Craft MD

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

06/26/2026

I poke people for a living. Figured it was my turn.
That’s 20 EuroThreads around my own eyes — the Bleph line, PDO
(polydioxanone), the same suture material that’s been used in surgery for decades.
Five zones, four threads each, a mix of Smooth (25mm) and Twist (38mm).
What they actually do: not much on day one. The threads dissolve over a few
months, but while they’re in there they nudge your own collagen and elastin to
rebuild along the path they took. Translation — softer crow’s-feet, less crepey
lower-lid skin, a little more snap to the tissue around the eye. Subtle, real, and very
much not a facelift.

The bruising is the part nobody posts. A couple of days, some sunglasses, you live.
The rule I don’t break: nothing goes in your face that hasn’t gone in mine first.
EuroThreads are FDA-cleared as a medical device — not a magic wand, just collagen
biology in trained hands. The eye area is delicate; this is not a DIY zone

Before you pay for exosomes, three words: promising, not proven, not approved.All three are true at the same time — and ...
06/24/2026

Before you pay for exosomes, three words: promising, not proven, not approved.

All three are true at the same time — and most clinics will only tell you the first one. The honest version: two 2026 systematic reviews did find positive associations for skin elasticity, hydration and wrinkle depth. Both also concluded, in writing, that larger standardized trials are still needed. And the part the glossy menu skips — no exosome product is FDA-approved for aesthetic use, and that position applies the moment a clinic claims what it'll "do" to your skin.

I'm not anti-innovation. I'm anti-being-sold-certainty-that-doesn't-exist-yet. Before you book, ask three things: where it's sourced, what peer-reviewed data exists, and its regulatory status. A confident answer is reassuring. A vague one is the answer.

Promising isn't the same as proven. Your face can wait for the difference.

Not medical advice — just a surgeon who reads the studies, not the brochures.

The drug works everywhere — including the places you didn't want it to.GLP-1 medications strip fat fast, and your face d...
06/22/2026

The drug works everywhere — including the places you didn't want it to.

GLP-1 medications strip fat fast, and your face doesn't get a vote. The cheeks, temples and under-eyes deflate first, which is why the mirror can age years in a matter of months. The data backs it up: among GLP-1 patients, 61% report midface volume loss, 50% skin laxity, and 35% new facial wrinkles. The field has noticed too — 67% of facial surgeons are seeing more weight-loss patients, and facial fat grafting has grown 50% two years running.

Here's the part nobody mentions: the fix usually isn't more filler — it's your own fat, restored to the compartments that emptied. And timing matters. Resuming high-dose GLP-1 after a graft can shorten how long it lasts, so the face belongs in the plan before you book, not after.

Keep the drug. Keep your face. You were never trying to look sick — you were trying to look well.

Not medical advice — just the surgeon who fixes this for a living.

06/22/2026

Some of our classmates are dropping their kids off at college dorms this fall. Andersen and I are negotiating kindergarten to elementary school.

Some of our peers are starting to look like their own dads did at this age. Some of us got handed a completely different deck — and we're sitting here on the couch laughing about it.

We were the latchkey generation. Raised by no one. Told we'd be the slackers. Instead, we ended up the bridge — the last people who remember a world without the internet and the ones who built half of it. Parenting late, aging weirdly well, and still figuring it out in real time.

Matt said it best tonight: at twenty-five we thought fifty looked one specific way. It doesn't. Fifty looks like whatever you decide to do with the next thirty years.
So if you're in your own kitchen tonight wondering if you missed the timeline — you didn't. There is no timeline. We're Gen X. We never followed one anyway.

06/21/2026

When I was their age, the only "trip" my family took was the layaway plan at the KMart back-to-school sale. Now the boys are stretched out in a private cabana like they invented leisure, and I'm over here doing the math on how far that is from where I started.
I never want them to take it for granted. I also never want them to know the particular stress of a layaway ticket. Both things can be true.
We movin' on up. They'll never know what it cost — and that was the whole point.

06/20/2026

100% Scandinavian, meet vaguely-ethnic-and-thriving.
He's dressed for a solar eclipse. I'm dressed for a tan I already have.
Annoyingly, the man in the SPF hazmat suit is the one doing it right — and I'm the one who'll have to admit it at a consult someday. Love of my life, factor 100.

