Dermatology & Aesthetic Medicine
At The Roxbury Institute, our Department of Surgery represents the pinnacle of surgical excellence, combining decades of expertise with the latest innovations in surgical technique and technology.


Our Approach
to Surgical Excellence

We believe that exceptional surgery results from the perfect marriage of technical precision, artistic vision, and deep understanding of human anatomy.
Our surgeons take time to understand your individual goals, concerns, and expectations, creating personalized treatment plans that deliver results that look natural and feel authentic to who you are.


Comprehensive Surgical Services
Our board-certified surgeons offer a complete range of procedures designed to restore, enhance, and reconstruct with natural-looking results.
Facial Procedures
Facelift and Mini-Facelift
Rhinoplasty (Primary and Revision)
Blepharoplasty (Eyelid Surgery)
Brow Lift
Neck Lift
Facial Fat Grafting
Otoplasty (Ear Surgery)
Body Contouring
Facelift and Mini-Facelift
Rhinoplasty (Primary and Revision)
Blepharoplasty (Eyelid Surgery)
Brow Lift
Neck Lift
Facial Fat Grafting
Otoplasty (Ear Surgery)
Breast Procedures
Breast Augmentation
Breast Lift (Mastopexy)
Breast Reduction
Breast Reconstruction
Nipple Reconstruction
Gynecomastia Treatment
Reconstructive Surgery
Facelift and Mini-Facelift
Rhinoplasty (Primary and Revision)
Blepharoplasty (Eyelid Surgery)
Brow Lift
Neck Lift
Facial Fat Grafting
Otoplasty (Ear Surgery)
Why Choose TRI
for Dermatology & Aesthetic
Our commitment to excellence sets us apart in every aspect of surgical care.

Meet Our Dermatology & Aesthetic Medicine Team
Our surgeons are recognized leaders in their specialized fields with distinguished backgrounds in aesthetic and reconstructive surgery.
David Amron, MD
Board-certified dermatologic surgeon and the pioneer of lipedema surgery in the United States. Dr. Amron's innovative techniques and dedication to advancing medical knowledge have established him as a global leader in his field. As founder of The Roxbury Institute and star of Netflix's "Celebrity Plastic Surgeons of Beverly Hills," he has dedicated his career to setting new standards in patient care and surgical excellence.


David Amron, MD
Board-certified dermatologic surgeon and the pioneer of lipedema surgery in the United States. Dr. Amron's innovative techniques and dedication to advancing medical knowledge have established him as a global leader in his field. As founder of The Roxbury Institute and star of Netflix's "Celebrity Plastic Surgeons of Beverly Hills," he has dedicated his career to setting new standards in patient care and surgical excellence.
Karen L. Herbst, MD, PhD
Dr. Karen L. Herbst, a prominent board-certified endocrinologist, serves as the Head of Research and Director of Diagnostic and Preventative Medicine at The Roxbury Institute in Tucson, Arizona, home to the Advanced Lipedema Treatment (ALT) program.


Karen L. Herbst, MD, PhD
Dr. Karen L. Herbst, a prominent board-certified endocrinologist, serves as the Head of Research and Director of Diagnostic and Preventative Medicine at The Roxbury Institute in Tucson, Arizona, home to the Advanced Lipedema Treatment (ALT) program.
Shawn Moshrefi, MD
Dr. Shawn Moshrefi, Director of Plastic Surgery at The Roxbury Institute, is a Stanford-trained, board-certified plastic and reconstructive surgeon with a distinguished background. Renowned for his proficiency in addressing Lipedema patients and performing lymphatic surgery, Dr. Moshrefi was handpicked by Dr. David Amron to join the Advanced Lipedema Treatment (ALT) program.


Shawn Moshrefi, MD
Dr. Shawn Moshrefi, Director of Plastic Surgery at The Roxbury Institute, is a Stanford-trained, board-certified plastic and reconstructive surgeon with a distinguished background. Renowned for his proficiency in addressing Lipedema patients and performing lymphatic surgery, Dr. Moshrefi was handpicked by Dr. David Amron to join the Advanced Lipedema Treatment (ALT) program.
Aria Vazirnia, MD
Dr. Aria Vazirnia, MD, MAS, FAAD, is a Harvard-trained, double board-certified dermatologic surgeon. Building on his esteemed Harvard fellowship, Dr. Aria has established himself as a leading Lipedema Surgeon with the Advanced Lipedema Treatment (ALT) Program at The Roxbury Institute, treating patients in Los Angeles, CA, and Salt Lake City, Utah.


Aria Vazirnia, MD
Dr. Aria Vazirnia, MD, MAS, FAAD, is a Harvard-trained, double board-certified dermatologic surgeon. Building on his esteemed Harvard fellowship, Dr. Aria has established himself as a leading Lipedema Surgeon with the Advanced Lipedema Treatment (ALT) Program at The Roxbury Institute, treating patients in Los Angeles, CA, and Salt Lake City, Utah.
Michael Bontekoe, MS, PA-C
Michael Bontekoe, MS, PA-C, joined The Roxbury Institute in 2016 and specialized in medical and cosmetic dermatology.


Michael Bontekoe, MS, PA-C
Michael Bontekoe, MS, PA-C, joined The Roxbury Institute in 2016 and specialized in medical and cosmetic dermatology.
David Smart, MD
Dr. David Smart is a distinguished board-certified dermatologic surgeon bringing exceptional expertise to the Advanced Lipedema Treatment (ALT) program at The Roxbury Institute in Salt Lake City.


David Smart, MD
Dr. David Smart is a distinguished board-certified dermatologic surgeon bringing exceptional expertise to the Advanced Lipedema Treatment (ALT) program at The Roxbury Institute in Salt Lake City.
Jennifer Ahdout, MD
Jennifer Ahdout, is a board-certified general and cosmetic dermatologist, providing her patients with personalized and thoughtful care.


Jennifer Ahdout, MD
Jennifer Ahdout, is a board-certified general and cosmetic dermatologist, providing her patients with personalized and thoughtful care.
Michele Blecher, MS NP
Michele Blecher is a highly skilled Nurse Practitioner specializing in plastic surgery and surgical dermatology at The Roxbury Institute in Los Angeles, CA. With over two decades of clinical experience across multiple specialties, she brings a comprehensive understanding of patient care, surgical protocols, and medical management to her aesthetic practice.


Michele Blecher, MS NP
Michele Blecher is a highly skilled Nurse Practitioner specializing in plastic surgery and surgical dermatology at The Roxbury Institute in Los Angeles, CA. With over two decades of clinical experience across multiple specialties, she brings a comprehensive understanding of patient care, surgical protocols, and medical management to her aesthetic practice.
Rodney Schmelzer, MD
Dr. Schmelzer specializes in bodily plastic and reconstructive surgery, working closely with lipedema surgeons Dr. David Smart and Dr. David Amron at the ALT surgical center at The Roxbury Institute, Utah.


Rodney Schmelzer, MD
Dr. Schmelzer specializes in bodily plastic and reconstructive surgery, working closely with lipedema surgeons Dr. David Smart and Dr. David Amron at the ALT surgical center at The Roxbury Institute, Utah.
Patient Stories
Frequently Asked Questions
Common questions about our plastic surgery procedures and what to expect.
Ready to
Begin Your Transformation?
Schedule a consultation with our board-certified plastic surgeons to discuss your goals and explore your options for achieving exceptional results.



