Dr. Rudy Coscia

Dr. Rudy Coscia A Board Certified Plastic Surgeon at The Plastic Surgery Center of Sacramento and Granite Bay, California.

03/31/2026

4 months post-op and continuing to refine beautifully!

This patient underwent a deep plane face & neck lift, upper blepharoplasty, and facial fat grafting and her results are continuing to improve with time.

From her on-the-table results, to 8 weeks post-op, and now at 4 months, we’re seeing:
✨ A more defined, sculpted jawline
✨ Smooth resolution of the loose tissue previously present in the neck
✨ A refreshed, natural appearance that continues to soften and settle

One of the most important things we share with patients is that healing is a process and results continue to evolve well beyond the early stages. We’re so happy to see her looking and feeling incredible, and we couldn’t be more pleased with her smooth recovery and beautiful outcome.

If you’re considering facial rejuvenation, we’d love to guide you through the process.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

03/27/2026

A refreshed, more rested look without changing what makes her, her.

This patient underwent an upper blepharoplasty, lower transconjunctival lower blepharoplasty, and facial fat grafting to the cheeks, nasolabial folds, and a small amount to the lips.

By addressing the eyelids and restoring volume in the midface, we’re able to create a smoother, more supported transition from the eyes to the cheeks resulting in a softer, more refreshed appearance.

The lower eyelids were treated without an external incision, and fat grafting helps bring back natural volume while improving overall balance.

If you’ve been noticing these changes, a consultation is the best place to start. ✨

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

03/16/2026

Male facial rejuvenation to restore structure and create a more rested, confident appearance while maintaining his natural features.

His surgical plan included a face and neck lift to address laxity along the jawline and neck, paired with an endoscopic brow lift to elevate and reposition the brow. To further refresh the eye area, we performed upper and lower blepharoplasty to remove excess skin and smooth the under-eye contour.

To complement the structural improvements, CO₂ laser resurfacing was performed to improve skin texture and tone, helping the skin appear smoother and more refined.

This is a great example of how combining procedures can address multiple aspects of facial aging for a comprehensive transformation.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

03/10/2026

Things it’s OK to say to your plastic surgeon 👇

Your consultation should be a conversation, not something you feel nervous about. Here are a few things we encourage patients to ask or share:

1. “I’m nervous.” - Totally normal. Surgery is a big decision, and we’re here to make sure you feel informed and comfortable.
2. “Can you explain that again?” - We want you to fully understand your procedure, recovery, and results.
3. “I don’t want to look overdone.” - Natural, balanced results are always the goal.
4. “What would you recommend if I were your family member?” - Patients often ask this and we are always honest about what will achieve the best outcome.
5. “What does recovery really look like?” - Understanding downtime, swelling, and healing is an important part of planning your surgery.
6. “Can you show me examples of results similar?” - Looking at before and after photos helps set realistic expectations.
7. “What are the risks?” - Open conversations about potential risks help you make informed decisions.

Your consultation is a safe space to ask questions, learn, and make the decision that’s right for you.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

03/05/2026

8 weeks after a Deep Plane Face & Neck Lift! ✨

In this video, we walk you through this patient’s early result and share what makes the deep plane facelift technique unique. By lifting the face as a composite layer beneath the SMAS, the cheeks, jawline, and neck can be repositioned more naturally while minimizing tension on the skin.

You can already appreciate the improvement in her midface support, jawline definition, and neck contour with continued softening and refinement expected as healing progresses.

One of the most valuable parts of this visit is hearing directly from the patient about her healing journey and what the recovery experience was like in those first few weeks after surgery.

Every patient heals differently, but seeing real results and real experiences can help others better understand what the process truly looks like.

Entire procedure was a Deep Plane Face & Neck Lift, Upper Blepharoplasty & Facial Fat Grafting.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

02/24/2026

This patient started noticing the changes so many patients describe first; softening along the jawline, early jowling, and laxity in the neck. For her, the goal was to just restore her tissues to their natural position before the early aging process started.

She underwent a deep plane face & neck lift combined with an endoscopic brow lift to reposition the underlying support layers of the face rather than simply tightening skin. This allows the cheeks, jawline, and neck to be lifted in a more anatomical way and the brow to be elevated for a brighter, rested appearance (also helps with any laxity in the upper eyelids!)

This is just 1 day post-op. Swelling is still very present and the tissues are early in healing, but you can already appreciate the improved contour through the jawline and neck. Results will continue to refine over the coming weeks as swelling resolves and the tissues settle into their final position, this is just the beginning of her transformation.

Have questions about deep plane facelifts or facial rejuvenation? Drop them below or send us a message, we’re happy to walk you through it.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

A recessed chin can soften the jawline, shorten the lower face, and make the profile appear less defined even when every...
02/20/2026

A recessed chin can soften the jawline, shorten the lower face, and make the profile appear less defined even when everything else is proportionate. By placing a medium silicone chin implant, we were able to bring the chin forward, sharpen the jawline, and improve overall facial harmony.

Chin augmentation is a permanent solution that restores proportion to the lower third of the face and often enhances the appearance of the neck and profile at the same time. Many patients are surprised how much definition it creates without needing fillers or repeated treatments.

If you’ve ever felt like your profile looks “soft” in photos or your jawline disappears from the side view, the chin may be the missing piece. Have questions? Drop them below or send us a message!

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

After significant weight loss, one of the most common concerns patients experience is excess skin of the upper arms. Whi...
02/11/2026

After significant weight loss, one of the most common concerns patients experience is excess skin of the upper arms. While weight loss improves health and body composition, the skin often does not have the elasticity to retract, leaving hanging tissue that cannot be corrected with exercise alone.

