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Dr. Rafi Fredman, MD - Board Certified Plastic Surgeon in St Charles, Missouri

Dr. Rafi Fredman, MD

Board Certified Plastic Surgeon

St Charles, Missouri
NPI: 1972923126· License: 2019032397 (MO) verify
Industry payments (2025): $779 across 7 payments (what this means)
4.44(5 ratings)

Consultation $500

In Dr. Rafi Fredman's own words

How Dr. Rafi Fredman describes their own approach, from their TikTok posts. Each statement links to the original.

Specialization

  • Awake surgery can be performed to place implants over the muscle.TikTok ↗
  • The practice offers Preservé Breast Augmentation as an awake procedure.TikTok ↗

Technique

  • Amelia Aesthetics favors the anchor lift and the lollipop lift.
  • A lift technique using only an incision around the areola is not a good technique.

Consultation

  • The practice offers in-person examinations.

Recovery guidance

  • In our practice, we don't believe that the bra is the thing that's going to change your outcome
  • We ask that you do not wear an underwire bra for the first six weeks so nothing hard is rubbing on the incision
  • Patients are initially placed in a soft bra.

Statements are quoted or closely paraphrased from Dr. Rafi Fredman's own public posts and are their claims, not NavMDs' medical advice. Doctors can correct or remove any item via their claimed profile or support [at] navmds.com.

About

Dr. Rafi Fredman is a board-certified plastic surgeon based in St. Charles, Missouri, specializing in a range of cosmetic procedures, including breast augmentation, breast lift, breast reduction, tummy tuck, liposuction, and mommy makeovers. He is affiliated with Barnes-Jewish St. Peters Hospital. Dr. Fredman trained at prestigious institutions like the University of North Carolina Chapel Hill and the Sackler School of Medicine in Tel Aviv. While cost information isn't available here, you can start your research by visiting his social media profiles on Instagram, Facebook, and TikTok (@amelia.aesthetics) or contacting his office. Patient reviews highlight positive experiences and impressive results.

Connect with Dr. Rafi Fredman on Social Media

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. Rafi Fredman 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. Rafi Fredman, 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

Chin Liposuction

$3,750

1 patient report · 2021

About typicalTypical nationally: $2,500–$4,050 (median $3,150, 96 reports) compare ↗

Breast Augmentation

$5,900

1 patient report · 2020

Below typicalTypical in St Charles: $6,600–$8,000 (median $7,200, 9 reports) compare ↗

Sientra Breast Implants

$7,000

Average of 2 patient reports · 2021

About typicalTypical nationally: $6,425–$7,900 (median $7,000, 59 reports) compare ↗

Drainless Tummy Tuck

$10,500

1 patient report · 2022

About typicalTypical nationally: $8,500–$14,225 (median $10,500, 24 reports) compare ↗

Mommy Makeover

$21,000

1 patient report · 2021

About typicalTypical in St Charles: $19,700–$23,000 (median $21,000, 4 reports) compare ↗

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

Questions, Answers, and Information Directly from Dr. Rafi Fredman

Sourced directly from Dr. Rafi Fredman's social posts and replies.

What is a drainless tummy tuck and how does it differ from traditional methods?
Dr. Fredman performs drainless tummy tucks, a fundamentally different approach where stitches are used to close the surgical space after muscle repair, preventing fluid accumulation and eliminating the need for post-operative drains. This differs from older methods where an open space was left, requiring drains to remove fluid.
What are the weight recommendations for a tummy tuck and how does post-op weight loss affect results?
Dr. Fredman recommends patients be at their goal or stable weight before a tummy tuck to ensure the appropriate amount of skin is removed. While losing around 30 pounds post-op typically won't significantly alter results, losing 50 pounds or more will likely lead to residual extra skin, potentially requiring revision surgery.
What is Preservé Breast Augmentation and what are its benefits?
Preservé Breast Augmentation is a procedure offered by Dr. Fredman's practice that can be performed as an awake surgery, placing implants over the muscle. This approach results in minimal downtime and tissues may 'drop and flop' less quickly compared to under-the-muscle implants.
Is a breast lift always necessary after pregnancy and nursing, especially with prior implants?
No, a breast lift is not definitively required after pregnancy and nursing, even with prior implants, as individual body changes vary. If you started with small, non-saggy breasts, a lift is unlikely. However, if you were borderline before pregnancy, a lift might be needed after nursing. Dr. Fredman recommends waiting at least six weeks post-nursing for an in-person exam to assess any needed corrections.
What is the 'drop-and-fluff' recovery process like after an implant exchange?
The 'drop-and-fluff' stage is usually less significant and takes less time after an implant exchange compared to initial augmentation, as the muscle has often already been stretched. In an awake exchange, the immediate post-op appearance is often similar to the long-term result. However, some degree of drop-and-fluff can still occur, especially with a significant increase in implant size.
What are Dr. Fredman's recommendations for post-operative surgical bra wear?
Dr. Fredman's practice believes the surgical bra is not integral to the final outcome. Patients are initially given a soft bra. If uncomfortable after the first day, patients can switch to any soft bra (sports bra, bralette) or wear no bra at all. However, underwire bras should be avoided for the first six weeks to prevent irritation to incisions.
What is the first step to learn about procedures at Amelia Aesthetics?
The first step at Amelia Aesthetics is to watch a free, less than 30-minute 'Amelia Orientation' video, available anytime, anywhere. This video provides an overview of procedures, recovery, their 3-step process, pricing, promises, and free at-home resources, serving as an initial information gathering step before a consultation.
What is capsular contracture and when can it occur?
Capsular contracture is when the natural soft scar tissue forming around a breast implant becomes firm and tight, potentially causing the implant to appear spherical, misshapen, or asymmetric, and sometimes causing pain. It typically requires a minimum of six weeks to form, as scar tissue hasn't developed earlier. While early post-op asymmetry isn't capsular contracture, it can develop at any point in an implant's lifespan, with slightly elevated risk around initial surgery and implant exchange procedures.
How are areola size and nipple position addressed during breast lift or reduction?
During a breast lift or reduction, the nipple position must be moved, requiring a circular incision around the nipple. This incision is typically smaller than the current areola, allowing for reduction in size. Dr. Fredman prefers lollipop or anchor lift techniques, which place tension along the vertical incision rather than solely around the areola, preventing future widening. Areolas generally do not get bigger over time with implants.

