Michael Niccole, M.D.

Award Winning Plastic Surgeons to Ensure Your Best Treatment

We are the leading destination in Southern California for full-service aesthetics, where patients can receive first-class care with proven results from experts they trust.

We relentlessly dedicate our practice to providing the best care available, cutting-edge services, and proven results, maintained by our highly qualified team.

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Voted by his patients as one of the “Best Plastic Surgeons In Orange County.”

Michael Niccole, M.D.

Voted by his patients as one of the “Best Plastic Surgeons In Orange County,” Dr. Michael Niccole is the founder and Medical Director of CosmetiCare Plastic Surgery Center & MedSpa. Since opening the doors in 1982, he has turned CosmetiCare into one of the most successful multi-specialty cosmetic rejuvenation centers in Southern California.

Dr. Niccole has extensive experience and a refined technique in performing many cosmetic and reconstructive procedures. His skills as a surgeon and the positive results seen on thousands of satisfied patients have helped him create recognition for CosmetiCare around the world, receiving patients from Germany, Italy, France, England, Australia, Israel, Costa Rica, and a host of other countries.

Dedicated to his work as a plastic surgeon, Orange County resident Dr. Niccole loves helping people, and it shows with every patient he sees. He has been honored over the years for his abilities as a surgeon and his countless humanitarian efforts. The MDA (Muscular Dystrophy Association) chose him as their “Man of the Year” in 2008 for his continued humanitarian efforts dedicated to reconstructing lives for children and adults through donated plastic surgery. Additionally, he was honored at the MDA’s Gala fundraiser, “Gift of Hope.”

Dr. Niccole was selected by the Consumer’s Research Council of America as one of the TOP PLASTIC SURGEONS IN AMERICA and included in the “Guide to America’s Top Plastic Surgeons.” Due to his leadership, CosmetiCare was voted one of the “Best Plastic Surgery Centers in Orange County” (multiple times) by The Orange County Register’s “Peoples’ Choice” and published in its guide, “The Best of Orange County.”

Request a consultation today to learn how Dr. Niccole
can help you look your very best.


  • Bachelor of Science, Pepperdine University, Malibu, California

  • Medical Degree, University of California, Irvine Medical School

  • Surgical Internship, University of California, Irvine

  • Surgical Residency, University of California, Irvine

  • Otolaryngology (Ear, Nose & Throat) Residency, University of California, Irvine

  • Plastic Surgery Residency, University of Utah School of Medicine, Salt Lake City

Board Certifications

  • Board Certified, American Board of Plastic Surgery

  • Board Certified, American Board of Otolaryngology


  • State of California

  • State of Utah

Professional Organizations

  • American Society of Plastic Surgeons

  • American Academy of Facial Plastics & Reconstructive Surgery

  • California Society of Plastic Surgeons

  • Orange County and Long Beach Medical Associations

  • Lipoplasty Society of North America

  • American Medical Association

  • American Burn Association

  • American Council of Otolaryngology

  • The Double Boarded Society

Volunteer Work

  • Member, Rotaplast International

  • Leader, Rotaplast International, Argentina Trip, where 199 reconstructive surgeries were performed on children & adults with congenital deformities

  • Donated reconstructive surgery to children and adults living with congenital deformities in Alamos, Mexico

  • Founder, Magic Mirror Foundation – created to help those with deformities live more normal lives through donated plastic surgery

  • Sojourn Services for Battered Women & their Children


  • Outstanding Resident, University of California, Irvine

  • Physician’s Recognition Award from the American Medical Association

  • “Humanitarian of the Year,” Sojourn Services for Battered Women and their Children for donated reconstructive surgery to victims of domestic violence

  • Chosen as “Man of the Year” – honored June 2008 by the Muscular Dystrophy Association for humanitarian efforts

  • Included in Consumer Research Council of America’s “Guide to America’s Top Plastic Surgeons”

  • Voted OC Weekly “Best Cosmetic Surgeon” multiple years, most recently in 2018

  • CosmetiCare has been named one of the “Best Plastic Surgery Centers in Orange County” by the Orange County Register’s “Reader’s Poll” and listed in the annual guide to “The Best of Orange County”

CosmetiCare Media Appearances

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Many women opt for breast implant surgery as part of an overall plan to improve their appearance and boost their self-confidence. In addition to seeking breast implants, they may also be planning to lose weight. Since many women have experienced how weight loss affects their breast size, it’s common to wonder how weight loss will affect breast implants.

