Opening soon in San Francisco
Our new location is opening soon in San Francisco. The full practice site, patient results and journeys are on the way. We continue to see new consultations and existing patients, as the new location is completed.
Accepting Consultation Requests • San Francisco’s Facial Rejuvenation Practice Now In A New Location

M.D. with Distinction. Ranked #2 in the world for clinical medicine at the time.
New York–Presbyterian, head and neck surgery.
Dual Ivy-League Trained, Top 5 Hospital in Nation
Dean’s Fellow. Ranked #2 in the world for public health.
Double board-certified. ABFPRS, ABOHNS.
Andrew Jacono, M.D. – Pioneer of the Deep Plane Facelift
B.A., Regents and Chancellor’s Scholar, summa cum laude, departmental citation.
Send a few details and the practice will follow up to schedule.
If you have already consulted with Dr. Arunkumar and are ready to book surgery, please use this form as well.


Our new location is opening soon in San Francisco. The full practice site, patient results and journeys are on the way. We continue to see new consultations and existing patients, as the new location is completed.
These Terms of Service govern your use of the website located at www.thepresenttense.com and any related services provided by Amit Arunkumar, M.D. Facial Plastic Surgery.
By accessing www.thepresenttense.com, you agree to abide by these Terms of Service and to comply with all applicable laws and regulations. If you do not agree with these Terms of Service, you are prohibited from using or accessing this website or using any other services provided by Amit Arunkumar, M.D. Facial Plastic Surgery.
We, Amit Arunkumar, M.D. Facial Plastic Surgery, reserve the right to review and amend any of these Terms of Service at our sole discretion. Upon doing so, we will update this page. Any changes to these Terms of Service will take effect immediately from the date of publication.
These Terms of Service were last updated on January 1, 2026.
By using this website, you warrant on behalf of yourself, your users, and other parties you represent that you will not:
The intellectual property in the materials contained in this website are owned by or licensed to Amit Arunkumar, M.D. Facial Plastic Surgery and are protected by applicable copyright and trademark law. We grant our users permission to download one copy of the materials for personal, non-commercial transitory use.
This constitutes the grant of a license, not a transfer of title. This license shall automatically terminate if you violate any of these restrictions or the Terms of Service, and may be terminated by Amit Arunkumar, M.D. Facial Plastic Surgery at any time.
Our website and the materials on our website are provided on an 'as is' basis. To the extent permitted by law, Amit Arunkumar, M.D. Facial Plastic Surgery makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties including, without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property, or other violation of rights.
In no event shall Amit Arunkumar, M.D. Facial Plastic Surgery or its suppliers be liable for any consequential loss suffered or incurred by you or any third party arising from the use or inability to use this website or the materials on this website, even if Amit Arunkumar, M.D. Facial Plastic Surgery or an authorized representative has been notified, orally or in writing, of the possibility of such damage.
In the context of this agreement, “consequential loss” includes any consequential loss, indirect loss, real or anticipated loss of profit, loss of benefit, loss of revenue, loss of business, loss of goodwill, loss of opportunity, loss of savings, loss of reputation, loss of use and/or loss or corruption of data, whether under statute, contract, equity, tort (including negligence), indemnity, or otherwise.
Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you.
The materials appearing on our website are not comprehensive and are for general information purposes only. Amit Arunkumar, M.D. Facial Plastic Surgery does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on this website, or otherwise relating to such materials or on any resources linked to this website.
Amit Arunkumar, M.D. Facial Plastic Surgery has not reviewed all of the sites linked to its website and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement, approval, or control by Amit Arunkumar, M.D. Facial Plastic Surgery of the site. Use of any such linked site is at your own risk and we strongly advise you make your own investigations with respect to the suitability of those sites.
We may suspend or terminate your right to use our website and terminate these Terms of Service immediately upon written notice to you for any breach of these Terms of Service.
Any term of these Terms of Service which is wholly or partially void or unenforceable is severed to the extent that it is void or unenforceable. The validity of the remainder of these Terms of Service is not affected.
These Terms of Service are governed by and construed in accordance with the laws of the state in which we maintain our principal place of business. You irrevocably submit to the exclusive jurisdiction of the courts in that State or location.
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Understanding Your Health Record/Information
This notice describes the practices of Present Tense Facial Plastic Surgery and its staff (collectively, "Practice"), and that of any physician or provider with staff privileges with respect to your protected health information created while you are a patient at Practice. Practice, physicians with staff privileges, and personnel authorized to have access to your medical chart are subject to this notice. In addition, Practice and physicians with staff privileges may share medical information with each other for treatment, payment or health care operations described in this notice.
We create a record of the care and services you receive at Practice. We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. This notice applies to all of the records of your care at Practice.
This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
Your Health Information Rights
Although your health record is the physical property of Practice, the information belongs to you. You have the right to:
Inspect and request a paper or electronic copy of your health record as provided by law;
Request that we amend your health record as provided by law. We will notify you if we are unable to grant your request to amend your health record;
Request communication of your health information by alternative means or at alternative locations. We will accommodate reasonable requests.
