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Review of My Experience with Dr. Parsa
I’m writing this review after almost a year and a half of trying to get proper follow-up care from Dr. Parsa’s office and being repeatedly dismissed and even insulted. My goal is not to slander but to share my honest experience—because if I had read a review like this before my surgery, I would have made a very different choice.
Pre-Surgery Consultation:
I underwent lower blepharoplasty with Dr. Parsa on December 6th, 2023. I was clear and repetitive about wanting only very minimal changes. My primary concern was the inner corners of my eyebags. During our consultation, he told me I would get a 60 percent improvement. I said I wanted only 30 percent improvement. I was worried about facial irregularities from fat transfer, but I was told that shouldn’t happen. I told him and the patient coordinator repeatedly that I wanted to preserve my cheekbones and the shape of my midface. I was assured that Dr. Parsa is very conservative and would respect my wishes.
One thing I did bring up, though, was the idea of fat grafting into my nasolabial folds. I said I wasn’t sure about it but was considering it. He said he could do it. As the day of surgery neared, however, I did more reading and realized that fat or fillers in the nasolabial folds is a controversial subject, and some prominent doctors are very much against it.
Also, I was going through a divorce, and I told Dr. Parsa and the patient coordinator Marie about it. Dr. Parsa asked my therapist to write a letter proving that I was "fit" to have surgery. My therapist wrote the letter, and Dr. Parsa approved the procedure.
On the day of surgery, I told him I did not want any fat grafting anywhere. I said I only wanted lower lid blepharoplasty with fat repositioning. I also said I wanted no skin cutting or pinching at the outer corners of my eyes. He brought that up during a consultation and said he’d like to pinch some of the skin to help with the bunching that happens on the outer corners of my eyes when I smiled. That was never a concern to me. He listened and nodded and didn’t mark my face (like he does on Instagram to point out the areas of fat grafting), which made me feel like he understood. I felt safe and went into surgery.
Post-Surgery:
As I was waking up from surgery, he wasn’t next to me, but I could hear him saying he didn’t have to pinch the outer corners of my eyes. I went home, and while my face was understandably swollen, I noticed small red dots where the needle went in to do fat grafting to my nasolabial folds. After some weeks, I also started noticing a small lump developing under my right eye. Also the right side of my face felt harder; the left side felt softer. Fat behaved different on both sides. I wanted to be patient and wait.
At my post-op appointments (1 week and 1 month), I raised my concerns and was told I was just swollen and everything would turn out wonderful.
My visits to Dr. Parsa’s Office:
Dec 12, 2023 – Standard post-op visit.
Jan 11, 2024 – One-month post-op visit.
Apr 9, 2024 – I wanted to see Dr Parsa because of the lump under my right eye and the change in my face due to the fat grafting done to my nasolabial folds. When my nasolabial folds got raised up with fat grafting, they got close to the height of the tip of my cheekbones. which created a "valley" between those two and I ended up having a distinct extra shadow line on my face. It is more prominent on the left side of my face but it is visible on the right side too, depending on the light. My face also changes a lot with the amount of salt in the food I eat (I usually don’t eat salty foods), or if I have a glass of wine. Things I never had to worry about before. When I finished explaining, Dr. Parsa became aggressive, said nothing about my concerns. He also never touched my face to examine. He told me I was “mentally unstable,” physically blocked the door, and yelled at me. He said “I never should have operated on you, I knew you were going through divorce, and you were mentally unstable”. I had to ask several times before he finally moved and let me leave. It was humiliating, dehumanizing, and completely inappropriate and I left his office with tears in my eyes. Marie called me to apologize and said Dr. Parsa had been stressed. She said he will reach out to me.
Apr 10, 2024 –Dr. Parsa called me. He said he was overwhelmed dealing with another patient who had smoked against instructions. He said we needed to wait a year before reassessing my concerns. I said OK and waited.
