Cosmetic Procedures

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The doctor's approach to cosmetic surgery is guided by the principle of "less is more"; promoting minimally invasive procedures that get aesthetically superior results (with the least risk to his patients). Visually pleasing. Natural-looking. Your body can evoke these phrases-they're founded upon the experience of hundreds of breast augmentations, breast lifts, and breast reductions that Dr. Michelson has successfully performed. He also enjoys an excellent reputation in facial plastics; an improved, more youthful appearance can be enjoyed through a facelift, necklift, eyelid surgery, and alloplastic facial implants. Of course, Dr. Michelson encourages minimal-incision facelifts and browlifts, which are part of his repertoire.

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Breast Lift in Oxnard, Southern California

Breast lift surgery, or mastopexy, restores a more youthful appearance, raising and reshaping the breasts. Breasts can lose their form and firmness due to pregnancy, nursing, loss of skin elasticity, aging, and gravity. Pregnancy and nursing often result in stretched skin and therefore decreased volume. If you are planning a future pregnancy, it is advisable to postpone your breast lift, as additional pregnancies will likely cause further stretching.

The operation utilizes a series of incisions whereby excess skin is removed from the bottom of the breast and the nipple is lifted to a higher position. This procedure can also reduce the size of the areola, the darker skin surrounding the nipple. Mastopexy is commonly performed in conjunction with breast augmentation (see above) to increase breast firmness and size.

As with all cosmetic surgery, realistic expectations and emotional stability are important. Though breasts of any size can be lifted, women with smaller breasts usually enjoy longer-lasting results.

Breast Augmentation in Oxnard, Southern California

breast augmentation michelson cosmetic oxnard californiaWhile breast augmentation will enlarge the breasts, it will not alter basic defects in breast shape or form. Major asymmetries may be improved but will not be completely corrected. A slight difference in the size or shape of the two breasts is considered normal and should not be a cause for concern. If the difference in individual breast size or nipple position is great, then additional procedures to further improve symmetry may be necessary.


liposuction michelson cosmetic oxnard californiaLiposuction is a very common, popular procedure, designed for the permanent removal of subcutaneous fatty tissue from areas that do not respond to diet and exercise. These areas include the hips, thighs (for the removal of "cellulite"), abdomen, knees, ankles, arms, face, and neck.

Liposuction is performed on an outpatient basis, which is partly facilitated by the administration of a special fluid with multiple functions and benefits. Injected in the areas of treatment, the liquid is a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels). This fluid provides: anesthesia during and after surgery, temporary tissue tumescence to help the fat be removed more easily, a tremendous reduction of blood loss, and a reduction in the amount of bruising.

The surgeon makes small discreet incisions (less than ¼ inch long) in the areas to be treated, and a microcannula (flexible tube 3.0 millimeters in diameter) is inserted into the incision(s) (its other end is attached to a suction machine). The procedure may take an hour or more, depending on how many areas are involved. To maintain a margin of safety, there is a limit on how much fatty tissue can be removed at one time.

Recovery is usually uncomplicated, though you may expect a fair amount of swelling and bruising in the following two weeks. While healing, you will need to wear special garments provided to apply pressure, minimize swelling, and provide support. These garments also assist in retraction of the skin. Stitches will be removed in a week to ten days.

The day after surgery you should be up and walking around. Thereafter, make efforts to increase your activity in daily increments, until normal exertion is resumed at two to four weeks. You will be ready to return to office work in three to five days and more active employment in ten to fourteen days. Avoid the sun until all bruising has subsided. A sunscreen should be used routinely; it is easy to get sunburned during recovery because of decreased sensation.

An enhanced body contour is recognizable almost immediately, and will continue to improve as swelling subsides. A variety of factors can affect the outcome: physical condition, genetic makeup, diet, exercise, smoking, alcohol intake, and skin elasticity. Results are permanent, but if you were to gain a large amount of weight you might experience rippling of the skin in the treated areas (depending on your skin's elasticity). It is not a treatment for obesity. If weight gain occurs following liposuction, the fat will be deposited in areas that have not been treated.

For Liposuction in Oxnard, Southern California, contact Dr. David Michelson or call 1.805.485.3888 today to schedule your consultation. We look forward to hearing from you!

Weight Management

weight management michelson oxnard californiaIn his quest to help all his patients look and feel their very best, Dr. Michelson has acquired the knowledge and expertise for his diverse repertoire of cosmetic surgeries and treatments. Yet, his medical skills are only part of the solution. You, the patient, will ultimately determine the outcome of your treatment, for proper body weight management is integrally linked to all procedures-enhancing their results, and extending their benefits over the passage of time.

Talk to yourself about taking charge of your appearance. Then talk to Dr. Michelson about a weight management regimen that provides reachable goals to help you sustain your new youthful form:

  • Prescribed medications (if needed) help your body adapt to your new activities and your new diet, and help you control your appetite.
  • Dr. Michelson's recommended balanced menu is both nutritious and delicious; the program tools help you monitor your caloric intake.
  • Discovery of exercise that is beneficial and fun.
  • Drinking the daily-recommended amount of water can be relished when sparkling water is flavored with fresh lemon or lime juice.

