary swelling - Tightness along the upper arm - A healing incision - Gradual softening of the scar over time - Delayed return to full upper-body exercise The goal is not speed. The goal is healing well. ## Why Ozempic Arm Is Often Part of a Bigger Body Conversation The upper arm is rarely the only area that changes after major weight loss. Patients may also notice loose skin in the underarm, chest, breast, abdomen, thighs, or lower body. That is one reason post-weight-loss contouring often needs a broader view. A patient may come in focused on the arm and leave understanding that the arm is part of a larger pattern. That does not mean more treatment is always needed. It means body contouring after significant weight loss is often best understood in context. ## Frequently Asked Questions About Ozempic Arm and Brachioplasty ### Can loose upper-arm skin tighten on its own after weight loss? Sometimes, a small amount of skin recoil happens over time. After rapid weight loss or significant weight loss, substantial excess skin usually does not fully tighten on its own. ### Does exercise get rid of bat wings? Exercise can improve muscle tone and overall arm strength. It does not remove stretched skin or significant hanging tissue. ### Is brachioplasty the same as liposuction? No. Liposuction removes fat. Brachioplasty or arm lift surgery focuses on removing excess skin and reshaping the upper arm. Some patients may need one, the other, or a combination. ### Will there be a scar? Yes. Brachioplasty involves an incision, so there will be a scar. The length depends on how much skin needs to be removed. ### When should I talk to a doctor about an arm lift after weight loss? A consultation can be useful early, especially if you are planning ahead. Most patients do best having surgery discussion once they are closer to a stable weight. ### Is all weight loss related to Ozempic arm cosmetic? No. If weight loss is unexplained or comes with other concerning symptoms, speak with a healthcare provider. Cosmetic planning should not replace medical evaluation. ## The Big Takeaway The upper arm can be one of the clearest reminders that losing fat and tightening skin are not the same thing. Patients may lose weight, improve their habits, follow a smart diet, and build better strength, then still feel disappointed by loose or drooping tissue in the arm. That frustration is understandable. It is important to understand the problem correctly. In some cases, it is a matter of residual fat. In others, it is about excess skin, soft tissue laxity, and changes that come with rapid weight loss. Once patients understand that difference, the conversation becomes much easier to follow. Brachioplasty belongs in that discussion because it addresses a specific problem. It should not be treated like the answer to every arm concern, and it should not be framed as a shortcut. It is one option within a larger post-weight-loss conversation about timing, anatomy, healing, and what kind of result a patient can realistically expect. --- ## The Surge in Breast Lift and Reduction: A Modern Approach to Aesthetic and Health Benefits **Link:** [The Surge in Breast Lift and Reduction: A Modern Approach to Aesthetic and Health Benefits](https://www.drshermak.com/blog/the-surge-in-breast-lift-and-reduction-a-modern-approach-to-aesthetic-and-health/) ([md](https://www.drshermak.com/blog/the-surge-in-breast-lift-and-reduction-a-modern-approach-to-aesthetic-and-health/index.html.md)) **Description:** The New York Times recently published an article describing the surgery in procedures. I perform breast lift and reduction to varying degrees almost every ... ### Content The New York Times recently published an article describing the surgery in procedures. I perform breast lift and reduction to varying degrees almost every day I operate, which numbers thousands over my 25 year career. Here are some take aways as to why this procedure is so popular, and why those interested are part of a large interest group. ## First – what does breast reduction accomplish? In surgery I narrow, shorten and lift the breast, reduce areolar diameter, improve symmetry and proportions, tighten up the breast crease which also leads to upper abdominal tightening. ### Many women are looking to improve aesthetics and better match their body to their lifestyle. Women are opting for [lifts](/breast/breast-lift/), small [reductions](/breast/breast-reduction/) and larger reductions as their goal is to have more perky and youthful(!) looking breasts. Smaller breasts contribute to a thinner look, are great for fitness, and may address asymmetry from development or breastfeeding. Many of my patients yearn to go braless which is a huge departure from their life experience. Many of my patients are pursuing a journey in lifestyle shift: from [augmentation](/breast/baltimore-breast-augmentation/) at a younger age to more of the “ballerina look” that fits better in yoga wear as a mom or empty nester. ### Many women are pursuing improvement in symptoms they are experiencing from breast size and low position. Breast lift and reductions large and small result in improvement in physical disability, reducing: upper and lower back pain, shoulder aches, poor posture, headaches, rashes, and even numbness and tingling in the fingertips. ### Breast reduction is great to pair with surgery on other body regions The most popular to address at the time of breast surgery is the abdomen ([tummy tuck](/body/tummy-tuck-baltimore/) and/or [lipo](/body/liposuction/)). These are classic components to [Mommy Makeover](/body/mommy-makeover/). ### Women are busy and want to understand how this procedure will fit into their schedule. Recovery occurs within a week, allowing driving and non strenuous activities. Walking is fine early on. At 3 weeks, activities like cardio workouts and travel are fine. Women should wait 4 weeks before increasing upper body physical exertion- gym, household, yard work, Costco runs. ## And what will this cost? Most of time breast reduction is an “out of pocket “ procedure, as insurance companies are requiring a full list of symptoms and a certain amount of tissue removal, and these criteria for coverage may be difficult to meet. Many patients opt to finance the procedure as financing companies present really attractive options, like 6 months “no interest” terms. Let’s just say a vacation lasts a week and a breast reduction lasts a lifetime, and they are in the same price bracket 😉. [Back to Blog](/blog/) --- ## The Unfortunate Taboo in Public Discourse on Labiaplasty **Link:** [The Unfortunate Taboo in Public Discourse on Labiaplasty](https://www.drshermak.com/blog/the-unfortunate-taboo-in-public-discourse-on-labiaplasty/) ([md](https://www.drshermak.com/blog/the-unfortunate-taboo-in-public-discourse-on-labiaplasty/index.html.md)) **Description:** You want to do WHAT?? WHERE??? I love performing Labiaplasty for my patients. Women over a broad spectrum of ages present with excess skin of the labia ### Content You want to do WHAT?? WHERE??? I love performing Labiaplasty for my patients. Women over a broad spectrum of ages present with excess skin of the labia resulting in hygiene issues, physical discomfort with sexual intercourse and athletics, and embarrassment and anxiety over appearance in clothing or undressed. This issue has gained increasing importance over time as grooming of the genital area increases visibility of underlying appearance. Women with labial excess tissue typically present in their early 20’s or post-partum. Corrective reduction of the labial anatomy -meaning to the point where the labia look as if no surgery was ever performed – will result in functional and cosmetic improvement, leading to a better quality of life, just like Breast Reduction. [Labiaplasty](/body/labiaplasty/) must be performed well, and seeing a [board certified plastic surgeon](/) who routinely performs this procedure is the best step in pursuing a proper outcome. The procedure can be performed in an hour under local or general anesthesia depending on the woman’s preference, and downtime is minimal, with almost no visible scarring. [Back to Blog](/blog/) --- ## Top Doctor status with Real Self **Link:** [Top Doctor status with Real Self](https://www.drshermak.com/blog/top-doctor-status-with-real-self/) ([md](https://www.drshermak.com/blog/top-doctor-status-with-real-self/index.html.md)) **Description:** Top Doctor Status with RealSelf RealSelf Top Doctor status is awarded to a select group of doctors who have demonstrated an ongoing commitment to ### Content Top Doctor Status with RealSelf RealSelf Top Doctor status is awarded to a select group of doctors who have demonstrated an ongoing commitment to answering consumer questions, and are transparent about their level of service by encouraging their patients to post unbiased reviews and ratings. Congratulations to [Dr Michele Shermak – board certified plastic surgeon](/) [](https://influx-site-assets.s3.us-west-2.amazonaws.com/drshermak.com/blog/top-doctor-status-with-real-self-inline-1689881108-deea81c9-ab09-4510-bd22-6b9ac43d61cb.png) [Back to Blog](/blog/) --- ## Treatment of sensory problems after surgical weight loss surgery (which may apply to chemotherapy patients) **Link:** [Treatment of sensory problems after surgical weight loss surgery (which may apply to chemotherapy patients)](https://www.drshermak.com/blog/treatment-of-sensory-problems-after-surgical-weight-loss-surgery-which-may-apply-to-chemotherapy-patients/) ([md](https://www.drshermak.com/blog/treatment-of-sensory-problems-after-surgical-weight-loss-surgery-which-may-apply-to-chemotherapy-patients/index.html.md)) **Description:** Treatment of sensory problems after surgical weight loss surgery (which may apply to chemotherapy patients) I just read an interesting article in ### Content Treatment of sensory problems after surgical weight loss surgery (which may apply to chemotherapy patients) I just read an interesting article in Bariatric Times, a publication of the American Society of Bariatric Physicians, for which I am on the Editorial Advisory Board. An article by Natalia Bodunaova et al describes a case of sensory problems after Roux en Y gastric bypass surgery (RYGB) for weight loss. This article describes a 34 year old man who underwent laparascopic RYGB who lost 85 lbs in the first 2 months after his surgery. The significant weight loss was associated with flu-like symptoms including low grade fever and nausea, as well as numbness of the abdomen, with “cooling of his feet, progressing to numbness and weakness of the legs and arms. Routine work up with blood tests and imaging was negative, making the diagnosis consistent with acute postgastroplastic polyradiculoneuropathy (PRN). Warranted treatment with Vitamin B complex, thiamine, pyridoxine and iron led to stabilization of symptoms within weeks of presentation, with ultimate recovery. Neurological issues after bariatric interventions are attributed to nutritional deficiencies in vitamins A, B1 (thiamine) B2, B6, folic acid, B12, D, E and minerals copper and zinc. This occurs with significant weight loss and malabsorption. Presentation can be alarming, but treatment is easy and straightforward and can turn this problem around. I see sensory disturbances occur in chemotherapy patients treated for breast cancer as well. While treatment must be considered and followed by the patient’s medical oncologist, vitamin/mineral deficiency is an easy issue to address with vitamin supplementation as a start. For individuals considering body contouring after significant weight loss or reconstruction after breast cancer, please contact the office of Dr. Michele Shermak for consultation at [(410) 616-3000](tel:(410) 616-3000), and check out her website. Dr. Shermak has extensive experience with body contouring after massive weight loss as well as breast cancer reconstruction. [Back to Blog](/blog/) --- ## Tummy Tuck, Breast Augmentation, and Liposuction in One Surgery? **Link:** [Tummy Tuck, Breast Augmentation, and Liposuction in One Surgery?](https://www.drshermak.com/blog/tummy-tuck-breast-augmentation-and-liposuction-in-one-surgery/) ([md](https://www.drshermak.com/blog/tummy-tuck-breast-augmentation-and-liposuction-in-one-surgery/index.html.md)) **Description:** Welcome to Mommy Makeover! While these procedures may not be the exact three performed for all women looking to reverse the effects of childbearing, these ### Content Welcome to Mommy Makeover! While these procedures may not be the exact three performed for all women looking to reverse the effects of childbearing, these are amongst the top 3. Tummy tuck, breast augmentation and liposuction may be safely performed in a single surgery in an outpatient setting – for the right patient. Who qualifies? Women who are essentially healthy who do not have contraindications to surgery including smoking, obesity, sleep apnea, latex allergy, blood clotting disorder, prior poor experience with anesthesia, amongst others. These issues are not absolute contra-indications to surgery – it is recommended that any woman interested in pursuing information about Mommy Makeover visit with a board-certified plastic surgeon to ascertain what can be safely achieved for themselves in light of their goals and medical history. Typically [Tummy Tuck](/body/tummy-tuck-baltimore/), [Breast Augmentation](/breast/baltimore-breast-augmentation/) and [Liposuction](/body/liposuction/) may be performed in about 4-5 hours under general anesthesia. Surgery is most often performed as an outpatient in an accredited facility. Recovery in the Center occurs for 1-2 hours, and then the patient goes home to recuperate, to return to the office within a week for the first postoperative visit. Each surgeon has her/his own recommendations to optimize recovery experience. If you are interested in learning more about Mommy Makeover, please visit Dr. Michele Shermak’s website at [drshermak.com](/), or call her office for a complimentary consultation at [(410) 616-3000](tel:(410) 616-3000). [Back to Blog](/blog/) --- ## Tummy Tuck Recovery Timeline: Week-by-Week Healing Guide with Dr. Shermak **Link:** [Tummy Tuck Recovery Timeline: Week-by-Week Healing Guide with Dr. Shermak](https://www.drshermak.com/blog/tummy-tuck-recovery-timeline-week-by-week-healing-guide-with-dr-shermak/) ([md](https://www.drshermak.com/blog/tummy-tuck-recovery-timeline-week-by-week-healing-guide-with-dr-shermak/index.html.md)) **Description:** So you’ve decided to take the plunge and move forward with the exciting tummy tuck journey! What should you expect? ### Content ## Dr. Shermak Discuss What to Expect During the Tummy Tuck Recovery Process " So you’ve decided to take the plunge and move forward with the exciting [tummy tuck journey](/body/tummy-tuck-baltimore/)! What should you expect? ## Pain Management and Early Recovery Pain management protocols are top of mind. Before surgery, we start with Tylenol, and during surgery, I place a long-acting numbing medication within the surgical site that lasts about four days. After surgery most of your pain management will rely on non-narcotic medications, some of which will be prescribed to you. Narcotic [medication is available as needed after surgery](https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-your-tummy-tuck-recovery), but most patients find they don’t need it for long. The first couple of days after surgery, you’ll feel sluggish and sleepy—this is a great time to rest and allow your body to heal. During these initial days, your body will begin flushing out anesthetic and retained fluid. You’ll spend most of your time in bed or a recliner, keeping your knees up on a pillow and catching up on books, movies, and binge-worthy series. ### Days 4-5: First Postoperative Visit & Drain Removal About four to five days after surgery, you’ll return to the office for your first postoperative visit. This is when your first dressing change will take place, and in many cases, your first drain will be removed. You can then go home and enjoy a shower! After this visit, you’ll continue to rest until your next follow-up appointment, typically about a week later, when your final drain will likely be removed, sutures will come out, and you will get into your recommended girdle ### Week 1-2: Regaining Mobility It’s okay to start driving around five to seven days after surgery as long as you are off narcotic pain medication and feel comfortable. Light, non-exertional activities are fine, but it’s crucial to prioritize your recovery. This means arranging help with childcare, work, and household tasks to ensure your body gets the time it needs to heal properly. By two weeks, you’ll feel much more like yourself and really start appreciating your results. Many patients tell me that they expected a much harder recovery than what they experienced. ### Week 3-4: Increasing Activity By four weeks, you can begin ramping up physical exertion. At this point, it’s safe to start heading back to the gym and incorporating low-impact exercise. Your swelling will continue to subside, and your results will become more defined. Scar management recommendations will typically start around four to six weeks post-op, with options like silicone gel topicals and massage to help optimize healing. ### Long-Term Healing and Follow-Ups Office visits will take place over the first year to monitor your healing and progress. Your final results will continue to develop as swelling resolves, and by three months, you should feel fully recovered. What I hear from my patients is that this recovery is far better than anything they anticipated. I went through this myself, and by two weeks, I was already back to work in the operating room! This is a hugely impactful procedure, and the results make it well worth the journey. " [~ Dr. Michele Shermak](/about/dr-shermak/) If you have any questions or concerns, contact Dr. Shermak’s office today to [schedule a consultation](/contact/)! [Back to Blog](/blog/) --- ## Tummy Tucks **Link:** [Tummy Tucks](https://www.drshermak.com/blog/tummy-tucks/) ([md](https://www.drshermak.com/blog/tummy-tucks/index.html.md)) **Description:** I LOVE Tummy Tucks! There is a broad range of tummy tuck procedures – more formally known as Abdominoplasty – to serve a wide range of abdominal ### Content I LOVE Tummy Tucks! There is a broad range of tummy tuck procedures – more formally known as Abdominoplasty – to serve a wide range of abdominal presentations. Approaches vary from mini, to traditional, to more extensive incisions to allow for increasingly impactful results. A [Tummy Tuck](/body/tummy-tuck-baltimore/) allows for excess abdominal skin removal, and this may be paired with muscle repair in cases where core strength has been impaired by biology, surgery or pregnancy. - Tummy Tucks may involve “skin only” if the muscle is in good shape. This is great for younger weight loss patients and individuals left with residual contour issues after liposuction of the abdomen. - A Mini Tummy Tuck allows for lower abdominal skin reduction with muscle tightening. There is only a lower scar above the pubic area. This is a great procedure for women with ugly C section scars and fullness of the pubis or who have significant abdominal muscle laxity from pregnancy, with good skin quality. - The more traditional Tummy Tuck allows for greater skin reduction from top to bottom – just below the breast to the pubic area – and includes a scar around the belly button. This is my “go to” Tummy Tuck as it allows for maximal skin tautness and also results in great secondary benefit in the pubic area and upper and outer thigh. Paired with waist liposuction, this procedure creates beautiful results and off the chart patient satisfaction. - An Abdominoplasty may be extended part-way or all the way around to the lower back, above the buttocks. This helps address the greater degree of skin laxity, while also allowing for a lift of the outer thigh and buttocks. This procedure is typically used for individuals who have sustained massive weight loss. - Any of these Tummy Tucks may be paired with liposuction to further improve back and waist contour. Tummy Tuck before and afters performed by Dr. Michele Shermak [](/gallery/body/tummy-tuck/) Tummy Tuck Gallery » Abdominoplasty is one of the most sought-after plastic surgery procedures. It serves a wide-ranging audience of men and women and provides impactful results. If you are excited by the prospect of a Tummy Tuck to improve your abdomen, call 410-324-6592 to schedule a consultation with Board-certified plastic surgeon Dr. Michele Shermak. [Back to Blog](/blog/) --- ## Tummy Tuck Video – Michele Shermak MD – Female Board Certified Plastic Surgeon **Link:** [Tummy Tuck Video – Michele Shermak MD – Female Board Certified Plastic Surgeon](https://www.drshermak.com/blog/tummy-tuck-video-michele-shermak-md-female-board-certified-plastic-surgeon/) ([md](https://www.drshermak.com/blog/tummy-tuck-video-michele-shermak-md-female-board-certified-plastic-surgeon/index.html.md)) **Description:** Tummy Tuck Video Learn more about a tummy tuck. ### Content Tummy Tuck Video [Learn more about a ](https://www.youtube.com/watch?v=oVC_vqIjdL4)[tummy tuck](/body/tummy-tuck-baltimore/). [Back to Blog](/blog/) --- ## Volumetry: A New Dimension in Facial Rejuvenation **Link:** [Volumetry: A New Dimension in Facial Rejuvenation](https://www.drshermak.com/blog/volumetry-a-new-dimension-in-facial-rejuvenation/) ([md](https://www.drshermak.com/blog/volumetry-a-new-dimension-in-facial-rejuvenation/index.html.md)) **Description:** How can we look more youthful and fresh? Most of my patients don’t pull up on their faces wanting that simulated facelift with a windblown, tight result. ### Content How can we look more youthful and fresh? Most of my patients don’t pull up on their faces wanting that simulated facelift with a windblown, tight result. Sure, lifting is a part of rejuvenation. Tissues sag with age, and this leads to lower brows, descent of the “apple” of the cheek into the jowl elongating the distance between the lower lid and cheek fullness, and a lax neck. Morphing photos as individuals age reveals that a signature mole on the cheek does not necessarily descend although the face clearly ages. What we are learning more about for facial rejuvenation is VOLUME. A full face is a youthful face, and deflation of the tissues either from aging, significant weight loss, or genetic tendencies leads to an older, more worn looking face. So volume is now a key part of the rejuvenation treatment process to consider. Volume can be restored in a number of ways. Lifting is one. When a facelift is performed, typically the deep tissues are elevated and supported back up to where they should be, restoring cheek fullness and shortening the distance between the lower lid and cheek “apple.” Another way to restore volume is with injectable fillers, like Perlane, Restylane, and Juvederm. These products fill wrinkles, folds, and thinned lips. They come off the shelf and can be administered in a clinic visit. Sculptra is a volumizer of the cheek area. By improving midfacial volume, secondary lift from the jawline occurs, smoothing it as well – a “win-win!” Sculptra can also be used above the brow to lift it. Sculptra is administered in an office visit. Optimal results with all fillers – Perlane, Restylane, Juvederm and Sculptra – requires at least 2 stages, but even 1 visit will produce remarkable results. Beyond facelift and injectables, fat grafting is another way to go, using your own stores of fat in the abdomen, back or thigh to fill the face – turning “bad” fat into “good” fat! Another “win-win!” While off the shelf injectables loose their effect over time, fat grafting becomes incorporated into the bodies for the long haul, and is a great long term solution for the mouth and nasolabial folds. So it is a new day in facial rejuvenation! We not only aim to raise tissues that have “fallen,” but also add necessary volume to turn back the hands of time and achieve a rejuvenated, refreshed face. [Back to Blog](/blog/) --- ## What are the Most Popular/Common Facelift Procedures? **Link:** [What are the Most Popular/Common Facelift Procedures?](https://www.drshermak.com/blog/what-are-the-most-popular-common-facelift-procedures/) ([md](https://www.drshermak.com/blog/what-are-the-most-popular-common-facelift-procedures/index.html.md)) **Description:** The most popular and common facial rejuvenative procedures today likely include words like Botox, Filler, Lasers, Needling, maybe even Threadlifts. ### Content The most popular and common facial rejuvenative procedures today likely include words like [Botox](/injectables-fillers/botox/), [Filler](/injectables-fillers/dermal-fillers/), Lasers, Needling, maybe even Threadlifts. Unfortunately many health care providers/aesthetic “professionals” are getting in on rejuvenative procedures; and with their limited toolbox and experience, patients are not understanding their full range of options, often missing their best option because the provider they are seeing cannot offer what they should actually get. Worse case scenario, these unsuspecting cosmetic consumers who want to look better may end up with worse outcomes and long term damage, with notable financial outlay. Rather than provide more and more (distorting) filler to hold off on the inevitable, [facelifts](/face/facelift-baltimore/) and [neck lifts](/face/neck-lift/) are a great way to reverse aging, with surprisingly hidden scars and limited recovery, with a spectrum of options available depending on the needs and goals of individuals seeking facial rejuvenation. As we age and accumulate the effects of decades of sun exposure, tissues in the face and neck deflate and descend to varying degrees, often dictated by genetics and weight changes. Lifting deeper tissues in the face, with corresponding lift and reduction of skin excess, actually reverses aging. Combined with fat transfer in many cases, transformation is complete. Facelift and neck lift procedures range from small tuck ups around the ears and temples to more comprehensive procedures under general anesthesia. Scars no matter which procedure are carefully and strategically placed in hidden creases around the ears, hair and under the chin. Sutures are out within 7-10 days, so recovery and downtime within that time period are surprisingly limited. The degree of surgery performed fully depends on the desires of the patient, and is best determined after she/he receive information about what is available for their particular needs and goals. Informed decision making and predictability are the keys to optimal patient satisfaction. No bridges are burned with smaller procedures, so more can be done at a later time to assure patient comfort with the proposed outcome. Some people think the cost of face and neck lift is really high and do not pursue consultation for that reason. My response to that is that they may be positively surprised by “the number,” that [financing options](/resources/financing/ ) are available, and that this is money thoughtfully spent, rather than throwing money away on procedures that cannot achieve long term or desired results. No matter how much money is spent on less invasive treatments performed by less experienced providers, it is too much if you are not getting what you most desire and particularly if you have a bad outcome. I absolutely love what face and neck lifting can provide my patients! I love seeing the on table transformation and the smiles after surgery, starting as soon as the day after. [Please call my office to schedule your consultation](/contact/) if this is something you are considering. Let’s make it happen! [Back to Blog](/blog/) --- ## What does Board Certification mean? **Link:** [What does Board Certification mean?](https://www.drshermak.com/blog/what-does-board-certification-mean/) ([md](https://www.drshermak.com/blog/what-does-board-certification-mean/index.html.md)) **Description:** It is recommended in many places that consumers interested in plastic surgery should check board certification of their doctor. I am often asked about ### Content It is recommended in many places that consumers interested in plastic surgery should check board certification of their doctor. I am often asked about board certification, which I think is great! The more informed my patients are, the better off we all are. I have been Board Certified in Plastic Surgery since 2000, and fulfilled Maintenance of Certification last year. In the field of cosmetic and plastic surgery, board certification is a particularly confusing issue because there are so many boards, some real and some not really real. The importance is in dissecting out who are the real plastic surgeons, and who are not. The American Board of Medical Specialties (ABMS) is the umbrella organization for all recognized boards that fulfill the highest level of requirements. The American Board of Plastic Surgery is one of the 24 boards recognized by the ABMS, including among its ranks The American Boards of Surgery, Internal Medicine and Dermatology. There is no authorized board of cosmetic medicine or cosmetic surgery. There is no subspecialty board of facial plastic surgery recognized by the ABMS, but there is one of Otolaryngology, Obstetrics/Gynecology, Family Medicine, and Oral Surgery similarly do not have specific board certification in the subspecialty of Plastic Surgery. Certification by an ABMS Member Board involves a rigorous process of testing and peer evaluation designed by specialists in the area of interest. A new gold standard for re-certification has been adopted by the ABMS, requiring passing of a Maintenance of Certification (MOC) program. MOC uses evidence-based guidelines and national standards and best practices in combination with continuing medical education (CME) to ensure the best possible health care delivery to patients. If your physician says that he/she is board-certified in Plastic Surgery, make sure it means certification by the American Board of Plastic Surgery. Only Board Certified Plastic Surgeons are authorized by the ABMS to perform plastic surgery procedures from head to toe. Truth in advertising laws are being passed by states throughout the country to assure that patients have access to true credentialing information. So when you ask about board certification in Plastic Surgery, this is what it means. With the answer of “Yes, I am board-certified in Plastic Surgery by the American Board of Plastic Surgery,” it means you are meeting with a physician who has passed a comprehensive written examination; who has passed an oral examination assessing knowledge about patient care and outcomes of their own patients; and for many of those in practice for greater than 10 years, who has passed a MOC examination assuring maintenance of a high level of education and best practices for patients since first getting board certified. Board Certification is therefore as important as has been reported: it provides the “gold seal of approval” for plastic surgeons. [Back to Blog](/blog/) --- ## What You Need to Know Before Getting a Brazilian Butt Lift **Link:** [What You Need to Know Before Getting a Brazilian Butt Lift](https://www.drshermak.com/blog/what-do-i-need-to-know-before-getting-a-brazilian-butt-lift/) ([md](https://www.drshermak.com/blog/what-do-i-need-to-know-before-getting-a-brazilian-butt-lift/index.html.md)) **Description:** The most educated patient is the best patient, and this is certainly the case for patients seeking Brazilian Butt Lift (BBL).  The most important ### Content The most educated patient is the best patient, and this is certainly the case for patients seeking [Brazilian Butt Lift (BBL)](/body/brazilian-butt-lift/). The most important areas of knowledge include Procedure Technique, Realistic Goals, Safety and Recovery. ## What’s Included in the Procedure While the technique of BBL includes Fat transfer to the buttock, it also includes [Liposuction of the Back area](/body/back-lift/), possibly in conjunction with Liposuction of other areas if liposuction is desired in those areas and/or more fat is needed than the Back can provide. In those who have already undergone Back Liposuction in the past, the fat will likely be scarred and less plentiful, so typically other areas for [Liposuction](/body/liposuction/) might need to be considered. The importance of Back Liposuction in the BBL procedure cannot be understated: it is critical to undergo the contouring and reduction of the Back to allow for a rounder looking buttock. This is like a sculptor revealing a beautiful shape out of clay: beautiful outcome not only depends on what is added but also what is subtracted. Fat transfer to the buttock adds the extra punch to the improved shape. The border of liposuction in the back is important to revealing enhanced buttock shape as are the sub-regions within the buttock that are enhanced to improve fullness and roundness, including the outer thigh/hip area if desired. Volumes of fat transferred can range from 200 cc to 900cc, depending on how deflated the buttock tissues are and size goals. ## Realistic Goals Realistic goals are important. The goal of achieving more fresh, round, youthful buttock shape is timeless, whereas a disproportionately large buttock might not meet the aesthetic trend that endures over time. Having a shapelier appearance under fitted clothes and in a bathing suit and workout clothing is likely. Fat may only safely be transferred to the buttock skin, not the deeper muscles. Fat transferred to the buttock muscles is dangerous, and in the most devastating situation this fat may enter the bloodstream and clog inflow to the heart and lungs. Fat volume grafted to the skin layer also should not surpass circulation in the skin that can support the fat. If too much fat is transferred in a single procedure, the skin can wound and/or die and the fat can become lumpy and infected. It is critically important that the BBL procedure be performed by a board certified plastic surgeon who has been fully accredited to do the surgery in a similarly stringently accredited facility. Photos of the surgeon’s work should be available to you to understand outcomes your surgeon has achieved for patients. You should be encouraged to ask questions and get answers that pertain to your experience and likely outcome. Like stated in the beginning of this blog, the most educated patient is the best patient. ## Choosing a Qualified Surgeon Safety cannot be understated. Choosing a [board certified plastic surgeon](/about/dr-shermak/) certified by the American Board of Plastic Surgery is your best bet at finding a surgeon who is held to the highest standards technically and facility-wise. Travel to a surgeon within the U.S. is alright if well coordinated and the surgeon has an excellent track record. Travel outside of the country or to plastic surgery business franchises/”mills” increasingly popping up in many major cities in the U.S. is discouraged. These plastic surgeons are typically not board certified by the most stringent boards and generally these locations provide no opportunity for follow-up. If complications occur, and they are more likely to occur with surgery performed at a lower standard, then the stakes are high and the most devastating consequences have occurred. The plastic surgeon also must assess your personal safety in undergoing the operation, and assure that you are healthy and can safely tolerate the procedure. Preoperative workup including a history and physical exam, lab work and targeted tests in those who need them help support a safer procedure. ## What is the Recovery Like? Recovery for BBL is not bad! Incisions are small and limitations are not onerous. I do not limit my patients from putting any pressure on their buttocks: time spent applying pressure on the buttocks should be limited and instructions are provided. Soreness, swelling and numbness may take awhile to resolve and this occurs in stages. Within 2-4 weeks patients should be nearly fully functional. By 3-4 months patients should be able to appreciate their results. By 6 months to a year full sensation and softness are achieved. Weight gain or loss will impact results, so maintaining a healthy diet and exercise are encouraged in this collaborative project between you and your plastic surgeon. I am really excited about BBL and the results I can achieve for my patients. They look great and are so happy! Consider [consulting with me](/contact/) if you aim to undergo BBL! [Back to Blog](/blog/) --- ## What is BBL? **Link:** [What is BBL?](https://www.drshermak.com/blog/what-is-bbl/) ([md](https://www.drshermak.com/blog/what-is-bbl/index.html.md)) **Description:** Brazilian Butt Lift, commonly referred to as BBL, includes lipo-contouring of the back and waist area, with transfer of the fat to the buttock. It ### Content [Brazilian Butt Lift](/body/brazilian-butt-lift/), commonly referred to as BBL, includes lipo-contouring of the back and waist area, with transfer of the fat to the buttock. It provides a win-win solution for body contour issues. This is popular for women looking for better proportions and often as part of a [Mommy Makeover](/body/mommy-makeover/). While some women want Kardashian-esque results, most of my patients are just aiming to have a more rejuvenated appearance to their body, with a smaller waist and rounder buttock area, to improve appearance in fitted clothing and bathing suits. This is a very mainstream procedure for a broad audience. BBL is best performed by Board Certified plastic surgeons who are experienced in this technique. Techniques for BBL have evolved to placing fat more superficially and more to the side in the hip and outer buttock to provide optimal safety. It is important that you have an “old school” doctor-patient relationship with your plastic surgeon – who should be board certified – to assure proper preoperative screening, operative management and postoperative care. Savings marketed for surgery outside of the United States or in a strip mall in Florida is not the way you want to save your money! You may be paying from your long term health, not your wallet, which is hard or impossible to recover from. It is helpful to check out websites of [board-certified plastic surgeons](/) accessible to you, and more specifically look at their Photo Galleries to see sample patients and representative results. BBL is one of the most sought after plastic surgery procedures. If you are excited by the prospect of BBL to improve your body contours, call [(410) 616-3000](tel:(410) 616-3000) to schedule a consultation with board certified plastic surgeon Dr. Michele Shermak. [Back to Blog](/blog/) --- ## What is the Best Age to Have a Facelift? **Link:** [What is the Best Age to Have a Facelift?](https://www.drshermak.com/blog/what-is-the-best-age-to-have-a-facelift/) ([md](https://www.drshermak.com/blog/what-is-the-best-age-to-have-a-facelift/index.html.md)) **Description:** Decades ago, women would come for plastic surgery consultation in their 70’s looking for “TWT” – The Whole Thing! – including Browlift, Blepharoplasty, ### Content Decades ago, women would come for plastic surgery consultation in their 70’s looking for “TWT” – The Whole Thing! – including [Brow lift](/face/brow-lift/), [Blepharoplasty](/face/blepharoplasty/), [Face](/face/facelift-baltimore/) and [Neck Lift](/face/neck-lift/), and Skin Resurfacing. Times have changed! Now women and men are appearing at younger ages looking to do gradual procedures and address focal areas as needed, moving onto the next area at a later time to get ahead of aging and achieve a less drastic, more refreshing transformation. As I tell my patients, this surgery should allow you to see the “You” you expect to see in the mirror, not a different person. How traumatic that would be! Facelift is not just one procedure, but a spectrum of procedures designed for individualized treatment. Procedures range from tucks around the ear for jawline tightening under local anesthetic to more comprehensive face and neck lifts, possibly with fat transfer, to address a broad range of individuals pursuing facial rejuvenation. Starting at the less dramatic end of the spectrum, jawline or temple lifts under local anesthesia are wonderful, subtle procedures to help tweak the signs of early aging. With hidden incisions around the ear or in the hairline, the jawline can be pulled more taut to treat jowls or the temple can be lifted and reduced to elevate the upper cheek to brow, indirectly improving the lower lid. These procedures are appropriate for individuals in their 40’s – maybe younger in weight loss patients with advanced aging – to beyond. I have a patient in her 70’s who has opted to do these local lifts serially rather than commit to a full facelift. Women and men in their 40’s to 80’s (healthy 80’s) are candidates for comprehensive face and/or neck lifts. Neck Lift incisions travel in creases around the ears and under the chin – well hidden and imperceptible- with liposuction of neck fat and tightening of the neck skin and underlying muscles, treating sun damaged skin and neck bands and improving the angle between the neck and chin. This looks so much better in photos- youthful, thinner, more sculpted. Facelift includes incisions from around the ear up to the temples. Facelifts elevate deeper tissues – think of re-elevating the apple of the cheek – converting an inverted V to a V when perceiving the face and its parts. This does a great job of improving the appearance of the lower lid as the cheek merges back to the lower lid and makes it look less baggy and tired. I have seen with face and neck lift that sun damage, old acne scars and generally aged appearance to the skin improves greatly secondary to the healing process of the surgery which recruits growth and healing factors. My patients often know exactly how much they hope to achieve with surgery and I meet their request. [Fat grafting to the face](/face/facial-fat-transfers/) has become a wonderful primary rejuvenative procedure and adjunct to facelifting. Anatomically there are defined fat compartments in the superficial and deep facial tissues that deflate with age. Grafted fat from a remote body region like the abdomen can restore these compartments. The fat not only brings in volume but also a stem cell effect which magically improves skin quality. Fat transfer to the face is great for weight loss patients who age with weight reduction. It is also great for patients undergoing other surgical procedures who want to dip their toe in the pool and freshen their face without any major incision or recovery. Fat transfers from one body region to another and heals in, adopting its new home. It will remain in its new home forever and will grow or reduce with weight gain and loss. So– the short answer to the best age for facelift? From the 30’s to the 80’s, as long as the individual is healthy for surgery. And facelift will not mean the same thing in all patients. If you have been considering facial and/or neck rejuvenation [please give my office a call and schedule a consultation](/contact/) to see what your best options are. [Back to Blog](/blog/) --- ## What Procedures Are Commonly Associated With a Mommy Makeover? **Link:** [What Procedures Are Commonly Associated With a Mommy Makeover?](https://www.drshermak.com/blog/what-procedures-are-commonly-associated-with-a-mommy-makeover/) ([md](https://www.drshermak.com/blog/what-procedures-are-commonly-associated-with-a-mommy-makeover/index.html.md)) **Description:** Mommy makeover procedures explained: why tummy tuck, breast lift, augmentation, reduction, and liposuction are commonly paired. ### Content Pregnancy can change how a woman feels in her body for months, sometimes years, after having a child. Those feelings are rarely simple. It is possible to feel grateful for what your body carried and did, and still feel unhappy with the physical changes that remain. Wanting to feel more like yourself again is not shallow, and it does not cancel out that gratitude. The term “mommy makeover” gets used a lot, but it can mean different things to different people. It refers to a set of procedures used after pregnancy, breastfeeding, and the body changes that follow. The useful question is which procedures people are actually talking about, and what each one is meant to address. ## What People Mean When They Say “Mommy Makeover” A mommy makeover is not one procedure. It is a catch-all term for a group of surgeries used after pregnancy, breastfeeding, and related body changes. The procedures associated with a mommy makeover focus on a few specific areas: the breasts, the abdomen, and the waistline. That is because those are the areas pregnancy changes most predictably. Breast shape can shift. Breast volume can drop. The abdomen can develop loose skin, excess skin, or stretched support through the abdominal wall. Fat may also settle differently, even in patients who have returned to a healthy weight through diet and exercise. So the real question is not what gets “included in a mommy makeover package.” It’s what each procedure is there to address, and why those procedures. ## Why These Procedures Keep Showing Up Together Pregnancy does not affect one part of the body in isolation. The breast may lose fullness. The skin envelope may stretch. The lower abdomen may develop sagging skin, stretch marks, or separated abdominal muscles. The waist may hold onto stubborn fat even after weight loss and a return to a healthy diet. That is why the same procedures keep appearing in mommy makeover discussions. They are all being used to address related post-pregnancy changes. It’s also why there is no standard mommy makeover. A patient may need abdominal surgery and no breast procedure at all. Another may need a breast lift and breast augmentation, but nothing done to the abdomen. Another may need a tummy tuck, liposuction, and breast reduction because the changes are broader and affect more than one area. We evaluate each individual case and base the plan on what that woman needs. ## Tummy Tuck: When the Issue Is Skin and Abdominal Support For some patients, the biggest change is the presence of excess skin and fat in the lower abdomen. For others, the issue is more structural. The abdominal muscles may have separated during pregnancy. These stretched abdominal muscles or separated abdominal muscles can leave the midsection looking rounded or weak, even after weight loss and a return to exercise. This is where the conversation can get confusing. It is easy to assume the abdomen still looks full because of fat alone. Sometimes that’s true. Sometimes it isn’t. A tummy tuck is used when the issue includes skin laxity, stretched tissue, and abdominal support that has not returned to where it was pre-pregnancy. ## Liposuction: When the Issue Is Excess Fat Liposuction can help reduce excess fat in areas like the waist, flanks, or upper abdomen. It is one of the more familiar body contouring procedures, but it has a narrower job than people sometimes assume. It does not remove excess skin. It does not tighten sagging skin. It does not repair the deeper support issues created by stretched abdominal muscles. That is why liposuction and tummy tuck are discussed together so often, and sometimes are done together. They are both abdominal procedures. They do different things. One addresses fat. One addresses skin and support. That distinction is one of the most important parts of understanding a mommy makeover. ## Breast Lift: When the Main Change Is Position After pregnancy and breastfeeding, the breast may sit lower on the chest. The nipple may sit lower, too. The skin may stretch, and the shape may look flatter or less supported. Patients usually describe this as sagging, which makes sense, but the more specific issue is that the breast tissue is no longer sitting where it used to. A breast lift is used to reshape and reposition the breast. It helps address sagging breasts and stretched skin. It does not significantly increase size. That is why it is not interchangeable with augmentation. ## Breast Augmentation: When the Main Change Is Lost Fullness Some patients do not feel that the breast has dropped very much. They feel that it looks deflated. The upper part of the breast looks empty. The breast feels smaller than it did before pregnancy. That is a different issue than low position. Breast augmentation is used to restore volume. During planning, patients may discuss silicone or saline implants, depending on their anatomy and preferences. ## Fat Transfer to the Breasts: When Volume Is Desired Without an Implant Some patients want more breast volume, but do not necessarily want an implant. For these patients, fat transfer to the breasts may be the perfect option. This approach uses the patient’s own fat, usually taken from another area through liposuction, and places it into the breast to create a modest increase in fullness. It can be ideal for patients who want a softer change, who prefer to avoid an implant, or who are looking for a more subtle enhancement. Fat transfer may also be used along with implants in some cases. That can help refine shape, improve transitions, or add fullness in areas where an implant alone may not do all the work. ## When Breast Lift and Breast Augmentation Are Used Together A patient may need both a breast lift and breast augmentation when the breast has changed in two ways at once: - The breast has lost volume - The breast has also dropped or stretched An implant can restore fullness. It cannot reliably reposition a breast that has descended. A lift can reshape the breast and improve position. It cannot replace lost volume on its own. That is why breast lift and breast augmentation are so commonly paired in mommy makeover planning. One addresses shape and position. The other addresses volume. When both issues are present, using one procedure alone leaves part of the problem untouched. ## Breast Reduction: The Less Discussed Part of the Mommy Makeover Conversation Not every post-pregnancy breast concern is about looking fuller. Some patients feel heavier, broader, or less comfortable in the chest after pregnancy and breastfeeding. Some feel that the breast sits too low and also feels too large. In those cases, the issue is not loss of volume. It is excess volume and weight. That is where breast reduction comes in. Reduction is used when the goal is to reduce heaviness, improve proportion, and reshape the breast in a way that feels more balanced on the body. ## Labiaplasty: A Less Discussed but Relevant Part of the Conversation When people think about a mommy makeover, they usually think about the breasts and abdomen first. But pregnancy and delivery can affect other areas too. Some patients develop labial hypertrophy or notice asymmetry after pregnancy and childbirth. Others feel increased discomfort with exercise, fitted clothing, or everyday movement. Labiaplasty can reduce excess labial tissue and improve symmetry when that area has changed in a way that feels physically uncomfortable or aesthetically bothersome. It is not part of every mommy makeover, but it can be very relevant for patients dealing with these concerns. Like the other procedures we use for mommy makeovers, it all comes down to what’s changed and what the patient wants to address. ## Why Tummy Tuck and Liposuction Get Confused These two procedures are so commonly linked to the abdomen that patients tend to blur them together. That is understandable. They both deal with contour. They both come up after pregnancy. They are not interchangeable. Liposuction is used when the issue is stubborn fat. A tummy tuck is used when the issue includes excess skin, loose skin, and changes in the abdominal wall. A patient can have one without the other. A patient can need both. The point is not that they are both common. The point is that they are being used for different reasons. ## Why There Is No Standard Procedure List Patients sometimes ask how many procedures are “normally” included, or what a standard mommy makeover result will look like. There is no standard result and no universal list that defines what procedures are commonly associated with a mommy makeover in every case. There is only a recognizable pattern. The breasts and abdomen come up most often. The exact combination depends on what changed. ## What Comes Next A consultation is where you find out what *your* mommy makeover plan will be. Dr. Shermak takes stock of what is bothering you, what has changed since pregnancy, and what you would like to improve. She looks at the breasts, abdomen, and any other areas that feel part of the picture, then talks through which procedures fit and which do not. That visit is also a chance to talk about priorities. Some patients are most focused on the abdomen. Some are more bothered by the breasts. Some want to address more than one area, but not all at once. The consultation is where those concerns get weighed against what is surgically realistic, what can be combined safely, and what kind of plan makes the most sense for your body. --- ## What’s New in Eyelid Surgery? Dr. Shermak Shares the Latest Trends **Link:** [What’s New in Eyelid Surgery? Dr. Shermak Shares the Latest Trends](https://www.drshermak.com/blog/what-s-new-in-eyelid-surgery-dr-shermak-shares-the-latest-trends/) ([md](https://www.drshermak.com/blog/what-s-new-in-eyelid-surgery-dr-shermak-shares-the-latest-trends/index.html.md)) **Description:** The delicate eye area is often the first to show signs of aging, fatigue, or environmental stress. As one of Baltimore's most trusted and experienced... ### Content The delicate eye area is often the first to show signs of aging, fatigue, or environmental stress. As one of Baltimore’s most trusted and experienced plastic surgeons, Dr. Michele Shermak is at the forefront of advanced, patient-centered techniques in eyelid surgery, offering subtle, natural-looking rejuvenation with modern innovations. ## Top Blepharoplasty Trends Today’s [blepharoplasty](/face/blepharoplasty/) patients seek refined, less invasive solutions prioritizing natural results and minimal downtime. Dr. Shermak embraces these evolving preferences by integrating the latest surgical trends: ### Upper Eyelid Surgery Under Local Anesthesia Many patients now opt for upper lid procedures performed comfortably in-office with local anesthesia, offering faster recovery and reduced risk. ### Pinch Lower Lid Blepharoplasty with Fat Transfer This conservative technique removes just a pinch of skin while repositioning or adding fat to restore youthful fullness under the eyes. ### Fat Preservation & Relocation Avoiding the hollow, overdone look, Dr. Shermak emphasizes fat preservation or relocation to maintain natural contours and volume. ### Regional Lift via Hairline Incisions For those with more significant aging signs, a gentle lift using discreet incisions near the hairline can elevate the midface and brow without extensive surgery. ### Less Fat Removal, More Balance Rather than aggressive fat removal, Dr. Shermak’s approach focuses on balance, smoothing puffiness while preserving a soft, youthful look. ## Common Patient Motivations Every [eyelid surgery](/face/blepharoplasty/) is unique, but common patient motivations include: ### Facial Rejuvenation Refresh tired or aging eyes while maintaining your natural expression. ### Improved Vision Excess skin on the upper lids can sometimes impair sight—correcting it offers both cosmetic and functional benefits. ### Staged Rejuvenation Over Time Many patients opt for gradual procedures to address different facial areas at different stages, allowing for subtle, long-term transformation. ## Techniques That Deliver Natural Results Dr. Shermak’s patient-centered philosophy ensures results that are never overdone. Her refined surgical technique blends precision with artistry, focusing on what looks best for your individual features. ### Conservative Fat Removal Strategically reduces puffiness while maintaining healthy volume. Minimal Skin Removal in Lower Lids Protects the integrity of the eye’s natural shape and function. ### Fat Transfer to Upper Cheeks Restores youthful volume to the midface, blending seamlessly with the lower lids. ### Complementary Treatments Enhancements like endoscopic brow lifts or Sofwave skin tightening can amplify results and smooth the upper face for a cohesive look. ## Discover the Shermak Difference If you're considering [eyelid surgery](/face/blepharoplasty/), trust your results to a surgeon who prioritizes modern techniques, natural beauty, and patient comfort. Dr. Michele Shermak combines extensive training, aesthetic intuition, and a caring approach that empowers her patients every step of the way. ### Ready to explore your options? Contact our Baltimore office today to schedule your consultation and learn more about how natural blepharoplasty can help you look refreshed, rested, and radiant. [Back to Blog](/blog/) --- ## What to Know About Correcting Previous Plastic Surgeries **Link:** [What to Know About Correcting Previous Plastic Surgeries](https://www.drshermak.com/blog/what-to-know-about-correcting-previous-plastic-surgeries/) ([md](https://www.drshermak.com/blog/what-to-know-about-correcting-previous-plastic-surgeries/index.html.md)) **Description:** I often see individuals who have undergone plastic surgery treatment elsewhere, dissatisfied with their results and looking for a solution, a revision to m... ### Content I often see individuals who have undergone [plastic surgery](/) treatment elsewhere, dissatisfied with their results and looking for a solution, a revision to make things right. Scenarios include people who have tried “minimally invasive” fat reduction treatments (like laser lipo) that left poor contours and scarring or (like Coolsculpting) that had underwhelming or lumpy results; irregular and asymmetrical results after [tummy tuck](/body/tummy-tuck-baltimore/); adhesive scars resulting from complicated healing after [body lifts](/body/body-lift/) leading to aesthetic and functional difficulties. Marketing of surgical tourism to Miami or out of the country and a multitude of non board-certified plastic surgeons performing surgery out of their scope present attractive yet dangerous options. These are the source of most of the issues I see. Presentations after complications can be really dramatic with lots of emotional despair associated with an outcome that did not meet expectations, including the money spent, the unexpected downtime, and the feelings of abandonment some communicate. Getting fixed is really important to closing the circle of despair. The great news is that oftentimes poor outcomes can transform into excellent results. Sometimes it is necessary to wait for scar tissue to soften and mature. Sometimes treatment may require several stages. Scheduling a consultation with a [board-certified plastic surgeon](/about/dr-shermak/) (like yours truly!) who is accessible is the best place to start in addressing unsatisfactory outcomes. At the time of consultation, the best approach can be determined, and navigating how to best get to the goal will occur. I love a great success story, and it has been so rewarding to be able to bring a smile back to someone who may have nearly given up. A solution is not out of reach! [Back to Blog](/blog/) --- ## Which should I do for my aging face: fat graft or facelift? **Link:** [Which should I do for my aging face: fat graft or facelift?](https://www.drshermak.com/blog/which-should-i-do-for-my-aging-face-fat-graft-or-facelift/) ([md](https://www.drshermak.com/blog/which-should-i-do-for-my-aging-face-fat-graft-or-facelift/index.html.md)) **Description:** Which should I do for my aging face: fat graft or facelift? Facial aging is comprised of deflation and sagging. Deflation is well addressed with fat ### Content Which should I do for my aging face: fat graft or facelift? Facial aging is comprised of deflation and sagging. Deflation is well addressed with fat grafting. Fat transfer – moving fat from another part of the body like the abdomen, thighs or waist to a deflated body region – is a great tool in the face to restore fullness to the cheek and lips, and to fill folds around the nose, mouth and chin. One might even see improvement in dark circles under the eyes. Fat transfer may even be performed under local anesthetic alone. Sagging in the face is responsive to surgical facelift. Facelift surgery lifts skin and underlying facial support to counteract gravity that occurs with time. Facelift is the gold standard, “tried and true” plastic surgical “go to” procedure. Scars are well hidden around the ears and sometimes under the chin or in the hairline. Results should be refreshed, not windblown. Facelift surgery is best performed under anesthesia in which the patient sleeps through the procedure and is outpatient surgery. [Fat transfer](/face/facial-fat-transfers/) and [facelift](/face/facelift-baltimore/) are not mutually exclusive procedures, and may be performed in conjunction with each other to achieve the best possible rejuvenated result. If you are interested in learning more about these procedures and how you might qualify, please check out drshermak.com, or schedule an appointment with Dr. Shermak at [(410) 616-3000](tel:(410) 616-3000). [Back to Blog](/blog/) --- ## Workplace Advancement **Link:** [Workplace Advancement](https://www.drshermak.com/blog/workplace-advancement/) ([md](https://www.drshermak.com/blog/workplace-advancement/index.html.md)) **Description:** With uncertain economic times and limited employment options, many struggle in the workplace to protect and optimize their job security. One approach is ### Content With uncertain economic times and limited employment options, many struggle in the workplace to protect and optimize their job security. One approach is to present the best possible face one can, projecting an image of energy, enthusiasm, fitness and health. Physical characteristics subconsciously translate into perception of abilities. Some say perception is reality, and while this is debatable, perception can certainly impact reality. “It hurts to be beautiful” has been a cliche for centuries. What has been far less appreciated is how much it hurts not to be beautiful. Look at the story of Randy Adams, 60, who was looking for a chief-executive officer job in Silicon Valley. He continually got turned down after each job interview he thought he nailed, only to see younger, less-experienced men win out. Before heading into his next interview, he shaved off his gray hair and traded in his loafers for a pair of Converse sneakers. The board hired him. Adams supplemented his makeover by trading in his button-down shirts for T-shirts, making sure he acquired the latest gadgets, and underwent an eyelid lift. Such are the pressures in Silicon Valley, where the startup spirit rewards fresh ideas and young programmers. Chief executives in their 20s, symbolized by Facebook founder Mark Zuckerberg, are feted, in part because of their youth. Many investors state that they prefer to see people under 40 in charge. The positive impact of appearance on perception is evidence-based. Psychological literature, including studies investigating societal reactions to babies, school children, and adults confirms this. This also holds true in the workplace. More attractive workers earn higher incomes, on average $250,000 more during their careers than their less attractive counterparts. Men’s looks matter more than women’s for salary levels. Law and Politics place more emphasis on physical beauty than other fields. Multiple studies show that obese people earn less, and this is especially pronounced among women. Height boosts earnings, particularly among men. “Age-ism” is a real issue: The American Disabilities Act focuses on issues related to age discrimination for a reason. A dedicated exercise program is an important route to success in the workplace. Attitudes, social norms, and technological advances are also turning plastic surgery into a tool for career advancement, just like clothes or education. Plastic surgery done well can result in a rejuvenated appearance that is refreshed. Cosmetic procedures range from minimally invasive to surgical. The number of individuals pursuing minimally invasive and surgical cosmetic treatments is growing, as evidenced by annual statistics on cosmetic procedures provided by the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS). Minimally invasive facial procedures can be performed in an outpatient clinic visit, and despite the relatively small investment in time and money, can result in surprisingly remarkable results. Minimally invasive treatments include skin care, peels, laser treatments, and injectibles. Injectible treatments providing facial rejuvenation include neurotoxins which reduce muscle action, decreasing fine lines and wrinkles, particularly around the eyes and forehead; and fillers, which add volume to the face to more closely approximate a youthful look. Use of injectible products applies across both genders and a broad age range. The effect of these products may wear off within 6 months to a year, and individuals may choose to return for further treatment to regain the effects. While there are excellent minimally invasive options, surgical treatment provides “one-stop shopping,” and long term, impactful improvement. Blepharoplasty, plastic surgery of the eyelids, can reduce excess skin puffiness and dark circles around the eye. Face and neck lift support and tighten laxity, and paired with fat grafting, achieve add volume that is lost with age. Augmenting a nonprojected chin or thinning and smoothing a disproportionate nose results in changed perceptions of individual characteristics. While surgical recovery may take up to several weeks and initial financial outlay may be greater, there should not be a need for multiple visits over a long period of time. Anyone seeking rejuvenation requires an individualized treatment plan which should be designed with a medical provider board-certified by a board recognized by the American Board of Medical Specialties (ABMS). Risks and benefits should be discussed in full. Safety is the number one priority. Not everyone is a good candidate, which is why an appointment with a board-certified physician is very important. People come to the United States from all over the world to seek the best possible medical care. Unfortunately there is a growing trend of people leaving the United States for cheaper medical care, known as medical tourism. Wooed by the concept of a vacation paired with surgery, the public should be wary of the lack of governmental regulation and long term follow-up afforded by international care. Our cultural preoccupation with attractiveness, the costs it imposes, and the responses it demands make physical exercise and plastic surgery worth considering in a competitive work environment. Michele A. Shermak, M.D., FACS, is a board certified plastic surgeon who is a member of the American Society of Plastic Surgery (ASPS) and American Society of Aesthetic Plastic Surgeons (ASAPS), and practices in Lutherville, Maryland. She is affiliated with the Johns Hopkins School of Medicine. She may be reached in her office at [(410) 616-3000](tel:(410) 616-3000). [Back to Blog](/blog/) --- ## Welcome **Link:** [Welcome](https://www.drshermak.com/consultation/) ([md](https://www.drshermak.com/consultation/index.html.md)) **Description:** Schedule a virtual consultation with Dr. Michele Shermak, plastic surgeon in Baltimore. to Your Consultation! ### Content *The following will be necessary to proceed:* Schedule a 1-hour consultation. Call us Monday through Friday from 9 am-3 pm at [(410) 616-3000](tel:(410) 616-3000). Dr. Shermak will be providing virtual consultations at a fee of $200, which will cover virtual and in-person visits needed before surgery. This money will be applied toward payment for surgery. By completing this form, you are giving us permission to follow-up by phone, email or text. --- ## Contact Us **Link:** [Contact Us](https://www.drshermak.com/contact/) ([md](https://www.drshermak.com/contact/index.html.md)) **Description:** Contact our office for a consultation today! ### Content By completing this form, you are giving us permission to follow-up by phone, email or text. --- ## Areas We Serve **Link:** [Areas We Serve](https://www.drshermak.com/locations/) ([md](https://www.drshermak.com/locations/index.html.md)) **Description:** Dr. Shermak provides aesthetic services inBaltimore, Towson, Cockeysville, Hunt Valley, Mays Chapel, & Ruxton. Contact us today for more information. ### Content #### Exceptional Plastic SurgeryServices Across Maryland At the practice of Dr. Michele Shermak, we are proud to offer *world-class plastic surgery and aesthetic treatments* across multiple locations in Maryland. With a commitment to delivering personalized care and stunning, natural-looking results, Dr. Shermak and her team provide a range of advanced cosmetic procedures for patients in Towson, Cockeysville, Hunt Valley, Mays Chapel, and Ruxton. No matter where you’re located, Dr. Shermak ensures that each patient receives the highest level of expertise, compassion, and attention to detail on their aesthetic journey. #### Tailored Aesthetic Solutionsfor Every Patient Dr. Shermak is renowned for her ability to create beautiful transformations that enhance your natural beauty while ensuring results that are perfectly suited to your individual goals. Whether you’re seeking *facial rejuvenation*, *body contouring*, *breast enhancement*, or *non-surgical treatments*, Dr. Shermak’s innovative techniques and cutting-edge technology provide exceptional outcomes across all areas of **plastic surgery**. With each location catering to the unique needs of its community, Dr. Shermak’s patients benefit from both her artistic eye and medical expertise. From the first consultation to post-procedure care, her personalized approach ensures that every aspect of your treatment is carefully crafted to suit your desired outcome. #### Serving PatientsThroughout Maryland With multiple convenient locations, *Dr. Shermak makes it easy for patients throughout Maryland to access the exceptional care and expertise she is known for*. Whether you’re in the lively town of Towson, the scenic community of Hunt Valley, or the close-knit neighborhoods of Mays Chapel and Ruxton, Dr. Shermak’s practice provides a welcoming environment where you can feel comfortable and confident in your aesthetic journey. Patients across Maryland trust Dr. Shermak for her compassionate approach, innovative techniques, and dedication to providing elegant, long-lasting results. By offering her services across these communities, Dr. Shermak ensures that patients in each area can enjoy the transformative benefits of expert plastic surgery tailored to their individual needs and lifestyles. #### Explore Our Locations and Begin Your Journey No matter which location is most convenient for you, Dr. Shermak is committed to providing exceptional care and delivering results that elevate your confidence and beauty. *Explore our services in Towson, Cockeysville, Hunt Valley, Mays Chapel, and Ruxton*, and begin your journey with one of the region’s most respected **plastic surgeons**. --- ## Cockeysville, MD **Link:** [Cockeysville, MD](https://www.drshermak.com/locations/cockeysville/) ([md](https://www.drshermak.com/locations/cockeysville/index.html.md)) **Description:** Dr. Shermak is a renowned plastic surgeon with over two decades of experience, bringing her advanced techniques and keen eye for detail to every Cockeysville, MD patient. Plastic Surgery ### Content #### Tailored Aesthetic Care *Near Cockeysville, MD* Cockeysville, a charming community in Baltimore County, Maryland, is known for its blend of suburban tranquility and access to natural beauty. One of its most notable landmarks is Oregon Ridge Park, a popular destination for outdoor enthusiasts offering hiking trails, picnic areas, and a scenic lake. The area is also home to the historic Ashland Marketplace, which features local dining and shopping options. Just a short drive from Baltimore, Cockeysville provides residents with a peaceful environment while remaining close to the cultural attractions and conveniences of the city. Though not located directly in Cockeysville, Dr. Michele Shermak’s nearby practice offers a serene, welcoming environment where you can explore a variety of *surgical and non-surgical options* to meet your aesthetic goals. From *body contouring* to *facial rejuvenation*, Dr. Shermak’s expertise, paired with her compassionate approach, ensures every patient feels at ease when persuing cosmetic care. #### Services Offered By Dr. Shermak Dr. Shermak offers a wide range of procedures to help you look and feel your best. Each treatment is customized to fit your unique needs and aesthetic desires, ensuring natural and long-lasting results. #### Your Aesthetic Experience in Cockeysville *Dr. Shermak is proud to offer her innovative and patient-centered plastic surgery services to the Cockeysville community*. By combining state-of-the-art techniques with compassionate care, she ensures that your experience is as seamless as possible, with beautiful and natural results. #### Experience YouCan Trust Dr. Michele Shermak is widely regarded as one of the nation’s top **plastic** surgeons. With her extensive training and experience, she is dedicated to helping each patient achieve their aesthetic goals with precision and care. *From body contouring to facial rejuvenation, Dr. Shermak's expertise spans a wide array of cosmetic procedures, making her a trusted choice for patients throughout the Cockeysville area*. At our nearby practice, we prioritize your comfort, safety, and satisfaction from the moment you walk through our doors. Dr. Shermak takes the time to understand your individual needs, crafting a personalized treatment plan that aligns with your aesthetic vision. Contact us today to schedule a consultation and start your journey to feeling and looking your best. --- ## Hunt Valley, MD **Link:** [Hunt Valley, MD](https://www.drshermak.com/locations/hunt-valley/) ([md](https://www.drshermak.com/locations/hunt-valley/index.html.md)) **Description:** Our Hunt Valley, MD practice is designed to offer a comfortable environment where you can explore the various surgical and non-surgical options that will help you achieve your beauty goals. Plastic Surgery ### Content #### Premier Aesthetic Care *Near Hunt Valley, MD* Hunt Valley, known for its picturesque landscape and thriving business community, provides an ideal setting for your aesthetic journey. While Dr. Michele Shermak’s practice is not located directly in Hunt Valley, it is conveniently situated nearby and is dedicated to offering a comfortable, welcoming environment where you can explore a variety of surgical and non-surgical options to help you achieve your beauty goals. Dr. Shermak brings over two decades of expertise, combining artistry with advanced techniques to deliver stunning, natural-looking results. Her commitment to personalized care ensures that every treatment plan is tailored to meet the unique needs of each patient, whether you're seeking a subtle enhancement or a more transformative procedure. With Dr. Shermak and her team, you can expect exceptional care and beautiful, individualized results. #### Advanced Plastic Surgery Options Offered Dr. Shermak offers a full spectrum of cosmetic procedures designed to enhance your natural beauty and boost your self-confidence. Every procedure is customized to deliver exceptional, long-lasting results that are both elegant and sophisticated. #### Getting the Results You Deserve in Hunt Valley Nestled in the scenic hills of Baltimore County, Hunt Valley is a thriving community known for its blend of nature and modern amenities. From the picturesque NCR Trail to the luxury shopping at Hunt Valley Towne Centre, the area provides the perfect setting for patients seeking aesthetic refinement and rejuvenation. Whether you’re enjoying the natural beauty of Hunt Valley or taking advantage of its many conveniences, our practice is dedicated to ensuring that your experience is both comfortable and transformative. **Dr. Shermak is proud to bring her renowned expertise in plastic surgery to the Hunt Valley community**. With a focus on advanced techniques and compassionate care, she works closely with each patient to craft personalized solutions that meet their unique needs and aesthetic goals. #### Experience YouCan Trust Dr. Michele Shermak is recognized as one of the top **plastic surgeons** in the nation. She is known for her expertise in both surgical and non-surgical procedures. *With extensive training and decades of experience, she has earned the trust of patients in Hunt Valley and beyond*. Dr. Shermak’s practice combines state-of-the-art technology with an unwavering commitment to patient care, ensuring that you receive the best possible results. At our nearby location, we prioritize your safety, comfort, and satisfaction every step of the way. Dr. Shermak and her team take the time to understand your aesthetic goals, offering personalized care that aligns with your vision. Contact us today to schedule your consultation and take the first step toward a more confident, beautiful you. --- ## Mays Chapel, MD **Link:** [Mays Chapel, MD](https://www.drshermak.com/locations/mays-chapel/) ([md](https://www.drshermak.com/locations/mays-chapel/index.html.md)) **Description:** Dr. Shermak combines her years of experience with a keen eye for aesthetic balance to help Mays Chapel, MD patients achieve their cosmetic goals in a discreet and comfortable setting. ### Content #### Transformative Aesthetic Carein Mays Chapel, MD In the charming and picturesque neighborhood of Mays Chapel, MD, Dr. Michele Shermak is honored to offer her world-class plastic surgery services. Known for its tree-lined streets and welcoming community, Mays Chapel provides the perfect backdrop for your journey toward enhanced beauty and confidence. Dr. Shermak combines her years of experience with a keen eye for aesthetic balance to help you achieve your cosmetic goals in a discreet and comfortable setting. Whether you're looking to refine your features, restore youthful contours, or achieve a complete transformation, Dr. Shermak is here to guide you every step of the way. Her personalized approach ensures that your experience is tailored to your unique needs and desires, delivering beautiful, natural-looking results. #### Comprehensive CosmeticSurgery in Mays Chapel At our office near Mays Chapel, we offer an array of **cosmetic surgery** procedures designed to *enhance your face, body, and breasts*. Dr. Shermak utilizes the latest techniques and technologies to ensure that every patient receives the highest quality care and achieves results that exceed expectations. #### Your Personalized Transformation Experience in Mays Chapel Embarking on a transformative aesthetic journey is a highly personal decision, and Dr. Shermak is dedicated to offering you the support and expertise you need at every step. From your first consultation through to post-surgical care, she ensures that your experience is both seamless and comfortable. **Dr. Shermak’s combination of compassion and technical expertise allows plastic surgery patients in Mays Chapel to feel confident and cared for as they pursue their aesthetic goals**. #### Elegance, Strength, and a Fresh Start *What are the benefits of a Mommy Makeover?