Prominent Beverly Hills Plastic Surgeon, Dr. John Anastasatos, Now Providing Facelifts Under Local Anesthesia for Patients

Over the past 21 years, Dr. Anastasatos has earned global recognition for his beautiful surgical results and he treats patients from all over the world. He is one of the few plastic surgeons that possess both the skill and technique to perform facelift and necklift procedures with local anesthesia, avoiding the many downsides of using traditional general anesthesia or IV sedation.

Many patients considering facelifts or necklifts fear the use of general anesthesia or IV sedation which is a major deterrent to getting procedures done. Performing a facelift under local anesthesia is a much safer option for the patient, and when completed by a renowned expert, such as Dr. John Anastasatos, does not compromise the result. Dr. Anastasatos had the privilege of receiving advanced training in facelift and necklift surgery using local anesthesia under Dr. Luis Vasconez, a pioneer in this procedure. Not all plastic surgeons are capable or comfortable with doing facelifts or necklifts under local anesthesia like Dr. Anastasatos. It requires extra skill, extra training, and the extra patience that he possesses.

Performing lifts of the face and neck area with local anesthesia expands the spectrum of patients who can get these procedures done, and overall, it is much safer for them. My patients have been thrilled with the exceptional results that I have been able to achieve.

Dr. John Anastasatos.

Utilizing cutting-edge techniques and injection methods during the surgery, Dr. Anastasatos’ patients only feel an initial “mosquito bite” with limited or no pain for the remaining injections. The blood pressure and the heart rate of patients remain stable throughout the whole operation. From a surgical standpoint, the risk of a post-operative hematoma and blood clots significantly diminishes when performing facelift and necklift procedures under local anesthesia. The recovery process begins immediately, and tiredness associated with general anesthesia is also avoided. The cost of performing a facelift and/or necklift under local anesthesia is comparable to one done with general anesthesia or IV sedation, however, it does require additional time in the operating room.

More about Dr. John Anastasatos:

At Los Angeles Plastic Surgery, Dr. John Anastasatos is highly regarded for his skill in cosmetic, reconstructive, and revision procedures, including gold-standard facelifts, breast augmentations, body lift procedures, liposuction, and non-surgical treatments.

I understand that the consideration of a plastic surgery procedure can be a fearful thought. It is hard to trust someone with your body, appearance, image, likeness, and vision of yourself. Therefore, I shall be patient with you until you feel comfortable to proceed, and I will make the process hassle-free.

Dr. John Anastasatos

Raised in the United States but with family roots in Athens, Greece, Dr. Anastasatos attended Brown University and was accepted to their medical school. He then completed general surgical training at Columbia-Presbyterian Hospital, an affiliate of Columbia University. After finishing his cosmetic and reconstructive residency at the University of Alabama, Birmingham, he completed a fellowship in hand surgery, upper extremity, and microsurgery.

During this time, Dr. Anastasatos served as an attending surgeon at UAB Hospital, The Children’s Hospital, and VA Hospital. He established his own practice in Southern California in 2007 and opened a second location in Athens, Greece. Dr. John Anastasatos has earned the recognition of Castle Connolly Top Doctor and America’s Most Honored Doctors – Top 5% 2022. To schedule a consultation with Dr. John Anastasatos or for more information on his practice locations in Beverly Hills, CA, or Athens, Greece, please call (310) 888-4048, or visit his website Los Angeles Plastic Surgery.

To Commemorate the 60th Anniversary of the First Breast Augmentation, Plastic Surgeon Dr. John Anastasatos Shares his Top Ten Myths Regarding the Procedure

Sixty years have passed since the first breast augmentation was performed with silicone gel implants, and yet the public and media still maintain incorrect information and misconceptions about this iconic cosmetic operation. Dr. John Anastasatos, board-certified Beverly Hills and Athens plastic surgeon, reveals the top ten myths regarding breast augmentation that he encounters.

1) Breast implants must be changed every ten years.
There is no medical necessity for breast implants to be replaced every ten years. Breast implants should be replaced when there is a problem or the patient desires a change. The most common problem is implant rupture. At my practice, Los Angeles Plastic Surgery in California, most patients change their implants to go bigger or switch from saline to silicone implants or vice versa. My patients from Athens and Europe prefer to make changes when they have problems.

2) Saline breast implants are safer than silicone ones.
Both saline breast implants and silicone ones are considered safe. Silicone breast implants are often preferred by plastic surgeons and patients because they are softer and more natural. Saline implants allow for more accurate breast volume asymmetry corrections.

3) Under the muscle is better than over the muscle.
Not always. The practice of placing breast implants under the pectoralis major muscle depends on breast anatomy and type of breast implants selected. Some patients get better results with the breast implants under the pectoralis major muscle while others over the muscle.

