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My name is Ralph W. Bashioum MD, FACS.  I have over 25 years experience as a Minneapolis plastic surgeon, specializing in cosmetic surgery.   Certified by the American Board of Plastic Surgery, I am a member of both the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS).   My website,, is a comprehensive resource for information regarding cosmetic surgery.

When I’m not in my office, weather permitting, I’m in my garden.  I have an interest in growing unusual fruits and vegetables.  Have you ever seen white strawberries?  I grow them as ground cover in my small orchard.  I have also experimented with Espalier fruit trees.  Espalier is the horticultural technique of training trees through pruning and grafting in order to create formal “two-dimensional” or single plane patterns by the branches of the tree.  I have served as a board member for the MN Landscape Arboretum and was recently appointed as an honorary trustee.



My family and I are avid travelers.  We enjoy the adventure of exploring culture through food and wine.  We spent a week last November together in Tokyo, where we had an unusual Thanksgiving meal of sushi, after a pre-dawn trip to the famed Tsukiji Fish Market.  I have included some photos of our travels.

Kids during a family trip to Tokyo

Kids during a family trip to Tokyo

My wife and I during a recent trip to Italy

My wife and I during a recent trip to Italy

Hiking in Switzerland

Hiking in Switzerland


  1. I have recently moved to Minnesota and was received by a warm welcome from the Bashioum Cosmetics staff and surgeon when I was making decisions on having sugary. I was at ease during consultation because of the professionalism, friendliness, and confidence in Dr. Bashioum and all his nurses. The consults that I had at other centers prior to this one were the complete opposite where I felt out of place and the doctors portrayed arrogance. In my decision making to have surgery, I had questions, concerns, fears but these were all resolved when I received phone calls by both Dr. Bashioum and Sandy. My husband and I were fully confident to proceed with the surgery.
    The surgery preparation packet was very informative and detailed. It felt good knowing the whole process from start to finish with both the surgical process and the anesthesia portion. The nurses’ caring and calm demeanor helped ease my fears the morning of surgery. Dr. Bashioum was also calming the morning of surgery as he sat down to chat with my husband and myself. The surgical tech and nurse anesthetist were super friendly as the greeted me in the operating room. The surgery was a success and the nurses took excellent care of me in recovery.
    My husband and I were sent home with a detailed discharge/home care instruction packet. That evening Dr. Bashioum personally called my husband to check up on me. Dr. Bashioum left us with his cell phone number and instructed us to call for anything at anytime. I did once I started back to work because I had numerous questions and he was there for me. He took a lot of time out of his evening to talk with me over the phone.
    All of my experiences going back for follow up appts have all been positive ones. The receptionist also has a smile on her face and greets you in a timely fashion. The nurses all remember my name and chat with me like we were old friends. I am always impressed with Dr. Bashioum’s memory! Every time he sees me, he asks me specific questions like how is our shared hometown of Pittsburgh?, how was my family’s trip to his vineyard in Napa?, etc. It’s always a personal experience with him, whereas some doctors would be all “business.” Dr. Bashioum never makes you feel that way. He makes you feel right at home ; ) I am most impressed with the amount of time he takes with you for each visit. I never feel hurried out of my visit. He will take the time to discuss matters with you.
    I am so happy I had my surgery. I received a breast augmentation and never felt more confident in a swimsuit. My breasts look very natural and that was my goal. I wanted to have fuller breast without looking “fake.” I desire the respect of my family and did not want to appear over the top. Dr. Bashioum made sure my breasts were in proportion to my body frame/size. He was able to achieve my goal of natural fuller looking breasts.
    My experience at Bashioum Cosmetics has been wonderful. I highly recommend anyone considering a cosmetic procedure to meet the knowledgeable and delightful professionals at Bashioum Cosmetics!

  2. I had a forehead lift about 6 months ago and am so pleased with the whole experience. Dr. Bashioum is absolutely wonderful — very kind and concerned about his patients’ happiness and well-being. He was available to me at all times in the weeks after my surgery, which was reassuring. And, of course, the results of my lift are great, too. Surgery can be scary, but Dr. Basioum and his fabulous staff made it a comfortable experience. I would do it again in a heartbeat. In fact, I am already planning my next procedures, and Dr. Bashioum is the ONLY person I would trust to perform them!

