Pacific Plastic Surgery Group - San Francisco

Practice Information
77 Van Ness Ave., Ste. 302, San Francisco, California

This practice is not currently accepting consultations on RealSelf.

About the Practice

Doctors & Other Staff Members

Edward P. Miranda, MD, FACS
Board Certified Plastic Surgeon
4.7
Alex Friedman
Physician Assistant
Beata Jaron
Physician Assistant
Alyson Mititieri
Aesthetician

4 Before & After Photos

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24 Answers

CoolSculpting
Q Am I candidate for CoolSculpting? (Photo)
A

Based on your pictures and description, you are not likely to see optimal results with CoolSculpting (you will see some) and would probably most benefit from liposuction.  Tummy tuck, in our opinion, would a second option to reduce your abdominal fat although you would get a scar.  Alternatively, you can do a combination of any of the above modalities. Ex: CoolSculpt the flanks/lipo abdomen; lipo flanks/tummy tuck abdomen, etc. We recommend a consultation with a board certified plastic surgeon who can physically assess your skin elasticity, fat content, etc to make the most appropriate recommendation.

Answered by Alex FriedmanMay 4, 2018
Botox
Q I just got a lip lift and it came out terrible I did not want a Cupid's bows can Botox reduce this?
A

It is difficult to assess your needs without a picture and an inperson assessment would be ideal, but generally neuromodulators are not used to correct areas that have had HA filler.  Neurotoxin can be used in the upper lip to reduce "gum showing" by paralyzing the orbicularis oris but this likely is not what you need/want based on your description.  We recommend returning to your provider to discuss options or consult a board certified plastic surgeon.

Answered by Alex FriedmanMay 4, 2018
Nonsurgical Nose Job
Q I have a broad nose. How can I make it thin? (Photo)
A

The most noninvasive way to correct this issue would be with HA filler, which can be placed at various strategic spots in the nose to reduce the broad appearance.  Placement over the bridge can provide height to a broad nasal bridge. Likewise, filler can be carried down along the nose to reduce humps, asymmetry, and bulbous nasal tips.  Alternatively, a rhinoplasty with or without nasal implant is an option.  We recommend a consultation with a board certified plastic surgeon to assess your options.

Answered by Alex FriedmanMay 1, 2018
Restylane
Q I had filler put into my lips 8 days ago. Is this unevenness permanent? (photo)
A

It is not uncommon for there to be swelling in the lips after injections for various reasons-inflammation from needle injections, volume increase with HA filler, fluid drawn in from HA filler, bleeding, etc.  This can lead to asymmetry in the lips, which obviously is concerning. However, this will generally resolve with time over the next 1-3 weeks.  We recommend waiting a little more time before returning to your provider to address any asymmetry that may need correction.

Answered by Alex FriedmanMay 1, 2018

Opening Hours

Monday9:00am - 5:00pmTuesday9:00am - 5:00pmWednesday9:00am - 5:00pmThursday9:00am - 5:00pmFriday9:00am - 5:00pmSaturdayClosedSundayClosed