1. Howard Milstein, MD

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    La Jolla, CA

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    Howard Milstein, MD

    3.0 (21 reviews)

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    8 months ago

    Forgot to stop the burning on my chemical peel on one side, leaving second degree burns on a 8 square inch section of my chest.

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    3 years ago

    An outstanding and caring dermatologist. The office is always very friendly & efficient.

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    9 years ago

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    16 years ago

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    6 years ago

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    14 years ago

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    Review Highlights - Howard Milstein, MD

    “Milstein took the time to address my concerns and in between his other patients, he took care of my issues.”

    Mentioned in 15 reviews

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    La Jolla Dermatology & Laser Surgery Center - Meet our Aesthetic Nurse, Diana. She started at La Jolla Laser Derm as a Medical Assistant and continues to work closely with Dr. Shirazi

    La Jolla Dermatology & Laser Surgery Center

    3.7(55 reviews)
    0.1 mi•La Jolla

    I can't say enough great things about La Jolla Dermatology & Laser Surgery Center, especially Dr…read more Eleni and her team. Earlier this year, I finally decided to look into removing a mole on my cheek that I've had my entire life. While I was excited, I was also nervous it might end up looking worse. My experience with Dr. Eleni has been nothing short of amazing. She has been incredibly kind, supportive, and attentive throughout the process. I especially appreciate how thoughtful and conservative she's been with my treatment plan, making sure to avoid any indentation or unnecessary damage to the skin. She's taken the time to use different lasers to target specific concerns, like pigment versus redness, to achieve the best possible results, all without ever needing to cut into the skin. That level of care and precision really put me at ease. If you're considering mole removal but feel hesitant, I highly recommend seeing Dr. Eleni. You'll be in excellent hands. The office itself is beautiful, and the staff is just as warm and welcoming.

    HORRIBLE EXPERIENCE -- RETURNING PATIENT. I WOULD NOT RECOMMEND THIS PRACTICE…read more I am a returning patient who previously completed the same melasma treatment with Dr. Shirazi. I came back because I trusted the practice based on my previous experience. Unfortunately, this time I spent months dealing with insurance problems, a prescription I never received, additional expenses, and repeated attempts to get the office to resolve the situation. I originally paid over $300 out of pocket because I was told I needed to pay as self-pay/out-of-network, even though the provider was in-network with my Cigna insurance. The office told me they would not submit the claim, so I had to submit it myself. My Cigna EOB confirmed the provider's in-network status and applicable in-network processing. I then spent months trying to resolve the billing/payment issue, including communications between Cigna and the office. Separately, I paid $175 for the online evaluation and another $175 for RenewRX, the prescription component of my melasma treatment. I NEVER RECEIVED THE RENEWRX. The first shipment was returned before reaching me. A second shipment was marked delivered, but I never received it. I have a locked mailbox, checked my mailbox and around my apartment, and was also out of town from the 6th through the 17th. The office initially directed me to USPS and suggested I could reorder through HealthLens with additional shipping. The prescription was not optional for my treatment. Without RenewRX, I could not start the melasma regimen as intended. I had also spent additional money on non-prescription skincare products from the practice's affiliated website, including DermaBright. Because I never received the prescription component, I could not proceed with the treatment as planned, making that additional spending effectively wasted for the purpose I purchased the products for. The DermaBright product also arrived leaking. Eventually, the office offered a replacement RenewRX. I was required to purchase the shipping label myself, which I did and sent to them on September 15 as instructed. After I complied, I was told I needed another medical evaluation and another applicable evaluation fee before they would dispense the replacement. I explained that I had never received the original prescription and was willing to provide updated photos or other information needed to determine whether it remained appropriate, but I did not believe I should have to pay another evaluation fee for a prescription I had already paid for and never received. After months of back-and-forth, the office ultimately told me that the appropriate resolution was for me to pursue a USPS claim because the package was marked delivered. This was not simply a lost package. I paid for the evaluation, paid for the prescription, spent additional money on accompanying skincare products, could not start the treatment, paid for a replacement shipping label, and then spent months trying to resolve the situation. What makes this especially disappointing is that I was a returning patient who trusted this practice. Instead, I experienced months of insurance issues, shipping problems, additional expenses, and being redirected between the office, HealthLens, USPS, and Cigna. I am sharing this experience so patients can make an informed decision before spending their money with this practice. Keep every receipt, EOB, email, shipping record, and written communication.

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    La Jolla Dermatology & Laser Surgery Center - Meet Eleni Litras, PA-C, with over 10 years of Dermatological experience.

    Meet Eleni Litras, PA-C, with over 10 years of Dermatological experience.

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    La Jolla Dermatology & Laser Surgery Center - Meet Selena, our lead Licensed Aesthetician and Medical Assistant at La Jolla Laser Derm.

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    Meet Selena, our lead Licensed Aesthetician and Medical Assistant at La Jolla Laser Derm.

    Cosmetic Laser Dermatology - Our amazing team of experts.

    Cosmetic Laser Dermatology

    4.3(708 reviews)
    4.3 mi
    •$$$

    Dr. Goldman, fellows and office staff have been extremely kind and gentle with my laser tattoo…read moreremoval process. I was going to wait to write this review, however I am very pleased with my first two visits and will continue to update this review as the story unfolds. This office uses state of the art lasers to remove the incapsulated tattoo. Having several tattoos I will be visiting quite a few times spaced out which gives time to heal at each stage. Highly recommend this office for your skincare and tattoo removal needs.

    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.

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    Laser Skin Resurfacing Results Post 5-Months

    Howard Milstein, MD - dermatology - Updated October 2026

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