Breast Implants Weight Loss

How Will Weight Loss Impact Breast Implants?

Weight loss or weight gain will not have a direct impact on the actual breast implants. However, it may affect how your breasts look.  Many women also wonder: What is the best weight to be at before surgery?  Read on for more on these common questions and concerns.

Gaining a few pounds when you have breast implants is unlikely to change your breasts drastically. But if the weight gain is more than a few pounds, you’ll likely see your breast size increase and it may be out of your comfort zone.

A small weight drop after breast augmentation will have little to no impact on the appearance of your breasts. However, if you lose a considerable amount of weight after surgery, your new implants may begin to droop or your breasts may lose some of their fullness.

What You Should Know Before Getting Breast Implants

Always choose a board-certified plastic surgeon and discuss everything you want to know about the breast augmentation procedure prior to surgery. Your surgeon should review your medical history and talk with you about the goals you have for your appearance. This initial step is called the consultation and will help you get a better understanding of what to expect. During this step, your plastic surgeon will go over your options for size and shape as well as the placement of the breast implant. Some women consider combining breast augmentation with a breast lift during this stage as well. At CosmetiCare, you can request a simulation and “try on” your new look. The simulation will provide an idea of what you could look like after surgery to help you make the best decision. 

Request a complimentary virtual consultation and simulation today!


Because plastic surgeons recommend being at or near your ideal weight before breast augmentation, it’s important to discuss how weight gain or loss could potentially affect the outcome of your surgery. The recommended volume of your implants depends on your current body shape and weight, so if you plan to lose or gain weight, you should let your surgeon know so that you can decide together the best shape and size for your breasts. 

It’s important to remember that your breasts change all the time. They can be bigger at certain times of the month (hello aunt flo!), and as you age, your girls may head south (sorry ladies). All kinds of things can affect your breasts including your diet, the activities you do, pregnancy, medications, and hormones! Subtle changes are normal and not something to worry about.

If you’re planning on losing a substantial amount of weight though, it’s important to talk about this with your plastic surgeon before going under the knife. It’s best to be at your goal weight before getting breast implants. Why? To achieve the best results from plastic surgery, you want to start with a solid foundation. This way, the best breast surgery options, and implant size are chosen for the long term you!

Because breast augmentation affects your overall proportion, your plastic surgeon will take many things into consideration before recommending the right size for your body. In general, smaller implants are typically suggested for leaner women with a thin frame. If you have wider hips and shoulders, your body might look best with larger breast implants. Your frame and weight at the time you’re planning for surgery will affect the recommendation for breast implant size. Any significant weight change afterward—in either direction—could very well change the appearance of your results.

How Can Losing Weight Affect Your Breast Implants?

Losing or gaining just a couple pounds won’t cause noticeable changes in your breasts, but losing more than 20 pounds can make a significant difference. It’s important to remember that your breast implants will not get bigger or smaller as you gain or lose weight. If you are losing a significant amount of weight, your implants will look larger on your smaller frame. In most cases, this will not be what you intended, so you may find yourself looking disproportionate. This is why it is so crucial to maintain your body weight post breast augmentation. Your initial consultation decides your correct size based on your figure at that time, so if you do plan on losing weight, that should be discussed with your surgeon so that they can find an appropriate size for you. 

Does Losing Weight Affect Breast Implant Placement?

There are two options when it comes to breast implant placement: subglandular and submuscular. Subglandular placement is behind mammary glands but in front of the pectoral, or chest muscle while submuscular is behind both the mammary glands and the pectoral muscle. 

Women with subglandular implant placement who lose more than 5-10 pounds may experience implant outlines showing through their skin. Dramatic weight loss following a breast augmentation procedure may also cause the breasts to lose natural fullness. 

How your breasts will change is hard to predict. Women with natural breasts will see a change in cup sizes when they lose or gain more than 20 pounds. While those with breast implants won’t have a change in cup size but may notice that their breasts no longer appear natural. As you have learned, with some implants, dramatic changes in weight can cause dramatic changes in appearance even though the implant itself hasn’t changed. 

