• Our Testimonials

    Learn more about Dr. Bermudez and the services offered at our practice by reading through testimonials written by current and former patients.

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  • Meet The Doctor

    Kenneth Bermudez, MD, is a board-certified plastic surgeon with more than 20 years of experience. He is committed to helping his San Francisco cosmetic and reconstructive surgery patients achieve — and often exceed — their cosmetic goals.

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  • Awards & Recognition

    Dr. Bermudez has been honored numerous times for his surgical excellence. Most recently, he was selected as one of the Best Plastic Surgeons by Marin Magazine for 2018, 2015, 2014, 2013, 2012 in a peer to peer survey asking doctors in San Francisco and Marin counties to vote for the doctors they would go to or recommend to friends and family.

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  • Photo Gallery

    To get a clearer idea of the high-quality work Dr. Bermudez performs, please browse through our before-and-after plastic surgery photo gallery.

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SkinPen MicroNeedling Collagen Induction Therapy

SkinPen MicroNeedling, or Collagen Induction Therapy, is a customizable treatment that stimulates the production of new collagen and elastin. This creates smoother, brighter more youthful skin.

The SkinPen is equipped with a sterile, disposable tip, with 12 tiny oscillation needles that can be adjusted to your skin type and condition. The treatment tip is gently glided over the surface of your skin, creating micro-channels in the skin that trigger a healing response resulting in the production of new collagen and increased circulation. An added benefit of this treatment is the enhanced absorption of your anti-aging skin care products for greater efficacy.

The SkinPen’s ability to deliver a customized treatment produces results you can see after just one treatment. It is ideal for treating a variety of skin concerns:

  • Fine lines and moderate wrinkles
  • Acne scarring
  • Coarse, uneven skin texture
  • Sun damaged, or hyper pigmented skin

FAQ’s SkinPen Collagen Induction Therapy

How many treatments are needed?

That will depend on you, your expectations and the condition of your skin. Generally we recommend a series of four treatments, one month apart. However, even one treatment will make a difference in your skins appearance.

Is Collagen Induction Therapy painful?

There is some discomfort involved, and it can sting a bit. We use a potent topical numbing agent to reduce sensitivity, so for the majority of patients it is entirely tolerable.

What will I look like after?

You will have some redness and mild swelling after your treatment that could last for 1-2 days.You are able to apply make up soon after the treatment and most patients feel like they are able to cover any evidence of treatment.

How can I schedule?

Contact our office to schedule your consultation. We can discuss the treatment, cost and help you schedule a treatment plan that will work for you.

FAQ’s Botox® and Dermal Filler

What is the difference between BOTOX® and Dermal Fillers?

BOTOX® (Allergan Aesthetics) is a wrinkle reducer that is injected into a specific muscle group to stop the muscle from activity. By stopping or reducing your muscle activity you will reduce and prevent your “expression lines” such as crows feet, frown, forehead lines and marionette lines.

BOTOX® is a popular treatment option for many patients due to the ease of treatments, favorable results and low cost.

Dermal Fillers are injected under the skin (either above or below the muscle) to bolster an area where volume has been lost leading to skin laxity, lines or wrinkles.

Some clients may achieve the results they desire with BOTOX®, while some will need filler. Some clients will benefit from both BOTOX® and Dermal filler. It’s always best to consult with a well trained and experienced injector before you make any decisions.

What are the advantages of using injectable fillers?

At Bermudez Aesthetic Medicine, we use injectables that are natural and carry a low risk of reaction. Restylane® and Juvederm® products help replace fullness and soften facial lines and scars with immediate results that can take years off your appearance for a refreshed and beautiful you!

Restylane® Lyft and Juvederm® Voluma XC are thicker fillers that can provide a bit of lift and structure, while restoring volume. These are ideal for using in the upper face to restore natural contours that provide a youthful appearance.

What can I expect from my injectable treatment?

Depending on where and what type of filler you will notice a softening in the lines and wrinkles treated. Scars will become less noticeable. You can see a lift in the upper face that will give a more youthful shape.

Your results will last from six to twenty-four months, depending on the area injected and the type of dermal filler used. Be sure schedule your re-treatment in advance to ensure optimal appearance is maintained.

Can Botox® and Dermal Fillers be used together?

Yes. Botox® and Dermal Fillers are frequently used together and the results can be stunning.

Is there downtime?

