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    Septoplasty Bill
    Paola T.

    Fast recovery and pleased with results of my septoplasty. TMJ reduced, better sleep, and improved athletic performance. Overall good investment of my money but HAVE GOOD INSURANCE. Costs totaled ~80,000 without insurance. Since I was in network I got discounts and bills are up to ~ +6,000. Got a surprise bill (8 months AFTER) for 3,000 because they had to perform a procedure outside of what was initially estimated. Still don't understand how that amount slipped billing and it came soooo much later. Hate that the medical system IS NOT TRANSPARENT. Also would be SOO helpful if Dr. Weeks office can give us the phone numbers we will need to call to get estimates of procedures since everything is billed separately and you have to play phone tag with the ambulatory center, anesthesiologist, Dr.'s office, etc... ITS A PAIN, make it easy if we are paying so much!! Pre-Surgery: Front desk girl (the one that sits all the way to the right) was alwayssss in a bad mood. The only staff I liked there were Dr. Weeks & Dr. Janine. They were super nice and answered all my questions thoroughly. Surgery Day: Seemed like La Jolla Ambulatory Center was in a hurry. Wasn't able to speak to Dr. Weeks before surgery (was sedated before I could), and when I opened my eyes the nurses started giving me juice and getting my clothes on. was out of there in ~20min... overall it felt rushed. Surgery lasted ~1.5hrs Post Surgery: No pain!! didn't need pain killers prescribed. In 2-3 days they got the gauze out on the 1st visit and on the following visits the mucus and scabs. I felt there were too many post-op visits $$ but getting the mucus out helped a lot (no other way to do it .... can't stick your finger up that far). After 2nd visit felt the nurse was a bit careless/rough and I had a nose bleed at 4am that night that wouldn't stop. had to get my vein cauterized the next morning (hurt more than surgery). Would have been helpful to get instructions on what to do and have at hand (Afrin)! They only provided a number to call and the doctor on shift wasn't the kindest. He seemed frustrated with me even as I'm trying to deal with the blood, listen and take notes on what to buy at cvs.

    Dr. Brian weeks.....Awesome Doctor!!

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    2 months ago

    One of the best if not the best ENT in San Diego. Great reputation and staff. Easy office to get in and out of.

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    Very good doctor who love his job n care about his patient. From the time he came, I know I know he was gonna take good care of me

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    Page 1 of 2

    Ask the Community - Brian H Weeks, MD

    Review Highlights - Brian H Weeks, MD

    Weeks, his PA, and his office staff are all incredible, I really can't speak more highly of them.

    Mentioned in 13 reviews

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    Avalon Lipo & Aesthetics - Dr. Reza Tirgari

    Avalon Lipo & Aesthetics

    4.9(51 reviews)
    4.2 miBanker's Hill

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

    Dr. Reza Tirgari www.lipoandaesthetics.com/about-us/meet-dr-tirgari/

    Avalon Lipo & Aesthetics - Www.lipoandaesthetics.com

    Www.lipoandaesthetics.com

    Avalon Lipo & Aesthetics

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    Evolve Aesthetic Surgery - Dr. Jason Hess

    Evolve Aesthetic Surgery

    4.9(72 reviews)
    3.2 miHillcrest

    I got masseter botox by Dr Hess and it was the best experience I could have asked for…read more I've had bad experiences before at other med spas, but Dr Hess and his staff made me feel completely at ease. So I can say from experience, that the quality of the injector makes a huge difference. You definitely get what you pay for. Having a wide face has always been a complex of mine, and the masseter botox made my face slimmer, more proportional, and just snatched my face. I wanted results that are noticeable, but natural and that's exactly what I got. I highly recommend Dr Hess and his clinic, and I would never trust any one else with my face again.

