The Institute does not scale. We do twelve consultations a week and ten procedures a month — that is the entire practice. One surgeon, one pair of hands, one long relationship with each face. We have arranged everything around the conviction that good aesthetic work is unhurried, considered, and rarely the first thing proposed.
The Approach
The slow practice.
The Devereaux Institute was structured around a single decision: that every patient would have a full, unhurried hour for consultation, and that most surgical patients would come in twice before anything was scheduled. A practice built that way cannot be large, and ours is not. We accepted that constraint deliberately, and the practice has been the better for it ever since.
It follows that we turn work away. A meaningful share of consultations here end with a recommendation to not have surgery — to wait, to do less, or to do nothing at all. This is not offered as a courtesy or a negotiating posture. It is the practice working exactly as it was designed to work. A surgeon who needs every consultation to convert cannot afford to tell you the truth; we have built the Institute so that Dr. Devereaux can.
Facial procedures comprise the majority of what he does. He completed his fellowship in cosmetic facial surgery at Manhattan Eye, Ear & Throat, and the practice has stayed close to that training — considered, conservative, and unhurried in everything it does to the face. Revision work, correcting procedures performed elsewhere, is a significant part of the practice; it is also the part that most rewards patience and a long look before any decision is made.
A meaningful share of consultations here end with a recommendation to do nothing at all.
We think the consultation is the work, not the prelude to it. Dr. Devereaux draws, explains, and answers every question without watching the clock, because the quality of that first conversation is the most honest preview a patient will ever get of how the surgery itself will be conducted. Patients who have seen four surgeons before us tend to notice the difference within the first ten minutes.
Aesthetics, done well, is a thirty-year relationship rather than a single procedure. The Institute is structured to support that relationship for its full duration — through the first consultation, the years that follow, and the quiet maintenance that good work quietly requires. The people who have been with us longest came in once, were told to wait, and came back when they were ready. That is the practice we wanted to build, and it is the one we have.
Studies
The Apothecary
Considered skincare, formulated in-practice.
Dr. Devereaux's apothecary began as a curated set of pre- and post-operative protocols for surgical patients. Over ten years, it became a small, deliberate line of formulations — three products, each with a single purpose, made in small batches and sold only through the Institute.
The Cleanser
Non-stripping, gentle, daily.
$48
The Treatment
Retinol + peptide complex. Begin three nights weekly.
$165
The Recovery Balm
Post-procedure occlusive. Used by every surgical patient.
$72
The Surgeon
Dr. Alexandre Devereaux
Founder & Sole Surgeon, Board-Certified
Dr. Alexandre Devereaux founded the Institute in 2009, after a decade in a larger group practice convinced him that the kind of work he wanted to do could not be done at volume. He is board-certified by the American Board of Plastic Surgery, and completed a fellowship in cosmetic facial surgery at Manhattan Eye, Ear & Throat — training he credits for the conservative, structure-first approach that still defines the practice.
His work is concentrated, deliberately, on the face: facelift and neck, rhinoplasty, and eyelid surgery, together with the revision of procedures performed elsewhere. Revision work is a significant and growing part of the practice, and the part he finds most instructive — it is a standing reminder of what over-correction costs, and of why a conservative hand ages well.
He has been written about in the national press and lectures occasionally to other surgeons, but is most reliably found in the same consulting room five days a week, where he conducts every consultation himself. There is no associate surgeon and no plan for one. The Institute is one surgeon by design, and the design is the point.
Begin
Reserve a private consultation.
A full hour with Dr. Devereaux. No surgical commitment, and no pressure to decide in the room. We hold a $250 consultation deposit, applied in full to any procedure you undertake, or refunded if you cancel at least 48 hours in advance.
Currently accepting new patients for consultation in July. A short waitlist is available for earlier dates.
Consultations may be rescheduled or cancelled without charge up to 48 hours in advance.