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Seattle, WA

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Premier Cosmetic Surgery & Medispa

4.7 (47 reviews)
Closed • Closed

By appointment only

Services - Premier Cosmetic Surgery & Medispa

Nonsurgical body sculpting

Premier Cosmetic Surgery & Medispa Photos

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Recommended Reviews - Premier Cosmetic Surgery & Medispa

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Reviews With Photos

Before on top; after on bottom. Abdomen, back, hips VASERlipo
Cassandra A.

I had VASERlipo by Dr. Precht on Feb 2. She took after photos of me today (included here). I am really impressed with her work and her staff. The office is also lovely -- very clean, calming, almost like a spa! If you have the time and money to spend on yourself, you will not be disappointed by Dr. Precht!

top is the before

I wanted to give an update. I tried many times to resolve my issue with this doctor and had a call with her to explain again why I'm extremely dissatisfied with the outcome but she was basically attacking me for posting my reviews and trying to intimidate me that it's copyright infringement and defamation to post these pictures and that she won't discuss any refunds unless I take down the reviews and sign a document!! So now I wonder how many cases have been removed by other clients from her blackmailing them. Dr Lisa you fail to understand that people who are unhappy with the results and if you ignore them, will have no choice but to voice their disappointment and dissatisfaction on any platform!! That's how reviews work! these pictures are of my body and you sent them to me for my use! I was willing to remove my reviews if you had responded to me and provided a reasonable refund for this terrible outcome but you've been extremely unprofessional as a doctor and completely ignored me after my many attempts to resolve this personally with you. I will be reopening the BBB case. It was only closed because they wanted a breakdown of the invoice from me which I didn't have initially but now I do. I'm also discussing with a lawyer since this is a breach of contract! I'm still willing to communicate and resolve this directly with you if you'd like to contact me but at this time you've been extremely uncooperative and ignoring my messages. So I will do all I can to escalate to get my hard earned money back! I've been extremely reasonable by asking to refund the areas related to my core and did not request the other areas nor anesthesia or facility fees, although those amounted to 6k and are part of this surgery! I will not forego my hard earned money for this poor outcome! Currently after 7 months, my stomach looks the same as my before. After all that pain and money spent, you should understand why I would be extremely disappointed! It would have been more honorable of you to admit that the results are not as communicated during my consultation and take responsibility for this poor outcome but instead, you've been defensive and ignoring your client! During our post op you had even mumbled that you would have liked to see the stomach be flatter so coming on here and saying the results are excellent is very misleading!

My before and after results of vaser lipo on my waist and hips.

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Lisa P.

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8 years ago

Dr. Precht and her entire staff are fantastic. Can't recommend her highly enough.

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Ask the Community - Premier Cosmetic Surgery & Medispa

Do they take care credit?

Yes. Care Credit actually offers different options for no interest/ low interest depending on the term you select at Dr. Precht's.

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Review Highlights - Premier Cosmetic Surgery & Medispa

“Precht considers the procedure complete when it's as perfect as possible, not when the clock says it's done.”

Mentioned in 40 reviews

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Shahram Salemy, MD - Our Recovery Room

Shahram Salemy, MD

4.7(89 reviews)
0.1 mi•First Hill

I had a tough time finding a Plastic Surgery group who would take me on after I my Gastric Bypass…read moresurgery. I also only wanted a Board Certified surgeon. I paid the consolation fees and met with a few groups but I knew right out of the gate that Dry Salemy was the choice for me. He is so kind and caring and talented. He listened to my needs. Plastic Surgery can be for all kinds of reasons. He helped me feel really comfortalbe with the choices that I made for my body. I just had my arms lifted 6 weeks ago and his team was amazing!!!!!!!!!!!! I now have my abdominal lift surgery set up and I can't wait. I am so happy with not only my results but the care I was given. Surgery is not easy and It can be a long recovery. Luckily I had Dr. Salemy and his team right there the entire time!!!! *******It will be tank tops and sun dresses for me all summer long and can not wait! *********** Photos to come

