Nestor D. Karas, DDS, MD

I was writing a few Unilocal reviews today and realized I’ve never reviewed Dr. Karas. My treatment is ongoing, but I can’t say enough great things thus far so I think it deserves a review :)
I presented to Dr. Karas with a pretty complicated case with a lot of history. I was told I needed jaw surgery all of my life and finally jumped in and got braces and jaw surgery in 2013 – 2014 with Kaiser Oakland. Both my orthodontic and surgical work were done terribly wrong, and left me in a much worse position than what I started with prior to any treatment. I was left to find a whole new team to revise my entire treatment, and now I was a very complicated and difficult case. I consulted with multiple maxfac surgeons, including some of the biggest names in the business. Multiple professionals in the area recommended Dr. Karas to me. He was my last consult out of the surgeons I saw, and I knew from the moment I left the appointment that I wanted him to do my revision surgery.
The care from Dr. Karas (as well as my new orthodontist working with him) has just been night and day in comparison to the care I received during my first jaw surgery experience. From the consult on everything has just been incredible. He has gone above and beyond to work with me to not only help me on a path to fix what was wrong, but he also did research to try to piece together pieces of the puzzle of what went wrong in my first surgery after the first surgeon abandoned me with no answers. And after that experience, he’s also been incredibly caring and goes out of his way to make sure I am fully informed and involved in my re-​treatment. Not only did he step up and take an incredibly difficult surgical case, but he also committed to dealing with the natural skepticism and anxiety I had stemming from my first surgical experience. My case required a little more in depth planning with additional doctors such as my prosthodontist, and he went above and beyond to make sure all options were explored for my case.
I had no plans shown to me for my first surgery. In preparation for my revision, Dr. Karas uses new technology to do the best 3D scans and modeling for your case. He walked me through all of the proposed movements, anticipated results, and thoroughly covered all of the risks. Again, night and day compared to my first experience. The surgical experience was great at Aspen/​John Muir. All of the staff there had nothing but great things to say to me about Dr. Karas, and they obviously enjoy working with him there. My post op care has been amazing thus far. I only saw my surgeon once the first month post op after my original surgery. Dr. Karas has been super involved, seeing me the day after surgery, then five days, 10 days, and 3 weeks post op; taking a good look at everything and making sure everything is as it should be after all of the hard work. Very comforting this time around knowing I am being checked and in good hands!
I’ve had the unique experience of having jaw surgery twice. I’ve seen what good care is like vs. …well, not so great care. Do your research and get a great surgeon. A surgeon that uses the newest technology, will devote the time to your case, has the extensive experience to tackle even the toughest problems, and genuinely cares about his work and his patients. I can’t recommend Dr. Karas enough. He didn’t have to step up to the plate and take on a case like mine. He did, and his work continues to exceed my expectations. I can never thank him enough, so least I can do is make sure people hear my experience and consider him for their oral/​maxfac needs!

I recently went to Dr Karas to get a second opinion regarding the removal of an ondodontic karatocyst (a cyst in my jaw bone.) I had seen another oral surgeon and his prognosis was grim to say the least. I was informed that I would be losing approximately 1 inch of my jaw bone and rear molar #31 and most likely have permanent numbness on my lower lip. The doctor matter-​of-​factly told me this just before saying that he didn’t even want to do the procedure and that he would be sending me to UCSF to let some student work on me. I was beside myself when we walked out of his office, that’s when my better half turned to me and said «I didn’t like anything he had to say! We’re going across the street and give your x-​rays to Dr Karas.» Dr Karas, in my humble opinion, is the best there is here in the Diablo Valley. Not only is he a maxillofacial surgeon, he is an MD, general surgeon and plastic surgeon as well. His bedside manner was far and above that of my first consultation. He first put my mind at ease telling me that we had options. As he specializes in difficult cases, mine wasn’t particularly difficult for him. Dr Karas, although he must have spent most of my life in school, is priced about the same as the other guys out there, but makes his living out of going the extra mile and getting the best possible results for the patient out of some rather bleak situations. Dr Karas was able to remove the cyst from my jaw without removing any teeth and the numbness is just about gone two and a half months after my procedure. I would recommend him to everyone in the market for an oral surgeon.

I have been a patient of Dr. Karas for several years. He and his staff are very professional and their experience and expertise have always made me feel that I was in the best care.

On the expensive side, but worth the experience, expertise & advanced technical equipment used by Dr. Karas. I’d rather pay top dollar and know I’m in the best hands technically and experientially.

I have now had three procedures performed by Dr. Karas.
On each occasion, both Dr. Karas and his staff were remarkably personable but still extremely professional. Great efforts were extended by them to at all times to communicate to me what each step of the process would entail.
Moreover, and perhaps what impressed me the most, was the sensitivity that they continually demonstrated regarding the need for pain management. They insured that my procedures were, for all intents and purposes, painless.
I would, and do, endorse Dr. Karas unequivocally and without reservation for anyone in need of oral surgery.

Dr. Karas has taken out two of my sons wisdom teeth, has done two implants, and one bone graft. He was very professional and we had no complications. We scheduled a consultation before each procedure and all of our questions were answered before we scheduled the necessary procedure. I would highly recommend Dr. Karas to anyone in need of an oral surgeon.

Dr. Karas has a good reputation for oral surgery among the dentists in this area. He is technically proficient and the office is efficient and well run.
Having said that, I probably won’t go back. I wanted to ask questions before the procedure and that obviously didn’t sit well with him. When I asked questions, he basically dismissed my concerns and said «You can always ask for a 2^nd opinion». Well i had to wait for 3 weeks to get an appointment with him and was on a time constraint by that point.
I appreciate his skill and talent but I want a medical professional who listens when his patient is not comfortable and not one who expects patients to accept his opinion because He is the Doctor.
I noticed a large percentage of his patients were geriatric and they are probably more comfortable with his style.

Had a wonderful experience. The staff was extremely helpful and genuinely nice. I would recommend this office to anyone.

Had an implant done and was very happy with his work. Dr. Nestor has extensive training and experience and my procedure was a walk in the park for the guy. His office is very professional and well organized, and I would highly recommend his practice.