His Philosophy

For Dr. Garth Fisher, plastic surgery is not simply about change—it is about elevating beauty through restraint, proportion, and purpose.

Beyond Technique: A Philosophy Rooted in Vision

Dr. Fisher's philosophy is grounded in the belief that true beauty is never manufactured—it's revealed. Guided by decades of experience and an artist's instinct, he approaches every procedure with thoughtful intention and a deep respect for individuality. His work is not driven by trends but by the timeless principles of balance, harmony, and refined enhancement—principles that have shaped some of the most recognized faces in the world.

Dr. Fisher on His Care Philosophy

From Dr. Fisher: “I have come to appreciate the fact that artistic perfection seems to be a separately developed skill. It consists of a myriad of components: ability, dexterity, proficiency, aptitude, and competence, yet not all surgeons possess this innate confluence of skill sets. Early in my training, I encountered brilliant surgeons from pedigreed institutions of high academic renown. Not all were gifted surgeons. Some were phenomenal teachers and others produced innovative research results. Artistic perfection does not seem to be based upon intellect or intelligence or perhaps even where one trained. Specialty certification measures certain training competency levels—however, it is not the hallmark of artistic perfection.

Maybe it's simply having the “right stuff,” a phrase that garnered the country's attention during the heady days of space exploration. A superb athlete has it; a Pulitzer prize-winning author may have it. “It” doesn't seem connected to any collection of specific traits. Clearly artistic perfection alone will not make the grade, as there's more to performing surgery than merely having “great hands.”

“The awesome responsibility to creatively and impeccably alter the appearance of another human is a privilege that I humbly respect.”

The Foundation: Selection and Perfection

The two most critical elements of Dr. Fisher's surgical philosophy are selection and perfection. During his training and in the subsequent years, he developed judgment and absorbed techniques from many varied sources. From Dr. Fisher's observation, there was a sense of excitement about learning the mastery of surgery, especially from those whose skills and willingness to teach were prolific.

The Art of Surgical Selection The selection of a proper surgical candidate is at the foundation of the principles that follow:

Surgeons who have minimal selection standards are willing to operate on anyone and everyone. Their results are defined by their work. Conversely, Dr. Fisher's surgical plan must be in concert with the goals and desires of his patient, and he must be confident that he will achieve the results intended by the patient. Their goals must be the same. If they are not, Dr. Fisher feels he has failed in his ability to communicate honestly and effectively with respect to his and his patient's mutual objectives. That is his responsibility.

He finds himself declining to perform surgery more often than he is willing to perform it. He sees this as a maturing process. In his more youthful days, he had a robust opinion of his skills. There was no operation he couldn't perform. As wisdom and experience intersected along his surgical path, it was clear that not all patients are appropriate candidates for surgery. This was not an easy realization. Saying, "No, I don't feel that I can help you obtain the appearance you want" was a surgical signpost for him.

Perfection Through Precision and Purpose

Perfection—the art of precision and meticulous follow-through—is a mental state. Developing exactitude about one's surgical plan and following that course until one has achieved the desired results requires a focus and a steadfast purpose. Mental deviation is not permitted.