Visible scars are one of the top concerns patients have when they consult with our cosmetic surgeons about breast augmentation—they’re one of our top concerns too! Our goal is to help you make natural-looking improvements that no one else can tell came with surgery, and minimizing scars is a key factor in achieving this goal.

While there is no such thing as truly “scarless” breast augmentation surgery, the transumbilical, or TUBA breast augmentation, comes close. This highly specialized technique involves only a single incision in the natural folds of your belly button. Once healed, it’s virtually invisible.

To help you better understand the benefits and limitations of this procedure, we’ve answered some frequently asked questions about breast augmentation via the belly button.

Our Cosmetic Surgeons

Dr. Jacob Haiavy and Dr. Emma Ryan are passionate about cosmetic surgery. As diplomates of the American Board of Cosmetic Surgery, they have the expertise to personalize every aspect of your procedure and deliver safe, beautifully natural results.

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What are the benefits of TUBA breast augmentation?

The lack of a breast scar is an obvious advantage of TUBA breast augmentation—but there are other perks to the procedure, including:

• Reduced risk of infection. The limited incision reduces exposure to external bacteria.
• Virtually eliminates risk for loss of nipple sensation associated with breast incisions.
• TUBA breast augmentation recovery is often shorter, with less discomfort. There is much less tissue cutting with this technique, which usually leads to reduced pain and swelling and less downtime.
• Belly button shape and size can be improved during the same surgery with no additional incisions or recovery.

How is TUBA breast augmentation performed?

TUBA breast augmentation is performed endoscopically, through a small J or C-shaped incision in the navel. The surgeon uses special instruments to create a pocket, or space, for your breast implants with the assistance of a tiny camera for vision. Each unfilled saline implant is inserted through the incision, carefully placed, and filled to the desired volume. Following surgery, the incision is closed, leaving no scarring on the breast.

Is TUBA breast augmentation safe? And will my results look as good as other methods?

When performed by a highly qualified cosmetic surgeon with specific training and experience in the procedure, transumbilical breast augmentation has an excellent safety profile. The same can be said about other breast augmentation techniques, but surgeon choice is even more important when you want TUBA.

Why? Surgeons who do not favor the procedure cite the difficulty in achieving breast symmetry and properly positioning implants from the navel access point. These surgeons are right to be concerned—TUBA breast augmentation is not an “easy” technique to learn, and unfortunately we do see poor outcomes from inexperienced surgeons (believe it or not, some doctors only take a weekend course in this complicated technique).

We don’t tell you this to scare you, but to emphasize the importance of doing your research before choosing a cosmetic surgeon for your TUBA breast augmentation. To ensure your safety as well as the beautiful outcome you deserve, verify a cosmetic surgeon’s training, board certification, and experience. Look for someone who has done hundreds (or even thousands) of TUBA surgeries, performs them on a regular basis, and operates exclusively in an accredited surgical facility. Also, view plenty of before and after photos and read patient reviews to get a feel for what you might expect.

What are the limitations of the TUBA technique?

Pros of TUBA outweigh the cons for many patients, but there are some limitations:

• Only saline implants can be used
• Very lean patients, or those who have scarring in the path of tunneles, may not have an adequate fat layer to create a “tunnel” for implant placement.
• We cannot combine a breast lift with augmentation using only the belly button incision

No single breast augmentation technique is right for every patient, and a reputable cosmetic surgeon will take into account your anatomy, goals, desired implant type, and other factors to ensure the procedure is the right fit for you.

Can implants be placed under the muscle with TUBA breast augmentation?

Yes. Cosmetic surgeons who are true TUBA breast augmentation specialists can successfully perform submuscular breast augmentation through the belly button incision. This is another reason to verify your cosmetic surgeon’s training and experience with this procedure: endoscopically creating a breast pocket requires highly advanced skills and training.

Can you get silicone implants with the belly button incision?

This may be the only real “downside” to the TUBA breast augmentation—it can only be performed with saline implants. The uninflated shell can be moved easily up through the belly button incision and into the breast pocket, being filled at the time of surgery. Because silicone implants come prefilled, we must use another incision location. If you wish to avoid a breast incision but want the feel of silicone implants, consider transaxillary breast augmentation. Transaxillary incisions are located in the armpit.

What will my belly button look like after surgery?

The incision is made in the natural folds of the upper belly button. While you will temporarily have sutures there, a skilled cosmetic surgeon will create an incision that, once healed, either preserves your natural belly button shape and size, or improves upon it.

What is the recovery timeline for TUBA breast augmentation?

One of the biggest advantages of TUBA breast augmentation is the faster, more comfortable recovery compared to traditional techniques. Because we’re making minimal incisions and causing less tissue disruption, most patients experience significantly less downtime.

During the first few days, you’ll want to rest and avoid strenuous activities. Most patients can return to desk work and light daily activities within 3-5 days. You’ll wear a supportive surgical bra during this time to help your breasts settle into their new shape.

By week 2-3, you’ll feel much more like yourself and can gradually resume most normal activities, though you should still avoid heavy lifting and intense upper body exercise. By 6 weeks post-surgery, most patients are fully healed and cleared to return to all activities, including vigorous exercise and swimming.

Your breasts will continue to settle and soften over the next few months, with your final results visible around 3-6 months post-surgery. Throughout your recovery, our team will monitor your progress closely and provide personalized guidance to ensure optimal healing.

If TUBA breast augmentation is a good option, why don’t many surgeons perform it?

Just as we all have our preferred methods for doing our jobs, each cosmetic surgeon has preferred techniques for breast augmentation, which they will often tout as “the best” way to get the results you want.

Most surgeons are first trained in breast augmentation using direct breast incisions—under the breast or around the areolae—and thus they are more comfortable using these methods. These doctors are simply offering what they personally do best: breast augmentation with breast scars.

Because TUBA is a highly specialized method which requires more advanced skills, far fewer surgeons have trained in and gained experience in it. But the fact that it’s less common doesn’t mean it isn’t a superb option for saline breast augmentation: cosmetic surgeons who are highly experienced in TUBA can achieve consistently beautiful outcomes, without scars on the breasts.

