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Craft MD

Craft MD: Phoenix’s patient-centric practice led by Double Board-Certified Plastic Surgeon Dr.Craft

12/20/2025

“Daddy, what did you do before you had me?”

I came out in the 90s, at a time when being gay didn’t come with a lot of examples of this life. No roadmap. No certainty that this would ever be possible.

And yet—here we are.

Being your dad is exactly where I was always meant to land.

Not the life I was told to expect. Turns out the dream just looked different than I was told it would.

12/19/2025

We are here to support and advise on all aspects of your journey 😎

12/18/2025

Peptides are everywhere right now — but most patients don’t realize there are strict medical, legal, and ethical rules governing how they can be used.

As a board-certified plastic surgeon, I approach peptides the same way I approach surgery:
✔ evidence first
✔ safety always
✔ full compliance with FDA and state guidelines
✔ no hype, no shortcuts

So here’s what patients should actually know:

1️⃣ Peptides can be legal — when prescribed correctly.
They must come from a state-licensed 503A compounding pharmacy, be made for one specific patient, and must not be on the FDA’s Do-Not-Compound list.
Bulk ordering or reselling peptides in-office is not allowed.

2️⃣ They need a real medical evaluation.
Arizona medical board guidelines require a documented diagnosis, exam, and ongoing oversight.
Peptides are prescription medications — not supplements.

3️⃣ Do they work?
Some peptides have promising scientific data in tissue repair, inflammation modulation, and collagen signaling (examples: BPC-157, GHK-Cu, TB-500 fragments).
Others still need more evidence.
No peptide replaces surgery, technique, or proper postoperative care.

4️⃣ Where they fit in plastic surgery:
For select patients, peptides may support recovery, optimize soft-tissue healing, improve sleep quality, and modulate inflammation — all factors that indirectly influence healing after surgery.

5️⃣ Where they don’t fit:
Not for “anti-aging quick fixes,” not for unverified online claims, and not from non-medical vendors or “research peptide” websites.

The goal is simple: use tools that help patients heal better — safely, ethically, and backed by science.

If you’re curious whether peptide therapy makes sense as part of your surgical recovery plan, feel free to reach out or schedule a consultation.

—

Disclaimer: This post is for general educational purposes only and not medical advice. Peptides are prescription medications requiring an in-person evaluation, clinical diagnosis, and medical oversight from a qualified physician. Individual results may vary.

12/16/2025

This is a 25-year-old textured silicone gel implant removed during revision surgery. When older implants are opened, the silicone often appears thicker, sticky, or “gooey.” This is a normal finding for many devices manufactured in the 1990s and early 2000s.

Why the gel looks like this:
• Earlier-generation silicone implants used less cohesive gel compared to modern devices.
• Over time, the gel can develop a “slump” or become more viscous, especially after 20+ years.
• Microscopic shell wear can allow minimal silicone bleed, which is expected in older models.
• Long-term inflammatory response from the capsule can further change the gel’s appearance.

What the evidence shows:
• FDA data from the 1990s and early 2000s documented higher rates of gel bleed and shell fatigue in older silicone implants compared to current cohesive-gel devices.
• Modern implants (“5th-generation” cohesive gel) are engineered to maintain shape and minimize gel migration.
• Textured implants from earlier decades may also show higher rates of capsular contracture or implant aging changes over long intervals.
• A thickened or calcified capsule is common after decades in the body and does not necessarily indicate rupture.

This implant was removed intact. The purpose of opening it on video is to demonstrate how implant technology has evolved, and why patients with older devices sometimes benefit from evaluation or replacement — especially after 15–25+ years.

Every patient’s situation is unique, and the decision to revise depends on symptoms, imaging, and personal goals.

—
Disclaimer: This video is for educational purposes only and not medical advice. Individual assessment by a qualified plastic surgeon is required to determine implant condition and treatment recommendations.

