Cosmetic Surgery in Costa Mesa, Orange County | 30 Years · 50,000 Patients · Dr. Mirrafati

Who Is a Good Candidate for Cosmetic Surgery in Orange County?

A good candidate is someone in reasonably good health who has one specific thing they want to change. It could be breasts that never recovered after pregnancy. It could be belly fat that does not move no matter how clean they eat. It could be skin laxity after losing 40 pounds. You do not need to want a dramatic transformation. Most of my patients want to look like a better version of themselves, not someone else. We are 10 minutes from Newport Beach, which is where a large portion of our patients come from. If that sounds like you, call us at (714) 544-8678 and we will tell you within the first conversation whether what you are looking for is realistic.

I Have Performed Over 50,000 Procedures. Here Is What That Actually Means for You.

I am Dr. Sid Mirrafati, a Diplomate of the American Board of Cosmetic Surgery with more than 30 years of practice. My Costa Mesa office at 3140 Red Hill Ave is where I personally perform every procedure. Not a PA. Not a resident. Me.

I have also authored surgical textbooks — one published by Springer on breast surgery, one translated into Spanish on abdominoplasty, one on facelift procedures, and I am co-author on a book on liposuction. I say that not to impress you, but because most surgeons in Orange County have not. When I teach other surgeons the techniques I developed, it tells you something about where the bar is.

Our facility is AAAHC-accredited, which means we passed the same safety inspections that hospital outpatient departments are required to pass. Most cosmetic surgery offices in the area are not accredited at this level. That matters when you are going under anesthesia.

Cosmetic Surgery Procedures We Offer in Orange County

Body Surgery Procedures in Orange County | Newport Beach

We perform the full range of body contouring procedures at our Costa Mesa location. These are the most requested:

Liposuction in Orange County

I use Vibro-Tumescent liposuction, which is gentler on fat cells and produces smoother results than standard techniques. I target areas that are commonly done poorly by other surgeons: abdomen, flanks, inner thighs, arms, neck, and the submental area under the chin. Starting price: $3,900.

Brazilian Butt Lift (BBL) in Orange County

My BBL combines Vibro-Tumescent fat harvesting with precise fat grafting to create natural-looking, proportionate results. More viable fat cells transferred means better volume retention long term. This is one of the most requested procedures in Orange County and Newport Beach. Starting price: $5,900.

Arm Lift in Orange County

Excess skin and fat on the upper arms do not respond to exercise. An arm lift removes it surgically and restores a toned, contoured appearance.  This is very popular with patients with massive weight loss.

Thigh Lift in Orange County

A thigh lift addresses loose, sagging skin on the inner thigh, creating smoother and firmer contours.  This procedure is commonly done after abdominoplasty so the incision can be brought up to the abdominoplasty scar.

Tummy Tuck in Orange County

Standard tummy tucks address skin and a little muscle. My Mira Corsetplasty goes further and repairs the deeper fascial layer that causes the persistent lower belly pouch most patients hate. A tummy tuck is not just skin. It is really repairing all of the muscles, not just the mid-section. If you have had a tummy tuck consultation and were told your results would be moderate, come talk to me.

Labiaplasty - Vaginoplasty in Orange County

We perform labiaplasty for patients seeking improved comfort, symmetry, and confidence. This procedure is performed privately and with the same attention to detail as every other surgery I do.  Labioplasty addresses the inner and the outer lips and vaginoplasty addresses the tightness that some females lose after childbirth.

Female Breast Surgery in Orange County

We offer the complete range of breast procedures at our Costa Mesa location. Breast surgery makes up a significant portion of my practice and includes some of the most technically demanding work I do.  Breast surgery done correctly can save you lots of money for revision surgeries in the future.

Breast Augmentation in Orange County

I developed a technique called Mira Mist, a scarless breast augmentation performed through a small underarm incision. No scar on the breast. No scar on the areola. The implant pocket is developed by the force of the tumescent fluid, which is why post-op pain is minimal and recovery is fast. For the right patient, this changes everything about how they feel about the decision. Starting price: $5,900.

Breast Augmentation and Lift in Orange County

For patients who want more volume and improved position, I combine augmentation and lift in a single surgery. This addresses both size and sagging at once, reducing overall recovery time compared to staging them separately.  There are several ways to do breast lift.  During your consultation, I will discuss if you really need breast lift and which type of lift.

Breast Lift in Orange County

A breast lift restores a youthful breast position and contour without adding volume. This is a good option for patients who are happy with their size but have experienced sagging from pregnancy, weight loss, or age. It is very important to examine for superior fullness because if there is no superior fullness, then lifting the breast without implant placement will not look aesthetically pleasing.

