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Los Angeles Times Article


This is a very interesting and well-written article from the Los Angeles Times, which discusses the popularity of rhinoplasty for Iranian women.  In our  practice at the Beverly Hills institute, we have been privileged to perform rhinoplasty surgery on many Iranian women patients, and our experience has been quite similar to that described in the Times article. That is, almost all of these patients seem to feel that their “quality of life” has been greatly improved  by this procedure.

Thus, it is a “win-win” situation ( for both the patient and the surgeon) in that it is truly gratifying for our surgeons to have these patients, in their “follow up” visits with us, express their enthusiasm and satisfaction with their surgical results.

(On a side note, we should observe that an additional “bonus” for we surgeons  is that these Iranian women are generally so pleasant and so interesting –and fun–to work with, that this in some way also contributes to the success of these surgeries.)

— Dr. Richard Fleming and Dr. Toby Mayer

Drs. Fleming and Mayer to host the live surgery portion of the 2016 Lecture Series on Facial Rejuvenation


Doctors Richard Fleming and Toby Mayer of the Beverly Hills Institute of Aesthetic & Reconstructive Surgery are both proud and excited to host the Live Surgery Portion of the 2016 Lecture Series on Facial Rejuvenation.  This lecture series includes six live surgeries, with these surgeries being performed at the Beverly Hills Institute Surgery Center.

This course is presented by the American Academy of Facial, Plastic and Reconstructive Surgery, and approximately 300 surgeons will be in attendance. Surgeons will be traveling from all around the world to participate.

The American Academy of Facial Plastic and Reconstructive Surgery was founded in 1964 and represents more than 2,500 facial plastic and reconstructive surgeons throughout the world. The AAFPRS is the largest specialty association for facial plastic surgery in the world.

Click below to learn more about the following procedures that will be performed:



Upper Blepharoplasty

Lower Blepharoplasty

Hairline Forehead Lift


Schedule your consultation now!

Social Media’s Influence on Plastic Surgery


The number of requests for plastic surgery is increasing year after year, and one primary reason is the growth of social media. A poll conducted by the American Academy of Facial and Reconstructive Surgery shows surgeons are seeing more than a 30 percent increase in the number of patients interested in plastic surgery to improve their image on social media.

Social media, particularly the “selfie”, has dramatically increased self-awareness translating into more patients seeking to improve their appearance. This trend was first documented in 2013 but continued into 2014 and by all accounts will increase throughout 2015. The advent of a device called the “selfie stick” – an extendable metal rod that attaches to a smartphone and allows for a wider variety of selfie shots – has only further promoted the self-awareness that leads to more plastic surgery requests.

Another new wave of technology having an impact on plastic surgery trends are smartphone apps that can be used to alter images to create a different appearance. These apps can be as simple as a filter that changes the shading on an image, or they can apply artificial makeup and remove wrinkles.

The plastic surgery procedures so far seeing the largest increase in numbers attributed to the selfie craze include rhinoplasty, hair transplants and eyelid surgery. Each of these procedures and many more are capable of providing a rejuvenated appearance and even addressing very specific cosmetic concerns.

However, it is important to remember that plastic surgery isn’t right for everyone and attempting to improve one’s appearance for the wrong reasons can be an unfulfilling experience.

At the Beverly Hills Institute of Aesthetic and Reconstructive Surgery, we want to do all we can to help our patients realize their true potential. If you’re considering a cosmetic procedure for any reason, schedule a consultation and we’ll get you on your way to realizing a rejuvenated appearance you will be proud to show off!

Obsession with Celebrities Physical Features


An increasingly large number of people seeking plastic surgery are doing so in an attempt to mimic the appearance of celebrities. In 2014, 13 percent of surgeons surveyed by the American Academy of Facial Plastic and Reconstructive Surgery reported an increase in requests for celebrity procedures, up from three percent in 2013 and seven percent in 2012.

The increase isn’t much of a surprise considering how much media exposure for celebrities in general has grown in recent years. Social media and expanded television coverage gives people more opportunities to see the celebrities they hope to emulate in appearance and more examples to request from their surgeons.

In 2014, the most commonly requested celebrity features included Angelina Jolie’s lips and cheekbones, Beyoncé’s facial structure, Kim Kardashain’s eyes and jawline, Brad Pitt’s nose and Natalie Portman’s nose. Other celebrities rumored to have commonly requested features are Jennifer Lawrence and Julia Roberts. Lawrence for her nose and Roberts for her grin.

Celebrity features are commonly requested in Beverly Hills plastic surgery offices, but the request for a celebrity feature is less common than a patient requesting a specific alteration to their appearance. It’s also important to remember that simply changing the appearance of one part of the face or body to resemble another person’s will not provide the same level of recognition.

