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Sieber Plastic Surgery San Francisco

When it comes to dealing with excess fat around your midsection or elsewhere, there are plenty of so-called solutions. From super-strict diets and meal plans to exhausting workouts and claims from personal trainers, doctors, and nutritionists … it can be hard to know where to turn.

But while diet and exercise certainly play a role in your health and overall body shape, sometimes stubborn fat just doesn’t want to budge. When you’ve tried everything and nothing works, this is when you consider liposuction.

But is liposuction really worth it? And what about “Vaser liposuction” — the innovative procedure that claims to remove fat faster and with less pain and collateral tissue damage?

We see many patients who have heard about Vaser liposuction but simply aren’t sure if it’s really worth it for them. So, in this article, we’d like to go over the pros and cons of this highly popular cosmetic procedure. Once you understand the process and take a look at some Vaser liposuction before and after photos, we think you’ll agree Vaser is 100% worth it.

What Is Vaser Liposuction?

Before And After Vaser LiposuctionVaser liposuction is a type of liposuction that removes stubborn fat with ultrasound energy. Probes are used prior to suctioning, which emit high ultrasound frequencies. This energy emulsifies the fat you want to remove from your body, making it far easier to suction out with a cannula (the thin hollow tube your surgeon will use to remove fat).

Throughout the process, your surgeon will be able to remove fat without damaging the tissues that surround it. This means less bleeding and reduced swelling and overall damage.

When compared with traditional liposuction, there’s very little to complain about with Vaser liposuction. Not only does Vaser lipo remove fatty tissue more gently than traditional lipo, but the ultrasound energy used to liquify the excess fat allows your plastic surgeon to contour your body more precisely. This means the results are better.

Patients tend to truly love their Vaser liposuction results. It’s one of the most popular cosmetic surgery procedures available today.

Vaser Liposuction Pros

  • Fat is removed easily
  • Procedure creates very little discomfort
  • Allows for better, more precise body contouring
  • Technology can be used with high definition liposuction for more sculpted, athletic results
  • Provides moderate skin tightening effects
  • Recovery times are faster and less cumbersome
  • Scars are barely noticeable (if at all)

Vaser Liposuction Cons

  • Procedure typically takes longer than traditional lipo procedures
  • As with all forms of lipo, bruising, some swelling, and slight discomfort will accompany recovery
  • May not be best for patients with high BMI numbers

Assessing Vaser Liposuction Before and After Pictures

Vaser Liposuction Before And After PhotosWhen looking at before and after Vaser liposuction pictures, it’s worth looking for patients who have a similar build and similar “trouble areas” in their before pictures. This allows you to see, more clearly, what your results will look like after surgery. 

We also recommend seeking before and afters that depict the same position of the patient and the same lighting in both pictures (each before and after set). This creates fewer variables that might otherwise skew the appearance of the patient’s results. As you study the pictures, you’re able to see exactly how the patient’s body has been changed and improved.

FAQ: Vaser Liposuction

Can Vaser lipo be combined with fat grafting?

Yes, fat grafting (fat transfer) requires liposuction to remove unwanted fat from trouble areas, so it is often used with Vaser lipo. After removal, the fat is processed and re-injected into areas where the patient would like more volume. 

It’s a common type of moderate breast augmentation, for example (called breast fat grafting). Or, it can be used to sculpt the buttocks and hips to create an hourglass figure.

What is Vaser hi def liposuction (high definition lipo)?

High definition Vaser liposuction is a form of Vaser lipo that aims to reveal the patient’s musculature in finer detail. Athletic patients and those who want to emphasize each individual muscle and curve tend to opt for high definition liposuction. The same ultra sound energy used with any Vaser procedure is used with high definition lipo.

How long do you have to wear a compression garment after Vaser lipo?

Patients should wear their compression garments as directed by their surgeon. For most patients, this means 24 hours a day for the first four weeks following surgery. After that, most patients can switch to wearing their garments for just 12 hours a day for another eight weeks or so.

Call Today to Schedule a Consultation With Dr. Sieber

Vaser Liposuction Before And AfterVaser liposuction is an excellent solution to stubborn fatty tissue that won’t go away with diet and exercise. Get the body you’ve worked hard for! Vaser lipo could be the answer.

Please contact us today to schedule an appointment with double board-certified plastic surgeon in San Francisco Dr. David Sieber. We look forward to your call.



