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    Page 1 of 5

    Ask the Community - Issa Eshima, MD

    Anyone know why his phone number is disconnected or how to otherwise make an appointment?

    Unfortunately he retired!

    Do he do rhinoplasty?

    Yes

    Can you get a prescription for Retin-A? And if so, how frequently do you have to see the dr?

    Any doctor, including your general practitioner, can give you a retin-a prescription. You don't need to see Dr. Eshima for that.

    Are consultations free. Is there a website with photos of his actual work?

    Yes, consultation is free based on my recent consult with him. There's no website, he will show you relevant before/after work during the consult.

    Did your nostrils get bigger from a lip lift?

    No, not at all. What it does is lift the upper lip a little. It's most noticeable to my in my profile. In case you're concerned, the scars don't show at all, even at the very beginning. He's an excellent plastic surgeon.

    Im concerned about scarring after lip shortening. Everyone reports good results. Any bad ones?

    I scar very easily, but I have no noticeable scars from the lip shortening.

    Don’t See Your Question? Ask Away!

    Review Highlights - Issa Eshima, MD

    His staff, Magaly and others were very informative, helpful, and cared for me from start to finish.

    Mentioned in 53 reviews

    Read more highlights

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    Evan Ransom, MD

    Evan Ransom, MD

    4.8(248 reviews)
    0.5 miUnion Square

    I'm so happy that I chose Dr. Ransom do my rhinoplasty. He designed a surgical plan that helped to…read moremeet my goals, while also keeping in mind what would suit my facial features. He was realistic and upfront about what limitations existed due to my facial anatomy, and what would be safe and flattering in the long term. I appreciate how personalized my consult felt, and that my surgical plan fit me rather than whatever nose is "trendy". Despite the significant changes made to my nose during my rhinoplasty, I didn't even bruise! I'm healing well, and I couldn't have asked for better results! I cannot stress enough how wonderful Dr. Ransom's team is. As someone who is usually a bit nervous with medical procedures, I really appreciate how empathetic and attentive his team is. Holly and Emily were very responsive and helpful with scheduling, notes, etc. Yesenia was amazing at answering all of my questions about my prescriptions and aftercare. Patricia is so kind, and I feel very grateful she was there for me pre/post-op. I would enthusiastically recommend Ransom M.D. to other rhinoplasty seekers!

    Highly recommend. Dr. Ransom and his staff were extremely kind, attentive and professional…read more Dr. Ransom went above and beyond. I had an upper and lower blepharoplasty. VERY happy with results. My self-esteem has gone way up :-). All around positive experience.

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    Evan Ransom, MD - Dr. Evan Ransom, MD

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    Larry Fan, MD - 77 Plastic Surgery - Voted One of America's Top Surgeons - Dr. Fan is ready to provide you with the highest quality of care and results.

    Larry Fan, MD - 77 Plastic Surgery

    4.6(154 reviews)
    0.9 miCivic Center, Hayes Valley
    $$$$

    Earlier this year, I decided I wanted to get a breast augmentation. After doing a lot of research,…read moreI scheduled a consultation with Dr. Larry Fan and his team. From the very beginning, they were amazing--informative, detail-oriented, and incredibly professional. They took the time to go over all of my concerns, answer my questions, and discuss my expectations. They really listened to what I wanted while also providing their expert recommendations on the implant size that would best complement my body and proportions. On the day of surgery, they were attentive, reassuring, and helped calm my nerves, especially since it was my first surgery. Throughout my recovery, they consistently checked in by phone and text to make sure I was doing well and reminded me they were always available if I needed anything. Overall, I couldn't be happier with my experience. I would 100% recommend Dr. Larry Fan and his team to anyone considering breast augmentation or cosmetic surgery.

    I had a great experience with Dr. Fan. He is so knowledgeable and really took care of any of my…read moreconcerns. He is so easy to talk to and his work speaks for itself. He was always very responsive with any concern I had. He even called me back at 11pm the day of my procedure. I felt very supported throughout his care. His staff is so friendly and everyone made the experience as pleasant as possible. This was the best experience I could have asked for. I highly recommend him and his practice!

