A Legacy of Surgical Excellence

Dr. Silvestri earned his undergraduate degree with honors in Chemistry from Seton Hall University in 1979. He went on to obtain his medical degree in 1983 from the State University of New York at Downstate Medical Center, now the Brooklyn Health Science Center.

His surgical training is distinguished by its depth and diversity:

• Internship & Residency: General Surgery at Staten Island University Hospital (1984–1988)
• Fellowship in Surgical Critical Care: North Shore University Hospital, Manhasset, NY (1992)
• Fellowship in Vascular Surgery: Englewood Hospital and Medical Center, NJ (1994)

He is board certified in General Surgery by the American Board of Surgery since 1991 and held certification in Surgical Critical Care until 2013.

Academic Leadership & Medical Research

Dr. Silvestri has served as Assistant Clinical Professor at the Mount Sinai School of Medicine, where he mentored future generations of surgeons. Throughout his career, he has contributed to medical literature with over 10 peer-reviewed research articles in the Journal of Vascular Surgery, reflecting his commitment to advancing surgical knowledge.

His work has addressed innovative vascular techniques, critical care practices, and interdisciplinary surgical care. These contributions further cement his authority and credibility in the field.

A Career Spanning Complex & Cosmetic Surgery

For over 20 years, Dr. Silvestri specialized in general, vascular, and bariatric surgery, performing a wide range of procedures including laparoscopic gastric banding, gastric bypass, and sleeve gastrectomy. After relocating to Florida in 2013, he practiced at top regional institutions such as Jupiter Medical Center, Palm Beach Gardens Hospital, and Martin Health (now part of Cleveland Clinic) through 2022.

In 2018, Dr. Silvestri pivoted toward his lifelong interest in aesthetic surgery, founding Perizia Aesthetics to bring his extensive surgical knowledge to the field of cosmetic body contouring. Since 2022, he has dedicated his practice entirely to liposuction and sculptural body aesthetics.

Focus on Liposuction & Aesthetic Mastery

Dr. Silvestri is a recognized leader in minimally invasive liposuction, with a focus on enhancing body symmetry, definition, and natural aesthetics. He completed a specialized course in Abdominoplasty (Tummy Tuck) in 2019 and a human body sculpting course, integrating artistic vision with surgical precision.

His passion for innovation was showcased in February 2024, when he presented to the American Academy of Cosmetic Surgery on “The Relationship Between Liposuction and Injectable GLP-1s for Body Contouring and Weight Loss.” This research-forward perspective reflects Dr. Silvestri’s ongoing commitment to medical advancement and patient outcomes.

Elevating Patient Outcomes Through Minimally Invasive Liposuction

With a surgical career spanning over 40 years, Dr. Fred Silvestri, MD, FACS, brings deep clinical knowledge and technical precision to the field of minimally invasive liposuction. Since 2018, he has focused exclusively on aesthetic body contouring, and since 2022 has dedicated his full-time practice at Perizia Aesthetics to advanced liposuction techniques. His shift from general and vascular surgery to aesthetic medicine was driven by both innovation in the field and a desire to offer safer, more effective solutions with faster recovery times and natural-looking results.

Minimally invasive liposuction, the technique Dr. Silvestri specializes in, is designed to reduce trauma to surrounding tissues, shorten recovery, and enhance sculptural precision. His approach combines medical rigor with artistic sensibility—allowing for highly customized contouring of areas such as the abdomen, flanks, thighs, arms, and back.

According to recent studies, this technique now boasts a 90% patient satisfaction rate, with recovery often taking just 5 to 7 days—roughly half the time of traditional liposuction methods. These outcomes align with what Dr. Silvestri sees in his own practice: quicker patient turnaround, fewer complications, and more consistent long-term results.

The global body contouring market—currently valued at USD 8.9 billion—is expected to grow to USD 14.6 billion by 2033, underscoring the increasing demand for high-quality, physician-led solutions. Within this growing field, Dr. Silvestri’s medical background, including fellowships in Critical Care and Vascular Surgery, provides him a significant advantage. His ability to assess and manage complex patient profiles with safety and precision makes him uniquely qualified among aesthetic providers.

In February 2024, he presented research to the American Academy of Cosmetic Surgery where he is a member on the “Relationship Between Liposuction and Injectable GLP-1s for Body Contouring and Weight Loss”, further positioning him as a thought leader in emerging techniques that blend metabolic and surgical strategies.

Dr. Silvestri is also a member of WAGS (World Association of Gluteal Surgeons) and continues to integrate body sculpting principles and human form aesthetics into his techniques, which he enhanced through advanced body sculpting courses completed in 2019.

As non-surgical fat reduction technologies like CoolSculpting experience a 40% year-over-year decline in popularity due to complications and lower efficacy, patients are increasingly seeking expert-led surgical alternatives. Dr. Silvestri offers precisely that: safe, effective, physician-driven results tailored to each individual’s goals.

At Perizia Aesthetics, every consultation begins with an in-depth evaluation of your body, health, and expectations—ensuring that outcomes aren’t just cosmetic, but transformative. With Dr. Silvestri, you’re not just getting a cosmetic procedure; you’re benefiting from a lifetime of surgical excellence applied with artistic precision.

Credentials & Memberships

• Board Certified, General Surgery – American Board of Surgery (since 1991)
  Former Certification in Surgical Critical Care – American Board of Surgery (1992–2013)
  Fellow, American College of Surgeons (FACS)
• Member, American Academy of Cosmetic Surgery
• Member, World Association of Gluteal Surgeons (WAGS)
• Top Doctors Award Winner – Twice since 2020
• License: ME113727 (State of Florida – Active and in good standing)

Philosophy of Care

Dr. Silvestri believes that great surgery is not only about skill but judgment—knowing when to operate, when not to, and how to align surgical goals with patient expectations and long-term health. His extensive background in critical care and general surgery empowers him to approach cosmetic procedures with safety, ethics, and artistry at the forefront.

Each patient encounter at Perizia Aesthetics reflects his guiding principles: precision, transparency, and excellence.

Schedule a Consultation

Dr. Silvestri invites you to experience the difference a lifetime of surgical mastery can make. Whether you’re exploring liposuction or seeking aesthetic refinement, his approach merges trusted medical care with the latest in cosmetic science.