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    Pacific Heights Plastic Surgery

    4.3 (131 reviews)
    Closed • 8:00 am - 4:30 pm

    By appointment only

    Updated over 3 months ago

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    Lizzy M.

    Back in the spring of 2019, I was in the market for a surgeon to perform my (long-awaited) rhinoplasty procedure. I found a surgeon in San Jose that I really clicked with and planned to go to. But when finances came up, I realized I would need help in order to afford the procedure. Thankfully my godfather came to the rescue and helped me out. Though when he came into the picture, he said that his dermatologist had recommended a surgeon who was in the same building as him - Dr. Kaplan. When the consultation came around, right off the bat I could tell that Dr. Kaplan was a great surgeon and a great guy, who had a very palpable passion for his craft. He was really nice and listened to what I said with enthusiasm. Though as the consult went on, I could tell that he was more concerned with the dorsal hump (my bump) and adding a supra-tip break rather than my main concern, which was the bulbous tip of my nose along with the fact that it veered to the right (see below). My bump was actually the least of my concerns. While I did want to minimize the size of it, I actually wanted to keep a slight bump. But I mainly wanted to focus on refining and minimizing the size of the tip of my nose and correcting the asymmetry in the tip and nostrils as much as I could.  Yet because I'm passive and never want to hurt anyone's feelings (since he was my godfather's recommendation), I ignored my own and decided to have Dr. Kaplan perform my surgery. When the post-op reveal finally came, you know all those videos of people getting their casts taken off and they start getting emotional because they're ecstatic about their results? That wasn't me. But for the next year or two, I tried not to focus too much on the look of my nose, thinking that time would make me love it as much as I always dreamed that I would. Telling myself that I was being overly critical of it because it was still so new. But this past year, I stopped gaslighting myself and admitted that I'm just not as happy with my nose as I should be. I've included labeled images of what my nose looked like before, during the healing, the crooked cast and then random pictures of my nose from a month post op until just last week. You'll also see that there are a few pictures that have red lines drawn on. I did that so you can clearly see that the bridge of my nose is uneven and creates this weird shape at the base of my nose where the bridge meets my nostrils. I've done the same with some pictures of the tip of my nose, where you can see it just has an odd shape. He also shaved the bump down a little more than I wanted. But that I can get over. And lastly, I still have an issue with my nostrils because as you can see below, one nostril kind of just goes straight across and the other curves up. And while I understand you can only do so much before damaging nerves or other anatomy in your nose, I feel like more could've been done seeing as they looked exactly the same pre-op. I'm sure many of you will look at the images below and think I'm being overdramatic and that my nose looks great, and I appreciate that. Though that could also be because I know my angles. But the point is that I paid nearly $10k to change my biggest insecurity into a feature that I would love instead. I hated my face because of my nose since I was 11 years old, so it was a dream of mine for over 10 years to get Rhinoplasty one day. So after paying that much money and dealing with years of self-hatred; yes, I expected to be absolutely ecstatic after having my nose done. Not just 'kinda happy' about it. Despite what you may think, I'm not writing this review to trash Dr. Kaplan or his practice. He really is a great guy and his staff is also amazing, and don't get me wrong, I do think he's a great surgeon. But maybe it's that my results were just a one off because I was a weird case or I'm just too particular for my own good. Or on the other hand, maybe Rhinoplasty just isn't his strongest suit. To make things a bit more transparent, if I were to rate my nose from 1 to 10 on a happiness scale (10 being my nose is absolutely perfect), I would say I'm a solid 5.5 maybe a 6. All the while I was hoping to be at least an 8. Don't get me wrong, my nose looks pretty snatched from either profile (which is why I mostly take pictures from my left) but that's the extent of my happiness with it. It's pretty rough when you don't like your nose from the front view. In the end, I'm not nearly as happy with my results as I always dreamed I would be. P.S. I feel bad that I'm giving 3 stars but honestly it's the most accurate rating given my situation. If I was just rating Dr. Kaplan and his staff, I would for sure give 5 stars. But between feeling like my concerns weren't completely heard and my results, I feel like 3 unfortunately sums up my experience.