There is always a chance that you could bruise from an injectable. It is recommended that you avoid aspirin products and alcohol for couple days before treatment. Arnica Montana can be taken sublingually prior to your treatment, and continued for a day or two after to reduce swelling and bruising.

Will I look natural?

Different patients favor different looks. At Bermudez Aesthetic Medicine we believe “your body, your plan” and we will work to give you the look you are trying to achieve. If you are leaning toward a subtle, natural result we can use a modest amount of Botox® and Dermal Filler to start, we an always add more.

If you are seeking a more dramatic augmentation then we can treat with a combination of injectables that will give you the “show stopping” appearance you’ve dreamed of.

How do I schedule?

Contact Bermudez Aesthetic Medicine and schedule a consultation. We will discuss your treatment goals and assist you in setting a treatment plan that will give you the results you are looking for.

FAQ’s Sciton BBL Skin Rejuvenation Treatment

What is Sciton BBL?

Sciton BBL (broad band light) skin rejuvenation treatment is used to reduce fine lines, wrinkles, age & sun spots, small facial veins and several other skin blemishes. It is also a popular solution for the treatment and management of acne and superficial acne scarring.

How does Sciton BBL work?

BBL uses photo-thermal energy at different wavelengths to target pigment, vascularity, and stimulate collagen. This reduces the appearance of brown spots, sun damage, redness, fine lines and wrinkles.

Sciton BBL can be used on the face, neck, hands or almost any other part of the body — and results can be seen often after just one treatment.

Is there downtime with Sciton BBL?

There may be light swelling, and any brown pigment will get darker with a temporary “coffee ground” appearance. If you have any larger telangectasias they may become darker and more noticeable for a few short days. This can be easily covered with a tinted sunscreen or foundation.

How many treatments will I need to see the results I am looking for?

Even with one treatment you will see improvement in the clarity, tone and smoothness of your skin. Most patients have a series of 1-4 treatments 3-4 weeks apart.

Does Sciton BBL hurt? Will it hurt after the treatment?

Sciton BBL treatments are easy to tolerate. Each pulse of light feels warm and there may be a mild stinging sensation. We can alleviate this with an application of topical numbing cream and by using cold ultrasonic gel with the treatment.

There is no residual discomfort with this skin rejuvenation treatment, although occasionally a patient may feel a warm or tingling sensation after.

Is there anything I need to know before I have my Sciton BBL treatment?

Sciton BBL is a safe treatment that has been in the aesthetic marketplace for well over a decade. However, with any laser or light treatment you would want to discuss risks, benefits and your treatment expectations with your provider before the procedure.

You will also want to disclose any medications you are taking that cause photosensitivity. If you are tan, and /or if you have been actively tanning that should be addressed as well.

How do I schedule?

Contact Bermudez Aesthetic Medicine at (415) 668-2122 to schedule a consultation for Sciton BBL skin rejuvenation treatment.

Beginners Guide to Botox® and Dysport®

Botox® may just be my best friend. Because of Botox® I will never have a borrowed brow like my father. You could stick a quarter in the crease between his brows, and it would stay. I never actually tried that… But I am SURE it would.

Because of Dysport® I don’t have “crow’s feet” that are the size of an actual crow’s foot.

Because of Botox® I don’t suffer with my grandmother’s perpetual frown. My sweet, kind, grandmother gave the best hugs, but that frown made her look scary!

Yes, Botox® and Dysport® are my best friends

I know Botox® or Dysport® can seem a little intimidating if you have never tried either of them. I must have made and cancelled my first appointment five times before I finally made it into the doctors chair. Once I committed I was so happy with the results, I never looked back.

Here are a few things about Botox® and Dysport® that all beginners should know.

