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    Dr. James Romano

    4.6 (101 reviews)
    Closed 9:00 am - 5:00 pm

    By appointment only

    Services - Dr. James Romano

    Cosmetic surgery

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    Ask the Community - Dr. James Romano

    Doctor, do you do knee lift (lax skin)?

    Hello Mary Ann, please feel free to give our office a call so that we may discuss options for your desired outcome. Our office number is (415) 981-3911.

    View All 2 Questions

    Review Highlights - Dr. James Romano

    After several years of contemplating a Breast Augmentation and many dissapointing consults, I heard about Dr.

    Mentioned in 20 reviews

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    David W Kim, MD

    David W Kim, MD

    4.7
    (229 reviews)
    1.7 mi
    $$$
    Boutique
    16 years in business

    Before meeting Dr. Kim, I was convinced that he wouldn't be able to help me. After three previous…read morerhinoplasties and dealing with my overly crooked nose and deviated septum, I expected him to tell me--like other plastic surgeons had over the years--to leave my flawed nose alone. To my surprise, after his assistant took pictures from all angles and he examined my nose, he said he could help me and that I was a good candidate! Two months ago, I underwent revision rhinoplasty with Dr. Kim, and I'm extremely happy with the results. He guided me every step of the way regarding what to expect from the surgery. Firstly, he informed me that my nose would be swollen and appear "big" for several months and that it might take up to 1-2 years to settle into its expected shape. He also mentioned that some asymmetry would remain, but that it would be significantly improved. Even while still swollen, I can see a huge improvement, and I've already received compliments from three friends about my new nose. I can breathe better now and have less sinus discharge. Most importantly, I no longer feel self-conscious about my nose. Each day, it seems to be getting a bit smaller, which is exciting. The renditions he provided of what my new nose would look like closely match how my nose appeared right after surgery before the swelling began. I would recommend Dr. Kim to anyone unhappy with their nose. I only wish I had found him sooner.

    Uneven nostrils, bridge of the nose smashed, nose crooked now, what was a naturally high bridge is…read morenow completely flat. Damage that can't be repaired. He was the first nose surgery and got two more to try to fix it. Botched on every level and sent me on my way.

    Photos
    Our world class team!
    Our world class team!
    David W Kim, MD
    David W Kim, MD

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    Karen M. Horton, MD

    Karen M. Horton, MD

    4.4
    (223 reviews)
    0.0 mi
    $$

    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.

    I am writing this review in the hope that others will truly think twice before choosing Karen…read moreHorton as their surgeon. I underwent a breast lift with implants. From the beginning after surgery, I noticed serious issues. One breast sits higher and is larger than the other, and I was told it would settle, but it never did. My nipples are now significantly larger due to over-stretching and are positioned so high that I cannot comfortably wear many normal tops or swimsuits. I also have permanent nerve damage. I have 0 sensation, and my scarring is uneven and extensive. When I brought my concerns to her, I was told by Karen I would need a revision, which was incredibly upsetting in itself. However, what was even more disheartening was the lack of care or follow-up afterward. The only communication I received from the office consisted of impersonal emails asking me to vote for Dr. Horton for "Best Of" awards or to leave a positive review, rather than any genuine concern for what I was going through. Before writing this, I sought out three separate consultations with other board-certified surgeons. All three confirmed the same thing: the work was poorly done, my breasts were completely botched, and I would require a full revision. I have since had my revision surgery with an amazing surgeon who did the absolute best he could to correct everything Karen had done to me. Unfortunately, much of the damage from my surgery with Karen is irreversible, and I'll forever have to live with a lot of the damage she did to me. Not to mention, Karen did not want to release my surgical records to my new surgeon so he could perform my revision. He had to personally contact her so we could finally get the paperwork. Once the paperwork was provided, we were surprised to see that Karen had self documented a diagnosis of body dysmorphia in my records, despite never having been diagnosed with that condition by a mental health professional. I actually love my body but wanted to make improvements to my breasts after having a child. Do not be swayed by awards, presentation, or the impression given during consultations and pre-operative appointments. I spent over $38k on this surgery with Karen to be absolutely botched. I don't believe she should be practicing at all after what she has done to my body and everything I have heard from many, many other surgeons after they saw my breasts and after my revision surgery as well. I would never want anyone else to go through what I have experienced. If anyone is considering this surgeon and has questions or wants to understand more about what went wrong, I am more than willing to share more of my experience. Hannahsorn@gmail.com

    Photos
    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!
    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.
    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!
    Usha Rajagopal, MD

    Usha Rajagopal, MD

    4.5
    (358 reviews)
    0.7 mi
    $$$

    Got microneedling with nurse Alexa this time and the results were great! Skin is smoother and skin…read moreis brighter!