Nov 19, 2024 – Nearing the one-year mark, I asked for another appointment. I asked Marie to be in the room. I sent before-and-after images the day before, hoping we could focus on solutions. At the appointment, both said the same things. Marie told me she didn’t see a difference and suggested I had lost weight (I hadn’t). Oddly, she had earlier said my face looked “collapsed,” but now changed her mind. I have zero filler in my face and don’t use Botox. The only procedure I’ve ever had is this surgery.
Dr. Parsa again wanted to talk to my therapist. He seemed more focused on proving I was mentally unwell than on addressing my concerns. I’m a normal person who goes to therapy regularly. I wanted transparency: I wanted him to say, "I placed the fat into this layer and depth, and here’s how we could address it." I thought since he was the one who created the problem, he would know how to fix it.
Instead, he again said nothing could be done. He denied injecting fat into my nasolabial folds completely. He didn’t examine my face, just briefly touched the lump under my eye. He said the issue might be that he injected too little fat around my eyes, and claimed he has never reversed fat grafting in his career. He also said he wouldn’t treat the lump because injecting 5-FU could leave a divot.
Dec 4, 2024 – He spoke with my therapist.
Dec 9, 2024 – I received a letter where he apologized again. He said that after speaking to my therapist, he better understood how I felt and how he could have handled things differently. He offered to refund the surgeon’s fee (a tiny portion of the total cost), but still provided no solution.
Afterward, Marie and I exchanged emails. I asked for before-and-after comparisons. That process was frustrating. Their photo setup changes frequently—different lighting, distance, angles—so there’s no consistent baseline. Even a slight smile is used to dismiss comparisons. When I showed my own photos, they said the lighting was different. They take photos up-close, with bright lights, making the skin look smooth and hiding lumps. Still, Marie told me she cared and genuinely wanted to help. She suggested we could get help from Dr. Parsa in a non-confrontational way “without hurting his ego” and proposed a light Morpheus8 treatment as a possible option.
Mar 10, 2025 – My final appointment. Dr. Parsa didn’t (or wouldn’t) see me. I was seen by Dr. Karlin. The first thing he said was, “I’ve heard so much about you”. He said something like microneedling might have helped with the lump—but only if done 4–5 weeks after surgery, even though I had brought it up back then. He agreed their photos were not comparable and said he had issues with the system too.
He sent a letter afterward confirming a “small lump at the inferior orbital rim on the right.” He recommended low-dose anti-scarring medication (the medication Dr Parsa said would leave a divot) and massage. He said the change in the nasolabial area was visible only to me and too subtle to treat. He also said there appeared to be a psychological component and wrote in his letter that I had body dysmorphia and should work with a mental health professional!
Outside Consultations:
During this time, I had two outside consultations that I paid out of pocket:
- One with a well-known oculoplastic surgeon (Marie’s idea to send me to him), who said the surgical result was “good” and not suitable for revision. He acknowledged changes but said that overall, my result was good and that I should live with it. I told him I wasn’t interested in a revision surgery but was hoping to improve the valley next to my nasolabial fold and the lump under my eye. He sad he only does surgical work and he couldn’t comment on anything else.
- One with a respected dermatologist, who felt the fat grafting and recommended Morpheus8 for gentle correction.
In summary, experience has been incredibly difficult—not just because of the physical changes I didn’t want, but because of how I was treated afterward. I was dismissed, accused of being mentally unstable, lied to about what was done to my face, and treated with zero compassion after raising valid concerns.
I know I did not turn out “ugly”. But my concerns are real. The negative changes in my face are not incredibly major changes but changes that I specifically said I did not want. I paid for this surgery, and I even paid out of pocket for additional consultations trying to fix what happened. I simply wanted what I asked for—and respectful care if something didn’t go as planned.
Dr. Parsa may be a skilled surgeon (even though I have a lump after the surgery), but as a caregiver, he failed me on every level. Over time, they managed to delay, deflect, and deny until I gave up.
