san francisco plastic surgery

Plastic surgery practices are easy to dress up with stock photography and vague credentials. San francisco plastic surgery holds up differently: a named surgeon with a verifiable fellowship, a downtown Van Ness Avenue address, and a clinical range that runs from rhinoplasty to reconstructive tissue work and gender-affirming procedures. Dr. Edward Miranda, FACS, has led san francisco plastic surgery alongside PA-C Charis Fasoldt for over thirty years. That kind of tenure under one named surgeon is checkable and it sets a baseline most newer clinics cannot offer.

Surgical procedures from cosmetic to reconstructive

The surgical menu is broad without feeling padded. Facelift, rhinoplasty, breast augmentation, tummy tuck, liposuction, and hair transplants make up the core, and these are the procedures most people arrive looking for. What fills out the picture, and gives the practice more clinical weight than a purely cosmetic outfit, is the reconstructive side: complex tissue reconstruction, scar revision, and migraine nerve decompression. That last one is uncommon enough to indicate a surgeon willing to take on cases well outside the usual elective work.

Gender-affirming surgery as a specialty

Gender-affirming care is treated as a genuine specialty at san francisco plastic surgery, not a checkbox. The listed procedures include facial feminization and masculinization, top surgery, and body contouring. For patients seeking this kind of work, finding it consolidated under one established surgeon matters practically, since these procedures often require sourcing multiple providers. Listing them plainly tells you the practice expects those patients and has built a setup for them.

Non-surgical treatments and equipment

The non-surgical track reads like a proper medical spa attached to the surgical side. Botox and dermal fillers including Sculptra cover the injectable side. For skin, san francisco plastic surgery runs a fractionated CO2 laser, intense pulsed light through the Nordlys system, microneedling, microdermabrasion, and medical-grade facials. Naming the specific equipment, the Nordlys platform in particular, is more useful than a vague promise of laser treatments, because it lets someone research the technology before booking.

Financing and virtual consultations available

Two practical details stand out. Financing is available, which removes a real obstacle for elective procedures that insurance rarely covers. Virtual consultations are offered, and san francisco plastic surgery openly accepts out-of-town and international patients. Those two choices together say the practice has thought about how people who live elsewhere actually manage to schedule surgery in a distant city, and has made it possible rather than just technically allowed.

What do independent reviews show?

The credibility picture is unusually consistent for a field where one mediocre clinic can hide behind a polished site. On Yelp the practice carries 50 reviews. RankMyDentist shows a 4.9 rating from 20 verified reviews. The Better Business Bureau lists san francisco plastic surgery as an accredited business with an A+ rating, the strongest mark the BBB awards. Facebook puts the recommendation rate at 80 percent across 11 ratings, a smaller sample but still positive. RealSelf and MediHair both host profiles with patient reviews, though the exact RealSelf count was not returned in search results.

When a practice shows up favorably on a surgery-specific site like RealSelf, a hair-restoration platform like MediHair, a general business watchdog like the BBB, and a consumer review site like Yelp, the picture is harder to stage than a wall of five stars on one channel. The BBB accreditation speaks to how the business handles complaints specifically, which is its own form of evidence for a surgical practice where a single bad outcome can define a reputation.

On the site itself, prospective patients get a before-and-after gallery and written testimonials. For cosmetic surgery the gallery is what people study hardest, so having it prominent is the right call. Testimonials count for less since they are curated, but paired with the independent reviews elsewhere they fit a consistent story instead of substituting for one.

Getting in touch is straightforward. The phone number and suite address appear up front, and office hours are posted as Monday through Friday, nine to five. The contact route on the site is form-based, standard for a medical practice managing patient inquiries, but the published phone line means nobody is forced through a form to reach a person. For a downtown San Francisco location, having the suite number spelled out is worth noting, since the address alone can land a first-time visitor in the wrong building.

Pulling the overall picture together, san francisco plastic surgery presents as an established practice with real depth on both the cosmetic and reconstructive sides, a named and credentialed surgeon, and a review trail spread across several independent platforms. The breadth of reconstructive and gender-affirming work separates it from clinics focused entirely on elective cosmetics. Financing and virtual consultations lower the friction for patients who are considering a procedure but not yet ready to walk in.

A few gaps are worth noting honestly: the Facebook sample is only 11 ratings, and the RealSelf count was not visible, so the strongest specific numbers come from Yelp and the BBB. The on-site testimonials are self-selected, as they are everywhere. What anchors the whole listing is the thirty-plus years under one named surgeon, the published downtown address, and the A+ standing with the Better Business Bureau. The spread of procedures at san francisco plastic surgery means a single consultation can cover ground that otherwise takes several separate clinics to address. For patients weighing cosmetic or reconstructive surgery in San Francisco, san francisco plastic surgery offers a verifiable record that most practices in the city cannot match on pure longevity alone.