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    La Jolla Cosmetic Surgery Centre

    4.5 (495 reviews)
    Open 7:30 am - 6:00 pm

    By appointment only

    Updated a few days ago

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    Brow lift results (visible scar and uneven eyebrows)

    Dr. Johan Brahme performed surgery on me on April 6, 2022. The procedures included a facelift, brow lift, and mastopexy with subpectoral silicone augmentation. [[HIGHLIGHT]]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.[[ENDHIGHLIGHT]] 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) [[HIGHLIGHT]]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".[[ENDHIGHLIGHT]] 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). [[HIGHLIGHT]]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.[[ENDHIGHLIGHT]] 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.

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    Page 1 of 13

    Ask the Community - La Jolla Cosmetic Surgery Centre

    Do you do Turbinate reduction surgery inside of your rhinoplasty?

    Yes, Dr. Reidler frequently performs this procedure alongside rhinoplasty when appropriate. She is a highly skilled surgeon, and rhinoplasty is her specialty. One of our Patient Coordinators would be happy to provide you with more details.… 

    Do you guys do nose fillers?

    Hi Abril, yes we do! Our Board Certified surgeon, Dr. Riedler does this. She is an absolute perfectionist when it comes to delivering beautiful outcomes with the nose. She is available on Fridays in our Medspa. Our team is happy to schedule your… 

    How much for a macroneedling section cost?

    Hi Jane, thank you for your interest with us at La Jolla Cosmetic! Depending on the area, Microneedling ranges anywhere from $350 - $500 prior to our GLAmfam discount. We do offer adding on PRP for an additional cost to enhance your results and… 

    How much does Kybella cost per vial?

    Excellent question! Our pricing is $625 per vial, and we normally use 2-3 vials every session. For best outcomes, most patients require 2-3 sessions every 4-6 weeks. Patients who join the GLAMfam VIP Loyalty Club get exclusive pricing as low as $500… 

    Who performs the RF microneedling procedure? Is it recommended for darker skin tones (Fitzpatrick IV and higher)?

    Hi, our highly-rated Medspa providers perform the RF Morpheus microneedling procedure. It’s safe for all skin types including Fitzpatrick IV-VI. We offer convenient virtual consults if you’d like to learn more about your individual options. You can… 

    What is an average cost for breast Augmentation?

    Hello Rose, Breast augmentation is one of our #1 procedures, so you found the right place!… 

    What doctor do you recommend for rhinoplasty?

    What is the average cost for sa fat grafting/BBL? A ballpark estimate

    Hi Erica, I’m happy to help you as you consider fat grafting/BBL surgery! At La Jolla Cosmetic Surgery Centre, it is one of our most popular procedures. We’ve helped many… 

    Hello do you take care credit card?

    Hi, Thanks for contacting LJCSC! We do accept CareCredit and participate in many of their payment programs, including their promotional interest free plans. In addition to CareCredit, we work with an array of finance companies. This helps us… 

    Is there a consultation fee for breast augmentation?

    Hi Amanda, Thanks for contacting us! We offer complimentary consultations and our business hours are 7:30 am - 6:00 pm Monday through Friday. During a breast augmentation… 

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    Review Highlights - La Jolla Cosmetic Surgery Centre

    I also go frequently to their med spa, which is where I get fabulous facials from Cameron, Botox and a little filler.

    Mentioned in 56 reviews

    Read more highlights

    Cosmetic Laser Dermatology - Our amazing team of experts.

    Cosmetic Laser Dermatology

    4.3(700 reviews)
    0.9 mi
    $$$

    I love Dr. Fabi so much. I've been seeing her for 10 years, and I genuinely look better now than…read morewhen I started. That says everything. She listens to my concerns and I have complete confidence that when she recommends something to me, she has my best interest in mind and the results are always natural. I always look like myself -- just better. I've referred multiple friends to her and they've all had the same experience. Highly recommend without hesitation.

    I contacted Cosmetic Laser Dermatology because I was interested in a specific cosmetic filler…read moretreatment and wanted basic pricing before scheduling. The experience was disappointing and, in my opinion, not transparent. I asked multiple times for pricing on a clearly defined request: two syringes of cheek filler, including common options such as Voluma, Restylane Lyft, Restylane Contour, or RHA 4. Instead of a meaningful estimate, I was told the price could range from $400 to $3,000. That range is so broad that it is almost meaningless. The real concern is that the practice then expects patients to pay a $250 consultation fee just to find out what the service may actually cost. I fully understand that a physician needs to evaluate anatomy, goals, product choice, and treatment planning before giving a final recommendation. But for common self-pay cosmetic injectables, a medical practice should be able to provide baseline pricing, including consultation fees, per-syringe pricing, and realistic treatment ranges before asking someone to pay for a consult. The staff member I spoke with was polite, and this review is not about the doctors' clinical skill. The physicians may be excellent. My concern is with the business policy and the lack of upfront pricing transparency. As someone who has worked in healthcare for many years, I found this approach troubling. Patients should not have to pay $250 just to get basic pricing information for a commonly performed cosmetic service. It creates mistrust and makes the financial side of the practice feel opaque and unfair. I chose not to move forward because I did not feel comfortable with the pricing process. I would encourage the practice to publish clear pricing ranges, train staff to answer basic cost questions, and provide patients with useful cost information before requiring a paid consultation.

