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Dr. Paul Ruff IV, MD

Cosmetic, Plastic & Reconstructive Surgery ·  Male · Age 51

Dr. Ruff IV

PittmanMD – Advanced Plastic Surgery

2440 M St NW Ste 200 Washington, DC 20037

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Dr. Paul Ruff IV, MD is a cosmetic, plastic & reconstructive surgery specialist in Washington, DC and has been practicing for 18 years. He graduated from Eastern Virginia Medical School Of The Medical College Of Hampton Roads in 1993 and specializes in cosmetic, plastic & reconstructive surgery, breast reconstruction surgery, and more.

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(202) 785-4187

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Background Check

Healthgrades does not collect malpractice claims information for District of Columbia
No disciplinary actions found for the years we collect data
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Dr. Ruff IV's conditions and procedures:

  • Abdominal Skin Laxity
  • Abdominoplasty
  • Acne Scars
  • Aesthetic Hand Rejuvenation
  • Belotero® Injection
  • Blepharoplasty
  • Body Contouring (After Weight Loss Surgery)
  • Botox® for Severe Underarm Sweating when Antiperspirants Fail
  • Botox® Injection
  • Breast Augmentation
  • Breast Diseases
  • Breast Implant Malposition
  • Breast Lift Surgery
  • Breast Ptosis
  • Breast Reconstruction
  • Breast Reduction
  • Breast Surgical Procedure
  • Brow Lift
  • Buttock Lift
  • Calf Implant
  • Capsular Contracture of Breast Implant
  • Chemical Peel
  • Chin Implant
  • Clear + Brilliant Laser Treatment
  • Collagen Injection
  • Cosmetic Botox® Injection
  • Cosmetic Conditions
  • Cosmetic Facial Surgery
  • Cosmetic Gynecology Procedures
  • Cosmetic Platelet Rich Plasma Therapy
  • Cosmetic Surgical Procedure
  • Cosmetic Xeomin® Injection
  • Dermal Filler
  • Drooping Eyelids (Ptosis)
  • Dysport Injection
  • Ear Plastic Surgery (Otoplasty)
  • Endoscopic Brow Lift
  • Excessive Sweating
  • Excision of Lipoma
  • Excision of Skin Lesion
  • Excision, Shaving, or Destruction of Skin and Subcutaneous Tissue (incl. Mohs Micrographic Surgery), Tissue Transfer
  • Eyelid Surgery
  • Facelift
  • Facial Rejuvenation
  • Facial Skin Laxity
  • Fat Grafting to the Body
  • Fat Grafting to the Breast
  • Fat Grafting to the Buttock
  • Fat Grafting to the Face
  • Female Cosmetic and Reconstructive Surgery
  • Feminizing Genitoplasty
  • Fine Lines
  • Gigantomastia
  • Gummy Smile (Oversized Gingiva)
  • Gynecomastia
  • Gynecomastia Repair
  • Hylaform Injection
  • Hyperpigmentation
  • Intense Pulse Light
  • Jaw Implant Surgery
  • Jessner Peel Treatment
  • Jowl Skin Laxity
  • Juvéderm Ultra
  • Juvederm Ultra Plus 
  • Juvéderm Volbella
  • Juvéderm® Injection
  • Juvéderm® Ultra Plus XC Injection
  • Juvéderm® Voluma® Injection
  • Keloid Scar
  • Kybella Treatment for Submental Fat
  • Laser Hair Removal
  • Laser Vein Removal
  • Lip Augmentation
  • Lipomas
  • Liposuction
  • Localized Fat Deposits
  • Male Cosmetic and Reconstructive Surgery
  • Microneedling
  • Mommy Makeover
  • Neck Lift
  • Neck Liposuction
  • Neck Skin Laxity
  • Nipple Reconstruction
  • Non-Surgical Facelift
  • Nose Plastic Surgery (Rhinoplasty)
  • Platelet-Rich Plasma Injection (PRP)
  • Radiesse® Injections
  • Restylane Defyne
  • Restylane Lyft
  • Restylane Refyne
  • Restylane® Injections
  • Scars
  • Sculptra™ Injection
  • Skin Aging
  • Skin Laxity
  • Soft Tissue Tumor Removal
  • ThermiSmooth™ Non-Invasive Skin Smoothing Treatment
  • ThermiTight™ Subdermal Skin Tightening Treatment
  • ThermiVa™ Non-Invasive Vaginal Rejuvenation Treatment
  • Tracheostomy
  • Ultrapulse CO2 Laser
  • Upper Eyelid Skin Laxity
  • Vaginal Surgery
  • Vaser® Liposelection (Liposuction)
  • Vollure 
  • Wrinkle Reduction by Injection
  • Wrinkles

