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Patient Experiences

Every person who chooses to have cosmetic surgery has his or her own unique set of reasons for making this important decision that will ultimately affect their entire life. Dr. Fleming and Dr. Mayer have probably heard almost every possible reason in the last 25 years in practice. They have performed surgery on individuals from all walks of life. From celebrities to musicians, from executives to firefighters, from lawyers to housewives. There is the bride who wants the security of knowing that everyone is looking at her and thinking “isn’t she just beautiful” – not “boy, does she need a nose job.” Then there is the executive who finds himself competing with younger and younger talent every day and wants to look as young as he feels inside. There is the young computer whiz that suddenly finds himself going bald and panicking at the thought of looking like his father before he is thirty. There is that 50-year old wife and mother who just sent the last child off to college and is ready to start a new phase of her life, but looks like she is tired all the time.

Choose one of the personal stories listed here and read about one of the many satisfied patients of Dr. Mayer and Dr. Fleming. Who knows, maybe their story will sound familiar to you!

Patient stories and pictures

Patient Testimonials

If I could rate this Man with Six Stars than I would. I had my first Fleming/Mayer Flap conducted by Dr. Mayer and my life has changed for the better forever. It has been exactly one year since my surgery, all scars have faded to becoming unnoticeable, and my hair looks better than it ever has in my entire life. The staff at BHI is remarkable. They tend to your needs, immediately. I was being careless and bumped my head four days after my surgery. This was on a Saturday night and the staff was so helpful, A nurse even face timed me to see the bump and my situation. My father had both flap surgeries conducted in the 80s…he is now in his late 60s and has a full head of hair. We are a proud family of patients belonging to Dr. Mayer, which has been absolutely paramount in the success of our lives. The Flap Rotation Surgery, mainly the Fleming/Mayer Flap, is the ONLY WAY TO CURE AND BEAT BALDNESS! Dr. Mayer is more than just a doctor…He is an Artist, a Creator, and a True Savior of the Human Appearance.


I typically do not write reviews. However, this is an exception, how I came across Dr. Fleming.
While waiting for a dinner table in San Diego, CA, I met a lovely woman. During our small conversation, she shared she had some work done with Dr. Fleming in Beverly Hills (she drove from San Diego to BH). She mentioned, she had a Reconstructive Rhinoplasty and other minor facial enhancements. I was pleasantly astounded how NATURAL her nose and other procedures looked. I too shared I had a nose job previously done but was not happy with the result. She gave me his business card and that was that.
To make a long story short, last year in July 2017, I was involved in an automobile accident where a young woman t-boned me. Upon impact, I hit my temple and nose on the stirring wheel. The ER doctor stated, I had fractured my nose and I would need to consult with a plastic surgeon. He asked, if I had a Dr. or he could refer me to one (by this I had done my research and a consultation with Dr. Fleming 2 years prior). I said yes, I have a surgeon in mind that can see me. I immediately reached out to The Beverly Hills Institute of Aesthetic & Reconstructive Surgery to make an appointment with Dr. Fleming in hopes he was still in practice. As always, the staff is delightful and professional.
The day of my appointment, Dr. Fleming advised, to wait 7-8 weeks for the swelling to go down, as he did not want to do any type of surgery while still swollen. I must say his frankness and with his extensive experience I did not questioned him. I felt confident with our decision and would rather wait then to rush and not be content. Four months later (after a couple of appointments – including pre-op) of patiently waiting, the day finally arrived and Dr. Fleming as usual very detailed and meticulous focusing on the area of what he would be doing while communicating with me. The procedure went smoothly as he had described and his staff was detailed and helpful with the preparations.
Since then it has been about three months after surgery, and I have to say I could not be happier and pleased how my nose looks. He did say it takes about six months to see the result and two years to heal. However, in my recent visit to see my family my bother said, oh my God, your nose looks perfect.
I must say, easily to Dr. Fleming and staff grazie un milione! Now, when I look in the mirror I look like myself again. Beautiful and confident. I am grateful for that encounter in San Diego and the willingness to believe in Dr Fleming.
I hope this review helps you in choosing the right Dr.


