Plastic & Cosmetic Surgery Services Midway WA

Breast Augmentation

Breast augmentation is one of the most popular plastic surgery operations. Dr. Cohen has significant training and experience with this treatment, as well as a thorough understanding of the various reasons why women seek this procedure. Breast augmentation is most commonly performed to increase the size and volume of the breasts in order to appear more feminine or to feel and look better. In other cases, a woman chooses this operation because she is concerned by her breasts’ natural asymmetry, and asymmetry correction is just as important to her as volume enhancement. Other times, women attempt to improve the shape of their breasts, either owing to a congenital defect or changes that have happened as a result of having children, such as deflation and ptosis. When a woman desires breast augmentation, Dr. Cohen pays special attention to what she wants in addition to volume enhancement in order to devise a surgical strategy that will yield the greatest results. Dr. Cohen conducts a complete physical examination of the anatomic dimensions and tissue quality of the breasts, taking nearly a dozen anatomic breast measurements that allow him to provide an accurate estimate of which procedure and implant type will be best for each patient.

Breast Lift

A mastopexy or breast lift is most typically performed on women who have had their children and are concerned about breast deflation and ptosis (excessive sagging or loose skin), as well as nipple displacement below their optimal position. For the proper individual with realistic expectations regarding the outcome, this is an extremely satisfying operation. The anchor-shaped scar is the main source of concern for some women (a scar around the areola, a vertical scar from the areola down, and a horizontal scar in the crease under the breast). Each of these three scars is the result of a surgical procedure that intended to modify the breast’s original anatomy. A deflated, ptotic breast contains excess skin in both the vertical and horizontal planes, as it is a three-dimensional surface. The vertical scar from the areola down is the result of excising excess skin in one dimension; the horizontal scar hidden in the crease under the breast is the result of excising excess skin in the other dimension; the scar around the areola is the result of the nipple-areola being surgically raised to a new, higher location on the breast, which means that a new skin opening for the nipple-areola has been created. The results include a dramatic improvement in the form of the breasts in a patient who accepts this scar.

Breast Reduction

Dr. Cohen has a lot of experience with this operation and has a lot of satisfied patients. This has become one of his signature surgeries as a result of his training in cutting-edge breast reduction techniques. In his hands, this is a highly rewarding treatment in the proper surgical candidate, and he has built a reputation in the community for having highly aesthetically balanced breast reduction results. The anchor-shaped scar is the main source of concern for some women (a scar around the areola, a vertical scar from the areola down, and a horizontal scar in the crease under the breast). Each of these three scars is the result of a surgical procedure that intended to modify the breast’s original anatomy. A breast is a three-dimensional surface, with surplus skin in both the vertical and horizontal dimensions in a big, pendulous breast. The vertical scar from the areola down is the result of excising excess skin in one dimension; the horizontal scar hidden in the crease under the breast is the result of excising excess skin in the other dimension; the scar around the areola is the result of the nipple-areola being surgically raised to a new, higher location on the breast, which means that a new skin opening for the nipple-areola has been created. When a patient accepts this scar, the contour of their breasts improves dramatically, and tension and stiffness in the neck and shoulder areas generally decreases.

Breast Implant Revision

Capsular contracture is a condition in which the lining of the stomach contracts. The typical capsule that the body generates to encase any implant (known as “capsular contracture”) causes discomfort and causes the breast to misshape. The procedure entails surgically removing the capsule and replacing it with a fresh implant. In theory, practically every breast implant can develop capsular contracture at some point, and there are currently no known techniques to prevent it. Rupture of the implant. If a lady has saline implants, the rupture of a breast implant is immediately visible due to the immediate deflation of the breast size. A silicone implant rupture can be more difficult to detect. A breast MRI is the gold standard for diagnosis. While many implants last longer than they are supposed to, many silicone implants made before 1992 lacked current quality control and had greater rupture rates than today’s implants. This is one of the reasons why the FDA placed a silicone breast implant ban in the United States in 1992, which lasted until 2006. Between 1992 and 2006, both implant safety studies and quality control over silicone implant production improved to the point where the FDA now deems breast implants to be safe.

Breast Implant Removal

Dr. Cohen frequently treats patients who have had breast surgery elsewhere and are unhappy with the results. Dissatisfaction is caused by a variety of factors. Following recent incidents and public attention surrounding breast implants, an increasing number of women are requesting that their implants be removed. Any woman who wants her implants removed, for whatever reason, is welcome to see Dr. Cohen for a consultation. Implant removal is a self-pay procedure at this time because any implant placed for cosmetic enhancement may not be covered by health insurance. Implant removal combined with capsule removal (capsulectomy) is sufficient for women with smaller breast implants and good tissue elasticity to produce a favorable cosmetic result. In order to achieve appropriate breast shape after implant removal, women with bigger implants or loose skin may need a mastopexy (breast lift). A mastopexy can be performed at the same time. Dr. Cohen has a great deal of experience with this treatment, which has resulted in extraordinarily high patient satisfaction ratings. During this operation, only the extra skin of the breast is removed; no other part of the breast is removed. The bottom third of the breast, which is normally the ptotic area of the breast, is used for auto-augmentation of the breast by transferring the implant internally to the middle portion of the breast, giving the breast greater fullness where it makes the most cosmetically sense.