Health as the Basis for Managing Body Weight

Diseases associated with obesity and a large waist circumference include:

  • High cholesterol and cardiovascular disease (including coronary artery disease and stroke).
  • High blood pressure (hypertension). People who are obese have a risk for high blood pressure that is two to three times greater than that of people who maintain a healthy weight
  • Sleep apnea and respiratory problems
  • weight management

  • Type 2 diabetes (formerly called adult-onset diabetes or non-insulin-dependent diabetes mellitus (NIDDM))
  • Gallbladder disease (gallstones). People who are overweight have a risk for gallbladder disease that is two to three times greater than that of people who maintain a healthy weight
  • Metabolic syndrome*. Research has shown that having this syndrome increases your risk for coronary artery disease (CAD), even beyond that caused by high cholesterol alone
  • Osteoporosis
  • Osteoarthritis
  • Some forms of cancer, such as those affecting the colon, breasts, and prostate

*Metabolic syndrome is a group of abnormalities related to the body's metabolism. These abnormalities include excess body fat (particularly around the waist), high triglycerides and blood pressure, and low HDL cholesterol. Metabolic syndrome is closely linked to a specific metabolic problem called insulin resistance, in which the ability of insulin to control the amount of sugar in the blood is impaired.

bmi chart weight managementWeight chart adapted by Healthwise, Inc., from the Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans (2000). U.S. Department of Health and Human Services (

Health as the Basis for Managing Body Weight: this content appears through the courtesy of Healthwise, Incorporated. Plastic Surgeon Dr David Michelson offers the full scope of plastic surgery procedures including buttock augmentation, liposucion, nose surgery, breast implant surgery and more. Dr Michelson is located in Southern California and serves the Oxnard Areas.






Note: your ideal weight may differ from the value depicted on this chart; it can be helpful for determining whether your weight is increasing your risk for disease

For Weight Management in Oxnard contact Dr. David Michelson or call 1.805.485.3888 today to schedule your consultation. We look forward to hearing from you!

Tummy Tuck

tummy tuck michelson oxnard californiaThe tummy tuck (abdominoplasty) is an operation that is designed to remove excess skin from the abdomen and tighten the abdominal muscles. It is indicated in cases where abnormal stretching of lax abdominal muscles and skin has resulted in excessive bulging. Unlike liposuction surgery, which just removes fat, this operation involves removal of skin and fat, with tightening of the abdominal muscles. For this reason, it is more extensive than liposuction. The actual extent of surgery will depend on the amount of excess skin and the degree of abdominal muscle laxness.

The operation is usually carried out under general anesthesia. The amount of skin that is to be removed is carefully marked, and an incision is made in the bikini line. The excess skin is pulled down and inward, and is removed along with underlying fatty tissue. The muscles are tightened as required, the skin is carefully redraped, and the incision is closed with several layers of sutures.

For Tummy Tuck in Oxnard, Southern California, contact Dr. David Michelson or call 1.805.485.3888 today to schedule your consultation. We look forward to hearing from you!

Buttock Augmentation

Buttock Augmentation surgery is an increasingly popular procedure that changes a flat and poorly developed buttock to a more enhanced feature on the body.

Buttock Augmentation with Implants vs. Fat Injections

butt augmentation michelson oxnard californiaThe buttocks are a difficult area of the body to achieve desired results through exercise. The shape and size of the buttocks have a large influence on the aesthetics of the body for both men and women. Shapely, round buttocks can give the waist and thighs a smaller appearance, bringing the entire body into a pleasing proportion, and provide a more youthful appearance.

With Buttock implant surgery, the surgeon inserts a silicone implant under each buttock muscle. This procedure is performed under general anesthesia and lasts approximately two hours. With this procedure, you should plan for a minimum 4-week healing process before resuming normal activities. The Buttock implant surgery is the preferred procedure for patients who do not have excess fat stores or whose excess fat is not sufficient to allow for buttock augmentation by fat injection. It is also a good procedure for those who want to make extreme modifications to both the size and shape of their buttocks.

With buttock enhancement by fat injection, gentle liposuction is used to remove fat cells from other areas of the body, such as the thighs, abdomen, and hips. The removed fat cells are then injected into the buttocks. This procedure provides a body sculpting effect through reduction of fat in unwanted areas of the body. Butt augmentation through fat injection is a less invasive procedure that allows you resume some activities in as little as 2 days and resume full activity in about 2 weeks.

Plastic Surgeon Dr David Michelson offers the full scope of plastic surgery procedures including buttock augmentation, liposuction, nose surgery, breast implant surgery and more. Dr Michelson is located in Southern California and serves the Thousand Oaks and Oxnard Areas. Contact Dr Michelson today for your consultation.

