Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon
1777 Axtell, Suite 200, Troy, Michigan
3.7 | 3 Reviews
20 Questions Answered
This provider is not currently accepting consultations through RealSelf

MAKE SURE YOUR DOCTOR IS REALSELF VERIFIED

RealSelf Verified doctors complete our multistep verification process to ensure they are in good medical standing, display their experience and most performed procedures, have high patient satisfaction ratings, and respond to consultation requests quickly. Just look for the RealSelf Verified badge.

FIND A VERIFIED DOCTOR

ARE YOU DR. FISHMAN?

Claim your profile now— it costs nothing! Build trust by highlighting education, board certifications, and hospital privileges. List treatments, and include all procedures you perform. Get involved by uploading before & after procedure photos and answering questions from prospective patients.

CLAIM YOUR PROFILE
FEATURED DOCTOR
SEE ALL

QUESTIONS ANSWERED

Skin necrosis prevention after male chest liposuction

Asked By:AnonymousANSWERS (1)

Thank you for your question. 

If you are healthy and undergo liposuction alone for gynecomastia, the risk or skin necrosis should be very low.  The risk is increased in patients with some medical conditions.  It can also more likely to occur with some techniques, such as ultrasonic or laser assisted liposuction.

That said, if your Plastic Surgeon is experienced and well trained, I would expect skin necrosis as a complication of liposuction for gynecomastia to be uncommon. 

I am wondering if you might have a reason for and increase in risk based on your question and your concern for the complication.

Please ask your surgeon.  He would best able to advise you.

Please accept my wishes for a successful procedure.

Jefrey Fishman, MD, FACS

Associate Professor of Surgery

     Oakland University William Beaumont School of Medicine

Chief, Section of Plastic Surgery

     St John Providence Hospital - Ascension Health System

Diplomate, American Board of Surgery

Subspecialty Certification in Hand Surgery

Diplomate, American Board of Plastic Surgery


provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

A month after steroids and dissolver there's no change in my under eye bags. How do I get rid of them after Juvéderm? (photo)

Asked By:AnonymousANSWERS (1)

I am sorry to hear you are not please with your treatment.

I will assume (although I don't know for sure) that you received your treatment to address the "circles under the eyes", also know as the tear trough area.  Unfortunately, swelling of the lower eyelids does occur after this treatment in some individuals.  Also unfortunately, it is more common with Juvederm than some other fillers for this area (Juvederm is more hydrophilic than other fillers).  In my experience, Belotero is the optimal performing filler for this region.  That said, many plastic surgeons like to use Juvederm.

Do you know how much "dissolvent" was used?  It may be that an additional treatment with Hyaluronidase, the treatment to dissolve Juvederm may be needed.  Sometimes several treatments are needed.

It may be that lower eyelift surgery may be what you are looking for, although I would allow the swelling to be treated and subside before having any surgery performed.

It is also my hope that your plastic surgeon is responsive to your concerns and will work with you to a satisfactory resolution.  

If you have additional question, please submit.

Jefrey Fishman, MD, FACS

Associate Professor of Surgery

     Oakland University William Beaumont School of Medicine

Chief, Section of Plastic Surgery

     St John Providence Hospital - Ascension Health System

Diplomate, American Board of Surgery

Subspecialty Certification in Hand Surgery

Diplomate, American Board of Plastic Surgery


provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

Would using expired Juvederm not work as well? I got Juvederm 3 days ago and I hardly notice a difference

Asked By:AnonymousANSWERS (1)
Thank you for your question. 

Plastic surgeon's in the US would not use an expired product.  That said, if it were a product that was used beyond it's expiration date, the filler would work exactly the same.  It does not become less effective over time.

It would be easy to check.  Next time you are in your surgeons office, look at the product information sticker that is in your chart.  The expiration date will be noted there.

As suggested by the other physician responses, perhaps you now will require more product than in the past.

