Locations
Office
Visalia, CA
Phone
Practice website
Insurances accepted
Blue Shield CA PPO
About
Bio
I was born and raised in California and currently live in Visalia with my wife and three children. I went to UC Berkeley for my B.A. in Genetics, UC San Diego for Medical School and UC Davis for General Surgery and Plastic Surgery. I am certified by the American Board of Plastic Surgery and have been since 2000.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Plastic Surgery
Licenses
United States: California
Languages spoken
English
Doctor Q&A
211 Answers
54 Agrees
The number of answers this doctor has agreed with.
A 43-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Yes: Absolutely. They also contribute to enlargement of the male breast which can be permanent. Consider stopping.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Yes, but...: Getting Botox injections while on blood thinners is not ideal and if you can get off of them prior to your injections you should. However, if you can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Injections or time: There is an injection called wydase which dissolves the juvederm. The alternative is to wait till it goes away on its own, usually 6-12 months.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Thrown Away: I've tried to get it used for medical purposes but no one wanted it. So it's incinerated.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Discuss with a PS: Spend some time with a plastic surgeon. They can help you with a size that best fits you and gets you where you want to be. If you value your boy fr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Sweating relief: Some people have a sweating condition that can affect the hands, feet and armpits called hyperhydrosis. Botox can decrease or eliminate this sweatin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Hard to know...: What most people think. However, those that do know about breast augmentation will give patients all the good and the bad so patients have the inform... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Doubtful: Skin cancer is mostly due to sun exposure. The lasers used for hair removal don't use that kind of light to do the job.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Most likely Yes.: Sounds pretty normal. Obviously without seeing you it's impossible to know for sure. Call your surgeon if you have any questions.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Risky, no.....: But potential problems later, maybe. I'm going to assume you're a woman. The most likely issue would be a future pregnancy. You may want or need a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Yes: Most of the skin cancers we see are due to sun exposure. Minimize your unprotected exposure to the sun and ultraviolet light.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Yes: Any operation has risks. Communicate with your plastic surgeon and your cardiologist ahead of time. Ask your surgeon to help you set up a meeting wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Very well...: But it's important to know that while the vast majority of women with implants can breast feed, it can't be guaranteed so if this is really important... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Everyone's different: Each patient experiences pain differently. Most people are off of narcotics by a week or so.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Many: Botox was developed to treat a condition called blepharospasm, or uncontrolled twitching of the eyelids. Now it's used to treat migraines, muscle spa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Won't work: There's no medicine to cure bed sores (aka pressure sores). Only relief of the pressure that caused the sore in the first place and then some very la... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Difficult Problem: Best option is not too get them in the first place. Once present, they can be very difficult to treat. Bottom line is the patient must reduce the ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Good wound treatment: Followed by moisture and pressure. A lot depends on the severity. Keep them out of the sun. See a dermatologist or plastic surgeon to check on you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Tummy Tuck: Obviously a firm recommendation could only come after a thorough evaluation but the only treatment for stretch marks is to cut them out.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
No: Spend your time and money on keeping them out of the sun. Otherwise your scars will heal as you are genetically programmed. Massage may help speed u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 50-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
? Thrush: Thrush is a fungal infection of the mouth and could be what you have. Please see your regular doctor as soon as possible.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
See a surgeon: Depending on the size and location, it's a simple surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Very Well!: It's important to realize that no one can create a normal appearing breast, but sometimes the results can be quite good. Talk with a plastic surgeon ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
I wouldn't chance it: You run risks anytime you put something in your body while breast feeding. Why risk it?