  • Botox® has been used in medical applications for over 30 years. It is not just for getting rid of frowns, lines and wrinkles. It is used in pediatric cerebral palsy patients to help control muscle spasms. It is also used in urology to control bladder spasms. I could go on-and-on telling you all the different ways Botox® helps people. It’s so much more than a wrinkle reducer.
  • Botox® is a purified protein derived from the bacterium Clostridium botulinum. The medical form is safe and tightly regulated. It has been studied for years all over the world.
  • Dysport® is abobotulinumtoxinA and was used all around the world before being introduced in the United States. It has a long, impressive safety profile.
  • Botox® and / or Dysport® can be used to give you a more slender face. Injecting into your Masseter muscles is a very popular procedure. Not only will it give a more contoured appearance, but it can help stop teeth grinding and jaw clenching.
  • Both Botox® and Dysport® can help reduce tension headaches!
  • Botox® and Dysport® have very high satisfaction ratings. RealSelf, an online community dedicated to consumer research of cosmetic procedures, reports that Botox® has a 95% satisfaction rating, while Dysport® is a close second with 94%.
  • If you do it and don’t love it, don’t worry. Botox® and Dysport both reached their peak of effectiveness at about a month, then gradually starts to wear off.
  • No, your face will not look frozen, unless that is what you are looking for! If you are concerned about this, talk to your injector before the treatment and they will treat accordingly.
  • Botox® and Dysport® are very quick and easy. Your injector will use a pediatric sized needle to deliver a series of small injections into the treatment area. Holding an ice pack before and after will alleviate any discomfort and help to prevent post treatment bruising. You will start to see the effects in 3-7 days.
  • There is no post care, with the exception of staying upright for about 3 hours post procedure.

If you’d like to try Botox® or Dysport®, but want to consult with an expert first, contact Bermudez Aesthetics to schedule your consultation.

Obalon Weight Loss Balloon FAQ’s

What is it?

Obalon Weight Loss Balloons are an FDA approved system that helps facilitate weight loss by filling space in your stomach. It is used in conjunction with healthy lifestyle changes to achieve long term weight loss and management.

How does it work?

The Obalon Balloon System is the FIRST and ONLY swallowable, FDA-approved balloon system for weight loss. This non-surgical procedure consists of 3 lightweight balloons, placed gradually over 3 months to occupy space in your stomach. You eat less, making weight loss easier.

Placement of the Obalon Balloon System typically takes less than 10 minutes per balloon and does not require sedation. You swallow a capsule containing a small balloon that is then inflated by your clinician. Once inflated each balloon is about the size of a small orange.

After a six month period the balloons are removed in a brief, approximately 15 minute, outpatient endoscopic procedure.

Is it uncomfortable?

Patient comfort and safety are very important to Dr. Bermudez. It is normal to feel some nausea and cramping after balloon placement. With an anti-emetic and anti-spasmatic medication before and after each placement these side effects are tolerable.

It is important to mention that tolerability with Obalon is the highest of any balloon. The Obalon approach is a progressive, titratable one that allows the physician to customize the treatment for the patient. This is key in helping to help minimize discomfort.

How do I know if I am a candidate?

If you have struggled with losing weight, and keeping it off, with diet and exercise alone then Obalon my be just the solution for you.

There are some patients that Obalon is not recommended for. If you have difficulty swallowing, take aspirin or other blood-thinning medications or if you have had previous bariatric surgery you may not be a good candidate. There are other health-related issues that may prevent you from having this weight loss balloon procedure. Dr. Bermudez and his professional staff will provide you with an informative consultation to help you decide if Obalon Weight Loss Balloon System is right for you.

Does my insurance pay for it?

No, unfortunately insurance does not cover the Obalon system at this time. It is an affordable procedure and the practice offers financing options. In some cases patients report that money saved on groceries and eating out has completely offset the cost of Obalon.

Will I still need to diet and exercise?

Yes, Obalon should only be used along with healthy diet and exercise plan. Obalon is not a stand alone solution. It is there to support you while you adopt the lifestyle changes necessary to achieve long term weight loss success.

You should expect the Obalon System to be accompanied by a professionally supervised diet and exercise program. The Obalon Balloon System is a 6-month treatment.

PRP Hair Restoration FAQ’s

Many factors can cause hair loss. Pregnancy, menopause, hormonal deficiencies and low thyroid function are common causes. Damage to the hair from chemical treatments, and stress placed on the scalp from braiding hair tightly can also lead to thinning hair.

Until recently, hair transplant procedures were the best option for many men and women facing hair loss. This would involve surgically removing hair follicles from thicker scalp areas (usually the posterior scalp) and implanting them in the sparser areas.
Hair transplantation is a lengthy, costly procedure that may need to be done more than once. There is also downtime that will interfere with work and recreation.

These are a few reasons patients have to turned to PRP Hair Restoration—a safe, effective, and comfortable alternative for hair loss.

What is PRP Hair Restoration?

