Aviva Plastic Surgery & Aesthetics

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

For more than 20 years, this handsome 47-year-old gentleman carried a slowly growing forehead osteoma—a firm bony bump t...
02/12/2026

For more than 20 years, this handsome 47-year-old gentleman carried a slowly growing forehead osteoma—a firm bony bump that gradually became a defining (and distracting) feature of his face. What had once been easy to ignore eventually felt impossible to overlook, and after two decades, he decided it was time to seek treatment.

Osteomas are benign bony growths that most commonly develop on the bones of the skull or within the facial sinuses, and we usually treat them comfortably in the office using oral relaxing medication and injected numbing medicine. Our patient had his osteoma removed in this fashion, remaining slightly sleepy and deeply relaxed throughout surgery.

His recovery, like many real surgical journeys, was not perfectly linear. Shortly after surgery, he developed a hematoma—a collection of blood beneath the forehead skin—which required a prompt washout. Complications are uncommon but possible in any surgical procedure, and when they occur, we manage them carefully and decisively. Our patient handled the experience with patience and trust.

Six months later, the result speaks for itself: a beautifully smooth forehead contour that looks as though no osteoma ever was, and no surgery ever took place. The incision is meticulously hidden within his scalp hair. A distracting feature present for 20 years, quietly shaping how others saw him, is now simply gone.

In facial plastic surgery, reconstruction and aesthetics are one and the same. The goal is not just a bump removal, but restoration of natural form. A 20-year osteoma resolved in under an hour—replaced with balance, smoothness, and the quiet confidence of a face uninterrupted.

Women’s wellness is about more than appearance—it’s about comfort, function, and confidence at every stage of life.At Av...
02/08/2026

Women’s wellness is about more than appearance—it’s about comfort, function, and confidence at every stage of life.

At Aviva Plastic Surgery, we offer thoughtful, medically guided solutions for intimate health concerns related to childbirth, aging, weight changes, and anatomy—always personalized, always discreet.

If you’ve had questions but didn’t know where to start, you’re not alone.
And you’re exactly who this care is for.

The subtle power of facial balance.Our patient is a woman in her 50s—a healthcare professional, practice owner, and deep...
02/07/2026

The subtle power of facial balance.

Our patient is a woman in her 50s—a healthcare professional, practice owner, and deeply committed to health and wellness, all while managing the many moving parts of a full professional and family life. She trusted her face to us for comprehensive facial rejuvenation: laser skin resurfacing, facial fat transfer, a deep plane face and neck lift, and upper facial work (not shown). And yet—one of the most striking, beautiful balancing changes comes from something very small: her upper lip lift.

This surgery involves the removal of a thin strip of skin beneath the nose and gentle rebalancing the soft tissues of the upper lip. The result is not added volume, but better architecture. The red portion of the upper lip appears fuller because it is subtly everted and looks taller—without fillers. With less downward weight resting on the mouth, the lower lip often appears fuller as well.

The overall effect is a face that looks less strained, more relaxed, and more harmonious—sensuous and elegant without being obvious. It’s a reminder that in facial rejuvenation and aesthetics, impact is not about size or spectacle. Sometimes the smallest, most precise adjustments create the greatest sense of balance.

Small surgery. Thoughtful technique. Beautifully understated results.

Longevity & Recovery: two of the most common—and most thoughtful—questions we receive about facial rejuvenation surgery....
02/05/2026

Longevity & Recovery: two of the most common—and most thoughtful—questions we receive about facial rejuvenation surgery.

Our patient shown is a 64-year-old matriarch in every sense of the word: the steady center of her family, the quiet CEO of all the moving pieces. She came to us bothered by facial aging, jowling, and neck laxity—and wanted to look refreshed, not reinvented. Shown at 2 weeks and again at 1 year after a deep plane facelift and neck lift, her result is beautifully stable over time. A more youthful, tapered jawline and neck… yet unmistakably her.

Recovery is often more manageable than people expect. While every patient heals at their own pace, most are comfortably presentable to coworkers and the general public by 1.5–2 weeks after surgery, with “restaurant-ready” confidence commonly around 3 weeks. For photo-heavy or milestone events—weddings, graduations, major celebrations—we recommend allowing about 8 weeks for optimal polish and peace of mind.