As many offices are figuring out their return to work schedule, workers are getting themselves ready and looking their best to be back in person. There are a number of plastic surgery options such as the mommy makeover that are helping renew confidence in women. Should you consider plastic surgery? Learn more about your options in the infographic below.

Why women are finally returning to the office

Why Women Are Finally Returning To The Office

Nearly two million women disappeared from the workforce in 2020 — although research suggests they’re finally beginning to return

The Pandemic’s ‘Shecession’ Is Starting To Fade

  • In March 2023, more than 77.8 million women were active in the US workforce
    • This number has topped pre-pandemic levels in February 2020 (77.6 million)
  • Labor force participation for women has nearly returned to pre-pandemic levels
    • March 2023: 57.2%
    • February 2020: 57.9%
  • There are several factors involved in making this decision to return
    • More reliable schooling options
    • Fewer business or industry closures
    • Improved public health outlook
  • Millions of growing industries are staffed by women all over the country
    • Kindergarten and preschool teachers: 96.8% share of workers who are women
    • Speech language pathologists: 95.1% share of workers who are women
    • Licensed vocational nurses: 91.3% share of workers who are women

While some women feel prepared to return to the workforce, others face barriers that prevent them from taking next steps

Women Face Significant Barriers In Returning To Work

  • Ageism: 61% of US workers at or over 45 say they’ve witnessed or experienced ageism in the workplace
    • Older female workers are more likely to be fired or let go by their employers
      • Endure more employment rejections than older men
      • Have less than half the callback rate of younger women
      • Face ageism bias at least five years earlier than men
    • Caregiving responsibilities: Women are 5 to 8x more likely to have their careers impacted by caregiving than men
      • 32% of women say they need to be home to care for children and loved ones
      • 12% of women say the cost of caregiving has prevented them from seeking work
      • The cost of childcare exceeds the cost of college tuition in 28 states
      • Since the average annual female salary in 2023 is $47,616:
        • District of Columbia: $24,243 for childcare = ~51% of yearly earnings
        • Massachusetts: $20,913 for childcare = ~44% of yearly earnings
        • California: $16,945 for childcare = ~36% of yearly earnings
        • Minnesota: $16,087 for childcare = ~34% of yearly earnings
        • Connecticut: $15,591 for childcare = ~33% of yearly earnings
        • New York: $15,394 for childcare = ~32% of yearly earnings
        • Maryland: $15,335 for childcare = ~32% of yearly earnings
        • Colorado: $15,325 for childcare = ~32% of yearly earnings
        • Washington: $14,554 for childcare = ~31% of yearly earnings
        • Virginia: $14,063 for childcare = ~30% of yearly earnings
      • There are also 74,000 fewer childcare workers in 2023 than 2020, which means finding a reliable option isn’t always possible in more rural areas
    • Lack of confidence: Nearly one in four (24%) of women feel that lack of confidence is their greatest stumbling block when returning to work
      • Two in four women say they don’t feel confident about work — whether they’re employed full-time, part-time, or still looking for work
      • There are two sides to this coin:
        • Career breaks: Taking time away to care for children or family members
          • 45% of women feel taking a career break damaged their career
            • 42% say they earn less than before
            • 37% feel less confident about their long-term earning potential
            • 29% feel sidelined or undervalued by their employers
          • Lookism: Pressure to maintain youthful beauty standards to keep a job
            • Women are 2x more likely than men to feel pressure about dying their hair for work
            • When a woman gains 64 pounds, her wage drops by 9%
            • 44% of women experience negative feelings when not wearing makeup

Despite the obstacles that stand in their way, women are fighting hard to reclaim their place on payroll

How Women Are Supporting Their Return To The Office

  • Finding professional mentorship
    • 45% of women say they would feel less anxious at work if they could conquer self-doubt
    • Tapping into professional mentorship can help to manage this imposter syndrome
      • Research shows mentorship can have a dramatic impact on:
        • Self-esteem
        • Promotion likelihood
        • Greater confidence
          • 87% of those mentored develop greater confidence at work
        • Pursuing hybrid roles
          • 21% of women say a lack of flexible or hybrid working roles has prevented them from seeking work in the past
          • The rise of hybrid roles allowed thousands of women to get back to work
            • 66% of women say hybrid work allows them to experience less bias
            • 67% of women say hybrid work has a positive impact on their career growth
            • 53% of caregiving women say flexible work helps them save money or spend more time with family
          • Reinvesting in themselves with plastic surgery
            • More and more women want to regain confidence in their physical appearances, especially new mothers who struggle with body dysmorphia
              • 39% of new moms say they’re insecure about their post-baby bodies
            • Today, women are feeling the freedom to invest in what matters to them

Women deserve to feel confident about their return to work — and more and more resources are paving the way to an equitable future.



