Plasma comprises about 55 percent of your blood. It contains water, salts, enzymes, antibodies and other proteins. Platelets and Red blood cells make up the remaining part of your blood. Platelets are the component in your blood that creates clotting to stops bleeding. Platelets also contain proteins and growth factors that promote healing.

Platelet Rich Plasma, or PRP, has been used for over forty years to treat various medical conditions. Using PRP for hair restoration has become a popular minimally invasive hair loss treatment.

How is it performed?

PRP is performed by first drawing your blood from your arm or hand into a special tube. The blood is then spun in a centrifuge to separate the red blood cells from the platelet rich plasma (PRP). The platelet rich plasma is then placed in a syringe, activated and injected into thinning areas of the scalp.

How does it work?

The growth factors that are released from the activated platelets stimulate increased blood flow to the hair follicle encouraging growth in those diminished, inactive or implanted hair follicles.

How long does it take to see results?

Due to the hairs growth cycle, you can expect to see new hair growth in about three months.

How many treatments do I need?

We recommend a series of 3-4 treatments at 4 week intervals. Once you have achieved the desired result, it is recommended you have occasional maintenance treatments.

Will it hurt? What is the recovery time?

Most patients tell us that it is similar to having Botox injections. There may be an initial “pinch” sensation, followed by pressure. After the injections you may have a mild headache, but that can be alleviated by taking Tylenol or Motrin.

There is no recovery time with PRP Hair Restoration, you can return to your normal activities right away. You can wash your hair after the procedure with no concern.

Is it safe?

Yes! PRP Hair Restoration produces little-to-no discomfort and no major side effects.

How do I know if I am a candidate for PRP Hair Restoration?

By contacting Bermudez Aesthetic Medicine to schedule a consultation. You will meet with a PRP Hair Restoration expert for an assessment. They can direct you in a treatment plan to give you the results you are looking for.

ThermiVA® Feminine Rejuvenation FAQ’s

With childbirth and the natural aging process, changes occur which affect feminine wellness, both aesthetically and sexually. Aging changes, weight gain or weight loss and natural variations in body types can often cause an appearance of laxity in the external genitalia that can reduce self-confidence.

The same factors can affect a woman internally, causing vaginal laxity, loss of sensation and stress incontinence. The onset of menopause will contribute to vaginal dryness, and can reduce a woman’s sexual urge and level of pleasure.

Because of these reasons, non-surgical feminine rejuvenation has surged in popularity.

ThermiVA® is one of the most well known, due to high patient satisfaction and positive exposure in the media. The Kardashian sisters can hardly say enough great things about it!

Here are some of the most common questions patients ask when inquiring about ThermiVA® feminine rejuvenation at Bermudez Aesthetics.

What is ThermiVA® feminine rejuvenation?

ThermiVA® is a bipolar radio frequency procedure that gently heats the tissue of the vagina and external genitalia to stimulate blood flow and collagen formation. ThermiVA® delivers this radio frequency internally and externally, via a slender treatment wand. This improves vaginal tightness and vulvar tone over time. It also increases vaginal lubrication, and enhances sexual pleasure.

How long does it take?

Each treatment takes approximately 30 minutes (20 minutes internally and 10 minutes externally) and is done in the office without any anesthesia or downtime.

What does it feel like? Is there any recovery time?

We have performed many ThermiVA® treatments in our practice and can verify that it is not a painful treatment (just a sensation of pressure and warmth). It is non-surgical and involves absolutely no recovery. In fact you can exercise and even have intercourse the same day.

How many treatments will it take? How often will I need to have a treatment?

Since new collagen formation takes time, three treatments are recommended at four week intervals to achieve optimal results.

With a series of three ThermiVA® treatments our patients are reporting improved vaginal moisture, improved orgasmic function, and reduction in mild stress and urge incontinence. This is due to improved blood flow and collagen production. There is also quite a noticeable improvement in the appearance of the external genitalia.

Is feminine rejuvenation safe?

Yes. Thousands of ThermiVA® procedures have been done throughout the world over the past two years. A great deal of information has been gathered documenting the safety and effectiveness of this procedure.

ThermiVA® has an excellent safety profile and high patient satisfaction rate.

How do I know if I am a candidate for ThermiVA feminine rejuvenation?

Contact our office to schedule a consultation. We can explain all you need to know, and help you decide if ThermiVA is right for you!

