Jorge A. Perez M.D. F.A.C.S. Get Directions

Perez Plastic Surgery


The Dirty Little Secrets of Plastic Surgery…Part 2 “Free” Consultations: You Get What You Pay For (Original Article)

· Choosing the Best, Safety · No Comments


Plastic surgery is booming. A combination of an aging baby boomer demographic, greater disposable income, affordable surgery and greater awareness, have all contributed to an increase in both surgical and non-surgical enhancements.


Patients are able to enjoy improvements to their face and body appearance like never before. However, along with the highly publicized successes of plastic surgery, there exist pitfalls and drawbacks that patients need to avoid. We call these the dirty little secrets of plastic surgery.


Part 2: The “Free” Consultation: You Get What You Pay For


The first step towards self-improvement through plastic surgery starts with the consultation. Some plastic surgeons offer “free consultations” in order to keep their waiting rooms and surgical schedules full. These usually go hand-in-hand with heavy advertising, phony car dealer-type “discounts” and a slick sales pitch. Ironically, places that lure patients with free consultations often charge more for surgery than honest, reputable plastic surgeons.


The problem with free consultations is that the patient usually gets what they pay for, nothing. Although there are exceptions, it is difficult to have a thorough and meaningful consultation with a plastic surgeon when dozens of other patients are also waiting for their brief “free” consultation. Patients typically complain that they felt like they were taking a number at the supermarket deli counter. I recall one patient who told us that her free consultation consisted of the doctor shaking her breasts and remarking, “Yup, you could use a boob job”!


Our office policy is to charge a modest cosmetic consultation fee. However, even though our fee is modest, it serves as a sufficient screening method. Amazing as it might seem, since plastic surgery is such an important, life-changing process that typically costs thousands of dollars, some patients quibble over paying even a modest fee for a consultation. We’re happy to refer them elsewhere for their freebies.


The decision to have plastic surgery is an important one that should be given the time, effort and seriousness that it deserves. The patient should invest in a thorough, honest and meaningful consultation. We have heard no greater regret than the patient who fell for a free consultation and slick sales pitch only to need to have the surgery redone.


Remember, unlike bad food, bad plastic surgery can’t be cured the next morning. So take your time, avoid “free” consultations, see several reputable doctors, and choose wisely. Remember, it’s your face and your body, don’t compromise.


About the Author:


Dr. Perez is a graduate of The Albert Einstein College of Medicine. He has been selected among Castle Connolly/U.S. News and World Report’s America’s Top Doctorsevery year since 2000 (again for 2012-2013). He has lectured internationally and been featured as a plastic surgery expert for major media outlets. A limited number of personalized consultations are offered by appointment only.

10 Questions Every Plastic Surgery Patient Should Ask

· Safety · No Comments

About the Surgeon:

Question 1: Are you certified by The American Board of Plastic Surgery? Then call the Board to verify at 1-800-635-0635 or visit to confirm.

Question 2: Where did you obtain your plastic surgery training? Training programs in plastic surgery affiliated with medical schools are generally regarded as the best.

Question 3: What percentage of your practice is dedicated to aesthetic surgery? Many plastic surgeons concentrate on other areas of specialization, such as burns, reconstruction, or hand surgery. Also, plastic surgeons who focus on lasers, injectables and fillers often do so because their surgical procedure practice is not busy.

Question 4: How many times per year do you perform this operation?

Question 5: At which local hospitals to you have privileges to perform this procedure? Even if surgery is performed in the office, the surgeon should have at least one hospital as a backup. Then call the hospital’s medical staff office to verify the privileges.

Question 6: Who responds to patients’ questions or problems after hours and on weekends? Does someone else answer the page? The relationship with your plastic surgeon only starts on the day of surgery. You want to know that you can reach the doctor if an emergency arises. Try calling on a Saturday afternoon before surgery to see how difficult it is to get through.

About the Facility:


Question 7: Where will the operation be performed? (Hospital? Outpatient Surgical Center? Office?) Many reputable surgeons choose to operate in their office. However, sometimes this is a tip off that the doctor does not have hospital privileges.

Question 8: If the operation is done right in the office, what happens if there is a problem during surgery? Is there enough backup staff and equipment? There is no mandatory certification of office surgery in Florida. It is up to the facility to maintain its staff, equipment and procedures up-to-date in case of emergency.

Question 9: May I see the operating room? If it is not possible right now, make an appointment to come back when it is convenient. Don’t take no for an answer. It if doesn’t look safe, run, don’t walk, to the exit.

Note: Plastic surgery clinicsoften boasta “Certified Facility”, even though they are merely on-the-premises office operating rooms. They are cheaper and more convenient for the surgeon/owner. However, the problem with these facilities is: 1) Backup (see Question 8) and 2) Accountability (independent ambulatory surgery centers have strict peer review processes that ensure quality care. Private offices typically have no such patient safeguards.)

About the Anesthesia:

Question 10: Who will be administering the anesthesia and what are his/her credentials? (A doctor, a nurse, the plastic surgeon?) The anesthetist is an important and integral part of the safety and comfort the patient will experience during the surgery.