Dr. Romano considers this one of the most powerful yet humbling sections of his entire website.

Listed here is a sample of only ten out of hundreds of typical “Thank You” letters received. These are all unsolicited and “from the heart” of his patients. The rest of these letters are all original and in binders in our office which you can read on your visit.

Please take a few moments to review and appreciate how cosmetic surgery, in a safe, medical, and nurturing environment, can change your life through supporting your total well being goals. As a team, we never loose sight of this.

Dr. Romano,

Hello. I just wanted to thank you for what a wonderful job you did on my lower lids. It’s only been two weeks since my surgery but I already notice a more refreshed appearance. You have been a wonderful doctor and I appreciate how you show compassion and caring in your work both with the surgery and me. I was so nervous to do this surgery, but you put me at ease. Thank you so much to you and your wonderful staff.

Sincerely,

J.P.

Dr. Romano-

You probably hear this a lot, “Thank you” for changing and improving my life. I don’t think I realized how much I was embarrasses by the fact that I had an inverted nipple. For years doctors have told me that it’s normal. Crooked teeth & bad eye sight are normal too but they can be corrected. Since puberty I have had to stand at just the right angle in the gym dressing room so other women wouldn’t see my inverted nipple not to mention the cute bras & shirts which showed my lack of nipple. Plus you can’t imagine the insecurity I felt in intimate situations. The freedom, sensuality, and confidence I feel now is life changing. I hope other women are blessed enough to find you. Your entire office made this an easy decision to make.

Thank you,

Dear Dr. Romano,

After going through the heart-renching experience of unsuccessful cosmetic surgery, I wasn’t sure where to turn. I researched revision rhinoplasty and heard very positive things about a Dr, James Romano. Within five minutes of meeting you I knew you were the surgeon for me. Your obvious competence, incredible qualifications and straight forward approach inspired confidence in me. I wasn’t expecting a miriacle(per your instructions), but the work you performed was as close to miraculous as I could have imagined. I am so happy with the way turned out! My highest complement is this: If I were to become a doctor, I would try to emulate you in the way you form wonderful relationships with your patients.

A thousand thank you’s,

Dear Dr. Romano,

I wanted to thank you so much for your kindness and assurance before our daughter’s surgery. Your presence alone made all the difference.

Her nose is exactly what we hoped for. The supplements you recommended were amazing. Very little swelling, very little pain and no black eyes!

Thank you so much.

Sincerely,

C. & T.

Dear Dr. Romano,

I’m not sure what to say, other than you are a genius! I can hardly find the words to tell you how pleased I am with my new breast. I am still amazed everyday when I look in the mirror. I think I have finally accepted the fact that they are mine and I get to keep them.

I had contemplated having a breast reduction for several years and I am glad that when I finally decided to do it, I found you. I had complete faith that you would do a fabulous job from the first day that I walked into your office. From the moment just prior to my initial consultation when you greeted me so warmly with your smiling, “Good morning”, to the morning of surgery when you held my hand as I was induced under anesthesia, to today, as I write you this note, you have shown yourself to be not only a skillful surgeon, an accomplished physician, and a brilliant artist, but as a gifted healer as well. It is your confidence and ability to be so present that helped me heal so remarkably well after my surgery.

My breast reduction was a catalyst for so many other changes in my life. I’m still the same person, but just enhanced. So many people tell me that I am glowing and that I carry myself very differently (although, who wouldn’t after having 3.25 pounds removed from her chest). Thanks to you, I am a new and improved, me!

Lastly, I thank your wonderful staff for taking such care of me.

With lots of love,

PT
 

Dr. Romano,

You probably hear this a lot; "Thank you" for changing and improving my life. I don't think I realized how much I was embarrassed by the fact that I had an inverted nipple. For years doctors have told me that it's normal. Crooked teeth and bad eye sight are normal too, but they can be corrected. Since puberty I have had to stand at just the right angle in the gym dressing room so other women wouldn't see my inverted nipple; not to mention the cute bras and shirts I couldn't wear which showed my lack of a nipple. Plus, you can't imagine the insecurity I felt in intimate situations. The freedom, sensuality and confidence I feel now is life changing. I hope other women are blessed enough to find you. Your entire office made this an easy decision to make.