About Me

Paitents come to my office with a variety of aesthetic issues, all related to some deeply personal concern. My staff and I take the necessary time to understand each individuals conerns, motivations and expectations. We offer a full range of surgical...


  • Cosmetic, Plastic & Reconstructive Surgery
  • Breast Reconstruction Surgery
  • Cosmetic Medicine

Board Certifications

  • General Surgery
  • Plastic Surgery


University of California at San Diego Medical Center
Fellowship Hospital
Washington Hospital Center
Residency Hospital
Washington Hospital Center
Fellowship Hospital
MedStar Washington Hospital Center
Internship Hospital
Eastern Virginia Medical School Of The Medical College Of Hampton Roads
Medical School
Georgetown University
Undergraduate School


  • French
  • Russian
  • Spanish
  • English


Dr. Ruff IV's Reviews

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Dr. Ruff IV's Performance
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What People Say About Dr. Paul Ruff IV, MD
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The best plastic surgeon in Washington, DC! Dr. Ruff had an exceptional bedside manner, explained my procedure to me in great detail and answered all of my questions. The office is very clean, chic and extremely friendly. Most importantly, I got amazing results after my surgery! 10/10 would recommend!
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Dr Ruff is professional, skilled and caring with superior followup. I have had two procedures and am very impressed with his skill set and personality as well as his staff.
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Lipo and fat transfer disaster. Dr. Ruff is not skilled at transferring fat. He ruined my abdomen. Run from the long term nightmare of liposuction and fat transference pain and daily discomfort.
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I have found it difficult to find practitioner's that LISTEN anymore. I had been to every major derm in the D.C. area trying to cure 20 years of adult acne. Just by listening, Dr. Ruff treated what no one else had ever suggested! Meanwhile, I've lost thousands on creams and procedures and had low self-esteem. Just a nice guy, super small and just really keen to what is important to his patients. Grateful to have discovered him!
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I have had numerous procedures done by Dr. Ruff. Results are amazing. Cannot say enough good things about him and his O.R. staff. Not to mention he is a caring person and feel like he is extended family. Would not go to anyone else, especially for Botox after having superior results with him for years and 2 bad Botox experiences with several well known plastic surgeons in the DC area. Five stars!!
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I am a new client at West End Plastic Surgery and could not be happier with the services I have had, or with the practice in general! I've now had 4 sessions of micro-needling (what a difference in my skin!) as well as a wee bit of filler in my lips and cheeks. Everyone in the office was polite, professional, and knowledgeable, and I never had to wait! They are going through a major renovation as a result of a flood, so I can't say that the office looked great...yet! I highly recommend Dr. Ruff
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Went to Dr. Paul ruff initially for facial fillers and off topic just briefly talked about my pooch. He told me he could take my pooch away with HD Lipo and give me more defined abs. I told him I was worried about lumps and bumps and he assured me that wouldn't be an issue. I went ahead and did the procedure, 10K later with lumps and bumps and weird body contours I haven't taken my shirt off in public for two years now. I learned my lesson. If your already fit just be happy w/what you have.
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switched insurance providers mid treatment and was told I would have to pay cash to finish the procedures. i always herd being a doctor was about the money, but he drove the point home.
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PittmanMD – Advanced Plastic Surgery

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  • Hours
    • Mon: 7:00am - 5:00pm
    • Tue: 7:00am - 9:00pm
    • Wed: 7:00am - 8:00pm
    • Thu: 7:00am - 9:00pm
    • Fri: 7:00am - 8:00pm
    • Sat: 9:00am - 5:00pm
    • Sun: closed
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