Everything I’ve written here is true. I leave this review as a warning: Ask questions. Get second opinions. And remember—how a doctor treats you after surgery is just as important as how they treat you before.
Pre-Surgery Consultation:
I underwent lower blepharoplasty with Dr. Parsa on December 6th, 2023. I was clear and repetitive about wanting only very minimal changes. My primary concern was the inner corners of my eyebags. During our consultation, he told me I would get a 60 percent improvement. I said I wanted only 30 percent improvement. I was worried about facial irregularities from fat transfer, but I was told that shouldn’t happen. I told him and the patient coordinator repeatedly that I wanted to preserve my cheekbones and the shape of my midface. I was assured that Dr. Parsa is very conservative and would respect my wishes.
One thing I did bring up, though, was the idea of fat grafting into my nasolabial folds. I said I wasn’t sure about it but was considering it. He said he could do it. As the day of surgery neared, however, I did more reading and realized that fat or fillers in the nasolabial folds is a controversial subject, and some prominent doctors are very much against it.
Also, I was going through a divorce, and I told Dr. Parsa and the patient coordinator Marie about it. Dr. Parsa asked my therapist to write a letter proving that I was "fit" to have surgery. My therapist wrote the letter, and Dr. Parsa approved the procedure.
On the day of surgery, I told him I did not want any fat grafting anywhere. I said I only wanted lower lid blepharoplasty with fat repositioning. I also said I wanted no skin cutting or pinching at the outer corners of my eyes. He brought that up during a consultation and said he’d like to pinch some of the skin to help with the bunching that happens on the outer corners of my eyes when I smiled. That was never a concern to me. He listened and nodded and didn’t mark my face (like he does on Instagram to point out the areas of fat grafting), which made me feel like he understood. I felt safe and went into surgery.
Post-Surgery:
As I was waking up from surgery, he wasn’t next to me, but I could hear him saying he didn’t have to pinch the outer corners of my eyes. I went home, and while my face was understandably swollen, I noticed small red dots where the needle went in to do fat grafting to my nasolabial folds. After some weeks, I also started noticing a small lump developing under my right eye. Also the right side of my face felt harder; the left side felt softer. Fat behaved different on both sides. I wanted to be patient and wait.
At my post-op appointments (1 week and 1 month), I raised my concerns and was told I was just swollen and everything would turn out wonderful.
My visits to Dr. Parsa’s Office:
Dec 12, 2023 – Standard post-op visit.
Jan 11, 2024 – One-month post-op visit.
Apr 9, 2024 – I wanted to see Dr Parsa because of the lump under my right eye and the change in my face due to the fat grafting done to my nasolabial folds. When my nasolabial folds got raised up with fat grafting, they got close to the height of the tip of my cheekbones. which created a "valley" between those two and I ended up having a distinct extra shadow line on my face. It is more prominent on the left side of my face but it is visible on the right side too, depending on the light. My face also changes a lot with the amount of salt in the food I eat (I usually don’t eat salty foods), or if I have a glass of wine. Things I never had to worry about before. When I finished explaining, Dr. Parsa became aggressive, said nothing about my concerns. He also never touched my face to examine. He told me I was “mentally unstable,” physically blocked the door, and yelled at me. He said “I never should have operated on you, I knew you were going through divorce, and you were mentally unstable”. I had to ask several times before he finally moved and let me leave. It was humiliating, dehumanizing, and completely inappropriate and I left his office with tears in my eyes. Marie called me to apologize and said Dr. Parsa had been stressed. She said he will reach out to me.
Apr 10, 2024 –Dr. Parsa called me. He said he was overwhelmed dealing with another patient who had smoked against instructions. He said we needed to wait a year before reassessing my concerns. I said OK and waited.
