Welcome to the
Pearl Plastic Surgery Blog!

Here at Pearl Plastic Surgery, we are excited to introduce our blog as a resource for you to learn more about our procedures and have your questions answered. Whether you are considering a surgical or non-surgical treatment, our blog will provide valuable insights to help you make informed decisions about your aesthetic goals.

Continue reading for expert tips, patient testimonials, and the latest trends in plastic surgery.

Curious about a specific topic? Use the search bar below

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Why an In-Person Consultation with Your Plastic Surgeon Matters

In today’s world of convenience, it’s tempting to want everything done online, including plastic surgery consultations. But when it comes to planning something as personal and complex as a cosmetic procedure, there’s no substitute for sitting down face to face with your surgeon.

At Pearl Plastic Surgery, we believe that your consultation is one of the most important parts of your journey. It’s not just a quick chat or a formality. It’s where your vision meets expert insight, and where we lay the foundation for safe, effective, and natural-looking results.

The Value of Meeting In Person

Whether you’re meeting with Dr. Chris Nichols, our board-certified plastic surgeon or Dr. Megan Gray, you’ll have dedicated time to speak directly with the person who will be performing your surgery. This personal interaction allows your surgeon to fully understand your goals and the concerns that brought you in.

Photos and descriptions only tell part of the story. There is no way to assess the quality of your skin, tissue elasticity, or underlying structure through a screen. In person, your surgeon can gently examine the area you’d like treated, determine what’s possible, and begin shaping a plan tailored just for you.

Why Skin Matters

One of the most overlooked elements in aesthetic surgery planning is how your skin behaves. The tone, texture, thickness, and stretch of your skin all play a major role in selecting the right surgical technique. During an in-person consultation, our surgeons are able to evaluate these details up close and use their clinical judgment to make the safest, most strategic recommendations.

For example, two patients with the same concerns might need entirely different approaches based on how their skin responds to movement or how much natural support they already have. These kinds of nuances are impossible to evaluate virtually.

A Customized Quote and Clear Next Steps

At the end of your consultation, we’ll provide you with a fully customized quote based on your goals and the treatment plan recommended by Dr. Nichols or Dr. Gray. You’ll have the opportunity to ask questions, review everything with your Patient Care Coordinator, and even schedule your surgery during the same visit if you’re ready.

Not quite there yet? That’s completely fine. Your quote is valid for six months following your consultation, giving you time to think it through, plan logistics, or explore financing options without any pressure.

Your Care, Your Comfort, Your Results

We’ve designed our entire consultation process to make you feel informed, supported, and confident. This isn’t a sales pitch. It’s a partnership built on trust and expertise, starting with a conversation that happens in person, with your goals leading the way.

If you’re considering cosmetic surgery in the South Sound, we’d love to meet you. Schedule a consultation with Dr. Nichols or Dr. Gray and take the first step toward a result that’s truly made for you.

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The Fat Grafting Process: What You Need to Know

Fat grafting, also called fat transfer, is a natural way to add volume and enhance natural contours. At Pearl Plastic Surgery, Dr. Chris Nichols specializes in this technique to give patients a long-lasting, natural-looking option in lieu of fillers or implants. If you're thinking about fat grafting, here’s what you should know about the procedure, treatment areas, and what to expect during recovery.

Fat grafting, also called fat transfer, is a natural way to add volume and enhance natural contours. At Pearl Plastic Surgery, Dr. Chris Nichols specializes in this technique to give patients a long-lasting, natural-looking option in lieu of fillers or implants. If you're thinking about fat grafting, here’s what you should know about the procedure, treatment areas, and what to expect during recovery.

What Is Fat Grafting and How Does It Work?

Fat grafting is a surgical procedure that takes fat from one area, purifies it, and injects it where more volume or contouring is wanted. This process removes unwanted fat from donor areas like the abdomen, thighs, or flanks while restoring fullness to the face, hands, breasts, or other areas. Since it uses your body’s own tissue, there’s no risk of allergic reactions or rejection.

Dr. Nichols takes a careful approach to fat grafting, ensuring only the healthiest, most viable fat cells are used. This process helps maximize fat retention and creates long-lasting results.

Common Areas for Fat Grafting

At Pearl Plastic Surgery, fat grafting is often used to enhance and rejuvenate these areas:

  • Face: As we age, facial fat loss can create a hollowed look. Fat grafting restores volume to the cheeks, temples, under-eye area, and nasolabial folds for a younger, refreshed appearance.

  • Breasts: Fat grafting is a natural option for subtle breast enhancement or correcting asymmetry. It provides a soft, natural feel and is ideal for patients looking for a modest increase in volume without implants.

  • Hands: The hands show signs of aging early due to fat loss and thinning skin. Fat grafting restores volume, creating a smoother, more youthful look.

  • UGRAFT: The UGRAFT is a specialized fat transfer technique designed to enhance the definition of abdominal muscles (six pack) for a more sculpted, athletic appearance.

  • Brazilian Butt Lift (BBL): The BBL is designed for those who want a more dramatic transformation, using fat transfer to create a fuller, rounder shape while maintaining natural proportions.

