Surgical Errors

Dr. Adair Blackledge Surrendered His Mississippi License After a Botched-Surgery Investigation: What Blackledge Face Center Patients Should Know

On the last day of 2025, Jackson facial plastic surgeon Dr. Adair Blackledge surrendered his Mississippi medical license while the state board was investigating allegations about his practice, including facelifts performed quickly and without general anesthesia. He denies any wrongdoing, he has not been criminally charged, and no patient lawsuits have been reported. Here is what the record shows and what former Blackledge Face Center patients should know.

By Peter Anderson·November 1, 2026·9 min read

Dr. Fred Adair Blackledge, known to patients as Dr. Adair Blackledge, ran the Blackledge Face Center in Jackson, Mississippi, for more than two decades. On December 31, 2025, he gave up his Mississippi medical license, a move that ended the state board's open investigation into his practice. The claims described below come from a Mississippi Today investigation, the Mississippi State Board of Medical Licensure's own filings, and local television reporting. They are allegations. A surrender is not a finding of fault, Blackledge has denied any wrongdoing, and the board accepted his surrender without ruling on the complaints.

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Where things stand

The core fact is on the record. According to an order accepting the surrender published by the Mississippi State Board of Medical Licensure and reported by Mississippi Today, Dr. Adair Blackledge surrendered his Mississippi medical license on December 31, 2025. The board had been investigating allegations that the order describes as professional incompetency, unprofessional conduct, and dishonorable or unethical behavior likely to deceive, defraud, or harm the public. Surrendering the license ended that investigation before the board issued any findings.

The document Blackledge filed says he denies any wrongdoing and has decided to retire from the practice of medicine. It also notes that he understands charges could be brought against him at a later date. WLBT in Jackson, whose 3 On Your Side investigators obtained the documents, reported that Blackledge has not been criminally charged. There is no admission of fault in the record, and the board made no ruling on any individual patient's care.

Everything in this article is drawn from that board order, the Mississippi State Board of Medical Licensure's own public statement, and named news reporting by Mississippi Today and WLBT. The patient accounts are allegations gathered by reporters, not proven facts, and Blackledge disputes them.

Who is Dr. Adair Blackledge, and what is the Blackledge Face Center?

Dr. Fred Adair Blackledge practiced facial plastic surgery in Jackson, Mississippi, for roughly 22 years and ran a practice called the Blackledge Face Center. His work focused on cosmetic facial procedures, including facelifts. For most of that time there was no public disciplinary record, which is part of why the Mississippi Today reporting drew attention when it ran in September 2025.

The gap between a long, heavily marketed cosmetic practice and a quieter record of patient complaints is a pattern we have written about before. We covered it in our Dr. Dare Ajibade lawsuits article about a Texas surgeon, in our AirSculpt lawsuits article and our Sono Bello lawsuits article about national cosmetic surgery chains, and in our Dr. Ayoub Sayeg lawsuits article about a surgeon whose license was pulled in several states. In each, the warning signs showed up in patient accounts and regulatory files long before most prospective patients would ever have seen them.

This article makes statements about a living, named physician. Each allegation is attributed to the news organization or official filing that made it. A license surrender is a regulatory outcome, not a criminal conviction, and the board accepted it without finding that any of the complaints were true. For the general legal background on when a poor surgical result may rise to negligence, see our article on surgical errors.

What the Mississippi Today investigation found

Mississippi Today published the results of a five-month investigation on September 24, 2025, under the headline describing quick surgeries, scars, and facelifts that fade. The reporting centered on complaints from several of Blackledge's former patients and on how his surgeries were performed.

Two findings stood out. First, the reporting found that Blackledge performed facelifts far faster than many in his field, sometimes completing the operation in about a third of the time other plastic surgeons told the news organization the procedure typically takes. Second, it reported that he performed major surgeries, including facelifts, without general anesthesia. According to the investigation, he used a sleeping pill together with a sedative and anti-anxiety medication to sedate most patients, a combination other doctors told Mississippi Today could make it difficult for a patient to breathe during surgery.

The patients quoted in the investigation described a range of outcomes they attributed to his care: nasal indentations and infections, prominent scarring, a cheek implant that pushed through the skin, and wounds that reopened and required further medical attention. Some said they did not remember changing out of their street clothes and into a surgical gown before their procedures. Several said they had complained to the state board and either had their complaints dismissed or heard nothing back.

Blackledge pushed back on the reporting. He characterized the complaints as the result of a social media barrage in which he, his family, and his staff were attacked and threatened. He said the patients raising concerns represented only a small portion of the people he had treated, that he had never been sued in 22 years of practice, and that he believed his complication rate was well below the national average. At the time of the September 2025 report, Mississippi Today searched state and federal court records and could not locate any lawsuits filed against him over patient care.

The anesthesia question and office-based cosmetic surgery

The anesthesia detail is worth slowing down on, because it points at a safety issue that reaches well beyond one surgeon. A growing share of cosmetic surgery happens in private offices and surgery centers rather than hospitals, often under sedation rather than general anesthesia with a dedicated anesthesiologist watching the airway. Sedation can be appropriate for the right procedure and the right patient. The risk grows when the sedation is deep, the procedure is long, and no independent clinician is responsible solely for monitoring breathing.

