Board Certified
Plastic Surgeon
Since 1989

Tummy Tuck Expectations

It’s the beginning of another year and many men and women are thinking about how they will enhance their appearance. For many, their stomachs can be the problem area they want to focus on changing.  Unfortunately, our bodies often don’t always respond to diet, exercise and dramatic weight loss in the way we would like. The abdominal area is particularly vulnerable to pregnancy, childbirth and other stresses that put a lot of strain on your muscles and skin, which can leave you frustrated and dissatisfied with your figure.  When it comes to the abdominal region, the tummy tuck is a plastic surgery procedure that will tone and tighten that area of the body where diet and exercise alone could not.

The American Society of Plastic Surgeons, ASPS, defines the procedure, “A tummy tuck (also known as an abdominoplasty) is a cosmetic procedure that reshapes and flattens the abdominal area. It does so by removing excess fat and skin, as well as tightening the muscles in the abdominal region, the end goal being a tighter and firmer abdomen.”

Not all tummy tucks are alike.  Discussing overall aesthetic goals with Dr. Shlomo Widder of Widder Cosmetic & Plastic Surgery in Vienna, VA, will provide the opportunity to address all questions and concerns. Dr. Widder has been in practice for over 31 years and performed well over 1,000 patients.  His experience, technical skill, and aesthetic eye are critical for a good outcome.  The most performed tummy tucks are 1. Full Tummy Tuck and 2. Mini Tummy Tuck, though much less frequently chosen.  What is the difference?

Full tummy tucks are for patients that want to address the sections above and below their belly button, the full length of the abdominal wall. Patients who opt for a full tummy tuck often want to resolve general roundness and excess skin. Full tummy tucks present the most natural-looking outcome, and include a much firmer abdomen, narrower waist, nice belly button, improved body posture and are commonly associated with weight loss due to the muscles tightening that reduces the amount of food that can be consumed and sense of hunger.

Mini tummy tucks are for patients that are only concerned with “the belly pooch” or tiny bulge in the lower abdominal region.  Dr. Widder will remove excess lower abdominal skin, resulting in a firmer, smoother lower belly.

While these are the two most performed tummy tucks, only during a consultation with Dr. Widder, will it be determined if these procedures alone will provide the aesthetic goals desired?  Deciding which procedure is right for you will be contingent upon several factors that include; your desired results, overall skin quality, body type and location of excess skin on the body. The amount of excess skin will also determine which procedure is most appropriate. Finally, any scarring attained from a previous cosmetic procedure or surgery can determine which kind of tuck the patient qualifies for.

To schedule your consultation, call 703-506-0300.  Dr. Widder and staff look forward to working with you obtain your aesthetic goals.

Does a Breast Lift Without Implants Achieve Good Results?

For many women seeking to enhance the appearance of their breasts via breast lift surgery, deciding whether or not to also receive implants can be a tough choice to make. A breast lift without implants works well in patients who are satisfied with their breast size but not satisfied with sagging and excessive overhang of their breasts and a low nipple position.  Usually, patients with breast size under a B cup request implants.

A breast lift will reshape the breast, raising the nipple to a better position and reducing the overhang of the breast.  The breast will not be smaller than it was before, just more youthful and with tighter skin.  There will be better fullness of the breast behind the nipple as the tissue is pushed upward and held in a tighter “skin envelope”.  Undergoing breast lift surgery without the placement of implants will typically leave patients with a little less upper pole fullness in the breasts, but will provide an easier recovery.

However, there is no way of creating more fullness in the upper pole of the breast without using an implant in small breasted women.  Restoring volume in a truly deflated breast is only achievable with an implant.

To have implants or not?  If a patient is undecided on what to do, Dr. Widder could recommend receiving a breast lift without implants.  Why?  Implants can usually be placed easily at a later date, giving the patient time to be absolutely certain about whether or not they want breast implants in addition to their lift.  It’s extremely important to discuss your overall aesthetic goals with Dr. Widder during your consultation to determine the most effective surgery plan for you as there are 3 types of breast lifts, and options for implants.

Dr. Shlomo Widder is a highly rated plastic surgeon serving the Washington DC and Northern Virginia area.  His office and private surgical suite is conveniently located in Vienna, close to Tyson’s Corner Mall.  Call 703-506-0300 to schedule your free consultation with Dr. Widder.  If you book your procedure before December 31, 2018, you will receive 5% discount on your surgical cosmetic procedure.

Umbilical Float Tummy Tuck

Q: Is it possible to support a full pregnancy after having an umbilical float tummy tuck, without belly button necrosis?

Front and side view pictures would have been very helpful. I have been in practice for over 30 years and performed an umbilical float tummy tuck on one patient only, out of well over 1,000 tummy tuck surgeries.

The ideal belly button location is one inch above the anterior iliac spine. When the location of the belly button is below that level, it is unnatural and unattractive. It is quite rare to have a high location of the belly button to justify the floating umbilical technique.

I would recommend that you discuss it again with your surgeon, or consult other experienced board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with a flat stomach, tight and youthful looking skin, nice belly button, improved body posture, and low scarring.

Preparation For Breast Augmentation Surgery

Q: Planning to have breast augmentation soon and had one consultation. The clinic did not need any mammograms or cardiogram. Is this normal?

Congratulation on your upcoming breast augmentation surgery, which is one of the best investment that you can make for yourself. It will increase your confidence, your self-esteem, your sense of femininity and will make shopping fun…

As far as tests before surgery, in my practice, if you are under the age of 45, healthy with no bleeding issues, no tests are required for breasts augmentation surgery. The only preparation that is required, is to comply with diet, supplements and medication sheet, to avoid bleeding and compromise of anesthesia.

You have to realize that not all results are the same, because experience, technical skills, and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely, to avoid bad result and need for corrective surgery.

Always, consult with experienced board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.

Recovery From Mini Tummy Tuck

Q: I know this is a hard question to answer. But, I’m looking for the most realistic answer. Should I expect to be laid up for 2–3 days? When can I shower?  And how should I expect to get around the house for the first few weeks after? Is there a general timeline of when I can expect to feel normal again (the new normal)?

Front and side view pictures would have been helpful. Before answering your question, I would like you to realize that mini tummy tuck is not very common procedure, especially if you have delivered children.  The more common surgery would be full tummy tuck.

Mini tummy tuck on a person who needs full tummy tuck is a regrettable compromise because it will eventually cause you to have the full tummy tuck surgery, later on, doubling the cost and recovery time. I hope that you consulted with an experienced board-certified plastic surgeon, who indeed judged you to be a good candidate for mini tummy tuck.

As far as recovery time, it depends if you are getting skin tightening only or, your muscles are tightened as well. The two options require pain medication for 2–3 days, and you should avoid driving during that period. Afterwards, you should avoid any physical activity for 2 weeks. But do not stay in bed; rather, walk and drink lots of fluids to avoid blood clots. Strenuous activity should be avoided for one month in case of skin surgery only, or 6 weeks for skin and muscles surgery.

Tummy Tuck & Lipo

Q: Can liposuction of the abdomen and tummy tuck be done at the same time? Is it safe?

Front and side view pictures would have been helpful to answer as it varies for each individual. Cosmetic surgery is purely elective (you do not have to have it); and as such, complication rates should be reduced to a minimum.

In my practice of over 30 years, I do not combine tummy tuckand liposuction of the abdomen, because of the significant increase in severe complication rates, including death.

In a recent article in the plastic surgery journal that was based on data from cosmetic surgery only insurance company, it was revealed the combining tummy tuck and lipo increase the severe complication rate 10 times higher than a tummy tuck alone!

In Florida, it is illegal to perform tummy tuck with lipo of over 1,000 CCs (small amount), after a government investigation revealed a significant increase of severe complication rate—including death—due to combining the two procedures!

So, as you can see: An ounce of prevention is better than a pound of cure!

Always consult with experienced board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the “before & after” pictures in the photo gallery, make sure that they are numerous, consistent, and attractive with flat stomachs, tight and youthful looking skin, nice belly button, improved body posture, and low scarring.

To view real patient results for Tummy Tuck before & after photos, click here.

Full Tummy Tuck

Q: I’m scheduled to have a hybrid tummy tuck (short-scar/mini, floating umbilicus tummy tuck with flank liposuction) in 10 days. I’m starting to get nervous that my surgeon hasn’t chosen the right operation for me. Should I be getting a full tummy tuck? I’m 5’7?, extremely athletic with minimal body fat, and 120 pounds. I’ve had four pregnancies, but have gained very little weight in each one. I don’t seem to have much skin laxity, though there’s some when I bend over and suck in my abdominal muscles.

Thanks for posting your pictures. In my previous response to your question, I suggested that you consult with other experienced board-certified plastic surgeons. Now that you posted your pictures and detailed your surgical plan, I can tell you that it will be in your best interest to consult with other surgeons.

I have been in practice for over 30 years and performed tummy tuck surgeries on well over 1,000 patients.  From observing your pictures, I can tell you that you have a good reason to be nervous about your surgeon’s plan for you.  You should seek better options.

There is only one procedure that will give you the flat stomach, tight and youthful looking skin, nice belly button, and nice posture. That procedure is full tummy tuck—and anything less will be a regrettable compromise that will make you unhappy, and eventually require a full tummy tuck, thus doubling cost and recovery time. If you will have the floating belly button procedure, your belly button will have to be reconstructed in order to make it look natural and attractive.

So, consult with experienced board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the “before & after” pictures in the photo gallery; make sure that they are numerous, consistent, and attractive, with the above-mentioned features and low scarring.

Redo Breast Augmentation With Lift

Q: Should I add more saline to my breasts? I got a breast augmentation 7 months ago (36DD before surgery, 36DDD after). The purpose of the surgery was to make my breasts more round and lift them. The surgery plan was to put in 550cc. When I woke up, I was told he only put in 300cc because that’s all he could fit in the pocket. I have gone back to him multiple times and said, “I don’t like them. They are still saggy.”  He told me he could go back in and overfill the implants, and it would add more profile to the top of my breast.  Have you heard of this happening?

Before and after pictures from the front and side view would have been very helpful. Based on your story, it appears that you did not have an experienced surgeon perform your breast augmentation surgery. Consequently, it will be in your best interest to consult with experienced, board-certified plastic surgeons, who will be able to assess your situation and offer corrective options.

Most importantly, check the before and after pictures of “redo” AKA revision breast augmentations in the photo gallery. Make sure that they are numerous, consistent, and attractive, with nice cleavage, perky, symmetrical shape, and natural looking.

Severe Capsule Contracture Of Right Breast

Q: I am 6 weeks post-operation from my breast augmentation (545 XHP silicone round smooth unders). I have been doing aggressive massage for 2 weeks on that side. When I massage, I don’t really feel the implant move around like I do on the left. My surgeon said it’s kind of “up in the air” if the right side will drop on its own, or if he will need to go back in. What is your take?

Thanks for posting your before and after pictures, and sorry for your problems. From observing your before picture, you appear to have had level 2 ptosis. In my practice, I would not have done breasts augmentation on you without a mini-lift, because:

1. The ptosis can get worse, as happened to you.

2.  There is high probability of developing double bubble deformity when the surgeon lowers the submammary crease excessively (in order to create perkiness), but the old crease does not stretch.

As far as your right breast, you appear to have severe capsule contracture—most likely due to the hematoma. I would recommend aggressive implant displacement 3 times a day (3 repetitions each time, in 3 directions, and holding for 30 seconds each push) for 2–3 months. If no improvement occurs after that period of time, you have “Biofilm”, which requires capsulectomy (scar excision) and implant replacement.

Always consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent, attractive, have nice cleavage, and are perky, symmetrical, and natural looking.

Diet, Exercise and Weight Loss | Plastic Surgery Consultations

Plastic surgery consultations extend beyond the cosmetic to overall health and wellness of patients. Plastic surgery is often seen as a shortcut to achieving a better body, but embarking on the path to a new look begins with a new approach to diet, exercise and weight loss. In this interview, Doctor Widder the “D.C. Butt Doctor” discusses his approach to overall health and wellness as well as the book “Sugar Busters” by H. Leighton Steward, Morrison Bethea, Sam Andrews and Luis A. Balart.

Q: When people come in for liposuction or tummy tuck, do you also talk with them directly about diet, exercise, weight loss, or overall health issues?

Healthy Eating and Surgery

Yes, I do talk about health in general.  If someone smokes, I try to convince them to stop that bad habit.  If they are overweight, I usually recommend a book for them called Sugar Busters that talks about choosing low glycemic index foods.  I don’t believe in diets.  Diets are temporary. Most people can’t really maintain a certain diet over a long period of time, because it’s difficult.  But if you make lifestyle changes, it’s easier to maintain it over the long haul.

When I give patients the book Sugar Busters, it helps to explain to them the physiology of how the body makes fat.  For example, it is ok to eat pasta, but whole wheat pasta.  If they eat white pasta – refined flour pasta – that’s no good. That is a high glycemic food, which causes insulin surges and winds up damaging the body. You can eat rice, but brown rice. If you eat white rice, again, it is a food that is causing the release of insulin and too much insulin is the enemy. You want to reduce the release of insulin as much as you can.  All of this is discussed in the book quite extensively.  Sugar Busters, for me, is the food lifestyle Bible.  I always have copies of this book in my office and I give them to my patients free of charge to educate them on how to eat correctly.

Sugar Busters

Q: Do you find that most people who come to you are interested mainly in appearance or are they also interested in improving health?

Well, the majority of patients are probably interested in improving their looks and they’re looking for the easy way – a shortcut.  That’s reality because we’re humans.  To do it in the other way is very difficult.  People are busy and have so little time. They don’t have the energy required for intense exercise.  If you want to lose weight by exercise, you really have to do it in a very dramatic way, for hours.  There was an article in the Washington Post two years ago that talked about how many hours you have to exercise according to your age. In your 20’s, you can exercise only half an hour a day and still maintain your healthy Body Mass Index (BMI). When you get to your 30’s, you’ll need an hour for the same result.  In your 40’s, it’s an hour and a half.  By the time you’re in your 50’s, who can do two hours of exercise a day?  It’s very difficult.  So instead, people are coming to my office to make those changes through liposuction or tummy tuck.  Other patients are working very hard in the gym and just can’t develop calf muscles, pec muscles, or buttock muscles.  So they come into the office to get implants that give them the look they want.

Some people will consider a change in lifestyle.  I give them the book and a few of them make those changes, but the majority want to make life easy. When people improve their looks, their confidence goes up and the attention of the people around them or the people they’re interested improves.  They find immediate gratification from the procedures I provide.

Q: Is there anything else you’d like to share about using Sugar Busters to help your patients?

The original book came out in the 1980s.  Since then there have been a few editions with updates.  But the principle has always been the same – becoming aware of low glycemic index foods and insulin levels.  That’s what they base the whole theory on and it works. I personally followed the book and lost 28 pounds in six weeks.  Sugar Busters is an easy read and you can also apply it very easily.  It just takes a little bit of will.  It takes will because you do have to give up on a few things that are very tasty.  Overall, it’s important to help people find a realistic approach so that it is something they’ll stick with.  Most people aren’t going to give up their staple foods, but substitutions can help.  Instead of white potatoes, try sweet potatoes, or brown rice instead of white rice. I tell my patients: Even if you don’t apply all of the principles, if you can do only 80%, you will see significant, positive changes.

Do you have any questions about healthy eating, exercise or diet following plastic surgery? Contact Widder Cosmetic and Plastic Surgery in Northern Virginia for a free consultation: Or call: (703) 506-0300


Breast Asymmetry

Q: I have slightly asymmetrical breasts. When I originally told my plastic surgeon, he said the asymmetry was minor, and that he did not recommend using two different sized implants. At my pre-op appointment, he said that we could use 304 and 339 natural style 15 implants to try to even them out. I am worried about having implants with different dimensions. I want to call him and ask him if we can just do the same size implants on both breasts. What do you think?

Thanks for posting your picture. From observing your picture, you appear to have size asymmetry (right breast bigger) and submammary crease asymmetry (right crease lower, bottoming out).

For symmetry purposes, I would recommend a larger implant on the left side (25cc more), and raise the right submammary crease. Not raising the crease will worsen the bottoming-out after surgery.

I have been in practice for over 30 years, and my preferred implants are smooth, round, moderate profile saline implants. One of the many advantages of these implants is the easy flexibility of size asymmetry correction.

Another important note: your cleavage is wide with irregularity. The most predictable way to achieve nice and symmetrical cleavage is by sub-areola incision, which allows easy dissection under direct vision and feel. A submammary incision is simply too far to reach to your upper cleavage.

Always consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery to make sure they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and a natural look.

Breast Implants Size

Q: How come every doctor uses Mentor and Allergan but not Motiva Plus?

When you decide to have breast augmentation surgery, you should not choose the type of implants or the tools for surgery; but rather, choose a quality surgeon to avoid bad results and risking the need for corrective surgery.

Always consult with experienced, board-certified plastic surgeons, who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, and make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and a natural look.

The goal of surgery is to increase your confidence, your self-esteem, and your sense of femininity. The type of implants are irrelevant for those goals. You should select the surgeon that achieves the most attractive results to your liking.

Recurrent problems with breast augmentation

Q: In June 2016, I replaced my original implants from 1999. One was leaking. Everything went well. In October 2016, I had a folded implant and got it replaced with surgery #2. Today, Dec 2017, I have yet another leakage and am at a loss for what to do—fearing this is a pattern. Over the muscle, saline, 300cc. Do I change doctors? Now I have more costs to pay, due to no fault of my own! So frustrated.

Three strikes and you are out! If all 3 problems occurred with the same surgeon, then it might be smart to try another surgeon with a different technique or handling of the implants.