    For context, I received 3cc facial Renuva injections in Beverly Hills two years ago but that…read moresurgeon didn't numb my face and those injections were more painful than actual surgery. Fast forward to this year, I read that Dr. Rajagopal was the number one Renuva provider in the country and her website stated that numbing cream was used. I was terrified of more pain but hopeful that this experience would be less painful. At this office, numbing cream was literally applied to my face for 30 minutes and then ice was applied afterwards. Although the injections were still painful, they were much more tolerable. Dr. Rajagopal has a gentle hand, a kind demeanor, and good aesthetic sense. I've seen four other different plastic surgeons but Dr. Rajagopal has given me the most faith in doctors. I wish that I had known about her earlier. I would definitely come here for Renuva injections or other treatments as needed. They are not inexpensive at 2500 for 3 cc. Dr. Rajagopal clearly cares about people and their comfort. This is very important as any surgery or injection is a stressful experience so bedside manners and genuine concern is priceless. The only odd thing was that I was presented the bill during numbing by a staff member. Payment is expected after treatment and I knew the cost beforehand so it was strange to get the bill during the middle of the procedure and then after the procedure again. I would have been happy to pay in advance if they are worried about people leaving without paying. In any case, the office staff was nice. There was easy and free private parking provided. I would not hesitate to recommend Dr. Rajagopal for her keen aesthetic eye and caring demeanor.

    Photos
    Please call us at 415-392-3333 to learn more about our financing options for breast augmentation.
    Please call us at 415-392-3333 to learn more about our financing options for breast augmentation.
    Dr. Usha Rajagopal, Breast Augmentation Consultation
    Dr. Usha Rajagopal, Breast Augmentation Consultation
    VECTRA 3D Imaging for breast augmentation

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    VECTRA 3D Imaging for breast augmentation
    Ginger Xu, MD - Ethos Plastic Surgery

    Ginger Xu, MD - Ethos Plastic Surgery

    5.0
    (50 reviews)
    0.0 mi

    Choosing to have breast augmentation was a big decision for me, and I'm truly grateful that I chose…read moreDr. Xu. From the very first consultation, she made me feel heard, respected, and completely at ease. I really appreciated how calm and confident she is. She never rushed me or pressured me, and she took the time to understand what would feel right for me, not just what looked good on paper. I had under-the-muscle Motiva implants (265cc), and the entire experience--from surgery to recovery--was handled with so much care and professionalism. The staff was kind, supportive, and always reassuring, which made a huge difference during recovery. Dr. Xu even called me the afternoon after surgery, and it truly meant a lot to hear that everything went well and that she was happy for me. I also received flowers from the team, which was such a thoughtful and touching gesture. The first couple of weeks were definitely uncomfortable, as expected, but the team was always there whenever I had questions. They consistently checked in on me to make sure everything was going well. Ladies, please take your time with recovery and follow all of their instructions--it really matters. Now, at Week 7, I can clearly feel the progress: the tightness has eased, my movement feels much more natural, and everything is settling beautifully. That stage really reassured me that my body was healing exactly as it should. After my post-op appointment with Dr. Xu last Thursday, I even went bra shopping--my new size is 32C, which honestly feels like a dream come true! I was so happy trying on different bras I'm thankful not only for the results but for how safe, supported, and cared for I felt throughout the entire journey. I'm already so happy with how everything looks now, and I can't wait to see the final results in six months. To any ladies who are considering breast augmentation: you deserve it. Take your time and choose a surgeon who truly listens to you and genuinely cares about your feelings. Lastly, I want to say a heartfelt thank you to Dr. Xu, Christina, and Laura for taking such wonderful care of me. Bella

