Brian Scott, MD

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Brian Scott, MD

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Dr. Brian Scott is a Facial Plastic Surgeon specializing in rhinoplasty, facelifts, neck lifts, lip lifts, eyelid lifts (blepharoplasty), fillers, botox, and facial reconstruction.

01/29/2026

Many patients wonder if we will have to break your bones during rhinoplasty. The answer is that it depends on the goals of the rhinoplasty and each patient’s anatomy, but the good news is that this is a lot less scary than it sounds. If we do perform osteotomies (breaks/cuts in bones) you may have a little worse bruising but it doesn’t make the pain any worse so it’s not something to be afraid of as a patient!

01/26/2026

Immediate rhinoplasty results for a hump and a droop tip!

01/22/2026

This woman in her 50s traveled to me from out of state for upper eyelid rejuvenation. She felt like her eyes looked tired and concentrated, even after a great night of sleep.

You can see that she has eyelid hooding that extends beyond the corners of her eye. This happens when there is brow heaviness in addition to eyelid heaviness and an upper blepharoplasty alone would not have been able to fully resolve her hooding.

You can see that her upper face just looks more relaxed and inviting. The goal of a brow lift is NOT to lift the brows as much as possible (which can make someone look surprised) but to restore a youthful brow shape, slightly lift the tails of the brow (which drop down as we age), and make the EYES look relaxed and inviting. She is absolutely thrilled with her results, as am I!

She also recently underwent a deep plane face and neck lift, I will share those results soon…..

01/15/2026

This woman in her 60s wanted to look as vibrant and energetic as she felt inside. The goal was not to change the way she looks but to restore some of her natural beautiful features that had been lost with time.

We performed a deep plane face and neck lift to tighten her jawline, lift her jowls, and restore her neck contour back to what it used to be. A lower blepharoplasty (lower eyelid lift) was used to remove her eye bags and we used a small amount of fat grafting to soften the transition from her cheek to her eyelid. A conservative browlift slightly elevated her brows and most importantly softened the harsh and concentrated look that she had developed between her eyebrows. Finally we performed a full face chemical peel to rejuvenate her skin and help with all of the sun damage and pigment issues she had developed over the years.

She is 3 months out from surgery and absolutely ecstatic about her results!

01/09/2026

A septoplasty is a great tool to help nasal breathing in patients with a deviated septum. However having a prior septoplasty definitely makes getting a rhinoplasty more difficult in the future. Listen to hear more and why it’s best to do them at the same time if you ever want to make any aesthetic changes to your nose

01/06/2026

As we age many things happen to our lips - the upper lip skin gets long and flat, the red part of the lip loses volume and shows less, and the corners of the mouth can descend creating a “frown” look. This patient (and aesthetic injector in Oregon) was bothered by all of those aging signs and is now 11 months out from a sub nasal lip lift and corner of mouth lift and is thrilled with her new lips!

The sub nasal lip lift is done with a small incision at the base of the nose and shortens the distance from the base of the nose to the upper lip back to a more youthful proportion. In a youthful lip when the mouth is slightly open you see just a tiny bit of the upper teeth, which is often lost as the upper lip gets long with age. You can see in the second photo how this tooth show has been restored. Although no volume was added to the upper lip it looks slightly fuller and has more of a pout after the lip lift. Some patients go on to supplement their lip lift with a little bit of filler to add volume which compliments the lift beautifully.

The corner of mouth lift helps lift the downturned sides of the lip that create a sad or frown expression. It also helps reveal a subtle amount of the sides of the lip that get hidden as the upper lip gets long and rolls inward with age.

A lip lift is a short outpatient procedure that can be done without general anesthesia. Patients can expect swelling and bruising to their lips that lasts about 1-2 weeks. The scar under the nose is pink at first but fades with time and is typically very difficult to see with time.

12/31/2025

This patient (and highly talented aesthetic injector) is now 6 days out from a rhinoplasty and is about to see her nose for the first time! She has a very interesting story and actually broke her nose during an intramural soccer game (against MY team)! The goals of her surgery were to straighten her crooked nose, lift her tip, and bring down her hump. She is only 6 days out so still very swollen but this is going to look absolutely amazing once it’s done healing!

12/26/2025

This patient got exactly what she wanted for Christmas….a more elegant and feminine nose. The goals were to lower the hump, straighten the very deviated basal bones (from a prior nasal fracture), and lift the droopy tip. Her new nose matches her facial features perfectly and I think she will love it!

12/20/2025

This beautiful lady in her late 30’s wanted a more elegant and feminine nose - the main goals were to lower her bump, slightly lift the droopy tip, and make the nose slimmer from the front view….all while keeping the results looking natural. She is 3 months out from rhinoplasty and is ecstatic with her new nose and how well it matches her facial features! You can see now that her nose is properly supported it doesn’t become droopy when she smiles and she doesn’t have to even think about how she is going to look when getting her picture taken from the side!

12/14/2025

2.5 weeks out from rhinoplasty and already looking elegant but natural! Can’t wait to see the final outcome in a few months as it refines even further!

12/12/2025

Chin implants are a powerful way to add projection and balance to a weak or recessed chin. When the chin is small, the face looks imbalanced and other facial features such as the nose tend to look too big in comparison. Placing a chin implant is a short outpatient procedure with very manageable downtime (light bruising and swelling along the jawline for about 1 week).

The “ideal” chin is of course subjective but a simple rule of thumb to assess chin projection is to look at a side photo with the head facing straight forward (not tilting up). For a female we like a chin to sit in line with or a few millimeters behind the lower lip while in males an “ideal” position is at the lip or in front of it.

For females with recessed chins we often set the goal to just make the chin stronger and add balance but we don’t necessarily always try to get the chin to this “ideal” place (which many patients are concerned might change the face “too much”). There are many different sizes of implants so the amount of projection and width that we add can be customized to each patient.

Address

Seattle, WA

Website

http://Scottplasticsurgery.com/

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