What should happen during an initial plastic surgeon consultation?

During your consultation with a plastic surgeon, the doctor will review your medical history and ask what you would like changed. It is helpful to be direct. Ethical plastic surgeons do not want to suggest procedures.

They want to know exactly what bothers you, so that they can direct the consultation and specifically address your concerns. Almost all modern plastic surgeons use computer imaging. Some older surgeons still draw on Polaroid photographs.

The surgeon will review your photos and ask what troubles you. He will then alter the photos digitally and discuss possible changes. The surgical or nonsurgical solutions to your problems and their risks and benefits will be discussed.

He should show you photos of other patients. Typical results, less-than-average results, and a few "wows" should be shown. An ethical plastic surgeon will discuss the pros and cons of a cosmetic procedure.

He has a legal and ethical responsibility to explain all the risks and benefits of the procedure, and the possible alternatives. You can then give what is called an informed consent. (If there were no risks to surgery, the decision would certainly be more straightforward.) If in the course of the consultation you decide not to have the procedure, the surgeon has done his job.

Remember, a plastic surgeon offers a service; he does not sell a procedure.

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