Brian Scott, MD

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Brian Scott, MD

Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Brian Scott, MD, Surgeon, Seattle, WA.

Dr. Brian Scott is a Facial Plastic Surgeon specializing in rhinoplasty, facelifts, neck lifts, lip lifts, eyelid lifts (blepharoplasty), fillers, botox, and facial reconstruction.

12/26/2025

This patient got exactly what she wanted for Christmas….a more elegant and feminine nose. The goals were to lower the hump, straighten the very deviated basal bones (from a prior nasal fracture), and lift the droopy tip. Her new nose matches her facial features perfectly and I think she will love it!

12/20/2025

This beautiful lady in her late 30’s wanted a more elegant and feminine nose - the main goals were to lower her bump, slightly lift the droopy tip, and make the nose slimmer from the front view….all while keeping the results looking natural. She is 3 months out from rhinoplasty and is ecstatic with her new nose and how well it matches her facial features! You can see now that her nose is properly supported it doesn’t become droopy when she smiles and she doesn’t have to even think about how she is going to look when getting her picture taken from the side!

12/14/2025

2.5 weeks out from rhinoplasty and already looking elegant but natural! Can’t wait to see the final outcome in a few months as it refines even further!

12/12/2025

Chin implants are a powerful way to add projection and balance to a weak or recessed chin. When the chin is small, the face looks imbalanced and other facial features such as the nose tend to look too big in comparison. Placing a chin implant is a short outpatient procedure with very manageable downtime (light bruising and swelling along the jawline for about 1 week).

The “ideal” chin is of course subjective but a simple rule of thumb to assess chin projection is to look at a side photo with the head facing straight forward (not tilting up). For a female we like a chin to sit in line with or a few millimeters behind the lower lip while in males an “ideal” position is at the lip or in front of it.

For females with recessed chins we often set the goal to just make the chin stronger and add balance but we don’t necessarily always try to get the chin to this “ideal” place (which many patients are concerned might change the face “too much”). There are many different sizes of implants so the amount of projection and width that we add can be customized to each patient.

12/04/2025

There are two ways to address hollowness under the eyes when we perform lower eyelid surgery. One is to take fat from somewhere else like the stomach or thigh and place it under the eyes and the other is to take fat malpositioned eyelid fat and then reposition it into a better place where it doesn’t cause puffiness and helps fill in the tear trough. Both are excellent methods which have their place, I vary the way I approach the lower eyelids depending on each patient’s anatomy

12/01/2025

Immediate rhinoplasty results to lower a hump, refine the tip, and straighten a VERY deviated septum. She wanted a swooped feminine profile and I think she is going to LOVE her new nose!

11/24/2025

Immediate results for a rhinoplasty to lower a hump and lift a droopy tip!

11/20/2025

This patient is shown just ONE day out from an extended deep plane face and neck lift. She is swollen but you can already see the massive improvements in her neck definition and softening of the lines around her mouth. I will share more of her as her healing progresses!

11/18/2025

Lower eyelid issues are complex! There are 4 issues that cause most lower eyelid dark circles - lower eyelid fat bags, under eye hollowness, thin skin with prominent blood vessels under the skin (this can create pink/purple tones), and actual dark eyelid skin pigmentation. For most people the first 2 causes (fat bags and hollowness) are the main culprits!

This 32 year old male actually had three out of these four issues! Lower eyelid blepharoplasty treats the fat bags, fat grafting fills in hollows and also can camouflage/soften (but not completely hide) vessels under the skin. As you can see his under eyes look MUCH better after surgery, with just a little bit of residual darkness that the fat grafting couldn’t completely hide.

He also wanted a very subtle/natural rhinoplasty to just lower his bump and slightly straighten his nose while keeping most of the appearance of his nose the same. With male rhinoplasty the goal is a subtle change that smooths harsh features while keeping the face looking masculine.

He is 3.5 months out from surgery and loving his results!

11/13/2025

Thank you to Allergan for hosting an incredible networking and educational evening in Seattle which I was able to attend with our incredibly talented nurse injectors .cosmeticinjector and .tyler

11/11/2025

Brows are one of the most underrated but extremely powerful features of a face! This 45 year old woman was bothered by heaviness to her upper face and early descent of her cheeks. She js now 3 months out from a brow lift and a mini cheek lift and loving all of the subtle changes.

You can see in her before photos that her heavy brows made her look serious and intense but after resetting her brows to a more relaxed position her face looks friendly and warm. I didn’t take any skin from her upper lids but just by recontouring her brows all of the heaviness on her lids is gone and her eyes look more vibrant and bright.

The mini cheek lift is a minimally invasive subtle reset and lift of her cheeks using a completely invisible incision behind the hairline. This is a great procedure for people who only need a very subtle lift, it doesn’t leave any visible scar and the down time is FAR less than with a full facelift. I often use it as a way to give patients a little rejuvenation and push off their facelift for a few more years!

11/05/2025

I am a big fan of facial fat grafting! I use it in almost every lower eyelid surgery and it is a beautiful adjunct to facelift surgery or even as a standalone procedure. Many people wonder how much of it will remain long term. The short answer is it’s impossible to know exactly ahead of time, the studies show on average around 60-70% usually remains long term…but this is just an average, it could be 50% or it could be 90%. In general, facial fat grafting does very well and most of the time patients are satisfied with the results of a single treatment.

Facial fat grafting can be sometimes done with a patient awake with just an anxiety pill taken by mouth or it can be done asleep such as when combined with another procedure such as eyelid surgery or a facelift

Address

Seattle, WA

Website

http://Scottplasticsurgery.com/

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