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    Esthetica

    4.5 (42 reviews)
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    By appointment only

    Services - Esthetica

    Cosmetic surgery

    Nonsurgical body sculpting

    Esthetica Photos

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    Reviews With Photos

    Love them!
    Maricela G.

    This is me post op i had them different sizes one had 330 cc the other 460cc . I got over the muscle saline i love them they look so natural. The only complaint i have is that when i got the IV they hit a nerve so when i move my hand a certain way or press the area that got poked i get a shock on 3 of my fingers, its really annoying since i have to be careful (i never got an answer for that just a its fine) Other than that i love them. I suggest you have your consultantion in the del mar office i went to both and prefer del mar, they make you feel great! They support the choice you make and reassure you. Coronado made me second guess myself since the lady kept asking me if i was sure thats what i wanted and to let them know if i change my mind. I did have a 5 star and the reason why i changed it to 4 is because i went in on a monday to have some stitches pulled out since they were coming out and they said it was fixed.But i had to pull some more out on wednesday because i still saw some poking out. There was also a remark that was said, the doctor touched my stomach and said all you need is lipo and your good. I understand you wanna promoto but that is not the way to me its rude, i did laugh it off cuz i didnt know what to say. Also i was given the ok to put maderma on my scars, i decided to ask again to be 200% sure, they said not to put it on my opening where the stitch was poking out because it can make it worse. I wish i was told that earlier because ive been putting it on. Ill be taking care of the scar and hopefully this didn't affect it...ill update in a few months

    Sahar B.

    My sister got married 2 years ago(she's 100 pounds of tiny), and I remember thinking I'll never look the way she did in a wedding dress. I hated my thighs after years of trying to fix the issue myself. That was when I decided it's time to consider liposuction, so when I get married- I'll love how I look in my wedding dress. It's been 2 years since my surgery(can't believe it)- Dr Kouli & Kim I'm so sorry I took this long to leave a review!! I initially met with Kim- she's absolutely wonderful!!! I have never experienced customer service like theirs, every question was promptly answered, any changes requested were made without complaints, every concern was immediately reassured. Dr. Kouli sees every body differently- as if his work was custom made specifically for me. I did 12 areas of lipo and fat transfer to the boobies! COULDN'T BE HAPPIER!! Pursuing plastic surgery with doctor Kouli was the best decision I have EVER made. My weight has fluctuated since the surgery (due to thyroid issues) which changed things a little, but through that- Dr. Kouli created a foundation that changed the way my body looks when gaining or losing weight. My body isn't perfect and I don't think it will ever be, but with Dr. Koulis help, I now LOVE my body!!! Its a life changing experience that I would recommend to anyone who's considering it. It wasn't a painless experience, recovery was definitely tough. I was able to text Dr. Kouli at any time of the day and his responses were always prompt and helpful- which made me feel like I have a support system rooting for me and my recovery. Thank you for caring- you're all truly amazing!!! My wedding was last weekend, and I just received some of my teasers. As I looked at the photos I immediately thought of Dr. Kouli and my experience with them, thank you so much for helping me love my body. Thank you for making not only my wedding dress dream come true, but my every day dream of loving what I see when I look at myself. I love you all!!!

    Breast Augmentation 400cc, duel plane, silicone implants
    J.L. R.

    I have wanted a breast augmentation for years. I am a 40 year old, female with a natural 32 c cup, no children, that desired a more fuller breast. I went to 4 other physicians for consultations then found Dr. Kouli. He went above and beyond with me explaining what was realistic for my procedure and my desired look. He went over a technique I had never even heard of from my other consults to give me a fuller breast. The procedure itself went smoothly and my recovery was easier than I expected. The staff is kind and engaging. The facility is beautiful and clean. Most importantly I couldn't be HAPPIER with my end results. My breast are full and absolutely perfect. I wish I would've done this years ago and with Dr. Kouli. If I desire any other procedure in the future this is where I will go. In addition I will recommend all my friends and family to Esthetica with Dr. Wael Kouli.

    Before rhinoplasty.
    M M.

