COVID-19 Update: Beginning to Offer Non-urgent Appointments with Precautions in Place

We are now starting the process of reopening our office to non-urgent appointments beginning next week on May 11th.  In Washington, we cannot resume non-urgent surgeries until further notice from Governor Inslee. This is anticipated to be no earlier than May 18th

Facemasks at Salmon Creek Plastic Surgery

We are focusing first on safety

At Salmon Creek Plastic Surgery, the health of patients and employees is our first priority, so strict safety measures have been put in place, including:

  • Asking each patient how they are feeling at the time of scheduling.
  • Checking each person’s temperature at the door.
  • Asking all patients to bring and wear masks. If this is not possible, then we will provide a mask to patients who don’t bring their own.
  • All of our staff will be wearing masks and other personal protective equipment.
  • Extra cleaning and sanitizing of the lobby and exam rooms.
  • Minimizing or eliminating waiting in our lobby. Patients will be instructed to call us from their cars once they arrive in our parking lot

Note: Visitors are not allowed to clinic appointments with the patient unless the patient is disabled and needs help to come to their appointment. If the patient is a child, then one parent can come with them to their appointment. Patients having an operation at our ambulatory surgery facility are allowed one visitor.

To make an appointment:

Call (360) 823-0860 or contact us through our website at

Resuming non-urgent medical procedures

If you had a previously scheduled surgery or procedure that was postponed or canceled due to COVID-19 restrictions, you will receive communication from our office. Priority will be given to the most urgent cases.

Thank You for Helping Us Support Furry Friends

Thanks to your help, Salmon Creek Plastic Surgery was able to donate $10,000 to Furry Friends, a no-kill cat rescue and adoption agency in Vancouver.  Dr. Virginia Huang presented the organization with a check during their annual dinner and fundraiser on Saturday, Sept. 14, at the Heathman Lodge in Vancouver. 

This year’s dinner was a costume tribute to the Star Wars franchise. In the photo below, you can see SCPS Social Media Specialist Ione Janik holding her cat, BJ, along with other SCPS staff. Above, Dr. Huang presents a check to the organization.
Start practicing your spells for next year, which will feature a Harry Potter theme!

Patients Are Happy with This Type of Surgery

Regular readers of this newsletter may have become accustomed to learning about the non-surgical aspects of our practice.  We are surgeons though, and I thought it might be nice to discuss some of those procedures over the next few months.

Richard Green, MD, FACS
Richard Green, MD, FACS

I am often asked what operations are the most enjoyable to perform.  I usually answer any operation that makes the patient happy.

Some of our happiest patients are those who have undergone breast reduction.  
Not only do they feel better about their appearance, but they also no longer have back, neck and shoulder pain. Their clothes fit better and they no longer feel so fatigued by the end of the day. Plus, the procedure might possibly be covered by insurance.  

We generally do these outpatient operations in our surgery center which makes for a nice experience overall.

At Salmon Creek Plastic Surgery, we are happy to answer any questions you may have regarding procedures. Please call us at (360) 823-0860 or contact us

Dr. Green Visits Australia for Cutera Conference on Lasers

Dr. Green and his wife, Nancy, enjoyed a trip to one of the friendliest places in the world at the end of March.

He was honored to serve as moderator for the Cutera Clinical Forum in Sydney, Australia, a conference which brought together physicians from all over Australia, New Zealand and Asia to learn about new ways to get the most out of their medical lasers.

While there, he also took advantage of an opportunity to attend a meeting of the Rotary Club of Sydney Cove, a breakfast gathering that took place on a boat in Sydney Harbour. As immediate past president of the Vancouver Rotary Club, he was eager to meet Rotarians and their guests from the other side of the world. It turns out that they talk as much about American politics as we do!

Australia has a Medicare for All system (similar to what is being proposed here by various presidential candidates), but most Australians who can afford it still buy private health insurance so that they can access health care services in a more timely fashion.

In Sydney, sunrises tend to be more spectacular than sunsets. Dr. Green took an early walk over the Sydney Harbour Bridge to catch the Sunday morning sun coming up over the iconic Sydney Opera House.

Pearl Fractional vs. Secret™ RF

Comparing Treatments for Fine Lines, Wrinkles, Large Pores and Scarring

Fine lines, wrinkles, enlarged skin pores, scarring.  The approach we use to treat these conditions continues to evolve and improve.

Pearl Fractional Laser 

In 2008, we began to use the Pearl Fractional laser to resurface facial skin, thereby improving the surface texture of the skin in a single treatment. 

This laser treatment does have downtime, however, and I usually tell patients that they will look as though they have a bad sunburn for about four days.  Makeup cannot be applied to camouflage the redness until day five. Patients may expect a 40-50% improvement in scarring and skin texture. 

Secret™ RF Microneedling

Last year we added a new option for treating facial texture and scarring for those patients (and there are many) who simply don’t have four to five days of downtime availability. 

Secret™ RF is a radiofrequency microneedling device that inserts 64 tiny needles at a time into varying depths of the skin. Energy is then released from the tips of the needles to simulate a more aggressive wound.

Patients will appear flushed for a couple of hours after the procedure, but there is no significant downtime. Patients require four treatments, four weeks apart, to achieve the same 40-50% improvement in skin texture or scarring as with the Pearl laser.

Which Is Better for You?

So which laser is better? Essentially the results are equivalent, although for deeper acne scarring, the Pearl laser resurfacing may have a slight advantage. For patients with lines on the neck, or stretchmarks on the body, Secret microneedling would be a better choice. Otherwise, is simply depends upon whether someone would prefer one treatment with four days of significant redness or four treatments with no days of downtime. Always good to have options!

If you want to improve the appearance of your skin, call us at (360) 823-0860 for a consultation and details.

Not All Board Certifications Carry the Same Merit

by Jane Namkung, MD

Recently, in a landmark vote, the Medical Board of California voted unanimously to deny the American Board of Cosmetic Surgeons’ (ABCS) request to advertise as “board-certified” cosmetic surgeons.

By doing so, the Medical Board of California is declaring that the certification provided by the ABCS and its training provided by the American Academy of Cosmetic Surgeons (AACS) is NOT equivalent to the certification and training provided by the American Board of Medical Specialties (ABMS) and its member boards, which includes the American Board of Plastic Surgery.

The investigation by the Medical Board of California found that the ABCS and the AACS programs did not consistently provide adequate training or education in all aspects of cosmetic surgery. 

Now, why does this matter? 

The American Academy of Cosmetic Surgeons (AACS) offers a one-year program designed to train physicians from ANY specialty in cosmetic surgery. This means your cosmetic surgeon may be an emergency room doctor, an OB-GYN, an internal medicine doctor, or even a pathologist who decided to train for one year under another cosmetic surgeon to perform various procedures.

Plastic surgeons, on the other hand, train for three to five years in general surgery and then three years of plastic surgery. They often go on to subspecialize even further with additional fellowships. Facial plastic surgeons are typically ear, nose and throat (ENT) or plastic surgeons who then go on to do an additional one year training in facial plastic surgery. Oculoplastic surgeons are ophthalmologists who train for an additional two years in eye and face surgery. 

Most patients know these days to make sure their surgeon is board-certified. The danger comes when it is unclear in what specialty your doctor is board certified.

Hopefully, other state medical boards will follow California’s example and not allow the ABCS to advertise as board certified surgeons. Until then, do your research. Ask your doctor about their board certification. If it is not in plastic surgery or facial plastic surgery, look elsewhere.