Alpharetta Plastic Surgeon
1357 Hembree Rd, Suite 200
Roswell, Georgia 30076 US
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19 years experience
176 expert answers
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RealSelf community says

"He is very precise, and uses a marker prior to using the Fraxel laser to mark the exact spots to make sure he targets the correct areas." "He doesn’t want you to be in pain so even after he gives you an anesthetic, once he starts the procedure he asks you how it is feeling to makes sure that you aren’t feeling any pain...." "The results are outstanding."

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4.1 out of 5 stars 4.1 stars from 20 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
4.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
4.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
4.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Breast Implants

Perfection - Roswell, GA

I could not be happier with my results. I interviewed several surgeons and selected Dr. Howard because of his bedside manner and how patient he was with me. He truly cares about your results and how YOU feel about the procedure. This was important to me. The results are outstanding. I had an breast augmentation and they look perfect. Very natural and the scar (which I was worried about) isn't even noticeable because of his skilled incision. He this a master of his trade and the result is perfection.

5 out of 5 stars Laser Liposuction

Simply Fabulous! - Roswell, GA

Him and his staff are great. Dr. Howard has done Smart Lipo and I have to say it was the best thing that I have ever done. Dr. Howard went over the entire procedure with me and told me how the results may differ between areas. I went forward with having the procedure and had fabulous results. Dr. Howard has a great bedside manner and is very honest and upfront when answering all of my questions. Just a great experience overall and I would recommend him to everyone I know.

5 out of 5 stars Fraxel Laser

Fabulous Doctor and Practice - Alpharetta, GA

I have nothing but the most glowing feedback for Dr. Brian Howard and his practice!! I work in the healthcare field so from my general practitioner to my dermatologist, I always do extensive research before selecting any Doctor. I look at academic background, experience/ years in practice, and all the patient reviews. Plus I always want a Doctor who stays abreast of the field and the research of what works, rather than saying ‘this is the way I’ve always done it.’ The fact that Dr. Howard has 14 years of experience, belongs to 4 different plastic surgery organizations, publishes literature and always wants to educate himself and his staff on the latest techniques and procedures on what works best made me feel that I would get the best results possible. When I was researching a Doctor for Fraxel treatment to fade out some of my dark surgical scars, I actually looked at quite a few Doctors but ended up ruling out other qualified Doctors due to reviews I found of dissatisfied patients. The patient’s reviews for Dr. Howard seemed to consistently reflect that he and his staff were very compassionate, helpful and very qualified. Although there were many other options closer to my home, I drove further out to his practice for a consultation with him. I really like Dr. Howard when I met him; he was kind, friendly and sincere. He sat with me and made sure I felt that all my questions were answered. His practice manager Michelle was also so wonderful as we talked more about scheduling the procedure and other questions I had. She is so personable, and has been so quick about answering emails on any questions I have and with scheduling appointments. Even when they are running late she has given me a call to let me know so I could come to the office later rather than sitting there waiting, which I really appreciate! I work on patient safety, regulations and quality control as part of my work so one of the first things I noticed is how unbelievably clean and sanitary the whole office is. I was even impressed at how organized all of the staff’s desks were. The suite where they did the Fraxel laser is immaculately clean and organized, you see both the Doctor and assistant put on new gloves prior to each procedure and everything is done in such a systematic way. The assistant LeeAnn has such a great and warm personality and puts you at ease right away before your procedure. She is very knowledgeable and helpful with any questions or concerns you may have. You can tell she and Dr. Howard have worked together for a long time. From giving the anesthetic shots to doing the actual Fraxel laser, they work as a team and the whole process is seamless. Dr. Howard talks you through everything that he is going to do so you know what to expect. He doesn’t want you to be in pain so even after he gives you an anesthetic, once he starts the procedure he asks you how it is feeling to makes sure that you aren’t feeling any pain. He is very precise, and uses a marker prior to using the Fraxel laser to mark the exact spots to make sure he targets the correct areas. LeAnn uses a fan to blow cold air on you while they are doing the Fraxel laser to further minimize pain, but due to Dr. Howard’s great skill with the anesthetic you really don’t feel anything/any pain. Dr. Howard and his entire staff are all so warm and friendly, and he is a very kind and extremely skilled Doctor. I feel like I am in very good hands. Even though Fraxel treatments take place in a series of 6 treatments to get results, I have already started seeing results after my first treatment. I would highly recommend Dr. Howard!!

5 out of 5 stars Breast Implant Revision

Excellent - Roswell, GA

Dr. Howard and his staff are extremely knowledgeable and understanding.