* A *mommy makeover* is a highly customized procedure that helps you achieve a silhouette that aligns with your natural strength and beauty. Incorporating multiple procedures into a single surgical session yields harmonious results, allowing for coordinated healing and reduced downtime. For many women, it’s about regaining ownership of their body, not just reaching their pre-pregnancy shape. *A flatter abdomen, improved breast size, and better posture are often accompanied by a more positive, empowered outlook that radiates throughout every area of life*. #### Experience YouCan Trust With over two decades of experience and a reputation for delivering outstanding results, Dr. Shermak is a leading name in **plastic surgery**. She has earned numerous accolades for her contributions to the field and is renowned for her expertise in body contouring, breast surgery, and facial rejuvenation. At her nearby office, Dr. Shermak continues to elevate the standard of care, providing patients with the confidence and beauty they deserve. --- ## Ruxton, MD **Link:** [Ruxton, MD](https://www.drshermak.com/locations/ruxton/) ([md](https://www.drshermak.com/locations/ruxton/index.html.md)) **Description:** Whether you are considering a subtle enhancement or a complete transformation, Ruxton, MD plastic surgeon, Dr. Shermak is here to guide you with compassion and precision. ### Content #### Transformative Aesthetic Carein Ruxton, MD In the serene and upscale community of Ruxton, MD, Dr. Michele Shermak is proud to bring her world-class plastic surgery expertise to residents seeking refined and natural results. Ruxton’s quiet, tree-lined streets and close-knit atmosphere provide the ideal environment for those looking to embark on a personal journey of transformation and self-enhancement. With a commitment to aesthetic excellence and patient-centered care, *Dr. Shermak combines her extensive experience with a meticulous eye for beauty, helping you achieve your cosmetic goals in a welcoming and comfortable setting*. Whether you are considering a subtle enhancement or a complete transformation, Dr. Shermak is here to guide you with compassion and precision. Her personalized approach ensures that every aspect of your care is tailored to your unique needs, delivering results that enhance your natural beauty and elevate your confidence. #### Comprehensive CosmeticSurgery in Ruxton At her **plastic surgery office just outside Ruxton**, Dr. Shermak offers a wide range of advanced *plastic surgery procedures for the face, body, and breasts*. With cutting-edge techniques and state-of-the-art technologies, she delivers exceptional results that align with each patient’s aesthetic goals. #### Your Tailored Aesthetic Experience in Ruxton Dr. Shermak understands that choosing to undergo *plastic surgery* is a deeply personal decision, and she is committed to offering her patients the highest level of care and support throughout their journey. From the initial consultation to post-surgical follow-ups, Dr. Shermak ensures that your experience is seamless, comfortable, and entirely customized to your goals. *Her compassionate approach and technical expertise allow patients from Ruxton to feel empowered and confident as they take steps toward realizing their aesthetic vision*. #### A Commitment to Excellence With a reputation for delivering exceptional **plastic surgery** results, Dr. Shermak is a trusted leader in the field, known for her ability to create natural, sophisticated outcomes. Her practice is built on a foundation of patient-centered care and surgical excellence, ensuring that every treatment plan is designed with the patient’s unique needs in mind. *Whether you're seeking facial rejuvenation, body contouring, or breast enhancement, Dr. Shermak’s dedication to excellence ensures that your results will be beautiful and long-lasting*. #### Expert Care forYour Aesthetic Transformation With over two decades of experience, Dr. Michele Shermak has earned a well-deserved reputation as one of the leading plastic surgeons in the area. Her innovative techniques and commitment to patient satisfaction have made her a top choice for those *seeking transformative cosmetic surgery*. At her nearby location, Dr. Shermak continues to set the standard for excellence, providing patients with personalized care and exquisite results that reflect their individual beauty and confidence. --- ## Towson, MD **Link:** [Towson, MD](https://www.drshermak.com/locations/towson/) ([md](https://www.drshermak.com/locations/towson/index.html.md)) **Description:** With over two decades of experience, Dr. Shermak brings her highly sought-after expertise to the Towson community, delivering both surgical and non-surgical aesthetic treatments in a state-of-the-art, welcoming environment. ### Content #### Personalized Care and ExceptionalResults in Towson, MD Dr. Shermak is renowned for her meticulous approach to *cosmetic surgery*, delivering natural, sophisticated results that are personalized for each patient. With over two decades of experience, *Dr. Shermak’s expertise is easily accessible to the Towson community, offering both surgical and non-surgical aesthetic treatments just a short distance away*. While not located directly in Towson, our nearby practice provides convenient access for Towson residents seeking exceptional care. Whether you’re aiming for a subtle refresh or a dramatic transformation, Dr. Shermak and her team are dedicated to providing a personalized and compassionate experience throughout your cosmetic journey. #### Comprehensive CosmeticSurgery in Towson As *one of the leading plastic surgeons in the Baltimore area*, Dr. Shermak offers a wide range of procedures designed to enhance your natural beauty. Whether you're looking to *restore your body after pregnancy*, *lift and augment your breasts*, or achieve a more youthful, refreshed appearance through *facial rejuvenation*, Dr. Shermak's skillful approach ensures stunning, natural-looking outcomes. #### Your Aesthetic Journey in Towson Towson is a vibrant suburban hub known for its blend of rich history, modern conveniences, and a strong sense of community. Whether you’re strolling through the serene landscapes of Loch Raven Reservoir or exploring the bustling Towson Town Center, this dynamic area offers the perfect backdrop for your aesthetic transformation. Dr. Shermak is proud to offer her top-tier cosmetic services conveniently located near Towson. Her practice integrates cutting-edge medical technologies with the latest advancements in **plastic surgery**, providing the highest level of care to residents in the surrounding areas. Whether you're a working professional, visiting, or a student at Towson University, you can trust that your aesthetic needs will be met with expertise and care. #### Experience YouCan Trust Dr. Michele Shermak is a **board-certified plastic surgeon serving Towson** with a distinguished reputation for delivering exceptional results that reflect both artistry and precision. With her extensive training from world-renowned institutions like Johns Hopkins University, Dr. Shermak has become a leader in the field of *plastic surgery*. Her ability to listen carefully to each patient’s goals and create a tailored treatment plan ensures that your experience is not only positive but transformative. Dr. Shermak and her dedicated team prioritize patient comfort, safety, and satisfaction at our Towson location. Professionals who genuinely care about your well-being and success guide you every step of your journey. Contact us today to schedule your consultation and begin the process of achieving the look you’ve always desired. --- ## NOTICE TO PATIENTS OPEN PAYMENTS DATABASE **Link:** [NOTICE TO PATIENTS OPEN PAYMENTS DATABASE](https://www.drshermak.com/open-payment-database-notice/) ([md](https://www.drshermak.com/open-payment-database-notice/index.html.md)) **Description:** Open Payments Database ### Content For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public. You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: [https://openpaymentsdata.cms.gov/](https://openpaymentsdata.cms.gov/) --- ## Privacy Policy **Link:** [Privacy Policy](https://www.drshermak.com/privacy-policy/) ([md](https://www.drshermak.com/privacy-policy/index.html.md)) **Description:** Privacy Policy ### Content Your privacy is important to us. It is Dr. Michele Shermak's policy to respect your privacy regarding any information we may collect from you across our website, [https://www.drshermak.com](/), and other sites we own and operate. We only ask for personal information when we truly need it to provide a service to you. We collect it by fair and lawful means, with your knowledge and consent. We also let you know why we’re collecting it and how it will be used. We only retain collected information for as long as necessary to provide you with your requested service. What data we store, we’ll protect within commercially acceptable means to prevent loss and theft, as well as unauthorized access, disclosure, copying, use or modification. We don’t share any personally identifying information publicly or with third-parties, except when required to by law. Our website may link to external sites that are not operated by us. Please be aware that we have no control over the content and practices of these sites, and cannot accept responsibility or liability for their respective privacy policies. You are free to refuse our request for your personal information, with the understanding that we may be unable to provide you with some of your desired services. Your continued use of our website will be regarded as acceptance of our practices around privacy and personal information. If you have any questions about how we handle user data and personal information, feel free to contact us. This policy is effective as of January 1, 2025. --- ## Resources **Link:** [Resources](https://www.drshermak.com/resources/) ([md](https://www.drshermak.com/resources/index.html.md)) **Description:** Here you will find more resources for Dr. Shermak's sevices. Have a question? Contact us today! ### Content --- ## Cost & Consultation Inquiries **Link:** [Cost & Consultation Inquiries](https://www.drshermak.com/resources/cost-inquiry/) ([md](https://www.drshermak.com/resources/cost-inquiry/index.html.md)) **Description:** Learn how to inquire about cosmetic surgery costs at Dr. Michele Shermak Plastic Surgery. Transparent, patient-focused pricing support for every step of your journey. ### Content #### A Clearer Path to Exceptional Care *What You Need to Know About Pricing at Michele Shermak, MD* Choosing to move forward with a plastic surgery or cosmetic procedure is a highly personal decision. We understand that cost is part of that conversation. While we don’t list procedure prices on our website—because each plan is tailored to your anatomy and goals—we’re happy to provide you with guidance on pricing and next steps during your consultation. Dr. Michele Shermak offers fully customized treatments ranging from minimally invasive procedures to complex surgical transformations. Whether you’re exploring injectables, body contouring, facial rejuvenation, or breast surgery, our team is here to help you understand what’s involved, including the financial commitment. #### Why Pricing Isn’t One-Size-Fits-All Because every body—and every procedure—is different, giving a flat rate isn’t always accurate or helpful. Factors that influence cost include: - Surgical complexity - Time in the operating room - Whether a procedure is performed under local or general anesthesia - Whether other treatments are being combined - Facility and anesthesia fees - Postoperative care and garments Once Dr. Shermak evaluates your goals, anatomy, and timeline during your consultation, you’ll receive a detailed quote that reflects your custom plan and the full scope of care. --- ## Baltimore Plastic Surgery Financing **Link:** [Baltimore Plastic Surgery Financing](https://www.drshermak.com/resources/financing/) ([md](https://www.drshermak.com/resources/financing/index.html.md)) **Description:** Your surgical procedure should be viewed as a long term investment in yourself and your future. ### Content #### Financing Options We have also partnered with financing institutions to provide you with a variety of options that will allow you to pay for your procedure with low monthly payments. #### Dr. Shermak’s Surgery Costs The costs listed below provide a total cost for surgery and followup. They do not include medications or charges related to your medical preoperative evaluation and testing. The charges listed are estimates and ranges. Your actual estimate may differ based upon the level of complexity of your case: lower for a shorter procedure or higher for a case that will take more time or involve more procedures. Many patients pursue financing options to pay for surgery with companies such as CareCredit. If you are comfortable with cost prior to consultation, you may benefit from signing up for surgery the day of consultation. *To schedule your consultation, contact Dr. Michele Shermak at .* --- ## Frontive Patient Support **Link:** [Frontive Patient Support](https://www.drshermak.com/resources/frontive/) ([md](https://www.drshermak.com/resources/frontive/index.html.md)) **Description:** Learn how Michele Shermak, MD, uses the Frontive Health platform to support surgical patients with recovery guidance, reminders, and real-time instructions. at Dr. Michele Shermak Plastic Surgery ### Content #### Technology That Keeps You Confident *Personalized, Real-Time Guidance—Right From Your Phone* At Michele Shermak, MD, we’re always looking for ways to make the surgical process easier, safer, and more supportive—both before and after your procedure. That’s why we’ve partnered with **Frontive Health**, a personalized digital care platform that gives you timely reminders, clear instructions, and recovery support right from your smartphone. From your first pre-op prep to your last post-op check-in, Frontive helps ensure you never feel confused or alone in the process. It’s just one more way we deliver the kind of patient-centered experience that Dr. Shermak is known for. #### What Is Frontive? Frontive is a mobile health platform designed specifically for surgical patients. It functions like a personal assistant for your recovery, delivering step-by-step instructions, important reminders, and helpful checklists—all customized to your procedure and timeline. Think of it as your go-to companion during the process. It doesn’t replace our team—it enhances the care you receive by keeping you organized, informed, and prepared every step of the way. --- ## Injectables Costs **Link:** [Injectables Costs](https://www.drshermak.com/resources/injectables-costs/) ([md](https://www.drshermak.com/resources/injectables-costs/index.html.md)) **Description:** The costs listed below provide a total cost for injectables. Dr. Shermak ### Content *More About Injectables Pricing* Many patients pursue financing options to pay for surgery with companies such as CareCredit. If you are comfortable with cost prior to consultation, you may benefit from signing up for surgery the day of consultation. *Costs are approximate and are subject to change. #### Injectable Costs - Sclerotherapy $500-1500 - BOTOX and Dysport $350 for one area, $625 for two areas, $850 for three areas, $1050 for four areas - Daxxify $525 for one area, $950 for two areas, $1275 for three areas, $1625 for four areas [.subhead]Fillers are priced per 1cc syringe[] - Juvederm Ultra/Plus $725 - Restylane/Lift/Silk $625 - Restylane Refyne/Defyne $725 - Volbella $775 - Volure $775 - Voluma $825 - Kysse $775 - Sculptra $825/vial ($1550/2 vial treatment) - Kybella $400/vial ($800/2 vial treatment) --- ## Patient Forms **Link:** [Patient Forms](https://www.drshermak.com/resources/patient-forms/) ([md](https://www.drshermak.com/resources/patient-forms/index.html.md)) **Description:** For your convenience, we have provided frequently used forms and documents on this page. Please contact us directly if you have any questions at (410) 616-3000. ### Content *Downloadable Patient Forms* These instructions provided here will help guide you in case you do not have your personalized instructions in hand. Please contact us directly if you have any questions at [(410) 616-3000](tel:(410) 616-3000). --- ## Perioperative Journey **Link:** [Perioperative Journey](https://www.drshermak.com/resources/pre-and-post-operative-care/) ([md](https://www.drshermak.com/resources/pre-and-post-operative-care/index.html.md)) **Description:** Dr. Michele Shermak provides pre-operative and post-operative care instructions for your tummy tuck or mommy makeover in Baltimore. for Mommy Makeover / Tummy Tuck ### Content #### Preoperatively #### Postoperatively --- ## Preparation **Link:** [Preparation](https://www.drshermak.com/resources/preparation-guide-for-mommy-makeover/) ([md](https://www.drshermak.com/resources/preparation-guide-for-mommy-makeover/index.html.md)) **Description:** Dr. Michele Shermak provides a preparation guide for your tummy tuck or mommy makeover in Baltimore. For Your Tummy Tuck / Mommy Makeover ### Content #### Preparing for surgery --- ## My Favorite Retail **Link:** [My Favorite Retail](https://www.drshermak.com/resources/retail-guide-for-mommy-makeover/) ([md](https://www.drshermak.com/resources/retail-guide-for-mommy-makeover/index.html.md)) **Description:** Dr. Michele Shermak provides a retail guide to prepare you for your mommy makeover in Baltimore. for Mommy Makeover Recovery ### Content #### What to purchase --- ## Specials **Link:** [Specials](https://www.drshermak.com/resources/specials/) ([md](https://www.drshermak.com/resources/specials/index.html.md)) **Description:** Dr. Shermak’s Surgery Specials listed below. ### Content --- ## Surgery Costs **Link:** [Surgery Costs](https://www.drshermak.com/resources/surgery-costs/) ([md](https://www.drshermak.com/resources/surgery-costs/index.html.md)) **Description:** Dr. Shermak’s Surgery Costs The costs listed below provide a total cost for surgery and followup. Dr. Shermak’s ### Content *What does Plastic Surgery Cost with Dr. Shermak?* Your actual estimate may differ based upon the level of complexity of your case: lower for a shorter procedure or higher for a case that will take more time or involve more procedures. Many patients pursue financing options to pay for surgery with companies such as CareCredit. If you are comfortable with cost prior to consultation, you may benefit from signing up for surgery the day of consultation. *Costs are approximate and are subject to change. --- ## Plastic Surgery Videos **Link:** [Plastic Surgery Videos](https://www.drshermak.com/resources/video/) ([md](https://www.drshermak.com/resources/video/index.html.md)) **Description:** Plastic Surgery Videos Time Takes A Toll Mommy Makeover Tummy Tuck Arm Lift Surgery ### Content --- ## Sitemap **Link:** [Sitemap](https://www.drshermak.com/sitemap/) ([md](https://www.drshermak.com/sitemap/index.html.md)) **Description:** Sitemap --- ## Terms & Conditions **Link:** [Terms & Conditions](https://www.drshermak.com/terms-and-conditions/) ([md](https://www.drshermak.com/terms-and-conditions/index.html.md)) **Description:** Terms & Conditions ### Content #### Terms of Service These Terms of Service govern your use of the website located at [www.drshermak.com](/) and any related services provided by Dr. Michele Shermak. By accessing [www.drshermak.com](/), you agree to abide by these Terms of Service and to comply with all applicable laws and regulations. If you do not agree with these Terms of Service, you are prohibited from using or accessing this website or using any other services provided by Dr. Michele Shermak. We, Dr. Michele Shermak, reserve the right to review and amend any of these Terms of Service at our sole discretion. Upon doing so, we will update this page. Any changes to these Terms of Service will take effect immediately from the date of publication. These Terms of Service were last updated on January 1, 2025. *Limitations of Use* By using this website, you warrant on behalf of yourself, your users, and other parties you represent that you will not: - modify, copy, prepare derivative works of, decompile, or reverse engineer any materials and software contained on this website; - remove any copyright or other proprietary notations from any materials and software on this website; - transfer the materials to another person or “mirror” the materials on any other server; - knowingly or negligently use this website or any of its associated services in a way that abuses or disrupts our networks or any other service Dr. Michele Shermak provides; - use this website or its associated services to transmit or publish any harassing, indecent, obscene, fraudulent, or unlawful material; - use this website or its associated services in violation of any applicable laws or regulations; - use this website in conjunction with sending unauthorized advertising or spam; - harvest, collect, or gather user data without the user’s consent; or - use this website or its associated services in such a way that may infringe the privacy, intellectual property rights, or other rights of third parties. *Intellectual Property* The intellectual property in the materials contained in this website are owned by or licensed to Dr. Michele Shermak and are protected by applicable copyright and trademark law. We grant our users permission to download one copy of the materials for personal, non-commercial transitory use. This constitutes the grant of a license, not a transfer of title. This license shall automatically terminate if you violate any of these restrictions or the Terms of Service, and may be terminated by Dr. Michele Shermak at any time. *Liability* Our website and the materials on our website are provided on an 'as is' basis. To the extent permitted by law, Dr. Michele Shermak makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties including, without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property, or other violation of rights. In no event shall Dr. Michele Shermak or its suppliers be liable for any consequential loss suffered or incurred by you or any third party arising from the use or inability to use this website or the materials on this website, even if Dr. Michele Shermak or an authorized representative has been notified, orally or in writing, of the possibility of such damage. In the context of this agreement, “consequential loss” includes any consequential loss, indirect loss, real or anticipated loss of profit, loss of benefit, loss of revenue, loss of business, loss of goodwill, loss of opportunity, loss of savings, loss of reputation, loss of use and/or loss or corruption of data, whether under statute, contract, equity, tort (including negligence), indemnity, or otherwise. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you. *Accuracy of Materials* The materials appearing on our website are not comprehensive and are for general information purposes only. Dr. Michele Shermak does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on this website, or otherwise relating to such materials or on any resources linked to this website. *Links* Dr. Michele Shermak has not reviewed all of the sites linked to its website and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement, approval, or control by Dr. Michele Shermak of the site. Use of any such linked site is at your own risk and we strongly advise you make your own investigations with respect to the suitability of those sites. *Right to Terminate* We may suspend or terminate your right to use our website and terminate these Terms of Service immediately upon written notice to you for any breach of these Terms of Service. *Severance* Any term of these Terms of Service which is wholly or partially void or unenforceable is severed to the extent that it is void or unenforceable. The validity of the remainder of these Terms of Service is not affected. *Governing Law* These Terms of Service are governed by and construed in accordance with the laws of California. You irrevocably submit to the exclusive jurisdiction of the courts in that State or location. --- ## Share Your Opinion With Us **Link:** [Share Your Opinion With Us](https://www.drshermak.com/testimonials/) ([md](https://www.drshermak.com/testimonials/index.html.md)) **Description:** Learn more about Dr. Shermak, patient reviews, testimonials and more. Share Your Opinion With Us ### Content #### Tell Us *About Your Positive Experience* The links below will take you to popular customer opinion sites that are completely outside of our control. We encourage you to take a few minutes and share your thoughts about our patient care and cosmetic services. Your candid commentary on these independent sites will carry more weight than anything we might post on our own site. We appreciate you sharing your opinions about Dr. Michele Shermak. #### Leave Us A Review! #### Patient Reviews --- ## Skin Procedures in Baltimore **Link:** [Skin Procedures in Baltimore](https://www.drshermak.com/skin-treatments/) ([md](https://www.drshermak.com/skin-treatments/index.html.md)) **Type:** Service **Description:** Skin care procedures and facial rejuvenation in Baltimore Maryland offered by Dr Michele Shermak, a board certified plastic surgeon in the DC area. Information ### Content --- ## Under Eye Filler **Link:** [Under Eye Filler](https://www.drshermak.com/injectables-fillers/under-eye-filler/) ([md](https://www.drshermak.com/injectables-fillers/under-eye-filler/index.html.md)) **Type:** Service **Description:** Her Baltimore Under Eye Fillers are just one of the many ways that Dr. Shermak and her team can create impressive results without requiring that you take any time away from your busy personal schedule. ### Content #### Under Eye Filler at Dr. Michele Shermak Plastic Surgery At Dr. Michele Shermak Plastic Surgery, situated in the vibrant urban setting of Baltimore, recognizes the profound impact that bright, refreshed eyes can have on your overall appearance and confidence. *Dermal fillers are a great way to address the so-called “tear trough,”* providing a non-surgical method to enhance your appearance without the need for extensive downtime or recovery periods. Choosing Dr. Shermak for this intricate procedure means benefiting from her unparalleled expertise, meticulous approach, and deep commitment to natural-looking, harmonious results. With decades of experience and a patient-centric philosophy, you are not just a patient, but a valued individual receiving the highest quality of care. Rediscover the brilliance in your eyes. Explore the possibilities with **Under Eye Filler in Baltimore**. #### Under Eye Filler at a Glance - **Rejuvenates & Brightens:** Effectively reduces hollowness and minimizes the appearance of dark circles. - **Natural-Looking Results:** Achieves a subtle, refreshed look without appearing overfilled. - **Minimally Invasive:** A non-surgical procedure with little to no downtime. - **Immediate Impact:** See a visible improvement in the under-eye area shortly after treatment. - **Expert Precision:** Performed by Dr. Shermak, a highly experienced and nationally recognized female plastic surgeon. #### Enjoy Non-Surgical Facial Rejuvenation *What is Under Eye Filler?* At her office in Baltimore **under eye fillers** are just one of the many ways that Dr. Shermak and her team can create impressive results without requiring that you take any time away from your busy personal schedule. *Facial volume loss* is one of the most common aspects of the natural aging process, and you’re absolutely not alone if you’ve noticed that those so-called “tear troughs” have begun to form a more distinct presence on your face. Thankfully enough, Dr. Shermak and her talented team are here to help with a non-surgical solution that can help you regain your youthful glow in no time at all. Dermal fillers, made with a synthetic form of hyaluronic acid, work to quickly and effectively replace volume that has been lost over time, returning your youthful appearance and ensuring that you can enjoy all the self-confidence that comes with showing the world a rejuvenated glow. If you’d like to learn more about how *under eye fillers* can help you, our team is ready to set up your initial appointment—simply reach out to us at our Baltimore location and set up your consultation today. #### The Dermal Filler Experience *What is the Under Eye Filler procedure like?* Our patients love *dermal fillers* for their ability to quickly and easily address specific issues in precise areas, such as the tear troughs. Your **Under Eye Filler** procedure at Dr. Michele Shermak Plastic Surgery begins with a detailed consultation, where Dr. Shermak will thoroughly assess your facial anatomy and discuss your aesthetic goals. When you visit Dr. Shermak’s office for your *tear trough dermal filler* appointment, our team will work to ensure your comfort at all times. We’ll help you with a topical numbing cream that can increase your comfort during the injection session, which will only take between 30 and 45 minutes to complete. Dr. Shermak, leveraging her extensive anatomical knowledge and artistic eye, will carefully inject small amounts of a hyaluronic acid filler into the tear trough using either a very fine needle or a blunt-tipped cannula. The use of a cannula often minimizes bruising and swelling, enhancing safety and precision. The entire process is typically quick and is performed with utmost care to ensure the most natural-looking results. #### Renewing Your Outlook *What conditions does Under Eye Filler address?* *Under Eye Filler is a highly effective solution for addressing several common concerns that contribute to a tired or aged appearance around the eyes*: - **Tear Trough Hollowing:** Corrects the hollow or sunken appearance under the eyes, which can create shadows. - **Dark Circles:** Minimizes the appearance of dark circles caused by shadowing from volume loss. - **Fine Lines and Creases:** Smooths out subtle lines and improves the texture of the delicate under-eye skin. - **Fatigue and Tiredness:** Rejuvenates the overall eye area, making you look more rested and vibrant. #### Targeted Rejuvenation *What areas of the body can Under Eye Filler address?* With **under eye filler** Baltimore patients can specifically *target the tear trough area*, which is the delicate groove extending from the inner corner of the eye obliquely across the lower eyelid. #### A Brighter Outlook *What are the benefits of Under Eye Filler?* Choosing **Under Eye Filler** with Dr. Shermak offers a multitude of benefits, enhancing not just your appearance but your confidence as well. #### The Ideal Candidate for Under Eye Fillers #### Am I a candidate for Under Eye Filler? When you visit Dr. Shermak for your initial consultation, she’ll get to know you, learn about your personal history, and gain a detailed understanding of the personal cosmetic goals that brought you to her practice in the first place. With this information in mind, she’ll be able to guide you to the treatment option that’s right for you. You’re likely to be a great candidate for **under eye fillers** if you’re interested in: - A procedure that can be completed during your lunch break - Impressive results with minimal downtime - A restoration of your youthful appearance - The ability to address facial volume loss, fine lines, and wrinkles - A non-surgical solution to your cosmetic concerns #### Gentle Restoration *Under Eye Filler Recovery* After your injections are complete, you might notice some swelling and tenderness around the treatment area. These issues will be temporary and will fade quickly. Most patients feel comfortable returning to their normal routines as soon as their treatment session is over. Applying a cold compress can help minimize these effects. It's advisable to avoid strenuous exercise, excessive heat exposure (like saunas), and alcohol for 24-48 hours post-treatment. Dr. Shermak and her dedicated team will provide you with precise aftercare instructions to ensure a smooth recovery and help you achieve the best possible, long-lasting results. We are always available to address any questions or concerns you may have during your healing process. #### Discover the Look of Your Dreams *Under Eye Filler Results* #### The Artistry of Trust *Why Choose Dr. Michele Shermak Plastic Surgery for Under Eye Filler?* For a delicate and impactful procedure like our Baltimore **Under Eye Filler** treatment, the choice of your surgeon is paramount. With over 26 years of dedicated experience and an intimate understanding of facial anatomy, Dr. Michele Shermak’s practice offers an unparalleled level of expertise and meticulous care that sets her apart. #### Under Eye Filler Frequently Asked Questions --- ## Thigh Lift **Link:** [Thigh Lift](https://www.drshermak.com/body/thigh-lift/) ([md](https://www.drshermak.com/body/thigh-lift/index.html.md)) **Type:** Service **Description:** Thigh Lift Surgery in Baltimore Maryland, offered by female plastic surgeon Michele Shermak. Information on thigh lift surgery, best candidates for surgery. ### Content #### Thigh Lift at Dr. Michele Shermak Plastic Surgery #### Unveil Your Smoothest Most Toned Legs Weight loss, aging, and genetics can all lead to skin laxity and contour irregularities in the thighs—an area where many patients find that diet and exercise simply aren’t enough. *A thigh lift addresses these concerns by removing excess skin, tightening tissue, and refining contours to restore comfort, proportion, and confidence*. #### Thigh Lift Before and After Photos #### Thigh Lift at a Glance - **Smoother Contours** – Removes excess skin and reshapes the inner or outer thighs for a tighter, more balanced look - **Minimized Scarring** – Innovative techniques allow for hidden or strategically placed incisions - **Lasting Results** – Contours are long-lasting when supported by a stable weight and healthy habits - **Recovery Timeline** – Most patients resume regular activities in 2–4 weeks - **Custom Approach** – Tailored to your anatomy, goals, and lifestyle #### Results That Fit Your Lifestyle *Why get a thigh lift?* Dr. Shermak’s innovative techniques create slim, streamlined contours that make clothes fit better, enhance the cosmetic appearance of the upper legs and lower buttocks, and boost self-confidence while minimizing the appearance of scars. Please read more about what to expect from our Baltimore **thigh lift** below. #### Sleek, Elegant, and Comfortable *What is a Thigh Lift?* *A thigh lift addresses excess skin, fat, and contour irregularities of the thigh, smoothing and tightening the skin to achieve a more toned appearance*. A thigh lift is a powerful operation that may be performed in conjunction with [abdominoplasty](/body/reverse-abdominoplasty/), a [back lift](/body/back-lift/), and/or [outer thigh liposuction](/body/liposuction/). While diet and exercise play a role in achieving a healthy lifestyle, they are rarely sufficient to combat the excess fat and skin in the thigh area that often creates frustration for clients. A surgical approach can bring long-lasting improvement and relief. #### Sophisticated Solutions for Thigh Refinement. *Details of the Procedure* A **thigh lift** is performed under general anesthesia at our local Baltimore outpatient medical center or in the hospital if an overnight stay is anticipated. Surgery typically takes between 2.5 and 4 hours, depending on the extent of the work required. Excess skin and tissue are surgically excised. Typically, there are no bandages or drains. #### What conditions does a thigh lift address? #### Refinement Where It Counts [.lead]With a **thigh lift** Baltimore patients can address loose, sagging skin and soft tissue irregularities along the inner or outer thighs and lower buttock/upper thigh regions.[] These concerns often develop after major weight loss, pregnancy, or simply with age, when the skin loses elasticity and fails to contract. Many patients also seek treatment for persistent skin irritation or chafing caused by folds or friction. Some may experience contour deformities or asymmetry after prior surgeries or trauma. Dr. Shermak’s approach not only tightens and smooths the skin but can also refine the overall shape and proportion of the thighs, thereby improving both comfort and confidence. #### Where Form Meets Function *What are the benefits of a thigh lift?* *A thigh lift can offer both aesthetic and functional improvements*. Patients often report that their thighs no longer rub together uncomfortably and that they feel more confident wearing fitted pants, skirts, or swimwear. Clothing fits more easily, and movement feels freer. From a cosmetic standpoint, the procedure creates a firmer, sleeker silhouette that better reflects the effort many patients have already invested in their health. With Dr. Shermak’s precise techniques and unparalleled experience, patients can expect beautifully contoured thighs with natural transitions and minimal visible scarring. #### Who is a good candidate for a thigh lift? #### Streamlined Contours. Major Confidence. Good candidates for a *thigh lift* are men and women in good mental and physical health who are non-smokers. A **thigh lift** is suitable for patients who have undergone massive weight loss and for individuals who suffer from loss of skin elasticity due to age, pregnancy, or heredity. A thigh lift is not a treatment for heavy thighs with significant fat; [liposuction](/body/liposuction/) may be a preferred option in such cases. All clients should have realistic expectations for improvement rather than perfection. #### Attentive Care From Consultation Through Recovery *What is the recovery like for a thigh lift?* [.lead]Surgery is most oftenbe performed as an outpatient procedure, typically in conjunction with other body lifting procedures. One may experience discomfort, which is proactively addressed by Dr. Shermak and her team. Patients are up and walking within hours of surgery but require recuperation for several weeks, possibly longer, depending on the extent of the surgery.[] *Most people return to regular activities and resume work after 2-4 weeks*. Swelling and numbness may take months to resolve. Because the thighs are so instrumental in our everyday activities, such as sitting, squatting, bending, and using the bathroom, these actions may be limited during recovery from a **thigh lift**. [Dr. Shermak](/about/dr-shermak/) will provide you with detailed instructions on how to navigate your healing process as safely and comfortably as possible, and deal with the unique challenges that arise. Follow-up visits will help facilitate a smooth transition to total recovery. #### Thigh Lift Results #### Step Forward with Confidence [.lead]After a **thigh lift** Baltimore patients often describe feeling lighter, more mobile, and far more confident in both fitted clothing and everyday movement.[] *You’ll notice a visible improvement in contour immediately after surgery, with smoother, tighter skin replacing areas of sagging or irregularity*. As swelling gradually subsides over the following weeks, your final shape becomes more defined, with optimal results seen around 3 to 6 months post-op. In addition to improved aesthetics, many patients experience enhanced comfort, as they no longer deal with skin chafing, irritation, or the self-consciousness that can accompany excess tissue. Clothes fit better, body proportions feel more balanced, and walking, exercise, or simply crossing your legs may feel easier. Results are long-lasting when supported by a stable weight and healthy lifestyle, offering not just a transformation in how you look, but in how you feel in your own body. #### More Than a Procedure—A Partnership *Why Choose Dr. Shermak for a Thigh Lift?* With over 26 years of experience in plastic surgery, *Dr. Michele Shermak is a renowned expert in body contouring, including thigh lift surgery*. Since opening her practice in January 1999, she has helped numerous patients in Baltimore and Lutherville, MD, achieve slimmer, more sculpted legs with her innovative and personalized surgical techniques. [.button][Schedule Your Consultation](/contact/)[] Dr. Shermak is a recognized authority on body sculpting, having lectured extensively on national and international platforms and contributed to scientific journals and textbooks on the subject. Her pioneering approach to **thigh lift surgery**, including hidden scar techniques and customized treatment plans, makes her an international expert and ensures natural-looking, transformative results while minimizing visible scarring. As a *board-certified plastic surgeon* and a director on the [American Board of Plastic Surgery (ABPS) Board of Directors](https://www.abplasticsurgery.org/about-us/officers-directors/) since 2022, Dr. Shermak stays at the forefront of surgical advancements, bringing cutting-edge techniques and unparalleled expertise to every procedure, while also focusing on advocating for public safety in plastic surgery. [Contact us](/contact/) today to schedule your personalized consultation and take the first step toward achieving smoother, firmer thighs with expert care. #### Thigh Lift Frequently Asked Questions [.intro]References[] [Shermak, M. A., Mallalieu, J., & Chang, D. (2009). Does thighplasty for upper thigh laxity after massive weight loss require a vertical incision? Aesthetic Surgery Journal, 29(6), 513–519.](https://academic.oup.com/asj/article-abstract/29/6/513/210289) Shermak, M. A. (n.d.). Thighlift after bariatric body contouring surgery. Bariatric Times. Shermak, M. A. (2007, September 10). Thighlift after bariatric body contouring surgery. Bariatric Times. --- ## Skinvive **Link:** [Skinvive](https://www.drshermak.com/injectables-fillers/skinvive/) ([md](https://www.drshermak.com/injectables-fillers/skinvive/index.html.md)) **Type:** Service **Description:** Discover Skinvive by Juvéderm at Dr. Michele Shermak Plastic Surgery in Baltimore, MD. Achieve lasting skin hydration & smoothness with our expert care. ### Content #### Skinvive at Dr. Michele Shermak Plastic Surgery #### Unveiling Your Radiance Welcome to Dr. Michele Shermak Plastic Surgery, where your journey to vibrant, healthy-looking skin begins. In the heart of Baltimore, a city celebrated for its charm and sophistication, we offer the latest advancements in aesthetic care, including **Skinvive** by Juvéderm®. This innovative treatment is designed to bring out your natural glow, making your skin feel as refreshed and luminous as you deserve. Choosing Dr. Shermak for Skinvive means entrusting your beauty to a practice renowned for its unparalleled expertise, personalized patient care, and a philosophy that truly treats you like family. Your Path to Luminous Skin Starts Here. Discover the transformative power of *Skinvive* today. #### Injectables Before and After Photos #### Skinvive at a Glance - **Hydration Reimagined:** *Skinvive* is an injectable gel designed to enhance skin smoothness and hydration, providing a healthy, long-lasting glow. - **Subtle & Natural:** Achieve a natural-looking radiance without altering your facial contours. - **Minimal Downtime:** Return to your daily activities swiftly with little to no disruption. - **Lasting Luminosity:** Enjoy noticeably smoother and more hydrated skin for up to 6 months. - **Expert Application:** Performed by Dr. Shermak, a leading authority in aesthetic treatments, ensuring precise and beautiful results. #### Embracing a New Level of Hydration *What is Skinvive?* [.lead]*Skinvive, a groundbreaking advancement from the creators of Juvéderm®, redefines skin rejuvenation from within*. Unlike traditional dermal fillers that add volume, Skinvive is a microdroplet injectable designed to boost your skin's intrinsic hydration and smoothness.[] It's a subtle yet powerful treatment that works to enhance the overall quality of your skin, leaving it looking refreshed, luminous, and undeniably healthy. At Dr. Michele Shermak Plastic Surgery, we believe in providing options that cater to your unique aesthetic goals, and **Skinvive in Baltimore** offers a fantastic opportunity to achieve that coveted inner glow without invasive procedures. #### A State-of-the-Art Experience *What is the Skinvive procedure like?* Your *Skinvive* journey at Dr. Michele Shermak Plastic Surgery is designed to be comfortable and efficient. During your appointment, Dr. Shermak will meticulously cleanse the treatment area, typically your cheeks. At our office in Baltimore **Skinvive** is administered using fine needles, delivering tiny, precise microdroplets of the hydrating gel just beneath the skin's surface. Most patients report minimal discomfort, often describing it as a light pinch. The entire procedure is typically quick, allowing you to return to your daily schedule with ease. Dr. Shermak's steady hand and deep understanding of facial anatomy ensure a smooth and effective treatment, tailored to your individual needs. #### Rejuvenating Your Canvas *What conditions does Skinvive address?* **Skinvive** is specifically formulated to address concerns related to the overall quality and appearance of your skin, particularly in the mid-face region. It excels at improving the smoothness of the cheeks and enhancing the skin's hydration, which can, in turn, diminish the appearance of fine lines and a dull complexion. If you're seeking a refreshed look that speaks to healthy, well-hydrated skin, *Skinvive offers an excellent solution*. #### What areas of the body can Skinvive address? #### Targeted Radiance **Skinvive** is specifically designed to enhance the smoothness and hydration of the skin in the cheeks, contributing to a more radiant and youthful overall complexion. #### The Embrace of Radiance *What are the Benefits of Skinvive?* The *benefits of Skinvive* extend beyond mere aesthetics, offering a renewed sense of confidence that comes with healthy, vibrant skin. **[.lead]Deep Hydration from Within[]** Skinvive acts as an internal moisturizer, drawing moisture to the surface of your skin to improve its overall hydration. This deep, lasting hydration leads to a supple, dewy complexion that radiates health. **[.lead]Enhanced Skin Smoothness[]** By improving hydration and skin quality, **Skinvive** helps to smooth out texture imperfections, giving your skin a more refined and even appearance. This subtle refinement contributes to a fresh, youthful look. **[.lead]Natural-Looking Glow[]** One of Skinvive's most appealing aspects is its ability to deliver a natural-looking glow. It enhances your skin's inherent luminosity without altering your facial features, allowing your true beauty to shine through. **[.lead]Boosted Confidence[]** When your skin looks and feels its best, it translates to a significant boost in confidence. *Skinvive helps you feel more comfortable and radiant in your own skin*, empowering you to face the world with renewed assurance. #### Am I a candidate for Skinvive? #### Curating Your Path to Rejuvenation *Skinvive is an excellent option for adults seeking to enhance the smoothness and hydration of their facial skin, particularly in the cheek area*. Ideal candidates are generally those seeking a subtle yet impactful enhancement to their skin's quality, rather than volume restoration. I t's suitable for individuals who desire a natural-looking glow and are looking for a non-surgical approach to skin rejuvenation. During your consultation, Dr. Shermak will thoroughly assess your skin, discuss your aesthetic goals, and determine if **Skinvive in Baltimore** is the most appropriate treatment for you, ensuring your expectations align with the potential outcomes. #### Effortless Rejuvenation *Skinvive Recovery & Aftercare* [.lead]One of the significant advantages of **Skinvive** is its minimal downtime. Most patients can return to their normal activities immediately following the procedure. You may experience mild redness, swelling, or tenderness at the injection sites, which typically subside within one to two days.[] To ensure the best results and a smooth recovery, it's recommended to avoid strenuous exercise, excessive sun exposure, and alcohol for 24-48 hours post-treatment. Dr. Shermak and her team will provide you with detailed aftercare instructions to optimize your results and ensure your comfort. Your well-being is our top priority. #### Skinvive Results #### Illuminating Transformations **When Can I See Results?** You'll begin to *notice the hydrating effects of Skinvive almost immediately*, with optimal results becoming more apparent over the first few days as the product settles and integrates with your skin. The subtle improvements in skin smoothness and luminosity will become increasingly visible, revealing a naturally enhanced complexion. **How Long Does Skinvive Last?** *The radiant effects of Skinvive can last for up to 6 months*, providing long-lasting hydration and a healthy glow. Many patients choose to schedule follow-up treatments to maintain their beautiful results, ensuring their skin remains consistently luminous. **What Will the Results Be?** With **Skinvive**, you can anticipate skin that feels remarkably smoother, more hydrated, and possesses a beautiful, healthy glow. It's about enhancing your natural beauty, making your skin look and feel more youthful and vibrant without altering your facial structure. The outcome is a refreshed, radiant you. #### The Pinnacle of Care *Why Choose Dr. Michele Shermak Plastic Surgery for Skinvive?* [.lead]When it comes to enhancing your natural beauty with treatments like **Skinvive** Baltimore patients should know that choosing the right expert makes all the difference. Dr. Michele Shermak stands as a distinguished leader in the field of plastic surgery, offering an unparalleled blend of experience, authority, and compassionate care.[] With over 26 years of experience, Dr. Shermak brings a profound understanding of facial aesthetics and a meticulous approach to every procedure. At Dr. Michele Shermak Plastic Surgery, you're not just a patient; you're treated like family. Dr. Shermak's philosophy centers on listening, communicating, and a steadfast commitment to achieving the best possible outcomes for *you*. #### Skinvive Frequently Asked Questions --- ## Lip Flip **Link:** [Lip Flip](https://www.drshermak.com/injectables-fillers/lip-flip-baltimore/) ([md](https://www.drshermak.com/injectables-fillers/lip-flip-baltimore/index.html.md)) **Type:** Service **Description:** Our Baltimore Lip Flip is a new treatment that involves Botox injections in the lips. This newly-discovered lip flip technique is used to enhance your lip contours, making them appear more defined and voluminous. Learn more today. ### Content #### Enhance Your Lip Contourswith the Lip Flip *The “lip flip” is the name given to a new cosmetic treatment to enhance the contours of your lips and mouth*. Until recently, lip fillers have been the most direct and effective non-surgical solution for enhanced and lifted lip contours. However, the newly-developed *lip flip technique uses BOTOX injections* to enhance your lip contours, making them appear more defined and voluminous without side effects or downtime. Dr. Shermak stays abreast of the latest innovations and developments in the world of cosmetic treatments. To that end, she’s proud to offer the **lip flip in Baltimore** as a lip contouring option to patients desiring fuller and more structured lips. If you’d like to learn more about how this procedure can help you, reach out to Dr. Shermak’s office and speak with a helpful member of her team to set up your initial consultation today. #### What Is a Lip Flip? *A lip flip is a non-surgical injectable treatment wherein BOTOX is injected into strategically-targeted areas around the lips to enhance their contours*. The [BOTOX](/injectables-fillers/botox/) injection is delivered into the so-called “Cupid’s bow”—the corners of the mouth and the middle of the upper lips—to relax the muscles and make your upper lips tilt upwards. As the upper lips tilt upwards, they instantly look fuller and more contoured. #### How the Procedure Works BOTOX is a neuromodulator composed of a special component called botulinum toxin type A. This component blocks communications between nerve endings and muscles, temporarily paralyzing the targeted muscles. *When injected into the Cupid’s bow, BOTOX temporarily paralyzes the lip muscles, making the upper lips lift upwards and outwards*. If you’re curious about the results, you can gently lift your upper lips up and outwards with your fingers. #### The Benefits of a Lip Flip Our patients absolutely love our Baltimore **lip flip** for its ability to create impressive results with minimal downtime, making it an ideal way to enhance your look without impacting your busy personal schedule. During your consultation, Dr. Shermak can help you explore the various additional benefits that come along with the *lip flip* technique. - Non-surgical treatment - No pain or discomfort - Minimal side effects - Affordable treatment - Safe and effective - No downtime\ #### BOTOX Lip Flip vs. Lip Fillers *A lip flip with the BOTOX injectable neuromodulator is an ideal alternative to a traditional lip filler*, but it’s worth noting that each method will provide you with uniquely different results. Lip fillers certainly improve the shape and fullness of your lips, but they’re more specifically focused on increasing the volume around your lips and mouth. In other words, fillers make your lips appear voluminous, full, red, and hydrated. Comparatively, BOTOX injections give your lips a lifted, everted, and contoured appearance. To put it simply, lip fillers focus more on volume, while the *BOTOX lip flip* focuses more on shape. Your cosmetic provider will recommend the ideal method based on your specific goals and needs. #### The Ideal Lip Flip Candidate With a **lip flip** Baltimore patients who want more contoured lips with sharper edges and contours without lip fillers are getting the perfect treatment. It is also suitable for patients who want to showcase more of their lips while smiling. However, you shouldn’t have a history of severe allergies to neuromodulators like *BOTOX*, *Dysport*, etc. Your cosmetic providers will carefully review your medical history to ensure you’re a viable candidate for a *lip flip*. *Why Choose Dr. Shermak for Lip Flip?* Dr. Michele Shermak is *one of the country’s leading plastic surgeons*, known for her stunning and natural results. She prides herself on staying abreast of the latest innovations in surgical and non-surgical cosmetic treatments. If you’d like shapely lips, please schedule a consultation with Dr. Shermak to discuss your treatment options. We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal consultation today. --- ## Rhinoplasty **Link:** [Rhinoplasty](https://www.drshermak.com/face/rhinoplasty/) ([md](https://www.drshermak.com/face/rhinoplasty/index.html.md)) **Type:** Service **Description:** Consider rhinoplasty in Baltimore, Maryland, with female board-certified plastic surgeon Michele A. Shermak, MD. Before and after photos. ### Content #### Rhinoplasty at Dr. Michele Shermak Plastic Surgery #### The Art of Facial Harmony Your nose is one of the most defining features of your face, shaping not only your overall appearance but also how your expressions are perceived. When it feels out of balance with the rest of your features, it can draw attention in ways you may not want. *Rhinoplasty offers a highly personalized solution, enhancing facial harmony while preserving the individuality that makes you unique*. Dr. Michele Shermak brings a thoughtful and artistic approach to her Baltimore **rhinoplasty** procedure, utilizing advanced surgical techniques to achieve results that appear natural and refined. Whether you're concerned about a prominent hump, a drooping or bulbous tip, asymmetry, or breathing issues, every procedure is carefully tailored to your facial anatomy and personal goals. If you're considering rhinoplasty, you're in the hands of an experienced surgeon—Dr. Shermak is *one of Baltimore's most trusted plastic surgeons*, known for her precision, integrity, and consistently elegant outcomes. #### Rhinoplasty Before and After Photos #### Rhinoplasty at a Glance - **Customized Refinement **– Tailored reshaping to harmonize with your face and preserve your unique character - **Functional & Aesthetic** – Enhances your appearance while improving breathing through septoplasty when needed - **Outpatient Surgical Procedure** – Typically 1–3 hours under general anesthesia; same-day return home - **Mindful Recovery** – Most patients resume non-strenuous activity within a week - **Enduring, Natural-Looking Results** – Hidden incisions and subtle changes that stand the test of time #### Precision in Practice *What is the rhinoplasty procedure like?* [.lead]Every *rhinoplasty* performed by Dr. Shermak is tailored to the patient. There are many, many techniques, so selecting the right one is a big part of the consultation process. Dr. Shermak is knowledgeable in a variety of approaches and will choose the method that will achieve the most attractive and functional outcomes.[] Dr. Shermak performs **rhinoplasty in Baltimore **under general anesthesia. Surgery is performed at our outpatient medical facility, and patients go home after surgery is done. Surgery typically takes 1-3 hours, depending on the extent of the rhinoplasty procedure performed. Dr. Shermak prefers the open versus the closed approach for her rhinoplasty procedures. In *open rhinoplasty*, a small incision is created on the columella (the bridge between the nostrils) that is inconspicuous when healed. This approach provides ultimate control and visibility. *Closed rhinoplasty* involves incisions inside the nostrils, which provides more limited access to the internal tissues. Dr. Shermak believes the risks are too great to practice “blind maneuvers” and leave the result to chance. Without the benefit of full vision, you can inadvertently disrupt bone, cartilage, and soft tissue attachments. Being a procedure involving millimeters, control is essential to feel confident that everything humanly possible was accomplished. Dr. Shermak is not only technically superb, she is a visionary as well. Every dimension and proportion is planned ahead of time. It is not the same surgery for every patient. Every alteration influences another structure, so a precise operative plan is essential. #### Designed Just for You *What is rhinoplasty?* **Rhinoplasty**, commonly known as a "*nose job*," is a surgical procedure designed to reshape the nose for cosmetic or functional reasons—or often, both. It can smooth out a dorsal hump, narrow the nasal bridge, refine the tip, straighten asymmetry, and adjust overall proportions to better fit your facial features. Rhinoplasty can also improve airflow by addressing structural issues such as a deviated septum. At Dr. Michele Shermak Plastic Surgery, *each rhinoplasty procedure is approached with detailed planning and personalized technique to ensure a result that aligns with your aesthetic goals and preserves your natural character*. Whether you are seeking subtle refinement or significant correction, Dr. Shermak uses meticulous surgical planning to achieve a nose that looks harmonious, functions properly, and feels like your own. [.button.active]Rhinoplasty for Men Vs. Women[] Both men and women can benefit from **rhinoplasty**. However, men have different expectations than women when describing their perfect nose, so communication is important when developing the surgical plan. It is critical to maintain a masculine aesthetic while making the changes the patient desires. Usually, the changes are intentionally more modest in men—improving their appearance and function without feminizing the outcome takes a nuanced approach. Dr. Shermak is highly attuned to the differences between feminine and masculine features, tailoring each procedure to the patient’s unique needs and aesthetic vision. [.button.inactive]Injectable Rhinoplasty[] There is a small patient population who are seeking very subtle changes and not convinced they want surgery. Using temporary [fillers](/injectables-fillers/dermal-fillers/) to reshape the nose—an approach sometimes referred to as “*liquid rhinoplasty*”—will simulate the changes they can expect with surgery to a certain degree. As the product slowly dissipates over perhaps a year, the patient can determine if a more permanent correction would make them happy. It’s a low-risk way to “try on” a result. However, the vast majority of rhinoplasty patients would not be candidates for this treatment, as it cannot provide the more significant reshaping achieved through surgery. [.button.inactive]Revision Rhinoplasty[] “*Revision rhinoplasty*” refers to a rhinoplasty procedure performed to correct unsatisfactory results from a previous nose surgery. Revision rhinoplasty can be a much more difficult operation for both the surgeon and patient. Essential tissue may have been destroyed, and restructuring may require grafts from other parts of the body. This underscores the benefit of getting it right the first time. When selecting a provider to perform your nose surgery, it is essential to choose a *board-certified plastic surgeon* with extensive rhinoplasty experience. If you are unhappy with the result of a previous rhinoplasty procedure, Dr. Shermak possesses the experience and technical skill needed to refine both the form and function of your nose. #### Breathe Easy *Can septal deviation be treated during rhinoplasty?* Absolutely! Many people have a deviated septum, which can lead to a decrease in airflow through the nose. Sometimes people are born with this, while others suffer from secondary trauma. Septal deviation may be visible from the outside with asymmetry seen through the view up the nostrils, or it may be visualized only by looking inside the nose during an exam. The *septoplasty* work will help provide some cartilage for other aspects that enhance the **rhinoplasty** procedure, providing contour, symmetry, and support across the top of the nose, in the nasal tip or in the columella. The septal work may also help reduce the cost of the cosmetic work when the surgeries are performed at the same time. #### Refine Your Profile *What conditions does rhinoplasty address?* [.lead]*Rhinoplasty can correct a wide range of aesthetic and functional nasal concerns*. These issues may be present from birth, the result of trauma, or related to structural irregularities that affect breathing. Dr. Shermak customizes each rhinoplasty to your individual anatomy and goals, helping to restore facial balance and nasal function.[] With **rhinoplasty** Baltimore patients can improve: - A prominent hump or bump along the nasal bridge - A crooked or asymmetrical nose - A bulbous, drooping, or upturned nasal tip - Wide or flared nostrils - A nose that feels out of proportion with the rest of the face - A deviated septum or other internal obstruction that impairs breathing - Irregularities or collapse from previous nasal surgery or trauma This procedure is designed to be both corrective and harmonizing, enhancing your appearance while maintaining a natural look. #### What are the benefits of rhinoplasty? #### Beauty & Function [.lead]Dr. Shermak’s goal in **rhinoplasty** is to create a better balance between the nose and face. Some patients require only minor adjustments, while others seek more substantial changes.