Lourdes Plastic & Reconstructive Surgery

Experienced, Talented, and Compassionate

The Tri Cities only female Plastic & Reconstructive Surgeon provides quality services generally found in larger metropolitan areas. You don’t need to travel for plastic surgery, cosmetic surgery, laser treatments, fillers or Botox®. One of the best Plastic & Reconstructive Surgeons lives in the Tri Cities…and she has your best interest at heart.

Dr. Karen Vaniver personally asks you to find the answers to the questions below. The fact is, the surgeon you select is the single most important factor in a successful outcome for you.

1. Plastic vs. Cosmetic Surgery – Is your surgeon board certified in plastic or cosmetic surgery? It makes a difference! Do your homework!
2. How long has your surgeon been certified in plastic surgery and performing this type of surgery?
3. Does your board certified surgeon have hospital privileges? Do they operate in a Medicare or certified operating room?

A Unique Patient Experience

“Thanks for taking me on as a patient and taking me safely through the reconstruction phase of my journey with cancer. I am so very pleased with the results of my surgery. Thanks also for the take-home roses that you give. They send a strong message that says you really care about your patients and I believe they speed the healing process by taking the focus off of pain and onto the simple beauty of a single rose. I was a privileged to attend your presentation at the Cancer Center last year. Thanks for sharing your own story in public. It truly makes a difference as you are living proof of the hope of surviving for a better tomorrow. Thanks for your patience with you patients! P.S. Belinda & Vickie are the best nurses ever!” – Virginia P.

“This is a small token to express how much I appreciate all you have done for me and all the other women who have gone through the breast cancer journey. You have such a loving and compassionate soul that was evident the first time I met you. I look forward to the next step of working together and enjoying your artistic touch to create a new set of breasts for me.” – Janice & Jessica

“Dr. Vaniver, Words cannot express how truly grateful I feel for the wonderful care you have given me. You are a gifted surgeon and a wonderful caring person, as well. I feel so fortunate to have been in your care. May many blessings come back to you for all that you do for others.” – Bethany

“Dr. V, thank you, thank you, thank you. It’s not a journey I would have chosen, but there I was, and along came you. Seeing how you put your life back together after your bout with cancer helped me to do the same.” – Becky

Before & After Photos

You may view Dr. Vaniver’s work for yourself. Click on Dr. Vaniver’s profile on RealSelf.com and you’ll be transferred from our website to photographs of her work. These photographs are being shown with full informed consent by her patients.

Dr. Karen Vaniver

It may interest you to know that I am a breast cancer survivor. I took one and a half years out of my career to overcome complications related to my disease. The fact is, because of it, I became more empathetic and better as a surgeon.  I’ve relocated to the Tri-Cities to enjoy a less stressful life, work with respected colleagues and bring my services closer to many of my patients.  If you have a moment, I would like to share my story with you as written by Forbes Magazine.  

I believe my role, as a plastic surgeon, is to help you achieve your aesthetic goals. I appreciate the opportunity to walk with you through your own personal journey. We will be working together. You have my promise that YOU are at the center of our work. Your safety, comfort, care and positive outcome are paramount.  Together, we’ll align your goals with your personal values.   


• Graduated from the Pathways to Leadership program of the American Society of Plastic Surgeons
• Completed fellowship in Plastic and Reconstructive Surgery at the University of Florida
• Completed residency at Brown University receiving the Resident Teaching Award
• Graduated from the University of Pennsylvania School of Medicine
• Graduated Magna Cum Laude from Temple University

Certificates / Memberships

 American Board of Plastic Surgery
 American Society of Plastic Surgeons
American Society for Aesthetic Plastic Surgery
 Northwest Plastic Surgery Society
 Washington State Medical Association

Practical Experience

• Relocated to Lourdes for health, close working relationship with Lourdes Breast Health Specialist and clients, 2014
Successful and growing practice in Seattle, 2006 – 2014
• Maintained a private practice in Missouri, 1994 – 2005

Accomplishments / Awards

• Honored as one of America’s Top Surgeons and America’s Top Plastic Surgeons by the The Consumer Research Council of America
• Honored as a Top Doc in Plastic Surgery by Seattle Metropolitan Magazine
• Recipient of the Hero in Medicine Award by the American Medical Association for providing free reconstructive surgery to children in need
• Chair of the Women in Plastic Surgery Committee of the American Society of Plastic Surgeons
• Published in
Quality Medical Publishers Pulse for Breast Reconstruction – the consult”.
• Published in Journal of the American Society of Plastic Surgeons for essays on women in plastic surgery and the role of spiritual practice in plastic surgery
• Commendation from the Joint Commission for founding the Heartland Regional Medical Center Wound Care Program
• President of the Buchanan County Medical Society
• President of the Missouri Association of Plastic and Reconstructive Surgeons

Vickie Hayes, LPN

Vickie joined Dr. Vaniver’s team with over 10 years of experience working for a prestigious, now retired, plastic surgeon in the Tri-Cities. She enjoys assisting Dr. Vaniver in surgery and works closely with her patients during their post-surgical recovery. Her skills and abilities as a plastic surgeon’s nurse have grown to include non-surgical cosmetic services. She finds this part of her work rewarding in a different way. The one-on-one with patients allows her to share her expertise on skin care and provide options for beautiful skin short of surgery.