4) Textured breast implants can prevent capsular contracture (scar tissue) formation.
Not true. This has been a popular notion in Europe. The term “textured implants” means that the breast implant surface is rough (not smooth). The rough surface causes mild inflammation and helps the implant to adhere to the tissues. This was thought to decrease the incidence of capsular contracture but was never proven to be true. People who have textured breast implants still get capsular contractures.

5) Breast implants cause cancer.
The information we have up to date does not support such a claim. There has been recent evidence that a rare type of lymphoma was found on the capsule surrounding breast implants in some women with prior breast augmentation. This does not necessarily mean that in those people the lymphoma was caused by the presence of the breast implants. More investigation is currently being undertaken. Apart from this recent report, there has never been any association between silicone gel or saline-filled breast implants with any cancer in the body. There is no cause-and-effect relationship between breast implants and cancer.

6) You cannot breastfeed after you have had a breast augmentation.
False. When a breast augmentation is done via an incision through the inframammary fold, armpit or belly button there is usually no problem with breastfeeding.

7) I will lose breast or nipple sensation if I get a breast augmentation.
Rarely. If the breast augmentation is done via an incision in the breast fold, then, on the contrary, a women’s nipple sensitivity may be heightened. The reason why some women lose nipple sensation is if the plastic surgeon over dissects the outer breast pocket or tries to fit too large of an implant.    

8) You need breast implants for a breast lift.
False. Breast implants are not a treatment for breast sagginess. Only a breast lift (mastopexy) corrects sagginess. Most patients incorrectly believe breast implants are required to achieve an effective breast lift.

9) Darker-skinned people are prone to darker, thicker and more visible scars.
False. Black, Latin, Indian and Southern European patients often believe this to be true. It is not. The color of the skin does not affect the wound healing process and eventual look of an incision.

10) Natural breast augmentation with fat is better and safer.
Rarely. Taking a person’s own fat with liposuction and adding it to the breasts may create future problems because some of the fat transferred will perish within a year. Lumps, bumps and contour irregularities may form. Breast lumps from fat can cause unnecessary scares and stress, as an anxiety-provoking breast mass will need to be examined. Furthermore, fat does not have the consistency to offer durable breast projection which is one of the most attractive attributes of breast augmentation with implants.

“Breast augmentation is the second most popular cosmetic surgical procedure in the world, following liposuction, and providing real facts to a wide audience regarding some of the most commonly believed falsehoods is vital,” says Dr. Anastasatos.

For more information, come into the beautiful world of Los Angeles Plastic Surgery.

Acupuncture and Surgery: Relieve Anxiety Before and Reduce Discomfort After

Acupuncture is part of an ancient system of Chinese medicine that has been used for more than 2,500 years to treat disease and relieve pain by restoring balance to the flow of energy (‘qi’) through the body. Acupuncture theory believes that this qi moves throughout the body along twelve main channels (‘meridians’) that represent the major organs and functions of the body and that applying thin needles to specific points achieves pain relief and other beneficial effects.

Acupuncture is one of the better known types of alternative medicine. Its acceptance has grown as physicians have come to see that it can be effective, and it is sometimes incorporated into conventional healthcare. In particular, acupuncture has shown promise when used in ‘perioperative care’, in findings that its use before and after surgery can improve the clinical outcome and speed recovery.

Dr, Constance M. Chen, plastic surgeon and breast specialist

Surgery affects the body in many different ways, depending on the type and location of the surgery, the aftereffects of anesthesia, and the patient’s overall health. Beyond these variations, however, all surgery is trauma to the body – the entire body – and generates a stress response beyond the immediate surgical site.

This stress response causes hormonal and metabolic changes that can weaken the immune system, disrupt the gastrointestinal tract and leave the body more vulnerable to infection. In some studies, perioperative acupuncture has been found to reduce stress and anxiety before surgery, reduce the need for opioids during surgery, and decrease both pain and post-operative nausea and vomiting after surgery.

Acupuncture can effectively reprogram the body to switch from the ‘fight-or-flight’ stress response to rest and relaxation. The precise mechanism that causes this effect isn’t known but it may be due to acupuncture increasing the body’s production of endorphins, the natural hormones that counteract inflammation, pain and stress.

Dr, Constance M. Chen

The primary goal of preoperative acupuncture is to reduce the anxiety and stress that can make surgery riskier and anesthesia management more difficult. Anxiety before surgery can also lead to sustained postoperative anxiety as well as increased sensitivity to postoperative pain and longer recovery time. In multiple studies, acupuncture applied thirty minutes before administering anesthesia induced a relaxation response. There are indications that it can also act therapeutically to stabilize blood pressure and blood sugar.

