Image by Design Plastic Surgery - Beauty. Refinement. Confidence. Image by Design Plastic Surgery is dedicated to providing each patient with an experience that is unmatched anywhere. This commitment to excellence begins from the very first moment a patient makes contact with our office to long after their surgery is over. It is the very essence of our purpose - a commitment to beauty, refinement and the establishment of a personal relationship that simply transcends the mere procedure itself - the expectation that this is where you belong.