We have written about the office-based cosmetic surgery setting before. Our AirSculpt lawsuits article and our Sono Bello lawsuits article both look at liposuction-focused chains where procedures are marketed as minimally invasive and performed under local anesthesia or light sedation, and where the margin for error narrows if dosing or monitoring slips. The common thread is that the same procedure can carry very different risk depending on where it is done, who is watching the patient, and what medications are used. Those are fair questions for any patient to ask before surgery, and fair questions for a lawyer and an independent surgeon to examine afterward if something went wrong.

A surrendered license is not a finding, and no lawsuit yet is not the same as no harm

Two things are true at once here, and they can be hard to hold together. A license surrender is not proof that a surgeon committed malpractice. It is a regulatory resolution in which, in this case, the physician denied wrongdoing and the board closed its investigation without issuing findings. No court or board has ruled that Blackledge harmed any specific patient.

At the same time, the absence of a lawsuit on file is not evidence that no one was harmed. When Mississippi Today reported in 2025 that it could find no suits over patient care, that reflected what had been filed by then, not what any patient's medical records might show. Medical malpractice claims often surface years after a procedure, once a patient connects a lasting problem to the care that caused it. The board itself explained part of why the public record stays thin for so long: in a statement issued on September 24, 2025, the Mississippi State Board of Medical Licensure said that, under state law and board policy, it does not comment on the existence, status, or details of pending matters, and that information becomes public only after an agreed order, a public hearing, or a final disciplinary order. A patient who files a complaint may therefore hear little back while an investigation is open.

That is also why checking a surgeon's record before surgery, in every state where the surgeon has practiced, is time well spent. Our article on how to check a surgeon's disciplinary record before surgery walks through the free state license lookups and explains what the public orders do and do not tell you. A quiet record is not always a clean one, and a complaint that was dismissed is not always a complaint that lacked merit.

Were you a patient at the Blackledge Face Center? What to know

If you or someone in your family had surgery with Dr. Blackledge, the most important thing to understand is that the clock is already running, and it does not wait for a board investigation or news coverage to finish. In Mississippi, a medical malpractice claim generally must be filed within two years of the date the injury was discovered or reasonably should have been discovered, with a seven-year outer limit and only narrow exceptions, such as a foreign object left in the body. Mississippi law also generally requires a patient to give the provider at least sixty days of written notice before filing suit. If you traveled to Jackson from another state for your surgery, a different state's deadline could apply, which is one more reason not to guess.

Waiting to see whether a bad result settles down on its own is the mistake that quietly ends strong cases. The deadline can pass while you are still deciding, and once it does, even a clear case usually cannot be filed. If your surgery was recent, or if you have lived for years with a result that never looked or felt right, the time to ask is now, while the answer can still help you. Our article on the statute of limitations for medical malpractice explains how these deadlines work and why the start date matters so much.

A records review costs you nothing and does not commit you to anything. Bring what you have: operative reports, before-and-after photos, consent forms, discharge paperwork, billing records, and any text or email messages with the practice. Whether the answer is a case worth pursuing or a plain explanation of why it is not, you will know where you stand. We review cosmetic and plastic surgery matters nationwide, and the review is free and confidential.

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Sources & further reading

Frequently Asked

Did Dr. Adair Blackledge lose his medical license?
He surrendered it. According to an order accepting the surrender published by the Mississippi State Board of Medical Licensure and reported by Mississippi Today, Blackledge gave up his Mississippi medical license on December 31, 2025, which ended the board's open investigation into his practice. The filing says he denies any wrongdoing and has decided to retire. The board did not issue findings against him, and he has not been criminally charged.
What did the Mississippi Today investigation allege?
Mississippi Today reported in September 2025 that former patients complained of problems including nasal indentations and infections, prominent scarring, a cheek implant that pushed through the skin, and wounds that reopened. The investigation also reported that Blackledge performed facelifts far faster than other surgeons said was typical and performed major surgeries without general anesthesia, using a sleeping pill plus a sedative. These are allegations and reported findings, not proven facts, and Blackledge disputed them.
Does surrendering a license mean he was found guilty of malpractice?
No. A license surrender is a regulatory resolution, not a court judgment or a criminal conviction. In this case the physician denied wrongdoing and the board closed its investigation without ruling that any complaint was true. Whether any individual patient has a malpractice claim depends on that patient's own medical records, not on the license action.
Have patients sued Dr. Blackledge?
When Mississippi Today reported on the investigation in September 2025, it searched state and federal court records and could not find any lawsuits filed against Blackledge over patient care, and he said he had never been sued in 22 years of practice. The absence of a lawsuit on file is not the same as the absence of harm, because malpractice claims are often filed years after a procedure once a patient connects a lasting problem to the care that caused it.
I was a patient at the Blackledge Face Center. How long do I have to file a claim?
In Mississippi, a medical malpractice claim generally must be filed within two years of when the injury was discovered or reasonably should have been discovered, with a seven-year outer limit and limited exceptions, and the law generally requires sixty days of written notice to the provider before suit. Because the start date and exceptions vary, and because a different state's deadline could apply if you traveled for surgery, the safe step is to ask promptly rather than assume you still have time.

Where Peter handles these cases

Peter handles surgical errors cases in DC, Maryland, and Virginia, plus FTCA cases nationwide. Statutes of limitations and pre-suit procedures vary by jurisdiction, sometimes by years.

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