At Totonchi Plastic Surgery, we are dedicated to helping every patient look and feel their absolute best through personalized, compassionate care. Led by board-certified plastic surgeon Dr. Ali Totonchi, our practice combines advanced surgical expertise with the latest aesthetic innovations to deliver natural-looking, confidence-boosting results. Whether you are considering facial plastic surgery, body contouring, breast surgery, migraine surgery, hair restoration, or non-surgical aesthetic treatments, our experienced team is committed to providing an exceptional experience from your first consultation through your final result.






















Dr. Ali Totonchi is a board-certified plastic surgeon by American board Plastic Surgery who has anchored his career in clinical excellence and specialized surgical leadership in Northeast Ohio since 2001. He established his elite clinical foundation by completing his rigorous plastic surgery residency training at University Hospitals / Case Western Reserve University, subsequently undertaking highly selective fellowships in facial cosmetic surgery and pediatric craniofacial surgery.
Dr. Totonchi operates a diverse, dual-focused practice that seamlessly integrates advanced aesthetic cosmetic procedures with complex reconstructive surgery. A recognized authority in the field of cosmetics, he has extensive experience in specialized procedures such as rhinoplasty, facelifts, body contouring, and breast surgery. His deep clinical mastery of complex facial anatomy has earned him a position on the Board of Directors for The Rhinoplasty Society (TRS), where he contributes to the global standard of primary and secondary nose surgery.
Academically, Dr. Totonchi serves as a Professor at Case Western Reserve University School of Medicine and as the on-site Director of Plastic Surgery Residents at MetroHealth Medical Center. He also channels his reconstructive mastery into public service as the Medical Director of the multidisciplinary Craniofacial Disorders Clinic (CFD), directing a premier medical team in repairing pediatric cleft lips, palates, and major facial deformities.
At the forefront of medical innovation, Dr. Totonchi is widely respected for his specialized work in migraine surgery. He is a Past President and current Trustee of the Migraine Surgery Society (MSS), driving peer education and research in this highly technical subspecialty. Because of his unique dual-training and specialized board contributions, Dr. Totonchi has become a key tertiary referral resource across the Midwest, frequently trusted by fellow plastic surgeons and medical peers to manage complex revisions and challenging secondary anatomical cases. His long-standing track record of surgical precision and safe patient outcomes has earned him a permanent place on Newsweek’s prestigious list of America’s Best Plastic Surgeons from 2022 to 2026.
Brianna Patriarca is a Nurse Practitioner dedicated to serving patients of the Spa and practicing with minimally invasive procedures, including Botox, laser therapies, and fillers, to enhance one’s natural beauty. In addition, she will perform our overwhelmingly popular InMode (radiofrequency) treatments, including Evolve X, Evoke, and Morpheus 8. Brianna’s background includes more than ten years of surgical experience along with her passion for the beauty industry. Brianna brings with her extensive knowledge of the face and body, as well as her passion for facial rejuvenation.
Shawn Guyuron is an Aesthetician and Makeup Artist with 20 years of experience. Shawn has received and continues to participate in extensive training from major pharmaceutical-grade product lines. She also has a passion for and expertise in cosmetics and makeup artistry.
Shawn has comprehensive experience in all major areas of aesthetics and offers chemical peels, facial waxing, dermablading, makeup application, and customized skin care treatment plans for each individual patient. As a specialist, you can be sure to receive expert advice and treatments from Shawn that are customized to your unique skin care need.
With a passion for skincare and a commitment to helping patients achieve their healthiest, most radiant skin, Isabele is a skilled and licensed esthetician. Specializing in dermaplaning, Hydrafacials, extractions, facials, chemical peels, waxing, and Evolve Evoke treatments for both body and face, Isabele tailors each treatment to meet the individual needs of her patients, delivering a results-driven and personalized approach.