    Photos
    Cosmetic Laser Dermatology
    Cosmetic Laser Dermatology - Laser Skin Resurfacing, Thermi Tight, and Micro Lipo Results Post 6-Months

    Laser Skin Resurfacing, Thermi Tight, and Micro Lipo Results Post 6-Months

    Cosmetic Laser Dermatology - Laser Skin Resurfacing Results Post 5-Months

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    Laser Skin Resurfacing Results Post 5-Months

    Pacific Lipo - San Diego - Lipo to back bra, love handles, flanks, with small fat transfer/BBL for more youthful shape.

    Pacific Lipo - San Diego

    4.5(301 reviews)
    0.9 miUniversity City

    Dr. Bivens and the Pacific Lipo team are outstanding. From the moment Dr Bivens walked in the room…read morehis demeanor, professionalism and approach put me at ease. I knew this was the right place for my procedure. Stef is one of my absolute favorites. Her radiant personality, kindness and care translate to exceptional customer service. She always takes a moment to say hi when she sees me and recalls personal details. From start to finish, the team has always provided support with all my questions and have aided in my journey. They are the real deal here and truly care. Tania has provided information as well as amazing massage to help with post op care. I highly recommend Pacific Lipo.

    There truly aren't enough words to express how grateful I am to Pacific Lipo and Dr. Gocken. From…read moremy first phone call to my consultation. To my procedure and post-op appointments. Every single experience exceeded my expectations. I had a fat transfer procedure with Dr. Gocken and I honestly couldn't be happier with my results. He is skilled, attentive, and patient. He took the time to answer all of my questions and address any concerns. I felt heard, informed and confident every step of the way. The entire team was fantastic! The front desk girls always welcomed me with a smile, the nurses were incredibly compassionate and reassuring, and the anesthesiologist (shout-out to Chris!) made me feel completely at ease. They were genuinely invested in making my experience a positive one and their warmth made all the difference. Choosing to have surgery is such a personal and vulnerable experience, and I'm so thankful I trusted PacificLipo and Dr. G. I not only got beautiful results and confidence but also an experience I'll always be grateful for. Thank you for making what could have been a stressful experience feel so positive and life-changing.

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    Pacific Lipo - San Diego - Oct 17, 2024

    Oct 17, 2024

    Pacific Lipo - San Diego - Upper & lower abdomen with love handles lipo under local anesthesia (while patient fully awake).

    Upper & lower abdomen with love handles lipo under local anesthesia (while patient fully awake).

    Pacific Lipo - San Diego - Chin lipo with jplasma skin tightening

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    Chin lipo with jplasma skin tightening

    Robert Kearney, MD, FACS

    Robert Kearney, MD, FACS

    4.6(96 reviews)
    1.1 mi
    Free consultations
    Certified professionals

    Came to Dr Kearney from Lancaster, CA. Had consults with doctors in Vegas, Beverly Hills, LA and…read morehim. He was the only one that made me feel at ease and didn't try to upsell me. The procedure and the recovery were a breeze. I came to him for a neck lift and I will be back to him for my next procedure! It's been a few months and I am very happy with the results. He didn't make big incisions and remove a bunch of skin like all the other doctors wanted to do, and he was more affordable! Great guy, great surgeon!

    I went in for a consultation last week and left feeling very uncomfortable. From the start, before…read morethe consultation even began, I was asked to take photos for a simulation without being properly asked or informed, which I declined. During the consultation, I clearly explained what I was looking for. He mentioned under-the-armpit incisions, which interested me, but then quickly insisted that I would need a lift. I explained that I was extremely uncomfortable with a lift due to scarring, but my concerns were dismissed. He spoke very fast, was insistent, and both my support person and I felt lost and talked over. He told me my nipples were "turned down," which I disagreed with, and made unsolicited comments such as women not wanting to "look like a boy," that "guys don't care about scars," and that "you either have scars or you don't have bigger boobs." These comments felt inappropriate and made me feel pressured and insecure rather than supported. Overall, I felt that he did not listen to my goals or respect my boundaries. I booked this consultation specifically because of his advertised experience with endoscopic transaxillary cases and made my preferences very clear, yet I felt pushed toward a procedure I did not want. I would not trust this doctor and would recommend finding a surgeon who truly listens and has experience in the specific approach you're looking for. Additionally after the consultation, I called the office again to clarify whether it would be possible to proceed with an under-the-armpit approach without a lift, since I am comfortable with my breast shape and simply want more volume. He responded that I would "have the same breasts, just bigger," and that I would still have "the same problem." I explained that I do not see my breasts as a problem and that I like them as they are. He then told me that I should find a different doctor.

