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    John G Apostolides, MD

    4.6 (38 reviews)
    Closed 9:00 am - 5:00 pm

    By appointment only

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    Ask the Community - John G Apostolides, MD

    Review Highlights - John G Apostolides, MD

    Special shout-out to his staff too, Ashley and Vanessa, who make you feel like you are hanging out with friends anytime you go in to their office.

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    Iconic Plastic Surgery

    Iconic Plastic Surgery

    5.0
    (179 reviews)
    31.5 mi
    Luxury
    Offers payment plans

    Imagine you are considering placing your trust in a highly skilled plastic surgeon, prepared to…read moremake a significant emotional and financial investment, only to have that surgeon tell you that honestly, you don't need the procedure you came in for! And then, he recommends a better, more appropriate, solution that saves you a considerable amount of money. That was my experience with Dr. Gehaan D'Souza of Iconic Plastic Surgery, and it speaks volumes about the kind of person and physician he is. Dr. D'Souza is an exceptional surgeon with something that is unfortunately rare: true integrity. He is thoughtful, ethical, compassionate, and clearly guided by what is best for his patients; rather, than what benefits him financially. His honesty, and professionalism immediately set him apart. Most important, the results exceeded my expectations. His skill, precision, and attention to detail are remarkable. Throughout the entire process, the continued care and follow-up have been outstanding. The wellness checks are genuine, reassuring, informative, and thoughtful -- you are truly cared for, not just treated. With Dr. D'Souza, you can be confident knowing you are in the hands of a highly talented surgeon who understands the goal is to enhance your natural beauty, never to make you look "overdone." Dr. D'Souza's knowledgeable, kind, and welcoming staff add so much to the experience. From the moment you walk in, you feel comfortable, respected, and at ease. There is a warmth in the office that makes every visit feel personal. Although Dr. D'Souza's lovely wife, Sabrina is not an employee, she contributed to the energy of the office atmosphere. Meeting her gives insights into the warmth, kindness, and positive energy that surrounds him. Her creativity and playful touches throughout the office created a warm, and uplifting space. I highly recommend Dr. D'Souza. His exceptional talent, honesty, compassion, and dedication make him the kind of surgeon you hope to find when making such an important decision.

    I cannot say enough amazing things about Dr. Souza and his team. After having my breasts done in…read moreMexico and experiencing complications, I was nervous and unsure of what to do next. From the very first consultation, Dr. Souza made me feel comfortable, cared for, and confident that I was in the right hands. From start to finish, he exceeded every expectation I had. His professionalism, skill, attention to detail, and genuine care truly set him apart. The results are beautiful, and I'm so grateful I trusted him with such an important correction. On top of that, he also does incredible Botox and fillers--natural, refreshed, and always done with precision. If you are looking for a surgeon who is talented, honest, and truly cares about his patients, Dr. Souza is the one. Highly recommend!

    Photos
    Dr. D'Souza studied at Johns Hopkins University, the Cleveland Clinic, and UCSD Medical Center.
    Dr. D'Souza studied at Johns Hopkins University, the Cleveland Clinic, and UCSD Medical Center.
    Dr. D'Souza studied at Johns Hopkins University, UCSD Medical Center, and the Cleveland Clinic.
    Dr. D'Souza studied at Johns Hopkins University, UCSD Medical Center, and the Cleveland Clinic.
    Breast Augmentation

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    Breast Augmentation
    Jeffrey A Umansky, MD, FACS

    Jeffrey A Umansky, MD, FACS

    4.8
    (77 reviews)
    10.3 mi

    Jeff is amazing at his craft I saw his father for my first augmentation before he retired almost 20…read moreyears ago and have been seeing Jerry ever since I recommend him and all the girls at the med spa to my friends and clients. He has help numerous of my friends who have gone somewhere else and were not happy with their results, not only has he made me happy and more confident anyone that walks through that door. The staff is always friendly and welcoming