As for longevity: the surgical literature consistently shows that facial rejuvenation surgery tends to “last” 7–12 years. It does not stop time—but it resets the clock. Even when facial aging surgery is never repeated, patients tend to look younger for the rest of their lives.

This is the quiet power of thoughtful facial surgery: enduring structure, graceful recovery, and results that live with you—rather than announce themselves.

Few things feel more “right” than watching facial balance and aesthetic medicine align seamlessly with a patient’s confi...
02/01/2026

Few things feel more “right” than watching facial balance and aesthetic medicine align seamlessly with a patient’s confidence.

Our 20-something-year-old female rhinoplasty patient is a level-headed business leader (don’t let her youthful appearance fool you). Driven and accomplished, she felt her confidence was subtly affected by concerns about her nose. Through a custom rhinoplasty (nose-shaping surgery), we smoothed her nasal bridge bump and gently refined the nasal tip, creating a result that feels natural, balanced, and enduring.

At Aviva Plastic Surgery, we appreciate a strong, elegant aesthetic for the female nose. While overly scooped bridges and dramatically upturned tips may trend on social media, they rarely stand the test of time functionally or aesthetically. A straight, natural bridge and balanced tip offer our patient refinement without excess—with a nose that works well, looks good and will continue doing so over decades of life.

The result of our patient’s rhinoplasty is not a different person, but a more polished version of herself—one that reflects her clarity, strength, and confidence. A result that feels unmistakably right.

The days after surgery can bring unexpected emotions. The post-surgery blues are common and temporary—often shaped by an...
02/01/2026

The days after surgery can bring unexpected emotions. The post-surgery blues are common and temporary—often shaped by anesthesia, swelling, and the space between surgery and seeing final results.

Supportive people, gentle movement, music, light distraction, and time outdoors can help steady both body and mind. Most of all, give yourself grace. Healing unfolds over weeks and months, and this phase passes more quickly than it feels.

Healing is part of the artistry. 🤍Our patient shown here is decisive, elegant, and vibrant — clear about what she wanted...
01/26/2026

Healing is part of the artistry. 🤍

Our patient shown here is decisive, elegant, and vibrant — clear about what she wanted from her upper lip lift: improved red upper-lip show and a cutaneous lip that feels lighter and more refined. Like many thoughtful patients, she trusted the process even if she didn’t (and didn’t need to) know every nuance of surgical healing going in.

What’s important to understand — and easy to gloss over — is that recovery is not linear.

• Immediately after surgery, swelling is often soft and fluid.
• Around 3–4 weeks, swelling can feel firmer or more integrated and dense as deeper tissues heal and reorganize.
• At 7–10 days, most patients are socially presentable and look quite good.
• Months later, the lip continues to soften, settle, and reveal its final balance.

At both 1 day and 3 weeks after surgery, our patient is healing beautifully — even though the lip feels puffy and stiff in this phase. This stage is temporary, expected, and part of the journey toward a refined, natural result.

Surgery is not just about the change itself, but about anticipating and understanding the stages that follow. With time, patience, and proper healing, the outcome continues to improve — often exceeding the original aesthetic goal.

Revision Lip Lift: subtle changes, lasting impact Meet our 53-year-old revision lip lift patient — a dynamic, always-on-...
01/22/2026

Revision Lip Lift: subtle changes, lasting impact

Meet our 53-year-old revision lip lift patient — a dynamic, always-on-the-move go-getter and family matriarch who knows exactly what she wants.

She had previously had facial rejuvenation — including an upper lip lift at another practice — but still felt her upper lip looked too long and heavy, leaving her face feeling a bit weighed down despite prior surgery.

With a revision lip lift, we were able to restore balance and brightness to her features — refining the proportions of the upper lip so it feels lighter, more youthful, and more in harmony with her face.

Why lips matter:
Lips are one of the most sensuous and expressive features of the face. When they’re out of balance, the face can appear heavy, tired, or even somewhat sad — regardless of how vibrant and energetic the person truly is.