Thank you,

Jefrey Fishman, MD, FACS
provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

Unhappy with BA results! Wondering if this is the best result possible based on my body or if more could have been done? (Photo)

Asked By:AnonymousANSWERS (1)
Every patient and every surgery requires an individual approach.  The photographs you have provided, it looks like you underwent a breast lift on the left and implants for both.  This is a challenging procedure.

That said, it requires at least 6 months for the surgery to fully heal.  Typically, after surgery, the implants are a little to high, tight, and sometimes unnatural looking.  As time passes, the implants with settle in and the appearance will improve.  The final result requires a good 6 months.

You could take photographs once a month.  It will show the changes that occur as time passes.  You will likely be surprised.

Follow up with your surgeon and try to be patient (easier said than done).  I beleive in the long run you will be happy.

Jefrey Fishman, MD, FACS
provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

Do plastic surgeons in the United States have insurance covering Canadian patients in the event of an emergency?

Asked By:AnonymousANSWERS (1)
Your question is a very good one.  There are companies that provide insurance for complications that arise out of having plastic surgery.  Many plastic surgeons provide this as part of surgery.  Sometimes patients will pay the premium for this insurance.  Sometimes the premium is included in the cost of surgery.

In the US, this type of insurance policy is becoming more common as health insurance companies, more and more, does not cover complications that arise after cosmetic surgery.

Ask you plastic surgeon if this type of insurance is an available to you through his or her office and if so, specifically what does it cover.  If he or she does not have this available to you, it may be desireable to consult another surgeon.

Jefrey Fishman, MD, FACS
provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

Time for 18 year old implants to be redone. Any suggestions? (photos)

Asked By:AnonymousANSWERS (1)
Thank you for your question.  It is an exceptionally good one that I am asked by my patients on a regular basis.

Although makers of breast implants state they are not meant to last a lifetime, many patients with implants have them for many decades.  There is no need to replace your implants if you are happy with them and you are experiencing no difficulties.  Your implants may last perfectly well for many more years.  I believe the risk of replacing implants for no reason (just because they are old) is greater than leaving them alone.  All of the risks of having surgery remain and include infection and capsular contracture, among others.

Your breast implants look wonderful in the photographs you have provided.  My suggestion is to not mess with success unless necessary.

Jefrey Fishman, MD, FACS

provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

Will an arm lift tighten loose saggy skin on upper forearms?

Asked By:AnonymousANSWERS (1)
Thank you for your question.  In general, an arm lift will not tight the skin of the forearm to any appreciable degree.  An arm lift tightens the skin of the arm by removing excess skin.  Unless the incision extends onto the forearm (it usually does not) and forearm skin is removed, there will not be any effect on the forearm skin.

Your best option is to schedule an appointment with a plastic surgeon.  You can be evaluated and you can discuss what options will be best for you.

Thank you,
Jefrey Fishman, MD, FACS
provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

I am I being unrealistic thinking that changing my 450 silicone to 580 gummy bear will give me a natural teardrop shape? (Photo)

Asked By:AnonymousANSWERS (1)
Natural breast shape after Augmentation. 

Following breast augmentation, it is normal for the implants to look and feel tight.  The implants are also intentionally placed slightly high if they were placed under the muscle.  It takes approximately 6 months for the implants to soften and relax.  They will usually settle lower as they heal as well.   As they soften and the sites heal, they will normally have a better shape.  Over the weeks and months, your muscles will relax and your implants will drop down to the appropriate place.

I would expect that you will be happier with the smooth silicone implants you currently have, than you will with the textured 410.  Smooth surface implants move more in the implant pocket, will feel softer, and feel more natural that textured implants after they heal.  In contrast, the textured surface of the 410 prevents it from moving.  The surface texture adheres to the tissue and it does not move.  It would be more like what you have and do not like at the moment.

Please don't consider any revision for at least 6 months.  I suspect you will much happier at that time.  You will also have given the implants enough time to reach their ultimate appearance before making a decision.

