About Fresno Plastic Surgery

“Plastic Surgery is my passion…

Nothing is more gratifying than having a happy patient.
…this is what I strive for every day.

I knew early on that I wanted to be a doctor…a surgeon at that. I feel very fortunate to be in a profession that I love. I am very passionate about plastic surgery.

There is nothing more gratifying than interacting with a happy and satisfied patient. It goes without saying that I put my best effort in everything I do. To deliver a pleasant surgical experience for every patient is my goal. An honest and ethical appraisal of every patient’s problem and concerns is integral to my practice. The patient’s safety is my number one priority. To deliver a result that matches or exceeds your expectations is what I strive for every single time.”


Dr. Sian was born and raised in Manila, Philippines. He obtained his undergraduate education at the University of the Philippines Diliman Campus and graduated magna cum laude in BS Biology. He received his medical degree from the University of the Philippines College of Medicine and graduated in the top 1/5th of his class. He was the president of his medical school fraternity which was actively engaged in civic, social and academic activities. He took the Philippine licensure exam in 1990 and placed 13th out of 2600 examinees.

After graduating from medical school, Dr. Sian came to the United States in 1991 for his general surgery training. Dr. Sian completed his general surgery residency at the State University of New York in Brooklyn in 1996. He received the Thomas W. Pollack Award, a top honor given each year to one of the graduating surgical residents as voted by the attending surgeons in the Department of Surgery at SUNY-Brooklyn.

Dr. Sian was accepted at the Indiana University Plastic Surgery program where he completed his training in 1998.

Dr. Sian is one of very few plastic surgeons in the California Central Valley with additional fellowship training in Aesthetic Surgery. He trained under the late Dr. John Q. Owsley in San Francisco. Dr. Owsley is better known for his pioneering efforts in the 1970’s which helped popularize the “SMAS technique” in facelifts. With the advent of the “SMAS Facelift”, tension was transmitted to the deeper tissue layers of the face which helped achieve a more natural looking and longer lasting facelift result. At the same time, it minimized complications associated with excessive tension on the skin.

Dr. Sian has been in Fresno, California since 2002 and he has been actively engaged in the practice of plastic surgery. He is a clinical assistant professor at the UCSF-Fresno Medical Education Program. He participates in the training of residents.

Dr. Sian is certified by the American Board of Plastic Surgery and he is an active member of numerous prestigious medical organizations which include the following:

  • American Society for Aesthetic Plastic Surgery (ASAPS)
  • American Society of Plastic Surgeons (ASPS)
  • American College of Surgeons (ACS)
  • California Society of Plastic Surgeons (CSPS)

In the past, the Fresno Magazine conducted surveys among the local practicing physicians to determine the leading practitioners in each of the medical specialties. From 2008 to 2011, Dr. Sian was voted by his peers as among the best plastic surgeons in Fresno (Fresno Magazine ceased publication in 2012). He has consistently been listed by the Consumers’ Research Council of America as among “America’s Top Plastic Surgeons”.

Dr. Sian swims regularly and he was a member of the varsity team during his high school & college years. His other interests include travel, food and wine.

For a board certified plastic surgeon in Fresno & Clovis, California, please contact Dr. Sian today at 559-797-0501.

Dr. Sian is nothing short of fabulous! I absolutely love him. He has been very supportive in answering any and all Of my questions. The nurses in his office are very easy to talk with. He does Botox himself also! I just can’t say enough great things about him. He made me feel very comfortable throughout the whole process, especially the day of surgery and the appointments I’ve had with him since. A+!!!! Just an update……one week after my surgery I have gone in to see Dr.Sian twice. Once to check on everything and then again today to get my drain taken out. I still give him an A+, over the moon rating! Adore him.
*patient name protected for privacy