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Top 3 Plastic Surgeons

An independent publication on aesthetic and plastic surgery

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A woman around thirty with dark hair in a loose ponytail, wearing an oatmeal crew-neck sweater, seated on a pale linen sofa by a bright window and looking down at her hand resting on her forearm

The Lead · Procedure Deep-Dive

Bleeding Disorders and Cosmetic Surgery: What Easy Bruising, Heavy Periods, and a Bad Wisdom Tooth Extraction Can Mean, Why Routine Pre-Op Labs Miss Von Willebrand Disease, and How DDAVP, Tranexamic Acid, and a Hematology Plan Make a Breast Reduction or Tummy Tuck Safer

Most patients who say they bruise easily do not have a bleeding disorder, but some do, and the most common one, von Willebrand disease, usually slips past the standard pre-operative blood tests. Here is the bleeding history that should change the plan, why heavy periods and a long-ago dental extraction matter to a plastic surgeon, what von Willebrand disease, hemophilia carrier status, and factor XI deficiency actually are, and how a diagnosed disorder changes the operation, the setting, the medications, and the recovery.

October 29, 2026

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By The Editorial Desk

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21 min

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A woman around thirty with shoulder-length brown hair, wearing a charcoal cardigan over a white t-shirt, seated in the driver's seat of a car with her seat belt fastened across her chest, one hand on the wheel, glancing thoughtfully toward the side window

Procedure Deep-Dive

Breast Implants After a Car Accident, a Fall, or CPR: What a Seat Belt and an Airbag Can Actually Do to an Implant, Why a Rupture Found After a Crash May Be Years Older Than the Crash, and How Hematoma, Fat Necrosis, and a Late Seroma Change the Workup

Modern breast implants survive most impacts that frighten their owners, and the injuries that matter after a collision or a hard fall are often not the implant at all: a bleed around it, a bruise in the breast that turns into a firm lump months later, or fluid that collects a year or more after surgery. Here is what blunt chest trauma does and does not do to saline and silicone implants, which imaging answers which question, why the date of a rupture is so hard to prove, what the emergency team needs to know, and when the follow-up belongs with your plastic surgeon.

October 29, 2026 · 16 min

A woman in her thirties with shoulder-length dark brown hair, wearing a loose gray knit sweater, sitting on a white sofa beside a potted olive tree and a bright window, both hands resting on her lower abdomen as she looks toward the light with a calm, thoughtful expression

Procedure Deep-Dive

Uterine Fibroids and a Tummy Tuck: Why a Fibroid Bulge Is Not Loose Skin, How Heavy-Bleeding Anemia and Fibroid Medications Change the Plan, and When Combining a Hysterectomy or Myomectomy With Abdominoplasty Makes Sense

Uterine fibroids are among the most common conditions in adult women, and they show up in tummy tuck consultations more often than either the patient or the surgeon expects. A fibroid uterus can push the lower belly forward in a way that looks exactly like a postpartum pooch, and no amount of skin removal or muscle tightening will flatten it. Heavy bleeding from fibroids leaves many patients quietly anemic, and the newer pills that control that bleeding carry a boxed warning about blood clots. Here is how surgeons tell a fibroid bulge from loose skin and diastasis, why the iron and hormone history matters before any abdominal operation, when a gynecologist and a plastic surgeon can reasonably work in the same anesthetic, and how embolization, myomectomy, and future pregnancy plans change the timing.

October 29, 2026 · 17 min

A woman around thirty with dark, wavy, shoulder-length hair, wearing a cream knit sweater, seated beside a tall window with her hands clasped beneath her chin, smiling softly with her lips closed

Procedure Deep-Dive

Lip Tie in Adults and Cosmetic Lip Work: What a Tight Upper Lip Frenulum Actually Does, When It Matters for a Gap Between the Front Teeth or a Gummy Smile, How It Fits Around Lip Filler, a Lip Flip, or a Lip Lift, and Why Adult Tongue-Tie Release Is Oversold

The small fold of tissue that connects the upper lip to the gum has become a social media villain, blamed for gummy smiles, thin upper lips, gaps between the front teeth, and even a weak jaw. Here is what the labial frenulum is, what a tight or low one can and cannot cause in an adult, when removing it is reasonable and who should do it, how it fits around lip filler, a lip flip, a lip lift, and chin surgery, and why the case for releasing an adult tongue-tie to fix sleep, posture, or jaw shape is much thinner than its marketing.

October 28, 2026 · 18 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.

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§ 01 · Editorial Standards

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

One letter, every Sunday.

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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