The Best Cosmetic Surgeons
We graded 10 companies on seven things customers actually report: satisfaction, reliability, workmanship, value, momentum, track record and how owners handle complaints.
From 9,737 Google reviews of 10 top-rated cosmetic surgeons nationwide. Updated October 28, 2026.
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Best cosmetic surgeons for microneedling
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Aesthetics 441 & IV BarHow Job match is calculatedBuilt only from reviews Google tagged “Microneedling”:Stars on this job 55%5.00★Number of such jobs 25%18Overall Experts Score 20%100Job match= 98Stars are pulled toward the category average (4.90★) when a company has few tagged jobs, so 3 perfect reviews don’t beat 80 great ones. 4.3★ scores 0, 5.0★ scores full. Volume is compared with the busiest company for this job.98Job match = this company’s ★ on reviews Google tagged “Microneedling” (shrunk toward the category average when there are few), how many such jobs it has done, and its overall Experts Score.
What customers said about microneedling
Aesthetics 441 & IV BarWow!!! I cannot say enough amazing things about this place. I saw a billboard and took a chance. I booked a consultation with Jess and I was BLOWN AWAY by her knowledge. I felt so comfortable that I ended up booking a microneedling and biostim with her. She treated me so good, I instantly felt comfortable and…
Aesthetics 441 & IV BarKim is absolutely exceptional! Her knowledge of the equipment and procedures is outstanding. She has a great personality and is warm and kind.
Aesthetics 441 & IV BarI’ve been seeing Teresa for years for Botox, she is a true professional in everything aesthetics. Someone you can trust and wants the best for you. I recently started to go see Sharon for monthly facials and skin care she is amazing!! She also knows what she is doing and helps you get the skin you want! Highly…
Aesthetics 441 & IV BarMy first micro-needling experience and Jessica did a wonderful job explaining the process ! Loved the office !
Aesthetics 441 & IV BarThe ladies at 441 are top knotch! I see Kim for Moxi, BBL, and SkinPen and she always does an incredible job. I love their skincare offerings. Theresa is your girl for injectables! Go see them!!
Aesthetics 441 & IV BarThe best! Everyone is so sweet in this office! One stop shop for all things skin and health! Just had my first skin treatment with Jessica and loved her!
Overall ratings
Experts Score 0–100Experts Score (0–100)Absolute quality first: recency-weighted star average (≈54%), share of 1–2★ reviews (≈24%), customers’ price verdicts (≈14%), owner replies to critical reviews (≈7%); minus up to 10 points each for complaints flagged in Google review highlights and for a real slide in recent ratings. Hover a company’s score on its page for the full breakdown. and a letter grade per factor (A = top 20% of cosmetic surgeons).
| # | Company | ScoreExperts Score (0–100)Absolute quality first: recency-weighted star average (≈54%), share of 1–2★ reviews (≈24%), customers’ price verdicts (≈14%), owner replies to critical reviews (≈7%); minus up to 10 points each for complaints flagged in Google review highlights and for a real slide in recent ratings. Hover a company’s score on its page for the full breakdown. | FactorsFactor grades, in orderSatisfaction (54%): Recency-weighted star average (2-year half-life), shrunk toward the category mean by review volume; the company’s own lifetime average as the prior; absolute: 4.0★ = 0, 5★ = 100.Reliability (24%): How rarely jobs go badly: share of 1–2★ reviews — 60% the last 24 months (or the 20 newest if fewer), 40% all-time; 0% = 100, 15%+ = 0; the category percentile can only raise it.Craft & service (0%): Google review highlights: Quality, Professionalism, Responsiveness, Punctuality — how rarely reviewers flag them as a negative, per review since highlights began; 0% = 100, 5%+ = 0. Subtracted from the score (up to −10), never averaged in — clean highlights are the norm, not a bonus.Value (14%): Customers’ own price verdicts (Great / Reasonable vs Overpriced) and Value highlights; 65% absolute (all “reasonable” ≈ 80, “great” = 100), the category percentile can only raise it.Momentum (0%): Penalises only a real slide: last-12-month average below lifetime (−0.5★ = 0). Still 4.8★+ over the last year, or steady/improving = 100. Subtracted from the score (up to −10), never averaged in.Replies to reviews (7%): How often the owner publicly replies to reviews under 5★ (1–4★). Needs 3+ such reviews, otherwise not counted; 65% absolute (80%+ replied = 100), the category percentile can only raise it.One letter per factor score: A = 80+, B = 60–79, C = 40–59, D = 20–39, F = below 20. | ★Google star rating as shown on Google Maps. | Typical billMedian bill customers of this company reported in their reviews (needs 3+ priced reviews). |
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| 1 | Aesthetics 441 & IV BarGainesville, GA | A 100How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 59%100+58.7Reliability 26%100+26.1Value 15%100+15.2Experts Score= 100Not enough data for replies to reviews; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA–AA– | 5.00 | — |
