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David W. Kim, MD - San Francisco

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David W. Kim, MD - San Francisco

Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from David W. Kim, MD - San Francisco, Plastic surgeon, 55 Francisco Street, Ste 705, San Francisco, CA.

07/25/2024

It is the reality of aesthetic surgery that not every patient will be completely satisfied with the outcome of their procedure. At the start of my career, as I was developing my skills and building experience, my revision rate for primary rhinoplasty was over 10%. Through the years, this number gradually decreased and for the past 10 years has been stable at around 3%. I believe this reflects the natural progression of my judgment and abilities as a surgeon as well as my effectiveness in communicating and setting expectations. When I do encounter a patient who is unhappy with an outcome, I believe it is important to listen to their concerns, analyze the nose, review the maneuvers performed in the primary surgery, and formulate a thoughtful plan. My wonderful patient pictured underwent primary rhinoplasty with me over a year ago. Our goals at that time were focused on reducing the size of the nose from the side by reducing the height of the bridge and de-projecting the tip. We aimed for a significant reduction, understanding that this would result in increased width from the front. Although I offset some of this width through other maneuvers during the surgery (alar base reduction, narrowing bones, tip plasty), the result was a nose that my patient felt was wider than she was comfortable with. After a year of observing the nose and trying steroid injections to reduce width, we concluded that although she loved the nose from the side and ¾ views, she was simply not comfortable with the shape of the nose from the front and base. I therefore performed a revision on her nose in which I narrowed her mid vault, tip, and performed additional alar base reduction. Immediately after the cast came off, it was clear that she was happy and relieved and comfortable with her new nose. The photos show pre-op on the left, one year post-op in the middle, and one week post revision on the right. You can see the significant reduction in profile size from the primary surgery but also some increased width. You can also see the effect of the revision in which the width is addressed by retaining the improvement from the original surgery. (Continue in the comments below…)

07/12/2024

It is an interesting phenomenon how others perceive a favorable rhinoplasty result. My lovely patient pictured (2 month post-op) told me that others around her have told her how great she looks, but have not been able to identify that she had a rhinoplasty. She’s been complimented about her hair, her skin, and even asked if she had a facelift! As you can see from her photos, there was a significant change in the shape of the nose, and yet the outcome isn’t obvious to others! The reason? Because her nose looks attractive but natural, it now blends better to her face and no longer draws attention. An attractive nose is a normal nose, and a normal nose just gets out of the way and deflects attention to other features, such as the eyes! She couldn’t be happier with this fact! Happy patient, happy surgeon!

07/09/2024

“After seeing two doctors, I was referred to Dr. Kim for a lump on my nose and difficult breathing. Dr. Kim was concerned about the lump on my nose and thought it might be cancer. Once he started surgery, Dr. Kim discovered the implant was infected and there was great difficulty on the revision of my nose.”

07/06/2024

My patient came back for her 6 week post-op. She is super happy with the outcome and told me she feels like she looks more like herself than she ever felt. This is telling, given that many patients worry that they will lose their sense of self after rhinoplasty. As my patient said today, “It’s nice that my other features, which I like, can now come out since my nose isn’t so distracting anymore”. As a bonus, she is also breathing through her nose better than ever! Happy patient, happy surgeon!

06/26/2024

Beautiful and natural lips done by our Aesthetic nurse ! She used 0.8cc Restylane kysse to acquire these results. ⁣
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📱Contact us for a consultation through our web page or call us at (415) 773-0800.⁣
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〰️ Don’t forget to follow for more transformations.
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06/20/2024

OUR CONTROVERSIAL BEAUTY STUDY

A Contemporary Assessment of Facial Aesthetic Preferences

To be published in the Archives of Facial Plastic Surgery (Mar/Apr 2009)

The study compared neoclassical aesthetically ideal measurements to contemporary, ethnically diverse individuals. Results showed no clear preferences, but preferences varied based on age and ethnicity. Younger models preferred eyebrows with apices further outward, while Asian reviewers preferred wider nasal tips. The research suggests rigid beauty guidelines should consider individual features.

Read the full article through the link below:
https://www.drkimfacialplastics.com/our-controversial-beauty-study/

06/18/2024

One can think of the nose as having an external and an internal anatomy. The external framework is essentially a roof of bone and cartilage that projects outward from the face. The internal foundation is the nasal septum, the partition between the two nasal passages. The front of the septum projects out of the face and serves as the foundation wall onto which the external nose, or roof, connects. Functional problems can stem from both the internal and external anatomy. In my patient pictured, there was a deviation of the septum internally to the left, causing obstruction on the left nasal passage. Externally, his tip cartilages were pinched and concave, causing constriction of airflow and preventing air from even entering the nasal passages. His surgery involved straightening the septum (both internal and external components) and lifting and re-structing the tip to create more open nostrils. The bridge was also smoothed and straightened and the tip lifted slightly to create a better proportioned profile shape. The photos show an early (one week) post-op result. He is breathing better than at any point in his lift and is very pleased with the straighter and better proportioned shape. Happy patient, happy surgeon!