A brachioplasty (arm lift) is designed to remove that excess skin and reshape the contour of the upper arm. Unlike procedures such as a tummy tuck where the incision can be hidden low on the abdomen, the arm lift incision does extend along the inner arm and is not completely concealed. This is an important part of the consultation discussion, we always prioritize informed decisions and realistic expectations.

However, for many patients, the trade-off is worth it. The improvement in arm contour, clothing fit, comfort, and confidence often far outweighs the visibility of the scar. Over time, the incision continues to mature and fade, while the contour improvement remains.

We are incredibly proud to be part of this patient’s journey and the results speak for themselves. If you’ve lost weight and are struggling with loose skin, we’re happy to guide you through your options. Schedule a consultation to learn what procedures may be appropriate for you.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

This patient came to us seeking facial rejuvenation, but she shared that she never anticipated just how meaningful the o...
02/03/2026

This patient came to us seeking facial rejuvenation, but she shared that she never anticipated just how meaningful the outcome would feel.

Her surgical plan focused on restoring natural structure, improving facial balance, and addressing age-related changes while preserving her unique features. The result is a refreshed, more rested appearance that aligns with how she feels on the inside, not a different look, but a more confident version of herself.

Hearing that the impact exceeded her expectations is one of the most rewarding parts of our work.

We are sincerely grateful for the trust she placed in our team and in the process required to achieve safe, thoughtful, and natural-looking results.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

Major Thigh Transformation! 🦵💫This patient struggled with significant skin laxity throughout the thighs post major weigh...
01/30/2026

Major Thigh Transformation! 🦵💫

This patient struggled with significant skin laxity throughout the thighs post major weight loss, which ended up requiring more than one procedure to fully address. We began with an extended thigh lift to remove excess skin through the mid to lower thighs, improving contour, smoothness, and overall shape.

After healing and allowing the tissues to settle, she returned a year later for a bilateral circumferential thigh lift. This second stage focused on the upper inner and upper posterior thighs, targeting remaining skin redundancy.

Staged surgery like this allows us to be strategic, see what areas still need improved contour step by step while protecting blood supply, optimizing healing, and achieving a more comprehensive, natural-looking outcome.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

01/29/2026

This is what 3 years of body contouring can look like. ✨

After massive weight loss, we created a strategic surgical plan designed to help this patient reach her ultimate goals not just physically, but in her confidence too. Transformations like this don’t happen overnight; they happen with careful planning, healing, and trust in the process.

Her journey began with an extended tummy tuck using a fleur-de-lis approach to address upper abdominal skin laxity that a standard tummy tuck alone couldn’t correct, along with a breast reduction. After healing, she continued with a brachioplasty to improve arm contour, upper body/bra line lift to refine that upper body laxity and an extended thigh lift. Then most recently, she underwent a partial circumferential gluteal thigh lift, 7 months ago.

Each stage built on the last, creating balance and harmony over time. What a journey it has been and we are truly honored to have cared for her through the years and to share this transformation with you.

Dr. Rudy Coscia
📍Sacramento | Granite Bay | Coeur d’Alene

Address

8723 Sierra College Boulevard
Granite Bay, CA
95746

Opening Hours

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

Telephone

+19167735559

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About Dr. Rudy Coscia

Dr. Coscia began practicing at The Plastic Surgery Center in 2012 as a cosmetic fellow. He quickly earned the respect and praise of the senior surgeons and was asked to join the group in 2013. Dr. Coscia has developed a reputation of having superb surgical skills and a wonderful demeanor. Dr. Coscia is also board certified by The American Board of Plastic Surgery. In addition, he is a member of The American Society of Plastic Surgeons and The California Society of Plastic Surgeons. Dr. Coscia received his medical degree in his hometown of Memphis at the University of Tennessee. There he had the unique opportunity to work in the trauma department as a suture tech. The experience of caring for trauma patients and working to correct severe traumatic facial injuries sparked his initial interest in plastic surgery. Visualizing the problem and working to obtain the desired results was exciting and rewarding. During medical school he was selected for membership in Alpha Omega Alpha, an honor reserved for the top students.

Dr. Coscia was drawn to Northern California by the beautiful weather and vast array of outdoor activities. Here he completed his surgical training at the University of California Davis Medical Center where he worked under Dr. Thomas Stevenson, a nationally recognized leader in plastic surgery. Upon completing his residency, Dr. Coscia served as the fellow for The Plastic Surgery Center under the direction of six board certified plastic surgeons. During this fellowship year, he acquired tremendous experience performing facelifts, rhinoplasties, breast augmentations and breastlifts, and abdominoplasties. Dr. Coscia has a special interest in facial plastic surgery but appreciates the broad scope of plastic surgery both cosmetic and reconstructive.

Dr. Coscia is a published author with articles appearing in the Annals of Plastic Surgery. He has presented his research at meetings such as the California Society of Plastic Surgeons and the Aesthetic Society of Plastic Surgeons. He is a candidate member of the American Society of Plastic Surgeons, the California Society of Plastic Surgeons, and the American Society of Aesthetic Plastic Surgeons.

He now has made Sacramento his home but enjoys traveling and visiting his family. Backpacking and skiing are two of his favorite pastimes. He also loves music and often sings at his church in Rocklin. He feels blessed to live in an area with so much to offer and privileged to be part of a practice with such a long and respected reputation.