    I finally went through with my extended tummy tuck and BBL w/ doctor Kaplan & I am so happy I did. I was originally going to go elsewhere but decided I wanted to stay local in the Bay Area and not have to travel after such a big surgery. Dr.Kaplan did an amazing job 2 years ago when I went to him for a breast lift with breast implants. I am so happy that he snatched my tummy and waist and filled in my hip dips - the results are phenomenal, I'm almost 2 weeks post op and he has such a soft touch that I had a very smooth recovery, I watched a lot of YouTube videos on this procedure and recovery that I was very scared about the post op aspect. Recovery is definitely a journey and you practice patience with your body, and yes I did go through emotions about why did I do this but let me tell you each day that goes by is another day you made it and your body is starting to heal it only gets better :) Very please that my drains are on a lanyard I love that ideas it makes it so much easier for me. Although I cannot wait to take my drains out I'm perfectly okay that he takes them out 2 weeks post op but may do it earlier if your draining less then a certain amount. Dr. Kaplan called me the same night after my surgery to check on me and answered any questions I had and that was a big plus for me because you want to make sure you have a doctor who not only is there to answer any questions after hours but doesn't just leave you to not know what to do in case of an emergency or concern. I am very happy with his office staff they are all so sweet from the consult to the big day and all the help in between and it was very straightforward in terms of the labs I needed and cOvid test. After surgery I was a little goodie bag of post op papers scar cream and my meds which is amazing I didn't have to go to a pharmacy before or after surgery they had them ready for me and 2 garments! The anesthesiologist was amazing and so sweet he called the night before which was a big relief the next day was very sweet and made my "cocktail" and I was off to sleep waking up with a small waist and I did not wake up sick or anything. If I do any more procedures I will definitely be back to see Dr.Kaplan! Literally helped me accomplish my body goal and is the sweetest caring doctor ever! So happy he shows his surgeries on social media because that can help a lot of people considering these surgery's and what he does :) If your considering a surgery look no more and please book a consult with RealDrbae

    Kelly M.

    Bye Bye mom Bod, Helllo new Booty! Thank you to Dr.Kaplin!! & Thank you to the lovely sweet ladies behind the scenes! I've had a couple cosmetic surgeries in the past. I had a good experience don't get me wrong. But this experience with Dr. Kaplan and his amazing team was hands-down a Great experience!!! I had ups & downs.. First- All appointments including consultation were easy peasy and most important I felt so comfortable! It was awesome, I took advantage of their promotion. I paid at consultation and got $1000 off!! So, heres "The Tea" I had one scary thing happen. (But thanks to Dr. Kaplan it wasn't as scary) I had to go to the hospital for possible blood clot. Ended up at the worst hospital ever.. They didn't complete the scan they needed to. But thanks to Dr. Kaplan ‍ he called the doctor directly that treated me and had her tec redo it immediately. I went back into the hospital room and got a complete and thorough scan. Thank God no blood clot & everything was fine. Mind you this is all on a Sunday LATE afternoon WELLLL IN TO night! Dr. Kaplan was by his phone EVERY second of the day. He gives you his personal number! So not only did I score an amazing new body but i scored an Amazing kind hearted/ Reliable Dr.!! Im now 8weeks post op & loving my results! HIGHLY RECOMMENDED &CANT SAY ENOUGH GOOD THINGS ABOUT DR.BAE & TEAM!! Check out my results!!

    dr kaplan really gave me that perfect hourglass shape!
    Blake R.

    I have been interested in getting a brazilian butt lift for a while and began doing in-depth research and consultations - I spoke to doctors both local and out of town. Bottom line, I am in my thirties now and there are just some things hours in the gym won't achieve. Dr. Kaplan was my 6th consultation and I felt immediately comfortable with my choice. He gave me the possible (but VERY rare) complications that could happen and none of the previous 5 doctors I spoke with even mentioned anything like that. He was clear on what to expect and gave me my quote in minutes. I LOVE my results - my waist is SNATCHED and my booty is fat! My post op appointment was smooth and I was floored by the before and afters. He was patient with all my questions, welcoming, and professional. I highly recommend him to any one looking for work done. Thank you, Dr. Kaplan!

    J D.

    I had a bbl with Dr. Kaplan in November, I am now 5 months out. So happy with my results. Dr. Kaplan and his staff are very professional. When you get a bbl you can loose up to 50%. I maintained 90% and it's because I went to Dr. Kaplan. I highly recommend him.

