Empowering Confidence Through Personalized Aesthetic Care

At pēkomd®, our mission is to help patients do better—not just by enhancing how they look, but by elevating their confidence and quality of life. Through personalized care, whether a skincare regimen or transformative surgery, we provide exactly what each patient needs to reach their personal best.

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Welcome to pēkomd® Discover a Life Well Lived

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Integrated Wellness & Aesthetics

We blend advanced surgical and non-surgical techniques with holistic wellness therapies, ensuring your transformation is supported from every angle. This integrated model helps you achieve lasting results that enhance both appearance and vitality.

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Authenticity & Real Results

We focus on delivering authentic transformations that align with your natural features. Our board-certified providers champion genuine outcomes, ensuring you feel both confident and comfortable in your own skin.

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Excellence Backed by Accreditation

Our ACHC Accreditation attests to our dedication to rigorous safety standards and clinical excellence. This prestigious endorsement underscores our mission to deliver high-quality care, ensuring each treatment meets established protocols for effectiveness and patient well-being.

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Patient-Centered Care

Prioritizing your unique story and aspirations, we develop every treatment plan with thorough consultation and attentive follow-up. We guide you toward solutions that elevate your well-being and honor your individual preferences.

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Discover Your Best Self A Unique Blend of Wellness & Aesthetic Treatments

pēkomd® offers a unique blend of surgical, non-surgical, and wellness services under one roof, delivering personalized, honest care. Patients can trust pēkomd® for consistent, high-quality results and holistic solutions tailored to their needs, backed by board-certified expertise and authentic patient experiences.

Face & Neck

Refine your features with advanced facial procedures tailored to your unique anatomy.

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Breast

Enhance symmetry, shape, or lift with personalized breast treatments.

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Body

Conquer stubborn fat, loose skin, and more with our body contouring solutions.

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Non-Surgical Aesthetics

Explore minimally invasive treatments like dermal fillers, neuromodulators, and laser therapies for a gentle refresh.

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pēkoSkin

Experience radiant skin through specialized regimens and top of the line products.

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pēkoWellness

Go beyond aesthetics with holistic programs that target your overall health, including hormone therapy and weight management.

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Testimonials

Dr Koltz and his team are fantastic. I was always made to feel so comfortable and welcomed.

The team that he has assembled are just phenomenal women who truly brighten your day. They have offered me endless support and I will forever be grateful for them. I have received excellent care from everyone at pēkomd and would very highly recommend them. 10 out of 10!

Jennifer N.

Dr. Markov is one of the best microsurgeons in Southwest Ohio

I have had surgery is some of the top hospitals in Ohio and beyond. Dr. Markov is one of the best microsurgeons in Southwest Ohio, and the surrounding areas.His education, military background, and work experience speaks for itself. I have found him to be professional, highly-skilled, and he has excellent bedside manner. Dr. Markov treated me with respect, educated me about my options, and empowered me to decide what breast reconstruction option best for me. He approached my reconstruction surgery like Michelangelo to a painting. He was detailed oriented and cared about my final outcomes. I couldn't be happier with his performance. I highly recommend Dr. Markov for any cancer related or cosmetics surgery.

Candy

Mr. Dr. Fourman has been the best doctor hands down

Mr. Dr. Fourman has been the best doctor hands down so far that I have ever experienced in my life so far and I only have had my first office visit. He is so polite, listens and exsplained in full detail. He made me feel heard and he actually listened to me as his patient and did not belittle or make me feel like i was uneducated or wrong for my reasons to be vivisting his office. Thank you to Dr. Fourman and his wonderful staff members!

Heather

Dr. Straka is very personable, professional, and earned my trust right away!

My daughter first had some work done a few years ago with Dr. Straka. Of course she was/is a beautiful girl in every way, but this definitely enhanced things for her. I inherited the worst bags you could ever imagine. Getting older I thought let me do something for me! I scheduled a consult and I am truly sad that I had not gone sooner.

Dr. Straka is very personable, professional, and earned my trust right away! I am only 10 days post op and I love my new look already! Cristina has been very attentive from day one. I am still being checked on today. Dr. Straka is doing great things at pekomd! I highly recommend him to anyone!!!!!!! He gets a 100 stars

Youlanda J.

Thank You for saving my life!!

Dr. Fourman and his whole team have always made me feel not judged and welcomed. They are helpful, knowledgeable, informative and take time to discuss my health. There are few physicians that don’t make patients feel comfortable and Dr. Fourman is not one. So thankful I chose him as my bariatric doctor!! Thank You for saving my life!!

Amanda L

Make you feel like your best self.

Every experience I’ve had at pēkomd® has been amazing. The staff and providers truly take the time to make you feel like your best self. Dr. Koltz takes the time to get to know his patients and listens to their needs, concerns and dreams. I would absolutely recommend giving them a call and taking the steps to feeling the best version of yourself!

Megan M.

I would say Dr. Markov is a bit of a perfectionist.

After learning I had breast cancer a second time in 2023 I opted to have a bilateral mastectomy with a DIEP flap reconstruction. I looked into 3 different doctors and while I am sure they are all very capable, I chose Dr. Markov. He was straight forward and to the point and he was local. I really liked his approach and he made me feel very comfortable. Today I had my 4 week post op appointment from the final phase of the reconstruction and I am thrilled with the results. I feel and look like myself again. Honestly they look better than they did before my mastectomy. I would say Dr. Markov is a bit of a perfectionist. The only thing left, if I opt to do this, is the tattooing. I am not sure if I am going to do that just yet, because they already look so good. Anyhow, I would 100 % recommend Dr. Markov.

