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!

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

I went here for a CONSULTATION for possibly lasering out my freckles and age spots. They also offer…read moreother services like BOTOX. Surprisingly, Botox can also be used for grinding and clenching in lieu of wearing a night guard... My consultation with KATIE went very well. She took her time to explain to me about the risks of lasers on different skin types. Me having some ethnic type skin but, being fair skin could have potential risks such as skin darkening... So instead of just going for the LASER she suggested trying the creams first. Products like retinol and products that protect the skin from sun damage. She was very professional and realistic. There was no up sale or pressure of any kind... My husband has been a patient here for at least 10 years. He could have easily find a facility that's closer to home but, he would rather drive further for better quality and care... All the staff were very friendly, welcoming and professional... I HIGHLY RECOMMEND CHANGES PLASTIC SURGERY & SPA!!!

I debated for a long time whether to leave this review, but ultimately I feel that people…read moreconsidering this practice should hear about my experience. A little over two years ago, I underwent several procedures here, including a deep plane facelift, rhinoplasty, neck lift, liposuction, and earlobe reduction. Unfortunately, my results were far from satisfactory. I ended up with multiple complications and cosmetic issues. I have a visible hollowing/depression along my lower face that is especially noticeable when I smile. My jawline contour is uneven rather than smooth and straight. My nose actually appears more crooked than before surgery, remains quite bulbous, and the breathing issues I hoped to correct were never resolved. I also developed pixie ear deformity after the facelift. The emotional impact of these results was significant. To make matters more confusing, the surgeon who performed my surgery later disappeared from the practice. I was never given a clear explanation as to whether he left or was no longer employed there. The practice did offer some corrective procedures. A fat transfer was performed to address the hollow area in my face, but the fat did not survive, so the defect remains. They also repaired the pixie ear, but I was left with a noticeable scar beneath the ear. For the remaining issues, I was essentially told that I would need to undergo additional surgery and pay for it myself. More than two years later, I still have breathing problems, persistent tightness in my neck, an uneven jawline, and cosmetic concerns that were never resolved. After everything I have been through, this experience has been deeply disappointing, and I would not recommend this practice to anyone.

STAY AWAY from this man! I too do not like leaving negative reviews however if I can save one…read moreperson from going through what I did it will all be worth it. the scars are hideous.. unprofessional and unnecessary, just sloppy. For the amount of money paid your result should be much better than they are. First red flag was the in person consultation the day before surgery- maybe 5 minutes. He didn't even seem to know my case. I was extremely concerned but my concerns were quickly dismissed by his staff. One of his nurses actually said to me "Bless your heart"! Wow, just wow! We all know what that means sweety. I have a double scar under my chin where he made two cuts (yes I have pictures) and has caused a double bubble under my chin. It was noticeable within a few months. his recovery nurse was amazing but quit within months of my recovery. In the beginning he said lasers would take care of the mistakes ( but never offered them himself). I was having a difficult recovery I called and emailed multiple times and was finally told Dr Karam was not available to talk to me. His emails also will disappear on his response for his protection so be aware. You will be dismissed, left to try and correct his huge mistakes. My eyelids still had extra skin which will require another lid surgery, he did offer to re-do them early on but after a year of ignored calls I will never let this man touch my face again. He would not allow any kind of red light for healing or oxygen chamber.. very standard with most plastic surgeons. All natural healing is what he promotes, it's just bullshit. No lasers will correct the deep scars and scar tissue he left. It's been 2 years and I still can't feel the sides of my face and under my chin. Find someone else! There are many more professional and skilled surgeons available.

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.

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.

In June 2021, I underwent a facelift with Dr. Salvatore Pacella, investing $42,000 in what I…read morebelieved would be a once-in-a-lifetime opportunity to look and feel more youthful and confident. Instead, what should have been a positive, life-enhancing experience became one of the most devastating decisions of my life. My recovery was difficult, and the results were far from what I had anticipated. Most distressing, I am now unable to fully close my left eyelid, resulting in significant damage to the health of my left eye. I was left with facial palsy on the entire left side of my face, along with conspicuous, unsightly scarring beneath my chin and behind my ears. I placed my trust in Dr. Pacella, believing that the expertise and experience of my surgeon would ensure my safety and a satisfactory outcome. I deeply regret not conducting more research before making such a consequential decision. No amount of money can compensate for the loss of confidence, the physical suffering, financial burden or the emotional distress that has followed.

Dr. Khouli & his team are amazing! 10/10, would highly recommend. I had my consultation with him &…read moreKim Mosh. They are both personable, professional & made me feel at ease. I had never gotten cosmetic surgery before so I was growing anxious, but him & his team made me feel reassured throughout the whole process. They have the best sense of humor which helped me relax. Sometimes in such professional environments, it can feel a little serious. However, the girls there are so funny & sweet! It made a huge difference having such welcoming energy while also knowing I'm in good hands. He is knowledgeable & answered my endless questions. I received a breast augmentation & I'm so obsessed. Best thing I've ever gotten done. I love that he has an office in Del Mar because his Coronado location was too far from me. The office is spacious & clean. I'm so happy with my results & get many compliments.

I had such a great experience at Esthetica. I was contemplating surgery for years and when I…read morestarted researching again, Dr. Kouli was my 5th consult. He and Kim gave me the best and most comfortable experience of all the consults I've ever had! I was given a lot of similar information as other doctors, however I went with Dr. Kouli because I felt the best energy and I felt the safest and most assured when speaking with him and Kim. Love this team!

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.

Don't go here!!!!! This place at first looked good, the…read moresocial media pages also looked great BUT it's not, in fact most of the pictures they post are fake, used from other websites! I paid 4000 dollars and I see absolutely no difference at all, I am exactly the same! I haven't received a refund for 3 months that is owed to me, and it's not even a lot. They delete all the negative comments from other people, this was such a mistake of me not to do further research! Big regret!!! After I had my procedure done they used MAXI pads for the menstrual period, to cover up my incisions for the liposuction, wth pads!!! Don't go here, when I text Dario I don't get a response now!!!!

Wow, I had a great experience with Dario and Dr. Schneider. They were caring, thorough and did an…read moreexcellent job with my fat transfer to my breasts and face. They had to take a little fat from a lot of places and it was expertly done. I would definitely recommend them.

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?

Update to Mohs reconstruction. 99% healed and couldn't be more pleased with the results. Dr. Chung…read moreis a MASTER!

I am recommending everyone I know to come see Dr. Chung and Jewels. I have had the most wonderful…read moreexperience working with this team. They address your concerns, care for each patient like family and make sure you receive the best care as possible. I appreciate that Dr. Chung takes the time to get to know each of his patients, their backgrounds and discusses realistic expectations. He sets the bar for patient care standards. Jewels is so friendly, inviting and kind. I am extremely happy with my surgical outcome. It exceeded my goals and expectations. I am so thankful I found him. If you are considering scheduling a consult, just do it! You won't regret it. Thank you so much Dr. Chung and Jewels!