Treatment Provider

Evan Ransom, MD, FACS
Board Certified Facial Plastic Surgeon
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Proceed with extreme caution!

Just adding a final update here... it seems the filler (unfortunately Radiesse, not Restylane) has finally dissolved after nearly two years. But, nearly two years after the Lipo and Thermitight, the skin on my neck is still MUCH more lax than before (It had no noticeable laxity before) and I still have what I think is scar tissue under one side of my chin. In other words, my neck looks way worse than it did before.

Prior to these procedures with Dr. Ransom, I really would try anything beauty-wise. Over the years, I have done lots of botox, some filler, and various lasers -- sometimes procedures would not do anything, but nothing ever made me worse. Unfortunately, in my vanity, I went too far, did not do enough diligence, and just trusted Dr. Ransom when he suggested these procedures. Thinking back on it, I should just have left well enough alone.

And also, it is just gross that Dr. Ransom played on my insecurities to basically tell me how horrible I looked and convince me to get procedures I did not need. I mean, he told me my nose was "too prominent" and my chin was "weak," circled all my flaws on an iPad, wanted to give me a permanent chin implant and was hinting that I also needed a nose job. I left his office almost in tears. My boyfriend at the time warned me that was crazy talk, and it was! I mean, I'm far from perfect looking and don't look how I used to, but my nose and chin are fine -- I used to model when I was in HS! Dr. Ransom also showed me before/after photos of folks who (as I now know from his website before/afters) had neck lifts and represented them as before/afters from Thermitight. I am amazed that a reputable plastic surgeon would just tell patients anything to make a quick buck. But after visiting a few, it seems that's what most of them do (with the exception of Dr. Issa Eshima). Seriously, Dr. Ransom, you should be ashamed of yourself -- there are better ways to make money.

So please forgive the rant, but in case this helps one person, I just want to warn everyone who is considering plastic surgery, to please proceed with extreme caution! Most plastic surgeons will tell you anything to sell you on lots of procedures. If something's not totally broken, please consider leaving well enough alone. And if you do get plastic surgery, interview LOTS of surgeons until you find one who is not just playing on your vanities/insecurities and who actually gives you reasonable advice. Plastic surgery can make you look worse, not better! My only friend who has also had plastic surgery went to a very famous/expensive one in LA and still has bad scars years later and also wishes she had never done it.

Find a different doctor/procedure!

It's now been 8 months since I had ThermiTight, Lipo and Restylane from Dr. Ransom and it was all such a big mistake. The Restalyne will at least hopefully dissolve in the next few months. But the Thermitight and Lipo have done permanent damage to my face. I now firmly believe Dr. Ransom sold me on unwarranted procedures that only made me look worse, and then showed no interest in figuring out what went wrong or in fixing it.

I've met with multiple plastic surgeons since this happened and I'd strongly recommend that everyone reading this who is considering Dr. Ransom instead see Dr. Issa Eshima, who is expensive but honest. Dr. Eshima basically told me that I had a great face and he never would have touched it, but that Dr. Ransom should want to keep me happy and I should let Dr. Ransom fix it instead of paying him (Dr. Eshima) a lot more money. Another plastic surgeon told me the damage was never truly fixable, that fat was removed that never should have been removed, and that my neck would now always look "older" but that I could do things to make it look better.

I have one final follow up appointment with Dr. Ransom later this month, so we'll see if he offers any solutions. Last appointment he told me laughingly that I could always just walk around with my head tilted up so that the waddle I now have doesn't show. I did not find that so funny.

I Feel Worse About my Neck!

I really did not want to write a bad review, but I feel obligated to others who may be considering these procedures: liposuction, ThermiTight and Radiesse all on my chin/neck. I am not sure if my negative outcome was Dr. Ransom's fault in recommending/conducting the procedures, but my chin/neck surely looks worse than before.
Beforehand, I did not have a typical double-chin or a saggy neck. (For reference I am 42 yo and a size 4.) Rather, since I was a kid, I have had a lump under one side of my chin, which I was told was fat, and this asymmetry was what I wanted to correct. (It really looked fine straight-on, but bothered me when I titled my head down.). Dr. Ransom suggested liposuction, ThermiTight and a chin implant. I thought my chin was fine and did not want an implant, but Dr. Ransom convinced me to get chin filler, which would be temporarily if I did not like it. I was surprised that everything was going to cost less than I'd expected.
The surgery itself was fine, better than I'd expected. A bit weird to be awake while someone operates on your face, but not painful or long and Dr. Ransom said during that I was "good at lipo" (whatever that means), so I thought it all went well. Afterward, I only had one bruise on the tip of my chin (I think from the filler), and the swelling went down in a few days.
It's now four months later and here's how it looks: (1) the original lump is much larger and now extends along the side of my chin (my dermatologist thinks it's scar tissue that *may* go away in a year or two), (2) the skin all over my jowl/neck area is much looser and all of a sudden I have an "old" neck along with a small turkey waddle in the middle, (3) the filler is not aesthetically pleasing (looks manly) and is lopsided such that one side of my face looks larger than the other. I am now researching a neck lift to correct issue #2, but concerned about another surgery and making everything even worse.
I have had three follow-ups with Dr. Ransom and, although he is perfectly pleasant, I feel he's been dismissive of my concerns, telling me I have stretchy skin and it will never look perfect. But had I known there was a chance that I'd look worse, I really never would have gone ahead with the procedures. I really wish I'd left well-enough alone!
I don't have my official "before" photos, so I am just posting a social photo with head tilted slightly down, as well as two "after" photos. If anyone has advice on how to fix, it would be much appreciated!

Provider Review

Board Certified Facial Plastic Surgeon
450 Sutter St., San Francisco, California
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