06/16/2024

🌟 Happy Father’s Day! 🌟

Celebrating all the wonderful dads today! Your love, guidance, and support mean everything. Enjoy your special day—you’ve earned it! ❤️

06/12/2024

Has the media affected our perception of beauty?
“Absolutely. For most people, the media affects our perceptions about many things, no matter how independently minded we may try to be. But I think that the media and our perception of beauty represents a “chicken and the egg” conundrum. Which came first? Does the media just reflect back to us our views or does it create them? Probably both. However, long before media existed there have been strong views about beauty going back to the ancient Egyptians, Greeks, and every civilization since. Beauty has been in the pot for a long time, though the media spices it up and gives it a good stir.”
-Dr. David W. Kim, MD

06/07/2024

Is it shallow to be concerned about beauty?
“To some degree we are all aware of our appearance. We all take measures to make ourselves look a certain way. This may range from basic grooming like combing our hair on one end of the spectrum to things that are more involved like cosmetic surgery. But to say that this concern is shallow for any given person is judgmental and a bit arbitrary. Every person has his or her own motivations. I can say though that there are numerous studies in sociology and anthropology, which confirms that appearance and beauty have a huge impact on life outcomes related to happiness, financial success and even longevity. So whether we like it or not, beauty is a pervasive and powerful influence on our individual consciousness and collective society.“
-Dr. David W. Kim, MD
https://www.drkimfacialplastics.com/america-the-beautiful-documentary/

06/03/2024

✨ Before & After by : Neck Bands & Nefertiti Neck Lift Botox ✨

Botox in the neck and DAO muscles helps minimize that marionette pull and smoothen the neck for a more youthful and refined look. 💉✨

Say goodbye to neck bands and hello to smoother skin! 🌟

06/01/2024

6 week post-op of my lovely patient who underwent augmentation rhinoplasty. Many Asian noses are flat and therefore lack definition. In such cases, added height to the bridge and increased projection of the tip is needed to create definition from the front and better balance from the profile. Septal cartilage and ear cartilage were used to accomplish this as a moderate degree of change was requested by the patient (greater change would have required rib grafts). She is thrilled with her new nose! Happy patient, happy surgeon!

05/28/2024

My patient had primary rhinoplasty overseas during which the surgeon reduced and lifted the tip of the nose and raised the bridge with a silicone implant. This resulted in a pinched and unnatural shape with retraction of the left nostril. He is now 6 months post-op from our revision surgery. I removed the implant and replaced it with extended spreader grafts and dorsal onlay grafts constructed from rib and septal cartilage. I reconstructed the tip with a caudal septal replacement graft and lowered the tip position by connecting his tip cartilages into a lower, more normal position. I restored smoothness and volume to the tip and lowered the nostrils through extended lateral crural strut grafts with downward repositioning. He is still somewhat swollen from the procedure given his thick skin envelope, however, the shape and symmetry of the nose had been restored to more natural appearance. Happy patient, happy surgeon!

05/22/2024

My lovely patient is now 5 months post-op from a complicated revision rhinoplasty. Rib grafts were used to restore structural integrity to her tip and bridge while reducing tip projection, lifting tip position, and improving smoothness, symmetry, and function overall. These big improvements come with some small trade-offs, such as increased stiffness and subtle imperfections, but the nose ends up much more natural and attractive over baseline. Happy patient, happy surgeon!

05/21/2024

“Do we have an unhealthy obsession?
I think some of us do and some of us do not. I think the concern for appearance becomes an unhealthy obsession when it starts to interfere with our ability to maintain our life routines, our relationships with others, and damages our feelings about ourselves.”
https://www.drkimfacialplastics.com/america-the-beautiful-documentary/

05/19/2024

What else affects our perceptions about beauty besides the Media?
Lots of things. It is a nurture versus nature thing. On the nurture side there are our peers, our parents, family values, ethnic or nationality considerations. And then on the nature side there is growing evidence that much of our sense of beauty comes hard-wired into us…from our DNA! The theory goes that we are equipped with an innate sense of what is attractive because as a species, a sense of aesthetic beauty helps us find a suitable mate with whom we will have a greater likelihood of creating offspring and expanding the species. The scientists believe that beauty is a trait that signifies health and reproductive viability. But “what is beautiful” is different in each individual culture. This idea is supported by research I have conducted on modern preferences of facial beauty.

