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Aesthetic Surgery Center: Michael R. Macdonald, M.D. Dr. Macdonald and the Aesthetic Surgery Center welcome new patients from throughout the San Francisco Bay Area, as well as nationally and internationally. With specialized expertise in primary and revision nasal surgery and in eyelid rejuvenation surgery, Dr. Macdonald frequently treats patients who travel from throughout the country and around the world to this downtown San Francisco location, in the heart of Union Square.

Dr. Macdonald speaks both English and French. His staff also speak Tagalog.
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Our Team
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Lamai Walker, RN is a valued practice member since 2012. Her roll has evolved as her degrees have changed. She has worked as our Medical Assistant, Aesthetician, Front Desk, LVN (Licensed Vocational Nurse) and her most recent achievement, RN (Registered Nurse). She has become an integral part of our practice and has moved into her role as our laser nurse with ease.
Laser
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Having worked with a multitude of lasers, Dr. Macdonald believes the Sciton JOULE platform delivers the best for you. It provides the most advanced science, safest and greatest results, and the most versatility for treating a wide array of skin conditions on the face and body. Explore common skin conditions and discover appropriate laser procedures for you.
BBL Photo Rejuvenation
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Would you like to decrease the appearance of fine lines and wrinkles, brown sun spots, blotchy redness, large pores, dilated capillaries, skin laxity? Only the Sciton Joule device using the patented Forever Young BBL technique has been shown in clinical trials to change the expression of genes associated with aging, longevity, and increased lifespan.
Skin Resurfacing
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NanoLaserPeel or MicroLaserPeel - for light resurfacing up to 4x that of microdermabrasion. Pro-Fractional and Pro-Fractional-XC - for fractioned resurfacing with remodeling, and scar removal and repair. We are able to address a broad range of your life-long skin needs, from subtle to dramatic, with superior consistency and customizable skin-rejuvenating effects.
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