Logo Roy Kim, MD
San Francisco Plastic Surgery

call us at 415.362.1846

220 Montgomery Street, suite 348
San Francisco CA - 94104

Saturday Shout Out- Mr and Mrs Miscellaneous


Today's Saturday Shout Out goes to Mr. and Mrs. Miscellaneous.  This is a newer place that makes ice cream from scratch, along with the sauces.  The flavors are unique, and taste great.  They're located in Dogpatch, an industrial neighborhood that's becoming gentrified, and right on the 3rd Street Rail Line.

Here's their address and Facebook link.  Check them out!

699 22nd St

(between Illinois St & 3rd St)

San Francisco, CA 94107

(415) 970-0750


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Do You Need An Eyelid Lift?


Close-up of a young womans eye Horizontal

An eyelid lift is a procedure that can rejuvenate the upper and lower eyelids, so that you have tighter skin, reduction or elimination of bags under your eyes, and a more youthful appearance. Depending on your appearance, and whether you’re concerned about your upper eyelids, lower eyelids, or both, you may have various concerns addressed before getting an eyelid lift.

The most common finding that patients want eliminated is excess skin of the upper or lower eyelid. If you can pinch extra skin above or below your eye, but the shape of your eye does not change, then you may be a candidate for an eyelid lift.

Puffy eyes in the upper or lower eyelid may be a sign of excess fat in the fat pockets of the eyelids, and can be removed during an eyelid lift. Everyone has small fat deposits in the upper and lower eyelids, but as you get older, they may become more prominent and visible, resulting in circles, bags, or eyelids that droop and hood. While the skin is being tightened during an eyelid lift, your plastic surgeon can also remove this small amount of excess fat.

Circles under the eyes can also be addressed with an eyelid lift. Your eyelid fat may need to be removed or repositioned to reduce and eliminate the dark circles underneath your eyelids.

If you have very droopy lower eyelids, then you may need a tarsal strip procedure. The tarsus is the white hard strip of tissue that your lower eyelashes come out from. If this is loose, then you may need to have the tarsus tightened to prevent continued aging.


Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com or (415)362-1846.

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How to Avoid Gaining Weight over the Holidays


Christmas dinner with ham

Normally, as a plastic surgeon, I would suggest eating as much as you can, and then making an appointment to see me in early January for some liposuction. However, since I’m in a giving mood, and since I am a MD/ Medical Doctor, here are my hints to avoid gaining weight over the holiday season.  Basically, these hints come down to diet and exercise. I hope you can put them to good use.

In terms of diet, drinking more water and fluids in general will help with maintaining your weight. Sometimes you may feel hungry, but your body may actually simply want some water. Try drinking water first before you eat something- you may be pleasantly surprised to feel your hunger go away.

Eating smaller portions of fatty food may help avoid weight loss. Please feel free to indulge in your holiday foods, but consider taking fewer bites or smaller portions. Maybe you won’t gain any weight, and at least you’ll be able to try more kinds of food!

Avoid too much alcohol, since any alcoholic drink has calories in it. Also, any clear alcohol (vodka, white wine, etc.) tends to not generate as big of a hangover as colored alcohol (brandy, whiskey, red wine, etc.)

Doing more walking may help you maintain your weight. If you have plans on shopping, try parking far away from the entrance, using stairs in the mall, and just doing laps in the shopping mall while waiting for your family and friends. Any extra movement will help you maintain or lose weight.

If you still need liposuction after the holidays or should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

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What is the Best Body Position after a Tummy Tuck?



The best body position to be in after your tummy tuck is to be in a modified fetal position. You will want to have your tummy flexed with your knees up towards your chest. Your head and chest should be on 1-2 pillows, and your knees should have a pillow underneath them.

While in bed, you will probably still be in your abdominal binder, a garment that is placed around you at the end of your procedure. It’s important to wear this garment, since it gives you tummy and back support, and will help reduce swelling. Also, if you’ve had liposuction around the love handle or flank area, the abdominal garment will help with the overall shape of your result.

If possible, it’s not advisable to spend too much time in a completely straight position. You may also feel pain and stretching in your tummy area if you try to stand up straight or lie down perfectly straight. The ability to be straight will come with time, and it’s generally not recommended right after your surgery.


Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

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What is the Post Surgery Care After a Mommy Makeover?