Another caveat is that it might be worth considering converting the subglandular pocket into the submuscular pocket for better coverage of the implants and more natural feel.

I have been in practice for over 30 years, and almost exclusively use saline implants under the muscles. Many of my patients are mothers and daughters, and it is in inconceivable that a mother would refer her daughter to me if she was happy with the outcome!

The good news with your situation is that you are a little over a year from your last surgery. In your case, the manufacturer will replace the implant for free and cover anesthesia and operating room costs. Unfortunately, the surgeon’s cost will not be covered and will be your responsibility (unless the surgeon agrees to wave it), since it is not the surgeon’s fault.

Always consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and natural looks.

Abdomen Skin Tightening

Q: Will skin tightening treatments work, or do I need a mini tummy tuck? I had smart lipo in May 2016 to my flanks. However, my lower abdomen seems to have excess skin and no longer feels tight, as I can literally pull it away from my body. I am 5′ tall and weigh 105 pounds. I have never been pregnant. Would something like thermitight help? Or would I require a mini tummy tuck?

Thanks for posting your pictures, though side view pictures would have been helpful.

From observing your pictures, you are a great candidate for liposuction with PAL (Power Assisted Liposuction). This procedure, when performed correctly and aggressively from multiple directions, brings significant skin tightening.

So, as long as you do not have abdominal muscles laxity (best seen on side view), you do not need a mini tummy tuck, but rather liposuction. However, you have to realize that not all results are the same, because experience, skills, and aesthetic eye are critical for a good outcome. Do your due diligence carefully, and choose your surgeon wisely.

Always consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery to make sure that they are numerous, consistent, and attractive, with flat stomachs, nice hips- and waist-silhouettes, and smooth skin.

Breast Implants Size Selection

Q: How many CCs should I go to get my desired look? I just went in for my pre-op appointment and loved the look of 300s using the sports bra method. But my doctor said I should order 385–415s to get the look I desire. I am currently a 34A, but DO NOT want to be a D cup. I desire to be a 34C, or large 34B. I am scared the 385–415s are too big! Help!

Front and side view pictures would have been very helpful. Breasts implants size selection depends on the patient’s desire, as well as chest and breasts circumference measurement.

So, if you are indeed a 34A cup size currently, you need 300cc implants to become 34C cup size. However, in my experience, many patients who wear A cup size bra are toward the smaller end of an A cup size.

If that is your situation, you might need 375–425cc, depending on your measurement.  Your surgeon has to take a direct measurement of your chest and breasts circumference in order to make the correct recommendation for your implants’ size.

Not all results are the same! Experience, skills, and aesthetic eye are critical for a good outcome. Do your due diligence carefully, and choose your surgeon wisely to avoid bad results and the need for corrective surgery.

Always consult with experienced, board-certified plastic surgeons from an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery and make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and are natural-looking.

Belly Button Bleeding After Tummy Tuck

Q: Belly button bleeding after drainage taking off. I’m only a week post-operation (tummy tuck). They took my drainage off this Wednesday because the drainage slowed. But today I noticed my belly button bleeding. Is this normal?! My surgeon’s office isn’t open on weekends. What should I do?

Posting front pictures of your abdomen would have been helpful. Your best mode of action would be to contact your surgeon directly, either by phone (I give my cell phone number to all my patients to contact me in case of situations like yours) or through an answering service.

Most likely, it is unrelated to the drain removal. It is probably a result of stitch granuloma, which can be treated with:

  • hydrogen peroxide on a cotton swab, with

  • Bacitracin ointment and gauze,

  • twice a day

Until you can visit the office. However, it will be most prudent to discuss it with your surgeon.

Breast Asymmetry

Q: I had a revision surgery one year after the initial augmentation. I am now almost four weeks post op and am completely asymmetrical in size. The swelling has not gotten worse, but has not gotten better by any means. Is this normal? Should I be concerned?

Posting of front and side view pictures would have been very helpful.

It is difficult to opine without seeing your pictures or examining you. However, “I am completely asymmetrical in size” one month after surgery reflects something wrong with your recovery. If you have saline implants, one might have deflated; if you have silicone implants, you might have a hematoma.

In any event: yes, you should be concerned! Contact your surgeon as soon as possible for assessment, as it may be possible to take appropriate action (if determined by your surgeon).


Abdominal Protrusion After Tummy Tuck

Q: I’m 7 months post-op. My stomach is still big with a lot of fullness—what is causing this? The doctor did not mark me in room standing up. He marked me in the operating room while I was laying down. Is this why I have excess fat and why my stomach isn’t flat? (Also, I? have balls in the incision area where the doctor gave me steroid shots.)

Thanks for posting your before and after pictures, and sorry for your sub-optimal result .

From observing your pictures, indeed the stomach is protruding excessively. However, the cause can be due to the following:

  1. The surgeon tightened only the skin and not the muscles.

  2. The surgeon tightened the muscles, but due to excessive fat intra-peritoneally, for your own safety, he could not flatten the stomach, to avoid breathing difficulty after surgery.

    (In my practice, I ask the tummy tuck patients during the first consultation to lie on their back flat. If the stomach is still protruding while flat, I notify the patients that for their own safety, I will not be able to tighten the muscles optimally, which will result in a stomach that is not totally flat.)

  3. The surgeon tightened the muscles optimally, but you were too active after surgery  and stretched the muscles during repair, which resulted in the protrusion.

    Lie flat on your back. If the stomach is flat, surgical re-tightening of the muscle surgically will help. If the stomach is protruding, you need to lose weight.

I would recommend reading the book “Sugar busters”, which will educate you about eating low Glycemic food and losing weight. I give this book to all my overweight patients.

Always consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery; make sure that they are numerous, consistent, and attractive, with flat stomachs, nice belly buttons, improved body posture, and low scarring.

Male-to-Female Breasts Augmentation

Q: I’m a male that wants to have more female looking breasts. How hard would this be to do?

Thanks for posting your pictures. From observing your pictures, you appear to be small A cup size with level 2 ptosis. Whatever cup size you elect to have, you should request a mini lift (donut, Benelli) at the same time, in order to get beautiful, perky, and youthful looking breasts.

Another strong recommendation would be to get saline implants, because they can be inserted through the sub areola incision, which allows for easy dissection of the muscles in the midline, under direct vision and feel that creates predictable, nice cleavage. Large silicone implants require long incision in the submammary crease, which is too far from the cleavage area and too close to the crease.

As far as implants’ size selection, you did not provide your chest circumference measurement in inches, which is critical for the correct implants’ size selection according to your desire. If you are currently 40 small A cup size, to become 40 C cup size, you will need implants with volume of 500 cc.

You have to realize that not all results are the same; because experience, technical skills and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely.

Always, consult with experienced, board-certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, and make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and look natural.

Replace Saline Implants With Silicone Implants

Q: I’m switching from Mentor saline implant under muscle to Allergan Natrelle Inspira under muscle. My existing saline implant is 375, overfilled to 425. I’m looking for the same (or maybe slightly bigger) size, with natrelle Inspira gel implant under the muscle. What size do I need? Is it true that when switching from saline to silicone, you need to go a little larger?

It would have been very helpful to see your front and side view pictures. I am curious to know why you want to change your saline implants to silicone implants, since, in my opinion, saline implants are superior to silicone implants.

I have been in practice for over 30 years, and performed breasts augmentation surgery on thousands of patients, using almost exclusively smooth, round, moderate profile saline implants made by Mentor. Many of these patients were mothers and daughters, and it is inconceivable that a mother would refer her daughter to me if she was unhappy with the saline implants.

One of the many disadvantages of silicone implants is that you will get long incision in the submammary crease, which is not scar friendly. Saline implants require only a small scar along the inferior sub areola line, which is very scar friendly.

If you insist on silicone implants, you do not have to change the size of the implants if you are happy with your current breasts cup size. Implants’ size is the same for silicone and saline implants.

Always, consult with experienced, board-certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of “redo” breast augmentation in the photo gallery; make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and look natural.

Redo Breast Augmentation With Mini Lift

Q: I desperately need help! My mother forced me to get a breast augmentation. I’ve been living a nightmare for the past ten years. My breasts are just two masses that have left me feeling empty. Are there any compassionate New York surgeons who can look the photos over and help me with this burden? I’ve been to several consultations, but this has been time-consuming and costly with no results.

Thanks for posting your pictures. It would have been helpful to see your breasts fully from a little further distance.  From observing your pictures, you appear to have capsule contracture (at least at the superior margin), and your areolas are large, not round, loose, and slightly droopy.

The corrective procedure is not difficult! But you need to consult with experienced, board-certified plastic surgeons who have performed numerous breasts augmentation with mini-lift procedures. So, check the before and after pictures in the photo gallery, make sure that they are numerous, consistent, and attractive, with perk, round, and symmetrical areolas.

Redo Breast Augmentation

Q: My breast augmentation was just 15 months ago. The right breast never seemed to fully “drop”, however, and I’ve been told I need revision. The original doctor said he would go in and cut/release the muscle to let implant drop. A 2nd opinion said it is contracture and should score the tissue instead. Are these two ways to get same result? Are these diagnoses very different? I cannot tell and don’t know what to do.

Thanks for posting your pictures. From observing your pictures, you have significant problems on both sides:

  1. Left side: medial capsule contracture creating wide cleavage and lateral displacement of the implant. The corrective procedures are medial capsulotomy (scar release) and lateral capsulorrhaphy (internal bra).

  2. Right side: severe capsule contracture and smaller breast. If the breast is very hard, you will need capsulectomy (scar excision) and replacement of implant due to ‘biofilm’. If it is not very hard, just capsulotomy will suffice. The implant should be replaced anyhow, for size symmetry.

The procedures on both breasts should be done through sub areola incisions, which make the maneuvers and the dissections easier and more predictable, since they are done under direct vision and feel. Submammary or axillary approach is too far for comfort and consistency.

As you can see from your own experience, not all results are the same. Experience, technical skills, and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely.

Always, consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and natural looks.

Abdominoplasty Revision

Q: I’m not happy with my revision of my tummy tuck. I was concerned about the incision asymmetry almost immediately after my surgery in 2016. After much persistence, my surgeon finally agreed to fix the asymmetry problem and lipo the excess fat from that area as well. It’s 6 months after the revision now, and it’s still bothering me! I now have a flappy piece of skin that I still have to tuck into my underwear or into my bikini bottoms when I sit or bend over. The lipo area also has a large depression in it now. What do I do?

Posting front and side view of your before and after pictures would have been very helpful. Since this is the second time that you are unhappy with the surgical outcome of your tummy tuck, it will be in your best interest to consult with other experienced, board-certified plastic surgeons, who will be able to assess your situation and offer you the right solution.

As you realize from your own experience, not all results are the same, because, experience, technical skills and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely.

It is critical that you check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent, and attractive, with flat stomachs, tight and youthful-looking skin, nice belly buttons, improved body posture, and low scarring.

Kim Kardashian Sparks Interest in Buttock Augmentation

Kim Kardashian, Jennifer Lopez, and Beyoncé are celebrities who Dr. Shlomo Widder hears mentioned often during consultations.  Patients of the “DC Butt Doctor” have sought buttock augmentation in record numbers this year, and daily inquiries are on the rise.  Many are expressing interest in achieving a look similar to one of those stars with the famous posteriors.

kim-jen-beyonce spark interest in butt augmentation

While some patients even express interest in surgery to emulate the buttock size and shape of Nicki Minaj, Dr. Widder counsels patients that although her look is fine for her role as an entertainer, her buttock implants fall outside the range of normal body proportions.  For the most long-lasting, positive results without later complication, Dr. Widder prefers to work within a more natural buttock implant size range.

The goal for each of Dr. Widder’s cosmetic procedures is to deliver a result that is natural-looking and in line with the patient’s personal aspirations.  To that end, he focuses on listening intently to each patient’s needs and desires during the consultation.  Because each person is unique and has specific goals, there is no churning out look-alikes at Widder Cosmetic and Plastic Surgery Center.

Dr. Widder reflects that most patients want their buttocks to appear full on top, then to have a projection in the middle, and to complete the look with lateral fullness.  Others aren’t seeking fullness on the sides of the buttocks.  These preferences help dictate whether he will place the implants closer to or farther away from the midline.  For a tight, muscular look, they are placed closer to the midline, or the crack between the butt cheeks.  When placed farther laterally from the midline, a curvier, more feminine look is achieved.

Dr. Widder’s goal is to help women and men make their butts the very best.  Dr. Widder is the only plastic surgeon in the Washington, D.C./Northern Virginia area who offers buttock implants.

About Widder Cosmetic & Plastic Surgery:

For more than 25 years, Dr. Shlomo Widder has served Northern Virginia, the Washington D.C. metropolitan area, and beyond.  He is a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery, and his surgery center is accredited by the AAAASF.  Prospective patients are invited to visit the beautiful 3,300 square foot facility for a free consultation.  In addition to Buttock Implants, services include Breast Augmentation, Breast Reduction and Breast Lift, Liposuction, Rhinoplasty, Face Lift, Facial Implants, cheek, chin, and eyelids surgery, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, Gynecomastia Surgery, Facial Fillers, and Botox.

For more information about the “D.C. Butt Doctor,” visit

Botox Do’s and Don’ts

Botox injections are among the most popular cosmetic procedures available, and Dr. Shlomo Widder is committed to helping people have a Botox experience that keeps them both safe and looking natural.

Many people aren’t aware of the different choices among Botox procedures, which can lead to patients making choices that do not suit their needs.

Dr. Widder seeks to equip all patients with the knowledge they need while making decisions about Botox and other cosmetic procedures.

Botox Virginia

Botox, correctly injected, creates a positive interplay between facial muscles, thus producing its hallmark reduction in wrinkles.  However, injection mishaps are possible.  Injections too low on the forehead can produce a droopy brow due to temporary paralysis of all the forehead muscles.

This occurs because a small trauma and a bit of fluid results from each injection.  Gravity carries the Botox and fluid down from the injection site.  As it sinks too low, the “overdone” look is the result.  It is also possible to wind up with the unnatural “surprised” look from incorrect Botox injection.

Another aspect of Botox injections for patients to consider is how often to undergo the procedure.  According to Dr. Widder, the Botox effect may last up to eight months, though three or four months is average.  He recommends that most people repeat Botox treatments every three months.  After a recurring regimen every three months for about two years, the need for repeat treatments will generally be reduced to every 10 months to a year.

Though the word Botox comes from the scientific name Botulinum Toxin, it is quite safewhen used properly.  While 5,000 units of Botox are considered lethal, the average cosmetic procedure uses only 100 units.  In addition to giving patients the right look, Dr. Widder is adamant about keeping all his Botox injections well within the margins of safety.

About Widder Cosmetic & Plastic Surgery:

For more than 25 years, Dr. Shlomo Widder has served Northern Virginia, the Washington D.C. metropolitan area, and beyond.  He is a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery, and his surgery center is accredited by the AAAASF.  Prospective patients are invited to visit the beautiful 3,300 square foot facility for a free consultation.  Known as the “D.C. Butt Doctor,” he is the only plastic surgeon in the area who offers buttock implants. Other services include Breast Augmentation, Breast Reduction and Breast Lift, Liposuction, Rhinoplasty, Face Lift, Facial Implants, cheek, chin, and eyelids surgery, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, Gynecomastia Surgery, Facial Fillers, and Botox.

For more information about the “D.C. Butt Doctor,” visit

Trends and Motivations for Plastic Surgery for 20/30 Year Olds

Trends and motivations for plastic surgery vary from person to person, but younger people often have similar interests in specific procedures. Celebrities also have an impact on ones motivation to improve a particular aspect of the body. Dr. Widder explains some of the motivations he hears in his consultations that profoundly impact his patients decisions.

trends and motivations in plastic surgery

Q: Which plastic surgery procedures are the most popular for people in their 20’s and 30’s?

Breast implants and butt implants are very popular for patients in their 20’s and 30’s.

Q: What do you hear from your patients about why they choose buttock enhancement surgery and breast implants?

The reasons vary.  Everybody brings their own histories and their own aspirations for what they want to look like. Some do it for a functional reason, such as they would simply like their clothing to fit better.  Others are interested in clothes as well, but from a different perspective.  They may just want to look good in the latest fashions.  What many younger patients want most is a sexier, more attractive appearance in order to feel better about themselvs and possibly garner more attention.  Some also want to emulate celebrities like Kim Kardashian and J Lo.

Not long ago I had a patient who came in for a consultation for buttock enhancement surgery.  “Is it gonna look like J Lo?” she asked me.  I showed her pictures of a before and after case that seemed along the lines of what she was seeking and I challenged her to decide for herself: “Does this look like J Lo?”  The photo I presented showed a very, very nice result.  In my opinion, the shape of the buttocks was reminiscent of Jennifer Lopez’ figure.  I gave the patient time to compare shapes and sizes until we found the right celebrity look for her.

Q: Even though prospective patients mention various reasons, do you think enhancing sexual attractiveness is really the main goal?

Well, it is true that patients are concerned with the butt and the breasts because they are sexual targets. When you are young that is very important.  It’s also important for older people, but it is often not as intense an issue in later years because hormones levels tend to be a bit lower.  Cosmetic surgery can improve upon parts of the body and it can help make a person look and feel much more attractive.   I appreciate being able to do that for a person.  The enhancements are very exciting for younger individuals.  It can absolutely bring about advantages in one’s personal life, especially in the sexual realm.  Enhancing attractiveness can also cultivate advantages in other areas, such as in the workplace.

