Case Study
Fleming Plastic Surgery
Nashville, TN
A 40-Year Board-Certified Practice With a Website That Is a Single Page of Text — No Gallery, No Services, No Before/After Photos. A 2009 Placeholder Still Live in 2026.
Dr. Philip Fleming has been a board-certified plastic surgeon in Nashville since 1985. Forty years of practice. Fellowship-trained. The kind of credentials that take decades to earn. His website is a skeletal HTML table layout with a one-sentence bio and a link that says “Meet Dr Fleming.” Here is the entirety of the homepage above the fold:
A single column of plain text, no navigation menu, no procedure gallery, no before/after photos. Built on HTML table layout — the architecture of 2002.
There is no gallery. No services list. No before/after photography — the single most important content type for a cosmetic surgery practice. A Nashville patient considering rhinoplasty or a facelift lands on flemingplasticsurgery.com and finds nothing that would help them evaluate whether Dr. Fleming is the right surgeon. The site looks like a parking placeholder from 2009 — for a practice that has been serving patients for four decades.
The Practice
Dr. Philip Fleming is a board-certified plastic surgeon who has been practicing in the Nashville, Tennessee area since 1985. That is forty years of surgical experience — fellowship training, board certification, a patient base built on outcomes and reputation in one of the South's most competitive cosmetic markets.
Nashville's cosmetic surgery market is substantial and growing. Patients comparison-shop online before they ever call a practice. They look at before/after galleries. They read about credentials. They look at procedure pages to understand what to expect. Fleming Plastic Surgery offers none of that — not because the practice isn't exceptional, but because the website has never been built to show it.
What We Found
A single-page HTML table site with almost no content — in a specialty where visual results are the entire sales conversation.
HTML Table Layout — The Architecture of 2002
The site is built on HTML table-based layout — the technique used before CSS positioning and flexbox existed. It predates responsive design by a decade. On a mobile device, the content stacks incorrectly or renders as a tiny, unscrollable column. The visual signal to any visitor: this has not been touched since before smartphones existed.
A patient scheduling a consultation on their iPhone — which is to say, every patient — sees a layout that was never designed for the device they are holding.
No Before/After Gallery
Before/after photography is the primary decision-making tool for cosmetic surgery patients. It is how they evaluate a surgeon's aesthetic, understand realistic outcomes, and build trust before committing to a procedure. Fleming Plastic Surgery has zero before/after photos online.
A Nashville patient comparing Dr. Fleming to any competitor who has an organized, searchable gallery — filtered by procedure, patient profile, angle — is not going to call the practice with no photos. The absence of a gallery is not neutral. It is disqualifying.
No Procedure Pages, No Services List
There is no listing of what procedures Dr. Fleming performs. No rhinoplasty page. No facelift page. No body contouring overview. A patient who wants to know whether Fleming performs the specific procedure they are researching cannot find out from the website. They have to call — an extra friction point that eliminates the large share of prospects who will not call without first reading about the procedure.
What We'd Build
A modern cosmetic surgery practice site that uses Dr. Fleming's 40 years of experience as a competitive advantage — not a site that hides it behind a 2002-era table layout.
Before/After Gallery — Organized by Procedure
A filterable gallery of patient outcomes, organized by procedure type: rhinoplasty, facelift, blepharoplasty, breast augmentation, body contouring. The content that actually converts cosmetic surgery prospects into consultations.
Procedure Pages That Explain the Process
Individual pages for each procedure Dr. Fleming offers — what it involves, who the ideal candidate is, what to expect during recovery, what outcomes look like. The information patients are already searching for before they ever call.
40 Years of Nashville Credentials — Front and Center
Board certification, fellowship training, four decades of Nashville patient care. These credentials are the entire competitive case for Dr. Fleming in a crowded market. They should lead the homepage — not be buried in a single text line.
Spec Redesign Deliverables
- ✓Responsive homepage — mobile-first, no table layout, works on every device
- ✓Before/after gallery filterable by procedure type
- ✓Individual procedure pages: rhinoplasty, facelift, body contouring, and more
- ✓Physician bio: 40 years of board-certified Nashville plastic surgery
- ✓Consultation CTA visible on every page — online request form + direct contact
The Opportunity
Nashville is one of the fastest-growing cosmetic surgery markets in the Southeast. Patients have more options than ever — and they are choosing based on what they find online before they ever call. A Nashville patient searching for a board-certified plastic surgeon who lands on flemingplasticsurgery.com today sees a single page of plain text with no gallery, no procedures, no photos.
Dr. Fleming has 40 years of results that could fill a gallery. His credentials are among the strongest in the Nashville market. None of that is visible on his current site. The gap between the quality of the practice and the quality of the digital front door is costing him consultations every week.
We've built the spec redesign. Dr. Fleming can see exactly what it looks like before committing to anything.
Want to see the spec redesign?
We built a full redesign for Fleming Plastic Surgery — with a gallery, procedure pages, and a homepage that reflects 40 years of board-certified Nashville practice. Book a 30-minute call to walk through it — no commitment, no pitch deck. Just the site.
See what we'd fix on your site
We'll review your website top to bottom, record a 10-minute Loom walkthrough of exactly what's broken, and deliver a PDF report with prioritized fixes — in 48 hours.
No commitment. No pitch deck.