Aviva Plastic Surgery & Aesthetics

Aviva Plastic Surgery & Aesthetics Aviva Plastic Surgery & Aesthetics specializes in health, wellness, aesthetics, and plastic and reco

A thoughtful approach to anesthesia One of the most common questions we hear is:“Will I be put to sleep?”The answer is m...
04/25/2026

A thoughtful approach to anesthesia

One of the most common questions we hear is:
“Will I be put to sleep?”

The answer is more nuanced—and more personalized—than many expect.

At Aviva Plastic Surgery & Aesthetics, we offer a thoughtful range of anesthesia options, from local anesthesia to IV (so-called “twilight”) sedation and general anesthesia. Each has a role, and each is chosen with intention.

Many of our patients undergoing aesthetic surgical procedures are excellent candidates for IV sedation, a deeply relaxed, comfortable state without the need for a breathing tube. Patients often report a smooth recovery experience, with little to no nausea and throat discomfort.

That said, general anesthesia remains the safest and most appropriate choice for certain patients and procedures, and we do not compromise when it comes to safety.

Our philosophy is simple:
the right level of anesthesia is the one that prioritizes your safety, your comfort, and your outcome.

This 30-something-year-old beauty came to us seeking a refined, natural enhancement of her upper lip—something that woul...
04/25/2026

This 30-something-year-old beauty came to us seeking a refined, natural enhancement of her upper lip—something that would last, and truly harmonize her features. Like many women, she had previously explored lip filler multiple times over several years. While filler can be a beautiful tool, it doesn’t always address the underlying concern—especially when the upper lip appears longer and the red lip show remains limited.

For her, the answer was an upper lip lift, a precise, surgical approach that shortens the distance between the nose and lip, gently everting the lip for a more defined, balanced contour.

At just 1 week after surgery, she is healing beautifully. Some swelling and stiffness are expected, particularly in patients who have had prior filler, and will continue to soften over the coming weeks.

Final results evolve over several months, with full refinement around the 6-month mark. We’ll incorporate laser resurfacing to further soften and camouflage the incision for an even more seamless result.

A constant goal of facial aesthetics is to restore proportion and structure—in a way that feels effortless, elegant, and entirely her own, and her early result is already beautifully on its way.

Some of the most powerful results in facial rejuvenation are the ones that don’t announce themselves.This patient is a m...
04/17/2026

Some of the most powerful results in facial rejuvenation are the ones that don’t announce themselves.

This patient is a matriarch, an educator, and a creative force—someone defined by quiet confidence and substance. Her goal was never to look different, but simply more polished, more aligned with herself.

With her treatment of a deep plane facelift, structural neck lift, and facial fat grafting, the focus was on restoring natural architecture—refining, supporting, and elevating without changing what makes her unmistakably her.

This is what we think of as invisible surgery:
thoughtful, precise, elegant, and grounded in restraint.

In aesthetic medicine and surgery, we often focus on technique—but what you put into your body matters just as much as w...
04/16/2026

In aesthetic medicine and surgery, we often focus on technique—but what you put into your body matters just as much as what we do surgically.

“Food as medicine” is not a trend. It’s foundational.

A balanced, nutrient-dense diet supports how your body functions, heals, and ultimately how your results look over time. Excess sugar, for example, contributes to glycation—a process that affects structural proteins in the skin and can leave it appearing more dull, less resilient, and prematurely aged.

In the perioperative period, nutrition becomes even more important.
The weeks after surgery are not the time for restrictive dieting. Your body requires adequate calories, protein, and micronutrients to heal well. Crash dieting can increase physiologic stress and may contribute to unwanted effects like fatigue, hair shedding, and delayed recovery.

For patients considering facial rejuvenation—particularly procedures involving the lower face and neck—we also think carefully about weight stability. Significant weight loss after surgery can impact tissue support and contour. In general, we recommend that planned weight loss of more than 10–15 pounds be achieved before surgery, when possible.

Medications such as semaglutide and tirzepatide have transformed weight management for many patients. In our practice, we ask that these be held for approximately three weeks prior to procedures requiring sedation or anesthesia to support safety.

Nutrition also plays a role in more nuanced ways. For example, in fat transfer procedures, short-term dietary optimization—including adequate healthy fat intake—may support graft viability.

A sustainable approach often looks like a Mediterranean-style foundation:
lean proteins, healthy fats, antioxidant-rich foods, and minimal processed ingredients. For many patients, a daily multivitamin can also be a helpful adjunct.

Beautiful, lasting results are never just procedural.
They are built—quietly and consistently—through how we care for our bodies every day.

Nutrition and skin health • Food as medicine • Surgical recovery • Facelift preparation • Facial plastic surgery Atlanta

Otoplasty in children is often a conversation. Should we intervene early?Or wait until a child is older to decide for th...
04/10/2026

Otoplasty in children is often a conversation.