Education / Certifications

• Licensed Nurse Practitioner
• Member of the American Society of Plastic Surgical Nurses
• Certified in Sciton Joule® Laser treatment
• Specialized training in ZO® and Alphaeon® skin care products
• Specialized training in facial fillers and wrinkle relaxing injections

Vickie can help you with

• Botox® and Dysport® injections
• Glycolic Peels
• Broad Band® Laser Treatments for hair removal, acne, pigmentation and vascular lesions
• Daily skin care products with proven results

The Art of Form and Function

At Lourdes Plastic & Reconstructive Surgery, we focus on cosmetic surgery for your face, breasts, and body. If you need breast reconstruction after cancer or have problems resulting from a prior breast surgery, don’t hesitate to come and discuss your options with us.  We understand and are here to help.  We may also assist with the management of complex wounds if requested by your physician.

Why choose Lourdes Plastic & Reconstructive Surgery?

• You’ll be in the hands of a Board Certified Plastic Surgeon who listens
• We are dedicated to achieving natural-looking results
• You’ll be provided a high level of safe plastic surgery care
• We help achieve your aesthetic goals
• In the tradition of Lourdes, you’ll experience the focused, personal care you deserve.

Face Surgery


Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids.


Browlift surgery can revitalize drooping or lined foreheads, helping you to look less tired, angry, or sad.


Facelifts remove fat and tightening skin and fascia, giving your face a fresher, youthful look.


Rhinoplasty restores an improved balance between the nose and other facial features.

Breast Surgery

Breast Augmentation 

Breast augmentation can enhance your appearance by changing the shape and size of your breast to better match your body style.

Breast Lifts 

Breast lifts can help you return to your youthful shape and lift to breasts that have sagged or lost volume and firmness.

Breast Reconstruction 

Breast reconstruction can improve the appearance of a breast deformed by lumpectomy and radiation, to recreate a breast removed by mastectomy, or to balance the non-cancerous breast. In addition, we specialize in the reconstruction of complex cosmetic breast surgery problems.

Breast Reduction 

Breast reduction is done to remove excess skin and breast tissue, to reduce the size of a stretched nipple areola, and to reposition the tissue into a more youthful, comfortable shape and size.

Body Surgery


Abdominoplasty is a surgical procedure that helps to flatten and shape the abdomen and waist by removing excess fat and skin and tightening the situp muscles.

Arm Lift  

An arm lift, or brachioplasty, tightens up loose, sagging skin under the upper arm.


Liposuction sculpts the body by removing undesirable fat from areas of the body such as the abdomen, waist, hips, buttocks, thighs, knees, chin, cheeks, neck and upper arms.

Thigh Lift

A thigh lift tightens the inner thighs by removing excess skin and fat.

Before & After Photos

You may view Dr. Vaniver’s work for yourself. Click on Dr. Vaniver’s profile on RealSelf.com and you’ll be transferred from our website to photographs of her work prior to her employment with Lourdes Health Network. These photographs are being shown with full informed consent by her patients.

Trust the Experts

Don’t take chances! These small procedures can turn into big problems. (We know because we’ve fixed a lot of them). Read this FDA article on injections, then allow us at Lourdes Plastic and Reconstructive Surgery to satisfy all of your cosmetic needs.

Sciton® Joule™ Laser Procedures

Superficial Resurfacing with Microlaserpeel®

This in-office procedure removes a very thin layer of skin to improve fine lines, pigmentation, tone and texture – restoring a more youthful appearance. All this with very little down time.

Fractional Resurfacing with Profractional XC Therapy

This in-office procedure treats a fraction of the skin at a deeper layer stimulating new collagen growth and improving your skin’s tone, texture, fine lines, deeper wrinkles, and the appearance of scars. This procedure requires little to moderate downtime because the surrounding skin is left untouched and helps with healing.

Deep Resurfacing with Contour TRL

This in-office procedure is the most aggressive of the laser therapies.  It removes fine lines and deep wrinkles including those pesky lines around the lips and eyes. TRL treatments are generally only done one-time.  We will custom tailor your treatment to your desired outcome and downtime.

Sciton® Phototherapy BBL™ - BroadBand Light

BBL is a popular choice for the face, neck, back of hands, chest and shoulders. This in-office procedure requires little or no downtime and may be combined with other laser treatments to give you the look you desire.  BBL is commonly used for:

• Pigmented Lesions (e.g., freckles, age spots)
• Vascular Lesions (e.g., spider veins, small blood vessels)
• Acne
• Skin Firmness
• Uneven Skin Texture
• Unwanted Hair

Injectible Fillers

Restylane is used in patients over 21 years to add volume and fullness to the skin to enhance lips, and to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds) and lines from the corner of your mouth to your chin (marionette lines).  