Whatever the reason, the forces that encourage people to have cosmetic surgery are incredibly powerful.  I respect the fact that patients choose to go through the discomfort and the inconvenience in order to improve on those areas they feel are deficient or less than optimal.  It is a big decision.  I take the decision-making period very seriously; I do my best to listen, provide guidance, and respect each patient’s needs and wishes.  As long as I feel that I can deliver what the patient is looking for, we move ahead with the procedure.

Q: What signs do you see or hear from your breast and butt implant patients that indicate how they feel before and after their procedures?

Afterward, you can see a new sparkle in their eyes.  They walk differently.  They have confidence.  When they come in for a consultation before surgery they have often heard good things about me, but I can see that they feel a bit unsure and they have concerns.  It looks to me as if they are thinking, “Am I going to have this surgery or not?  Will I be happy?”

Once they have it done, they are extremely happy.  You can see it in their eyes.  In my experience, eyes are the #1 indicator.  Try taking a look at pictures of before and after surgery and notice the eyes.  You’ll see that before surgery, many of them look dull and depressed.  Afterward, you can see a new energy projected from the eyes.  They’re brighter. It’s like there is a new confidence and a readiness to take on the world.

Feel free to contact our office to discuss your own motivations for considering plastic surgery or visit the office to take a look at our extensive portfolio of before and after pictures. 703-506-0300

Plastic Surgery and Older Adults

Some of the most common procedures for older adults include the facelift and tummy tuck. Dr. Widder describes his experience with this population and their motivations for cosmetic changes.

plastic surgery for older adults

Q: Some say “60 is the new 40.”  How does your work help your older patients keep up with that concept?

Cosmetic surgery is definitely part of the story.  Overall, people are taking better care of themselves today than in the past.  Medical care is better.  People are eating better and exercising more.  People are just in better shape.  Plastic surgery helps a great deal when attention to health and fitness doesn’t achieve everything a patient desires.

A woman who is 68 came to my center a while ago.  She is dating a fellow in his 40’s.  He thinks she’s got the nicest butt in Washington, D.C. and he doesn’t even know she’s had a butt implant.  I worked with another woman who had multiple procedures including a face lift and tummy tuck.  She’s in her 70’s and nobody is able to guess her age.

It’s not unusual in my practice to find women in their 60’s who date men in their 40’s.  Better overall health is part of the equation, and plastic surgery can work wonders as well.  Looking younger after cosmetic surgery can be a huge emotional boost.

Q: What are the main reasons sited by older people for coming in for a cosmetic surgery consultation?

A few of them will tell me they feel a disadvantage in the workforce.  Younger people are being hired and they feel they are treated differently as older employees.  Others tell me they still feel very energetic but when they look in the mirror, they see their mothers.  They want to look the way they feel.  Those are the most common reasons people are looking for surgery.

Q: Which procedures do the most to boost confidence in your older patients?

The tummy tuck and the face lift are the most popular.  A tummy tuck makes patients feel younger and a face lift makes them look younger.  Those are great confidence boosters.

Some patients start out by sticking their toes in the water, so to speak, and won’t go for a full face lift at first.  They’ll go for the eyelids and will wait to see how that works out for them.  Once they have the eyelids done and the results are satisfactory, they will go for something more.  Those patients are the minority, however; the majority of patients come in with the pre-made decision and they go for it.

Recently, a patient in her 60’s came in after three or four consultations with other doctors.  There were three reasons for her  decision to have the surgery with me.  One was that I took the time to give her the common sense explanations of why I do the face lift procedure the way I do.  This was something she didn’t get from other doctors.  Another factor was that I showed her extensive before and after examples.  She saw that what I was talking about really occurs in actual patients.  Finally, I was able to demonstrate how the technique I have been using for the past 10 years is quicker, less risky, and less expensive.  For her and her husband, it was a ‘no-brainer’.  Her surgery is scheduled for the beginning of next month.

Q: What are the main questions and concerns for older patients? 

I noticed that my older patients almost exclusively come to me through word of mouth.  If an older patient is referred, it’s much simpler for them to talk with me and  trust me.  Everyone, at first, is worried about surgery risks, but if they have been referred by someone else who had surgery in my center, they feel more at ease.

Another common concern is about the outcome of the procedure.  Since an older person was most likely referred by someone they know and have seen my work on their friends or family members, they usually feel confidence and comfort relatively quickly.  Knowing that the surgry center where they are having the surgery is accredited and that they will have a board certified surgeon and anesthesiologist is also very helpful and comforting to them.

It is very beneficial to older patients to see and speak with our office staff.  We have a woman in her 60’s who works in our office and she’s had multiple surgeries.  The staff sees what is going on in the surgery center.  Patients realize that if staff members thought that there was a surgical risk with the surgeon or the anesthesiologist, they wouldn’t be willing to have their own surgeries there.  In our case, older patients can see and speak with a woman on staff who has had five or more operations.  She looks terrific.  That makes it easier for potential new patients to make the decision.

If you would like to learn more about plastic surgery options, costs and considerations give us a call or fill out our online inquiry form. 703-506-0300

How To Choose the Best Butt Size

My patients have many questions about butt implant sizes. In fact, it is one of the first and most common questions when someone is considering butt augmentation. In this interview, Dr. Widder discusses his butt implant technique and the process he uses for helping patients decide on a size that is right for them.

buttock painting

565cc is a good size, and so far that’s the biggest I have used. It is also the most popular size in my practice.  The company I work with can make them bigger, but those are much more expensive because they’re custom made.  Most of the plastic surgeons in America use smaller implants than the ones I use because many of them create the pocket under the muscle or inside the muscle – submuscular or intramuscular.  They are limited as far as size.  One of the advantages of my subfascial technique – placing the implant on top of the muscle and under the fascia – is that it allows for a much larger implant.  I can go bigger than what I use, but the cost may be intimidating for some potential patients.  The 565cc is “off the shelf” and the company has a lot of them.  The price is reasonable.  If you go with the custom made, the bigger the implant, the more expensive it becomes. It also takes 2 -4 weeks to deliver, whereas the other implants are readily available.  In the future, if people request bigger size implants, it will also become an off-the-shelf item and the price will come down.

Another factor is that if you go with an implant that is too heavy, it can cause sagginess.  Breasts, when they’re heavy, will droop.  This can also happen with the butt.  Some people don’t think about the long term and just want to have the immediate result and enjoy it.  That’s fine.  I adapt to the needs and desires of the person, but I do let each patient know about that possibility of sagging.

Q: Can you predict by a person’s body type or other factors how large of a butt implant is likely to cause eventual sagging?  How do you advise them?

Certain tell-tale signs can help you assess the situation.  For example, if a patient already has stretch marks, it’s a sign that the skin may not be resilient enough.  If they already have sagginess, that is another indication.  Contributing factors may include diet and less activity as we age.  Mainly, sagginess is due to loss of muscle.  The envelope – which is the skin – becomes too big.  In this case, if you place the implant too low, you make the sagginess worse.  So my approach is to discuss and choose the right implant size based on these factors.  I also take care to keep the implant high enough so it lifts up the skin and doesn’t droop and worsen the sagginess.  My goal is to create a long-lasting, very attractive butt that is proportionate with the rest of the body.

 Q: Is there anything patients can do, for example with diet or exercise, that can help prevent sagging?

Not really.  It’s basically genetic.  There’s not much you can do about the elasticity of the skin.  You can hydrate yourself well, but that is a minor thing that in the larger scheme doesn’t make a great deal of difference.  What people can do is exercise and increase the size of the muscle, but that’s tough.  Many people don’t have the time or energy.  The main thing I do is to focus on the technical aspect of the procedure.  I stay up high with the implant and don’t place it too close to the crease.  I had one patient who was considering going with a bigger implant than I recommended to her.  I told her that she could experience early sagginess or even wound dehiscence – separation of the wound causing problematic healing.  Eventually, she agreed with me and had a smaller implant.  We chose a good size that was not excessive.

So, that’s how I approach it.  It’s similar to what happened recently with another patient – a woman who is 68 years old.  We used a nicely sized implant and stayed up high.  It gave her the projection and tightened the skin.  Her skin in that area now looks like the skin of a 30-year-old woman.  The extra skin by the crease was pulled up, and now, she  has very little redundancy.  A bigger implant might have pulled the skin up more, but then she might have had eventual sagginess.  There has to be  a certain balance.

Q: Are patients generally happy with the size of the implants they have chosen?

Whenever I have a consultation, we discuss sizes and the possibility of going larger than the standard, if they like.  I also let them know the pros and cons of going larger and that it would be more expensive.  It’s ultimately their decision. So far, no one has asked for bigger than the 565cc. They might have thought about it , but did not ask for it.  A few felt after the fact that the buttock implants were too small , but they eventually accepted and like the size.   Two of my patient who were unhappy with the size initially, took a vacation to South Beach and got so many compliments that they came back happy and the size issue did not come up again.

To find out more about butt implants visit the Widder Plastic Surgery website and also check out the before and after pictures. For a free consultation, call 703-506-0300 and let us know you read this article!

The Tummy Tuck Nutrition Plan

Dr. Shlomo Widder, “The D.C. Butt Doctor,” says that surgery isn’t the only component to looking your best.  In a consultation with Dr. Widder, the topic of nutrition and general health is often a significant part of the conversation.  He insists that not even plastic surgery can mask the effects of poor dietary habits and that combining healthy eating with his procedures is the most effective way to achieve and maintain great results.

tummy tuck nutrition

When a patient consults with him about tummy tuck, Dr. Widder doesn’t speak solely about the details of the surgery.  He discusses the two main ways that the body controls appetite and the physiology of the way fat is produced by the body.  He may discuss general information about previous cases relevant to the current situation.  For example, he once performed the tummy tuck procedure on two different men who, after following Dr. Widder’s dietary recommendations, both lost 30 pounds.  He emphasizes, however, that dramatic and positive outcomes like these don’t come by merely “going on a diet” for a limited time, but by giving your entire diet and lifestyle a complete, healthy overhaul.

A true diet has nothing to do with partaking in fads or short-term changes, Dr. Widder explains.  It is the spectrum of foods eaten by an individual over time.  A good diet requires a commitment for the long haul.  Widder recommends choosing low glycemic index foods and directs patients to the book Sugar Busters to help them on the journey to better food choices and better health.  He will continue the discussion if other poor health habits seem to exist.  If Dr. Widder can inspire a smoker to kick the habit, he feels even better about that opportunity to promote health and well-being.

Plastic surgery can be a quick fix for someone looking for specific physical changes.  However, it can’t reverse a lifetime of unhealthful living.  Only after changing a bad diet and other bad health habits can a patient reap the full scope of the rewards possible.  Dr. Widder does his best to make his patients extremely happy by working to achieve the beautifully sculpted bodies they desire.  The dietary and additional health information he provides is key to helping patients maintain their great plastic surgery results for life.

Dr. Shlomo Widder, known as the “The D.C. Butt Doctor,” is the only surgeon in the Washington, D.C./Northern Virginia area offering buttock implants and has made it his mission to help each patient achieve the very best behind.  Contact Widder Cosmetic and Plastic Surgery at 703-506-0300.

About Widder Cosmetic & Plastic Surgery:

Dr. Widder is a member of the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).  The surgery center is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).  He serves the Northern Virginia area, WashingtonD.C. metropolitan area and beyond.  He has performed plastic and cosmetic surgery for over 25 years.

Services include Facial Implants, Facelift, Botox and Facial Fillers, cheek, chin, and eyelids surgery, Liposuction, Breast Augmentation, Breast Lift, and Breast Reduction, Rhinoplasty, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, and Gynecomastia Surgery.  Widder Cosmetic & Plastic Surgery is the only area plastic surgery center offering Buttock Implants. For more information about “The D.C. Butt Doctor,” visit:

What Type of Face Lifts Are Possible?

The American Society of Plastic Surgeons (ASPS) reported in 2012 that the number of facial rejuvenation procedures grew more than any other minimally-invasive cosmetic procedure for that year.  The level of interest isn’t surprising – enhancements for the face have long been a focus for beauty-seekers.  Because facial procedures show no signs of decreasing in popularity, Northern Virginia’s premier plastic surgeon, Dr. Shlomo Widder, shared some choices in facial surgery for this article.


MACS facelift surgery and Restylane injections are both prominent among the possibilities for achieving your personal ideal facial features.  Dr. Widder uses the Maximal Access Cranial Suspension technique (MACS) for natural-looking facelift results that last.  When the face sags due to aging, the fat of the face and the skin can be lifted back up to its youthful position.  Depressions and concave areas are tightened and filled by the natural facial fat in by this MACS lift technique.  Because this natural and viable fatty tissue,  with good circulation from the face itself, is used in the procedure, patients can look forward to a successful facelift and a positive, rejuvenated appearance.

Dr. Widder also favors the use of Restylane (hyaluronic acid) injections to fill the nasolabial fold and other facial depressions  The substance is sure to stay in place, but for a limited time.  In general, Restylane injections last 6 to 8 months.  If repeated after 3 months, Restylane may last up to 18 months.

While many doctors use fat injections for facial rejuvenation, Dr. Widder is clear about the problems that may arise from the use of fat injection.  He has long stated that fat injections for buttock enhancement often disappears not long after the procedure; it is also not a reliable and is inconsistent method even when smaller amounts of fat are used for the face.  Because fat injection is a surgery that entails downtime due to bruising and swelling and also has a high level of unreliability, Widder does not recommend it.

Among patients who have experienced both Restylane and fat injections, Dr. Widder says, most prefer the confidence they have in Restylane.  With Restylane, patients who are going to an important event or traveling can do so right after a treatment.  While theoretically, the fat injection may last forever if the fat survives, and that is a big “if.”  Patients generally prefer the assurance and predictability of Restylane, fortified by the lack of downtime that fat injection requires.

The face makes the first impression more than ever in this age of the internet.  For many women, it is important to take extra measures to make sure they look good all the time in person and online.  Today, even a Facebook profile image is worth a thousand words and Dr. Widder makes it his business to keep his patients looking great.

Dr. Shlomo Widder, known as the “The D.C. Butt Doctor,” is the only surgeon in the Washington, D.C./Northern Virginia area offering buttock implants and has made it his mission to help each patient achieve the very best behind.  Contact Widder Cosmetic and Plastic Surgery at 703-506-0300.

About Widder Cosmetic & Plastic Surgery:

Dr. Widder is a member of the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).  The surgery center is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).  He serves the Northern Virginia area, WashingtonD.C. metropolitan area and beyond.  He has performed plastic and cosmetic surgery for over 25 years.

Services include Facial Implants, Facelift, Botox and Facial Fillers, cheek, chin, and eyelids surgery, Liposuction, Breast Augmentation, Breast Lift, and Breast Reduction, Rhinoplasty, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, and Gynecomastia Surgery.  Widder Cosmetic & Plastic Surgery is the only area plastic surgery center offering Buttock Implants. For more information about “The D.C. Butt Doctor,” visit:

Plastic Surgery Trends | Breast – Butt – Labioplasty

Plastic surgery trends change over time and it is important to listen to new patient preferences as well as understand the latest technology and practices available. Dr. Widder discusses his own experience with trends in breast augmentation, butt implants, and labioplasty.


Q: Has the popularity of breast implant surgery stayed strong in your practice?

Oh, yes.  I do quite a few each week. Tomorrow I’m doing two.  They are very common.  Breast augmentation surgery is still the #1 cosmetic procedure in the U.S.

 Q: In the past, you’ve expressed caution about the “Gummy Bear” breast implants trend.  Do you have any new thoughts on those?

I don’t use them.  I’d say 98% of the time I use saline implants and for the other 2%, I use silicone gel implants.  I never use “Gummy Bears” because the concept doesn’t make sense to me.  You have to make a bigger incision.  Then, you have to create a smaller pocket because this kind of implant is oval and if you make a large pocket it can flip from side to side.  It goes against my philosophy about creating a natural looking and feeling a breast.  A natural breast moves.  It jiggles.  If you create a small pocket, the capsule around the implant tightens up and then it doesn’t move like a normal, natural breast.  Both I and my patients are so happy with the saline implants that I keep using them.  If it isn’t broken, don’t fix it, right?

Q: Any changes in the butt implant procedures for you?  Is that part of your practice still growing?

Yes, interest is still on the rise.  For butt implants, I also continue to use the same procedure.  My patients are happy.  Early on – maybe 9 or 10 years ago – I used a different type of implant.  I used the so-called textured implant.  It had a rough surface and would create a lot of fluid collection in the pocket.  It would rub against the tissue, create inflammation, and fluid production was the result.  There were many problems with that type of implant so I began looking for something else.  The implants I have used for the last several years are excellent.  When you have problems, you have to start looking for something that is more predictable and less troublesome. Presently, I am very happy with the butt implants. Virtually every patient I operate on has no complaints and is very happy with the result.

Q: Do you have recent accounts of patients coming from far and wide for your work?

I had one come from Richmond about a week and a half ago.  A few more people have been expressing interest from the Midwest, the South, and even from beyond the contiguous U.S.  Today, people are looking for surgeons who are doing the best procedures no matter where they are in the world.  Just because someone is doing a procedure doesn’t mean it will be the way that particular patient likes it.  That’s why the Internet really is the great equalizer.  Everything is out there and there is transparency.

I had a patient who came to me from Arizona.  She was going to go to someone in California, but then she did more research and said that she likes my butts better. She flew all the way to Washington to have the surgery.  That is the beauty of the Internet – you just have to get the word out.

Q: You recently traveled to study labioplasty.  Have you been performing the surgery yet?