It’s important to share your weight loss goals with your plastic surgeon. If you are not at your ideal weight and lifestyle goals, it’s essential to let your surgeon know how you plan to change your body in the future. Basing your breast implant size and shape on your current figure may not be beneficial as your body will go through changes during your weight loss. 

Choosing the right plastic surgeon is crucial. While the process of finding the right board-certified surgeon can be overwhelming, it’s essential to find one with years of experience performing breast augmentations. Your plastic surgeon will have had many patients just like you who plan to lose weight in the future. Together you can choose the right implant and time for your augmentation so that you can look and feel your best.

Meet the team of Board-Certified Plastic Surgeons at CosmetiCare.


Will My Breast Implants Still Look Good After Weight Loss?

The short answer is yes. Most patients have a little fat in their breasts, so some weight loss should not affect the augmentation results dramatically. Some patients even find that minimal weight loss can make their breasts look fuller and they prefer the difference. It’s always a matter of preference, so again, make sure to discuss your plans with your surgeon to achieve the best outcome. 

Lose Weight Before Implants

What Is The Best Weight To Be At Before Breast Surgery?

If you plan on making changes in your weight, we recommend you do so before having breast surgery, and then try to maintain that weight. Part of knowing if you’re at the “right” weight for surgery is knowing when you’re comfortable in your skin. If you are a few pounds from your regular weight in either direction and have maintained that weight over time, that’s great! You don’t need to change to become someone else’s definition of “perfect” before surgery.

However, if you do plan to lose a significant amount of weight in the near future, it’s important to consider waiting for your breast augmentation as significant weight loss can skew the results and lead to a disproportionate appearance. 

It’s far more critical to be realistic. We understand the importance of feeling confident in your body, and we help women of a variety of body types and sizes achieve more beautiful breasts.

View Before and After Photos of Breast Augmentation.

Fortunately, it’s in your best interest to maintain a stable weight for several reasons. Yo-yo dieting is linked to problems such as high blood pressure, high cholesterol, depression, and diabetes. Weight gain also takes a toll on your skin, causing a loss in elasticity. So let us repeat—its best to be at your ideal weight before breast augmentation, both to ensure lasting results from the surgery and to protect your long-term health.

It’s also important to stay active before and after your augmentation (follow your surgeon’s directions closely following surgery). By maintaining your health and ideal weight, you’ll have long-lasting, confidence-boosting results. 

If you’re wondering if you’re ready for breast augmentation or if you’re considering reducing your breast size in Orange County, give us a call at 949-438-5303 and ask to schedule a complimentary consultation.  We’re happy to help you think through all the variables before you move forward.  At CosmetiCare, we always want you to be completely comfortable before committing to a new look.

Kelly Dodd Returns to CosmetiCare in Newport Beach to Receive Her Breast Reduction Surgery

Kelly Dodd is a beloved patient at CosmetiCare and has put her trust in our fabulous doctors time and time again. Previously, Bravo TV aired a segment on Dodd receiving life-changing vaginal rejuvenation treatment at our Newport Beach offices. While discussing the positive outcome of her vaginal rejuvenation in an interview with Bravo, Dodd suggested that her next surgery would likely involve breast reduction.

kelly dodd breast reduction

Relieve Back Pain and Discomfort 

Kelly’s decision to undergo breast reduction surgery came to fruition after years of dealing with back pain and discomfort. In an interview with The Lookbook, Dodd discussed her physical issues with her large breasts, stating “I couldn’t run, it was hurting my back.” Dodd wasn’t alone in feeling uncomfortable or overwhelmed with her breast size. Thousands of women opt for breast reduction surgery each year in order to get relief from the physiological unpleasantness that larger breasts often induce.

