Aesthetic Surgery is voluntary and discretionary. Both doctor and patient must have a "therapeutic alliance" and together achieve our desired goals: safe, predictable and pleasing cosmetic results. We have a mutual responsibility, both patient and surgeon, to be safe, prudent, conservative and informed. This commitment guides my philosophy of patient care. You will see it reflected in my lengthy initial patient consultations, subsequent pre-operative contacts, the surgical techniques I use, my post-operative and ongoing care and my staff's concern and accessibility.   My consultations are lengthy and informative and that is why I charge for them. Many plastic surgeons that offer complimentary consultations actually have them done by a cosmetic consultant or patient coordinator or they may spend only a few moments with patients. I schedule a large block of time for each patient and take as much time as a patient needs to discuss their situation. Photos are taken and we discuss them. Many patients return to continue the consultation on a second, or sometimes even a third visit. I do not charge for those subsequent visits. I have a reputation for listening to patients and taking the time to understand their individual concerns and their individual anatomic and physical differences. I also have the aesthetic skill needed to imagine what would look best, given their goals, and to discuss all of this with them in an understandable way. Face Eyelid Surgery Face Surgery  Breast Breast Augmentation Breast Lift Breast Reduction Body Tummy Tuck Liposuction