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    Larry Fan, MD - 77 Plastic Surgery - Breast augmentation with 325cc silicone implants. A to C cup

    Breast augmentation with 325cc silicone implants. A to C cup

    Larry Fan, MD - 77 Plastic Surgery - Breast augmentation with 325cc silicone implants. A to C cup

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    Carolyn C Chang, MD, FACS

    Carolyn C Chang, MD, FACS

    4.7(135 reviews)
    0.8 miPacific Heights

    My experience with Dr. Chang was fantastic from start to finish!…read more I had to wait 5 months for a consultation, but I'm so glad that I did. Dr. Chang listened carefully to my concerns and gave me her honest assessment of what she could and could not fix. I really appreciate this- she is very realistic and doesn't over promise on what she can do. It has been two months after my surgery and I'm already absolutely delighted with my results. It's such a relief to look in the mirror and not look like I'm exhausted every day. I have no doubt my face will look even better in the near future. Dr. Chang's staff members- Lisa, Niloo, Jerri, and Kellie- are all warm, inviting, and knowledgeable. It's always a pleasure to interact with them. I chose Dr. Chang not only because she's one of the best surgeons in San Francisco, but also because she's a woman in a field dominated by men. I'm so happy that I could support this team of kind, intelligent, and hard-working women. Thank you for giving me my confidence back!

    Dr. Chang did a breast reduction and tummy tuck for me about 3 years ago. Her work is stunning. My…read morescars have totally disappeared. People don't even realize I had work done. I feel so happy to not have to wear a bra if I don't want to and feel confident in what ever I wear (or don't!) Her office staff was super sweet and responsive especially during the healing process. 100% recommend

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    Carolyn C Chang, MD, FACS
    Carolyn C Chang, MD, FACS
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    Karen M. Horton, MD - The all-woman San Francisco Plastic Surgery team at Dr. Karen Horton's practice.

    Karen M. Horton, MD

    4.4(221 reviews)
    0.8 miPacific Heights
    $$

    Dr. Karen Horton is truly exceptional. When I was first going through consultations, trying to find…read morethe right surgeon, Dr. Horton stood out. She spent a full hour with me, not just discussing surgical goals, but really getting to know me - my life, my family, and what I was hoping for. I left that appointment genuinely moved. She and her team made me feel seen, supported, and completely at ease. It was a stark contrast to other consultations that felt rushed and impersonal, like I was just another patient on the schedule. Choosing Dr. Horton was an easy decision. That level of care carried through every step of the process, from pre-op to post-op. Dr. Horton is warm, approachable, and truly invested in her patients' happiness and outcomes. I'm absolutely thrilled with my results, and honestly, my only regret is not doing this sooner. I also want to give a special shoutout to the front desk and nursing staff. They consistently go above and beyond to make every visit feel welcoming and positive. I can't recommend Dr. Horton and her team highly enough.

    Dr. Horton and her team are truly exceptional. From the very first visit, they have gone above and…read morebeyond to make me feel heard, valued, and genuinely cared for. Dr. Horton takes the time to get to know me as a person, not just a patient, and she always makes sure my goals and priorities are at the center of every decision. Her expertise, compassion, and attention to detail are unmatched, and her entire team reflects the same level of professionalism, kindness, and dedication. Every interaction leaves me feeling supported and confident that I'm receiving the very best care. Without hesitation, this is my favorite recommendation to give to family and friends--I simply can't say enough wonderful things about Dr. Horton and her incredible team.

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    Karen M. Horton, MD - Dr. Karen Horton was crowned BEST OF THE BAY 2025 as Best Cosmetic/Plastic Surgeon!

    Dr. Karen Horton was crowned BEST OF THE BAY 2025 as Best Cosmetic/Plastic Surgeon!

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    Karen M. Horton, MD - Dr. Horton constructed a state-of-the-art Quad A fully accredited operating room - right in her office!

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    Dr. Horton constructed a state-of-the-art Quad A fully accredited operating room - right in her office!

    Usha Rajagopal, MD - Dr. Usha Rajagopal, M.D.

    Usha Rajagopal, MD

    4.5(358 reviews)
    0.1 miLower Nob Hill, Nob Hill
    $$$

    Got microneedling with nurse Alexa this time and the results were great! Skin is smoother and skin…read moreis brighter!

    For context, I received 3cc facial Renuva injections in Beverly Hills two years ago but that…read moresurgeon didn't numb my face and those injections were more painful than actual surgery. Fast forward to this year, I read that Dr. Rajagopal was the number one Renuva provider in the country and her website stated that numbing cream was used. I was terrified of more pain but hopeful that this experience would be less painful. At this office, numbing cream was literally applied to my face for 30 minutes and then ice was applied afterwards. Although the injections were still painful, they were much more tolerable. Dr. Rajagopal has a gentle hand, a kind demeanor, and good aesthetic sense. I've seen four other different plastic surgeons but Dr. Rajagopal has given me the most faith in doctors. I wish that I had known about her earlier. I would definitely come here for Renuva injections or other treatments as needed. They are not inexpensive at 2500 for 3 cc. Dr. Rajagopal clearly cares about people and their comfort. This is very important as any surgery or injection is a stressful experience so bedside manners and genuine concern is priceless. The only odd thing was that I was presented the bill during numbing by a staff member. Payment is expected after treatment and I knew the cost beforehand so it was strange to get the bill during the middle of the procedure and then after the procedure again. I would have been happy to pay in advance if they are worried about people leaving without paying. In any case, the office staff was nice. There was easy and free private parking provided. I would not hesitate to recommend Dr. Rajagopal for her keen aesthetic eye and caring demeanor.

