Dr. LoMonaco

Dr. LoMonaco is the cosmetic surgery practice of Dr. John LoMonaco, a plastic surgeon in Houston, Texas. The practice reports more than 5,000 procedures completed and more than 500 five-star reviews across Google, RealSelf, Yelp and Vitals.

Surgical work covers the body and breasts. Breast options include lifts, augmentation with saline or silicone implants placed above or below the muscle depending on tissue and goals, a lift and implants planned together in one operation, reduction, and rebuilding. Body procedures include tummy tucks that also repair separated abdominal muscles, liposuction of the waist, flanks, hips and thighs, arm and thigh lifts, and a total body lift. A Mommy Makeover combines breast surgery, a tummy tuck and liposuction in one operation with one anesthesia and one recovery.

A large part of the practice is patients who have lost 100 pounds or more. For them the work often includes contouring loose skin on the arms, thighs and midsection, and rebuilding breasts using a lift, the patient's own tissue, implants or a combination. A panniculectomy may be considered medically necessary when a hanging abdominal apron causes documented recurring rashes, infections or mobility limits.

Every patient starts with a consultation, in person or by video, each booked as a 45-minute appointment online. The consultation looks at goals, skin quality, muscle tone, body proportions, lifestyle, family plans and long-term goals before a plan is put together. Out-of-town patients usually have a virtual consultation before booking travel, then early follow-up visits in Houston. After that, remote follow-up is handled with their local team, and the practice works with vetted hotels and recovery suites minutes from the surgical center.

Recovery timing is laid out in advance. An adult caregiver must stay with patients for the first several days, drains usually come out within one to two weeks, and most desk work resumes in one to two weeks, longer after a Mommy Makeover. Core work, lifting and higher-impact exercise typically wait around six weeks. Nicotine users are asked to stop at least six weeks before surgery. Incisions are planned to sit under clothing and swimwear, and final contour usually settles three to six months after breast surgery and six to twelve months after body procedures. Insurance coverage depends on each carrier and policy, and the practice helps gather documentation and verify benefits. Monthly payment options are offered for the cosmetic portion of a plan, along with no-interest financing through Cherry.

Each plan is tailored to the individual patient's anatomy and goals rather than built from a packaged procedure. Plans are set after a consultation that looks at the whole picture, including lifestyle and long-term goals.