Dr. Mihail Climov, MD

Before your consultation, think about your specific goals (cosmetic, functional, or both) and create a priority list. Research your surgeon to ensure they are board-certified/eligible and experienced in your desired procedure, checking their before & after gallery, reviews, and social media. Bring image photos of results you admire, ideally from people with similar body types, age, and starting points. Have a basic understanding of the procedures you're interested in (e.g., tummy tuck vs. liposuction) to ask better questions. Write down all your questions, including those about recovery, realistic results, non-surgical alternatives, and risks/complications. Prepare a list of your medical history, current medications, and allergies, and be honest about past surgeries or lifestyle habits, as these details are crucial for safe planning. Finally, consider your recovery logistics: who will help you, if you can take time off work, and if your home recovery space is ready. This preparation helps the surgeon create a customized plan tailored to your needs.

Dr. Climov begins every transformation by listening to your concerns, goals, and how you're truly feeling. He then collaboratively creates a treatment plan, explaining each step, what will be done, why, and how it aligns with your vision. His team captures detailed photos before procedures, and he takes additional ones if needed for precision. He executes procedures calmly, carefully, and with intention. At the end of a visit, he always asks about your experience, emphasizing that how you feel matters as much as how you look. He will guide you to the right options if you are unsure.

Patients should expect some pain during the procedure.

Sculptra injections are used to stimulate collagen restoration, often in areas like the cheek-chin to restore balance and enhance natural beauty, especially where lower body fat may have led to slight facial volume loss. Results are typically observed around 2 months post-injection, aiming for incredible outcomes.

Sarcopenia, or age-related muscle loss, can seriously affect BBL results because less muscle provides less support for fat transfer. As muscles naturally shrink with age, a BBL contour can flatten, sag, or lose projection over time. To mitigate these unwanted changes, consistent strength and resistance training, along with adequate protein intake, are recommended to preserve muscle mass.

Dr. Climov uses filler to bring balance, aiming to never overdo it. He believes one syringe (1mL) of filler, when placed strategically by a skilled injector, can make a huge difference, emphasizing that effectiveness is more about placement and technique than the specific product. For lip enhancements, he uses very soft filler and typically starts with one syringe, never exceeding one syringe per treatment session. For tear troughs, he commonly uses one syringe of a very soft, malleable filler product, usually distributing half a syringe on each side, and avoids adding too much volume. For both lips and tear troughs, additional volume can be built up in subsequent treatments if needed.

There is more flexibility in financing plastic surgery than most people typically think. Individual financing terms vary, and approval is subject to lender qualification.

It is important to have realistic expectations of what is achievable through surgery. Individual outcomes may vary and depend on anatomy and recovery. All surgical procedures carry risks and require medical evaluation and clearance. The content provided is for informational and promotional purposes only and does not guarantee specific results.