5 out of 5 stars SmartLipo MPX

Smart Lipo - Awesome - Roswell, GA

I had Smart Lipo on my lower abs and love handles with Dr. H on Friday. It's now Monday and I cannot believe what a difference I see already. The procedure was painless and the recovery has not been bad at all. My Aunt had Smart Lipo with Dr. H so I felt comfortable going to him since I knew her results were good. I plan on going back in a few months to get my inner thighs and knees done. I'd recommend Dr. H to anyone.

3 out of 5 stars Slim Lipo

Slim Lipo in Atlanta

I was scheduled for smartlipo but a few days before my procedure my Dr. called and said he was going to do slimlipo instead. i agreed as he assured me it would be little impact on me in terms of difference and assured me this was the latest most improved version of laser lipo. i am a pain wimp and i have to say i was very uncomfortable during the procedure. i had my neck and central/lower...

5 out of 5 stars Smart Lipo

Saddlebags Be Gone! - Alpharetta, GA

I heard about Dr. Howard from a friend of mine who had the Smart Lipo procedure. Dr. Howard and his staff did a great job of informing me about the procedure, what to expect, how the procedure would go, recovery time, etc. I would reccommend Dr. Howard to anyone.

1 out of 5 stars Rhinoplasty

Messed Up My Face - Roswell, GA

I picked him based on just internet search, I followed faked reviews I guess. this is why I want to put my experience with him out there..this is true review from true patient.

5 out of 5 stars Fraxel Laser

Great Results with Little Down Time! - Alpharetta, GA

Great credentials for Dr. Howard, comes highly recommended.

5 out of 5 stars Smart Lipo

Melt my Fat AWAY! - Alpharetta, GA

Because Dr. Howard was EXCELLENT.. My niece and her friend told me about Dr. Howard. He is GREAT!!! Doctor Brian Howard did a great job on my Smart Lipo, I'm feeling great about my self. I would referred him to who every want to do cosmetic surgery.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Otolaryngology and American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)

Consultation Fee

Free. Just Mention RealSelf!

Hospital Privileges

Dr. Howard has hospital affiliations at North Fulton Regional Hospital, Northside Hospitals of Atlanta.


  • Undergraduate & Medical School

    Medical: University of Rochester School of Medicine, Rochester, NY
  • Post-Medical School Training

    Residency: Plastic and Reconstructive Surgery, University of Texas Southwestern in Dallas,1998

Treatments offered at North Fulton Plastic Surgery

Most popular answers from Brian Howard, MD (retired)

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One Breast Implant Taking Longer to Drop

Based on your photo, it's not clear to me that your implant hasn't dropped. If you are right-handed, which I'm guessing from your picture... READ MORE

When Does Swelling After Breast Augmentation Begin to Subside?

Rest assured, you are definitely swollen 5 days after your surgery and can expect to have some degree of swelling for up to 2-3 months. Don't... READ MORE

Would Mastopexy Be Needed with Breast Implant Explantation? (photo)

Thanks for the question. This is a very subjective scenario and there is no clear answer in your particular case based on your photos. In these... READ MORE

Disfigurement and Dents, Lumps After 8 Months of Smartlipo (Female, 36)? (photo)

Thanks for asking the question! Contour deformities are the most common visible complication following any type of liposuction regardless of the skill... READ MORE

How Long Does It Take for the Suture Line in a Tummy Tuck to Heal? (photo)

Your incision will take between 12 to 18 months to fully heal. Your plastic surgeon should follow you along as you heal to make sure everything is... READ MORE

Does Traditional Lipo Work Better on Areas with More Fat Compared to Smart Lipo?

Depend on your surgeon to achieve your final results, not the type of liposuction. An experienced liposuction surgeon will get you the same great... READ MORE

Almost 5 Months Post Tummy Tuck and a Swollen Lower Abdomen. Is It Normal? (photo)

I suggest you return to your surgeon for further evaluation. Make sure they "repaired your loose stomach muscles" during surgery, and if they did that... READ MORE

I'm 5'3, 115lbs. Would Like A to D Cup. What Size Should I Get?

In my practice, I have my patients try on sizers prior to surgery to establish what size implant is best for the particular patient. This is a more... READ MORE

I Am 5'11'' and Weight 142 Pounds. I Am Getting 550cc Saline Under the Muscle. Is It Too Big for Me?

Hopefully you were able to "try on" sizers in your surgeon's office to make sure you are comfortable with this size. If so, and the breast diameter of... READ MORE

Do You Need to Wear Eye Protection for Fraxel?

Good question. If the laser is only being used on areas around the eyes but not on the eyelids, it can be safely performed by an experienced physician... READ MORE

Before and After Photos by Dr. Howard

Brian Howard, MD (retired) has shared 23 before and after pictures with 14 helpful votes from the RealSelf community.

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Treatment results may vary