3 Plastic Surgeries Dr. Ronald Espinoza Would Never Perform — And Why They Might Be Riskier Than You Think
- Dr Ronald Espinoza
- Oct 1
- 4 min read
The Truth About Cosmetic Trends
Every year, new aesthetic procedures make headlines across social media, promising quick results with minimal recovery and "natural" enhancements. But not every trendy surgery is supported by medical research or long-term safety data. As patient demand rises for unconventional cosmetic procedures, it's more important than ever to seek advice from ethical, experienced professionals.
Dr. Ronald Espinoza is a double board-certified plastic surgeon celebrated for his artistry, precision, and commitment to safe, natural-looking results. Known for his expertise in Brazilian Butt Lift (BBL) and rhinoplasty, Dr. Espinoza is equally respected for his integrity — and for knowing when to say "no."
Here are the three surgeries he will not perform, and why he believes patients are better off avoiding them entirely.
1. Breast Augmentation Using Fat Transfer Only
Why Some Patients Want It
Breast augmentation with fat transfer has gained attention as a "natural alternative" to implants. The idea of taking fat from areas like the abdomen or thighs and injecting it into the breasts appeals to those who want a subtle enhancement without foreign materials.
Why Dr. Espinoza Refuses to Perform It
Despite its popularity in some circles, Dr. Espinoza does not perform breast enlargement using fat transfer alone. His reasons are based on both science and safety:
Unpredictable fat survival: The human body naturally reabsorbs a percentage of transferred fat. In the breasts, this can lead to uneven volume, deflation, or asymmetry over time.
Poor long-term reliability: Patients often require multiple sessions or revisions to maintain the results. Even then, the outcome can degrade.
Risk of fat necrosis and calcifications: Fat injections can lead to hard lumps or cysts, which may interfere with mammograms and breast cancer detection.
A Better Alternative
For patients who desire breast enhancement, Dr. Espinoza recommends using advanced silicone or saline implants. These options provide long-lasting, safe, and aesthetically predictable results. Unlike fat grafting, breast implants offer consistent volume and shape, with far fewer complications when performed by a skilled surgeon.
2. Calf and Hip Implants
Why Some Consider Them
Some patients — particularly bodybuilders or individuals seeking more defined proportions — inquire about calf or hip implants to enhance muscular or curvy aesthetics. In theory, these procedures aim to reshape lower body contours, especially for those who struggle to gain muscle or volume in these areas naturally.
Why Dr. Espinoza Won’t Do It
Dr. Espinoza draws a firm line here, citing a high complication rate and minimal proven benefit:
High risk of infection and implant shifting: The calf area, being a highly mobile part of the body, presents increased risks for implant migration, irritation, or post-surgical complications.
Unnatural appearance: Implant contours may not integrate well with the natural anatomy, creating visual imbalances or "stiff" looking legs or hips.
Difficult revisions and scarring: Removing or correcting misplaced calf or hip implants is a complex and invasive process.
What He Recommends Instead
For patients looking to enhance body proportions, Dr. Espinoza prefers proven techniques such as:
Liposuction with fat grafting to redistribute volume safely
Non-invasive contouring treatments for subtle refinement
While these alternatives may not provide dramatic bulk, they allow for safer and more harmonious improvements aligned with the patient’s frame.
3. Fat Grafting to the Male Genital Area
A Controversial Procedure
Penile fat grafting is a procedure in which fat is injected into the shaft of the penis to increase girth. It’s marketed by some as a minimally invasive way to boost male confidence, often paired with exaggerated claims about sexual enhancement.
Why Dr. Espinoza Says Absolutely Not
Dr. Espinoza is adamant about avoiding this procedure due to severe safety and ethical concerns:
Unpredictable outcomes: Fat injected into the penis can lead to lumpy or uneven results. Over time, the body may absorb the fat inconsistently, leading to deformities.
Functional risk: Irregular fat placement may compromise the natural function or sensation of the area.
Lack of medical consensus: There is little to no peer-reviewed evidence supporting the long-term safety or effectiveness of penile fat grafting.
Educating Male Patients
Rather than offering this high-risk surgery, Dr. Espinoza focuses on honest consultations and refers patients to licensed urologists or psychologists when appropriate. He believes that male enhancement should never come at the cost of safety, function, or self-worth.
Why These Boundaries Matter
As a leader in the field of plastic surgery, Dr. Espinoza believes that being a great surgeon means knowing when not to operate. While some clinics may offer controversial procedures to meet demand or chase trends, Dr. Espinoza remains grounded in science, ethics, and patient well-being.
By turning down high-risk procedures, he not only protects patients from complications but also preserves the integrity of plastic surgery as a respected medical specialty.
What He Does Specialize In
While Dr. Espinoza avoids the surgeries above, he is known for delivering exceptional results in procedures that are safe, proven, and artistically executed. These include:
Brazilian Butt Lift (BBL) using advanced fat transfer techniques
Rhinoplasty (nose surgery) to refine nasal structure and improve breathing
Tummy Tucks to tighten the abdominal area
Breast Augmentation and Lifts with implants or surgical reshaping
Liposuction for precise body contouring
With offices in both New York City and Miami, Dr. Espinoza serves a diverse clientele seeking natural enhancements, refined aesthetics, and the peace of mind that comes with true surgical excellence.
Final Thoughts: Trust the Expert Who Knows When to Say No
In a world full of aesthetic shortcuts and viral trends, it’s easy to be swayed by the promise of fast results. But not all plastic surgeries are worth the risk. The mark of a truly ethical and experienced surgeon is not how many procedures they offer — but the wisdom to decline the ones that aren't in your best interest.
Dr. Ronald Espinoza continues to set the standard in patient care, combining cutting-edge surgical techniques with a deep sense of responsibility and artistry. If you're considering cosmetic surgery and want results that are beautiful, natural, and above all, safe — you're in expert hands.
Schedule Your Private Consultation Today
Ready to explore procedures that elevate your appearance while prioritizing your health and safety? Book your consultation with Dr. Ronald Espinoza today and take the first step toward confidence, clarity, and stunning results.