Should we intervene early?
Or wait until a child is older to decide for themselves?

There is no one-size-fits-all answer.

What we see, time and again, are adults who recall years of teasing, hiding their ears, or feeling self-conscious in ways that lingered far beyond childhood. Often, those same individuals later find themselves in our office again—this time as parents, seeking guidance for their own children.

For this young patient, her family chose a small, thoughtful procedure to bring her ears into better balance—before those experiences had a chance to take hold.

The result is natural, understated, and designed to grow with her.

These are always deeply personal decisions, made with care, intention, and respect for each child’s unique story.

Otoplasty in Atlanta • Ear pinning surgery for children • Pediatric otoplasty specialist • Prominent ear correction • Natural ear surgery results • Facial plastic surgery Atlanta

In aesthetic surgery, more is not better.Better is better.At Aviva Plastic Surgery & Aesthetics, we take a deliberate, e...
04/04/2026

In aesthetic surgery, more is not better.
Better is better.

At Aviva Plastic Surgery & Aesthetics, we take a deliberate, evidence-based approach to facial rejuvenation—prioritizing structure, longevity, and natural balance over quick fixes.

Our work is grounded in advanced comprehensive facial rejuvenation techniques, including the deep plane facelift, which recontours the foundational layers of the face rather than simply tightening the surface. The result is restoration that looks natural, feels harmonious, and lasts.

No shortcuts.
No overfilling.
No chasing trends.

Just thoughtful surgical planning, refined technique, and results designed to stand the test of time.

Our patients aren’t looking to look different.
They’re looking to look like themselves—at their best.

And that requires precision, thoughtful experience, and restraint.

Not every patient needs a facelift to achieve a beautifully defined jawline and neck. Our 54-year-old patient was bother...
03/28/2026

Not every patient needs a facelift to achieve a beautifully defined jawline and neck.

Our 54-year-old patient was bothered by fullness under the chin and along the neck, along with a lack of definition through the chin and jawline.
Importantly, she did not have significant jowling or deep facial folds, which made her an ideal candidate for a more targeted, structural approach. Her anatomy and aesthetic goals helped us design a plan focused on deep structural refinement rather than skin removal.

Her transformation included:
· Structural neck lift to contour and support the deeper tissues
· Submandibular gland reduction to address fullness beneath the jawline
· Digastric muscle refinement to smooth the submental contour
· Corset platysmaplasty to tighten and define the neck from within
· Chin implant to enhance chin and jawline projection and balance in profile and oblique views

All of this was performed through a small, well-concealed incision under the chin, without removing skin. The result is a neckline that appears more sculpted and defined, more balanced, and naturally harmonious with the rest of her face.

This type of structural neck lift is especially powerful for patients who feel that their profile lacks definition — even when the skin itself is not severely lax.

Subtle changes.
Sophisticated technique.
Impeccable contour.

Elegant lip rejuvenation is rarely about “more.”It is about balance, structure, and timeless refinement.At Aviva Plastic...
03/21/2026

Elegant lip rejuvenation is rarely about “more.”
It is about balance, structure, and timeless refinement.

At Aviva Plastic Surgery & Aesthetics, we approach perioral enhancement as a comprehensive art of rejuvenation — thoughtfully addressing the lips, surrounding skin, and underlying support that evolve with time, genetics, and prior treatments.

Our tailored toolkit may include:
Upper lip lift (often called a bullhorn lip lift) to restore youthful lip show and naturally evert the red lip for fuller-looking contours without added bulk
Corner lip lift to soften downturned mouth corners and improve resting expression
Lower lip advancement to enhance proportion and definition
V-Y mucosa advancement to reshape the contours of the red lips
SMAS grafting for structural, long-lasting support and refined projection
Perioral fat grafting to replenish the delicate “blanket” of volume and collagen that thins with age
Laser resurfacing and medical-grade peels to smooth fine lines and elevate skin quality
Strategic lip filler when anatomy and aesthetic goals make it the right choice
Some patients experience “filler fatigue” — heaviness, migration, or stretched tissues. In these cases, careful dissolving and precise surgical contouring can restore clarity, elegance, and natural movement.

For many mature and weight loss patients, lip lift surgery beautifully complements facelift and neck rejuvenation surgery, helping the entire lower face appear harmonious and refreshed.

Perioral rejuvenation should feel seamless, impeccable, and enduring.
Because the most sophisticated results are the ones that simply look like you at your most vibrant.