Obalon – FDA approved intragastric weightloss system

Obalon was approved by the FDA in 2016 as the first swallowable intragastric balloon.  The system is indicated for patients with a BMI of 30-40 who are looking to lose 15-100 pounds.  The premise behind the system is that patients feel full and eat less.  Patients are often set up with a dietician and engage in regular exercise.

The system includes doing prescreening to ensure the patient has no contraindications to the procedure and has normal anatomy.  When the patient is cleared to start the program, they will end up swallowing 3 intragastric balloons.  They are spaced about 3-6 weeks apart from each other. All 3 balloons are removed at 6 months.

The most common side effects reported were minor and included a few days of nausea and cramping.

90% of patients in the study kept the weight off 6 months after balloon removal.

This was the fastest FDA approved medical device in the history of the FDA due to Obalon’s safety and efficacy shown in their research!

ThermiVa for vulvovaginal laxity, atrophic vaginitis and stress urinary incontinence

We are excited to offer ThermiVa – a nonsurgical, innovative radiofrequency energy device to reclaim, restore and revive feminine wellness without discomfort or downtime.  Here’s what you need to know!

ThermiVa is a painless, noninvasive treatment that successfully addresses these concerns:

  • Vulvovaginal laxity frequently occurs after childbirth due to stretching and damage to the connective tissue in the vulva and vaginal canal. This can result in unsatisfactory appearance of the external genitalia and reduced sensation during sexual intercourse.
  • Atrophic vaginitis is characterized by dryness and pain in the vagina and occurs in menopausal women due to decreased amount of estrogen.  It can also happen as an unwanted side effect for breast cancer patients taking anti-estrogen therapy.
  • Stress urinary incontinence occurs when small amounts of urine leak from the urinary bladder during times of increased intra-abdominal pressure such as coughing, sneezing, laughing or jumping. It is common as women age and after vaginal deliveries.

Treatment with ThermiVa has shown patient satisfaction in regards to vaginal and labial tightening, increased lubrication, decreased orgasmic dysfunction, and decreased incontinence. A series of 3 treatments is recommended, spaced 4 weeks apart.  The procedure takes 30 minutes and patients can resume activities of daily living without restrictions. The best part about the ThermiVa treatment is that there is no discomfort or downtime.

To schedule a consultation or treatment, call 415-668-2122.

FIFA Women’s World Cup and Facial Injuries

Because the FIFA Women’s World Cup has ended, a reminder of the risk for serious facial injuries in soccer players is warranted.

Many of the saw the exciting World Cup soccer championships in Canada this past month. We also saw the physical nature of the game as well as many sports-related injuries to the face and head.
Who can forget the American player who suffered a head injury and was nearly knocked unconscious. Specifically, for plastic surgeons, a new Brazilian study highlights the severity of soccer-related facial fractures requiring surgery.

Dr. Charles Goldenberg, MD, PhD, of University of São Paulo and colleagues write, “Due to exposure and the lack of protection for the face, the occasional maxillofacial trauma sustained during soccer games often entails serious facial injuries requiring hospital admissions and invasive procedures.”

The researchers assembled data on 45 patients undergoing surgical treatment for soccer-related facial fractures at two large university hospital centers in São Paulo between 2000 and 2013. The 45 soccer injuries accounted for two percent of surgically treated facial fractures during that time. Forty-four of the patients were male; the average age was 28 years. All of the injured players were amateurs.
The nose and upper jaw (maxilla) accounted for 35 percent of fractures and the cheekbone (zygomatic bone) for another 35 percent. Most of the remaining fractures were of the lower jaw (mandible) and eye socket (orbit). Eighty-seven percent of the injuries were caused by collision with another player; the rest occurred when the player was struck by the ball.
Nasal fractures were treated by repositioning (reducing) the fractured bones to their proper place and splinting until they healed. Other types of facial fractures required open surgery and internal fixation (plates, screws) to reposition the bones. The patients remained in the hospital for about five days on average, and were told they could return to play after six to eight weeks of healing.

The results are consistent with previous studies of soccer-related facial injuries. Lower extremity injuries (leg and foot) are much more common, fractures and other injuries to the head and face are a significant risk.

The researchers highlight the need for careful examination of the nasal cavity to look for possible septal hematomas (blood collections), which could lead to serious complications. The online, open-access article is accompanied by videos illustrating the authors’ approach to diagnosis and management of septal hematomas and the potential consequences of untreated nasal fracture.