What we love about her result:
• Natural, elegant refinement
• A softer, brighter facial expression
• Excellent durability — shown at 3 months and 2.5 years after revision lip lift surgery

Thoughtful revision surgery isn’t always about “doing more.” It’s about doing it right — with precision, restraint, and deep respect for facial balance.

Many newborns are born with ear shape differences — folded rims, cupping, prominence, or asymmetry. These variations are...
01/18/2026

Many newborns are born with ear shape differences — folded rims, cupping, prominence, or asymmetry. These variations are common, and they are not caused by anything a parent did or didn’t do. What is important to know is that the first weeks of life offer a unique opportunity for gentle, non-surgical correction.

During early infancy, a baby’s ears are temporarily more moldable due to maternal estrogen which makes the ear cartilage soft and pliable. When treatment is started early, non-surgical ear molding can permanently improve ear shape without incisions, anesthesia, or pain. The process is comfortable for babies and surprisingly simple for families, with typically-permanent and natural results.

Dr. Inessa Fishman is trained in Ear, Nose, and Throat and Head and Neck surgery and is experienced in surgical ear reconstruction — a background that deeply informs her non-surgical treatment approach. With over 14 years of experience in newborn ear correction, she understands when molding is appropriate, how to optimize results, and when surgery can be avoided altogether.

At Aviva Plastic Surgery, we use EarWell®, InfantEar®, and custom-designed molds, because no two ears — and no two babies — are the same. Our goal is thoughtful, timely, preventive care that allows children to grow up never remembering treatment, and never feeling self-conscious about their ears.

A small bump can cast a surprisingly big shadow ✨Our beautiful young patient came to us bothered by a subtle but distrac...
01/15/2026

A small bump can cast a surprisingly big shadow ✨

Our beautiful young patient came to us bothered by a subtle but distracting forehead lipoma (benign fatty growth under her brow lifting muscle). Small and painless, this bump bothered her with its appearance.

With careful planning and meticulous technique, the lipoma was removed and the incision hidden discreetly within the scalp hairline. The result? A smooth contour, a natural look, and a scar that’s quietly doing its job by staying out of sight.

At Aviva Plastic Surgery, we treat lipomas, osteomas, and other facial “bumps” every day—and we approach each one with the same level of precision and respect as any cosmetic procedure. Because on the face, all reconstructive surgery is aesthetic surgery.

All faces deserve thoughtful care. Always.

What actually keeps skin healthy, youthful, and resilient?Let’s talk evidence — not hype.In an era of viral skincare and...
01/14/2026

What actually keeps skin healthy, youthful, and resilient?
Let’s talk evidence — not hype.

In an era of viral skincare and injectable trends, it’s easy to lose sight of what truly supports skin biology. Here’s how we think about skin health through a medical, evidence-based lens:

Proven, worth your time:
• Retinol (or bakuchiol if you’re sensitive): improves texture, pigmentation, and collagen signaling
• Daily sun protection: the single most powerful anti-aging and skin-cancer prevention tool
• Vitamin D supplementation (when needed): supports immune and skin health
• Microneedling: stimulates collagen and improves tone and texture
• Regular exercise: boosts circulation, oxygen delivery, and cellular repair
• Stress management: excess cortisol ages skin
• Limiting excess sugar & ultra-processed foods: inflammation shows up throughout your body and on your face

These are not glamorous — but they work.

Meh (popular, but not impressive):
• PRP and PRF for skin rejuvenation
Despite the buzz, high-quality data has not shown these to meaningfully improve skin quality or aging. In our practice, we prefer treatments that actually change skin biology — not just sound exciting.

Interesting, but still TBD:
• Peptides, injectable exosomes, and salmon DNA (Rejuran)
These are fascinating and may eventually become powerful tools — but they are not yet FDA-approved in the U.S. and we don’t have strong long-term safety or efficacy data. In medicine, promise is not the same as proof.

At Aviva, we believe in combining artistry with science — and choosing treatments that are grounded in biology, not trends.

Your skin deserves better than hype.

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

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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!