Aviva Plastic Surgery & Aesthetics

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

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.

Cl****al hood contouring is one of the most misunderstood procedures in intimate wellness.In reality, women’s anatomy va...
02/25/2026

Cl****al hood contouring is one of the most misunderstood procedures in intimate wellness.
In reality, women’s anatomy varies widely — and most variation is completely normal. For carefully selected patients bothered by excess or asymmetric cl****al hood tissue, precise contouring can be performed with respect for natural anatomy and sensation.

At Aviva Plastic Surgery & Aesthetics, every conversation begins with education, discretion, and thoughtful surgical judgment.

****alhoodreduction

Thoughtful lip rejuvenation is often less about volume — and more about proportion.Our discerning aesthetic professional...
02/18/2026

Thoughtful lip rejuvenation is often less about volume — and more about proportion.

Our discerning aesthetic professional patient traveled from out of state seeking Dr. Inessa Fishman’s expertise after years of frustration with prior permanent lip silicone filler, which can sometimes lead to long-term swelling and inflammatory filler collections known as siliconomas. She had previously undergone surgical removal elsewhere, but continued to feel that her upper lip appeared overly long and heavy, weighing down her facial balance.

Through a carefully tailored upper lip lift — designed to shorten the philtrum (the distance between the base of the nose and the upper lip) and gently evert the upper red lip — along with precise excision of residual silicone collections (with incisions meticulously hidden at the corners of the upper red lip), her lip contour has been beautifully refined.

At 8 weeks post-procedure, she is healing wonderfully and has approximately 80% of swelling resolved. Her upper lip now appears more shapely and proportionate, and her overall facial aesthetic feels subtly lighter, more contoured, and naturally refreshed.

Most patients are pleasantly surprised that after an upper lip lift, return to work and social activities is typically comfortable at about 7–10 days, with continued refinement over the following weeks.

At Aviva Plastic Surgery & Aesthetics, our goal is never to change who you are — but to restore harmony in a way that looks quietly, unmistakably right.

Nose surgery recovery is one of the first things patients ask us about when considering septorhinoplasty — and for good ...
02/16/2026

Nose surgery recovery is one of the first things patients ask us about when considering septorhinoplasty — and for good reason. When it comes to your face and your body, every surgical decision deserves thoughtful consideration.

Our discerning 19-year-old patient came to us bothered by a nasal bridge bump and a droopy nasal tip. She had previously tried non-surgical rhinoplasty but did not achieve the refinement she sought. After thoughtful planning, she chose surgical septorhinoplasty for a more definitive, lasting result.

At 1 week after surgery:
Most patients are pleasantly surprised by how manageable this stage feels. Mild to moderate swelling of the nose is expected, and bruising under the eyes, if presen, often fades into a yellowish hue as it resolves. This is typically when the external tape or splint comes off. Many patients feel comfortable returning to work, school, and social activities at this point. The nasal bridge already appears smooth, and the tip looks well supported, though often slightly over-rotated due to normal postoperative swelling.

At 7 months:
Healing continues to refine beautifully. Our patient is approximately 90% healed here. Because she has thinner nasal skin, her swelling has resolved more quickly than average. The bridge is elegant and smooth, and the tip has de-puffed and settled into a natural, balanced position that harmonizes with her features.

While every patient heals at their own pace, modern rhinoplasty techniques have made recovery far more comfortable and predictable than many people expect. Thoughtful surgical technique, meticulous aftercare, and patience during the healing process all contribute to a smooth journey.

Subtle. Balanced. Beautifully her.

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.

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!