Request a restriction on certain uses and disclosures of your information for treatment, payment, health care operations and as to disclosures permitted to persons, including family members involved with your care and as provided by law. However, we are not required by law to agree to a requested restriction, unless the request relates to a restriction on disclosures to your health insurer regarding health care items or services for which you have paid out-of-pocket and in-full;
Obtain an accounting of disclosures of your health information as provided by law;
Obtain a paper copy of this notice of information practices; and
Choose someone to act for you if you have given someone medical power of attorney or if someone is your legal guardian. We will verify the person’s authority before we take action.
You may exercise your rights set forth in this notice by providing a written request to Present Tense Facial Plastic Surgery, 450 Sutter St. Suite 2125, San Francisco CA 94108.
Our Responsibilities
In addition to the responsibilities set forth above, we are also required to:
Maintain the privacy of your health information;
Subject to certain exceptions under the law, provide notice of any unauthorized acquisition, access, use or disclosure of your protected health information to the extent it was not otherwise secured;
Provide you with a notice as to our legal duties and privacy practices with respect to information we maintain about you;
Abide by the terms of this notice; and
Notify you if we are unable to agree to a requested restriction on certain uses and disclosures.
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain, including information created or received before the change. Should our information practices change we are not required to notify you, but we will have the revised notice available upon your request at Practice.
Uses and Disclosures of Medical Information That Do Not Require Your Authorization
The following categories describe different ways that we may use and disclose medical information without your authorization. For each category of uses or disclosures we will explain what we mean, but not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information without your authorization should fall within one of the categories.
We will use your health information for treatment.
For example: We may disclose medical information about you to doctors, nurses, technicians, medical students, or other personnel who are involved in taking care of you. We may share medical information about you in order to coordinate different treatments, such as prescriptions, lab work and x-rays. We may also provide your physician or a subsequent health-care provider with copies of various reports to assist in treating you once you are discharged from care at Practice.
We will use your health information for payment.
For example: A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.
We will use your health information for regular health care operations.
For example: We may use the information in your health record to assess the care and outcome in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the health care and services we provide.
We will use and disclose your health information as otherwise allowed by law. Examples of those uses and disclosures follow:
Business associates: There are some services provided in our organization through agreements with business associates. Examples include answering services and copy services. To protect your health information, however, we require business associates to appropriately safeguard your information.
Notification: Unless you object, we may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care about your location and general condition.
Individuals involved in your care: Unless you object, we may disclose to a family member, other relative, a close personal friend or other person you identify the health information that is directly relevant to that person's involvement in your health care or payment for your health care. If you are not able to agree or object to such disclosure, we may disclose the information as necessary if we determine it is in your best interest in our professional judgment.
Disaster relief: We may use or disclose your health information to public or private disaster relief organizations to coordinate your care or to notify your family or friends of your location or condition in a disaster. We will provide you with an opportunity to agree or object to these disclosures when practical.
Research: We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to protect the privacy of your health
Communications regarding treatment alternatives and appointment reminders: We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, medications, devices, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.
Worker's compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to worker's compensation or other similar programs established by law.
Public health: As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
Abuse, neglect or domestic violence: As required by law, we may disclose health information to a governmental authority authorized by law to receive reports of abuse, neglect, or domestic violence.
Judicial, administrative and law enforcement purposes: Consistent with applicable law, we may disclose health information about you for judicial, administrative and law enforcement purposes.
Health oversight activities: We may disclose health information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections and licensure.
Threats to health or safety: We may use or disclose health information as allowed by law if we believe in good faith that it is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public or for law enforcement authorities to identify or apprehend an individual involved in a crime.
Special government functions: We may disclose health information to authorized federal officials for intelligence, counter-intelligence and other national security activities authorized by law, or for protective services to the President of the United States or certain other government officials. If you are a member of the military, we may disclose health information to military authorities under some circumstances. If you are an inmate of a jail, prison or other correctional facility or in the custody of law enforcement personnel, we may disclose health information necessary for your health and the health and safety of others.
Required or allowed by law: We will disclose medical information about you when required or allowed to do so by federal, state or local law.
Electronic Health Information Exchange: We use a third party to maintain our electronic medical records (“EMR”), and stores electronic health information about you in the EMR. We monitor who can view your EMR and limit access to the personnel with an actual need to access your information.
When We Need Your Written Authorization
We will not use or disclose your health information without your written authorization, except as described in this notice. Additional uses that might require your additional written authorization are not common, but an example would be uses and disclosures for marketing purposes.
For More Information or to Report a Problem
If you have questions and would like additional information, you may contact Practice at (415) 489 – 0367.
If you believe your privacy rights have been violated, you can send a complaint to the Practice Manager of Practice at 450 Sutter St. Suite 2125, San Francisco CA 94108, or to the Secretary of Health and Human Services (HHS) Office of Civil Rights’ Centralized Case Management Operations by sending a letter or completed complaint form posted on the HHS’s website at 200 Independence Ave., S.W., Room 509F HHH Bldg., Washington, D.C. 20201; calling (877) 696-6775; emailing [email protected]; or filing a complaint online at https://www.hhs.gov/hipaa/filing-a-complaint/index.html.
There will be no retaliation against you for filing a complaint.
This Notice of Privacy Practices is effective as of September 1, 2026.
We may change our policies and this notice at any time and have those revised policies apply to all the protected health information we maintain. If or when we change our notice, we will post the new notice at the office of each Practice location where it can be seen.