Will my implant warranty be voided if I get TUBA breast augmentation?

There is a myth circulating that breast implant manufacturers void their warranties if implants are inserted via the belly button. This is not true. Moreover, transumbilical insertion of empty saline implants does not compromise their integrity in any way—we do not use anything sharp around them (or your breasts)!

How much does TUBA breast augmentation cost?

The cost of TUBA breast augmentation varies based on several factors, including your specific anatomical needs, the size and type of saline implants chosen, and whether any additional procedures (such as belly button reshaping) are included.

During your consultation at Inland Cosmetic Surgery, Dr. Haiavy and Dr. Ryan will provide a detailed, transparent cost breakdown tailored to your specific surgical plan. This typically includes surgeon fees, anesthesia, facility costs, post-operative garments, and follow-up appointments.

We believe the investment in TUBA breast augmentation offers exceptional value: you’re getting the same beautiful, long-lasting results as traditional breast augmentation but with virtually no visible scarring, reduced recovery time, and less discomfort. Many patients find that the ability to avoid breast scars and minimize downtime makes TUBA well worth the investment. We’re happy to discuss financing options during your consultation to make your goals more accessible.

The best way to learn more about all of your breast augmentation options is to consult with an experienced cosmetic surgeon. Among the first cosmetic surgeons to perform the procedure in southern California, Rancho Cucamonga TUBA breast augmentation specialists Dr. Jacob Haiavy and Dr. Emma Ryan. have performed over 3,000 successful transumbilical breast augmentation procedures to date. They will be happy to meet with you for an open, honest discussion and help you choose the right option to achieve the breast contour you desire. Contact us today!

Many patients, whether they are regular users or are considering marijuana for pain management, are curious about how cannabis might impact their cosmetic surgery experience. Below, our California cosmetic surgeons address some of the most frequently asked questions about cannabis use and aesthetic surgery procedures.

Can I use cannabis before my surgery?

No, it is not safe to use cannabis in any form before your surgery. Cannabis, especially when smoked, can affect your airways and lung function, making it more difficult to place a breathing tube and increasing the risks of other anesthesia complications. The psychoactive component in cannabis (THC) can interact with anesthesia and potentially lead to unpredictable effects, particularly when your anesthesia is wearing off. THC can also cause the body to break down anesthesia medications faster than normal and require your anesthesiologist to administer high doses of the medicine for proper sedation and pain control.

To ensure your safety, please avoid all cannabis use at least four weeks before your surgery. This allows enough time for the substances to clear from your system and minimize any risks associated with anesthesia and surgical recovery. 

Cannabis burns at a higher temperature than tobacco and may cause more acute airway irritation than regular cigarettes. 

Will smoking marijuana affect my recovery?

Yes, smoking marijuana can make it harder for your body to heal after surgery, as can using cannabis products in other forms. 

Smoking reduces oxygen levels in the blood, which you need for wound healing, and a lack of oxygenated blood can also increase the risk of other health complications. Delayed wound healing leaves you vulnerable to infection and extends your recovery period and may even impact your results. 

THC can also affect blood platelets and potentially limit your body’s blood clotting abilities. Poor blood clotting can cause excessive bleeding during and after surgery.

Share any cannabis use with our cosmetic surgeons so we can make a plan together

If you need to use cannabis for medical reasons, talk with your cosmetic surgeon about the possibility of switching to a non-smoking method of cannabis consumption, such as edibles. In all cases, cannabis consumption must be cleared with one of our cosmetic surgeons during your medical evaluation in the initial consultation, before choosing a surgical date. 

What about vaping—does it carry the same risks as smoking weed before surgery?

Vaping is not a safer alternative to smoking. This method has been associated with lung injuries and respiratory issues, which can complicate both your procedure and recovery. Please avoid vaping for at least four weeks before and after your surgery to reduce any potential risks.

“Very satisfied with the result of my procedure. My overall experience was amazing and everyone made me feel very comfortable, calm and collected before and after my procedure.”

—5-star Google review

Can I use cannabis for pain management after my surgery?

While cannabis has been shown to help manage certain types of pain, it is not an effective pain management method after surgery. Research indicates that THC can actually increase your sensitivity to pain. In fact, some studies suggest that cannabis may increase pain levels: patients who used cannabis after surgery required more opioid pain medication than those who didn’t use cannabis. 

Does CBD have the same effects as THC when it comes to surgery?

CBD, or cannabidiol, is a non-psychoactive component of cannabis and has more of a sedating effect versus the mind-altering effects of THC. While some patients find CBD or other cannabinoids helpful for reducing mild anxiety and chronic pain, its effects on surgical outcomes are not well-studied. Third-party testing has also reported that many products that advertise being “pure” CBD oil still contain high levels of THC. Let your surgeon know if you use CBD products so they can guide you on how long to pause its use in any form before and after surgery. 

It’s crucial your anesthesiologist is informed about your cannabis use so they can adjust your anesthesia plan accordingly. It can take 10x the medication to put a patient who uses cannabis under anesthesia.

What are the alternatives to cannabis for managing pain after surgery?

Alternatives to marijuana after surgery include prescription pain medications, over-the-counter pain relievers like acetaminophen or ibuprofen, and non-drug approaches such as cold therapy, heat therapy, and relaxation techniques. Other complementary medications, such as muscle relaxers, may also be prescribed to improve comfort after surgery.

At Inland Cosmetic Surgery, your safety and comfort are our priority—we don’t want you to be in pain! We have several pain relief options to use before, during, and after surgery to keep you as comfortable as possible. We tailor each recovery plan to align with your comfort preferences and medical needs.

What should I do if I accidentally consume cannabis before my surgery?

If you accidentally consume cannabis before your surgery, please give us a call as soon as possible. There’s no need to be embarrassed or try and hide it—we can adjust your care plan to account for any potential effects of cannabis to safely move forward with your procedure.

About Inland Cosmetic Surgery in Rancho Cucamonga, California

If you have more questions about cannabis use and how it might affect your surgery, our team at Inland Cosmetic Surgery is here to help. Our cosmetic surgeons Dr. Jacob Haiavy and Dr. Emma Ryan are available for in-person or virtual consultations to discuss your concerns and guide you through a safe surgical experience. Call our Rancho Cucamonga office today at 909-987-0899 or contact us online to schedule your consultation.