[] Few people are born with a perfectly shaped nose that is optimally balanced with the rest of their facial features. Individuals may desire to smooth a hump, straighten a crooked shape, refine a full tip, thin the width, repair flaring nostrils, and correct breathing problems relating to a deviated septum or collapse. Even if what we perceive as an abnormality is relatively small, it can weigh heavily on our self-confidence. If you do not like the way your nose fits your face, the lack of confidence in your appearance can take a heavy toll on your life. *Rhinoplasty may be one of the most exacting and personally satisfying procedures that exist in cosmetic plastic surgery*. Rhinoplasty incisions are hidden under or inside the nose. You can gain improved confidence with natural, customized results where your family and friends may not even notice that you had surgery. They will know you look great, but not be able to put their finger on why! This is the hallmark of a well-executed, natural approach to nasal shaping. #### Who Benefits Most from Nasal Reshaping *Who is a good candidate for rhinoplasty?* **Rhinoplasty** is performed on teenagers and adults who are unhappy with the appearance of their nose, who have suffered traumatic injury to their nose, or who have functional breathing problems. Dr. Shermak will review your history and presentation and discuss ways she can help. Dr. Shermak is an expert in assessing the ratios and proportions that constitute the ideal nose for each individual patient. Dr. Shermak understands there is a significant relationship between how a nose looks and how it functions. A deviated or crooked nose will not be aesthetically pleasing, but may also indicate that the nasal airways are compromised. Correcting these problems can dramatically improve both the look and function of the nose. #### What is the recovery like for rhinoplasty? #### Support for Every Step *Rhinoplasty surgery* is performed on an outpatient basis. Tapes and a splint are placed across the back of the nose, and there may be packing or stents in the nostrils. You may experience temporary swelling, numbness, discomfort, and bruising that respond well to head elevation, ice packs, saline spray, and Arnica Montana herbal supplementation. Most clients resume non-strenuous activities and return to work within a week. *Depending on the type of rhinoplasty surgery performed, swelling may take anywhere from one month to a year to completely resolve*. And while there may be swelling, cosmetic improvement will be visible from the moment the dressings are removed. [.lead]Rhinoplasty Recovery Tips[] Prior to surgery, minimize blood-thinning medications (such as ibuprofen and vitamin E) and start taking oral Arnica 2 days prior to surgery to reduce postoperative swelling and bruising. A daily multivitamin can improve health and enhance healing. #### Your Transformation Awaits *Rhinoplasty Results* You’ll notice an immediate difference once swelling subsides and the splint is removed—often within the first week. Fine-tuning continues over the next several months, with most patients achieving the final, polished appearance by 6–12 months post-operatively. With proper care, these timeless results typically last a lifetime, blending seamlessly into your natural profile without looking overdone. #### Experience Precision, Vision *Why Choose Dr. Michele Shermak Plastic Surgery for Rhinoplasty?* [.lead]With more than 27 years of focused experience in facial plastic surgery, Dr. Shermak is a board-certified innovator recognized for her meticulous approach and artistic vision.[] She skillfully balances nasal aesthetics with structural integrity, ensuring a refined result that enhances your natural beauty and breathing function. Every one of our Baltimore **rhinoplasty** procedures is customized to your face, anatomy, and aspirations, guided by her expertise in both cosmetic artistry and rhinoplasty technique. #### Next Steps? Schedule a Consultation There are varied skill levels even among board-certified plastic surgeons. Not all are created equal, because not everyone gets the same type of training in *rhinoplasty*, nor do they have the same level of experience. **Rhinoplasty** requires a comprehensive understanding of both nasal aesthetics and function. Interview the doctor carefully to be sure you are a good match in terms of aesthetic sensibilities and artistic vision. We invite you to call Dr. Shermak’s plastic surgery office in Lutherville at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal consultation today. [Schedule Your Consultation](/contact/) #### Rhinoplasty Frequently Asked Questions --- ## Breast Surgery Procedures **Link:** [Breast Surgery Procedures](https://www.drshermak.com/breast/) ([md](https://www.drshermak.com/breast/index.html.md)) **Type:** Service **Description:** These are the breast surgery procedures in provided by Michele Shermak in Baltimore Maryland. ### Content #### Breast Surgery with Dr. Shermak Dr. Shermak, a *breast surgeon* who is a national speaker and author of a leading surgical text, as well as a Baltimore Magazine “Top Doc” in Breast Surgery, will partner with you to help you meet the goals you would like to achieve. Whether you are interested in augmentation, a lift, reduction or revision surgery, you may consult with Dr. Shermak to determine the procedures she can offer you to achieve the results you desire. Please choose from the links below to learn more about *breast enhancement surgery*, and then feel free to contact us for an appointment to discuss your options. Look for Dr. Shermak, one of Mentor *breast implant* company’s preferred physicians, on its “Love Your Look” website; and on Sientra breast implant company’s Feel Good website. #### Dr. Michele Shermak: *Transforming Lives Through Breast Surgery* In the realm of plastic surgery, few professionals are as esteemed and compassionate as Dr. Michele Shermak. With a focus on **breast surgery in Baltimore**, Dr. Shermak has dedicated her career to helping women achieve their aesthetic goals, regain self-confidence, and overcome various challenges related to their breasts. Her expertise in breast augmentation, revision, reduction, lift, and reconstruction has earned her a stellar reputation in the field. --- ## Sculptra **Link:** [Sculptra](https://www.drshermak.com/injectables-fillers/sculptra/) ([md](https://www.drshermak.com/injectables-fillers/sculptra/index.html.md)) **Type:** Service **Description:** At our office in Baltimore, Sculptra helps you restore facial fullness while resolving unwanted facial folds. Dr. Shermak is pleased to offer this revolutionary treatment to all those interested in non-surgical anti-aging solutions. ### Content #### Facial Volume for a Youthful Appearance As we age, fullness of the face decreases. This is due to loss of fat and bone in the face over time, giving one a deflated, older appearance. Some individuals have minimal cheek fullness that is hereditary and not related to aging changes. #### What is Sculptra? *Sculptra is a product that may be injected into the face in a routine office visit to simulate a scar-less facelift*. The product stimulates collagen recruitment and formation in the areas that are injected, leading to improved tissue fullness. Other benefits include a lifting of the brow and resolution of nasolabial folds and jowls. Sculptra is also a great solution for addressing congenital or post-traumatic facial asymmetry. **Sculptra** requires at least 3 office treatments to see optimal results, with refresher treatments recommended every 2 years. #### Mommy Makeover Before and After Photos #### How much does Sculptra cost? **Sculptra** is priced at $900 per vial. #### Who is a Good Candidate for Sculptra? Men and women, youthful or mature, who are looking to improve facial fullness as well as promote facial balance and harmony are good candidates for a treatment with **Sculptra** in Baltimore. Individuals who are not interested in surgery but are interested in rejuvenation are great candidates as well. During the initial consultation you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve your desired result. In a later visit, the *Sculptra treatment* will take place. At least 3 treatments are recommended for optimal results, with at least 6 weeks between treatments. #### Getting Started *Schedule A Consultation* We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal consultation today. --- ## Liposuction **Link:** [Liposuction](https://www.drshermak.com/body/liposuction/) ([md](https://www.drshermak.com/body/liposuction/index.html.md)) **Type:** Service **Description:** Liposuction may be the best procedure to get rid of the last bit of your tummy or love handles. For more information about liposuction in our Baltimore, Maryland offices, call premier female plastic surgeon Dr. Michele Shermak at 410-616-3000 to schedule your consultation today. Begin your cosmetic journey. ### Content #### Liposuction at Dr. Michele Shermak Plastic Surgery #### Sculpted With Intention Struggling with stubborn fat that resists diet and exercise? *Liposuction with board-certified plastic surgeon* Dr. Michele Shermak offers a proven solution for targeted fat removal and body sculpting. Performed in her welcoming Baltimore office, liposuction offers immediate results with minimal downtime. Dr. Shermak carefully tailors each **liposuction** procedure to meet your unique goals. If you're looking to remove unwanted fat and achieve smoother, more balanced contours, schedule a personal consultation with Dr. Shermak to explore your options. #### Liposuction Before and After Photos #### Liposuction at a Glance - **Targeted Fat Removal** – Removes fat from resistant areas like the abdomen, flanks, thighs, and arms - **Minimal Scarring** – Tiny incisions allow for discreet, natural-looking results - **Outpatient Procedure** – Treatments are performed as an outpatient procedure, typically with local anesthesia - **Improved Shape and Confidence** – Long-lasting results when paired with a healthy lifestyle #### Define, Contour and Rebalance *What is liposuction?* [.lead]*Liposuction is a cosmetic procedure that uses a suction device to sculpt away stubborn fat deposits from targeted areas of the body*. It’s ideal for those with firm skin, good muscle tone, and pockets of subcutaneous fat that haven’t responded to diet and exercise.[] *Liposuction* is not a weight loss solution or a treatment for obesity. Instead, it’s a precise body contouring procedure meant to refine your body’s shape and proportions. Our Baltimore **liposuction** surgery is most successful when it is part of a balanced health plan, including a nutritious diet and regular physical activity. [.lead]Liposuction vs. Tummy Tuck[] - **Liposuction:** Removes fat only. Best for patients with good skin tone and localized fat deposits. - **Tummy Tuck:** This procedure removes fat and loose skin and tightens abdominal muscles. It is ideal for post-pregnancy or major weight loss. #### Guided by Skill Grounded in Safety *What is the liposuction procedure like?* **Liposuction in Baltimore** is typically performed as an outpatient procedure at Dr. Shermak’s fully accredited surgery center in Lutherville. While the majority of liposuction procedures are performed under general anesthesia to optimize comfort and impactful contouring, a subset of liposuction procedures are performed with local anesthesia, which facilitates an easier recovery. Dr. Shermak will create a small incision and infuse tumescent fluid into the targeted area for easier fat removal. She then uses a thin cannula (a small tube) connected to a suction device to remove the unwanted fat with precision. The duration of your *liposuction* surgery depends on the number and size of areas being treated. In many cases, multiple areas can be addressed in one session to streamline your recovery and create truly impactul contour optimization. #### Focused Solutions. Harmonious Results. *What conditions does liposuction address?* Liposuction is best for localized areas of the body that hold onto excess fat despite healthy habits. It’s not a 100% fix for loose or excess skin. If excess skin is present, Dr. Shermak may recommend performing procedures like a [tummy tuck](/body/tummy-tuck-baltimore/) or [body lift](/body/body-lift/) alongside *liposuction* for more comprehensive, streamlined results. With **liposuction** Baltimore patients may benefit if they are looking to treat: - Stubborn fat in the abdomen, flanks, back, thighs, arms, or under the chin - Areas of asymmetry or disproportion - Contour irregularities from previous plastic surgery procedures - Male breast enlargement (gynecomastia) - Small fat deposits remaining after weight loss - Buffalo hump In each case, Dr. Shermak focuses on balance, symmetry, and subtle enhancement, helping you achieve a look that’s both sculpted and natural-looking. #### What areas can be treated with liposuction? #### When Exercise Isn’t Enough - **Waist & Hips:** Slims love handles, enhances hourglass curves - **Abdomen:** Flattens the upper or lower belly - **Thighs:** Reduces inner thigh bulge and outer saddle bags - **Back:** Smooths bra rolls and upper back fat, buffalo hump in the upper back - **Arms:** Contours the upper arms for a more toned look - **Knees:** Refines inner knee fat often missed by workouts - **Neck:** Eliminates double chin and defines the jawline #### Explore the Possibilities *Am I a candidate for liposuction in Baltimore?* Good candidates for **liposuction**: - Are in good physical and psychological health. - Have localized fat deposits that won’t respond to diet and exercise. - High-quality, elastic skin is also optimal. If you have lax or overhanging skin, a skin-tightening procedure may also be necessary. - Liposuction can be combined with procedures like a [tummy tuck](/body/tummy-tuck-baltimore/), [back lift](/body/back-lift/), [thigh lift](/body/thigh-lift/), or [breast augmentation](/breast/baltimore-breast-augmentation/)** **for full torso rejuvenation. It’s also often paired with [fat transfer](/body/fat-transfer/)** **to restore volume to the breasts, buttocks, or face using your own fat. During your consultation, Dr. Shermak will create a personalized plan tailored to your goals. Set up your consultation today. [Schedule Your Consultation](/contact/) #### What are the benefits of liposuction? #### A Minimally Invasive Procedure With a Major Impact - Removes stubborn fat in a single procedure - Quick treatment with minimal incisions - No drains or complex aftercare required - Can be customized to treat multiple body areas - Immediate contouring with long-lasting results - Minimal downtime - Ability to provide fat to refresh and supplement other regions like the face, breasts, or buttocks #### Nurturing Your New Shape *Liposuction Recovery* **Recovery Overview:** - Outpatient surgery - Most patients return to work in 5–7 days - Full recovery and final results: 1–6 months - Compression garments help minimize swelling - Bruising and numbness fade gradually **Enhancing Liposuction Recovery:** To support healing and enhance results, Dr. Shermak may recommend: - Compression garments - Herbal supplements (Arnica Montana, Bromelain) - Gentle massage or manual compression - Healthy diet and light movement post-surgery [.lead]Following *liposuction surgery*, most patients experience mild to moderate swelling and bruising in the treated areas. Wearing compression garments can help reduce swelling and promote smooth contours during the healing process. Dr. Shermak will provide you with recommendations for compression wear.[] You’ll be encouraged to move gently within the first 24 hours after **liposuction** to support circulation, though strenuous activity should be avoided for about a week. Most patients can return to light work within 5 to 7 days. Your full results will gradually emerge over the first few weeks as residual swelling subsides. Dr. Shermak’s team provides clear, customized aftercare instructions and remains available to support you throughout your recovery process. #### Liposuction Results #### Contoured Confidence *Liposuction results develop gradually, with the most noticeable improvements becoming visible over several weeks as swelling subsides*. While some early contour changes may be seen within the first few days, final results typically take three to six months to fully emerge. Treated fat cells are permanently removed, so the changes are long-lasting, especially when supported by a stable body weight and a healthy lifestyle. After undergoing **liposuction** Baltimore patients often find that their silhouette appears more sculpted and balanced, with smoother lines and improved overall proportion. Clothing tends to come down in size or may fit more comfortably, and confidence often improves as patients feel more in control of their appearance. It’s important to understand that while liposuction can help reduce stubborn fat and refine your shape, it’s not designed for significant weight loss. Most patients lose only a few pounds; the goal is not how much weight you lose but how much better your body looks and feels in everyday life. Dr. Shermak approaches each case with a focus on harmony and precision. *Liposuction*, in the right hands, doesn’t make you look like someone else—it brings out the best in your own natural shape. These results invigorate and empower Dr. Shermak’s patients. #### Where Surgical Skill Meets Aesthetic Vision *Why Choose Dr. Shermak for Liposuction in Baltimore?* Dr. Shermak is a board-certified plastic surgeon who has performed over 5,000 successful **liposuction** procedures. She is a respected national and international lecturer on body contouring and the author of a published surgical atlas through McGraw Hill. Known for her natural-looking, refined results, Dr. Shermak is a trusted expert in helping patients achieve their ideal contours with confidence. #### Schedule Your Consultation Today Dr. Shermak is happy to have a conversation with you to hear your concerns and see how you can achieve excellent results consistent with your desires. [.button][Schedule Your Consultation](/contact/)[] Dr. Shermak is known for the way she connects with her patients, and she and her team will serve as an active resource before, around the time of, and after your **liposuction** procedure. If you’re ready to show off the silhouette of your dreams, Dr. Shermak and her team are here for you. Reach out to our welcoming Baltimore offices and set up your consultation with a helpful member of our team today. #### Liposuction Frequently Asked Questions [.intro]References[] [Shermak, M. A., & Mahaffey, G. (2011). Preventing liposuction complications. Plastic Surgical Nursing, 31(1), 17–20.](https://journals.lww.com/psnjournalonline/abstract/2011/01000/preventing_liposuction_complications.7.aspx) [Matarasso, A., & Shermak, M. A. (2013). The application of barbed sutures in body contouring surgery. Aesthetic Surgery Journal, 33(3 Suppl), 72S–76S.](https://academic.oup.com/asj/article-abstract/33/3_Supplement/72S/176496) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) --- ## Arm Lift **Link:** [Arm Lift](https://www.drshermak.com/body/arm-lift/) ([md](https://www.drshermak.com/body/arm-lift/index.html.md)) **Type:** Service **Description:** Female plastic surgeon in Baltimore, Maryland, Michele Shermak offers Brachioplasty (Arm Lift Surgery). Get information on brachioplasty, good candidates, recovery period, and results. ### Content #### Brachioplasty at Dr. Michele Shermak Plastic Surgery #### Discover the Ultimate Solution for Sagging Arms An *arm lift in Baltimore* is an excellent procedure for individuals suffering from sagging, drooping arms associated with significant weight loss, poor genetics, or changes that occur as the body ages. While diet and exercise are important components of a healthy lifestyle, they are not always sufficient for toning the upper arms when there is a significant degree of arm ptosis. Therefore, **brachioplasty** surgery may present the best option for improvement, as results are considered permanent and long-lasting. #### Brachioplasty Before and After Photos #### Brachioplasty at a Glance - **Targeted Sculpting** – Reduces excess sagging skin and fat for a tighter, smoother upper arm contour - **Customizable Approach** – Tailored incision techniques based on your anatomy and goals - **Outpatient Surgery** – Procedure typically lasts 1–2 hours under general anesthesia - **Quick Recovery** – Most patients resume light activity within two weeks - **Go Sleeveless** - Reduced skin excess that can make clothing that reveals arms uncomfortable - **Long-Lasting Results** – Permanent improvement with stable weight and healthy habits #### Go Sleeveless With Confidence *What is an arm lift (brachioplasty)?* [.lead]At our office in Baltimore **brachioplasty**, also known as an arm lift, is a surgical procedure that addresses excess skin, fat, and contour irregularities of the arm, smoothing and tightening the skin to achieve a more toned appearance.[] *Brachioplasty* is a powerful operation that may be performed in conjunction with [breast surgery](/breast/), [abdominoplasty](/body/tummy-tuck-baltimore/), a [back lift](/body/back-lift/), or [liposuction](/body/liposuction/) for more complete rejuvenation tailored to your specific goals. There are different approaches to *brachioplasty* depending on patient presentation, with scars varying from those falling in the crease of the underarm, to scars that travel between the underarm and elbow, to an approach developed by Dr. Shermak that extends from the arm down the side of the chest wall and even into the breast area for a composite, comprehensive approach to the upper body. The approach taken is agreed upon by the patient, who will understand how to best achieve his/her goals. #### Expert Hands Exquisite Results *Details of the Arm Lift Procedure* [.lead]A **brachioplasty in Baltimore** is performed under general anesthesia at our Baltimore outpatient medical center and usually lasts one to two hours. During the operation, Dr. Shermak will surgically excise extra skin and tighten underlying supportive tissue that contributes to a sagging contour.[] Once the underlying tissue is tightened, the remaining skin is carefully redraped to create a smoother, firmer contour that aligns naturally with the rest of the upper body. Dr. Shermak will close the incisions with sutures, dress the arms with compressive elastic bandages, and place the client in our recovery suites to begin healing prior to discharge to home about an hour later. #### The Art of Arm Rejuvenation *What conditions does an arm lift address?* [.lead]An *arm lift* addresses several common issues that affect the upper arm region.[] [.lead.inline-block]These include:[] - Sagging skin and excess fat that collect in the upper arms after weight loss or aging - Sagging skin that appears loose or deflated and fails to improve with exercise - Pockets of fat in the upper arm that create a disproportionate silhouette - A sagging appearance, sometimes referred to as “bat wings,” which can cause self-consciousness - Skin laxity due to sun exposure, heredity, or general aging affects skin tone and firmness Through carefully planned incisions and precise tissue removal, Dr. Shermak reshapes the upper arm, restoring a smoother, more youthful contour. #### What are the benefits of an arm lift? #### Harmonizing Form and Function **Smoother, Firmer Arms with Lasting Results** *Arm lift surgery* can dramatically improve the shape and proportion of the upper arms. Many patients feel more comfortable wearing sleeveless clothing and describe an increase in confidence and body image. The removal of sagging skin also means better hygiene and comfort, especially in warmer climates where friction or moisture can cause irritation. **Clothing That Fits More Comfortably** After receiving a **brachioplasty** Baltimore patients will find that clothing tends to fit more proportionally. Blouses and dresses often hang better, and tailored sleeves no longer feel restrictive due to bulky tissue or loose skin. **Physical and Emotional Comfort** Patients report both physical relief and emotional empowerment. Many *arm lift* patients are pleased to regain control over a part of their body that previously felt resistant to change, despite dedicated diet and exercise efforts. #### Slip Into Sleek Contours *Who is a good candidate for brachioplasty?* Good candidates for our Baltimore **brachioplasty** surgery are men and women in good mental and physical health who are non-smokers and do not have any medical conditions that could impair healing. *Brachioplasty is suitable for patients who have undergone massive weight loss and for individuals who suffer from loss of skin elasticity due to aging, sun exposure, pregnancy, or heredity*. Brachioplasty may be combined with [abdominoplasty](/body/tummy-tuck-baltimore/), [liposuction](/body/liposuction/), a [back lift](/body/back-lift/), or [breast surgery](/breast/) to rejuvenate the entire torso. During the initial consultation, you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve the desired result. #### What is the recovery like for brachioplasty? #### Navigating Your Transformation Surgery may be performed as an outpatient procedure or with an overnight stay at a local hospital. One may experience discomfort, swelling, and numbness. Patients are up and walking within hours of surgery but require recuperation for several weeks. Most people return to regular activities and resume work after 2 weeks. Swelling and numbness may take months to resolve. Dr. Shermak will fit you with a compression garment and fluid drains, which will be removed shortly after the procedure. These are in place to facilitate a seamless recovery and to ensure that your arms maintain their new shape. Maryland **brachioplasty** patients are advised to sleep with their arms elevated on pillows for about 7 days, as this may help to minimize swelling. It is also important to avoid putting undue pressure on the arms at first, so it may be prudent to find a friend or family member to help with chores and childcare. #### Sculpted for Life *Arm Lift Results* You’ll see a visible difference in arm shape immediately after your surgery, though some swelling will remain for the first few weeks. As the body heals, the arms will continue to refine in appearance, with final results typically visible around 3 to 6 months post-operatively. Because *arm lift surgery* removes excess skin and fat, the improvement is permanent as long as you maintain good general fitness and a stable body weight. While scarring is unavoidable with this type of procedure, Dr. Shermak uses discreet incision placement and guides patients through scar care protocols to ensure results that are as refined as they are transformative. Most patients report a dramatic improvement not just in arm appearance but in how they feel about their overall upper body. #### The Essence of Excellence *Why Choose Dr. Michele Shermak Plastic Surgery for Your Arm Lift?* Dr. Michele Shermak is a nationally recognized leader in body contouring with over two decades of experience helping patients achieve elegant, natural-looking results through customized surgical care. As a board-certified plastic surgeon and former member of the American Board of Plastic Surgery's Board of Directors, she combines exceptional technical precision with a deep understanding of aesthetic harmony and body proportion. Her work in **brachioplasty** surgery—especially for patients after [**massive weight loss**](/body/body-contouring-after-major-weight-loss/)—has been published in peer-reviewed journals and featured in surgical textbooks, making her one of the foremost authorities in this area. Dr. Shermak is known for developing advanced techniques that address both the upper arm and the adjacent chest wall, minimizing visible scarring while maximizing the beauty and longevity of the result. Patients choose Dr. Shermak not only for her surgical skill but for the personalized attention and integrity she brings to every consultation. From your first visit through your final follow-up, you’ll feel seen, supported, and guided by a surgeon who prioritizes safety, communication, and a result that reflects your goals. #### From Vision to Reality *Next Steps – Scheduling A Consultation* We invite you to call Dr. Shermak’s Baltimore, Maryland, plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal, discreet *arm lift* consultation today. [.button][Schedule Your Consultation](/contact/)[] During this session, the doctor will ask you about your preferences and concerns regarding your upper arms, examine your body, and record your detailed medical history, including any previous cosmetic treatments. This is a great opportunity for Dr. Shermak to address all your questions and concerns in depth, as she believes that an educated and well-informed client leads to the most successful outcomes. Additionally, Dr. Shermak will invite you to view our online library of before-and-after photographs of former Baltimore **brachioplasty** patients. If you do not immediately see photos that speak to you, do not hesitate to ask for more. #### Arm Lift Frequently Asked Questions [.intro]References[] [Shermak, M. A. (2014). Aesthetic refinements in body contouring in the massive weight loss patient: Part 2. Arms. Plastic and Reconstructive Surgery, 134(5), 726e–735e.](https://journals.lww.com/plasreconsurg/abstract/2014/11000/aesthetic_refinements_in_body_contouring_in_the.17.aspx) [Shermak, M. A. (2014). Aesthetic refinements in body contouring in the massive weight loss patient: Part 2. Arms. Plastic and Reconstructive Surgery, 134(5), 726e–735e.](https://journals.lww.com/plasreconsurg/abstract/2014/11000/aesthetic_refinements_in_body_contouring_in_the.17.aspx) [Shermak, M. A. (2016). Commentary on: Incidence and risk factors of major complications in brachioplasty: Analysis of 2,294 patients. Aesthetic Surgery Journal, 36(7), 804–806.](https://academic.oup.com/asj/article-abstract/36/7/804/2664546) --- ## Aveli Cellulite Treatment **Link:** [Aveli Cellulite Treatment](https://www.drshermak.com/body/aveli-cellulite-treatment/) ([md](https://www.drshermak.com/body/aveli-cellulite-treatment/index.html.md)) **Type:** Service **Description:** Avéli is a new, innovative treatment that resolves cellulite at the root cause. Baltimore patients should contact us today. ### Content #### Say Goodbye to Persistent Cellulite *Cellulite is a common concern for individuals, even those who follow a healthy diet and exercise program and have a healthy BMI*. Cellulite comes from fibrous, connective cords under the skin that pull downward toward the muscle below, causing unwanted dimples and impacting your sense of self-confidence. While there isn’t a topical treatment that can effectively address these cords, [Dr. Shermak](/about/dr-shermak/) and her team are proud to be offering the **Avéli cellulite treatment** at their Baltimore office. This minimally invasive treatment is highly effective, and can help you regain your confidence and youthful looks in equal measure. Ready to learn more? Reach out to Dr. Shermak in Baltimore and speak with a member of her team to set up your initial consultation today. #### Avéli Cellulite Treatment Before and After Photos #### Avéli Cellulite Treatment Topics - [**Say Goodbye to Persistent Cellulite**](#goodbye) - [**Avéli Cellulite Treatment Before & After**](#gallery) - [**What Is Avéli?**](#whatisaveli) - [**Who Is a Candidate for an Avéli Treatment?**](#candidates) - [**The Avéli Cellulite Treatment**](#treatment) - [**The Benefits of Avéli**](#benefits) - [**How Does Avéli Work?**](#howdoesitwork) - [**Your Recovery and Results after an Avéli Treatment**](#recovery--result) - [**Why Choose Dr. Shermak for Avéli Cellulite Treatment?**](#whychoosedrshermak) #### [#whatisaveli]What Is Avéli? [.lead]At our office in Baltimore **Avéli** is a minimally invasive, FDA-approved treatment for addressing cellulite on the buttocks and thighs.[] The Avéli device is used to identify and release each fibrous cord (called septae) that causes the cellulite dimples, eliminating their grip on the skin until the skin is smooth again The *Avéli treatment* takes about one hour to complete, requires little downtime, leaves the skin smoother, and reduces the presence of *cellulite* with long-term results. #### Who Is a Candidate for an Avéli Treatment? Ideal candidates for Avéli are individuals who have cellulite in the buttocks or thighs. Getting **Avéli in Baltimore** is not a treatment for skin laxity or fat pockets. Dr. Shermak will meet with you in consultation prior to the procedure. You’ll likely be an ideal candidate if you: - Are in good health - Have a Body Mass Index (BMI) of 30 or less - Are not pregnant - Are between the ages of 21 and 60 - Have cellulite dimples in the buttocks and thighs #### The Benefits of Avéli [.lead]When you visit Dr. Shermak for your informative consultation, she’ll help you explore the many benefits that come along with the **Avéli cellulite treatment**.[] *Avéli* provides a number of exciting benefits for patients who want to finally *be rid of cellulite*, including the following: - A minimally-invasive treatment - Reduced appearance of cellulite on the buttocks and thighs - Smoother the skin - Long-lasting results - Little to no downtime - Results that appear after just one treatment #### How Does Avéli Work? [.lead]Before the procedure begins, a local anesthetic is injected into the treatment area to ensure you’re comfortable. This procedure will be performed in either the clinic or the operating room.[] After creating a small, well-concealed incision, Dr. Shermak will move the **Avéli** device beneath the skin to detect and cut the connective tissue cellulite bands. The device has a lighted tip that allows her to see and target the individual bands of septae and to verify that the targeted dimples have been effectively smoothed. Dr. Shermak will release each of the septae in the buttock or thigh dimples, sometimes as many as 20. When she has verified that she has released every individual septa strand causing the targeted dimples in that area, the procedure will be complete. A small bandage and compression girdle will be placed, to ensure your ideal results. Your procedure will take about one hour, depending on the number of dimples being treated. Initial results will be visible immediately, but final results will take longer to appear. #### Your Recovery and Results after an Avéli Treatment [.lead]You can expect swelling and bruising in the targeted area once your treatment is complete, which will fade over the first week, then continue to decrease in the following weeks.[] You’ll be able to return to most of your usual activities by the next day but will need to leave your bandages on for at least 48 hours, and wait for one to two weeks before you return to strenuous activity or exercise. In most cases, only a single treatment is needed to achieve the desired results. Your final results will be apparent in about three months. In clinical studies, 80% of patients were either much improved or very much improved after their Baltimore **Avéli treatment**. #### [#whychoosedrshermak]Why Choose Dr. Shermak *for Avéli Cellulite Treatment?* Dr. Michele Shermak is an award-winning, *board-certified plastic surgeon* who is passionate about helping patients restore and revitalize their natural beauty, confidence, and quality of life. She is known for her understanding nature, her expertise, and her precise attention to detail. Dr. Shermak’s individualized approach to providing ideal care and stunning results for each patient and her long experience as an authority in her field are why she is one of the top-ranked *plastic surgeons in Baltimore, MD*. If you’d like to learn more about how Dr. Shermak and her team can help you reach your cosmetic goals, we’d love to hear from you. [Reach out to our office](/contact/) and speak with us to set up your initial consultation today. #### This is your life Make it Empowered [Schedule a Consultation](/contact/) --- ## Reverse Abdominoplasty **Link:** [Reverse Abdominoplasty](https://www.drshermak.com/body/reverse-abdominoplasty/) ([md](https://www.drshermak.com/body/reverse-abdominoplasty/index.html.md)) **Type:** Service **Description:** Tighten loose skin above the belly button with reverse abdominoplasty by Dr. Michele Shermak in Baltimore, Maryland. ### Content #### Reverse Abdominoplasty at Dr. Michele Shermak Plastic Surgery #### Redefine Your Upper Body Contours Not all abdominal laxity occurs below the belly button. For some patients, especially those who have undergone significant weight loss, previous abdominal surgery, pregnancy, or the effects of aging, the skin above the navel can become loose or sag downward. At our office in Baltimore **reverse abdominoplasty** addresses this specific concern, helping to tighten and elevate the upper abdominal skin for a more balanced and contoured silhouette. #### Reverse Abdominoplasty at a Glance - **Targets Upper Abdomen** – Lifts loose skin above the belly button - **Hidden Incision** – Scar is placed in the natural breast crease - **May Be Combined** – Often performed with breast lifts or augmentations - **Short Recovery Time** – Most patients return to daily activity within 1–2 weeks #### Focused Upper Body Refinement *What is reverse abdominoplasty?* [.lead]*Reverse abdominoplasty, also known as a reverse tummy tuck, is a surgical procedure that removes excess skin and tightens the upper portion of the abdomen*.[] Instead of pulling skin downward, as in a traditional tummy tuck, this technique lifts the skin upward toward the chest. The incision is placed in the inframammary fold—the natural crease beneath the breasts or chest—making it discreet even in swimwear. This procedure is ideal for patients who have significant laxity in the upper abdomen but do not require or wish to undergo full [abdominoplasty](/body/tummy-tuck-baltimore/). It's commonly considered by those who’ve undergone significant weight loss or women experiencing post-pregnancy skin changes isolated to the upper abdominal region. #### Precision with a Personal Touch *What is the reverse abdominoplasty procedure like?* Dr. Shermak performs **reverse abdominoplasty in Baltimore** in her fully accredited surgical facility. After marking the areas to be lifted, she makes an incision hidden in the fold under the breasts or chest. From there, the loose upper abdominal skin is gently lifted, and excess tissue is removed. The skin is then reattached in a tighter, more elevated position. For women, *reverse abdominoplasty* is frequently paired with breast surgery to maximize the aesthetic benefit and share the incision line. #### Freedom From Loose Upper Skin *What conditions does reverse abdominoplasty address?* *Reverse abdominoplasty treats skin laxity located above the belly button*—an area often resistant to improvement with exercise alone. It is particularly helpful for patients with: - Loose, hanging upper abdominal skin - Wrinkled or deflated appearance in the upper midsection - Residual skin folds after weight loss - Upper abdominal asymmetry or residual pockets after prior surgery By elevating and smoothing this area, the procedure helps create a tighter, more youthful contour that flows naturally into the chest and lower abdomen. #### What are the benefits of reverse abdominoplasty? #### Smooth, Balanced Contours With **reverse abdominoplasty** Baltimore patients can get dramatic yet natural-looking improvements if they are concerned about their upper abdominal skin. Benefits include: - Smoother, tighter appearance above the belly button - Enhanced definition of the upper midsection - Hidden incision within the breast fold - Improved fit of clothing and swimwear - Can be performed as a standalone procedure or combined with breast surgery for comprehensive enhancement #### Understanding Eligibility with Clarity *Am I a candidate for reverse abdominoplasty?* Candidates for **reverse abdominoplasty** should be in good general health and have realistic expectations for the procedure. This procedure is especially effective for individuals who: - Have lost a significant amount of weight - Have good skin tone and elasticity elsewhere in the abdomen - Do not require muscle repair or lower abdominal skin removal - Require more results than traditional tummy tuck provided - Are at a stable weight Patients who need *full abdominal tightening* may benefit more from a *traditional abdominoplasty*. During your consultation, Dr. Shermak will help determine the best approach based on your anatomy and goals. #### Reverse Abdominoplasty Recovery #### Recovery That Respects Your Routine Recovery after **reverse abdominoplasty** is usually smooth and straightforward. Most patients return home the same day and are up and moving within 24–48 hours. There may be some bruising, swelling, and a feeling of tightness in the upper abdomen, which typically improves within one to two weeks. It takes at least 6 weeks for a pleated appearance to smooth. Patients are advised to avoid heavy lifting and strenuous activity for 4 weeks. Return to strenuous activities may take longer if the procedure is combined with breast surgery. Dr. Shermak and her team provide personalized aftercare instructions and will follow your recovery closely to ensure a comfortable and successful outcome. #### Balanced Proportions, Elevated Confidence *Reverse Abdominoplasty Results* Patients can expect a flatter, firmer upper abdomen that blends naturally with the rest of the torso. Skin folds and creases are smoothed out, and the entire midsection appears more toned and lifted. The results of a *reverse abdominoplasty* are long-lasting, especially when supported by a stable weight and healthy lifestyle. Scars are discreetly placed and tend to fade significantly over time. #### A Thoughtful Approach from a Trusted Name *Why Choose Dr. Shermak for Reverse Abdominoplasty?* Dr. Michele Shermak is a national and international *leader in body contouring*, with decades of experience refining and developing surgical techniques for patients undergoing post-weight-loss procedures. She is the author of a surgical textbook on body contouring and multiple chapters in other textbooks, and has provided education in international meetings for decades. Her boutique practice in Baltimore is known for pairing technical excellence with deeply personalized care. Patients trust Dr. Shermak not just for her reputation, but for her thoughtful, hands-on approach and meticulous aesthetic results. Many travel from across the country and globe to benefit from Dr. Shermak’s care. [Schedule a Consultation](/contact/) #### Reverse Abdominoplasty Frequently Asked Questions --- ## Body Contouring After Major Weight Loss **Link:** [Body Contouring After Major Weight Loss](https://www.drshermak.com/body/body-contouring-after-major-weight-loss/) ([md](https://www.drshermak.com/body/body-contouring-after-major-weight-loss/index.html.md)) **Type:** Service **Description:** Body Contouring After Weight Loss in Baltimore is tailored to each patient’s own unique physique and needs. Dr. Shermak provides best-in-class care to her patients, making their beauty and body goals a living reality. ### Content #### Post Weight-Loss Body Contouring at Dr. Michele Shermak Plastic Surgery #### Looking Great on the Inside and Outside Losing significant amounts of weight is an incredible and life-changing accomplishment for many men and women, who often share their journey with a close-knit group of new friends who collectively push and inspire one another. However, for many patients who have undergone *massive weight loss*, the journey doesn’t end with the number on the scale. Stretched, sagging skin often remains, unable to retract on its own. This excess skin can interfere with movement, hygiene, clothing fit, and overall self-image. #### Weight Loss Before and After Photos #### Post-Weight-Loss Body Contouring at a Glance - **Restores Smoother Contours** – Removes excess skin and reshapes your figure for balance and comfort - **Tailored Treatment Plan** – Multiple body contouring procedures may be combined to meet your goals - **Outpatient or Hospital-Based Surgery** – Depending on the complexity of your treatment - **Staged or Single-Session Options** – Custom strategy based on health and recovery needs - **Long-Lasting Results **– Enjoy your new shape long-term with a stable weight and healthy lifestyle - **Complete the Journey** - You lost the weight and improved your health. Now let your outside match your inside and let your confidence shine through! #### What Weight Loss Leaves Behind *Your Post-Weight Loss Body* [.lead]At the end of *your weight loss journey*, excess skin will often remain. Sometimes there are residual fat deposits and deep creases and folds on the body.[] Unfortunately, skin can not be lost through exercise or weight loss, and there may be so much skin left over that the individual who lost weight might wish he/she did not lose weight. For patients in Baltimore **Body Contouring After Weight Loss** can be the grand finale of a goal you worked so hard to accomplish. [Dr. Shermak](/about/dr-shermak/) congratulates you and would be honored and privileged to be part of your life-changing journey. Her team is uniquely qualified to care for individuals who sustain *significant weight loss* before, during, and after surgery. Discover customized surgical options to help you achieve your best body yet, outlined below. #### A Tailored Plan for Every Body *Excess Skin Removal Options* *Excess skin removal surgery* is tailored to each patient’s own unique physique and needs. Some of the procedures that can be done as part of this surgery include the following: [.button.active]Lower Body Lift[] The [lower body lift](/body/body-lift/) procedure is an extensive and very common surgery that lifts and tightens skin tissue in the abdominal, back, and thigh regions. An incision is placed just about the hip bone and encircles the body. Excess skin is removed, and the remainder of the skin is tightened. Sometimes the continuous excision of skin from the abdomen 360 degrees to the buttock, known as a belt lipectomy, may help lift the inner and outer thighs adequately without performing an actual thigh lift. [.button.inactive]Thigh And Buttock Lift[] Losing massive amounts of weight will typically result in excess skin being left behind in the buttocks and thighs, causing sagging, deflation, and an aged appearance. The [thigh](/body/thigh-lift/) and [buttock lift](/body/brazilian-butt-lift/) remove this skin and restore a firmer, smoother, and more slender appearance to these areas. With the Buttock Lift, the patient’s own deep tissue is utilized to help boost the buttock and improved shape to the area, allowing for better fit in clothing and swimwear. [.button.inactive]Arm Lift[] The upper arms in particular are often the site of plenty of leftover and excess skin *after massive weight loss* (MWL). Sometimes there are fat pockets and creases in the arm that result as well. In an [arm lift](/body/arm-lift/), an incision is made along the underside of the arm, allowing the loose skin to be excised and the remainder to be restored into a more shapely and attractive appearance. This excision is often extended from the underarm down the side of the chest, which is continuous and helps indirectly reduce loose skin in the upper back. This procedure is often continued into the chest and breast area to result in a comprehensive upper body lift. [.button.inactive]Breast Lift And Augmentation[] Women who lose significant amounts of weight will suffer changes in the breasts, including deflation and sagging. Breast tissue may be [augmented](/breast/baltimore-breast-augmentation/) with fat transferred from another region in the body or with implants. [Breast lift](/breast/breast-lift/) with skin tightening and elevation and reduction of the nipple-areolar complex is often necessary to improve breast perkiness. Some women benefit from one or the other, but most benefit from a combination of lifting and augmentation. [.button.inactive]Gynecomastia Correction[] Analogous to women, men can also suffer from excess sagging skin and focal glandular tissue in the chest area. Sometimes, this can be restored with [liposuction](/body/liposuction/), sometimes with some skin removal, and sometimes more. Treatment is individualized depending on presentation. [.button.inactive]Face/Neck Lift[] Weight loss in the face mimics aging with deflation of fat and sagging of skin. This not only ages the face but also imparts a look of fatigue, unhappiness, or anger. [Facial rejuvenation surgery](/face/facelift-baltimore/)** **will help refresh the look of the *massive weight loss patient*. Scars are well camouflaged under the chin and around the ears to lift and restore facial fullness and tautness. #### Reclaim Your Shape Expertly and Safely *What is body contouring after massive weight loss?* **Body contouring after weight loss in Baltimore** is a series of plastic surgery procedures designed to remove excess skin, reshape the underlying supportive tissue, smooth contours, and enhance body proportions following significant weight loss. Common areas treated include the abdomen, thighs, buttocks, upper back, arms, chest, and face. For many patients who lose massive amounts of weight, this type of cosmetic surgery becomes the final step in reclaiming their health and body confidence. Dr. Shermak personalizes each *body contouring surgery* plan based on your medical history, physical exam, and goals. She may recommend a *lower body lift*, *arm lift*, *breast lift*, *tummy tuck*, or *face and neck lift*, depending on where skin laxity and volume loss are most prominent. These major body contouring procedures are often combined to streamline recovery and results. #### Precision Care for Transformative Results *What is the body contouring procedure like?* [.lead]**Body contouring after weight loss** surgery is typically performed under general anesthesia and can take several hours, depending on the number of areas being treated.[] In most cases, a combination of procedures can be performed during a single surgical session. Other times, treatments are staged to prioritize safety and promote healing. During the procedure, Dr. Shermak removes excess skin and reshapes the remaining skin and underlying supportive tissue. *Liposuction* may be used to reduce excess fat or smooth transitions. Surgical sites are closed with careful technique to minimize visible scars, and compression garments are applied to reduce swelling and support the new contours. #### What conditions does body contouring after weight loss address? #### The Smooth Contours You Want [.lead]With **body contouring after massive weight loss** Baltimore patients can address a range of conditions, including:[] - Redundant skin folds that cause discomfort or restrict movement - Fungal infections or skin irritation in creases or moisture-prone areas - Neck and back aches related to the pulling of lax and sagging tissues - Sagging skin in the upper arms, abdomen, chest, or thighs - Body proportions affected by uneven volume loss or remaining pockets of fat - Self-consciousness due to loose or excess skin that obscures results after significant weight loss Dr. Shermak's surgical expertise allows her to tailor each treatment plan to meet the unique anatomical and emotional needs of her patients. *Dr. Shermak's Work On Body Contouring After Weight Loss* #### Total Body Renewal *What areas of the body can post weight-loss body contouring address?* *Weight loss body contouring* can address nearly all major areas of the body: abdomen, upper arms, back, thighs, chest, breasts, buttocks, face, and neck. These areas often retain extra skin and soft tissue after weight loss, which can be safely reshaped with the right surgical plan. #### Benefits of Excess Skin Removal #### Move Freely. Dress Boldly. Feel Good. - Restores the contours of the body - Frees up your ability to comfortably engage in physical activities - Removes excess skin that may be causing you physical and emotional discomfort - Expands wardrobe options - Caps off the grand finale of a life-changing accomplishment #### Is Now the Right Time for You? *Am I a candidate for excess skin removal?* [.lead]The best candidates for *excess skin removal surgery*:[] - Are at their goal weight - Have maintained their weight (relatively) stably for 6 or more months - Are nonsmokers in good general health - Are well set up for postoperative rest and recovery with good support at home - Have cleared their schedule for recovery, allowing 2-3 weeks time #### Finish Your Journey With Confidence *Post Weight Loss Body Contouring Results* You’ll notice an improvement in your body’s contour immediately, although swelling and bruising are normal in the early phase. Final results are visible after approximately 3–6 months, as the body adjusts to its new shape. Scars will fade within a year and beyond, and Dr. Shermak will guide you on strategies to minimize visible scarring. *With a stable weight and healthy habits, the benefits of excess skin removal are long-lasting and life-changing*. Most patients report not only physical improvements but also emotional ones, such as comfort in their clothing, increased motivation to stay active, and pride in seeing their transformation fully realized. #### Aftercare and Recovery #### Your Guide to Healing Well [.lead]The exact length of recovery and its intensity depend on the number of procedures you undergo.[] *Excess skin removal surgery* is typically considered one of the more extensive yet impactful cosmetic surgeries available. Patients should be well-prepared for postoperative recovery and will do best to have a close friend or family member accompany them for several days after surgery. Patients will be provided with comprehensive aftercare instructions and recovery advice tailored to their specific surgery. This will typically include: - Plenty of bed rest - Prescribed pain medication - Drains that may be in place for 1 - 2 weeks - Refraining from lifting or exercising for 4 or more weeks - Return to work depends upon the scope and requirements of one’s job #### Experience. Vision. Results. *Why Choose Dr. Shermak?* Dr. Michele Shermak is a *board-certified and fellowship-trained plastic surgeon* who, for years, has been nationally recognized as one of the best plastic surgeons in the United States. As late as July 2024, she was voted one of America’s best female plastic surgeons by her professional peers. Her intensive education and extensive experiential background in cosmetic surgery enable her to provide the safest and most superior care to each of her patients, helping them achieve their body goals. Dr. Shermak also wrote the book on “*Body Contouring*,” published by McGraw-Hill as an industry textbook to educate the next generation of plastic surgeons, and she is working on a head-to-toe surgical text on plastic surgery due to be published by Elsevier in 2026. In addition to her technical and scientific achievements, Dr. Shermak is also a Director on the Board of Directors of the American Board of Plastic Surgery where she advocates for patient safety through impacting the Board Certification and Continuous Certification processes. #### Moving Forward *Scheduling A Consultation* We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal consultation today regarding *skin tightening after weight loss*. [Schedule Your Consultation](/contact/) #### Body Contouring After Major Weight Loss Frequently Asked Questions [.intro]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A. (2012). Pearls and perils of caring for the postbariatric body contouring patient. Plastic and Reconstructive Surgery, 130(4), 618–624.](https://journals.lww.com/plasreconsurg/abstract/2012/10000/pearls_and_perils_of_caring_for_the_postbariatric.39.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) --- ## Body Lift **Link:** [Body Lift](https://www.drshermak.com/body/body-lift/) ([md](https://www.drshermak.com/body/body-lift/index.html.md)) **Type:** Service **Description:** A body lift in Baltimore is a plastic surgery procedure that is customized to a patient’s own unique needs. Dr. Michele Shermak has been rated one of the best surgeons in the United States and specializes in body contouring. ### Content #### What is a Body Lift? *A body lift is a plastic surgery procedure customized to a patient’s unique needs*. It raises and reshapes areas of the midsection—the abdomen, back, and thighs—that have drooped and sagged over time, reduces excess skin and fatty tissue, and refreshes the area for a more attractive, youthful look and feel. The skin loses its firmness, tautness, and natural elasticity as part of the body’s natural aging process, and each individual’s biological makeup impacts how severe the laxity will become. By removing accumulated loose skin and stubborn fatty deposits, your **body lift in Baltimore** will restore a youthful look that lets you enjoy greater self-confidence and beauty. #### Body Lift Topics - [What Does a Body Lift Cost?](#cost) - [What is a Body Lift?](#whatisit) - [Benefits of Body Lift Surgery](#benefits) - [Am I a Candidate for a Body Lift in Baltimore?](#candidate) - [Body Lift Options and Procedure](#options) - [Body Lift Aftercare and Recovery](#recovery) - [Why Choose Dr. Shermak for a Body Lift?](#whychoose) #### This is your life Make it Amazing [Schedule a Consultation](/contact/) #### What Does Body Lift Cost? A **body lift** (belt, including abdomen and back) after weight loss ranges from $17,400 to $21,000. #### Step-by-Step: How a Body Lift Is Performed [.button.active]Consultation & Planning[] Dr. Shermak conducts an in-depth evaluation to understand your goals and customize a surgical plan. [.button.inactive]Anesthesia[] Our Baltimore **body lift** surgery is performed under general anesthesia in Dr. Shermak’s accredited surgical center. [.button.inactive]Incision Placement[] Incisions are carefully placed along the beltline or in concealed natural folds to minimize visibility while allowing full access to remove excess skin and fat. [.button.inactive]Tissue Removal & Contouring[] Loose skin and underlying fat are removed, and the remaining tissue is lifted and tightened. Liposuction may be used to enhance contouring in adjacent areas. [.button.inactive]Closure & Dressing[] The incisions are meticulously closed with layered sutures to support optimal healing. Compression garments are applied to reduce swelling and support the new contours. [.button.inactive]Recovery & Monitoring[] Most patients go home the same day or after an overnight stay, with detailed aftercare instructions and follow-ups scheduled by Dr. Shermak’s team. #### Am I a Candidate for a Body Lift in Baltimore? Physically, candidates for *body lift surgery in Baltimore* include both men and women who are in good health. Patients should be close to their ideal weight and maintain healthy eating and exercise habits. Their weight should also be stable over 4-6 months. Finally, they should have areas of their midsection that they would like to contour and align to their physical goals. Mentally, patients should be of sound mind and have a strong desire to transform their body with life-changing surgery. In a personal consultation, [Dr. Shermak](/about/dr-shermak/) will let you know if a **body lift** surgery would be the best procedure to benefit you, or if she feels a different procedure might better suit your needs. #### Benefits of Body Lift Surgery With a well-done **body lift** Baltimore patients can look forward to some of these benefits: - Removes excess and sagging skin - Reveals a tighter and more toned physique - Restores a slimmer, more shapely figure - Reduces discomfort or chafing caused by excess skin and tissue - Reshapes and contours the abdominal area, hips, lower back, flanks, and thighs - Improves self-confidence #### Types of Body Lifts by Dr. Shermak [.lead]*Body lift surgery is highly customizable and tailored to patients' unique anatomy and goals*. Dr. Shermak offers a variety of body lift procedures depending on where excess skin and tissue are most prominent:[] - **Circumferential Body Lift (also called a belt lipectomy)**: This comprehensive lift addresses the abdomen, flanks, lower back, and buttocks. It is often ideal for patients after massive weight loss. - **Lower Body Lift**: Focused on lifting and tightening the lower torso and upper thighs. This is a commonly chosen procedure for overall waistline rejuvenation. - **Posterior Body Lift**: Targets the back and buttocks, removing sagging tissue and lifting the buttocks for a firmer, more youthful contour. - [**Thigh-Focused Lift**](/body/thigh-lift/): Specifically addresses sagging skin in the inner or outer thighs. It can be performed as part of a larger lift or as a standalone procedure. Dr. Shermak will recommend the most appropriate type—or a combination—based on your aesthetic concerns, skin quality, and post-weight-loss changes. #### Body Lift Aftercare and Recovery **Body lift surgery** is done under general anesthesia. The procedure typically requires between 3 to 6 hours. Patients will be provided full postoperative recovery guidelines and care instructions, but can generally expect to be required to: - Have a friend or family member drive you home after the surgery and remain with you to provide assistance for at least 3 days - Refrain from any lifting and strenuous activity for 4 weeks - Optimally sleep in a recliner to make recovery more comfortable and ease having to get in and out of bed - Walk immediately - Wear bandages and a compression binder to help minimize swelling - Have surgical drains that will require recording output of fluids - Take pain medication as needed, focusing on non-narcotic options #### How Is Scarring Minimized After a Body Lift? As with any surgery, scarring is part of the healing process, but Dr. Shermak takes every step to minimize it: - Strategic incision placement along natural creases and beneath undergarments - Tension-reducing sutures for smooth healing - Advanced closure techniques and post-op scar care protocols - Optional laser treatments to improve scar appearance over time - Most scars fade significantly within 6–12 months and are easily concealed by clothing. #### How Can I Maintain My Results From Body Lift Surgery? [.lead]Our Baltimore **body lift** surgery delivers dramatic, long-lasting results—but maintaining them depends on your lifestyle:[] - **Stable weight:** Fluctuations can compromise your results. Patients should be near their goal weight for at least 4–6 months before surgery. - **Healthy habits:** A nutritious diet, regular exercise, and good hydration all contribute to sustained outcomes. - **Sun protection:** Protecting incision areas from UV exposure helps scars heal better and keeps your skin looking its best. Patients often report improved mobility, self-confidence, and clothing fit long after their surgery. #### Can You Combine a Body Lift with Other Procedures? [.lead]Many patients choose to *combine body lift surgery with additional procedures* for a more comprehensive transformation. Dr. Shermak commonly performs:[] - [Tummy tuck (abdominoplasty)](/body/tummy-tuck-baltimore/) - [Thigh lift](/body/thigh-lift/) - [Arm lift](/body/arm-lift/) - [Breast lift](/breast/breast-lift/) - [Breast augmentation](/breast/baltimore-breast-augmentation/) - [Liposuction](/body/liposuction/) - Fat transfer to the buttocks or breasts Combining surgeries can often reduce overall recovery time and anesthesia exposure while maximizing aesthetic harmony. During your consultation, Dr. Shermak will design a safe, strategic plan based on your priorities and health. *[#whychoose]Why Choose Dr. Shermak for a Body Lift?* *Board-certified plastic surgeon* Dr. Michele Shermak has been rated one of the best surgeons in the United States. In 2021, she was also voted by her professional peers as one of [America’s 50 Best Female Plastic Surgeons](https://surgicaltimes.com/best-female-plastic-surgeons-2021/). With 26 years of experience since establishing her practice in January 1999, Dr. Shermak has built a reputation for exceptional surgical skill, artistry, and patient-focused care. Her intensive education and extensive expertise in *cosmetic surgery* allow her to provide best-in-class care, helping patients achieve their beauty and body goals with precision and natural-looking results. In addition to her renowned surgical career, Dr. Shermak literally wrote the book on “Body Contouring,” published by McGraw-Hill as a key industry textbook to educate the next generation of *plastic surgeons*. As a member of the [American Board of Plastic Surgery (ABPS) Board of Directors](https://www.abplasticsurgery.org/about-us/officers-directors/) since 2022, Dr. Shermak continues to shape the future of plastic surgery, ensuring the highest standards of excellence, safety, and innovation in the field. #### What Financing Options are Available For Body Lift With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### This is your life Make it Empowered [Schedule a Consultation](/contact/) [.intro]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A. (2012). Pearls and perils of caring for the postbariatric body contouring patient. Plastic and Reconstructive Surgery, 130(4), 618–624](https://journals.lww.com/plasreconsurg/abstract/2012/10000/pearls_and_perils_of_caring_for_the_postbariatric.39.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) --- ## Brazilian Butt Lift **Link:** [Brazilian Butt Lift](https://www.drshermak.com/body/brazilian-butt-lift/) ([md](https://www.drshermak.com/body/brazilian-butt-lift/index.html.md)) **Type:** Service **Description:** Dr. Shermak delivers amongst the most natural-looking Brazilian Butt Lifts in Baltimore, Maryland. As a woman, she has a more personal understanding of what female patients are looking for, coupled with her extensive experience in body sculpting, she is among the top choices in the Maryland area. ### Content #### Brazilian Butt Lift at Dr. Michele Shermak Plastic Surgery #### Volumize and Tone Your Buttocks With a Brazilian Butt Lift A **Brazilian butt lift in Baltimore** with Dr. Michele Shermak can help you enjoy all the exciting confidence that comes with showing off a curvy, voluptuous silhouette. If you are feeling dissatisfied with the changes in your physique due to the aging process, pregnancy, or simple genetics, [board-certified Baltimore plastic surgeon](/about/dr-shermak/) Dr. Shermak can help you with powerful improvement thanks to her extensive experience and deep level of skill with the *Brazilian butt lift*. Like many other parts of the body, the rear end may eventually begin to sag and lose its shape with advancing years, detracting from one’s femininity, causing clothes to fit poorly, and lowering one’s overall self-confidence. [Schedule Your Consultation](/contact/) #### Brazilian Butt Lift Before and After Photos #### Brazilian Butt Lift at a Glance - **Natural Volume **– Uses your own fat to shape and lift the buttocks - **Slim and Sculpt **– Fat is taken from areas like the abdomen or flanks through liposuction - **Rejuvenate Your Shape** - Improved roundness and fullness create a more perky, youthful shape - **Custom Results **– Fat is placed strategically to refine your body shape - **Outpatient Procedure **– Completed under general anesthesia, home the same day - **No Implants Needed **–** **Avoids the complications of buttock implants by using fat transfer techniques #### Choosing the Method That Works Best for You *What is a Brazilian Butt Lift?* [.lead]While the buttock region can be augmented with a surgical implant, our Baltimore **Brazilian butt lift** is actually performed with a more organic process known as [fat transfer](/body/fat-transfer/).[] During this innovative procedure, fat is extracted from another area of your body—such as the back, hips, stomach, or thighs—and then purified and injected into the treatment area. One benefit of the fat transfer process is that it tones and slims the donor area while also augmenting your buttocks, improving at least two different regions on your body at once. *Fat grafting for buttock augmentation* should be performed by a board-certified plastic surgeon who prioritizes experience and safety above all else. This is the reason Dr. Shermak’s patients do so well and are so satisfied with their results: Dr. Shermak is well-versed in both techniques and will help to determine which enhancement method is right for your goals and individual anatomy during your confidential *Brazilian butt lift consultation* at her Baltimore, Maryland offices. #### What is the Brazilian Butt Lift procedure like? *The Day of Your Surgery* As your procedure begins, you’ll be placed under general anesthesia at our Baltimore outpatient medical facility. The **Brazilian Butt Lift** typically takes between two and four hours to complete, depending on the extent of the work being performed. The most common method of lifting the buttocks is the fat transfer approach. This technique sees Dr. Shermak extracting fat cells from the donor area through [liposuction](/body/liposuction/). These cells are then purified and prepared for injection into the buttocks. Once the fat has been transferred, she will carefully reshape the rear end to ensure it appears natural, beautiful, and proportionate to the rest of the torso, creating results that will leave you feeling confident and rejuvenated. #### Sculpt an Hourglass Silhouette *What conditions does a Brazilian Butt Lift address?* A **Brazilian butt lift** procedure is ideal for individuals who want to improve both the shape of their buttocks and the proportions of their body. It can help if you experience: - Flat buttocks or lack of volume - Excess fat in the midsection or thighs - Poor body shape definition - Disproportion between the upper and lower body - Volume loss from weight loss or aging - Fit of clothing, swimsuits The combination of *buttock augmentation* and fat removal gives patients a sculpted, cohesive look using their own tissue. #### Combining Your Procedures #### Curves Crafted Just For You It is absolutely possible to combine your **Brazilian Butt Lift** with other procedures, and many women seek both [tummy tuck](/body/tummy-tuck-baltimore/) and BBL surgery at the same time to rejuvenate a body impacted by pregnancy, metabolic or weight fluctuations, and the aging process. Cellulite issues may be treated at the time of **BBL** with the Aveli system. Buttock lifting surgery may be performed concurrently with procedures that address other body regions, such as the [face](/face/) and [breast](/breast/). Dr. Shermak meets with all individuals who seek to undergo surgery with her, evaluating their medical history and cosmetic goals to craft a personalized treatment plan that enables them to achieve their ideal cosmetic outcome. #### One Procedure. Dual Benefits. *What are the benefits of a Brazilian Butt Lift?