Alex Cull review for Brian S. Biesman, M.D.

I went in to see Dr. Beisman about a very real, very visible issue: a damaged lip implant with scar tissue that literally pulls one side of my face off balance. To his credit, he initially acknowledged it was severely damaged. Unfortunately, that brief moment of clarity was followed by a masterclass in condescension. Instead of discussing solutions, I got a lecture about how “sometimes the risk is higher than the reward,” followed by the truly innovative medical recommendation of… “you’re pretty, maybe just go to therapy.” Apparently in this office, facial asymmetry caused by a broken implant is best treated not with surgical expertise, but with positive thinking and a counseling referral. A simple “I think it’s too risky” would have sufficed. Things only got stranger when I explained I used ai to generate a more symmetrical example of what I hoped to achieve. Not because I think AI performs surgery, but because—like most patients—I don’t have a catalog in my head of every reconstructive option available. Instead of seeing that as a patient trying to communicate goals, he seemed personally offended by the concept of preparation. Then came the billing twist: a $200 consult that couldn’t be applied to Botox, despite the fact that most aesthetic practices in the area do exactly that. I’ve been getting Botox since I was 24 and have somehow never encountered this level of inflexibility—or attitude—anywhere else. If you need a cancer surgeon, he is excellent. But if you’re seeking a plastic surgeon who understands that aesthetic patients are there to solve problems and improve their looks, not to be scolded for it, keep looking.