Austin Plastic Surgeon

Not every breast augmentation journey is one-and-done—and that’s exactly why breast revision surgery exists.

In this case, Dr. Reis helped a patient in her mid-30s who had previously undergone breast augmentation with 600cc implants placed under the muscle. After having children and eventually removing those implants, she found herself feeling deflated and lacking the breast volume she wanted, but she also knew she didn’t want to return to the larger size she had before.

The goal for this patient is to restore shape, fullness, and confidence while maintaining a natural, proportional result.
To achieve that, Dr. Reis performed a cosmetic breast revision, transitioning her from a previous submuscular pocket to a subfascial plane and placing 300cc Motiva Round implants. This approach helped restore upper pole fullness, improve cleavage, smooth contour irregularities, and create a balanced look that fit her frame beautifully.

One of the biggest challenges in revision breast surgery is tailoring the procedure to each patient’s anatomy, previous surgeries, and long-term goals. In this case, careful implant selection and surgical planning allowed for a soft, natural-looking result without visible rippling even with very little existing breast tissue.

If you’re considering breast revision surgery, implant exchange, breast implant replacement, or simply want to explore your options after a previous augmentation, a consultation can help determine the best approach for your goals.

Call to book yours today 📲

Cellulite is one of the most common concerns we hear about—and until recently, there weren’t many options that actually addressed the root cause.

Enter Avéli 🍑✨

Avéli is the first and only FDA-cleared minimally invasive treatment designed to target the structural bands beneath the skin that create cellulite dimples. Instead of temporarily masking the appearance of cellulite, Aveli allows us to identify and release the specific bands responsible for those stubborn depressions.

As Nurse Sarah explains, cellulite isn’t usually caused by just one or two bands. Under each dimple is often an entire web of fibrous septa pulling the skin downward. Using a tiny entry point and our Aveli device, we’re able to selectively release those bands while preserving the surrounding support structures.

If you’ve tried creams, massages, workouts, or other treatments without seeing the results you want, Avéli may be the solution you’ve been searching for.

Ready to learn if you’re a candidate? Schedule a consultation with our team today.

What an unforgettable few days in Las Vegas! Dr. Franco had the honor of joining some of the most brilliant minds in aesthetic medicine at the 2026 Vegas Cosmetic Surgery & Aesthetic Dermatology conference.

This year’s program took on some of the biggest conversations in our field, and Dr. Franco was right in the middle of them. From exploring the future of aesthetic medicine and how AI is reshaping everything from policy to practice, to diving into comprehensive surgical approaches for patients after GLP-1 weight loss, it was three days of meaningful, forward-looking discussion. And yes, his “From Ozempic Butt to Pilates Peach” talk on rebuilding shape in the weight loss era was every bit as fun as it sounds.

But beyond the sessions, what makes VCS so special is the people. Sharing ideas on stage, swapping notes with colleagues from all over the world, and getting inspired by where our specialty is headed never gets old. We are so grateful Dr. Franco got to be part of it again this year.

A huge thank you to the VCS team for putting together another incredible event. Already counting down to next year!

What do you do when all that training still doesn’t give your butt the shape and projection you want?

For this naturally lean, athletic patient, the volume she was after wasn’t going to come from the gym alone. Dr. Franco recommended a buttock implant to create long lasting, stable projection and shape tailored to her frame.

The result? A subtle swoop, a little lift, and a silhouette that fits her perfectly. The incision stays discreetly hidden, and the shaping looks completely natural. It takes a lot of work to achieve even a little projection, but as you can see, mission accomplished.

Curious whether a buttock implant could be right for you? Reach out to our team to schedule your consultation.

Can you really get liposuction and a tummy tuck at the same time? With Dr. Franco, the answer is a resounding yes — and that combination is exactly what takes results from good to total transformation. 👏

Here's the thing: it's a myth that a tummy tuck can't look natural. People hear "tummy tuck" and picture just removing skin and suctioning fat — but that's only part of the story. What Dr. Franco is doing here is sculpting and shaping to accentuate your natural contour.

Paired with Lipo 360, he took almost a liter off the midsection — restoring volume where it's been lost and enhancing the shape she already had. It's never just about taking something away. It's about refining and rebuilding so the whole silhouette flows.

The result speaks for itself: a sculpted, snatched waistline, a belly button kept nice and hidden, and a finish that looks super natural and super fit.

You're welcome — bikini body ready. ✨

✨ Wellness Q&A Series | Episode 27 ✨

I'm pretty active, and I'm worried the GLP-1 medications, or "skinny shots," are going to affect my energy levels. Will they?

PA Gilbert is back with another installment of the Wellness Q&A series, answering a question we hear a lot here in Austin, one of the most active, fit cities around.

⚡ The good news: most patients get an energy boost.

In most cases, patients actually feel a little more energized as they progress in their weight loss journey. As the weight comes off, they tend to feel better and more motivated, which often makes them want to stay even more active.

😴 What about fatigue?

A small number of patients may notice some mild tiredness, but it's typically very transient. It usually shows up just after the first injection, lasts a day or two, and then settles down for the rest of the week.

The takeaway: for most patients, GLP-1 medications support an active lifestyle rather than slow it down, and for the few who feel early fatigue, there are simple ways to help minimize and manage it that we'd be happy to walk you through at your visit.

Link in bio to book a consultation with Austin Plastic Surgeon.

Ready to show some leg this season? 🦵☀️ Crepey knees and that wavy, loose skin on the thighs can be one of the most frustrating areas to deal with — but going under the knife isn't the only option.

Nurse Sarah breaks down how Austin Plastic Surgeon tackles it 👇

On the front of the thighs and knees, she uses what the team calls a "collagen combo" — stacking one (or both!) of their skin tightening devices, Avava or Sofwave, with a biostimulant like Sculptra or hyperdilute Radiesse. This stimulates collagen at multiple layers for real, non-surgical tightening and smoother texture.

On the back of the thighs, there are usually two things to address: cellulite, treated with the Avéli wand 👋, plus that same collagen combo to firm and refine.

The best part? Every treatment plan is fully customized to your body and your goals. 💛

Book with Austin Plastic Surgeon to get a custom estimate and treatment plan built just for you. Send a message to get set up! 📩

The Biggest Trend In Plastic Surgery Right Now? Patients Who Lost The Weight And Want The Rest Of Their Body To Match.

GLP medications have completely changed how we think about body contouring.

For decades, plastic surgery focused on treating individual areas. Today, we’re seeing something entirely different.

Patients have transformed their lives.

They’ve lost the weight. They’ve committed to their health. They’re exercising, building muscle, and feeling better than they have in years.

Now they want their bodies to reflect the hard work they’ve put in.

That’s why we’re seeing the rise of the Total Torso Transformation.

This isn’t your mom’s mommy makeover anymore.

Today’s patients are looking for a comprehensive approach after massive weight loss:

✨ Circumferential Abdominoplasty
✨ Lipo 360 to shape and sculpt the waistline
✨ Advanced tummy tuck techniques
✨ Butt Lift with Auto-Augmentation to create the perfect Pilates Peach 🍑

The goal isn’t simply removing skin.

It’s restoring shape. Rebuilding proportions. Enhancing curves. Creating balance. Helping patients look as incredible as they feel.

GLP medications changed weight loss.

They’ve also changed plastic surgery.

The future isn’t about doing one procedure.

It’s about creating a total transformation that fits your new lifestyle.

Dr. Johnny Franco at Austin Plastic Surgeon.

Confidence is the best contour.