    I am writing this not only out of personal necessity but also as a warning to others. Years ago, I…read moreunderwent a breast reduction procedure performed by Dr. Jeffrey Umansky. When I expressed immediate and legitimate concerns about the grossly asymmetrical, misshapen outcome, I was dismissively met with the condescending remark: "Let's remember, they're sisters, not twins." This patronizing statement was clearly meant to deflect responsibility and silence a vulnerable, young patient who had just trusted him with her body. The result was not only physically disfiguring, but emotionally devastating. At the time, I lacked the personal and emotional support to pursue legal recourse. However, with time and reflection, it's become undeniably clear: I was negligently and carelessly operated on, and the trauma I endured has left lasting scars--both literally and psychologically. To be specific, Dr. Umansky's surgical execution resulted in: Sloppy and uneven internal tissue excision Poorly closed incisions, resulting in significant scarring and dog-ear deformities Asymmetrical areolas, with nipples more than an inch off from one another Long-term disfigurement that has made any corrective procedures extremely complex and costly Despite my desperation and embarrassment, I reached out to the office manager shortly after the surgery to request even a partial refund so I could afford reconstructive work elsewhere. My plea was coldly denied and ultimately ignored. The lack of professional accountability shown by both Dr. Umansky and his office was reprehensible. Since then, I have consulted with multiple board-certified plastic surgeons, all of whom confirmed the extensive damage done and emphasized the difficulty of now restoring what was once a healthy, intact chest. One even stated that the tissue had been "butchered"--their words, not mine. I have photographic documentation of both the immediate post-op results and my current condition, which I am prepared to share publicly and with appropriate legal channels if necessary. If the platform allowed, I would upload these images in full to give others the visual proof of what I have suffered due to Dr. Umansky's substandard care. Dr. Umansky, whether your staff chose to shield you from the fallout or not, you should know: your conduct was not only negligent but borders on medical malpractice. Your failure to take responsibility--medically or financially--for the irreversible damage you caused is inexcusable. I gave everything I had to pay for that surgery, and in return, I was left physically distorted and emotionally broken. This message is for the patients who have been silenced, dismissed, or gaslit into thinking they had no right to speak up. I speak now because I have found my voice--and others deserve to find theirs too. Your actions, Dr. Umansky, were not only unprofessional and unethical--they were, and remain, absolutely unforgivable.

    Photos
    Dana Armstead, Practice Manager
    Dana Armstead, Practice Manager
    Diana Gagliano, Patient Consultant/Intake
    Diana Gagliano, Patient Consultant/Intake
    Margie Tavarez, Executive Assistant

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    Margie Tavarez, Executive Assistant
    La Jolla Cosmetic Surgery Centre

    La Jolla Cosmetic Surgery Centre

    4.5
    (494 reviews)
    11.0 mi
    $$$
    Certified professionals
    Offers payment plans

    This review is so long overdue! I live in Los Angeles and wouldn't pick any other surgery center!…read moreIt's so worth the drive! The office is beautiful and clean. Most importantly, Dr. Smoot is amazing! I could not recommend him and his team enough! I feel a sense of connection to him because his brother (Dr. Wendell Smoot) did my very first breast augmentation 20 years ago at LJCSC so who else better to choose as your surgeon! I went to his office for a consultation regarding removing my 20 year old saline implants and replacing with silicone. I still wanted a very natural look but at the same time go a little bigger and be able to notice it. He took the time to listen to my concerns and my hopes for the outcome of my procedure. He recommends what's best for your body type so you have the best natural results as possible and I LOVE how absolutely honest he is. I trusted him 100% and he gave me the exact results that I wanted. From my initial consult, to my pre-op, to my surgery day, to my post-op's, everything just went so smoothly! In terms of pain and the procedure - I was nervous about the pain that would be involved with the recovery, but I truly felt little to no pain. I didn't have to take any intense pain medication. I was up and moving around (with caution) the day after surgery. The techniques that Dr. Smoot uses to prevent pain post op is so amazing and my scars are barely visible! The team and the office staff go above and beyond to make you feel comfortable throughout the whole process and you leave feeling like family. I just love the level of service they provide! I am now 2 months post op and I couldn't be happier! I'm so happy with my decision to switch out my implants, and even happier that I chose Dr. Smoot to be my surgeon before he retires.