    Let's start off by saying this office is Front desk receptionist is so sweet. From the first appointment until my post op appointment, I've had nothing but a 5/5 star experience. The staff is so caring and loving. I felt so safe in their hands. Dr. Kouli performed rhinoplasty on me on Oct 25,2018. When I came in to get more information on the surgeries he performs, he was so confident that he could the problems I was feeling I had with my nose. His confidence made me feel like I was in the right hands. He was seeing what I meant when I was pointing out what features were bothering me. Dr. Kouli reassured me that he could take care of the tip of my nose, that's what was bothering me the most. He suggested I also just shave a little of the bone off to make it a little slimmer. I'm SOOOOOOOOO happy I listened and did that as well. It was included in the price, I was just being a chicken about it. After my surgery I was swollen for about 2 weeks, then I started seeing my new nose shape come through. Now it is Jan 28,2019 and my nose is what I was dreamed of! I had been coming in for post op appointments and everything is healing more and more beautifully every time. My nose is so perfect to me now. It looks like the nose I was supposed to have for my face shape. The surgery was so smooth. My recovery went amazing. No pain at all but you know just the usual discomfort because I couldn't breathe out of my nostrils for about 2 weeks. I recommend Dr. Kouli 100%. He has all my trust and if I ever need anything else in the future he will for sure always be my go to doctor. My brothers girlfriend had recommended him to me. She got a BBL. She looks amazing!!!! After my surgery I recommended my friend to him and she got her surgery done last week. The point is your in safe hands and you will be so happy with your results! Thank you Dr. Kouli for everything and thank you to the amazing staff as well!

    Before

    Dr.Kouli and his staff are incredible. First and foremost, the efficiency of their business amazed me. Since I live in the hillcrest area I called plastic surgeons around here, I could not get a consultation for months! I called Esthetica Coronado, and got a consultation appointment for the following week! During the consultation, Kim really stood out to me. I love her personality and how welcoming she is. All the nurses admin and anesthesiologist were also really friendly and professional. I went in for rhinoplasty. I've wanted this surgery since I was a teenager, so I really wanted to get it done ASAP with an amazing surgeon. Dr.Kouli knew exactly what I wanted. I was able to schedule the appointment about 2.5 weeks after my initial consultation. Dr.Kouli went above and beyond. He created the perfect in between feminine ski slope shape, while keeping my nose proportionate to my other features. I can smile without my nose tip drooping down. He fixed the bulbous tip as well as the shape and projection. The day of surgery went by swiftly and the healing was a speedy process. The price was extremely fair (8700) for the quality of service and hospitality. Very amazing service compared to the competition. Some people I know decide to go to turkey or Tijuana to save some money, but being a phone call or 10 minute drive from the clinic is priceless. I know dr.Kouli and his staff have my back. Would recommend to anyone who's looking for that perfect rhinoplasty! After picture taken ~1 month post op.

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    7 months ago

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    9 months ago

    Dr. Kouli and his staff, including Kim are excellent. Highly recommended! He has an amazing team and they make you feel welcome.

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    10 years ago

    Veronica is great, she is really helpful, Dr. Kouli is so lucky to have these great employees.

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    Page 1 of 2

    Ask the Community - Esthetica

    Review Highlights - Esthetica

    Kim was very understanding about the situation, which made me more confortable to make the decision in few months from now.

    Mentioned in 11 reviews

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    Pacific Lipo - San Diego

    Pacific Lipo - San Diego

    4.5
    (302 reviews)
    12.3 mi

    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.

    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.

    Photos
    Oct 17, 2024
    Oct 17, 2024
    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).
    Chin lipo with jplasma skin tightening

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    Chin lipo with jplasma skin tightening
    Carmel Valley Facial Plastic Surgery

    Carmel Valley Facial Plastic Surgery

    4.1
    (101 reviews)
    16.9 mi

    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.

    It has been over six months since my facelift, and I have not noticed any changes. I have called…read morethe doctor several times and informed the staff that I have not seen any improvements. The doctor advised me to wait a few more months, but I find this response unhelpful. I am extremely dissatisfied with the results. The procedure was a complete waste of money, and the price charged was six times higher than that of other doctors in the same field. I deeply regret going to this doctor and would not recommend anyone spend such a significant amount for results that fail to meet expectations. I will not recommend!

    Photos
    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
    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.
    Avalon Lipo & Aesthetics

    Avalon Lipo & Aesthetics

    4.9
    (51 reviews)
    2.4 mi

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

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    Cosmetic Laser Dermatology

    Cosmetic Laser Dermatology

    4.3
    (700 reviews)
    12.6 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
    Laser Skin Resurfacing, Thermi Tight, and Micro Lipo Results Post 6-Months
    Laser Skin Resurfacing, Thermi Tight, and Micro Lipo Results Post 6-Months
    Laser Skin Resurfacing Results Post 5-Months

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    Laser Skin Resurfacing Results Post 5-Months
    La Jolla Cosmetic Surgery Centre

    La Jolla Cosmetic Surgery Centre

    4.5
    (495 reviews)
    13.2 mi
    $$$
    37 years in business
    Free consultations

    Dr. Reyes and the entire team at La Jolla Cosmetic Surgery Centre were amazing. My liposuction and…read moregyno surgery exceeded my expectations, and the results gave me the confidence and motivation to completely change my lifestyle. I committed to healthy eating and regular exercise, and in less than six months I lost 35 pounds. I'm so grateful to Dr. Reyes for helping me take the first step toward becoming a healthier, happier version of myself. This was one of the best decisions I've ever made, and I highly recommend him.