July 31, 2010 - New York, New York, U.S. - Super Saturday 13 Benefit for the Ovarian Cancer Research Fund.Water Mill, NY 07-31-2010.Photos by ,  Photos Inc 2010.KIM, KOURTNEY, KHLOE KARDASHIAN, AND MOM KRIS JENNER.K65423SMO. © Red Carpet Pictures

A Mommy Makeover is a large plastic surgery procedure, usually involving breast enhancement surgery along with a tummy tuck. The combination of both procedures helps many women rejuvenate their bodies and boost self-confidence. Since it’s a larger procedure, it’s important to have realistic expectation and prepare for the after surgery care needed to get the best results and return to work and your life as soon as possible.

Before surgery, make sure you have plenty of ice for ice packs, and have a functional remote control for your TV and DVD player. You should consider getting plenty of books and DVD’s to watch, since you won’t be able to move around in your normal fashion right after your surgery. A laptop computer may also be helpful, since you can surf the internet while you’re recovering from surgery.

Go grocery shopping and stock your house with your favorite healthy foods. You may not be able to drive for several weeks, due to discomfort and the fact that you’re on strong narcotics after surgery. Extra protein may help with recovery, since your body will want to heal as quickly as possible, which may require more protein than you normally eat.

Make sure to fill your prescriptions for antibiotics and pain medications before your procedure. They should be with you at the time of surgery, or waiting for you at home. Your bed should also be prepared for your comfort after your operation, including extra sheets, pillows, and towels to soak up any excess post-surgical fluid. If you need extra dressings, you can get some from your pharmacy or from your plastic surgeon.

You will be spending a lot of time in bed, so arranging your bedroom and nightstand with the proper medications, snacks, water bottle, entertainment options, pillows, blankets, towels and other accessories is key to feeling secure and safe after your Mommy Makeover.

In general, you will want to make plans for help at your home right after surgery. You may find it difficult to move around easily, and preparing meals, going to the bathroom, and even taking your post-surgery medications may be difficult without some help.

You will probably go home with drains that are placed after surgery, so measuring the output helps to determine when your surgeon can remove those drains.

If you go home with a pain pump, you will love your new best friend. Make sure it’s functioning, and your plastic surgeon may remove it, or may give you instructions on how to remove it, after it’s completely empty.

If you have young children, you may want consistent extra help at home so that they will be taken care of and not too bored while you recover from your procedure. A family member or friend may be able to help take care of them for 1-2 weeks after your surgery.

Your Mommy Makeover will take about 10-14 days after surgery to recover, and you will still be stiff after 2 weeks. Make sure you plan for trips, family events, and work accordingly.


Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

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Saturday Shout Out- Curry Up Now


Today's Saturday Shout Out goes to Curry Up Now. Curry Up Now is a taco truck with modern Indian food. Below are pictures of their burrito and deconstructed samosa.

The food is great!. The only bad thing is that the lines can be long to order food. They have a website, blog, Facebook page, and Twitter link, but I think the Twitter link gives you the best idea of where the truck is located to order food.





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Here Now Dance Collective- Donate for a Good Cause!


Let's face it- modern dance and the creation of art are probably pretty low on your priority list. However, our good friends at the Here Now Dance Collective are doing wonderful things in the world of modern dance. Their latest collaboration is "The Apology Project".

They have been invited to perform in Seattle, and need some donations to cover part of the cost of the trip. Please consider donating- it's tax deductible, and your donation goes to a wonderful artistic cause!


In the meantime, here's their work so far of "The Apology Project".

Apology 3 from HereNowDance on Vimeo.

Apology 2 from HereNowDance on Vimeo.

Apology 1 from HereNowDance on Vimeo.

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What is the Recovery Process After Breast Reduction?


LOS ANGELES, CA - AUGUST 23: Actress Drew Barrymore arrives at the premiere of Warner Bros. 'Going The Distance' held at Grauman's Chinese Theatre on August 23, 2010 in Los Angeles, California. (Photo by Jason Merritt/Getty Images)

Breast Reduction is a surgical procedure to reduce the size of very large breasts. Very large breasts, or macromastia, may cause neck, back, and shoulder pain. Reducing the volume yet enhancing the appearance of your breasts is possible with surgery. Recovery after surgery is surprisingly short and not too painful.

Breast Reduction surgery is typically done on an out-patient basis. The procedure takes about 2-4 hours, depending on your individual situation and amount of surgery required. Your recovery depends on the amount of breast tissue that needs to be removed, the amount of tightening performed, and the actual procedure being done, as well as your individual pain tolerance.

The 2 major surgical ways to reduce breast reduction include an “upside down T incision” (inferior pedicle breast reduction), and a “lollipop” incision (vertical limb or vertical mastopexy breast reduction). Your type of surgical approach and incision depends on your breasts, the amount of breast reduction needed, and surgeon preference. There is an increased preference for the “lollipop” incision over the past several years, since it has a slightly less noticeable scar length.