    Dr. Johan Brahme performed surgery on me on April 6, 2022. The procedures included a facelift,…read morebrow lift, and mastopexy with subpectoral silicone augmentation. During the pre-operative meeting where Dr. Brahme was marking up the areas for my surgery, he said something like 'don't be nervous, I will see you in there' indicating to me that he was done, but he hadn't marked anything on my breasts yet so I asked if he was going to do the marking on my breasts during surgery. He then got the marker back from the nurse and proceeded to mark my breasts for surgery. The surgery was scheduled for 8 hours; per the surgical records from LJCSC, the surgery took 5.5 hours. The after-care nursing service I had hired (I came in from out-of-state for the surgery) had to be called in early to pick me up. I have been left with several unresolved complications: Visibly uneven eyebrows A visible scar at my hairline from the brow lift Pixie ear deformity on both sides (earlobes attached to the side of the face) Animation deformity of the breasts (implants distort visibly when pectoral muscles contract, a condition clearly visible through a sports bra and shirt at the gym or a bathing suit in the pool or at the beach) I raised the eyebrow asymmetry at three separate appointments in 2022 (April 20, May 17, and August 4). I was told it was swelling that would resolve over time. It did not. At the August 4 Zoom visit, I was told by Dr. Brahme that the eyebrow issue was "fine because you have bangs" and that the breast animation deformity was "just your pectoral muscle, nothing can be done about that." Neither comment is documented in the visit notes which simply say "Other than that she has a line in the lower part of the breast she's doing really well". I also paid for a full mastopexy (breast lift) which was recommended by Dr. Brahme. I was told to expect a vertical incision from areola to inframammary fold, joined by a lateral incision along the base of the breast. Post-op I had neither. When I asked, I was told the doctor had performed the lift through the areola alone, and this required no additional incisions. This explanation is not in the visit notes either. When I later consulted with two other plastic surgeons, both told me that what was actually performed was a nipple repositioning rather than a true lift of the underlying breast tissue -- a different and less expensive procedure (a price difference of about $3,000 later acknowledged in email by LJCSC). No one from the practice followed up with me after the August 4 Zoom visit. No check-in to see how I was doing, no call to schedule the one-year follow-up appointment that was part of service I purchased. I followed up with the practice in August 2023 and made a return visit in November 2023. At that visit, I saw a different physician from the practice, Dr. Smoot. Dr. Smoot told me that my eyebrows were no more uneven than before surgery, something directly contradicted by the practice's own notes from my first two post-op appointments, as well as the pre-op and post-op photos taken by LJCSC. This was also a change from the previous explanation that the unevenness was due to swelling. Dr. Smoot acknowledged that the full mastopexy procedure I paid for was not the procedure that was performed, but said that Dr. Brahme determined during the surgery that the full mastopexy was not needed (although this is not mentioned in the surgical notes). Dr. Smoot was unable to explain why this change to consented procedures was not disclosed to me post-operatively. He also told me my pixie ears were "not that obvious," but when I asked whether he would normally leave a patient's earlobes attached to the face, he said no, and offered to repair them. I declined further surgery here. I consulted with two other plastic surgeons about corrective work. LJCSC offered to give me money toward the corrective surgery, but I told them I did not think the amount they offered was fair given the actual cost of the surgery, the work time I would miss (I am self-employed), care costs (I live alone) and having to go through a whole second surgery and recovery. They told me they were unable to offer anything additional. After spiraling further into depression over the surgery result, I decided to accept the offer anyway and just eat the additional costs, but when I reached out they told me sorry but their offer had only been good for three weeks. They wouldn't even refund me the $3,000 they overcharged for the mastopexy that wasn't performed. Prospective patients: request copies of your visit notes after every appointment and compare them to what was actually discussed. If you feel an outcome isn't what it should be, consult immediately with another physician outside the practice. Make sure your doctor takes the time on the day of surgery to thoroughly discuss the procedures with you so that you have a full understanding and know your doctor is focused and prepared.