Excellent. Finally, after a terrible first surgery and 2 revisions by other doctors, Dr. Fleming got it right! The length of his career and all his years of experience went into doing something that other doctors could not. I think the other doctors who performed my surgeries were fine doctors but just didn’t have the experience required for a case as complicated as mine. I would urge anyone who has a messy history of revisions, and are facing their last chance to get it right to see a doctor who has seen it all.


Dr. Fleming gave me the most beautiful nose the world! Having had multiple consultations with surgeons, Dr. Fleming was the only doctor who gained my trust. Not only does he have an exemplary sense of aesthetics, he has the skill and experience which yield fantastic results. I now am 9 weeks post op and couldn’t be more pleased with my Rhinoplasty. Before going in for surgery, I wasn’t nervous of the outcome because Dr. Fleming answered all my questions and was clear about what to expect, but I was extremely frightened of going under anesthesia. Dr. Fleming and his anesthesiologist assuaged my fears, along with his wonderful staff. I have been addicted to Afrin most my life, and since my procedure, not only have I not needed to use the nose drops, but I can breathe better than ever! The surgery was my 25th wedding anniversary present from my husband, and the best decision I ever made! Becky

He did my revision Rhinoplasty. It is EXACTLY what I wanted. I HIGHLY recommend Dr. Fleming. Not only does he have several years of experience, but he is truly an artist! He even pointed out a defect in my nose that no other plastic surgeon had noticed before. When he fixed this during my surgery, it made a huge difference in my results for the better. We were on the same page from the start–during my initial consultation, he immediately saw the issues I had with my nose. His bedside manner is excellent. He is sympathetic and EXTREMELY patient! My first Rhinoplasty with a different physician did not go well, so I was very nervous about getting a revision. I had consultations with several other physicians prior to meeting Dr. Fleming and was still very hesitant. But when I met Dr. Fleming, I knew he was the physician for the job. He spent several hours with me before my surgery in order to explain the procedure and answer all of my questions. I am an out of town patient so after my initial Skype consultation, he even met with one of my family members who lives in his area before I paid my deposit/booked my surgery. When I arrived to town, I had TWO pre-op appointments before my surgery. He truly cares about his patients and will spend time with you to get your questions answered and discuss expectations in order to give you the results you want. His staff is also great. They respond promptly to emails. Even though I am an out of town patient, I never had issues scheduling appointments; they were always very flexible.Dana

Dr. Fleming is an awesome person. He explains everything completely as does Maria his assistant. I worked in surgery for years as a PA and Dr. Fleming’s pre-op and post-op care is superior to any I have ever seen or experienced. That is why he’s considered one of the top surgeons in the world. E.R.

To Dr. Mayer, Sharron and Francis

It is always wonderful to see all of you and I sincerely appreciate your kind words and wisdom. All of us sometimes have our down days, but when I come up there for checkups and with concerns, I especially want Dr. Mayer to know that I listen and hang onto all of his and Francis’s wonderful words of wonderful and thoughtful wisdom.

I really do cherish all of the amazing work that Dr. Mayer has performed for me and the results have been nothing short of spectacular. I have come to think of Dr. Mayer as a father figure as much as I do as being both my doctor and friend.

Sometimes we grow impatient with our own often selfish desires for overall improvement in our appearance and all to often reject the thoughts of natural signs of aging. Dr. Mayer has a unique way of bringing proper amounts of down to earth wisdom into perspective regarding turning back the wonders of time, which is another one of his most valuable traits of professional and personable skills along with him being an incredibly talented and amazing surgeon. I really do appreciate this in Dr. Mayer and wish everyone felt this just as much. Most notably appreciated is his passionate care and vast informative perspectives when he addresses any desires, anticipations, inquiries and overall concerns I might have. He certainly brings a wonderful smile to my face when ever I consult and discuss any possibilities with him.

Sharron, it is always so wonderful to see you. You always look so amazing and bring with you the fresh feeling of springtime regardless of the time of year. Whenever I come up there for checkups and to discuss things with Dr. Mayer, I never feel that my visit is complete until I have seen you, your welcoming spirit, kind heart and sweetest smile.

