In this episode of Carpools & Cannulas: Modern Motherhood and Plastic Surgery, Dr. Gallus and Dr. Greer discuss the ear – how to correct common ear lobe concerns and the basics of otoplasty surgery for prominent ears. “Hear” about what is new and what is tried and true!
Transcript
Dr. Greer: Hey, guys. It’s Dr. Greer. We’ve got another edition of Carpools & Cannulas tonight with Dr. Kat Gallus from Restore SD Plastic Surgery in San Diego. Ella is joining us today. Hi. Yeah, and let me see when Dr. Gallus pops on. There she is. I’ll see if I can pull her on here. And if you hear “Frozen” in the background, it’s because we’re watching Episode 2 right now. So, you know, that’ll be awesome.
Dr. Gallus: Hi.
Dr. Greer: Hey.
Dr. Gallus: Hey.
Dr. Greer: How are you?
Dr. Gallus: I’m good. I just raced in.
Dr. Greer: I just realized that my AirPods are dead, so there we go. Okay, we have two kids. Hey, here’s Ella.
Dr. Gallus: She was making slime.
Dr. Greer: Oh, nice. You like making slime, don’t you?
Dr. Gallus: We could do an episode on that.
Dr. Greer: There we go. It’s bring your daughter to IG Live day.
Dr. Gallus: That’s right. How to make the ingredients?
Dr. Greer: Yeah, I know there’s borax glue, something like that.
Dr. Gallus: Mm-hmm, and then you can make it different colors and sparkles and scented.
Dr. Greer: Well, that sounds delightful. I mostly just pick it out of the carpet.
Dr. Gallus: Yup, that’s my favorite. My nephew in fact… Actually, my sister was over at my house. They were making slime.
Child: We were?
Dr. Gallus: Yeah, remember you guys made slime? And did this…
Dr. Gallus: No, he was over here. I’m getting edited on my story. Did this with the slime, put it in his hair. While they were Googling how to get it out, he decided to take matters in his own hands and did one of these. So he had baby bangs,
Dr. Greer: Ella one time, like, stretched this really big bubble and put it over her head.
Dr. Gallus: And that worked out okay?
Ella: That was Wyatt.
Dr. Greer: Was it Wyatt?
Ella: Yeah. He used to do it all the time.
Dr. Greer: Well, it was one of you kids. I do remember picking it out of hair for a while. Good times.
Child: Ryan, he put it in his hair, and me and Laura, we were getting stuff to, like, get it out.
Dr. Gallus: She’s retelling the story. And then?
Child: And then he went upstairs. And I was like, “Ryan!” And then he came down and he’s like, “I cut my hair.”
Dr. Gallus: Took it into his own hands. So, anyway, behind the hair are ears, which I think is what we’re going to talk about, right?
Dr. Greer: Yes. Oh, I do want to show you my new necklace though first. Recognize it?
Dr. Gallus: Oh, nice. That’s beautiful. I have mine. I need to put it on. I’m going to wear it to the retreat.
Dr. Greer: Mine just came last week, so I’m excited. I’ll wear it to the retreat next week, too.
Dr. Gallus: That’s awesome. That is awesome. Okay, so I know you were talking about putting product in your ears, right, for the holes.
Dr. Greer: Yeah. Oh, I’m turning “Frozen” down since my AirPods aren’t working. Yeah, I put filler in them a couple weeks ago, and I love it because my earrings actually have support. Like, my ear holes aren’t stretched, but my lobes lost volume, so my earings just look saggy.
Dr. Gallus: Mm-hmm. Some people do get, like, a crease right here, and that will help with that as well. So you feel like it just offers more support to your ear. How much volume are you adding in there like 0.1 cc?
Dr. Greer: It was like 0.5 between the two. And honestly, I left my studs in so I could see when it was –
Dr. Gallus: Okay.
Dr. Greer: So that worked.
Dr. Gallus: So, like, maybe half a syringe. And you used which product?
Dr. Greer: Well, I like Restylane because it comes in a half cc. Ella, honey, stop It comes in a half mL, which is perfect for that. I used RHA, too, because I had a sample syringe of that.
Dr. Gallus: Mm-hmm. So just straight Resty and a half cc. Yeah, I think Volbella comes in that cc, too.
Ella: [coughs]
Dr. Gallus: That’s pretty safe. It might not hold up as well. Okay, cool. Yeah, that’s a nice little trick. I do earlobe repairs, which I’m sure you do.
