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Facial Plastic Surgery & Body Contouring in San Francisco
San Francisco Plastic Surgery is a board-certified facial plastic surgeon with extensive experience in both surgical and non-surgical cosmetic procedures. A Bay Area native, he earned his medical degree from the University of California at San Francisco (UCSF) and completed specialized training in facial plastic surgery through a fellowship with the American Academy of Facial Plastic and Reconstructive Surgery. Dr. Echavez is certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery. He combines artistic precision with medical expertise to deliver natural-looking results tailored to each patient's unique anatomy.

His practice offers a comprehensive range of services, including facelifts, eyelid surgery, BOTOX, dermal fillers, and advanced body contouring technologies like CoolSculpting and SculpSure. With over two decades of clinical experience, Dr. Echavez maintains a strong focus on patient education, safety, and achieving balanced, rejuvenated appearances. He actively shares his knowledge by training other physicians in cosmetic procedures and has established himself as a trusted authority in facial aesthetics. The practice prioritizes personalized care, ensuring patients receive thorough consultations and realistic expectations about their treatment outcomes.
Services
Facelift BOTOX Injections CoolSculpting Eyelid Surgery Dermal Fillers Rhinoplasty Kybella Morpheus8 CoolTone Scar Revision
Highlights and features
  • Board-certified expertise in facial plastic surgery
  • Personalized treatment plans for natural-looking outcomes
  • Advanced non-surgical and surgical techniques
  • Over 20 years of clinical experience
  • Comprehensive patient education and realistic expectations
Associations and certifications
  • American Board of Facial Plastic and Reconstructive Surgery
  • American Board of Otolaryngology-Head and Neck Surgery
What people say
Exceptional results Natural appearance Thorough consultations Caring approach Long-lasting effects
Services
Facelift
Traditional facelift surgery addresses sagging skin and wrinkles in the lower face and neck. This procedure tightens underlying tissues and removes excess skin for a more youthful contour. Ideal for patients seeking dramatic, long-lasting results through surgical intervention.
CoolSculpting
Non-invasive body contouring uses controlled cooling to eliminate stubborn fat cells. Treatments target areas like the abdomen, flanks, and thighs without surgery or downtime. Results appear gradually over 2-4 months as the body naturally processes treated fat cells.
BOTOX Injections
FDA-approved injectables temporarily smooth dynamic wrinkles and treat excessive sweating. The quick procedure requires no recovery time, with visible results appearing within days. Effects typically last 3-6 months for facial rejuvenation applications.
Eyelid Surgery
Surgical correction of upper and lower eyelid concerns removes excess skin and fat deposits. This procedure rejuvenates tired, aged eyes while maintaining natural facial expressions. Performed as an outpatient procedure under light sedation.
Dermal Fillers
Hyaluronic acid and collagen-stimulating injectables restore lost volume and smooth facial lines. Treatments address hollow cheeks, lip thinning, and nasolabial folds with immediate results. Various formulations provide different durations of effect from 6 months to 2 years.
People
Michael Echavez
Plastic Surgeon
Dr. Echavez completed medical school at UCSF followed by specialized fellowship training in facial plastic surgery. He maintains dual board certification and serves as clinical faculty at UCSF while operating private practices in San Francisco and Seattle.
Questions
What facial plastic surgery options are available?
We offer facelifts, eyelid surgery, rhinoplasty, chin augmentation, and scar revision procedures performed with advanced techniques for natural results.
Do non-surgical treatments deliver noticeable improvements?
Yes, our non-invasive options like BOTOX, dermal fillers, and skin tightening technologies provide visible enhancements without surgical recovery periods.
How long do body contouring results last?
CoolSculpting and SculpSure permanently eliminate treated fat cells, with final results visible after 2-4 months and maintained through healthy lifestyle habits.
Is financing available for cosmetic procedures?
We accept major credit cards and can provide information about third-party medical financing options during your consultation.
What's the recovery timeline for eyelid surgery?
Most patients resume normal activities within 7-10 days, with initial swelling subsiding significantly within the first week following blepharoplasty.
How does Dr. Echavez ensure natural-looking outcomes?
His artistic approach focuses on subtle enhancements that complement individual facial structures rather than creating artificial appearances through over-treatment.
Videos
Reviews (7)
Nicole M.
Jun 23, 2022 Report
I went to Dr. Echavez for Voluma filler in the cheeks and restylane filler under the eyes. I'm very happy with the results. He is very careful and has a great aesthetic eye. I've gotten Voluma before from another injector and wish I had gone to Dr. Echavez instead. Highly recommend!
Barry L.
Jun 20, 2022 Report
I have been receiving facial filler injections for over 15 years and Dr. Echavez by far injects more gently and carefully than any other doctor I have seen. I barely feel the injections and there's no discomfort afterwards. Oh, and the results are great too!
Beebs A.
Nov 05, 2021 Report
Dr. Echavez has an amazing eye for aesthetic injectables and surgery. I've worked in the the aesthetic industry for many years and he's my go-to provider in the city. I also value his opinion on surgeries and recommend him to many friends and family. I've had amazing results with him and lucky to have him. Cheers to aging gracefully! Thanks Dr. E!
Swift H.
Aug 23, 2021 Report
Don't ruin your life by getting a procedure done with this guy. What a horrible doctor. The fact that he's still even licensed is mind blowing. The deformity you'll have on your face is something you'll live with for a long time so avoid at all costs. There are complaints already with the medical board on this so called doctor. Rude and uncaring.
Gabe T.
Jan 24, 2021 Report
I've been going to Dr. Echavez for the past 20 or so years and I have to say that I wouldn't go anywhere else. I've had multiple procedures done at his office. From the removal of broken capillaries, to the removal of moles, tags etc, to Botox and fillers. He's always professional, never rushed and thoroughly precise. He has an excellent bedside manner and is painless both in his procedures and on the pocketbook. I highly recommend his services and I couldn't be happier with the results we've achieved.
All H.
Nov 30, 2019 Report
Echavez should have his license revoked. The guys got no personality or bedside manners but that's the least of it. He's a butcher like the other review stated. He doesn't care at all about his patients. Just wants a quick one and done. He doesn't give advice either. The monster just basically told me to tell him where to inject and what to do. Are u serious? You're the doctor! He ruined my face and now I have to find another doctor to fix what he's done. Stay away from this guy unless you want your face ruined too. I'm going to report him to the medical board
Amber T.
Dec 28, 2016 Report
I have been seeing Dr Echavez for over 2.5 years ever since I saw him back in April 2014 when he (perfectly) fixed a Belotero job that a SF dermatologist had placed incorrectly. He is very talented with his work and also very kind. His office assistant Karla is also great. They never fail to call after any visit and they genuinely care about your results, pocketbook, appearance and feelings. I highly recommend.