Kennewick Plastic Surgeon
104 Columbia Point Drive
Richland, Washington 99352 US
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Free Consultation for Cosmetic Surgery
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25 years experience
260 expert answers
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"Dr fleming and his staff were (are) very kind and helpful they where very accommodating to my narrow window of time to work within as I am a full time mom and college student and child care provider and I only ..." "If you're looking for an experienced, knowledgable, and kind doctor then definitely go with Dr. Fleming." "Dr. Fleming is incredibly knowledgable and professional."

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4.5 out of 5 stars 4.5 stars from 18 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 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 Mommy Makeover

Saggy boobs and spare tire be gone!

Dr. Fleming is an amazing surgeon. I had been thinking about having a mommy makeover for over 5 years! After breast feeding 4 kids my boobs were saggy, saggy, saggy. I had a permanent tire around my waist. I never looked at myself in the mirror without clothes on. I thought about surgery but I just kept putting off and not doing anything about it. Until my little sister took the plunge last...

5 out of 5 stars Tummy Tuck Revision

You Can't Go Wrong Having This Doctor As Your Plastic Surgeon - Richland, WA

I feel it's very important that the information is put out here in our area and surrounding area's that we have one Heck of a skilled Reconstructive Plastic Surgeon in our Community. I was beside myself (hindsight) when I elected to have an area around my umbilicus (belly button) fixed. When Dr. Fleming saw me almost 4 months after my disaster, he quietly left the room for a minute and returned with a book of what and how I should have looked and to NEVER take the blame when a procedure didn't turn out right. He was the first person to give me a little bit of backbone and grit to come to grips with what I needed to do.. He did a couple of follow ups with me and 3 years later with him and his staff, they got me taken care of and fixed me right. I listed this as a Revision of a Tummy Tuck but I really was scarred badly inside and lived with that pain for 3 years, I really feel he did Reconstructive Surgery on me because I don't hurt like I did anymore. He is a good doctor, He doesn't pull any punches especially about wanting your body weight just right so you don't have complications. I don't think I could have maintained many more days as I was, I was disfigured with at first a 23 inch scar because my skin would not close around me. He fixed all of that and now there is no ugly open areas on my tummy or blood drainage on my shirts. In my review he gets an A++++ and his staff right behind him... :) ps... I am a Military Officer's Widow and therefore unable to take pictures of myself.... I will I promise to post pictures as soon as someone stops by so I can post them... I have swelling but thats the norm.... I can wait that out... :O)

5 out of 5 stars Breast Reduction

6 Weeks, 3 days, new pic's

Dr. Fleming performed my tummy tuck and I couldn't be more pleased. He gave me a very confident feeling when we discussed breast reduction. He said he's done about 5,000 of these surgeries and has a great success rate. So far so good, minimal pain, He has agreed to come to the office on the weekend if I need my drains taken out or any other problems that might arise.

5 out of 5 stars Breast Implant Removal

Removal of Ruptured Implants - Richland, WA

Amazingly talented caring Doctor. His recommendations pertaining to Me were very personalized. His diligence to my recovery was outstanding.

5 out of 5 stars Botox

Botox - Richland, WA

Dr.fleming has been doing my Botox for the last 4 years he has done an amazing job. I would recommend any of my friends or family to go to him. He listen to what I want and gives me the best results. What I like best is he does not try to over sale me on anything he just treats what I want done. I am looking forward to my next visit.

45 Year Old Needing a Mommy Makeover.. - Kennewick, WA

So I have been nonstop searching for a mommy makeover for the past 7 years within a reasonable price. I came across one of these reviews that stated $5500.00 totally false advertising.. it's would cost new triple the what was on the review. Not happy to get your hopes of having a surgery desperately needed..

5 out of 5 stars Breast Reconstruction with Latissimus Flap

Dr Fleming is amazing!

Dr. Fleming has taken great care of me. He even came in on the weekend after surgery to check on me. Dr. Fleming and his staff are always very kind and professional. I had the breast reconstruction started with the latissimus flap and had my spacers put in. I will go back in three months to have the implants placed. I'm thankful for Dr. Fleming and the service he provides to women after...

5 out of 5 stars Mommy Makeover

Excellent - Richland, WA

Very Happy

5 out of 5 stars Breast Augmentation

Best Experience! - Richland, WA

Best doctor and staff I could have found! He was so professional, welcoming and I always felt more than comfortable in his office! His staff was so accommodating and all of my questions were answered promptly! I was referred by a friend who had an amazing experience as well and was anxious to share with me. I am so grateful to have found a doctor who not only took the time to listen to my...

5 out of 5 stars Breast Implants

35 Year Old Mother of 3, 32A, Desiring a Full B Cup - Kennewick, WA

Dr. Fleming is incredibly knowledgable and professional. He was the only doctor I ended up consulting with, and I left his office after the first meeting feeling like I was in very good hands. He listened to me when I told him what I wanted, we discussed his recommendations, and he answered all of my questions. All I had to do was tell him the look I wanted, we never even took measurements, and I got exactly what I ordered! If you're looking for an experienced, knowledgable, and kind doctor then definitely go with Dr. Fleming. You won't regret it!

