Plastic Surgery Videos

Butt Augmentation with Implants

Butt Augmentation with Implants

Choosing Right Breast Implant

Choosing Right Breast Implant

Nutrition and Cosmetic Surgery

Nutrition and Cosmetic Surgery

What to Consider With Breast Revision

What to Consider With Breast Revision

When to have surgery after weightloss

When to have surgery after weightloss

Welcome and Waiting Room Tour

Spanish Welcome video

Morales Plastic Surgery welcome video, en Espanol

The ACPS Surgicenter

Meet Dr. Morales

Dr. Rolando Morales - Practice Introduction

About Dr. Morales

Breast Augmentation with the Keller Funnel

Brazilian Butt Lift

The Brazilian Butt Lift is an augmentation procedure of the buttocks that creates a more youthful and prominent buttocks, and a more sensual body profile. Houston plastic surgeon, Dr. Rolando Morales, removes fat by liposuction from selected areas of the body, and injects purified donor fat cells into the buttocks. The procedure is designed to fill the upper quadrant of the buttocks so that it appears lifted and fuller. Patients with a flat buttocks and good donor fat from the back, abdomen, hips and flanks, are the best candidates. Each procedure is specifically tailored and sculpted to meet the individual needs of patients.

Breast Augmentation

Breast Augmentation with Lift

Gynecomastia

Mommy Makeover

Tummy Tuck

Dr. Morales discusses his passion and motivation for plastic surgery 

I've wanted to be a plastic surgeon since childhood. My dad was a medical sculptor at the Burns Shriners Institute in Galveston. So from a very young age, I was exposed to plastic surgery and the reconstructive aspect of plastic surgery. I was able to train with my mentors that I knew from childhood; seeing them 15 years later, working next to them, reconstructing burn children, helping fix cosmetic and reconstructive deformities has been very rewarding. That was really the dream for me. I take care of my patients like I would my family. I take every patient very personally. I also demand the best out of myself and I think my patients always expect that of me. My goal is always to meet their expectations and exceed them. I find that it's an everyday challenge and I do that in everything I do. I'm always pushing myself to get better every day. I tell my kids that every day and it keeps me young. It keeps me hungry. To see patients come into their initial consultation who are dressed very plain, a simple t-shirt and they kinda slouch and then they go through some of these transforming procedures like a breast augmentation with a mommy makeover. Those type of surgeries and seeing them at that two months post-op visit when they come in and they're in heels, their hair is done, their makeup is done, they're wearing a tight-fitting dress. When I see them walking down that hall and they're smiling, they look so different and their aura and their personality have changed from when I first met them. They don't have to say a word, that to me is really gratifying.

Morales plastic surgery - what does concierge-style service mean?

Our concept of concierge service is really just we make sure everything is provided to our patients for their surgical procedures as well as recovery. From when they have surgery, they're in a private surgery center. All we do is aesthetic plastic surgery. This all we do every day, all day. You're not going to wake up next to a patient who just had their tonsils out. You're not going to wake up next to a  patient who just had a colonoscopy. We're a very private, exclusive, VIP style, plastic surgery center. If patients stay overnight, they're going to be in a private room. They have their own nurse. We give them something to drink. We get their pain medicine through their IV, their nausea medication- Everything is as comfortable as possible make sure that night is as smooth and pain-free as possible. We provide garments for compression therapy after surgery. You don't have to go find them on Amazon. We are the number one client for the number one manufacturer in the world. Little things like this are the concierge-style, premium practice details that some practices don't do. We send you flowers after surgery. We want you to feel comfortable and better because it's going to be worth it. Through this process, it's going to be worth it. We aim to make the whole recovery experience smooth and as comfortable as possible. That is our ultimate goal for your plastic surgery recovery.