Breast Reduction in Orange County

Breast reduction relieves the physical discomfort of disproportionately large breasts while improving proportion and appearance. Many of my reduction patients tell me it is the single most life-changing procedure they have had. I would say, breast reduction is one of the most self-satisfying cosmetic procedure.

Breast Revision in Orange County

Revision cases are a significant part of my practice. Patients come to me after unsatisfactory results elsewhere. With 30 years of experience and 8,000+ breast surgeries performed, I have encountered virtually every complication that can occur and know how to correct it.  This is why I stress so much to have your first breast augmentation done by a qualified and experienced surgeon to avoid breast revision in the future.

Mommy Makeover in Orange County | Newport Beach

This is usually a combination of tummy tuck, breast augmentation, and sometimes liposuction performed in a single surgery. I use my proprietary Mira Corsetplasty, an extended abdominoplasty that addresses the entire abdominal wall with closure of the mid muscles and the waist muscles, not just the skin. Most other surgeons offer a standard tummy tuck. This is not the same thing. Starting price: $14,000.

Male Breast Surgery and Enhancement in Orange County

Gynecomastia in Orange County

Enlarged male breast tissue is more common than most men realize and more correctable than they expect. My gynecomastia procedure removes the excess glandular tissue and fat to restore masculine chest contours. Most patients return to work within 3 days.

Male Pec Implants in Orange County

For men who want enhanced chest definition and muscular appearance that exercise alone cannot achieve, pec implants provide a permanent solution with natural-looking results. I perform this procedure with a small incision under the arm which is hidden.

MTF Breast Augmentation in Orange County

We perform gender affirming breast augmentation for MTF patients with the same care and personalization as all our breast procedures. Every consultation is private and judgment free. Also, because I do my procedure from underarm, there is no scaring on the breast which leads to faster recovery and minimal pain.

Facial Surgery in Orange County

Facelift in Orange County

A facelift addresses sagging skin, deep folds, and loss of definition along the jaw and neck. I perform facelifts that look natural, not pulled. The goal is always to look like a rested, younger version of yourself. There are several level of facelift.  During your consultation I will go over which facelift will serve you best.

Neck Lift in Orange County

A neck lift targets loose skin and banding along the neck, restoring a defined jawline and smoother profile. It is frequently combined with a facelift for comprehensive facial rejuvenation.

Eyelid Surgery in Orange County

Upper and lower blepharoplasty addresses drooping eyelids and under-eye bags. This is one of the highest-impact procedures relative to how minor the recovery is.

Eyebrow Lift in Orange County

A brow lift elevates drooping brows and smooths forehead lines, creating a more alert and youthful appearance without changing your natural expression when done correctly.

Rhinoplasty in Orange County

Rhinoplasty is one of the most technically demanding facial procedures. I perform both functional and cosmetic rhinoplasty, addressing breathing issues alongside aesthetic concerns when needed.

Chin and Cheek Implants in Orange County

Chin and cheek implants enhance facial balance and definition. A well-placed chin implant can change the entire proportion of the face and is frequently combined with rhinoplasty for optimal harmony.

Buccal Fat Removal in Orange County

Buccal fat removal creates more defined cheekbone structure by reducing the fullness in the lower cheeks. Results are permanent and become more visible as residual swelling resolves over several months. The procedure takes 30 minutes and can be done locally or under general anesthesia.  The recovery is few days.

Fat Transfer to Face in Orange County

Using your own fat harvested from another area, I restore natural volume to the cheeks, temples, under-eyes, and jawline. Because it is your own tissue, the results feel natural and can be long lasting.  Fat transfer to the face not only volumize the areas but also the collagen stimulations will significantly improve the skin texture.

Lip Lift in Orange County

A lip lift shortens the space between the nose and upper lip, enhancing lip shape and creating a more youthful appearance without the temporary nature of injectable fillers.  Lip lift is not for everyone but for the selected patients it will have a significant result.

Hair Transplant in Orange County

We restore natural hairline and density using advanced hair transplant techniques. This is performed as an outpatient procedure and results develop gradually over 9 to 12 months. FUE hair transplant surgery has revolutionized the procedure.

Non-Surgical Treatments in Orange County

Botox in Orange County

Botox smooths dynamic wrinkles caused by facial movement and prevents new lines from forming with consistent treatment. I perform all injections personally. No nurses with weekend training, I inject all the Botox myself.

