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24 Years
experience
Your Trusted Plastic Surgery Partner in Fresno, CA
At Fresno Plastic Surgery, we are dedicated to providing personalized, patient-centered care that prioritizes safety, precision, and natural aesthetic outcomes. Founded in 2002 by Dr. Kenty Sian, a board-certified plastic surgeon with over two decades of experience, our practice combines advanced techniques with a commitment to ethical, transparent consultations. Dr. Sian, a Clinical Assistant Professor at UCSF-Fresno, actively trains resident physicians and maintains affiliations with prestigious organizations including the American Society of Plastic Surgeons and the American College of Surgeons.

Our services span facial rejuvenation, breast procedures, body contouring, and non-surgical treatments like Botox and dermal fillers, all performed with meticulous attention to individual patient needs. We emphasize thorough pre-operative evaluations, customized treatment plans, and post-operative support to ensure optimal results. Recognized as a top plastic surgeon in Fresno by peers and patients alike, we maintain a singular focus on delivering high-quality care in a compassionate environment.
Services
Botox Injections Breast Augmentation Tummy Tuck Liposuction Facelift Rhinoplasty Kybella Xiaflex Radiesse Juvederm Fillers
Details
  • Year established: 2002
Highlights and features
  • Dr. Sian has over 20 years of experience in plastic surgery.
  • Personalized treatment plans tailored to individual patient needs.
  • Uses advanced cannula techniques to minimize bruising and complications.
  • Board-certified surgeon with active academic and clinical leadership roles.
  • Recognized as a top plastic surgeon in Fresno by peers and publications.
Associations and certifications
  • American Board of Plastic Surgery
  • American Society of Plastic Surgeons (ASPS)
  • American Society for Aesthetic Plastic Surgery (ASAPS)
  • American College of Surgeons (ACS)
What people say
Fabulous surgeon, very supportive Comfortable process, A+ rating Quick recovery, great results
Services
Botox Injections
Botox Cosmetic is a non-surgical injectable that temporarily relaxes facial muscles responsible for wrinkles. Ideal for forehead lines, crows feet, and frown lines, it delivers visible results within 3-5 days. Administered in-office with minimal discomfort, effects last 3-4 months. Dr. Sian personally performs all injections to ensure precision and natural outcomes.
Breast Augmentation
Breast augmentation enhances size and shape using implants or fat grafting. Dr. Sian tailors each procedure to achieve balanced, natural results while prioritizing safety. Incisions are strategically placed for minimal scarring, with recovery typically involving light activity restrictions for several weeks.
Tummy Tuck
A tummy tuck removes excess abdominal skin and tightens underlying muscles. Ideal for post-pregnancy or weight-loss patients, it creates a flatter, more toned profile. Dr. Sian combines liposuction when needed for optimal contouring, with recovery requiring 2-4 weeks of limited physical activity.
Facelift
Facelifts address sagging skin and deep wrinkles to restore a youthful appearance. Dr. Sian uses advanced techniques like SMAS layer tightening for longer-lasting results. Incisions follow natural contours to minimize visibility, with swelling subsiding within 2-3 weeks.
Kybella Injections
Kybella dissolves submental fat to eliminate double chins without surgery. Multiple sessions spaced 4-12 weeks apart yield permanent results. Dr. Sian ensures precise injections to avoid nerve damage, with common side effects including temporary swelling and bruising.
People
Kenty Sian
Plastic Surgeon
Dr. Kenty Sian is a board-certified plastic surgeon with over 20 years of experience. He completed fellowship training in aesthetic surgery under Dr. John Q. Owsley and serves as a Clinical Assistant Professor at UCSF-Fresno. Dr. Sian has been recognized as a top plastic surgeon in Fresno by peers and the Consumers Research Council of America.
Questions
What qualifications does Dr. Sian have?
Dr. Sian is board-certified by the American Board of Plastic Surgery, a Fellow of the American College of Surgeons, and trained at SUNY-Brooklyn and Indiana University. He has practiced in Fresno since 2002.
Are plastic surgery consultations covered by insurance?
Most cosmetic procedures are not covered, but reconstructive surgeries may qualify. A $100 consultation fee applies, credited toward your procedure if scheduled.
How long do Botox results last?
Botox effects typically last 3-4 months. Dr. Sian personally administers injections to ensure optimal placement and longevity.
What is the recovery time for a facelift?
Most patients resume light activities within 1-2 weeks, with full recovery taking 4-6 weeks. Swelling and bruising gradually subside during this period.
Does Fresno Plastic Surgery offer financing?
Financing options are not explicitly mentioned, but we recommend discussing payment plans directly with our office staff.
Can I combine multiple procedures?
Yes, mommy makeovers and combination treatments are available. Dr. Sian will assess your health and goals to create a safe, customized plan.