Before After Photos

Even with frequent exercise, men sometimes find that they still are unable to achieve the chest development they desire. Pectoral implants shape, enlarge and firm the chest muscles, helping one achieve the natural appearance desired when the pectoral muscles are either flexed or relaxed.


An incision is made high in the armpit, and a pocket is made beneath the chest muscle and on top of the ribs. A soft, solid silicone implant cut to specifically fit each patient is then inserted into the pocket. A very small dressing is placed under the arms. Typically, a patient can see a change immediately after surgery. During recovery, the patient is required not to lift his arms for 2 days after surgery. Then dressings are removed and the patient follows a gentle exercise program for 1 to 2 weeks to enable a full and comfortable range of motion of the arms. Generally within a week or two, the patient may resume physical use of the upper body muscles. Within one month, the patient may begin full pectoral muscular activity. There are few surgical risks, including infection, bleeding, asymmetry, scarring and muscle and/or nerve damage.

Many people are dissatisfied with the shape or size of their calf muscles to the point that they avoid wearing garments that expose their legs. Both women and men seek calf implants for different reasons. While women usually desire calf implants to achieve anatomical balance to sculpt a lower leg that is more proportionate to the thighs, men typically seek an appearance that emphasizes the bulk of the calf muscle. For some, even intensive exercise may not significantly enlarge the calf muscles, particularly in relation to one’s larger thigh muscles. In addition to cosmetic augmentation, calf implants can also correct deformities resulting from injury or nerve diseases that cause muscle deterioration.

Calf augmentation addresses these concerns with solid, soft silicone implants. Generally, anyone in average physical condition and general good health is a candidate for calf implant surgery. A critical element in determining the right size and shape for a particular patient’s calf implant is the surgeon’s skill in correctly assessing the desired proportions while anticipating changes that may occur after surgery.


Individually contoured implants are placed on top of the calf muscles through short incisions behind each knee. The result is an immediate appearance of muscle size and definition. Usually the patient is able to walk comfortably within several days and may return to full physical activities within 4 to 6 weeks. There are a few surgical risks, including infection, bleeding, nerve and/or muscle damage, slippage and asymmetry.

With the increasing popularity of pectoral augmentation over the past 10 to 12 years, men have also been asking for a procedure that can increase the definition and size of the upper arm muscles. Dr. Tiller pioneered techniques for bicep and tricep augmentation and has performed these surgeries for over 7 years.


Very soft but solid silicone implants are placed under the arm covering of the bicep muscle and the tricep muscle through short incisions beneath the arm. Often the bicep implants and tricep implants are placed at the same time as pectoral augmentation using the same incision in the armpit. There is modest discomfort for a few days following the procedure. The surgery does not affect muscle function and strength, and full arm work-outs may resume within 4 to 6 weeks. Substantial increase in size and definition of the upper arm muscles may be achieved with this procedure.

Dr. Tiller developed the abdominal augmentation procedure in 1998 to achieve the definition of a well-developed abdominal musculature. The most significant improvement has been implant material developed by Allied Biomedical/Implantech. The implants are soft enough to conform to the underlying or overlying muscle for a natural appearance and feel.


Through an incision at the belly button 6 to 8 individually contoured, very soft but solid silicone implants are placed overlying the abdominal musculature. The procedure is the longest of the cosmetic procedures that Dr. Tiller performs and requires approximately 2 to 3 hours. Post-operative pain is well-managed and results can be appreciated immediately with the appearance of a very well-developed abdomen. The implants feel natural and give as the body bends frequently during sports and everyday activities. As Dr. Tiller developed these body augmentation procedures, he has placed great importance in achieving not only the desired good look but also a natural feel. For some patients Dr. Tiller recommends a “tummy-tuck” to remove excess skin the patient may have had prior to surgery. As with any prospective patient, this abdominal augmentation surgery procedure requires an individualized consultation.

