Who Is a Good Candidate for Cosmetic Surgery in Downey?
A good candidate is someone in reasonable good health who has one specific thing they want to change. It could be breasts that never bounced back after having kids. It could be stubborn belly fat that no amount of dieting has touched. It could be loose skin after losing a significant amount of weight. You do not need to want a head to toe transformation. Most of my Downey patients want one thing improved, and they want it done right the first time. If that sounds like you, call us at (714) 544-8678. We will tell you in the first conversation whether what you are looking for is realistic.
I Have Performed Over 50,000 Procedures. Here Is What That Means for You.
I am Dr. Sid Mirrafati, a Diplomate of the American Board of Cosmetic Surgery with more than 30 years of practice. I opened our Downey office at 10556 Paramount Blvd specifically to bring the same level of care I provide in Costa Mesa to patients in Los Angeles County who should not have to drive to Orange County to see a good surgeon.
Not a PA. Not a resident. Me. I personally perform every procedure at every location.
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. When I teach other surgeons the techniques I developed, it tells you something about the depth of experience you are getting when you sit across from me in a consultation.
Our Costa Mesa facility is AAAHC-accredited. That same standard of care, the same protocols, the same surgical team discipline, comes with me to every location I operate at.
Body Surgery Procedures in Downey
We offer the full range of body contouring procedures at our Downey location. These are the most requested:
Liposuction in Downey
I use Vibro-Tumescent liposuction, which is gentler on fat cells and produces smoother, more natural results than standard techniques. I target areas that get done poorly at a lot of practices: abdomen, flanks, inner thighs, arms, neck, and the submental area under the chin. Starting price: $3,900.
Brazilian Butt Lift (BBL) in Downey
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 we perform at the Downey location. Starting price: $5,900.
Arm Lift in Downey
Excess skin and fat on the upper arms does not respond to exercise. An arm lift removes it and restores a toned, contoured appearance that patients say changes how they feel about wearing short sleeves.
Thigh Lift in Downey
A thigh lift addresses loose, sagging skin on the inner or outer thighs, creating smoother and firmer contours. It is commonly requested by patients who have lost a significant amount of weight.
Tummy Tuck in Downey
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 removal. It is really repairing all of the muscles, not just the visible ones in the middle. If you were told elsewhere that your results would be moderate, come talk to me.
Labiaplasty in Downey
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.

Mommy Makeover in Downey
This is usually a combination of tummy tuck, breast augmentation, and 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.
Female Breast Surgery in Downey
Breast surgery makes up a significant portion of my practice and has for three decades. I have performed over 8,000 breast surgeries. These are the procedures we offer at the Downey location:
Breast Augmentation in Downey
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 going into surgery. Starting price: $4,900.
Breast Augmentation and Lift in Downey
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 and reduces total recovery time compared to doing them separately.
Breast Lift in Downey
A breast lift restores a youthful breast position and contour without adding volume. This is the right option for patients who are happy with their size but have experienced sagging from pregnancy, weight loss, or age.
Breast Reduction in Downey
Breast reduction relieves the physical discomfort of disproportionately large breasts while improving proportion and appearance. Many of my reduction patients tell me this is the single most life-changing procedure they have ever had.
Breast Revision in Downey
Revision cases are a meaningful part of my practice. Patients come to me after unsatisfactory results from other surgeons. With 30 years of experience and 8,000+ breast surgeries performed, I have seen virtually every complication that can occur and know how to address it.

Male Breast Surgery and Enhancement in Downey
Gynecomastia in Downey
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 a week.
Male Pec Implants in Downey
For men who want enhanced chest definition that exercise alone cannot achieve, pec implants provide a permanent solution with natural-looking results.
MTF Breast Augmentation in Downey
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.

Facial Surgery in Downey
Facelift in Downey
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.
Neck Lift in Downey
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 a more complete result.
Eyelid Surgery in Downey
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 Downey
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 Downey
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 Downey
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 Downey
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.
Fat Transfer to Face in Downey
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.
Lip Lift in Downey
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.
Hair Transplant in Downey
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.