Laser skin resurfacing is one of the most effective ways to improve the skin’s appearance: it can treat a variety of skin concerns including wrinkles, acne scars, age spots, sun damage, and more—plus there are safe options for most patients, whatever your skin tone.

During treatment, laser energy of a safe wavelength is emitted in quick pulses which penetrate the surface of the skin to stimulate your body’s regenerative processes. While the procedure itself is quick and simple, laser skin resurfacing is only safe when performed by a skilled laser technician—this is because treatments must first be carefully chosen and tuned to treat your skin without causing damage. This is especially critical for patients with deeper complexions. 

You should also be sure your provider uses the latest laser technology, which, thanks to more recent advancements, is both safer and more effective. One of the best non-ablative lasers is Cutera Laser Genesis, which can help accomplish your desired aesthetic goals in just a few treatments. Here, we explain this innovative laser treatment and share our expert answers to 9 laser treatment FAQs. 

Conditions Cutera Laser Genesis can treat

Cutera Laser Genesis improves the appearance of more than 20 cosmetic and dermatologic concerns on the face and body, including:

• Hyperpigmentation
• Facial veins
• Leg veins and vessels
• Spider veins
• Rosacea
• Acne
• Brown/age spots
• Scars
• Birthmarks and port wine stains
• Fine lines and wrinkles. 

Dual-laser treatment for comprehensive results

Setting Cutera Laser Genesis apart from other technology, the Excel V+ device allows your technician to combine two non-ablative lasers to target skin concerns. They can be used alone or together to synergistically achieve visible skin rejuvenation and toning. 

• The 532nm laser targets blood vessels closer to the skin and is recommended for correcting discoloration and treating facial and spider veins.
• The 1064nm Nd: YAG laser targets deep blood vessels and darker pigmentation and is recommended for improving skin tone and texture, treating scars, and boosting collagen production.

This makes treatment choices more complex, making your choice of provider even more important. At Ahava Medspa, our highly-trained aestheticians tailor laser energy settings to achieve maximum results without compromising your tissues. 

1. Is laser skin resurfacing worth it?

When compared with the cost of other treatments or skincare that claim to give similar results, laser skin resurfacing is usually “worth it.” While laser treatment is an investment, it is proven to provide quick, visible, lasting results which few non-surgical options can match. 

This is because laser skin resurfacing stimulates collagen and elastin production—the proteins that keep your skin smooth and plump—and thus offers near-immediate improvement of cosmetic concerns while also continuing to support a smoother, refreshed complexion over time. For those looking to improve the appearance of cosmetic imperfections on their face and body and enhance the overall appearance of their skin without surgery or downtime, it’s usually an excellent choice. 

Choosing a reputable medspa under the direction of a cosmetic surgeon will ensure you receive the most advanced, research-based treatments that have been vetted for safety and efficacy by the most knowledgeable physicians and scientists in cosmetic medicine. To further perfect treatment, check that your provider uses imaging technology, such as a VISIA Digital Skin Analysis, to examine your skin and guide you to the optimal treatments to achieve your goals. 

2. Do they numb you before laser treatments? 

When considering pain management for laser resurfacing, your technician will take into account the technology, treatment settings, specific area being treated, and your individual preferences. A numbing cream or gel may be applied to minimize discomfort and/or a special device tip may be used to help cool and soothe the area—with these measures, most patients report only a tolerable intermittent snapping sensation during Cutera Laser Genesis treatment. 

That said, laser procedures and individual tolerances vary, so, whatever treatment you choose, never hesitate to ask a provider to pause the procedure and take further measures to increase your personal comfort.

3. Does your face peel after laser resurfacing?

Whether or not your skin will peel after laser resurfacing largely depends on the class of laser treatment you choose. Your skin is unlikely to peel after a non–ablative laser treatment, but will be likely to peel after certain types of ablative laser resurfacing (there are also fractional options which treat a percentage of the skin’s surface in a pattern to reduce post-ablative laser treatment peeling). In any case, you should know exactly what will happen in advance: generally, lasers have predictable side effects that a caring technician will explain in detail prior to scheduling treatment. 

Cutera Laser Genesis is considered to be non-ablative so you will not experience dramatic overall skin peeling: instead, treated brown spots will darken, come to the skin’s surface, and gradually flake off 3-5 days after treatment. This partial peeling happens because only the most highly pigmented areas of the skin will absorb the laser energy and so only skin cells that contain discoloration (i.e., age spots, freckles, etc.) are destroyed.

Patients may resume their normal routines immediately after Cutera Laser Genesis treatment; however, some patients may prefer to plan social downtime or conceal darkened spots with makeup prior to completion of the shedding process. 

While laser treatment is an investment, it is proven to provide quick, visible, lasting results which few non-surgical options can match.

4. How long do the effects last?

Laser skin rejuvenation effects are long-lasting, though your skin will continue aging and new signs of aging will develop over time. Each person experiences the natural aging process differently, but typical laser effects can last anywhere from 3-5 years. Some concerns, such as scarring, are exempt from this estimation as the reduction or elimination of a scar’s appearance is permanent—the scar will not return. 

5. How often should you have skin resurfacing?

Depending on the location of the desired treatment area, your skincare goals, and the level of treatment needed to achieve them, you may benefit from a series of treatments to see complete skin resurfacing results. Most patients are pleased with their improvements with just 1-2 Laser Genesis Treatments scheduled about 6 weeks apart—an additional treatment may be recommended to see optimal results for more significant cosmetic concerns. You’ll likely notice visible improvement in just a few weeks, and those effects will continue to improve over the following several months as the amplified collagen and elastin production processes are carried out. 

Because laser skin resurfacing results are long-lasting, most patients only need to schedule touch-up treatments every few years to maintain a fresh appearance, or as they notice symptoms they want to address. The best way to extend the longevity of your results is to use a physician-grade sunscreen every day! This way you will be certain you are getting the advertised level of UV protection (lesser quality sunscreens do not always meet the label’s claimed protection levels).

