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Dr. Paul G. Ruff IV, MD, FACS - Board Certified Plastic Surgeon in Washington, District of Columbia

Dr. Paul G. Ruff IV, MD, FACS

Board Certified Plastic Surgeon

Washington, District of Columbia
NPI: 1235102682· License: MD30585 (DC) verify
Industry payments (2024): $27,622 across 26 payments (what this means)
4.62(77 ratings)

Consultation $200 · waived with procedure

About

Dr. Paul G. Ruff IV, MD, FACS, is a highly experienced and skilled, double board-certified plastic surgeon based in Washington, D.C. He is the founder of West End Plastic Surgery, where he blends technology with a patient-driven approach. Dr. Ruff is affiliated with several prestigious hospitals, including Sibley Memorial Hospital and Georgetown University Hospital. While pricing information isn't available online, prospective patients can contact his office for a consultation. Dr. Ruff's extensive experience and dedication to patient care make him a sought-after plastic surgeon in the area. Dr. Ruff leads West End Plastic Surgery, a practice that also includes other highly skilled surgeons such as Dr. Lexie Wang, a facial plastic surgeon, and Dr. Arsalan, who specializes in breast and body procedures. The team offers a comprehensive range of cosmetic and reconstructive procedures, including extensive facial rejuvenation options, representing 'just about everything that you could do in the face'.

Connect with Dr. Paul G. Ruff IV on Social Media

SpecialtiesProceduresAverage CostReviewsIndustry PaymentsInsuranceLocationAffiliationsEducationFAQ

Specialties

  • Board Certified Plastic Surgeon

Procedures & Services

Select a service to schedule an appointment · each is approximately 60 minutes

Procedure details

Everything on this page about each procedure Dr. Paul G. Ruff IV offers: pricing in context, what they've said about it, related videos and photos, and what patients ask.

Average Cost of Surgery

Healthcare costs shouldn't be a mystery. Each figure below is the average of the total costs patients reported in their own published reviews of Dr. Paul G. Ruff IV, with the number of reports and the years they were written. Prices are not adjusted for inflation and are not a quote: your final cost is set at consultation and depends on your specific medical needs. How we calculate these prices

Botox

$500

1 patient report · 2018

About typicalTypical in Washington: $400–$575 (median $450, 10 reports) compare ↗

Vaser Liposuction

$7,300

1 patient report · 2019

About typicalTypical nationally: $5,701–$10,000 (median $7,000, 48 reports) compare ↗

Rhinoplasty

$9,000

1 patient report · 2019

About typicalTypical in Washington: $7,750–$10,875 (median $8,750, 12 reports) compare ↗

Breast Implants

$9,000

1 patient report · 2018

Above typicalTypical in Washington: $6,075–$7,063 (median $7,000, 8 reports) compare ↗

Butt Implants

$12,001

1 patient report · 2021

About typicalTypical nationally: $10,000–$14,500 (median $12,000, 21 reports) compare ↗

Mommy Makeover

$18,000

1 patient report · 2019

About typicalTypical in Washington: $15,500–$22,000 (median $17,000, 15 reports) compare ↗

Lipedema Surgery

$30,000

1 patient report · 2023

Help us keep this data current and accurate. If you've had a procedure with Dr. Paul G. Ruff IV, please take a moment to contribute your cost information.

Questions, Answers, and Information Directly from Dr. Paul G. Ruff IV

Sourced directly from Dr. Paul G. Ruff IV's social posts and replies.

What are common indications for comprehensive facial rejuvenation?
Significant weight loss can lead to noticeable drooping around the eyes, face, and neck, making patients good candidates for comprehensive facial rejuvenation.
Source →
What is a mastopexy augmentation?
A mastopexy augmentation combines the benefits of a breast lift and an augmentation in one procedure, repositioning and reshaping existing breast tissue while restoring fullness and upper-pole volume.
Source →
What is the initial recovery like after comprehensive facial rejuvenation?
Patients can be up, smiling, and managing discomfort with Tylenol as early as 48 hours post-surgery. It's normal to experience puffiness, swelling, bruising, and temporary asymmetry in the first few days.
Source →
Who is an ideal candidate for Mastopexy Augmentation?
This procedure is ideal for patients seeking both a lift and a modest volume increase to achieve their desired cup size, whether due to genetics, weight loss, or natural asymmetry.
Source →
When are the results of a Mastopexy Augmentation visible?
Initial results are visible immediately after surgery. During the healing process, implants gradually settle into a more natural position, which is an important part of the overall recovery.
Source →
What are the most requested celebrity nose styles at West End Plastic Surgery?
According to Dr. Lexi Wang, Anne Hathaway and Margot Robbie are the most requested celebrity noses, representing the gold standard for subtle, seamless rhinoplasty results.
Source →
Is there an ideal age for rhinoplasty?
Rhinoplasty can be performed on patients of various ages, including those in their late 30s, to address concerns like dorsal humps, slightly drooping nasal tips, or occasional swelling and fullness at the tip, with a desire for a smaller, more refined look.
Source →
What are the goals of rhinoplasty at West End Plastic Surgery?
Rhinoplasty aims to smooth the nasal bridge, refine the tip, and create a natural, balanced nasal contour that fits facial proportions, enhancing facial harmony from every angle.
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What are the aesthetic goals of a mastopexy augmentation?
This procedure aims to achieve a lifted, fuller, and natural appearance.
Source →
What are common patient goals for breast augmentation at West End Plastic Surgery?
Many patients seek to enhance their breasts without a significant volume increase, desiring more shape and projection, particularly in the upper breast, while maintaining a natural and balanced appearance.
Source →
What are the key steps in a breast augmentation procedure?
The procedure involves markings, incision, pocket creation, implant placement, and closure, requiring precision and planning in the operating room.
Source →