Thank you,

A
 

Dr. Romano -

I apologize for not writing sooner. You have changed my life. You were an answer to my prayers! Since I was a teenager I had been embarrassed to change clothes in front of anyone because my breasts were so small. Every morning when I would get dressed I felt so incomplete and unattractive. Your caring approach is so refreshing. You made me feel comfortable and that you would take great care in giving me the best look possible. And you did! I am so happy. I can actually buy pretty bras now. I actually have cleavage now. No more fear of changing in front of others now too. I can't wait to see how fun it will be to buy a new swimsuit this summer. I also want to thank you for your thoughtful and caring "bedside manner". You held my hand and assuaged all my fears.

All my Best. K

Dear Doctor Romano,

It has been a year since I had my surgery and I am completely happy with the results. It’s only when I see a picture of me from before that I realize how much younger and energetic I look. Today I see a face in the mirror that matches the way I feel inside.

I am so glad that I found you. As a professional male in his 40’s, I wanted to freshen my look without a long painful recovery and an obvious “plastic surgery” result. Also, I needed to be brave to overcome the stigma of being a man seeking cosmetic surgery. Discretion was important. Thank you for leading me through this world and seeing things from a masculine point of view, and, most important of all, for seeing things from my point of view. The procedures we chose were exactly what I wanted and needed at this time. I was back to work in two weeks. My co-workers commented on how rested and relaxed I looked from my vacation.

Doctor Roman, you are one of the most professional, skilled and ethical doctors out there! I can enthusiastically recommend you to any man or woman seeking plastic surgery!

Thank you!

W.

"Dr. Romano,

You have made such a beautiful impact on my life! My pectoral implants have exceeded my dreams--I feel that they look better every day.

Words are so hard to find which can express my true gratitude for you. Your skills and superior patient care supersede you.
For that--I will be forever grateful.

With warmest regards and sincerest aloha..."

Dr. Romano,

First of all I have to apologize for the delay in writing this very necessary letter of appreciation to you. I feel awful for putting this off for nine months now, but better late then never so here it goes. You are truly an amazing artist, and I can imagine how it must feel knowing that you have all of these fantastic bodies of work just walking around here and there all over the U.S. and even over seas for that matter on display for the world to admire. You literally have a walking art show for the worlds viewing pleasure, and of course I can say this speaking from my own personal experience with you. When I've thought about writing this letter to you here and there when I've had a moment, I was actually at a loss for words not really knowing how I can put words of praise to you in writing but then I thought of this: The results of my surgery are much more than I'd ever imagined it would be. I considered myself to have a very realistic and healthy idea of what to expect from having both my tummy tuck and breast augmentation done simultaneously, for example I was sacrificing my protruding, stretched out belly for a nice thin new belly with a huge scar and a new belly button. My very small, almost to the point of no existence breasts for these very, very nice, well proportioned breasts, which I accept a very minimally sized scar on my nipples. I honestly wasn't expecting perfection although I must say; the reality of it is that you have most definitely exceeded the closest thing if not PERFECTION for me. The outcome for my procedures, are definitely phenomenal. Down to all of the wonderful care I received from you and all of your staff, starting from my consultation appointment throughout my pre-op and the surgery itself. Even my post op appointments all prove to be very much anticipated. You’re always telling me how things are looking great and to expect everything to get even better with time as far as swelling still going down, the color of my scar lighting to more of a skin toned color (which I really wasn't expecting). I had even mentioned to you in one of my preoperative visits that I was concerned about having an abnormally large orbit with my new belly button, and you not only assured me that you could make it as small as possible but you proved it. The orbit of my new belly button is smaller than the diameter of a dime, and I was scared because I've seen pictures of tummy tucks (not yours of course) where the new belly button orbits are larger than quarters and I knew that having the large scar from hip to hip was one thing (I knew that I'd have that scar but I'd be able to hide it) but I didn't like the idea of potentially having this huge belly button.