    Tummy tuck

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    Page 1 of 4

    Ask the Community - Pacific Heights Plastic Surgery

    Which lymphatic massage therapists do you refer your patients to for bbl post-op massages?

    What financing does this office offer?

    We offer 3rd party financing through CareCredit, Alphaeon Credit and Prosper Healthcare Lending. We can help patients apply over the phone if they call us at 415-923-3005

    Do you do Sculptra injection for Butt lifts?

    No we don't. It's extraordinarily expensive for the patient. Believe it or not, fat injections have a better, more natural, longer lasting result and are less expensive than Scuptra.

    View All 5 Questions

    Review Highlights - Pacific Heights Plastic Surgery

    “Emily, Jan, the anesthesiologist and Dr Kaplan were great and made me at ease before I went into surgery.”

    Mentioned in 10 reviews

    Read more highlights

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    Sieber Plastic Surgery - Dr. David Sieber

    Sieber Plastic Surgery

    4.8(189 reviews)
    1.3 mi•Union Square
    •$$$

    I had such a great experience with Sally PA, As an injector myself, I'm extremely picky about who I…read moretrust with my own injectables. I have access to treatments and discounts elsewhere, but I specifically chose to see Sally because I really liked her work and trusted her expertise. She is incredibly sweet, knowledgeable, and really takes her time. She listened carefully to what I wanted and was very detailed throughout the entire treatment. I really appreciate how natural and conservative her approach is, and you can tell she truly cares about the quality of her work. What impressed me just as much was her follow-up. She personally checked in with me afterward to see how I was healing and has been extremely responsive whenever I've had questions. Being an injector myself, I know how important that level of patient care is, and Sally truly goes above and beyond. I'm so glad I chose her and would absolutely recommend her!

    I've been going to Sally Sherrard and I really can't recommend her enough! She has an incredible…read moreartistic eye for balance and always keeps things looking natural. She's also a magician at making sure you feel completely comfortable and always checks in after. I trust her 100% as it's clear she takes a lot of pride in her work and genuinely cares about how you feel afterward. Also, bonus points that the office is beautiful and everyone is so professional and welcoming.

    Photos
    Sieber Plastic Surgery - Liposuction 360 with Abdominoplasty (Tummy Tuck)

    Liposuction 360 with Abdominoplasty (Tummy Tuck)

    Sieber Plastic Surgery - Breast Augmentation

    Breast Augmentation

    Sieber Plastic Surgery - Liposuction for PAH (Paradoxical adipose hyperplasia)

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    Liposuction for PAH (Paradoxical adipose hyperplasia)

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

    Karen M. Horton, MD

    4.4(225 reviews)
    0.0 mi•Pacific 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.

    After searching for the right physician for the procedure I needed, I scheduled a consultation with…read moreDr Horton. From the moment I met her, I knew I was in the right place. She and her staff are so welcoming and caring. It's rare to find this level of personal attention these days.I am very happy with my results and highly recommend Dr Horton.

    Photos
    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!

    Karen M. Horton, MD - Featured in Vogue Magazine in 2025, Dr. Karen Horton shares her story about becoming a Plastic Surgeon.

    Featured in Vogue Magazine in 2025, Dr. Karen Horton shares her story about becoming a Plastic Surgeon.

    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!

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

    Ginger Xu, MD - Ethos Plastic Surgery

    5.0(49 reviews)
    0.0 mi•Pacific Heights

    From consultation to augmentation, I have felt nothing but care and quality from the moment I…read morewalked into their beautiful office , greeted by the staff that made me feel very comfortable and trusting the very talented Dr. Xu with this life change. I couldn't be happier with my results and would recommend this experience to anyone who is ready for their next chapter. I'm entering mine with confidence and beautiful new boobs!

    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.

    Photos
    Ginger Xu, MD - Ethos Plastic Surgery - Dr. Ginger Xu

    Dr. Ginger Xu

    Ginger Xu, MD - Ethos Plastic Surgery
    Ginger Xu, MD - Ethos Plastic Surgery

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    Kenneth Bermudez, MD - Kenneth Bermudez, M.D.
 Board Certified Plastic Surgeon, San Francisco.