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

Personal Statement

Dr. Fleming's commitment to patient care is the cornerstone of his practice. For patient confidentiality before and after photos are not displayed on this page. Photos can be viewed in Dr. Fleming's office.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society of Plastic Surgeons (ASPS)

Consultation Fee

Free. Consultations are complimentary for cosmetic procedures only.

Awards & Recognition

Golden Hands Award, Washington Society of Plastic Surgeons
RealSelf Top Doctor

Hospital Privileges

Dr. Fleming has hospital affiliations at Kadlec Regional Medical Center.


  • Undergraduate & Medical School

    Medical: MD, University of Texas Medical School
  • Post-Medical School Training

    General Surgery, Yale School of Medicine Affiliate Hospital System
    Plastic Surgery, McGill University
    Fellowship: Hand Surgery, Phoenix, Arizona

Treatments offered at Kadlec Clinic Plastic Surgery

Blog Posts and Articles

So you're thinking about Liposuction.

What to expect when undergoing liposuction.  The liposuction procedure will begin with the anesthesiologist administering sedation. A small incision between .5cm-1cm wide will be made. Through the incision a tumescent solution will be injected into the area being treated. This solution contains sterile salt water, anesthetic and epinephrine. The tumescent solution is used to expand the fat layer. This allows for even suctioning. It also provides anesthesia.  The incisions will be s...

The Mommy Makeover-Time to do something nice for you.

     A big section of my practice is devoted to Mommy Makeovers. What I hear from my patients is that despite returning to their pre-baby weight and sticking to a healthy diet and exercise regimen, they have become discouraged because their body is not returning to what it once was. Since they are not happy with the way they look, their self-esteem and confidence has been eroded. Pregnancy changes a woman's body. Particularly the breast and tummy areas. During pregnancy it is normal to ga...

What this Plastic Surgeon wants you to know about Breast Augmentation surgery.

  Breast augmentation surgery is one of the most common surgeries that I perform. In the past 25 years I have done thousands of augmentations. Here are some things I've learned.  Women seek breast augmentation surgery for several reasons. They may want to restore breast volume that has been lost as a result of pregnancy and breast feeding. They may want to restore volume after major weight loss. They may want to balance out breasts that are two different sizes. They may want to augment u...

Why I became a Plastic Surgeon.

It started with my Grandfather People often ask me when I realized I wanted to become a doctor, specifically a plastic surgeon. Coming from a medical family, and having a father who was a noted plastic surgeon, I was always drawn to the medical field. It started with my grandfather, Dr. Harry Fleming. He was a small town country doctor in Humboldt, Saskatchewan. He worked long hours, made house calls and often got paid with a baskets of vegetables or a cake or a pie. My father Dr. Joseph...

When summer rolls around are you ready to be bikini ready?

The days are already getting longer.This means bathing suit season is just around the corner. Will you be ready to wear sleeveless shirts and shorts? Will you be excited to wear a bathing suit or does the thought fill you with dread? This time of year everyone seems to be hitting the gym and dieting in anticipation of soon wearing  tank tops, sun dresses and bathing suits. But diet and exercise can only go so far, which is why I always have a surge of patients seeking cosmetic surgery pr...

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Most popular answers from Francis X. Fleming, MD

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Is motiva brand implants the best to prevent capsular contracture from re-occurring?

Hi, thanks for our question. The brand of implant does not increase or decrease the possibility of a capsular contracture. READ MORE

Loss of Nipple Sensation After Breast Augmentation? Does this frequently occur? And if so, is it permanent?

All surgery carries the risk of complication. One such complication of breast augmentation surgery would be partial or full loss of nipple sensation.... READ MORE

When Botox Wears Off?

Thank you for your question. Botox wears off gradually. Generally is last 3-4 months. The Botox injected into stronger muscles will wear off more quickly. READ MORE

Tummy Tuck - Swelling After 4 Weeks

It is appropriate to still have swelling one month after a tummy tuck. Over time the swelling will gradually continue to subside. Everyone is... READ MORE

Will a tummy tuck help me? (Photo)

Thanks for your question and for posting your photos. It looks like you would be a good candidate for a tummy tuck, although without a proper... READ MORE

Who is Qualified to Inject Botox?

The regulations on who can inject Botox vary by state. Recently the FDA was reporting that there were counterfeit versions of Botox being injected by... READ MORE

Pros and Cons of Surgical Bra Vs. Sports Bra After Breast Augmentation?

You ask a great question. First I would advise you to follow the recommendation of your plastic surgeon. In my practice I generally suggest my... READ MORE

What is the Criteria for a Breast Reduction to Be Medically Necessary?

Every insurance company has their own set of criteria. Typically they want documentation of back and neck pain, grooving on the shoulders left by bra... READ MORE

How Safe is Botox?

As with any medication there can be side effects. These side affects will vary depending on the dose, site and the experience and training of the... READ MORE

If I put Latisse on before bedtime and shower in the morning, should I reapply it or wait and apply it in the evening?

Latisse should be used once every 24 hours. It should be applied to clean dry skin for best results. READ MORE

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