    Photos
    Robert Kearney, MD, FACS
    Robert Kearney, MD, FACS
    Robert Kearney, MD, FACS

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    The La Jolla Institute Of Plastic Surgery - Dr. James Pietraszek

    The La Jolla Institute Of Plastic Surgery

    4.7(37 reviews)
    0.9 miUniversity City

    I decided to get a consultation for breast augmentation after having 4 kids and about to turn 41…read more My mom actually had several services done over 20 years ago from Dr. Pietraszek and only had good things to say about her experience. I booked my consultation in mid-May of 2022 and was able to get my surgery done by the end of June. I appreciated that all the staff didn't pressure me to get big implants and that their ultimate goal is to look natural. I'm 5'3" and 145 lbs. I decided to get saline implants, through the areola and wanted no more than 380 cc. My left breast is actually bigger than my right so we went with a smaller implant on that side... now they're identical. Pre-op consisted of blood work and a mammogram. Dr. Pietraszek, the anethesist and all the staff were so friendly and helpful throughout the whole process. The follow up appointments post surgery were on day 3, 6 and 9 then I have another about a month in a half post surgery. Post surgery care emphasizes massages, taking it easy and the correct bra support. I highly recommend Dr. Pietraszek and will be back for other services.

    Avoid @ all costs. This DR needs to retire & this practice should be shut down. How much did you…read morepay Yelp to get the reviews of Sandy removed? This practice is unsafe and should be reported to the medical board. Sandy is unhinged and unstable. She should not have her RN license if that's even what she has. Do not get surgery or treatment here. The surgical assistants show up drunk from the night before.

    Photos
    The La Jolla Institute Of Plastic Surgery - Dr. James Pietraszek

    Dr. James Pietraszek

    The La Jolla Institute Of Plastic Surgery - Actual Patient

    Actual Patient

    The La Jolla Institute Of Plastic Surgery - I have never felt so comfortable and confident about my body. Thank you Dr. Pietraszek and staff!!

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    I have never felt so comfortable and confident about my body. Thank you Dr. Pietraszek and staff!!

    Alexus Surgery Center & Medspa - The aftermath of today's facial!

    Alexus Surgery Center & Medspa

    4.8(68 reviews)
    1.9 miSorrento Valley
    $$

    Dr. Alexander and his team are genuinely caring and somehow make every patient feel like they're…read morethe only one there. Care is truly customized to each person, with zero pressure to upsell anything--just thoughtful, honest recommendations. I'm especially grateful that Dr. Alexander prioritizes patients so highly that he even sees people on the weekend when needed. The results speak for themselves, and I couldn't be more thankful for this practice and the level of care they provide.

    I am going to write two reviews in one here:) FACIALS:…read moreSo when you get a procedure here they offer you a complimentary facial and IPL Treatment within one year. I made and appointment for a facial about 6 months after my eye surgery and was booked with Courtney and she was AMAZING!!!! After my first facial I have already had another one and booked my third one with her. She is so nice and knowledgeable she told me everything she was doing and anything she suggested (without a sales pitch) and made sure to answer all of my questions. I am a now going for facials once a month with Courtney and my skin is looking amazing if I do say so myself:) EYE SURGERY: I came to Dr. Alexander for under eye surgery I had 3 consultations and I ended up going with Dr. Alexander, he made me feel very comfortable and answered my million questions prior, during and post surgery and was just so nice and never made me feel like I was annoying him by all my questions, I have never had surgery before so I was a nervous nelly. I have never known any Dr to reply to messages himself directly and in a timely manner and did I mention I got my surgery near the holidays so I text him on Christmas Eve and he replied? I'm just beyond impressed. My under eyes look AMAZING my only regret is I didn't do it sooner, I feel so much younger and more confident and if I didn't write this review no one would ever know I had a surgery. I can't say enough good things about this practice from my very first email with Joel

    Photos
    Alexus Surgery Center & Medspa - Facial by Courtney:)

    Facial by Courtney:)

    Alexus Surgery Center & Medspa - Operating room 1

    Operating room 1

    Alexus Surgery Center & Medspa - Alexander Cosmetic Surgery

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    Alexander Cosmetic Surgery

    La Jolla Cosmetic Surgery Centre - cosmeticsurgeons - Updated August 2026

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