At Aesthetic Plastic Surgery & Medical Spa, we offer you a comfortable and relaxed setting with state-of-the-art technology in cosmetic surgery. It is our desire you leave our practice feeling more confident and knowledgeable about cosmetic surgery and the benefits it can provide to improve your quality of life!

Services Offered

Breast Augmentation 

Breast Augmentation — also known as breast enlargement or mammoplasty — is a procedure performed for women who may be dissatisfied with their breast size or who wish to restore lost breast shape and volume after weight loss or pregnancy.

Women choose breast augmentation for various reasons including small breasts, loss in breast volume following pregnancy, asymmetrical breasts (one breast larger than another), altered breast shape due to various conditions, or reconstruction following surgery for breast mass. Overall, breast augmentation surgery in Pittsburgh is an elective surgery option that uses breast implants to create fuller breasts and improve the balance of your figure. The implants used for breast augmentation may also be used to reconstruct a breast after mastectomy or injury.

Breast augmentation does not correct some drooping breasts issues. If you want your breasts to be lifted due to issues with sagging, a breast lift may be required in conjunction with your breast augmentation procedure.

Breast Lift

a Breast Lift – also known as mastopexy – is a surgical process that raises, reshapes, and firms the breasts by removing excess skin and tightening the surrounding tissue. A breast lift can reposition the breasts to a higher, more youthful position on the chest. Breast lift surgery may be done in conjunction with breast augmentation to help lift the bust by increasing the volume of the breast.

Some women lose their youthful breast shape and firmness, due to pregnancy and breastfeeding. It is not uncommon for breasts to sag or lose shape and volume due to weight fluctuations, aging and some hereditary issues. Additionally, some breasts – especially after a woman has experienced childbirth – have a flatter, elongated shape (or are pendulous). In these cases, nipples may begin to point downward or fall below the breast crease. Some breasts have stretched skin and enlarged areolas, and on some occasions one breast may naturally reside lower than the other. Many women choose to enhance their appearance with a breast lift that rejuvenates the figure via a breast profile that is youthful and uplifted.


James Fernau M.D.

In his early days, growing up in Wyoming, young James Fernau watched his father take care of the community and would often go on house visits with him. He marveled as to how his father – who was a family doctor – loved every aspect of his profession, and how he was well-respected by the people and the community in which he served. James decided early on to devote his life to taking care of others.

On the road to becoming a doctor and a surgeon, James received his bachelor’s degree, graduating summa cum laude from the University of Wyoming. He received his medical degree from the University of Utah, where he graduated in the Top 10% of his class – earning him the honor of Alpha Omega Alpha and voting him the Outstanding Graduate.

During the course of his professional practice, Dr. James Fernau has received numerous awards for advanced education, as recognized by the American Society for Plastic Surgery. He was named as one of America’s “Top Doctors” by the American Consumer Research Council seven years in a row.

Dr. Fernau’s background in reconstructive surgery has given him an eye for beauty and perfection in the human anatomy. It has also provided him with great expertise in the field of cosmetic surgery. He precisely tailors every treatment plan, based on the desires of each patient, to ensure their overall satisfaction with the anticipated outcomes.

Patients will also find that he creates world-class body enhancements, such as breast augmentations with gummy bear implants, breast lifts, Brazilian tummy tucks, body lifts, liposuction, Brazilian buttock lifts, and Brazilian buttock augmentations. Additionally, his Aesthetic Surgery Center and Medical Spa provides comprehensive skin care services, laser hair removal, vein treatment, acne scar removal, active acne treatment, Botox treatments, and many different types of dermal fillers, including Juvederm, Sculptra, Artefill and Radiesse.

Board Certifications

American Society of Plastic Surgeons, American Society for Aesthetic Plastic Surgery and American Board of Plastic Surgery


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Hours of Operation

  • Sunday
  • Monday
    9:00am - 5:00pm
  • Tuesday
    9:00am - 5:00pm
  • Wednesday
    9:00am - 5:00pm
  • Thursday
    9:00am - 5:00pm
  • Friday
    9:00am - 5:00pm
  • Saturday



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