Dr. Morales - Fitness Competition

I've exercised all my life and did weight training a lot when I was in Junior High and High School, I did power lifting, and in College, I met my wife in High School, and we went to College together, and we started weight training, kind of the power lifting thing. We enjoyed it, and probably about five years ago, my wife decided, "I'm going to do a bikini competition." That was pretty neat. It kind of gives a little more purpose to going to the gym. Weight training is not that hard. It's really the eating that's the hard part of dieting. Having that self control. I didn't think I could do it, but she had a really hard time with it that first time, and she said, "I think if you did it with me, we'd do it together better." We hit it off. I just enjoyed it. We'd weight train together, we'd prep together, we'd make our foods together on Sundays, we still do, and that's when I really kind of got into it. It started me out to sculpt the body, but to do it with weights over a long process, that to me is hard. And that's why I like it, because it's hard.

Morales plastic surgery - what to expect when considering plastic surgery 

My name is Dr. Rolando Morales. I'm a board-certified plastic surgeon in Houston Texas. I'm specialized in aesthetic plastic surgery. I'm in a group of six surgeons called Aesthetic Center for Plastic Surgery and we collectively are the number one practice in Texas. We pride ourselves on excellence and innovation. When patients come in, they should expect to be in a very comfortable setting that's nice and quiet. They should expect a short wait. They meet our coordinators and staff, and they're brought into the patient rooms or consultation rooms. The first thing they're gonna do is make a call. The contact is taken out to my coordinator, her name is Linda Martez. And then, she goes over the standard questions about the procedure, recovery, what to expect during and after plastic surgery. At that point, they make a consultation appointment which can be about an hour long. They come into the office and we take them back to the consultation room. In a very comfortable setting, we go over imaging. We talk about what their desires are and how we can help and make things better for them. Then, we go through the process of making a plan of what they would like to proceed with. And then, if they choose to proceed, then they make a separate appointment to schedule a surgical procedure. At that point, it goes on through the surgery, and then the recovery. So when they come into my practice, they know they're getting the best in Houston. They know they're getting the best in Texas, and I'm here to strengthen that brand and the reputation of a center of excellence.

Morales Plastic Surgery – Breast Augmentation

Breast augmentation is one of the most common procedures in the United States right now. The silicone product, the silicone breast implant, has really evolved and improved at every generation. I would say in the United States, most surgeons are using a smooth, round product. The gel is highly cohesive, designed for safety, designed for a natural feel. The silicone implants can really enhance the volume and shape and proportion of the female's breast to their desires, so I have implants that give you a very natural look, the patient is given a very augmented look. It's become more popular with women who have had multiple children and they feel like their volume has just deflated. So, breast augmentation in late 20's, early 30's, after a couple children is very, very common.

Brazilian butt lift - what to expect

The Brazilian butt lift (BBL) has become more in vogue in the past ten years. It is really an up and coming procedure. Basically it's two procedures in one. We do liposuction and then we take that fat, use it around the core area, the abdomen, the flanks, and the back. We take that fat and we physically move it into a different part of the body. That fat transfer is usually placed in the buttocks for volume enhancement and shape enhancement. That is an all natural tissue that is all you. It is a permanent change in how you gain and lose weight forever. They get really lean in those areas we did the liposuction and the buttock area is always the last thing to go. Patients will have a fuller, rounder butt in relation to your proportions as a result of that procedure. Great patients for BBL, are patients with a BMI somewhere around 20 - 25%. We can really transform the figure of a woman to have a smaller waist and a fuller bottom. This can really change how they look and feel in clothes.

Morales Plastic Surgery – Brazilian Butt Lift Recovery

So recovery for a BBL in my hands, I feel it should be usually about a week. Okay, so at a week, you should expect to go back to work, sitting on normal soft cushions of the seat. In a bed, it's not going to affect the shape, it's not going to affect the volume. Sitting on hard surfaces like a church pew, first same amount of times will cause some problems. My patients are usually back to exercising around week three. And at two months, my patients are back to doing anything they want in life. Breast augmentation recovery time is usually about a week. So most women are back to work within five to seven days, light duty. Taking oral pain medicines, three to five days on average. I get them back into exercising with cardio and some light weight training around week three. And then at two months, I release them to full activity.