* *A Brazilian Butt lift offers dual benefits, enhancing the buttocks with fat transfer while simultaneously sculpting another area of the body*. This advanced body sculpting procedure: - Remove the muffin top/love handles and tummy bulge - Eliminate the mom “pooch” or fat rolls on top of the mons / pubic area - Improve the appearance of the midsection from a 360 view and while sitting - Tighten the skin for a shrink-wrapped appearance of the waistline - Accentuate and define an hourglass figure - Correct a misshapen, flat, or sad belly button - Reduce or conceal stretch marks at the mid and lower abdomen - Improve cellulite dimpling on the buttocks and thighs #### Am I a candidate for a Brazilian Butt Lift? #### Step Into Your Most Confident Shape You may be a good candidate for **BBL** if you’re in good physical health, have enough excess fat for fat grafting, and are at a stable weight. The best outcomes are achieved by patients who have good skin tone, realistic goals, and a willingness to follow post-op instructions. Candidates should understand that a *BBL* is not for sagging skin or significant skin laxity. In those cases, Dr. Shermak may recommend combining the procedure with a tummy tuck or body lift for more complete rejuvenation. Dr. Shermak evaluates each patient’s anatomy and lifestyle individually to ensure the chosen cosmetic surgery aligns with their goals. #### The Art of Classic Curves *Your Recovery and Results* After a **Brazilian butt lift** Baltimore patients will be instructed to wear a compression garment for up to eight weeks post-op. This will help to minimize swelling while preserving your body’s new shape. Dr. Shermak will provide guidance on your best garment. You will also be guided on how to best offload the buttock area to allow for best retention of fat grafted through positioning and special cushions. You’ll likely be able to return to work and regular activities after about one to two weeks. Every individual is different and experiences their final results differently. Most clients find that they notice an improvement immediately and can start enjoying their new profile within a few weeks of recovery. Your final results will be fully visible around two to four months after surgery. #### Why Choose Dr. Shermak for Your Brazilian Butt Lift (BBL)? #### Experience, Precision and Compassion Choosing Dr. Michele Shermak for your *Brazilian Butt Lift (BBL)* means placing your trust in one of the most experienced and highly regarded plastic surgeons in the field. With over 26 years of experience since opening her practice in January 1999, she has performed more than 900 successful *BBL surgeries*, making her a true authority in body contouring and fat transfer procedures. Dr. Shermak’s commitment to personalized care ensures that each *BBL* procedure is tailored to the unique goals and body structure of her patients, delivering natural-looking, beautifully contoured results. Her extensive knowledge and expertise are showcased throughout her website, reflecting her dedication to patient education, safety, and satisfaction. As a [board-certified plastic surgeon](/about/dr-shermak/) and, a member of the [American Board of Plastic Surgery (ABPS) Board of Directors](https://www.abplasticsurgery.org/about-us/officers-directors/) since 2022, Dr. Shermak remains at the forefront of innovation and surgical advancements, offering the highest standard of care in every procedure. If you’re looking for a skilled and compassionate surgeon for your **BBL** journey, Dr. Shermak’s proven experience and artistic approach make her an exceptional choice. [Contact us](/contact/) today to schedule your consultation and take the first step toward achieving your aesthetic goals! #### Start Your Journey Today *Getting Started with Your Brazilian Butt Lift* Are you ready to learn more about whether a *Brazilian butt lift* with Dr. Shermak is right for your needs? Schedule a private, comprehensive consultation with Dr. Shermak at her Baltimore office, and she will be able to answer all your questions in greater depth. During the session, the doctor will examine your body, review your medical records and previous surgeries, and develop a customized plan of action to address your aesthetic goals. Dr. Shermak may guide you in browsing through her catalogs of before-and-after results, as well as an online library of notable before-and-after pictures from former *buttock lift* patients. To get started, reach out and set up your consultation today. [Schedule Your Consultation](/contact/) #### Brazilian Butt Lift Frequently asked questoins [.intro]References[] [Shermak, M. A. (2021). Gluteal fat augmentation. In Gluteal Lift (pp. 181–190). Springer.](https://link.springer.com/chapter/10.1007/978-3-030-58945-5_27) [Matarasso, A., & Shermak, M. A. (2013). The application of barbed sutures in body contouring surgery. Aesthetic Surgery Journal, 33(3 Suppl), 72S–76S.](https://academic.oup.com/asj/article-abstract/33/3_Supplement/72S/176496) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) --- ## Emsculpt Neo **Link:** [Emsculpt Neo](https://www.drshermak.com/body-countouring/emsculpt-neo/) ([md](https://www.drshermak.com/body-countouring/emsculpt-neo/index.html.md)) **Type:** Service **Description:** To help achieve the lean, tight physique you want, we provide EMSCULPT NEO treatments in Baltimore. Call to set up a consultation with Dr. Shermak. ### Content #### What is EMSCULPT NEO? *EMSCULPT NEO is a device that uses HIFEM technology and radiofrequency to achieve a powerful dual effect*: muscle contraction beyond what is humanly possible and melted fat cells. The result is a more toned, sculpted, slimmer look after six treatments. At our office in Baltimore **EMSCULPT NEO** is non-surgical and completely non-invasive. The device is placed on a target area that you want to tighten and tone. It then emits radio frequency and high intensity electromagnetic energy. The radio frequency *melts and destroys unwanted fat cells*. The high intensity electromagnetic energy contracts the muscles to achieve muscle growth. #### What Does EmSculpt Neo Cost? *EmSculpt Neo costs $3,400 for four sessions per body region.* #### What Areas Can be Treated with EMSCULPT NEO? This simple, painless device is designed to sculpt the more stubborn areas of the body by building muscle and destroying fat. More than one area may be addressed in a treatment session. Common body regions treated by **EMSCULPT NEO** include the following: - Abdomen - Waist - Hips - Flanks - Arms - Buttocks #### What are the Benefits of EMSCULPT NEO? With **EMSCULPT NEO** Baltimore patients can eliminate more fat and generate more muscle growth than any other body sculpting device. There is no other device in the aesthetic field that *treats both fat and muscle* in a single treatment. - Clinical studies show, on average: 30% reduction in fat & 25% growth in muscle volume - Non-surgical, non-invasive treatment - Painless and safe - No downtime or recovery period - Burns fat and builds muscle mass - Effectively treats patients with a BMI of up to 35 - Significantly enhances gym workouts - Lifts and firms the backside - Defines the abdominal area - Improves self-confidence #### What HappensDuring Treatment? The high intensity electromagnetic energy then contracts the muscle tissues at an intensity level beyond anything that could be achieved during a workout. This results in an increase in the growth of muscle fibers and cells. As this is happening, the radiofrequency heating raises the temperature in the fat cells to a melting point, effectively destroying them. These fat tissues are naturally metabolized and flushed out by the body. Once the **EMSCULPT NEO** device is placed on your body, radiofrequency energy is applied, which heats your muscle temperature by several degrees. This is similar to warm-up activity before a workout. #### What Does the EMSCULPT NEO Experience Feel Like? *Your treatments with EMSCULPT NEO are not painful*. However, the muscle contractions may feel intense. You will experience a heating sensation and powerful muscle contractions. There is no recovery period or downtime at all. Once the treatment session is complete, you can go right back to your usual daily routine. #### Results *Treatments are applied for 30 minutes every 1-2 weeks, usually during a six-week period.* Results appear in about two weeks after your last treatment, as your body needs time to build the new muscle mass and sweep away the dead fat cells. You will experience a leaner, more sculpted physique. #### Am I a candidate for Emsculpt Neo? **EMSCULPT NEO in Baltimore** is an outstanding treatment for a broad range of patients: - Healthy individuals looking to enhance their appearance and build muscle - Individuals looking to amplify a body contouring surgical outcome - Individuals looking to provide a catalyst to improve appearance and fitness - Individuals who are not optimal surgery candidates - Individuals looking to improve core strength who may be disabled by osteoarthritis Ideal candidates should meet the following requirements: - Have a BMI of up to 35 - Do not have metal hardware (metal implants) - Are within 30 pounds of their ideal weight - Are not pregnant or nursing #### What Financing Optionsare Available For EmSculpt Neo With Dr. Shermak? Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices: - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Why choose Dr. Shermak for EmSculpt NEO? [Dr. Michele Shermak](/about/dr-shermak/) is a *board-certified plastic surgeon* who is acknowledged as a top choice for patients who want to improve their physique. Dr. Shermak is passionate about helping patients improve their confidence and quality of life by restoring and revitalizing their natural beauty. Her understanding, compassionate nature, excellence and expertise make her a highly sought-after surgeon in Baltimore, MA. Please call today to learn more about your **EMSCULPT NEO** treatments with Dr. Shermak. --- ## Body Contouring **Link:** [Body Contouring](https://www.drshermak.com/body-countouring/) ([md](https://www.drshermak.com/body-countouring/index.html.md)) **Type:** Service **Description:** Body Contouring in Baltimore Maryland offered by Dr Michele Shermak, a board certified plastic surgeon in the DC area. Information ### Content --- ## Breast Asymmetry **Link:** [Breast Asymmetry](https://www.drshermak.com/breast/breast-asymmetry/) ([md](https://www.drshermak.com/breast/breast-asymmetry/index.html.md)) **Type:** Service **Description:** Information on Congenital Breast Asymmetry Surgery offered by board certified female plastic surgeon Dr Shermak in Baltimore. ### Content #### What Is Breast Asymmetry Surgery? Due to unfortunate hereditary conditions, some women develop *asymmetrical breasts*, a condition in which one breast may be too small while the other is too large. Unwanted sagging of one breast may also be an issue, or there may be a tubular appearance and/or constriction to the breast shape, with nipple areolar deformities. Sometimes there are underlying skeletal issues as well. Surgical correction for asymmetrical breasts can help teens and women improve the symmetry and shape of their breasts, boosting their self-confidence in the process. Techniques used include *breast lift*, *breast reduction*, [breast augmentation](/breast/baltimore-breast-augmentation/) with implants, and/or *fat transfer breast augmentation*. Sometimes surgery needs “refreshing” within years due to recurring processes that caused the asymmetry in the first place. Surgery is individualized, and Dr. Shermak will meet with you in private to discuss all options that may benefit your appearance. To learn more about how our Baltimore **breast asymmetry** surgery can benefit you, reach out to Dr. Shermak’s office and set up your initial consultation. #### Breast Asymmetry Before and After Photos #### Am I the Ideal Candidate? [.lead]The ideal candidate for *breast asymmetry correction* can fall into just about any group. You’re an ideal candidate if you desire better breast symmetry and improved breast contours, are in good physical and mental health, and have reasonable expectations for your results (improvement, rather than perfection, in other words).[] Scars have to be tolerated, and the scars involved will be explained and demonstrated through work on previous patients. Dr. Shermak understands that younger girls may not be accepting and understanding of scars and works with every patient to ensure that they understand what to expect from the procedure. Additionally, it’s important that breast development be complete before one considers correction for **breast asymmetry in Baltimore**. #### Financing and Insurance Many patients come to Dr. Shermak wondering if their **breast asymmetry** correction can be covered by insurance. The short answer is “sometimes.” We recommend checking in with your insurance provider to see if they may cover this procedure. More often than not, the procedure is an out-of-pocket expense and is considered to be cosmetic in nature. #### Your Recovery Period *Breast asymmetry correction* surgery is performed on an outpatient basis. After your surgery, you may experience temporary discomfort, swelling, or numbness. Most women resume light activity within a week and drive within 10 days. More vigorous activity should wait for one month. Dr. Shermak will meet with patients over time to assure optimal scarring results, and will ensure that you’re given a clear timeline of your recovery period in advance of your surgery. #### For Breast Aysmmetry With Dr. Shermak? *What Financing Options are Available* [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Undergoing Additional Cosmetic Treatments [.lead]The way you look and feel directly affects your self-confidence. In addition to treating **breast asymmetry** Baltimore plastic surgeon Dr. Shermak takes care of many abdominoplasty, liposuction, and body lift patients and is adept at combining procedures to create comprehensive outcomes for her patients.[] When you visit Dr. Shermak for your consultation, she’ll work with you to ensure that she understands your cosmetic goals before working with you to develop a bespoke treatment plan that incorporates all of your cosmetic goals. In many cases, this enables patients to undergo just a single recovery period for multiple procedures. #### Moving Forward: Schedule Your Consultation We invite you to call Dr. Shermak’s *Baltimore plastic surgery office* at [(410) 616-3000](tel:+14103246592) to schedule your personal consultation today. Dr. Shermak has been earning a reputation for excellence and is a member of the Board of Directors for the American Board of Plastic Surgery. Her ethical standards and commitment to technical excellence are quite literally guiding the next generation of expert plastic surgeons in the United States, and she is excited to learn more about how her expertise can be put to work, creating results that will fill you with self-confidence. When you’re ready to get started, reach out to Dr. Shermak’s office and set up your initial consultation today. [.intro]References[] [Shermak, M. A. (2015). An outcomes analysis of 2,142 breast reduction patients: A single-surgeon experience. Annals of Plastic Surgery, 74(3), 265–269](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) [Gingrass, M. K., & Shermak, M. A. (2006). The treatment of gynecomastia with ultrasound-assisted lipoplasty. Aesthetic Surgery Journal, 26(4), 369–373](https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1080216) [Shermak, M. A., Chang, D., Buretta, K., Mithani, S., Mallalieu, J., & Manahan, M. (2011). Increasing age impairs outcomes in breast reduction surgery. Plastic and Reconstructive Surgery, 128(6), 1182–1189.](https://journals.lww.com/plasreconsurg/abstract/2011/12000/increasing_age_impairs_outcomes_in_breast.11.aspx) #### This is your life Make it Amazing [Schedule a Consultation](/contact/) --- ## Labiaplasty **Link:** [Labiaplasty](https://www.drshermak.com/body/labiaplasty/) ([md](https://www.drshermak.com/body/labiaplasty/index.html.md)) **Type:** Service **Description:** As the body ages, the labia minora often stretches out and extends, causing discomfort during everyday activities. Dr. Shermak offer Baltimore patients Labiaplasty to fix this. ### Content #### What is a labiaplasty? As the body ages, the labia minora often stretches out and extends, causing discomfort during everyday activities such as riding a bike, having intercourse or doing yoga. Pregnancy may also play a part in distorting the female vaginal region. With **labiaplasty** Baltimore patients will have the labia minora as well as the labia majora recontoured and reduced, resulting in increased pleasure and well being for the client. Asymmetry and irregularities are also corrected. The procedure can relieve pain, itchiness and irritation, while boosting self-confidence. #### Labiaplasty Topics - [**What is a labiaplasty?**](#what-is-a-labiaplasty) - [**What Can I Expect from This Procedure?**](#what-to-expect) - [**What Can I Expect from the Recovery Process?**](#recovery) - [**Why Choose Dr. Shermak for Your Labiaplasty?**](#whychoose) - [**Moving Forward with Your Baltimore, Maryland Labiaplasty**](#procedure) - [**Taking the First Step Towards Your Maryland Labiaplasty**](#firststep) - [**Visit our Photo Gallery to View Representative Results**](#results) - [**References**](#references) - [**What Financing Options are Available For Labiaplasty With Dr. Shermak?**](#financing) #### What Can I Expect from This Procedure? *Labiaplasty is performed either under general anesthesia*, or under local anesthesia with oral sedation. [Dr. Shermak](/about/dr-shermak/) will work with you during your private consultation to determine the best choice of anesthesia for your needs. Dr. Shermak will place minute incisions on the inside of the labia, through which she will excise the excess tissue. The edges are then reshaped and closed with absorbable sutures. #### What Can I Expect from the Recovery Process? All clients will receive a detailed aftercare plan from Dr. Shermak, as well as antibiotics to prevent infection, and a lubricant to soothe the surgical site. The doctor advises abstinence from sexual activity and tampons for approximately 3-4 weeks. For the first week after your procedure, you may experience some minor swelling and discomfort. Lying with the pelvis elevated is effective in relieving some of these symptoms, as is applying an ice pack on and off to the area. Pain medications will also be available should you desire them. The majority of the swelling will subside within six weeks, while final results may take up to six months to be fully visible. #### Why Choose Dr. Shermak for Your Labiaplasty? As a female physician, Dr. Shermak is acutely attuned to the subtleties and nuances of the female form, and is able to connect with her clients on an emotional level, creating the safety and trust that fosters a successful operation. Dr. Shermak is also an authority on [body contouring](/body-countouring/) and has created her own surgical atlas (published in NY by McGraw Hill) that is used by her peers and colleagues as a major resource in innovative body sculpting techniques. She lectures frequently both domestically and internationally, and contributes to peer-reviewed scientific journals and medical textbooks. #### Moving Forward with Your Baltimore, Maryland Labiaplasty [.lead]The first step is to schedule a confidential consultation with Dr. Shermak in the privacy of her Baltimore office suites.[] During this initial session, the doctor will examine you physically, review your medical and surgical records, record any medications your might be taking, and have a look at prior cosmetic treatments you have undergone. She will then conduct a thorough Q and A session, delving into your concerns in depth to provide you with the information and education needed to move forward with confidence. Finally, the doctor will create a customized treatment plan fitted to your aesthetic goals and will describe the steps required to achieve these goals in detail. You will have the chance to review our library of before and after photography during the [consultation](/contact/) as well, so that you can better visualize the kind of results that you can achieve with **labiaplasty in Baltimore**. #### Your Maryland Labiaplasty *Taking the First Step Towards* For more information about undergoing our Baltimore **labiaplasty** procedure with Dr. Shermak, call the office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal, comprehensive consultation today. During this initial session, Dr. Shermak will be able to answer all your questions in detail, while also providing you with access to our library of before and after photography. #### Visit our Photo Gallery to View Representative Results For more information about having a **labiaplasty** with Dr Michele Shermak, call the office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal consultation today. [View Gallery](/gallery/) [.intro#references]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A. (2012). Pearls and perils of caring for the postbariatric body contouring patient. Plastic and Reconstructive Surgery, 130(4), 618–624.](https://journals.lww.com/plasreconsurg/abstract/2012/10000/pearls_and_perils_of_caring_for_the_postbariatric.39.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) #### What Financing Options are Available For Labiaplasty With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### This is your life Make it Beautiful [Schedule a Consultation](/contact/) --- ## Facial Fat Transfers **Link:** [Facial Fat Transfers](https://www.drshermak.com/face/facial-fat-transfers/) ([md](https://www.drshermak.com/face/facial-fat-transfers/index.html.md)) **Type:** Service **Description:** Our Baltimore Facial Fat Transfer provides intense facial rejuvenation with female board certified plastic surgeon Michelle Shermak. ### Content #### What Is Facial Fat Transfer? As we age, fat disappears and descends in the face, leading to a deflated appearance. The fullness of the cheek drops, elongating the lower lid and accentuating the creasing of the face, possibly even accounting for dark circles of the lower lids. The area around the mouth, including the lips, may be thinned, creased, or have irregular textures. *Fat may be transferred from the abdomen, back, or thighs to fill in lines and creases of the face and around the mouth and chin or to provide more volume around the eyes and cheeks*. Fat transfer is also a great solution for addressing facial asymmetry. *Fat transfer* adds facial volume and also has a stem cell effect, stimulating factors that improve skin quality beyond just the addition of volume. When you’re ready to learn more, reach out to Dr. Shermak’s team and set up your initial consultation today. #### Facial Fat Transfers Before and After Photos - [**What Is Facial Fat Transfer?**](#what-is-it) - [**What Does Facial Fat Transfer Cost?**](#cost) - [**Who Is a Good Candidate for Facial Fat Transfer?**](#candidates) - [**Facial Fat Transfer Before & After**](#gallery) - [**Your Recovery Period**](#recovery) - [**More About Facial Fat Transfer**](#procedure) - [**What Financing Options are Available For Facial Fat Transfer With Dr. Shermak?**](#financing-options) - [**Facial Fat Transfer FAQ**](#faqs) - [**Schedule Your Consultation Today**](#schedule) #### What Does Facial Fat Transfer Cost? **Facial fat transfer** under local anesthesia costs $2,100. #### Who Is a Good Candidate for Facial Fat Transfer? Good candidates for our Baltimore **facial fat transfer** are men and women in good physical and mental health who have deflation and wrinkles of the face, lax and/or irregular skin texture, and a poorly defined neck and jawline. This also applies to individuals with significant weight loss who tend to look more aged with a weight decrease. *This procedure may be combined with a facelift, a brow lift, blepharoplasty, or neck liposuction to rejuvenate the entire face and neck*. During the initial consultation, you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve your desired results. #### Your Recovery Period **Facial fat transfer** surgery tends to be performed on an outpatient basis. You may experience temporary swelling, numbness, and bruising that respond well to head elevation, ice packs, and Arnica Montana herbal supplementation. Most can resume their regular activities and return to work within a week, while all of the swelling may take up to a month to resolve. #### What Financing Options are Available #### For Facial Fat Transfer With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation for **facial fat transfer** Baltimore plastic surgeon, Dr. Shermak and her team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Schedule Your Consultation Today [.lead]Are you ready to experience the two-in-one benefits of **facial fat transfer**? Our patients love this treatment for its ability to restore lost facial volume and create a more rejuvenated, youthful look.[] You’ll love its ability to slim down the “donor” area at the very same time. To get started with your initial consultation, reach out to Dr. Shermak’s team in Baltimore and set up your appointment today. #### Facial Fat Transfer Frequently asked questoins #### This is your life Make it Confident [Schedule a Consultation](/contact/) --- ## Injectables & Fillers **Link:** [Injectables & Fillers](https://www.drshermak.com/injectables-fillers/) ([md](https://www.drshermak.com/injectables-fillers/index.html.md)) **Type:** Service **Description:** Injectables & Fillers in Baltimore Maryland offered by Dr Michele Shermak, a board certified plastic surgeon in the DC area. Information ### Content --- ## Eyelid Surgery **Link:** [Eyelid Surgery](https://www.drshermak.com/face/blepharoplasty/) ([md](https://www.drshermak.com/face/blepharoplasty/index.html.md)) **Type:** Service **Description:** Consider having eyelid surgery - blepharoplasty in Baltimore, Maryland, with female board-certified plastic surgeon Michelle Shermak. Located in Lutherville, MD ### Content #### Your Eyelid Surgery with Dr. Shermak #### Refresh Tired Eyes Sagging upper eyelids, puffiness, and loose skin around the eyes can make you appear older or more fatigued than you feel. In more advanced cases, this excess eyelid skin can even impair your peripheral vision. *Eyelid surgery*, or **blepharoplasty**, is a highly effective surgical procedure that removes excess skin, fat, and lax tissue from the upper and/or lower eyelids, refining the eye area for both cosmetic and functional benefits. At her *Lutherville-Baltimore plastic surgery practice*, board-certified plastic surgeon Dr. Michele Shermak customizes each *blepharoplasty* procedure to address your specific concerns, including droopy eyelids, under-eye bags, or wrinkles caused by aging and sun damage. She performs eyelid surgery with a natural, elegant result in mind, restoring a refreshed, alert appearance that complements your expression. #### Blepharoplasty Before and After Photos #### Blepharoplasty at a Glance - **Upper and Lower Options** – Choose upper eyelid surgery, lower eyelid surgery, or both - **Consider a Brow Lift **- Elevating the brow may open the eye more if the brow has dropped or is low in position - **Outpatient Procedure** – Performed in-office or at a surgical center; go home the same day - **Natural Look** – Maintain your facial identity and eye shape - **Assert Your Competitiveness in Your Career** - Excess skin in the upper eyes and bags of the lower lids may communicate fatigue, anger or low energy. - **Low Downtime** – Most patients return to work in about two weeks - **Improved Vision** – Reduces vision problems due to sagging skin and excess eyelid tissue #### See the Difference a Lift Can Make *What is blepharoplasty?* The eyes are one of the first facial features to give away your age. As they age, some people accumulate *crepey skin in the upper lid*, making it difficult to apply makeup or to actually have a full field of vision. Some inherit this condition from their parents and seek correction at a relatively young age. At our office in Baltimore **blepharoplasty** helps correct loose, excess skin of the upper eyelid and laxity and puffiness of the lower lid that result in a tired, sad, or angry appearance. Incisions are hidden or placed within natural creases. The upper eyelid incision falls within the upper eyelid crease and the lower lid incision is placed just under the lash line. The eyelid skin is the thinnest skin in the body and heals very quickly. *Blepharoplasty surgery can be limited to just the upper lid, just the lower lid, or both the upper and lower lid*. The objective of upper or lower blepharoplasty is a smoother, rejuvenated eye and a more refreshed, alert facial expression. #### Small Incisions Major Impact *What is the blepharoplasty procedure like?* [.button.active]*Upper Blepharoplasty* Procedure — Offered Without General Anesthesia[] Upper eyelid blepharoplasty can often be safely performed in-office under local anesthesia with oral sedation or under general anesthesia. Dr. Shermak makes a discreet incision in the upper eyelid crease to remove excess skin and fat, carefully reshaping the lid for a smoother, more open look. Patients benefit from a short recovery, reduced risk of complications, and in some cases, no need for general anesthesia. This outpatient procedure typically takes under an hour and offers fast, comfortable healing. [.button.inactive]*Lower Blepharoplasty* Procedure[] Lower eyelid surgery requires sedation or general anesthesia with the assistance of an excellent anesthesia provider. Dr. Shermak uses a small incision hidden below the lash line to remove excess fat and tighten sagging skin. Lower eyelid blepharoplasty is ideal for patients with under-eye puffiness, crepey skin, or a tired appearance. Dr. Shermak typically encourages fat transfer to the upper cheek to help support the lower lid and improve and refresh the face more completely. Dr. Shermak typically performs both *Upper and Lower Lid Blepharoplasty*, often with [Fat Transfer](/body/fat-transfer/), [Brow lift](/face/brow-lift/), and/or [Facelift](/face/facelift-baltimore/) and [Neck Lift](/face/neck-lift/). After surgery, patients return home the same day with a clear aftercare plan in place. #### When Heavy Lids Weigh You Down *What conditions does Blepharoplasty address?* With **blepharoplasty** Baltimore patients can improve both functional and cosmetic concerns, including: - **Sagging upper eyelids** that interfere with vision or apply weight to the eyes - **Excess skin** that folds over the upper lids or creates wrinkles - **Bags under the eyes** caused by fat herniation or fluid retention - **Drooping skin** and lax tissue on the lower lids - **Asymmetry** between the upper and lower eyelids - **Peripheral vision obstruction** due to hooded eyelids - **Dark circles and puffiness** related to excess fat or skin #### Look Awake Feel Refreshed *Who is a good candidate for blepharoplasty?* You may be a good candidate for **blepharoplasty** surgery if you’re physically healthy, have realistic expectations, and are *bothered by sagging upper eyelids, excess fat, or puffiness*. Patients with eyelid skin that creates folds or impairs their vision may benefit not only cosmetically but also functionally. During your consultation, Dr. Shermak will review your medical history, eye history, current medications (including blood thinners or herbal supplements), and perform a complete eye exam to ensure you're a safe candidate for surgery. *Blepharoplasty* may be combined with [brow lift](/face/brow-lift/), [facial fat grafting](/face/facial-fat-transfers/), or [facelift](/face/facelift-baltimore/)** **procedures for full-face rejuvenation. #### Blepharoplasty Recovery #### Minimal Downtime Maximum Refresh [.lead]After **blepharoplasty**, patients can expect bruising and swelling around the treatment area for the first week. Cold compresses, head elevation, and Arnica Montana herbal supplementation help reduce swelling.[] Dryness after surgery is treated with prescribed eye drops during the day and lubricant at night. Avoid wearing contact lenses or heavy lifting for at least 10–14 days. You should avoid sun exposure during the initial healing period and wear dark sunglasses to protect the eyes. Most resume regular activities and return to work after one week, and swelling may take up to a month or two to resolve. Stitches are removed approximately 1 week after surgery. Following all post-op instructions helps ensure a smooth recovery and optimal result. #### Eyes That Speak Volumes *Eyelid Surgery Results* Results from *upper blepharoplasty* and *lower eyelid surgery* begin to appear as swelling subsides, usually within the first two weeks. Most patients notice brighter, more youthful eyes with improved contour and less heaviness. Final outcomes are seen in 1–3 months, with upper lid results lasting 5–10 years or longer. Lower eyelid surgery is often permanent if performed with the correct technique and patient selection. Eyelid surgery results are subtle to those around you who do not know you have undergone surgery. They may think you are refreshed from a vacation or just well rested. #### Experience Artistry, and Trust *Why Choose Dr. Shermak for Eyelid Surgery?* [.lead]Dr. Michele Shermak, MD, is championed for her exceptional expertise in performing her Baltimore **blepharoplasty** procedures. Having successfully carried out many hundreds of blepharoplasty surgeries, Dr. Shermak is valued for her tried-and-true techniques, while also allowing for evolution in technique to improve her results.[] Her commitment to providing personalized care and achieving natural results underscores her dedication to patient satisfaction. Beyond that, her patient testimonials and online reviews speak volumes of the praise she constantly receives from her loyal clients. For those seeking a skilled and compassionate *surgeon for blepharoplasty*, Dr. Shermak's extensive experience positions her as an ideal choice. Reach out to us today to learn more about our *blepharoplasty* treatments. #### What's Next? Schedule a Consultation [.lead]We invite you to call Dr. Shermak’s *Baltimore plastic surgery office* at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal consultation today.[] You may also enjoy viewing our online library of before-and-after photographs to gain more awareness of what is possible with the **blepharoplasty** procedure. [Schedule a Consultation](/contact/) #### Eyelid Surgery Frequently Asked Questions --- ## Restylane Lyft **Link:** [Restylane Lyft](https://www.drshermak.com/injectables-fillers/restylane-lyft/) ([md](https://www.drshermak.com/injectables-fillers/restylane-lyft/index.html.md)) **Type:** Service **Description:** At our office in Baltimore Restylane Lyft is designed specifically to restore lost fullness in the cheeks and to diminish the lines around the mouth, creating a more youthful, vibrant aesthetic while increasing self-confidence. ### Content #### What is Restylane Lyft? While aging may be inevitable, today’s advanced, non-surgical treatments make it possible to reverse some of the most glaring, noticeable signs of advancing years, such as *facial wrinkles*, fine lines and diminishing facial volume. Our Baltimore **Restylane Lyft** treatment is designed specifically to restore lost fullness in the cheeks and to diminish the lines around the mouth, creating a more youthful, vibrant aesthetic while increasing self-confidence. #### How Does Restylane Lyft Work? *Restylane Lyft* (formerly referred to as *Perlane-L*), is FDA-approved for facial sculpting and cheek enhancement. It relies on the power of hyaluronic acid, an organic compound found naturally in the human body that is responsible for moisturizing and plumping the skin. Restylane Lyft also comes with added lidocaine, a topical anesthetic that makes for a painless, comfortable patient experience without requiring additional anesthesia. The **Restylane Lyft** particles are larger than with other dermal fillers, and the injection targets the deeper layers of skin. The result is a more malleable filler that can achieve subtle, nuanced changes in the appearance. #### How much does Restylane cost? Fillers are priced per 1cc syringe, with options depending on the product chosen: - Restylane/Lift/Silk – $700 - Restylane Refyne/Defyne – $775 #### What Can I Expect from the Procedure? While *Restylane Lyft* has a built-in numbing agent, if you require additional pain relief, Dr. Shermak is happy to accommodate you and can provide another topical anesthetic or an ice pack. Most clients find the injections are over before they are aware they’ve received them, and discomfort is virtually non-existent. Dr. Shermak will target the deeper fat pads in the cheeks to naturally augment the area. With her finely tuned eye for aesthetic harmony and balance, she is able to insert the needles with impeccable precision. Our Baltimore **Restylane Lyft** treatment takes anywhere from 20-40 minutes on average, so it is easy to come into the office over your lunch break and return to work or other activities afterwards. Total treatment time will depend naturally on the number of injections administered during your session. #### Who is a Good Candidate for Restylane Lyft? Patients must be at least 21 years of age, and in good health, both mentally and physically. Expectations for results should be realistic, with improvement rather than perfection as the goal. Because **Restylane Lyft** is based on hyaluronic acid, a biocompatible compound, few patients experience adverse reactions. #### How Soon Can I See My Results? With **Restylane Lyft** Baltimore patients will see improvement in hollowed cheeks and smile lines right away. The filler takes action immediately. If you do have some minor swelling or redness after your injection, it might take a few hours to see your final results. To avoid undue swelling, it’s best to abstain from taking aspirin, smoking or drinking alcohol before your procedure. #### How Long *Will My Results Last?* While results will vary from client to client, most enjoy long-lasting improvement with **Restylane Lyft in Baltimore**. Total effectiveness may last up to 18 months for some. For longer term benefits, Dr. Shermak can repeat your treatment at regular intervals. Be sure to attend follow-up sessions with the doctor, during which she can advise you on whether additional *Restylane Lyft* injections are needed to achieve your ideal look. --- ## Facelift **Link:** [Facelift](https://www.drshermak.com/face/facelift-baltimore/) ([md](https://www.drshermak.com/face/facelift-baltimore/index.html.md)) **Type:** Service **Description:** Consider having a facelift in Baltimore, Maryland, with female board-certified plastic surgeon Dr Shermak. Contact us today for a consultation ### Content #### Facelift at Dr. Michele Shermak Plastic Surgery #### Reveal a Refreshed, Youthful You With a Facelift Procedure Dr. Shermak is a leading board-certified plastic surgeon renowned for her expertise in facelift procedures. She has performed countless successful **facelifts in Baltimore**, helping patients turn back the clock to achieve natural-looking results and renewed self-confidence. A facelift—also known as *rhytidectomy*—is a transformative surgical procedure designed to reduce visible signs of aging in the face and neck. By lifting and repositioning sagging tissues, smoothing deep creases, restoring fat, and tightening loose skin, a *facelift* helps regain a firmer, more youthful facial contour while preserving your natural expressions and appearance. You will look in the mirror and see the person you expect to see. #### Facelift Before and After Photos #### Facelift at a Glance - **Refreshed Contours** – Lifts sagging skin and repositions facial tissues for youthful definition of the face and neck - **Natural-Looking Results** – Enhances your appearance without looking overdone or unnatural, turning back the clock - **Improve Your Competitive Advantage** - A more youthful appearance may help your work success and help your face match your energy and ability - **Say Goodbye To Zoom Face** - No more need to carefully adjust lighting and angles, or turn off the camera altogether - **Relieve Ozempic Face** - Individuals who have undergone significant weight loss lose youthful fullness and fat in the face, and lose the spring and structure in their skin. A facelift can refresh the face and restore a healthy look, while improving confidence - **Outpatient Procedure** – A surgical procedure that typically takes 3–4 hours under general anesthesia - **Manageable Downtime** – Most facelift surgery patients return to work and social life within 10–14 days - **Long-Lasting Results** – Achieve smoother contours with facelift results that can last 8–10 years or longer #### Look Like Yourself Just Refreshed *What is a facelift?* *A facelift is a facial cosmetic surgery designed to reduce the visible signs of aging by lifting the underlying tissues, smoothing deep creases, restoring lost fat, and removing loose skin of the lower face and neck*. Also known as rhytidectomy, this surgical facelift is often the most effective way to address jowling, nasolabial folds, and excess fat under the chin. Dr. Shermak performs various types of facelifts, including *full facelift*, *mini facelift*, and [deep plane facelift](/face/deep-plane-facelift/), depending on the patient’s facial structure and degree of skin laxity. Each Baltimore **facelift** procedure is customized to the individual and may be combined with other facial plastic surgery techniques such as eyelid lift, brow lift, or fat transfer for complete rejuvenation. Her goal is to enhance your natural contours while preserving your identity—so you still look like you, only more vibrant and well-rested. #### An Artful Approach to Lasting Beauty *What is the facelift procedure like?* *Facelift surgery with Dr. Shermak is typically performed under general anesthesia at her fully accredited facial plastic surgery clinic in Baltimore*. Once anesthesia takes effect, she creates discreet incision sites along the hairline, around the ears, and sometimes under the chin for neck lift access. Through these openings, she repositions facial muscles, elevates the superficial musculo aponeurotic system (SMAS), and trims excess skin and fat to sculpt a naturally refreshed look. Some patients also undergo fat transfer to restore lost fat with aging and weight loss. Depending on your goals, she may employ advanced **facelift** techniques like the *SMAS facelift* or deep plane method to lift the deeper tissues of the face. These more comprehensive methods offer longer-lasting results and restore a youthful lift to the midface and jawline. The surgical technique takes about 3 to 4 hours. After closure, your face is wrapped in supportive dressings to minimize swelling, and you'll recover briefly before heading home the same day. A drainage tube may be temporarily placed, depending on the extent of the surgery. #### Soft, Sculpted and Radiant *What conditions does a facelift address?* [.lead]With a **facelift** Baltimore patients can target multiple visible signs of the aging process in the face and neck, including:[] - Sagging skin in the cheeks, jawline, and neck - Jowls and soft tissue descent that obscure youthful angles - Excess skin and fat under the chin, contributing to a double chin - Deep nasolabial folds and creases around the mouth - Facial fat deflation in the midface - General facial laxity that makes you appear tired, angry, or older than you feel Through expert manipulation of facial tissues, Dr. Shermak can restore harmony to your features and reduce these signs with precision and artistry. #### Who is a good candidate for a facelift in Baltimore? #### Claim Your Most Confident Refreshed Look [.lead]Good candidates for a **facelift in Baltimore** are men and women who:[] - Are in good physical and psychological health - Have deflation and wrinkles on the face - Lax and/or irregular skin texture - A poorly defined neck and jawline. This procedure may be combined with a[ brow lift](/face/brow-lift/), [blepharoplasty](/face/blepharoplasty/), [facial fat grafting](/face/facial-fat-transfers/), [neck liposuction](/face/neck-liposuction/), or [injectables](/injectables-fillers/) to rejuvenate the entire face and neck. During your initial *facelift* consultation, you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve your desired results. #### Rejuvenation That Respects Your Look *Benefits of a Facelift Procedure* - Reduces sagging skin on the cheeks, jawline, and neck - Smooths deep folds and wrinkles, especially around the nose and mouth (nasolabial folds) - Restores youthful contours by lifting underlying facial tissues - Eliminates jowls and tightens the jawline for a more defined profile - Removes or minimizes neck bands and excess skin under the chin - Improves overall facial harmony by rejuvenating lower and midface features - Delivers long-lasting results compared to non-surgical treatments - Boosts confidence and self-image by reversing visible signs of aging - Preserves natural facial expressions for subtle, elegant enhancements #### Your Facelift Recovery Period #### Healing Gracefully with Expert Guidance Our Baltimore **facelift** surgery tends to be performed on an outpatient basis. You may experience temporary swelling, numbness, and bruising that respond well to head elevation, ice packs, and Arnica Montana herbal supplementation. You will be seen in the office within one to three days after your procedure to have your post-operative dressings removed. *Your stitches will be removed seven to 10 days after surgery*, and makeup may be applied two weeks after surgery. Most clients find that they can resume their regular activities and return to work within about two weeks, with swelling taking up to a month to fully resolve. #### The Future Looks Beautiful *Facelift Results* Most *facelift surgery* patients notice early improvement within two weeks, once initial bruising and swelling resolve. Final **facelift** results emerge gradually over 6 weeks to 6 months as facial skin heals and scars mature. You'll enjoy smoother, lifted contours, a more youthful neckline, and subtle definition that looks refreshed but never artificial. Because the procedure addresses both loose skin and deeper tissues, the improvements tend to be long-lasting—often a decade or more. To protect your results, Dr. Shermak recommends sun protection, skin care, healthy lifestyle habits, and occasional non-surgical treatments. For many patients, the outcome is more than just aesthetic—it's a reintroduction to the version of themselves that feels aligned with who they are inside. #### Elevating the Standard in Facial Plastic Surgery *Why Choose Dr. Shermak for a Facelift in Baltimore?* With over 27 years of experience and more than *400 successful facelift surgeries*, Dr. Michele Shermak is a trusted expert in facial rejuvenation. Since establishing her practice in January 1999, she has helped countless patients restore their youthful appearance with natural-looking, beautifully balanced results. As an award-winning, board-certified plastic surgeon and a member of the [American Board of Plastic Surgery (ABPS) Board of Directors](https://www.abplasticsurgery.org/about-us/officers-directors/) since 2022, Dr. Shermak brings advanced surgical techniques, meticulous precision, and a patient-centered approach to every **facelift** and *neck lift* procedure. Her dedication to enhancing facial aesthetics is reflected in her outstanding patient reviews and reputation for compassionate, personalized care. Choosing Dr. Shermak for your facelift or [neck lift](/face/neck-lift/) means trusting a leading authority in plastic surgery who is committed to achieving your aesthetic goals with precision and artistry. Contact us today to schedule your consultation and explore how she can help you achieve a refreshed, youthful appearance. #### Taking the Next Steps: *Schedule a Consultation* [.lead]We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal *facelift* consultation today.[] Dr. Shermak has extensive experience with **facelift surgery** in Baltimore and will be excited to unite you with your ideal cosmetic outcome. Reach out to Dr. Shermak’s welcoming Baltimore office and speak with a helpful member of her team to get started with your initial consultation today. [Schedule a Consultation](/contact/) #### Facelift Frequently Asked Questions [.intro]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A., Bluebond-Langner, R., & Chang, D. (2006). Hernia repair and abdominoplasty in gastric bypass patients. Plastic and Reconstructive Surgery, 117(4), 1145–1150](https://journals.lww.com/plasreconsurg/abstract/2006/04010/hernia_repair_and_abdominoplasty_in_gastric_bypass.10.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) --- ## Breast Male Reduction **Link:** [Breast Male Reduction](https://www.drshermak.com/male-plastic-surgery/male-breast-reduction/) ([md](https://www.drshermak.com/male-plastic-surgery/male-breast-reduction/index.html.md)) **Type:** Service **Description:** Get information on gynecomastia surgery, best candidates and more. We offer male breast reduction surgery from a certified female plastic surgeon, Michele Shermak. ### Content #### Gynecomastia Surgery with Michele Shermak, MD #### Confidence Restored Chest Redefined Enlarged male breasts—a condition called *gynecomastia*—can cause both emotional discomfort and physical self-consciousness. For male patients struggling with excess breast tissue, male breast reduction surgery offers a lasting solution. Dr. Michele Shermak, a *board-certified plastic surgeon in Baltimore*, performs **gynecomastia surgery** to remove excess fat, glandular tissue, and skin, restoring a firmer, flatter chest contour. This outpatient procedure is performed with exceptional precision, aiming for a masculine, natural-looking result with barely visible scarring. Whether caused by hormonal changes, certain medications, recreational drug use, or weight fluctuation, *enlarged male breasts* can affect men of all ages. Dr. Shermak offers personalized surgical correction tailored to each patient’s unique anatomy, health conditions, and goals. #### Male Breast Reduction Before and After Photos #### Male Breast Reduction at a Glance - **Outpatient Surgery** – Performed in-office or in a surgery center under local or general anesthesia - **Lasting Results** – Surgical removal of excess breast tissue and fat - **Short Recovery** – Most patients return to activity in about two weeks - **Natural Contour** – Flat, masculine chest appearance - **Low Scarring** – Small incisions hidden in natural contours - **Improved Confidence** - Minimal scars and improved contour often result in significantly improved confidence levels #### A Common Condition Among Men *What causes gynecomastia?* Most of the time, there is no identifiable trigger. There may be a hormonal imbalance that causes the finding. *Some medications, particularly in older men, may cause gynecomastia*. Smoking marijuana can cause gynecomastia. There may be causes that are typically associated with other underlying medical conditions. Dr. Shermak will determine if more studies or further workup are needed. #### Take Control of Your Confidence *What is gynecomastia surgery?* At our office in Baltimore **gynecomastia surgery**, or *male breast reduction*, removes excess breast tissue, glandular tissue, and fatty tissue from the chest to treat enlarged male breasts. In some cases, extra skin may also be removed, especially in severe cases or after significant weight loss. This procedure targets both the physical and psychological impact of male breasts. While liposuction alone may be sufficient for treating fatty tissue in mild cases, most patients require a combination of [liposuction](/body/liposuction/) and direct excision of glandular tissue for optimal results. *Dr. Shermak tailors each male breast reduction to the patient’s body weight, skin elasticity, and the amount of breast tissue and excess skin present*. #### Additional Procedures for a Full Body Makeover The way you look and feel directly affects your self-confidence. In addition to treating Baltimore *gynecomastia* patients, Dr. Shermak takes care of many [abdominoplasty](/body/tummy-tuck-baltimore/), [liposuction](/body/liposuction/), and [body lift](/body/body-lift/) patients. Please visit these pages to learn more about the other cosmetic procedures offered. #### What can I expect from male breast reduction surgery? #### Inside the Gynecomastia Surgery Experience Male breast reduction is typically performed as an outpatient procedure. *Gynecomastia treatment* ranges from [liposuction](/body/liposuction/) to removal of the breast tissue through an incision around the nipple, to larger excisional procedures of breast tissue and skin that may be necessary for massive weight loss patients, in particular. Nipple reduction may also be necessary. Most often, only small, inconspicuous incisions are necessary to achieve a flatter chest and a more satisfying contour, either undressed or in fitted clothing. More individualized approaches may be necessary for men who have undergone significant weight loss. For many *men with gynecomastia* who suffer quietly, hiding themselves under baggy shirts, **gynecomastia surgery in Baltimore** can be a powerful experience in increasing a positive self-image, helping men feel more comfortable working out at the gym or enjoying the beach with their chest exposed. #### Beyond the Surface *What conditions does gynecomastia surgery address?* *Male breast reduction surgery addresses several concerns tied to excess breast tissue and male breast enlargement*: - Gynecomastia from hormonal changes or puberty - Enlarged breasts due to certain drugs or anabolic steroids - Poor self-esteem from visible breast volume - Fatty tissue from weight fluctuations - Breast asymmetry or unilateral gynecomastia (one breast larger) - Excess skin following weight loss With **gynecomastia surgery** Baltimore patients can get a surgical *treatment for male breast cancer survivors* in select cases. #### Who is a good candidate for gynecomastia surgery in Baltimore? #### When to Consider Male Breast Reduction Good candidates for *gynecomastia treatment in Baltimore* are men in good health, both mentally and physically, who are dissatisfied with their appearance and who have realistic expectations about their outcomes. Teenagers may present for the procedure as well as men of advanced age. Dr. Shermak will meet with you to review your medical history, current medications, and any family history of breast cancer during your consultation to ensure it’s a safe option. #### Life After Surgery *What is the recovery like for male breast reduction surgery?* [.lead]Surgery is often performed on an outpatient basis. Recovery from *male breast reduction* is generally well-tolerated. One may experience temporary discomfort, swelling, or numbness. Most men resume light activity and drive within a week.[] More vigorous activity should wait for one month. After surgery, an elastic bandage or compression garment is worn to reduce swelling and support healing, and oftentimes, Dr. Shermak will provide recommendations for continued compression for about a month. Some swelling and bruising are normal and resolve within a few weeks. Most patients return to work and light activity in about two weeks, with more strenuous physical activity postponed until cleared by Dr. Shermak. Pain is manageable with prescribed medication, and post-surgery instructions will be provided to ensure proper care of the incision site and minimize potential risks. #### Breast Male Reduction Results #### From Surgery to Final Results [.lead]The goal of **gynecomastia surgery** is a flatter, firmer, and more masculine chest. Most patients experience visible improvement immediately after surgery, with further refinement as swelling subsides.[] Final results are typically seen within 3-6 months, depending on the extent of tissue removal and your individual healing progress. Dr. Shermak’s patients are beach and gym-ready within 3-4 weeks. With a stable body weight and healthy habits, the results of breast tissue removal are permanent. Recurrence is rare when contributing factors like drug use or hormone imbalances are addressed. #### A Trusted Name in Male Aesthetic Surgery *Why Choose Dr. Shermak for Gynecomastia Surgery?* [.lead]With over 27 years of experience since establishing her practice in January 1999, Dr. Michele Shermak is a board-certified plastic surgeon specializing in *male breast reduction surgery for gynecomastia*.[] As a member of the [American Board of Plastic Surgery (ABPS) Board of Directors](https://www.abplasticsurgery.org/about-us/officers-directors/) since 2022, she is recognized for her expertise in addressing gynecomastia, a condition characterized by enlarged male breasts. Dr. Shermak offers personalized treatment plans that may include liposuction, glandular tissue removal, or more extensive procedures for significant weight loss patients. Her compassionate approach and commitment to patient satisfaction have made her a trusted choice for men seeking a more masculine chest contour. Contact us today to schedule a consultation and learn more about your options for Baltimore **gynecomastia surgery**. [Schedule a Consultation](/contact/) #### Male Breast Reduction Frequently Asked Questions --- ## Breast Augmentation **Link:** [Breast Augmentation](https://www.drshermak.com/breast/baltimore-breast-augmentation/) ([md](https://www.drshermak.com/breast/baltimore-breast-augmentation/index.html.md)) **Type:** Service **Description:** Dr. Michele Shermak, a female top-rated board-certified plastic surgeon in Baltimore, specializes in breast augmentation procedures. Click to learn more about the types of implants, incisions, cost, and recovery. ### Content #### Board-Certified Expertise for Breast Augmentation in Baltimore #### The Silhouette You Envision Some women prefer larger, more shapely breasts to enhance a curvy soft shape. Other women hope to achieve balance in their bodies, and aim for more conservative enhancement to improve proportions. Others are looking for improved symmetry or revision after remote history of **breast augmentation**. That's where Board-Certified Dr. Michele Shermak can help. As one of the top female plastic surgeons in the country, Dr. Shermak specializes in providing stunning, natural-looking results with *breast augmentation in Maryland.* ** #### Breast Augmentation Before and After Photos #### Breast Augmentation at a Glance - **Increased Fullness:** Adds desired volume to enhance breast size. - **Enhanced Shape:** Improves the overall contour and projection of the bust. - **Improved Proportions**: Better match breast size to the rest of the body or to each other. - **Personalized Choice:** Offers options in implant type, size, and profile. - **Strategic Placement:** Tailored incision and implant location for optimal results. - **Safety in Surgery, Safety in Outcomes**: Safe implants and safe surgical practices backed by the FDA and Plastic Surgery societies. - **Significant Confidence:** Fosters a stronger sense of self and body satisfaction. #### Achieving Your Desired Form *What is Breast Augmentation?* [.lead]Breast augmentation, or *mammoplasty*, is a popular cosmetic surgical procedure, often ranked as the second most performed cosmetic procedure behind liposuction. Our Baltimore **breast augmentation** is designed to improve breast size, shape, symmetry, and overall appearance.[] This is typically achieved through the precise placement of [customized breast implants](https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/implants), which come in various types, including saline and silicone, and offer different profiles and textures. The purpose of *breast augmentation* extends beyond simply adding volume; it aims to enhance symmetry, create a more defined cleavage, and restore fullness that may have been lost due to factors such as pregnancy, breastfeeding, weight fluctuations, or natural development. This procedure empowers individuals to achieve a more proportionate and confident silhouette. #### Your Personalized Path to Renewal *Customizing Your Breast Augmentation Procedure* Your **breast augmentation** journey at Dr. Michele Shermak Plastic Surgery in Baltimore begins with an in-depth, personalized consultation. Here, Dr. Shermak will discuss your aesthetic goals, perform a thorough examination, and guide you through the breast implant options (size, shape, material) to determine the ideal choice for your body. Communication is key in this step, and Dr. Shermak will assure her patients their expectations will be met when surgery is over. [.button.active]Selecting Your Customized Breast Implants[] If you’re looking at getting *breast implants in Baltimore*, your first step will involve a private consultation. During your consultation, Dr. Shermak will spend time with you, learning about your medical history and performing a physical examination. You will then have the opportunity to try on our actual breast implants in a bra; these implants will match those that you can ultimately have placed during your surgery. Dr. Shermak will personally size you herself, and if you have questions or concerns about your choice, she welcomes you to return prior to your surgery date to ask any questions you might have, so you can have a very good idea of what you will see after surgery is done. The choice is yours, and Dr. Shermak will be happy to offer any expertise to assist in that decision. [.button.inactive]Incision Placement for Breast Augmentation[] For **breast augmentation** Baltimore patients should know that there are several common incision options that a surgeon may choose from, depending on factors such as the patient's anatomy, desired implant type, personal preference, and anticipated outcomes. Here are the main *types of incisions used for breast augmentation*: - Inframammary Incision: This is made in the natural crease beneath the breast (the inframammary fold). It provides good access for placing the implant and tends to heal well with minimal visible scarring. The incision tends to be about 1 1⁄2 “ in length. - Periareolar Incision: This is made around the lower half of the areola (the dark skin surrounding the nipple). The scar blends well with the natural color transition. - Axillary Incision: This is made in the natural crease of the armpit. The implant is then placed through a tunnel under the skin into the breast area. This technique avoids any scarring on the breast itself. The choice of incision depends on factors such as the type and size of the implant, the patient's anatomy, data-based outcomes, and the surgeon's expertise and preference. Discussing these options with Dr. Shermak, a board-certified plastic surgeon, is important to determine the best approach for your personalized *breast surgery*. [.button.inactive]Implant Placement Options[] The layers of the chest include skin, breast, muscle, ribs, and lungs, from superficial to deep. Breast implants are placed either above the pectoral muscle directly (behind the breast tissue) or under the muscle above the ribs. The more common choice for breast implant placement is under the muscle. This location has a lower likelihood of visibility and scarring (capsular contracture) and assists later in *mammographic screening*. [.button.inactive]Saline vs. Silicone Implants[] Another aspect of your consultation will be choosing your preferred type of breast implant. The two primary types of available implants are *silicone implants* and *saline implants*. - Saline Breast Implants: Saline implants are a nice option for patients who have asymmetries, who have a good amount of breast tissue to camouflage the implant, and who desire a more economical alternative to silicone breast implants. - Silicone Breast Implants: Silicone gel implants are now comprised of “cohesive,” cross-linked gel that is form-stable. As an implant wears and ages over time, this gel will not leak out into the breast space like the traditional gel implants. Silicone breast implants are known for looking and feeling exceptionally natural. #### Custom Confidence *What to Expect During Your Breast Augmentation Procedure* After you’ve had your initial consultation and chosen your preferred breast implants, your **breast augmentation** surgery will be an outpatient procedure performed under general anesthesia. It will take about an hour between wheeling in and wheeling out of surgery. [.button.active]**Incisions**[] To begin, Dr. Shermak will make small incisions either around the nipples, along the natural folds of your breasts, or under your arms. The locations of your incisions will depend on your specific preferences and treatment plan. [.button.inactive]**Breast Implant Insertion**[] ** **Next, Dr. Shermak will create a space, or “pocket” for the implant. She will first place a sizer implant to ensure the implant chosen will be the best fit. After determining the exact size, she will insert your customized implants and carefully position them to achieve your desired results. If you’ve selected saline implants, they will be filled to their final volume with saline solution after being inserted. Prior to placing implants Dr. Shermak will infuse numbing medicine to the surgical sites to ensure postoperative comfort. [.button.inactive]**Incision Closure**[] Once Dr. Shermak has positioned your breast implants, she will close the breast in layers, ensuring the wound is best closed and the implant is best protected. Your incisions will be approximated with absorbable sutures, and waterproof bandages will be applied to the treatment area, allowing for you to shower the next day. [.button.inactive]**Post-Op**[] You’ll then need to be monitored in a recovery room for about an hour while your anesthesia wears off. At that point, you can get a ride home from a friend or family member. #### Breast Augmentation Patient Testimonial “I had a wonderful experience with Dr. Shermak and her team. Thank you for making me feel so cared for during and after my surgery. I am so happy with my *breast augmentation*, and I would do it 100x over again. I feel so much more confident and happy with my body :)” #### What conditions does Breast Augmentation address? #### Youthful, Feminine Contours [.lead]*Breast augmentation surgery is an effective solution for several common aesthetic concerns related to breast appearance*.[] It proficiently adds breast volume to naturally small or sagging breasts, corrects asymmetry between the breasts, and restores lost volume and fullness following pregnancy, breastfeeding, or significant weight loss. Furthermore, it can enhance cleavage and improve overall body proportions, allowing clothing to fit more comfortably and appealingly. For many, the procedure helps to achieve a more balanced figure, leading to enhanced self-perception and personal comfort. #### Fullness Focused *What areas of the body can Breast Augmentation address?* Our Baltimore **breast augmentation** surgery specifically targets the breast mound and chest wall, strategically increasing volume and refining the contour to create a fuller, more balanced bustline. #### What are the benefits of Breast Augmentation? #### Capture Your Curves **Breast augmentation in Baltimore** is a transformative cosmetic procedure that can provide all of the following benefits: - Enhanced breast size and shape - Rounder, fuller breasts - Improved breast symmetry - A more curvaceous figure - Improved bodily proportions - Increased wardrobe options - Fully customizable results - Long-lasting, natural-looking results - Increased self-confidence #### Shape Your Experience *Am I an Ideal Candidate for Breast Augmentation in Baltimore?* [.lead]If you’re an adult woman who would like to attain larger breasts, you could be a good candidate for *breast augmentation in Maryland*.[] The procedure can often be an effective option for women who have lost the fullness and/or shape of their breasts due to pregnancy, weight changes, or the natural effects of aging, those who have not developed fully or evenly, or those who want more volume than they have. To undergo **breast augmentation**, it’s also important to meet the following requirements: - Be in good physical health - Be at a stable weight - Have reasonable expectations for the procedure - Not currently pregnant or nursing - Be a non-smoker (or willing to temporarily quit) #### Your Recovery Period After Breast Augmentation #### Heal Beautifully [.lead]You can expect to experience temporary discomfort, swelling, or numbness after your *breast augmentation in Baltimore*.[] Dr. Shermak can prescribe pain medication if needed, and she may also instruct you to wear a surgical support bra for several weeks, which can help reduce swelling. Most women are able to resume regular non-exertional activities, go back to work, and return to low-impact activity after a single week. However, more intensive exercise and lifting are discouraged for at least three to four weeks after the surgery to ensure that you heal properly and achieve optimal results. #### The Excellence You Deserve *Why Choose Dr. Shermak for Breast Augmentation in Baltimore?* [.lead]For over 26 years, Dr. Michele Shermak has been a trusted name in plastic surgery, *providing exceptional breast augmentation results to patients in Baltimore and across Maryland*.[] Since establishing her practice in January 1999, she has performed over 1,800 breast augmentations, earning a reputation for surgical excellence, precision, and compassionate care. As a board-certified plastic surgeon and a member of the [American Board of Plastic Surgery (ABPS) Board of Directors](https://www.abplasticsurgery.org/about-us/officers-directors/) since 2022, Dr. Shermak remains at the forefront of advanced techniques and patient safety. Her personalized approach ensures that each procedure is tailored to your unique goals, delivering natural-looking, beautiful results. Schedule a confidential consultation today to explore your options for **breast augmentation** with *one of Baltimore’s most respected plastic surgeons*. #### Balanced Feminine Contours *Breast Augmentation Results* [.button.active]**When Can I See My Transformed Results?**[] You will notice an immediate increase in breast size and improved shape directly after surgery, though initial swelling will be present. You should recognize the results you achieve from sizing performed prior to surgery. The more refined and final results will gradually emerge over several weeks to months as swelling fully resolves and the implants settle into their ultimate position. [.button.inactive]**How Long Does Breast Augmentation Last?**[] *Breast implants* are designed for long-term use but are not considered lifetime devices. While many patients enjoy their results for 10-20 years or more, implants may eventually require replacement due to rupture, capsular contracture, or simply changes in aesthetic preference or the body's natural aging process. Regular follow-up with Dr. Shermak is recommended. [.button.inactive]**What Will My Enhanced Figure Be Like?**[] Anticipate a fuller, more shapely breast that harmonizes with and/or enhances with your overall body frame. Your breasts will feel natural, and you will likely experience increased confidence in clothing and swimwear, enjoying a more feminine and balanced silhouette. #### Breast Augmentation Frequently Asked Questions [.intro]References[] [Shermak, M. A. (2015). An outcomes analysis of 2,142 breast reduction patients: A single-surgeon experience. Annals of Plastic Surgery, 74(3), 265–269](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) Gingrass, M. K., & Shermak, M. A. (2006). The treatment of gynecomastia with ultrasound-assisted lipoplasty. Aesthetic Surgery Journal, 26(4), 369–373 [Shermak, M. A., Chang, D., Buretta, K., Mithani, S., Mallalieu, J., & Manahan, M. (2011). Increasing age impairs outcomes in breast reduction surgery. Plastic and Reconstructive Surgery, 128(6), 1182–1189.](https://journals.lww.com/plasreconsurg/abstract/2011/12000/increasing_age_impairs_outcomes_in_breast.11.aspx) --- ## Lip Lift **Link:** [Lip Lift](https://www.drshermak.com/face/lip-lift/) ([md](https://www.drshermak.com/face/lip-lift/index.html.md)) **Type:** Service **Description:** If you’ve found yourself wishing you could show off a more youthful pout, our Baltimore lip lift is a great way to enhance your look. ### Content #### Discover True Facial Harmony with a Surgical Lip Lift We all find that our faces respond to the natural aging process in different ways, and you’re absolutely not alone if you’ve noticed that some of these changes have been specifically concentrated around your lips and mouth. Whether they be sagging and drooping or the appearance of fine lines and wrinkles, those facial changes eventually come for us all. Thankfully Dr. Shermak and her team are here to help. Dr. Shermak happily offers patients the surgical **lip lift** procedure at her Baltimore practice, so you can regain your youthful pout and enjoy all of the exciting self-confidence that comes along with showing the world a more youthful look. #### Lip Lift Before and After Photos - [**Discover True Facial Harmony with a Surgical Lip Lift**](#liplift) - [**What Does a Lip Lift Cost?