Liposuction, or suction-assisted lipectomy, is frequently misunderstood as a weight-loss operation. Liposuction is actually utilized as a “touch-up” surgery or in conjunction with other surgical procedures like breast reduction, abdominoplasty, mastopexy, mommy makeover, arm lift, thigh lift, and buttock lift. Liposuction can be a good operation on its own in some cases, if the candidate is carefully selected. Dr. Cohen will thoroughly assess your objectives, medical history, and anatomy before recommending the operation that is best for you. Dr. Cohen’s preferred liposuction procedure is tumescent power-assisted liposuction, which is one of numerous liposuction techniques that have proven to be safe and effective over time.

Tummy Tuck

The desire to restore an attractive abdominal wall contour is the most typical motivation for someone contemplating a tummy tuck. In order to match her looks to how she feels, a woman who has done having children would often wish to restore the appearance of her body to how it looked prior to having children. Furthermore, a person who has lost a significant amount of weight may find that diet and exercise are ineffective in removing the loose lower abdomen skin. Exercise alone will not be able to correct the separation of the abdominal muscles (“abs”) that typically occurs during pregnancy. A tummy tuck primarily seeks to repair those two anatomic abnormalities. The loose skin is removed, the abdominal contour is restored through muscle restoration, and a new belly button is created through a new skin opening in the new abdomen. As a result, the lower abdomen and anterior abdominal profile are restored to a more typical appearance. Dr. Cohen will analyze your anatomy and undertake a full review of your medical and surgical history, as well as your goals and desires, to identify the optimal combination of surgeries for you.

Mommy Makeover

Many women who have finished having children desire to restore their body’s appearance to what it was before they had children in order to reconcile how they seem with how they feel on the inside. The term “mommy makeover” usually refers to the surgical restoration of breast shape and volume, as well as abdominal contour, although it is not restricted to those two treatments; liposuction, arm lift, buttock lift, and thigh lift can all be included in this surgery. Dr. Cohen will attentively listen to your concerns during your mommy makeover consultation, as well as analyze your medical history, desires, and anatomy. The most common request of a lady seeking a mommy makeover is to have her breasts restored to their young appearance and to have her abdominal skin laxity removed. Breast issues are usually treated with a consultation for a breast augmentation, a breast lift (mastopexy), or a combination of the two procedures. Breast augmentation, which can be done with silicone or saline implants or your own fat, restores fullness and volume. Skin laxity and nipple malposition may or may not be addressed by a breast augmentation on its own. If breast augmentation is insufficient, a conversation about a breast lift (mastopexy) may be necessary. A mastopexy combined with augmentation using your own fat (obtained from liposuction of other regions) may be the most ideal result for the right patient.

Arm Lift

An arm lift, also known as a brachioplasty, is a surgical procedure that removes excess loose skin from the upper arm. Someone who has lost a significant amount of weight and suffered skin deflation as a result is the most common candidate for this surgery. Because the loose skin contains no muscle and only a small amount of fat, no amount of weight loss or toning activity will be able to eliminate it. The surgery is appropriate for a patient whose weight has been steady within 10 pounds for at least six months, who is satisfied with his or her weight, and who does not mind a longitudinal scar reaching from the armpit to the upper inner forearm.

Butt Lift – Brazilian Butt Lift

Over the last decade, the Brazilian buttock lift has grown in popularity. This surgery improves the size and form of the buttocks by extracting fat from elsewhere on the body via liposuction and injecting it into the buttocks to improve their contour and volume. This is a fantastic operation for the correct candidate, which is highly dependent on your desires and anatomy. Dr. Cohen will do a complete examination of your medical history, goals, and physical characteristics during your appointment in order to determine the most appropriate procedure for you. In addition to fat grafting, a buttock lift can be achieved by transferring tissues from the lower trunk’s posterior “love handle” region to the upper buttock area, resulting in a reduction of the posterior waist line and an augmentation of the buttock profile. This treatment produces good results in the right patient who is ready to tolerate the scar that runs from the tailbone to the sides of the body in both directions.

Non Surgical Facial Rejuvenation

At Bayview Plastic Surgery in Gig Harbor, WA, we place a premium on patient safety. Over the last decade, the field of injectable cosmetics has grown in terms of variety and applications. Our Staff will do a complete consultation at your first visit, carefully analyzing your goals and concerns, as well as your facial structure, to create the best tailored plan for you. Depending on the goals desired as well as pre/post treatment protocols, this consultation will be followed by the suitably selected injectable treatment, which will either be done at the same session or planned for a separate visit. For established patients, subsequent visits will be shorter, consisting mostly of a re-evaluation, followed by the required injectable therapies.