For Buttock Augmentation in Oxnard, Southern California, contact Dr. David Michelson or call 1.805.485.3888 today to schedule your consultation. We look forward to hearing from you!

Sclerotherapy Treatment in Southern California

Sclerotherapy can noticeably improve the appearance of some vascular lesions like "spider veins" and some varicose veins. Afflicting mainly women, "spider veins" (telangiectasias) are tiny red or purple vessels, close to the skin's surface, that commonly appear on the legs. Varicose veins are larger (usually more than one-fourth inch in diameter), distended, a darker color, and are more likely to cause pain. For the treatment of both types, a painless sclerosing solution is injected into the problem veins. The sclerosing (meaning "causing thickening") solution acts as an irritant that causes a localized thickening of blood factors, which eventually results in the vessels being filled in with nonvascular tissue. In effect, the treated vessels are absorbed by the body; this is manifested by the veins first turning a lighter color, and finally by disappearing. Notably, with the absorption of the target vessels, the pain (aching and cramping) associated with them is also often remedied. In most cases, about fifty to seventy per cent of the treated vessels will respond favorably.

During your initial consultation, Dr. Michelson will check for any possible complications with your venous system. A hand-held Doppler ultrasound device may be used to test for any circulatory backflow. If indicated, you may be referred to a different specialist, as any underlying problems would have to be addressed before sclerotherapy of the surface veins would be successful.

A sclerotherapy session usually takes only fifteen to forty-five minutes to complete. After an antiseptic solution is applied, a small syringe with a micro-needle is used to inject the sclerosing solution. During injecting, the skin above the veins is held taut, while bright indirect lighting and proper magnifying glasses ensure precision. Cotton and compression tape is applied to each area immediately after completion, and must remain in place for forty-eight hours. The procedure requires no anesthesia; you may experience a mild burning sensation when the solution is injected, but it subsides in a few seconds.

After the procedure, support hosiery will usually be prescribed to control blood clots and reduce bruising. A walking regimen will also help blood clots from forming in the deep veins of the legs. Several treatments at three to four week intervals may be required, and final results are usually apparent in several months.

Most patients are very pleased with how their skin appears younger, clearer, and more healthy-looking. For Sclerotherapy in Oxnard, Southern California, contact Dr. David Michelson or call 1.805.485.3888 today to schedule your consultation. We look forward to hearing from you!

Endermologie® in Southern California

endermologie michelson cosmetic oxnard californiaEndermologie® is a one-of-a-kind technique to treat cellulite, administered with specialized non-invasive instruments by an LPG¹ Certified Technician. The technician maneuvers a hand-held extension of the LPG therapeutic massager that combines gentle suction and activated rollers to lift and stimulate cellulite-impaired tissues (see diagram below). Through a series of individualized treatment sessions, Endermologie® effects remarkable improvements in patient skin tone, body contours, and cellulite appearance. Recognizing its efficacy, Dr. Michelson provides this therapy in the comfortable setting of his Cosmetic, Aesthetic, and Anti-Aging Center. There, patients who have experienced Endermologie® liken the session to an incredible invigorating massage-but it is so much more.

While many factors can lead to the formation of cellulite², Endermologie® directs change through a factor that is key to restoring skin smoothness-microcirculation. Microcirculation implies a robust movement of blood and lymph through minute semipermeable vessels that allows a normal interchange of body fluids; when reestablished in subcutaneous tissues, microcirculation can:

  • Reduce the volume of fluid retention.
  • Signal hypertrophic adipocytes (enlarged fat cells) to return to normal size, possibly by: normalizing fluid characteristics and quantities, and normalizing hormone levels in treated tissues.
  • Eliminate the deformation of septa (strands of connective tissue), perpendicular to the skin's surface, caused by transverse pressure from retained fluid and hypertrophic adipocytes (both situated between septa).(See diagram below.)


endermologie michelson cosmetic oxnard californiaThese changes improve the typical orange-peel appearance of cellulite: unaltered septa no longer pull the skin downward at their superficial (near the surface) anchor points; normal-sized adipocytes no longer push up from below the skin. The temporary increase in microcirculation that each Endermologie® treatment provides can last up to a few hours after each session, and patients usually start to see a noticeable improvement after eight to ten sessions. Optimum results are generally obtained after fifteen to twenty treatments. Thereafter, one monthly treatment is recommended to sustain your smoother skin and pleasing body contour.

For Endermologie® in Oxnard, California contact Dr. David Michelson or call 1.805.485.3888 today to schedule your consultation. We look forward to hearing from you!

¹ Manufacturer of LPG Therapeutic Massagers.
² Some factors that contribute to the formation of cellulite include a genetic predisposition, hormonal variances in subcutaneous tissues, and feminine anatomy. [In women, the subcutaneous fat layer is organized into storage chambers whose longer sides are perpendicular to the skin's surface. Septa (strands of connective tissue) line the longer sides, but not the shorter sides parallel to the skin's surface. This chamber orientation allows retained fluid and hypertrophic adipocytes to bulge upward from beneath the skin.

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