Dr. Matt Bindewald, Plastic Surgeon San Antonio

09/29/2026

"If it were possible to give more than five stars, I would definitely do so. Dr. Bindewald is kind, respectful, and made me feel comfortable, even when I was nervous about the procedure and about having to show my body. There was a female nurse in the room for all of our appointments. Everything was professional and respectful. He did an absolutely beautiful job on my breast reduction, and I feel happier with my body.." says LAUREN on Google

★★★★★ If it were possible to give more than five stars, I would definitely do so. Dr. Bindewald is kind, respectful, and made me feel comfortable, even when I was nervous about the procedure and about having to show my body. There was a female nurse in the room for all of our appointments....

09/25/2026

Breast Reduction vs. Breast Lift: What’s the Difference?

Breast Reduction (Reduction Mammoplasty)
A breast reduction removes excess breast tissue, fat, and skin to decrease breast size and create a shape that is more proportionate to the patient’s frame. It may also help relieve concerns associated with very large breasts, including neck, back, or shoulder discomfort; skin irritation; bra-strap grooves; difficulty with clothing; and limits on physical activity. Most breast reductions also include a lifting component.

Breast Lift (Mastopexy)
A breast lift reshapes and raises the breasts by removing excess skin and repositioning the breast tissue and ni**le–areola complex. Its primary goal is to improve position and contour—not significantly reduce breast size. If more upper-breast fullness is desired, fat grafting or an implant may be considered.

In short:
A reduction makes the breasts smaller and lighter; a lift improves their position and shape. The procedures can also be combined. The best option depends on anatomy, symptoms, and personal goals, so an individualized consultation with a board-certified plastic surgeon is essential.

Ready to learn which option best fits your goals?
Schedule a personalized consultation with Dr. Matt Bindewald to discuss your goals, concerns, and the safest path to the results you want.

09/04/2026

Expert Care. Limited-Time Savings.

For a limited time, eligible patients can receive exclusive savings on select plastic surgery procedures with care led by our board-certified plastic surgeon. Schedule a confidential consultation to discuss your goals, options, and candidacy.

Limited-time offer for qualifying patients only. $1,000 off eligible body contouring procedures and $500 off eligible aesthetic breast procedures.

08/28/2026

Expert Care. Limited-Time Savings.

For a limited time, eligible patients can receive exclusive savings on select plastic surgery procedures with care led by a board-certified plastic surgeon. Schedule a confidential consultation to discuss your goals, options, and candidacy.

Limited-time offer for qualifying patients only. $1,000 off eligible body contouring procedures and $500 off eligible aesthetic breast procedures. Treatment recommendations are based on medical evaluation.

08/08/2026

Abdominoplasty is not one-size-fits-all.

There are many variations of a tummy tuck, and the right approach depends on each patient’s anatomy, goals, and degree of skin and muscle laxity.

For some patients, the procedure may involve removing overhanging skin. For others, it may require a more extended or circumferential approach. Many abdominoplasties also include liposuction to improve contour, and the amount of abdominal wall tightening can vary significantly from person to person.

This is why a customized surgical plan is so important.

In this case, our patient underwent removal of nearly 7 pounds of excess tissue, liposuction of an additional 600 cc, and repair of a 5 cm diastasis of the abdominal muscles. She is just 9 weeks post-op and already thrilled with her transformation.

Every body is different. Every plan is different.

07/31/2026

Physical and Emotional Impact 

Excessively large breasts can cause both physical pain and emotional distress. Common concerns include: 

Chronic neck, shoulder, and back pain 

Skin irritation or breakdown beneath the breasts 

Difficulty participating comfortably in physical activities 

Daily-Life Challenges 

Many women with excessively large breasts report difficulty finding clothing and bras that fit well. They may also experience ongoing discomfort, self-consciousness, and unwanted attention. 

Benefits of Breast Reduction 

Breast reduction surgery has one of the highest patient satisfaction ratings among plastic surgery procedures. By reducing breast volume and improving breast position, the procedure can help relieve discomfort, improve upper-body proportions, and support greater confidence in daily life. 

Breast Reduction and Lift 

Although many people think of breast reduction as simply making the breasts smaller, the procedure typically includes a significant lift. During surgery, excess breast tissue is removed, the skin envelope is tightened, and the ni**le is repositioned higher on the chest for a more balanced, lifted appearance. 

The Procedure 

Breast reduction surgery can be performed safely as an outpatient procedure in an accredited surgery center or hospital. Depending on the surgical plan, some surgeons may recommend the short-term use of surgical drains. 

Pain Management and Early Recovery 

Advanced injectable pain medications can help reduce discomfort after surgery, and many patients are able to get up and walk the same day as their procedure. 