Dr. Greer: Tons of them. And people always call, like, right away when they’ve torn the earlobe and the next day, “Should I go to the ER?” “No, the ER’s going to send you home. It’s not really an emergency. Just let it heal and then we’ll fix it.”
Dr. Gallus: I do see them. Yeah. So I’ve seen either the ripped ear or the cleft…
Ella: [coughs]
Dr. Gallus: …or I have older ladies where they’ve been wearing…
Dr. Greer: Heavy earings.
Dr. Gallus: …heaving earings their whole life and so now the hole is just stretched out.
Wyatt: Yeah, yeah. Ready for take off.
Dr. Gallus: And it doesn’t hold an earing anymore. Either way, those are both repaired very similarly. You know, excise the defect and close.
Dr. Greer: Close up. Yep. Do you do the stretched earlobes at all, the gauge ones?
Dr. Gallus: I do. Those are not as easy.
Dr. Greer: No, they’re a little more tricky, but they’re very satisfying.
Dr. Gallus: Yes. So I’ve done those. Those are those plugs where people put the spacers in their ears for, I don’t know, people who don’t live in Southern California or elsewhere. They are very popular here. And it stretches out your earlobe, but if you decide to stop wearing them, then you still have this big gaping hole in your earlobe.
Dr. Greer: Yup.
Dr. Gallus: Yeah. So there’s a couple of ways to do it. I try to do it so that the incision is on the inside, like, towards the inside of the ear instead of on the outside. But either way, it heals really well.
Dr. Greer: It does.
Dr. Gallus: So, the thing about doing all of those procedures, how long do you tell people before they can re-pierce their ears?
Dr. Greer: I will re-pierce it six weeks.
Dr. Gallus: Okay, and then do you pierce in-office?
Dr. Greer: I do. I do. We just have a gun that I inherited from the previous plastic surgeon. It’s the Inverness system. You just call the company. The gun is like 18 bucks, and the great thing is it’s not spring-loaded. You just squeeze it. So it’s really, really nice because you can get it all lined up and then you just you know, a little pinch. I keep waiting for Ella. Ella, do you want to get your ears pierced? I’ll pierce them for you. She said, “Not yet.” Yeah. But, yeah, and I pierce babies’ ears, too. It’s really fun.
Ella: Babies?
Dr. Gallus: Does it come with the earring on it or they bring their own starter earrings? How does that work?
Dr. Greer: We just keep Cubic Zirconia studs in stock, so they don’t get to pick. They’re all just the regular CZ studs that go with the Inverness, and then there’s, like, a little bottle of saline solution that comes with it, too.
Dr. Gallus: Nice.
Dr. Greer: So, yeah.
Dr. Gallus: Yeah, I don’t do it in my office because people haven’t asked, but my older two… Everybody had their ears pierced as a baby, but my older two have three piercings on each year courtesy of me, and I did a neighbor’s kid the other day. I was like, “Just get the gun off Amazon and I’ll do it.” But those are one-shot deals.
Dr. Greer: Oh, yeah, you know, the Inverness is nice. It was weird though. We had two of them and I was going to pierce somebody’s ears a couple weeks ago and we couldn’t find either of them. Like, where did those go?
Dr. Gallus: That’s my office. We have like those little hand mirrors. There’s three exam rooms, two other rooms. There’s eight mirrors. There’s only five potential rooms, and you’ll be in a room and there’ll be none. And you’re like, “Where…?” There three of them in one room or in a drawer somewhere always. So, yeah, so that’s… Yeah, so I tell people six weeks, too. Don’t re-pierce because we just fixed it all up. The other, I usually do this as an add-on with a different procedure or you can do it during a facelift, but is the aging earlobe so where that piercing hole…
Dr. Greer: Oh, yeah, the lobe tuck. They get big. They get big and floppy.
Dr. Gallus: Yeah, yeah. And so that also is, kind of, easy to do so that the incision is built into the earlobe and not coming outside the edge of the ear. That is also very satisfying. I mean, it’s something that, if you notice it for yourself personally, it probably drives you crazy. But most people aren’t like, “Oh, my gosh, your earlobes are saggy,” you know? But it is a thing.
Dr. Greer: Yeah, I feel like if more people paid attention to that, I’d be doing a lot more earlobe tucks.
Dr. Gallus: Right? I should start paying attention to the celebrities and try to figure out who has one, right?
Dr. Greer: Probably all of them.