Susan T.

Wish I had done this 10 years sooner.

Don't put it off any longer!
If you have thought about weight-loss surgery, Dr. Fourman is the Dr. you need to see! He's very personable, understands and is caring.I followed all the pre op instructions, did out patient, in the morning, and was up and moving around very well by that evening. He's staff is wonderful too. There are no scary front desk reception. Everyone there knows what your going through. Wish I had done this 10 years sooner. Like I said...Don't put it off for another year!

Patricia M

I couldn't be more pleased with my experience with Dr. Straka

I couldn't be more pleased with my experience with Dr. Straka and Kaleigh! Dr. Straka took the time to thoroughly explain my condition, answer all my questions, and walk me through the entire procedure. The follow-up care has been excellent as well, and I am so happy with my results. I highly recommend!!

Hannah

It’s like meeting with a friend at every consult.

Dr Koltz is one in a million. He sits down and listens to every concern. It’s like meeting with a friend at every consult. He has worked miracles for me on correcting another local surgeon mistake. He is very skilled and knowledgeable in profession. Dr Koltz and his staff treat you like family. I love them and you will too! For me there is no other choice!

Jen. H.

Feel beautiful from the inside out

The pēkomd® Doctors Accredited, Board-Certified Expertise

Dr. Matthew Fourman Board-Certified Specialist

As a board-certified surgeon with extensive bariatric experience, Dr. Fourman leads pēkomd®’s metabolic weight loss and wellness efforts. His expertise in weight management, hormone therapy, and advanced surgical solutions ensures each patient receives personalized care, empowering you to embrace a healthier, more confident lifestyle.

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Dr. Matthew Fourman

Board-Certified Specialist
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Dr. Peter Koltz Board-Certified Plastic Surgeon, Founder

As the leader of our practice, Dr. Koltz combines advanced plastic surgery techniques with a genuine patient-first philosophy. Specializing in transformative body contouring, facial rejuvenation, and reconstructive procedures, he strives to help patients look better, feel better, and ultimately do better, championing balanced outcomes that celebrate each person’s natural beauty and individuality.

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Dr. Peter Koltz

Board-Certified Plastic Surgeon, Founder
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Dr. Daniel Straka Board-Certified Facial Plastic Surgeon

A board-certified oculofacial plastic surgeon, Dr. Straka excels in eyelid and facial rejuvenation, leveraging both surgical and nonsurgical methods to refresh and refine. With precise attention to detail and respect for natural form, he creates enhancements that preserve expressions while elevating confidence and comfort.

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Dr. Daniel Straka

Board-Certified Facial Plastic Surgeon
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Dr. Nickolay Markov Board-Certified Plastic Surgeon

Dr. Markov is an Ivy League–trained plastic surgeon specializing in reconstructive microsurgery, advanced cancer care reconstruction, and body contouring. Renowned for his meticulous technique and patient-focused approach, he provides comprehensive solutions that seamlessly blend functionality with the refined aesthetic patients aspire to achieve.

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Dr. Nickolay Markov

Board-Certified Plastic Surgeon
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Face & Neck Procedures Refine Your Unique Facial Features

Our facial procedures blend advanced surgical expertise with artistic precision to address wrinkles, volume loss, and structural concerns. From eyelid rejuvenation to facelifts, we focus on natural-looking enhancements that bring your unique beauty to the forefront. Experience a refreshed, confident appearance that highlights every expression and contour of your face.

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Breast Procedures Enhance Your Silhouette

Our breast procedures address shape, volume, and symmetry, empowering you to achieve balanced, harmonious contours. Whether you seek augmentation, reduction, or revision, we personalize each plan to your lifestyle and aesthetic goals. The result is a refined bust line that reflects your individuality while aligning with your overall proportions.

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Body Procedures Sculpted Contours, Renewed Confidence

Our body contouring options focus on minimizing excess skin, refining curves, and restoring firmness to key areas. From tummy tucks and arm lifts to targeted liposuction, these procedures are designed to help you achieve a smoother, more proportionate figure. Enjoy enhanced comfort and an elevated sense of self with a shape that truly complements you.

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Skincare Simplified Look Feel Do Better.

Discover simple yet impactful solutions for healthier, more radiant skin. Our skincare approach focuses on effective ingredients and personalized regimens that enhance your natural glow. By blending proven science with genuine care, we make it easier than ever to look better, feel better, and do better in your daily life.

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Quality You Can Rely On Exceptional Quality
Every Location
Every Time

Toledo Location

7634 W. Central Avenue,
Toledo, OH, 43617

Call pēkomd® on the phone at 567-408-7356
Dayton Location

6728 Loop Road, Suite 301,
Dayton, OH, 45459

Call pēkomd® on the phone at 937-938-1248
Columbus Location

200 W. Wilson Bridge,
Worthington, OH, 43085

Call pēkomd® on the phone at 614-635-9699
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Empowerment Through Giving Back pēkoLift

pēkoLift stands as our practice's non-profit initiative, dedicated to uplifting individuals and communities. Through partnerships, advocacy, and targeted programs, pēkoLift offers meaningful support for those in need, reflecting pēkomd®'s core values of compassion, empowerment, and a commitment to helping everyone look better, feel better, and do better.

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Schedule a Consultation Contact any of our Ohio locations today to begin your journey toward a rejuvenated, more confident you.

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