The recovery after breast reduction takes several weeks to months after your procedure. Most of the healing occurs and swelling disappears within the first month or two after your operation, but it takes a total of 6-12 months for all of the healing to complete. It will also take several months for your breasts to “drop” and look more natural, as opposed to the swollen appearance they have right after surgery. Every patient is different, and communicating closely with your plastic surgeon is the best way to have realistic expectations about recovery after your breast reduction.

Your breasts will be swollen and possibly bruised right after surgery. Compression in a surgical bra, icing, rest, and elevation of your chest will all help to lower the amount of swelling and pain you have right after surgery.

Using a pain pump right after surgery will also decreased your pain during your recovery after breast reduction surgery. Pain medicine can be delivered directly into you breast tissue, which gives you a large amount of pain relief directly to the areas of surgery. This usually translates into less pain medication usage after surgery as well.

May patients can start using anti-inflammatories that are not prescription strength several days after surgery. Everyone has a different pain tolerance, so your recovery after surgery may differ.

Most patients in my practice return to office work within 1 week of surgery. Light exercise is possible right after surgery. Vigorous exercise may take 2-4 weeks after breast reduction surgery, because of the need to wait for the skin incisions to fully heal.

Most of my patients will only need antibiotics for several days after surgery to prevent infection. It is not common to need antibiotics for greater than 5 days after a breast reduction surgery in my practice.

You are placed in a surgical compression bra right after your breast reduction procedure. You should wear this type of bra, or a sports bra, for several weeks after surgery to allow the swelling in your breasts to reduce, as well as to maintain an overall aesthetic shape. Your plastic surgeon will generally go over with you when it’s safe to resume wearing a regular bra.


Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

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What Causes Breast Implant Rippling, and How Can I Avoid it?


Young Shar-pei

Rippling or wrinkling occurs when the edge of your breast implant can be seen or felt underneath your skin after your surgery is completed. There are several ways to reduce this rare complication, and your choices before your breast augmentation procedure may affect your long-term aesthetic results.

Choosing silicone breast implants over saline breast implants is a crucial choice to reduce rippling. Because the of the nature of the filler material of silicone gel versus saline solution, a silicone breast implant will have a lower risk of wrinkling than a saline breast implant.

Placing your breast implant under the muscle will also reduce your risk of feeling the edge of your breast implant. The more “stuff” covering your implant, such as skin, breast tissue, and muscle, will lower the chance of feeling the edge of your implant after your breast augmentation.

Patients who are very thin may be at increased risk of rippling. Even thought a silicone breast implant may be under the muscle, if you have little body fat, you may be able to feel or see the edge of your breast implant. You may find this more noticeable when you are standing up, and then you lean over and feel the side of your breasts.

If you notice breast implant edges, you may find it more noticeable on the sides of your breasts. This is because there is little to no muscles on the sides, near the underarm area. The pectoralis muscle that covers your breast implant is thicker and more prominent over the top, middle, and bottom sections of your breasts, and not very thick on the sides.

Choosing silicone breast implants under the muscle before your breast augmentation procedure is the most direct way to reduce the risk of breast implant wrinkling or rippling. If you have saline implants, or have them placed above the muscle, or both, then you may wish to have the breast implant or position changed to reduce the ability to feel the edge of your implants.


Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at info@drkim.com, or call our office at 415-362-1846.

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Remember Pearl Harbor


. . . we here highly resolve that these dead shall not have died in vain . . . Remember Dec. 7th! Color poster by Allen Saalberg, (Edisto Images)

Survivors of the attack on Pearl Harbor render honors to a joint service color guard during a joint U.S. Navy/National Park Service ceremony in Pearl Harbor, Hawaii, Dec. 7, 2008, to commemorate the 67th anniversary of the attack on Pearl Harbor. The theme of this year's historic commemoration, Pacific War Memories: The Heroic Response to Pearl Harbor, emphasized the brave efforts of those who fought at sea, on land and in the air to turn the tide in the Pacific. More than 2,000 distinguished guests and the general public joined U.S. service members, Pearl Harbor survivors and their families and friends for the annual observance. (U.S. Navy photo by Mass Communication Specialist 2nd Class Michael A. Lantron/Released) (Edisto Images)

US Flag flying off the back of the USS Arizona in Pearl Harbor, Oahu, Hawaii, USA

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  • American Board of Plastic Surgery
  • American Aesthetic Society of Plastic Surgery
  • American Society of Plastic Surgeons
  • Real Self