San Francisco Plastic Surgeon
1650 Jackson St., Ste. 101
San Francisco, California 94109 US
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29 years experience
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"I would recommend him, hes kind and he did a good job of fixing my tuberous breasts."

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4.9 out of 5 stars 4.9 stars from 14 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
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Facelift

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

After hearing from numerous people about Dr. Jim Romano, I got up the nerve for a consultation. The humanity and artistry were evident - he takes delight in the beauty he sees will come.

5 out of 5 stars Nipple Surgery

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

I found Dr. James Romano on the internet way back in 2003 or 2004. I didn't even know that "nipple reduction surgery" existed until then. I was very impressed with the before and after photos on his website. I went in for my first consultation even though I didn't do the surgery at that time. I actually forgot to send him a thank you letter and I didn't have time to fly back up to San Francisco for the post op. That's why I am doing this review. You will be in good hands with an honest, compassionate and super talented surgeon. He will exceed your expectations!!!!!!!!!!!!!!! Thank you Dr. Romano - and yes I'm still going to get around to writing a thank you letter to you and your staff!!!!!!!!!! :-)

5 out of 5 stars Breast Implants

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

i felt that everything went very well and so smoothly.. i followed all directions and really listened to what i was advised to do by my doctor. I seen his work and it was so natural and the look i really wanted for my breast.

5 out of 5 stars Liposuction

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

Dr R is definitely the best! He is on top of things even after the procedure. He would set me up with follow appointments, etc. I strongly recommend him.

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

I would recommend him, hes kind and he did a good job of fixing my tuberous breasts. Im just unsatisfied and confused with the little bit of size difference im experiencing, especially since he could obviously see it and discussed it with me...

5 out of 5 stars Tummy Tuck

35, 5'4, 145lbs, 2 C-sections

He's the best. Very attentive great bed side manor. Supper supported. Very professional and excellent with his craft. When I wasn't doing that well on day two he even took a phone call from my husband who is out of state at 8 o'clock at night!

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! :))

*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)

Consultation Fee

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


  • 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

Do I have tuberous breasts? (Photo)

You most certainly have tuberous breasts by the photos you uploaded. This condition presents itself in varying degrees and yours would be moderate,... 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

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