Dermal Fillers in Orange County

Dermal fillers restore volume and enhance facial contours in areas like the cheeks, lips, jawline, and under-eyes. Results are immediate and can last 12 to 24 months depending on the product used. During your consultation I will recommend which filler to use to give you the best results with minimal cost.

Liquid Rhinoplasty in Orange County

Non-surgical nose refinement using filler to correct minor bumps, asymmetry, or tip definition without surgery or downtime. Results are visible immediately. Non-surgical nose fillers can be hyaluronic acid like Restylane, Contour, or calcium hydroxyapatite like Radiesse.

Laser Hair Removal in Orange County

Permanent hair reduction for smooth, hair free skin. We treat all body areas and most skin types with our laser systems.

Laser Skin Resurfacing in Orange County

Laser resurfacing improves skin texture, tone, fine lines, and overall appearance. It is one of the most effective non-surgical skin treatments available. We have both CO2 laser for deep resurfacing and Erbium laser for more superficial result.

IPL in Orange County

IPL addresses sun damage, age spots, redness, and skin irregularities. It is a good maintenance treatment for patients who want to keep their skin looking even and clear. Our IPL machine is medical graded and can only be done by a physician or nurses, but I do all the treatment myself.

Spider Vein Treatment in Orange County

We eliminate unsightly vascular lesions using targeted treatment that is quick and requires no downtime.

Vampire Face Lift in Orange County

This treatment uses your body's own platelet-rich plasma to stimulate skin rejuvenation and collagen production, improving texture, tone, and overall skin quality. This is combined with Radiofrequency and microneedling as well as Erbium laser resurfacing of the entire face or the neck area.

PRP, Activated Fibrin Gel, and Stem Cell Therapy in Orange County

Advanced regenerative treatments that use your body's own healing factors for skin and hair restoration. I will seperate you blood into CD34+, PRP, and PPP.  Fibrine gel is made from the PPP and injected into skin with the growth factors and the PRP.  Watch full YouTube Video on this topic.

Vaginal Laser Tightening in Orange County

Non-surgical vaginal tightening and rejuvenation using CO2 laser technology. This is performed privately and discussed confidentially during your consultation.

Medical Weight Loss in Orange County

Semaglutide, GLP1 Peptide in Orange County

FDA-approved GLP-1 receptor agonist that regulates appetite, slows gastric emptying, and improves insulin sensitivity for significant, sustainable weight loss. We manage this program entirely in-house, not through a third-party telehealth service. I also add another peptide, PBC 157, for muscle and gut health.

Tirzepatide | GLP1 and GIP in Orange County

Dual-action medication, GLP1 and GIP, targeting multiple metabolic pathways for enhanced weight loss results beyond what semaglutide alone achieves. Prescribed and monitored by Dr. Mirrafati directly. I also add the third peptide, PBC 157, for muscle and gut health.

Retatrutide | GLP1, GIP,and Glucagon in Orange County

Cutting-edge triple-action peptide, GLP1 - GIP - Glucagon for comprehensive weight management. One of the most advanced options currently available in medical weight loss. I also add the fourth peptide, BPC 157, for muscle and gut health.

Peptide Injections in Orange County

We offer BPC-157 and B12 injections as part of our medical weight loss and wellness programs. All peptide programs are managed in-house and monitored directly by Dr. Mirrafati.

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Anti-Aging and Regenerative Medicine in Orange County

Testosterone Injections in Orange County

Address hormone deficiency and improve overall vitality with testosterone therapy. We assess your levels and create a program specific to your needs.

Human Growth Hormone Therapy in Orange County

Restore youthful energy, muscle tone, and cognitive function through carefully managed hormone optimization therapy prescribed and monitored by Dr. Mirrafati.

NAD Shots in Orange County

NAD injections boost cellular energy and support healthy aging at the molecular level.

What Most Patients Do Not Realize

The incision location is a bigger deal than most surgeons admit.

Patients ask about implant size and forget to ask about where the incision goes. An inframammary incision leaves a scar on the breast crease. My Mira Mist technique uses the armpit, so there is nothing on the breast itself. Not every patient is a candidate for it, but many are, and most are never offered the option.

A tummy tuck and a Mira Corsetplasty are not the same procedure.

A standard tummy tuck removes skin and tightens the rectus muscles. My extended technique also addresses the deeper fascial layer and the lateral abdominal wall. Patients who come in disappointed with a prior tummy tuck are often disappointed because they got a standard procedure when they needed more.

Your recovery depends on your preparation, not just your procedure.