Nov 19, 2024 – Nearing the one-year mark, I asked for another appointment. I asked Marie to be in the room. I sent before-and-after images the day before, hoping we could focus on solutions. At the appointment, both said the same things. Marie told me she didn’t see a difference and suggested I had lost weight (I hadn’t). Oddly, she had earlier said my face looked “collapsed,” but now changed her mind. I have zero filler in my face and don’t use Botox. The only procedure I’ve ever had is this surgery.
Dr. Parsa again wanted to talk to my therapist. He seemed more focused on proving I was mentally unwell than on addressing my concerns. I’m a normal person who goes to therapy regularly. I wanted transparency: I wanted him to say, "I placed the fat into this layer and depth, and here’s how we could address it." I thought since he was the one who created the problem, he would know how to fix it.
Instead, he again said nothing could be done. He denied injecting fat into my nasolabial folds completely. He didn’t examine my face, just briefly touched the lump under my eye. He said the issue might be that he injected too little fat around my eyes, and claimed he has never reversed fat grafting in his career. He also said he wouldn’t treat the lump because injecting 5-FU could leave a divot.
Dec 4, 2024 – He spoke with my therapist.
Dec 9, 2024 – I received a letter where he apologized again. He said that after speaking to my therapist, he better understood how I felt and how he could have handled things differently. He offered to refund the surgeon’s fee (a tiny portion of the total cost), but still provided no solution.
Afterward, Marie and I exchanged emails. I asked for before-and-after comparisons. That process was frustrating. Their photo setup changes frequently—different lighting, distance, angles—so there’s no consistent baseline. Even a slight smile is used to dismiss comparisons. When I showed my own photos, they said the lighting was different. They take photos up-close, with bright lights, making the skin look smooth and hiding lumps. Still, Marie told me she cared and genuinely wanted to help. She suggested we could get help from Dr. Parsa in a non-confrontational way “without hurting his ego” and proposed a light Morpheus8 treatment as a possible option.
Mar 10, 2025 – My final appointment. Dr. Parsa didn’t (or wouldn’t) see me. I was seen by Dr. Karlin. The first thing he said was, “I’ve heard so much about you”. He said something like microneedling might have helped with the lump—but only if done 4–5 weeks after surgery, even though I had brought it up back then. He agreed their photos were not comparable and said he had issues with the system too.
He sent a letter afterward confirming a “small lump at the inferior orbital rim on the right.” He recommended low-dose anti-scarring medication (the medication Dr Parsa said would leave a divot) and massage. He said the change in the nasolabial area was visible only to me and too subtle to treat. He also said there appeared to be a psychological component and wrote in his letter that I had body dysmorphia and should work with a mental health professional!
Outside Consultations:
During this time, I had two outside consultations that I paid out of pocket:
- One with a well-known oculoplastic surgeon (Marie’s idea to send me to him), who said the surgical result was “good” and not suitable for revision. He acknowledged changes but said that overall, my result was good and that I should live with it. I told him I wasn’t interested in a revision surgery but was hoping to improve the valley next to my nasolabial fold and the lump under my eye. He sad he only does surgical work and he couldn’t comment on anything else.
- One with a respected dermatologist, who felt the fat grafting and recommended Morpheus8 for gentle correction.
In summary, experience has been incredibly difficult—not just because of the physical changes I didn’t want, but because of how I was treated afterward. I was dismissed, accused of being mentally unstable, lied to about what was done to my face, and treated with zero compassion after raising valid concerns.
I know I did not turn out “ugly”. But my concerns are real. The negative changes in my face are not incredibly major changes but changes that I specifically said I did not want. I paid for this surgery, and I even paid out of pocket for additional consultations trying to fix what happened. I simply wanted what I asked for—and respectful care if something didn’t go as planned.
Dr. Parsa may be a skilled surgeon (even though I have a lump after the surgery), but as a caregiver, he failed me on every level. Over time, they managed to delay, deflect, and deny until I gave up.
Everything I’ve written here is true. I leave this review as a warning: Ask questions. Get second opinions. And remember—how a doctor treats you after surgery is just as important as how they treat you before.
Provider Review
