Treatment Provider

Paul Lanfranchi, DO, FAOCO
Board Certified Facial Plastic Surgeon
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I think this is important

I don't want to come to this site anymore but I feel it is important to put this here in case anyone comes across my review and is considering plastic surgery. After 2 years since the surgery this is what I have learned from my own personal experience. Plastic surgery is not what you see in these reviews on realself. There is so much more to plastic surgery than good ratings and which surgeon someone went to. I remember I thought I did an amazing job researching this. I studied this and I studied the risks and I looked at both good and bad reviews and made sure I went to a surgeon that specialized in facial surgery. It's more than this.You have to first realize that this is most likely not a necessity. It's something you want to change to feel more attractive. Once you realize it's a want then you have to determine how badly do you want this change.

How badly do you want this change?
My surgeon has 10 years+ in facial plastic surgery. This didn't prevent me from experience unusual pain after a year later that could not be answered. I experienced on and off pain. The easy answer is it could be nerves healing but I had already been pushing through this for a whole year and my surgeon said prior to the surgery in rare cases it takes this long. It hurt to smile. I would feel pain all along my chin where the implant was but the surgeon said I healed as perfectly as I could have. This caused A LOT of anxiety. There is nothing worst then feeling like something is wrong and your surgeon can't give you a sure answer to what it is. I cried a lot! I had panic attacks and I couldn't perform well at my job anymore. I hated that I was experiencing something that couldn't be explained and other people on this site weren't experiencing it and if they were they're only resolution was to remove the implant even after revisions. Some surgeons won't charge you a lot to do a revision and some won't charge you at all. Some people have screws to keep it in place and some people don't. I had no idea what was wrong and neither did my surgeon. Of course I don't want to keep doing revisions if someone with 10+ years in facial surgery doesn't know what's wrong. I rather have it taken out and heal all over again. That's when I learned in rare cases you can get scarring in your chin that can cause deformity and make extra dimples you did not have before. This is what made my anxiety go through the roof. Even though it's rare there are risks and they do exist because they can happen. Imagine the feeling of wanting to reverse something and NO ONE at the office can guarantee you that everything will be fine. This is the complete opposite of how you will feel when the same people talk to you about the surgery in the beginning. Their job is to make you feel comfortable about the surgery, warn you of the risks, but reassure you that things will be okay. It's not like that after the surgery. You'll get different responses depending on who you speak to and since they're all suppose to be professional you consider all their opinions. You're met with the reality of all the risks. You have to sign multiple papers and it's a scary paragraph of risks that no one would want to read about possibly getting should you remove it at their office. I'm talking about possible permanent nerve damage, chronic pain, scars, etc. You sign these type of papers for the prior surgery as well but obviously if you come to realself and see all these people that seem happy with their results and your surgeon is telling you things will be okay you trust what you hear and see! This is the scary part and this is when you realize you aren't special and your surgeon is not perfect.

Do you know yourself?
I think this is very important. Do you feel you can handle this? I believe this takes a very strong person. This is an expensive procedure that can make you happy or break you. Prior to this surgery I didn't realize any anxiety symptoms. I knew sometimes I got depress but not like this. This has been almost a year straight of depression every. single. day. I. wake. up. I googled depression after surgery and it seems I am not alone. I can find other people experiencing this after any surgery and some say they didn't experience depression before. I'm still healing and coping with this experience. I never knew how important money was to me either until I did something so costly that started going sour later. I took before photos of myself. They weren't good ones and they were done with a poor quality camera. The before photos taken at the office I personally don't care to look at because it's their job to take the angles and I rather trust my own work. I learned that I'm easily talked into things sometimes. This can seem fine until you're talked into something expensive. I'll never forget that the liposuction was a 100% guarantee suggestion by my surgeon that the girl I provided in a photo example had gotten even though this was someone he never evaluated in person himself. I'm taking that lesson with a grain of salt. I advise anyone that goes in for one thing and their surgeon suggests MORE things to really consider if you want them. If you're thinking "I never thought of wanting that" I really think it's best not to. At the end of the day these suggestions is more money for your surgeon. Make sure it's what YOU want. I'm seeing a common trend of surgeons suggesting a chin implant when someone wants surgery for their nose to "balance their profile." It's all about money guys. Trust me. No matter how nice they seem you have to realize this is their job, so at the end of the day is this worth your hard earn money? Make sure you ask yourself that. Don't sign any contracts until you think long and hard about these decisions.

Liposuction and how it's currently changed my life
I really liked my results in the beginning. You can see that in earlier posts. It felt awesome to have a nice contour under my chin. I would probably check in and take a photo of my side profile every few months. After over a year later and the odd pain began I took over 100 photos of my profile within a few months. My profile became an obsession. It got to the point where I was looking at other people's faces and comparing them to me non stop. I could not control it. My eyes would just fixate on their chins no matter how much I wanted the obsession to stop. The more this happen the more I hated the liposuction. This is part of the hindsight 20/20 part. There was not one review out there that could prepare me for this. I'm still dealing with this obsession but I'm slowly improving. In the beginning stages I would look back at my old photos and ask myself "why did I do this?" "what did I think was wrong?" I feel heavy weighted pain in my heart sometimes. I'm coping with the fact that I did something that more than likely could have been changed with just exercise. It's taken 11 months to try to understand why I did this because I couldn't see why I did this anymore. I couldn't find an answer in my old photos because it was rare for me to keep photos I didn't like, so obviously I would just delete them. In the before photos I have and even the ones at the office I always thought "it's not even that bad. Why did I do this?" 11 months probably doesn't sound like a long time. What about at least 300 days? I am not exaggerating when I say for over 300 days I could not stop this obsession. The photo taking, analyzing old photos,and other people's faces was happening every single day. Now of course this is my own experience but there was literally no way for me to have predicted this, so I think it's important to explain that there are things that can happen to you mentally that you won't find in these reviews. I still go through the obsession but I am getting better at controlling it. That's all I can really do.

I think this is pretty much all I wanted to get off my chest. I won't be coming here to answer any comments.

I still appreciate my surgeon

No matter what I'm going through right now I still appreciate the surgeon I chose. I wouldn't have it any other way because he is diligent in his profession as a facial surgeon and the way him and his team talk to me gives me occasional relief. They're all very sweet people, and I thank them for that as they try to spare free time for me and give me decent advice.

Alright here is that time of the month

I feel I have improved a lot on how I see other people's double chins. I don't stare as long or feel a sharp pain in my heart anymore. I do however still desire a nice strong chin. Stronger than what I had before. Yes I like my original chin but it could be better and maybe the advancement of plastic surgery will make a less invasive but long lasting chin augmentation option. Until then I'll be focusing on other things such as my teeth. I didn't cry about my surgery this time until my time of the month started so that lets me know I am slowly healing. I got a nice thick scar by the way. It's going to take time to heal and sometimes it is noticeable in profile photos I take but no one else would notice except me similar to how people didn't notice I had facial surgery in the first place. :)

Provider Review

Board Certified Facial Plastic Surgeon
8985 S. Eastern Ave., Las Vegas, Nevada
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

He is very friendly and blunt. I chose him because of a previous review I saw about him and he has great ratings and responses to people's questions regarding facial surgery. He specializes in facial surgery, so I felt very comfortable working with him.