I tell every patient: your recovery starts 30 days before surgery. Sleep, nutrition, stopping certain supplements, all of it matters. Patients who ignore pre-op instructions consistently have rougher recoveries. It is not complicated. It just requires follow-through.

Cheaper quotes usually mean something is being cut.

I see patients who shopped price first. They come back wanting revisions. The revision costs more than the original surgery would have if they had chosen based on experience instead of cost. I am not the cheapest option in Orange County. I am not trying to be. My prices are still very competitive.

Why Orange County Patients Choose Dr. Mirrafati

Here is what I hear most often from patients who came to us after seeing someone else first: "The other surgeon spent 10 minutes with me and handed me a quote."

My consultations run long. I am not in a rush. I want to know what your life looks like, whether you have realistic expectations, and whether the procedure you are asking about is actually the right one for your anatomy. Sometimes it is not. Maybe I am not the right doctor for you. I always say in cosmetic procedure or surgery, the patient and the doctor must completely trust each other in order to have a fantastic result. I tell you that upfront. That is not me turning away business. That is me doing my job.

I perform every procedure myself. At practices with multiple surgeons or a high surgery volume, there is a real risk that the surgeon you consulted is not the one who operates. That does not happen here. And because I have 50,000+ patients in my history, I have seen outcomes that other surgeons with 5 or 10 years of experience have not encountered yet. That experience lives in my hands when I operate.

What to Expect: From Your First Call to Your Final Follow-Up

Step 1: Call or Contact Us. Our team picks up. We are not a call center. You will speak with someone who can answer basic questions and schedule your consultation without a wait.

Step 2: Your Consultation. I sit with you. We talk about what you want and whether it is achievable. I show you before-and-after photos of my actual patients. I explain what the procedure involves, what recovery looks like, and what results are realistic for your body specifically.

Step 3: Pre-Op Preparation. You receive detailed written instructions. We go through everything: medications to stop, what to eat, what to arrange at home. My team is reachable by phone and text during this period.

Step 4: Surgery. Performed at our AAAHC-accredited Costa Mesa facility. I do the operation. You go home the same day.

Step 5: Recovery and Follow-Up. We schedule follow-up appointments at one week, one month, three months, and six months. You are not discharged and forgotten. We monitor your healing the entire way through.

Recovery Timelines by Procedure

  • Breast Augmentation: Most patients return to desk work in 3 to 4 days. Strenuous activity resumes after 4 to 6 weeks.
  • Tummy Tuck / Mommy Makeover: 10 days before returning to light work. Full activity at 6 to 8 weeks.
  • Liposuction: Light work in 3 to 4 days. You wear a compression garment for 4 to 6 weeks underneath your clothing.
  • BBL: No direct sitting on the buttocks for 2 to 3 weeks. You can sit upright with a BBL pillow. Light activity resumes in 2 weeks.
  • Facelift / Neck Lift: Most visible swelling resolves in 2 to 3 weeks. Full results at 3 to 6 months.

Cost of Cosmetic Surgery in Orange County

Procedure pricing depends on your anatomy, the complexity of what we are doing, and whether procedures are combined. Here are our starting ranges:

  • Breast Augmentation: from $5,900
  • BBL: from $5,900
  • Liposuction: from $3,900
  • Mommy Makeover: from $11,000

We offer financing through CareCredit and payment options through Cherry. We go over all costs in detail during your consultation. There are no surprise fees.

Visit Us - Serving Newport Beach, Irvine, and All of Orange County

We are located at:

3140 Red Hill Ave, Suite 150
Costa Mesa, CA 92626

P: (714) 544-8678

Business Hours

Monday to Friday: 9:00 AM – 6:00 PM

Saturday: 10:00 - 5:00 PM

Sunday: CLOSED

We are minutes from South Coast Plaza and serve patients from Newport Beach, Irvine, Huntington Beach, Laguna Beach, Mission Viejo, Laguna Niguel, Santa Ana, Tustin, and across Orange County.

Call (714) 544-8678 to schedule your consultation with Dr. Mirrafati.

Frequently Asked Questions

Is Dr. Mirrafati the surgeon who actually performs the procedure?

Yes. I perform every procedure personally. There are no residents, no fellows, and no cases delegated to other surgeons.

Do you serve Newport Beach, Irvine, and Huntington Beach patients?
What makes Mira Mist different from standard breast augmentation?
Can I combine procedures to reduce recovery time?
What is the difference between a tummy tuck and the Mira Corsetplasty?
How do I get started?