No, not yet.  I discussed it with the surgeon who does it more than anyone else in the U.S.  He is the one who created the technique I am interested in.  I’m going to go and see him.  He’s been out of the country, but either at the beginning or in middle of next month, I will go see him in one of his offices in New York or L.A.  I will watch the labia minora reduction surgery, and then I feel I’ll be ready to begin to offer it.  I have a couple of patients already lined up.

Labioplasty is becoming very popular.  Since I haven’t been performing it, I personally haven’t gotten a lot of queries yet, but a few patients have asked me, which is what raised my interest.  Once I put out a sign in our waiting area, I think I will have a good response to it.

When I mentioned my interest in performing this surgery to my account manager at, she got very excited.  She said that there is a huge market for it in the U.S.  I don’t plan to become a guru in labioplasty, but soon I will be glad to offer it as a service to my patients.

Health Risk Misconceptions in Plastic Surgery

Health risk misconceptions are often fueled by limited information on the web and anecdotal information by persons who have experienced or heard, negative outcomes in surgery. In this interview Dr. Widder guides patients to seek complete information from their doctor as well as the American Society of Plastic Surgeons who can explain that risks in cosmetic plastic surgery are no greater than other forms of surgery.

shlomo widder

Q: As the “DC Butt Doctor,” do you receive many questions about the safety of cosmetic surgery procedures?

I actually get questions of this nature often.  Sometimes patients come to my office and have heard rumors about cosmetic surgery health risks.  They may be very eager, for example, to undergo surgery for buttock enhancement or some other procedure, but are hesitant because of complications they’ve only heard about.

Q: How do you respond to these questions and concerns?

I try to ease their minds by letting them know that there is no exceptional danger associated with cosmetic surgery.  As with all surgeries, there are risks, but that is not increased in the case of cosmetic enhancements.  I direct those who are still unsure to take a look at what the American Society of Plastic Surgeons has to say about preparing for a safe plastic surgery experience.  The recommendations are remarkably similar to prepping for any kind of surgery.

Q: Is the extra concern about cosmetic surgery due to the idea that it involves elective rather than necessary procedures?

Yes, I think that is what people believe sometimes.  But the truth is that plastic surgery is not always done for vanity’s sake, and can sometimes actually improve health.  Sometimes health issues require the help of a cosmetic surgeon.  For example, rhinoplasty can greatly improve the life of someone who finds breathing difficult because of obstructed nasal passages or breast reduction can alleviate back pain etc.  Even when surgery is for purposes of appearance, the risks are still not greater than when there is a medical objective As long as it is being done in an accredited surgery center by a board-certified plastic surgeon.  I encourage potential patients to learn all the facts about the procedure that is of interest.  Fear, especially without facts, is not helpful in making a good, confident decision.

Q: What is your general advice for those beginning to think about cosmetic surgery?

Always have the surgery in a surgery center accredited by a reputable organization like the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).  Make sure your surgeon is board certified.  Finally, it is very, very important to make sure to disclose any and all existing health conditions you may have and get cleared by your internist for any medical issue or if you are over age 45.  Anyone interested in more information about safety and preparing for a procedure can find it on my website and also at the site of the American Society of Plastic Surgeons.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond.  As the only plastic surgery center in the area offering buttock implants, other services include rhinoplasty, facelift, facial implants, otoplasty ear tuck, Botox and facial fillers, cheek, chin, and eyelids surgery, liposuction, breast lift, breast augmentation, breast reduction, gynecomastia surgery, pectoral implants, and calf implants.  Consultations are free of charge.

To find out more about the Widder Cosmetic & Plastic Surgery Center, stop by during office hours: 9 – 5 pm, Mon – Fri, or visit our website at:

Upper Arm Lift Trend in Plastic Surgery

In this interview, Dr. Widder talks about the growing trend in upper arm lift plastic surgery. Careful consideration should be given to this procedure since there is a visible scar that will remain once the surgery is complete.

Michelle Obama and Jennifer Aniston's arms

Q: According to the American Society of Plastic Surgeons (ASPS), upper arm lifts for women have increased by an amazing 4,378 percent over the past 10 years.  What do you make of this current trend in cosmetic surgery?

Yes, our beauty ideals do change.  Many female celebrities are going for more sculpted shapes.  Jennifer Aniston and Kelly Ripa come to mind, and First Lady Michelle Obama has very solid upper arms.  Women see this and it inspires them to go for the same kind of look.  Not everyone manages to work out hard enough to achieve that sculpted look, so we, cosmetic surgeons can help.  The ASPS reported that only 300 U.S. women had upper arm procedures in the year 2000.  That went up to 15,000 in 2012.  It really is a huge change.

Q: Do you have any words of caution to offer for the many women who are following this trend?

Yes, I do.  The upper arm lift is called brachioplasty.  The procedure generally requires sometimes liposuction, or sometimes a surgical procedure during which loose skin is removed from the back of the arms. Liposuction requires only a few small incisions, however, in order to perform brachioplasty, you need to make an incision that extends from the elbow all the way to the armpit.  It leaves a visible scar that won’t go away completely.  When women are watching the fashion models on the runways in their sleeveless fashions and want to achieve a similar look, they should take time to consider this condition of the upper arm lift procedure.  It is a fine decision should a woman choose to do it, but only after the pros and cons are weighed carefully.

Q: Do you think that your being located in the Washington D.C. area indicates you will see more upper arm lifts in your practice because of a “Michelle Obama effect?”

I definitely do expect to continue to see an increase in upper arm lifts.  And yes, there is a bit more awareness of people in the political world in this area, but honestly, Michelle Obama is an international figure who is noted for her style, and the statistics show that this trend is being seen all over.  I like to keep up with the needs of my patients, so I am happy to offer the upper arm lift procedure.  Meanwhile, breast augmentation is also very much an important part of my practice.  The ASPS recently named breast augmentation the top plastic surgery procedure done in 2012.  Of course, I will continue to perform and specialize most of all in the buttock implant surgery because I am the only one in the area who does it.  People have come to trust my work with this procedure and will travel to work with me.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond.  As the only plastic surgery center in the area offering buttock implants, other services include rhinoplasty, facelift, facial implants, otoplasty ear tuck, Botox and facial fillers, cheek, chin, and eyelids surgery, liposuction, breast lift, breast augmentation, breast reduction, gynecomastia surgery, pectoral implants, and calf implants.  Consultations are free of charge.

To find out more about the Widder Cosmetic & Plastic Surgery Center, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

Facial Options in Cosmetic Surgery

There are many options available for Facial procedures. Some, like fat injections, involve significant healing time while others, such as Restylane injections, require no recovery period at all. Dr. Widder describes the pros and cons of these procedures as well as other options such as the MACS facelift surgery technique.

face lift options


Q: You’ve said before that fat injection is not a good plan for buttock enhancement. 

It’s not reliable – it doesn’t stay in the butt due to the injection of large quantities of fat without blood supply.  I only do implants for the butt.  I was going to start doing fat injections for the butt a few years ago, then this happened:  I purchased all the equipment, but then I started getting patients for butt implants who had had the fat injection before by other plastic surgeons and it all or almost all disappeared.  It was a moment of truth.  I started to think about it and I saw more patients coming in with the same situation.  I decided not to do it.  I can’t sell my patients on that extensive and expensive procedure knowing it will last only 6-12 months and then after that, they’re back to their original shape.  I just couldn’t do it.

Q: Fat injection is also used for the face.  Have you had better success with that?

The purpose of fat injection for the face is to fill up concavities or depressions.  Unfortunately, it is not very reliable even in those smaller amounts.  It is being done extensively on the face, but it doesn’t always last.  I use the “MACS” facelift technique, which stands for Maximal Access Cranial Suspension.  Through this technique, I lift up the fat of the face that has descended from its youthful and natural position and I bring it up to where it belongs.  So with my facelift, I don’t really need to do a fat injection.

If you bring up the fatty tissue that has moved downward due to aging and gravity – if you move it up to areas where the patient has concavities and depressions, it fills them up.  That’s viable tissue. It has good circulation and there’s no risk of losing the fat.  So, my facelift is very effective without fat injection.

Q: Are there other instances where you might use fat injection for the face other than during a facelift? 

Yes, I sometimes do it as a separate procedure.  For example, I might use it as an injection into the nasolabial fold.  As we age, the nasolabial fold gets deeper because the cheeks descend and overlap the fold or the crease.  If a patient is not ready for a facelift personally or financially, there are different options.  You can use fat injections, or you can use a filler like Restylane.

Restylane (hyaluronic acid) lasts 6 to 8 months.  If you repeat it after 3 months, it might last 18 months. So, it lasts for a limited period of time.  The fat, on the other hand, if it survives, will last forever.  So I tell my patients about those two options. The fat is not very reliable – it might survive, it might not.  The Restylane will stay there, but for a limited amount of time.  So they think about it and make up their mind.

So far, most of my patients prefer Restylane.  They like assurance.  They might have a party or some other event to go to and they want to look good.  For example, I have a patient who is going abroad to visit family and she wants to show up looking great.  She came to have the Restylane because there’s no bruising and no downtime.  Fat injection is surgery.  You have bruising, you have swelling, and you have downtime.

Q: How do you perform a fat injection procedure?

I obtain fat from another area of the body.  I can get it from the abdomen or the inner or outer thighs, for example.  It is done with a cannula- a special blunt metal tube so you’re not causing too much trauma and bleeding.  With that instrument, I go into the area and aspirate the fat. Next, the fat is “distilled – ” blood, fluids, and other elements are separated out before the fat is injected with a thin blunt cannula to the area that needs it.  It can be injected into the upper eyelids, the tear trough, the nasolabial fold, and also the jowl area. Fat injection can be good at smoothing the jowls.  It fills out the notch and the jawline becomes more defined.

Why is fat injection more invasive than using Restylane?    

Well, you have to take the fat from somewhere and inject it. You have to use a  cannula that injures the tissue.  With Restylane, you use a very small needle, 30 gauge.  For fat injection, I use a 2 mm cannula to inject it, but,  Obviously, you, still, will have trauma to the area.  Restylane is a natural material that we have in our bodies, so the body doesn’t react to it.  With fat injection, the body doesn’t react to the live fat, but it reacts to the blood and to the ruptured fat cells as foreign bodies.  There can be inflammation and swelling and some discomfort.  Restylane is a very simple and ready-to-go injection.  You can literally go to a party after Restylane.  You can’t do that after fat injection because you are swollen and bruised.

Another issue with fat injections is that if you gain weight, the area can get lumpy.  You can wind up with too much of the good stuff.  But most of the time, I would say, 70-80% disappears, and maybe 20-30% will survive.

I take the time to give patients all of the information so they understand all of the consequences and what it all means.  I have to be honest and truthful.   I can’t talk about fat injection as if it’s a panacea because it’s not.  Restylane has its benefits, and with fat injection, if the fat survives, it’s nice.

To learn more about facelifts using Restylane or fat injection contact Dr. Widder at Widder Cosmetic and Plastic Surgery which servers the greater D.C. and Northern Virginia area. Visit Or call: (703) 506-0300

Brazilian Butt Lift vs. Butt Implants | Which is better?

The decision to undergo cosmetic surgery is not a decision people make lightly. Deciding to have butt augmentation surgery is also challenging since there are drastically different approaches to achieve the desired result of a more round and shapely posterior. In this interview, Dr. Widder shares his preference for Butt implants and why the Brazilian Butt Lift, which uses natural fat injections, should be not be considered as a viable long-term solution.


Q: Do you have any recent news or experiences with specializing in performing buttock implants?

I recently had a patient who came to me from a distant state.  She actually works for a cosmetic surgeon who does fat injections to the butt yet she came to see me for butt implants.  She has written to me more than once about how happy she is and how everything is going as wonderfully as she hoped.  She is considering more surgeries with me in the future.  To me, that is the ultimate affront to people who believe in fat injections.  Here’s someone who works in an office with someone who does it and she sees those patients every day.  That’s why she didn’t do it there.

Q: How did she find you?

On the internet.

Q: This patient made the decision to come to you based on the results of other patients that she saw on the internet.  How do you think others make decisions about butt augmentation?

I had a discussion about this today with one of my patients whom I’ve done a lot of surgeries on.  She’s undecided about butt implants vs. fat injection.  She says, “I’m totally obsessed about it – I don’t know what to do.”  She goes to websites that say how wonderful the Brazilian butt augmentation with the fat injection is.  I told her from my own experience that the fat injection only lasts 6-12 months.  She is still undecided.  She’s vacillating and is really a tortured soul about it right now.  She knows me – I’ve done a tummy tuck and breast augmentation on her.  Both were redos.  They had been done by somebody else and she looked terrible.  Now she is so happy.  I also did primary liposuction on her thighs.

So she trusts me and likes my work and the quality of my work.  But at the same time, it sounds very attractive to her to do liposuction and put it in the butt.  She reads all those anecdotes from other doctors about the results of fat injection.  So she’s totally confused and doesn’t know what to do.  I usually don’t have that issue; either my patients want to do it or not. In this case, we’ve been going back and forth for three months.  Even today she called me.  That’s ok with me – I told her, “It’s your decision. Use your knowledge and your common sense.”

It will be a shame if she has to pay $10-13,000 dollars to be disappointed.  I told her that one of my patients spent $26,000 on multiple fat injections and it almost all disappeared.  Then, she came to me for the butt implant and it cost her even more because she had to pay for my procedure.

Q: What do you think draws the undecided patient to the idea of fat injection?

Well, it’s so popular.  It’s in a lot of magazines , the internet, and everyone is talking about it.  It sounds like a great idea.  It would have been a great idea if it was viable, but it’s not and that’s the problem.  I would have done it if I felt it was a good procedure.  I don’t do it because I couldn’t face the patient who would come to me after having the procedure and the fat had all or almost all disappeared.  What could I say?  What could I do?  I couldn’t face them.  To me, it’s unethical.   I know one thing,  the implant will stay.  It won’t go anywhere. Sometimes because of the popularity of fat injection, I feel like one voice in the wilderness.

So, I think about that patient from out of state.  She came all that way to me after having seen the results of fat injection first-hand.  I’ve mentioned her to a few of my other patients.  I don’t know which way they’re going to go.  But for me, it is common sense and due diligence.  I tell people to use their own judgment and don’t believe everything that’s written down.  My undecided patient was already burned by surgeons with bad surgery and now she’s found someone who really makes her happy with the outcome.    I hope she’ll follow her good experience with me because I want my patients to be happy.

Q: Any more thoughts on making this big decision?

Some people have trouble making up their minds on certain issues, which is ok.  There was a study that says the average time it takes a person to make a decision about cosmetic surgery is a year.  Now, that’s an average, a median.  So, some people take just a few days and some take years to make a decision.   I told my patient who’s undecided, “You have just been thinking about it for 3 months.  Give it a few more months and think about it.  Just don’t make a decision that you’ll regret.”

It’s not only the time and money that they’re losing if surgery doesn’t work out.  It’s the disappointment that they didn’t achieve their goal. That’s what I tell them.  Money and time are both important, but more important are the fact that they had a dream, they had an expectation, and it wasn’t fulfilled.   I think the disappointment can be dramatic.

I know other people are struggling with this decision, and I hope this encourages them to think about the option of butt implants.  So many doctors are doing fat injections because it’s a moneymaker and they don’t want to give it up.  It’s on all the media – TV, cable, printed media, Internet, chat rooms, but the balloon will explode. It’s like what happened with the economy– eventually, the bubble will burst if there’s no good basis for it. It requires such a large amount of fat in order to increase the butt.  They have to inject 800-1,000 sometimes even 1,500 cc depending on how big they want to be.  How can it survive? It’s irrational physiologically.  There’s just no good scientific basis for fat injections in the buttocks.

Dr. Shlomo Widder is affectionately known as the “D.C. Butt Doctor.” Widder Cosmetic and Plastic Surgery Center offer premium services to fit every cosmetic surgery need in the greater D.C. area. To find out more about our center, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

Gummy Bear Breast Implants – Just Say Wait

The new Natrelle 410 cohesive gel implants have been conditionally approved by the FDA, but Dr. Widder explains why his practice is taking a wait and see approach. The natural look and feel of silicone and saline implants are an important consideration for those seeking cosmetic improvements.

gummy bear implants

Q: What do you think of the new breast implants, commonly known as the “Gummy Bear” implants?

They have been gaining a lot of interest lately, but for the most part, I really recommend people stick with the softer silicone or saline implants for a natural look and feel.

Q: What exactly are the “Gummy Bear” implants?  How do they differ from the implants you prefer?

The “Gummy Bear” type of implants are made of what is called cohesive gel.  Their official name is the Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Gel Filled Breast Implant.  They are considered form-stable, which means the gel substance makes them firmer than can either silicone or saline.  They are being manufactured by the healthcare company Allergan, Inc.  What they claim is that the implants will provide a natural “tear-drop” shape and that there will be less leakage in the case of rupture.  These claims are not yet proven.

Q: Do the “Gummy Bear” implants have official approval for use?

The Food and Drug Administration (FDA) gave them conditional approval in February of this year, which sparked the current buzz about them.  What people don’t realize is that the FDA’s conditional approval is not an endorsement.  Jeffrey Shuren, M.D., who is the director of the FDA’s Center for Devices and Radiological Health said, “We will be looking at the results from post-approval studies that will focus on their long-term safety and effectiveness.”  So Allergan, Inc. will be conducting a study that will follow 2,000 women and will take ten years.  Basically, the “Gummy Bear” implants are just entering a major trial stage.

Q: Do you have a sense of what the popularity or importance of these new implants might be in the future?

I believe they may show some promise for reconstructive surgery.  I don’t prefer them for the cosmetic surgery I do.  They are firmer and because of that, a larger incision is needed.  They can’t be inserted through a subareolar incision, which is the method I prefer to use.