    Photos
    Johan Brahme, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars by RealPatientRatings
    Johan Brahme, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars by RealPatientRatings
    Hector Salazar, MD, FACS - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars -RealPatientRatings
    Hector Salazar, MD, FACS - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars -RealPatientRatings
    Luke Swistun, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Rated 4.9/5 stars by RealPatientRatings

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    Luke Swistun, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Rated 4.9/5 stars by RealPatientRatings
    Dr. Marc-Antoine Chabrier

    Dr. Marc-Antoine Chabrier

    5.0
    (20 reviews)
    18.5 mi

    It was a great experience at Clinica Clausel. Dr. Marc…read moreChabrier is an experienced physician that did my lipo. When coming from the U.S it's hard to pick a Doctor. What sold me was his meticulous way of explaining my procedure, also there was a procedure that we spoke about online, but when he say me in person, it was not necessary, this gave me even more trust in him since he was honest. The clinic was clean my anesthesiologist was great he made sure I did not have any pain. The reason why I ended chossing the clinic was because Dr. Marc Chabrier only performs one procedure a day and I got one night stay in the clinic with a 24 hr. nurse. I felt like a VIP during my stay here To me this made the difference. The receptionist was also great and helped my family get accommodations. When my family went to the hotel around the surrounding area, the staff had nothing but good things to say about further, cementing my trust and the clinics reputation, Thank you Dr. Marc Chabrier. Fue una gran experiencia en la Clínica Clausel. El Dr. Marc Chabrier es un médico experimentado que me realizó la liposucción. Cuando venies de Estados Unidos, es difícil elegir un doctor. Lo que me convenció fue su meticulosa forma de explicarme el procedimiento. Además, hablamos de un procedimiento en línea, pero cuando examino en persona, no fue necesario. Esto me dio aún más confianza en él, ya que fue honesto. La clínica estaba limpia y mi anestesiólogo fue excelente; se aseguró de que no sintiera ningún dolor. La razón por la que elegí la clínica fue porque el Dr. Marc Chabrier solo realiza un procedimiento al día y tuve una noche de hospitalización con una enfermera disponible las 24 horas. Me sentí como un VIP durante mi estancia. Para mí, esto marcó la diferencia. La recepcionista también fue excelente y ayudó a mi familia a conseguir alojamiento. Cuando mi familia fue al hotel de los alrededores, el personal solo tenía buenos comentarios, lo que consolidó mi confianza y la reputación de la clínica. Gracias, Dr. Marc Chabrie. Mon expérience à la Clinica Clausel a été formidable. Le Dr Marc Chabrier est un médecin expérimenté qui a réalisé ma liposuccion. Quand on vient des États-Unis, choisir un médecin est difficile. Ce qui m'a convaincue, c'est sa façon méticuleuse d'expliquer l'intervention. De plus, une procédure dont nous avions parlé en ligne s'est avérée inutile lors de notre rencontre, ce qui m'a mise en confiance, car il a fait preuve d'honnêteté. La clinique était impeccable et mon anesthésiste était excellent ; il s'est assuré que je ne ressente aucune douleur. J'ai finalement choisi cette clinique car le Dr Marc Chabrier n'y pratique qu'une seule intervention par jour et j'ai bénéficié d'une nuitée avec une infirmière présente 24 h/24. Je me suis sentie comme une VIP pendant mon séjour, et cela a fait toute la différence. La réceptionniste était également très aimable et a aidé ma famille à trouver un hébergement. Lorsque ma famille a séjourné à l'hôtel dans les environs, le personnel n'a eu que des éloges à faire, ce qui a renforcé ma confiance et la réputation de la clinique. Merci, Dr Marc Chabrier.

    The staff is family friendly and treat you like a VIP Love…read morethem My transformation was great

    Photos
    Before a tummy tuck , and breast lift with augmentation
    Before a tummy tuck , and breast lift with augmentation
    6 week post-op  from tummy Tuck &  muscle repair loving my new life
    6 week post-op from tummy Tuck & muscle repair loving my new life
    Breast augmentation results

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    Breast augmentation results
    Dr. José Luis Flores Valdivia

