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    Changes Plastic Surgery & Spa

    4.3 (74 reviews)
    Closed 9:00 am - 5:00 pm

    By appointment only

    Updated 2 months ago

    Services - Changes Plastic Surgery & Spa

    Anti-aging

    Medical skin care treatment

    Nonsurgical body sculpting

    4 More Services

    Nonsurgical hair loss treatment

    Pore cleansing

    Skin brightening

    Wrinkle treatment

    Changes Plastic Surgery & Spa Photos

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    AFTER Dr. Gilbert Lee!
    Amanda O.

    Dr. Gilbert Lee, Dr. Rossi, Dr. Artz and the most AMAZING Brenda van Loggem are all heaven sent I swear it!!! This astounding team of surgeons is the absolute top tier of excellence in all of San Diego! Dr. Lee gave me all my confidence back 100% in my complete transformation of a Mommy Makeover and was extremely professional, honest, and caring throughout the entire process start to finish. I can't thank that man enough for making this Mommy of 4 blessings feel and look like "me" again. Dr. Rossi was kind enough (on what I knew was his time off the clock there when he walked past my door in the office) to help my dear friend Brenda (she's the QUEEN of all things injected) fix a forever issue with my nose. "Thank you Dr. Rossi" and Dr. Artz is a total perfectionist when it comes to his craft... As he completely fixed my bottom lip after I suffered a major injury that tore it up and left me unrecognizable... Never wanting to take a photo again. "Thank you from the bottom of my heart Dr. Artz". These people and the entire staff is the most professional, polite, genuine, caring and TALENTED people in this business and I can't recommend or thank them all enough! Trust me, if you're looking for the best... Changes Plastic Surgery and Spa IS IT!

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    Changes Plastic Surgery & Spa Reviews in Other Languages

    Ask the Community - Changes Plastic Surgery & Spa

    Do you consult and offer the procedure Sculptra ? Cost approximately?

    Hello Susan! Yes, we do offer Sculptra here at Changes Plastic Surgery & Spa, our price is $740 per vial. Please feel free to call us at 858-720-1440 if you would like to be put on the schedule!

    Do you offer lymphatic massage?

    Hello, thanks for reaching out! We absolutely do provide lymphatic massage with Twila, she is a certified Lymph Drainage Therapist with multiple years of experience. Please feel free to give us a call to answer any further questions you have as well… Read more

    Do you offer liquid rhinoplasty?

    Juliana, we certainly do, it's quick and easy! you can opt for temporary or more permanent correction depending upon the product. Hyaluronic acid products that are designed to provide lift (Restylane Lyft, Juvederm Ultra+) are easily reversed with… Read more

    Does dr. Lee do only faces? If not what other kinds of plastic surgery does he do?

    Thank you for your question! Dr. Gilbert Lee is a triple board certified plastic surgery and performs both cosmetic and reconstructive procedures on the face, breasts and body. If you would like to visit our website gallery at… Read more

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    Review Highlights - Changes Plastic Surgery & Spa

    Lee and he did an outstanding job on my breasts, they are perfect!

    Mentioned in 33 reviews

    Read more highlights

    Carmel Valley Facial Plastic Surgery

    Carmel Valley Facial Plastic Surgery

    4.1(101 reviews)
    0.6 miCarmel Valley

    This place is top notch. The staff are so nice and always make me feel welcomed…read more Jordan is the best in the business w my skin. Her attention to detail, customer service and relationships with her clients are best in class. That is the reason my wife and I keep coming back. I highly recommend this place to anyone looking for help with their skin care treatment. Kyle