As well, I always appreciate the time spent with Francis who discusses and assists me in the moderation my thoughts regarding any desirable and plausible objectives which might best meet most effectively the possible methods of reaching any future goals of personal care.

I am truly fortunate and happy to be considered as family with all of you…



I’m totally thrilled with the results from my hairline brow lift by Dr. Fleming. This man is not only an excellent physician who inspires confidence, he’s an artist. I used to sit at my desk and when I was tired, would literally hold my brow up. The weight of my forehead was too much for me. I talked about having it done for years. Drs. Fleming and Mayer originated and developed the hairline brow procedure and I couldn’t be happier – they’re the best! My results speak for themselves. I look the same but way better, I can feel my actual brow bone for the first time in my life, I no longer feel the strain of the weight of my forehead on my face, and I can see better. Literally, my peripheral vision has improved because my brow is not impeding my vision. A totally unexpected bonus. Who knew? Win win win.

Let’s just say the level and quality of service at Dr. Flemings office was undeniably amazing at all levels. For those of you, who are looking at this, I can reassure you that he will give you nothing but the best results for this procedure. He is truly an artist and knows what would make you look your best based on the dimensions of your face. The results were better than I expected. My husband (USC alumni), even thinks Dr. Fleming is not just an amazing Doctor, but an all around amazing human/ person…despite his Notre Dame heritage. Lol.

From the time I stepped into the doctor’s office until the day I left I was in constant contact with him–He makes himself fully accessible, which is extremely important. In addition to his top notch professionalism, he is funny and personable. But most importantly, he too cares about the way you look. He wants you to look YOUR best. And let me tell you, the care and results I received was outstanding. I asked for a positive change and that’s what I got. He is truly a talented and skilled surgeon. I couldn’t be happier with my results. His staff were AMAZING– very friendly, knowledgable and helpful which added to my overall great experience. I believe Dr. Fleming will always do what is in the best interest of his patients. I love my results and have supreme confidence to highly recommend him. He explained everything about my procedure and what to expect during my recovery. His care was more than adequate– I saw him the day I left surgery, he contacted me that night to see how I was doing and even provided me with three follow-up appointments. I will definitely be back to see him in the future. Therefore, I truly believe in him, highly recommend him, and am honored to know Dr. Fleming.

I no longer feel uggly or embarrased to have my picture taken – Excellent Doctor.

– M.R.

I am really fortunate for finding Dr. Richard W. Fleming. DR. Fleming’s knowledge and excellent techniques changed my life. Whole stuff is super friendly and helpful at any time.

Really Wow… My Surgeon is Like Michelangelo – I Had a VERY Difficult Nose.

Dr. Fleming puts you at ease as soon as you meet him. He is very confident and has so much experience, but he really takes the time to explain everything, answer all questions (no matter how trivial), and reassure his patients (in my experience so far). Any time I am anxious about my upcoming rhinoplasty, I read his comments here on Real Self and am reassured and confident in my choice of surgeon!

Dr. Fleming is an artist and I highly recommend him to anyone looking for a rhinopasty revision. He does awesome tip and graft work! He is simply amazing I’m SO glad I chose him!!!

Loved Dr. Fleming and not only would I come back to him but I would and have recommended him to others. He is truly a caring and professional Doctor.

It is almost 2 years post op. I am so glad that I did this. Dr Fleming is a real artist and he gave me a beautiful nose. 🙂

I have always been self-conscious of my forehead. Thanks to the procedure I am in love with the way I look now. It’s how I have always imagined myself to look. Dr. Fleming gave me a new lease on life. I enjoy the wind now instead of fearing it, which is simple but amazing for me. My only fear during the whole process was that I might regret how I looked after. There are no regrets except maybe not doing this sooner. I use to hate going outside because I knew I’d have to spend a long time getting my hair ready or opt for my many assortment of hats, headbands and scarves I’ve collected over the years. The staff were very friendly and encouraging which I needed. Dr. Fleming is professional and skilled and overall a great surgeon. Everyone truly cares for you and are looking out for your best interests. At least that’s how I felt. Thank you Maria! If you are looking to have this procedure done and have questions the staff is there to answer them.