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Non-Surgical Treatments in Downey
Botox in Downey
Botox smooths dynamic wrinkles caused by facial movement and prevents new lines from forming with consistent treatment. I perform all injections personally.
Dermal Fillers in Downey
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.
Liquid Rhinoplasty in Downey
Non-surgical nose refinement using filler to correct minor bumps, asymmetry, or tip definition without surgery or downtime. Results are visible immediately.
Laser Hair Removal in Downey
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 Downey
Laser resurfacing improves skin texture, tone, fine lines, and overall appearance. It is one of the most effective non-surgical skin treatments available.
IPL in Downey
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.
Spider Vein Treatment in Downey
We eliminate unsightly vascular lesions using targeted treatment that is quick and requires no downtime.
Vampire Face Lift in Downey
This treatment uses your body's own platelet-rich plasma to stimulate skin rejuvenation and collagen production, improving texture, tone, and overall skin quality.
PRP, Activated Fibrin Gel, and Stem Cell Therapy in Downey
Advanced regenerative treatments that use your body's own healing factors for skin and hair restoration.
Exosomes and Stem Cell Treatment in Downey
Advanced regenerative therapy for skin rejuvenation and cellular repair.
Vaginal Laser Tightening in Downey
Non-surgical vaginal tightening and rejuvenation using laser technology. This is performed privately and discussed confidentially during your consultation.
Medical Weight Loss in Downey
Semaglutide in Downey
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.
Tirzepatide in Downey
Dual-action medication targeting multiple metabolic pathways for enhanced weight loss results beyond what semaglutide alone achieves. Prescribed and monitored by Dr. Mirrafati directly.
Retatrutide in Downey
Cutting-edge triple-action peptide for comprehensive weight management. One of the most advanced options currently available in medical weight loss.
Peptide Injections in Downey
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.


Anti-Aging and Regenerative Medicine in Downey
Human Growth Hormone Therapy in Downey
Restore youthful energy, muscle tone, and cognitive function through carefully managed hormone optimization therapy prescribed and monitored by Dr. Mirrafati.
Testosterone Injections in Downey
Address hormone deficiency and improve overall vitality with testosterone therapy. We assess your levels and create a program specific to your needs.
NAD Shots in Downey
NAD injections boost cellular energy and support healthy aging at the molecular level.
NAD IV Therapy in Downey
Comprehensive cellular rejuvenation through intravenous NAD delivery for patients who want deeper and faster results than injections alone.
IV Therapy and Hydration in Downey
Our IV therapy treatments deliver essential nutrients, vitamins, and minerals directly to your bloodstream for optimal absorption. These treatments support overall wellness, boost energy levels, and enhance recovery.
Why Los Angeles County Patients Choose Dr. Mirrafati
Here is what I hear most often from patients who drove past other practices to come see me in Downey: "I wanted someone with real experience, not someone who just opened their doors."
My consultations run long. I am not in a rush. I want to know what your life looks like, what you are hoping to change, 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 that in cosmetic surgery, the patient and the doctor must completely trust each other to get a great 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 high-volume practices with rotating staff, there is a real chance 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 surgeons with 5 or 10 years of experience simply have not encountered yet. That experience is in my hands when I operate.
What Most Patients Do Not Realize
The incision location matters more than most surgeons admit.
Patients ask about implant size and forget to ask 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, 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 almost always disappointed because they got a standard procedure when they needed more.
Your recovery depends on your preparation, not just your procedure.
Your recovery starts 10 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 and came 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 Los Angeles County. I am not trying to be. My prices are still very competitive for the level of experience you are getting.

What to Expect: From Your First Call to Your Final Follow-Up
Step 1: Call or Contact Us. Our team picks up. 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 covering medications to stop, what to eat, and what to arrange at home. My team is reachable by phone and text during this period.
Step 4: Surgery. Performed at our accredited surgical facility. I do the operation. You go home the same day.
Step 5: Recovery and Follow-Up. We schedule follow-up appointments the next day, 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 and 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 or with a BBL pillow. Light activity resumes in 2 weeks.
Facelift and Neck Lift: Most visible swelling resolves in 2 to 3 weeks. Full results at 3 to 6 months.
Cost of Cosmetic Surgery at Our Downey Location
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 $4,900
BBL: from $5,900
Liposuction: from $3,900
Mommy Makeover: from $14,000
One thing I will say about Downey compared to Beverly Hills or West Hollywood: the cost of doing business here is lower and we pass that along. You get the same surgeon, the same techniques, and the same standards, at a price point that makes more sense for most families in Southeast LA County.
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.
Downey, CA 90241
P: (714) 769-8292
Business Hours
Monday to Saturday: 9:00 AM – 6:00 PM
Sunday: CLOSED
FAQ's for Plastic Surgery in Downey
I perform every procedure personally regardless of which location. There are no residents, no fellows, and no cases delegated to other surgeons.