I went to Dr. Pazmino for a breast reduction. I was very adamant about wanting to go from what I told him I was a "D" cup to a "B+/C" Cup. Through all his consultations, he referred to the lettering method for size expectations (keep this in mind at the end of this review). Unfortunately, I trusted him to have the knowledge of what number of CCs I needed as implants in order to get my preferred size - B+. He made the decision to reduce me from 275cc implants to 205cc implants (I already have my own breasts as well), which is a net reduction of 75 CCs. (I didnt question him because i figured as the surgeon, he knew the CCs I needed to get me much smaller than what I was (again a perceived D to a B+/C). I was charged $11,000 for a lift/reduction surgery that 8 of my good friends and my boyfriend couldn't tell the difference. You can even put my before and after photos side by side and not see a difference either. I went back to the doctor and shared my concerns - When I expressed this to the doctor, I stated that I wasn't given what I paid for. I even made a fair offer and said I would pay for the smaller implants and hospital fees, but asked that he redid the surgery at no service fee to make it right. After being nickle and dimed by his business manager over $200..... Finally, he agreed to redo the surgery for the total cost of $3,500 (hospital and implant fees). I was so disgusted by the back and forth debating and unethical business approach they took that quite honestly, I didnt want to see him or anyone in that office again so I opted not to spend $3,500 more to get a result (that he claimed would not present much smaller results for me). Funny how I wasnt told that when they first took my $11,000. Also, in consultations, they kept referring to breast sizes in terms of letters (A, B, C, D....etc...) pre-surgery. After I told them I didnt go from a D to a B+ like I paid for - he stated that the lettering system is an inaccurate measuring mechanism. AGAIN....why wasn't this told to me BEFORE I chose to spend $11,000. If the lettering system is not accurate - then why does he continuously refer to it in all consultations and writes it on your chest when you go into surgery? He should have found an accurate measuring tool so that expectations were set clearly and I could have mafe an educated decision on the $11,000 spend. All in all, very disappointed by this "business" doctor, because that's what it ultimately turned out to be. He didnt care that his patient didnt get what they asked for - he was more concerned about the bottom line. I offered to split costs with him - and he didnt - it was all about money for him. I too own a business and I know if I made a mistake with a client, I would fix it and make it right - even if i had to lose money on that deal, simply for doing the right ethical thing (he still would've made a net profit on me even if he redid it). I will not go back to this doctor - there are plenty others out there that would do the right thing - unfortunatley, this one didnt. read more