    • Dear Daniell,
      Thank you for taking time to write your kind comments about your forehead lift experience on our blog!

  3. I had breast augmentation 2 weeks ago and I LOVE LOVE LOVE the results!! I was a little apprehensive, not about the surgery, but more about what size to go! I knew the pain ( if there was any) would go away, but the size would stay with me. I decided the morning of surgey and have no regrets!

    The recovery was amazing! I was up and around the next day and had absolutely no pain!! It was uncomfortable, but just the tightness in my chest muscles…I still can’t believe it was just two weeks ago!

    I want to thank EVERYONE at the clinic and Dr. Bashioum, they were wonderful. They told me exactly what to expect during my recovery and were spot on. My mom came with me the day of surgery and was very impressed with the care I received and the instructions she was given to help me after my surgery!

    I can’t say enough about the ‘family’ at Bashioum clinic. I have been telling all my friends to go there if they have anything about themselves they want to be ‘tweaked.’

    Thank you!

    • Good Morning,
      Thank you for writing your kind remarks in the comments for our blog. We appreciate that you took time to share your personal experience with our readers.
      Your comments will post later this week.

      Warm regards,
      Lindsay Bashioum
      Editor Nipntuck Group

  4. I am writing on your blog to see if you have and RN jobs available within your practice. I have 16 years of RN experience and much of that experience has revolved around Medical/Surgical Nursing and Recovery Room nursing. This type of nursing interests me because I have had patients who have had cosmetic surgery and/or reconstructive surgery and I see the change in their demeanor and the self esteem they gain from the big and small changes that can be made through plastic surgery. I am an honest, intelligent, and caring RN. I would be honored to work with you within your practice if you had any job openings. I appreciate your time and consideration.

    Jill Collum RN, BSN

    • Hi Jill,
      Thank you for contacting us on the blog. Please call our office at 952-449-4900 to inquire about current needs for nursing staff.
      We appreciate your interest in Bashioum Cosmetic Surgery Center.

  5. I am 30 years old and have some acne scarring on my face. The skin on my face is also very dull and I would love to have even, smooth, glowing skin. I have read a little bit about some of the skin care procedures you do. What would you recommend?

  6. I had breast augmentation surgery performed about 22 years ago (by you, the WONDERFUL niptuck surgeon). Each year still, when I am in for my mammogram, the x-ray techs are amazed that I have implants. Those of my friends who I have shared my experience with are amazed at how “real” my breasts look. My husband, after 22 years, still LOVES my “new” breasts and can hardly keep himself from “massaging” them for me, which I am sure is the main reason I never developed any scar tissue. They are beautiful and so “real” looking and I am still EXTREMELY happy with the results, except …… with age and gravity, I feel like they are starting to fall into my armpits. Over the past year I have also been more seriously excercising, including weight training, and improved my diet. As a result, I have lost weight, some of which feels like has been lost from these beautiful breasts that you created. I would love to be a cup size or two larger than where I am currently at. Is it possible for you to “enhance” already enhanced breasts?

    • I am happy to hear of your good health, new exercise and eating habits. It is so typical for patients to experience changes in breast size not only with weight loss but also with age. Re-enhancing your breasts is usually an easy surgery, simply with a implant exchange surgery. Most patients say it is much, much easier than their first breast enlargement. We all look forward to seeing you in the Wayzata office.

  7. After growing up feeling unattractive, overweight, and ignored, I have spent the past few years working on me- I’ve completely changed the way I eat, exercise, live and view myself. Recently, I’ve also started lifting weights and bodybuilding. As a result, my body is transforming for the better…except for one thing. My already=small breasts seem to be disappearing before my eyes.

    My question is, realistically, how possible will it be to maintain a very active lifestyle, with serious fitness goals in mind, after breast augmentation?

    A secondary question relates to what advice you have for patients whose family members are not supportive of their decision to have surgery?