When considering a breast augmentation in San Francisco, the decision between silicone and saline implants holds significant weight. Whether it is for reconstructive purposes or to enhance your personal sense of self, the implants you choose will have a lasting impact.

While breast implants are not permanent, as some might assume, they are designed to endure for many years. Hence, selecting the appropriate type initially becomes crucial in order to avoid unnecessary future surgeries.

Your unique requirements and aesthetic preferences will be carefully considered as you collaborate with your plastic surgeon to determine the ideal breast implant. Factors such as size, projection (how much the implant protrudes from the chest wall), shape, and filling material will all play a role in this decision.

However, before delving into the specifics, you will first need to make the choice between saline breast implants and silicone implants.

Both options have their own advantages and disadvantages, and one is likely to align better with your specific needs. Below, you will find detailed information about the benefits of each type, as well as reasons why it may not be the most suitable option for you. If you have any further inquiries after reading, please don’t hesitate to reach out for further clarification.

First, a note on safety.

Silicone vs saline implants


For decades, many people were convinced that silicone was not as safe as saline for implants.  Saline breast implants are simply a solution of water and salt, the concentration being similar to that of tears, blood and body fluids.

Intuitively, it does seem as though saline breast implants would be safer, as your body consists of a huge portion of it anyway. However, while popular belief for years held that silicone implants were related to health risks and immunological diseases, there is no evidence to support this claim today.

The only known medical risk of implants is breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which is an extremely rare type of cancer that develops only around textured breast implants.  BIA-ALCL is a highly treatable cancer; most patients have an excellent prognosis following the removal of the breast implants and surrounding capsule.

Overall, both breast implants appear equally safe, according to current medical literature. The chance of rupturing is not greater in one than the other, either, although the response to and detection of ruptures is different (covered below). The bottom line with safety is that, while you need to be aware of certain issues with Saline and Silicone Implants, neither wins out on risk factor – so you can read on with a clear head.



Why I chose saline breast implants? Saline is simple, sterile saltwater. Your body already contains a ton of it, so it’s pretty much guaranteed to be safe. Many women still feel more comfortable knowing that the substance inside their bodies will be natural. However, it should be noted that even saline implants are contained within a silicone outer covering.

Another benefit is that when saline implants break, it is very obvious. Because the body absorbs saline through the barrier that forms around the implant capsule, the breast will rapidly “deflate” if the implant breaks. Within just a few days, the breast will have lost all the fullness associated with the implant. Thus, no detection system is needed.


Saline, because it is water, ripples with movement. This can look very unnatural, especially if a woman does not have a significant amount of existing breast tissue to cover the implant. For some women, this might make them less likely to feel confident wearing swimwear or revealing clothing.



Silicone vs saline implantsThe main pro of silicone is that it looks and feels more natural than saline. Silicone gel implants keeps its shape, unlike rippling water. This is especially useful for the teardrop-shaped implants that mimic the natural breast shape, eliminating the appearance of roundness at the top of the breast with normal round implants. Some women choose the teardrop shape for this reason.

Contrary to unfounded claims, there is no medically determined increase in risk of capsular contracture, or the hardening of breast tissue around the implant, when you opt for silicone. To date, researchers have not yet conducted meta-studies to see which type results in more breast hardening, but most physicians will tell you they don’t see a statistically significant difference between implant types in their patients.


The main con regarding silicone breast implants is that it is impossible to detect when they rupture without an ultrasound or an MRI. Because silicone implants

does not penetrate the barrier around the implant (which is good, since it doesn’t enter the body), the breast does not lose shape. Therefore, a woman could conceivably have a ruptured implant for years and not notice it.

For that reason, the FDA recommends magnetic resonance imaging scans (MRIs) three years after implant placement and every two years thereafter. This scan likely won’t be covered by insurance for elective breast augmentation making silicone possibly more expensive long-term. However, screening alternatives to MRI like ultrasound are becoming more mainstream.

Questions and Answers about Breast Augmentation with Implants

Which implant is better saline or silicone?

Saline implants tend to have a firmer, fuller, and rounder appearance compared to silicone implants, potentially resulting in a less natural look and feel. Nevertheless, by tailoring the size and positioning, it is possible to achieve a more natural aesthetic with these implants.