**](#cost) - [**Is The Lip Lift Right for Me?**](#is-it-right) - [**The Lip Lift Procedure**](#procedure) - [**What Financing Options are Available For a Lip Lift With Dr. Shermak?**](#financing-options) - [**Discover a More Youthful You**](#discover) #### What Does a Lip Lift Cost? Our Baltimore **lip lift** is performed under local anesthesia and costs $3,450. #### Is The Lip Lift Right for Me? Visiting Dr. Shermak for your initial consultation gives you both an important opportunity—she’ll get to learn about you and your cosmetic goals while you learn about Dr. Shermak and the various ways that she can help you realize your cosmetic goals. She’ll walk you through the various treatment options that are available to you and can help you determine whether or not you’re the ideal candidate for a **lip lift in Baltimore**. You’re likely to be a great fit for this procedure if you’re looking for an effective way to: - Increase the volume of your lips - Achieve a youthful and lifted appearance - Address the presence of fine lines - Smooth over frustrating wrinkles - Restore lost facial volume - Correct the presence of sagging or drooping #### The Lip Lift Procedure *Lip lift surgery is performed as an outpatient procedure, so you’ll get to return home as soon as your surgery is over*. During the procedure, Dr. Shermak will make very small incisions just under your nose, which will enable her to lift and reposition the tissues in the treatment area, creating results that you decided upon together as you crafted your customized treatment plan. After the work is complete and your incisions are closed, you’ll spend a bit of time in our comfortable recovery area before returning home to begin your recovery period. We always make sure our patients are given clear aftercare instructions and a detailed recovery timeline, and we’ll be available to you at all times throughout your recovery period. #### What Financing Options are Available #### For a Lip Lift With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### [#discover]Discover a More Youthful You Swelling and discomfort are normal after a lip lift procedure, but are quite temporary. Most patients find that their swelling and bruising have mostly subsided after just one to two weeks, at which point you’ll be able to return to your normal activities and show off your youthful new look. When you’re ready to learn more about what Dr. Shermak can do for you, reach out to her office and speak with a team member to set up your initial consultation. For some of the best results with a **lip lift** Baltimore patients come to Dr. Shermak. #### This is your life Make it Amazing [Schedule a Consultation](/contact/) --- ## Facial Surgery **Link:** [Facial Surgery](https://www.drshermak.com/face/) ([md](https://www.drshermak.com/face/index.html.md)) **Type:** Service **Description:** Facial plastic surgery procedures in Baltimore Maryland offered by female plastic surgeon Michelle Shermak. Procedures include rhinoplasty, facelift surgery, ### Content #### Facial Plastic Surgery with Dr. Shermak Many men and women are bothered that their external appearance does not reflect their internal feelings and energy levels. Some of this may be related to genetics, sun damage, medical conditions, or other issues. With the right cosmetic procedure, self-confidence is boosted, while unwanted facial flaws are minimized. You may consult with Dr. Shermak to determine the procedures she can offer you to achieve the results you desire. Please choose from the links below to learn more about facial plastic surgery, and then feel free to contact us for an appointment to discuss your options. #### Dr. Michele Shermak: *Mastering the Art of Facial Transformation* In the world of plastic surgery, Dr. Michele Shermak stands as a prominent figure, renowned for her exceptional skills in facial rejuvenation. Her expertise encompasses a wide range of procedures that enhance the natural beauty of the face, from facelifts to eyelid surgery. Dr. Shermak's unwavering commitment to her patients, coupled with her artistic approach to facial surgery, has earned her an esteemed reputation in the field. --- ## Neck Lift **Link:** [Neck Lift](https://www.drshermak.com/face/neck-lift/) ([md](https://www.drshermak.com/face/neck-lift/index.html.md)) **Type:** Service **Description:** Neck lift surgery in Baltimore, Maryland offered by female plastic surgeon Michelle Shermak. Information on neck lift surgery, candidates, recovery, before and after photos. ### Content #### Neck Lift at Dr. Michele Shermak Plastic Surgery #### Your Neck Lift with Dr. Shermak Loose skin, a softening jawline, blunted angle between the chin and neck, and visible neck bands can add years to your appearance. *A neck lift provides refined, targeted rejuvenation, restoring a smoother neck and sharper jawline without appearing overdone*. Many of Dr. Shermak’s patients prefer the subtle improvement that our Baltimore **neck lift** without facelift provides. At her Lutherville, Maryland, practice, *board-certified plastic surgeon* Dr. Michele Shermak helps patients restore balance and confidence with expert, personalized care. With decades of experience as a national leader in plastic surgery, Dr. Shermak brings thoughtful details and beautiful outcomes to every patient and procedure. #### Neck Lift Before and After Photos #### Neck Lift at a Glance - **Refines Jawline** – Sharpens and lifts a sagging lower face - **Removes Excess Skin** – Smooths wrinkles and creases - **Targets Fat & Neck Bands** – Reduces fullness and vertical neck bands - **Improves Confidence** - Fresh procedure with subtle changes - **Minimal Downtime** – Outpatient procedure with 1–2 weeks of recovery - **Put those Turtlenecks Away** - Feel more confident in an open neck shirt and on Zoom calls #### Neck Lift Defined: What to Know *What is a neck lift?* [.lead]*A neck lift is designed to tighten sagging skin of the neck, re-establish the integrity of the neck muscles, remove excess fatty tissue in the neck, and improve the jawline*.[] The approach to a **neck lift in Baltimore** depends on the patient’s individual anatomy, but in general, incisions are strategically placed in the natural creases around the ear up to the sideburns, and under the chin. The objective is a refreshed, *rejuvenated appearance* that looks effortlessly beautiful and natural. The goal is not to change how you look, but to restore definition and youthfulness in a way that aligns with your features and lifestyle. #### Performed With Precision Designed for You *What is the neck lift procedure like?* **Neck lift surgery** is performed under general anesthesia at Dr. Shermak’s fully accredited outpatient facility. After marking key anatomical areas, small incisions are made around the ears and, when needed, beneath the chin. The platysma muscles are tightened, excess skin is removed, and [liposuction](/face/neck-liposuction/) and direct fat excision may be used to contour under the chin and jawline. The result is a *smoother, firmer neck with improved angles and proportions*, often restoring years of youthful definition. Some patients actually look lighter, too. #### Signs of Aging Addressed by Surgery *What conditions does a neck lift address?* [.lead]With a **neck lift** Baltimore patients can treat:[] - Loose or sagging neck skin - Loss of jawline definition - Horizontal wrinkles or vertical neck bands - Accumulated fat under the chin (double chin) - Neck fullness after weight loss or aging #### What are the benefits of a neck lift? #### Natural-Looking Refinement [.lead]The **neck lift** procedure offers highly targeted results that can elevate your entire appearance. Benefits include:[] - Improved neckline and chin contour - Smoother, tighter skin texture - A more youthful transition between the face and neck - Subtle, natural-looking enhancement - Excellent complement to facial procedures for full-face balance #### Ideal Candidates and Considerations *Is a neck lift right for me?* *Good candidates for a neck lift are men and women between 30 and 80 years of age who are in good physical and psychological health with a poorly defined neck and jawline*. A **neck lift** helps rejuvenate patients who exhibit signs of aging or individuals who have undergone significant weight loss. This procedure can be combined with a full [facelift](/face/facelift-baltimore/), [brow lift](/face/brow-lift/), [blepharoplasty](/face/blepharoplasty/), [facial fat grafting](/face/facial-fat-transfers/), or chin implant to achieve a more balanced appearance throughout the face and neck. During the initial consultation, you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve your desired results. #### Neck Lift Recovery #### Healing With Confidence Surgery is performed on an outpatient basis, with **neck lift** patients returning home the same day. You may experience temporary swelling, numbness, and bruising that respond well to head elevation, compressive wrapping, ice packs, and Arnica Montana herbal supplementation. You will be seen in the office within 1 to 3 days to have dressings removed. Sutures are removed after one week. Makeup may be applied 2 weeks after surgery. Most clients resume regular activities and return to work within 1-2 weeks, and swelling may take up to a month to resolve. #### Beautiful Results That Age Gracefully *Neck Lift Results* [.lead]Initial improvements are visible as soon as swelling subsides, typically within two weeks.[] *Final results refine over several months and can last 8–10 years or longer, depending on your lifestyle, skin quality, and ongoing care*. Dr. Shermak’s technique ensures your results never look pulled or unnatural—just a *smoother, firmer neck* and better overall facial balance. #### Next Steps Schedule a Consultation *Why Choose Dr. Shermak for Neck Lift?* [.lead]Dr. Shermak has helped many Baltimore **neck lift** patients achieve a more youthful, lean-looking profile, bolstering their self-confidence in the process.[] We invite you to call Dr. Shermak’s Baltimore plastic surgery office at 410-324-6592 to schedule your personal consultation today. You can also learn more about the kind of results to expect by visiting our online library of [before-and-after photography](/gallery/) of patients who have kindly shared their results. Dr. Michele Shermak is board-certified and nationally recognized for her leadership in plastic surgery. As a member of the American Board of Plastic Surgery and chair of patient education for the American Society of Plastic Surgeons (ASPS), she brings unparalleled knowledge, attention to detail, and warmth to every consultation. Patients across Baltimore, the Mid-Atlantic, and the country trust Dr. Shermak for *neck rejuvenation* because she listens, plans with precision, and creates results that feel authentically yours. [Schedule a Consultation](/contact/) #### Neck Lift Frequently Asked Questions --- ## Botox **Link:** [Botox](https://www.drshermak.com/injectables-fillers/botox/) ([md](https://www.drshermak.com/injectables-fillers/botox/index.html.md)) **Type:** Service **Description:** Botox injections offered in Baltimore, Maryland, with board-certified plastic surgeon Michele Shermak. Contact us today! ### Content #### Botox with Michele Shermak, MD #### The Art and Function of Botox Botulinum toxin treatment continues to be one of the most popular cosmetic procedures for a reason: it works. FDA-approved botulinum toxin injections, such as *Botox Cosmetic*, smooth facial wrinkles, relax overactive facial muscles, and restore a youthful appearance without surgery. At Michele Shermak, MD in Baltimore, Botox is more than just a wrinkle-filler—it’s a carefully tailored treatment performed by a board-certified plastic surgeon with extensive expertise in facial anatomy and aesthetics. Dr. Shermak has helped many Baltimore **Botox** patients look and feel their best, shaving years off their perceived age and giving them a new sense of self-confidence. *Botox is among the safest and most popular injectables on the market and can provide instant relief for unwanted wrinkles, folds, creases, and fine lines*. Please read more about what to expect from the procedure below. #### Botox Before and After Photos #### Botox at a Glance - **Quick Procedure** – Actual treatment takes 10–20 minutes - **Visible Results** – Smoother look appears within 10-14 days, and often sooner - **Impactful Treatment **- Can not only smooth dynamic wrinkles in the face but also elevate areas like the brow and lip through strategic balance - **Rejuvenate and Refresh **- Rids the face of lines that result in fatigued or angry appearance - **Minimally Invasive** – No downtime or anesthesia required - **Versatile Uses** – Treats cosmetic and medical conditions - **Repeatable Results** – Effects last up to 4 months #### A Closer Look at This Trusted Injectable *What is Botox?* [.lead]*Botox is the brand name for a botulinum toxin type A injectable derived from the bacterium Clostridium botulinum*. In small, controlled doses, this FDA-approved prescription medicine temporarily reduces muscle movement to soften facial wrinkles and expression lines.[] *Botox Cosmetic is most commonly used to treat moderate to severe frown lines, forehead lines, and crow's feet*. By relaxing the thin muscles just under the skin, botulinum toxin injections smooth skin texture and subtly lift features, restoring a more youthful appearance. The most recent FDA-approved application is to weaken neck bands which age the neck and have become increasingly apparent with significant weight loss. **Botox** has also been approved for medical conditions like chronic migraine, cervical dystonia, overactive bladder, and severe hyperhidrosis (excessive sweating) in the underarms, palms and feet, proving its versatility in both clinical and aesthetic dermatology. #### Smooth Moves *What is the Botox procedure like?* Dr. Shermak begins by mapping your treatment area and assessing your facial movements. A fine needle is used to inject small amounts of the *botulinum toxin* at each targeted injection site. Most patients report minimal discomfort, and topical anesthetic is available if needed. The injection treatment typically lasts under 20 minutes. There’s no downtime, allowing patients to return to most daily activities by the next day. As a *cosmetic surgeon*, Dr. Shermak ensures every injection is placed with precision to avoid drooping eyelids, asymmetry, or unnatural results. #### A Targeted Fix for Facial Aging *What conditions does Botox address?* [.lead]Botox is FDA-approved to treat:[] - Moderate to severe frown lines (glabellar lines) - Horizontal forehead lines - Crow's feet around the eyes - Chin dimpling (mentalis strain) - Vertical bands connecting the neck (platysmal bands) - Downturned corners of the mouth - Excessive sweating (hyperhidrosis) - Chronic migraine and certain types of pain management With **Botox** Baltimore patients can create smoother skin texture, reduce skin folds, and can even be used to refine the jawline. #### What areas can be treated by Botox? #### Customize Your Botox Map Our Baltimore **Botox** treatment enhances your natural look, smoothing wrinkles, lifting tired features, and restoring a relaxed expression without surgery. It’s also one of the most researched and time-tested injectables in the world, with decades of use in both cosmetic and medical fields. - The upper lip - The corners of the lips - The eyebrow area - Nasolabial folds - Wrinkles and lines in the lower lids - Dimples in the chin - Creases and wrinkles in the neck - Bands in the neck #### Benefits Beyond the Mirror *What are the benefits of Botox?* In the right hands, **Botox** is a precise and elegant way to soften the signs of aging without looking “done.” It’s a favorite for both first-time patients and experienced aesthetic clients because it offers visible results with virtually no downtime. Because it’s a non-surgical medical procedure, *Botox is a great option for patients looking to delay or avoid cosmetic surgery*. [.lead]Benefits include:[] - Safe, effective, non-surgical - Curbs dynamic wrinkles and lines - Rolls back the clock on facial aging - Smoothes and revitalizes the complexion - Boosts self-confidence - No downtime or discomfort #### Is Botox right for me? #### Ideal Candidates for Botox Good candidates are men and women in their 20s and older seeking to improve moderate to severe frown lines, crow’s feet, and other facial wrinkles. Other applications beyond treating the brow and around the eyes include reversal of downturned corners of the mouth and neckbands. *Botox* has also been applied to the crows feet and upper lip to allow for lift of the brow and upper lip “*Lip Flip*.” All clients should be in good physical and mental health, with realistic expectations for improvement rather than perfection. Dr. Shermak will begin with a consultation to discuss your goals, assess potential treatment areas, and ensure **Botox** is a safe option for you. At that visit, the treatment may take place. A second treatment is recommended 4 to 6 months after the initial treatment to achieve optimal results. #### Fast Recovery Minimal Rules *Botox Recovery* For **Botox in Baltimore** recovery is quick and easy. For 24 hours post-treatment, patients should avoid massaging the injection site or engaging in vigorous activity that may cause the product to migrate. Some clients bruise with treatment, particularly around the eyes, but this will resolve quickly and can be helped by taking Arnica tablets. Results may begin to appear within 3 to 5 days, with the full effect visible at 2 weeks. #### The Difference Is in the Delivery *Why Choose Dr. Shermak for Botox?* [.lead]As a *board-certified plastic surgeon*, Dr. Shermak brings surgical-level knowledge to every injectable treatment. Her work in reconstructive surgery, facial fat grafting, and facial cosmetic surgery equips her with the artistic eye and technical precision necessary to deliver beautiful, balanced results safely.[] *Botox is among the safest and most popular FDA-approved injectables on the market*, providing instant relief from unwanted wrinkles, folds, creases, and fine lines. The way you look and feel directly affects your self-confidence. In addition to treating Baltimore **Botox** patients, Dr. Shermak cares for many Baltimore clients who undergo [Sculptra](/injectables-fillers/sculptra/), [blepharoplasty](/face/blepharoplasty/) , [brow lift](/face/brow-lift/), [facelift](/face/facelift-baltimore/), [facial fat grafting](/face/facial-fat-transfers/), and [facial liposuction](/face/neck-liposuction/) procedures. Undergoing multiple treatments at once can not only save money, but it can also reduce recovery time. Please visit these pages to learn more or discuss these options further with Dr. Shermak during your consultation. [Schedule a Consultation](/contact/) #### Botox Frequently Asked Questions --- ## ZO Skincare **Link:** [ZO Skincare](https://www.drshermak.com/skin-treatments/zo-skincare/) ([md](https://www.drshermak.com/skin-treatments/zo-skincare/index.html.md)) **Type:** Service **Description:** ZO Skincare products offered by Baltimore plastic surgeon Michele Shermak. Information on ZO Skincare, products which improve the health and look of your skin. ### Content #### Why ZO Skincare? The ZO Skincare line is backed by cutting-edge ingredients and innovative technologies, thoroughly researched to deliver impressive and transformative results. Regular use of these products helps improve the skin's texture, tone, and overall health, leaving you with a radiant and youthful complexion. Moreover, the brand's commitment to clinical efficacy ensures that you can trust in the products' performance and safety, offering peace of mind as you care for your skin. When you purchase **ZO Skincare in Baltimore** at Dr. Shermak's office, you gain access to a reputable and trusted source. Our team can provide expert advice and personalized recommendations tailored to your specific skin needs. Additionally, Dr. Shermak's office offers a seamless shopping experience, making it convenient and hassle-free for you to select the most suitable ZO Skincare products. This level of professional guidance, combined with Dr. Shermak's expertise, ensures that *ZO Skincare* products from our office can play a significant role in unlocking your skin's true potential. Whether you're targeting specific skin concerns or striving to maintain a healthy complexion, *ZO Skincare offers versatile options to support your skincare journey*. So, why settle for ordinary when you can rely on the extraordinary benefits of ZO Skincare products available at Dr. Shermak's office to help you achieve your skincare aspirations. [Speaking to Dr. Shermak](/contact/) is the best way to determine which ZO products may be right for your unique skin goals. [Dr. Shermak](/about/dr-shermak/) has a wealth of experience in advanced skincare, these products boast exceptional quality and effectiveness. With a wide variety of offerings, *ZO Skincare caters to diverse skin concerns*, ranging from anti-aging and pigmentation to acne and hydration, providing comprehensive solutions for every skin type and condition. --- ## EltaMD **Link:** [EltaMD](https://www.drshermak.com/skin-treatments/eltamd/) ([md](https://www.drshermak.com/skin-treatments/eltamd/index.html.md)) **Type:** Service **Description:** EltaMD skincare products offered by Baltimore plastic surgeon Michele Shermak. Get information on EltaMD, products which improve the health and look of your skin. ### Content #### Why EltaMD? Purchasing EltaMD products at Dr. Shermak's office presents several advantages. Firstly, you can trust in the credibility of this reputable source, which values your skin's well-being. Dr. Shermak's team of skincare professionals is well-equipped to offer expert advice and personalized recommendations, tailoring the products to meet your specific skin needs. The shopping experience at Dr. Shermak's office is seamless and convenient, allowing you to effortlessly select the most suitable *EltaMD* products to address your unique concerns. Whether you're aiming for sun protection, rejuvenation, or overall skin improvement, EltaMD's comprehensive range offers solutions to cater to your individual preferences. *With EltaMD products from Dr. Shermak's office, you embark on a transformative journey toward healthier and more radiant skin*. Being guided by skincare professionals committed to your success, you can confidently rely on EltaMD to help you achieve your skin goals effectively and efficiently. As you *incorporate EltaMD products into your skincare routine*, you'll witness the transformative power they hold. Whether you're looking to combat sun damage, revitalize your skin, or maintain a youthful appearance, EltaMD offers a comprehensive solution to address your specific needs. Selecting *EltaMD products* is a wise choice that brings a multitude of benefits for achieving your desired skin goals. Recommended by dermatologists, EltaMD ensures exceptional quality and effectiveness across their range of skincare solutions. Whether you seek sun protection, hydration, or anti-aging benefits in Baltimore **EltaMD** has products tailored to cater to various skin concerns. With a focus on sun protection, EltaMD's broad-spectrum UVA/UVB sunscreens shield your skin from harmful rays, making them essential for maintaining skin health. Their moisturizers provide deep hydration, leaving your skin nourished and supple. Furthermore, EltaMD products are formulated to accommodate all skin types, ensuring inclusivity and versatility. --- ## Breast Reduction **Link:** [Breast Reduction](https://www.drshermak.com/breast/breast-reduction/) ([md](https://www.drshermak.com/breast/breast-reduction/index.html.md)) **Type:** Service **Description:** Having large breasts can cause back, neck, and shoulder pain or even cause numbness in areas of the body, such as the fingertips. If this is an issue you run into, you may want to consider a Baltimore breast reduction. ### Content #### Breast Reduction at Dr. Michele Shermak Plastic Surgery #### Brings Comfort, Relief and Improved Self-Esteem Having *excessively large breasts* can cause a number of significant problems that many people are unaware of. For one, disproportionately large breasts can be physically uncomfortable, causing skin irritation, poor posture, bra grooving, and persistent pain around the upper back, shoulders, and neck. If you’re looking for a permanent solution to these issues, Dr. Michele Shermak may be able to help you with **breast reduction surgery in Baltimore**. Dr. Shermak has treated many *Maryland breast reduction* patients over her 27-year career, relieving the endless stress associated with carrying uncomfortable, extra weight on the chest. #### Breast Reduction Before and After Photos #### Breast Reduction at a Glance - **Relieves Physical Discomfort** – Alleviates chronic neck, shoulder, and back pain caused by heavy breasts - **Reduces Breast Size and Volume** – Removes excess fat, tissue, and skin for improved balance and proportion, with a cup size determined by your desires and goals - **Improves Physical Exercise** - Less discomfort and unease with smaller breasts when participating in sports or at the gym - **Enhances Confidence and Wardrobe Options** – Makes it easier to wear fitted tops, swimwear, and bras - **Quick Recovery** – Most patients return to non-exertional activity within 1–2 weeks - **Lasting Results** – Offers long-term improvement when paired with a stable weight and healthy lifestyle #### Find Relief With Breast Reduction in Baltimore *What is Breast Reduction?* [.lead]*Breast reduction is a surgical procedure performed to reduce the size of the breasts, and it can be performed for various reasons*.[] In addition to problems like back and shoulder pain, skin irritation, and posture problems, disproportionately large breasts can cause difficulty in performing everyday tasks, including childcare, recreational activities, and physical exercise. With surgery for **breast reduction** Baltimore patients can lighten the breasts and improve physical symptoms with the removal of excessive breast tissue and lifting of the nipple. The procedure can also improve your bodily proportions and help you achieve a more positive body image. #### Trusted Care From a Breast Reduction Specialist *How is breast reduction performed?* Your **breast reduction** will be performed in a surgery center or hospital under anesthesia as an outpatient procedure, meaning you will be able to go home after the surgery. Once anesthesia is administered, Dr. Shermak will perform the surgery, as previously discussed during your consultation. Incisions are made around the nipple-areolar complex (often with the reduction of the nipple-areolar diameter) with an extension down the middle of the breast, and possibly including an incision along the crease under the breast. Through these incisions, the nipple-areolar diameter will be reduced and freshened, excess breast tissue along the outer, inner and/or upper breast will be removed, skin will be tightened, *the breasts will be narrowed and lifted*, and symmetry will be obtained. Dr. Shermak will reshape your breasts to be firmer, rounder, and lighter, with a centralized position of your nipples. #### Feel Free in Your Own Frame *What conditions does breast reduction address?* [.lead]*Large breasts can lead to a number of physical and emotional challenges that breast reduction is specifically designed to treat*. Common concerns include chronic neck, shoulder, and back pain, as well as bra strap grooving and poor posture.[] Many women also experience recurring skin irritation or infections beneath the breast fold due to trapped moisture and friction. Enlarged breasts can hinder participation in physical activity, limit clothing choices, and impact self-esteem. **Breast reduction** removes excess breast tissue and skin to alleviate these issues and restore a lighter, more functional breast size. #### Benefits of Breast Reduction #### Precision. Symmetry. Relief. [.lead]**Breast reduction** can be a life-changing procedure, providing some or all of the following benefits:[] - A more proportionate physique - Reduced back, neck, and shoulder pain - Reduced skin irritation - Increased ability to comfortably enjoy everyday activities - Increased wardrobe options - Improved posture - Improved self-confidence and body image - Permanent results #### Your Body, Your Comfort, Your Call *Who is a good candidate for breast reduction?* Women who are interested in reducing the size of their breasts could be good candidates for *breast reduction surgery*. Whether you’d like smaller breasts for cosmetic reasons, to improve your day-to-day comfort, or to improve your mobility and athletic performance, *breast reduction could potentially be an ideal solution*. Ideal candidates for the procedure should also be in good physical health, have fully developed breasts, and have realistic expectations. Additionally, you’ll need to not be currently pregnant or nursing and be a non-smoker or willing to temporarily quit. When you sit down for your initial consultation with Dr. Shermak, she will give you a physical exam, listen to your goals, and evaluate your health and medical history to help you determine if our Baltimore **breast reduction** is the right option for you. #### What is recovery like after breast reduction? #### Healing with Confidence After a **breast reduction** Baltimore patients will likely experience some swelling, bruising, and discomfort in the treated area. Dr. Shermak will prescribe the necessary painkillers and medications to ensure your post-operative comfort. Most women resume regular activities and return to low-impact activity after about two weeks. However, heavy exercise and lifting are discouraged for at least a month. Drains placed during surgery come out within one to seven days, depending on the specifics of the procedure. Dr. Shermak will also outfit you with a surgical support bra, which helps reduce swelling and promote healing while you recover. #### A New Shape A New Start *Breast Reduction Results* [.lead]You will notice an *immediate change in breast size* and position following surgery, though swelling will obscure the final shape for several weeks.[] Most patients begin to appreciate their new proportions within the first month, with full results visible by 3 to 6 months as tissues settle. Because *breast reduction permanently removes excess tissue, fat, and skin*, the results are considered long-lasting. However, future changes in weight, pregnancy, or hormonal shifts may influence breast size over time. Maintaining a stable weight and healthy habits will help preserve your outcome for years to come. #### Experience You Can Trust Results You’ll Love *Why Choose Dr. Shermak for Your Baltimore Breast Reduction?* [.lead]When it comes to breast reduction procedures in Baltimore, Dr. Shermak stands out as a respected and trusted name, having written chapters and articles studying **Breast Reduction** techniques, outcomes and safety. With extensive expertise and a compassionate approach, she has established herself as a leading figure in plastic surgery.[] Dr. Shermak is committed to ensuring patient satisfaction and employs meticulous surgical skills to deliver top-tier care and exceptional results. Dr. Shermak is an authority on Breast Reduction surgery: she has performed *Breast Reduction surgery* for over 27 years in practice and continues to evolve her techniques to bring the best results to her patients. Whether you're seeking *breast reduction for enhanced comfort and appearance*, her dedication to individualized care makes her the ideal choice for achieving your aesthetic goals. Contact our office today to schedule a private consultation and explore your breast reduction options. [Schedule a Consultation](/contact/) #### Breast Reduction Frequently asked questoins [.intro]References[] [Shermak, Michele A. MD, Manahan, Michele Ann MD; Buretta, Kate J. BA; Chang, David PhD, MPH, MBA; Mithani, Suhail K. M; Mallalieu, Jesse PA; - " An Outcomes Analysis of 2142 Breast Reduction Procedures" - Annals of Plastic Surgery](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) [Shermak, Michele A. M.D. "Invited Discussion on: Extended Latissimus Dorsi Kite Flap (ELD-K Flap): Revisiting an Old Place for a Total Autologous Breast Reconstruction in Patients With Medium to Large Breasts" - Aesthetic Plastic Surgery](https://link.springer.com/article/10.1007/s00266-020-02022-4) [Shermak, Michele A. M.D. "Reply Does Age Really Impair Aesthetic Outcome in Breast Reduction Surgery?" - Plastic and Reconstructive Surgery](https://journals.lww.com/plasreconsurg/FullText/2012/07000/Reply___Does_Age_Really_Impair_Aesthetic_Outcome.76.aspx) --- ## Neck Liposuction **Link:** [Neck Liposuction](https://www.drshermak.com/face/neck-liposuction/) ([md](https://www.drshermak.com/face/neck-liposuction/index.html.md)) **Type:** Service **Description:** Neck liposuction Baltimore Maryland offered by female plastic surgeon Michelle Shermak. Information on neck liposuction surgery, candidates, recovery, price and more. ### Content #### What is Neck Liposuction? **Neck liposuction** removes localized fatty deposits through very small, imperceptible incisions to refine the neck contour and thin the appearance of the face. This has become an even more popular procedure in the “selfie age.” #### Neck Liposuction Before and After Photos - [**What is Neck Liposuction?**](#what-is-it) - [**What Does Neck Liposuction Cost?**](#cost) - [**Who is a Good Candidate for Neck Liposuction?**](#candidates) - [**Neck Liposuction Before & After**](#gallery) - [**What is the Procedure for Neck Liposuction?**](#procedure) - [**How do I Decide to Undergo Kybella or Neck Liposuction?**](#decide) - [**What is the recovery like for neck liposuction?**](#recovery) - [**Why choose Dr. Shermak?**](#whychoose) - [**What Financing Options are Available For Neck Liposuction With Dr. Shermak?**](#financing-options) - [**Moving Forward Schedule a Consultation**](#schedule) #### What Does Neck Liposuction Cost? At our office in Baltimore **neck liposuction** costs $4,000. #### Who is a Good Candidate for Neck Liposuction? Good candidates for neck [liposuction](/body/liposuction/) are men and women in good physical and mental health with good quality skin who have poorly defined neck contours and a jawline that suffers from excess fat. This is often genetic in nature. Clients should have realistic expectations for their outcome based on consultation with Dr. Shermak. #### What is the Procedure for Neck Liposuction? [.lead]Surgery is performed under anesthesia so the patient is comfortable. Small incisions are created around the earlobes and under the chin.[] At the end of surgery for **neck liposuction** Baltimore patients will have small sutures placed to close the incisions. Dressing includes a foam pad and chin strap. It is recommended the patient use the foam and chin strap over the first week until suture removal, then wearing only the chin strap when at home. #### How do I Decide to Undergo #### Kybella or Neck Liposuction? [.lead][Kybella](/injectables-fillers/kybella/) is a nonsurgical injectable treatment that relies on fat dissolvers to help impact neck contour.[] Kybella requires 2-3 treatments and often has associated swelling after treatment that can last about a week. **Neck liposuction** is a “one and done” treatment with nice results visible within a week of surgery that only get better over time. #### What is the recovery like for neck liposuction? Surgery is performed on an outpatient basis. You may experience temporary swelling, numbness, and bruising that respond well to head elevation, compressive wrapping, ice packs and *Arnica Montana herbal supplementation*. Most patients resume regular activities and return to work within a week, with swelling taking up to a couple of months to resolve. [.lead]For those contemplating **neck liposuction in Baltimore**, Dr. Michele Shermak, MD, is a popular choice. With over 600 successful *neck liposuction* procedures under her belt, she is a true expert in the field of plastic surgery with demonstrated success.[] Her dedication to delivering exceptional, personalized care and achieving natural results has garnered her a reputation of trust and reliability. Dr. Shermak's comprehensive understanding of *neck liposuction*, exemplified through raving reviews and patient testimonials, underscores her commitment to helping patients attain their aesthetic goals. Contact us today to set up a private consultation and learn more about our *neck liposuction* procedures. #### Neck Liposuction With Dr. Shermak? *What Financing Options are Available For* [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Moving Forward Schedule a Consultation [.lead]The way you look and feel directly affects your self-confidence. In addition to treating Baltimore **neck liposuction** patients, Dr. Shermak takes care of many Baltimore [blepharoplasty](/face/blepharoplasty/), [brow lift](/face/brow-lift/), [facelift](/face/facelift-baltimore/), [neck lift](/face/neck-lift/) and [facial fat grafting](/face/facial-fat-transfers/) patients.[] Please visit these pages to learn more about additional facial enhancement procedures that can complement your neck liposuction treatment. We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:+14103246592) to schedule your personal, comprehensive consultation today. You can also gain a better understanding of the procedure by visiting our online library of before and after photographs. #### This is your life Make it Amazing [Schedule a Consultation](/contact/) --- ## Juvederm **Link:** [Juvederm](https://www.drshermak.com/injectables-fillers/juvederm/) ([md](https://www.drshermak.com/injectables-fillers/juvederm/index.html.md)) **Type:** Service **Description:** Dr. Michele Shermak provides Juvederm in Baltimore. Juvederm has been especially successful in creating an abundant array of injectables that target individual areas of the face and skin. ### Content #### What is Juvederm? *Juvederm has been especially successful in creating an abundant array of injectables that target individual areas of the face and skin*. There is *Juvederm Ultra, XC*, *Ultra Plus*, *Voluma*, *Volift*, and the latest product, *Volbella*. Each relies on the unique power of hyaluronic acid, a biocompatible molecule found organically in the human body that is responsible for the skin’s radiance, youthfulness and resilience. #### Juvederm Voluma Voluma was designed by **Juvederm** to treat hollowed cheeks, sagging jowls and intractable nasolabial folds. It is the first filler of its kind formulated specifically for targeting the mid and lower face. It smooths, plumps and volumizes aging skin for a more rejuvenated aesthetic that will take years off of your perceived age. *Voluma* is often a key component of a non-surgical, or “*liquid facelift*". For those concerned about the discomfort of needles, Voluma is formulated with lidocaine, which numbs the skin for a more comfortable patient experience. *Treatment with Juvederm Voluma lasts around 20-30 minutes*. It’s important to abstain from using blood thinners for around 10 days prior to your appointment. Voluma requires no downtime, and typically has very minor side effects, if any. Note that by using a special enzyme, the doctor can completely reverse your results if you are not happy with them. #### Juvederm Volbella *Volbella can help to restore lip fullness, while minimizing the fine lines (perioral rhytids) that build up around the mouth*. Lip augmentation has never been easier or less invasive. Like Voluma, Volbella uses a proprietary “vycross technology” that combines differently weighted hyaluronic acid molecules to improve the HA compounds’ efficacy. This unique formulation gives the filler more natural-looking results, and makes it easier to inject with less discomfort for the client. In addition, vycross technology gives *Volbella* longer-lasting results, in some cases up to 18 months. While most people are used to the idea of treating the wrinkles and fine lines that appear as a result of aging, an important new trend is to also address the aging of the lips. As the years pass, the lips may lose their volume, instead becoming thin and lusterless. Our Baltimore **Juvederm** treatment has addressed this issue by formulating a new, FDA-approved lip filler called *Volbella*. #### What is Recovery From Juvederm Voluma and Juvederm Volbella Like? All procedures with **Juvederm in Baltimore** are performed on an outpatient basis, so you will be able to return to work and normal activity right away. Dr. Shermak suggests that you abstain from drinking alcohol at least 24 hours after your injection, and that you also hold off on vigorous exercise for at least a few days. Clients should also take care to wear sunblock to protect their skin from harmful UV rays. #### How Can I Get Started With Juvederm Products? If you are interested in learning more about *Juvederm Voluma* or *Juvederm Volbella*, the first step is to schedule your consultation with Dr. Shermak in the privacy and comfort of her Baltimore, Maryland offices. During this initial session, she will examine your skin and face, review your medical records and previous cosmetic treatments, and begin to create a customized game plan to address your most pressing aesthetic issues. The doctor will provide you with access to our online library of before and after photographs so you can see the amazing results possible with the whole line of **Juvederm** products. #### How much doesJuvederm cost? Juvederm is priced at 2 syringes per box for $750. Juvederm Volbella is priced at 2 syringes per box for $800. Juvederm Voluma is priced at 2 syringes per box for $850. #### Next Steps Schedule a Consultation In addition to treatment with *dermal fillers*, Dr. Shermak also provides world class surgical procedures such as [blepharoplasty](/face/blepharoplasty/), [fat transfer](/face/facial-fat-transfers/), [liposuction](/face/neck-liposuction/) and [brow lifts](/face/brow-lift/). Please ask about these other procedures during your consultation, or visit the corresponding pages on this website to learn more. --- ## Breast Capsulectomy **Link:** [Breast Capsulectomy](https://www.drshermak.com/breast/capsulectomy/) ([md](https://www.drshermak.com/breast/capsulectomy/index.html.md)) **Type:** Service **Description:** Baltimore patients can rely on capsulectomy procedures to help them overcome pain resulting from breast implants. Relief is attainable with this expert-level procedure. ### Content #### Overcome breast implant pain with a capsulectomy A **capsulectomy in Baltimore** is a surgical treatment designed to remove the capsule of scar tissue that forms around breast implants. This capsule can become thick and hard, causing the implant to feel firm or distorted, and may cause pain or discomfort. [Breast augmentation](/breast/baltimore-breast-augmentation/) surgery can sometimes lead to capsular contracture, and a *capsulectomy* is often the only way to correct the problem. - [**Overcome breast implant pain with a capsulectomy**](#overcome) - [**What Does Capsulectomy Cost?**](#cost) - [**What is a capsulectomy?**](#whatisit) - [**What are the different types of capsulectomy procedures?**](#types) - [**What are the benefits?**](#benefits) - [**Who is an ideal candidate for the procedure?**](#candidates) - [**What does the procedure entail?**](#procedure) - [**What is the recovery process like?**](#recovery) - [**What Financing Options are Available For Capsulectomy With Dr. Shermak?**](#financing) - ** **[**Why choose Dr. Shermak?**](#whychoose) #### What Does Capsulectomy Cost? *A capsulectomy costs $3,800*, in addition to other procedure costs such as implant replacement or a breast lift. #### What is a capsulectomy? *A capsulectomy is a surgical procedure that involves the removal of the capsule of scar tissue that forms around breast implants*. This capsule can become thick and hard, causing the implant to feel firm or distorted, and may cause pain or discomfort. *Capsular contracture* is a common complication of breast augmentation surgery, and a capsulectomy is usually needed to address it. During a **capsulectomy** procedure, the surgeon will remove the implant and carefully dissect the capsule of scar tissue surrounding it. The capsule is then removed in its entirety, and the area is thoroughly cleaned and disinfected. If necessary, the surgeon may also remove any remaining breast tissue or lymph nodes to address cancer or infections in the area. #### What are the different types of capsulectomy procedures? - **En bloc capsulectomy**: This method involves removing the entire capsule and implant simultaneously and is often recommended for patients with BIA-ALCL (breast implant-associated anaplastic large cell lymphoma) associated with textured implants. - **Total capsulectomy**: This approach removes both the implant and the capsule material, dissecting the superficial pocket surface and carefully extracting the entire capsule down to deeper levels. - **Partial capsulectomy**: A less invasive approach that removes only a portion of the capsule, allowing the body to absorb the rest. #### Who is an ideal candidate for the procedure? [.lead]Candidates for **capsulectomy** are typically individuals experiencing complications related to breast implants, primarily capsular contracture. Ideal candidates include those who:[] - Have developed capsular contracture, causing discomfort and aesthetic concerns - Experience pain, hardness, or distortion of breast shape due to scar tissue around implants - Seek relief from implant-related complications - Require removal of hardened scar tissue - Consider replacing damaged implants - Desire to improve the overall aesthetic appearance of their breasts - Want to enhance their quality of life by addressing breast implant-related issues A consultation with Dr. Shermak determines candidacy based on the severity of the condition and the level of discomfort. He assesses each patient's unique situation during a private consultation to determine their candidacy for *capsulectomy*. #### What are the benefits of a Capsulectomy? - Improved mobility and comfort - Relief from implant-related complications - Removal of hardened scar tissue - Pain reduction - Replacement of damaged implants - Enhanced breast aesthetics - Peace of mind - Improved quality of life #### What does the procedure entail? *Capsulectomy is performed under IV sedation for patient comfort and relaxation*. An incision is made along the inframammary fold, followed by the chosen **Capsulectomy** technique (partial, total, or en bloc). Dr. Shermak may also replace implants or use ADM (acellular dermal matrix) to reduce the risk of future capsular contracture. Incisions are closed, and drains may be placed for proper healing. #### What is the recovery process like? [.lead]Recovery duration varies based on the **capsulectomy** technique and the use of new implants.[] Generally, patients need 4-6 weeks for full recovery. Post-surgery, swelling, bruising, tenderness, tingling, and temporary numbness are normal. Dr. Shermak provides detailed post-procedural guidelines and medication to manage discomfort. Gentle breast massages, back sleeping, and wearing sports bras are recommended for a smoother healing process. #### What Financing Options are Available #### For Capsulectomy With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). [.lead#whychoose]Dr. Michele Shermak is a board-certified [plastic surgeon in Maryland](/about/dr-shermak/) with extensive experience and a strong reputation in the field of *cosmetic surgery*. She's dedicated to providing the highest quality care and achieving the best possible outcomes for her patients. Her exceptional qualifications include board certification by the American Board of Plastic Surgery, indicating her commitment to maintaining the highest standards of patient care and safety.[] With years of experience, Dr. Shermak has honed her skills in various cosmetic procedures, including **capsulectomy**, and is known for her surgical precision. Beyond that, she prioritizes patient comfort and satisfaction, offering personalized treatment plans tailored to individual needs and goals. She utilizes state-of-the-art technology, ensuring safe and effective treatments, and has a track record of successful outcomes that demonstrate her dedication to enhancing patients' quality of life through cosmetic surgery. Dr. Shermak and her team provide compassionate care, guiding patients through every step of their surgical journey. Choosing Dr. Shermak means entrusting your well-being to a skilled and caring professional dedicated to helping you achieve your desired results safely and effectively. To set up a private consultation and learn more about a **capsulectomy** Baltimore patients should reach out to our office today. #### This is your life Make it Empowered [Schedule a Consultation](/contact/) --- ## Restylane Injections **Link:** [Restylane Injections](https://www.drshermak.com/injectables-fillers/restylane/) ([md](https://www.drshermak.com/injectables-fillers/restylane/index.html.md)) **Type:** Service **Description:** Dr. Shermak is pleased to offer Restylane to her Baltimore Maryland patients. A safe, non-surgical way to curb the telltale signs of aging that mar the appearance and lower self-confidence. ### Content #### What is Restylane? Dr. Shermak is pleased to offer her Maryland patients a safe, non-surgical way to curb the telltale signs of aging that mar the appearance and lower self-confidence. *Restylane is an FDA-approved dermal filler that relies on the power of hyaluronic acid to moisturize, volumize and rejuvenate tired-looking skin for a more youthful aesthetic*. [.lead]How much does Restylane cost?[] Fillers are priced per 1cc syringe, with options depending on the product chosen: - Restylane/Lift/Silk – $700 - Restylane Refyne/Defyne – $775 #### The Science Behind Restylane Hyaluronic acid is a unique compound found naturally in the human body. It replenishes the skin’s molecules, plumping them and giving them a resilient glow. Because hyaluronic acid is biocompatible, most clients find there is no allergic reaction to **Restylane** injections whatsoever. #### What Can I Expect from Treatment? Our Baltimore **Restylane** procedure typically lasts about 30 minutes. You can elect to have it performed over your lunch break, it is that quick and easy. After numbing your skin to your comfort level, the doctor will create a facial map of the points to target, and then will administer the tiny, painless needles. After the injections, some clients may experience redness, swelling or tenderness. These symptoms are only temporary and will generally abate within 24 to 48 hours. Dr. Shermak recommends keeping an ice pack on the treatment sites for around 20 minutes after your procedure to reduce swelling. You can also take advantage of Arnica pills to minimize bruising. #### How Long Do Restylane Results Last? Baltimore surgeon Dr. Shermak finds that results with *Restylane* tend to last between six and nine months on average. This will vary from patient to patient. With repeated visits and careful monitoring, you may be able to extend your positive **Restylane** outcomes to 18 months. Follow up with the doctor is an important component of recovery either way. #### How Can I Achieve More Comprehensive Changes? While **Restylane in Baltimore** can help combat many of the worst flaws brought on by the aging process, there are some issues it cannot address, such as facial hollowing or a double chin. For this reason, Dr. Shermak often recommends a combination treatment that may include *Sculptra*, *BOTOX*, *Radiesse* and *Kybella*. By employing the benefits of multiple injectables, Dr. Shermak can create a more total non-invasive facial transformation that will take years off your perceived age, and all without the lengthy downtimes and higher risks associated with surgery. #### How Do I Get Started? If you think that **Restylane** might be right for your aesthetic goals, please contact our Baltimore, Maryland offices today to schedule your confidential consultation with Dr. Shermak. During this initial session she will answer all your questions in depth, examine your face, and create a customized plan of action for improving your appearance. You may also take a look at our online library of before and after photography to get a better idea of the fabulous results that are possible with dermal fillers. --- ## Temple Filler **Link:** [Temple Filler](https://www.drshermak.com/injectables-fillers/temple-filler/) ([md](https://www.drshermak.com/injectables-fillers/temple-filler/index.html.md)) **Type:** Service **Description:** Facial volume loss is a completely normal part of the natural aging process, and you're absolutely not alone if you’ve started to notice cosmetic changes that have had an impact on your youthful good looks. Dr. Michele Shaw, in addition to offering a number of facial ... ### Content #### Regain Your Youthful Looks With Temple Fillers *Facial volume loss* is a completely normal part of the natural aging process, and you’re absolutely not alone if you’ve started to notice cosmetic changes that have had an impact on your youthful good looks. Dr. Michele Shaw, in addition to offering a number of facial plastic surgery procedures, is also proud to offer a wide range of injectable solutions to life’s most common cosmetic frustrations, such as her Baltimore **temple fillers**. Injectable *dermal fillers* are a highly *effective solution to facial aging* and the changes that come with it, and enable Dr. Shermak to address issues in very specific areas, such as the temples and along the hairline. Dr. Shermak believes that everyone deserves to feel all of the confidence that comes along with a youthful glow and can’t wait to learn more about how she can help you address your cosmetic concerns. If you’d like to learn a bit more about what we can do for you and how we can help you turn back the clock, our team is ready to set up your initial appointment. Reach out to Dr. Shermak’s Baltimore office and set up your consultation today. #### When to Consider Temple Fillers Dr. Shermak understands that every patient is unique, and she’ll work closely with you to help you develop a customized treatment plan that is unique to your needs and goals. She’ll explain everything about what you can expect with dermal fillers and will guide you to the treatment option that’s right for you. You’re likely to be a great candidate for **temple fillers in Baltimore**, if you’re interested in: - A non-surgical solution to volume loss, wrinkles, and facial sagging - A quick and effective treatment that involves little to no downtime or recovery period - A treatment experience that takes less than a full hour to complete - A cosmetic solution that involves minimal discomfort - The ability to address your cosmetic concerns without impacting your personal schedule - A restored youthful glow #### How Temple Fillers Work *Injectable dermal fillers replace the natural volume that’s been lost to the aging process, smoothing over fine lines, addressing the presence of wrinkles, and generally turning back the clock to reveal a more youthful version of you*. The best part? Your treatment won’t involve any extensive downtime or recovery period. You’ll experience a bit of tenderness and redness in the treatment area after your injection session is over, but these issues will quickly fade and will form the extent of your recovery period. You’ll be able to show off your new look without having to impact your personal schedule in any kind of significant way. As we get older, it’s very natural for our bodies to produce less and less of the natural compounds that keep us looking youthful and supple. In a lot of cases, the result can come in the form of facial volume loss, followed by the fine lines, wrinkles, and crepey appearance that often develops soon after. This is where **temple fillers** come in. --- ## Mohs Reconstruction **Link:** [Mohs Reconstruction](https://www.drshermak.com/face/mohs-reconstruction/) ([md](https://www.drshermak.com/face/mohs-reconstruction/index.html.md)) **Type:** Service **Description:** Skin cancer is one of humankind’s deadliest foes. Speak to Dr. Shermak in Baltimore about getting your MOHS Surgery today. ### Content #### What Is the Mohs Reconstruction Technique? In order to combat this formidable disease, *Dr. Frederic Mohs* created a process known as chemosurgery. It excises the tumor cells in carefully separated layers, while preserving the surrounding healthy tissue. Once this important phase has been completed by the dermatologic oncologist, a plastic surgeon will typically be called upon to reconstruct the treated areas cosmetically. This is known as *Mohs reconstruction*, and it may happen directly after the tumor has been removed, or separately at a later time, but most frequently no later than 1 week after cancer removal. It may take several sessions to restore the appearance of the eyes, cheeks, nose or lips, but the result is well worth the time invested. *Mohs Surgery* requires a delicate, sophisticated technique, and may utilize skin grafting and/or the use of skin adjacent to the wound, importing in healthy tissue. #### Mohs Surgery Before and After Photos #### What Kind of Reconstruction Might Occur? There are different types of techniques with different levels of complexity. Sometimes wounds are closed directly. Sometimes local tissue is advanced to close the wound. Special techniques may be used to import larger amounts of necessary tissue which is vascularized, will heal well and will minimize visible scarring. Some patients are good candidates for grafts. Dr. Shermak will create a treatment plan for your Baltimore **Mohs Surgery** that optimizes wound coverage and cosmetic outcome. #### What Financing Options are Available #### For Mohs Reconstruction With Dr. Shermak? Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices: - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation for **Mohs Surgery** Baltimore plastic surgeon, Dr. Shermak and her team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Scheduling Your Consultation If you or someone you know is interested in learning more about **Mohs Surgery in Baltimore, Maryland** and the surrounding area, please contact Dr. Shermak’s office to set up your private consultation today. And feel free to review her Photo Gallery to see what type of results are possible. #### This is your life Make it Empowered [Schedule a Consultation](/contact/) --- ## Back Lift **Link:** [Back Lift](https://www.drshermak.com/body/back-lift/) ([md](https://www.drshermak.com/body/back-lift/index.html.md)) **Type:** Service **Description:** Get information on back lift surgery provided by Baltimore plastic surgeon Michele Shermak. Find out what back lift surgery is, the best candidates for surgery and if you qualify. ### Content #### What is a back lift? *A back lift describes treatment to contour the upper or lower back*. A back lift removes excess skin and underlying fat, smoothing contours and lifting the skin to achieve a tighter, more toned aesthetic. An *upper back lift* addresses folds and fatty collections of skin of the mid to upper back that may continue onto the sides or upper abdomen. *Upper back lift surgery* is often combined with breast or upper (reverse) [abdominoplasty](/body/tummy-tuck-baltimore/) procedures. The resultant scar is a thin, inconspicuous line that falls within the bra line. Upper back lift results are also seen with Dr. Shermak’s extended [arm lift](/body/arm-lift/), which includes removal of tissue along the side of the chest, secondarily reducing excess skin in the upper back. #### Back Lift Topics - [**What is a back lift?**](#whatisbacklift) - [**Who is a good candidate for a back lift?**](#candidates) - [**What is the cost of a back lift?**](#cost) - [**What is the recovery like for a back lift?**](#recovery) - [**What Financing Options are Available For Back Lift Surgery With Dr. Shermak?**](#financing-options) - [**Back Lift FAQ**](#faqs) - [**Scheduling a Consultation in Baltimore**](#schedule) - [**References**](#references) #### Who is a good candidate for a back lift? Good candidates for a **back lift in Baltimore** are men and women in good physical and psychological health who are non-smokers. A back lift is appropriate for patients who have undergone massive weight loss, and for individuals who suffer from loss of skin elasticity due to age, pregnancy or heredity. A *back lift* may be combined with abdominoplasty, liposuction, a thigh lift or [breast surgery](/breast/) to rejuvenate the entire physique. During the initial consultation you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve the desired results. #### What is the cost of a back lift? *The cost of your back lift ranges based on your unique needs and aesthetic goals*. Depending on the details and complexity of your procedure, the cost of your back lift will range between $8,500.00 and $9,000. #### What is the recovery like for a back lift? [.lead]Surgery may be performed as an outpatient or in a hospital setting with an overnight stay.[] One may experience discomfort, swelling, and numbness. Patients are up and walking within hours of surgery, but require recuperation for several weeks. Maybe longer depending upon the extent of the surgery performed. Most resume regular activities and return to work after 3-4 weeks. Drains may remain in place for that period of time. Swelling and numbness may take months to resolve. Typically those undergoing *back lift surgery* wear a bra or binder to protect their incisions. #### Back Lift Surgery With Dr. Shermak? *What Financing Options are Available for* Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices: - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation for a **back lift** Baltimore patients will be assisted by our team to help choose the best option based on their goals and budget. [Learn more about financing](/resources/financing/). #### Back Lift Frequently asked questoins #### Scheduling a Consultation in Baltimore We invite you to call [Dr. Shermak’s Baltimore plastic surgery office](/contact/) at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal, comprehensive consultation today. You may also enjoy browsing our online library of before and after success stories. [.intro#references]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) --- ## Male Body Contouring **Link:** [Male Body Contouring](https://www.drshermak.com/male-plastic-surgery/male-body-countouring/) ([md](https://www.drshermak.com/male-plastic-surgery/male-body-countouring/index.html.md)) **Type:** Service **Description:** Body contouring procedures are great for men as well. The most popular procedures for men are liposuction, tummy tuck, massive weightloss bodylift and gynecomastia. Schedule a consultation with Dr. Shermak today. ### Content #### Male Body Contouring Before and After Photos #### Liposuction [Liposuction](/body/liposuction/) allows for removal of fat deposits and is great treatment for reduction of focal fat collections. In men, this fat is often distributed in the abdominal and hip areas. Certain areas of fat can be stubborn and difficult to entirely address with diet and exercise. For **male body contouring in Baltimore**, liposuction is perfect for the man who is on a healthy diet and exercise regimen, but who has experienced limited success. Liposuction requires only small incisions. When *Liposuction is performed under Anesthesia*, results are truly impactful, and there is only minimal downtime. Hardly anyone will be able to tell that surgery was done since the scars are so imperceptible. And this makes it easy to bare your body in the gym and on the beach with confidence. #### Tummy Tuck [Tummy Tuck](/body/tummy-tuck-baltimore/) involves removal of skin excess in the abdominal area, with possible associated muscle tightening. Men typically only require skin removal. The scar is well camouflaged under underwear. Men tend to heal great from this surgery as skin quality is good and the patients are highly motivated. #### Body Lift [.lead]I see similarly positive outcomes with Massive Weight Loss Bodylifting procedures. Men may present after significant weight loss associated with diet and/or surgical weight loss procedures (*bariatric surgery*).[] Significant weight loss often leads to skin laxity and redundancy which may be located in the abdomen, back, arms and thighs. [Body lift procedures](/body/body-lift/) are designed for all of these areas, and the procedure type is individualized for each patient. The degree of skin excision varies between individuals, leading to utility of multiple types of approaches to each body region. Men comprise some of my best outcomes and most favorite patients. They are often highly motivated and heal well. You are welcome to [schedule a consultation](/contact/) with Dr. Michele Shermak to learn your options for our Baltimore **male body contouring** procedures. Call [(410) 616-3000](tel:(410) 616-3000) to schedule your appointment. #### What Financing Options are Available #### For Male Body Contouring With Dr. Shermak? Dr. Shermak offers several trusted financing options to make your procedure more affordable. To finance your **male body contouring** Baltimore patients have these choices: - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### This is your life Make it Amazing [Schedule a Consultation](/contact/) [.intro]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A. (2012). Pearls and perils of caring for the postbariatric body contouring patient. Plastic and Reconstructive Surgery, 130(4), 618–624.](https://journals.lww.com/plasreconsurg/abstract/2012/10000/pearls_and_perils_of_caring_for_the_postbariatric.39.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) #### Male Body Contouring Frequently asked questoins --- ## Dermal Fillers **Link:** [Dermal Fillers](https://www.drshermak.com/injectables-fillers/dermal-fillers/) ([md](https://www.drshermak.com/injectables-fillers/dermal-fillers/index.html.md)) **Type:** Service **Description:** Have a look at the variety of dermal fillers we use as well as the areas that can be helped. Baltimore plastic surgeon, Dr. Shermak ### Content #### Dermal Fillers With Dr. Michele Shermak #### Subtle Volume Sophisticated Results At Michele Shermak, MD, in Baltimore **dermal filler** procedures are performed with the same level of precision and safety as surgical treatments. Whether you’re looking to smooth wrinkles and skin folds, restore lost volume, or refine facial contours, Dr. Shermak’s approach to *injectable dermal fillers* centers on natural-looking results that enhance—never alter—your unique features. *Dermal fillers are FDA-approved, gel-like substances that match hyaluronic soft tissue support in the skin and can be used to add volume and lift, define facial structure, and treat deeper wrinkles without the need for surgery*. They’re a popular option for patients seeking subtle improvements in areas such as the cheeks, lips, jawline, chin, and under eyes. #### Dermal Fillers at a Glance - **Immediate Volume** – See improvement instantly after treatment - **Rebuild Structure in the Face** - Hyaluronics help restore soft tissue support - **Outpatient Procedure** – In-office and typically under 45 minutes - **Minimal Downtime** – Return to normal activities the same day - **Lasting Results** – Effects can last 6 to 30 months - **Natural Expression** – Fillers restore balance in a way that looks authentic to you #### Refined Not Reinvented *What are dermal fillers?* [.lead]**Dermal fillers** are injectable soft tissue fillers made from substances like hyaluronic acid—a natural component found in the skin’s connective tissue.[] These products are used to restore facial volume, improve upward sweep, smooth deep wrinkles, and fill in creases such as nasolabial folds, marionette lines, and vertical lines around the mouth. As the skin ages, it loses elasticity and volume due to a decrease in elastin, collagen and fat. *Injectable dermal fillers* help reverse this process by lifting and volumizing areas affected by sagging or hollowing. The goal is always a more youthful appearance that still looks like you. [.lead]Common Areas for Filler Injections:[] - [**Cheeks**](/injectables-fillers/cheek-filler/)** **- Restore youthful fullness and contours - [**Lips**](/injectables-fillers/lip-filler/) - Enhance volume and definition - [**Jawline**](/injectables-fillers/jawline-filler/)** **-** **Improve contours and address signs of aging - **Jowl** - “Marionette lines” by the mouth that result in downturn of the corners of the mouth and create discontinuous jawline - [**Chin**](/injectables-fillers/chin-filler/) - Enhance projection and definition - [**Tear troughs**](/injectables-fillers/under-eye-filler/)** **- Reduce hollowness under the eyes - **Smile lines and nasolabial folds **- Restore a smoother, more youthful appearance - [**Temples**](/injectables-fillers/temple-filler/)** **- Fill in hollows that create a gaunt appearance - **Acne scars** - Smooth out scars and other skin texture irregularities #### Types of Dermal Fillers We Offer *Juvéderm & Restylane: What’s the Difference?