Dr. Gallus: I know. I mean, no stone left unturned. So, okay. So earlobe tucks. I think that’s all I’ve got on the earlobe per se. Do you do otoplasty or…?
Dr. Greer: I don’t. You know, we did literally not a single one when I was in residency.
Dr. Gallus: Mm-hmm. Yeah, I didn’t do very many, but I did do a lot of ear cartilage grafting. I did not personally do otoplasty very much because the summer was the time where the children’s hospital did that. But I did a fair amount of microtia surgery. So rebuilding an ear for somebody who doesn’t have one, which is way harder, but you’re building an ear from rib. And then we did a fair amount of stuff where we took cartilage from the ear for other types of reconstruction. So I felt pretty comfortable and then decided on my technique for prominent ears. A good friend of mine’s an ENT in the Navy, and we used to compare notes and whatnot. So I liked doing them.
And now I do them under local in the office. I just saw one of my patients back today. Yeah, and they’re adults for the most part. That’s just the demographic I see, that it’s really bothered them their whole life and they want to get it done. So with most surgery, the hardest part is the recovery, you know, taking it easy for two weeks. People don’t like to hear that. And I have them wear a headband after their initial dressing comes off and then have them wear that for at least two weeks, you know, round the clock.
Dr. Greer: Just for support. Yeah.
Dr. Gallus: Mm-hmm, while the swelling goes down, while the incisions stick around. I can talk about that more if you want.
Dr. Greer: Well, how about sleep? Do they have to avoid sleeping on their side? That seems difficult.
Dr. Gallus: I just have them try to sit upright on a couple pillows early on. Otherwise, there is a lot of swelling and you can get… Sorry, my dog just came out from under the bed.
Dr. Greer: I’m touching my dog right now. He’s on me.
Dr. Gallus: I’m sure she’ll come over in a minute. So, yeah. So, yeah, things to know postoperatively, there is sometimes a bit of swelling. Sometimes the face can get swollen, which is alarming if you don’t warn people, but mostly it’s just confined to the ear. The most concerning thing is having a fluid collection or blood collect in the ear. Did you ever do any trauma repairs for ear stuff? I’m sure you have.
Dr. Greer: Yeah, yeah. And I did some cauliflower ears. Oh, yeah? Good.
Dr. Gallus: Mm-hmm.
Dr. Greer: Okay. Yeah, and some hematoma drainages.
Dr. Gallus: Yeah. All right. So before I just hijack this otoplasty conversation… Oh, she took one of my slippers. Tell us what a cauliflower ear is.
Dr. Greer: So if you ever look at martial arts or wrestlers, they have ears that look kind of lumpy like cauliflower. And what’s happened is they get abraided on the mats. They get a hematoma. The hematoma causes the cartilage to warp into form and form extra cartilage calcifications. And then it gets permanently deformed.
Dr. Gallus: Yeah, it’s just all this extra calcified garbage in there, which is why you don’t want to leave a hematoma in there. So the problem with the wrestlers and the boxing guys is that they just ignore it like not a big deal. Most people will come in and like, “This happened. Can you fix it?” and you just drain off the fluid and you solve the problem. So with otoplasty, I see people 24 hours later, because the most critical thing is to make sure that they don’t have a fluid collection somewhere that needs to be drained because that can, kind of, mess up the whole recovery. And if that goes okay, then they’re fine.
And then I’ve taken care of some dog bite injuries and other injuries to the ear where you’re just putting stuff back together. Skin cancers can often end up on the ears because especially in men, they’re exposed to the sun, the tops of the ear.
Dr. Greer: Oh, and then the chronic chondrodermatitis nodularis helicis, long name, but if you have a really prominent area of cartilage, it can get just irritated, and tender, and sore, and excising that and shaving the cartilage down can help that resolve.
Dr. Gallus: Did you ever do excision of the little accessory cartilages that are sometimes here?
Dr. Greer: Once maybe. Yeah. I don’t see those often.
Dr. Gallus: When I was in the Navy, that was a common request. People would be like, “My baby’s otherwise perfect. This little thing needs to go,” and I’m like, “Okay.” So we would wait until they were at least five months of age so that they were safe for anesthesia. And then it literally is a very simple procedure, but the baby has to be under anesthetic. Yeah, those are all the little ear nuances.