Surgery Cancelled Day Of - $25K Lost, No Warning About Nicotine Test…read more I scheduled for surgery with Dr. Salemy, paying $25,000 in full. On the day of surgery, I was told the procedure was canceled due to a positive nicotine test--something I was never informed would be required on the day of surgery. I was left emotionally devastated and financially drained. No part of the surgery was performed, and the practice refused to return any of my payment. After speaking with the office on the day of the surgery when I was groggy from medications and then one less than 10 minute conversation, the office told me they would not be discussing with me any further my request for a refund or alternative to losing out on my 25k payment.

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Shahram Salemy, MD - Before and 6 weeks After Rhinoplasty

Before and 6 weeks After Rhinoplasty

Shahram Salemy, MD - Dr. Salemy was privileged to be featured on the HiHoKids Series "Kids Meet".  See the full hilarious interview at: https://www.youtube.com/w

Dr. Salemy was privileged to be featured on the HiHoKids Series "Kids Meet". See the full hilarious interview at: https://www.youtube.com/w

Shahram Salemy, MD - Congratulations to the Inaugural Recipient of our Scientific Scholarship!

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Congratulations to the Inaugural Recipient of our Scientific Scholarship!

Allure Esthetic - Services offered

Allure Esthetic

4.4(134 reviews)
0.2 mi•First Hill

Dear Allure Esthetic Team,…read more I am writing to express my gratitude for the exceptional care I received during my recent surgery and post-op care. I would like to extend my thanks to Dr. Sajan, Dr. Khezri, Chansotie, Tina, and Shelby for their professionalism, kindness, and expertise. Dr. Sajan was very honest with me about what I could expect from my surgery and made sure I had a realistic goal for my physical results. He was professional, caring, kind, and funny throughout the process. Dr. Khezri was also kind, caring, and funny. My sister mentioned that he stayed with the staff and waited until I was in the care of my sister before he left to go home for the night. Chansotie and Tina at the Kirkland office were both very helpful before and after the surgery. They were knowledgeable, kind, and caring. Shelby at the Seattle office was so sweet, kind, helpful, and understanding. She has a wonderful bedside manner, and I wish she would have been at every one of my post-op appointments. I am only a couple of weeks out of surgery and am pleased with my results thus far. I came to Dr. Sanjan from another state to fix a prior breast lift and mini tummy tuck. I will update you during my process. Thank you again for your exceptional care. I would highly recommend Allure Esthetic to anyone seeking medical care. Surgical team: Dr Sajan, Dr.Khezri (anesthesia), Chansotie (nurse), Tina (PA). Post-op care: Shelby (MA) Sincerely, Danika Bowman

Had an appointment at 2:30 left me in the waiting room until 3:05. Reception was very friendly and…read moreat 2:50 letting me know I would be in a room in less than 5 mins. 7 mins later two people that checked in at least 20 mins after me were escorted to rooms. Makes me wonder if the lack of respect of my time during the initial consult would be even worse for future appointments. I won't be finding out.

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Allure Esthetic - A Happy Lip Filler Patient

A Happy Lip Filler Patient

Allure Esthetic - Javad A. Sajan, MD

Javad A. Sajan, MD

Allure Esthetic - A Patient Loves Her Breast Implants

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A Patient Loves Her Breast Implants

The Seattle Facial Plastic Surgery Center - Dr Zachary Farhood

The Seattle Facial Plastic Surgery Center

4.3(6 reviews)
0.1 mi•First Hill

I can't recommend Dr. Shvidler and the team at the Seattle facial plastic surgery center enough!…read moreFrom my initial consultation to surgery day to post op it was a great experience. Dr. Shvidler is calm, kind, and patient. You can tell he really cares about his patients and their outcomes. He intently listens and takes into account your goals and wishes while still being realistic about what to expect. I did A LOT of research ahead of my septorhinoplasty and I felt confident Dr. Shvidler would be the best fit for my case. My new nose looks amazing! In addition to fixing my deviated septum, I made it clear I wanted natural results when it came to the cosmetic aspect with the goal of making my nose look more symmetrical -- Dr. Shvidler absolutely delivered. I would recommend him to anyone.