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    Usha Rajagopal, MD - Please call us at 415-392-3333 to learn more about our financing options for breast augmentation.

    Please call us at 415-392-3333 to learn more about our financing options for breast augmentation.

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    Ginger Xu, MD - Ethos Plastic Surgery - Mini Tummy Tuck by Dr. Xu

    Ginger Xu, MD - Ethos Plastic Surgery

    5.0(50 reviews)
    0.8 miPacific Heights

    Choosing a surgeon is a huge decision, and I am so glad I went with Dr. Xu. She is incredibly…read moremeticulous and caring. You can tell from the first moment you meet her that she loves what she does and truly cares about her patients. The entire office staff is warm and encouraging, making you feel like family rather than just another patient. What truly sets this practice apart is their honesty; they are never pushy and even advised against certain treatments they felt wouldn't benefit me, which helped earn my trust. Christina was a standout throughout my journey, always finding solutions and providing support whenever I needed it. I am very pleased with my results and had a great experience from start to finish.

    I am 6 months post brachioplasty on both of my arms with Ethos Plastic Surgery. I am really…read morethankful for having encountered Dr. Xu. She was genuinely compassionate while also being honest about what she thought would be most effective for addressing my concerns. The value of being able to stand, undressed, with a new person, and to talk with them about your body is such an intimate act - and Dr. Xu handled this with me with expertise and grace. She validated my progress and was encouraging about future potential. Dr. Xu was professional and caring in every encounter. The office staff is welcoming and encouraging and humorous. The space is lovely and feels comfortable. The most wonderful thing is ... the outcome of the surgery, the contouring specifically is truly beautiful. I feel like I have my own natural arm shape and it feels freeing and makes me so happy. Surgery comes with scars and they are a trade off for me. I love my arms so much, even with the scars, which are still young and will heal and fade further. Scar tape works incredibly well and is a very low cost resource I highly recommend. For me, Dr. Xu's personality, her skill set, and her eye for esthetics are simply incredible. It is also clear that the office team is trying to provide an experience for their clients to feel welcomed, held, cared about, and supported throughout the process, including into recovery. One thing I would prepare others for who are considering this option is that the surgery center and anesthesiologist were an expensive part of the overall package. While I trust and feel confident with Dr. Xu, there are other people who also support the surgery. The anesthesiologist was trying to put an iv in my foot, which was painful, before Dr. Xu arrived and advised him to put me under first. That seems like something the anesthesiologist, with all his years of experience, should have known to do himself. The surgery itself went beyond the estimated time and both the surgery center and anesthesiologist had additional fees, increasing the overall cost by ~2k. With that said, I do highly recommend Dr. Xu to others. Go meet her and her team and hear her thoughts and see if what she can offer will meet your needs.

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    Dr. Ginger Xu

    Ginger Xu, MD - Ethos Plastic Surgery
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    Union Square Dermatology - Dr. Peyton Morss-Walton is here for your medical and cosmetic needs