* Dr. Shermak uses both [**Juvéderm**](/injectables-fillers/juvederm/)** ** and [**Restylane**](/injectables-fillers/restylane/)** **products, two of the most trusted families of **dermal fillers** on the market. Each family of products is formulated with slightly different hyaluronic particle sizes and characteristics, making them better suited for specific areas or concerns. Dr. Shermak carries the full line of both companies, so her patients have full access to any filler they will need. Here’s how they break down: [.button.active]Juvéderm[] **Juvéderm Voluma XC - **Used for deep volume restoration in the cheeks, chin, and jawline. Provides lift and structure with results that can last up to 2 to 2.5 years. **Juvéderm Vollure XC - **Great for softening moderate to deep lines like nasolabial folds and marionette lines, as well as smoothing cheek contours. Offers smooth flexibility and natural movement. **Juvéderm Volux XC - **Soft, moldable, impactful filler which is** **great for emphasizing a crisp jawline, providing lift and contour. **Juvéderm Volbella XC - **Ideal for subtle lip enhancement and smoothing vertical lip lines and treating the tear trough under eye region.. A soft, delicate filler that looks and feels natural. **Juvéderm Ultra XC - **Used for fuller lip enhancement or softening moderate facial lines. More volumizing than Volbella, but still smooth and moldable. **Juvéderm Ultra Plus XC - **A thicker formulation used for deeper lines and folds or to add more robust volume to areas like the cheeks and lips. The “OG” filler. [.button.inactive]Restylane[] **Restylane-L - **The original Restylane formula is used for moderate facial wrinkles and folds. Also commonly used for under-eye (tear trough) rejuvenation. Restylane is the grandmother matriarch filler product. **Restylane Silk - **Lightest filler to fill fine lines and smooth the lined area between the nose and lip. Super light yet effective. **Restylane Kysse - **Designed for the lips, this filler enhances lush volume and texture while maintaining natural movement, and typically endures for a year. [**Restylane Lyft**](/injectables-fillers/restylane-lyft/) - Great for restoring structure in the midface (cheeks) and back of the hands. This is also a great product for Liquid Rhinoplasty. Stronger lifting power than other Restylane products. **Restylane Refyne - **A flexible filler for moderate facial lines and folds. Perfect for dynamic areas where natural movement is important around the mouth in softer contours, around the marionette lines **Restylane Defyne - **Similar to Refyne but designed for deeper lines and more structure. Often used for chin and jawline enhancement. **Restylane Contour - **Used to softly define and shape the cheeks while allowing full facial expression. Natural-looking with impressive lift and duration for up to 2 years. #### Fast, Focused and Subtle *What is the procedure for dermal fillers like?* *Dermal filler treatments are performed in-office and typically take 30–45 minutes to complete*. After evaluating your facial structure and aesthetic goals, Dr. Shermak will map out the injection sites. Using a fine needle or cannula, she carefully injects the selected product into specific layers of the skin or soft tissue with extreme care to avoiding bruising if at all possible. Most of our Baltimore **dermal filler** injections include lidocaine to minimize discomfort, and additional topical and regional numbing is available. Results are visible immediately, with improvements continuing as mild swelling resolves over the following few days, and particularly after 4-6 weeks when the soft tissue blurring takes effect. #### Volume Where You Want It *What are the benefits of fillers?* - Smooth fine lines and deeper wrinkles - Fill wrinkles around the mouth and nose - Anatomically analogous - Rejuvenate sagging tissues in the face and thinned skin in the hands and arms - Enhance lip shape and vertical lines with subtle definition - Add structure to hollowed cheeks and temples - Improve symmetry and harmony in facial features - Boost collagen production over time (including select products like poly-L-lactic acid) #### Are dermal fillers right for me? #### Candidates & Considerations [.lead]If you’re concerned with aging-related volume loss, facial wrinkles, or want to enhance areas like the lips or chin without surgery, **dermal filler** procedures may be a strong fit.[] Candidates should be in overall good health, with realistic expectations, and have no known allergies to filler ingredients. Dr. Shermak will review your medical history, assess the condition of your skin, and recommend a personalized treatment plan. For some patients, fat grafting or [facial fat transfer](/body/fat-transfer/) may be recommended as an alternative or a complement to fillers. #### From Injection to Outcome *Filler Recovery & Results* After filler injections, some patients experience minor swelling, redness, or bruising at the injection site. These side effects are temporary and typically resolve within 3 to 5 days. Most patients return to regular activity immediately after treatment. Results are visible immediately and continue to improve as the product settles. Depending on the type of filler, results can last from 6 months to two and a half years. #### Fillers, Done the Right Way *Why Choose Dr. Shermak for Dermal Filler Injections?* Unlike treatments at a typical medical spa, every dermal filler procedure at our office is performed by Dr. Michele Shermak, a board-certified plastic surgeon with over 27 years of experience in facial plastic surgery and injectables. Contact us now for some of the best treatments with **dermal fillers** Baltimore has to offer. Dr. Shermak’s background in advanced anatomy and surgical precision makes her filler work distinct. She prioritizes natural-looking results, surgical-level safety, and individualized care. Patients benefit from her ability to combine artistry with technique and experience, ensuring outcomes that are subtle, refined, and long-lasting. *Fillers* may on the surface appear quick and easy, but having this treatment in an area like your face demands experience and significant training, unlike what is mostly seen in community spa environments. [Schedule a Consultation](/contact/) #### Dermal Filler Frequently Asked Questions --- ## Chemical Peel **Link:** [Chemical Peel](https://www.drshermak.com/skin-treatments/chemical-peel/) ([md](https://www.drshermak.com/skin-treatments/chemical-peel/index.html.md)) **Type:** Service **Description:** Board certified plastic surgeon in Baltimore, Michele Shermak offers Chemical Peels. Get more information on chemical peels, ideal candidates for treatment, and more. ### Content #### Why Chemical Peels? It is important to have a board certified plastic surgeon with experience in chemical peel procedures to administer your treatment. Our Baltimore **chemical peels** are generally performed in the office awake or during a surgical procedure under anesthesia. Treating the face can take about 30 minutes awake, and less time under anesthesia. Trichloracetic acid (TCA) peels provide impactful results. We also can recommend at-home peels. During the *TCA chemical peel* procedure, a layered treatment takes place. First the skin is cleaned and de-greased. After this, Jessner's solution with Resorcinol and Hydroquinone is applied to improve the depth of peel and impact on results. Finally 30% TCA is applied in 2-3 layers to bind the superficial skin surface. There will be a several day period where the solution interacts with the skin, resulting in skin peeling about 3 to 5 days after the procedure, with peeling lasting for about 3 days. The results early on include a fresh, pink, smooth appearance. #### Moving Forward *Schedule A Consultation* With **chemical peels** Baltimore patients are offered an improved skin texture and a more youthful and healthy appearance, though chemical peels do have their limitations. Talking to your *plastic surgeon* is the best way to *determine if a chemical peel may be right for you*. [Please contact our office today](/contact/) to set up your confidential consultation with [Dr. Shermak](/about/dr-shermak/). --- ## Rhinoplasty for Men **Link:** [Rhinoplasty for Men](https://www.drshermak.com/male-plastic-surgery/male-rhinoplasty/) ([md](https://www.drshermak.com/male-plastic-surgery/male-rhinoplasty/index.html.md)) **Type:** Service **Description:** Dr. Michele Shermak offers male rhinoplasty in Baltimore. Improve nasal symmetry, structure, and breathing with subtle, masculine-focused refinement. ### Content #### Nose Reshaping for Men at Dr. Michele Shermak Plastic Surgery #### Refined, Strong, and True to You The nose plays a defining role in facial structure. When it’s out of balance, it can draw attention away from otherwise strong, masculine features. For men, rhinoplasty (*nose surgery*) is not about creating a delicate or overly sculpted nose—it’s about improving symmetry, proportion, and breathing while maintaining strength and facial identity. At her practice, Dr. Michele Shermak performs **male rhinoplasty in Baltimore** with an approach that’s both aesthetic and functional. As a board-certified plastic surgeon and leader in her field, she brings a deep understanding of facial anatomy, balance, and structure to every procedure. Her male patients appreciate the clarity, precision, and respect she brings to every consultation. #### Male Rhinoplasty at a Glance - **Refines Nasal Shape** – Straighten the nasal bridge, adjust the tip, correct asymmetry, and more - **Preserves Masculine Features** – Maintains structure, strength, and definition - **Minimal Downtime** – Most patients return to work within 7–10 days - **Lasting Results** – Changes are permanent and age naturally with the face #### Refinement Not Reinvention *What is rhinoplasty for men?* [.lead]Our Baltimore **male rhinoplasty** is a surgical procedure to reshape the nose while preserving or enhancing masculine features. It can address both aesthetic concerns—such as a bump on the bridge or a crooked nose—and functional issues, including difficulty breathing or prior injury.[] *Men often seek rhinoplasty to reduce distraction from prominent nasal features, restore symmetry after trauma, or improve facial balance without softening their appearance*. Dr. Shermak customizes the procedure to reflect your goals, lifestyle, and anatomy, ensuring results that look natural and feel aligned with who you are. #### A Focused Fix for Facial Harmony *What is the male rhinoplasty procedure like?* Rhinoplasty is performed under general anesthesia at Dr. Shermak’s fully accredited surgical facility. Incisions are typically placed inside the nostrils, called *closed rhinoplasty*, or across the columella (the narrow strip of tissue between the nostrils) in an *open rhinoplasty* approach. This allows for full access to nasal structures while keeping scars minimal and well-hidden. During surgery, Dr. Shermak may reshape the bone and cartilage, straighten the nasal septum, adjust nostril width, or refine the nasal tip. Every decision is made with precision, guided by your goals and facial proportions. The procedure usually takes 2–3 hours and is completed on an outpatient basis—you’ll return home the same day. #### Restoring Balance *What concerns can male rhinoplasty address?* [.lead]Whether your concern is cosmetic, functional, or both, Dr. Shermak will create a treatment plan that restores both confidence and comfort.[] - Prominent dorsal hump or bump on the bridge - Crooked or off-center nose - Bulbous, drooping, or overly projecting nasal tip - Wide nasal base or nostrils - Breathing difficulty due to a deviated septum or other structural issues - Prior nasal trauma or unsuccessful past surgery #### What are the benefits of male rhinoplasty? #### Balance the Face. Keep the Character. [.lead]Dr. Shermak’s approach focuses on refinement, not reinvention. Her goal is for others to notice you look better, not different.[] - Balanced, harmonious facial proportions - Enhanced profile and front-view symmetry - Maintained or improved nasal structure—not overly reduced or “sculpted” - Better breathing through correction of internal deviations Long-term results that evolve naturally with age #### A Harmonious Profile *Is male rhinoplasty right for me?* You may be a good candidate for nose surgery if you’re a healthy adult with concerns about the appearance or function of your nose. *Many men seek rhinoplasty after a sports injury, due to breathing problems, or to address long-standing aesthetic concerns that impact their self-image or facial harmony*. Ideal candidates have realistic expectations and understand that the best outcomes are subtle, strategic changes—not total transformation. #### Male Rhinoplasty Recovery #### Attentive Guidance and Support Swelling, bruising around the eyes, and mild discomfort are common during the first week. A small external splint is typically worn for 5–7 days. Most men return to non-physical work within 7–10 days, while exercise and contact sports should be avoided for several weeks. Dr. Shermak will provide a personalized recovery plan, including follow-up visits and clear guidelines to protect your results. #### Male Rhinoplasty Results #### Feel Good About Your Look [.lead]Initial changes are visible once the splint is removed, though swelling may take several months to fully resolve. Subtle refinements continue to appear over time, especially at the tip of the nose.[] Final results typically settle within 6–12 months and are long-lasting. Most patients report *improved facial symmetry*, better breathing, and greater confidence in both professional and social settings. #### Quiet Confidence Starts Here *Why Choose Dr. Shermak for Male Rhinoplasty?* [.lead]Dr. Michele Shermak is trusted by men across Baltimore and the Mid-Atlantic for facial procedures that look natural, feel authentic, and respect the individuality of each patient.[] As a board-certified surgeon and educator, she brings a level of surgical precision and honesty that patients value deeply. For **male rhinoplasty** Baltimore patients choose her for results that enhance their strongest features, not erase them—and for the kind of experience where discretion, trust, and expertise go hand in hand. [Schedule a Consultation](/contact/) #### Rhinoplasty for Men Frequently Asked Questions --- ## Chin Filler **Link:** [Chin Filler](https://www.drshermak.com/injectables-fillers/chin-filler/) ([md](https://www.drshermak.com/injectables-fillers/chin-filler/index.html.md)) **Type:** Service **Description:** Your chin plays an important role in framing your face. If you’re frustrated by the presence of a weak or too-small chin, our Baltimore Chin Fillers can help. ### Content #### Chin Filler at Dr. Michele Shermak Plastic Surgery #### Sculpting Your Ideal Profile Feeling as though your chin doesn’t adequately contribute to an attractive sense of *facial harmony* can be frustrating, and Dr. Shermak is pleased to offer her patients an effective yet totally non-surgical solution to this common issue. Dermal fillers are a remarkably simple way to *enhance the appearance and texture of your chin*. If you’re interested in enhancing your chin—and your overall look along with it—Dr. Shermak and her team are here and ready to help. If you’d like to learn more about what we can do for you, please reach out to our offices in Baltimore and speak with a helpful team member to schedule your **chin filler** consultation today. #### Injectables Before and After Photos #### Chin Filler at a Glance - **Profile Enhancement:** Improves facial balance and definition. - **Minimal Pause:** Typically a quick recovery period. - **Sustained Impact:** Results can last for many months. - **Custom Design:** Tailored to achieve your desired chin projection. - **Non-Surgical:** An effective alternative to surgical chin augmentation. #### Crafting Your Profile *What is Chin Filler?* [.lead]**Chin filler** is a non-surgical cosmetic procedure designed to enhance the projection, definition, and overall contour of the chin. By strategically injecting dermal fillers, most commonly hyaluronic acid-based, this treatment offers a versatile approach to addressing various aesthetic concerns related to the lower face.[] Whether you seek to add subtle forward projection, create a more *defined jawline* transition, or correct minor chin asymmetries, we provide a precise and adaptable solution to help you achieve a stronger, more balanced facial profile. #### Definition in Minutes *What is the Chin Filler procedure like?* *Dermal fillers are highly effective injectable treatments that produce exciting results without disrupting your daily personal routine*. The entire process will be over in about 45 minutes, making it an ideal “lunch break” procedure. We’ll keep you comfortable with a topical numbing cream while an expert injector utilizes a very fine-gauge needle to administer the fillers. We’ll make the injections according to a treatment plan that you developed with Dr. Shermak, so you can look forward to results that directly align with your personal cosmetic goals. After the treatment, you’ll experience a bit of redness and tenderness in the treatment area, but these will quickly fade, and you’ll be able to return to your normal routine. #### How Chin Fillers Can Work for You *What conditions does Chin Filler address?* [.lead]**Chin filler** is a remarkably effective treatment for addressing a range of aesthetic concerns impacting the lower face.[] It can significantly improve the appearance of a receding or "weak" chin, enhance the overall balance of the facial profile, diminish the appearance of a double chin by improving definition, and correct subtle asymmetries in the shape of the chin. By artfully increasing projection and sculpting contours, *chin fillers contribute to a more harmonious and assertive facial outline*. #### What areas of the body can Chin Filler address? #### Precisely Sculpted This treatment specifically addresses the mental crease (horizontal line below the lip), the tip of the chin for forward projection, and the pre-jowl sulcus to improve the jawline transition. #### Beauty & Confidence in Harmony *What are the benefits of Chin Filler?* Opting for **chin filler in Baltimore** at Dr. Michele Shermak Plastic Surgery provides a range of compelling advantages for individuals seeking to enhance their lower facial aesthetics: **[.lead]Achieve Enhanced Facial Harmony[]** Experience a transformation that brings your chin into greater balance with your nose and forehead. Fillers can subtly enhance chin projection, resulting in a more harmonious and aesthetically pleasing side profile, ensuring your features are proportionate and visually appealing. **[.lead]Strengthen Your Jawline Definition[]** Beyond simply adding volume, *chin fillers can dramatically improve the definition of the jawline* by creating a smoother, more continuous line from the ear to the chin. This helps to reduce the appearance of jowls and create a sharper, more youthful lower facial contour. **[.lead]Boost Self-Assuredness[]** For those self-conscious about a less prominent chin, this non-surgical enhancement can lead to a significant surge in confidence. Achieving a more defined and balanced profile can help you feel more confident and assured in your appearance. #### Are Chin Fillers right for me? #### Impeccable Proportions Every patient is different, and Dr. Shermak makes it a point to sit down with each individual who comes through her door, so she can provide a procedural plan tailored directly to their personal needs and desires. During your initial consultation, Dr. Shermak will help you explore your options, guiding you to the treatment option that is right for you and your cosmetic goals. You’re likely to be a great candidate for **chin fillers** if you’re: - Interested in enhancing the look and feel of your chin - Not interested in a surgical procedure - Busy and looking for a quick, yet effective procedure - Looking to avoid impacting your personal schedule - Ready to enjoy enhanced self-confidence #### A Seamlessly Supportive Journey *Chin Filler Recovery* [.lead]Following your **chin filler** procedure, you may notice some temporary swelling, mild bruising, or tenderness at the injection sites. These typical effects usually subside within a few days. To support optimal healing and preserve your results, it's generally advised to avoid strenuous physical activity, extreme heat exposure (like saunas), and alcohol for the initial 24 to 48 hours.[] Applying a cool compress gently to the treated area can help minimize any swelling. Our dedicated team at Dr. Michele Shermak Plastic Surgery will provide you with detailed aftercare instructions to ensure a comfortable and effective recovery, allowing your refined profile to settle beautifully. #### Chin Filler Results #### Non-Surgical Chin Enhancement **How Soon Will I See Results?** You will observe an immediate improvement in your chin's projection and contour right after the procedure. The fully settled and final results typically become apparent within one to two weeks, once any initial swelling has entirely resolved. **How Long Do Chin Filler Results Last?** The longevity of **chin filler** results varies, but most patients enjoy their enhanced profile for approximately 12 to 18 months, depending on the specific filler used and individual metabolism. Periodic touch-up sessions can help you maintain your desired chin projection and definition over time. **What Can I Expect from My Chin Filler Results?** Expect a more balanced, defined, and harmonious lower facial profile that seamlessly integrates with your existing features. The goal is a natural-looking enhancement that contributes to a stronger, more assertive facial aesthetic and boosted self-confidence. #### Enhance Your Facial Harmony with Dermal Fillers *Why Choose Dr. Michele Shermak Plastic Surgery for Chin Filler?* Dr. Shermak offers patients an extensive level of experience in facial cosmetic surgery, complemented by a keenly developed artistic sensibility. All of this expertise has made Dr. Shermak a true professional when it comes to helping her patients realize their cosmetic goals and enjoy an ideal sense of pleasing *facial harmony*. #### Set Your Consultation Today [.lead]Are you ready to learn more about how [dermal fillers](/injectables-fillers/dermal-fillers/) can help you achieve your ideal look quickly and effectively?[] Dr. Shermak and her team are here to help, and can’t wait to unite you with the cosmetic outcome of your dreams. To get started on your exciting cosmetic journey, simply reach out to Dr. Shermak and her team in Baltimore to schedule your initial consultation. #### Chin Filler Frequently Asked Questions --- ## Male Blepharoplasty **Link:** [Male Blepharoplasty](https://www.drshermak.com/male-plastic-surgery/blepharoplasty/) ([md](https://www.drshermak.com/male-plastic-surgery/blepharoplasty/index.html.md)) **Type:** Service **Description:** Dr. Michele Shermak offers male blepharoplasty in Baltimore to reduce puffiness and excess eyelid skin, achieving a rested, masculine appearance. ### Content #### Eyelid Surgery for Men at Dr. Michele Shermak Plastic Surgery #### The Quiet Power of Looking Rested Tired-looking eyes can affect more than just your appearance—they can shift how others perceive your energy, confidence, and presence. **Male blepharoplasty** (eyelid surgery) offers a subtle yet powerful way to refresh your appearance without altering who you are. This procedure can address the upper eyelids, the lower eyelids, or both. The goal isn’t to look “done”—it’s to look rested, alert, and naturally yourself. Dr. Michele Shermak offers upper and lower eyelid surgery for men at her *Baltimore plastic surgery practice*, helping male patients reduce puffiness, correct sagging, and restore the natural definition of their eyes. Known for her refined, detail-oriented approach, Dr. Shermak delivers results that honor your facial structure and preserve your masculine features. #### Male Blepharoplasty at a Glance - **Sharpens Eye Contour** – Removes sagging skin and excess fat and reduces the appearance of fatigue - **Natural Results** – Maintains a masculine eye shape and structure - **Performed In-Office** – Can be performed under local anesthesia - **Minimal Downtime** – Most men return to work within one week #### Built for the Male Face *What is male blepharoplasty?* At our office in Baltimore **male blepharoplasty** is a surgical procedure that improves the appearance of the upper and/or lower eyelids by removing or repositioning excess skin and fat. In men, this surgery requires a precise approach to avoid feminizing the eyes or creating an overcorrected look. Dr. Shermak customizes each procedure based on your anatomy and goals—whether it’s *correcting heavy upper eyelids* that cast shadows or reducing puffiness in the lower lids that make you look tired or aged. #### Refinement in Under Two Hours *What is the eyelid procedure like for men?* *Eyelid surgery for men* is designed to be precise, efficient, and discreet, providing noticeable improvement without obvious signs of cosmetic work. Dr. Shermak tailors each procedure to your specific concerns, whether you’re *dealing with heavy upper lids, under-eye bags, or both*. [.button.active]**Upper blepharoplasty**[] A small incision is made along the natural fold of the upper eyelid. Through this access point, Dr. Shermak removes or repositions excess skin and fat to create a more open, rested appearance. Care is taken to maintain the strength and structure of the male eyelid, avoiding any look that feels too sculpted or softened. [.button.inactive]**Lower blepharoplasty**[] It is used to address puffiness or fullness under the eyes. Incisions may be made just below the lash line or inside the lower lid (a technique called *transconjunctival blepharoplasty*), depending on your anatomy and the degree of correction needed. This approach allows for fat removal or redistribution to smooth the area without noticeable external scarring. The procedure typically takes 1 to 2 hours and is performed on an outpatient basis. Dr. Shermak often performs **male blepharoplasty in Baltimore** under local anesthesia, which allows for a more comfortable recovery and avoids the need for general anesthesia in appropriate candidates. You’ll be able to return home the same day, with detailed post-care instructions and support from Dr. Shermak’s team to ensure a smooth, confident recovery. #### Targeted Solutions for the Modern Man *What conditions does male eyelid surgery treat?* Sagging upper eyelids, puffy undereyes, and a tired appearance are common as men age. With a well-performed **male blepharoplasty** Baltimore patients can restore confidence and energy to their appearance without making it obvious they’ve had anything done. - Sagging upper eyelid skin that affects expression or vision - Puffiness or fat pads beneath the eyes - Hooded lids that reduce definition A tired or worn-out appearance, even when well-rested #### Expert Hands. Minimal Downtime. *What are the benefits of male blepharoplasty?* [.lead]*Eyelid surgery for men* provides a refreshed, alert appearance while preserving the natural structure of the male face. By removing excess skin and reducing puffiness around the eyes, *male blepharoplasty helps restore definition without altering your expression or identity*.[] One of the most important benefits of working with Dr. Shermak is the careful attention paid to masculine features. The goal isn’t to soften or change the eyes, but to reduce heaviness in a way that looks balanced and authentic. Dr. Shermak uses techniques that avoid feminization and focus on subtle contouring that enhances, rather than erases, the natural character of your face. Scarring is discreet, with incisions placed in natural eyelid folds that typically fade well. In some cases, the procedure also improves function, particularly for men whose upper eyelids droop enough to affect their field vision or cause eye strain. Whether performed for aesthetic reasons, functional concerns, or both, **male blepharoplasty** offers a straightforward solution with long-lasting results. Patients often say they look more rested, more focused, and more like themselves. #### Is male blepharoplasty right for me? #### Reclaim Your Edge Without Disruption [.lead]You may be a candidate for **male blepharoplasty** if you’re in good health and *bothered by sagging eyelid skin* or puffiness that doesn’t improve with rest.[] Many men seek eyelid surgery in their 40s to 60s, but age is less important than your anatomy and personal goals. During your consultation, Dr. Shermak will walk you through your options, examine your facial structure, and provide honest guidance about whether surgery or another approach is best for you. #### From Surgery to Subtle Results *Male Blepharoplasty Recovery* Most patients return home the same day and resume daily activities within 3–5 days. Mild swelling, bruising, and tightness are common in the first week, but typically resolve quickly. Cold compresses and head elevation help minimize discomfort. Stitches are removed after 5–7 days, and many men feel comfortable returning to work within a week. #### Male Blepharoplasty Results #### Real Change Right on Schedule **Male blepharoplasty** offers subtle but powerful results by removing excess skin and fat around the eyes to reveal a more awake, alert, and rested appearance. The procedure can reduce drooping upper lids that may have once hidden the eyes or contributed to a tired or heavy look, as well as smooth away puffiness or bags beneath the eyes. The goal is not to change how you look, but to restore definition and clarity to the eye area while maintaining natural masculinity and expression. *The impact of male eyelid surgery often extends beyond cosmetic benefits*. Patients frequently report improved self-esteem and a renewed sense of vitality, especially in professional or social settings where appearance matters. For those experiencing vision issues from overhanging eyelid skin, the improvement can be functional as well as aesthetic. Most importantly, the results enhance the overall harmony of the face, helping men look like themselves—just sharper, more rested, and more confident. #### Refinement in the Hands of a Leader *Why Men Choose Dr. Shermak for Eyelid Surgery* [.lead]Dr. Michele Shermak is a *board-certified plastic surgeon* who is nationally recognized for her surgical expertise and leadership.[] As *one of Baltimore’s top plastic surgeons*, she brings technical precision and an intuitive understanding of aesthetic balance to every case. Male patients choose Dr. Shermak for her ability to deliver noticeable results that remain discreet, improving how they look and feel without changing who they are. [Schedule a Consultation](/contact/) #### Male Blepharoplasty Frequently Asked Questions --- ## Brow Lift **Link:** [Brow Lift](https://www.drshermak.com/face/brow-lift/) ([md](https://www.drshermak.com/face/brow-lift/index.html.md)) **Type:** Service **Description:** Consider a browlift in Baltimore Maryland with female board certified plastic surgeon Michele Shermak. Get information on forehead lift surgery, candidates, and more. ### Content #### Your Brow Lift with Dr. Shermak Many times the furrows and wrinkles that accompany the aging process can make a person’s expression appear angry, tired or disgruntled, diminishing their social comfort and causing them deep dissatisfaction with their appearance. A **brow lift in Baltimore** can help treat these issues, restoring self-confidence and a positive self-image. #### Brow Lift Before and After Photos #### Brow Lift Overview - [**Your Brow Lift with Dr. Shermak**](#browlift) - [**What Does a Brow Lift Cost in Baltimore?**](#cost) - [**What is a Brow Lift?**](#what-is-it) - [**Who is a Good Candidate for a Brow Lift?**](#candidates) - [**Brow Lift Before & After**](#gallery) - [**I don’t want to look overdone. How do I avoid looking surprised?**](#avoid) - [**What Incisions are Used?**](#incisions) - [**What is the Recovery Like for a Brow Lift?**](#recovery) - [**What Financing Options are Available For a Brow Lift With Dr. Shermak?**](#financing-options) - [**What’s next? Schedule a Consultation**](#schedule) #### What Does a Brow Lift Cost in Baltimore? A **brow lift**, a minimally invasive procedure that lifts and smooths the forehead, costs $6,100. #### What is a Brow Lift? Also known as a *forehead lift*, our Baltimore **brow lift** helps correct sagging of the eyebrows, frown lines and forehead creases that can negatively influence the facial appearance. Depending on various factors, the procedure can be performed a variety of ways: with a hairline scar; with temple scars; or endoscopically, with small scars behind the upper hairline in the scalp. The objective is a smoother, more rejuvenated forehead and a brighter appearance to the face and eyes. #### Who is a Good Candidate for a Brow Lift? [.lead]Good candidates for a **brow lift in Baltimore** are generally men and women over 35 who have deep frown lines, forehead creases and excess tissue of the upper eyelids, particularly lateral hooding over the eyes. Some individuals have brow descent or low brows that make them look angry or tired.[] Clients should be in good mental and physical health, with realistic expectations for improvement rather than perfection. This procedure may be combined with [blepharoplasty](/face/blepharoplasty/) (removal of excess eyelid skin), a [facelift](/face/facelift-baltimore/), [neck lift](/face/neck-lift/), or [facial fat grafting](/face/facial-fat-transfers/) to rejuvenate the entire face. During the initial consultation you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve the desired result. #### I don’t want to look overdone. #### How do I avoid looking surprised? The **brow lift** is not overdone. The brows will maintain their shape with elevation that opens the eyes and allows you look more rested and refreshed. #### What [#incisions]Incisions are Used? Most individuals undergo the endoscopic approach that involves small incisions hidden in the hair. This approach leads to a refreshed improvement. There are other approaches that use an eyelid incision which, in concert with upper lid surgery, leave *no visible scar*, great for individuals with thinning hair. To correct isolated hooding over the side of the eye, an incision hidden in the temple hairline can elevate the side of the brow and even the upper cheek. The traditional **brow lift** incision historically traveled along the forehead hairline, was more visible and caused scalp numbness – this incision is rarely used. #### What is the Recovery Like for a Brow Lift? Surgery is performed on an outpatient basis. You may experience temporary swelling, numbness, discomfort, and bruising. Most resume regular activities and return to work after one week. Stitches or staples are removed approximately 1 week after surgery. #### What Financing Options are Available For a Brow Lift With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### What’s next? Schedule a Consultation We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:+14103246592) to schedule your personal, comprehensive consultation today. You can also learn more by visiting our online library of before and after photography for former **brow lift** success stories. #### This is your life Make it Amazing [Schedule a Consultation](/contact/) --- ## Non-Surgical Male Procedures **Link:** [Non-Surgical Male Procedures](https://www.drshermak.com/male-plastic-surgery/non-surgical-male-procedures/) ([md](https://www.drshermak.com/male-plastic-surgery/non-surgical-male-procedures/index.html.md)) **Type:** Service **Description:** Discover subtle, effective non-surgical treatments for men in Baltimore at Michele Shermak, MD. Look refreshed without changing who you are. ### Content #### Botox & Dermal Fillers for Men at Dr. Michele Shermak Plastic Surgery #### A Quiet Anti-Aging Opt In Not every improvement requires surgery. For many men, the right injectable treatment provides a sharper, more rested appearance without altering their facial character or requiring time off work. At her Baltimore practice, Dr. Michele Shermak offers discreet, **non-surgical procedures for men in Baltimore** that help you look like the best version of yourself. Whether you want to smooth frown lines, restore lost volume, or define your jawline, Dr. Shermak uses advanced injectable techniques tailored specifically for the male face. You’ll leave looking rested, confident, and refreshed without looking “done.” #### Non-Surgical Solutions at a Glance - **Botox for Men** – Softens lines between the brows, across the forehead, and around the eyes - **Dermal Fillers** – Restores volume, defines features, and balances proportions - **All Juvederm & Restylane Products Available** – Wide selection of hyaluronic acid dermal fillers for precise, natural-looking correction - **Quick Appointments** – Most visits take under 30 minutes - **Zero Downtime** – Return to your day immediately #### A Smarter Way to Age *Why Men Choose Injectables* [.lead]The male face ages differently from the female face. Volume loss tends to show in the midface and jawline, and dynamic wrinkles in the brow and forehead can create a tired or tense appearance.[] **Non-surgical male treatments**, such as [Botox](/injectables-fillers/botox/) and [dermal fillers](/injectables-fillers/dermal-fillers/), offer a subtle way to combat these changes without the need for surgery or downtime. For men, the goal isn’t to erase every line. It’s to look healthier, more energized, and more capable, especially in professional and social settings. Dr. Shermak focuses on preserving masculine facial structure while softening the signs of age. #### High-Impact, Low-Interruption Options *What is treatment like?* Most injectable treatments take 20–30 minutes and are done right in the office. There’s no need for anesthesia or downtime, and most patients return to work immediately. [**Botox**](/injectables-fillers/botox/) is injected into targeted facial muscles using a fine needle. It begins to relax those muscles within a few days, softening the look of dynamic wrinkles. Results last about 3 to 4 months. [**Dermal**](/injectables-fillers/dermal-fillers/) fillers are used to restore volume, support structure, and improve facial contours. Dr. Shermak may apply a topical numbing agent before injection. Fillers provide instant results that typically last 6 to 18 months, depending on the product used. #### Lines, Volume Definition—Handled *What conditions does Botox and Fillers address?* [.lead]Botox and dermal fillers are versatile tools in the hands of an experienced injector. *Common concerns men address* with these treatments include:[] - Deep brow furrows or “11s” between the eyebrows - Forehead lines that make you look tense or stressed - Crow’s feet around the eyes - Volume loss in the cheeks or temples - Flattening or sagging in the midface - Undefined jawline or hollowed chin - Smile lines, marionette lines, or under-eye hollows Dr. Shermak uses the full range of [**Juvederm®**](/injectables-fillers/juvederm/) and [**Restylane®**](/injectables-fillers/restylane/) products, including options designed specifically for lifting, smoothing, or contouring the features. #### What are the benefits of non-surgical male procedures? #### Refinement Without the Downtime [.lead]Injectable treatments offer flexibility, discretion, and effective results, all under the care of a highly experienced, board-certified plastic surgeon who understands the nuances of male aesthetics.[] With thoughtful technique and the right approach, our Baltimore **non-surgical male procedures** offer men a way to enhance their appearance without dramatically altering their identity—or their schedule. #### Tailored Treatments, Unmistakably You *Are injectables right for me?* Most men in good health who want to subtly refresh their appearance without downtime are excellent candidates for **non-surgical male treatments in Baltimore**. During your consultation, Dr. Shermak will assess your facial structure, skin quality, and goals to create a plan that aligns with your lifestyle and preferences. These treatments are especially popular with men who want to: - Maintain a competitive edge professionally - Appear more rested or youthful without looking altered - Improve symmetry or definition in the mid- or lower face - Ease into aesthetic care before considering surgery #### Non-Surgical Male Procedures Recovery #### Refreshed Without the Wait Most patients return to normal activities the same day as their treatment. Mild swelling, redness, or pinpoint bruising may occur at the injection sites, but these effects are typically short-lived and easy to conceal. Applying a cold pack and avoiding strenuous activity for the first 24 hours can help minimize swelling and reduce the risk of irritation. With *male Botox*, it may take 3 to 7 days to start noticing results, as the muscle activity gradually softens. Dermal fillers offer more immediate changes, with full results visible once any swelling resolves, usually within a few days. Men appreciate that these treatments offer a refreshed appearance without looking artificial or "done." For the best outcome, it’s advised to avoid alcohol, blood thinners, or pressing on treated areas right after injections. Dr. Shermak provides detailed aftercare guidance so you can maintain your natural, confident look with ease. #### Results You Can Count On *Non-Surgical Male Procedures Results* The benefits of Botox last 3–4 months. Regular Botox treatments address existing wrinkles while slowing the formation of new ones. Filler results are visible immediately and can last from 6-18 months depending on the product and area treated. The key with Dr. Shermak’s technique is balance. You won’t look overdone or “frozen.” Instead, you’ll look like yourself—just more rested, alert, and well-defined. #### Why Men Trust Dr. Shermak *Why Choose Dr. Shermak for Non-Surgical Male Procedures?* [.lead]Dr. Michele Shermak is a *board-certified plastic surgeon* with over two decades of experience helping patients look and feel their best. Her male patients appreciate her discreet and honest approach, as well as the clarity she brings to every consultation.[] Whether you’re just starting to explore aesthetic treatments or seeking an expert for more advanced care, Dr. Shermak offers a level of professionalism and skill that’s hard to find elsewhere. Dr. Shermak performs all injectable treatments herself—not delegated to assistants or nurses—so you know you’re in expert hands from start to finish. #### Non-Surgical Male Procedures Frequently Asked Questions --- ## Breast Lift **Link:** [Breast Lift](https://www.drshermak.com/breast/breast-lift/) ([md](https://www.drshermak.com/breast/breast-lift/index.html.md)) **Type:** Service **Description:** Board-certified female plastic surgeon in Baltimore, Dr. Michele Shermak delivers amazing results with her breast lift surgery. Learn more about it here. ### Content #### Breast Lift at Dr. Michele Shermak Plastic Surgery #### Reshape Your Confidence At Dr. Michele Shermak Plastic Surgery in Baltimore, Maryland, we understand that a breast lift is more than just a procedure; it's a journey toward renewed confidence and comfort. Dr. Shermak, a board-certified plastic surgeon, brings an exceptional level of surgical artistry and empathetic care to each **breast lift** (*mastopexy*). Her dedication to creating natural-looking, beautifully elevated contours empowers you to reclaim your youthful figure or achieve lift that you never had, providing a solution tailored to your unique body and aesthetic aspirations right here in Baltimore. #### Breast Lift Before and After Photos #### Breast Lift at a Glance - **Restored Position:** Lifts and firms sagging breasts for a more youthful placement. - **Create a Perkier, More Elevated Breast**: Improves breast shape and position in women who develop sagging breasts with descent early on. Symmetry is also addressed when needed. - **Enhanced Shape:** Reshapes the breast mound for improved contour. - **Long-Lasting Renewal:** Offers enduring results against the effects of gravity and time. - **Personalized Approach:** Tailored to your unique anatomy and goals. - **Significant Confidence Boost:** Empowers a more comfortable and confident self-image. #### Breast Lift Overview *What is a Breast Lift?* [.lead]Youthful or pregnant breasts often lose their fullness over time, leading to feelings of frustration and reduced self-confidence as the overall silhouette is affected.[] Our Baltimore **breast lift**, or *mastopexy*, addresses this issue by removing excess breast skin, tightening sagging breast tissue, and repositioning the nipple to a higher, more natural location on the breast. The aim of this surgical procedure is to create rejuvenated, perkier breasts with enhanced symmetry and aesthetics, potentially eliminating the need for bra support. Many women find they do not fit well into workout clothing or swimwear, and cannot wear strapless tops and dresses because they need bra support. *A breast lift allows these women to feel more comfortable at the gym, the beach, the pool and going out*. *A breast lift surgery can be combined with breast augmentation* using saline or silicone implants or fat grafting to increase fullness and enhance cleavage. This procedure can also be paired with a tummy tuck (abdominoplasty) or liposuction to enhance the overall contour of the torso. #### Exquisite Curves Ahead *What is the Breast Lift procedure like?* Your **breast lift** procedure at Dr. Michele Shermak Plastic Surgery in Baltimore begins with an in-depth consultation, where Dr. Shermak listens attentively to your history and goals and thoroughly assesses your anatomy. On the day of surgery, conducted under general anesthesia for your comfort, Dr. Shermak meticulously performs the mastopexy. Incision patterns are carefully chosen to *achieve the best lift with minimal scarring*, typically around the areola, vertically down the breast, and along the breast crease. Excess skin is removed, and the remaining breast tissue is artfully reshaped and elevated to a higher, more youthful position. The nipple and areola are also repositioned to harmonize with the new breast contour. Finally, the incisions are precisely closed, and surgical dressings are applied. #### Impeccable Authenticity *Advanced Techniques for Minimal Scarring* [.lead]Dr. Shermak has many techniques to optimize shape and symmetry and minimize **breast lift** scars. With a lesser degree of sagging, scars may only be limited to the border of the nipple areola (also called circum-areolar).[] Women with more moderate degrees of sagging may require a lollipop-shaped incision to allow for better skin tightening and elevation of the nipple position. Women with more significant sagging or a size/shape mismatch benefit most from an anchor incision, which provides the most impactful approach for improving shape and symmetry. Dr. Shermak will spend time with you reviewing your history and performing a physical examination to offer you options that make the most sense in achieving your goals. #### Procedures That Offer More Comprehensive Transformation to the Physique #### Designing Your Breast Procedure [.lead][Breast augmentation](/breast/baltimore-breast-augmentation/) is often performed with a breast lift. While a **breast lift** improves the tautness of the breast, elevates the nipple position, and creates a crisp crease, it cannot raise the upper fullness of the breast.[] Augmentation can best improve upper fullness and cleavage. Some women opt to undergo more conservative augmentation with their own body fat. [Implant removal](/breast/breast-explant/) or implant exchange is often paired with a breast lift in women who desire to have existing implants removed or changed for a multitude of reasons. Women may choose to combine breast surgery with abdominal surgery, such as [liposuction](/body/liposuction/) and/or a [tummy tuck](/body/tummy-tuck-baltimore/), to achieve comprehensive results in the torso. [Mommy makeover](/body/mommy-makeover/) and [massive weight loss body contouring](/body/body-contouring-after-major-weight-loss/) patients are excellent candidates for surgery of the breast and abdomen. Dr. Shermak will discuss your goals for surgery with you and outline your options. The combination possibilities are numerous and individualized! #### Elite-Level Care *Where is Surgery Performed?* You have options in choosing the location of your surgery. Dr. Shermak has an accredited outpatient surgery center in her office building. This site offers a Nordstrom-style experience with peak patient-centered care, providing the most individualized approach to anesthesia and the highest safety standards to ensure your surgical experience is as positive and pleasant as possible. Her staff are totally patient-centric, aiming to create the most optimal, pleasant surgical experience. Not all plastic surgeons have access to this type of personal and professional environment for surgery. Some patients benefit from or prefer hospital-based surgery. Dr. Shermak has operating privileges in many local hospitals and can provide hospital-based surgery for those who prefer or need it. #### What conditions does Breast Lift address? #### Vibrant Renewal *Breast lift surgery is an exceptional solution for addressing several common concerns related to breast appearance*. It effectively treats breast ptosis (sagging) caused by aging, weight loss, gravitational pull, changes post-pregnancy, or breastfeeding. The procedure repositions nipples and areolas that have dropped below the breast crease, and it can also improve the overall shape and firmness of the breast mound that has become flattened or elongated. For many, it alleviates discomfort caused by sagging and enhances the fit of clothing, resulting in improved physical comfort and increased self-confidence. #### Capture Your Confidence *What areas of the body can Breast Lift address?* This transformative surgery primarily addresses the entire breast mound, including the skin, underlying glandular tissue, and the position of the nipple-areola complex and breast crease, to achieve an overall uplifted and firmer appearance on the chest wall, as well as a more youthful breast contour. #### What are the benefits of a Breast Lift? #### Top Reasons to Have Breast Lift Surgery [.lead]Here are several compelling reasons why a **breast lift in Baltimore** might be the right choice for you:[] - Tailored breast rejuvenation - Reduced sagginess and deflation related to development, pregnancy and breastfeeding, and/or significant weight loss - Revise the position, shape, sized, and prominence of the nipple-areolar complex - Reduced stretch marks - Improved breast symmetry, which may be “off” from development or cancer treatments - Relief from strain on the back that occurs from the pull of the breasts downward - Improved cleavage in dresses, tops, and bathing suitsInspire and improve self-confidence #### Optimal Candidacy for Breast Lift Surgery in Maryland *Am I a candidate for a Breast Lift?* [.lead]The best candidates for a *breast lift in Maryland* are non-smoking women in good physical and psychological health with a stable weight who have sagging or deflation due to age, pregnancy, heredity, or significant weight loss. These clients should have realistic expectations for improvement based on their private consultation with Dr. Shermak.[] Women with autoimmune and rheumatologic disorders may experience improvement in physical ailments associated with sagging of the breasts, and Dr. Shermak has provided excellent physical and emotional benefits to these women. During the initial consultation, you will discuss with Dr. Shermak what you would like to achieve so she can determine how to best reach your desired result. This plastic surgery procedure is customized to your desires and needs. #### Your Path to an Uplifted Future *Breast Lift Recovery* [.lead]Surgery is performed on an outpatient basis. One may experience temporary discomfort, swelling, or numbness. Most women resume regular, non-strenuous activities within 5-7 days, and may return to work after 1-2 weeks.[] Intensive exercise and lifting are discouraged for a month. After a **breast lift** Baltimore patient's breasts may be tender, swollen, or bruised. Dr. Shermak will outfit you with a surgical bra/compression garment to ensure your new breast shape is maintained and to help reduce swelling. If you require pain medication, Dr. Shermak can write a prescription to help alleviate your discomfort. A skin moisturizer and specific scar creams and tapes will help minimize scars and keep the breasts soft and supple as they recover. #### Embracing Your New Contours *Breast Lift Results* **[.button.active]When Can I See My Transformed Results?[]** Initial improvements in breast position and shape will be visible immediately after surgery, though swelling will be present. The more refined and final results will gradually emerge over several weeks to months as swelling subsides and tissues settle into their new, elevated position. **[.button.inactive]How Long Does a Breast Lift Last?[]** *A breast lift provides long-lasting improvements in breast position and firmness*, offering a permanent change in your breast anatomy. However, the natural aging process, gravitational effects, and significant weight fluctuations can still impact the appearance of breasts over time. Maintaining a stable weight can help preserve your results for many years. **[.button.inactive]What Will My Elevated Look Like?[]** Anticipate breasts that are significantly more elevated, firmer, and shapelier, with nipples and areolas positioned higher on the breast mound. The goal is a more youthful, aesthetically balanced contour that enhances your overall figure and provides renewed confidence in your appearance. #### An Expert in Empowerment *Why Choose Dr. Shermak for a Breast Lift?* [.lead]Dr. Shermak stands out as the premier choice for your breast lift procedure. As a *Board-Certified Plastic Surgeon* with a distinguished reputation in both her local and national communities, she has been recognized as an authority in breast surgery.[] Her extensive expertise spans [breast augmentation](/breast/baltimore-breast-augmentation/), *breast lift*, [breast reduction](/breast/breast-reduction/), breast reconstruction, [breast revision](/breast/breast-implant-revision/), [congenital breast asymmetry](/breast/breast-asymmetry/), and [male breast reduction](/male-plastic-surgery/male-breast-reduction/). Honored annually in the Baltimore Top Docs Survey, Dr. Shermak's accolades and recognition by her peers and patients speak to her exceptional skill and dedication. She is deeply committed to providing personalized care, ensuring that every patient feels valued and understood throughout their journey. Her technical proficiency combined with her compassionate approach guarantees results that enhance both appearance and self-confidence. Choosing Dr. Shermak for your **breast lift** means entrusting your care to a surgeon who prioritizes your well-being and aesthetic goals. Her comprehensive experience in mastopexy, along with her broader expertise in abdominoplasty, body lifts, fat grafting, and facial plastic surgery, ensures that you are in expert hands. #### Next Steps *Schedule A Consultation* We invite you to call Dr. Shermak’s plastic surgery office in Baltimore at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal, comprehensive breast list consultation. Please take a look at our online library of before-and-after photos to see the kind of results that are possible with superior *breast lift surgery in Baltimore, Maryland*. #### Breast Lift Frequently Asked Questions [.intro]References[] [Shermak, M. A. (2015). An outcomes analysis of 2,142 breast reduction patients: A single-surgeon experience. Annals of Plastic Surgery, 74(3), 265–269](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) [Gingrass, M. K., & Shermak, M. A. (2006). The treatment of gynecomastia with ultrasound-assisted lipoplasty. Aesthetic Surgery Journal, 26(4), 369–373](https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1080216) [Shermak, M. A., Chang, D., Buretta, K., Mithani, S., Mallalieu, J., & Manahan, M. (2011). Increasing age impairs outcomes in breast reduction surgery. Plastic and Reconstructive Surgery, 128(6), 1182–1189.](https://journals.lww.com/plasreconsurg/abstract/2011/12000/increasing_age_impairs_outcomes_in_breast.11.aspx) --- ## Cosmetic Procedures for Men **Link:** [Cosmetic Procedures for Men](https://www.drshermak.com/male-plastic-surgery/) ([md](https://www.drshermak.com/male-plastic-surgery/index.html.md)) **Type:** Service **Description:** With her expertise and experience, Baltimore plastic surgeon Dr. Michele Shermak offers a wide range of surgical and non-surgical options tailored to address men's unique aesthetic goals... ### Content #### Procedures for Men *Plastic Surgery and Non-Surgical Cosmetic* With her expertise and experience, Baltimore plastic surgeon Dr. Michele Shermak offers a wide range of surgical and non-surgical options tailored to address men's unique aesthetic goals. #### Dr. Shermak's Approach *to Male Cosmetic Procedures* As a highly regarded plastic surgeon, Dr. Michele Shermak combines her technical expertise with an artistic eye to achieve natural and proportionate results for her male patients. Recognizing that each man has unique concerns and desired outcomes, she begins with a comprehensive consultation to understand their goals fully. More men are getting breast reductions. What to know about gynecomastia and how it’s impacting male body image. [Read Full Interview Here](https://www.yahoo.com/lifestyle/more-men-getting-breast-reductions-205949973.html) #### The Consultation Process Dr. Shermak understands that some men may feel hesitant about pursuing cosmetic procedures due to stigmas or misconceptions. Her warm and approachable demeanor, along with her focus on patient education, helps put her patients at ease. During the consultation, Dr. Shermak takes the time to thoroughly discuss each procedure, ensuring her patients have a clear understanding of what to expect. She addresses any concerns and answers all questions, creating a collaborative and open environment for decision-making. #### Patient Safety and Care Patient safety and satisfaction are paramount to Dr. Shermak. Before recommending any procedure, she conducts a thorough medical evaluation to ensure her patients are suitable candidates for surgery or non-surgical treatments. Throughout the entire process, from the initial consultation to post-operative follow-ups, Dr. Shermak and her dedicated team provide compassionate care and support. Their goal is to ensure a smooth and positive experience for each patient, allowing them to achieve their aesthetic goals with confidence. #### Conclusion Dr. Michele Shermak's expertise in plastic surgery and non-surgical procedures for men offers transformative opportunities for enhancing masculine confidence. From body contouring to facial rejuvenation, her customized approach and commitment to patient satisfaction set the stage for life-changing transformations. With Dr. Shermak's care and guidance, men can rediscover their self-assurance and embrace a renewed sense of confidence in their appearance. --- ## Jawline Filler **Link:** [Jawline Filler](https://www.drshermak.com/injectables-fillers/jawline-filler/) ([md](https://www.drshermak.com/injectables-fillers/jawline-filler/index.html.md)) **Type:** Service **Description:** Sculpt a sharper, more defined jawline at Dr. Michele Shermak Plastic Surgery in Baltimore. Enhance your profile with jawline filler and achieve harmonious facial contours non-surgically. ### Content #### Jawline Filler at Dr. Michele Shermak Plastic Surgery #### Embrace Sleek Definition At Dr. Michele Shermak Plastic Surgery in Baltimore, we understand the profound impact a well-defined jawline has on overall facial aesthetics and a strong profile. Dr. Shermak, a *board-certified plastic surgeon* of considerable expertise, approaches jawline enhancement with injectable fillers as a meticulous process of re-establishing youthful angles and firm contours. Utilizing advanced fillers specifically designed for structural support, such as *Juvéderm Volux*, her precise application and discerning artistic eye work to create a jawline that frames the face harmoniously, lending an air of sophistication and definition that truly complements your unique features without surgical intervention. #### Injectables Before and After Photos #### Jawline Filler at a Glance - **Sharper Angles:** Creates a more chiseled and defined jawline. - **Prompt Return:** Typically allows for quick resumption of routines. - **Extended Impact:** Enjoy results that last for a considerable duration with products like Juvéderm Volux. - **Personalized Shaping:** Tailored to achieve your desired facial structure. - **Non-Invasive:** An effective method to refine lower facial contours. #### Sculpting Your Lower Face *What is Jawline Filler?* [.lead]**Jawline filler** is an advanced, non-surgical aesthetic procedure designed to enhance the definition, contour, and overall structure of the lower face.[] Through the strategic placement of specially formulated dermal fillers, such as *Juvéderm Volbella*, this treatment offers a versatile solution for concerns related to an ill-defined or softened jawline. Whether you aim to create a more chiseled angle, enhance the transition from the chin to the ear, or address subtle irregularities along the mandibular border, we offer a precise method to help you achieve a stronger, more aesthetically pleasing facial outline. #### How Dermal Fillers Work *Dermal fillers* work by replacing the facial volume that is often lost as a normal and natural part of the aging process. As you age, your body produces less collagen and elastin, two compounds that play a significant role in helping your skin retain moisture and maintain its supple, youthful qualities. These exciting treatments utilize a synthetic form of hyaluronic acid to fill in the lost volume, restoring your appearance, smoothing over fine lines, and addressing the presence of frustrating wrinkles that may have developed. The entire process takes less than an hour to complete, making it an ideal “lunch break” treatment. #### Exquisite Proportions *What is the Jawline Filler procedure like?* [.lead]Your journey to a more defined jawline at Dr. Michele Shermak Plastic Surgery begins with a comprehensive, private consultation where your specific aesthetic objectives are carefully discussed.[] To ensure your comfort during the treatment with **jawline filler** Baltimore patients will have a topical numbing agent applied to the treatment area. Dr. Shermak then skillfully administers the chosen hyaluronic acid filler along the bony structure of the jawline, meticulously sculpting and enhancing its form to *achieve the desired contour and definition*. The entire procedure is typically efficient, often concluding within 45 to 60 minutes, allowing you to comfortably resume your daily activities with newly defined lower facial contours. #### What conditions does Jawline Filler address? #### Refined Strength [.lead]*Jawline filler is a remarkably effective treatment for addressing a spectrum of aesthetic concerns related to the lower face and neck transition*.[] It can significantly improve the appearance of a receding or poorly defined jawline, create a sharper angle between the jaw and neck, minimize the early signs of *jowling* by tightening the skin along the mandibular line, and correct subtle asymmetries in jawline contour. By artfully enhancing definition and projection, **jawline fillers** contribute to a more assertive, refined, and youthful lower facial appearance. #### Beautiful Contours *What areas of the body can Jawline Filler address?* This specialized treatment focuses on precise points along the mandibular bone, from the angle of the jaw near the earlobe to the menton (chin point), including areas to reduce the appearance of pre-jowl sulcus. #### What are the benefits of Jawline Filler? #### Impeccable Lines Choosing **jawline filler in Baltimore** at Dr. Michele Shermak Plastic Surgery offers a range of compelling benefits for those seeking to enhance their lower facial profile: **Achieve a Distinct and Chiseled Contour** Experience a noticeable transformation in your facial outline, moving from a soft or undefined jawline to one with sharper, more attractive angles. Fillers can meticulously sculpt the mandibular border, creating a firmer, more defined distinction between the face and neck. **Restore Youthful Firmness to the Lower Face** As we age, the jawline can lose its tautness, leading to the appearance of jowls. *Jawline fillers* strategically augment the bone structure, effectively tightening and lifting the skin in this area, which can significantly reduce the look of sagging and restore a more youthful, angular profile. **Enhance Overall Facial Proportions** A well-defined jawline acts as a strong frame for the rest of the face. By enhancing its structure, *jawline filler can improve the balance between your upper, mid, and lower face*, contributing to a more symmetrical and aesthetically pleasing overall facial harmony. #### Are Jawline Fillers the Right Choice? *Am I a candidate for Jawline Filler?* [.lead]Dr. Shermak has a high level of experience when it comes to helping her patients choose the procedural options that are right for them.[] She’s proud to offer a wide range of both surgical and non-surgical treatment options, and she’ll take the time to help you chart an effective course to your desired cosmetic outcome. You’re likely to be a great candidate for *dermal fillers in the chin or jawline* if you: - Would like to have a stronger, more defined jawline - Are concerned about a weak or soft jawline - Have noticed sagging or drooping near the jawline - Are interested in a non-surgical solution Would like to enjoy enhanced self-confidence #### Jawline Filler Recovery #### Discover a More Youthful You [.lead]**Jawline fillers** are ideal for our busy, active patients due to their ability to create impressive results with little to no downtime. After your treatment session, you’ll experience some tenderness and redness in the treatment area, both of which will fade quite quickly.[] If you’re interested in learning more about how dermal fillers can help you or would like to explore the other treatment options we offer, our team is here to help. To get started, reach out to Dr. Shermak and her team in Baltimore and set up your initial consultation today. #### The Power of Confidence *Jawline Filler Results* **When Will I See Results?** You will notice an immediate improvement in the contour and definition of your jawline immediately after the procedure. The fully settled and final results typically become apparent within one to two weeks, once any initial swelling has completely subsided. **How Long Do Jawline Filler Results Last?** The longevity of **jawline filler** results varies among individuals, but most patients enjoy their enhanced definition for approximately 12 to 24 months, depending on the specific filler used and individual metabolic factors. Periodic touch-up sessions can help you maintain your desired sharp and contoured jawline over time. **What Can I Expect from My Jawline Filler Results?** Expect a more angular, sculpted, and harmoniously defined lower facial profile that seamlessly integrates with your existing features. The goal is a natural-looking enhancement that contributes to a stronger, more assertive facial aesthetic and boosted self-confidence. #### Discover the Jawline of Your Dreams *Why Choose Dr. Michele Shermak Plastic Surgery for Jawline Filler?* [.lead]For years now, Dr. Michele Shermak has been earning a reputation in Baltimore and around the world for her commitment to surgical excellence. Her extensive experience and keenly developed artistic sensibility have made her incredibly adept at various forms of facial rejuvenation.[] She’s excited to offer her patients a series of *injectable treatments* that can create exciting results without requiring extended downtime or a lengthy recovery period. Injectable dermal fillers are available to patients in Baltimore or from anywhere else in the world, and Dr. Shermak is ready to help you enjoy your ideal cosmetic outcome. If you’d like to learn more about how this treatment can help you, reach out to Dr. Shermak and her team and set up your initial consultation today. #### Jawline Filler Frequently Asked Questions --- ## Spider Vein **Link:** [Spider Vein](https://www.drshermak.com/injectables-fillers/spider-vein/) ([md](https://www.drshermak.com/injectables-fillers/spider-vein/index.html.md)) **Type:** Service **Description:** At our office in Baltimore, we offer Spider Vein Treatments (Sclerotherapy). female board certified plastic surgeon Michele Shermak. Information on spider vein treatment, good candidates ### Content #### What is Spider Vein Treatment? *Spider veins* are small webs of red, purple or blue clusters or lines impacting the appearance of the skin. Individuals prone to this may be genetically-susceptible or stand on their feet for prolonged periods of time. At our office in Baltimore **sclerotherapy** is a minimally invasive treatment for spider veins. This involves injecting a medication into the spider veins that acts to scar the vessels closed, eventually causing the veins to involute and disappear. #### How much does Sclerotherapy cost? *Sclerotherapy treatments typically range between $500 and $1,500*, depending on the extent of treatment required and the number of veins being addressed. #### Sclerotherapy Before and After Photos #### Who is a Good Candidate for Spider Vein Treatment? Good candidates are men and women of all age groups interested in *addressing unsightly spider veins*. The veins need to be large enough to inject, but small enough to be responsive to sclerotherapy injection. Large, ropey varicose veins do not respond to this treatment and require more invasive treatment. Women who are pregnant should wait until after the pregnancy is complete. During the initial consultation you will discuss with [Dr. Shermak](/about/dr-shermak/) what you would like to improve so she can understand your expectations and determine how to best achieve your desired result. At that visit, a test treatment may take place to test the effectiveness of the sclerosant and skin tolerance. A second visit is then arranged for a full treatment session. Multiple sessions of **sclerotherapy in Baltimore** may be necessary for more complete treatment. In some cases after treatment, other veins will grow into the treated area. These tend to not be as full or remarkable as the original spider veins and may be susceptible to treatment. #### What is the Recovery Like After Sclerotherapy? Treated veins will become inflamed, purple and more visible for a period of time while they react to the sclerosant. They will then involute. There may be some bruising. Regular exercise and activities may be resumed by the following day. Bruising may resolve better with Arnica ointment and oral tablets. #### Comprehensive Cosmetic Care The way you look and feel directly affects your self-image. In addition to *treating Baltimore spider vein patients*, Dr. Shermak takes care of many Baltimore [Sculptra](/injectables-fillers/sculptra/), [dermal filler](/injectables-fillers/dermal-fillers/), and [Botox](/injectables-fillers/botox/) patients. Please visit these pages to learn more about the other facial enhancement procedures offered. You may also visit our photo gallery to view representative results. #### Taking the First Step *Schedule A Consultation* We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal [consultation](/contact/) today. --- ## Facelift for Men **Link:** [Facelift for Men](https://www.drshermak.com/male-plastic-surgery/male-facelift/) ([md](https://www.drshermak.com/male-plastic-surgery/male-facelift/index.html.md)) **Type:** Service **Description:** Board-certified plastic surgeon in Baltimore, Dr. Michele Shermak offers male facelift surgery in Baltimore. Subtle, natural results for men seeking facial rejuvenation. ### Content #### Facelift for Men at Michele Shermak, MD #### Refined. Masculine. Discreet. Naturally You. Facial aging doesn’t discriminate. But the way we treat it should. For men, addressing signs of aging means maintaining strength in the jawline, achieving subtle results, and conveying authenticity. That’s why a *facelift for men* is never a one-size-fits-all procedure. It’s a custom strategy for restoring definition while preserving the masculine character of your face. Dr. Michele Shermak specializes in *facelift surgery for men in Baltimore*, delivering individualized results in a discreet and trusted setting. As a board-certified plastic surgeon and national leader in aesthetic surgery, she brings both technical precision and a collaborative mindset to the consultation room—so your goals stay front and center. #### Male Facelift at a Glance - **Refines the Midface and Jawline** – Reduces jowls and enhances lower face definition - **Lifts Without Overcorrecting** – Subtly smooths skin and restores structure - **Preserves a Masculine Appearance** – No feminizing or over-tightening - **Maintain a Competitive Advantage in Your Career** - Match your energy and physical appearance which may be hidden by signs of aging - **Long-Lasting Results** – Typically lasts 10+ years - **Discreet Scars** - Strategically placed incisions become nearly invisible over time - **Minimal Downtime** – Most patients return to work in 1–2 weeks #### Restore Your Edge Not Your Age *About Facelifts for Men* [.lead]Our **male facelift in Baltimore** is a surgical procedure designed to lift and reposition sagging facial tissues in the lower face and neck, improving skin laxity, jowls, and jawline definition while preserving masculine angles.