    Kenneth Bermudez, MD

    4.7(112 reviews)
    1.2 mi•Laurel Heights
    •$$$$
    Certified professionals
    Established in 2001

    Where to even begin? I LOVE Dr B and his office crew. Dr Bermudez is not only exceptionally skilled…read moreat his craft, his practice is run with an exceptional level of integrity andd transparency. He leans just a bit more conservative and natural in his aesthetic sensibilities vs that average already very conservative and natural approach in the Bay Area and he has a sculptors eye, in addition to being an excellent plastic surgeon he is also an artist and created all of the sculptures adorning his office! I met Dr B when my infant son needed earwells and the wait at UCSF was too long to get in within the recommended treatment window - little did I know what a stroke of luck this was for my family. I'd done my research ahead of time and watched countless videos of earwell treatment (a non surgical ear reshaping procedure for newborns) where a doctor just pops the mold on real quick so that was my expectation. Not Dr B, he took time consulting with me and assessing my son's ears and their symmetry, I think he sensed that I was a little nervous and he told me that he had done his own daughter's earwells which I found very comforting. Then I watched as he very carefully and precisely used the earwell components to sculpt and shape my son's ears into a perfect shape being careful that both sides would come out the same. The level of care and attention that Dr B gave to the procedure was like nothing I'd seen in all my research. Quality was top notch for sure but then his office worked their magic on the billing and I was able to get my son this treatment at no out of pocket cost which was an extremely pleasant surprise. I decided to see Dr Bermudez for injectables when I started noticing some issues that needed a careful eye and Dr B came through for me again. It wasn't my first time getting Botox but I'd never gotten this level of care or patient education. Dr B first talked with me about options for the issue I wanted to address including risks/benefits/long v short term cost - he followed my lead but offered his opinion when asked. Then he took a look at my face and walked me through his thinking as well as a cliffs notes in facial musculature and anatomy. I have never felt so comfortable. The injections were super easy too thanks to his super powerful numbing cream and the results are truly extraordinary. You pay more per unit with Dr B but it is so worth it. Most of my friends get Botox and even so they were shocked to learn that my refreshed look was thanks to the tox too. It just looks like my face reverse aged with none of the telltale frozen cheer mom look, IYKYK. I will never let anyone else touch my face with injectables again. Finally, when I first went to see Dr B I read his reviews and saw folks mentioning bringing their family members to Dr Bermudez and I admit I thought that was weird but then I brought a family member in because when you trust someone like I trust Dr B you just don't want your family going anywhere else. Anyways Dr Bermudez won over my family member with his bedside manner and talked them out of a cosmetic procedure they were considering (this guy is the real deal with the integrity). They ended up deciding to see him for injectables and got some great aesthetic and medical advice in their consult and walked away feeling confident in their next steps. Dr Bermudez and his team are the best.

    I had CO2 laser of face, neck and chest over a year ago and still dealing with redness around eyes…read moreand chest area that wasn't blended to have less of a demarcation to skin that wasn't lasered . The eye redness he noted was from something I did (false, I followed his post-op regimen) and he had no remedy for it . I sought outside opinions and most noted it was a bit excessive and to wait and if the eye redness didn't fade to then try to laser it with a laser specifically for red or get an injection 5fu to help the deep red scarring. The chest after a year still doesn't match and was told if I'm lucky the pigment may come back . He also took an additional Hour of OR time which cost me another $1000 at Hayes valley surgery center in SF. I've been told by several laser experts it should have taken less Then 1 hour if equipment and skill were correct. So as a retired OR nurse I've never spoke poorly of a surgeon but as they say there's a first for everything ! I'm hoping this saves others from the anguish and cost of a poorly done procedure ! Do your homework - I should have done more !

    Photos
    Kenneth Bermudez, MD - Top Doctor for 2020!

    Top Doctor for 2020!

    Kenneth Bermudez, MD - Dr. Bermudez

    Dr. Bermudez

    Kenneth Bermudez, MD - Under the chin liposuction aka submental lipectomy.

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    Under the chin liposuction aka submental lipectomy.

    Pacific Heights Plastic Surgery - cosmeticsurgeons - Updated September 2026

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