Led by Jason R. Hess, MD, FACS, Chief of Plastic Surgery at Scripps Mercy Hospital and diplomate of the American Board of Plastic Surgery, Evolve Aesthetic Surgery runs its Hillcrest consult and surgical planning operation from Suite 204 at 3969 Fourth Avenue. Hess completed plastic surgery training at Wayne State University and a hand-and-microsurgery fellowship at the University of Miami Jackson Memorial Hospital before building a tummy tuck and mommy makeover practice in the same Fourth Avenue medical corridor that houses UC San Diego Health Plastic Surgery. Body procedures cover abdominoplasty, revision tummy tuck, liposuction, arm lift, and the fleur-de-lis incision pattern for significant post-weight-loss skin redundancy. Breast work includes augmentation, mastopexy, implant exchange with lift, reduction, and gynecomastia correction for men, with incisions positioned to minimize scar visibility below the bikini line. The practice holds an LGBTQ+ and transgender safe-space designation, and inpatient cases route through the Scripps Mercy hospital system served locally by Scripps Coastal Medical Center Hillcrest. The signature deliverable is a single-stage mommy makeover combining abdominoplasty, rectus diastasis repair, and breast augmentation or lift under one anesthetic for post-pregnancy patients whose abdominal wall and breast tissue both require reconstruction.