    This is the best place for cosmetic procedures that I've been to in San Diego…read more I've been to a few places in San Marcos and Rancho Bernardo. None of them compared to here! I came for Botox due to migraines and TMJ dysfunction. I was seen by Kathy and she was 100% real and honest with me. She told me what I needed and what I didn't need, which I greatly appreciated her honesty. She told me the plan and the results we are aiming for. When I've been to other places are just like OK here's your injection this is the standard amount, See you in x amount of months for the same amount. That's not how this place is, Kathy told me that the goal is to keep my symptoms at bay and not go through up and downs, where I'm having symptoms and I get treatment, it goes away and it comes backs. I now have a clear goal and plan where she will assess how I'm going after each treatment and see how to adjust for the next. after just a few days I already see positive changes. On another note when coming here it is in the medical center so come 15 minutes before your appointment to give you time to park and find the place since it is an area with a lot of medical offices. Also, you do have to pay to park but they did validate my parking.

    Photos
    Johan Brahme, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars by RealPatientRatings
    Johan Brahme, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars by RealPatientRatings
    Hector Salazar, MD, FACS - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars -RealPatientRatings
    Hector Salazar, MD, FACS - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Highly rated 4.8/5 stars -RealPatientRatings
    Luke Swistun, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Rated 4.9/5 stars by RealPatientRatings

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    Luke Swistun, MD - Board Certified Plastic Surgeon at La Jolla Cosmetic Surgery Centre Rated 4.9/5 stars by RealPatientRatings
    San Diego Surgical Arts

    San Diego Surgical Arts

    4.8
    (108 reviews)
    17.2 mi

    Such a great experience. No one wants to lose a tooth but if it happens these folks are the best…read moreeveryone on the team is friendly, professional and a joy to be around. Thank you doc Q ! Thank you to your staff as well they are great.

    This is long overdue but I can't stop thinking about my terrible experience…read more I have major dental anxiety and have never been sedated before. In my consult where they went over the procedure, the meds, and the cost I was led to believe that this would be a positive experience. It was not. Upon arriving 15 minutes early like they asked, I had to wait an hour to be seen. When they finally brought me back into the area where they administer the anesthesia it felt like everyone was rushing. They kept talking about how many more appointments were left and clearly couldn't wait to be off. Not great for my anxiety to start. I mentioned to the consult specialist about my family history of addiction and she walked me through what i'd be given. Clearly I was shocked when the nurses say that they're injecting fentanyl and ketamine (2 drugs the consult never mentioned) and then Dr. Qaqish says "it might burn where the sun don't shine" to refer to the sensation the drugs create around the vulva. DISGUSTING. Procedure went fine but I had let everyone know I wanted to keep my wisdom teeth, shocker they threw them away. Fast forward 6 months later and I get another bill even though I was told that I had paid everything in full. This place is atrocious. avoid if you can. The one star is strictly for the cleanliness of the facility, i'll give them that.

    Photos
    Lobby
    Lobby
    Dr Q and RC the Spice King
    Dr Q and RC the Spice King
    Photo of blockage. The white part is infection.

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    Photo of blockage. The white part is infection.
    SKY Facial Plastic Surgery

    SKY Facial Plastic Surgery

    4.7
    (206 reviews)
    22.4 mi

    I went for a consultation with Dr. Yoo. I was looking for a highly qualified plastic surgeon and I…read morefound that in Dr. Yoo. My appointment from start to finish was professional, informative and kind. I will be seeing him again.

    I wish I had a positive post to write, and I have put this off to see if the Doctor would fix the…read moreissues he caused with my rhinoplasty. I came in for a rhinoplasty revision. Yes, I know they are difficult, but I was coming in to just smooth down the bridge, and I ended up with bumps and ridges after Dr Yoo revised my nose. After the nose splint came off I saw the issues but was told it was just swollen. After a year and swelling is gone this issue is 100 percent more visible!!! I went in hoping he would fix this but he suggested I get filler to smooth out the ridge he created and wanted to charge me $1,000 for that and I'd have to repeat it once a year. I was also charged $300 for the appointment because I wanted to ask about another possible procedure and instead of just talking during my one-year post op appointment I was charged $300 because I had a few questions in regard to a temporal lift during my post op appointment. DO not got to this Doctor!! He is very nice and likeable but brushes off your concerns and the office is very high pressure! It has been a horrible experience and they Nickle and dime you to death.

    Photos
    Lower face and neck lift - Right Oblique View
    Lower face and neck lift - Right Oblique View
    Lower face and neck lift - Right Lateral View
    Lower face and neck lift - Right Lateral View
    Lower face and neck lift - Left Oblique View

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    Lower face and neck lift - Left Oblique View

    Esthetica - medicalspa - Updated August 2026

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