I’m not the only surgeon who is wary of taking up the “Gummy Bear” fad.  Many doctors want to take their time to learn about them and to be sure they are making the right decision for each patient.  Dr. Oren Lerman of Lenox Hill Hospital in New York City commented on this to CBS in February.  He said, “These new form-stable implants are not necessarily a better product or a better choice for all women.”

I agree with that statement.  I still believe that for augmentation, saline implants are the best.  There is less scarring and they have the feel of a natural breast.  My patients love the results they get from saline implants.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond. To find out more about the Widder Cosmetic & Plastic Surgery Center, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:


Common Butt Implant Questions and Answers

In this interview, Dr. Widder answers some of the common questions people have about butt implants including the prevalence of implants among men, the number of operations he has performed, types of implants and techniques.

butt implant Q&A

Q: About how many butt augmentations do you do a year for women?

It’s becoming more and more popular.  I’ve done hundreds of buttock augmentation procedures in over ten years.  I’d say that since January I’ve done an average of 1 or 2 a week, about 6 to 8 in a month, so that’s anywhere from 70 to a hundred annually.

Q: How many butt implants have you done for men?  

I haven’t done many for men.  A handful.  Most of the patients are obviously women.  Through the years, I’ve probably done butt augmentation on between 5 and 10 men, but in that same time, there were hundreds for women.

Q: Does the kind of implant you use differ for men and for women?

No, I use the same shape implant for men and women. So far I have had positive feedback from the men. They all liked the results.  You’d think there would be a difference in the buttock implant needs for men and for women, but there’s really not much of a difference.

The difference between men and women is the muscularity.  There is the muscular component and the pelvis tends to be a little wider in women than in men, but as far as the actual buttocks, they look almost the same. In my experience, I didn’t have any objection from either men or women for using this type of implant.

Q: What kind of implants do you favor for buttock augmentation?

There are two types of implants – one is the oval round and it has a kind of gradual spread of the silicone from top to bottom.  Then you have the oval bubble, where most of the silicone is concentrated at the bottom of the implant.  It gives the person a kind of bump or protrusion at the lower buttock and flatness at the upper buttock.  I don’t like that shape.

The shape I like is the oval round shape because it’s the most anatomical.  There are doctors who are also using the round shape, but I don’t think the round shape is natural.  If you look at the shape of the butt, male or female, it’s oblong.  It goes all the way from the posterior iliac crest down to the crease. It’s not round; it’s more elongated.  If you want to create a funny-looking butt then you can use around one.  If someone wants the round type I just say I don’t feel comfortable doing it.  Moreover, the round implant isn’t really right anatomically and you can feel it.  I used round implants many, many years ago when I was just starting out and I used the method of placing implants under the muscle.  The problem with that is that the implant can’t be very big and it can’t go all the way down towards the crease because it will hurt the sciatic nerve.  The implants have to stay high up and it doesn’t look natural – it looks like a bubble on top of the butt.

The biggest compliment I get today from my patients is that my work looks natural.  People can’t see that anything was done.  People tell me, “They think I was born like this.”  Whether it’s a butt or facelift or the breasts, to me that’s the biggest compliment I can get professionally.  You can see that some buttock surgery creates butts that are too round and big and unnatural.  If a patient wants that, they can go to somebody else.  I want to feel good about what I’m doing.  I want to help people to have fun in life, to look acceptable to both men and women, and to not be looked at as strange human beings.  If someone wants to have a very natural, beautiful butt – the nice shape I call the “Arabian horse butt” – then I’m their doctor.

Q: How many techniques are there for buttock augmentation and which do you currently use?

There are different anatomical areas where the implant can be placed.  You can put it under the fascia, in the muscle, or under the muscle.  I use the subfascial method.  In my opinion, that is the best way of doing it because it is a natural plane.  If you go under the muscle, you are limited to a very small implant.  If you go intramuscular, you can place a bigger implant, but not as big as what I’m doing.    The biggest I’ve done  565 cc. The implants manufacturer offers larger implants as custom made, but the cost is much higher.  You wouldn’t be able to put in such a big implant with the intramuscular technique.  The intramuscular is also more painful. Recovery is more difficult and there are more complications because you have ha igher risk of  bleeding.  With my method, there are very little bleeding problems that can occur.  So, I think the subfascial method is the best.

Q: Are more men becoming interested in buttock augmentation surgery?

 The Internet is the great equalizer.  Everyone can see it and they can decide if they want to do it or not. I had a man call me the other day from Ohio who wants to do it.  Then on the other hand, for every one call from a man I get 10 or 15 from women.  So interested men are still a minority, but they’re out there.  If a man wants the surgery, the information is out there and they can definitely approach me.

Widder Cosmetic & Plastic Surgery Center provides butt implant surgery for both men and women. Come by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: Office Phone: 703.506.0300.

Miss Korea Washington D.C. 2013 | Dr. Widder Predicts Ms. Song as a Favorite to Win

Dr. Widder was invited to participate as a judge at the annual Miss Korea D.C. contest in April of 2013 at Virginia Community College. Ah-Jin Song, also known as Loria Song, was the overall winner. Dr. Widder predicted that Ms. Song would be a strong contestant even before the pageant began.

You were recently chosen to be among the panel of judges at a beauty contest. Which contest was it?

It was the Miss Korea pageant for the Washington, D.C. area.  They conduct the contest in different areas in the U.S. and the regional winners go to Korea to compete for Miss Korea. The winner of that will go to the Miss Universe pageant.  There were quite a large number of contestants.  They had to be assessed by their overall beauty, obviously, but also their talking points, the bathing suit competition, and their talent.  They received points for each segment of the competition.  The one who received most of the points across all segments won.

When was the pageant held?

It was April 18th at Virginia Community College.  I remember the date because I had just come back from the meeting in New York where I was learning about labioplasty.  The next day I went to participate as a judge.  The other judges were lawyers and a mix of business people – car dealership owners and others. I enjoyed the opportunity to meet them.  It was an interesting event for me because it was the first time I ever judged a beauty contest and I was especially happy to have the chance to spend time getting to know more members of the Korean community in my area.

How did you become a judge?

I do marketing for my Cosmetic and Plastic Surgery Center with a woman who is well connected in the Korean community.  I had placed a big advertisement in the Korean Times and she offered me the opportunity to participate as a judge.  I was the only non-Korean participant.  It was a unique experience for me.  One funny thing is that I did better than most of the others in predicting who was going to win it.  It was decided just by the judges- it wasn’t like on TV with America voting.

Tell me about the contestants. Who really stood out for you?

I was interviewed about this by the Korean TV news and they asked me that same question.  I told them that the woman who was selected, Ah-Jin Song, really deserved it.  She was very pretty, but beyond her beauty, she was absolutely confident whenever she talked.  Really, it was a pleasure to listen.  She was very energetic and lively, and in the talent section, she performed a wonderfully creative belly dance routine.  I was impressed with her more than any of the others.  There were at least one or two contestants who were prettier than her as far as physical beauty, but as far as eloquence, confidence, and open-mindedness, she was the best.  She had the ability to speak her mind in a way that it didn’t seem at all like she was reading it from a paper.  It was coming from within herself.

Any winner of a pageant has to represent the community and has to have the ability to communicate with people, to express herself in an intelligent way.  You don’t want someone to represent a nation who can’t speak clearly or make sense, even though she may be very pretty.  If someone is to be elected Miss USA or Miss Korea, you want them to proudly represent the country. You don’t want to be embarrassed.  Beauty isn’t everything.  Beauty is very important –I know and care a lot about beauty – but you also have to be intelligent to win the contest.

Through all the segments of the competition, when did you begin to feel so positively about the winner, Ah-Jin Song?

It was actually before the public competition.  All the judges were in a room and all the contestants came to our room and presented themselves. Every one of them answered the questions that we asked them, and Ah-Jin Song was already stunning.  She is very young – maybe 21 or 22 – and the way she expressed herself was so much more mature than her age.  Everyone was impressed.  The only thing that made me less sure that she would win, even though as the contest went on I was more convinced that she should, was that she doesn’t represent the typical Korean beauty.  She has darker skin.  Most Koreans have very light skin.  She even joked with us, “I don’t know why I’m brown; both my parents are Korean.”  She immediately attacked the issue.  I was very happy she won.  Because her look is a bit out of the mainstream, a few of the judges were quite surprised.

Did plastic surgery play a role in the beauty of the contestants you were judging?

No, it didn’t look to me that they had any surgery.  I told a few of them there that I could help them to become Miss Universe if they come to my office.  The winner of the competition is flat chested.  In this competition, she was so far above intellectually, there was no question in my mind who should win.  I think in the future, though, breast augmentation would help her if she’s interested in taking that step.  She is very attractive, yet at the same time, breast size does play a role in the selection of pageant winners.  If for instance, two contestants are equally smart and eloquent, who’s going to win?  The prettier one – the most overall attractive one.  It would have been too late for surgery for the next level of this particular competition. The winning regional contestants had to leave for Korea one week later.  But at some later time, if the contestants would like to visit my office, I would be happy to help them out a little bit for their future endeavors.


To find out more about the Widder Cosmetic & Plastic Surgery Center, visit during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

Plastic Surgery and Self-Esteem


Plastic surgery and high self-esteem are directly linked. Dr. Widder discusses a recent study by European researchers from Researchers from Ruhr Universität and the University of Basel that confirms the vast numbers of anecdotal evidence seen in patients across the country following cosmetic surgery procedures.

Q: You have used your talent and skill to sculpt some of the D.C. area’s nicest looking bodies.  What do you think is the relationship between plastic surgery and self-esteem?

In my experience, the effect of plastic surgery on self-esteem is very positive.  I see it all the time with my patients.   I often receive thanks from patients and they tell me how much of a difference the physical changes have made in their lives.  They feel good about themselves and have more confidence.  A recent study has talked about this.  Plastic surgery can definitely improve self-esteem.

Q: Would you talk more about the study? 

Yes. The study showed that a better self-image and overall happiness is a common result of plastic surgery procedures.  It even goes on to explain that when many of the patients experience high self-esteem, their overall enjoyment of life increases as well.  The people in the survey weren’t out to transform their lives, but only to enhance a particular body part, so it is exciting to me that overall life improvement is also a common result.

More specifically, the study looked at people who had opted for surgery as opposed to those who didn’t.  Greater feelings of health and self-esteem were noted in the surgery recipients, as well as fewer feelings of anxiety.  They also felt more attractive, not only with respect to the body part that was enhanced, but overall.  No adverse effects were observed, so that is very good news.

Q: If someone is considering plastic surgery, are there any times in life you feel are best to make those changes?

Anytime it suits the individual is the best time, but it is often a good thing to do when one is at a crossroads in life.  It might be a divorce, a midlife crisis, career change or even after a bout of unemployment.  It is spring now, and that can be great timing.  Spring is a time of energetic rebirth, so it can be perfect occasion for stepping out, being bold, and discovering plastic surgery as a way to enhance life and getting ready for the summer.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond. To find out more about the WidderCosmetic & Plastic SurgeryCenter, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

What is Labioplasty and Why Do Women Choose It?

Dr. Widder discusses new trends in plastic surgery and labioplasty is a growing area of interest for many women. A detailed description of the procedure and variations in approach are presented.


Q: Doctors generally go to additional seminars and meetings to learn new techniques and to maintain Board Certification.  What have you studied in recent meetings?

I usually maintain my Continuing Medical Education (CME) by taking a written test.  Recently, however, I went to a week-long meeting in New York because I wanted to learn about labioplasty.

Q: What is the labioplasty procedure?

Labioplasty is becoming a very hot procedure.  Women are asking for it.  I wanted to learn more about it.  Basically, labioplasty changes the appearance of parts of the vulva, mainly the labia minora and/or labia majora.

There are two procedures for labioplasty of the labia minora – the Wedge and the Trim.  You can remove a wedge and suture the two ends together, or you can just trim the excess and close the wound.

Q: What are some of the reasons a woman might choose labioplasty?

For certain women, after having children, the labia minora hangs down and is unattractive.  It might even protrude out from underwear or a bikini.  Most of these cases are post child delivery, but some women, even without delivery, have large labia minora.  It is rare, but there are also children and teenagers who have this problem.  Unusually large labia can occur as a congenital anomaly.  The aging process can also cause the condition.

Q: How do these procedures, the Wedge and the Trim, work?

During the Wedge procedure, a triangular shaped piece of the labia minora is cut away. The triangle that is cut, goes from the outer edge of each of the labia minora, and the tip of the triangle goes toward the bottom near the mucosa or the inner layer of the vagina.  So, it is cut like a triangle and then the wound is closed in layers.  The Trim method involves literally just trimming off of the excess labial tissue.

One of the presenters from South America spoke about one of the challenges with the Wedge procedure.  Some women are unhappy with having a dark color of the labia. This can happen with women of any race.  For this presenter, a common complaint from her patients has been both large labia minora and significant dark pigmentation.  The Wedge procedure leaves pigment on the leftover labia.  So this presenter chooses to use the Trim method.  She just trims the excessive labia minora and gets rid of all the pigmented tissue.  That is the advantage of the trim.  The advantage of the Wedge is that the scar is much shorter.  For certain patients, that’s important.  It was good to learn that you can mix and match the procedure to the priorities of the patient.

Now there is also the clitoral hood which connects to the labia minora.  Whenever you do labioplasty on the labia minora you have to extend the incision up into the clitoral hood.  Redundant skin can also reside there and if you don’t take care of it, the clitoris protrudes.  They recommend taking a lateral wedge also from the clitoral hood and tightening the skin in the area.

Then you have the labia majora which is a whole different procedure.  With aging, sometimes women lose volume in the labia majora and the skin becomes redundant.  For that, usually what is done is a crescent excision to remove excess.  Many patients also have the fat injection to plump them up.

Q: Do you currently perform labioplasty?

No, I haven’t yet offered these procedures.  I  have given something of a lift in the course of a tummy tuck.  In some cases, it isn’t enough during a tummy tuck to only pull the abdominal skin down, but you also have to pull the pubic skin up.  That corrects the whole droopy section which involves the vagina.  In more significant cases, you really have to have a separate procedure.

At the meeting in New York, I learned about several other more specialized procedures.  There is the clitoral lift and G-Spot enlargement.  There is also tightening of the vagina, during which an incision is made and the muscle is tightened.  Those presentations were interesting, but I won’t provide those particular procedures.  I specialize in aesthetic, not function.

In the coming months, I plan to travel to study with two doctors – one in Boston and another who practices in both New York and Los Angeles – both of whom are very good doctors and provide labioplasty regularly.  Only when I feel very well-versed in basic labioplasty, will I will begin to offer it as a service to my patients.  I am looking forward to visiting with them and learning more.

To learn more about labioplasty or other cosmetic procedures contact Widder Cosmetic and Plastic Surgery in Northern Virginia for a free consultation: Or call: (703) 506-0300

Multiple Plastic Surgery Experience and Outcomes

Multiple plastic surgeries is not an uncommon experience for people who are very satisfied with their initial outcomes. Stories and experiences of plastic surgery patients in Northern Virginia, D.C. and Maryland are shared in this most recent interview with Doctor Widder of Widder Cosmetic and Plastic Surgery Center in Vienna, VA.

multiple plastic surgeries

Q: How common is it in your practice for patients to request multiple plastic surgeries?

 Lots of people do it. Many people lose a lot of weight as a result of gastric bypass surgery.  One of the consequences is a lot of loose skin.  Sometimes after gastric bypass, people are interested in further surgeries for the abdomen and the breasts.  Then they may want me to take care of the arms, the thighs, and sometimes the face and the neck.  I always remember one particular patient who had gastric bypass surgery.  I gave her a tummy tuck after the gastric bypass surgery.  The tummy tuck went well, so she did breast augmentation with a lift after that. She was so happy with that surgery that she sent me a picture – the picture was of her breasts and on it, she wrote: “Thank you, Dr. Widder!”  That’s a funny one.

Q: After the tummy tuck, why did she choose breast augmentation?

When women who have gastric bypass and/or a tummy tuck and lose a great deal of weight, the breast size goes down.   The breasts are made of breast tissue and fatty tissue.  The breast tissue doesn’t change after those operations, but the fatty tissue does.  The breast can become deflated – It will appear as loose skin without a significant amount of volume.  You can take care of it with just the lift procedure. I usually use the keyhole mastopexy.  It will improve the shape of the breast, but then she’ll have about an A cup.  For some women, an A cup is ok.  I had a largely breasted patient who wanted to be an A cup, so I gave her a breast reduction. But the majority of women want to be in the C range.  Maybe a small C or full B if they are athletic, or a full C to small D if they aren’t athletic and just want to look good in their clothes and bathing suit.  I had a woman patient who had an A cup size breasts before surgery, so she requested the implant and I combined it with the mastopexy or keyhole lift.  It’s called the keyhole lift because the incisions take the shape of a keyhole: there is around incision around the areola,  a vertical incision, and a horizontal incision at the crease area.  With that technique, you remove all the excess skin and achieve a very nice shape. You get a perky, beautiful breast.  To add the volume, I use the implants.  So her situation was a common one; it is very rare that a patient with such small breasts will go for just a lift.  Most of them do also want implants.

Q: Since you specialize in buttock augmentation, would you say there is an additional operation that tends to go with that?

Well, the butt augmentation can go very naturally with liposuction to enhance its shape.  Liposuction is more common with the fat injection procedure. Unfortunately, the fat injection to the butt does not last beyond 6-12 months.  With the butt implants, the change stays intact, so those patients look very good permanently.  As a result, I don’t do as many liposuctions associated with butt implants.