05/16/2024

What is Morpheus?
Morpheus8 combines microneedling with radiofrequency to stimulate collagen, improve skin texture, tighten loose skin, reduce fine lines, wrinkles, and acne scars, destroy fat, and enhance skin tone with minimal downtime for aesthetic goals.
Introductory pricing on packages through september 2024!
Book your consultation today at (415) 773-0800 or by the link on our bio.

05/14/2024

When the nostrils are asymmetrical, it can be a distracting feature which draws unwanted attention to the nose. My lovely patient pictured had a previous rhinoplasty which caused unevenness and asymmetry in the tip, infratip, and nostrils. Most bothersome was the retracted and notched appearance of her left nostril (right side of the photos). During revision, I discovered that a previously placed septal extension graft was curving to the left, carrying the tip to the left of center. The left lateral crus (outer wing of the tip cartilage) was sitting much higher than the right side and the caudal margin (lower edge) was pulled inward and concave. This was one of the rare revision cases in which I was able to re-use the existing grafts. I moved the septal extension graft to the right side of the septum and connected the tip cartilages onto the graft to get the tip centered. I removed a spreader graft from the left side of the bridge to improve symmetry there and used this graft as a new left extended lateral crural strut graft to lower the position and correct the pinching of the left lateral crus. I also harvested cartilage and fascia from the right ear to provide camouflage and padding material. She is now 2 months post-op and feels she can finally move on from the issues she’s had with her nose. She no longer feels self conscious in photos and says she’s largely been able to forget about her nose finally! Happy patient, happy surgeon!

05/13/2024

A few millimeters difference can change the look and feel of a nose so much. In my beautiful patient pictured, the bridge was lowered 2mm, the tip lifted 4mm, and the bones were narrowed 1-2mm. These small changes have a powerful effect—the nose blends better to the rest of the face, attention goes from the nose to her beautiful eyes, and the emotional response elicited from the nose is one of elegance and femininity. She is now about 9 months post-op and thrilled with her result. Happy patient, happy surgeon.

05/12/2024

Happy Mother’s Day to my sister, my wife, and my mother. Three amazing women, each so talented in their own ways. And each completely selfless and nurturing as mothers. Love you!!!

05/11/2024

Am I too old for rhinoplasty? This is a common question I get from some of my older patients. The concerns are often about health and safety, healing, and a question of whether or not it’s worth it at an older age. The health and healing concerns are generally non-issues as long as an individual is in good health. If someone is not sure about this or wants to be extra cautious, pre-operative screening tests such as an EKG and lab tests can help screen for potential health issues. Evaluation and clearance by one’s primary care doctor is another useful step. As for the “worth it” question, this is a very personal choice for every patient. The decision to have rhinoplasty must fulfill the criteria that the benefits outweigh the costs (financial, down time, swelling, recovery, and risks). The cost/benefit analysis changes through one’s life and for some, this analysis tips toward going forward with rhinoplasty later in life. Such was the case for my lovely patient pictured. In her 60s, she reached a point where her breathing problems and dislike for the shape of her nose felt compelling enough to pursue surgery. She also had more time and band-width to pursue surgery compared to earlier in life. Like many of my older patients, she was so glad she did the surgery, her concerns all addressed! She relishes the thought of living her life going forward with her beautiful and functional new nose! Happy patient, happy surgeon!

05/09/2024

I’m unbelievably grateful and humbled by the fact that my staff have been part of my team for so long. Today, we celebrate 10 years of service for not one, but two fabulous women in the practice. Amy Morgan is my patient care coordinator. She is a wellspring of kindness, empathy, and professionalism. Her touch allow my patients to feel informed and secure during the potentially vulnerable process of navigating surgery. Lisa Leung is my senior Nurse Practitioner. Her approach to aesthetic medicine reflects her personality: meticulous and thoughtful, always with the best interest of her patients in mind. Ten years is quite a remarkable tenure to remain in one practice in the aesthetic space. Thank you immensely Amy and Lisa for your service and your loyalty to our patients and to our practice! Full of gratitude for you two! Also, stay tuned for another 10 year celebration coming soon!

05/09/2024

Throwback to 2012! 🌟 Celebrating over a decade of incredible journey with Dr. Kim. Here she is in the office with her sister, right where it all started. Here’s to many more years of teamwork and success!

05/08/2024

10 year follow-up! My beautiful patient first came to see me in her early 20s with concerns about the profile appearance. She felt her nose was too large from the side, especially since she has a somewhat small chin. I performed primary rhinoplasty with dorsal reduction, tip lift and deprojection, and placement of a small chin implant. It was a treat to see her in follow-up after so many years. She loves her new nose with the natural and elegant shape it creates and feels it balanced perfectly with the subtle chin augmentation. Her case is a great example of how rhinoplasty when performed structurally will create permanent improvements! Happy patient, happy surgeon!