You know the way that I had discovered you was from a previous patient of yours that I know you had performed a breast augmentation on. She showed me her new breasts and I was truly impressed. They looked awesome-I mean shape, size, proportion, and they even felt great. She had explained to me how she had came to the conclusion that she was going to have you perform her surgery for her and that she had researched many doctors all over northern California, and that she had found you to be the best all around. Seeing her breasts and hearing what she had to say, I knew that I would be seeking services from you too. It sounds kind of corny but I knew you were the one. I hadn't even researched any information from you regarding your abdominoplasty work but I do know that I definitely made the right choice. Well it's not just me either; all of my friends, family, and strangers are amazed at how damn good everything turned out. I have a lot of friends that want to have you do work on them too, but it's all a matter of timing, financial matters, maybe a little bit of fear too of going under the knife. I'm always telling them that had I known how everything was going to turn out, I would have done this 10 years ago if I had been able. The surgery itself was to me, better than to be expected as far s nervousness/fear, and recovery. I was back to work within my 14 days. No, it wasn't necessarily easy of course. My belly was so tight that I couldn't stand up completely straight for at least 3-4 weeks. I'm fine now of course, but I was able to get in and out of my truck still-although I was moving a bit slower then usual. I was able to take my kids to and from school as well. I actually was able to climb into my huge truck my 12th day post op. I didn't even use up all of the pain medication that I had been prescribed. I still had about 7 pills left so what does that say. Don't get me wrong, the recovery wasn't exactly cake, but it wasn't really as bad as I had anticipated. I did have the mind set too that pain is only temporary and that the recovery is a process so I can say that I was mentally prepared. What more can I say, let's see? Oh yes, my breasts went from about a 36 A to now a 34 D which is a formal measurement from Victoria's Secret and is also now a 15 lbs less version of me, because with hard work I've been able to now lose some weight and several clothes sizes. Of course I've gained a ton of self esteem. No more loose baggy clothes to hide under. Another thing with the physical self confidence that I've gained is my ability to speak to people. I swear that with my new me, I am able to talk to people much easier than I've ever been able to, and better then I've ever been able to. I can look people in the eyes easier when conversing especially with strangers (I never use to have small talk or engage in schmoozing chit chats with people). I even find that I am speaking clearer not jumbling up my wording like I used too with friendly conversations and also at work. I feel that I sound very professional with clients at work whereas before I couldn't get the words to come out the way I'd plan them too before. That's actually a little bizarre to me, but hey, it works. I have to mention too, that the scar taping method that you practice really works out. It's very beneficial to the aiding of the reduction in size of the scar from the incision from the tummy tuck. My scar is much thinner that I had ever envisioned it being. I was anticipating this wide scar to be about the width of at least a sharpie marker and it's really pencil line thin in most places. It's a shame that not all plastic surgeons that perform abdominoplasty use this same method.

With all this being said, I can't tell you that I have any complaints. Initially post op, I did have some minor concerns and of course I did all of my homework so I had actually knew that I'd feel that way, but I was patient like I knew I should be and I can say that my patience has prevailed. Everything is better then I could have ever hoped for. I feel like in a way like I'm walking on clouds or even better, I don't know if you've seen the movie "What Dreams May Come" with Robin Williams but aside from the sad story line there are some scenes that take place in this beautiful dreamlike place full of magnificent flowers and trees and he actually at one point walks on water. That is the equivalent of how you've helped me to feel in my everyday life and for this I owe you so much gratification. I do refer you to all of my friends and acquaintances that show any interest and I hand them your business cards. I know that in the future should I ever desire any other procedures, that there is no question in my mind-hands down that you will be the doctor I call. You have far more than exceeded my expectations for my results of my surgery-you’re the best.