It’s fairly common for Beverly Hills plastic surgery patients to reference a certain image of a celebrity for an idea of what they would like from their procedure without necessarily requesting an identical feature.

In all likelihood, the number of requests for celebrity features will increase in the coming years as celebrities become more and more a part of people’s daily lives. If you’re longing for a particular celebrity’s feature, schedule a consultation with the Beverly Hills Institute of Aesthetic and Reconstructive Surgery and we will do our best to provide you the exact results you desire.

Plastic Surgery Trends for 2014


The plastic surgery industry is always changing. New procedures are developed, old procedures fall out of favor, and celebrities push trends in new directions.

There was a general increase in requests for plastic surgery in 2013 and a study formulated by the American Academy of Facial Plastic and Reconstructive Surgery suggest the surge in requests continued in 2014. One primary reason for the increase in plastic surgery requests is the advent of the “selfie”, which has people thinking more about their appearance than ever before. It’s extremely likely the increase in plastic surgery requests seen over the past two years will continue into 2015 and beyond, largely attributed to “selfie” culture.

Another form of media influencing plastic surgery statistics is video clips, which according to Cisco will account for 80 percent of all consumer Internet traffic by 2018. Video impacts plastic surgery requests in that videos cannot be retouched or altered as easily as images. According to the American Academy of Facial Plastic and Reconstructive Surgery, this is leading consumers to seek neuromodulator injections to improve their appearance in videos. The statistics reflected an increase in neuromodulator injections in 2014 and all signs point to a further increase in 2015.

Of all plastic surgery procedures performed in 2014, roughly 80 percent of them were minimally invasive, almost half of which were Botox injections. Additionally, the survey shows that 71 percent of surgeons saw an increase in combined non-surgical treatments. Procedures potentially included in a combined non-surgical procedure include Botox, facial fillers, laser treatments and light-based devices.

Reconstructive surgery saw a surprising increase in 2014, with 87 percent of plastic surgeons surveyed reporting an increase in reconstructive work related to skin cancer. In 2014, surgeons most often performed reconstructive surgery on the nose (68 percent), followed by the cheeks, ears and forehead.

Will the trends that developed in 2014 continue into 2015? With an improving economy and an ever-increasing public interest in improving one’s appearance, the interest in all forms of cosmetic surgery is likely to increase.

If you’re considering any form of cosmetic surgery in Beverly Hills, schedule a consultation with the Beverly Hills Institute of Aesthetic and Reconstructive Surgery. Dr. Mayer and Dr. Fleming are pioneers in plastic surgery in Beverly Hills and around the world. Feel free to ask them about the current trends in plastic surgery and if they’re worth investing in.

Dr. Richard Fleming, Dr. Toby Mayer listed as top 2 Hollywood plastic surgeons


Dr. Richard Fleming and Dr. Toby Mayer were ranked by thecelebworth.com as the No. 1 and No. 2 plastic surgeons in Hollywood, respectively. Dr. Fleming and Dr. Mayer ranked at the top of the list based on their vast experience performing plastic surgery in Beverly Hills and the surrounding areas. Also factored in to their top rankings is their multiple board certifications and the formal education they received.

The Beverly Hills Institute of Aesthetic and Reconstructive Surgery is proud to have its two board certified plastic surgeons listed not only among Beverly Hills’ elite plastic surgeons, but at the top of the list. Below is the excerpt from thecelebworth.com for both Dr. Fleming and Dr. Mayer.

Holy Peptide!


Explaining Two Common Peptides

Peptides are composed of different combinations of amino acid chains

Five or ten years ago, the use of peptides was all the buzz and any product that contained one seemed worth a try. It was the next big thing since alpha-hydroxy acids and then antioxidants. By now in 2013, there are hundred if not thousands of different peptide-based skin care products available. You can choose from a $2.99 bottle of cream advertised on Amazon as an “Antioxidant-Peptide Complex” or a pair of “Private Reserve” neuorpeptide serums retailing at Nordstrom for $475. How to choose?

We will stick to the basics and discuss two “workhorse” peptides that have appeared in many different formulations for over five years. Matrixyl (different from Matrixyl-3000) is a tradename for the palmitoyl pentapeptide-4 anti-aging ingredient. In short, it helps your skin build collagen so it diminishes wrinkles and improves elasticity. In fact a 2013 study by researchers at University of Reading concluded it has potential to nearly double the amount of collagen you produce and also stimulate your own hyaluronic acid production. Cosmetic studies for products which include the peptide report that people see improvements in wrinkle reduction and hydration. This ingredient seems to be very beneficial without sideeffects and suitable for any skin type – so the only question being how much are you willing to pay to get a higher percentage of this particular peptide in your product!

