Salvatore Pacella, MD, MBA, FACS

San Diego Plastic Surgeon
12395 El Camino Real, Suite 112
San Diego, California 92130 US
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10 years experience
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5.0 out of 5 stars 5.0 stars from 36 reviews See details Hide details
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Treatment results may vary

5 out of 5 stars Breast Reconstruction with Latissimus Flap

Dr Pacella does beautiful work.

I am currently a patient of Dr. Pacella. I had a mastectomy as part of my breast cancer treatment. Dr. Pacella has recently reconstructed my breast after doing a latisimus dorsi flap procedure to ensure better results for my reconstruction. I am very happy with my results. I am extremely happy with the care Dr Pacella and his staff have provided. They are positive, very knowledgeable and...

5 out of 5 stars Breast Lift with Implants

Better than I ever!

Dr. Pacella is an excellent surgeon and an artist! He was highly recommended to me by my primary care physician after I learned that my breast implants had ruptured after 26 years! I am over 60 and got my implants after having breast fed my two sons and liked having bigger breasts. I never had a problem with my implants: they looked natural and were soft. I went to a few surgeons, but only...

5 out of 5 stars Breast Implant Revision

So happy you were my surgeon!!

Dr. Pacella is an awesome plastic surgeon. He was recommended to me by my primary physician. I had 21 yr. old silicone breast implants that a MRI confirmed were chronically leaking silicone into my armpit area. This caused an enlarged lymph node to form. Dr. Pacella removed the ruptured implants and lymph node cleaning up all the leaked silicone & scar tissue. For replacement implants...

5 out of 5 stars Mentor Breast Implants

Fixing the "mommy boobs" - best decision I ever made! (And the best surgeon too!)

Quick Overview: 30 year old female, 5'3", 127lbs, BA with 375CC HP Silicone Mentor Implants, Unders After having children, my breasts (which were a nice C-cup pre-children) were a sad AA-cup of loose skin. Not even a nice push-up bra worked because my skin would just hang over it! It was horrible. I had always wanted a breast augmentation but was nervous about how fake the implants can look...

5 out of 5 stars Facelift

Dr Pacella made me feel young again!

My dermatologist and my general practitioner both recommended Dr. Pacella for my face and neck lift. He has a reputation among his piers for getting natural looking results vs. patients that look too cosmetically "done". He took his time to communicate everything to expect from the procedure and patiently answered my myriad questions without ever making me feel rushed. His friendly and...

5 out of 5 stars Breast Reconstruction with Latissimus Flap

Exceptional Surgeon

Are you considering reconstruction after breast cancer surgery? I cannot recommend Dr. Salvatore Pacella and his staff more highly! Dr. Pacella began my reconstruction at the same time I had a double mastectomy. He performed a bilateral latissimus dorsi flap procedure and inserted silicone implants with truly amazing and beautiful results. I feel more whole than I ever imagined I would...

5 out of 5 stars Eyelid Surgery

Hughes Flap of 25 Year Old Female

Dr. Pacella is hands down the #1 plastic surgeon in San Diego! Having to undergo an unexpected reconstructive surgery on my face was very scary, but I knew I was in the best hands when I met Dr. Pacella. Honest, diligent, and kind. I truly appreciated Sal's compassion and confidence during a stressful time!

5 out of 5 stars Facelift

Great Results, Wonderful Surgeon

It's about 4 months after my facelift. I no longer look in the mirror and see a thin haggard looking woman of 65. Dr. Pacella has performed a transformation with his skill. I had the fat transfer into my cheeks and along my mouth. At first, I wasn't going to have this part done, but Dr. Pacella said without it he wouldn't be doing the best for me. He was absolutely right. I look 20...

5 out of 5 stars Mohs Surgery

Follow-up to Mohs Procedure on my Nose.

The surgeon said it was too big for him to close and that I needed to see a plastic surgeon. He sent me to Dr. Pacella. I was afraid when I saw the size of hole in my nose; I had visions of a huge scar for life. Dr. Pacella was very kind; he explained the full procedure and assured me that it would be just fine. He was correct!! When I show people the before and after pictures.....they are in awe!!! I will see Dr. Pacella for any further plastic surgery procedures I might need in the future.

5 out of 5 stars Dysport

Impressive Results from Hand Surgery and First Time Dysport User - Dr Pacella is the Best! - San Diego, CA

I first met Dr. Pacella when I had a hand injury that he fixed for me. After the procedure was complete, I noticed that he also does cosmetic surgery in his practice and inquired about the possibility of getting Botox. He was very informative in helping me to better understand the benefits and together we came up with a plan to fix some of the movements of my forehead and to soften the arch...

