1825 Samuel Morse Drive, Reston, Virginia 20190703.893.6168

Ask Our Surgeons

Northern Virginia Plastic Surgeons – Dr. George Weston, Dr. Robert Sigal, Dr. Byron Poindexter and Dr. Christopher Knotts believe that collaboration is beneficial to both doctor and patient. Our cosmetic surgeons prefer to embrace the benefits of team decisions. This collaboration among Northern Virginia plastic surgeons gives patients access to the combined talents of the leading plastic surgeons in the United States and is just one more example of how dedicated our surgeons are to maximizing the safety and quality of services to their patients. We are available to answer any questions you may have in regards to cosmetic plastic surgery.

Ask Us

Any information in the publications, messages, postings or articles on this website should not be considered a substitute for consultation with one of our plastic surgeons to address individual medical needs. Your particular facts and circumstances will determine the plastic surgery treatment which is most appropriate for you.

328 thoughts on “Ask Our Surgeons

  1. Hi Dr. Sigal~

    I am a healthy 49 year old female who is thinking about replacing my saline implants (previously done in 2004) and having a butt/thigh lift. Could these two procedures be done during one operation?

    Thanks so much!

    • Hi Jennifer,

      Dr. Sigal is out of town, but I can answer. Yes, having an implant exchange and a butt/thigh lift is safe to perform during one operation. Please come see us for a consult and we will make sure it’s the right procedure for you.


  2. Subject: Quincy Middle School Project

    To whomever it may concern,

    Hello, my name is Michael Daniels and I am a 6th grade student at Quincy Middle School in Quincy, Michigan. My class is currently doing a research project on a career that interests me. I am doing mine on plastic surgery.

    One of the requirements is that we have an outside mentor that can help us with questions we have. I was wondering if you would be willing to help me out.

    Here are a few questions I have as I am getting started.
    -Do you think you get paid enough for what you do?
    -Do you get paid more for different operations?
    -How hard is it to be a plastic surgeon?
    -Why did you become a plastic surgeon?

    You can contact me at this e-mail address. You can also contact my teacher, Mr. Suever, at sueverb@quincyschools.org if you have any questions.

    Thanks you in advance for your help.


    Michael D
    6th Grade – QMS

    • Hi Michael,

      Thanks for the email.

      See below for the answers to your questions:

      -Do you think you get paid enough for what you do?
      Yes, all doctors get paid pretty well and make a good living.

      -Do you get paid more for different operations?

      The big difference in payments is for cosmetic versus insurance-based surgery. An example of a cosmetic operation is a rhinoplasty, or nose job. These are considered cosmetic because the chief goal is to make the nose look better, and health insurance does not cover that procedure. Cosmetic procedures usually make more money for the doctor. An example of an insurance-based surgery would be sewing up someone’s face in the Emergency Room. While the doctor does get paid some for this procedure, it’s generally less. This is because some of the money also goes to the hospital and to the insurance company.

      -How hard is it to be a plastic surgeon?

      Plastic surgeons must complete high school, 4 years of college, 4 years of medical school, and then 6 years of residency. This is the shortest route. There are other longer residencies and some people spend more time in college, but the fastest track is the one outlined above. In general, becoming a doctor is hard because of the amount of school required. A plastic surgeon is probably a little harder than some other specialties currently because the job is in high demand and thus more competitive to get accepted into plastic surgery residency. That being said, anyone that wants to be a plastic surgeon can do it. Sometimes it take a little longer or a little more work, but it is doable.

      -Why did you become a plastic surgeon?

      I became a doctor to help people and because of the mental challenge associated with a field where one can’t possibly know everything. I chose surgery because I like to use my hands to fix things. And I chose plastic surgery because my patients WANT TO have surgery, which is nice because they are excited to have procedures. Plastic surgery also involves a fair amount of artistic ability and I grew up always drawing, painting and being creative so it was a natural fit.

      Good luck on your report!


  3. Do you fix hernia’s? My case is a little complicated. I had an umbilical hernia in my 20’s, two c-sections in my 30’s, hysterectomy and an incisional hernia in my 40’s, colon resection 2 yrs ago, now another incisional hernia.

    The 2nd hernia was repaired using mesh which was cut through to do the resection. My doctor suggested that I contact the surgeon who did the resection and have a ps on hand to clean up the mess of what my stomach looks like now.

    So do you work with other surgeons? And would insurance cover this?

    • Insurance will likely cover the hernia operation by a general surgeon. It will not cover the cost of an abdominoplasty to remove extra skin or scar tissue done by a plastic surgeon.

      You really need to be examined by one of us to see what’s possible.

  4. I can’t seem to find any pictures in your before and after gallery of filler procedures, specifically in the tear trough/mid cheek area. Does your practice have a lot of experience injecting dermal fillers in this area?

    • Hi Rebecca,

      You have exposed one of our website weaknesses! We are so focused on surgical before-and-after photos that we really have not devoted much time to filler before-and-afters.

      That being said, we are one of the Top 50 practices in the country in terms of fillers performed, so yes we have plenty of experience in tear trough and cheek fillers.

      We do have some examples of pictures in the office if you’d like to see what’s possible before your procedure. Remind us to photograph your before and after and we will put you on the website if you’d like!


  5. My top lip needs to be fuller and the bottom lip a bit fuller – does Volbella remove lines as well? What is the cost?

    Thank you,

    • We think of Volbella as doing more smoothing of lines than “plumping” of the lips. Juvederm would be a better choice for adding volume to the lips.

      Cost is determined by how much product is desired and used. Volbella which comes in a smaller volume per syringe, 0.55cc, is between $300 and $400, while a full cc syringe of Juvederm is more like $650 to $700.

      Patients are now starting to combine the two in order to get the full effect they want of fuller and smoother.

  6. I am 65 years old, I have a childhood injury to the top right side of my lip. I have what is probably scar tissue that is getting more prominent. I tend to bite the inside of my lip more frequently now. Can the scar tissue be removed? Can my crooked smile be balanced? Has too much time gone by?

    • Thanks for your question Gloria.

      Short answer – it’s never too late.
      Long answer – only available at a consult.
      One of us will have take a look at your lip and discuss your options as we see them.

      Hope this helps!

      Rob Sigal, MD

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