6. Is laser resurfacing good for deep wrinkles?

Laser treatment alone will usually not erase the deepest wrinkles; these usually require additional modalities such as neurotoxin injections, dermal fillers, or a surgical lifting procedure to be significantly improved. That said, laser skin resurfacing can be an important part of an overall treatment plan to soften the appearance of deep facial wrinkles. 

Lasers are best suited for treating more moderate or fine wrinkles, especially those caused by environmental factors such as sun damage; some laser systems are more effective than others at treating significant wrinkles.

• MiXto® skin resurfacing treatments use a customizable CO2 (carbon dioxide) laser to safely heat the skin to instigate shedding of damaged outer layers. As your skin heals, new skin cells refresh the outer layers of your skin, minimizing or erasing the appearance of wrinkles and many other skin concerns.  
• ICON laser skin resurfacing treatments may also be recommended to treat deeper wrinkles. Like the Cutera Excel V+, this system offers 2 laser wavelength options to address multiple skin concerns using a single device. The IPL wavelength stimulates wound healing and reduces a number of pigmentation irregularities, while the 1540nm wavelength boosts collagen and elastin production to plump the skin, improve scars and stretch marks, and treat deeper wrinkles. 

An experienced laser technician and aesthetic specialist will discuss your goals and concerns with you and examine your skin before recommending the best type of treatment to safely achieve your goals and enhance the health of your skin. 

7. Are laser treatments better than BOTOX®?

Both laser skin resurfacing and BOTOX are common medspa treatment options, but they work in entirely different ways—so we would say that one is not better than the other, but rather, that it is best to take advantage of both! 

Here’s how they compare. Laser treatments reduce skin imperfections by delivering targeted light energy which can be used to destroy unwanted pigment irregularities, accelerate cell turnover, and smooth the skin. In contrast, BOTOX is an injectable neurotoxin that temporarily reduces muscle contractions that cause expression lines and wrinkles. 

If you are looking for a temporary treatment to soften or prevent expression-based lines and wrinkles, you will likely be pleased with BOTOX injections. If you want an overall improvement in your skin’s texture and pigmentation with long-lasting results, laser treatments are the treatment of choice. Can’t decide? You don’t have to! Many patients combine laser treatments with BOTOX injections to experience long-lasting improvement in their skin’s health and appearance. That said, we will recommend scheduling the treatments on different days and likely begin with your BOTOX treatment; this will help you see an immediate, dramatic improvement in your appearance and allow your aesthetician to tune your laser treatment to target your remaining concerns. 

8. How much does laser skin resurfacing cost?

The cost of laser skin resurfacing varies based on the specific treatment, the size of the area being treated, and the number of sessions needed to achieve your goals. At Inland Cosmetic Surgery, we offer several laser options at different price points to fit various budgets and aesthetic needs.

Non-ablative treatments like Cutera Laser Genesis are typically more affordable and require less recovery time, while more intensive options like MiXto® CO2 laser resurfacing represent a higher investment but deliver more dramatic results. During your consultation, we’ll provide transparent pricing tailored to your specific treatment plan. Many patients find that the long-lasting results—often 3-5 years—make laser resurfacing a worthwhile investment compared to temporary solutions that require frequent repeat treatments.

9. Who is an ideal candidate for laser skin resurfacing?

Most adults concerned about signs of aging, sun damage, or skin texture are excellent candidates for laser treatments. You may benefit from laser skin resurfacing if you’re experiencing fine lines, wrinkles, age spots, acne scars, uneven skin tone, or loss of skin firmness. We typically see patients starting in their 30s and 40s when early signs of aging become noticeable, though laser treatments can benefit individuals at various life stages.

The best way to determine if laser resurfacing is right for you is through a personalized consultation where we can assess your skin type, discuss your goals, and recommend the safest, most effective treatment options for your unique complexion.

Laser skin resurfacing in Rancho Cucamonga, CA  

If you are interested in learning more about your skin rejuvenation options including the latest laser skin resurfacing technology, our team of skin specialists and highly-experienced cosmetic surgeons offer a full range of treatment options to fit your lifestyle and goals, including medspa treatments such as dermal fillers, chemical peels, and microneedling, or more transformative procedures such as deep plane facelift, brow lift, and eyelid surgery. To schedule your consultation, please give us a call at (909) 987-0899 or contact us online today! 

The number of boys and men experiencing gynecomastia has been on the rise in the past several years. While the reasons behind this increase have yet to be fully understood, it has led to increased interest in male breast reduction surgery for gynecomastia. If you are one of the many people researching your options for treating “man boobs” and creating a smoother, more masculine chest appearance, here’s what you need to know.

Gynecomastia has two possible causes: excess fat and excess glandular tissue

Gynecomastia is excess male breast tissue, or any type of extra tissue in the chest. This excess tissue may be composed mostly of fat, glandular tissue, or some of both. Identifying the type of tissue behind your enlarged male breasts is a critical first step in developing an effective surgical plan.

Surgery can include liposuction, direct gland excision, or both

If fat removal is all that is required to achieve your surgical goals, then we can use liposuction to remove the fat. Liposuction requires a very small incision, about the diameter of a pencil eraser, on either side of the chest. Your surgeon uses a hollow tube called a cannula to break up the fat and remove it using suction.

If you have glandular tissue that will need to be removed in surgery, you may require a slightly lengthier incision to give your surgeon full access to the tissue; this procedure is known as gland excision. The incision will be carefully placed around the edge of the nipple-areola complex, the darker rim of which conceals the scar as it heals. With proper care, incisions can heal to be unnoticeable.

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Researching a well-qualified, talented cosmetic surgeon is key

Male breast reduction should not be taken lightly. Like any cosmetic surgery, it requires a specialist who is well-versed in best practices, for both your safety and optimal aesthetic outcomes. 

When researching a surgeon, look for impressive before-and-after photos of previous patients on the surgeon’s website and/or social media accounts, as well as many positive reviews on platforms like Google and Real Patient Ratings. Schedule a consultation to learn what they recommend for you, and make sure that the surgeon and their team are working to help you make an informed decision.