What patients ask Dr. Paul G. Ruff IV

Questions people asked under Dr. Paul G. Ruff IV's TikTok videos, 4 answered by the doctor.

  • How long is the recovery for something like this? She looks amazing for 48 hours!

    asked on TikTok ↗· 120 engagements

  • What are some of the most requested nose styles you see? Like, what's trending?

    asked on TikTok ↗· 100 engagements

  • Is 37 a good age for rhinoplasty? I thought it was mostly for younger people.

    asked on TikTok ↗· 95 engagements

  • Does a mastopexy augmentation mean you get both a lift and implants at the same time?

    asked on TikTok ↗· 90 engagements

  • What's the average cost for a tummy tuck?

    asked on TikTok ↗· 180 engagements· not yet answered

  • What's the recovery like for a tummy tuck, especially with young kids at home?

    asked on TikTok ↗· 150 engagements· not yet answered

  • Roughly what's the cost range for a full facial rejuvenation like Tammy's?

    asked on TikTok ↗· 150 engagements· not yet answered

  • How much does a mastopexy augmentation usually cost?

    asked on TikTok ↗· 130 engagements· not yet answered

  • Does this procedure also fix diastasis recti from pregnancy?

    asked on TikTok ↗· 120 engagements· not yet answered

  • Is it common to feel nervous even when seeing the OR? What do you do to calm patients?

    asked on TikTok ↗· 110 engagements· not yet answered

Are you Dr. Paul G. Ruff IV? 6 of these questions are waiting for an answer. Claim your profile to respond.

Questions are from public comments, shown without the commenter's name. Answers are Dr. Paul G. Ruff IV's own statements from their videos and replies, not NavMDs' medical advice.

Videos from Dr. Paul G. Ruff IV

@westendplasticsurgery on TikTok →

Videos posted on TikTok by @westendplasticsurgery. Press play to watch here, or open the original on TikTok.

  • 👀 POV: Inside the OR with Dr. Arsalan (@Plastic Surgery Doc) A breast augmentation captured from…

    183.1K views · Jan 2026 · TikTok ↗

  • After multiple pregnancies, this 37-year-old patient wanted to restore both shape and volume to h…

    118.9K views · Nov 2025 · TikTok ↗

  • This 35-year-old patient came to Dr. Arsalan (@Plastic Surgery Doc) wanting to enhance her breast…

    77.9K views · Nov 2025 · TikTok ↗

  • Goodbye, Old Nose 👋 Hello, New Confidence ✨ This 37-year-old patient came to Dr. Lexie Wang (@dr…

    71.6K views · Oct 2025 · TikTok ↗

  • 🎥 48 Hours After Full Facial Rejuvenation! Meet Tammy, our amazing patient! She came to us feeli…

    51.2K views · Jul 2025 · TikTok ↗

  • Mastopexy Augmentation by Dr. Arsalan!✨ This 24-year-old patient came in feeling like her breasts…

    42.6K views · Jul 2025 · TikTok ↗

From Dr. Paul G. Ruff IV's Instagram

@westendplasticsurgery →

Recent photos posted by @westendplasticsurgery, Dr. Paul G. Ruff IV's own Instagram account. Each image opens the original post on Instagram.

Images © Dr. Paul G. Ruff IV / @westendplasticsurgery, shown here with a link to the original post. Procedure labels are inferred from the post's caption and hashtags. If you are the account owner and want an image removed, contact support [at] navmds.com.

Technologies & brands Dr. Paul G. Ruff IV mentions

Devices, implants, injectables and products named in Dr. Paul G. Ruff IV's own posts and videos. A mention is not an endorsement; ask the office what they currently offer.

