Refine MD, Northwest - Bellevue

Refine MD, Northwest - Bellevue Plastic, Cosmetic and Reconstructive Surgery- Board Certified Plastic Surgeon

Breast augmentation, tummy tuck, liposuction, facelift, rhinoplasty, body contouring, body lift
Repair of Lacerations and Fractures of the Face and Hand
Treatment of acute and chronic wounds and burns
Oncoplastic Surgery
Breast Reconstruction
Repair of Congenital Defects
Removal of Skin Lesions
Non-surgical Injectables
Aesthetic Treatments
Dermaroller Treatments
Massage Therapy

02/28/2026

We want to educate you, inform you of all you options to achieve your goals, and help guide you to the best options for you, your budget, your lifestyle and for the results you want. Call or text us at 425-420-2663 so we can help you on your journey.

02/28/2026

Yes, you can do a surgical procedure to tighten and pull saggy tissues and skin from below the jawline only. You don’t have to do a full facelift. The scars are minimal around the ears and under the chin, recovery is a week or so, and the results are dramatic, natural looking, and long lasting. If you’re interested in learning more, call or text us at 425-420-2663

02/23/2026

At the heart of every Motiva Implant® is the harmony between its shell and gel.

The Motiva SmoothSilk® Round and Motiva SmoothSilk Ergonomix® implant features TrueMonobloc® technology which allows the shell and gel of each implant to act as a single unit.¹ Both gel types also have highly cohesive properties that ensure that if something were to happen to the implant, the gel inside will stay together, providing you added peace of mind.²,³,⁴

Thoughtfully engineered from the inside out, Motiva Implants® are designed to fit your aesthetic goals.

Schedule your consultation today. Call or text us at (425) 420-2663.



1. Establishment Labs, TS-001196: Mechanical and peel testing study of Motiva Implants® to support the TrueMonobloc® technology. Data on File.
2.Establishment Labs, DDD-001: Device Description Document Sterile Silicone Breast Implants Motiva Implants® Round SmoothSilk®/SilkSurface® Plus. Data on File.
3. Establishment Labs, DDD-002: Device Description Document for Sterile Silicone Breast Implants Motiva Implants® Ergonomix® Round SmoothSilk®/SilkSurface®. Data on File.
4. Establishment Labs, TR-001038: Rheological analysis of silicone filling gels of Motiva Implants® and other brands’ silicone filling gels using the BTC-2000. Data on File.

02/17/2026

Love is in the air—and so are your options.

From the natural, body‑adaptive movement¹,²,³ of Motiva Ergonomix® to the added fullness and more defined shape¹,²,⁴ of SmoothSilk® Round, Motiva® offers two implant options tailored to your aesthetic goals.

Let's chat about your options. Schedule your consultation today! Call or text us at (425) 420-2663 to start the process.

The patient/stories highlighted here are only examples of patient results. Individual results may vary and are not guaranteed. Patient was compensated and/or received benefits from Motiva®.



1. Aitzetmuller-Kleitz ML, Yang S, Wiebinghaus P, Wellenbrock S, Ozturk M, Kuckelhaus M et al. Complication rates after breast surgery with the Motiva Smooth SilkSurface silicone gel implants – A systematic review and meta-analysis. Clin. Med. 2023, 12,1881. doi: 10.3390/jcm12051881
2. Establishment Labs, TR-001038: Rheological analysis of silicone filling gels of Motiva Implants® and other brands’ silicone filling gels using the BTC-2000. Data on File.
3. Establishment Labs, DDD-002: Device Description Document for Sterile Silicone Breast Implants Motiva Implants® Ergonomix® Round SmoothSilk®/SilkSurface®. Data on File.
4. Establishment Labs, DDD-001: Device Description Document Sterile Silicone Breast Implants Motiva Implants® Round SmoothSilk® / SilkSurface® Plus. Data on File.

02/14/2026

Susie’s most loved skin care product is ZO SkinHealth Growth Factor Serum. It’s a fan favorite!

02/13/2026

This product essentially helps contour your face and soften lines/wrinkles. It's the closest thing to Botox and fillers in a bottle, and in all the best ways.

02/11/2026

A little love…strategically placed. 💗😉

Discover the innovation, safety*, and comfort behind Motiva Implants®. Schedule your consultation today! Call or text us at (425) 420-2663.



*Glicksman C, Wolfe A, McGuire P. The Study of the Safety and Effectiveness of Motiva SmoothSilk Silicone Gel-Filled Breast Implants in Patients Undergoing Primary and Revisional Breast Augmentation: Three-Year Clinical Data. Aesthet Surg J. 2024 Sep 27:sjae134. doi: 10.1093/asj/sjae134. Epub ahead of print. PMID: 39331509.

Beach time
02/03/2026

Beach time

01/31/2026

No words needed.

01/27/2026

This mother and daughter sure love their bananas. And their caretakers think they both could be pregnant! For the best up close and ethical elephant experience, choose Elephants at Home in Chiang Mai, Thailand.

A day in Bangkok with Dr. McIntosh. Have you been there?
01/25/2026

A day in Bangkok with Dr. McIntosh. Have you been there?

Address

12301 NE 10th Place, Suite 101
Bellevue, WA
98005

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 2pm

Telephone

+14253212643

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Meet Dr. Bryan C. McIntosh

I completed a general surgery residency with a major teaching affiliate hospital of Yale University. I went to Long Island, New York for a one year fellowship in burn and wound reconstruction at Nassau University Medical Center. The following two years were spent intensively training with the amazing plastic surgeons at Long Island Plastic Surgical Group, the oldest and largest group of plastic surgeons in the United States.

I could never commit to learning just one focused, specific thing. That would lose my interest too quickly. That’s one reason why plastic surgery is such a perfect field for me. I can see very old adults, very young children, and everyone in between. Surgeries involve skin, muscles, bones, tendons, nerves, vessels, and various prosthetics. One plastic surgical problem never has just one solution, and it’s always nice to have options. The experiences I’ve had throughout life, in college and medical school, in the U.S. and many other countries, have afforded me a unique ability to view one problem from many angles and come up with several solutions. I love shedding new light on situations with my patients, educating them as to the various options they have, offering hope and opportunity to achieve their goals.

Patients from all over Bellevue, Seattle, Redmond, Kirkland, as far east as Yakima, north to Bellingham, and down to Tacoma have blessed me by allowing me to bless them. I would be honored to have the opportunity to meet with you in person and create a well informed, safe, effective plan to help you achieve your desired results.