05/07/2024

2024 MOTHER’S DAY BOTOX SPECIAL:
$150 ALLE GIFT CARD FOR $100 Allergan will offer a one-day-only Mother’s Day Alle Gift Card on Wednesday, May 8, 2024.
You must be an Allē rewards member to purchase. Use it to save $50 when you schedule your next injectables treatment with your provider at David W. Kim, MD — As a Bonus we will match the $50 savings for appointments scheduled in May. Your gift certificate can be used for Botox, Juvederm filler, SkinVive, and Kybella double chin treatment.
This discounted gift card offer goes live at 9 am PST on May 8, 2024, and will be available while supplies last. $50 match cannot be combined with other office promotions.
Have questions? Contact our office at (415) 773-0800.
Not an Allē member yet? Registration is easy!
JOIN ALLE NOW
https://alle.com/registration

05/06/2024

Dr. David W. Kim’s Aesthetic Values -

Too often in the world of plastic surgery, results look fake. Although mistakes in technique may lead to such problems, the most common cause is a judgment issue in which the surgeon (sometimes with the blessing of the patient) intentionally creates a change which is not natural or fitting with the individual’s features. These problems can be avoided if the cosmetic surgeon adheres to a core set of aesthetic values.

Dr. David Kim’s aesthetic values center on natural beauty and vitality. He strongly believes that the best results are those which look like they organically fit on an individual’s face, that the patient could have been born with those features. A huge advantage of this value system is that Dr. Kim can work within a range of potential outcomes, rather than being held to narrow aesthetic constraints. Conventional plastic surgery teachings utilize specific measurements and angles between landmarks in the face to guide planning. Dr. Kim believes that the human face should not be held to such rigid metrics. He believes that the ideal outcome for any individual should consider the unique attributes of the individual based on their anatomy, ethnicity and family features. In addition, individual patient preferences are weighed carefully to create the final plan for any given treatment.

In order to create customized aesthetic goals, Dr. Kim approaches each patient in a two-way conversational style consultation. Each consult is different and tailored to each individual’s needs and priorities. State-of-the-art 2D and 3D digital imaging and computer morphing software are used to fine-tune the plan based on the discussion. Dr. Kim believes that listening and dialogue is critical for him to understand what is at the core of each of his patient’s wishes and therefore be most able to help them.

To reserve your initial consultation please call (415) 773-0800 and our staff will be more than happy to assist you.

04/29/2024

One week post-op rhinoplasty. Sometimes it takes a while to make a decision to have rhinoplasty. My lovely patient here first came to see me over 10 years ago to consider rhinoplasty. She was very interested but was a little too nervous to take the leap. She eventually came back to me as she noticed that her tip was drooping more over time—the feature of her nose she disliked the most. She was still very nervous, but after lots of discussion about risks and benefits, she finally mustered up the courage to go through with it. She was so very happy with her results! She said she only wished she had done it sooner (a common thing I hear). The process to having rhinoplasty is not always linear or straightforward. Each patient must eventually take a leap of faith in order to go forward. For some, it doesn’t feel like a big leap. For others, like my patient here, it can feel like a massive distance to span. If it feels too big, it’s healthy to pump the brakes until one can make this leap doable. This comes with introspection and time, sometimes 10 years! But in the end almost everyone feels glad they did it!! Happy patient, happy surgeon!

04/28/2024

My beautiful patient is now one year post-op from her rhinoplasty. She wanted a more feminine, better defined nose. To achieve this, I needed to lower her bridge, lift her tip, and narrow and straighten the nose overall. Techniques included: component dorsal hump reduction, narrowing osteotomies, spreader grafts, clocking sutures, septal extension graft, tongue in groove tip rotation, extended lateral crural strut grafts, dome sutures, and camouflage grafts. Her case was essentially a deconstruction-reconstruction rhinoplasty in which the nasal anatomy was mobilized, altered, then restabilized. It’s a lot of work and effort, but absolutely worth it in order to have a happy patient! Happy patient = happy surgeon!

04/19/2024

“I’m absolutely blown away! After enduring the aftermath of a botched rhinoplasty from my younger years, the prospect of a revision surgery left me filled with fear. For over two decades, I embarked on a global quest, consulting with countless rhinoplasty surgeons across Turkey, Switzerland, Italy, Los Angeles, and beyond, in search of a solution. Finally, my journey led me to Dr. Kim in San Francisco…”
(Read the full review here: https://m.yelp.com/biz/david-w-kim-md-san-francisco)

04/06/2024

I recently had the pleasure of being treated by Natalie, a skilled nurse injector in Dr. Kim’s office. The experience was very pleasant. We engaged in a conversation about the results I hoped to achieve. She professionally and skillfully treated me with excellent results. Great communication and injection skills. I am very pleased with the outcome. Highly recommend!

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55 Francisco Street, Ste 705
San Francisco, CA
94133

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