When I look at someone with a prominent ear, you know this even if you don’t do ear surgery, but I usually break the ear into three sections. So the people who have really stuck out ears, often it’s a combination of the middle ear, being that conchal bowl, being just big, so that’s pushing the ear away. But it usually has what we call it an antihelical rim. So you’ve got the rim and then you have a contrasting rim inside. And if it’s not, if it’s effaced, then that also creates… Like, you have a very nice rim.
Dr. Greer: Thank you. This one’s a little mushed on the side, but it’s always been like that.
Dr. Gallus: I know. Mine are not perfect either when you start looking. They stick up a little but whatever.
Dr. Greer: Well, actually it’s funny. When I met my husband, I had been rotating on plastics a lot and talking about ear anatomy. And I was like, “He has perfect little ears. They’re just perfect.”
Dr. Gallus: Those are things you can’t correct if they’re really small or if they’re really large. I think you can do an ear reduction, but I don’t know who does that. But small ears, you can’t make them bigger. I have a friend that’s a plastic surgeon, and he pointed it out himself. He says, “I have really weirdly small ears.” And I was like, “What?” And then I was like, “You’re right. You do,” but again…
Dr. Greer: [crosstalk 00:14:49] glasses slide around?
Dr. Gallus: No, they’re just small for his head, which of course there’s a size, dimension just like there’s a standard for everything. But I was like, “That’s so odd and unnecessary.” So, yeah. So if that antihelical fold is gone, you can still be president of the United States. I like to point that out to people. I just have all kinds of traffic tonight. Former President Obama has very prominent ears.
Dr. Greer: Turn it down a little bit. I know but they look good on his head.
Dr. Gallus: Right, they’re the right size. So he has effacement of the antihelical fold, so there’s no crease up there, and then a little bit of conchal hypertrophy. And then the last thing to look at is their earlobe. So some people will have earlobe hypertrophy i.e. it’s large. It’s usually not large. It’s usually just sticking out. And most people don’t notice or complain of that. It’s just if you correct the rest of the ear and you don’t address that, now all of a sudden you have this weird [crosstalk 00:15:50].
Dr. Greer: Although I have to tell you my best friend from high school whose earlobes were the size of a quarter… Legit. Just the size of a quarter. He would hold one up, and we’d all be like, “Oh.”
Dr. Gallus: That’s crazy. Well, there’s that whole…
Ella: [coughs]
Dr. Gallus: … quote it all, but it’s the whole like, “Do you have a detached earlobe or does it go right into your head?”
Dr. Greer: Yup, mine are attached.
Dr. Gallus: Yes, yours is attached.
Dr. Greer: Honestly, most of my time operating around that ears is doing facelifts. And I’ve moved from putting the incision right in the crease to just like a millimeter away. It actually fades better.
Dr. Gallus: Oh, really? That’s good to know. Yeah. Again, those are things nobody notices until it’s not right. And so…
Dr. Greer: Right. If you see somebody’s ears pulled down like this, it’s called a pixie ear and it just means there was too much tension on their facelift closure. So things we learn.
Dr. Gallus: Yes, so that is a telltale sign of a facelift, that little pixie ear. Yeah, so that’s otoplasty in a nutshell. And then I usually do it under local. Like I said, the incision is all through the back of the ear and heals pretty well.
Dr. Greer: Nice. Do you do any abrading or just the stitches?
Dr. Gallus: No, I’ve never. So, yeah, the Mustardé sutures are the name for those sort of sutures. I’ve never abraded. There was a huge push to do that. So that means going in and scraping up the cartilage, right? And the idea is that if you scrape the cartilage, it will bend away from where you’re scraping it. So you have to go in and then on the entry surface of the ear, abrade the cartilage. And they have little oto abraders. I believe there’s an actual tool for it. But I never did it. And I did mostly adults while I was in the navy and never had anybody recur. I think if the Mustardé sutures are in there, then they’re in there. And, again, my ENT colleagues didn’t do it either, so I think it’s a little bit dependent on where you’re trained, whether they do that or not.
Dr. Greer: Gotcha. So you just use, what, clear nylon and…?
Dr. Gallus: Mm-hmm.
Dr. Greer: Or is that…?
Dr. Gallus: Mustardés. I’ll do a conchal resection if they need it. And then a Furnas suture. Everybody’s got something named after them. So to tack the conchable back to the mastoid process, that helps set the ear back, and then a little… Kind of hard to describe but another setback and excision on the back for the lobe. And not everybody needs all the elements, but they do need usually something, some components. Some people just need one of those three maneuvers. Stella is asking what you can do for a cauliflower ear. I know she doesn’t have one but…
Dr. Greer: Those are fun. You just hide some incisions in the creases, elevate the skin, and then you just reshape the cartilage.