I do sometimes see patients that have me redo a procedure they already had done by someone else previously.  One woman came in for a redo tummy tuck and breast augmentation with a lift.  You can imagine how unhappy she must have been if I had to redo the surgery, because the tummy tuck surgery, in particular, isn’t a walk in the garden.   Yet, she was motivated to go through it again.  She was very, very happy with those procedures, so next, we moved on to liposuction of the thighs.  She was so pleased with the liposuction that the week after next we were doing the butt implants. The whole sequence has been at a very fast pace, all done in only six or eight months.  After the butt implants, she wants to do liposuction of the hips and waists.  She seems ecstatic with the changes – you can hear it in her voice.

Q: Do you have any other memorable stories about two or more surgeries?

 Yes. There is a woman who works in my office – she’s on my staff.  She has had multiple surgeries and looks phenomenal.  She’s a 65-year-old African-American woman, and she’s beautiful.  She looks like she’s 40.  I’ve done her tummy tuck, breast lift, eyelids, chin augmentation, liposuction in multiple areas, and calf implants.

Q: Which one started her journey with plastic surgery?

She started with the tummy tuck.  She just came in as a patient.  She had a very nice result and we at the practice thought she had a nice personality, so we offered her a position in the office.  Once she joined the team, we continued with the process of improvement.  After the tummy tuck, I gave her the calf implants.  Her breasts were a nice size naturally though droopy, she chose to go for a breast lift next.  These were followed by eyelids surgery,  chin implants, then liposuction of the abdomen, hips and waist, and finally liposuction of the thighs.  I think we did 8 or 9 surgeries in all.  She looks fantastic.

Widder Cosmetic & Plastic Surgery Center provides multiple plastic surgery options as well as single procedures for those looking to improve their appearance in one area. Stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: Office Phone: 703.506.0300.

What is Botox and How Does Botox Work?

Botox is a very popular cosmetic procedure and is often mentioned in the media as a quick way to remove the signs of aging. Everyday people, as well as celebrities, have benefited from Botox.  In this interview, Doctor Widder describes what Botox is and how Botox works. Botox safety and its effects are also described in easy to understand terms.

Q: What is Botox?

Botox Virginia

Botox is the commercial name for the Botulinum toxin. It is a medication that basically paralyzes muscle.  We use it in very small amounts and it doesn’t have any systemic side effects.  The most common area of use for Botox are the glabella area, between the eyes (the frown lines), along the lateral canthal area (crow’s feet), and the forehead.  Some people use it to raise the corner of the mouth to improve the smile.  I don’t do this because it’s a little risky.  Around the mouth, it is possible to get asymmetries, so I like to play it safe and use it only around the eyes, the forehead, and sometimes the platysma band of the neck.

It is really a miracle drug because without surgery you get very nice rejuvenation.  The use of Botox involves interactions between muscles.  When you use it around the eyes, for example, you can literally raise the eyebrow.  There are muscles that are depressors that pull down, and there are muscles that are elevators and lift the face up.  So if you want to get a lift, you disable the depressor and the elevator lifts up.  The brows can go up 2 or 3 millimeters, which is significant.

Those are the cosmetic uses but there are others as well.  Some doctors use it to reduce sweat production in the armpit.  Neurologists are using it to relax the muscles for people who have spasms.  It’s being used for some people who have lost their voices – by injecting Botox with a very specialized skill, doctors can reduce the muscle tension that caused the loss of voice and people are able to talk again.

Q: How was Botox discovered?

 For quite a few years before it was used for cosmetic purposes, Botox was used for ophthalmological conditions like lazy eye.  Then there was a married couple from Canada – one was a dermatologist and one was an ophthalmologist.  They discussed the issue and the dermatologist decided to try Botox for facial expression.  They used it around the eye for frown lines.  That was probably some 20 years ago; I don’t remember the exact date.  The success rate was so impressive that they kept finding more uses for it.  Now Botox is probably the most popular nonsurgical procedure used for cosmetic purposes.

Q: How long does Botox last?   

 It really varies between people.  Everyone’s body reacts differently to different drugs.  On average it lasts 3-4 months, but I’ve had patients for whom it lasted 8 months.  It depends on metabolism.  Some people break down the Botox faster, and some slower.  Ideally, one should consider doing it continuously every 3 months so that the muscle doesn’t recover.  If it’s being done in that way for about 2 years, then the muscle will become so weak that the need to inject the Botox goes down to once every 10 months or even once a year.

Q: What causes the “too much Botox” look? 

The smart usage of Botox creates a beneficial interplay between the muscles.  If you use too much, you get an exaggerated result.  When a doctor injects the forehead to eliminate wrinkles and goes too low, all the forehead muscles can become paralyzed and droopiness of the brow is the result. That is what they call the overdone look.  What happens is that gravity can take the Botox down.  When you do the injection, there is a little trauma and a bit of fluid is released from the injury site.  The weight of the fluid with the Botox will carry it down because of gravity.  I don’t want to mention a famous politician, but it happened during one of the debates – his brows were very low.  But it also happens in everyday life.

It happened to me at the beginning of my practice.  I knew I had to stay above a certain level, but didn’t really know by how much.  I started with one inch and it wasn’t quite enough. Now I usually leave about 1 ¼ – 1 ½ inch of muscle and inject the Botox only above that level.  Even if it is pulled down a little, that still leaves enough muscle to elevate the brows so they don’t get that tired look or interfere with vision.  There is another possible complication where the Botox paralyzes the levator of the eyelid so that you get droopiness of the eyelid.  That usually goes away in 2 -3 weeks because the amount of Botox that goes into that area is not significant.  Most of it stays outside the orbit, so the effect is short-lived.

Q: Who can get Botox?

Those with the symptoms like wrinkles, hyperactive muscles, droopy brow, or crow’s feet are clear candidates for Botox.  You can also use it as a preventative treatment.  This is because as the facial muscles contract, it is like bending an iron wire – after a while, it breaks.  It’s the same with the collagen fiber in our skin.  It is hard to imagine how many times we use our facial expressions each day, but after 20-30 years, it is probably in the millions.  Those contractions will eventually break the collagen fibers and you’ll get wrinkles.  So if you use Botox at a young age, you’ll prevent the contractions and you’ll prevent wrinkles.  That’s one of the things I talk to my patients about.  Whatever they have now are conditions they’ll continue to have, but if they use Botox continuously, they’ll prevent it from deteriorating.  That is useful, not much talked about, but there is room for this use in young people.

People who want to make good first impressions may consider eliminating frown lines.  Frown lines reflect unpleasantness like anger and stress, so if one wants to avoid that, Botox can help. It is of social benefit to present a pleasant facial expression rather than an unpleasant one.

Q: How safe are these procedures?

The lethal amount of Botox is 5000 units.  The average cosmetic procedure uses no more than 100 units.  So, the safety margin is very, very high.  People shouldn’t worry at all about that.

If have any questions about Botox procedures or costs contact Widder Cosmetic and Plastic Surgery located in the Vienna, VA area for a free consultation: Or call: (703) 506-0300

Plastic Surgery Implications for Weight Loss | Tummy Tuck and Liposuction

Weight Loss and Plastic Surgery

A welcome side effect of plastic surgery is that many people who have a tummy tuck or liposuction experience additional weight loss.  Dr. Shlomo Widder discusses this natural phenomenon and why it is important to maintain healthy eating habits post surgery.

Q: How does the tummy tuck procedure result in weight loss?

The reason you lose weight after a tummy tuck is that the procedure is not only a tightening of the abdominal skin but also tightening of the abdominal muscles. When you tighten the muscles, you increase the pressure on the stomach, and that in turn sends a message to the brain that says, “Stop filling me up.  Stop eating.”  That’s how patients lose weight.

I always tell my patients about that; it is part of my initial talk.  I tell them that hunger is managed in two ways.  One is a chemical, which involves sugar.  When the blood sugar goes down, you feel hungry and you eat.  The other is mechanical.  When the stomach is empty, it starts contracting and you might hear all those gurgling noises.  It is saying to the brain, “I’m empty – Fill me up.”  The stomach has special cells that measure pressure, but the brain is not so sophisticated as to tell the difference between pressure from food in the stomach or pressure from the outside.  So we can fool the brain by adding pressure from the outside by tightening the muscles.

I just did a tummy tuck for a military guy.  He told me that he was constantly hungry.  He was in good shape – trim and muscular – but he hadn’t reached what he physically wanted to achieve.  His stomach muscles were loose from lifting heavy weights.  Sometimes men, due to heavy lifting, rip the attachments of the abdominal muscles and it causes this problem.  For some women, a similar thing can happen when they have children.  The pregnancy stretches the abdominals and laxity of the muscles result.  If the muscles are loose, they just extend outward when you eat.  You don’t feel satisfied, so it is easy to keep on eating.  After his tummy tuck surgery, this man I mentioned, felt full and much less hungry.  He’s already lost 10 to 15 pounds and he’s achieved his weight goal.

Q: What will occur if you get liposuction or another procedure that encourages weight loss, and then continue a habit of overeating?

It depends on the surgical technique used.  When my patients have liposuction, I tell them that they have to lose, at least, the same amount of weight that I remove from them.  If they don’t lose that amount of weight, any new fat gained can go into those sections where I did not do the liposuction.

In order to do effective liposuction, you really have to enter with the suctioning cannula from many different directions in order to remove as many fat cells as possible.  For this reason, I take a very aggressive approach and go from multiple directions.  If a surgeon goes from only one or two entries, fat cells will be left between the tracks of the cannula, the tube that is used to aspirate the fat.  Each fat cell is able to store more fat by increasing its size by 50%.  So if you leave a lot of fat cells, two to three months after the procedure, it may look as if nothing was done.  But if you go from multiple directions and are very aggressive with the fat cells removal, the number of fat cells that remain will be reduced dramatically.  Then, no fat or very little can go in those areas in the future.  However, it can go elsewhere. If a patient keeps overeating in the same fashion as before, since the fat can’t go into the liposuction area, it might go to the shoulders, face, butt, breasts, and so on. So the secret really is for me to do a very thorough removal of the fat cells and for the patient to lose the same amount of weight that was removed by the liposuction.

 Q: If a person has a tummy tuck or liposuction, how long before he or she can take on an exercise regimen?  Are there exercises you recommend in addition to a shift in dietary lifestyle? 

 For liposuction, I limit their exercise for two weeks, and then for the following two weeks, they can increase exercise in a gradual fashion. On the first week back, they can exercise at a 25% capacity of what they did before.  The following week, I advise they go to 50% of their former activity level.  Then one month after the surgery, they are free of any limitation.  For a tummy tuck, they have to wait six weeks before any physical activity or lifting.  Then as with the liposuction, they can gradually return to normal activity over a two week period.  After two months, they are back to full speed.

The main type of exercise I recommend is cardiovascular, or aerobic.  Any type of cardio can get you in good shape.  It could be a stationary bike, it could be a treadmill –all of those machines at the gym are good.  The key is to put forth at least 20 minutes of constant effort during which the heart rate is raised to two-thirds of maximal capacity.  Do this, and you’ll be burning fat and lose weight.

For a free consultation and 5% off any surgical procedure, schedule an appointment on our website!

2013 Trends in Plastic Surgery

Trends in plastic surgery for 2013 can be gleaned from the American Society for Aesthetic Plastic Surgery statistical report for 2012. Dr. Widder discusses the findings in the annual report and confirms the trend of increased buttock augmentation in his own practice.

Q: As the “D.C. Butt Doctor,” what are your thoughts on the new report from the American Society for Aesthetic Plastic Surgery (ASAPS)?

The American Society for Aesthetic Plastic Surgery just released its 16th annual multi-specialty procedural statistics.  The report came out in March and basically points to the fact that cosmetic procedures are very much on the rise. Something in the vicinity of ten million cosmetic procedures, surgical and nonsurgical, were conducted in 2012.

I’ve been a cosmetic surgeon for over 25 years and I specialize in buttock augmentation. I have witnessed a definite rise in requests for this procedure over the last decade.  I am happy to say that my particular buttock implant technique is very effective and that has led it to be sought after, even by some you might call the Washington elite.  ASAPS lists butt augmentation as one of last year’s top 20 procedures. That makes sense to me.  Their findings and my personal experience over the last 10 years are in agreement that butt implants are done more often than ever. That indicates the overall increasing demand for this enhancement.

Q: Do you think your practice is going with the other trends ASAPS reported?

 Yes, it seems like I am on the same trend.  I’ve been doing a lot of breast augmentations, liposuction, and tummy tucks (abdominoplasty).  ASAPS also found these to be among the most frequent cosmetic procedures as of 2012.  I have a very safe, private facility where I perform these procedures regularly.

Q: Now that more and more people are seeking cosmetic surgery, do you have any advice for those who are ready to choose a doctor?

 It is really important to check your doctor’s credentials.  With the growing demand, there are a lot of untrained “doctors” out there who prey on unsuspecting patients.  I am certified by the American board of plastic surgery since 1989. I am a member of the American Society of Aesthetic Plastic Surgery (ASAPS), the American Society of Plastic Surgeons (ASPS), and the American Association for the Accreditation of Ambulatory  Surgery Facilities (AAAASF).

After credentials, attitude is also key.  My main goal is to stay attuned to the patient’s needs. That is one of the reasons I became the only plastic surgeon in Northern Virginia who offers buttock implants.  So many men and women are seeking the perfect posterior.  It is my goal to give people what they want.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5 pm, Mon – Fri, or contact us today!

Achieving an S-Curve Figure with Butt Augmentation

The S Curve Figure

Many women are interested in achieving the sexy s-curve figure like celebrity beauties Beyoncé and Jennifer Lopez.  In this interview, Dr. Widder talks about accentuating natural beauty with buttock augmentation surgery.

 Q: In the spring, many women start to think about getting ready for bikini season. How can you help them look bikini-ready?  

Buttock augmentation surgery is a great option.  Recovery time is quick.  Everyone wants to look good on the beach, and this is one way to look your best in the summertime.  Women don’t want to feel like they have to cover up while so many people are stripping down to their bathing suits.  While other buttock enhancement procedures give variable or ineffective results, my butt augmentation surgery produces almost immediate, natural-looking results.

Q: Buttock augmentation can change appearance, but how do you think it changes outlook or attitude?

Butt augmentation is very much about precise body sculpting to achieve a certain look, but I think it potentially does a lot more than that. Sometimes women have the surgery to regain a sense of their attractiveness.  It makes them feel sexier and so it can enhance that aspect of life.  Patients also often report a greater sense of overall confidence.

Q: What other methods are people using for enhancing rear assets?

Whenever summer is just around the corner, you’ll find many women trying skin firming creams to get their butts in shape. That kind of method, realistically, requires months.  Sometimes results are only slight, and sometimes it really doesn’t work at all.  The good thing about my surgery technique is that a patient will see the results immediately.  It is also a very individual process – I tailor the surgery to match the wishes of each individual.

Q: If someone is not quite ready to undergo surgery, what can they do to look good during the summer season?

If someone is not ready for buttock augmentation, she can still seek out the best bathing suit for her shape.  I suggest string bikinis, ruffled bottoms, graphic prints, and side tie bottoms.  All these styles help create the illusion of a full, round bottom.  They add a curvy look by creating a sense of volume and drawing attention to the hips.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

Plastic Surgery Stories From Northern Virginia

Our interview today reveals plastic surgery stories following successful patient outcomes. Plastic surgery testimonials come in many forms, from letters of appreciation, fruit trees and even body art! Follow our blog for weekly insights and feel free to suggest topics or questions you would like answered.

Q: When do you normally see a patient for follow up?

Just after having the surgery, the patient stays in the recovery room for about an hour, then they go home. I call them at home that same night to make sure everything is all right and to answer any questions they might have.  Then, as a rule, every patient comes back in the very next day. I see them that following day to make sure there are no complications and that everything is going according to plan.  I change the dressing and again, answer any questions that may have come up.

Q: Do you have additional follow up after that?

I keep following up.  After the first follow-up visit, I will see them again after three or four days, then in another three or four days, and then in a week. We have another visit a month later, then three months after that.  That’s typically the end of the follow-up.  After that time, the patient can always call if anything comes up, or if they want to pursue another procedure, which is very common in my practice. When they see the power of change and are happy, they often want to do something else.

Q: Do you have any stories that stand out for you about patients who have come back to give you positive feedback?

One of the funniest stories was of a patient who lost a tremendous amount of weight.  She had come in initially for abdominoplasty, commonly called a tummy tuck, and then later came in to do a breast lift with implants because, after the significant weight loss, her breasts had lost volume.  So I did the surgery on her and after the healing process she was so happy that she took a topless picture of herself and wrote across her breasts on the photo, “Thank you, Dr. Widder!”  I still have that picture of her with the writing on the wall, so to speak.  It was especially funny because this was a very serious woman with a distinguished occupation.  It was great that she had the humor to do something like that because she was so happy.

thankyou breast note

Another patient who had a tummy tuck lost 44 pounds after the procedure. She came in a year later and nobody recognized her.  We thought she was someone coming in for a new consultation. She had lost such a huge amount of weight just from the tummy tuck and was quite pleased.

Q: Would you like to share any more success stories?

I once had a male patient who, when he first came in, looked like he could have been seven or eight months pregnant.  I did a tummy tuck on him.  I also told him about learning a new nutritional approach through the Sugar Busters book, so we approached his weight loss from both the chemical and the mechanical angles.  He lost 30 pounds in one month.  Another patient whose story is similar has a wife who says she can’t stand him anymore!  Apparently, he has a new habit of standing in front of the mirror admiring himself all day long.

I also did a butt augmentation recently on a woman in her sixties.  Now she’s dating a guy in his forties.  He doesn’t know that she had the butt augmentation, and he thinks she’s got the sexiest butt in town.