    I underwent a combination of a facelift, fat grafting, a lip lift, and upper/lower blepharoplasty…read morewith Dr. Karam in September 2023. Unfortunately, I am deeply unhappy with the results and the total lack of accountability regarding my concerns. My cheeks are noticeably uneven; one side remains significantly larger than the other. Now that over two years have passed since my procedure, I have developed deep irregularities (uneven and lumpy texture) across my cheeks and under my eyes. Instead of a smooth transition, the texture is uneven and looks unnatural. The lip lift left a very prominent and obvious scar underneath my nose. It is not the hidden or discreet result I was led to believe. Despite the facelift, I have an excessive amount of wrinkles around my neck, chin, and mouth area. As time goes on, the hollows and unevenness are becoming more pronounced rather than settling. The cost of these procedures was incredibly high. I feel that the premium prices patients pay are for his massive marketing and social media production, not for superior surgical skill. For the amount of money spent, one expects precision and personalized care, neither of which I received. When I met with Dr. Karam via Zoom four months post-op to express my dissatisfaction, he was dismissive. He refused to guarantee any revision work to correct these clear issues. It is now clear that this is a mass production practice where the focus is on bringing in new clients through polished social media photos rather than ensuring the long-term quality of the work. I deeply regret my decision. I am now forced to seek out another surgeon to perform an expensive revision to fix the damage. Please do your research beyond social media before choosing this clinic.

    Photos
    Carmel Valley Facial Plastic Surgery
    Carmel Valley Facial Plastic Surgery - Before and After's 3 month post op. Vertical Restore, Custom Fat Transfer, Lower Lid Skin Pinch

    Before and After's 3 month post op. Vertical Restore, Custom Fat Transfer, Lower Lid Skin Pinch

    Carmel Valley Facial Plastic Surgery - 16 Months Most Op. Vertical Restore, Custom Fat Transfer, Lower Lid Skin Pinch, Upper Blepharoplasty.

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    16 Months Most Op. Vertical Restore, Custom Fat Transfer, Lower Lid Skin Pinch, Upper Blepharoplasty.

    Jyoti Arya, MD

    Jyoti Arya, MD

    4.0(8 reviews)
    1.1 miCarmel Valley

    This review has been a long time coming; I've been meaning to write it since 2023. In Oct. 2023, I…read moreunderwent bilateral breast removal and reconstruction with Dr. Arya. One month later, I had an exchange surgery. Unfortunately, I then left Dr. Arya and traveled to Cedars Sinai in LA, where I experienced a botched and disfiguring procedure performed by another plastic surgeon. I underwent three surgeries there, resulting in one breast sagging almost to my belly button and the other near my collarbone. Thankfully, I returned to Dr. Arya, and she graciously agreed to fix the extensive mess I had gotten myself into. On Oct 17, 2025, I had my final reconstruction surgery, and the results are truly incredible! Dr. Arya exceeded my expectations; she is a remarkably talented artist and plastic surgeon. My breasts now look natural, symmetrical and lifted. I no longer look like a monster! I am very picky, and I've met with over 15 plastic surgeons during my cancer journey. Many turned me away due to the complexity of my case and offered poor results, said I had to go flat or offered procedures like the latissimus flap. In my household, we say Dr. Arya "under promises and over performs." She is not only an exceptional surgeon but also a wonderful human being, kind, caring, and compassionate. Scripps is truly fortunate to have her on their team! An added bonus: she advocated to save my areolas and nipples during my mastectomy, despite being told beforehand that it wouldn't be possible. I woke up to a gift, my nipples and areolas were spared! Her office is easy to get ahold of, often replying within minutes through MyChart. She even went above and beyond by helping me choose a surgeon and helping on the decision whether to undergo radiation. All of her nurses are equally wonderful and caring. I cannot recommend Dr. Arya enough; she is a gifted surgeon and a genuinely kind person. Thank you, Dr. Arya, for giving me my confidence back and making me feel normal again after cancer!