    Dr. José Luis Flores Valdivia

    5.0
    (40 reviews)
    17.7 mi

    I had a breast lift, augmentation, and arm lift with Dr. Flores on Jan 14, 2026. I had breast…read morecancer with left breast mastectomy in 2010 and as a result, had terrible overall breast symmetry. Contending with an overly large perky saline implant on my left breast, and a very saggy sad right breast, I had a rather low self-image. I also was saddled with huge flabby upper arms and lots of side boob. I hadn't worn a short sleeve shirt in years. I found Dr. Flores in Tijuana, Mexico and after visiting his web site, conducted due diligence to ensure he was board certified and had no instances of malpractice. I found he was boarded in Plastic and Reconstructive Surgery and in General Surgery. His ratings were five stars. I contacted the practice online, sent initial photos, and they responded back very quickly with recommendations for improvement and a professional brochure that included a lot of information about the Dr., the team, the hospital and the hotel along with a very reasonable quote. Soon after, I had my first web consult with Dr. Flores. I decided to move forward with the surgery, and upon my arrival in San Diego, the office arranged a ride for me from the airport to the Dr's office in Tijuana where I had my pre-op consultation and met the support team. Everyone was very kind to me and took a great deal of time to ensure I had all my questions answered and was comfortable with the proposed surgeries, implants, and subsequent care. Dr. Flores did the "mark-up" and spent a great deal of time helping me to choose the right implant size for my body. Since I was also having an extended arm lift, Dr. Flores also agreed to remove as much side boob and back fat as possible. We also discussed reasonable expectations. Interestingly, I also had an extensive visit/exam with an Internal Medicine physician to ensure I was healthy and could tolerate the anesthesia and surgery with little risk. My surgery was the following early morning, and I spent a night at the hospital. I woke up sometime in the very early morning, and a very sweet nurse brought me broth and Jello. I woke up again in the morning to find Dr. Flores checking in on me. He took lots of time to answer all my questions and he described everything he had done surgically, and he assured me that everything had gone very well. He was very happy with the results and warned me to be patient and to do very little physical activity until cleared. My first impression of my new body was scary. I told Dr. Flores I was very worried. He asked me to be patient and said that what I was seeing was normal, and that everything would be just fine. I stayed in Tijuana for about seven days and was delivered back to the airport and flew home. I had to stay in constant contact with Dr. Flores's office and send new photos every Friday. After one month post op, I began to see that I was going to look amazing. I had my final three-month post-op web visit with Dr. Flores last week and I am now in month four post op, and I am healing up very nicely. My arms are slim and I am very pleased with my new and improved breast symmetry. I now look wonderful in clothes, and my scarring surprisingly has been very minimal. I have had a really excellent experience with Dr. Flores and his wonderful staff. I initially was scared to have the surgery in Mexico, but in retrospect, I was treated so much better than I had been previously in the US. Everyone took the time to get to know me and everyone I encountered was patient and kind. The hotel was beautiful and the food was amazing. I would do it again in a heartbeat and have absolutely no regrets. I highly recommend Dr. Flores and his excellent team.

    I can't say enough good things about my experience with Dr. Flores Valdivia and his entire team in…read moreTijuana. Every single person on staff was truly incredible from start to finish--I felt safe, comfortable, and genuinely cared for the entire time. Dr. Flores uses high-quality implants, which made a huge difference compared to the ones I had done 12 years ago. The level of surgical skill is honestly impeccable. I didn't even realize how poorly my previous procedure had been done until I went through this experience--this was on a completely different level. What stood out most was how heard and listened to I felt throughout the process. Dr. Flores really delivered on the results I was hoping for. I've also had ongoing support from Dr. Yessenia, who has been consistently available to answer questions and guide me through healing, which made a huge difference in my recovery and peace of mind. This was my third plastic surgery procedure in Mexico, and I can confidently say I won't go anywhere else in the future. Highly, highly recommend.