I'll tell you a bit about my journey. I wanted to find a place to do sinusoplasty to help me with…read moremy breathing, because of a deviated septum. I didn't realize how crooked it was. And while under I figured I could do some rhinoplasty to correct the shape of my nose. I looked at a few places, nervous because I've never had surgery before. After meeting Dr Schvindler, I knew this was the place. For me, I didn't want some sterile Beverly Hills plastic surgeon, I wanted a compassionate, warm place and a doctor who helps Vets, teaches, and specializes on face. So after a few months the day finally arrived! I had a 6am appointment and nervous, no idea how much pain I'll be in afterward, and thought about backing out. But I press forward, comforted by the amazing anesthesiologist whom made me laugh and stayed with me the whole time. After getting on the table, I fell asleep without even noticing I was about to and woke up basically on my way home. My wife putting me to bed I didn't feel tired and in fact felt energetic. The most profound thing is that I didn't even take the strong pain killers at any time afterwards. I felt no pain at any stage ever. Sure the first day is like a really bad cold, and you are super stuffy but each day gets better and in a week you are back to normal. After the first day the gel in your nose disintegrates. Nothing else goes in there. So a month later writing this, yes it will take a while for swelling subside but an amazing experience. I am so thankful for Dr S. If you are on the fence even, book an appointment and come here. I can't believe I suffered so many years with a crooked nose. Night and day

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The Seattle Facial Plastic Surgery Center - The Seattle Facial Plastic Surgery Center - Staff

The Seattle Facial Plastic Surgery Center - Staff

The Seattle Facial Plastic Surgery Center - The Seattle Facial Plastic Surgery Center - Our Facial Plastic Surgeons

The Seattle Facial Plastic Surgery Center - Our Facial Plastic Surgeons

The Seattle Facial Plastic Surgery Center - Rhinoplasty

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Rhinoplasty

Amadi Aesthetics Plastic Surgery - Dr. Amadi

Amadi Aesthetics Plastic Surgery

4.2(26 reviews)
2.4 mi•Queen Anne

Dr. Amadi is an artist and a professional at making dreams a reality. I knew that if I wanted…read moresomeone making changes to my face (especially around my eyes!) that they had to be an expert in their field. And after lots of research and a couple different consultations, I chose to work with him. I strongly believe he's not only one of the best surgeons in WA, but also one of the best in the business. After reading all of the other stellar reviews of people who were ecstatic with their results and also reading about his impressive credentials, I was convinced. But our in person consult also told me that he was a confident surgeon who knew exactly what he was doing. I understood the risks involved in surgery as best as I could but also knew that if anyone was going to get it right, it was going to be him. And I'm so glad I did. I would highly suggest reading as many detailed reviews as possible and doing extensive research on any procedure you intend to have. There are so many reasons people may want to elect to have a surgery but if you've made it so far as to be ready to pull the trigger on it, just make sure your fully prepared. One thing to keep in mind is that while you will look AMAZING weeks or even months later, you will have to be patient with your results until then. Very patient. It is hard to go into something wanting to look and feel better but to actually look and feel worse until you've fully healed. But that is a part of the process and the commitment that surgery takes. You will be so happy you did this, but the results aren't exactly instant. You have to commit to healing. Take care of yourself and do everything Amadi suggests. He is a wise and skilled professional who's pre and post of care instructions are there for good reasons. And if you have any questions, ask! Ask ALL the questions! You are spending good money on this and you deserve to have every resource available to you. And his team will gladly help you. I must've called so many times about questions...and they promptly and patiently answered all of them with care and kindness. He and his team are there to make you as happy and comfortable as they possibly can, utilize them and they're knowledge. My life is so much better after Dr. Amadi's help. I finally look my age and my face reflects my health and happiness. I no longer waste time and money on creams that were never going to solve the real issue. I no longer stress about taking photos. And my confidence has seen a huge boost! The difference is subtle to everyone around me but also huge. To my friends and family, I simply look more refreshed and rested, but to me, I finally look and feel the way I've been wanting to for a very long time(even though I'm still very young). You're never too young or old to do something like this for yourself. If you are considering working with Dr. Amadi and his team, congratulations, you're making a wonderful decision and you won't regret it!

