This article is for informational purposes only.
Dr. Luis Macias is a double board-certified by the American Board of Plastic Surgery and the American Board of Surgery serving Beverly Hills and Los Angeles, specializing in aesthetic and complex reconstructive plastic surgery. A University of California, Los Angeles (UCLA) School of Medicine alumnus, Dr. Macias completed a residency in plastic and reconstructive surgery at the Mayo Clinic, followed by a fellowship in microvascular reconstructive surgery at the University of Pennsylvania. Closer to home, Dr. Macias underwent further training in cosmetic surgery in the USC-Marina Plastic Surgery Aesthetic Surgery Fellowship, under the direction of Dr. Grant Stevens. Dr. Macias is a member of the American Society of Plastic Surgeons (ASPS), the California Society of Plastic Surgeons (CSPS), and a Fellow at the American College of Surgeons (FACS), as well.
Q.How did you know that plastic surgery was right for you?
A. I think it was in general surgery residency when I was deciding whether or not I was going to do a specialty in cardiothoracic surgery in doing hearts and plastic surgery. I loved the technical aspects and the difficulty of both fields. They’re both different and require a good surgical technique. A professor of mine in a clinic, whose probably technically the best cardiothoracic surgeons I worked with which probably made me want to think of both them. This particular individual was very good in operating throughout the body, in that fact that plastic surgery did not own a body but would operate in the chest around the heart in the abdomen from head to toe basically in any compartment was amazing. Its also a little bit of a plastic surgery downfall in that other groups like emt’s (emergency medical technician) and OBGYN (gynecologist) and things of that nature, are trying to take away parts of the specialty so plastic surgery has to continuously evolve to in order find new areas to sort of practice because we dont own a single part of the body. I thought that was very interesting. Before general surgery I thought about becoming an OBGYN, I was in between OBGYN general surgery and then once I made the decision that surgery was actually what I liked on my OBGYN rotation, I went into general surgery, within that I was between plastic and cardiothoracic surgery. I liked them both a lot. All those were options, there was a mentor that told me to apply to plastic rather than cardiothoracic surgery because it was more family friendly. He said that if you don’t mind during heart surgery on the middle of the night by all means do it but plastic surgery is a better option because it gives you more family time. I had not given it a thought, so i’ll have to thank him for that.
Q. What is Marina ManLand?
A. Marina ManLand is a physical location that we have here at our office we got the surgical side and the nonsurgical side which is the institute within Marina Plastic Surgery we have a section called the Marina ManLand and its fully decorated very masculine, with accolade leather, tvs where you can watch espn/netflix so they can watch movies while we do the procedure. The things that we do in Marina ManLand include NeoGraft folllicular unit extraction hair restoration, coolsculpting where you freezing the fat we can those at the same time, other things that are popular for men are a procedure called miradry to stop the sweating in the arm pits. Botox, fillers, all those are very common laser hair removal some of the non-surgical procedures for men. On the surgical side for men that are popular rhinoplasty, upper/lower eyelid surgery to get rid of bags facelifts, and the most common one is the male breast tissue removal or gynecomastia. The reason we opened Marina ManLand was because we started doing a lot of the non-surgical as a matter of fact our office is the number one office for coolsculpting in the world no office had done more coolsculpting cycles than our office. In that experience we saw many men who were not interested in surgical fat removal such as liposuction they were more interested in nonsurgical option because it had no down time and no scarring at all and it gets rid of 25-30% of fat in the area so we were getting a lot of men coming in for this procedure and once they were in the office they had questions about botox and fillers and things of that nature. That how Marina ManLand came our male population doubled because of our nonsurgical addition of freezing the fat.
Q. How do you perform gynecomastia?
A. A lot of guys come into our center looking to freeze the fat to remove their man boobs or gynecomastia. But freezing the fat or coolsculpting doesn’t work well for them so they get referred to me on the surgical side for the removal of gynecomastia or the male breast tissue. The way its performed is one of two ways or a combination of both easiest way if it mostly fatty tissue we can use liposuction with ultrasound. If its firm breast tissue that could mean cutting it out is the best way of removing it that is a small/long incision from the bottom of the areola where the areola meets the chest skin. You can go on with normal activities after a day.
Q. Can you tell a little more about Neograft hair restoration?
A. Neograft hair restoration is a device in performing a follicular unit extraction which means he can extract each follicle unit individually, the older method we would cut out a strip of the scalp in order to remove the hair it would be painful when we closed it. The incision is a little punch biopsy which is a bit bigger than the follicle and would extract anywhere from 1000 to 2500 in one sitting and then place them where they’re needed in the crown or the hair line. Its non-invasive so you’re able to do normal activities the next day.
Q. What is a no drain Tummy Tuck?
A. The no drain abdominoplasty has been around for sixteen years at least in the literature. Its a father and son team out of Texas In our training programs we’re taught you must put drains in abdominoplasty. As a matter of fact the story goes father’s a plastic surgeon that’s been practicing for 30 years son goes to plastic surgery residency comes back joins dad at his practice. The dad is doing tummy tucks with non drains the son says what’re you doing dad thats crazy. Every one knows that you do drains with tummy tucks, dad says I’ve been doing it for 30 years. I dont get any seroma’s, and seromas are fluid collections and that what we used to put the drains in to prevent fluid build up. Dad told the son why dont you look up my patients write it up and put it in a journal. So thats what they did. Most people didnt believe that it was real. A lot of evidence in the literature that you can decrease your weight of seromas by putting in stitches that are called progressive tension sutures. We presented our data at the ASPS conference in Las Vegas. Our seroma rate dropped from 9% to 2% and our patients love it, the nurses love it. Its been a fantastic addition to our practice.
A special thank you to Dr. Luis Macias and staff for an awesome experience. For more information visit there website Marina Plastic Surgery #beachiebeautyapproved
Dr. Luis Macias
Marina Plastic Surgery
4644 Lincoln Boulevard, Suite 552
Marina Del Rey, CA 90292