Many patients have gotten in touch to show and tell their success stories like these. It’s common that a patient will write a letter or send a gift.  Last week I did a butt augmentation for a patient who’d had fat injection previously that didn’t work.  She was so happy.  She knows that I’m a vegan so she sent me a huge fruit tree with cantaloupe, strawberries, and all kinds of other fruits.  It was a very nice token of appreciation.

Visit the Widder Cosmetic & Plastic Surgery Center during office hours: 9:00 – 5:00 p.m., Monday – Friday, or contact us today!  We have a mobile-friendly plastic surgery site!

Mommy Makeovers | Post Childbirth Plastic Surgery


The Mommy Makeover is a popular set of procedures offered by Cosmetic and Plastic surgeons across the country. Dr. Widder talks about the benefits and the prevalence of the Mommy Make-Over in Northern Virginia, D.C. and beyond.

 Q: What is the Mommy Make-Over Package?

A Mommy-Makeover is actually three procedures – Tummy tuck, breast augmentation with or without lift and liposuction.  I saw it written about in a recent article on the American Society for Aesthetic Plastic Surgery website. Many new mothers want to regain their pre-baby figures, and plastic surgery is helping them do that.

Q: Can’t working out help new moms feel like their old selves again?

Exercise is a good thing, but it isn’t always enough. The American Society for Aesthetic Plastic Surgery article talked about a woman who had a C-section and had permanent severing of some of her abdominal muscles. No amount of working out would bring her stomach muscles back to their original firmness. Her doctor gave her plastic surgery to repair the abs, and she decided to go for breast enhancement as well.  Sometimes crunches and dieting just isn’t going to give the desired result.

Q: What are the current statistics on this kind of makeover? talks about the growing trend of new moms currently going for breast lifts and augmentations. The article points to statistics from the American Society of Plastic Surgery and says that breast augmentations in the U.S. have increased 55% from 2000 to 2006.  That’s from 212,500 procedures to 329,326 annually.  Breast lifts have increased even more in the same time period – up 96%, or from 52,836 to 103,788 a year. Buttock lifts have increased by 174% and tummy tucks are up by an amazing 4,384%.

Q: How have your patients responded to the Mommy Make-Over?

The patients I’ve been able to serve with a post-pregnancy makeover have been very pleased. Having a baby is a life-altering experience.  I am able to give them more self-confidence and self-esteem while they get used to welcoming a new member to the family and all that entails. It is very fulfilling for me.  It is nice to see the women feeling life enjoyment again.

The Mommy Make-Over package offers the opportunity to trim up loose skin and tighten the muscles around the belly at the same time. I customize each Mommy Make-Over for my clients.  Some prefer a breast lift instead of breast augmentation, and that’s fine. My goal is to give each woman the look she desires.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

Holiday Dress Guide Pre and Post Plastic Surgery


The implications for fashion following a buttock augmentation is a welcome consideration for new patients having undergone butt lift surgery. Doctor Widder shares his thoughts on what buttock augmentation surgery – and the right dress – can do for your holiday look.

Q: Through your work, you have learned a lot about shaping the ideal form. What can women do with fashion to accentuate the figure during the holidays?

Yes, body sculpting is my business, so I have a sense of what many women are looking for.  I do have a few tips on choosing clothes for the holiday season.  I suggest holiday dresses that give the look of fuller curves. With my surgery, I have helped hundreds of women to achieve the ideal posterior.  Everyone’s specific desire for a nice shape is a little different, but many women want to have a butt similar to a shapely celebrity like rapper Nicki Minaj. Over my ten years of specializing in buttock augmentation, I’ve really gotten a sense of the female perspective on beauty.

Q: What are some of the specifics women should look for when dressing up to accentuate their curves?

One of the best things women can do is to actively look for dresses that flatter the hourglass figure. A dress that is too loose can make the body look bigger or bulkier and will often fail to show off the shapeliness. Instead, choose a dress that provides some subtle shaping.

Accessorizing with a belt will give the look of a smaller waist and a rounder bottom.  A dress that falls just before or under the kneecap is of an ideal length.  That makes the legs look a little longer and sexier.  Two-tone dresses with the darker color on top aren’t ideal; they will only emphasize the lower half.  Side pockets aren’t a great idea, either.  They add extra bulk where it’s not necessary. I know looking great at holiday parties is important to lots of women, so these are just a few of my pointers.

Q: Clothes can do so much, but what are some of the general things you’d like to say about buttock augmentation surgery?

Buttock augmentation surgery has been my specialty for over ten years.  Recently, it has become more popular.  I have a lot of experience and a proven technique.  The surgery gives the patient the rounder and fuller backside including filling of the under the hips depression.  That also makes the waist look smaller, so it is very effective for overall body shape goals.  I have a state-of-the-art surgical center that houses surgery and recovery in one safe, caring place.

Fashion tips are always helpful, too, but the buttock augmentation surgery gives lasting results.  My patients wind up feeling fantastic and confident about their bodies.  Achieving the body you want might be the perfect thing to put on a holiday wish list.

About Dr. Widder: 

Dr. Shlomo Widder, the “Butt Doctor” of D.C., is the only Northern Virginia plastic surgeon who offers buttock implants.  He is a member of both the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery.  Services also include breast augmentation, breast reduction, breast lift, liposuction, Botox, face lift and facial fillers, eyelid, cheek, and chin surgery, pectoral implants, gynecomastia surgery (reduction of “man boobs”), otoplasty (ear tuck), calf implants, and rhinoplasty (nose job).  Widder Cosmetic & Plastic Surgery offers free consultations in its 3300 square foot facility and has served the Northern Virginia/Washington DC metropolitan for over 25 years. He has made it his mission to help women and men achieve their ideal posterior.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

Increased Interest In Butt Implants


There is a growing interest in buttock augmentation surgery in Northern Virginia, D.C., and Maryland. Doctor Widder discuses the increasing interest in buttock implants:

Q: What are some of the ways you’ve noticed a growth in interest in buttock enhancement?

I’ve definitely had increased requests for buttock enhancement. Not long ago, the New York Daily News ran a story about the trend.  A lot of women want to achieve a look similar to famous women like Jennifer Lopez, Kim Kardashian, and Jennifer Biel. The “S-Curve” surgery has recently become popular to enhance the butt.  In this procedure, fat is used from other parts of the body like the abdomen or thighs. But from my observations in my practice of patients who had fat injections by other plastic surgeons,  the results of this type of operation do not last.

In addition to the increased number of buttock implants I’ve been doing, I’ve also been asked more frequently to repair butt surgeries gone wrong. I find that it takes about a year for fat placed in the buttocks from other areas of the body to disappear.  Implants are the permanent solution to achieve the desired butt shape.  I’ve been specializing in this procedure for over ten years, and have definitely noticed that there’s more interest today.

Q: Are buttock implants as popular as breast implants today?

Buttock enhancement surgery is getting the kind of interest that breast enhancement surgery did in the 1990s.  Many of the people getting it are inspired by the shapely look of celebrities, and I am always so happy when I am able to give someone the result they really want. It is true that this surgery is becoming more popular, but that doesn’t mean that breast enhancement has been forgotten. I still receive a large number of requests for breast surgery.

Q: Are the overall cultural aesthetics changing to embrace the fuller bottom look?

Well, it is definitely a trend. Curves are being celebrated.  As a matter of fact, the Kardashian sisters have launched a clothing line, and this line is made for women with well-rounded buttocks.  It is called the Kardashian Kollection for Dorothy Perkins, and there was a big celebration for the kick-off of the fashion line in London. The way these clothes are cut definitely show off a nicely shaped butt and really are good for the figure a woman will have after implants. I think these kinds of changes in the fashion industry show that this kind of body is becoming more desirable.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5 pm, Mon – Fri, or contact us today!

Breast Augmentation Post Surgery | Capsule Contracture


The following interview focuses on questions related to breast augmentation and a post-surgery condition called capsule contracture specifically. Dr. Widder’s shares his experience and insights with women who are considering plastic surgery for the first time or are looking to explore a higher level of care and quality results. Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered.

Q: How often are your breast surgeries purely cosmetic and how often are they done for medical reasons?

I don’t usually do reconstructive surgery.  I mainly do cosmetic surgery.  There is sometimes a reconstruction aspect of cosmetic surgery.  When you have a capsule contracture that occurs from a cosmetic surgery, you have to fix it.

Q: What is capsule contracture?

When we put any foreign body into our bodies, the tissue around it will encapsulate it – that is, it will surround it with scar tissue.  This is a protective mechanism of the body and it’s normal.  After surgery, this is expected, but what you want to have is a soft capsule.  A soft capsule allows the implant to move within it and it gives the appearance and the feel of a natural breast.  Once in a while, a patient will develop hardening of the breast, or capsule contracture.  Most of us have seen people with a burn on the arm or the neck where the scar has contracted noticeably in one direction.  The same thing can happen with the breast.  It’s very devastating to the patient – they are expecting to have natural looking breasts and instead they get two hardballs or two apples sitting on their chest.  It’s very disappointing.  So in this case, some breast reconstruction is the remedy.

Q: What do you do to repair capsule contracture?

The way to relieve it if the contracture is not very severe is to do a capsulotomy.  This is a surgery during which I cut the scar tissue in multiple directions to enlarge the space and reduce the tightness or the tension.  After surgery, the patient is instructed to do massage – to move the implant in different directions so it maintains a relaxed position in the capsule.  Without the massage, the scar, by its nature, will contract.

But in the condition where there is biofilm – bacteria embedded in the scar tissue and also on the implant – to get a nice, natural looking breast, you have to remove the implant and the scar tissue.  You literally have to shell or scoop out the whole area, which is a difficult and tedious procedure.  This procedure takes a long time, but it is the best technique to recreate a natural looking breast and avoid the recurrence of capsule contracture.  If you were to just do a capsulotomy and leave the implant in place, it is almost guaranteed that the condition will recur.  The way to avoid that is to do the capsulotomy and replace the implant.

Q: What are some of the causes of capsule contracture?

Probably the most common is not doing the massage.  But a few patients will have some bleeding or some develop an infection.    I always tell my patients that whenever they have any dental procedure to take antibiotics because bacteria from the mouth can enter the bloodstream, seed on the implant, and start the process of capsule contracture. Also if the patient is having any gastrointestinal procedure like an endoscopy or colonoscopy, they also have to take antibiotics. That’s part of my discussion with my patients in the beginning so they know what to do in the future to avoid complications.

Q: What made you choose to focus your practice mainly on cosmetic surgery over reconstructive surgery?

Those choices go with one’s personality.  I love surgery and I love medicine and everyone has their own strengths and limitations.  I decided a long time ago to be a happy surgeon and deal with happy situations.  I enjoy giving people the bodies that make them feel great about themselves and boost their confidence and self esteem.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today! Office Phone: 703.506.0300.

How to Choose a Surgery Center


Choosing a cosmetic and plastic surgery center is often a new experience for patients. Dr. Widder discusses what to look for when choosing a plastic surgery center in Northern Virginia, D.C. and beyond.

Q: What are the important factors for potential patients to look for in a plastic surgery center?

Safety is always a #1 issue.  So is the quality of the work done, of course?  Plastic surgery has become more and more available, and that means there are a lot of options out there for patients. Researching the facility and the surgeon is incredibly important before choosing a date for any procedure.

Q: Can you list the main things someone should look for when making a plastic surgery decision?

Yes, there are definitely four main things to look for if you’re thinking of having plastic surgery:

  1. Will the surgery be done by a Board Certified plastic surgeon and anesthesiologist in an accredited surgery center?
  2. Can you find positive Testimonials from satisfied patients?
  3. Are you sure your Privacy will be respected?
  4. Are the Location and the business hours suitable for your needs?

I’ve offered plastic surgery in the DC Metro region for more than 25 years, so I have a sense of what patients are seeking and what is important for them before, during, and after a procedure.

Q: What more can you share about your practice in relation to each of these points?

My surgery center, Widder Cosmetic, and Plastic Surgery Center are accredited by the American Association for Accreditation of Ambulatory Surgery Facilities and I am certified by the American Board of Plastic Surgery.  Anesthesia is only given by our board-certified anesthesiologist who has specialized in this work for over 30 years.  Our focus truly is on safety for the patient and the quality of the work.

People should realize that different surgeons use different methods and produce different results. Reviewing recent testimonials will give a potential patient a good sense of the surgeon’s work. At Widder Cosmetic and Plastic Surgery Center, we also offer a review of before and after pictures of previous clients.  Potential clients can see the results we achieved for others who had a procedure similar to what they are considering so they can make an informed decision.

Patients’ privacy is paramount in my center. We even have a private waiting room. Larger surgery centers and hospitals don’t afford their patients that level of privacy and discretion.

Finally, Widder Cosmetic and Plastic Surgery Center is right in the heart of Tyson’s Corner in Northern Virginia.  It is only 10 to 15 minutes from two major airports and is convenient to people in the Washington D.C. metropolitan area, Baltimore, and beyond. Our easy driving distance from many locations, indoor covered parking, and convenient hours make the center a good choice when looking for the right facility.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

Plastic Surgery Preparation – The Do’s and Don’t

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This interview provides an overview of the standard preparations required before and after plastic surgery.  Many patients are unaware of the basic standards of care required for a successful outcome to their surgery. Let the negative outcomes of others serve as a warning to heed your surgeon’s advice! If you find this information useful, subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are some of the Dos and Don’ts that you give people in preparation for surgery?

I give them instructions that are true for any surgery, not necessarily specific to cosmetic surgery. All patients receive a form with the type of foods and medications they’re not supposed to have before surgery.  About ten days to two weeks before surgery, they have to stop taking any Advil or aspirin for example, which are blood thinners.  The same goes for tomatoes – they have salicylic acid which is also a blood thinner.   A patient shouldn’t drink coffee or tea or any caffeinated beverage the night before surgery or right after surgery because they can increase blood pressure. There are certain herbs and over-the-counter supplements that are also prohibited because they can interfere with anesthesia. Diet pills are an example of that.

 Q: What are your general recommendations for after-surgery care?

 For buttock augmentation, my recommendations are no physical activity, no heavy lifting, and no sex for one month.  When sitting, the patient should sit leaning forward so there’s no pressure on the incision. They can lie only on their stomach or their sides. Lying on the back is not allowed because that can put pressure on the incision and disrupt the wound.  Patients can walk and sit as long as they lean forward. You can drive, but you’ve got to drive cautiously and not wind up in an emergency situation.  If you drive, drive slowly. Be sure you’re in control and aware of your position, so that you’re less likely to lean back and hurt your incision.

Q: In addition to those recommendations, should patients simply stop any activity that makes them feel tender or painful?

Well, you want to be one step ahead. You have to be thoughtful and use common sense in a way that will prevent you from even feeling pain.  If there is already pain, you may have already broken the incision.  Right after butt augmentation, you should just lie in bed on your stomach, in the following days avoid any excessive or strenuous physical activity, and lean forward in your seat.  If you do that, you’ll be fine.

Q: One of the important things after breast augmentation surgery is for the patient to do breast massage to avoid hardening of the breasts. Are there similar things that should be done to improve outcomes after other surgeries?

With buttock augmentation, I don’t usually recommend massage – only in specific situations. In other surgeries like pectoral or calf augmentation, I recommend the same as with breast augmentation.  I teach them how to massage the implant in order to loosen up the scar so you don’t get what is called capsule contracture.  Capsule contracture is the condition where the scar tightens around the implant and can deform the implant or change its position.

Q: What can go wrong when patients don’t follow instructions?

I once had a patient who had calf augmentation surgery.  He walked half a mile from the parking lot to his house.  Obviously, he bled.  He called me at 2 o’clock in the morning and I had to take him to the OR to evacuate the hematoma.  Another patient who received buttock implants ended up with complications because she had sex shortly after surgery.  Someone else who had buttock implants went to a party.  She admired so much the results that she wanted to show it off, so she danced and moved and broke the sutures.  Yet another patient hurt herself by jumping out of a truck. Even sitting in a deep couch can cause problems by straining the incision.  So I tell people that they have to follow up and heed my instructions.  The recommendation come from doing surgery for a long time and having a lot of experience.

Do most people pay attention and take care of themselves?

The majority of patients listen, but there is always an exception to the rule.  I’d say that about 5% are not attentive and don’t do what I instruct them, then they have complications.  The most common complication is wound disruption. Once it happens, it just takes time for it to heal.  It is best when the patient just allows the body to take its time and gives it the opportunity to heal.  After one month, they can do whatever they want; there are no limitations.  If they want to climb the Himalayas, they can be my guests.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

The D.C. Butt Doctor Talks About Butt Implants

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This interview is a discussion of Dr. Widder’s experience and approach and to buttock enhancement, also known as butt augmentation or even more specifically, butt implants. Dr. Widder is affectionately known as the D.C. Butt Doctor and this interview shows why! Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are the common shapes women want to achieve with butt implant surgery?

If you read about the subject, you’ll see that different doctors are trying to define the buttocks before surgery – A shape, H shape, V shape, reverse V shape – I don’t believe in all those definitions. When a patient comes to the office, I look at them and I see what’s missing or what’s in excess. It’s a very simple way of looking at things.

For example, if the butt is flat, they may want addition.  If the hips are bulging or protruding, they can be shaped.  If the area above the buttocks is too full and doesn’t give a nice definition to the butt, it can be reduced.  If the area of the thighs – the so-called “riding breeches” – are in excess, then we can reduce that.  You can also have the situation where there’s a little shortage – if the lateral thigh area is a little depressed, for example.  In that case, I don’t usually do much, but I do the best I can to give the patient a nice, attractive shape.  The goal is to give volume to the butt and a nice silhouette for the hips and lateral thighs.