06/19/2026

Everyone knows PRP. Far fewer have seen this — and where I put it.
What you're watching is a CGF membrane — concentrated growth factor — placed beneath the SMAS flap during a deep-plane face and neck lift. It isn't a product off a shelf. It's spun from the patient's own blood the morning of surgery, with nothing added.
PRP vs. PRF vs. CGF — the actual difference. PRP is liquid: platelets suspended in plasma, injected, and largely dispersed within hours. CGF is the latest generation of autologous platelet concentrate. By spinning whole blood through a varying-speed centrifugation cycle rather than a fixed one, the fibrin crosslinks into a denser, tougher, handleable membrane — and that matrix carries a richer reservoir of growth factors than either PRP or PRF: TGF-β1 (highest by concentration), PDGF, VEGF, EGF, and FGF-2. Translation: more of the signals that drive new blood-vessel formation, collagen synthesis, and tissue repair, held in a scaffold that actually stays where you place it.
Why sub-SMAS, and why during a deep-plane lift? The deep plane is where this operation does its structural work — the SMAS and platysma are repositioned, not just the skin. That same plane is freshly dissected, well-vascularized, and closed over: the ideal location to seat a slow-release biologic. The membrane behaves like a scaffold — it doesn't vanish like an injection. It releases growth factors over days, recruits the body's own repair and stem cells into the healing field, and there's mechanistic evidence that CGF nudges the early macrophage response toward regeneration rather than prolonged inflammation. In a flap procedure, anything that supports perfusion and calms early inflammation is working in your favor.

The federal study they buried found that drinking risk doesn't ease in at "moderate" — it climbs from the first daily dr...
06/17/2026

The federal study they buried found that drinking risk doesn't ease in at "moderate" — it climbs from the first daily drink, then nearly 40-times-es itself by the second (for men). And before it ever touches your liver, it shows up on your skin: collagen down, flush up, healing slowed. I'm not here to take your martini — just to make sure no one sold you "moderate" as "free." Swipe. 🥂
Not medical advice.

Forget lifespan. Meet HotSpan. 🔥Peter Attia taught the internet to think about lifespan vs. healthspan. Bryan Johnson is...
06/15/2026

Forget lifespan. Meet HotSpan. 🔥

Peter Attia taught the internet to think about lifespan vs. healthspan. Bryan Johnson is trying to live to 200. But when I sit down with my male patients, almost none of them are asking how long they'll live. They're asking how long they'll still look like the version of themselves they want to look like.

That's HotSpan. The years you spend looking like you.

It is not vanity. It's identity continuity. And the data says men have very much caught on:

📈 1.6 million cosmetic procedures performed on US men in 2024 — up 4% year-over-year, outpacing the broader industry. Men are now the fastest-growing segment in aesthetics. (American Society of Plastic Surgeons.)

📈 "Brotox" has grown 400% since 2000. Botulinum toxin is the #1 cosmetic procedure for men. It's not a punchline anymore — it's a category.

📈 The fastest-growing men's procedures: neuromodulators, hair restoration, body contouring, eyelid surgery.

What actually moves your HotSpan? Four pillars. That's it.

🔹 HAIR. Don't wait until it's gone. Early intervention compounds.
🔹 SKIN. SPF, retinol, sleep. The cheapest gains in medicine.
🔹 BODY. Muscle is medicine. Lifting is a longevity drug.
🔹 FACE. Targeted procedures, done well, by someone actually trained.

What burns your HotSpan? Optimization theater.

🚫 Bryan Johnson-tier biohacking stacks without the evidence (or the lab).
🚫 $400 jaw stretchers, mewing devices, "bonesmashing."
🚫 Filler in unregulated clinics or filler abroad — cheap is the most expensive option.
🚫 Buccal fat removal in your 20s. You want that fat at 45.
🚫 More instead of better. Chasing trends instead of fundamentals.

The protocol I'd actually prescribe is boring on purpose: daily SPF, nightly retinol, resistance training 2–3x/week, protein, 7–9 hours of sleep, hair preservation if you're losing it, and the right procedure at the right time done by someone trained. Aesthetics in your 30s and 40s should look like investment, not intervention. The compound interest is real, and you can't buy back the years you spent doing the wrong thing.

You can absolutely extend your HotSpan. Just don't do it stupid. 🤙

— Dr. Randy Craft, MD, MBA ·

06/15/2026

I like my marshmallows the way I like a crème brûlée: aggressively torched and non-negotiable.
My son — a food critic I did not hire — blew mine out, looked me dead in the eye, said "Daddy, it's burnt," and walked away.
Already running a one-star review operation.
Settle it for us: charred or toasted? 🔥 Drop your side below. Wrong answers will be noted and remembered.

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

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+16027866973

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