Sincerely,

C.S.
 

A Wonderful Plastic Surgeon in San Francisco

Thought I should take a minute to share my wonderful experience with a very skilled and nice physician who did my breast implant surgeries, Dr. James Romano.

My story begins about a year a half ago. I was 38 years old at that time, 5’7", 128 lbs. and have one child who is 12 years old. I was never big breasted…. approximately an A cup and never ever thought I would consider having breast implants. I’m an avid runner and large breasts never fit into my vision of myself. However, after pregnancy and as I aged I was increasingly disappointed in how my breasts had begun to droop as well as lost much of their natural fullness.

I did quite a lot of research on breast implants, reading extensively at Nicole’s website as well as some others. I decided to research plastic surgeons within the bay area and came across Dr. James Romano’s website. His patient philosophy was most impressive and his sight offered extensive information about preparation, procedures, recovery, expectations and more. The sight encourages you to email Dr. Romano if you have any questions or need more information. I made an appointment and traveled some 4 hours to see Dr. Romano in June of 2000.

He was wonderful. He spent about 45 minutes with me, answered every question I had. We looked over the photographs I had brought to the appointment as well as some of his patient photographs kept on file. I must say, I felt looking at Dr. Romano’s breast implant before and after photos was very helpful as his results really speak for themselves. Having viewed many, many implant before and after photographs on the web, it was apparent that Dr. Romano was a gifted surgeon.
I ended up having very small implants; 180cc overfilled to 230cc’s placed over the muscle in July of 2000. Dr. Romano and his office staff did a great job of preparing me for the procedure, including a regimen of foods, vitamins and herbs to speed my healing time. The surgery went very well and I was back at work within 4 days of the procedure.

My breasts healed and settled into place, but I came to realize that I really would prefer a larger implant. At first I was embarrassed because I had been adamant that I had wanted a very small implant. Finally I did email Dr. Romano and told him my concern, asking how difficult it would be to replace my implants with a larger size. He emailed me back stating it was a much easier procedure than the initial one and could definitely help me obtain my goals, namely better cleavage and more fullness in the top area of my breasts.

My husband and I went to see Dr. Romano in May of 2001 and spoke with him further about the procedure and options. Dr. Romano believes strongly in patients being very well informed about matters pertinent to their care. I decided to have my implants replaced, 300 cc’s overfilled to 325 cc’s and did so in June of this year. My breasts are beautiful and I was up and around with very minimal discomfort the next day.

I cannot stress enough how important it is to research and find the very best plastic surgeon you can and then listen carefully to what he or she has to say. I was very lucky to have found such a wonderful doctor!

K.D.

Dear Dr. Romano,

It is now 8hrs after my surgery. I just got up from my sleep, and man I'm excited, and of course relieved! I have been so worried and in fact quite stressed up over the past few weeks, but every time I see you, I would feel so much calmer. Plus being a young Asian guy who wants lipo, and on top of that, bottom grafting!! really wasn't easy for me. You made me feel so at ease, and there is nothing to feel embarrassed about. Also, I know just like other things in life, was all panic when we know we aren't in control, especially at a surgery. And that is why trust is so important. You and your staff are the greatest and both physically, mentally, and spiritually. I'm looking forward to talk to you tomorrow about how the surgery went, and excited to see the results! Thank you so much.

A.T.

Hi,

After incorporating your comments into my journal, I posted a link to my journal on Marianne's rhinoplasty message board. All of the journal comments that I got from pre-op or post-op rhino patients were positive. Most of them were posted on the message board, but a few came in private email. I thought that I'd share several of them with you:

You look great Steve. I think you had a dramatic side profile change similar to me. The webpage is incredibly informative, with Romano's comments and everything. Wow...

Your nose looks wonderful! Go Dr Romano! And what a great site!!!!! ....Quite a bit of work, but so worth it for us newbies!