So in summary, the butt can be enlarged with an implant.  An implant can also give greater definition.  I also sometimes do some liposuction and shape up the butt so it will be attractive and in harmony with our concept of aesthetics.

I’m not a strong believer in fat injection – Some people recommend it.  My experience is that fat in such large amount doesn’t survive.  In a small amount, it’s OK. I talked about this in greater detail in a previous interview about fat injection warnings.

Q: How do you decide what’s enough butt enhancement and what’s too much? 

 The ultimate decision is with the patient. I am just a vehicle, just a means to give them what they want.  I can’t impose my own aesthetic opinion on them.  We have a discussion of what size they would like to be.  I usually try to reference the size to people in Hollywood who everybody knows – Do you want to be like her or do you want to be like her?  Do you want to be something in the middle?  Bigger? – and it’s kind of a negotiation.  Eventually, the patient comes to a decision.  Now is it always correct?  No.  I have had patients who were a little shy about the size and decided a certain size and then regretted it.  Interestingly enough, I’ve never had a patient complain about the butt being too big.  If they complain, it’s about it being too small after they decided on the size.

Q: In that case, can you augment it again?

Yes.  It’s not really doing it again completely. The pocket is already made. I may need to enlarge the pocket a little bit, usually on the upper side, but sometimes also laterally.  I usually leave the bottom the way it is.  And then I put in an implant one or two sizes bigger than what they had before. The second time around they’re usually quite happy.

 Q: How often do men get butt implants and what kind of image do you think they’re generally going for?

With men, the structure of the body is a little different and the fat distribution is different.  A man will mainly want to increase the size of the buttocks and give it a muscular, athletic look. Men aren’t getting it very commonly.  Out of the hundreds of patients I’ve done, I would say maybe 3 or 4 were men.  It probably will increase with time because butt augmentation is relatively new in terms of being in the limelight.  I’ve been doing it for over 10 years, but it didn’t used to get the attention it’s getting nowadays.  Now I’m doing butt augmentation with implants almost weekly.  Before, it was once a month or even once every two months.

Cosmetic surgery on a whole is a domain of women, but more and more men are getting into it for different reasons.  Buttock implants are mainly done on gay men. I’ve never had a straight man get buttock implants.  Also, how common this surgery will be for men probably depends on which part of the country you’re in.  If you’re in Washington or New York or San Francisco, you’ll probably see more and more of that population asking for the procedure.

Q: Please talk a bit about the implants you use.  Do they come in various sizes?  Do you sculpt them to individual specifications?

Butt implant are the best and only solution, in my opinion for people who are desiring to enlarge their butt. Besides the fact that BBL – Brazilian Butt Lift, or fat injection to the butt is temporary and the fat disappears completely or almost completely, within a few months or even sooner, too many people died from that procedure, even as recent as a few weeks ago –  a 28 years old female, mother of 3, died in Miami area after undergoing BBL surgery.
   In a recent study published by the ASPS (American Society of Plastic Surgeons, it was revealed that BBL has the highest mortality rate of all cosmetic surgery. The most common cause of death is fat embolism to the lung.
     Butt implants are safe surgery and to the best of my knowledge, no one died from that surgery. Obviously, there is always a risk of complications, but that is true with any cosmetic surgery. As long as the patient follows strictly the surgeon’s instruction, the likelihood of complications is very low.
  Butt implants are permanent and do not disappear. When the procedure is done by an experienced board certified plastic surgeon who performed lots of butt implants surgery, the result is very attractive and natural looking.

Implants come in different shapes and sizes.  They come as either round or oval.  Then the oval type can be either round or what they call “bubble butt,” with a small amount of silicone at the top while most of it is concentrated at the bottom.  The one I use most commonly, and what I recommend if I am asked is oval and round. The silicone is distributed gradually and evenly on the anterior side of this implant, or the side of the implant that goes toward the fascia.  I put the implant on top of the muscle, under the fascia.  The sizes vary.  It depends on the company; the company that I use is AART.  Their sizes go from 190 all the way up to 700 cc of silicone.  The silicone itself is soft.  It’s a solid, not a gel, and very, very soft.

Today I had a patient in my office who had an implant done in Japan with silicone gel, which didn’t look good at all. The size of the butt wasn’t attractive and in my opinion, the implant probably ruptured. The silicone moved very easily upward and sideward.  It didn’t seem to have a frame. So I don’t use gel, and it is very uncommon in the U.S. to use the gel.  Most of the implants are soft silicone.

The most common sizes in my practice are 375 to 565.  On the Asian population who often have small bodies, I will use down to 290.  So for that population, I usually go from 290 up to about 430.  In the Hispanic population, most if the implants go up to 565, same as for the African American population.

Attractiveness is very personal.  Sometimes it’s what the patient is interested in, sometimes what a partner is interested in.  There are very different aesthetic views.  No one person really looks like the other, and everyone has their own ideas about how much they want to increase, so I have to be very attentive. I have to be very careful not to do anything that will either cause friction in a relationship or make the patient unhappy.  So, I talk very extensively about the issue of the size.

In my office, I have a large collection of implants.  Someone might even change their mind on the day of surgery, which is ok with me.  They might come in and say, “You know, I thought about it,”  “I dreamt about it,” or “I discussed it with my friends or my partner,” and they’ve decided on a different size.  That’s OK.  Another thing that determines the size is the dimensions of the patient.  The implants have length, width, and thickness.  The most important are the width and the length.  If the patient wants a large size and I try it and it looks like it’s too long, I can shape it – carve it.  That’s very rare.  I take the measurements of the patient to make sure the size will fit in, so most of the time I don’t have to carve it. It will usually be just what we selected before surgery.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

How Does the Plastic Surgery Conversation Begin and What is the Initial Consultation Like?

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The following interview features Dr. Widder’s experience and insights directly with men and women who are considering plastic surgery for the first time or are looking to explore a higher level of care and quality results. Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are the main questions you and a patient go through together to plan a course of action for surgery? How does the conversation start?

Well, when a patient comes to my office, I ask them “How did you hear about me? Did you visit the website?” Then I ask them “What brought you to the office today?” and “What can I do to help?” After that, they usually feel comfortable speaking about whatever is on their mind and any problem they have. Initially I just listen to what they say. Next, I ask to see the condition. If it’s a face, naturally, I see it immediately and I ask them what they would like to change. I show them manually how things would change with the procedure they are asking about. After that, I take them to the computer and we look at before and after pictures.

If it is a body issue, I ask them to show me the area of concern and we discuss whatever is bothering them – whatever can be improved. I show them what can be done, be it a breast or a tummy, the buttocks, the calf, or what have you. Suppose someone comes in interested in breast reduction. If it’s a man, this would be the pecs. When men talk about the chest, they usually have gynecomastia, or fat deposits on the chest. In this case, we consider a gynecomastectomy, which means I remove fat and breast tissue. With women, it will be a breast reduction – removing from the breast tissue and contouring the breast through tightening the skin envelope, creating a kind of biological bra.

So it’s up to the patient. It depends on the different issues that come up. I am quite thorough about the different options. I give them a few options – whatever they feel is most appropriate. Sometimes one option is more expensive than another and we’ll go for the other option, as long as it’s appropriate.

Q: Say someone did come in and wanted a breast reduction. What are the options?

Breast reduction is for a very large breast. Anything over a full C or D cup is a candidate for breast reduction if it’s bothering them – if they have the symptoms like shoulder pain, neck pain, limitation in exercise, in running, or if they have any intertrigo –irritation under the breast. So if they have those symptoms, I would offer them the procedure that I do. I will tell them that there are different techniques, but I’ve done the one that works for me for 25 years. I’ll show them the before and after pictures of the technique that I use. They are free to use somebody else if they prefer a different technique.

My technique is called The Keyhole. The Keyhole Technique is where you make an incision around the nipple, then vertically down the lower part of the breast, and then a horizontal incision in the crease under the breast. The other technique where the incision is only vertical results in a lot of redundancy, or loose skin. It takes a long time for the redundancy in the crease area to dissipate. Another method uses an incision just around the aereola and in the crease, but then again, I don’t like the results because they’re missing one dimension. They end up with a round breast instead of an oval, which I think is a nice breast.

There can be a lot of extra, loose skin because you either take the skin through the method I use, The Keyhole, or you leave it at the crease. With time it stretches, but it takes months and months to occur. I don’t think my patients will accept months of loose skin under the breast. If you use my technique, the breast is pretty almost from the start. Now, you have a scar, but if you are meticulous in your repair, the scar heals very, very nicely. Occasionally you have a challenge like a keloid scar, and if that is the case, I treat it with steroids. I inject with cortisone and that reduces the amount of scar formation.

When I was in training, they taught me to do the tummy tuck. They would make a very short scar, but end up with big “dog ears” – a bulge on both sides – after the tummy tuck. The reason they’d say that was the right way to do it was that the patient hates scars. What I learned through my experience is that patients don’t really care about scars as long as the procedure gives them a nice shape – as long as you hide the scar in a place where it doesn’t bother them that much. They hate the “dog ears” or bulges more, or in the case of the breasts, the laxity that causes rippled skin that ends up in the crease area. For me, the scar is a nonissue. Now, if the surgeon is not competent enough to make a nice scar, that’s a concern. My scars are very nice. It’s not that patients love my scars, but they prefer the nice results with the scar than the other way around.

Q: I imagine people ask you about safety issues. What are the things you tell people as they are considering a procedure?

If a patient comes to me referred by another patient of mine, then the issue is moot. They trust me, they know that I’m safe and reasonable and caring. They just talk about the procedure. In that case, they are interested in two things – the cost and the date. But if I have a new patient that came to me through the Internet or other printed media, they are interested in asking about safety. First of all, I tell them I am a board certified plastic surgeon. My office is accredited by the “AAAASF,” or the American Association of Accreditation of Ambulatory Surgery Facilities, which has very strict guidelines about safety. I have a board certified anesthesiologist who’s been in practice for over 30 years. So safety is really my utmost concern, and obviously I combine that with results. On my website there is a logo that says “Quality is our Niche.” Really, “Safety and Quality” is our niche.

Now I do tell them that no surgery is 100% free of any complication. They get written material about the procedure and any possible complications that can happen. Even in the best of circumstances, you can have complications for different reasons, especially if the patient is not compliant with my instructions. So all those issues are discussed in detail and they all promise that they’ll do their best. Most of them do.

Q: How long does your initial consultation take?

I have consultations that take 10-15 minutes. They know what to expect because they saw my work. Their friends had the surgery. I have many patients who do breast augmentation. It is very common in the Asian community. They see their friends and family members, and come in and say “Ok, let’s do it. Let’s do it tomorrow. Let’s do it next week.” Other patients are more detailed. It may take me half an hour, 45 minutes, or even an hour. With some patients, it will take me one meeting, with others two, three, or even four. It depends on the people, their level of anxiety, and their level of comfort with me. Some have never met me and really want to hear from me, but with the majority of patients, it is a really quick process. 10, 15, 20 minutes, and we go ahead with scheduling.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

Taking Your Butt to the Heights of Perfection

height of butt perfection

Size and shape are the key attributes in buttock beauty. When it comes to producing ideal curves and roundness, perfecting the visual proportions of your body, you won’t want to rely on hindsight: get it right the first time with Dr. Shlomo Widder.

More and more, people are becoming aware of the impact the buttocks have on the overall figure. Such celebrities as Lady Gaga and Nicki Minaj dominate the red carpet, their clothes hanging perfectly from their ideal curvature. Some are graced with such shapes from their genes on up, but the odds are against us: this is where Dr. Widder’s work becomes so valuable.

“My main objective is to make sure that each patient walks away more than satisfied,” says Dr. Widder from his Vienna, VA practice. At Widder Cosmetic & Plastic Surgery Center, the priorities are simple – safety first, results second. That being said, the only acceptable result is a beautiful behind!

Many women have found that there are a variety of ways in which they can accentuate their buttocks by choosing the right clothing. For greatest effect, and the sexiest butt, specialized underwear such as butt enhancing panties and the booty pad can be put to use. Pants also have a role to play. Low waistlines and form-fitting jeans can help emphasize the right shape and fullness; lighter shades of denim are always to be preferred. Even the added touch of large back pockets is useful in achieving the desired effect. Velvet, corduroy, suede and faux leather are good alternatives, too, while pinstripes tend to diminish the perceived size of the buttocks.

The measures listed above are not always enough, however. While some might be tempted to turn to such trendy techniques as the Brazilian lift or fat injections, Dr. Widder strongly cautions against anything other than the tried and true use of buttock implants. Implants are known to provide a more predictably consistent shape and longer-lasting results than competing procedures.

“Undergoing cosmetic surgery is an extremely personal decision. No two procedures are exactly the same,” says the good doctor. “It is important to tailor each procedure to the client’s needs and offer lasting results.”

Dr. Shlomo Widder is relentless in his pursuit of the perfect posterior, and feels it is his privilege to help others find it for themselves. The “Butt Doctor” of D.C. is the only plastic surgeon in the Northern Virginia area offering buttock augmentation through the use of implants, and is extremely proud of the service he offers. From consultation to recovery, all the resources necessary are available onsite, providing peace of mind and inspiring confidence in every prospective client.

Besides buttock augmentation, Widder Cosmetic & Plastic Surgery Center offers an array of services, from face lifts and implants to liposuction and breast augmentation. Dr. Widder is also noted for his calf implants. With more than 25 years of industry experience, you can be certain that you’re in the right hands, whatever your needs. Contact us for more details.

Popular Plastic Surgery Procedures and a Fat Injection Warning

The Widder Cosmetic & Plastic Surgery Team is pleased to present the first in a series of personal interviews with Dr. Widder himself. Our goal is to share the deep knowledge and personal insights of one of the East Coast’s leading plastic surgeons. These interviews are unscripted and only lightly edited in order to share Dr. Widder’s ideas in his own voice and style.

These interviews feature Dr. Widder’s experience and insights directly with men and women who are considering plastic surgery for the first time or are looking to explore a higher level of care and quality results. Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are some of the most popular cosmetic surgery procedures done today?

Well, I can give you the generic procedures – the most common in the U.S. It is a little different with my practice nowadays because I developed this niche surgery which is the buttock augmentation as a specialty which is becoming more and more of my practice.  The most common procedures in America nowadays are liposuction, breast augmentation, and tummy tuck – abdominoplasty.   In my practice, because of my emphasis on buttock augmentation, butt implants, I’m doing more and more. Tomorrow, I’m doing one or two. I’m also doing a tummy tuck tomorrow, which is a long case. I limit my surgery to eight hours.

As I said, liposuction and breast augmentation are the most common.  Then you have the whole gamut of other procedures like tummy tuck, rhinoplasty, and eyelid surgery – very, very common.

Q: Who comes to you for these procedures?

All ages, all economic positions or income levels, all races – I have Vietnamese, I have Korean, I have Chinese, I have American, obviously, I have Hispanics – a lot of people from South America, I have African Americans, so it’s kind of a mix.

Q: What got you interested in the butt augmentation operation?

Well you know, buttock augmentation, like breast augmentation is a sex symbol. The butt and the breasts are the most sexual symbols that we have. So breast augmentation is very common. Now butt augmentation is coming into vogue because of women like Kim Kardashian and Jennifer Lopez. I noticed that trend ten years ago. But it wasn’t as popular as nowadays.

What became popular first wasn’t the butt implant, but the fat injection – the Brazilian butt lift. The problem with it is it doesn’t last. It lasts for maybe six months or about year, and it disappears.  I mean, think about it – it’s illogical.  If you put in such a large amount of fat without circulation, without blood supply, how can it survive? So life proves it. It disappears after about six to twelve months.  Tomorrow I’m doing one where she had the fat injection and it disappeared, and now she’s coming to do the implants. Last week I did one who had the same situation. In the last year, I had eleven or twelve patients who came in for butt implants who’d had fat injections.  So obviously if they came to see me, it didn’t work.  I don’t believe in the fat injection in that quantity. There is a place for fat injection, but not in the butt. You can have fat injections to the face in small amounts.  It can survive.  But, not with 500 or 600cc of fat.  There’s no way in the world. When I did the operations, I could see it was almost completely gone.  There were just a few pockets of fat that survived.

So to answer the question, I understood that in society there is a need for such a procedure and not too many surgeons did it.  One of the reasons it wasn’t a very common procedure is that the technique wasn’t a good one.  In the old days when I started doing butt implants, I used to put them under the muscle. When you put them under the muscle, you can’t go all the way down.  You had to put them only on the upper part of the buttock because if you go under the lower muscle, you have the sciatic nerve.  It could cause severe damage to the patient.  So the implant was very small, it was just on the upper buttock, so it gave you a kind of bubble butt, you know? And it was very painful because it was under the muscle. Then one day about five or six years ago, I went to the international conference of the American Society for Aesthetic Plastic Surgery (ASAPS).  Here comes Doctor Jose Abel Peña from Mexico City and he showed the nicest butt that I’ve seen.  So I went to see him – I went to visit him for about a week and learned his technique.  After that, it’s all history.  That’s why it is becoming more common because the results are better.

Q: Do you think more people will find out about the fat injections not working and go with butt implants?

That is my hope, because fat injection is impractical.  In my experience it is not going to survive.  They are claiming that 50-70% of the fat remains. I don’t know if it’s true for every case, but I’ve seen twelve patients in the last year alone where it almost completely disappeared.  One of the patients paid $26,000 to do it.  Then she came to me and had the butt implants.  She’s very happy now.


To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at:

*Individual results are not guaranteed and may vary from person to person. Images may contain models.