[] The procedure often includes adjustment of deeper tissues (such as the SMAS layer), not just the skin, to maintain strength and natural facial movement. Fat is also reduced allowing men to look thinner and more vital. Men have thicker skin, stronger ligaments, and facial hair patterns that influence incision placement and technique. Dr. Shermak carefully accounts for these factors in every surgical plan, ensuring a result that looks refreshed and natural to you. #### Surgical Expertise With a Masculine Focus *What is the male facelift procedure like?* Surgery is performed under general anesthesia in Dr. Shermak’s fully *accredited surgical facility in Baltimore*. Incisions are carefully placed around the ears and within natural creases to remain discreet. The deeper tissues are lifted and secured, fat is reduced, loose skin is removed, and the neck is often tightened at the same time. The procedure typically takes 3 to 4 hours, and patients go home the same day with a comprehensive recovery plan in place. #### Subtle Surgery Meaningful Change *What are the benefits of a male facelift?* [.lead]With a **male facelift** Baltimore patients can enhance both their appearance and confidence without compromising your natural, masculine look. Benefits include:[] - Sharper jawline and chin definition - Reduction of sagging skin and folds - Better neckline and facial symmetry - Results that look like you—just rested and sharper - A more competitive, energetic presence in professional and personal settings #### What conditions does a male facelift address? #### Aging Signs Men Commonly Face [.lead]A **male facelift** addresses several common signs of aging, including:[] - Jowls or sagging along the jawline - Loose neck skin or “turkey neck” - Deep nasolabial folds (smile lines) - Midface descent - Volume loss in the cheeks and jawline #### When It’s Time to Consider Surgery *Is a male facelift right for me?* You may be a good candidate for our **male facelift in Baltimore** if you’re in good health and want to address visible signs of facial aging, especially in the lower face and neck, that haven’t responded to non-surgical treatments. Dr. Shermak regularly works with men in their 40s-70s and personalizes her approach based on each patient’s anatomy, goals, and lifestyle. [Facelifts](/face/facelift-baltimore/) are often combined with a [neck lift](/face/neck-lift/), [eyelid surgery](/face/blepharoplasty/), or [facial fat grafting](/face/facial-fat-transfers/) for a more complete result. Dr. Shermak will help you design a procedure tailored to your goals. #### Male Facelift Recovery #### Recover Comfortably Confidently Swelling and bruising are expected for the first week, but most men feel well enough to return to work or daily tasks within 10–14 days. A compression garment may be worn to reduce swelling and support the new contours. Light activity can resume quickly, but strenuous workouts should be avoided for several weeks. Dr. Shermak’s team provides detailed aftercare instructions and regular follow-up visits to guide you through a comfortable recovery process. #### Look Sharper Without Looking “Done” *Male Facelift Results* [.lead]A **male facelift** creates a natural, refreshed appearance by lifting sagging facial tissues, tightening loose skin, and restoring more defined contours to the jawline and neck.[] One of the most noticeable improvements is the reduction of jowls and heaviness along the lower face, which can soften a man’s profile with age. By repositioning underlying structures and removing excess skin, the procedure restores a firmer, more chiseled appearance without compromising the distinctly masculine angles of the face. For many men, the results go beyond aesthetics. *A facelift can help align your outer appearance with how you feel internally—capable, energetic, and youthful*. Clothes fit better around the neck and jaw, photographs become more flattering, and confidence in social and professional settings often increases. Importantly, the goal isn’t to look different. It’s to look like yourself, just years younger and more rested. The right surgical approach ensures results that are subtle, strong, and unmistakably yours. #### Precision. Privacy. Results. *Why Choose Dr. Shermak for Your Male Facelift?* [.lead]Dr. Michele Shermak is a *board-certified plastic surgeon* with over 27 years of experience and leadership roles in many national surgical organizations. Her practice in Baltimore is known for excellence in both technique and personalized care.[] She understands the specific goals men bring to facial surgery—refinement without softness, definition without overcorrection—and delivers results that reflect that balance. Dr. Shermak enjoys providing her male patients care, discretion and results that allow them to become more confident in their social and career interactions. Discreet, private, and tailored to you—this is *facelift surgery* designed for real life. [Schedule a Consultation](/contact/) #### Male Facelift Frequently Asked Questions --- ## Implant Revision **Link:** [Implant Revision](https://www.drshermak.com/breast/breast-implant-revision/) ([md](https://www.drshermak.com/breast/breast-implant-revision/index.html.md)) **Type:** Service **Description:** Breast Implant Revision Surgery in Baltimore Maryland offered by female plastic surgeon Dr Shermak. Get more information on breast implant revision surgery today ### Content #### Breast Implant Revision with Dr. Shermak With her consummate background, training and expertise in body sculpting, Dr. Shermak is uniquely qualified to deliver structurally sound, aesthetically pleasing results that overcome complex obstacles. Dr. Shermak is easy to talk to: she will listen to your concerns about prior breast surgery you have had and will offer options to improve on your results. Please read more about what to expect from our Baltimore **breast implant revision** below. #### Breast Revision Before and After Photos #### Breast Revision Overview - [**Breast Implant Revision with Dr. Shermak**](#revision) - [**What is Breast Implant Revision Surgery?**](#whatisit) - [**Breast Revision Before & After**](#gallery) - [**Common Reasons for Breast Revision Surgery at a Glance**](#glance) - [**Who is a Good Candidate for Breast Implant Revision Surgery?**](#candidate) - [**Details of the Procedure**](#procedure) - [**What is the Recovery Like for Baltimore Breast Implant Revision Patients?**](#recovery) - [**Can I Have Surgery Under Local Anesthesia?**](#anesthesia) - [**Getting Your Implants Checked**](#implants) - [**What Financing Options are Available For Breast Revision With Dr. Shermak?**](#financing-options) - [**Next Steps? Schedule a Consultation**](#schedule) - [**References**](#eferences) #### What is Breast Implant Revision Surgery? *Silicone implants* became available 5 years ago for augmentation purposes, so some women desire to switch from saline to silicone. Whether implants were originally placed for cosmetic or for reconstructive purposes, over the course of decades, implants may require replacement. In other cases, surgical error may result in the need for improved secondary breast surgery. Patients may also simply change their mind about having implants and request a size adjustment or complete removal. Some women have poor placement of their implants or poor harmony of the implant with breast lift that may have been performed. For *revision surgery*, the same scar may be used from the prior implant surgery to remove the existing implants and replace them with new ones, and Dr. Shermak will replace with saline or silicone breast implants depending on patient choice, in a broad size range. If the scars are related to a breast lift procedure, Dr. Shermak can use these scars to tighten or improve on the contour of the breasts. Some women decide to pursue a [breast lift](/breast/breast-lift/) at the same time of implant revision. Dr. Shermak specializes in *breast revision in Maryland*. Check out Dr. Shermak, a Mentor Company preferred plastic surgeon, on its website “Love your Look” and on the Sientra website as well. **Breast implant revision** is surgery performed to refresh prior [breast augmentation](/breast/baltimore-breast-augmentation/) surgery. Over time, typically on the order of decades, silicone implants wear down, sometimes inciting scar tissue to develop around the implant which may become symptomatic. This is called *capsular contracture*. Saline implants over time have less of an issue with capsular contracture, and more of an issue with slow deflation leading to rippling, again on the order of decades. #### Common Reasons for Breast Revision Surgery at a Glance - Breast implant rippling - Breast implant rupturing - Capsular contracture - Breast implant shifting - Concerns about size or type of implant - Concerns about implant placement - Desire for implant removal - Surgical error #### Who is a Good Candidate for Breast Implant Revision Surgery? [.lead]Good candidates for **breast implant revision in Baltimore** are women in good health, non-smokers, who have noted a change in feel or in appearance of their breast implants, who have never been comfortable with results from their implant surgery, or who have been diagnosed with implant rupture from a breast imaging study.[] At consultation Dr. Shermak will discuss with you options for treatment, largely depending on your goals. While *some women choose to remove their implants altogether*, others opt for replacement, and maybe a switch to a different style or size of implant. #### Details of the Procedure [.lead]For **breast implant revision** Baltimore patient swill have the surgery performed under general anesthesia at our accredited outpatient medical facility and takes 1-3 hours on average, depending on the extent of the work completed.p[ When necessary, the doctor may have to perform narrowing of the breast pocket with suture techniques or with biomedical products such as alloderm or strattice. This helps shape the breast more optimally and guard against future episodes of capsular contracture. #### What is the Recovery Like for Baltimore Breast Implant Revision Patients? Surgery is performed as an outpatient. One may experience temporary discomfort, swelling, or numbness. If the *breast implants* caused symptoms prior to surgery, many women share that they actually feel more comfortable immediately after surgery. Most women resume regular low impact activity within a week and drive within 10 days. Heavy exercise and lifting are discouraged for a month. #### Can I Have Surgery Under Local Anesthesia? Dr. Shermak may be able to perform surgery under local anesthesia that takes about an hour. This is best performed in women with saline implants who desire removal only. Patients do amazingly well with this procedure. The way you look and feel directly affects your self-confidence. In addition to performing **breast implant revision** patients, Dr. Shermak performs [abdominoplasty](/body/tummy-tuck-baltimore/), [body lift surgery](/body/body-lift/), [fat grafting](/body/fat-transfer/), and facial plastic surgery. #### Getting Your Implants Checked Breast implants settle and may wear down over time. More importantly, the body changes over the years, which may result in a need for a *breast revision in Maryland*. The best thing to do is consult a *Board-certified plastic surgeon* such as Dr. Michele Shermak, who has years of education and experience on the subject of breast surgery. Read more about this on our blog: [It may be Time to get your Implants Checked](/blog/it-may-be-time-to-get-your-implants-checked/). #### What Financing Options are Available For Breast Revision With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Next Steps? Schedule a Consultation [.lead]We invite you to call Dr. Shermak’s Baltimore plastic surgery office to schedule your personal, comprehensive consultation today regarding **breast implant revision in Maryland**.[] During this session, Dr. Shermak will examine your breasts, review your medical records and previous surgeries, jot down any current medications, and begin to formulate a customized plan of action for addressing your revision needs and goals. Rather than disparage the work of any other surgeon, the doctor prefers to concentrate on how she can solve the most pressing problems presented in an innovative and aesthetically pleasing way. Dr. Shermak believes that an educated, well-informed client has the best chance for success with their procedure, so she will spend as much time as necessary during the consultation to answer all your questions and concerns in depth. You will also receive access to our extensive online library of before and after photography. [.intro#references]References[] [Shermak, M. A. (2015). An outcomes analysis of 2,142 breast reduction patients: A single-surgeon experience. Annals of Plastic Surgery, 74(3), 265–269](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) [Gingrass, M. K., & Shermak, M. A. (2006). The treatment of gynecomastia with ultrasound-assisted lipoplasty. Aesthetic Surgery Journal, 26(4), 369–373](https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1080216) [Shermak, M. A., Chang, D., Buretta, K., Mithani, S., Mallalieu, J., & Manahan, M. (2011). Increasing age impairs outcomes in breast reduction surgery. Plastic and Reconstructive Surgery, 128(6), 1182–1189.](https://journals.lww.com/plasreconsurg/abstract/2011/12000/increasing_age_impairs_outcomes_in_breast.11.aspx) #### This is your life Make it Confident [Schedule a Consultation](/contact/) --- ## Kybella **Link:** [Kybella](https://www.drshermak.com/injectables-fillers/kybella/) ([md](https://www.drshermak.com/injectables-fillers/kybella/index.html.md)) **Type:** Service **Description:** Kybella is a non-invasive solution for reducing undesirable fat under the chin. With one strategic session of injections, a tighter, more youthful and attractive aesthetic can be achieved. ### Content #### A Sculpted Jawline Within Reach The most prominent signs of aging include wrinkles, crow’s feet and laugh lines. But what about that pesky, unwanted area known as a *double chin*? This annoying fat-retaining zone usually fails to respond to dieting and exercise, making it all the more troublesome. #### A Brief History of Kybella *Kybella was introduced in 2015 by the FDA as a safe, non-invasive solution for reducing undesirable submental fat*. Prior to **Kybella** Baltimore clients’ only choice was to receive liposuction or plastic surgery to trim the region under the chin. Now with one strategic session of injections, a tighter, more youthful and attractive aesthetic can be achieved – and all without lengthy downtimes or discomfort. #### How Does Kybella Work? At our office in Baltimore **Kybella** relies on the power of deoxycholic acid molecules. These compounds are found organically in the body, where they work to dissolve and emulsify fat cells, releasing them as waste. Once the *Kybella* formula is injected, it goes to work on *slimming and contouring your double chin*. #### Who is Not a Good Candidate for Kybella? If you are suffering from loose, sagging skin in addition to a double chin, *Kybella* may not be the best solution, as liposuction can better address both issues at once. Non-surgical skin-tightening is also an option in this case. **Kybella** should not be used by those who are nursing or are pregnant, or by those who have experienced difficulty swallowing in the past. If you have previously received plastic surgery around the neck and chin area, or are currently taking blood thinners, be sure to let the doctor know. #### How Long Do My Results Last? *Kybella is considered a permanent solution to unwanted submental fat*, and therefore once your ideal aesthetic has been achieved, you will not need to keep undergoing treatment in order to maintain your results. **Kybella** will *reduce the fat cells* for good. #### What is the Procedure Like? One *treatment with Kybella* may involve up to 50 mini injections to reshape the area under the chin. The total treatment time is typically under 30 minutes. You may be required to return for additional follow-up as the fat is slowly flushed from the body. Dr. Shermak will ensure you are comfortable at all times during your visit. She may use a topical anesthetic to numb the area, or an ice pack. After the procedure, you may take over-the-counter painkillers if needed. Clients can return to work or other activities right after their **Kybella** injections. --- ## Breast Fat Transfer **Link:** [Breast Fat Transfer](https://www.drshermak.com/breast/fat-transfer/) ([md](https://www.drshermak.com/breast/fat-transfer/index.html.md)) **Type:** Service **Description:** Baltimore plastic surgeon, Dr. Shermak provides information on breast augmentation surgery using fat from other areas of the body and transferring it to the breast. ### Content #### Understanding Fat Transfer Breast Augmentation **Fat transfer breast augmentation** is a revolutionary new technique for [breast augmentation](/breast/baltimore-breast-augmentation/) that utilizes your body’s own fat to create enhanced curves and a more alluring bust. This procedure involves Dr. Shermak moving fat from one area of your body to your breasts, where it enhances their size, shape, and projection. Not only does this procedure have the benefit of naturally augmenting your breasts, but it also works to slim down a “problem” area—like the abdomen, thighs, or back—through liposuction. If you’d like to *learn more about how fat transfer breast augmentation can help you enjoy an enhanced sense of self-confidence*, reach out to Dr. Shermak’s team in Baltimore and set up your initial consultation today. #### Breast Fat Transfer Before and After Photos #### Breast Augmentation Without Implants [.lead]Thanks to **fat transfer breast augmentation** Baltimore patients breasts can now be enhanced with fat removed from a region on their own body—such as the abdomen, back, inner or outer thighs, or arms—and transferred to the breasts through scars that will barely be visible once your recovery period is over. This is a fairly conservative method of augmentation, with most patients seeing an increase in size of about one-half to one cup size.[] Worth noting is that the ultimate size of your breasts will not be fully predictable with *fat transfer breast augmentation*, as some of the fat may be absorbed by your body and disappear. *Patients are typically able to see between 70% and 100% of the transferred fat remaining after their fat transfer breast augmentation, and multiple surgical fat transfers may be performed to increase the size outcome*. #### Am I the Ideal Candidate? [.lead]Good candidates are women interested in the improvement of visible edges around reconstructive or cosmetic implants or women who desire a minimal to moderate increase in bust size without resorting to traditional breast implants.[] *Fat transfer breast enhancement* utilizes your own tissues, making it a safe and natural alternative to implant-based breast augmentation. During your consultation, Dr. Shermak will get to know you and your personal goals and help you decide whether or not **fat transfer breast augmentation** is the right choice for you. #### The Benefits of Fat Transfer Breast Augmentation - Increased breast volume - A fuller, rounder, more lifted look without implants - An improved natural appearance, thanks to increased coverage and contour in the cleavage - The ability to approximate fullness with natural fat after deciding to remove implants - A more attractive, youthful appearance - Optimal body contours in another region - Minimal post-procedural scarring #### Your Fat Transfer Breast Augmentation Options #### Designing Your Customized Treatment Plan The way you look and feel directly affects your self-confidence. In addition to treating Baltimore **fat transfer breast augmentation** patients, Dr. Shermak takes care of many Baltimore [abdominoplasty](/body/tummy-tuck-baltimore/), [body lift](/body/body-lift/), and facial plastic surgery patients. Please visit these pages to learn more about the other cosmetic procedures offered. #### Preparing for Surgery [.lead]Prior to surgery, health status should be optimized as much as possible without embarking on a brand-new lifestyle. A healthy diet, exercise, and vitamins are great to aid in proper healing.[] Dr. Shermak requires smokers to stop smoking for at least three months. Dr. Shermak may also ask you to have a mammogram prior to your surgery, definitely if you are over 40 years of age and have not had a mammogram in over a year. For the week prior to your surgery, stop taking aspirin and specific anti-inflammatory drugs or supplements. These drugs and supplements thin the blood and can cause oozing during your procedure, so it’s important to stop taking them before your surgery. #### Recovery After Surgery Our Baltimore **fat transfer breast augmentation** surgery is performed on an outpatient basis. After the procedure, you may experience temporary discomfort, swelling, or numbness. Most women resume regular activity within a week. You may require a binder or a girdle with some foam padding to assure a nice, smooth result. As time passes, some fat does get absorbed, possibly up to 50%. [Liposuction](/body/liposuction/) results are unaffected and permanent with proper diet and exercise. Recovery after *fat transfer breast augmentation* as a stand-alone procedure is quick. After allowing for about four days to allow medications from surgery to be excreted from your body, you will be able to drive and start doing your regular non-exertional activities. Within two weeks, you should be back at the gym, living with your regular routine. You’ll be given a thorough recovery timeline before the actual date of your procedure. #### What Financing Options are Available #### For Fat Transfer Breast Augmentation With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### This is your life Make it Beautiful [Schedule a Consultation](/contact/) #### A Word from Dr. Shermak *Natural Breast Augmentation, an Alternative to Breast Implant Augmentation* [.lead]Many women pursue [breast augmentation](/breast/baltimore-breast-augmentation/) to help improve proportions in the body and rejuvenate breasts that may have deflated from either pregnancy or weight loss. Traditionally breast augmentation was only performed with breast implants, either gel- or saline-filled.[] Now there is a different option: fat! Fat may be suctioned out of one or multiple body areas and moved into the breast to provide enhanced size and appearance. *Fat transfer may be performed as a primary augmentation method*, as a boost to the cleavage in breast lift, or to refresh and fill the breast after implant removal. **[.lead]How Is This Done?[]** First, you would come in for a consultation, where I will review your medical and surgical history, as well as your personal and family breast history. A physical examination of the breasts, including measurements, helps me to identify the best options to meet the aesthetic goals you’ve brought with you. *Fat transfer typically will allow for an increase of one half to a full cup size*. The fat not only provides nice volume but also a stem cell effect that improves the appearance of the nipple and skin. The fat volume that may be moved into the breast is paradoxically limited by the baseline breast size. If there is a desire or greater need for a larger degree of increase, multiple fat transfer sessions may be planned, or implants might provide a better option. I will identify sites in the torso and extremities from which fat can be suctioned, even in thin women. The surgery is performed under general anesthesia. The duration of the surgery is typically no longer than two to three hours, depending on the fat donor sites. The procedure is performed as an outpatient procedure, and the downtime is short (typically no more than one week). I tell my patients they will likely expect to return to normal exertional physical activities two weeks after surgery. *Fat transfer* provides a wonderful option for women looking to naturally freshen and enhance their breast appearance while benefiting from fat removal of the torso or extremities, a “win-win,” without depending on Breast Implants. #### This is your life Make it Beautiful [Schedule a Consultation](/contact/) #### Discover Your Ideal Figure without Breast Implants [.lead]Are you ready to learn more about what **fat transfer breast augmentation** can do for you? Dr. Shermak has spent years earning a reputation for excellence in Baltimore and around the world[] She’s excited to learn more about what she can do for you to help you realize your body contouring goals and leave you with the silhouette you’ve been dreaming of. When you’re ready to get started, reach out to Dr. Shermak’s team and set up your initial consultation today. #### Fat Transfer Frequently asked questoins [.intro]References[] [Shermak, M. A. (2015). An outcomes analysis of 2,142 breast reduction patients: A single-surgeon experience. Annals of Plastic Surgery, 74(3), 265–269](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) [Gingrass, M. K., & Shermak, M. A. (2006). The treatment of gynecomastia with ultrasound-assisted lipoplasty. Aesthetic Surgery Journal, 26(4), 369–373](https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1080216) [Shermak, M. A., Chang, D., Buretta, K., Mithani, S., Mallalieu, J., & Manahan, M. (2011). Increasing age impairs outcomes in breast reduction surgery. Plastic and Reconstructive Surgery, 128(6), 1182–1189.](https://journals.lww.com/plasreconsurg/abstract/2011/12000/increasing_age_impairs_outcomes_in_breast.11.aspx) --- ## Cheek Filler **Link:** [Cheek Filler](https://www.drshermak.com/injectables-fillers/cheek-filler/) ([md](https://www.drshermak.com/injectables-fillers/cheek-filler/index.html.md)) **Type:** Service **Description:** Have you started to notice that facial volume loss is impacting your youthful good looks? Dr. Shermak and her dedicated team are here to help Baltimore patients with cheek fillers.. ### Content #### Cheek Filler at Dr. Michele Shermak Plastic Surgery #### Reclaim Your Youthful Radiance Have you started to notice that facial volume loss is impacting your youthful good looks? Dr. Shermak and her dedicated team are here to help. A gradual loss of facial volume is one of the most natural parts of the facial aging process, and it’s never fun to notice the *fine lines*, *wrinkles*, and other issues that can appear as a result. At our office in Baltimore **cheek filler** is a highly effective non-surgical treatment that restores lost volume, lifts sagging skin, and creates a more youthful and defined facial appearance. Dr. Shermak's expertise in facial anatomy and her artistic approach ensure natural-looking results that enhance your unique beauty. #### Injectables Before and After Photos #### Cheek Filler at a Glance - **Benefits:** Restores lost volume, lifts and defines cheeks, reduces the appearance of nasolabial folds, creates a more youthful contour. - **Downtime:** Minimal to no downtime, typically allowing for immediate return to daily activities. - **Duration:** Results typically last from 6 months to 2 years, depending on the type of filler used and individual metabolism. - **Procedure Time:** Usually 30-60 minutes. - **Results:** Immediate volume enhancement, with optimal results appearing as any minor swelling subsides. #### Say Goodbye to Facial Volume Loss *What is Cheek Filler?* [.lead]**Cheek filler**, also known as *dermal filler for the cheeks*, is a sophisticated non-surgical solution for lost volume, enabling you to regain your youthful appearance without the need for extended downtime or a lengthy recovery period. It involves the precise injection of a safe, gel-like substance, typically hyaluronic acid, into specific areas of the face, such as the cheeks.[] The primary purpose is to gracefully *restore lost volume*, gently lift sagging skin, and artfully enhance your natural facial contours. This customizable treatment effectively addresses concerns such as flattened or hollowed cheeks and a desire for more defined cheekbones, culminating in a more youthful and refreshed appearance. Using today’s most trusted *dermal filler* brands, Dr. Shermak and her team can help you address specific problem areas like the cheeks, enabling you to reverse the onset of facial volume loss and enjoy a boosted sense of self-confidence. If you’d like to learn more about Dr. Shermak and how she can help you address your cosmetic concerns, reach out to her Baltimore office and speak with a member of her team to set up your initial consultation today. #### Your Treatment Experience *What is the Cheek Filler procedure like?* *Dermal fillers are an effective way to address sagging or drooping in the cheeks*, and Dr. Shermak has extensive experience helping patients rejuvenate their appearance and turn back the clock by several years. Your dermal filler experience will be quick, easy, and comfortable thanks to the deep level of experience Dr. Shermak and her team offer patients. Your treatment for **cheek filler in Baltimore** at Dr. Michele Shermak Plastic Surgery starts with a personalized consultation. The injection procedure will begin with the option of a topical numbing cream, if you feel it will make the procedure more comfortable for you. *We’ll inject the dermal filler into precise areas of your cheeks using a very fine gauge needle to minimize discomfort and ensure a painless experience*. We meticulously sculpt and contour to achieve optimal, beautifully natural-looking results. Treatment is quick, allowing you to be on your way in under an hour. #### Revitalized Confidence *What conditions does Cheek Filler address?* [.lead]**Cheek filler** is an excellent solution for concerns related to volume loss in the mid-face, effectively addressing:[] - **Flattened or sunken cheeks:** Replenishing volume to restore a more rounded and youthful facial contour. - **Subtle skin laxity:** Providing a gentle lift to the mid-face, which can subtly diminish the appearance of jowls and soften nasolabial folds. - **Lack of cheekbone definition:** Expertly enhancing and defining your natural cheekbone contours for a more striking profile. - **Overall facial aging:** Rejuvenating the face by addressing age-related volume depletion, bringing back a fresh, vibrant look. #### What areas of the body can Cheek Filler address? #### Precision-Based Rejuvenation With **cheek filler** Baltimore patients can specifically target the mid-face region, focusing on the malar and submalar areas of the cheeks to strategically enhance volume and refine contours. #### Your Personalized Assessment *Am I a candidate for Cheek Filler?* Dr. Shermak understands that every patient is unique and will take the time to get to know you and learn about your individual cosmetic concerns. Your initial consultation will provide an opportunity to explore the various treatments offered by Dr. Shermak and her team, and she’ll ensure that you are guided to the treatment option that is right for you. You’re a great candidate for *dermal fillers in the cheeks* if you’re interested in: - A rejuvenated look without surgery - Little to no recovery period or downtime - A quick and easy treatment experience - Impressive results - Restored facial volume - A highly effective, non-surgical procedure #### What are the benefits of Cheek Filler? #### Youthful Proportions **Cheek filler** offers a compelling array of benefits for individuals seeking a more youthful and harmonious facial appearance: **[.button.active]Restored Youthful Volume: Turning Back the Clock[]** One of the most profound *benefits of cheek filler* is its remarkable ability to replenish lost volume in the cheeks. As time progresses, the natural fat pads in our face gradually diminish, leading to a hollowed or flattened appearance. Expert filler injections effectively restore this lost volume, gracefully creating a more youthful and rounded contour to the mid-face. **[.button.inactive]Enhanced Facial Contours and Definition: Sculpting Your Ideal Look[]** Beyond simply adding volume, cheek fillers possess the power to dramatically enhance your facial contours. By strategically placing filler, Dr. Shermak can artfully sculpt and define your cheekbones, creating a more chiseled and aesthetically pleasing profile. This results in a more balanced and harmonious facial structure, accentuating your natural beauty. **[.button.inactive]Non-Surgical and Minimally Invasive: Convenience Meets Efficacy[]** Unlike surgical alternatives, *cheek filler is a completely non-surgical procedure*, meaning no incisions or general anesthesia are required. This translates to minimal downtime and a significantly reduced recovery period, allowing you to seamlessly return to your daily activities almost immediately after your appointment. **[.button.inactive]Immediate and Natural-Looking Results: See Your Transformation Instantly[]** The beautiful results of cheek filler are often visible immediately after the procedure, with the full, refined outcome appearing as any minor swelling gently subsides. Dr. Shermak's artistic approach ensures that your results appear completely natural, exquisitely enhancing your existing features rather than creating an artificial or "overdone" appearance. **[.button.inactive]Improved Facial Harmony: A Holistic Rejuvenation[]** By restoring strategic volume to the mid-face, **cheek filler** can subtly improve the appearance of nasolabial folds (the lines that run from the nose to the corners of the mouth). The added support in the cheeks gently lifts the skin, effectively softening these lines and contributing to an overall more rejuvenated and balanced facial appearance. #### A Smooth Return to Your Routine *Cheek Filler Recovery* [.lead]After the treatment is complete, you’ll experience some momentary redness and tenderness in the treatment area, but this is the extent of your downtime. Applying a cold compress can help to minimize any swelling.[] It's generally recommended to avoid strenuous exercise, excessive heat exposure (such as saunas or hot tubs), and alcohol for 24-48 hours after your procedure to reduce the risk of bruising and swelling. Dr. Shermak will provide you with specific, easy-to-follow aftercare instructions to ensure a smooth recovery and achieve optimal results. You’ll be able to enjoy impressive results in the time it takes to complete your lunch break. To learn more, reach out to Dr. Shermak’s team and set up your consultation today. #### Cheek Filler Results #### Fulfill Your Aesthetic Goals **When can I see results?** You will experience an immediate and noticeable volume enhancement after your **cheek filler** procedure. The final and most natural-looking results will gracefully become apparent as any minor swelling or bruising fully subsides, typically within a few days to a week. **How long does Cheek Filler last?** The impressive longevity of cheek filler results varies depending on the specific type of filler used, your individual metabolism, and the treated area, but typically lasts from 6 months to 2 years. Convenient regular touch-up treatments can effectively help maintain your desired refreshed and youthful look. The ultimate results will be a beautifully lifted and more youthful appearance in the mid-face, enhanced cheekbone definition, and a more harmonious overall facial contour. #### A Seamless Experience *Why Choose Dr. Michele Shermak Plastic Surgery for Cheek Filler?* [.lead]Selecting a highly skilled and experienced injector is crucial for ensuring safety and achieving optimal results with cheek filler. Dr. Michele Shermak brings extensive expertise in facial aesthetics and a profound understanding of intricate facial anatomy to every single **cheek filler** treatment.[] Her personalized and artistic approach ensures that each patient receives a meticulously customized treatment plan designed to achieve seamless results that exquisitely enhance their unique beauty. Dr. Shermak and her dedicated, compassionate team consistently deliver exceptional care, from your initial comprehensive consultation through your comfortable recovery, ensuring a truly satisfying and rewarding experience. #### Cheek Filler Frequently Asked Questions --- ## Sofwave **Link:** [Sofwave](https://www.drshermak.com/skin-treatments/sofwave/) ([md](https://www.drshermak.com/skin-treatments/sofwave/index.html.md)) **Type:** Service **Description:** Unlock the secret to a rejuvenated and youthful appearance with our Baltimore Sofwave treatment, a non-invasive skin-tightening procedure. Contact our office for more information. ### Content #### Reclaim Your Youthful Glow Embark on a journey to rediscover your radiant, youthful self with Sofwave, *a cutting-edge, non-invasive skin-tightening treatment*. Dr. Shermak, with her expertise and commitment to natural beauty, brings forth a rejuvenating experience that transcends traditional aesthetic solutions. With **Sofwave** Baltimore patients can expect to unveil a refreshed appearance that maintains your individuality, preserving your authentic expressions while addressing the signs of aging. If you're ready to embrace the emotional uplift of reclaiming your youthful glow, contact Dr. Shermak's Baltimore office. Our dedicated team is here to guide you through the transformative possibilities of *Sofwave* and help you schedule your initial consultation today. #### What is Sofwave? *Sofwave stands at the forefront of non-invasive cosmetic solutions, utilizing advanced ultrasound technology to revitalize and tighten the skin*. This innovative treatment goes beyond surface concerns, penetrating deep into the skin's layers. By stimulating collagen production just below the skin surface, skin will regain a fresh rejuvenated condition without downtime as the skin surface is not damaged, like in laser treatment. Our Baltimore **Sofwave** treatment effectively addresses common signs of aging, such as sagging skin and wrinkles, offering remarkable results without surgery. The ultrasound-based therapy of *Sofwave* presents a cutting-edge approach, ensuring a comfortable and transformative experience for individuals seeking a *non-surgical path to skin rejuvenation*. #### What Are the Benefits of Sofwave? If you're seeking a safe, effective, and comfortable solution to address skin aging concerns, **Sofwave** stands as a cutting-edge option designed to deliver lasting benefits, including: - Non-surgical and non-invasive - Safe and painless - No downtime - Stimulates collagen production - Tailored for various areas - Gradual and natural results - Great for any ethnicity, skin type and pigment #### Who Is a Good Candidate for Sofwave? Ideal for those seeking non-invasive facial rejuvenation and skin tightening, *Sofwave is well-suited for individuals experiencing signs of aging in the face, as well as skin laxity and stretch marks in the arms and abdomen*. If you wish to address concerns in areas like the brow, cheeks, upper lip region, neck, abdomen or arms without undergoing surgery, Sofwave may be the perfect solution. Whether dealing with mild sagging, fine lines, wrinkles, tired eyes or a thinned aged lip, **Sofwave** provides a safe and effective option for achieving a rejuvenated and youthful appearance. Sofwave is also approved for treatment of acne scarring! *Sofwave treatment* smooths irregular contours in the skin caused by acne scarring in the face, optimal for patients of all ages. #### Your Sofwave Procedure *and Recovery Period* The Sofwave procedure is a non-invasive journey towards skin transformation. This ultrasound-based therapy, administered primarily to the face (including the brow, cheeks, neck, and arms), offers a comfortable and efficient treatment experience. The specialized device delivers ultrasound energy during the procedure, stimulating collagen production and tightening the skin. The process is relatively quick, and patients can resume their daily activities immediately afterward. Following your treatment with **Sofwave in Baltimore**, patients may experience minor effects such as temporary redness or mild swelling in the treated areas. These short-lived side effects typically resolve within a few hours to a few days. The recovery period is minimal, allowing individuals to enjoy the benefits of Sofwave without extended downtime. As the skin undergoes natural rejuvenation through increased collagen production, optimal results become more noticeable in the weeks following the procedure. *Sofwave* is not just a treatment; it's a journey to a revitalized and more youthful you. #### Why choose Dr. Shermak? When considering **Sofwave** treatments, selecting a skilled and compassionate plastic surgeon is crucial, and Dr. Michele Shermak is a top choice in Baltimore. As a board-certified [plastic surgeon](https://www.drshermak.com/about/dr-shermak/), Dr. Shermak is dedicated to enhancing her patients' confidence and quality of life by delivering natural and revitalizing results. Her expertise, compassionate approach, and commitment to excellence make her a highly sought-after professional in the field. With a solid educational background, extensive experience, and a focus on aesthetic artistry, Dr. Shermak's authority and artistic sensibility contribute to the creation of results that align with the desires of today's discerning clients. [Contact us today to schedule your consultation](https://www.drshermak.com/contact/) and explore how *Sofwave treatments* with Dr. Shermak can help you achieve your aesthetic goals and regain confidence. --- ## Breast Reconstruction **Link:** [Breast Reconstruction](https://www.drshermak.com/breast/breast-reconstruction/) ([md](https://www.drshermak.com/breast/breast-reconstruction/index.html.md)) **Type:** Service **Description:** Breast reconstruction in Maryland offered by board certified plastic surgeon Michele Shermak. Get information on reconstruction surgery, best candidates for surgery. ### Content #### What is Breast Reconstruction? Our Baltimore **breast reconstruction** surgery is typically performed after breast cancer surgery, which may have resulted in removal of a portion or all of the breast tissue (*mastectomy*). Reconstruction may be performed immediately during mastectomy surgery or may be delayed to a later date, depending on required oncologic care and patient desire. *Reconstruction may be performed with implants, or with your own tissue from the upper back or abdomen*. Implant surgery may require initial expansion, with delayed placement of a permanent implant. Surgery may be considered for the opposite, noncancerous breast to achieve better symmetry, either with implants, fat grafting, lifting or reduction. (This surgery is considered reconstructive and insurance companies are federally mandated to provide coverage for surgery of the opposite breast.) *Reconstruction is also performed for congenital breast asymmetry* and may also involve implants, fat grafting, lifting or [breast reduction](/breast/breast-reduction/). #### Breast Reconstruction Before and After Photos #### What Does Breast Reconstruction Cost? **Breast reconstruction** is typically covered under insurance. #### Who is a Good Candidate for Baltimore Breast Reconstruction? The ideal candidates for **breast reconstruction** in Baltimore are women in good physical and mental health. These candidates are interested in regaining or improving upon their pre-mastectomy presentation, or who hope to achieve a more balanced appearance after hereditary breast mismatch. During your private consultation, Dr. Shermak will discuss your options for treatment in detail, going over all the risks and benefits. #### This is your life Make it Beautiful [Schedule a Consultation](/contact/) #### What Happens During Your Consultation with Dr. Shermak for Breast Reconstruction? Dr. Shermak will meet with you to review your medical history and perform a physical examination. After this, she will describe reconstructive options for you, ranging from *implant-based breast reconstruction* to techniques utilizing your own tissue. Dr. Shermak will review the techniques in detail and will show you sample implants. In some cases Dr. Shermak may meet with patients a second time to firm up surgical planning and assure understanding. #### How Long Does Breast Reconstruction Take? What is the Length of Hospital Stay? Surgery that is implant-based takes about 1-1.5 hours. Autogenous tissue methods take up to 3 hours. An overnight stay in hospital is recommended for *implant-based reconstruction*, while women who undergo *autogenous reconstruction* stay 1-2 nights depending on how they feel and their desire to get home. #### What if I Had Breast Reconstruction Years Ago #### and Am Unhappy with the Results? [.lead]Dr. Shermak sees many women for secondary reconstruction: women who did not undergo reconstruction at the time of mastectomy or women who underwent **breast reconstruction** that no longer looks good (or never did).[] She can review options with you. She has many patients who have a new outlook and attitude with reconstructive revision work. And yes, this surgery is typically insured. #### What is the Recovery Like for Breast Reconstruction? Most women resume regular low impact activity within a week and drive within 10 days. Heavy exercise and lifting are discouraged for a month. Dr. Shermak works with her patients after surgery to ensure optimal scar outcome and physical functioning. #### How Many Procedures Are Necessary #### To get the Best Reconstructive Result? Today many procedures are close to “one and done” procedures, with the full size implant placed immediately at the time of reconstruction. Having said this, many women undergo 2 surgeries to get the best outcome. *Second surgery may include procedures on the opposite breast to get better symmetry, or refining surgery on reconstruction that is close to done*. This can include shaping, fat transfer, scar refinement or sometimes implant exchanges. Second surgery is typically outpatient and under 2 hours. Surgery is either performed at the hospital or in the outpatient surgery center attached to Dr. Shermak’s office space. #### Other Cosmetic Options for Self-improvement The way you look and feel directly affects your self-confidence. In addition to offering some of the best results in **breast reconstruction** Baltimore has to offer, Dr. Shermak also performs [abdominoplasty](/body/tummy-tuck-baltimore/), [body lift surgery](/body/body-lift/), [fat grafting](/body/fat-transfer/), facial plastic surgery and other procedures. Please visit these pages to learn more. #### What Financing Options are Available For Breast Reconstruction With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation for **breast reconstruction in Baltimore**, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### How Can I Learn More #### About Breast Reconstruction In Maryland? [.lead]We invite you to call Dr. Shermak’s plastic surgery office at [(410) 616-3000](tel:+14103246592) to schedule your personal consultation today.[] You may also visit our online library of before and after photography to see the results obtained by previous Baltimore* ***breast reconstruction** clients. [.intro]References[] [Shermak, M. A. (2015). An outcomes analysis of 2,142 breast reduction patients: A single-surgeon experience. Annals of Plastic Surgery, 74(3), 265–269](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) [Gingrass, M. K., & Shermak, M. A. (2006). The treatment of gynecomastia with ultrasound-assisted lipoplasty. Aesthetic Surgery Journal, 26(4), 369–373](https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1080216) [Shermak, M. A., Chang, D., Buretta, K., Mithani, S., Mallalieu, J., & Manahan, M. (2011). Increasing age impairs outcomes in breast reduction surgery. Plastic and Reconstructive Surgery, 128(6), 1182–1189.](https://journals.lww.com/plasreconsurg/abstract/2011/12000/increasing_age_impairs_outcomes_in_breast.11.aspx) --- ## Ear Surgery **Link:** [Ear Surgery](https://www.drshermak.com/face/ear-surgery/) ([md](https://www.drshermak.com/face/ear-surgery/index.html.md)) **Type:** Service **Description:** Consider ear surgery with Michele A Shermak MD in Baltimore MD. Ear surgery, also known as otoplasty, can improve the shape, position or proportion of the ear. ### Content #### Why Otoplasty? *Ear surgery creates a more natural shape, bringing balance and proportion to the ears and face*. Correction of even minor deformities can yield profound benefits for one’s appearance and self-esteem. If protruding or disfigured ears bother you or your child, you may consider **otoplasty in Baltimore**. Children are typically not addressed until they are at least 7 years of age. Many adults with *prominent ears* are very sensitive about them and try to hide them, but after surgery are happy to show their ears off, wearing their hair back like never before! #### Otoplasty Before and After Photos - [**Why Ear Surgery?**](#why-ear-surgery) - [**What Does Ear Surgery Cost?**](#cost) - [**Specifically, Ear Surgery Can Treat**](#treat) - [**Ear Surgery Before & After**](#gallery) - [**Details of the Surgery**](#procedure) - [**Getting Started Schedule a Consultation**](#schedule) - [**What Financing Options are Available For Ear Surgery With Dr. Shermak?**](#financing-options) #### What Does Otoplasty Cost? **Otoplasty** costs $5,000 under local anesthesia or $6,500 under general anesthesia. #### Specifically, Ear Surgery Can Treat - Overly large ears — a rare condition called macrotia - Protruding ears occurring on one or both sides in varying degrees — not associated with hearing loss - Lop ear - Constricted ear - “Spock” ear - Split earlobes, including gauge earlobes - Adult dissatisfaction with previous *ear surgery* #### Details of the Surgery [.lead]After the client receives either twilight sedation or general anesthesia, Dr. Shermak will create inconspicuous incisions behind the ears. These incisions will give her access to trim superfluous ear cartilage, *recontour the ear’s shape, and pin the ears closer to the head*.[] *Ear symmetry* is carefully balanced in the process, while earlobe imperfections are also corrected. When she has completed these tasks, Dr. Shermak will close the incisions with sutures and place the patient in a recovery suite to begin their healing process. #### Getting Started Schedule a Consultation If you think it might be right for your goals, and are interested in learning more about **otoplasty** Baltimore patients should contact our offices to set up their consultation with Dr. Shermak today. You can also get a better idea of the procedure by viewing our online library of before and after photography. #### Financing Otoplasty With Dr. Shermak? *What Financing Options are Available* Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices: - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### This is your life Make it Empowered [Schedule a Consultation](/contact/) --- ## Lip Filler **Link:** [Lip Filler](https://www.drshermak.com/injectables-fillers/lip-filler/) ([md](https://www.drshermak.com/injectables-fillers/lip-filler/index.html.md)) **Type:** Service **Description:** Sculpt, shape, and enhance your lips with expert lip filler injections in Baltimore, MD, with Dr. Michelle Shermak. ### Content #### Lip Filler at Dr. Michele Shermak Plastic Surgery #### Discover That Perfect Pout In addition to offering her patients a range of surgical methods to achieve their most deeply held cosmetic goals, Dr. Michele Shermak is also excited to provide a series of quick and easy, minimally invasive alternatives. Non-surgical techniques, such as *lip injections*, can help address specific issues with an exciting level of precision, allowing you to rejuvenate your look, turn back the clock, and enjoy the self-confidence that comes with it. If you’re interested in learning more about how injectable **lip fillers in Baltimore** can help you enhance your look, Dr. Shermak and her dedicated team are here and ready to help you get started on your life-affirming cosmetic journey. Simply reach out to our Baltimore offices and speak with a member of our team to set up your consultation today. #### Injectables Before and After Photos #### Lip Filler at a Glance - **Tailored Fullness:** Achieve ideal volume customized to your preference. - **Quick Resumption:** Typically allows for a prompt return to daily activities. - **Visible Longevity:** Enjoy appealing results for many months. - **Defined Edges:** Sharpens the border and overall shape of the lips. - **Smooth Appearance:** Lessens the look of lines radiating from the mouth. #### Full Defined Lips *What is Lip Filler?* [.lead]*Lip filler is a cutting-edge, non-surgical cosmetic procedure designed to augment, reshape, and enhance the overall appearance of the lips*. Utilizing advanced injectable gels, this treatment provides a versatile method for achieving various aesthetic goals.[] Whether your aim is to introduce a gentle boost of fullness, achieve a more distinct lip outline, or enhance the texture of your lips, we offer a sophisticated solution that allows for precise customization, helping you achieve a more confident and alluring presence. **How Do Dermal Fillers Work?** Facial volume is often lost as a natural part of the aging process, which is where dermal fillers can be beneficial. As your body produces less collagen and elastin, it’s normal to see your skin’s laxity increase, leading to sagging, drooping, and the development of fine lines and wrinkles. *Dermal fillers work by utilizing a synthetic substance known as hyaluronic acid to replace the volume that’s been lost as part of the aging process*. This helps you achieve a more supple look by smoothing over lines and wrinkles, allowing you to regain that youthful glow. #### Your Lip Treatment Experience *What is the Lip Filler procedure like?* Your Baltimore **lip filler** session at Dr. Michele Shermak Plastic Surgery begins with a thorough private consultation, where your individual aesthetic desires are carefully discussed. To ensure your comfort throughout the process, a specialized topical numbing cream is applied to the treatment area. Dr. Shermak then expertly administers the selected hyaluronic acid filler into precise areas of your lips, meticulously shaping and refining them to achieve the desired volume, contour, and symmetry. Dermal fillers only take about 45 minutes to administer, and you’ll be able to return to your normal activities as soon as the treatment is over. #### SMOOTH, YOUTHFUL LIPS *What conditions does Lip Filler address?* *Lip filler is an exceptionally adaptable treatment capable of effectively addressing a range of common lip and perioral concerns*. It can significantly enhance the appearance of naturally slender lips, restore lost volume attributed to the aging process, soften the look of vertical lines around the mouth (often referred to as "lipstick lines"), and meticulously correct minor asymmetries in lip shape. By artfully introducing volume and definition with **lip fillers** Baltimore patients can create a more balanced, youthful, and pleasing facial expression. #### What areas of the body can Lip Filler address? #### Shape & Enhance This treatment specifically targets the body of the lips for increased volume, the vermilion border for enhanced definition, and the philtrum columns to sculpt a more distinct Cupid's bow. #### Sculpt & Rejuvenate *What are the benefits of Lip Filler?* Opting for **lip filler** at Dr. Michele Shermak Plastic Surgery brings forth a variety of compelling advantages for individuals seeking to refresh their smile and facial presentation: **[.lead]Achieve Custom-Tailored Fullness[]** Experience a noticeable yet natural increase in lip volume that aligns perfectly with your preferences. Fillers can subtly plump the lips, lending them a softer, more inviting, and beautifully defined presence without appearing overdone. The focus is always on enhancing your inherent beauty. **[.lead]Rejuvenate Your Perioral Area[]** Beyond volume, *lip fillers* are adept at smoothing the delicate lines and subtle creases that often develop around the mouth. This results in a visibly younger and fresher look for the skin surrounding your lips, effectively diminishing common signs of aging in this region. **[.lead]Enhance Facial Balance and Symmetry[]** Many individuals possess subtle variations in their lip contours. *Lip fillers can be precisely applied to harmonize and even out the shape of the upper and lower lips, as well as the left and right sides*, cultivating a more aesthetically pleasing and balanced overall facial profile. #### Are Lip Fillers Right for Me? #### Your Personalized Pout Visiting Dr. Shermak for your initial consultation provides a valuable opportunity to get to know her and learn about the various treatment options she offers. She’ll learn about your cosmetic goals before helping you explore a series of both surgical and non-surgical procedures, before guiding you to the method by which you can most directly enjoy your desired outcome. You’re likely to be a great candidate for *lip dermal fillers* if you’re interested in addressing: - Facial volume loss - Sagging - Drooping - Fine lines - Wrinkles - A “crepey” appearance #### Healing Gracefully *Lip Filler Recovery* [.lead]Following your **lip filler** procedure, you’ll experience some minor swelling and tenderness in the treatment area, but these side effects will fade quickly, allowing you to enjoy your impressive results with minimal downtime.[] To support optimal healing and ensure the best outcome, it is generally recommended to avoid strenuous physical activity, direct exposure to excessive heat (such as saunas), and alcohol consumption for the first 24 to 48 hours. Gently applying a cool compress can help minimize swelling. Dr. Shermak's dedicated team will provide you with comprehensive aftercare instructions to ensure a comfortable and effective recovery, allowing your beautiful new lips to settle gracefully. #### Lip Filler Results #### Exquisitely Enhanced **When Will My Enhanced Lips Be Visible?** You will observe an immediate *improvement in the volume and shape of your lips* directly following the procedure. The fully settled and final results typically become apparent within one to two weeks, once any initial swelling has completely subsided. **How Long Do Lip Filler Effects Endure?** The longevity of **lip filler** results varies among individuals, but most patients enjoy their beautifully enhanced lips for approximately six to twelve months. Factors such as the specific filler product used, your individual metabolism, and lifestyle choices can influence how long the effects persist. Periodic touch-up sessions can help you maintain your desired fullness and shape over time. **What Can I Expect from My Renewed Lip Appearance?** Anticipate achieving lips that are fuller, more distinctly contoured, and beautifully proportioned, while maintaining a completely natural feel. The objective is to achieve a revitalized and refreshed appearance that seamlessly complements your unique facial features, enhancing your smile and boosting your self-confidence. #### Excellence in Harmony *Why Choose Dr. Michele Shermak Plastic Surgery for Lip Filler?* [.lead]Entrusting your *lip filler treatment* to Dr. Michele Shermak Plastic Surgery means selecting a practice where exceptional skill, artistic insight, and patient well-being are of paramount importance.[] As a highly esteemed *board-certified plastic surgeon*, Dr. Shermak brings an unparalleled level of expertise and a discerning eye to every procedure, delivering exquisite, natural-looking results that gracefully integrate with your unique facial anatomy. #### Set Your Consultation Today [.lead]Are you ready to learn more about how dermal fillers can help you address facial aging around the lips and mouth? This injectable treatment is quick, easy, and highly effective, allowing us to address your cosmetic concerns without disrupting your busy personal schedule.[] If you’d like to get started with Dr. Shermak, we’re excited to hear from you. Reach out to Dr. Shermak at her office in Baltimore and speak with a helpful member of our team to set up your initial consultation today. #### Lip Filler Frequently Asked Questions --- ## Body Surgery Overview **Link:** [Body Surgery Overview](https://www.drshermak.com/body/) ([md](https://www.drshermak.com/body/index.html.md)) **Type:** Service **Description:** Plastic Surgery Procedures in Baltimore Maryland provided by board certified female plastic surgeon ### Content #### Look and Feel Amazing & Confident *Liposuction, tummy tuck, body lifts, and fat transfer are just a handful of procedures available to give you the fit, healthy appearance you would like to see when you look in the mirror*. Dr. Shermak, internationally renowned for her work in body contouring and author of a leading surgical text, will help you meet the goals you would like to achieve safely, and with intensive attention to the technical details. You may consult with Dr. Shermak to determine the procedures she can offer you to achieve the results you desire. Please choose from the links below to learn more about *body contouring surgery*, and then feel free to contact us for an appointment to discuss your options. #### Dr. Michele Shermak's Expertise in Body Plastic Surgery Procedures Dr. Michele Shermak is a renowned **plastic surgeon** with a wealth of experience and expertise in a range of **body plastic surgery** procedures. Her dedication to delivering exceptional results, combined with her commitment to patient safety and well-being, has made her a sought-after expert in the field of body contouring and rejuvenation. #### Dr. Michele Shermak's Expertise in Body Plastic Surgery Procedures Dr. Michele Shermak is a *renowned plastic surgeon* with a wealth of experience and expertise in a range of **body plastic surgery** procedures. Her dedication to delivering exceptional results, combined with her commitment to patient safety and well-being, has made her a sought-after expert in the field of *body contouring* and rejuvenation. [.button.active]Tummy Tuck (Abdominoplasty)[] Dr. Shermak is widely recognized for her skill and precision when it comes to *tummy tuck* procedures. Abdominoplasty, or a tummy tuck, is a surgical procedure designed to tighten the abdominal muscles and remove excess skin and fat from the midsection. Dr. Shermak's approach to tummy tucks emphasizes achieving a natural and aesthetically pleasing outcome. [Learn More](/body/tummy-tuck-baltimore/) [.button.inactive]Mommy Makeover[] A *mommy makeover* is a comprehensive approach to post-pregnancy body rejuvenation, which typically includes a combination of procedures such as breast augmentation or lift, tummy tuck, liposuction, and more. Dr. Shermak has an exceptional understanding of the physical changes that women experience during and after pregnancy. Her ability to create customized mommy makeover plans ensures that each patient's concerns and goals are addressed effectively. [Learn More](/body/mommy-makeover/) [.button.inactive]Liposuction[] Dr. Shermak is skilled in *liposuction*, a minimally invasive procedure that removes localized fat deposits, reshaping and contouring the body. With her precise techniques and keen eye for aesthetics, she can achieve impressive results, helping patients achieve a slimmer and more sculpted physique. Dr. Shermak employs the latest advancements in liposuction technology to minimize scarring and downtime, providing her patients with a faster and more comfortable recovery. [Learn More](/body/liposuction/) [.button.inactive]Brazilian Butt Lift (BBL)[] The *Brazilian Butt Lift* is a popular procedure for enhancing the shape and size of the buttocks. Dr. Shermak's expertise in this area extends to her ability to perform fat transfer procedures with artistry and precision. She uses liposuction to harvest fat from areas of excess, then skillfully injects the purified fat into the buttocks, creating a fuller, more youthful appearance. Dr. Shermak's focus on safety is paramount, and she follows strict protocols to ensure a secure and successful BBL procedure. [Learn More](/body/brazilian-butt-lift/) #### This is your life Make it Beautiful [Schedule Your Consultation](/contact/) [.button.active]Body Lift[] For patients who have experienced significant weight loss and are left with excess skin, a body lift can be a life-changing solution. Dr. Shermak's proficiency in *body lift surgery* allows her to eliminate sagging skin from various areas, including the abdomen, thighs, and buttocks. Her attention to patient goals and her commitment to minimizing scarring make her a preferred choice for those seeking body lift procedures. [Learn More](/body/body-lift/) [.button.inactive]Arm Lift[] An *arm lift*, or *brachioplasty*, is a procedure designed to remove excess skin and fat from the upper arms, creating a more toned and youthful appearance. Dr. Shermak's expertise in arm lift surgery is underpinned by her meticulous approach to incision placement and skin tightening techniques. She strives to provide her patients with beautifully contoured arms, enhancing their confidence and self-esteem. [Learn More](/body/arm-lift/) #### Dr. Michele Shermak Dr. Michele Shermak's expertise in Baltimore **body plastic surgery procedures** is a testament to her dedication to helping patients achieve their desired aesthetic goals. Her commitment to patient safety, meticulous approach to surgery, and focus on natural-looking results have established her as a leader in the field of body contouring and rejuvenation. Whether it's a tummy tuck, mommy makeover, liposuction, Brazilian Butt Lift, body lift, or arm lift, Dr. Shermak's exceptional skills and compassionate care ensure that her patients receive the highest level of quality and satisfaction. #### This is your life Make it Confident [Schedule a Consultation](/contact/) --- ## Breast Explant **Link:** [Breast Explant](https://www.drshermak.com/breast/breast-explant/) ([md](https://www.drshermak.com/breast/breast-explant/index.html.md)) **Type:** Service **Description:** Our Baltimore breast implant removal is a procedure done to remove the breast implants and revise their size and shape. Contact us for a consultation. ### Content #### Breast Explant with Michele Shermak, MD #### A Reset for Your Body and Your Confidence There can be a number of reasons for a woman to have her breast implants removed or replaced. Sometimes the reason is a change in personal preference or aesthetic. Other times, there are issues with the implants, such as capsular contracture, rupture, or changes in body composition over time. Whatever your reason, our Baltimore **breast explant** surgery is an opportunity to restore both comfort and confidence. At her Baltimore practice, Dr. Michele Shermak offers highly customized explant procedures rooted in deep surgical expertise and an understanding of your personal goals. #### Breast Explant Before and After Photos #### Breast Explant at a Glance - **Restores Comfort** – Removes hardened or painful implants - **Tailored to You** – Can include a breast lift, fat transfer, or implant replacement - **Minimal Downtime** – Many patients return to work within a week or less - **Drive In and Drive Home** - Often performed under local anesthesia allowing for minimal morbidity and complete discretion - **Natural Results** – Reshapes the breast with or without augmentation and offers discreet incisions #### Reclaim Comfort *What is a Breast Explant / Breast Implant Removal?* [.lead]Breast implant removal (*breast explant surgery*) is a procedure done to remove the breast implants and revise their size and shape, or to remove the implants and leave the breasts without implants at all.[] Women can also experience the following complications that require a **breast explant** procedure/breast implant removal: - Desire for smaller breasts, “ballerina body” - Better fit for more active lifestyle and athleisure wear - Implant rupture or folding - For saline implants, implant deflation - Fluctuations in weight or pregnancy that shift the implants or make them unnecessary with breast enlargement - Silicone implant leakage and rupture - Capsular contracture - The implants appear asymmetrical - Hardened breast tissue - Discomfort or pain - The breast scar tissue is getting harder or tighter #### Surgical Precision Meets Aesthetic Vision *Breast Implant Removal Procedure* There are a number of *breast implant removal* procedures, depending on your unique needs and goals for your body. **Breast explant** surgery is an outpatient procedure performed under either general or local anesthesia depending on implant status, location, and patient anxiety. [.button.active]Breast Explant With Capsulectomy (For Capsular Contracture)[] Capsular contracture is the tightening and calcification of the capsule (the tissue that your body forms around any foreign object in the body, such as breast implants). If the capsule becomes calcified or hard, **breast explant** surgery with capsulectomy is done to remove it. During the procedure, incisions will be made in the same place as they were made in the original implant surgery. The implant and the capsule are removed together, and the incisions are closed. [.button.inactive]Breast Explant With Replacement Implants Or Fat Transfer Augmentation[] If you wish to continue to have augmented breasts, once Dr. Shermak removes the old implants, new implants of your choosing are inserted, giving your breasts the look and feel you desire. If you don’t want to have implants but still want enhanced size and volume, a fat transfer can be performed. During this procedure, fat is removed from one part of the body that has surplus fat tissue, which gives you the added benefit of sculpting and shaping that area. The fat cells are purified and then injected into the breasts, which gives them a fuller, more natural appearance. [.button.inactive]Breast Explant With Breast Lift[] If the breast skin is stretched or sagging, which is often the case, a breast lift may be done at the same time as the implant removal. The excess breast skin will be removed to tighten the breasts and the breasts will be lifted higher on the chest wall. The nipples will be repositioned for a perky, youthful look. This can be performed in conjunction with Breast Implant Exchange or Fat Transfer. [.button.inactive]Breast Explant Alone[] During this procedure, Dr. Shermak will remove your implants without adding a lift or replacing the augmentation with implants or fat transfer. Oftentimes this can be performed under local anesthesia with minimal downtime. #### Relief From Implant-Related Issues *What concerns does breast explant address?