James W. Fletcher, MD

While anyone can evaluate their satisfaction with a single procedure, I realize that individual patients (and their bodies) contribute to the success or failure of any procedure. Given this, I find most reviews more about the specific procedure than the care from a provider and the office staff. I have been a periodic-ongoing patient since 2017. I have had several procedures, including traditional outpatient surgery and in-office procedures. The level of care has been consistently

I had saline breast implant for almost 20 years when I went for a review in 2013, I was suggested to change them for a "little bigger' silicone implant for some volume… I went for it but I immediately regretted as they were way to big for my small frame, they were always so cold and in the way; a total discomfort, then came the encapsulation of the left which I had corrected in 2015, then more recently, the encapsulation of the right breast. That’s when I decided to look for a

Dr. Fletcher is hands-down the most qualified and professional medical specialist who has ever treated me. His skill and attention to detail are simply amazing. Five years ago I tore both of my biceps playing volleyball. I am a fitness instructor and image is everything to my business. Dr Fletcher was able to regain the full look of my biceps by placing silicone implants over the damaged muscle to create the perfect balance and aesthetics. He explained the process in full detail

Vanguard is the place to go for any cosmetic need! They are helpful and professional from the very beginning. I found this gem back in December of 2016 during an initial consult. Their office is immaculate! The design and atmosphere makes you feel at ease. They also have plenty of pamphlets available in the waiting area and I was able to read more about the procedures I was considering. The staff is super friendly and helpful! Also, they offer refreshments as you wait for your

He not only has a great personality, but he is very respectful, approachable, and knowledgeable. The first time I met Dr. Fletcher, I was impressed by his knowledge, experience, and expertise as a breast reconstructive surgeon. His kindness, personable manners, and professionalism made me feel completely comfortable. Dr. Fletcher assisted Dr. Dreszer in performing the superficial inferior epigastric artery (SIEA) flap reconstruction. The surgery was a success and I am extremely

Like many others, I developed rather early. I wore a B/C during my middle school years, which I was comfortable in. However, during the first semester of high school, I grew to a large D cup, then a DD by the second semester. This past year, I went from a DD to a 34G in only a few weeks. It caused severe stretch marks from such rapid growth. On top of the stretch marks, I had bad lower back pain, neck pain, and shoulder pain due to the weight of my breasts. I began researching

Not told for 11 days what happened during my surge Repeated mistakes, too many to list here. For a surgeon who walked into the room, introduced himself & said 'We f'ed up' he made a few mistakes, the worst of which was he didn't tell me about my surgery for 11 days, no one did, even 5 days after when I left a vm for someone to call me & tell me about the surgery. No one did, ever. My prescheduled 7 day postop visit with Dr. Fletcher was changed to a nurse visit, who wasn't