First of all - you look great. Dr. Romano did a wonderful job.

Steve, your nose looks fantastic! I love it! It is still very masculine looking, but the hump is gone. I like it from the front as well! Who did your nose?

Your new nose is great. It looks completely natural and really fits your face. You look great.

New nose looks great! Great site, very thorough!

Thanks for the great site. I can see why you're very happy with your results.

Thanks again,
Steve

Dear Dr. Romano,

I wanted to tell you how much coming to you has meant to me and how it has changed my life – and also why I am back again 5 years later. It’s a story with a happy ending … no make that a happy middle and the happy ending still before me. But in the beginning, it wasn’t so bright. I just was in a dark place, the details are personal, but suffice to say that I didn’t like myself too much. There was a lot of isolation, loneliness, depression. Somewhere in the darkness I still made the decision that I wanted my life to be better. I realized that people were around me that would offer help, but I was too low to take it. I started very slowly. I have a friend who does massages. At first it was just getting used to the idea of someone touching me, learning to relax, to accept the healing energy. To accept that it was okay for me to receive this. Then after an amount of time had passed, I realized that this care was translating to my brain as “permission” for me to accept help; that the act of giving something to myself was relaying a steady message that I deserved good things.

Part of that hibernation period, that hiding away, was based on self-image. I had gotten older, my body was not as it used to be and I had begun the process of associating my looks with my life happiness. When I first contemplated cosmetic surgery, I went through a long philosophical argument (with myself) about accepting my body just as it is, not buying into the media-perpetuated beauty myth. I had always been a big, curvaceous, voluptuous woman. I hadn’t really suffered for attention. But time had marched on and the mirror (through my eyes) wasn’t as kind. Shopping for clothes was a struggle, being comfortable was an issue and on top of it all, I always had this feeling that my Mom (who is built like a little bird) was secretly disappointed that I wasn’t more like her.

So I opted for breast reduction and liposuction around my belly and hips. I remember our long conversations about balance, about respecting that self that knew I would most likely never be a skinny woman and how keeping proportion was important. You made me feel so comfortable with the whole process, from the decision to the technicalities of surgery.

It was scary going in to the hospital that day, it was scary to think of the change or worse yet, and what if there wasn’t a change? But again, somewhere in there was still the thought of my being willing to make a change and all my arguments and fears dissipated into a sense of possibility. Okay, not all my fears – it was still scary. But the staff was so nice and by the time I was given the medicine to make me go to sleep I was excited and ready.

I’ll never forget what it felt like the first time I came in for my post-op checkup and stood in front of a full length mirror. Sore and bandaged up, with stitches and swelling – I saw a body that I already knew I was going to love. I *saw* the change and that’s before it got even better as the weeks went by. As trite as it may sound, it was unbelievable that I had waited so long, resisted so long, for something that brought me so much joy.

So here I am 5 years later. I have come back because I *know* how healthy and happy I am (by the way – thank you again) but I want to do a bit more. Hey – I’m a bit older – there are parts that are just plain stubborn. I came back because I know that I’ve been consistent in my eating habits, in my exercise habits, but most importantly, consistent in being happy and I feel so confident in my choices. I’m coming to them from a much different place now.

Those first steps with you changed my life. My body changed, my mentality changed and somewhere in there I mysteriously went blonde. *laugh* I have never felt happier or healthier than where I am right now in my life. The commitment I made to myself just continued to grow. Yes, at first it was a physical change – yes I know that change comes from within … and that is exactly where it started. That first time my brain told my heart that it was okay for me to like myself, no matter what I needed to do to make that happen.

I can’t imagine what it would have been like if I hadn’t been lucky enough to find you. You touched my life all those years ago, and even though time has passed, your assistance, your support and your artistry have always been with me. A million thanks yous. I can’t wait for the next unveiling.

So very, very sincerely yours,
S.K.