Dr. Gallus: Shave it down, yeah, and then put it back down. Would you bolster that? I haven’t done one of those in ages
Dr. Greer: I would. When I used to do either skin cancer resections or I would take a cartilage graft for a nose reconstruction, I always just did zero form front and back with through and through stitches to hold it on for a week. Never had a hematoma.
Dr. Gallus: Yeah, I think that, especially for a cauliflower ear because it’s probably pretty inflammatory and it’s going to ooze a lot, and we’re talking about a bolster where you put, like, gauze or cotton essentially on there and then suture it in place so it’s applying pressure, because the ear is hard to splint. You can’t put it on a little cast.
Dr. Greer: Wyatt, what do you need? I am on Instagram, dude.
Wyatt: I want to sit by you.
Dr. Greer: Okay, well, come sit.
Dr. Gallus: Oh, you had a cauliflower ear, but yeah, so bolster is definitely a must-have for that procedure. Yeah.
Dr. Greer: Oh, I got a noodle. I got a seven-year-old who needs a haircut.
Dr. Gallus: Oh, another guest appearance.
Dr. Greer: Yeah, the baby’s upstairs sleeping.
Wyatt: I couldn’t find that airplane.
Dr. Greer: And Wyatt’s been flying an airplane on my iPad all week. Out of the four of us with COVID, he feels totally fine. He just tested positive.
Dr. Gallus: Did you get COVID this last week then or…?
Dr. Greer: Yeah, so we went to Disney last week and really early in the week I tested positive, but I felt pretty much fine until Friday, then I kind of crashed and burned for a while. So when we got home, we tested… Wyatt, stop it. The dog is gonna bite your face off, and I don’t do face reconstruction.
Okay, and so we tested the kids, they all tested positive. So I took off the first part off this week, and my very understanding patients got rescheduled, but I’m going to go back Friday because I’m feeling better and they’ll go back Monday. Yeah.
Dr. Greer: [crosstalk 00:20:44] vacation.
Dr. Gallus: Yeah, it’s not really a vacation when you come back with COVID. How was Disney?
Dr. Greer: It was amazing. We hit three parks in one day because we’re insane. So we got the VIP tour, which if you have not done this, you should do it.
Wyatt: We did 13 rides.
Dr. Greer: Thirteen rides? Are you sure it wasn’t 14? I thought it was 14.
Wyatt: No, it was 13.
Dr. Greer: Okay. Anyway…
Wyatt: Oh, you must be thinking we went on the Rock ‘n’ Roller Coaster.
Dr. Greer: Maybe, maybe. So they just take you around each ride and you get the lightning line each time. And then they just cut to this little gate in Magic Kingdom right off of Main Street. There’s a parking lot back there. They throw you in their van. They’ve got car seats. Drove us right over to… Where did we go next? Animal Kingdom. Hit the rides there, had lunch, and then we went over to Hollywood Studios and hit the Star Wars rides. It was amazing.
Dr. Gallus: That’s awesome. That’s really fun.
Wyatt: And also Lego Land. Remember that.
Dr. Greer: Oh, yeah, we did this for Lego Land too, and they got to go on all the coasters two times in a row and I’m popping more Dramamine.
Wyatt: Except for the seesaw one, that’s bad.
Dr. Greer: There was a back and forth spinning one. I did not do that.
Wyatt: Yes, because it was…
Dr. Gallus: I love those rides but I can only do them a little bit and then I start to get sick and I tap out.
Dr. Greer: I’m afraid of Heights. If it’s the little coasters at Lego Land, fine. If we’re talking about Thunder Mountain Railroad, okay. But Six Flags or Cedar Point, I am not your girl. I don’t want to be on that narrow track looking over 10 stories and try not to panic. The whole time, I’m just like praying.
Dr. Gallus: That’s how my sister is. I don’t mind. We have fun, but my sister is less adventurous than you. She doesn’t even like the Ferris wheel. She’s like white knuckles, the whole thing.
Dr. Greer: I don’t like the Ferris wheel. It rocks. No, thank you. Hard pass. Oh, and then Ella, my Ella, the first ride we do at Disney is Space Mountain because they’re tall enough for the first time. And Ella’s like, “I want to sit in front.” I was like, “Are you insane? I hate being in front. I don’t want to be in front.” So then in Lego Land, they’re like, “Mom, sit in front with Ella.” I’m like, “No.” I set a good example of not being terrified for my children.