* With a **breast explant** Baltimore patients can correct a wide range of conditions, including hardened scar tissue (capsular contracture), ruptured or leaking implants, visible rippling, implant malposition, and general discomfort. It’s also frequently chosen by women who no longer want augmented breasts, aiming for the trending “*Ballerina Body*” due to personal or lifestyle changes. Other women may choose to replace their breast implants to bring their look into alignment with their current aesthetic preferences. #### Who is a candidate? #### Candidacy Starts With a Conversation [.lead]Candidates for *breast explant/breast implant removal* should meet the following criteria:[] - You are generally in good health - You don’t smoke - Your weight is stable - You have realistic expectations of what this surgery can do for you Dr. Shermak will carefully assess your candidacy to ensure explant surgery is right for you. #### What are the benefits of a breast explant? #### Confidence Reshaped [.lead]Women often feel physical and emotional relief after explant surgery. Removing the implants can alleviate pain, tightness, or asymmetry, and allow the chest to look and feel more natural.[] If desired, options like fat transfer or a lift can add subtle volume and shape without returning to implants. Women do not burn any bridges with explant and may return at a later date for lift or augmentation as they desire. #### What to Expect After Surgery *Breast Explant Recovery* In many cases, **breast explant surgery in Baltimore** is an easier recovery than the original implant surgery. You will need someone to drive you home and stay with you for 24 hours after the surgery if performed under general anesthesia. After the procedure, your breasts will take several months to fully settle into their new position. You will experience some swelling for the first couple of weeks, and a compression bra will help minimize this swelling during the first week or two. During recovery, it is important to sleep on your back or side. During the first month after surgery, avoid heavy lifting (anything above five pounds for at least several weeks) or strenuous exercise. You will be able to drive within days of surgery once you have stopped taking narcotics. Many patients can return to work in a few days. #### A Leader in Her Field *Why Choose Dr. Shermak for a Breast Explant?* Dr. Shermak is an understanding, board-certified, outstanding plastic surgeon whose mission it is to restore your beauty, self-confidence, and positive self-image. She is known for her expertise, excellent results, and attention to detail. [.button][Schedule a Consultation](/contact/)[] Her individualized approach and experience make her one of the top-ranked plastic surgeons in Baltimore. Dr. Shermak brings over two decades of surgical experience with a reputation for excellence in aesthetic and [reconstructive breast surgery](/breast/breast-reconstruction/) and has been recognized by her patients and colleagues locally, nationally, and internationally. Patients appreciate her warmth, honesty, accessibility, and meticulous surgical approach. Her patient-centered philosophy and refined aesthetic make her a standout choice for explant surgery in Maryland. #### Breast Explant Frequently Asked Questions --- ## Fat Transfer **Link:** [Fat Transfer](https://www.drshermak.com/body/fat-transfer/) ([md](https://www.drshermak.com/body/fat-transfer/index.html.md)) **Type:** Service **Description:** Fat transfer describes the movement of fat from undesirable areas like the waist, hips, abdomen and inner and outer thighs, to areas that can use extra volume, like the face, chest, breast or buttocks. ### Content #### What is fat transfer? *Fat transfer describes the movement of fat from undesirable areas like the waist, hips, abdomen and inner and outer thighs, to areas that can use extra volume, like the face, chest, breast or buttocks*. This is the ultimate “win-win” procedure. Some call *fat transfer *to the buttocks a “[Brazilian butt lift](/body/brazilian-butt-lift/).” Whatever you call it, this surgery can help you achieve impressive, remarkable results with the smallest, most inconspicuous incisions and relatively rapid recovery. Sometimes our Baltimore **fat transfer** procedure is performed to improve upon appearance of surgical scars or postoperative contours following cosmetic or reconstructive surgery. #### Fat Transfer Before and After Photos #### Fat Transfer Topics - [**What is fat transfer?**](#whatisit) - [**Who is a good candidate for fat transfer in Baltimore?**](#candidates) - [**Fat Transfer Before & After**](#gallery) - [**What Financing Options are Available For Fat Transfer With Dr. Shermak?**](#financing) - [**Is Fat Transfer possible for non-cosmetic purposes?**](#non-cosmetic) - [**What is the recovery like for fat transfer?**](#recovery) - [**Achieving comprehensive cosmetic results**](#results) - [**Scheduling Your Consultation**](#scheduling) - [**References**](#references) #### Who is a good candidate for fat transfer in Baltimore? Good candidates for **fat transfer in Baltimore** are individuals in good physical and psychological health who have localized fat deposits plus an area that could use extra volume without relying on implants. Patients should have realistic expectations for improvement based on their private consultation with [Dr. Shermak](/about/dr-shermak/). #### What Financing Options are Available For Fat Transfer With Dr. Shermak? Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices: - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Is Fat Transfer possible for non-cosmetic purposes? With **Fat Transfer** Baltimore patients are provided an excellent solution for those who have experienced traumatic injuries or postoperative contour irregularities and scarring that may benefit from *fat transfer*. #### What is the recovery like for fat transfer? Surgery is typically performed on an outpatient basis in one or two hours. One may experience temporary discomfort, swelling, and numbness with nearly invisible scars. Patients are up and walking within hours of surgery, and most resume regular activities within one week. Swelling and numbness may take several months to resolve. The final result of fat “take” typically occurs by 3 months. *The key to optimal recovery is the optimal surgeon*. Beware of unbelievable deals locally or in foreign countries because the procedure requires an educated, experienced, safe surgeon and routine follow-up evaluations. #### This is your life Make it Amazing [Schedule a Consultation](/contact/) #### Achieving comprehensive cosmetic results The way you look and feel directly affects your self-confidence. In addition to treating patients in Baltimore for **fat transfer**, Dr. Shermak offers a range of body sculpting techniques as well as facial rejuvenation treatments. These include [liposuction](/body/liposuction/), [tummy tuck](/body/tummy-tuck-baltimore/), [breast augmentation](/breast/baltimore-breast-augmentation/), and facial plastic surgery procedures. Please visit these pages to learn more. #### Scheduling Your Consultation We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to [schedule your personal, comprehensive consultation today](/contact/). You may also learn more by visiting our online library of before and after photography. [.intro#references]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A. (2012). Pearls and perils of caring for the postbariatric body contouring patient. Plastic and Reconstructive Surgery, 130(4), 618–624.](https://journals.lww.com/plasreconsurg/abstract/2012/10000/pearls_and_perils_of_caring_for_the_postbariatric.39.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) #### This is your life Make it Empowered [Schedule a Consultation](/contact/) --- ## Buccal Fat Pad Removal **Link:** [Buccal Fat Pad Removal](https://www.drshermak.com/face/buccal-fat-pad-removal/) ([md](https://www.drshermak.com/face/buccal-fat-pad-removal/index.html.md)) **Type:** Service **Description:** If you’re interested in a more contoured facial appearance, buccal fat removal in Baltimore may be the ideal cosmetic solution for you. ### Content #### Enjoy a More Contoured Appearance While it’s certainly no secret that roundish, *chubby cheeks* are an attractive feature in our youth, it’s becoming increasingly popular to seek out a more chiseled and angular facial appearance as we get older. *The buccal fat pad removal has seen increasing favor lately, thanks to its ability to leave patients with a more contoured appearance with a more naturally slim profile and a pleasing sense of facial harmony*. - [**Enjoy a More Contoured Appearance**](#enjoy) - [**What Does Buccal Fat Removal Cost?**](#cost) - [**A Reputation for Excellence**](#reputation) - [**What Financing Options are Available For Buccal Fat Pad Removal With Dr. Shermak?**](#financing-options) - [**Your Initial Consultation**](#initial-consultation) - [**Buccal Fat Pad Experience**](#procedure) - [**Enjoying Your Final Results**](#results) #### What Does Buccal Fat Removal Cost? **Buccal fat removal** under local anesthesia costs $2,000. #### A Reputation for Excellence Dr. Michele Shermak has spent decades earning a reputation for excellence and remains committed to the latest surgical techniques and the most cutting-edge technology available. She works closely with each one of her patients and will be excited to learn more about how she can put her extensive surgical skills to work, creating a look that you’ll absolutely love. Ready to learn more about what Dr. Shermak and her team can do for you? Reach out to their welcoming Baltimore office and speak with a helpful staff member as soon as you’re ready to set up your initial consultation and get started on your life-affirming cosmetic journey with us. #### Buccal Fat Removal With Dr. Shermak? *What Financing Options are Available For* [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation for **buccal fat removal** Baltimore plastic surgeon, Dr. Shermak and her team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### Your Initial Consultation [.lead]Dr. Shermak starts every patient off with a highly informative consultation, during which time she’ll get to know you and your *cosmetic goals* while also helping you explore the various treatment options she offers at her practice.[] *Dr. Shermak is proud to offer her patients a series of both surgical and non-surgical options by which they can realize their cosmetic goals*, so she’ll work closely with you to create a comprehensive treatment plan that sees you enjoying your ideal outcome. #### Buccal Fat Pad Experience Our Baltimore **buccal fat removal** procedure is typically completed in about a single hour, after which time you’ll be able to return to your home to rest and recover in comfort. During the surgery, Dr. Shermak will carefully make small incisions inside your mouth, which will help to ensure that you don’t have any visible scarring once the procedure is over. Through these incisions, Dr. Shermak will be able to gently and carefully remove the *buccal fat pads* from your cheeks, leaving you with that naturally contoured appearance that you have been seeking. Finally, she’ll carefully close the incisions and you’ll be moved over to the recovery area to begin your recovery process before heading home. #### Enjoying Your Final Results Most patients only have minimal swelling and discomfort after **buccal fat removal**, and these issues typically only persist for a couple of days after the procedure is over. We’ll be sure to schedule follow-up appointments with you so that we can ensure that you’re healing properly. After just about one to two weeks, you should be able to enjoy your final results and show the world a more contoured, elegant look. Are you ready to learn more about what Dr. Shermak and her impressive skill can do for you? *Buccal fat pad removal* is just one of the many methods by which we can help our patients realize their most deeply held cosmetic goals, and our passionate team can’t wait to learn more about how it can help you enjoy your ideal look. When you’re ready to get started, reach out to our Baltimore offices and speak with a member of our team to set up your initial consultation today. #### This is your life Make it Empowered [Schedule a Consultation](/contact/) --- ## Silagen **Link:** [Silagen](https://www.drshermak.com/skin-treatments/silagen/) ([md](https://www.drshermak.com/skin-treatments/silagen/index.html.md)) **Type:** Service **Description:** Support your recovery and aesthetic results in Baltimore with Silagen products for enhanced healing after plastic surgery. ### Content Silagen is formulated with both efficacy and safety in mind. Products are created with optimal concentrations of ingredients to deliver the results they promise, while using safer ingredient choices, such as zinc oxide mineral sunscreen instead of chemical filters in *Silagen Gel + SPF 30*, and many products include organic plant extracts. All Silagen products are: - Vegan - Gluten-free - Not tested on animals Their scar and topical treatments are manufactured in an FDA-registered, ISO-certified facility in Illinois, ensuring quality control without foreign imports or contract manufacturers. Because *Silagen is only sold through licensed medical practices*, purchasing directly from a physician’s office helps protect you from counterfeit or look-alike products. Choosing Silagen products offers a thoughtful, medically guided way to support your skin’s healing after procedures. Available at our office in Baltimore **Silagen** is a professional, physician-exclusive line designed specifically for the management of scars, bruising, and swelling following surgery or other treatments. With a comprehensive range of silicone gels, sheets, strips, and specialized shapes, along with oral and topical products for rapid recovery, Silagen provides customizable options to match your unique needs and recovery plan. By purchasing **Silagen in Baltimore** at Dr. Shermak’s office, you gain access to a trusted and authentic source for your post-procedure care. [Dr. Shermak](/about/dr-shermak/) and her team can recommend the right combination of *Silagen scar refinement* and rapid recovery products based on your surgery, lifestyle, and goals. With expert guidance and a tailored plan, you can support smoother healing, help bruises fade more quickly, and feel more confident returning to your daily life. --- ## Deep Plane Facelift **Link:** [Deep Plane Facelift](https://www.drshermak.com/face/deep-plane-facelift/) ([md](https://www.drshermak.com/face/deep-plane-facelift/index.html.md)) **Type:** Service **Description:** Deep plane facelift in Baltimore by board-certified plastic surgeon Dr. Michele Shermak—refined, lasting facial rejuvenation for a natural, youthful look. ### Content #### Deep Plane Facelift with Dr. Michele Shermak Plastic Surgery #### Facial Aging,Elegantly Reversed Aging affects the deeper structures of the face along with the quality of your skin. *The deep plane facelift is a refined surgical technique that targets the underlying muscle and fat layers, repositioning them to restore a youthful structure for long-lasting, natural results*. Dr. Michele Shermak is a board-certified plastic surgeon with a reputation for excellence. Patients choose her Baltimore practice not only for her surgical expertise, but for her warm, individualized care. She performs **deep plane facelifts in Baltimore** for those seeking elegant, subtle facial rejuvenation that looks like them—just better rested and more lifted. #### Facelift Before and After Photos #### Deep Plane Facelift at a Glance - **Procedure** – Outpatient surgery performed under general anesthesia - **Discreet Incisions** – Hidden along hairline and ear contour - **Targets Key Aging Zones** – Midface, cheeks, jawline, and nasolabial folds - **Long-Lasting Results** – Improvements may last 10+ years #### What to Expect on Surgery Day *What is the deep plane facelift procedure like?* [.lead]The procedure is performed under general anesthesia at Dr. Shermak’s fully accredited *surgical facility in Baltimore*. Incisions are carefully placed along the natural creases around the ears and hairline.[] Through these openings, the deeper tissue planes are released and lifted, restoring cheek volume, smoothing smile lines, and redefining the jawline. This surgery usually takes 3–5 hours. In some cases, patients may choose to combine their Baltimore **deep plane facelift** procedure with [eyelid surgery](/face/blepharoplasty/), [fat grafting](/face/facial-fat-transfers/)**,** or a [neck lift](/face/neck-lift/) for more comprehensive rejuvenation. #### Natural Rejuvenation, Refined Approach *What is a deep plane facelift?* *A deep plane facelift addresses signs of aging in the mid and lower face by lifting the foundational support structures of the face*—not just the skin—to achieve longer-lasting rejuvenation. This includes working beneath the *SMAS* (Superficial Musculoaponeurotic System), the connective tissue layer that influences facial shape and aging. Here’s how the procedure is typically performed: [.button.active]**Incisions**[] Incisions are carefully placed within the hairline and around the ear, often extending behind the ear for optimal access and discreet healing. [.button.inactive]**Accessing the SMAS**[] The skin is gently elevated to reveal the SMAS layer. Unlike traditional facelifts, which may manipulate only the skin or superficial layers, *the deep plane technique* works beneath this structure. [.button.inactive]**Ligament Release**[] Key facial ligaments that tether the SMAS to deeper anatomy are carefully released, allowing the entire facial unit—skin, fat, and muscle—to move as a single unit. [.button.inactive]**Tissue Repositioning**[] The deeper tissues are lifted vertically and repositioned, which helps restore the cheek contours, smooth nasolabial folds, and refine the jawline without excessive skin tension, delivering natural-looking results. [.button.inactive]**Anchoring the Lift**[] The repositioned tissue is secured in its new, elevated position—typically along sturdy structures near the ear—to ensure a durable, natural contour. [.button.inactive]**Skin Redraping and Closure**[] Finally, the overlying skin is re-draped without pulling or tension, then meticulously sutured to create soft, well-hidden scars and a refined, rested appearance. #### Correcting the Deeper Signs of Aging *What conditions does a deep plane facelift address?* The **deep plane facelift** is highly effective at addressing several common signs of facial aging: - Midface sagging - Loss of cheek volume - Jowls and jawline laxity - Deep nasolabial folds (smile lines) - Facial hollowing or drooping #### The Beauty of True Lift *What areas of the face does a deep plane facelift address?* With the **deep plane facelift** Baltimore patients can address the midface, lower cheeks, jawline, and nasolabial folds—the core zones most visibly impacted by deep facial aging. #### What are the benefits of a deep plane facelift? #### Natural Expression, Elevated Features [.lead]Because it targets the true causes of facial aging, the **deep plane facelift** technique has several unique advantages:[] - More natural appearance—no tight or stretched look - Minimal skin tension, which helps scars heal more discreetly - Long-lasting outcome—often 10 to 15 years - Facial expressions remain untouched for a refreshed, natural look #### Aging Gracefully—With Help *Is a deep plane facelift right for me?* Ideal candidates for a **deep plane facelift** are typically in their 40s to 60s, in good general health, and experiencing visible sagging in the mid-to-lower face. If you’re seeking a more profound improvement than injectables can offer—and want results that feel like you—Dr. Shermak will help determine if this procedure is the right fit. #### Deep Plane Facelift Recovery #### A Smooth Recovery Patients return home on the day of their surgery with an aftercare plan in place. Swelling and bruising peak within the first week and resolve over 2–3 weeks. Dr. Shermak provides detailed post-operative instructions and sees her patients regularly throughout recovery. You’ll need to avoid heavy lifting and strenuous activity for several weeks, but light walking is encouraged early on. *Most patients feel comfortable returning to public and social activities in about 2–3 weeks*. #### Beautiful From Every Angle *Deep Plane Facelift Results* [.lead]Initial changes are visible as swelling decreases, typically within 2 to 3 weeks. However, final results refine over several months as tissues settle.[] *You can expect a smoother jawline, fuller cheeks, softened folds, and a rested, more alert appearance that still looks like you*. Most patients enjoy their results for a decade or more. Practicing good sun protection and healthy habits help support long-lasting results. #### National Expertise Baltimore Charm *Why Choose Dr. Shermak for Deep Plane Facelift?* Dr. Michele Shermak is a *board-certified plastic surgeon* who brings decades of experience, national recognition, and a uniquely compassionate approach to every patient. Known for her work on the ASPS Patient Education Committee, numerous publications, and leadership in *plastic surgery* organizations, Dr. Shermak combines world-class expertise with the warmth and attentiveness that define her Baltimore-based practice. Patients trust her for results that reflect both art and integrity. [Schedule a Consultation](/contact/) #### Deep Plane Facelift Frequently Asked Questions --- ## Dysport **Link:** [Dysport](https://www.drshermak.com/injectables-fillers/dysport/) ([md](https://www.drshermak.com/injectables-fillers/dysport/index.html.md)) **Type:** Service **Description:** Board-certified plastic surgeon Dr. Michele Shermak specializes in Dysport injections for anyone in Baltimore, Maryland. Contact us today! ### Content #### What are the benefits of Dysport? **Dysport** painlessly smooths the skin, rewinding the clock on aging and elevating your self-image so you can feel more confident, both professionally and socially. Thanks to Dysport’s streamlined formulation, it is frequently used in patients who have developed a resistance to [BOTOX](/injectables-fillers/botox/). #### What is Dysport? Every time we laugh, smile, frown, or squint, tiny wrinkles form, revealing our actual age. Luckily, there is a safe, popular solution for these lines and creases called Dysport. Like BOTOX, Dysport is made with Botulinum toxin type A. When injected, our Baltimore **Dysport** treatment temporarily freezes the tiny facial muscles responsible for wrinkle-forming contractions. The skin can smooth out with the muscles neutralized, restoring a relaxed, youthful, and inviting facial expression. *Dysport* is formulated slightly differently than BOTOX, so it’s an excellent alternative to *BOTOX* for certain patients. Results can be seen within 24-48 hours, and there is no downtime or recovery. #### How much does Dysport cost? *Pricing for Dysport is based on the number of areas treated:* #### Dysport Can Treat #### What are the Advantages of Dysport? - Non-invasive, non-surgical, safe, and effective - It helps preserve and refine your natural beauty - Boosts self-confidence - Rewinds the clock on aging - Treats crow’s feet, forehead lines, and frown lines - Creates a more inviting, open facial appearance - You’ll need less makeup to look good - It prevents wrinkles from forming in the first place - No discomfort or downtime #### Who Can Benefit From Dysport in Baltimore? Dysport is effective for anyone seeking to reverse bothersome frown lines, forehead creases, and crow’s feet. When receiving injections of **Dysport** Baltimore patients can reclaim a more engaging, youthful countenance without requiring a lengthy recovery period, incisions, anesthesia, or scarring. *Dysport works for patients of all genders, ages, and backgrounds. It is beneficial for those who haven’t found relief using BOTOX*. Call our offices today to discuss how Dysport can help you to look and feel your best. #### What Happens After my Dysport Injections? Directly after your *Dysport* treatment, you should avoid lying down and avoid touching, poking at, or massaging your skin. Minor side effects such as a headache, swelling, tenderness, or bruising at the injection sites tend to fade quickly, usually by the end of the day. Patients can return to their normal activities immediately after their Baltimore **Dysport** session. Dr. Shermak is a *top-rated plastic surgeon serving Baltimore* and beyond. She goes to great lengths to deliver stunning results personalized to your unique wishes and aesthetic tastes. Employing an artistic eye and evolved understanding of natural beauty, Dr. Shermak oversees all non-surgical treatments, ensuring your utmost safety and an elegant, nuanced result. Dr. Shermak obtained her medical degree from the prestigious Johns Hopkins School of Medicine, completing a demanding combined residency in general and plastic surgery at The Johns Hopkins Hospital. Dr. Shermak is a Fellow of the American College of Surgeons. She is Board Certified in Plastic Surgery and is a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS). #### Dysport Frequently Asked Questions --- ## Daxxify **Link:** [Daxxify](https://www.drshermak.com/injectables-fillers/daxxify/) ([md](https://www.drshermak.com/injectables-fillers/daxxify/index.html.md)) **Type:** Service **Description:** If you’re interested in a frown line treatment with long-lasting, natural-looking results in Baltimore, Daxxify could be an ideal option. ### Content #### Daxxify is Safe & Long-Lasting Although there are several effective treatments to reduce the appearance of glabellar lines, the effects typically only last for a few months. If you’re interested in a frown line treatment with long-lasting, natural-looking results, our Baltimore **Daxxify** treatment could be an ideal option. #### What is Daxxify? *Daxxify is an injectable cosmetic treatment used to reduce the appearance of frown lines*. The FDA-approved treatment helps to create smoother, firmer skin between the eyebrows. #### How Does Daxxify Work? *Daxxify is made with a neurotoxin called botulinum toxin type A, the same active ingredient found in treatments like BOTOX, Dysport, and Xeomin*. When this neuromodulator is injected into the facial muscles, it temporarily blocks the signal between the nerves and muscles. That prevents those muscles from contracting, which smooths the skin and softens any lines and wrinkles in the area. Although **Daxxify** is somewhat similar to other neuromodulators, it’s made using an innovative and unique formula. Rather than using human or animal byproducts as its stabilizer, *Daxxify* uses peptides. This allows it to form a stronger connection with the body, leading to results that are more powerful and longer-lasting than other similar treatments. #### What Should I Expect During the Treatment? After a quick consultation with Dr. Shermak to ensure that you’re a good candidate for **Daxxify in Baltimore**, the treatment itself will be a quick and easy outpatient procedure. To begin, a topical anesthetic will be applied to your skin in the treatment area to prevent any pain during the treatment. Dr. Shermak will then use a very fine needle to inject *Daxxify* into your skin. Overall, the procedure should only take around 15 to 30 minutes, and you’ll be able to head home immediately after it’s finished. #### Am I a Candidate for Daxxify? Adults in search of a long-lasting frown line treatment could be good candidates for **Daxxify**. Ideal candidates for the treatment should meet the following requirements: - Be in generally good physical health - Have moderate to severe glabellar lines - Have no active skin infections near the treatment area - Have no allergies to botulinum toxin or other *Daxxify* ingredients - Have realistic expectations - Not be currently pregnant or breastfeeding #### How Long Is the Recovery Time? Typically, patients do not require significant recovery downtime after **Daxxify** treatment. You shouldn’t have any problem resuming your normal routine right away after the procedure. However, to ensure that you heal properly, you should avoid rubbing or scratching the injection sites, drinking alcohol, or partaking in strenuous exercise for a day or two. #### Are There Any Side Effects? With **Daxxify** Baltimore patients can sometimes experience certain side effects, including: - Headaches - Drooping eyelids - Injection site pain - Redness - Swelling - Bruising In rare cases, *Daxxify* can potentially cause more serious side effects. You should seek immediate medical care if you experience any of these symptoms: - Trouble speaking, breathing, or swallowing - Severe muscle weakness - Vision changes - Allergic reaction #### How Long Will It Take To See Results After Daxxify Treatment? Most patients start to notice the effects of *Daxxify treatment* within approximately three days, but it can take one to two weeks to see the final results. On average, the results of **Daxxify** treatment last for around six months, with some patients experiencing improvements for up to nine months. *Why Choose Dr. Shermak for Daxxify Treatment?* Dr. Michele Shermak is a *board-certified plastic surgeon* known for her skill, artistic vision, and dedication to helping patients achieve their aesthetic goals. Dr. Shermak and her team go above and beyond to ensure that every patient has a comfortable experience and receives the personalized care they deserve. We are a patient-centric practice, and our main goal will be to help you attain your desired appearance and restore your self-confidence. Give our office a call today if you’re ready to schedule your consultation. --- ## Breast Augmentation with Lift **Link:** [Breast Augmentation with Lift](https://www.drshermak.com/breast/breast-lift-augmentation/) ([md](https://www.drshermak.com/breast/breast-lift-augmentation/index.html.md)) **Type:** Service **Description:** Considering a breast augmentation with a breast lift in Baltimore, Maryland. Information provided by female board-certified plastic surgeon Dr Shermak. ### Content #### Breast Augmentation With Lift at Dr. Michele Shermak Plastic Surgery #### Full, Lifted, and Beautifully Balanced Our Baltimore **breast augmentation with lift** combines two transformative goals in one procedure: restoring lost volume and elevating the breasts to a more youthful position. Whether changes in your shape stem from breast development, pregnancy, weight loss, or aging, this surgery helps bring your breasts back into natural balance with the rest of your figure. Dr. Michele Shermak offers *breast augmentation with lift* for women seeking natural-looking enhancement guided by expertise and experience. With over 27 years of surgical excellence, she tailors each procedure to the individual, *helping patients in Baltimore achieve a more balanced, proportionate, and confident silhouette*. #### Breast Lift + Augmentation Before and After Photos #### Breast Augmentation with Lift at a Glance - **Comprehensive Enhancement** – Restores volume and elevates the breasts - **Tailored Augmentation Options** – Saline implants, silicone implants, or fat transfer - **Youthful Contours** – Improved shape and nipple position - **Elevate Breasts with Sagging from Development, Aging, Weight Loss** - Provide your chosen volume with lift to bring breast shape, size and position into harmony - **Improve Upon Remote Failed Breast Implant Surgery** - Choose to exchange your implants for a chosen profile and combine with rejuvenating lift - **Lasting Results** – Enhanced shape and fullness last for years #### Breasts That Fit Your Vision *What is breast augmentation with lift?* [.lead][Breast augmentation](/breast/baltimore-breast-augmentation/), an enhancement procedure, may be strategically combined with a breast lift to achieve rejuvenated, fuller breasts, a tighter, lifted skin envelope, and more optimally positioned nipples.[] When undergoing a **breast augmentation with lift** Baltimore patients may also help *treat congenital breast asymmetry*. Dr. Shermak uses saline or silicone breast implants, depending on patient choice, in a broad range of sizes and textures. The lift improves perkiness, and the implant improves the cleavage. *Breast augmentation with lift* is especially beneficial for women whose breasts have lost both volume and elasticity. This procedure is often part of post-pregnancy or post-weight-loss restoration. #### From Consultation to Contour *What is the breast augmentation with lift procedure like?* On the day of surgery, you’ll be placed under general anesthesia after Dr. Shermak meets with you to review the procedure and perform surgical markings. Dr. Shermak begins by making carefully planned incisions—typically around the areola and down to the breast crease. Implants or transferred fat are then placed to restore volume. The breast tissue is lifted and reshaped through an individually tailored approach in which excess skin is removed, the nipple is repositioned, and symmetry is achieved for a more youthful look. This is an outpatient procedure, and you’ll go home the same day with a support bra in place. #### Aging, Asymmetry and Post-Baby Breasts *What conditions does breast augmentation with lift address?* [.lead]This procedure is ideal for women with sagging (ptosis), deflation, or stretched breast skin who want to enhance their breasts’ position and size.[] It's often used to address post-pregnancy or post-weight loss changes, congenital asymmetry, or breasts that naturally sit low on the chest. Some of Dr. Shermak’s patients are teenagers who are uncomfortable with breasts that are sagging and/or asymmetrical. #### What are the benefits of breast augmentation with lift? #### Shape, Support, and Fullness [.lead]This combined surgery of **breast augmentation with lift in Baltimore** offers a more complete transformation than augmentation or lift alone.[] Patients enjoy fuller breasts with better shape, improved nipple placement, and a more youthful profile, all with one surgery and recovery process. *This procedure may be performed in a single stage to optimally provide comprehensive breast shape, size, and positional improvement*. #### When Lift or Augmentation Alone Isn’t Enough *Is breast augmentation with a lift right for me?* A larger implant will not necessarily lift the breasts and a lift may not be enough to improve breast shape and proportions. Good candidates for **breast augmentation with lift** are women in good mental and physical health who do not smoke or vape, and have breasts that have lost their fullness and shape from pregnancy or significant weight loss, or who have congenital breast ptosis, or sagging. Many of Dr. Shermak’s patients present after a history of breast implant surgery, who desire *improved breast position* and a wide range of sizes, from downsizing to upsizing. Procedures are individualized to meet patient goals. Clients should have realistic ideals for their outcome, hoping for improvement that matches their body type. Dr. Shermak will review surgical incisions and postoperative photos of women who have undergone this procedure so her patients are fully informed and expectations are set. #### Breast Augmentation with Lift Recovery #### Supported Healing Surgery is performed on an outpatient basis. One may experience temporary discomfort, swelling, or numbness. Most women resume regular activities and return to low-impact exercise after 1-2 weeks. Heavy lifting is discouraged for at least a month. Dr. Shermak and her team will provide detailed care instructions and a compression bra to support the healing process. Healing is checked at post-operative appointments, and Dr. Shermak remains available to offer extra support throughout the entire recovery phase. #### A Total Transformation *Breast Augmentation With Lift Results* [.lead]*Breast augmentation with lift delivers both aesthetic enhancement and physical renewal, offering a fuller, perkier, and more youthful breast appearance*. Patients enjoy a smoother silhouette, better cleavage, and improved balance between the breasts and the rest of the body, all while keeping proportions natural and harmonious.[] Beyond visual improvements, many women experience a meaningful boost in confidence and comfort. Clothing fits more attractively, bras offer better support without gaps or spillage, and posture may subtly improve as weight is more evenly distributed. Whether your breasts have changed after pregnancy, weight loss, or simply over time, the results of **breast augmentation with lift** help restore not just your shape, but your sense of self. #### What's Next? *Why Choose Dr. Shermak for Breast Augmentation with Lift?* [.lead]The way you look and feel directly affects your self-confidence. Thanks to her extensive experience as a skilled breast surgeon, Dr. Shermak has treated many patients in Baltimore who underwent **breast augmentation with lift**, improving both aesthetics and quality of life.[] Dr. Shermak has been recognized by her patients and colleagues for providing excellent breast surgical care. In addition to *treating patients in Baltimore for breast augmentation with lift*, Dr. Shermak also cares for many patients who undergo [abdominoplasty](/body/tummy-tuck-baltimore/), [body lift](/body/body-lift/), [fat grafting](/body/fat-transfer/), and [facial plastic surgery procedures](/face/). Please visit these pages to learn more about the other cosmetic procedures offered. #### Schedule A Consultation [.lead]We invite you to call Dr. Shermak’s Baltimore plastic surgery office at [(410) 616-3000](tel:(410) 616-3000) to schedule your personal, comprehensive consultation today.[] During the initial consultation, you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine the best way to achieve the desired result. Surgery is customized to your desires and needs. You can also learn more about the procedure by visiting our [online before-and-after photography](/gallery/breast/breast-lift-with-augmentation/) page. #### Breast Augmentation with Lift Frequently Asked Questions --- ## Motiva Breast Implants **Link:** [Motiva Breast Implants](https://www.drshermak.com/breast/motiva-breast-implants/) ([md](https://www.drshermak.com/breast/motiva-breast-implants/index.html.md)) **Type:** Service **Description:** If you're considering breast augmentation in Baltimore, Motiva Breast Implants offer an innovative approach to achieving the look and feel you desire. ### Content #### Experience The Next Generation #### Breast Augmentation Beauty and Safety Combining cutting-edge technology, unparalleled safety, and natural-looking results, *Motiva implants* are perfect for women who want to enhance their confidence and embrace their ideal figure. Board-certified plastic surgeon Dr. Michele Shermak is proud to offer **Motiva implants in Baltimore**, and beyond, delivering exceptional care and results tailored to your unique goals. Contact us today to learn more! #### What Does Motiva Breast Implant Augmentation Cost? Motiva breast implant augmentation costs $8,400. #### Why Choose Motiva Breast Implants? For over two decades, *Motiva by Establishment Labs*® has been redefining breast implant innovation with a commitment to safety, biocompatibility, and patient satisfaction. Designed with you in mind, **Motiva implants** provide a highly customizable experience with advanced features that ensure optimal comfort, appearance, and peace of mind. #### Am I a Good Candidate for Motiva? To be a good candidate for *Motiva breast implants*, you should: - **Be in good physical health**: You should not have any active infections or untreated medical conditions that could complicate surgery or recovery. - **Be a non-smoker or willing to quit temporarily**: Smoking can impair healing and increase the risk of complications. Candidates should quit smoking several weeks before and after surgery. - **Have sufficient breast tissue**: A certain amount of natural breast tissue is helpful to achieve a balanced, natural appearance. - **Not currently pregnant or breastfeeding**: Breast augmentation should be scheduled after pregnancy or nursing to ensure optimal results and safety. - **Be at a stable weight**: Significant weight fluctuations after surgery can impact the appearance of your implants. During your consultation, Dr. Shermak will thoroughly evaluate your medical history, lifestyle, and physical anatomy. She will then discuss your goals and explain how our Baltimore **Motiva implants** can help you achieve your desired look. This personalized approach ensures that your* *[breast augmentation](https://www.drshermak.com/breast/baltimore-breast-augmentation/)* *is tailored to your needs and delivers the results you’re looking for. #### Motiva Benefits [.lead]Reduced Risk of Complications[] The SmoothSilk® surface enhances biocompatibility by minimizing inflammation and bacterial attachment. This reduces the risk of complications, such as [capsular contracture](/breast/capsulectomy/), and promotes soft, natural-feeling results. [.lead]BluSeal® Safety Indicator[] The BluSeal feature ensures the integrity of the implant barrier layer, offering peace of mind with visible quality assurance. [.lead]ProgressiveGel® Options[] - **ProgressiveGel PLUS®**: Maintains a cohesive, stable shape for a fuller, youthful appearance. - **ProgressiveGel ULTIMA®**: Adapts its shape dynamically with your movements for an incredibly natural look and feel. [.lead]Femtech Freedom[] With Motiva’s satisfaction guarantee, you can rest easy knowing you have the freedom to explore your options and even consider explant procedures with financial support if the implants are not the perfect fit for you. #### What Financing Options are Available #### For Motiva® Breast Implants With Dr. Shermak? [.lead]Dr. Shermak offers several trusted financing options to make your procedure more affordable. Here are the top choices:[] - Advance Care - CareCredit - Alphaeon™ Credit - Prosper Healthcare Lending During your consultation, our team will help you choose the best option based on your goals and budget. [Learn more about financing](/resources/financing/). #### with the Motiva Health Program *Unmatched Safety and Support* With **Motiva breast implants** Baltimore patients can align themselves with one of the most comprehensive health programs in the industry, offering complimentary and optional extended coverage to protect your investment and ensure your peace of mind. The Complimentary Program includes the following: - **Lifetime**: Free implant replacement for rupture and $3,500 financial assistance for up to 10 years. - **10 Years**: Free implant replacement for complications like capsular contracture, late-forming seroma, or double capsule, with financial assistance included. The *Motiva® Health Program Plus* ($250) includes the following: - Enhanced financial assistance of up to $15,000 for select complications - Additional coverage for explant procedures if desired #### This is your life Make it Confident [Schedule a Consultation](/contact/) #### Why Choose Dr. Shermak #### for Your Motiva Breast Implants? Dr. Michele Shermak is a *board-certified plastic surgeon* renowned for her breast and body contouring expertise in Baltimore. With over 20 years of experience, she blends artistic precision with advanced techniques for natural-looking results. She graduated Magna Cum Laude from Franklin and Marshall College and earned her medical degree from Johns Hopkins School of Medicine. Dr. Shermak also served as Chief of Plastic Surgery at Johns Hopkins Bayview Medical Center and has significantly contributed to her field through research and academia. Dr. Shermak specializes in customizing each procedure to meet her patients' unique needs and goals. As a leader in her field, she consistently incorporates cutting-edge advancements, such as the innovative *Motiva® breast implants*, into her practice. Known for their biocompatibility, natural feel, and dynamic adaptability, **Motiva breast implants** perfectly align with Dr. Shermak’s commitment to providing state-of-the-art care. [.lead]References[] [Shermak, M. A. (2015). An outcomes analysis of 2,142 breast reduction patients: A single-surgeon experience. Annals of Plastic Surgery, 74(3), 265–269](https://journals.lww.com/annalsplasticsurgery/abstract/2015/03000/an_outcomes_analysis_of_2142_breast_reduction.6.aspx) [Gingrass, M. K., & Shermak, M. A. (2006). The treatment of gynecomastia with ultrasound-assisted lipoplasty. Aesthetic Surgery Journal, 26(4), 369–373](https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2008-1080216) [Shermak, M. A., Chang, D., Buretta, K., Mithani, S., Mallalieu, J., & Manahan, M. (2011). Increasing age impairs outcomes in breast reduction surgery. Plastic and Reconstructive Surgery, 128(6), 1182–1189.](https://journals.lww.com/plasreconsurg/abstract/2011/12000/increasing_age_impairs_outcomes_in_breast.11.aspx) #### This is your life Make it Confident [Schedule a Consultation](/contact/) --- ## Tummy Tuck **Link:** [Tummy Tuck](https://www.drshermak.com/body/tummy-tuck-baltimore/) ([md](https://www.drshermak.com/body/tummy-tuck-baltimore/index.html.md)) **Type:** Service **Description:** Considering a tummy tuck? Board-certified plastic surgeon Dr. Michele Shermak is located in Lutherville, Baltimore, MD. Abdominoplasty details, photos, and more. ### Content #### Tummy Tuck at Dr. Michele Shermak Plastic Surgery #### Confidence Built From the Core [Board-certified Baltimore plastic surgeon](/about/dr-shermak/) Dr. Michele Shermak specializes in **tummy tuck surgeries in Baltimore** for both women and men who are seeking to slim, tone, and recontour the belly for a more attractive silhouette. She will customize your procedure to your aesthetic goals and needs, performing a *mini tummy tuck*, a *full tummy tuck*, or a *reverse tummy tuck*. #### Tummy Tuck Before and After Photos #### Tummy Tuck at a Glance - **Stronger Core, Flatter Abdomen:** Tightens separated muscles and improves abdominal tone - **Removes Excess Skin:** Eliminates overhanging skin and stretch marks after pregnancy or weight loss - **Lasting Contour Enhancement:** Supports improved posture and a better fit in clothing - **Procedure:** 2–3-hour outpatient procedure performed under general anesthesia - **Recovery:** 2–3 weeks—most patients resume light activity within two weeks #### More Than a Flatter Stomach *What is a tummy tuck (abdominoplasty)?* Quite simply stated, an *abdominoplasty* contours the abdomen. The treatment includes muscle tightening and removal of excess skin. There is a large range of techniques that constitute our abdominoplasty to meet the needs of a diverse population. Including women who have recently given birth, men and women who have sustained significant weight loss, and those who suffer from abdominal scarring and weakness from prior surgeries. *The tummy tuck incision is thin and may be hidden under bathing suits and underwear*. The objective of any **Tummy Tuck in Baltimore** is a smoother, fitter torso and the increased self-confidence that goes along with it. #### Techniques Tailored to You *What is a full abdominoplasty?* *The term “Abdominoplasty” refers to plastic surgery of the abdomen*. A full abdominoplasty is the most comprehensive abdominoplasty. With this surgery, the following occurs: - Removal of a significant amount of loose, redundant, overhanging skin - Tightening of abdominal muscles (repair “diastasis”) that loosen and separate from prior abdominal surgery, weight loss, and pregnancies - Elevation, reduction, and defatting of the pubic region - Addressing the belly button, which may be stretched or deformed by hernias or scars - Often incorporates [liposuction](/body/liposuction/) of the waist to enhance shape - Secondary improvement of the upper and outer thigh, which pulls up in continuity with the abdomen #### Care That Respects Your Unique Needs *Mini Tummy Tuck and Reverse Tummy Tuck* [.lead]Our Baltimore **tummy tuck** surgery is highly customized to address varying degrees of skin laxity, muscle separation, or stubborn pockets of excess fat. While a full abdominoplasty is the most common technique, some patients may benefit from a *mini tummy tuck* or a [reverse tummy tuck](/body/reverse-abdominoplasty/).[] *Mini abdominoplasty* surgery focuses on the area below the belly button using a more limited incision. There is no belly button scar with mini abdominoplasty. This option may be recommended if there is only a small amount of loose skin or mild muscle laxity limited to the lower abdomen. This surgery also provides an optimal approach for belly button hernia repair. While a mini tummy tuck may be suitable for some patients, Dr. Shermak finds that the majority of people seeking abdominoplasty benefit from a full tummy tuck (full abdominoplasty). *Reverse abdominoplasty* is a specialized surgical procedure that addresses laxity and excess skin in the upper abdomen—above the belly button—rather than below it. The reverse approach involves incisions placed in the natural breast crease or along the inframammary fold. Through this discreet incision, *Dr. Shermak removes excess upper abdominal skin and tightens the tissue for a smoother, more defined upper torso*. This technique is often ideal for patients who have had previous abdominal surgery, those who have sustained significant weight loss with residual upper abdominal skin pockets, or those who have maintained good lower abdominal tone but are frustrated by sagging or loose skin in the upper region. During your consultation, Dr. Shermak will assess your unique needs to recommend the best approach. #### What is the tummy tuck procedure like? #### What to Expect on Surgery Day [.lead]On the day of your **tummy tuck** Baltimore patients will arrive at Dr. Shermak’s private surgical facility their comfort and safety are the top priority. After reviewing your surgical plan and answering any final questions, you’ll be placed under general anesthesia to ensure a pain-free experience.[] During the procedure, Dr. Shermak will make a low, horizontal incision, strategically placed so it can be concealed beneath most underwear and swimwear. She will then tighten the abdominal muscles, remove excess skin, and, if needed, use liposuction to refine the waist or flanks. In some cases, the belly button will be repositioned for a more natural appearance. Advanced pain management techniques are used throughout, including long-acting numbing medication to minimize post-operative discomfort. Once the procedure is complete, you’ll return home the same day to begin your recovery. #### Patient Review “My experience with Dr. Shermak and her entire office was nothing short of perfect from the moment I made my first appointment. Dr. Shermak and her team made me feel so comfortable.” ★★★★★ [View all Testimonials ](/testimonials/) #### What conditions does a tummy tuck address? #### Beyond Skin Deep: A Functional Reset A **tummy tuck** is ideal for people with physical changes that cannot be corrected through diet or exercise alone. These often include: - Separation of abdominal muscles (diastasis recti) after pregnancy - Abdominal hernias - Overhanging or lax abdominal skin - Stretch marks and scarring from previous surgeries or weight changes - Localized fat that disrupts the body's natural contour - Abdominal bulging that makes you appear pregnant despite weight loss Dr. Shermak treats a wide range of patients, from women recovering from childbirth to men and women who’ve lost significant weight, customizing each treatment to the patient’s anatomy and aesthetic goals. #### Strong, Sleek and Confident *What are the benefits of a tummy tuck?* **Restore Core Strength and Function** For patients with *diastasis recti*, a *tummy tuck* restores the abdominal wall, often improving posture and reducing back pain. This foundational repair supports daily movement and physical activity. **Remove Excess Skin and Improve Shape** After pregnancy or major weight loss, the skin often fails to retract. *A tummy tuck removes this excess skin and re-drapes the area for a smoother, more toned appearance*. **Increase Clothing Confidence** Patients often report feeling more comfortable and confident in fitted clothing, swimwear, and workout gear. Many **tummy tuck** patients feel that their exterior finally reflects the work they’ve put in internally. **Long-Lasting, Natural-Looking Results** With a stable weight and active lifestyle, results from a tummy tuck are long-lasting and transformative. *The results of a tummy tuck are more than cosmetic—they can be functional and emotional as well*. #### Who is a good candidate for an abdominoplasty? #### Find Your Perfect Fit Good candidates for our *abdominoplasty in Baltimore* are men and women in good health who have excess, overhanging skin, significant stretch marks, muscle laxity, localized fat, or discomfort from scarring. A tummy tuck is most often performed due to abdominal muscle laxity that might result from pregnancy, intrinsically lax tissues, or postoperative scars. Some women post-pregnancy appear to still look pregnant due to residual long-standing muscle laxity. A *tummy tuck* is also the most often performed procedure for individuals who have sustained massive weight loss. A **tummy tuck** may focus primarily on excess skin and improving skin contour, or on tightening abdominal muscles, but most of the time on both. A tummy tuck may be combined with [liposuction](/body/liposuction/), a [back lift](/body/back-lift/), a [thigh lift](/body/thigh-lift/), or [breast augmentation](/breast/baltimore-breast-augmentation/) to rejuvenate the entire torso. A tummy tuck may also be combined with abdominal hernia repairs, sometimes utilizing materials to reinforce the muscle repair. During the initial consultation, you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve the desired result. *Published in Clinics in Plastic Surgery* #### Full Support for a Smooth Recovery *Tummy Tuck Recovery* *Recovery from tummy tuck surgery* requires planning and patience. In the first few days, you’ll need help at home as you limit movement and allow your body to rest. You’ll wear a compression garment to support the healing tissue, reduce swelling, and promote a smooth contour. Most patients return to non-strenuous activity within 10–14 days and resume regular routines by the four-week mark. Dr. Shermak and her team provide thorough aftercare instructions and are always available to address concerns as you heal. *You’ll also receive guidance on scar care, incision management, and how to ease back into physical activity at the right pace*. #### Smooth, Sculpted and Completely Yours *Tummy Tuck Results* You’ll begin to see your initial results as early as two weeks post-op, with swelling continuing to subside over the next few months. Final results typically emerge by the 3–6 month mark, revealing a flatter, firmer, and more sculpted midsection. Patients often describe their **tummy tuck** results as life-changing, not only because of the physical transformation, but because of the emotional confidence that follows. When combined with a healthy lifestyle, these results can last for many years. #### A Leading Expert in Abdominoplasty *Why Choose Dr. Michele Shermak Plastic Surgery for Your Tummy Tuck?* Dr. Michele Shermak brings a level of experience and surgical artistry that few others match. A *board-certified plastic surgeon* with almost three decades of national recognition, Dr. Shermak is an educator, author, and leader in aesthetic plastic surgery, having published extensively on abdominoplasty and body contouring. Dr. Shermak loves performing **Tummy Tuck surgery** and performs it often: she notes that there is so much variability in presentation and patient need, and she feels uniquely equipped to approach patients with all kinds of presentations, big and small. Her approach is personal and precise. She listens, tailors, and treats every patient as a partner in the process. From the moment you step into her care, you’ll feel the difference—expertise guided by compassion and results shaped by a deep understanding of both form and function. [Schedule Your Consultation](/contact/) #### Tummy Tuck Frequently Asked Questions --- ## Mommy Makeover **Link:** [Mommy Makeover](https://www.drshermak.com/body/mommy-makeover/) ([md](https://www.drshermak.com/body/mommy-makeover/index.html.md)) **Type:** Service **Description:** Dr. Michele Shermak is top-ranked in Plastic Surgery in Maryland, specializing in mommy makeover surgeries. Click to learn more. ### Content #### Mommy Makeover at Dr. Michele Shermak Plastic Surgery #### Regaining Your Pre-Baby Body Conveniently located to serve *Baltimore, Maryland, Board-certified plastic surgeon* Dr. Michele Shermak has helped thousands of women regain their self-confidence and attractiveness after pregnancy has taken a toll on their physique. A **mommy makeover** is a combination of restorative procedures designed to rejuvenate the body's shape and appearance. This popular approach addresses issues such as loose, sagging skin and silhouette irregularities, while also empowering women to reclaim their pre-pregnancy or pre-weight physique, potentially achieving better contours than their baseline. #### Mommy Makeover Before and After Photos #### Mommy Makeover At a Glance - **Comprehensive Reshaping **– Combines breast, abdomen, and body procedures in one plan - **Natural-Looking Results** – Personalized approach to restore harmony and proportion - **Custom to Your Needs** – May include tummy tuck, liposuction, breast lift or augmentation, labiaplasty, or other surgical procedures - **Efficient Recovery **– One surgery and one recovery period - **Long-Lasting Confidence** – Supports both physical and emotional renewal #### Feel Confident in Your Body Again *What is a mommy makeover?* [.lead]A **mommy makeover** is a customized plan of cosmetic procedures designed to restore areas of the breast and body most affected by pregnancy, breastfeeding, and the natural aging process.[] Commonly included are a [tummy tuck](/body/tummy-tuck-baltimore/) (to repair separated abdominal muscles and remove excess skin), breast enhancement procedures (such as a breast lift, [breast implants](/breast/baltimore-breast-augmentation/), or breast reduction), and liposuction to target unwanted fat. *Labiaplasty is often added as well due to the toll pregnancy can take on the genital area*. This is not a one-size-fits-all surgical procedure—it’s a deeply individualized plan. Dr. Shermak, an authority in aesthetic plastic surgery, tailors each makeover to reflect your goals, anatomy, and lifestyle. Whether you’re newly postpartum or years into perimenopause, your body and your needs are unique, and so is your solution. #### Many Possibilities One Procedure *Procedures that can be done during a Mommy Makeover* Our Baltimore **mommy makeover** typically includes several procedures, each addressing different areas of the body to help restore a pre-pregnancy figure. Dr. Shermak can customize each procedure to meet individual goals, providing a comprehensive approach to body rejuvenation after pregnancy and childbirth. Here are some highlights of the procedures often involved: [.button.active]Tummy Tuck (Abdominoplasty)[] Removes excess skin and fat from the abdomen and tightens abdominal muscles that may have separated during pregnancy. [Learn More](/body/tummy-tuck-baltimore/) [.button.inactive]Breast Augmentation[] Breast augmentation may be performed with or without a breast lift to restore volume and shapely contours to the breasts. [Learn More](/breast/baltimore-breast-augmentation/) [.button.inactive]Breast Reduction[] For women with large breasts that impede their physical comfort or confidence, a breast reduction can provide a more balanced silhouette. [Learn More](/breast/breast-reduction/) [.button.inactive]Breast Lift[] Raises and reshapes sagging breasts for a more youthful appearance. It can be combined with augmentation for added volume. [Learn More](/breast/breast-lift/) [.button.inactive]Buttock Augmentation (Brazilian Butt Lift)[] It enhances the shape and size of the buttocks using fat transfer and can help improve overall body proportion and contours in the buttock region. [Learn More](/body/brazilian-butt-lift/) [.button.inactive]Liposuction[] Removes stubborn fat deposits from various areas like the abdomen, thighs, hips, and arms. It also sculpts and contours the body for a slimmer appearance. [Learn More](/body/liposuction/) [.button.inactive]Labiaplasty[] It reshapes and reduces the size of the labia for improved comfort and aesthetics. It can also address changes due to childbirth or aging. [Learn More](/body/labiaplasty/) [.button.inactive]Facial Surgical Procedures[] Comprises approaches like [eyelid lift (blepharoplasty)](/face/blepharoplasty/) , [facelift](/face/facelift-baltimore/), [neck lift](/face/neck-lift/), and [fat transfers](/face/facial-fat-transfers/) to refresh and restore lift and fullness in the face. [.button.inactive]Body Lift[] Removes excess skin and tightens the underlying tissue in areas like the thighs, buttocks, and lower abdomen. This is ideal for patients with significant skin laxity. [Learn More](/body/body-lift/) #### Thoughtful Guidance For Every Step [.button.active]Preparing for Your Procedure[] Maintaining a healthy lifestyle through diet and exercise is the best way to ensure an optimal outcome and recovery period after your **mommy makeover** procedure. We’ll provide you with a series of clear instructions that will help you make the most of your surgical experience. Anything you can do to improve your overall health profile will be recommended, like quitting smoking, improving your diet, and improving your exercise routine. [.button.inactive]Pre and Post-Operative Care[] Before your surgery day, we’ll be happy to provide you with instructions to help you fully prepare for the procedure, along with additional guidance and advice to ensure a smooth recovery and successful outcome. We’ll ensure you have everything you need to make your experience as smooth and ideal as possible, from start to finish. If you have any questions, please don’t hesitate to call our Baltimore offices and speak with a helpful member of our team. [.button][Pre and Post-Operative Care](/resources/pre-and-post-operative-care/)[] [.button][Preparation Guide](/resources/preparation-guide-for-mommy-makeover/)[] [.button][Retail Guide](/resources/retail-guide-for-mommy-makeover/)[] #### Experience Precision, and Artistry *What is the mommy makeover procedure like?* [.lead]On the day of your surgery, you'll arrive at our private surgical facility in Lutherville, where your care team is fully dedicated to your comfort and safety.[] Dr. Shermak will review your surgical plan with you, mark the areas to be treated, and address any final questions you may have. Once in the operating room, general anesthesia is administered by our experienced, on-site anesthesia team. The procedures typically last 2 to 6 hours, depending on your specific needs. You’ll wake up in a recovery suite, monitored by skilled staff, and will return home the same day with detailed post-op instructions. Most patients require help at home for the first few days. We will ensure you know what to expect at each step and remain actively involved throughout your healing. #### What conditions does a mommy makeover address? #### Tailored to the Body You Live In With a **mommy makeover** Baltimore patients can target the physical effects pregnancy and breastfeeding leave behind—changes that can’t always be corrected through a healthy diet, exercise, or non-surgical treatments. Conditions commonly addressed include: - Loose or sagging skin on the abdomen or thighs - Separated abdominal muscles (diastasis recti) - Stretch marks and scars from pregnancy or C-sections - Deflated, sagging, or asymmetrical breasts - C-section shelf or contour irregularities - Excess fat in the flanks, arms, or lower abdomen - Loss of body definition after weight gain or aging - Enlarged or asymmetrical labia minora in the genital region Dr. Shermak’s approach is both aesthetic and functional, restoring not just appearance but also strength, balance, and self-confidence. #### Elegance, Strength, and a Fresh Start *What are the benefits of a Mommy Makeover?* A **mommy makeover** is a highly customized procedure that helps you achieve a silhouette that aligns with your natural strength and beauty. Incorporating multiple procedures into a single surgical session yields harmonious results, allowing for coordinated healing and reduced downtime. For many women, it’s about regaining ownership of their body, not just reaching their pre-pregnancy shape. A flatter abdomen, improved breast size, and better posture are often accompanied by a more positive, empowered outlook that radiates throughout every area of life. #### Am I the ideal candidate for a mommy makeover? #### When You’re Ready to Focus on You Good candidates for a **mommy makeover in Baltimore** are women who are in good health and who have lost a sense of shapely fullness in their breasts, along with their preferred abdominal strength and contour, due to pregnancy and possible C-section surgery. During your initial consultation, you will discuss with Dr. Michele Shermak what you would like to improve so she can understand your expectations and determine how to best achieve the desired result. A *mommy makeover* is customized to the patient’s desires and needs, so Dr. Shermak will work closely with you to learn about your goals, get to know your unique physique, and collaborate with you on the creation of a treatment plan that sees you enjoying your ideal results. #### Attentive Care from Consultation to Recovery *Your Recovery Period* *Mommy makeover surgery* tends to be performed on an outpatient basis, so you’ll return home after your procedure, though you’ll need a friend to drive you home from our Baltimore surgery center. After your procedure is complete, it’s quite normal to experience temporary discomfort, swelling, numbness, and bruising. You can expect to be up, about, and walking within hours of your surgery. Most of our patients are able to resume regular activities and return to low-impact activity after a single week. Heavy exercise and lifting are discouraged for a month. Routine, non-strenuous driving and errands are safe to resume within a week to 10 days after your surgery. #### Mommy Makeover Results #### Results That Reflect Your Strength The results of your procedure will gradually refine over the first few months, but many patients notice a visible difference right away. *You can expect a flatter, more toned abdomen, breasts that sit more naturally and symmetrically, and improved overall shape and proportion*. Results are long-lasting, especially if you maintain a stable weight and healthy lifestyle. More than just physical changes, many women describe feeling like they’ve reclaimed a sense of ownership over their bodies. *Why Choose Dr. Shermak for a Mommy Makeover?* As an award-winning, *board-certified plastic surgeon*, Dr. Michele Shermak has been transforming patients’ lives for over 26 years, helping them restore their figures and confidence through expert plastic surgery. Since opening her practice in January 1999, she has earned a reputation for exceptional skill, meticulous attention to detail, and compassionate care, making her one of *Baltimore’s top-ranked plastic surgeons*. Dr. Shermak’s individualized approach ensures that each **mommy makeover** is customized to a patient’s unique needs, delivering natural-looking, stunning results. Her expertise extends beyond the operating room—she is the author of numerous authoritative articles, textbook chapters, and academic papers, further cementing her status as a trusted authority in plastic surgery. In 2022, Dr. Shermak was appointed to the Board of Directors of the American Board of Plastic Surgery (ABPS), where she plays a vital role in shaping the next generation of plastic surgeons as well as advocating for public safety. This prestigious position highlights her unwavering commitment to surgical excellence and patient safety. Choosing Dr. Shermak for your *mommy makeover* means placing your trust in a highly experienced, dedicated expert who prioritizes your beauty, confidence, and overall well-being. Contact us today to schedule your consultation and begin your transformation! #### Schedule Your Consultation Today Dr. Shermak is happy to have a conversation with you, hear your concerns, and discuss how you can achieve excellent results that align with your desires. [.button][Schedule Your Consultation](/contact/)[] Dr. Shermak is renowned for her ability to connect with her patients, and she will serve as an active resource before, during, and after your surgical procedure. An in-person consultation visit with Dr. Shermak will be very informative, helping you understand your best options and feel excited about the outcome of your upcoming procedure. When you’re ready to get started, please reach out to our Baltimore office and speak with a team member to schedule your consultation today. #### Mommy Makeover Frequently asked questoins [.intro]References[] [Shermak, M. A. (2008). Management of back rolls. Aesthetic Surgery Journal, 28(3), 348–354.](https://academic.oup.com/asj/article-abstract/28/3/348/268795) [Shermak, M. A. (2012). Body contouring. Plastic and Reconstructive Surgery, 129(6), 1017e–1027e.](https://journals.lww.com/plasreconsurg/abstract/2012/06000/body_contouring.32.aspx) [Shermak, M. A., Bluebond-Langner, R., & Chang, D. (2006). Hernia repair and abdominoplasty in gastric bypass patients. Plastic and Reconstructive Surgery, 117(4), 1145–1150.](https://journals.lww.com/plasreconsurg/abstract/2006/04010/hernia_repair_and_abdominoplasty_in_gastric_bypass.10.aspx) [Shermak, M. A., Rotellini-Coltvet, L. A., & Chang, D. (2008). Seroma development following body contouring surgery for massive weight loss: Patient risk factors and treatment strategies. Plastic and Reconstructive Surgery, 122(1), 280–288.](https://journals.lww.com/plasreconsurg/abstract/2008/07000/seroma_development_following_body_contouring.37.aspx) --- ## Face **Link:** [Face](https://www.drshermak.com/gallery/face/) ([md](https://www.drshermak.com/gallery/face/index.html.md)) **Type:** Gallery --- ## Breast **Link:** [Breast](https://www.drshermak.com/gallery/breast/) ([md](https://www.drshermak.com/gallery/breast/index.html.md)) **Type:** Gallery --- ## Body **Link:** [Body](https://www.drshermak.com/gallery/body/) ([md](https://www.drshermak.com/gallery/body/index.html.md)) **Type:** Gallery --- ## Injectables Fillers **Link:** [Injectables Fillers](https://www.drshermak.com/gallery/injectables-fillers/) ([md](https://www.drshermak.com/gallery/injectables-fillers/index.html.md)) **Type:** Gallery --- ## Laser Treatments **Link:** [Laser Treatments](https://www.drshermak.com/gallery/laser-treatments/) ([md](https://www.drshermak.com/gallery/laser-treatments/index.html.md)) **Type:** Gallery --- ## Skin Treatments **Link:** [Skin Treatments](https://www.drshermak.com/gallery/skin-treatments/) ([md](https://www.drshermak.com/gallery/skin-treatments/index.html.md)) **Type:** Gallery ---