Botox – Dysport

Botox and Dysport are both neuromodulators that are made from botulinum type A. They are used to treat and prevent fine lines and wrinkles. Both neuromodulators act by preventing nerve signals from reaching the muscles. Because the injected muscle is unable to contract, the wrinkles relax and soften. Botox and Dysport both take two to five days to take effect, with Dysport being slightly faster. Both take action in two weeks and last for three to four months in most persons. Botox and Dysport can be utilized in a variety of facial locations. The frown lines between the brows, lines on the forehead, and crow’s feet at the sides of the eyes are the most common regions. Other areas to consider include the tip of the nose (bunny lines), lipstick lines (around the mouth), chin (to avoid dimpling), corners around the mouth (to avoid downturned mouth), jaw angle (teeth grinding, bruxism, slimming face), and neck (relaxes prominent neck bands). Excessive sweating (hyperhidrosis) in the armpits (axilla) and palms can also be treated with Botox and Dysport. Botox/Dysport works by preventing the chemical that triggers sweat glands from being secreted. A sweat test with iodine and corn starch is performed prior to treatment. When sweating begins, the area glows purple, allowing the injector to see exactly where to place the needle. The initial therapy usually lasts 3-6 months, with following treatments lasting much longer (more so in the axilla than the palms).

Dermal Fillers

Our dermal fillers all contain a numbing ingredient and are manufactured of non-animal based hyaluronic acid (HA), a naturally occurring material in the human body. The effects are usually noticeable right away, with outcomes lasting anywhere from six months to two years. These gels work to gently reduce the appearance of wrinkles or add volume in various areas of the face, including the nasolabial folds (lines that run from the nose to the corners of the mouth), marionette lines (lines that run from the corners of the mouth that often make a person look unhappy or mad), and overall facial volume, such as cheek augmentation and overall lifting, supporting, and restructuring. They can also be used to fill up the lips and soften creases around the mouth, giving the mouth a more supple, young appearance. Using a synthetic form of hyaluronidase, a naturally occurring enzyme in human bodies, HA filler products may be easily removed. It’s a terrific safety net if you’re unsure about undergoing a procedure because you can undo it right away.


Kybella is a non-surgical procedure for reducing moderate to severe submental fat, sometimes known as the “double chin.” Deoxycholic acid, a naturally occurring chemical in the body that aids in the digestion and absorption of dietary fat, is the active ingredient in Kybella. When Kybella is injected into the fat beneath your chin, it causes fat cells to die, and those cells can no longer store or build fat. Kybella does require a series of treatments, which vary from patient to patient and must be spaced at least one month between. For the best outcomes, most patients will require 2-4 treatments.

Plastic & Cosmetic Surgery Artondale  WA

Plastic & Cosmetic Surgery Artondale WA

Midway WA

The typical real estate price in the Midway is $431,476, which is more costly than 54.6 percent of Washington neighborhoods and 76.9% of all communities in the United States.

According to NeighborhoodScout’s proprietary analysis, the average rental price in Midway is presently $2,670. This neighborhood’s average rental cost is higher than 87.3 percent of Washington’s communities.

Midway is an urban neighborhood in Kent, Washington (based on population density).

Midway real estate consists mostly of single-family homes with three to four bedrooms and apartment complexes/high-rise buildings with four, five, or more bedrooms. The majority of the residential real estate is occupied by the owners. Many of the homes in the Midway area were built between 1940 and 1969 and are older and well-established. Between 1970 and 1999, a number of houses were also constructed.

Midway has a 6.9% vacancy rate, which is lower than the 61.4 percent found in 61.4 percent of American communities. Midway’s real estate demand is above average for the United States, suggesting that there may be some desire for price rises or new residential building in this area.

The landscape, structures, and atmosphere of a neighborhood may all make a difference when you stroll or drive through it. According to NeighborhoodScout’s unique study, this neighborhood offers some extremely cool features in terms of how it looks and feels. This could range from the housing stock to the types of households that live here to how people move about.

A car or other vehicle is owned by the majority of American households. Many people own two or three automobiles. In the United States, having a car is beneficial not only for commuting, but also for shopping and accessing other services. However, NeighborhoodScout’s investigation indicated that car ownership in the Midway community is extremely infrequent. This neighborhood’s residents must have a strong passion for autos. According to NeighborhoodScout’s analysis, 39.4 percent of the homes in this area have four, five, or more cars. There are more cars per family in this neighborhood than in 99.2 percent of the country’s neighborhoods.

Did you know that the Midway neighborhood has more people of Czech origin than almost any other area in America? Yes, it is correct! In fact, Czechoslovakian ancestry is represented by 0.9 percent of the population in this community.

Driving Directions

3 hr 44 min (180 miles)
via US-101 W
Fastest route now, avoids road closures on WA-112 W

4 hr 48 min (216 miles)
via US-101 N

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Bayview Plastic Surgery
Michael Cohen, M.D.

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