Dr. Gallus: That’s awesome. Yeah, we have a lot of adventure. My kids were all like, as soon as they were tall enough, wanted to get on the rides. So it’s pretty cool.
Dr. Greer: No, not my thing. Dude, calm down. And then the virtual rides, there’s an Avatar ride where you’re riding the banshee thing, but it’s all virtual on a screen. I just had to close my eyes so I wouldn’t throw up.
Wyatt: And there was a dinosaur jeep ride where it goes around…
Dr. Gallus: Those I don’t do well with. They’re not scary.
Dr. Greer: Okay, okay. Those are all the ones I would have thrown up on, so I didn’t go on them.
Dr. Gallus: But they have immature vestibular systems, which is why they can do it.
Dr. Greer: Yeah, I have an old, crusty, calcified vestibular system.
Dr. Gallus: My system is like, “Nope, it’s not matching. It’s not happening.”
Dr. Greer: I do a somersault and I feel like I’m going to throw up. Legit. somersault or a back roll, I’m spinning, which I think is pretty common because when I Googled it, there are all these articles on how to cope with that if you’re like doing martial arts.
Dr. Gallus: Really?
Dr. Greer: Yeah. Wyatt, hold still, dude. So it’s like a thing.
Dr. Gallus: That’s even more sensitive than I am. That’s crazy.
Dr. Greer: It’s a skill… You need to sit still. You’re moving everything. Knock it off. Thank you. I mean, I got car sick every time we went to the grocery store when I was a kid. I don’t think my parents ever realized because I never threw up, but I was a miserable.
Dr. Gallus: I was definitely motion sick a lot, but I could do a somersault. I was capable of that. That’s hilarious. All right, well, what are we going to talk about next week? I know I wrote down a bunch of topics, then I don’t know where I put it.
Dr. Greer: Gosh.
Dr. Gallus: Or not next week. Next week, we’re going to be in Arizona.
Dr. Greer: Yeah, next week, we’re going to be in Tucson. My kids just found out today I was leaving. I was like, “I need a vacation after our vacation.” I mean, I’m presenting at a medical conference. It’s a business trip at a spa.
Dr. Gallus: That’s right, at a spa.
Dr. Greer: So, wait, how much are those shoes? Are those shoes really a thousand dollars a pair?
Dr. Gallus: I think they’re like $800, but they’re custom made for your feet. I don’t know.
Dr. Greer: Yeah, there’s an orthopedic surgeon who created a line of shoes. You’re unraveling your shirt, my friend. And I wondered, I was like, “Those look fun,” but I don’t know if I’m up for like $800 shoes because they’ll be beautiful and then I’ll never wear them.
Dr. Gallus: Those are supposed to be comfortable, but I don’t know. We’ll see. We’ll have the opportunity to scope.
Dr. Greer: I’ll definitely go check them out.
Dr. Gallus: Maybe when we’re hanging out in Arizona at Women’s Plastic Surgeons retreat/conference. I’ve tried to get rid of the retreat word, but that’s okay. Then we can plan our next talk.
Dr. Greer: That would be fun. I think we’ll have more time to catch up than ASPS. That was hectic.
Dr. Gallus: Yes, yes. Yeah. Or DM either of us and let us know what you want to hear about, or if you have more questions about ears.
Dr. Greer: And we’ll get to it in a couple of weeks.
Dr. Gallus: That’s right. Well, have a good evening.
Dr. Greer: You, too. I’ll see you next week.
Dr. Gallus: All right, bye.
Dr. Greer: Bye.
About Restore SD & Dr. Katerina Gallus
As the Director of Restore SD Plastic Surgery, board certified female plastic surgeon Dr. Katerina Gallus has over 15 years of experience helping San Diego women enjoy head to toe rejuvenation with face, breast and body procedures. After a successful career as a Navy plastic surgeon, Dr. Gallus founded Restore SD Plastic Surgery with the intention of creating a welcoming space for anyone seeking cosmetic enhancement.
Restore SD Plastic Surgery offers popular facial rejuvenation procedures like facelift & neck lift, facial fat grafting, and eyelid lift; breast augmentation with implants, breast lifts or breast reduction; body contouring procedures such as tummy tuck, liposuction, mommy makeover, and Brazilian butt lift (BBL), as well as aesthetician services, BOTOX, injectable fillers, and laser treatments.
