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Top 3 Plastic Surgeons

An independent publication on aesthetic and plastic surgery

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The Lead · Procedure Deep-Dive

Behçet's Disease and Cosmetic Surgery: Pathergy, Mouth Ulcers, Fillers, Microneedling, Eye Inflammation, Blood Clots, Apremilast, and Biologics

Behçet's disease is the rare condition in which the skin can treat a needle prick as an injury worth fighting. That single trait, called pathergy, makes it one of the few diagnoses where the smallest cosmetic procedures deserve as much thought as the large ones. Add recurrent mouth ulcers that sit exactly where lip filler goes, an eye disease that can blind, and blood clots that do not respond to blood thinners the usual way, and the order of operations becomes everything.

November 11, 2026

By The Editorial Desk

17 min

Dermatomyositis and Cosmetic Surgery: Heliotrope Rash, Gottron Papules, Calcinosis, Cancer Screening, Lung Disease, and Steroids

Dermatomyositis announces itself on the face, the eyelids, the knuckles, and the chest, which means it often arrives at a cosmetic consultation before it arrives at a rheumatologist. Puffy violet eyelids look like a blepharoplasty problem. A red chest looks like sun damage. But this is a disease of muscle, lung, and swallowing, and in adults it travels with cancer often enough that the first job is a diagnosis and a screening plan, not an operation.

November 11, 2026 · 16 min

A man in his forties with short graying hair and a salt-and-pepper beard, wearing a gray crew-neck sweatshirt, seated with his forearms on a wooden kitchen table by a bright window, a glass of water, a white pill case, and a few tablets in front of him, looking out the window

Procedure Deep-Dive

Pancreatitis and Cosmetic Surgery: Alcohol, Gallstones, Triglycerides, GLP-1 Drugs, Tummy Tucks After Pancreas Surgery, Diabetes, and Enzymes

A bout of pancreatitis tends to get filed away as a bad week in the hospital. For anyone planning cosmetic surgery it is more than that. The cause has to be found and removed, the abdomen may carry scars and hernias that change how a tummy tuck is designed, the weight-loss drug that got someone to their goal may be the one thing that must not be restarted, and chronic disease can quietly drain the vitamins, protein, and blood sugar control that wound healing depends on.

November 11, 2026 · 17 min

A young woman with tousled shoulder-length light brown hair, wearing a pale blue ribbed knit sweater and dark red trousers, seated on a wooden chair beside a bright window with her forearms resting on her knee, looking toward the camera

Procedure Deep-Dive

Cystic Fibrosis and Cosmetic Surgery: Lung Function, CFTR Modulators, Low BMI, Breast Surgery, CF-Related Diabetes, and Anesthesia

A generation ago, adults with cystic fibrosis rarely sat in a plastic surgeon's waiting room. Today more than half of Americans with CF are adults, modulator drugs have changed how many of them breathe and how much they weigh, and cosmetic questions have followed. CF does not rule out an elective operation, but it changes nearly every part of the plan: the timing around lung function and infections, the anesthesia, the medications that interact with modulators, the vitamins that affect bleeding and healing, the blood sugar, and the airway clearance routine that has to survive a fresh incision.

November 10, 2026 · 17 min

The City Guides

Top surgeons, city by city.

Short, considered editorial picks for the cities where aesthetic medicine has the highest concentration of practitioners doing distinct work. We add a city when we have done the reporting, not before.

2 featured · California

Beverly Hills

An editorial guide to the city's aesthetic medicine scene.

3 featured · California

Los Angeles

An editorial guide to the city's plastic surgery scene beyond the Beverly Hills triangle.

3 featured · New York

New York

An editorial guide to the city's plastic surgery establishment.

Choosing a plastic surgeon is among the few decisions that cannot be appealed. It deserves real reporting, not advertising dressed as a recommendation.

Top 3 Plastic Surgeons is an independent publication covering aesthetic and plastic surgery: the procedures, the advances in technique, and the surgeons doing the most considered work in the field. We report on it. We do not sell placement within it.

We do not accept paid placement, and we do not rank by advertising spend or by the volume of five-star reviews a practice can solicit. Our reporting draws on board records, peer interviews, outcomes data, and direct patient testimony, revisited as the field changes.

§ 05 · The Letter

Each issue carries one new surgeon profile, one dispatch from the reporting desk, and an editor's note on whatever question we could not stop thinking about that week. No sponsors. No partner content. No reason to exist except the subject.

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Top 3 Plastic Surgeons

Behçet's Disease and Cosmetic Surgery: Pathergy, Mouth Ulcers, Fillers, Microneedling, Eye Inflammation, Blood Clots, Apremilast, and Biologics

Dermatomyositis and Cosmetic Surgery: Heliotrope Rash, Gottron Papules, Calcinosis, Cancer Screening, Lung Disease, and Steroids

Pancreatitis and Cosmetic Surgery: Alcohol, Gallstones, Triglycerides, GLP-1 Drugs, Tummy Tucks After Pancreas Surgery, Diabetes, and Enzymes

Cystic Fibrosis and Cosmetic Surgery: Lung Function, CFTR Modulators, Low BMI, Breast Surgery, CF-Related Diabetes, and Anesthesia