READ THIS this before setting up a consultation with Dr. Amadi!!…read more I'm very DISAPPOINTED with this practice! Dr Amadi & his practice reneged on an agreement they made with me. I was very specific in stating that I was exploring surgical procedures and I may not be able to accommodate a surgical procedure. I said I would only agree to spend $250 on a consult with him if I could use it toward a non-surgical procedure like injectables if I decided not to move forward. They agreed, and now, they are RENEGING on that promise!! They have no problem now that they have your money!! They've apologized for the misunderstanding, but will not make any exception or offer any kind of concession. So be clear, that when you give them $250 or more to have a consultation with Dr. Amadi, you will lose that amount if you decide not to do a surgical procedure or decide not to move forward with him. They will justify this action by saying he takes 1.5hrs of his time to consult with you. I did not dispute that. I was clear of the time he was spending but again, they said I could apply it to a non-surgical procedure. I thought this was fair because I kept the money in his practice. I was not asking for my money back. Aside from this, their front desk and Dr Amadi were nice. You have choices! Do your research and ask for their policies. Ask how they do their consultations. Get things in writing. As a sidenote, from my experience & opinion, 1.5hrs is not needed when you're just exploring options and doctors for the first time. You want to talk with other Plastic surgeons to get their inputs, costs and policies. Most of these intro level appointments have not been more than 30 to 60 minutes elsewhere. And if I wanted to explore further wi a doctor I booked another appointment. If Dr Amadi wants to run his practice this way, that's his choice. Just be very clear that you will lose that money if you choose not to do surgery with him.

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Amadi Aesthetics Plastic Surgery
Amadi Aesthetics Plastic Surgery - Lower Blepharoplasty before & after

Lower Blepharoplasty before & after

Amadi Aesthetics Plastic Surgery

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Richard A Baxter, MD

Richard A Baxter, MD

4.7(25 reviews)
13.1 mi

I recently had the pleasure of being treated by Alison Waters, a nurse manager and aesthetic…read moreinjector who has truly redefined my standards for cosmetic care. From the moment she walked in to my treatment room, I was struck by her warmth and genuine patience. It felt as though I had known her for years, a testament to her exceptional ability to connect with her patients on a personal level. Having received Botox injections for over a decade In San Francisco, Beverly Hills, NYC and Seattle, I thought I had already discovered the pinnacle of expertise. That was until I met Alison. Her skill and precision in administering injections are unparalleled. Not only did she achieve stunning results with fewer units than I was used to, but she also managed to do so at a more affordable price. This efficiency and effectiveness clearly showcase her deep knowledge and mastery in the field. I also have had friends go to her for micro-needling. They were super enthusiastic about it and said it caused their skin to start doing its own thing by making new cells to make them look younger. By the way, nothing Alison does ever hurts! Not even a little bit. I don't even flinch when she does it because she is so gentle. It's no surprise that Alison excels, given her affiliation with Dr. Baxter, a renowned plastic surgeon whose reputation as one of the best in the US is well-deserved. Alison's remarkable talent and keen eye for detail reflect the high standards set by Dr. Baxter's practice. If you're looking for an aesthetic injector who combines expertise with a personal touch, Alison is the one to see. Her approach has elevated my cosmetic treatments, and I couldn't be happier with the results!