We invite you to meet with the cosmetic surgeons at Inland Cosmetic Surgery to learn more about gynecomastia surgery in the Rancho Cucamonga and Victorville area. Dr. Jacob Haiavy and Dr. Emma Ryan all offer male breast reduction from our private, accredited surgical suite, conveniently located within our practice. Call 909-987-0899 to learn more and get started today.

A mommy makeover makes a lot of sense if you’re finished having kids and ready to get your body back! But it can be hard to picture such a dramatic transformation, as mommy makeovers usually include both breast surgery and abdominal contouring all in one surgery—and sometimes even lipo in other areas.

Here, we’re sharing 4 recent mommy makeover transformations to help you get a sense of what can be accomplished by a skilled cosmetic surgeon.

Mommy Makeover #1: Breast Re-Augmentation & Lift + Tummy Tuck + a Little Lipo

This patient was left with abdominal stretch marks and breast ptosis (sagging) after having kids. Dr. Emma Ryan performed a tummy tuck to tighten the abdominal muscles and remove excess skin, along with some of her stretch marks, and used liposuction to refine the shape of her lower back and waist. 

For her breast surgery, Dr. Ryan performed a bilateral capsulorrhaphy to refine the shape and position of her existing breast implant pockets, a breast lift to raise them higher on the chest, and re-augmentation with new breast implants to restore fullness in the upper pole and create a gorgeous breast shape.

Mommy Makeover #2: Breast Implants + Tummy Tuck + Liposuction of the Back and Waist

This patient was left with stubborn fat deposits, as well as stretch marks and loose skin on the abdomen, after childbearing. Dr. Haiavy performed a breast augmentation, tummy tuck, and liposuction in the lower back and waist. This combination created a more overall hourglass figure from all angles! While tightening her muscles, Dr. Haiavy also repaired a small umbilical hernia she had since pregnancy. And by removing the excess skin along the abdomen, we also reduced some of her stretch marks from pregnancy.

Mommy Makeover #3: Breast Lift and Reduction + Tummy Tuck + VASER Liposuction of the Waist and Thighs

This lovely patient wanted a natural lift to her breasts, improved abdominal contour, and slimmer thighs where she had diet- and exercise-resistant fat deposits. Dr. Emma Ryan performed her mommy makeover with a breast lift, breast reduction, tummy tuck, and VASER-assisted liposuction of the waist, inner thighs, and outer thighs.

Mommy Makeover #4: Breast Augmentation with a Lift and Mini-Reduction + Extended Tummy Tuck + VASER Lipo 

This mommy makeover patient received a classic combination of breast surgery, liposuction, and tummy tuck, but Dr. Haiavy extended her tummy tuck to tighten excess skin along her sides, in addition to the abdomen. He also used VASER liposuction on her lower back and waist to further refine the contours. We love how gorgeous and natural her curves look now! 

If you’re considering body contouring and breast surgery after having kids, we understand what an important decision this is! Our Rancho cucamonga cosmetic surgeons would love to sit down with you to discuss your concerns, your goals, and the procedure plan they would recommend for you. Call 909-987-0899 today to get started!

SkinPen® microneedling is the one treatment that just about anybody—that means you—can benefit from! No matter your gender or skin type, there are microneedling benefits you’ll want for your own skin:

• Improve fine lines & wrinkles
• Firm mild skin laxity (i.e. around the eyelids or mouth)
• Diminish acne, scars, and stretch marks
• Help to erase age spots, sun damage, melasma, and hyperpigmentation
• Reduce pore size

Not only are the results stunning, but here are 7 other reasons your complexion can seriously benefit from regular microneedling treatments.

1. Collagen induction is safe for any and every skin type

Collagen is the protein that makes your skin plump and young-looking, and elastin allows your skin to stretch and bounce back. Without fail, SkinPen induces collagen and elastin production—the #1 way to improve skin’s natural appearance. The benefits of collagen and elastin are universal, so whether your skin is dry or oily, melanin-rich or fair, microneedling is effective and safe.

The benefits of collagen and elastin are universal, no matter your skin type or tone.” & “A regimen of collagen-restoring treatments is the key to ageless, firm skin.

2. SkinPen® gives you totally natural rejuvenation

SkinPen relies on collagen induction therapy, a natural process that involves triggering your body’s own repair mechanisms. SkinPen does this by using hair-like, sterile needles (12, to be exact) to penetrate the skin at a microscopic level and make “micro-injuries” which encourage the body to supply collagen to “heal” the skin.

This means SkinPen does not require any added chemicals to be effective. Although we often include a booster serum in the treatment (such as salicylic acid for acne), SkinPen does not need add-ons to work. If you have sensitive or allergy-prone skin, prefer a pared-down treatment, or like your beauty to be clean and organic, microneedling is the treatment for you.

3. Treatments requires zero recovery time

Compared with lasers or other collagen-inducing treatments, there’s little to no downtime after SkinPen. One session takes about 30 minutes, is somewhat uncomfortable but not painful, and leaves your skin looking redder than normal (as though you had a mild sunburn). You can go ahead and resume normal activities, wearing sunscreen to protect your vulnerable skin and waiting 24 hours to apply makeup. The redness will be gone in a few days, and you’ll start seeing smaller pores and renewed firmness after about a week.

4. Gorgeous-looking celebrities use it

Wondering how to get Instagram-worthy skin? Just look at Jennifer Aniston and Angelina Jolie, both of whom are rumored to be disciples of microneedling. Rumor or not, we know for a fact that their youthful, plump, and ageless skin requires a regimen of collagen-restoring treatments in order to remain firm. And of the collagen-promoting treatments available, SkinPen is the one that requires the least downtime.

5. SkinPen works anywhere on the body—hands, stretch marks, you name it!

SkinPen’s benefits aren’t limited to the face. SkinPen is commonly used on hands, as well, and is an ideal treatment for diminishing the appearance of stretch marks or scars (even surgical scars), wherever they are on your body.