Dr. Fleming is amazing. Many years ago I had my nose done and the results were horrible, it took me a long time to trust another surgeon. Now i not only feel great but I look great. Thank you doctor Fleming you have changed my life.

Dr. Fleming was an excellent Dr. He explained that I didn’t need another rhinoplasty. All I needed was a rim graft. I was very excited to hear this as I was concerned and scared that a revision rhinoplasty would have made it worst. I didn’t want to change my whole nose I just wanted my nostrils to be symmetrical. His staff are also great people. They actually care and will make you feel very comfortable. I wish I had gone with Dr. Fleming for my first surgery as I am very confident I wouldn’t have had to gone again.

This man is not only an excellent doctor, but an artist. Kindly, good natured, and experienced, Dr. Fleming revised my disaster of a nose with deft precision, and turned my deformed, unattractive feature into a very beautiful, natural looking nose. He was honest, communicated his thoughts candidly to me, and he listened to my concerns with an open mind. Though very professional, his demeanor makes a patient comfortable and he’s easy to communicate with. His revision must have been complex, but still the result is a beautiful nose, better than I could possibly have expected. Im so pleased with it, and am delighted to say that my experience there was excellent in all regards. His office is knowledgeable so that everything went smoothly before and after the surgery too, and they couldnt have been nicer. Dr. Fleming combined new techniques with his meticulous old school experience, which is comforting for a patient like me, facing surgery. His follow up care was conscientious and he has a genuine concern for his patients, our well being, and our results. I was in very good hands here; I’m thankful to him and his office and grateful for his work.

I was unhappy with some signs of aging and pinned down a root cause of what was aging all of the other young looking features on my face. So I narrowed it down to the nasolabial folds. Dr. Fleming knew excellent techniques to keep the area from bruising which was great experience for me. Im very happy with the outcome. Dr. Fleming answered all my questions and concerns.

Dr. Fleming is AMAZING! He is an Artist !! I had rhinoplasty with chin augmentation and LOVE it!!!! He took time to explain the entire procedure and answered every question I had, I knew I could trust him and am glad I did! He did an AMAZING job exceeded my expectations! I love my new nose and how defined my chin is now. Recovery was a breeze thanks to Dr. Fleming and his staff, MARIA was AMAZING as well she took such good care of me 🙂 went over and beyond her job responsibilities, I was given VIP treatment from start to finish. They take time in caring for patients unlike other surgeons. I highly recommend Dr. Fleming.

Aestheticians Testimonials

I just wanted to drop a short note to say how incredibly impressed I am with the skin care service offered by Shar. Shar took her time to develop a detailed skin care regime for me – and just after 2 sessions I am seeing a remarkable difference and improvement. Thank you ever so much Shar and all the team for an excellent experience. Kindest, – CG

Working in the entertainment industry, I have been blessed to do make up on various clients, including celebrities. I am always amazed at how fabulous someone’s skin looks, that has a regular esthetician. Many facialists have been referred to me over the years, and although I went, I never went back. When I started working with the beautiful Vivica A. Fox, I asked her the same question because her skin was flawless. Her golden complexion looks the same with or without makeup, and that’s what I wanted for myself. Well, thanks to Shar, I can now be foundation free and proud. After just a few facials with her, my skin texture has improved greatly, and my complexion is brighter. I can’t wait to see how it looks after months of seeing her! I’m glad I was referred, because I keep going back! I think Shar is Hollywood’s best kept secret! – Tai Young (Los Angeles, CA)

Shar has saved my skin! After expensive trips to dermatologists and little movement in my skins appearance I decided to try something new. A friend suggested that I see Shar for a facial. Shar has managed to personalize what I need and replenish my skin. People stop me literally and ask what I have been doing. I had skin damage and she was honest with what was possible in correcting my skin, contrary to what other Doctors told me. If I would have followed the regiment that the Doctors suggested, I would have spent money for little results. My skin has never looked better. I look to Shar for all of my skin advice and have been seeing her on a regular basis for about 8 years now. – Brittney P (Beverly Hills, CA)