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Fellow, American College of Surgeons (FACS)

Hospital Privileges

Dr. Pacella has hospital affiliations at Scripps Memorial Hospital La Jolla, Scripps Green Hospital La Jolla, Scripps Encinitas Hospital, Rady Children's Hospital San Diego.


  • Undergraduate & Medical School

    Medical: MD, University of Rochester, NY
    Graduate: MBA, Ross School of Business, University of Michigan
  • Post-Medical School Training

    Residency: Plastic Surgery, University of Michigan
    Aesthetic Breast & Body Surgery, Marina Plastic Surgery, Marina Del Rey, CA
    Facial Aesthetic & Oculoplastic Surgery, Paces Plastic Surgery, Atlanta, GA

Treatments offered at Scripps Clinic Plastic Surgery

Blog Posts and Articles

The Daddy Do-Over: Cosmetic Surgery for the Other Half

As we round out the summer, those barbeques and beach beers can really bombard our busting bellies. We devote this month’s blog to the unsung heroes of economic vitality: The Suburban Dad.Most of us live fairly busy lives: education, chiseling away at our career and devoting the needed time for wives and families. But somehow between the trips to soccer practice and the scattered dinner or Monday Night Football game, we (myself included) have missed a few opportunities to keep in shape and...

Most popular answers from Salvatore Pacella, MD, MBA, FACS

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One Eye Bigger Than the Other? (photo)

Thank you for your pictures. Part of any assessment by a board-certified plastic surgeonspecifically trained in eyelid surgery would involve a... READ MORE

What's causing droopy eyes? Low brow, excess skin, lack of volume? Who to consult with in the Northern California area? (Photo)

Thank you for your photos. You have a very common issue I see in men: Lateral brow droop with excess lid skin. Endoscopic browlifts can be effective ,... READ MORE

Canthopexy or Canthoplasty to make eyes appear wider? (photo)

This is a very good question. Canthopexy or canthoplasty is a procedure usually performed to support thr lower lid if it drops or is predisposed to... READ MORE

Can Fat Under Eyes be Removed Without Surgery?

There are some non-surgical treatments that help with the appearance of fat bags. These include some laser procedures or injectable fillers. There is... READ MORE

Benelli Lift + Implants Instead of Lollipop Lift for Large Breasts?

Thank you for your photographs. While it would probably would be impossible for anyone to determine exactly what is the best option based on... READ MORE

Breast Lift Scars: Are They Healing Correctly?

Thank you for your pictures. Your scars are healing well, and you are only a few weeks from your surgery. It can take many months for the scars to... READ MORE

Is this excess skin? What surgery can I have to get rid of it? (Photo)

It appears from your photos that you have fat herniation of your lids. Contrary to popular belief, this is not caused by excess fat. It is an anatomic... READ MORE

Best Options for Sagging and Droopy Face?

All in all, I think it is premature to discuss facelift at your age. I personally would stick with non-surgical methods of facial rejuvenation. Fat... READ MORE

Already Sagging After Breast Lift and Silicone Implants

Thank you for your photos. I certainly understand your concerns. It is important to discuss this with your board certified plastic surgeon to... READ MORE

Should my lower tummy still be this full/swollen at 7 1/2 months post-op? Considering revisions. (photo)

Thank you for your photographs. Some swelling can persist for about a year after tummy tuck suture, but I completely understand your concerns.... READ MORE

Before and After Photos by Dr. Pacella

Salvatore Pacella, MD, MBA, FACS has shared 14 before and after pictures with 33 helpful votes from the RealSelf community.

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Videos by Salvatore Pacella, MD, MBA, FACS

Salvatore Pacella, MD, MBA, FACS has shared 3 videos.

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Take 60 Seconds and Learn the Differences Between Breast Implants

Dr. Salvatore Pacella breaks down the differences between breast implants. WATCH VIDEO

Do I Have to Change Out My Breast Implants Every 10 Years?

It's a common question: Do you need to switch out you breast implants after a decade? Dr. Salvatore Pacella offers his advice. WATCH VIDEO

Gynecomastia: Will Insurance Cover Male Breast Reduction?

Dr. Salvatore Pacella discusses male breast reduction surgery and how insurance may or may not be of help. WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.