Argireline (the trademark name for Acetyl Hexapeptide-8) is a peptide that is also in widespread use in skincare. Its advertised as a sort of “topical Botox”. The theory is that it prevents key neurotransmitters from firing – and this lockdown prevents muscles from contracting to product deep wrinkles – like those between the eyebrows. It stormed onto the scene (along with a host of other peptides) in Peter Thomas Roth’s much-loved Un-Wrinkle product, and its extremely common in peptide-based eye treatments like and instant-results products for fine lines and wrinkles. One of the reasons peptides are popular is that we consider them safe adjuncts to your routine and they avoid sideeffects. However, if you look for information about Argireline online, you can find “the good and the bad” when it comes to reviews. Many people profess infatuation with an intstant tightening while others report long-term sagging. This short article on smartskincare.com provides a great synopsis of what we know about the peptide to-date, and maybe some reasons to use it cautiously.

Stay tuned for another installment of “Holy Peptide!” discussing common peptides again soon!

When You Want Plastic Surgery — But The Doctor Refuses


I am often asked how Michael Jackson looked the way he did prior to his death.

I answer that by saying he had unrealistic expectations and found a surgeon who told him what he wanted to hear. There you have the makings of a disaster!

Actress - Jennifer Lawrence

Last week I saw a patient from the East Coast who exemplifies this issue. Let’s call her Mary. She looked like Jennifer Lawrence, who is someone I would not operate on because she doesn’t need anything done.

Mary was an attractive woman who was of normal weight, size and pretty. She had had her nose done as well as her cheeks and upper lip.

When I asked her what bothered her she said she thought her nose could be further refined and thought she DEFINITELY needed a mini facelift. She is 22 years old.

I explained to her that her nose did not need any further surgery since it looked great and the risk outweighed the gain.

Furthermore, that she had NO excess skin to be removed and this would only leave her with wide scars since her skin was too tight at 22 years of age. She absolutely disagreed with me pulling back the skin on her cheeks to show me what she wanted done and how “simple” this would be.

I then explained to her that I only make money when I operate on people, so she should understand this if nothing else. Furthermore, I told her that she could walk five minutes from my office and find 10 plastic surgeons willing to operate on her, but she still remained adamant. I told her I thought that a therapist might help her as she was very pretty and no surgery was indicated.

This made her even angrier.

I said, “Don’t you realize I’m not making any money when I tell you NOT to have surgery? I only make money when I do surgery on you. So you should really pay attention when I tell you that. I am trying to prevent you from having a very bad result if you have surgery– that 50 percent of my practice is revision noses and faces who have had bad results–not just minor problems that most surgeons have rarely.”

Well, she did not care and unfortunately left in a huff and will probably find a surgeon to do what she wants and will start down the road of misery.

Good surgeons try to guide their patients and some have better skills than others to do more complex work. But patients like Mary want something that cannot be achieved, so make sure you see a surgeon who will tell you if what you want will improve your looks or create those awful plastic surgery results that many celebrities get because they go to a surgeon who tells them what they want to hear.

Here are two women in their 20s who wanted plastic surgery. This is what happens when a doctor operates on you without considering your age and if you really need it.

Bad Plastic Surgery Examples

Rhinoplasty Surgeons Get Better With Age


Rhinoplasty surgeons should have a great deal of experience. They call it the “practice” of medicine for a reason. Rhinoplasty is probably the most difficult cosmetic procedure since it takes 1 year to see the final result of your work.There have been many surgeons who do outstanding work into their 80’s. It is not the hands that deteriorate with advanced age it would be the mind. If the surgeon is excellent he will keep this—if he doesn’t know who u r the day of surgery, u might want a different surgeon–just kidding!

Improving the Fiveheads


In this forum we frequently talk about beauty and facial proportions first described by Da Vinci. The frontal hairline, which helps to frame the face in both men and women, will influence facial balance. In men we are all aware of the common problem of male pattern baldness and the medical and surgical alternatives to treat this condition.

The majority of women have normal forehead height which is 1/3rd of the face. If that is a normal forehead, many years ago the term “fivehead” was coined to describe a bigger forehead. I’ve not heard that term for a long time but recently I’ve seen it twice; tmz.com had a piece on this last month and Tyra Banks is producing an autobiographical comedy called Fiveheads. There are many examples of beautiful women with fiveheads such as Beyonce, Vanessa Williams, and Angelina Jolie but many women do not like this feature which is distracting and will limit their hair styles. That is why we continue to see women from all over the world to have our hairline lowering procedure, which we described many years ago.

In this technique we lower the hairline and shorten the forehead , bury hair follicles which produce hair that will grow through and in front of the incision so it will not be seen after healing is complete.

We thank TMZ and Tyra Banks for reminding us about this innovative description of the unwanted physical characteristic of a “Fivehead” which can be eliminated.