How Fat Grafting Compares to Synthetic Fillers

Many patients ask whether fat grafting or synthetic fillers are the better choice. Here’s how they compare:

  • Longevity: Fat grafting provides lasting results, with many patients keeping 50–70% of the transferred fat permanently. Synthetic fillers typically last 6–18 months and need regular maintenance.

  • Natural Look and Feel: Since fat grafting uses your own tissue, the results look and feel more natural than synthetic fillers, which can sometimes feel firmer or shift over time.

  • Volume Potential: Fat grafting allows for more volume enhancement than fillers, making it a great choice for those who want a more noticeable yet natural improvement.

  • Procedure Type: Fillers are a quick, non-surgical option with little to no downtime, while fat grafting is a short surgical procedure that requires recovery.

Dr. Nichols will help determine the best option based on your goals and the areas you want to enhance.

Recovery Process and Expected Results

Recovery depends on the treatment area and the amount of fat transferred. Here’s what to expect:

  • Swelling and Bruising: Mild to moderate swelling and bruising at the donor and treatment sites is normal and should improve within 1–2 weeks.

  • Activity Restrictions: Most patients can return to light activities within a few days but should avoid strenuous exercise for 6 weeks to help the fat settle properly.

  • Fat Retention: Not all transferred fat will stay, so some volume loss is expected in the first few months. Dr. Nichols slightly overfills the area to account for this natural process.

  • Multiple Treatments May Be Needed: Depending on your goals and how your body retains the fat, more than one grafting session may be recommended to achieve the desired volume and contour.

  • Final Results: Full results appear within 3–6 months as swelling fades and the transferred fat settles.

For patients who may want or need additional procedures in the future, fat banking is available. This process stores extra harvested fat in a cryogenic facility, making future grafting sessions easier without the need for another round of liposuction.


At Pearl Plastic Surgery, we focus on patient education and natural, elegant results. If you're considering fat grafting, speak with a Patient Care Coordinator to learn more by calling 360-878-9300.

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Benefits of Scheduling a Consultation Before the New Year

As the holiday season approaches, many of us start to reflect on the past year and think about our goals for the future. For those considering plastic surgery, now is the perfect time to take the first step toward your new journey. At Pearl Plastic Surgery our highly regarded surgeons, Dr. Chris Nichols and Dr. Megan Gray, are currently scheduling procedures into February 2025. With consultation openings available now, you can plan ahead for your late winter or spring surgery and kickstart the new year with confidence and clarity.

As the holiday season approaches, many of us start to reflect on the past year and think about our goals for the future. For those considering plastic surgery, now is the perfect time to take the first step toward your new journey. At Pearl Plastic Surgery our highly regarded surgeons, Dr. Chris Nichols and Dr. Megan Gray, are currently scheduling procedures into February 2025. With consultation openings available now, you can plan ahead for your late winter or spring surgery and kickstart the new year with confidence and clarity.

Why Book Your Consultation Before the New Year?

  1. Prime Planning Period for Winter and Spring Procedures The end of the year is an ideal time to schedule a consultation and plan your surgery for late winter or early spring. This timing allows you to heal discreetly during the cooler months and be fully recovered by the time warmer weather arrives. Whether you're considering a facelift, breast augmentation, liposuction or another procedure, taking advantage of this planning period can set you up for a seamless and stress free experience.

  2. Secure Your Spot with Our Sought After Surgeons Dr. Nichols and Dr. Gray are known for their personalized, patient focused approach and exceptional results. Their schedules fill up quickly and securing your consultation now means you’ll have the opportunity to choose the most convenient surgery dates and avoid the waitlist that often extends into the busier spring and summer seasons.

  3. Quotes Valid for Six Months We understand that making the decision to undergo surgery takes time. That’s why we provide detailed, personalized quotes that are valid for six months following your consultation. This gives you ample time to consider your options, budget accordingly and feel confident in your decision all while locking in your surgical rate.

  4. Head Start on Your New Year’s Resolutions If your resolutions include enhancing your confidence or focusing on self care, planning your procedure now can help you achieve these goals early in the new year. Taking this step ahead of the holiday rush ensures that you’re prioritizing yourself and starting 2025 with intention and purpose.

What to Expect During Your Consultation

Booking a consultation with Dr. Nichols or Dr. Gray is more than just a meeting; it’s the beginning of your personalized journey. Here’s what you can expect:

  • Thorough Evaluation: Your consultation will include a comprehensive evaluation of your goals, medical history and desired outcomes.

  • Customized Treatment Plan: Our surgeons will work with you to develop a tailored plan that aligns with your vision and timeline.

  • Transparent Information: You’ll receive all the information you need about procedure options, recovery times and realistic results.

How to Schedule Your Consultation

With our schedule filling up into February 2025, now is the perfect time to secure your spot and plan your surgery. Don’t let the holiday rush delay your path to achieving the look you desire. Reach out today to schedule your consultation and take the first step toward enhancing your natural beauty and confidence.

Book your consultation today to plan for late winter or spring surgery. Start the new year knowing you’re on track to look and feel your best with the expert care and skill of Dr. Nichols and Dr. Gray at Pearl Plastic Surgery.

Call our office at 360-878-9300 to learn more

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