Photo Credit: Dr. Sean McNally
The global cosmetic surgery industry is booming, with a projected value of $81.66 billion USD by 2032. The craft brings together a blend of science, art, and medicine. While the field is often associated with aesthetic enhancements, it also plays a vital role in reconstructive care for patients recovering from trauma, cancer, or congenital conditions.
Despite its visibility, the pathways that lead surgeons into this specialty are as diverse as the procedures themselves. Interestingly, many practitioners in this field never initially set out to become plastic surgeons but instead discovered their passion for the discipline through unexpected turns in their professional journeys.
The unconventional trajectory is evident in Dr. Sean McNally’s journey. He is a board-certified plastic surgeon based in Portland, Oregon, whose journey into the field began with a deep interest in microbiology and immunology. Earning both his MD and a PhD in these fields from the University of North Carolina School of Medicine, Dr. McNally initially envisioned a career centered on infectious disease research.
“When I started my PhD, I imagined a life in the lab, exploring the molecular mechanisms of disease and immunity,” says Dr. McNally. However, his path shifted during his clinical rotations in medical school, where he was drawn to the tangible, immediate impact of surgical interventions.
Plastic surgery stood out as a specialty for its combination of technical precision and creative problem-solving. “Plastic surgery felt like the perfect balance between science and artistry,” Dr. McNally explains. “Each case presents a new puzzle to solve, whether it’s reconstructing a breast after mastectomy or refining facial features to help patients feel more confident.” This blend of intellectual challenge and the opportunity to directly improve patients’ lives ultimately drew him to the field, where he completed his residency at the University of California Irvine Medical Center.
Dr. McNally’s scientific background provides a unique perspective that impacts the way he interacts with his patients. His expertise in microbiology and immunology informs his understanding of wound healing, infection prevention, and the body’s response to surgical interventions.
Dr. McNally’s expertise across fields is especially evident in his focus on procedures such as cosmetic breast surgery, mommy makeovers, and facial aesthetic surgery. These treatments require both technical skill and an eye for natural, harmonious results. “My goal is always to achieve outcomes that look and feel authentic to each patient,” he says. “It’s about helping them feel like the best version of themselves, not someone entirely different.”
In addition to his clinical work, Dr. McNally is a prominent member of professional organizations like The Aesthetic Society and the ASPS, where he engages with peers to stay at the forefront of medical advancements. His active presence on social media platforms such as TikTok and Instagram also reflects a growing trend among surgeons to connect with patients through educational content.
By demystifying surgical procedures and sharing insights into his practice, Dr. McNally empowers patients to make informed decisions about their care. “Listening is one of the most important parts of my job,” says Dr. McNally. “Understanding what patients want—and why—ensures that I can tailor my techniques to their specific goals.”
Outside the operating room, Dr. McNally enjoys exploring the vibrant culture of Portland, hiking the Pacific Northwest’s scenic trails, and spending time with his family and pets. Dr. McNally’s story shows that a winding career path can ultimately lead to fulfilling, impactful work and a well-rounded lifestyle.
Written in partnership with Tom White