    Union Square Dermatology

    4.5(397 reviews)
    0.5 miUnion Square

    The visit with Dr. Walton was pleasant and very short. We just get straight to the point with no…read morefrills. Instructions were given, was prescribed a few things, shot was given and then asked for a follow up. Was out the consultation room in less than 10 minutes. What I didn't have a good experience with is the company's practice and lack of professionalism when it comes to billing and insurance / credit card retention. I gave them my insurance information 5x and they still did not keep my in-network insurance on file until I asked them to charge my $40 copay the afternoon of my visit after I realized that there's definitely a copay for that visit. I called 4x before someone answered. During the call to pay my copay, it turns out the front desk person I met did not put my information in despite saying she did. What she did keep was my credit card information that they refuse to delete despite me never signing any form to justify it. This practice will try to make you sign a form that forces you to keep a payment card on file, have it charged without notification when there is a bill and forgo your right to dispute the charge if there's a discrepancy in billing. I shared the image of the form below. The front desk personnel will also hound you if you don't put your personal address and ssn on the forms. I gave them my address but the fd still refused to acknowledged that I wrote it down. I generally have payment cards stored for copayments at other practices. However, I have never had practice (or worked at a practice) that has these terms and conditions. It feels almost predatory and extremely insensitive. I understand when bills are due they are due. However, not saving my insurance information when I gave it multiple times, refusing to acknowledge I had filled the health forms online and even written down my address. Is just terrible practice as someone who also works in the medical field. I even emailed the team and offered them to submit the insurance claim myself just to ensure that it does get billed to them first. I even asked for a patient ledger once it's done cause I need to know my claim gets billed correctly. Furthermore, they do store you whole card information on their computer system and not an secure off-site institution as they claim, cause the FD on the phone confirming my copay was able to repeat the card number from front to back. Trust me this is not standard practice at medical offices or even businesses. At most the only card info a business would have is the last 4 digits of the card and it's expiration. Not the whole card's information I did not sign anything (their green agreement policy) that authorizes them to charge my card without my consent or say so cause I am not tardy on bills. (If I was why would I called 3 hours later to pay my copay immediately) But treating every new or existing patient like they are out for free service gives the impression that it's money first before your health by a long-shot. Most practices I've been to are not like this The whole fiasco about not wanting to save my insurance so they bill me directly instead cemented my experience at this practice. The doctor may be nice but the billing system and practice is definitely flawed. It's almost like they operate more like a beauty spa/ clinic than an actual medical facility for people with skin conditions. The administrative staff seem unwilling to actually do their role besides pushing you to fill out the green agreement form (pictured below), give card information and your address to ensure they can bill you instead and then send you to collections. Everything but sending the claim to insurance it seems. Definitely won't be back and will follow up to ensure they do send my claims, and would not recommend this practice to any patient needing care without the administrative stress.

    I saw Dr Morss-Walton recently for Botox and an acne consultation. She was incredibly knowledgeable…read moreand thorough. She listened closely and I truly felt like she cared about my concerns. I've gone to my fair share of dermatologists and Med Spas and this was the best experience by far. The botox looks great, very natural and exactly what I asked for. I'll definitely be coming back and I know if I have any medical skin issues Dr Morss-Walton has me covered. The Union Square office is beautifully decorated and I found the front desk folks to be attentive and easy to work with. Can't wait for my next appointment!

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    Union Square Dermatology - Nicole Spooner, Dermatology FNP-C

    Nicole Spooner, Dermatology FNP-C

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    Union Square Dermatology - 450 Sutter St, Suite 830 for medical and cosmetic services

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    450 Sutter St, Suite 830 for medical and cosmetic services

    Dino Elyassnia, MD

    Dino Elyassnia, MD

    4.8(94 reviews)
    0.5 miUnion Square

    This is the best doctor and practice that I have ever worked with. I had a complete face makeover--…read morefacelift, neck lift, lip lift, fat transfer and laser resurfacing. From start to finish Dr Elyassnia explained everything, was kind and caring, and there for follow up appointments and text questions. I am very pleased with my appearance after three months. Not a day goes by that I don't get compliments on my new look. People have mistaken me for a much younger woman. It's so crazy! Love love love this team and the highly talented Dr Elyassnia! Make an appointment now and you will thank me!

    I'm 9 days post-op from my rhinoplasty, and I couldn't be happier! Dr. Elyassnia's expertise in…read moreclosed preservation rhinoplasty is truly amazing, and I'm already loving the results, even though I'm still swollen. I'm so happy I chose him as my surgeon. Dr. Elyassnia was thorough in answering all of my questions before surgery, which really helped ease my nerves. I was anxious about going under anesthesia, but the whole team at his office was so kind and professional, which put me at ease. Nancy at the front desk was wonderful throughout the process, even when I had to reschedule my surgery--she was so understanding and accommodating. I also met Nurse Helen at my pre-op appointment, and she was amazing! She answered all my questions and gave me her number to text if I had any concerns. On surgery day, Nurse Lisa was by my side, comforting me, I even asked her to hold my hand, she made me feel safe and well taken care of. I also want to mention the anesthesiologist, who was fantastic and made sure I felt in good hands every step of the way!. I feel incredibly lucky to have had Dr. Elyassnia and his team take care of me. If you're considering rhinoplasty, I highly recommend Dr. Elyassnia and his amazing team!

    Photos
    Dino Elyassnia, MD - Dr. Dino took years off my face but it still looks very natural to my friends and family.  I am 73 and no one believes it!

    Dr. Dino took years off my face but it still looks very natural to my friends and family. I am 73 and no one believes it!

    Dino Elyassnia, MD - After

    After

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    Issa Eshima, MD - cosmeticsurgeons - Updated July 2026

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