Does silicone or saline implants last longer?

Typically, saline implants have an average lifespan of 10-20 years, while silicone implants can last between 20-40 years. Among the two types, saline implants have a higher probability of rupturing and are more susceptible to “rippling.” This refers to the visibility of the implant’s edges or creases through the skin.


Of course, even if you have a pretty good idea of Saline vs. Silicone Implant, you’ll still need to discuss your options with your plastic surgeon. They will help clarify any outstanding questions about breast implant illness, saline implant ruptures and asses the benefits for your lifestyle and make the choice that works for you long-term.

If you’re ready to learn more about having a San Francisco breast augmentation surgery procedure, Dr. Sieber would love to hear from you!

A Mommy Makeover is a highly personalized procedure designed to address each patient’s unique goals for their transformation. There are no fixed rules or limitations when it comes to creating a Mommy Makeover plan—it is entirely tailored to your specific needs and desires.

Interestingly, a Mommy Makeover is not limited to women who have undergone pregnancy. Other factors such as significant weight loss or the natural aging process can also lead to similar body changes that may benefit from these procedures.

While not all mothers experience significant body changes after pregnancy, it is common for most women to encounter various transformations. These changes often include deflated and sagging breasts, stretch marks on the abdomen, separation of the abdominal muscles causing abdominal bulging, and persistent fat deposits that do not respond to diet and exercise efforts.

It can be disheartening when these changes become permanent and resistant to traditional lifestyle measures.

However, the positive news is that a Mommy Makeover procedure offers a solution. This comprehensive approach can help address these concerns and restore your body to a more youthful and vibrant state, allowing you to regain your confidence and satisfaction.

Mommy Makeover Includes

During pregnancy, the body goes through many changes. The areas that are most commonly affected include the breasts and the abdominal region. A mommy makeover can include a number of plastic surgery procedures to help address your “problem” areas, and may include the following procedures:

  • Breast Augmentation– can restore fullness and lost volume to the breasts using implants.
  • Breast Lift– help to lift sagging skin and the breasts to a more youthful position.
  • Breast Reduction– can create smaller breasts for those with disproportionately large, uncomfortable breasts.
  • Tummy Tuck– removes excess abdominal skin and tightens abdominal muscles for a flat midsection.
  • Liposuction– removes excess, stubborn fat deposits from anywhere on the body.

Mommy Makeover IncludesThe mommy makeover is highly individualized, so no two mommy makeovers will be the same. During your consultation, you can discuss your personal aesthetic goals, and Dr. Sieber will create a customized mommy makeover surgery

Combining plastic surgery procedures in a strategic manner offers several advantages, including improved efficiency and minimized disruptions for patients. By consolidating multiple procedures into a single session, we can ensure that you undergo anesthesia only once, experience a streamlined recovery process, and have a single period of downtime.

Dr. Sieber prioritizes the safety and well-being of all his patients, which is why he exclusively operates at fully accredited San Francisco hospitals. These facilities adhere to rigorous standards, ensuring the highest level of safety and care throughout your surgical journey. Additionally, after a tummy tuck, He requires an overnight stay to provide thorough monitoring and dedicated nursing care, further enhancing your post-operative recovery experience treatment plan just for you.

Mommy Makeover Questions and Answers

Does a mommy makeover include BBL?

Yes, a mommy makeover can include a Brazilian Butt Lift (BBL), but it depends on the specific procedures chosen and the goals of the individual. A mommy makeover typically refers to a combination of surgical procedures aimed at addressing the physical changes that occur in a woman’s body after pregnancy and childbirth.

The specific procedures involved can vary based on the individual’s needs and desired outcome.

Does mommy makeover include thighs?

Yes, a mommy makeover can include procedures that address the thighs. The specific procedures chosen for a mommy makeover are based on an individual’s concerns and goals, so if a person is looking to improve the appearance of their thighs as part of their post-pregnancy body transformation, it can be included in their mommy makeover plan.

Are You a Candidate?

Mommy makeover surgery includesWomen who are healthy and wish to restore their pre-baby figure can often benefit from a this surgical procedure. The best time to undergo this procedure is when you are done having children, and at least six months after you have finished breastfeeding.

This is because future pregnancies can undo the results of your mommy makeover. A consultation with Dr. Sieber can help to best determine if a mommy makeover is right for you.