    Dr. Arya did an excellent surgery. She is very sensitive to women's needs in breast surgery.read more

    Photos
    Jyoti Arya, MD

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    Amir M. Karam, M.D - Surgical neck rejuvenation

    Amir M. Karam, M.D

    4.1(48 reviews)
    0.6 miCarmel Valley
    2007 years in business
    Certified professionals

    Let me first say that Dr. Karams technical skills are very good. However, when you are charging…read moreRolls Royce prices your patients deserve Rolls Royce service. I had very minimal interaction with Dr. Karam. In addition, the staff didn't bother to follow up and check on me for days after I left. Never would Dr. Karam bother to check on his patients himself at this stage of his career. At his two year ago pricing of $80k the experience would have been ok. But, at his inflated increased pricing of $200k (I ended up paying $186k) the practice has work to do. His team could take some training from Hannah in his office. She is not only outstanding at what she does she saved me from another nurse in the office hurting me unnecessarily when trying to take out my stitches. Hannah's skill set is not only a cut above but she is extremely nurturing . More care less cheerleading would have been more in line with what I expected from Dr. Karam's office. Hannah just seemed to make everything better. And, lastly being left in a hallway when nervous prior to a surgery just isn't acceptable. It wasn't my job to bring comfort to a nervous patient waiting for her surgery appointment. But, I felt the need to do something for her as I felt like she did the day before waiting alone for mine. There are great surgeons with incredible skills and great bed side manners for a fraction of the price. Do more research than I did.

    Honest review here. SCARS that will never go away, no matter how many lasers, corrective surgery,…read moremicro-needling and hair transplants (yes, that bad). I will be left with scars for life that could have been completely avoided. I am so incredibly unhappy with my results. Not only did I pay a fortune for the "Vertical Restore", lower and upper Bleph, lip lift and fat transfer, I was left with subpar results and the scars are horrendous. The scars left around my face are so incredibly noticeable that I have to get hair-transplanted to cover them. I cannot wear my hair up or back. The scars under my eyes, around my ears and hairline are incredibly noticeable. I have consulted with multiple surgeons in regards to my results, and all are shocked at not only what I paid, but the lack of results and permanent scarring. I have since had to undergo surgery to fix the GIGANTIC scar under my nose from the lip lift (super low), as well as the disproportion of my facelift (jowels left on the left of my face) and the skin that was left under my chin and neck. My neck lift was barely touched, yet the scars are horrendous. I had to have the bags corrected in my 2nd facelift by a SKILLED surgeon. My lower bleph left me with nothing but scars and bags. All of which I pointed out to Dr. Karam. I have asked for a refund to cover the cost of a facelift revision, lower bleph revision, neck lift revision, scar revision therapy as well as the hair transplants to cover the scarring around my face and hairline. I have reached out to Dr. Karam on several occasions, and my concerns were brushed off. I felt intimidated anytime I brought up my concerns, therefore my trust and faith in his ability to make this right has passed. I have since requested that I receive money back to take care of all of the areas that need fixing and I have received no response to my request.

    Photos
    Amir M. Karam, M.D - The neck is an important part of the facial rejuvenation process.

    The neck is an important part of the facial rejuvenation process.

    Amir M. Karam, M.D
    Amir M. Karam, M.D

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    Salvatore J. Pacella, MD

    Salvatore J. Pacella, MD

    5.0(18 reviews)
    1.0 miCarmel Valley

    Dr. Pacella is an artist and a doctor. He refined my son's nose perfectly while still keeping it…read morelooking like him just smaller and with less of a bump. In addition, he cleaned out everything that was clogging the inside of his nose and straightened his septum and did all kinds of medical repairs so he can breathe better. He has an excellent bedside manner and his staff is great.