    A year ago I got sub fascial breast implants with Dr. Hess. His bedside manner is not only…read morespectacular but I feel genuine empathy and care from him. He was very down to earth and knowledgeable, took his time answering my questions and made sure we were going with the right surgical choices. As soon as I had the consultation I knew he was the right surgeon for me. Since having my procedure I have been very pleased with the symmetry of my breasts and overall appearance. I'm able to do all of my upper body exercises and my new breasts suit my frame very well. He was able to go off my inspiration photos and created a very similar result. Dr. Hess is not only a surgeon but an artist of his craft- he pays close attention to detail and is a perfectionist. His standard of care is unparalleled. I couldn't have asked for a better final result and a year later everything is going smoothly. I did miss my last follow up with him but I hope this review serves as a statement of confidence and satisfaction from a happy patient. For future surgical procedures I would feel very safe in his hands.

    Photos
    Evolve Aesthetic Surgery - Nose fillers before and after.

    Nose fillers before and after.

    Evolve Aesthetic Surgery - All true

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    All true

    MedDerm Dermatology - Medical Dermatology San Diego, CA

    MedDerm Dermatology

    3.7(188 reviews)
    3.2 miHillcrest
    $$

    Dr Pelle is simply amazing!…read more Prior to my 1st appointment with her for a rash 7 years ago, Dr Pelle wanted me to send her my current labs prior to my appointment. (She is a brilliant facts and data driven individual and because of her inquisitive and insatiable goal to be the very best, I am alive today because she identified a totally unrelated to the rash issue.) Dr Pelle was recommended by two of my former dermatologists who could not solve the my rash problem and that says a lot! Love it when a referral comes from doctors that they respect and would use as their choice of dermatologist! If you need a dermatologist, I encourage you to start with the-best-of-the-best and contact Dr Michelle Pelle! J-Seraz

    I am sharing this to warn others about the lack of patient safety and professional standards at…read moremedDerm. After encounters with two different providers, I have cancelled all future visits for the sake of my health. ​ I was initially prescribed multiple regimens that only made my condition worse. When I was unable to see the doctor for two months, I saw a Nurse Practitioner who proceeded to prescribe medications I am explicitly allergic to. Even after I reiterated several times that I could not take them, she refused to provide alternatives. Ignoring a known allergy is dangerous and negligent. ​ At the end of my visit, I requested a standard 'After Visit' paper with written directions for my medical care. I was told 'that's not how they do things.' Refusing to provide a patient with written instructions for their health--especially while dealing with infections and medications--is completely unprofessional. ​ Furthermore, they do not validate parking. It is sad that nearby coffee shops and sushi restaurants offer validation, yet a medical facility receiving referrals refuses to cover the cost for its patients. ​I will not be returning. If you value clear communication, clinical accuracy, and basic patient safety, I strongly recommend going elsewhere.

    Photos
    MedDerm Dermatology - Dr. Michelle Pelle

    Dr. Michelle Pelle

    MedDerm Dermatology - Vein Therapy San Diego, CA

    Vein Therapy San Diego, CA

    MedDerm Dermatology - Dermatology San Diego, CA

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    Dermatology San Diego, CA

    Lisa Zaleski-Larsen, DO, FAAD - Dr. Lisa Zaleski-Larsen F.A.A.D

    Lisa Zaleski-Larsen, DO, FAAD

    3.4(24 reviews)
    3.3 miHillcrest

    and I just got a bill for a copay because she charged me for a 45-minute new patient appointment,…read morewhen she only spent five minutes with me. That is Medicare fraud, by the way, since they paid the first part of the bill.

    If you enjoy waiting months to get rushed through your appointment in under 2 minutes go see Dr…read moreLisa Zaleski-Larsen, she even talks at super speed! Oh and I know her time so much more valuable than mine, because then I'm waiting a half hour in her office just to be seen for under 2 minutes..only to find out that she's unable to help me with my concerns..and I had to choose "only one concern...." her nurse said. Her staff is actually very nice. One of them said, "I'm sorry I'm just the messager" It's pretty ridiculous that patients get treated this way. I walked out of her office mid appointment so upset...she basically doesn't care.. No one deserves to be treated this way and every single time I've come here I am extremely rushed, like no joke, 2 minutes. I got diagnosed with pah from CoolSculpting, and adverse reaction where the fat actually grows instead of dies. I suffered for almost a year until I got surgery. Before surgery Dr Lisa told me she had the same experience with pah on her back, they do CoolSculpting at their office too, but she said she wouldn't do it on anyone because of her experience! It's now been 4 months since I have have had surgery (amazing doc in Maui )and I was excited to tell her about my recovery and had a few questions with healing, but she has NO time to listen, care for, or educate her patients. You would think that someone that has gone through this would have an drop of empathy in their heart for someone that has suffered for almost a year with fat growing on there face even?! Like women to women...wtf? What's wrong with people? It's really unfortunate there are doctors out here that are "caring" for their patients.