    • You can maintain an active life style after breast enlargement surgery. My only suggestion is to reduce the intensity of chest muscle (Pectoralis major) excercises if implants are placed beneath the muscle. I recommend submuscular placement because the implants interfere with mammograms less in that position.
      I am sorry to hear that you are not receiving support from your family. There is never a clear reason for this. If you choose to proceed with surgery, choose someone who supports your decision to care for you after surgery. Your recovery will be more difficult if your care giver after surgery is not supportive of your decision.
      There is an interesting observation I have made during the past 30 years. Friends and family who are the most critical of your decision to have cosmetic surgery many time are the first to come in for the very same surgery after your procedure!

  8. Dear Dr. Bashioum,

    How many types of lip plumping procedures are there?

    I am interested in fuller lips and smoothing of skin above lips.

    Do you need repeat visits or is there a permanent solution with no constant upkeep?

    I would love this done,though the cost of recurrent visits scare me.

    thanks in advance for responding,

    A Sandra Bullock look-a-like want-a-be.

  9. Dear Dr McDreamy,
    It has been over 10 years since my breast enhancement surgery. At the time, 27 was considered “so young” to have such a surgery.
    It seemed as though, after all the marathon running and training, I left my C cup breasts at the finish line! At this point being in superior shape both emotionally and physically I was determined to perfect or “reward” my body after such torment. Now to most, a “reward” would be a week at a spa not invasive surgery.
    In retrospect, a week at the spa would long be forgotten but my enhanced bodacious breasts are still with me and continue to be admired. I can not imagine going through life as a “Flatty Patty” type of woman. To have brains, confidence, and the visual most men desire is an extremely powerful position to be in, notwithstanding winning the race. So I thank you Dr Bashioum for performing not only a flawless natural breast enhancement but allowing me the CHOICE to be coined a smart bodacious blonde. A CHOICE I don’t regret only one I dreamt of-
    Now, on to the next stage in my life and question…Will most feel I am too young for a facelift?

    • Bodacious Blonde, thanks for the kind words! It makes us all feel good when we hear such things from satisfied patients.
      As I always say, do something when it bothers you. If your face bothers your now then get the information needed to make the decision. Facelifts are done on people as young as thirty and as old as eighty. The story of my mother’s journey into facelift surgery was at seventy eight. She would have benefited from a facelift sooner but it did not bother her. If sagging face and neck skin bother your now by all means seriously consider having a facelift.

    • Dear Bod. Blonde,
      I gather you are 37 years young. Any children? If not, instead of a facelift at this age, you may want to consider a baby, then go for a wonderful tummy tuck. Which, does wonders for the kangaroo pouch, unless you are extremely perfect already. I bet you are!!!

      Me, I would love to have a complete touch-up on this 48 year gravity depleted 36 longs, kangaroo pouch,
      a nose to look like my older sisters, and buff arms that resemble my baby sisters. That sure would be a fine way to make all my classmates of “79” envious. As for my Hubby, he would’nt notice a thing. He does need to get new glasses. Ah, maybe I’ll wait on the new glasses thing.
      Don’t get me wrong, it’s not all in vain. It’s more like, all too cougaresque. No, all for hubby of course!!!!!!!!!!!!!!he,he.shhhhhhhhhhhhhhh

  10. I am not the perverbial trophy wife. Nor, one could say high maintainence. I do, however want the Dad’s at my children’s sporting events to stand and take notice, if you know what i mean. Heck, the wives too for that matter.

    I don’t fly, but might be able to with my triceps flappin in the wind.

    Any suggetions? Oh, by the way, the running will take care of the other minor idiosyncracies. Years of weightlifting and still can’t get stellar arms!!!

    Is it feasible to remove fat from that area with no scars. Secretly saving for a sleeveless and sexy summer.

    • L
      No problem. Liposuction will go a long way to correct your flapping arms if you have not had a large weight loss. People who have lost more than say 50 pounds may need to consider skin removal as well. This is known as brachioplasty or arm lift surgery. However, this surgery would leave more scars. Liposuction on the other hand can be done through a 1/4 inch scar in your armpit.
      Thanks for your question!

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