| 2 |  Geary Bush, MDGainesville, GA | A 99How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 69%99+68.5Reliability 31%98+30.2Experts Score= 99Not enough data for value, replies to reviews; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––A– | 5.00 | — |
| 3 |  Derek Pendarvis, MDGainesville, GA | A 98How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 69%98+67.8Reliability 31%98+30.2Experts Score= 98Not enough data for value, replies to reviews; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––A– | 4.98 | — |
| 4 |  Aesthetic ArtsGainesville, GA | A 94How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%96+61Reliability 28%94+26.5Replies to reviews 8%83+6.8Experts Score= 94Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––AA | 4.95 | — |
| 5 |  Lanier Dermatology & Skin Cancer SpecialistsGainesville, GA | A 90How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%95+60.4Reliability 28%95+26.8Replies to reviews 8%38+3.1Experts Score= 90Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––AD | 4.93 | — |
| 6 |  Specialty Orthopaedics: GainesvilleGainesville, GA | A 89How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%93+59.1Reliability 28%95+26.8Replies to reviews 8%39+3.2Experts Score= 89Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––AD | 4.91 | — |
| 7 | Northeast Georgia Physicians Group Vascular CenterGainesville, GA | A 87How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%86+54.6Reliability 28%93+26.3Replies to reviews 8%100+8.2Momentum penalty79−2.1Experts Score= 87Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––BA | 4.87 | — |
| 8 |  Northeast Georgia OMSGainesville, GA | A 84How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%89+56.5Reliability 28%83+23.4Replies to reviews 8%48+4Experts Score= 84Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––AC | 4.86 | — |
| 9 |  Dermatology Associates of Northeast GeorgiaGainesville, GA | A 84How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%83+52.7Reliability 28%81+22.9Replies to reviews 8%100+8.2Experts Score= 84Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––AA | 4.82 | — |
| 10 |  Northeast Georgia Physicians Group Cardiovascular & Thoracic SurgeryGainesville, GA | A 82How the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%80+50.8Reliability 28%83+23.4Replies to reviews 8%98+8.1Momentum penalty93−0.7Experts Score= 82Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews. | AA––AA | 4.80 | — |
What jobs cost
What customers paid, from the price Google asks reviewers to report.
| Job | Low25th percentile: 1 in 4 customers paid less than this. | TypicalMedian of the bill customers reported in their Google review (Google asks reviewers for a price range; we use the middle of each range). | High75th percentile: 1 in 4 customers paid more than this. | FairOf customers who rated the price, the share who chose “Great price” or “Reasonable” rather than “Overpriced”. |
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Cosmetic Surgeons at a glance
How the 10 cosmetic surgeons we rated compare, and what customers praise most.
Experts Score grades
A = score 80+, F = below 20.
- Grade A10100%
- Grade B00%
- Grade C00%
- Grade D00%
- Grade F00%
Google ratings
Average stars per company.
- 4.90★ and up660%
- 4.80–4.89★440%
- 4.60–4.79★00%
- Below 4.60★00%
Was the price fair?
All price verdicts left with reviews.
- Great price6651%
- Reasonable5543%
- Overpriced00%
- Not sure86%
Price verdicts by year
Share calling it great / reasonable / overpriced.
How we grade
Satisfaction (54%) — Recency-weighted star average (2-year half-life), shrunk toward the category mean by review volume; the company’s own lifetime average as the prior; absolute: 4.0★ = 0, 5★ = 100.
Reliability (24%) — How rarely jobs go badly: share of 1–2★ reviews — 60% the last 24 months (or the 20 newest if fewer), 40% all-time; 0% = 100, 15%+ = 0; the category percentile can only raise it.
Craft & service (penalty, up to −10) — Google review highlights: Quality, Professionalism, Responsiveness, Punctuality — how rarely reviewers flag them as a negative, per review since highlights began; 0% = 100, 5%+ = 0. Subtracted from the score (up to −10), never averaged in — clean highlights are the norm, not a bonus.
Value (14%) — Customers’ own price verdicts (Great / Reasonable vs Overpriced) and Value highlights; 65% absolute (all “reasonable” ≈ 80, “great” = 100), the category percentile can only raise it.
Momentum (penalty, up to −10) — Penalises only a real slide: last-12-month average below lifetime (−0.5★ = 0). Still 4.8★+ over the last year, or steady/improving = 100. Subtracted from the score (up to −10), never averaged in.
Replies to reviews (7%) — How often the owner publicly replies to reviews under 5★ (1–4★). Needs 3+ such reviews, otherwise not counted; 65% absolute (80%+ replied = 100), the category percentile can only raise it.