Aviva Plastic Surgery & Aesthetics

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

A forehead that feels too tall is often less about the forehead itself and more about overall facial proportions.This lo...
06/13/2026

A forehead that feels too tall is often less about the forehead itself and more about overall facial proportions.

This lovely patient came to our practice seeking a more balanced relationship between her hairline and the rest of her facial features. She underwent hairline lowering (forehead reduction) surgery and is shown 1 week after treatment.

Hairline lowering surgery can create a meaningful improvement in facial harmony without changing what makes a patient look like themselves.

As with many facial plastic surgery procedures, the best results are often the ones that are felt before they are noticed.

There is a certain beauty in doing the right treatment—for the right patient—done in the right way. This patient, a 29-y...
06/07/2026

There is a certain beauty in doing the right treatment—for the right patient—done in the right way.

This patient, a 29-year-old professional in Atlanta, came to see us after years of considering lip enhancement. She had explored consultations before, but never quite felt ready to move forward. Together, we chose a thoughtful, conservative approach with lip filler, designed not to change her, but to refine what was already there.

She is shown here 2 weeks after treatment: still entirely herself, just a touch more polished, balanced, and confident.

That’s the goal. Not transformation for the sake of it. Not chasing trends.
Just knowing when something can make a subtle, meaningful difference.

This week, we are celebrating our medical assistants, Olivia and Camryn, as they wrap up their year with Aviva Plastic S...
05/22/2026

This week, we are celebrating our medical assistants, Olivia and Camryn, as they wrap up their year with Aviva Plastic Surgery. Last spring, they began their gap year with us to gain clinical experience—and over the course of the year, they became an integral part of how we care for our patients and how our team functions day to day.

They showed up with curiosity and drive, and quickly grew into roles that touched every part of the practice—from patient care and surgery to aesthetics, anesthesia, monitoring, and safety, and just as importantly, the human side of medicine.

Olivia and Camryn cared for our patients with kindness and presence. They supported one another. They made our practice better. And along the way, they taught us, too—about TikTok trends, the latest in virtual medical school interviews, NCAA track, college football—and all the little cultural moments that keep the vibes good and strong.

Between cases, workouts, and long days, Olivia and Camryn also completed the demanding and highly competitive process of applying to medical school—earning multiple acceptances, a remarkable accomplishment in itself.

It is bittersweet to see them go. They are bright, thoughtful, creative, and deeply capable young people—exactly the kind of people we hope will go on to become excellent and caring physicians. Camryn is headed toward a future in Orthopedic Surgery. Olivia is planning on Pediatrics (though we may be placing a few bets on Pediatric Anesthesia).

We are thankful for their hard work, and we are so proud of them. And we cannot wait to watch their paths unfold.

Filler and surgery don’t always need to compete.But they do need to be understood.Many patients considering procedures l...
05/20/2026

Filler and surgery don’t always need to compete.
But they do need to be understood.

Many patients considering procedures like lower blepharoplasty, lip lift, chin augmentation, or facelift have had filler placed in the past. The question often arises:
Should it be dissolved before surgery?

The answer is not one-size-fits-all.

If filler appears natural, well-placed, and well-integrated—without signs of migration, lumpiness, or superficial placement (such as a bluish Tyndall effect, often seen under the eyes)—it can often be left in place.

But when filler begins to disrupt natural anatomy—creating fullness where it shouldn’t be, blurring contours, or sitting too close to the surface—it is usually best to dissolve and reset before moving forward.

This process can take time.
Some hyaluronic acid fillers are more resistant to dissolving than others, and more than one dissolving session may be needed to return the face to a natural baseline.

Not all filler behaves the same. Not all filler can be dissolved.

Hyaluronic acid filler, even when placed many years ago, may still be present.
Imaging studies have shown that these materials can persist far longer than expected—sometimes for years.

Permanent or long-lasting fillers, such as silicone, Radiesse, and Bellafill, cannot be dissolved.
If they become visible, irregular, or inflamed (forming siliconomas), they are best treated with surgical removal.

Similarly, fat grafting behaves more like a permanent filler.
If contour irregularities develop, they can be addressed surgically or, in select cases, with targeted injectable treatments of deoxycholic acid.

Occasionally, filler is addressed at the time of surgery—either dissolved or carefully removed—if it interferes with surgical precision.

The goal is not simply to remove or keep filler.
The goal is to create the cleanest, most natural foundation for surgery. Because ultimately, better structure leads to better outcomes. And every decision along the way should be thoughtful, individualized, and guided by expertise and experience.

Not more.
Not less.
Just right.

A Stahl’s ear is a congenital ear shape difference caused by an additional cartilage fold, creating a pointed contour of...
05/07/2026

A Stahl’s ear is a congenital ear shape difference caused by an additional cartilage fold, creating a pointed contour of the upper ear that is sometimes described as “elf-like.” Left untreated, this shape typically persists and may later require surgical correction.

But in the newborn period, something remarkable happens: the ear cartilage is soft and malleable, and responsive to gentle reshaping.

With a carefully designed ear molding system, we can guide the ear into a more natural shape, non-invasively, and without discomfort.

No incisions.
No anesthesia.
No disruption to your baby’s routine.

Just thoughtful, precise care over the course of several weeks—
with a result that is natural, balanced, and permanent.

The window for treatment opportunity is short.
The impact is lasting.

Earlier is often simpler.
And better is always better.

This patient, a woman in her 50s, came to us with a small but persistent forehead contour irregularity—a forehead osteom...
05/02/2026

This patient, a woman in her 50s, came to us with a small but persistent forehead contour irregularity—a forehead osteoma, or benign bony growth. She had previously undergone an attempt at removal elsewhere, without success.

Whenever possible, we approach forehead osteomas through an incision hidden within the scalp hair—an area that heals discreetly and is commonly used in brow lift techniques and forehead contouring.

In our patient’s case, the prior incision was smaller, but placed along the hairless skin of the forehead, making it more noticeable. A more thoughtful approach allows us to prioritize not only removal, but how the result is seen over time.

Now, just 5 weeks after surgery, she has a smoother forehead contour and a carefully camouflaged incision that will continue to fade in the weeks ahead.

A small detail, thoughtfully addressed—and quietly resolved.

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

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

Alerts

Be the first to know and let us send you an email when Aviva Plastic Surgery & Aesthetics posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Aviva Plastic Surgery & Aesthetics:

Shortcuts

Share