12/15/2025

Don't get me wrong – medical conferences can be great: learning, networking, reunions, etc. But at some point, you just hit a wall 😜

12/13/2025

Surgeons be like this. 🤷♂️

12/12/2025

This patient had a 25-year-old McGhan saline breast implant with severe capsular contracture. McGhan devices from this era were known for higher rates of contracture and valve-related issues compared to modern implants. Over time, the capsule can become thickened, calcified, and distort both the implant and breast shape.

What the evidence tells us:
• Long-term studies show that saline implants older than 15–20 years have increased risk of contracture, valve leakage, and aesthetic distortion.
• Capsular contracture occurs in up to 23–25% of patients with certain older-generation devices.
• Contracture is a biologic response — not caused by the saline itself — and is influenced by implant age, shell texture, placement, biofilm, and individual tissue response.
• Calcification of the capsule is uncommon but increases with implant age and long-standing grade III–IV contracture.
• Saline implants do not carry the same ALCL association as textured silicone implants, but the capsule can still harden, thicken, or scar significantly over time.

For this patient, I performed a complete capsulectomy and implant exchange, restoring softness, symmetry, and natural contour with a modern device.

If you have older saline implants
It may be worth evaluating:
• firmness or hardness
• asymmetry
• shape distortion
• discomfort
• visible wrinkling or rippling
• changes after pregnancy or weight shifts

Implants don’t have an “expiration date,” but many begin showing age-related changes after 15–20+ years, especially earlier-generation devices like this one.

Every patient is different, and decisions about revision surgery depend on symptoms, anatomy, and goals.

—
Disclaimer: This is general educational information and not medical advice. Individual evaluation is required to determine candidacy and treatment recommendations.

12/11/2025

A beautiful, natural-looking transformation using Mentor BOOST™ High-Profile silicone implants. This patient wanted more upper-pole fullness while maintaining soft, natural mobility — and BOOST delivers exactly that balance.
Why BOOST?
BOOST is Mentor’s newest cohesive silicone implant engineered for:
• Enhanced projection without excessive width
• A softer, more natural feel compared to older-generation devices
• Anatomy-tailored sizing that works especially well for petite frames or patients seeking elegant upper-pole shape
• Stable, cohesive gel designed to maintain form and minimize rippling

Surgical Plan
• Placement: Dual Plane
• Incision: inframammary
• Implant size: 480 cc
• Profile: High Profile
• Technique chosen to optimize symmetry, cleavage, and long-term soft-tissue support.

Every patient is different — implant selection and approach are a blend of anatomy, goals, tissue characteristics, and long-term aesthetics. BOOST allows me to achieve projection and softness without over-filling the pocket.

Swipe to see the full transformation.
Questions about sizing or candidacy? Send a DM or schedule a complimentary consult.

—

Disclaimer:
This content is for educational purposes only and not medical advice. Individual results vary and treatment decisions should be made during an in-person consultation with a qualified, board-certified plastic surgeon.

12/09/2025

Time Cast A Spell

12/08/2025

Grumpy Anesthesiologist

12/06/2025

Two decades. Countless changes. But through every twist and turn, one thing has always stayed with me—these trusty surgery clogs. From late nights to new beginnings, they’ve been my constant companion. Funny how something so simple can carry so many stories.

12/05/2025

This might not be where I expected to end up, but it’s definitely where I was meant to be.

Address

4630 E Indian School Road
Phoenix, AZ
85018

Opening Hours

Monday	8am - 4pm
Tuesday	8am - 4pm
Wednesday	8am - 4pm
Thursday	8am - 4pm
Friday	8am - 4pm

Telephone

+16027866973

Website

http://www.drcraft.com/

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At ACARA we endeavor to become a trusted healthcare partner in our patient’s journey to becoming aesthetically whole again. We believe in education and are also dedicated to the creative process. We recognize that each patient has unique needs and we’re committed to utilizing the latest resources and techniques available. We provide patients with hope and healing who are ready to begin their journey: healthily, happily and beautifully.