    Dr. Pacella did an absolutely outstanding job with my breast reconstruction following my bilateral…read moremastectomy after breast cancer diagnosis. His goal for breast reconstruction is to make your breasts even more beautiful than they were before you had cancer, and in my case, the final result has surpassed anything that I even thought to hope for. I began my reconstruction journey with a different provider and was told that I would always live with some level of deformity after my mastectomy/reconstruction. I had come to accept it. When Dr. Pacella told me what he could do for me; I actually cried in his office. Dr. Pacella and his team showed the utmost compassion, professionalism, patience, and kindness. He took the time to answer my many questions, explained everything so well, and always treated me with respect. My results are gorgeous! Looking in the mirror used to make me feel self-conscious and sad. All I saw was what my cancer diagnoses had left behind. Now, when I look in the mirror, I feel so pretty. I feel like myself again.

    Del Mar MED - Dr. Jenna Borok - Dermatologist

    Del Mar MED

    3.8(43 reviews)
    1.0 miCarmel Valley

    From the moment you walk in, this office makes you feel genuinely welcomed. The front desk staff is…read morekind, organized, and immediately puts you at ease -- which honestly makes such a difference, especially at a dermatologist's office. Every provider here is incredibly understanding, thorough, and never makes you feel rushed. They truly take their time, listen to concerns, and explain everything clearly. You can tell they care about doing things right, not just quickly. Dr. Eaton is outstanding -- especially when it comes to Mohs and reconstructive surgery. His skill, precision, and bedside manner are next-level, and you feel completely confident you're in the best hands. Dr. Borok, Dr. Massry, and Dr. Eastlack are all phenomenal dermatologists as well -- knowledgeable, professional, and excellent at what they do. This office is often booked out, which honestly speaks to their great customer retention and the quality of care they provide -- so I definitely recommend calling ahead to schedule. Overall, this office sets the standard for patient care. Professional, compassionate, and highly skilled across the board. I wouldn't trust my skin to anyone else and highly recommend them to anyone looking for exceptional dermatologic care.

    If you do not want to be assisted, wait 6 months for an appointment and be over charged for no…read moreservice - I would highly recommend this office.

    Photos
    Del Mar MED - Dina Massry, M.D. - General and Surgical Dermatology, Cosmetic Dermatology, Board Certified

    Dina Massry, M.D. - General and Surgical Dermatology, Cosmetic Dermatology, Board Certified

    Del Mar MED - Jennifer Eastlack, M.D. - General and Surgical Dermatology, Cosmetic Dermatology, Board Certified

    Jennifer Eastlack, M.D. - General and Surgical Dermatology, Cosmetic Dermatology, Board Certified

    Del Mar MED - Jeffrey Eaton, M.D. - Mohs/Skin Cancer Surgery, Facial Plastic and Reconstructive Surgery, Head and Neck Surgery, Board Certified

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    Jeffrey Eaton, M.D. - Mohs/Skin Cancer Surgery, Facial Plastic and Reconstructive Surgery, Head and Neck Surgery, Board Certified

    Del Mar Cosmetic Medical Center - Our Office

    Del Mar Cosmetic Medical Center

    3.8(30 reviews)
    0.4 mi
    $$

    Victoria is the best, Botox, filler and all laser. I would not trust anyone else and have…read morerecommended her to my friends and family.