    Photos
    Dr. José Luis Flores Valdivia
    Liposuction, BBL, Circular Tummy Tuck, Breast Lift w/ Implants
    Liposuction, BBL, Circular Tummy Tuck, Breast Lift w/ Implants
    Dr. José Luis Flores Valdivia

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    Paul E Chasan, MD, FACS - Ranch & Coast Plastic Surgery

    Paul E Chasan, MD, FACS - Ranch & Coast Plastic Surgery

    4.5
    (98 reviews)
    16.4 mi
    $$$

    Copied the text: Dr. Chasan was amazing! I was considering another surgeon, whom my insurance had…read morereferred. A friend of mine recommended Dr. Chasan, since my insurance could not do the surgery for another couple months. Once I stepped in Ranch and Coast, Dr. C explained his approach, I canceled with the other doctor, even though my insurance was going to pay for a large portion. Dr. C spent quite a while with me, answered all of my questions. I always feel like once you get in front of a Dr they make you rush, you end up, leaving with more questions and then answers. That was not the case at Ranch and Coast! I immediately felt a huge relief, and knew it was going to be a great outcome. Jennifer, from the surgery scheduling department really made me feel comfortable. And made the process extremely easy. I was dealing with two ruptured silicone implants from a previous surgeon, and was dealing with a lot of pain and infection. So getting me booked ASAP was a huge part of this as well. I was booked for surgery within 10 days of my consult, which was amazing! I was up and feeling great the next day, and they were already looking perfect! Dr Chasan minimized my previous scars, and did not require making it anymore. That was another reason I chose not to go to the other surgeon. It's been exactly 11 days since my surgery, I am so unbelievably happy! Not only am I feeling so much better from the removal of ruptured silicone, but they look so great. Love the cleavage and the way Doctor Chasan does breast surgery. I would highly recommend, and I already have. Two of my girlfriends are in the process of scheduling consults, after seeing how great mine look! I can confidently say he's one of the best surgeons in San Diego!

    I had a rhinoplasty with Dr. Chasan in January 2024 after researching surgeons for nearly a year. I…read morefound him on Reddit and was initially drawn to his specialization in the "Barbie-style" nose, which is surprisingly hard to find in the U.S. He also had overwhelmingly positive reviews, and I couldn't find any meaningful negative feedback, which gave me a lot of confidence. Since I'm not local, most communication was done by phone and email. His staff was initially very responsive and helpful, and my consultation, though brief, felt aligned. Based on that, I scheduled surgery the same day. Things started to feel off at my in-person pre-op appointment the day before surgery. I expected to meet Dr. Chasan for the first time, but instead was seen only by a nurse who seemed disengaged. The appointment consisted of photos and basic instructions. When I asked if I could meet the doctor, I was told he was unavailable. This made me uneasy, but with surgery the next day and already paid for, I felt I had no choice but to move forward. The morning of surgery, I was brought back and expected to proceed without seeing the surgeon. I had to specifically ask to meet with him before anything began. That conversation was brief but reassuring. We aligned on the aesthetic goals, which gave me some relief. The surgery itself went smoothly, and Dr. Chasan did call me the evening after surgery to check in. I am overall satisfied with my result. However, I do have a slight inverted V, which is concerning, as I worry it may worsen over time and potentially require correction in the future. I'm hopeful that being two years out it won't worsen, however I haven't been given the opportunity to speak with Dr. Chasan to ask about this. Unfortunately, the post-operative care is where my experience completely broke down. I had a scheduled post-op phone appointment with Dr. Chasan that he never attended- he never called. When I reached out to the office, I was not connected with him and was instead put on the phone with a nurse. I never actually spoke with the surgeon. I later followed up via email and was told that I was the one who failed to follow up, which was simply not true. After correcting this, the staff member apologized. Despite that, I have still never heard from Dr. Chasan again. For a procedure as significant as rhinoplasty, the lack of follow-up and accountability was extremely disappointing. While I am generally happy with my result, the absence of proper post-operative care and communication is something I cannot overlook.

    Photos
    Paul E Chasan, MD, FACS - Ranch & Coast Plastic Surgery
    Paul E Chasan, MD, FACS - Ranch & Coast Plastic Surgery
    Paul E Chasan, MD, FACS - Ranch & Coast Plastic Surgery

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    Avalon Lipo & Aesthetics

    Avalon Lipo & Aesthetics

    4.9
    (51 reviews)
    4.0 mi

    I'm a bit over 3 months out from chin and jaw lipo at Avalon and couldn't be happier with the…read moreresults and my experience. I scheduled a consultation based on the transparent pricing on their website, and my conversation with Dr. Tergari put me fully at ease. The sedation was plenty for me to feel comfortable during the operation, and the team was engaging and professional throughout the process. Post-op guidance and follow-up was thorough, and I never felt like Dr. Tergari was trying to sell me on additional procedures. This was my first aesthetic procedure in San Diego, and I'd absolutely go back to Avalon for anything else I choose to do in the future!