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

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    Raj Dedhia MD Facial Plastic Surgery

    Raj Dedhia MD Facial Plastic Surgery

    5.0
    (14 reviews)
    0.8 mi
    Available by appointment
    Offers customized solutions

    Dr. Dedhia is a true professional. I came to his office with a huge list of questions about the…read morevarious types of rhinoplasty and chin augmentation. He patiently answered every single one of them, providing relatable yet thorough explanations that really helped me understand the tradeoffs of each potential route. What I appreciated the most: his very personable bedside manner and his no-pressure approach. He even said very genuinely that I didn't NEED any enhancements - it's more about what I WANTED, to feel best about myself. When you are considering cosmetic procedures in the face & neck area, it's imperative that you select a surgeon who is certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology in Head and Neck Surgery, as Dr. Dedhia is. Prior to meeting Dr. Dedhia, I had consulted with a general plastic surgeon, and she nearly guided me in the wrong direction. Additionally, make sure to select a plastic surgeon who takes the time to truly understand any medical issues you have so that they can help you evaluate the risks and benefits of what you are considering cosmetically. I have multiple health conditions, including one that is very rare - Dr. Dedhia fully took all of them into account, even doing research in advance of our appointments to make sure he deeply understood what we were dealing with. Then, he explained clearly how my healing and outcome could be affected, guiding me down the most sensible path. (By contrast, another very experienced head & neck plastic surgeon I'd seen earlier this year had recommended a procedure that was far too drastic under the circumstances). Overall, I felt fully confident in Dr. Dedhia's judgement. And I should also mention that the customer service was top-notch throughout my experience, thanks to his office manager Colleen. In sum, Dr. Dedhia is extremely knowledgeable, skilled, professional, and personable - for those reasons, I give him my highest recommendation.

    Dr. Dedhia is a doctor I can trust to give an honest opinion so you can be confident in whatever…read moretreatment you chose. I wish more doctors could be as straightforward and unbiased as him!

    Photos
    Dr. Raj Dedhia is a Double-Board Certified Facial Plastic Surgeon with over a decade of surgical experience in rhinoplasty and facelifts.
    Dr. Raj Dedhia is a Double-Board Certified Facial Plastic Surgeon with over a decade of surgical experience in rhinoplasty and facelifts.
    Welcome to Raj Dedhia MD Facial Plastic Surgery
    Welcome to Raj Dedhia MD Facial Plastic Surgery
    Raj Dedhia MD Facial Plastic Surgery

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    David C. Mabrie, MD

    David C. Mabrie, MD

    4.3
    (269 reviews)
    1.4 mi
    $$$

    This guy right here is a doctor and an artist. He knows his stuff. He also continues to train to…read morestay up to date in his precession. I have been getting fillers for the past 10 years. I found doctor Marbrie two years ago. When I tell you I am so satisfied shaved a decade and a half off. His staff Crystal,Ro and Viv make me feel like I have returned home. Don't stop run to see him you will be as satisfied as I am. I'm turning 67 this year and I swear no one would notice unless I told them. I already look good before fillers. My results are natural and properly placed. Don't waist your time and money go see this guy. Oh and the office is beautifully decorated. I love this guy and his staff. Thank you Mabrie facial institute for a job well done repeatedly.

    In response to the response from this clinic I offer the following . I have never received a…read morerefund. I requested one to help cover medical bills resulting from an ongoing medical disfigurement. Instead of issuing a refund like a standard clinic, I was told it would only be provided if I signed an NDA. I refused to sign, and as a result, no refund was ever given. This is exactly what I mean by trying to buy my silence. I very clearly have an NDA in my email box from them offering 3k, in exchange that I remain silent and release them from legal action. I never sued them. I've never done anything. I've literally be traumatized for the past three years. This is the first action I've taken to warn others. No one should have to go through what I went through.

    Photos
    February 2022
    February 2022
    David C. Mabrie, MD
    This is me and his office on June 29, 2021 getting my initial injection. This is what I look like before the injection.

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    This is me and his office on June 29, 2021 getting my initial injection. This is what I look like before the injection.

    Dr. James Romano - cosmeticsurgeons - Updated August 2026

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