    This review has been a long time coming. Years ago, I found Dr. Sherman and thought I did my…read moreresearch to find a Board Certified surgeon. He was certified, but only after all the damage was done to my face, I found out he was NOT a Board Certified Plastic Surgeon; he was an ENT (ear, nose and throat) doctor! I was quite self conscious of my acne scars, so he recommended a TCA peel and stated they would get rid of over 50% of my deep scarring. I trusted his expertise and got the procedure. I was left awake with no anesthetic whatsoever, and he blew a fan on one side of my face, while applying the 30% acid on my face over 7 times. It was like someone poured gasoline on my face, lit a match and left me to burn alive. My eyes started automatically crying from the pain, as the tears flowed down my face. Dr. Sherman very coldly told me in a loud voice, "stop crying, we can't have your tears in the solution." I told him I was not crying, but my body was automatically tearing and I could not stop it, and that it was excruciatingly painful. The nurse said, "I told you, doctor, this is too painful. We need to put patients under for this." (I never forgot that.) I was wheeled out in a wheelchair by a nurse and went home, and within 2 days, I knew something was very wrong. I called their office, but Dr. Sherman said, "it's normal; it will look bad for a while, but you are fine." I had just gotten married and did this right after my honeymoon, and my husband at the time said after 5 days, "I have to get out of here, the smell is so bad, and I am worried your face isn't going to look normal again." I honestly didn't blame him, because the smell of dead skin on my face was unbearable to smell, and I looked even worse. I had dead, gangrene skin hanging from the left-hand side of my face, the side the fan blew on, but my forehead was 100% healed. I called Dr. Sherman's office again and insisted he see me, even though he said some areas take more time to heal than others. I literally looked like Freddy Krueger, and we had to drive to his office while I hid in the car. The second he saw me, he immediately raised his voice and started scolding me and said, "Aren't you taking the antibiotics you were given?!" I replied and said, "No one gave me any antibiotics." My husband then confirmed this to be true. He went into another room, and within 2 minutes came in and said, "Here, take this." He said the nurse was supposed to give me antibiotics. (Apparently, they forgot...at my expense in many ways!) Since that procedure years ago, I have spent well over $25,000 trying to fix the permanent, deep pigment damage to my face and acne scars (not one acne scar went away from this procedure). I have an area on the side of my chin that has very old-looking skin from the deep infection. I recently just spent $7,000 on a Total FX laser procedure, and it didn't help where the infection caused such deep damage. A $600 TCA peel has caused thousands to correct, and years of more self esteem issues. I went back to Dr. Sherman a few years later to show him the damage and he literally had the audacity to say, "I would never have recommended a TCA peel to correct acne scars. What do you want, your money back? I'm not giving you your money back." I was dumbfounded. I didn't want my $600 back! I wanted to show him what he had done to me. He acknowledged NOTHING. And now he said (and I have a witness) that he never even recommended the TCA peel to begin with! Then I started doing my research and found he was Board Certified, but he JUST started getting into doing cosmetic procedures and had no experience at all! This man is a cold-hearted monster. He only cares about making money, and he does not stand by his work or his patients results if someone makes a mistake...like failing to give me ANY antibiotics so I don't get an infection. Given social media today, I felt I owed it to the many people who might go to this person and warn them, he is not what he appears to be. Buyer beware! I will live with severe pigment damage, where my face looks like someone drew brown around it and nothing covers it up, for the rest of my life. No procedure in all these years can fix it. I would never recommend this man to anyone for any reason. I am not hiding behind an anonymous name so you know this is 100% legitimate. Thank you. Note to Dr. Sherman: I find it disgusting and appalling that you do not remember doing my TCA peel and my husbands liposuction! One of his nipples was inverted and your nurse never gave me antibiotics, and my husband sat in the room with me when you recommended the TCA peel, saying a few of them would reduce my scarring by 50%. You were only an ENT as well and had no plastic surgery board certification. I even went back to you years afterward and you were rude and could care less about the lifetime of damage I have suffered due to you and your staff's negligence. How on EARTH do you forget about patients you've damaged?

    Photos
    Del Mar Cosmetic Medical Center - Click this link and take a Google virtual tour of Del Mar Cosmetic Medical Center on your computer!    http://bit.ly/1fGdGv6

    Click this link and take a Google virtual tour of Del Mar Cosmetic Medical Center on your computer! http://bit.ly/1fGdGv6

    Del Mar Cosmetic Medical Center - Actual patient before and after - Complete Face Lift

    Actual patient before and after - Complete Face Lift

    Del Mar Cosmetic Medical Center - Maurice P. Sherman, M.D.

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    Maurice P. Sherman, M.D.

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

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

    4.6(97 reviews)
    2.7 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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    Changes Plastic Surgery & Spa - cosmeticsurgeons - Updated May 2026

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