    I went to Avalon lipo a year ago when I was 21, feeling very insecure about my thighs. I've always…read morehad muscular thighs from years of sports, and there wasn't much fat, but Dr. Tigari assured me it would be easy to do inner thigh liposuction. He was confident it would help, and I trusted his reputation and the glowing reviews. The cost was $5,000, and he encouraged me to use Care Credit, saying there would be no interest. I decided to go for it, believing it would improve my confidence. On the day of surgery, I was told I'd be unconscious and wouldn't feel a thing. That couldn't have been further from the truth. Although they gave me anesthesia, I was definitely awake. I felt out of it but aware enough to feel the pain during the surgery. When I told Dr. Tigari I could feel it, his response was, "I thought you were stronger than this." I was horrified, but there was no turning back. I spent the entire surgery squeezing the nurse's hand for comfort (bless her for being so kind). To make matters worse, I could hear Dr. Tigari and the nurses casually chatting during the procedure, asking me questions like who my favorite singer was and why I didn't attend their concert. I was conscious enough to have a conversation while they were performing liposuction. The whole experience was traumatizing, and I would never go through it again. The recovery was extremely painful, but even after healing, I noticed lumps, indents, and no real improvement in the size of my thighs. Six months post-op, I reached out to Dr. Tigari about my concerns, and his response was that results were "never guaranteed" and that my thighs "looked fine." They did offer some follow-up services to address the lumps, which helped slightly, but my scars are still visible despite two separate scar-removal treatments. To make matters worse, I discovered that the Care Credit plan wasn't interest-free as promised. My boyfriend realized the interest rate had skyrocketed, and I would have been paying off this procedure for the rest of my life if he hadn't stepped in and paid the remaining $4,000. Overall, this experience has scarred me for life physically, emotionally, and financially. If I'm paying $5,000 for a procedure, I expect results I'm happy with, not indents, lumps, and scars. I wish I had never gone through with this surgery and will never consider liposuction again.

    Photos
    Dr. Reza Tirgari    www.lipoandaesthetics.com/about-us/meet-dr-tirgari/
    Dr. Reza Tirgari www.lipoandaesthetics.com/about-us/meet-dr-tirgari/
    Www.lipoandaesthetics.com
    Www.lipoandaesthetics.com
    Avalon Lipo & Aesthetics

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    Shelter Island Medical Group

    Shelter Island Medical Group

    3.5
    (58 reviews)
    0.1 mi

    Probably the best general physician in San Diego. Dr. Andrew Saleh has incredible experience and…read morehas been able to accurately diagnose the issues I have had even before specialists were able to. Dr. Saleh is kind, welcoming to his patients, and is very proactive in helping deal with any health issues. I have been to many doctors before who have disregarded symptoms of a conditions I have had, but you Dr. Saleh is the opposite. It is clear he really cares about his patients and wants to help them as much as he can. His office is also very helpful and makes it easy to book appointments and deal with paperwork. Truly the best!

    I have been a patient of Ned Chambers (RIP) and now Andrew Saleh for over 30 years. My entire…read morefamily also sees Dr Saleh. Dr Saleh is an outstanding doctor. He diagnosed 2 things my wife had that docs at UCSD couldn't. Most recently I had a lower back/leg issue which I went to see him first for, as he has been a team doc for NFL teams. He took an in office X-ray, discovered the problem, prescribed appropriate medications, and I had immediate relief. He ordered an MRI, which gave a complete picture of what was wrong. After discussing the results via a video call, he has referred me to an orthopedic pain doc and feels it can be managed without surgery. I can't speak highly enough about Dr Saleh, and his staff is excellent. Always friendly and thorough. I highly recommend d Shelter Island Medical for your primary care.

    Photos
    The office door entrance
    The office door entrance
    Waiting area
    Waiting area
    Suite A is the best here.

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    Suite A is the best here.

    John G Apostolides, MD - cosmeticsurgeons - Updated July 2026

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