What patients ask Dr. Rafi Fredman

Questions people asked under Dr. Rafi Fredman's TikTok videos, 2 answered by the doctor.

  • How long do I have to wear my surgical bra?

    asked on TikTok

  • What are the options for changing the size of my areolas?

    asked on TikTok

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

Videos from Dr. Rafi Fredman

@amelia.aesthetics.us on TikTok →

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

  • Check out Carley’s experience getting a Preservé Breast Augmentation - awake! She and Dr. Roughto…

    38.8K views · Oct 2025 · TikTok ↗

From Dr. Rafi Fredman's Instagram

@amelia.aesthetics →

Recent photos posted by @amelia.aesthetics, Dr. Rafi Fredman's own Instagram account. Each image opens the original post on Instagram.

Images © Dr. Rafi Fredman / @amelia.aesthetics, 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. Rafi Fredman mentions

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

Breast implantsMotiva

Patient Experience

Dr. Rafi Fredman Review Summary

4.5
Dr. Fredman receives stellar reviews, averaging a 4.5-star rating across multiple platforms. Patients consistently praise his skills and results.

Ratings from Other Platforms

realself.com

4.5 out of 5

Based on 10 reviews

View on realself.com

healthgrades.com

4.5 out of 5

Based on 2 reviews

View on healthgrades.com

care.healthline.com

4.5 out of 5

Based on 2 reviews

View on care.healthline.com

Google Reviews

4.3 out of 5

Based on 6 reviews

View on Google Reviews
Dr. Rafi Fredman, MD - Board Certified Plastic Surgeon in St Charles, Missouri

Main Office

1551 Wall St Suite 420, St Charles, Missouri

(636) 329-4036

Book a Service Consultation

Consultation fee: $500

Each service is approximately 60 minutes.

+1 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 (2025)

$779

Payments

7

Compared to peers

Modest

Dr. Rafi Fredman received $779 across 7 payments in 2025. That is higher than about 57% of the physicians here who received any industry payment. Most of it was categorised as food and beverage, and the largest single payer was MOTIVA USA, LLC.

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. Rafi Fredman's office directly for information about accepted insurance plans.

Phone: (636) 329-4036

Help us improve this profile

Do you know which insurance plans Dr. Rafi Fredman accepts? Share this information to help other patients.

Location & Contact Information

Main Office

1551 Wall St Suite 420

St Charles, Missouri 63303

Office Information

Phone: (636) 329-4036

Where does Dr. Rafi Fredman practice?

Doctor's Office

Main Office (Primary)

1551 Wall St Suite 420, St Charles, Missouri 63303

(9 reviews)

Hospital Affiliations

Barnes-Jewish St. Peters Hospital

Help improve our data. Confirm if Dr. Rafi Fredman is affiliated with Barnes-Jewish St. Peters Hospital.

Education & Experience

Education

Residency. University Of North Carolina Chapel Hill North Carolina
Medical School. Sackler School Of Medicine Tel Aviv

Certifications & Licenses

Board Certified Plastic Surgeon

Frequently Asked Questions

Can you make an appointment with Dr. Rafi Fredman online?
While the information provided doesn't confirm online booking, it's recommended to contact the office directly or check their website for booking options.
Does Dr. Rafi Fredman offer telehealth?
Telehealth availability isn't mentioned in the provided information. Contacting the office directly is recommended for inquiries about telehealth options.
What do patients have to say about Dr. Rafi Fredman?
Patients express overwhelming satisfaction with Dr. Fredman's work, highlighting positive outcomes for procedures like tummy tucks, breast augmentations, liposuction, and mommy makeovers. Reviews mention achieving desired results, improved body image, and a positive overall experience.
What areas of care does Dr. Rafi Fredman cater to?
Dr. Fredman specializes in cosmetic plastic surgery, with a focus on breast procedures (augmentation, lift, reduction, implant exchange), body contouring (tummy tuck, liposuction), and mommy makeovers. He also has expertise in breast reconstruction. His approach to body contouring includes advanced techniques like the drainless tummy tuck, which utilizes internal stitches to minimize fluid accumulation and eliminate the need for post-operative drains. For breast procedures, he favors the lollipop and anchor lift techniques for optimal aesthetic outcomes and stability, generally avoiding crescent lifts due to their tendency to create an oval nipple shape. He also offers innovative options such as Preservé Breast Augmentation, which can be performed as an awake procedure with over-the-muscle implant placement for minimal downtime, and uses Motiva USA implants among others. Dr. Fredman emphasizes patient education, providing clear guidance on pre-operative weight stability for tummy tucks and flexible post-operative care, including surgical bra recommendations (avoiding underwire for 6 weeks).