For best results with more intensive issues—like stretch marks, acne scars, and deep wrinkles—be sure to schedule a consistent series of SkinPen treatments, as you will need anywhere from 3 to 7 sessions to optimize results and see a more dramatic change.

6. Microneedling can enhance other treatments

Thanks to the microchannels that SkinPen creates, the surface of your skin will be especially receptive to products for a short period of time following treatment. Whether we include a high-potency serum with the microneedling, follow up your treatment with a specialty facial, or you continue to use your medical-grade skincare products, they will be more effective than if they were applied on their own.

7. It’s a cost-effective way to boost collagen

Microneedling session costs begin around $200. This is very cost-effective rejuvenation, compared with medical-quality skincare products and other collagen-inducing treatments, such as lasers, which typically cost at least $1,000 for a single treatment session.

Plus, because its collagen-boosting, you’ll see results quickly—and they keep getting better don’t have to wait months to see a difference. Within the first week after your SkinPen treatment, you’ll notice your skin looks smoother and has a subtle glow as your body’s healing kicks in. By weeks 2-4, you’ll see real improvements—fine lines soften, pores shrink, and skin tone evens out.

But here’s where it gets even better: your results continue to improve for 2-3 months as fresh collagen matures beneath the surface. That means your skin keeps getting better long after you leave our office. And with proper care, those results can last anywhere from 3-5 months up to a year. Most patients return for maintenance sessions 2-3 times per year to keep their collagen production active and their skin looking its best.

Ready for your best skin ever? Visit Ahava Medspa in Rancho Cucamonga for professional microneedling.

At Ahava Medspa by Inland Cosmetic Surgery, we offer proven treatments and skincare products, as well as a range of cosmetic procedures at Inland Cosmetic Surgery. No matter your concern, we have a range of options to help you get your best skin ever! Call 909-987-0899 or contact us online to schedule your appointment or consultation at our Rancho Cucamonga practice.

Surgery and more invasive non-surgical treatments used to be the only way to significantly improve signs of aging. But aesthetic technology continues to advance and offer less-invasive yet still transformative anti-aging results. RF microneedling is one of the latest innovations that is changing the way both beauty industry experts and patients think about anti-aging treatments.

Here, we share more about RF microneedling and why it’s worth the hype. 

The science behind RF microneedling

RF microneedling combines the best of two proven skincare treatments: microneedling, which creates micro-injuries in the skin to stimulate collagen production, and radiofrequency (RF) energy, which penetrates deep into the dermis to enhance the skin’s natural healing process. Together these two modalities gradually tighten and smooth the skin and improve other imperfections over time.

Why RF microneedling is the ultimate anti-aging treatment

RF microneedling’s dual approach to turning back the clock on aging is truly in a league of its own. Here’s why:

• New collagen growth: RF microneedling is so effective at smoothing out fine lines and wrinkles because it boosts collagen production—the protein that keeps your skin firm and elastic. Over time, new collagen layers form under the skin’s surface so you’ll see fewer wrinkles and enjoy more youthful, glowing skin.
• Improves skin texture and tone: Large pores, uneven skin tone, and rough texture are some of the most common skin woes (and trying to cover them with makeup can often exaggerate their appearance). RF microneedling amplifies cell turnover, and along with new collagen formation, this treatment evens out your skin tone, helps smooth rough skin texture, and minimizes the appearance of your pores. A clearer, smoother complexion is the perfect base for makeup or just the confidence boost you need to go makeup-free. 
• Long-lasting results: The effects of RF microneedling treatments begin to show immediately and become more noticeable as the weeks go by to improve the long-term health and appearance of your skin. As your skin continues to produce collagen long after your appointment, you’ll notice that your skin keeps looking better and better.

Our RF microneedling systems: Matrix PRO & Profound

At our Rancho Cucamonga medpas, we use the Matrix PRO RF Microneedling and Profound RF Microneedling devices. The Matrix PRO system is ideal for surface imperfections and offers standard and ablative treatment options. This system is highly customizable and is personalized based on the significance of your skin’s condition and the level of improvement you expect. 

Lines and wrinkles aren’t the only imperfections that can age your appearance and signs of aging affect more than just your face: deeper skin concerns like cellulite, stretch marks, and skin laxity elsewhere on the body can also age your look. To improve these concerns, we recommend the Profound RF Microneedling system. 

We would love to explain which system would be perfect for you and your skin!

Comparing RF microneedling to other anti-aging treatments

We offer several of the most popular anti-aging treatments and while each treatment has its merits, RF microneedling offers a unique combination of benefits we highlight below:

RF microneedling vs. traditional microneedling

We love traditional microneedling to treat surface-level skin concerns like acne scars, pigmentation irregularities, and skin texture issues. However, it doesn’t reach the deeper layers of the skin where collagen production is most effective. The radiofrequency energy in RF microneedling goes deeper within the skin to provide more significant tightening and rejuvenation so we recommend RF microneedling when patients also want to address signs of aging.

RF microneedling vs. laser treatments

Laser treatments like the MiXto, ICON, and Cutera Laser Genesis are fantastic for targeting virtually all skin conditions, from superficial concerns like hyperpigmentation to deep-set imperfections like wrinkles and scarring.

Laser treatments like the MiXto CO2, ICON, and Cutera Laser Genesis are fantastic for targeting virtually all skin conditions, from superficial concerns like hyperpigmentation and uneven skin tone to deep-set imperfections like wrinkles and scarring. Mixto CO2 is ideal for general resurfacing, Icon for brown spots, and Cutera Laser Genesis for collagen stimulation on the surface. While a CO2 laser treatment requires downtime, the others can be in-and out-procedures with minimal to no downtime. We will tailor the treatment to your specific needs.

RF microneedling offers a powerful alternative for those looking for an all-in-one anti-aging treatment with minimal downtime. 

“Christy is an excellent choice to use if you want lip filler or laser treatment. She has performed both of these treatments on me several times. She will give you the look you want. I have received many compliments on the texture of my skin, and my husband loves the lips.”

—5-star Google review

RF microneedling vs. Exilis skin tightening

We love Exilis non-surgical skin tightening to firm the skin, melt fat deposits, and reduce cellulite. Exilis also uses radiofrequency and can be used in most body areas. For areas where the primary concern is to address signs of aging, we recommend RF microneedling for optimal anti-aging results and to address other skin blemishes. 