Dr. Baxter and his staff surpassed all expectations. Exceptional service. Highly recommend.read more

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Richard A Baxter, MD - Untitled

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Untitled

William  Portuese, MD - Dr William Portuese

William Portuese, MD

4.0(55 reviews)
0.1 mi•First Hill

Dr. Portuese is amazing!! I'm been to him twice and he's my only go to, if he should ever retire-…read moreI'm done. Even if you do your research you'll be hard pressed to find a surgeon like Dr. Portuese. He and his staff operate like a symphony, friendly, professional, engaging, compassionate and kind.

I had a nasal valve revision and a medically necessary septoplasty to correct my airway-- this…read moreshould have also included a straightening of my septum/ airway. I went to Dr. P as he was recommended by a friend of a friend, and I regret not doing more research. 1. It is almost a year later and my nose is still numb and I've had to treat 3 sinus infections with antibiotics this year (a problem I have never ever had before surgery). 2. Whenever I reached out to share my concerns about bleeding, infection and persistent numbness, I was repeatedly gaslit, being told "well that's normal and we told you it could take years to heal." No actually, I was told 2-3 months max. 3. In addition to numbness, discomfort, and recurrent infection, my nose is still crooked and my airway is not as open as it could be. I was so traumatized by the first surgery, I don't even want to find another surgeon to make a revision, let alone let him do it! After reading these reviews it seems like they want you to have as little information up front as possible and it benefits them financially for you to come back for a revision. I met with a new ENT today and they said "I would have never sent you to him. I can't legally tell you why." Don't do it.

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William  Portuese, MD - Facial Plastic Surgery

Facial Plastic Surgery

William  Portuese, MD
William  Portuese, MD

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Egrari Plastic Surgery Center

Egrari Plastic Surgery Center

4.3(74 reviews)
6.4 mi
•$$$$

I had an arm lift by Dr. Egrari several months ago. I will start by saying his before and after…read morecare is amazing with great nurses that walk you through everything. During my consultation Dr. Egrari he told me he would also do liposuction (paying for it) to remove some extra fat from my arms but when I asked his nurses after surgery if liposuction had been done they told me it hadn't. My results were not anywhere near what I expected/desired. I was left with approximately two inches of loose/jiggly skin and my "after" looked like someone's " before photo." I was obviously very disappointed and upset after the money spent and the painful recovery. I discussed this with Dr. Egrari during my follow-up appointment. He basically gas lit me saying the results were proportionate to my body and that my arms looked better than before. When I lifted my arms and showed him the excess skin jiggling like a bat wing, he told me that even twelve year old's have arm jiggle. If Dr. Egrari would have validated my disappointment and acknowledged that the results weren't optimal I would have continued to have trust in him knowing this could potentially happen. Unfortunately, this didn't happen. He did tell me that we could meet in 6 months and if I was still unhappy we could discuss my options to see if I still felt I needed it, but doubling down that he stands by his opinion that my results were optimal. I'm not sure how extra time would solve anything, like in 6 months my arms would miraculously tighten up and the fat would disappear. I flew out of state to get a second opinion from a highly respected surgeon who told me that I had well over two inches of loose skin that still needed to be removed along with some additional fat that required liposuction. He also said as time went on the sagging would get even worse. I'm very upset that I have to pay for another surgery and start all over. While I believe Dr. Egrari does some things right (runs a safe practice with great before and after care) I believe his surgical approach is far too conservative resulting in a disappointing outcome.