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
See your Doctor: While rare, a lump in the breast at 23 could be cancer. Have your regular doctor or care giver examine you and consider an ultrasound to evaluate. M... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
No: Breast pain is abnormal until proven otherwise. Please see your regular doctor for a thorough breast exam.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Blood: Blood rushes into your head when you bend down causing your face to turn red.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Question?: I'm not sure what the question is but guessing you need help with breast asymmetry. There are lots of options out there so talk with a local board c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Potential issues: Since with a breast augmentation you will need additional operations over your lifetime, it is possible that a future development of diabetes could ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Not necessarily: They can be done together or apart depending on what you are looking for and your finances. There also may be health issues so you should talk with y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
No more than any....: No more than any other implant. There has to be a scar to place the implant. Silicone implants can require larger incisions because they are pre-fil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Skin from one area..: Is taken off and put down somewhere else. There is a lot of technical stuff but that's the basics.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Sun Damage Too: Whites are more prone to sun damage which leads to increased risk of skin cancer and premature aging than those with darker skin. Minimize your facia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Yes, but...: No more than any other operation. Go to a board certified plastic surgeon at an accredited facility and you should be fine.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Depends: The scar itself is waterproof in 2 days but most surgeons don't recommend swimming or soaking in water for 2 weeks. Scar maturation however ( the pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Several months: Wow, that is hard to do! they must have put in a ton of juvederm. Your area of redness will heal like any scar. General scar healing times are 12-1... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Brava: There used to be a system called brava that increased the size of the breast with a vacuum device. I don't know if it's still available but there was... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Can be either: If they change from soft to firm, i'd see your doctor asap. Firm breast tissue is a sign of youth and it softens as you age.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 38-year-old male asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
We don't really know: Why someone gets a keloid. There needs to be some sort of injury or reason for irritation in a person with that tendency. Treatments include, steroi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Brachioplasty: A brachioplasty is the operation to remove excess skin from the upper arms. It involves removing the skin but leaves a scar.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Yes: People have operations during their period all of the time. The surgery center or hospital will have extra pads if you need them. Good luck with you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
MRI is the best test: Currently, a breast MRI with a dedicated breast coil in a 1.5 tesla MRI is the best test we have to look for gel leak. I would consider speaking with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Yes: Changes in hormonal levels cause many things including breast sensitivity.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Perhaps the better..: Question would be why would you need breast reconstruction if you didn't have your breast removed. However the risks of breast reconstruction are dep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
They Don't Exist: Any pill that says it will enlarge your breast will either not work; or you might see some mild increase but you've just increased your risk of breast... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Consider a rupture: It's possible that your saline implant broke. I would recommend you see a plastic surgeon. Please bring any information regarding your implants to t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 76-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Something Special: More than likely, your cancer is larger than you have extra skin for an easy closure. For these cancers, an operation such as a skin graft or a skin ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Medical treatment: Is limited to pressure relief, minimize moisture and contamination (urine and stool), and dressing changes. Best treatment is surgical but most patie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
TALK WITH A PS: Lots of things. Talk with a local plastic surgeon. They won't be perfect after surgery but they can be made a whole lot better.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Alex Lechtmananswered
Plastic Surgery 32 years experience
Most likely: Obviously you need to be examined but ddd breasts that are causing back, neck, and shoulder pain are good candidates for reduction.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
303
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Lechtman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Lechtman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Dr. Lectman,
thanks for your quick response. I am using SPF 50. I am hoping the redness will go away soon. I am schedule for some fraxel restore next week. You think i should have the procedure applie...Read More
HealthTap member
Thanks for your quick reply! Just needed to double check, it feels weird lifting. Was hoping its just because they are pretty new.
HealthTap member
This made me feel good. Thanks! I feel much better Thank you a million
Education & Training
Medical/Graduate school
UC San Diego School of Medicine, CA
Graduated 1991MD
Awards
Top Doctor, Third Place, Bakersfield, CA - Winter
2013
Most Influential, First Place, Bakersfield, CA - Winter
2013
Top Plastic Surgeon , First Place, Bakersfield, CA - Winter
2013
Affiliations
American Society of Plastic Surgeons
Aesthetic center
Kaweah delta healthcare district
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