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Is RF microneedling right for you?

RF microneedling is incredibly versatile and suitable for most skin types and concerns: many patients choose this treatment to correct existing skin issues and then schedule regular sessions to keep their skin in prime condition and delay further signs of aging. Our skincare experts would be happy to examine your skin to confirm RF microneedling is the best treatment for you or suggest an effective alternative to deliver the results you’re looking for.

RF microneedling can help you age beautifully and with confidence. Our qualified aesthetics team is led by cosmetic surgeon Dr. Jacob Haiavy, a diplomate of the American Board of Cosmetic Surgery with over two decades of experience offering Rancho Cucamonga patients transformative surgical and non-surgical procedures. 

Our practice has two medspa locations: Ahava Medspa at Inland Cosmetic Surgery and Made You Look. To learn more or schedule an appointment, submit a contact form online or call 909-987-0899.

Looking back on 2023, it was an exciting year in the world of cosmetic enhancements. Trends evolved significantly, and we saw patient requests change with the rise of semaglutide-related weight loss and a number of new trends in facial cosmetic surgery. Here are the top 10 celebrity cosmetic surgery trends that our Southern California team witnessed this past year.

#1. Semaglutide (i.e. Ozempic, Wegovy)

From Kim Kardashian to Oprah, semaglutide for weight loss took the cosmetic surgery world by storm in 2023. Originally developed for diabetic patients, semaglutide is highly effective at helping you lose weight by suppressing appetite—making it well worth the weekly injections for celebs working to maintain their slimmer look.

#2. “Reversing” the BBL

In 2023, Kim K spearheaded a trend toward a slimmer, less curvaceous silhouette—a marked shift from the Brazilian butt lift (BBL)-fueled hourglass look. While many believe she was taking semaglutide for weight loss, this also sparked a trend of BBL reversal with liposuction and/or weight loss.

#3. Post-weight loss body contouring & skin tightening

Due to the potent effectiveness of semaglutide for weight loss, record numbers of Rancho Cucamonga-area patients are seeking 360-degree body lifts, thigh lifts, and arm lifts to remove loose skin left behind after significant weight loss.

#4. IV infusions

IV therapy with vitamins, minerals, and hydration that help you recover faster from workouts (or just a night out!) have become a standard part of the celebrity lifestyle in 2023, showing up all over socials and reality TV shows. And at our medspas, Ahava Medspa and Made You Look, they are now a favorite add-on treatment.

#5. Trap Botox, a.k.a. “Barbie Botox”

Hi Barbie! Botox in the trapezius muscle or “traps” between your shoulders and neck has taken off in 2023. This novel, off-label use of Botox helps to gradually reduce this muscle’s tension and prominence while subtly elongating the appearance of the neck—giving it the nickname “Barbie Botox.”

#6. Eyelid lift surgery

Suspected blepharoplasty, or eyelid lift surgery, has prompted influencers to post celeb before and afters all over socials! In the before photos, you’ll notice a “monolid” where no eyelid shows, while the after photos reveal a lovely eyelid above the lash line, and often the appearance of a slightly lifted brow (which could indicate a simultaneous brow lift).

#7. Rhinoplasty

Rumors about rhinoplasty ran wild in 2023. From Selling Sunset real estate agent Bri Tiesi to Haley Bieber and Bella Hadid, this was a year for scrutinizing the nose. Our hot take: You can’t be sure any celeb underwent surgery unless they come forward about it—especially if they chose a skilled rhinoplasty surgeon for a subtle, natural-looking outcome!

#8. Breast implant removal

As the preferred derrière aesthetic shrinks, so too does the preferred breast aesthetic! Gone are the days where every woman wanted Pamela Anderson’s voluptuous curves. Now, many women are opting to remove their breast implants and go au naturel (this sometimes also involves a breast lift). 

#9. Breast reduction

Several prominent celebs like Nicki Minaj and Drew Barrymore underwent breast reduction in 2023, downsizing to a more proportionate—yet still totally gorgeous—figure. For the right patient, this surgery can provide a lift, make workouts and sports more comfortable, and even help clothes fit better.

#10. Deep plane facelift

Wondering how your favorite Real Housewives cast member got that snatched jawline, or how your favorite male actor hasn’t aged, like, at all? Chances are, it’s a deep plane facelift! This technique lifts tissues as a unit for more natural-looking and lasting rejuvenation, and it can even be used to reverse early aging (i.e. in your 40s or 50s) to help celebs look subtly more lifted.

Our team of aesthetic experts is led by cosmetic surgeon Dr. Jacob Haiavy, a diplomate of the American Board of Cosmetic Surgery with over 23 years of experience offering Rancho Cucamonga patients cosmetic procedures for the face, breast, and body. Our practice has two locations where we offer medspa procedures like injectables and facial treatments: Ahava Medspa at Inland Cosmetic Surgery, and Made You Look. Learn more or schedule an appointment by calling 909-987

A breast lift is ideal for achieving a naturally youthful look without implants, and for the right patient, an auto-augmentation breast lift repositions existing breast tissue to further enhance the breast contours. Here, our team of Rancho Cucamonga cosmetic surgeons and breast surgery specialists explain this cutting-edge technique and who can benefit from this approach. 

What makes auto-augmentation different?

The auto-augmentation breast lift is a creative solution that addresses both lift and fullness using only natural breast tissue. During this type of breast lift, excess skin is removed, the breast is reshaped, and then a portion of the patient’s breast tissue is strategically repositioned within the breast’s upper pole (the top half of the breast). 

This technique incorporates surgical mesh, which acts as a scaffold to help achieve an aesthetically pleasing shape and provide support for the repositioned breast tissue. Securing the relocated tissue prevents it from descending back to its original position and helps the breasts maintain their new contour over time. 

An auto-augmentation breast lift is a creative solution that addresses both lift and fullness using only natural breast tissue.

