San Francisco Plastic Surgeon
1650 Jackson St., Ste. 101
San Francisco, California 94109 US
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4.9 out of 5 stars 4.9 stars from 13 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
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5 out of 5 stars Facelift

Yes! Dr. Romano is the Best - San Francisco, CA

I was afraid of he "worked on" look, the pulled back face and fish lips, but I also caught my profile in the mirror, and was almost more afraid of it! After a painless event, with absolutely no bruises, thanks to the Zone diet he encourages, I can see what he envisioned. It's exactly what I asked for, and even better.

5 out of 5 stars Nipple Surgery

Dr. James Romano is Your Plastic Surgeon - Look No Further! - San Francisco, CA

Dr. Romano performed "nipple reduction surgery" on my breasts in January of 2012. The results are fantastic. My breasts look beautiful, natural and normal - close to perfection. 

5 out of 5 stars Breast Implants

I Got my BOOBS Done Yesterday! - San Francisco, CA

So i got my boobs done yesterday and so far so good...the surgery went very smoothly and went by so fast... pain was mild and i had some discomfort but nothing unbearable. today is my second day post op. my skin is still very tight and pain still there but nothing that is unbearable.. Hope my implants drop soon and round out. I got silicon 550cc and 600cc on the other breast since i had on...

5 out of 5 stars Liposuction

Facial and Leck Liposuction with Buccal Fat Pad Removal - San Francisco

Hi guys. I am a male in my 20s. I have always been skinny my whole life yet my face around the cheek area had always been so HUGE. When I sent pics to my surgeon, he said that I would be a great candidate for a combination of facial and neck liposuction with a buccal fat pad removal. I was initially thinking of only getting a buccal fat pad removal but when I saw pics online of people who...

5 out of 5 stars Retin-A

Amazing Stuff - San Francisco, CA

I have fair, sensitive skin, and I have had a great experience with Retin-A, which I wanted to share. This stuff is amazing - I see an immediate and lasting effect on the quality of my skin. I never got redness, irritation, or much flaking (just a touch in the creases on either side of my nose) to the point where it was bothersome. Perhaps it was how I applied it - here is what I...

4 out of 5 stars Breast Implants

Tubular Breasts - One Breast Larger Than the Other

My experience with tubular breasts had many ups and downs. I started to notice my odd shaped breasts when i was 16 years old. I knew from then on that i would need some type of breast surgery to correct this, which i did march 16th 2010. It has been one week and one day. My PS told me during our pre op consulation that one breasts would need about 25cc more than the other because i did...

5 out of 5 stars Breast Lift with Implants

Great experience with incredible results!

Dr. Romano is a remarkable surgeon, from start to finish! I actually live out of state and had over 8 consultations with plastic surgeons in Oregon non of which met my expectations, over a year of searching, I began to look for breast augmentation expert on the west coast. Starting with my consultation, he was so professional, gracious, and it was evident right off the bat he is extremely...

5 out of 5 stars Breast Augmentation

The best possible experience!

Dr. Romano was my doctor for a minor breast augmentation; I went from a barely A cup to a small C cup. He and his staff made me feel comfortable every step of the way and were always available when needed. Dr. Romano did not push me to go larger than I wanted, and the finished product is beyond my wildest dreams! I cannot see any scars and they feel great. I would highly recommend Dr. Romano...

5 out of 5 stars Breast Augmentation

24 Year Old... - San Francisco, CA

I just got my breast done by him a couple months ago and I couldn't be more satisfied and more in love! they look and feel so natural.. most people cannot even tell I got them done! I was super nervous going into the surgery but Dr. Romano did such a good job at making me feel comfortable and also excited! highly recommend him! :))

5 out of 5 stars Breast Augmentation

Tubular Breasts - 30yrs Old, Wonderful Experience - San Francisco, CA

Dr. Romano is a surgeon as well as an artist. His staff verbalized to me on more than one occasion that he won't stop until things are perfect. I found out how true this was. He has made my small A cup tubular breasts that I have hated my whole life into beautiful large C, small D round "Normal" breasts. I finally feel like a woman that went through puberty!! (I know someone reading this is...