Restylane Lyft is the first FDA-approved filler indicated to provide lift to cheeks and add volume to correct and smooth smile lines(nasolabial folds). The filler is composed of hyaluronic acid, which is naturally occurring in the body and absorbed over time. It differs from other fillers in that it is used for bony augmentation. It does cause 2-3 days of swelling before it settles into the final result.

Restylane Silk temporarily decrease the evidence of fine wrinkles and deep tear troughs. The filler is composed of hyaluronic acid, which is naturally occurring in the body and resorbed over time. It differs from other fillers in that it can be injected superficially into fine lines and wrinkles. It is also becoming a favorite for lip augmentation as it gives a very soft look. There is a 2-3 day swelling time before final results can be appreciated.

Radiesse® are dermal fillers that are used for smoothing moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). it is also used for correcting volume loss in the back of the hands.

Juvéderm® temporarily decreases the evidence of smile lines, vertical lines and marionette lines on the face. The filler is composed of hyaluronic acid, which is naturally occurring in the body and resorbed over time. Like most fillers, it causes 2-3 days of swelling before it settles into the final results. 

Juvéderm Voluma® injectable gel for deep injection in the cheek area to correct age-related volume loss in adults over 21 years of age.

Injectable Wrinkle Smoothers

Botox® Cosmetic injections are the most popular non-invasive cosmetic procedure in the United States. Quick, safe and effective, Botox® reduces or eliminates crow’s feet beside the eyes, frown lines between the eyebrows, horizontal lines across the forehead and muscle bands in the neck. It may last up to six months with no downtime and little to no discomfort. In addition to smoothing out fine lines and wrinkles, Botox® may be useful for treating migraine headaches and excessive sweating. 

Dysport® is a prescription injection for temporary improvement of moderate to severe crow’s feet beside the eyes, frown lines between the eyebrows, horizontal lines across the forehead and muscle bands in the neck in adults less than 65 year of age. Effects may last three to six months with no downtime and little to no discomfort. 

Eyelash Enhancers

Latisse® is a prescription treatment for hypotrichosis (inadequate or not enough lashes) to grow eyelashes longer, fuller, darker. Great eyelashes don’t just happen overnight. That’s why it’s important to note that Latisse® solution works gradually and remarkably — with full results at week 16.

Alpheon Lash Eyelash Serum hydrates, conditions and strengthens lashes, resulting in the appearance of longer, fuller eyelashes. After 8 weeks of use: 80% of the women in the study agreed that the Serum improved their overall lash appearance; 76% agreed that their lashes appeared longer, thicker and more conditioned; and 72% agreed that their lashes appeared less sparse.

Spider Vein Therapy

Sclerotherapy or injection therapy is the gold standard treatment for spider veins. This in-office procedure involves an injection of a solution (generally a salt solution) directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together, and the blood to clot. The body then absorbs the clotted vessel.  For those blood vessels that are too small for injections, we may use Sciton® Phototherapy BBL™ – BroadBand Light (described above) may be used.  

Medical Grade Skin Care Products

Trichloracetic acid (TCA) peels are medium in depth. It softens fine lines, minimizes “age” spots and other skin discolorations, diminishes acne scars and generally improves the tone and texture. These peels are suitable for most skin types, including darker-toned skin. More than one treatment may be recommended and spaced 2 to 3 months apart. To increase effectiveness, TCA peels are often combined with other skin-rejuvenating treatments.

ZO® Skin Health Products provide a wide spectrum of therapeutic treatments and daily skincare solutions that create and maintain healthy skin. Based on the latest advances in skin therapy technologies – these products can provide continuous skin health for all skin types, genders, and ages.

Teoxane Cosmeceuticals’ skincare line has the same crossed-linked hyaluronic acid used in our dermal-filler injections. More than the traditional Hyaluronic Acid, it forms a mesh on your skin that permits active ingredients to gradually be released. Balancing premium skincare with medical science, this skin care line is perfectly adapted and complementary to advanced esthetic procedures.

Contact Us

Lourdes Plastic & Reconstructive Surgery
7425 Wrigley Dr. Suite 204
Pasco, WA 99301 | Directions
Ph (509) 546-8405
Fax (509) 546-8404

Monday – Thursday 9:00–5:00pm
Friday 9:00–1:00pm

Patient Information & Forms

Patient Registration Form
Health Questionnaire
Privacy Practices
Release of Protected Health Information
Autorización para Revelar Información de Salud

Patient Portal
Access your medical information ONLINE with Lourdes Follow My Health.

Using this patient portal, you can manage your personal medical records, communicate with your doctors, and make informed decisions about your health. Get 24/7 online access from any computer, smartphone or tablet.

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Visit the Lourdes billing and insurance page for detailed information about how we invoice our patients.

Privacy Policies
Visit the Lourdes Policies page for detailed information on The Joint Commission standards, patient privacy, and physician-assisted suicide policies.

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