Breast implantsMotiva · 4

Patient Experience

Dr. Paul G. Ruff IV Review Summary

4.16
Dr. Ruff has a solid online reputation with an average rating of 4.2 stars. While some platforms like Healthgrades give him a 3/5, most reviews are very positive, with West End Plastic Surgery's website and Google Reviews both boasting 4.8/5 stars. His Yelp rating is a respectable 3.9/5.

Ratings from Other Platforms

westendplasticsurgery.com

4.8 out of 5

Based on 255 reviews

View on westendplasticsurgery.com

healthgrades.com

3 out of 5

Based on 27 reviews

View on healthgrades.com

yelp.com

3.9 out of 5

Based on 7 reviews

View on yelp.com

Google Reviews

4.8 out of 5

Based on 19 reviews

View on Google Reviews
Dr. Paul G. Ruff IV, MD, FACS - Board Certified Plastic Surgeon in Washington, District of Columbia

West End Plastic Surgery

2440 M St NW #200, Washington, District of Columbia

(202) 785-4187

Book a Service Consultation

Consultation $200 · waived with booked procedure

Each service is approximately 60 minutes.

+10 more

Industry Payments

Federal law (the Physician Payments Sunshine Act) requires drug and medical-device companies to report anything of value they give to a physician — consulting and speaking fees, research funding, travel, royalties, and even meals. Medicare publishes all of it in a public database called Open Payments. We show it here so you don't have to go looking for it.

Total received (2024)

$27,622

Payments

26

Compared to peers

Above average

Dr. Paul G. Ruff IV received $27,622 across 26 payments in 2024. That is higher than about 89% of the physicians here who received any industry payment. Most of it was categorised as compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program, and the largest single payer was ABBVIE INC..

What this means for your care

  • A disclosed payment is a business relationship, not evidence of wrongdoing, and it says nothing on its own about the quality of your care.
  • Most payments are small. Across the physicians listed on NavMDs, the single most common category is food and beverage at industry-sponsored talks.
  • Larger consulting, speaking or royalty payments mean an ongoing financial relationship with a company whose products your doctor may use or recommend. That is worth knowing about, and it is reasonable to ask about.
  • A fair question to ask: “Do you have a financial relationship with the maker of the implant, filler or device you're recommending — and what alternatives did you consider?”

Source: CMS Open Payments, the federal database created by the Sunshine Act. View the full record on CMS Open Payments ↗

Insurance Information

Please contact Dr. Paul G. Ruff IV's office directly for information about accepted insurance plans.

Phone: (202) 785-4187

Help us improve this profile

Do you know which insurance plans Dr. Paul G. Ruff IV accepts? Share this information to help other patients.

Location & Contact Information

West End Plastic Surgery

2440 M St NW #200

Washington, District of Columbia 20037

Get Directions

Office Information

Phone: (202) 785-4187

Where does Dr. Paul G. Ruff IV practice?

Doctor's Office

West End Plastic Surgery (Primary)

2440 M St NW #200, Washington, District of Columbia 20037

(34 reviews)

Hospital Affiliations

Suburban Hospital

Help improve our data. Confirm if Dr. Paul G. Ruff IV is affiliated with Suburban Hospital.

Sibley Memorial Hospital

Help improve our data. Confirm if Dr. Paul G. Ruff IV is affiliated with Sibley Memorial Hospital.

Education & Experience

Education

Eastern Virginia Medical School

Certifications & Licenses

Board Certified Plastic Surgeon
Double Board Certified Plastic Surgeon
Facs

Frequently Asked Questions

Can you make an appointment with Dr. Paul G. Ruff IV online?
It's not explicitly stated whether online booking is available. Contacting the office directly at (202) 785-4187 is recommended for scheduling appointments.
Does Dr. Paul G. Ruff IV offer telehealth?
Telehealth availability is not mentioned. It's best to contact the office directly to inquire about virtual consultation options.
What do patients have to say about Dr. Paul G. Ruff IV?
Patients praise Dr. Ruff for his skill, kindness, and the time he takes with them. Reviews highlight successful outcomes for various procedures, including lipedema lipo, liposuction, butt implants, fat transfer, and breast implants. Patients also appreciate the practice's overall atmosphere and staff.
What areas of care does Dr. Paul G. Ruff IV cater to?
Dr. Ruff specializes in plastic surgery, offering a range of cosmetic and reconstructive procedures. Patient reviews suggest expertise in body contouring (liposuction, tummy tucks, butt implants), breast augmentation, and facial procedures. He also offers non-surgical treatments like Botox. For breast augmentation, the practice frequently uses Motiva silicone implants, often placed in a subfascial pocket to achieve a smooth, seamless contour with soft movement and beautiful symmetry. In rhinoplasty, the focus is on a natural, seamless, and beautiful aesthetic, ensuring the nose matches the rest of the face with soft transitions and an overall delicate, refined, and feminine appearance, avoiding any artificial look.