Our vibrant 60-year-old healthcare professional is no stranger to thoughtful aesthetic care. Years ago, we partnered on ...
03/17/2026

Our vibrant 60-year-old healthcare professional is no stranger to thoughtful aesthetic care. Years ago, we partnered on subtle refinements including an upper lip lift and earlobe reduction. She maintains her results with regular neuromodulator treatment and has beautiful natural facial structure — a wonderful foundation for surgical rejuvenation. When she felt ready for more comprehensive renewal, we designed a plan focused on restoring harmony, not changing who she is.

Her transformation combines a deep plane face and neck lift with strategic facial fat grafting. While a deep plane facelift beautifully recontours unwanted lower-face heaviness — softening jowls and refining the jawline — it cannot replace the gentle fullness that naturally fades over time.

To restore that balance, we harvested a small amount of her own fat from the inner thighs, carefully purified it, and reinjected it into the cheeks, marionette lines, and chin. The result is sculpted structure, smoother transitions, and refreshed vitality — without looking overfilled or “done.”

At Aviva Plastic Surgery & Aesthetics, we believe the most elevated outcomes often come from combining precise surgical lifting with nuanced volume restoration. It’s not about adding more — it’s about placing volume where it truly and precisely belongs.

Natural. Elegant. Confident.
Rejuvenation that reflects you.

Our young patient, a nurse in her 20s, had felt self-conscious about her prominent ears since childhood. For years, she ...
03/11/2026

Our young patient, a nurse in her 20s, had felt self-conscious about her prominent ears since childhood. For years, she chose hairstyles that would help her “hide” them. Today, she is doing the opposite — confidently wearing her hair up, showing off her ears and earrings and adorable top buns! with joy.

Her otoplasty was carefully planned and meticulously performed to create a natural, balanced result. During surgery, we recreated her absent antihelical fold — the elegant Y-shaped contour in the upper ear — and gently reduced the height of the conchal cartilage. These refinements allowed her ears to sit closer to the head while still looking soft, feminine, and beautifully her.

The procedure was performed through a discreet incision hidden behind the ear. Now fully healed, the scar is difficult to find — even with her hair pulled up.

At Aviva Plastic Surgery & Aesthetics, otoplasty is not about changing who you are. It is about releasing long-held insecurities and allowing your natural confidence to shine.

Natural. Refined. Quietly life-changing.

Our remarkable patient is a powerhouse attorney, someone who commands every room she enters and speaks her mind always. ...
03/09/2026

Our remarkable patient is a powerhouse attorney, someone who commands every room she enters and speaks her mind always. Smart, confident, strong. But even the strongest personality can be bothered by something that simply doesn’t belong on her face.

In her case, the culprit was surprisingly small: a tiny cat claw that came dangerously close to her eye before missing and slicing the delicate skin of the lower eyelid. Because eyelid skin is among the thinnest and most visible on the body, the resulting scar became noticeable and distracting.

We approached her treatment thoughtfully. First, a series of scar-modulating injections helped calm inflammation and limit excessive scar tissue formation. Once the tissue had matured appropriately, we performed precise surgical scar revision to refine the contour and allow the eyelid to heal more smoothly.

After treatment, she looks fantastic. The scar is not truly “gone,” but it has softened so beautifully that it’s difficult to notice — and her eyes once again reflect the confident, polished presence she brings everywhere she goes.

At Aviva Plastic Surgery & Aesthetics, scar revision is guided by thoughtful planning, patience, and precision. Truly scarless healing is rarely possible after injury, but with meticulous care we can often come remarkably close.

Address

1100 Johnson Ferry Road NE, Center Pointe 2, Suite 470
Atlanta, GA
30342

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm
Friday 8:30am - 5pm

Telephone

+16789748435

Website

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Aviva Plastic Surgery & Aesthetics

At Aviva Plastic Surgery & Aesthetics, our goal is excellent medical care in a warm and welcoming environment. We aim for impeccable treatment results, clear communication, and a comfortable and ongoing relationship with you.

We see excitement, anticipation, and worry in our patients every day–and all these are normal parts of the plastic surgery and aesthetic experience. We want to care for you throughout your journey with us. We aim to provide thorough patient education, excellent treatment results, extensive experience, and a thorough background of classic standards combined with the latest innovative treatment techniques. Patient education, excellent technical skill, experience, and an artistic sense–these are key components of the relationship between patient and surgeon–and by bringing these to every patient encounter, we hope to ease anxiety and make your every interaction with us a positive one.

At Aviva Plastic Surgery, we are constantly learning and bringing best practices to our practice. We incorporate treatment techniques and products from the top international authorities and our US colleagues. We are diligent about every detail of our practice, with patients describing their visits as “never rushed,” “top notch,” and “amazing.” Dr. Fishman takes pride in Aviva, a practice of innovation, high standards, and excellence, and we want you to take pride in Aviva too. Welcome!

Call us at 678.974.8435 or email us at hello@avivaplasticsurgery.com to schedule your appointment!