Going for Subtle Over Supple 

Another reason that Dodd cited in her decision to reduce her breast size involved the aesthetic appeal of having a smaller, subtler bosom. As Dodd noted in a previous interview, “big boobs are out of style, nobody wants big boobs anymore.” Here The Real Housewives of OC star highlights a growing trend toward subtlety in the cosmetic enhancement industry. More and more patients are opting for less drastic surgical outcomes, and minimal changes with maximal results are the mantra of the times. In the realm of

full mastopexy in orange county, this translates to a growing inclination toward smaller chests.

kelly dodd breast reduction

The “Boob Voyage” Goodbye Breasts Party 

In true Kelly Dodd fashion, the Real Housewives of Orange County star hosted a televised “Boob Voyage” party to give her breasts a festive send-off. As Dodd wrote in her blog, the party “was a good excuse for everyone to get together and have fun.” While the intent was to unite the OC Housewives cast, Dodd recognized that the party turned into an “emotional roller coaster.” You can relive some of the drama that they encountered in this segment from Bravo TV.

Creating a Cast of Her Breasts 

Prior to the party, Dodd had her husband Michael create a cast of her breasts so that she can always remember how they once looked. The brave and beautiful OC housewife went topless for the camera as her husband applied the cast and jokingly remarked, “give me a topic to think about… anything but this.” Obviously, caressing Kelly’s bare breasts on camera was bit much for her husband to handle.

Dodd’s decision to make a mold of her breasts demonstrated how much of a commitment she was making by undergoing breast reduction surgery. She clearly loved her breasts the way that they were, but was courageous enough to undergo the surgery in an effort to love them even more. With such a big decision on the table, it makes perfect sense that Dodd put her trust in the capable hands of CosmetiCare’s incredible aesthetic surgeons. We had taken care of Dodd in the past and she knew that she could count on our facility to provide the best possible breast reduction treatment.

kelly dodd breast reduction

The Results of Kelly Dodd’s Breast Reduction Surgery at CosmetiCare 

Kelly’s surgery was tremendously successful and we couldn’t be happier with the results. Dodd had expressed physical and emotional distress caused by her 32G sized breasts. She is now doing much better and has cited her “really good girlfriends” as incredibly helpful during her recovery process. You can watch Dodd undergo her breast reduction surgery at CosmetiCare on The Real Housewives of Orange County episode, airing Monday, September 25th at 9/8c on Bravo TV. In the meantime, click here to see Kelly Dodd receive her vaginal rejuvenation treatment at CosmetiCare.kelly dodd breast reduction

Want to learn more about the growing trend toward women opting for smaller breasts?

Interested in getting cosmetic enhancements for yourself? Click the button below to request a consultation with one of our incredible plastic surgeons.

New Look Now Can Show You How!

Want to know how you’ll look after a breast related surgery? Visit our partners at New Look Now to get a completely free and remarkably accurate simulation of the results. New Look Now utilizes cosmetic experts to show you how you will look post-procedure through real-time image editing. Simply submit a photo of any area on your body that you’d like to alter and the technicians at New Look Now will deliver a precisely edited version back to you within minutes. Try New Look Now for free today!

Please call CosmetiCare for reducing breasts inquiry and appointment.