Thank you,

Jefrey Fishman, MD, FACS
provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

Will filler injected into the philtrum roll top lip up? Already have 1 mL Juvederm injected. (photos)

Asked By:AnonymousANSWERS (1)
Many times an injector will try to create a desired outcome with as little filler as possible.  This is understandable as filler is expensive and many patients are not able to afford the amount that would give them the optimal result or the result they ideally want.  In addition, it is important for a physician to try to understand exactly what you want.

The filler treatment you had placed more filler in the central upper lip and insufficient amounts on the sides and lower lip.  I don't believe additional filler in the philtrum will provide the result you want.  I also don't believe you would be happy with surgery either.  My suggestion is to have another consultation (perhaps more than one) and find an injector that will listen to you and understand what you want to achieve.

If you are unhappy, you can ask your physician to "dissolve" the Juvederm by treating it with hyaluronidase.  You may also let it go away by itself (4 to 6 months).  At that point you can find a plastic surgeon more to your liking.


provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

4 months post op Juvederm fillers in April. I gradually developed large unsightly lumps in my lips. What should I do? (photo)

Asked By:AnonymousANSWERS (1)
I can understand your concern.  I would suggest a consultation for a 2nd opinion.  It is difficult to say for certain what the difficulty is.  However, I would have anticipated resolution over a period of 2 months, especially with injection of an enzyme (I assume your referring to hyaluronidase).  You need an evaluation to try to provide a treatment plan.

Are you certain it was Juvederm you have been treated with?

Be sure to consult with a Board Certified Plastic Surgeon or Dermatologist.

It is my hope you find satisfactory resolution of your difficulties.
provider-Jefrey Fishman, MD, FACS-photo

Jefrey Fishman, MD, FACS

Board Certified Plastic Surgeon

3.7 | 3 reviews

Jefrey Fishman, MD, FACS reviews

Jefrey Fishman, MD, FACS

RATING DETAILS

3.7
3 reviews

All reviews are evaluated by the RealSelf team to ensure they're written by patients like you and meet our guidelines. Your results may vary. Doctors can never pay to have reviews removed or hidden.

START YOUR REVIEW FOR
Jefrey Fishman, MD, FACS
Select your rating:
3 Results
$54013 hours post-opBelotero

Mommy626

Belotero for tear trough

Well I finally did it! My under eyes have been bothering me since I had a baby in October. I had the tired mom look going on. I got 1 syringe of belotero and spilt it between both under eyes. I cold not be happier with the results. No swelling or bruising for me. Because it’s a low movement area, I’m hoping it lasts longer than the normal 6 months.

$7,60017 days post-opRhinoplasty

caroline.syms

ECSTATIC with Rhinoplasty Results

I recently underwent elective rhinoplasty for cosmetic concerns. I was unhappy with the bump on my nose, that was especially visible from profile view. I also thought my nose was too big for my face from the front and the nasal bone was actually crooked, too. So, I underwent rhinoplasty on 9/22/17 to smooth the profile bump, correct the crookedness, remove some fullness from the tip, and to narrow the bridge to make a slimmer nose. I am VERY early on in recovery; my splint was removed 5 days ago, so the nose is still very puffy/fat/swollen/stiff, particularly from fontal view. Nose actually looks bigger than my old nose from the front at this point, but I know it will get better and better. I am ecstatic overall and would love to chat with anyone debating whether or not to pursue rhinoplasty! Updated on 29 Dec 2017: Check out transformation

24 months post-opEyelid Surgery

ksbsws

The one complaint that I had with my face was not corrected

The doctor and staff are very nice however the results of my full face lift and upper and eyelid surgery are less than desirable. My upper eyelids looked worse after surgery and the one complaint that I had with my face (and was told by the doctor that it could be corrected) was not corrected. The only thing I was happy with was the lower eyelids. He has offered a redo but I honestly don’t have faith in him

Doctor Directory

SEE FULL DOCTOR DIRECTORY

Atlanta

Boston

Washington DC

Los Angeles

New York

Chicago

San Francisco

Houston

Seattle

Dallas