I was a longtime patient of Dr. Egrari, having undergone multiple procedures with him over the span…read moreof more than a decade. Our relationship was always friendly and professional, and I had no issues with his care until a complication arose that required a more nuanced and specialized approach. Years ago, Dr. Egrari selected textured anatomical (teardrop-shaped) breast implants for my augmentation. Unfortunately, these implants rotated in the existing pocket, creating noticeable asymmetry. I later learned from other surgeons that placing teardrop implants into an existing pocket is generally not recommended for precisely this reason. I brought this concern to Dr. Egrari's attention, but he didn't offer to correct the issue, and at the time, I wasn't eager to undergo another surgery. Years later, I learned that the implants in my body had been recalled due to their association with BIA-ALCL, a rare lymphoma linked to textured implants. By then, I had also developed two autoimmune conditions and became seriously concerned that the implants might be contributing to systemic inflammation. When I brought these concerns to Dr. Egrari, I was disappointed by his response. He was dismissive of Breast Implant Illness (BII), calling it "hysteria from women on Facebook," despite my sharing published studies from reputable sources like PubMed showing emerging evidence of a link between implants and autoimmune symptoms. I ultimately decided to remove the implants and placed a $1000 deposit when a cancellation became available. However, when I asked Dr. Egrari to confirm that he would perform a full capsulectomy (removal of the scar capsule around the implant), he declined, citing the potential risks due to capsule adhesion to the ribs. While I respect that decision, I chose instead to go to a specialist in explant surgery who was certified in microsurgical techniques and could guarantee full capsule removal--something advised for patients with autoimmune symptoms. I wrote a polite and respectful email explaining my concerns and decision to go with a specialist. Despite only holding the surgery slot for two days, Dr. Egrari retained my full deposit and shockingly banned me from his practice. While Dr. Egrari may be a skilled surgeon for routine procedures, my experience suggests that when problems arise, patients may be completely abandoned and met with petty, small minded, unprofessional conduct. Surgeons will often refer out to specialists but after years of loyalty, I was left stunned by how quickly all goodwill evaporated the moment I needed care that required a more specialized approach. It was a hurtful and revealing end to what had once been a trusting doctor-patient relationship.

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Egrari Plastic Surgery Center - Dr. Egrari in the accredited surgical suite of Egrari Plastic Surgery Center

Dr. Egrari in the accredited surgical suite of Egrari Plastic Surgery Center

Egrari Plastic Surgery Center - Egrari Non Invasive Center Lobby

Egrari Non Invasive Center Lobby

Egrari Plastic Surgery Center - Egrari Plastic Surgery Center Lobby

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Egrari Plastic Surgery Center Lobby

The Stella Center for Facial Plastic Surgery - 6 months post

The Stella Center for Facial Plastic Surgery

4.5(40 reviews)
0.7 mi•Downtown
•$$$

I am 61 years old and have been a patient of Dr Stella's for many years. She has helped me soften…read morethe passage of time with Botox and Injectable fillers and I have always been very happy with the results. Recently I noticed that my upper teeth didn't show anymore when I smiled or spoke and it really bothered me. I had noticed this same thing with my mothers face years ago and thought it was just a fact of life. My bright smile is something that has always been one of my best features and now it was gone. I consulted with Dr Stella and she said that it was time to do something different to get my smile back. She recommended a lip lift which involves removing a small section of skin right under my nose and lifting everything up. I had to think about it for a while and decided that it was time do do this small surgery. The result is amazing and I feel like myself again. I cried a little after the sutures were removed and I saw my teeth showing again. The incision is hidden in the natural folds around my nostrils and it nearly undetectable. The surgery also rolled my upper lip back a little and it looks fuller and my lips look more balanced. I am over the moon with happiness. I have a smile on my face everyday and feel so much more confident. Thank you Dr Stella. You are the best

Dr. Stella Desyatnikova consistently goes above and beyond in the care she provides. She is…read morethorough, honest, and truly committed to doing what is best for her patients and highly skilled and focused on achieving natural-looking results. She takes the time to assess your facial anatomy, listens carefully to your goals, and explains everything clearly before proceeding. While her Botox treatments may cost more than others, the precision, quality, and results are absolutely worth it. You can trust that she prioritizes safety, balance, and long-term outcomes over shortcuts. I would highly recommend her to anyone looking for expert care and exceptional results.

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The Stella Center for Facial Plastic Surgery
The Stella Center for Facial Plastic Surgery
The Stella Center for Facial Plastic Surgery - Dr Stella and her lovely staff members

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Dr Stella and her lovely staff members

Premier Cosmetic Surgery & Medispa - medicalspa - Updated October 2026

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