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I chose Premier Plastic Surgery and Dr. Juan Brau for a breast implant exchange in June 2026. I want to be fair and acknowledge that I am pleased with my surgical results, and I believe Dr. Brau is a skilled surgeon. However, the overall patient experience fell far below my expectations.
My concerns were:
* **Consultation process:** The office requires a non-refundable $100 consultation fee. Since I already had implants, I was told there was no way to accurately "try on" sizes and no 3D imaging was available. I was told the "sky was the limit" for size and that implant size would not affect the price.
* **Implant size communication:** My existing implants were 400cc, and I requested 800cc. Dr. Brau said 800cc would work but explained he would not know the exact size until surgery. I left with the understanding it would likely be close to 800cc. After surgery, while in recovery, I was told my implants were actually 695cc -- a significant difference from what we had discussed.
* **Unexpected pricing changes:** I was initially quoted around $7,000, then the quote increased to around $9,000 when discussing 800cc implants. I was told the increase was due to additional surgical time, despite previously being told implant size would not change the cost.
* **Payment issues:** We were told the procedure could be covered through CareCredit. Immediately after surgery, while I was still in recovery, we learned the anesthesiologist did not accept CareCredit, leaving us unexpectedly responsible for an additional $700 charge on a credit card.
* **Administrative issues:** The office lost my signed consent paperwork, and I had to scan and resend my own copy because they could not locate it.
* **Day of surgery:** I was instructed to arrive at 6:00 a.m. for a 7:00 a.m. surgery, only to find out at check-in that my surgery had been moved to 9:00 a.m. I waited for hours after being prepped. Staff also had difficulty locating Dr. Brau before surgery, and I had to point out that he had not marked me before they took me back.
* **Post-op allergic reaction:** I had what Dr. Brau described as the worst surgical glue reaction he had seen, with severe itching, hives, redness, and blistering. Although he removed some glue during follow-up visits, I later discovered there was still a significant amount remaining and had to remove it myself.
* **Privacy concerns:** My rash and medical information were discussed in the waiting room where other patients could overhear.
* **Unprofessional comments:** During my first post-op visit, comments were made by Dr. Brau and his assistant regarding my breasts and my husband's involvement with massages that I found inappropriate for a medical setting.
* **Cleanliness concern:** At my one-month follow-up, I found someone else's blood on the exam chair and on my leg after sitting down. The staff apologized, but this was extremely concerning.
I believe surgical skill is only one part of patient care. While I am happy with the cosmetic result, the communication issues, unexpected costs, lack of privacy, administrative problems, and concerns during my recovery made this an experience I would not choose to repeat.
