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Alexander Rivkin, MD

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Los Angeles, CA
Alexander Rivkin, MD

Alexander Z. Rivkin M.D. is a Yale-trained facial cosmetic surgeon and UCLA faculty member. He founded his clinic, Westside Aesthetics, in 2002.

Dr. Rivkin is an international authority on non surgical cosmetic treatments.

12/23/2025

Meaningful change requires the right tools. Aging isn’t reversed with hope alone, and avoiding every treatment option doesn’t equal “natural,” it just limits what’s possible.

Fear of looking overdone usually isn’t about filler itself - it’s about poor technique and over-treatment. When done correctly, aesthetic injectables are conservative, strategic, and anatomy-driven. The goal is never to change your face, but to support it in a way that looks refreshed, balanced, and unmistakably you. 💉👍🏻

12/22/2025

Non-surgical rhinoplasty is all about precision, balance, and restraint. In this case, the goal was to gently lift the nasal tip and visually soften the downward slope of the dorsal hump- without surgery and without changing what already works. Using Lyft, a hyaluronic acid filler designed for structure and control, I was able to create a more refined profile while keeping the result natural and proportional.

This approach is especially powerful because it’s customizable to each individual’s anatomy. The focus isn’t on “adding” a new nose- it’s about subtle contouring that enhances harmony and preserves character. Results are immediate, non-surgical, and designed to age gracefully over time. As always, treatment plans are personalized, and what you see here reflects careful technique, deep anatomical knowledge, and a commitment to the best outcomes. 👃💉

12/21/2025

Just kidding about comparing myself to Anthony Joshua.
Best wishes to Jake Paul for a speedy recovery. Eating meals through a straw is no fun.

12/20/2025

I guess it’s my thing now… 🤷🏻‍♂️🤣

12/18/2025

When he gets you an actual Christmas gift instead of paying for your botox and filler 🤣💉

12/17/2025

Lately, I’ve been seeing a troubling trend in aesthetic medicine: patients being made to feel ashamed for the choices they’ve already made. I recently met with a woman who came in for a consultation after being told elsewhere that having filler was a “mistake.” What should have been an informative, collaborative conversation turned into something stressful and demoralizing. That’s not what medicine, or aesthetics, should ever feel like.

We live in a culture that pressures people to look younger, more refreshed, more “put together,” and then criticizes them for how they choose to do it. Filler, surgery, skin treatments... these are tools, not moral decisions. As practitioners, our job isn’t to lecture or scare patients. It’s to meet them where they are, understand their goals, and guide them honestly and thoughtfully.

Every day, I treat patients who’ve had procedures they now wish they’d done differently... surgical and non-surgical. We address it, we correct what we can, and we move forward. No judgment. Different specialties can -and should -coexist. When we respect each other’s work and focus on the patient first, everyone wins... especially the person sitting in the chair.

12/16/2025

There’s a common misconception that injectable treatments stop being useful after a certain age. In reality, facial aging is multifactorial - involving changes to bone, fat, collagen, and skin quality - and our approach has to evolve along with it. The goal is never to simply “add volume,” but to thoughtfully restore balance and structural support. 💉

Fillers, energy-based devices, skin treatments, and surgery are not competing tools. They’re complementary. When used appropriately and in the right combination, they allow us to tailor treatments to the individual rather than relying on age-based rules that don’t reflect real anatomy.

The most important factor isn’t how old you are - it’s having a clear aesthetic vision and a plan that respects your facial structure. Good outcomes come from precision, restraint, and experience.

12/15/2025

Jawline filler is one of my favorite ways to subtly, but powerfully, refine the lower face. For this patient, the goal was a more sculpted, snatched jawline that still looked natural and balanced with their features. By carefully placing hyaluronic acid (HA) filler along the jawline, we were able to enhance definition, improve contour, and create a sharper silhouette without changing who they are. 📐

The best part? This is completely non-surgical. No incisions, no anesthesia, and essentially no downtime. The treatment itself takes about 10 minutes, and results are immediate, meaning patients can walk out looking refreshed, contoured, and confident the same day. HA fillers are also temporary and reversible, which allows for precision, customization, and flexibility over time.

When done thoughtfully, jawline filler isn’t about overdoing it- it’s about structure, balance, and enhancing what’s already there. This is modern facial sculpting: designed to deliver high-impact results without surgery. 💉

12/14/2025

For this year’s holiday party, I wanted to open my house to the staff in appreciation of how we have all come together to thrive in what has been a difficult economic time for our industry as well as for the majority of businesses in this country. We have done well because of just how dedicated, personable and attentive these professionals are to our patient population. They are the reason our patients feel like they are visiting friends when they come to the practice. Their attention to detail is the reason why our patients know that we care about them and their well being. Their empathy is why our patients know they will be heard, whether the feedback is good or not so good. Their knowledge, keen aesthetic eye and exemplary skills are the reasons why our patients know they are in safe hands and that they will be getting the results they expect from a global leader in non surgical aesthetic procedures.
I am very fortunate to be working with these superstars!

12/13/2025

I often see videos that begin by saying “I’m not against fillers” or “I’m not against surgery,” and then immediately pivot into listing inflammatory, misleading, or exaggerated claims designed to scare patients. Using rare or unsupported talking points to create fear isn’t education - it’s fear mongering, and it ultimately does a disservice to patients trying to make thoughtful medical decisions.

Let’s reverse things: I’m not against surgical rhinoplasty. It can be an excellent procedure. But it is also one of the most technically difficult operations in plastic surgery. Surgery creates scarring - internally and externally - and the degree of scarring and long-term cartilage changes can be unpredictable. A nose may look good early on, and years later develop collapse or distortion that no one could have fully anticipated at the time of surgery.

Over the past 20 years, I’ve seen two to four patients every single day come into my office seeking correction of rhinoplasty complications - well over 10,000 patients. That doesn’t mean surgery is “bad,” and it doesn’t mean injectables are “dangerous.” It means patients deserve balanced, honest information - not extreme examples used to provoke fear instead of understanding.

12/12/2025

My patient when they realize there was a non-surgical rhinoplasty option with minimal downtime 👃💉

12/11/2025

Complications like the recent case in Vietnam are incredibly tragic. Surgical rhinoplasty and blepharoplasty are generally safe procedures in capable hands, but no medical treatment, surgical or nonsurgical, is ever completely risk-free. These moments remind all of us in aesthetics how important it is to approach patient care with honesty, compassion, and balanced education.

That said, I also think it’s important to recognize how information can be shaped online. In this video, I’m demonstrating what it would sound like if I described surgery using the same fear-driven tone that some surgeons use when talking about fillers. When we highlight one rare complication to create panic around an entire category of treatments, it misleads patients and creates unnecessary fear. The reality is that filler, especially hyaluronic acid filler, has one of the best safety profiles in aesthetics when performed by experienced injectors who understand anatomy and technique.

My goal isn’t to diminish the seriousness of what happened, nor to pit surgery against nonsurgical treatments. Both have their place, both can produce beautiful results, and both require expertise. My message is simply this: patients deserve education, not fear-mongering. When we talk about risk with nuance and accuracy, we empower people to make informed choices, not scared ones.

Address

11645 Wilshire Boulevard #800
Los Angeles, CA
90025

Opening Hours

Monday	9am - 7pm
Tuesday	9am - 7pm
Wednesday	9am - 7pm
Thursday	9am - 7pm
Friday	9am - 7pm
Saturday	8am - 7pm

Telephone

+13104435273

Website

http://Westsideaesthetics.com/

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