Flat Chests Are Beautiful Too! – How the Big Booty Trend Is Creating Increased Admiration for Smaller Breats 
As popular culture becomes increasingly excited over dominating derrières, flat chested girls have an opportunity to relish in an overall diminished desire for big breasts. Of course, feminine curves of all shapes and sizes should be admired. However, the more attention society pays to bountiful behinds, the less emphasis is placed on brimming bosoms. Excuse the excessive alliteration, but their is an undeniable growing appreciation for AA cup apples, a trend toward tinier teats, so to speak. 
Now this trend should by no means be taken as ‘bad news’ for large breasted women. Anyone with mid-to-large sized boobs need not worry. The truth is, there will always be a time and a place for bigger breasts. However, the last several years have given rise to the confidence-boosting empowerment of flat chested girls. This can be seen occurring throughout the world of fashion, film, and even reality television. 
That’s right. Reality TV, a realm formerly dominated by breast augmentation, could be yet another cultural spotlight adjusting its focus to see small boobs as “in". The Real Housewives of Orange County star and CosmetiCare frequenter, Kelly Dodd, recently expressed her desire to decrease her breast size, stating “flat’s the in thing.” After receiving a “life-changing” vaginal rejuvenation treatment at CosmetiCare, Dodd gave an interview hinting that her next surgery would most likely involve breast reduction. Her reason? Kelly Dodd, among several other pop-culture icons, is quickly realizing that flat chested girls are at the forefront of a new trend. And unsurprisingly, Dodd eventually did return to CosmetiCare for her breast reduction treatment. 
kelly dodd breast reduction surgery flat chested girls
“Big boobs are out of style, nobody wants big boobs anymore,” Dodd confidently proclaims.
While that might be a slight exaggeration (many people definitely still want big breasts), she’s not incorrect in suggesting that flat chested girls have a new opportunity to shine. Despite how counterintuitive it seems, flat chests are starting to be recognized as being as voluptuous as fuller breasts. In her interview with The Lookbook, Dodd went so far as to lament her large bust, complaining, “I couldn’t run, it was hurting my back.” So, aside from the aesthetic trendiness involved, Dodd and others like her recognize the health benefits of a flatter chest. 
There are numerous practical reasons why a flat chest might be more preferable. Physically speaking, a heavier chest can often feel burdensome. Many women with larger breasts experience issues while exercising and have recurring problems with back/neck pain, skin irritation, posture, and even skeletal deformations. Small boobs are commonly seen as a more convenient and potentially healthier alternative to the sometimes difficulty reality of heavier curvature. While it is certainly not unhealthy to have big curves, they can occasionally be seen a nuisance. 
Aside from the many physical ailments that can be relieved with a lighter chest, there are several more aesthetic-based benefits. Popular body shapes and sizes are commonly dictated by fashion trends. For years, the ideal runway model body type has been tall, slender, and typically flat chested. When top-tier, high fashion designers craft articles of clothing, they usually have this “flatter” body type in mind. Of course, most day-to-day clothing is designed for more curvaceous women. However, fashion trends tend to trickle down and there is an increasing number of more casual designers creating tops that are meant to look best with a less pronounced chest. 
flat chested girls flat chests small breasts breast reduction
Big Booties Sharing the Spotlight with Breasts 
Another possible reason that flat chested girls are trending is the recent uptick in emphasis on the hindquarters. Butts have been enjoying immense pop culture limelight as of late, and there’s no sign of their popularity diminishing any time soon. With society’s newfound interest in things like 'twerking’, larger and rounder behinds are beginning to beat out big bosoms in terms of trendiness. 
The butt is quickly becoming the new “problem area” for many women. According to a 2013 report from American Society for Aesthetic Plastic Surgery (ASAPS), there was a 58% increase in butt augmentations from the year before. Of course, the number of liposuctions, breast treatments, and facial procedures also continue to increase each year. Still, the growing interest in augmenting the booty has led to more acceptance and even admiration for flat chests. So where does that leave you? 
flat chested girls flat chests small breasts breast reduction surgery
CosmetiCare Breast Procedures:
The women of Newport beach and Orange County as a whole love to treat their breasts well. And when they need work done, these southern California women know that CosmetiCare Plastic Surgery and MedSpa is the most trusted center in the area. At CosmetiCare, we offer a variety of procedures and treatments that can help you get the exact shape and size of breasts that you have always desired. The Real Housewives of Orange County actress Kelly Dodd, along with other stars of the RHOC, has trusted CosmetiCare to deliver incredible results with the most comfortable experience possible. So, when Dodd decided to get breast reduction surgery, she knew she could count on CosmetiCare for the best outcome. Click here to learn more about our specific treatments for all of your chest-based needs. 
CosmetiCare Buttocks Procedures: 
At CosmetiCare, we understand how to carefully shape, lift, tuck, and contour every "problem area” imaginable. And we are just as adamant about helping both women (and men) attain their ideal buttocks shape as we are for their breasts, chests, belly, thighs, and any other area in need of our assistance. We offer specific treatments to help shape your buttocks, as well as several other general body procedures that will help with your overall figure. Click here to learn more about our specific body treatments. 
New Look Now Can Show You How!
Want to know how you'll look after your body contouring treatment? Visit our partners at New Look Now to get a completely free and remarkably accurate simulation of the results. New Look Now utilizes cosmetic experts to show you how you will look post-procedure through real-time image editing. Simply submit a photo of any area on your body that you'd like to alter and the technicians at New Look Now will deliver a precisely edited version back to you within minutes. Try New Look Now for free today!