Dr. Morales – Exercise Routine

I live, I would say a healthy lifestyle to fit. I feel better, dramatically better since I started focusing more on what I eat and how I exercise. I don't push that on my patients, but I can promise you that in the recovery setting, just getting moving again does improve the circulation, does improve the swelling recovery. Most of my patients are back to exercising around week three. Start on cardio, different types of cardio equipment. Have a great relationship with a lot of personal trainers in the Houston area. Cross Fit gyms, Yoga gyms. To come back six months after surgery, lost 15 to 20 pounds and look even better. That's awesome, right. That's a lifestyle change. To me, that's just as rewarding as doing some of the surgeries that I've done. They go through a lifestyle change and then they inspire others. Right. So their friends and family are like, "Wow. You've really changed so much!" Patients will look and feel younger. Guaranteed. If you just take care of your body, eat well, exercise. You will look and live younger. No question.

Dual Plane Buttock Augmentation

Butt augmentation with the dual plane technique. What is it? What it is is a hybrid technique of a implant that's on top of the muscle and actually in the muscle. I developed it about two years ago. The idea of the augmentation is similar to in breast augmentation, in that the implant is placed in kind of a two spaces of the anatomy. In the breast augmentation, what we do, the implants are placed behind the muscle, as well as underneath the breast tissue at the bottom part of the breast. With a dual plane buttock augmentation it's actually reversed. The implant is placed into the muscle at the bottom part of the butt and on top of the muscle at the top part of the butt. What happens, it gives more of a longer lasting result and more of a natural result, in that the muscle supports the implant on the bottom in the longterm and at the top, the implant is able to kind of help improve the fullness of the upper part of the butt. You're able to get a little bit fuller implant than would you have to choice with a implant completely in the muscle or completely on top of the muscle. It was really more of advantage of both the hybårid technique. The recovery of dual plane on mutation with butt implants is basically two weeks. My patients are not allowed to sit on their butt, not able to squat, those kinds of movements for two weeks from surgery. That's the hardest part of the recovery. But once we get into two weeks, we start sitting protocol and we start advancing recovery and start increasing the activities of life, exercising, returning to work, driving. The implants for butt augmentation are different than breast implants. Breast implants is two structures really. There's a silicone bag and inside is the gel. Butt implants are completely different. There is a semi-solid piece of silicone. They're a lifetime prosthesis. They're formed in a mold with different shapes. I developed a technique to take advantage of that shape and the different forms of the implants. When the implants, as you place in the body, is able to give more of a natural result. The implant moves with the leg muscle and the butt muscle. It looks very fluid and very natural flowing.