Returning to Normal Activities 

Most patients return to many daily activities, including work, school, and driving, well before six weeks. Strenuous exercise and full physical activity are typically resumed around six weeks, based on the surgeon’s guidance and the patient’s individual recovery. 

07/24/2026

Body contouring is enhancing one’s form.

We see patients interested in these services after weight-loss, whether it is due to medications, surgery or through diet and exercise.

Weight-loss affects many areas of the body. Some of the more common changes seen after weight loss include:
- Persistent areas of fatty tissue
- Excess skin around the belly trunk
- Skin laxity along the back or sides of the chest
- Skin laxity along the arms and thighs
- Deflated appearance of the chest (both men and women)

There are many techniques that can be used to address these areas:
- Liposuction alone or in combination with other procedures
- Panniculectomy, abdominoplasty, extended abdominoplasty, fleur-de-lis abdominoplasty and lower body lift
- Bra-line lift or torsoplasty
- Thigh lift or arm lift (brachioplasty)
- Breast lift (mastopexy) with or without augmentation

The use of these techniques is custom tailored to each of our patients and their goals and priorities.

Our wonderful patient first came to see us before losing weight. We discussed her objectives and options. She returned after losing weight via bariatric surgery. She was primarily concerned with the loose skin on her abdomen and hips as well as the deflated appearance of her chest. She underwent an extended abdominoplasty with augmentation mastopexy. She could not be happier with her transformation and that makes us very happy too!

You can visit us at:

www.MattBindewaldMD.com

for more information on these specific procedures

07/15/2026

Reasons for Augmentation Revision:

1) Capsular Contracture:
 Capsule formation: A capsule is the normal layer of scar tissue that forms around a breast implant.
 Capsular contracture: When this scar tissue thickens, it is called capsular contracture.
 Severe cases: In more advanced cases, the breast may become painful or distorted.

2) Implant Rupture:
 Rupture risk: Saline and silicone implants can rupture over time.
 Signs and detection: A saline implant rupture is often noticeable right away, while a silicone implant rupture may appear as worsening capsular contracture or require ultrasound or MRI for diagnosis.

3) Implant Position:
 Position changes: Implants may shift downward or to the side over time.
 Revision options: Surgery may be needed to reposition the implant and reinforce the pocket, sometimes with mesh support.

4) Lift:
 Skin changes: Breast skin may stretch or loosen over time, especially after pregnancy or weight changes.
 Purpose of a lift: A breast lift removes excess skin to create a firmer, more youthful appearance.

5) Size:
 Size concerns: Implants may be too large, too small, or uneven in size. Preoperative planning: Surgeons work to reduce this risk by carefully reviewing the patient’s goals and selecting an appropriate implant size before surgery.
 Changes over time: Preferences or breast appearance may change later, which can lead to revision.

Our lovely patient developed a severe capsular contracture 10 years after breast augmentation performed elsewhere, causing pain and breast distortion. Implant exchange with capsulectomy relieved her discomfort and restored a softer, more natural breast shape. She chose not to have a lift to avoid additional scars and is very pleased with her revision results.

07/13/2026

The benefits of abdominoplasty (tummy tuck):

1) Removal of loose skin
2) Repair of the abdominal muscles
3) Elimination of stubborn fat
4) Possible improvement back pain

How this is accomplished:

1) Excess skin is removed through a low incision designed to be hidden under underwear or a bikini bottom. To keep the scar low, a short vertical scar may sometimes be needed to close the former belly button site, especially in patients with a high belly button or limited loose skin, as shown in this case. Placing the incision too high or removing too much skin can result in a higher, more noticeable scar.

2) The muscle fascia is brought together with an internal corset-like repair. This realigns the abdominal muscles and helps to develop a slenderer waist.

3) These are treated via targeted liposuction during the procedure. Examples of this can be seen in this case in the preoperative markings.

4) This may improve as the core muscles are tightened. However, removing too much skin can create a forward-hunched posture, which may worsen low back pain. Achieving the right balance is essential!

Our goals in any abdominoplasty are to use these three techniques (skin removal, muscle repair and liposuction) to safely improve the appearance and function of the abdomen!

06/19/2026

A bra-line lift is a great way to enhance the contour of your back.

The scar is placed so it’s hidden by a bra or swimsuit top, and the results can be truly transformative.

One of our wonderful patients kindly allowed us to share her early results after a bra-line lift. She had also undergone an arm lift a few months earlier to improve the shape of her upper arms. These procedures work beautifully together but can also be done separately.

Call us at 210 616 0798 or visit www.MattBindewaldMD.com to find out if this treatment is right for you.