During surgery, acupuncture in combination with conventional anesthesia can reduce the dose of opioids needed and provide a more comfortable post-operative experience than anesthesia alone. After surgery, acute pain can delay wound healing, prolong recovery, and increase the risk of postoperative infection. Acupuncture can help alleviate pain and reduce the amount of medication needed to control it. Post-operative acupuncture may also promote the recovery of the immune system, bladder function, and the gastrointestinal tract.

The most common and most thoroughly studied use of acupuncture in surgical practice is to control postoperative nausea and vomiting. About one-third of patients undergoing surgery with general anesthesia suffer postoperative nausea and vomiting in the 24-48 hours following surgery. Nausea and vomiting are triggered in the brain, which receives signals via neurotransmitters – chemical messengers that transmit stimuli from various parts of the body to the brain. After surgery those stimuli might include pain, fear, and anxiety, or reactions to anesthetics and drugs such as opioids that are used to control pain.

“Some patients find postoperative nausea and vomiting more unpleasant and distressing than post-operative pain and it can impede recovery from anesthesia and surgery as well”, says Dr. Chen. “Medications to control nausea and vomiting are of limited efficacy and may have adverse side effects, making acupuncture an appealing and effective alternative”.

The use of acupuncture has become increasingly common pre- and post-surgery. The World Health Organization includes the prevention and treatment of postoperative nausea and vomiting and the treatment of pain as conditions that may benefit from treatment with acupuncture.

Dr. Chen concludes, “Our goal is to make every patient’s surgery and recovery as comfortable as possible. Some patients find that acupuncture plays a part in achieving that goal”.

About Dr. Constance M. Chen

Constance M. Chen, MD, is a board-certified plastic surgeon in New York City with special expertise in the use of innovative natural techniques to optimize medical and cosmetic outcomes for women undergoing breast reconstruction. She is Clinical Assistant Professor of Surgery (Plastic Surgery) at Weill Cornell Medical College and Clinical Assistant Professor of Surgery (Plastic Surgery) at Tulane University School of Medicine.

Dr. Chen is frequently invited to lecture nationally and internationally on new advancements in breast reconstruction and the surgical treatment of lymphedema. She is the author of three books, five book chapters, and fifty journal articles. She has also won numerous awards for her work in plastic and reconstructive surgery at the local, regional, and national levels.

Dr. Chen has developed a reputation in the community for the personalized attention that she devotes to her patients. She is committed to aesthetic restoration of the breast and body, and enjoys helping her patients achieve overall well-being. At the end of the day, there is nothing more important to her than the joy she hopes to bring to her patients’ lives. Come into the beautiful world of Dr. Constance M. Chen.

Breakthrough Rhinoplasty: Nose Jobs Via Ultrasound




Rhinoplasty is the fifth most common cosmetic surgical procedure for women and the second most popular for men, yet nose tweaking remains one of the trickiest operations to get right. But a new ultrasound technique could be about to change all that.

French plastic surgeon Dr. Olivier Gerbault has developed ‘ultrasonic rhinosculpting’, a concept that promises a less invasive procedure with more precise and natural-looking results. The approach involves shaping the nasal bones using ultrasonic instruments, as opposed to traditional techniques that involve breaking the nose’s original structure, avoiding potential complications such as unforeseen secondary fractures, irregularities or dents. The method is being marketed as a ‘bespoke remodeling’, and will be one of the focus points of the IMRHIS Rhinoplasty World Congress launching in Versailles, reuniting key industry specialists from around the world.

Instead of breaking the bones ‘blind’, as we have been doing until now, ultrasonic rhinosculpture allows us to sculpt via direct visual control.

Dr. Gerbault

Dr. Gerbault, who was inspired by the medical instruments used in trauma or dentistry when developing a series of specialist tools for the procedure. These tools are driven by a ‘piezoelectric’ ultrasonic motor and conduct rapid and accurate micro-movements allowing surgeons to polish, cut and smooth bones and cartilage without breaking them or damaging the tissue and mucous membranes and surrounding blood vessels.

In addition to more aesthetically pleasing results, he claims the operation requires a shorter recovery time – of just one week – and leads to less severe bruising than traditional rhinoplasty. According to Dr. Gerbault, ultrasonic rhinosculpture is ideal for correcting asymmetries, bumps and other irregularities, and could be particularly useful when operating on patients of 40 years and older, whose bones are often more fragile and brittle, in addition to patients wary of manipulating the inner structure of the nose for professional reasons, such as musicians.

Over 450 patients have tested ultrasonic rhinosculpture until now, with the procedure costing anything between €4,000 and €8,000. With 849,4451 nose surgeries performed annually around the world, there is a long way to go before it becomes the go-to rhinoplasty of choice, but the promise of accurate results and a less traumatic post-op phase means it is causing a stir in the industry. After all, surely no one would turn their nose up at that?