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)

Consultation Fee

Consultations are a full hour with the doctor where you will be fully educated and totally informed and all questions answered.

Awards & Recognition

RealSelf Top Doctor


  • Undergraduate & Medical School

    Undergraduate: BS, The College of William and Mary
    Medical: MD, Medical College of Hampton Roads
  • Post-Medical School Training

    General Surgery, NYU, Bellevue Hospital, New York City
    General Surgery, Georgetown University
    Plastic Surgery, The Johns Hopkins Hospital

Treatments offered at Dr. James Romano MD

Blog Posts and Articles

The Art of Liposuction

Liposuction: Facts and MythsJames J. Romano MDLiposuction can absolutely be performed to remove any collection of fat beneath the skin surface. But, let me explain there are many facts and myths and tradeoffs behind this. The popularity and widespread use of liposuction has exploded since it was first brought into the United States in the early 1980’s. Dr. Illouz, a gynecologist, discovered liposuction in Paris. I learned this technique in 1985 as it was part of my core...

Theory and Practice of Liposuction

Theory and Practice of Liposuction by James J. Romano, MD INTRODUCTION Liposuction was first introduced in Paris by Dr. Giorgio Fischer, a gynecologist, who used a suction machine to remove fat from some of his patients after performing a D&C. Four years later a French plastic surgeon by the name of Dr. Yves-Gerard Illouz was the first to utilize the technique in a purely cosmetic way. It worked well and was quickly investigated by a group of American doctors...

Most popular answers from James Romano, MD

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Is There Anything I Can Do About Stiffness After Liposuction?

This is not uncommon, especially if the liposuction was extensive. In my patients I always recommend; (1) low salt and low carb diet as swelling makes... READ MORE

Doctor Recommendation for No Drain Tummy Tuck in San Francisco Bay Area

Dear Diamond, I have done any number of abdominoplasty procedures with drains and without and I can go over all of this with you. It mostly... READ MORE

Calf augmetation by spider veins problems

I have done calf implants on many men and women with just exactly what you have. Implants do not make spider veins better or worse. You are at no... READ MORE

Will explant alone likely result in a double bubble look because my crease was lowered in original BA? (photos)

If anything, you will look much better and the IM crease will go back where it came from. Once the implant is removed, have your PS remove the capsule... READ MORE

Breast implant removal with delayed capsulotomy

Yes you can have this done and other options. I capsulectomy, especially a very thorough one is NOT comfortable under a local anesthesia. If done... READ MORE

With photos; Are my implants too low ? My chest wall is very flat 32 b - 32 E. (photos)

According to anatomic landmarks, your breasts are not too low. We use the landmark of having the nipple position and CENTRALIZATION of the nipple in... READ MORE

Areola reduction at the base of the nipple is a disaster, HELP PLEASE! I I appreciate any input in. (photos)

Dear Victoria, I understand your concerns. Nipple flattening is the trade-off here. I have done many of these procedures. I tell my patients that any... READ MORE

Can you get a Brazilian butt lift if you have HIV?

I have done fat grafting on many HIV positive patients. This is no problem as long as you have enough fat donor amounts. READ MORE

Double Bubble, Asymmetry, and What Needs to Be Done to Correct This? (photo)

Hello, yes you clearly have double bubble anatomy and more on your left and some asymmetry. If this is 7 months then what you see is what you get. I... READ MORE

Should I Have Another Aerola Reduction? (photo)

Hello. I do many areolar reductions both as an isolated procedure and on patients with large areolae. No matter how small you make the areolae at... READ MORE

Before and After Photos by Dr. Romano

James Romano, MD has shared 2 before and after pictures with 3 helpful votes from the RealSelf community.

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