Massive Weight Loss Surgery

So one of the surgeries I perform very, very commonly is patients who've had significant weight loss, so we call massive weight loss. And this is one of those types of surgeries that it can be a huge transformation. Patients losing hundreds and hundreds of pounds, either with diet and exercise, or this new trend in society with gastric surgery, where they have gastric sleeves and bypasses. And so the result of that is just a significant amount of weight loss fairly quickly. So the consequence of that is that you have all this skin of the human body. So it depends on the amount of fat that the patient has in different parts of the body. So it affects the arms, it affects the legs, affects the abdomen, the breasts. And what happens, the skin gets really stretched out and the skin has to be removed. That is the bottom line of it. There's no cream, there's no lotions, no lasers that are going to help tightening that skin. At this amount of the skin stretch, the answer is skin removal surgery, or it's almost like a reconstruction. So the surgeries are really tailored to the patient. The ideal time that patients are best candidates for this type of surgery is when their weight stable. Is that they've done all their weight loss that they're happy with, and their lifestyle of work and personal life and diet and exercise lifestyle. And the patients are coming in, and that's when you do the contouring surgery. It's really contouring surgery. We're taking all the skin off and the idea is going, going to have tighter legs, tighter arms, and tighter abdomen, perk your breasts. And all the skin is retailored, basically with the trade off with a scar. And the idea is to hide these scars in areas of the human body that we can conceal them in shadows, conceal them in folds. So typically on the back of the arms or on the inside of the arms and the legs, usually on the inside of the legs. [inaudible 00:02:02] you want to hide in a bikini line or in a bra line for breasts and upper back. So the transformation for these massive weight loss patients is dramatic. I'm talking about removing pounds of skin so they can fit better in their clothes, they'll look better in clothes, they'll feel better about their bodies, and really give them the body they deserve. That they've worked so hard for, from years of having overweight complications. So patient health is super important when patients are considering this type of surgery. Patients who have lost a lot of weight maybe have a medical history of diabetes, they've had high blood pressure, and then losing all that weight, they've been cured of it. Some continue medications, some are on nutritional supplements to supplement some of the deficiency they've had, such as gastric bypass surgery. Those can affect on how patients recover and if they're good candidates to have major surgeries like this. So ideally we want patient optimization in their health so they can have these reconstructive surgeries. So there's a detailed questions that I ask my patients about their health at their current state, and if they were any medical supplements that they're taking for their nutrition. The idea is to get them very healthy and get them ready for the surgery they're about to undergo. Once they've been optimized and in good health, then these surgeries are performed and readdress these areas that they're concerned of. Typically we do these in stages. The stages for these surgeries include, arms, legs, abdomen, breasts, sometimes even face. All the stretched out skin has to be addressed. And so we carefully stage these procedures so we can have surgery safely. Recovery from this surgery is very typical for any cosmetic surgery. The surgery is not as invasive as other reconstructive surgeries I've performed historically. It's really just skin. So most of my patients that are considering massive weight loss surgery are doing multiple parts of the body. I'm doing breasts with arms and abdomen at the same time. You can't do too much because of the amount of blood that can be lost, but typically the amount of surgery that can be done is usually between five and six hours of surgery straight. And most patients who are in good healthy condition can tolerate these surgeries very well. I keep them overnight for the recovery to monitor their vital signs, make sure they're well hydrated and we're feeding them and they're getting good pain control, and then they can leave in the morning. So it's really outpatient surgery. Very well tolerated. We get them into the recovery setting for the next two months. So patients that recover from this surgery are usually back to full life at two months, believe it or not. And then I'm having them in some kind of exercise routine at three weeks. And we have a detailed instructions and protocols of what they can and cannot do based on what kind of reconstructive surgeries they've had addressed, of either the arms or legs or abdomen, and sometimes breasts.

Who is a candidate for abdominal etching

Abdominal etching is "next level" liposuction that is technically difficult to perform. I personally love performing this procedure as it does require a high level of skill and an aesthetic eye. I perform by far more often with men. Recently performing more on women. For both, I will only perform this procedure if this etching fits their athletic physique they have already. If you don't work out consistently and can attain a 6 pack with diet and exercise, then I will likely tell you no. Having an etched abdomen with a "couch potato" physique will look weird in my opinion. I won't do it. The most common person asking for this procedure are those that live a healthier lifestyle in diet and exercise. Eat clean for most part and exercise frequently. Maintaining a 6 pack is difficult year round. The etching allows for a more flexible lifestyle to enjoy work and personal life with a little more freedom in diet. While "looking" like 10%-15% less body fat with visible abdominal muscles! Hope this helps and thank you for watching!

Is abdominal etching permanent?

Yes. the etching is a permanent result. I perform this procedure on both men and women. The fat that is removed with liposuction is a permanent removal of the fat cells in that area. With etching, the fat is skillfully removed in specific areas to enhance the athletic appearance of the abdomen. So with some weight gain, there will always be a slight appearance of an etch. With weight loss, the opposite happens. The definition of the abs will become more apparent faster and more defined.

Who is a candidate for abdominal etching

Abdominal etching is "next level" liposuction that is technically difficult to perform. I personally love performing this procedure as it does require a high level of skill and an aesthetic eye. I perform by far more often with men. Recently performing more on women. For both, I will only perform this procedure if this etching fits their athletic physique they have already. If you don't work out consistently and can attain a 6 pack with diet and exercise, then I will likely tell you no. Having an etched abdomen with a "couch potato" physique will look weird in my opinion. I won't do it. The most common person asking for this procedure are those that live a healthier lifestyle in diet and exercise. Eat clean for most part and exercise frequently. Maintaining a 6 pack is difficult year round. The etching allows for a more flexible lifestyle to enjoy work and personal life with a little more freedom in diet. While "looking" like 10%-15% less body fat with visible abdominal muscles! Hope this helps and thank you for watching!