Contact Our Office

If you are interested in learning more about the mommy makeover surgery for a boost in confidence, contact our San Francisco office today to schedule a consultation with Dr. Sieber to learn more about procedures included in a mommy makeover like tummy tuck, breast lift, breast augmentation and breast reduction.

Even athletes and those who are otherwise fit and healthy can struggle with areas of stubborn fat. For these individuals, HD liposuction can remove excess fat cells and reveal a chiseled, muscular physique beneath.

Overall, recovery from this procedure is fairly quick and relatively painless. Total recovery time for HD liposuction varies from patient to patient. 

The majority of patients require at least one week off from work, but your high definition liposuction recovery time may be longer or shorter than this. Below, we’ve provided an overview of what you can expect during your high definition liposuction recovery.

What to Expect After Surgery

High Def Liposuction RecoveryTaking care of yourself and following your surgeon’s recovery protocol is critical after HD liposuction. You will need to take one to two weeks off from school or work. This amount of time differs based on the number of areas where you have liposuction performed, whether or not you opt for additional procedures, and what the state of your overall health is.

Dr. Sieber will advise you to refrain from exercise and other activities for several weeks. Do not push yourself too hard, or you risk compromising your health and your results. 

It’s also best to plan ahead in terms of self-care. Prior to surgery, be sure your home is stocked with healthy meals, snacks, plenty of water, and a comfortable place to rest and sleep. Have all you’ll need ready and at-hand, including care arrangements for children and/or pets. It may even be possible to pick up any prescriptions ahead of time so that you have them at home when you arrive.

HD Lipo Recovery Details

At the beginning of your high def liposuction recovery, you will be placed into a compression garment, and drains will be put under this garment to prevent fluid buildup and reduce the likelihood of a seroma. Typical symptoms at this time will include overall discomfort and pain, bruising, and, of course, swelling. 

As for your compression garment, you will need to wear this article for 24 hours a day for the first approximately four weeks post-surgery. From there, most patients can switch to wearing their compression garments part-time (usually for 12 hours a day) for about eight weeks. Of course, it’s okay to remove your garment to shower, but otherwise, it should be worn as directed. 

Starting the day after surgery, regular lymphatic massage performed by a licensed therapist can help drain the lymphatics. This, in turn, will help optimize your results and smooth out any unevenness. When lymphatic massage (or ultrasound-assisted massage) is not utilized, sometimes, lumps, bumps, or fibrosis may become a problem.

When Will I See My Results?

Swelling is a symptom all patients should expect after surgery. Most patients experience major swelling in the few days directly following surgery. Then, once major swelling subsides at around the one- to two-week mark, high definition liposuction results typically become visible. 

Keep in mind, however, that even after swelling dissipates, you will still have some residual inflammation. This will take a while to disappear — sometimes, up to a few months.

Maximizing Your HD Liposuction Results

Do the following to ensure proper healing and optimal results after HD lipo. 

  • Get plenty of rest. While you recover from your liposuction procedure, ensure you are getting adequate sleep and rest. Returning to work, daily activities, or exercise too soon may compromise your results and can even put your health at risk.
  • Wear your compression garments. Don’t avoid wearing the compression garments you are given after surgery. Proper use of these garments will ensure your fat removal procedure is effective and lasts for years to come. It will also reduce swelling and make you generally more comfortable after surgery. 
  • Consume a healthy diet. Healing and recovery will go faster when you give your body the fuel it needs. Focus on protein both before and after your surgery. Fill in the rest of your meals and snacks with plenty of fresh veggies and fruits, whole grains, and healthy fats.
  • Avoid smoking, alcohol, and excess sodium. Your surgeon will go over this more in detail at your consultation appointment, but smoking and consuming alcohol can actually put you at risk during and after your surgery. Consuming excess sodium will add to your fluid buildup and prolong swelling.
  • Drink plenty of water. Believe it or not, more water will actually help reduce fluid buildup by flushing out fluids, ultimately reducing swelling overall.
  • Maintain a steady weight. After your HD lipo procedure, ensure your weight does not fluctuate drastically. Significant weight loss or gaining weight after liposuction surgery may ultimately lessen your results. 

Book Your HD Liposuction Consultation

HD Lipo RecoveryInterest in hi def liposuction has been increasing in recent years. While traditional liposuction remains a regularly used procedure, Vaser technology and the high definition technique can produce outstanding results for a selected group of patients. 

To learn more about this procedure and see if you’re a good candidate, we invite you to call and schedule a consultation with double board certified plastic surgeon Dr. David Sieber today. 



Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

SF Scientist

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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