    Photos
    Lisa Zaleski-Larsen, DO, FAAD
    Lisa Zaleski-Larsen, DO, FAAD
    Lisa Zaleski-Larsen, DO, FAAD

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    Esthetica - I am Bra less here :) Didn't even need a bra :) !

    Esthetica

    4.5(43 reviews)
    6.5 mi

    I went to a consultation for Facetite with Kim. She was very informative and candid about the…read moreprocedure. I felt I was ready to have it performed and I pushed it to have it done by the end of the year. Kim was very accommodating and even she managed to move other appointments for me. I changed my mind and ended not getting the procedure due to a personal issue. Kim was very understanding about the situation, which made me more confortable to make the decision in few months from now. This type of customer service is beyond my expectations and I'm forever grateful about how understanding and professional Kim and her team were about my situation. I highly recommend their services based on my experience. I look forward to have my beauty needs to be addressed in a future.

    I can't say enough good things about Dr Kouli and his amazing staff. I was so nervous but starting…read morefrom the phone call to the operation, everyone was so nice and reassuring. They answered every question I had. I had lipo done, face tite and body tite done and fat transferred to my face. I am still swollen but can tell it's going to look amazing. I am on my third day and I am really getting around and mobile. On the day of the procedure the staff made me feel so comfortable and warm. I woke up and it was all over. Dr Kouli is just the sweetest man. Look no further!!!

    Photos
    Esthetica - The nose done by the one and only Kouli in this world ,

    The nose done by the one and only Kouli in this world ,

    Esthetica - Wael Kouli, MD Dr. Kouli is a highly-trained, exemplary & compassionate surgeon. His family background of scientists, artists & professors

    Wael Kouli, MD Dr. Kouli is a highly-trained, exemplary & compassionate surgeon. His family background of scientists, artists & professors

    Esthetica

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    Gary Y Miya, MD - Miya & Torchinsky ENT - Photo from Californiaent.com

    Gary Y Miya, MD - Miya & Torchinsky ENT

    4.4(36 reviews)
    3.3 miHillcrest

    I went to Dr. Torchinsky when I heard ringing and buzzing sounds after having MRI's. He recognized…read morethat my tinnitus wasn't the garden-place variety, and that I was being under-treated for the injury that prompted the MRI's. I could tell that other providers thought more was going on, but Dr. Torchinsky actually did something about it and pointed me to other specialists who could help me. That speaks volumes of the type of person he is.

    Don't bother. After searching for a doctor my insurance…read morecovers, calling to make an appt, taking the afternoon (unpaid) off work, fighting traffic in Hillcrest, scrambling to find the suite number because it's not mentioned in the Google address searches - I finally get up in the office only to find out that there is no appointment. Not only is there no appt for today, but I'm not in the system at all. She was unapologetic and just told me that Dr. Miya is out with Covid anyway. If there is this sort of incompetence for a new patient, imagine what it's like for the established patients! Your office staff could use an evaluation, Dr. Miya. They're costing you business and making your office look really bad. If anyone in this office cares (which I highly doubt), the call and appointment were made on Wednesday May 3rd at 11:30 AM. More than a month wasted, waiting to see Dr. Miya.

    Photos
    Gary Y Miya, MD - Miya & Torchinsky ENT - The Dungeon...dundun

    The Dungeon...dundun

    Gary Y Miya, MD - Miya & Torchinsky ENT - Hot seat :/// want my hearing back!

    Hot seat :/// want my hearing back!

    Gary Y Miya, MD - Miya & Torchinsky ENT - Ear test

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    Ear test

    Brian H Weeks, MD - earnosethroat - Updated August 2026

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