An auto-augmentation breast lift must be performed by an experienced cosmetic surgeon to preserve the integrity of the breast and achieve pleasing outcomes. At Inland Cosmetic Surgery, expert body contouring surgeon Dr. Jacob Haiavy and female cosmetic surgeon Dr. Emma Ryan specialize in this procedure to ensure results not only look natural but also feel authentic.

Benefits of auto-augmentation breast lift for patients

One of the unique advantages of auto-augmentation is how it balances the upper breast pole, which is key for creating youthful cleavage and a more proportional breast profile. After a traditional breast lift or breast reduction, the upper pole may lack volume even after the breasts are repositioned higher on the chest. It’s important to note that the level of upper pole fullness is solely reliant on the patient’s anatomy and is often already sparse, as the majority of breast tissue is typically focused within the breast’s lower pole (the bottom half of the breast) in patients who desire these procedures. Auto-augmentation effectively targets this specific issue, filling out the breasts for a rounder shape and enhanced silhouette. 

“I had surgery here by Dr. Haiavy and his fellows on 8/3. I am just over 3 months out and I could not be happier with my results. He listened to me, aftercare was highly attentive, and my results are exactly what I wanted. All staff was pleasant and helpful with any question or concern I had. Would recommend to my closest friends and family because I know they would be in amazing care.”

—5-star Google review

Candidates for auto-augmentation breast lift

The best candidates for auto-augmentation are those with denser, more fibrous breast tissue. Unlike fatty tissue, fibrous tissue holds its shape better, allowing for a more pronounced and natural-looking enhancement. During your consultation, your cosmetic surgeon will assess your breast tissue and discuss whether or not an auto-augmentation would be successful for you. 

If you’re considering a breast lift and would like to learn if an auto-augmentation breast lift is right for you, we invite you to schedule a consultation with Dr. Haiavy or Dr. Ryan. Our team of cosmetic surgeons is dedicated to providing detailed, honest advice and helping you understand the best options for your body and goals. Please call our Rancho Cucamonga cosmetic surgery practice at 909-987-0899 or fill out our contact form at the top of this page.

Facial fillers require a lot more skill than, say, a facial—so how do you know who to trust for your lip filler, cheek filler, or other treatments?! 

Start by looking at their medical credentials, experience, and reviews. If they pass those critical measures, then we recommend inspecting their before and after photos with a microscope (a figurative one) to make sure you like their work.

Below, we explain everything you need to know.

How to vet an injector

Check credentials, experience, & reviews

Check any potential filler providers for these factors, which predict safety, skill, and how satisfied you’re likely to be with the treatment results:

• Medical Credentials: Medical professionals including dermatologists, plastic surgeons, nurses, and physician assistants are qualified to perform injections. Aestheticians or those without a medical credential are not.
• Special Cosmetic Training: They should also have specialized training in facial anatomy and experience with injectable fillers, from a manufacturer (such as Allergan) or other reputable injectable training programs.
• Experience: Look for an injector who has a large amount of experience specifically with fillers. The more treatments they’ve performed, the more adept they’re likely to be at achieving natural-looking results and preventing any complications.
• Consultation Process: A good injector will offer a consultation before any treatment. This is crucial for explaining the options available, disclosing potential risks, and discussing your aesthetic goals to make sure that fillers are the right treatment to meet your expectations.
• Reviews and Testimonials: Look up reviews and testimonials from previous patients. While every patient’s experience is unique, a pattern of satisfied patients is a strong indicator of a skilled injector.

If you’re not confident in your choice right off the bat, then consult with a few injectors before deciding. Trust your instincts, as fillers come with real risks in unsafe hands and take many months (or years) to fade—so your safety and satisfaction are paramount.

Look closely at their before-and-after photos

Before-and-after photos of your injector’s previous patients are key to giving you a sense of their skill level and whether their aesthetic sensibilities align with your goals. Look for results that appear natural and subtle—fillers are ideal for making small, just-enough tweaks to facial features that make your look pop.

To help you practice evaluating filler results, here are some of our Rancho Cucamonga medspa’s recent before-and-afters, plus why we love these patients’ results.

Lip filler

Each of these three lip filler patients below has their own singular and elegant natural lip shape. But in all of these cases, you can see that our injectors used lip filler to enhance their already-beautiful cupid’s bows and unique lip contours with more volume. Lip filler also helps their lips to look hydrated and smooth.

Under-eye filler

Under-eye filler, when applied correctly, smooths the “tear trough” hollows below the eyes and helps to reduce the appearance of dark under-eye circles. In the “after” photo below, the patient simply looks rested and youthful compared with her “before” photo.

Cheek filler

Cheek filler should create a subtle change in facial features by increasing volume in just the right spot along the cheekbones. Look for a naturally more contoured, balanced, and angular facial structure in the “after” photos.

Non-surgical rhinoplasty with filler

Skill with non-surgical rhinoplasty may be the easiest to spot in before and after photos, as the “after” photo should look totally natural, yet totally transformed! In this case, our injectors used dermal filler to add volume to the patient’s nasal tip and upper nose bridge to create the illusion of a straightened dorsal hump.

Signs of an ethical, safe, and skilled injector

Product Knowledge: A skilled injector should have in-depth knowledge of the different types of fillers available (including hyaluronic acid and calcium hydroxylapatite) and their best applications. They should also be able to explain why they recommend a particular product for your specific needs.

Safety Standards: The injector should practice in a clean, professional setting and follow safety protocols to minimize risks of infection and complications. They should also be prepared and knowledgeable about handling adverse reactions or emergencies.

Ethics: A reputable injector should prioritize your health and satisfaction over making a sale. They will be honest about what fillers can and cannot achieve and will refuse to perform unnecessary procedures, offering alternatives if appropriate.

Follow-Up Care: Good practitioners provide clear instructions for aftercare and offer follow-up appointments to monitor the results and address any concerns.

About Ahava MedSpa & Made You LookAt Ahava MedSpa and Made You Look, our highly trained physicians, physician assistant, RN, and esthetician providers have years of experience and an intimate understanding of skin and beauty. Schedule your appointment today by calling 909-987-0899 for Ahava MedSpa or 909-204-7374 for Made You Look!