The buttocks region is not easily enlarged or shaped by weight training or diet. Individuals who wish to lift and shape the buttock can choose from a variety of different sizes and shapes of buttock implants. The decision for the shape and size of the implants depends on each person’s individual desires and on his general body build. Buttock implants are very soft, solid silicone implants and are completely unlike breast implants. Generally, anyone in average physical condition and general good health is a candidate for buttock implant (gluteal augmentation) surgery.


Placed into each buttock area through a single incision overlying the tailbone, buttock implants are positioned to look as natural as possible for the optimal cosmetic effect. Since this area of the body is required for walking, sitting and so many other movements, patients might experience greater pain during the recovery period than other common cosmetic surgery procedures, and the recovery time is usually longer. Pain medications typically are prescribed to help with the discomfort. But after approximately 5 to 7 days, the patient is able to be up and about, moving, walking and sitting more comfortably. There is generally very little swelling and bruising after surgery so the results may be seen almost immediately. Usually full physical activities are permitted within a month of surgery. There are a few surgical risks, including infection, bleeding, nerve and/or muscle damage, slippage and asymmetry.

The name of this procedure may not be what one thinks. The name was coined by a writer of a popular men’s magazine in an article about Dr. Tiller’s work in the field of male cosmetic surgery and the procedure that he developed for bicep, tricep, and pectoral augmentation (therefore, a “six-pack” of implants). Information for these individual procedures is on this website. These procedures are tolerated very easily when performed in one appointment on the well-selected individual. This “six-pack” procedure takes several hours but gives the most dramatically positive results of any cosmetic procedure that Dr. Tiller performs. And these results can be appreciated soon after surgery.

The facelift is one of cosmetic surgery’s oldest procedures and, of course, has been tremendously refined over the years. Each person requires individual evaluation, and considerations for men are very different from those for women with respect to aesthetics, recovery and scar placement. A facelift may be done in conjunction with eyelid surgery, chin augmentation and/or nose surgery. The facelift surgery may even be segregated into component procedures, such as a neck lift or a mid-face lift.


A facelift may take 4 to 5 hours under general anesthesia after which a patient awakens with a light head wrap that remains in place for 1 to 2 days. Usually after about a week of recovery, a patient is comfortable enough to present him or herself in public. However, heavy lifting and exercise is limited for approximately a month following surgery. Out-of-town patients usually stay on South Beach for 5 to 7 days before returning home. The fees for facelift surgery vary considerably depending on the extent of the desired procedure and any ancillary procedures that may be performed.

Liporemoval is the suction-removal of fat that may be applied to areas from the face to the ankles of men of all ages. It is a tremendously useful adjunct procedure to skin tightening procedures, but also stands on its own as a cosmetic-enhancing surgery.


Dr. Tiller developed a method for men that aggressively removes fat from areas with the overlying skin subsequently adhered closely to the underlying muscle resulting in a tight, sculpted appearance that is not the same result desired by women. A supportive garment must be worn for a week or possibly longer following the procedure.

The “Quads” is a collection of four different muscles that are positioned on the front of the thigh and work to flex the hip and extend the knee. In order to achieve a broader, more developed-looking leg a soft silicone implant is placed beneath the fibrous covering (the fascia) of the muscle of the Quads group known as the rectus femoris.


With the patient asleep – general anesthesia – an incision is made up near the inquinal crease. The skin is lifted off of the underlying fascia of the rectus femoris and a small incision is made in the fascia. A pocket in which the implant is to be placed is made over the front of the rectus femoris. A solid but soft silicone implant is then cut during surgery to fit the requirements for the individual patient. The implant is then inserted into the pocket and the leg is flexed and extended in order to check the result. The overlying fascia is then closed with sutures and the skin incision is closed with dissolvable sutures. A light dressing is placed over the incision and after a certain period of recovery the patient is released to go home.

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Dr. Tiller is board-certified by the American Board of Plastic Surgery since 1987

Dr. Tiller is a cosmetic surgeon pioneer of muscle augmentation and body implants.

Pensacola Magazine Award