Umansky Plastic Surgery

Nothing was off limits. Acne, pores, texture, over-exfoliating, “is this normal?”

Sometimes the best skincare advice comes from asking the questions everyone else is too afraid to say out loud.

Now we want to know what you want Audrey to answer next.

Drop your skincare questions in the comments and we might include them in Part 2.

One of the biggest misconceptions about breast augmentation is that choosing implants is simply about picking a cup size.

In reality, implant selection is much more complex.

Dr. Jeffrey explains that implant width is one of the most important factors we evaluate because it needs to fit the natural dimensions of the chest. We also consider tissue quality, breast shape, skin elasticity, body proportions, implant profile, and the patient's long-term goals.

This is why two patients can request the exact same implant volume and end up with completely different results.

The goal is not to choose the biggest implant possible. It’s to choose the implant that works harmoniously with your anatomy and creates the most balanced, natural-looking outcome.

Breast augmentation is not about a number. It’s about proportion, planning, and understanding how all the pieces work together.

DiamondGlow® is one of those treatments where you can actually watch the skin change in real time.

This treatment deeply exfoliates, clears congestion from the pores, and infuses medical-grade serums into the skin all at once, leaving the skin brighter, smoother, and noticeably refreshed.

What makes DiamondGlow® so effective is that it’s not just a facial experience. It’s a treatment designed to improve skin function while also giving that immediate post-facial glow.

And the best part? The skin keeps improving over the next several days as hydration and circulation continue to build.

Interested in DiamondGlow® facials in La Jolla? Call (858) 558-3854 to schedule your appointment at U Laser Med Spa.

The most emotional part of every appointment.

If you know, you know.

A neck lift is not just about tightening skin.

Dr. William Umansky explains that the neck is made up of multiple layers that all need to work together in harmony. Skin, fat, and the underlying neck muscles each play a role in overall contour and support.

Over time, those structures can separate, weaken, or descend independently, which is why simply pulling the skin tighter often does not create a natural result.

A well-executed neck lift focuses on restoring balance beneath the surface by addressing the deeper structures and allowing everything to function together more cohesively.

The goal is not a pulled or overdone appearance. It’s creating a smoother, more supported neckline that still looks natural and proportional to the rest of the face.

We asked the office a simple question.

And honestly… the answers surprised us.

Some learned from their moms. Some from TikTok. Some from trial and error. Some only started understanding their skin after working in aesthetics.

It was a reminder that almost everyone’s skincare journey starts differently, and there’s no single “right” way to care for your skin.

What works for one person may completely overwhelm someone else’s skin. That’s why skincare should never be about copying trends or routines blindly. It should be about understanding what *your* skin actually needs.

Now we want to know:
Who taught you your skincare routine?

After enough years in practice, you start to recognize patterns quickly.

As a plastic surgeon, Dr. Umansky explains that it often becomes clear within minutes whether someone’s concern is primarily related to skin laxity, loss of structural support, tissue position, or a combination of all three.

This is why consultations are so important.

Many patients come in thinking they need one specific procedure, when the real issue may be something completely different beneath the surface. Skin quality, volume loss, muscle support, and tissue descent all age differently and require different approaches.

The best results happen when we identify the actual cause of the concern instead of trying to force one treatment to solve everything.

Thoughtful facial rejuvenation is never one-size-fits-all. It’s understanding structure first.

If only Amy could fit in our bags!

A good injector helps simplify the process by focusing on what your skin actually needs instead of chasing every trend or new product launch.

The goal is not a 15-step routine. It’s healthy skin supported by the right treatments, the right products, and consistency.

Sometimes less really is more.

There has been a major shift happening in aesthetics and plastic surgery.

Dr. Jeffrey talks about moving away from the overly done, overfilled look and getting back to what truly ages well: natural rejuvenation.

The goal is no longer to dramatically change someone’s appearance or chase trends that distort facial balance. It’s about restoring support, improving structure, and helping patients look refreshed in a way that still feels authentic to them.

The best results are often the ones you can’t immediately identify as “work.” You simply notice that someone looks healthier, more rested, and more like themselves again.

Thoughtful surgery and facial rejuvenation should enhance the face, not overpower it.

This is why comprehensive planning, restraint, and respecting anatomy matter so much in achieving results that feel timeless rather than trendy.