What to Expect During Your Plastic Surgery Consultation
Scheduling a plastic surgery consultation can feel like a big step—especially when you're not sure what the appointment actually involves. It's natural to wonder what you'll be asked, what the surgeon will evaluate, and whether you'll feel comfortable in the room.
The consultation is really a two-way conversation: a chance for you to share what you're hoping to achieve and for your surgeon to explain what's possible given your unique anatomy and goals. In this guide, we'll walk through how to prepare, what happens during the visit, questions worth asking, and how to know when you've found the right fit.
Why your plastic surgery consultation matters
A plastic surgery consultation is a conversation—one where you share what you're hoping to achieve, and your surgeon listens carefully before offering their perspective. During this visit, you'll go over your medical history, have a physical examination, and talk through procedure options, potential risks, costs, and what recovery looks like. The goal is simple: you leave feeling informed and confident about whether to move forward.
This appointment is also your chance to evaluate the surgeon and the practice. Do they understand what you're looking for? Do they explain things clearly? Do you feel comfortable in the room? At IvesMD, we treat the consultation as the beginning of a collaborative relationship, not a sales pitch. We want to understand your goals deeply so we can help you achieve results that feel authentic to who you are.
How to prepare for your cosmetic surgery consultation
A little preparation helps you get the most out of your time together. When you arrive with your history organized and your questions ready, we can focus on the conversation that matters most.
Gather your medical history and medication list
Before your appointment, put together a complete picture of your health. This information helps us plan safely and avoid surprises down the road.
Past surgeries: Include any previous procedures, even ones unrelated to what you're considering now
Current medications and supplements: Prescription drugs, over-the-counter medications, vitamins, herbal supplements, and anything you take regularly
Allergies: Drug allergies, latex sensitivities, or any past reactions to anesthesia
Relevant health conditions: Diabetes, bleeding disorders, autoimmune conditions, or anything that might affect healing
Completing your intake forms online before you arrive gives us time to review everything ahead of your visit. That way, we spend less time on paperwork and more time talking.
Collect reference photos and inspiration
Reference photos are one of the best tools for communicating what you're hoping to achieve. Words like "natural" or "subtle" mean different things to different people, but a photo gives us something concrete to discuss together.
You don't need to find perfect examples. Even images that capture part of what you're looking for—a certain shape, proportion, or overall aesthetic—can be helpful starting points. For telehealth appointments, you can upload photos through the patient portal or our Crisalix 3D imaging software before your visit so we can review them together in real time.
Write down your goals and questions
What do you hope will be different after surgery? How do you want to feel? Taking a few minutes to write down your goals, even in simple terms, helps ensure nothing gets lost in the moment.
The same goes for questions. Jot down anything you're curious about, whether it's about the procedure itself, recovery, or what to expect long-term. No question is too small. Having a list in front of you can also ease any nervousness—you won't have to worry about forgetting something important.
What to wear and bring to your appointment
Comfortable, easy-to-change clothing makes the physical examination portion smoother. Beyond that, plan to bring:
A valid ID
Your insurance card, if applicable
Any letters from mental health or hormone providers supporting your care (for gender-affirming procedures)
If you've already gathered documentation for insurance authorization, bringing it along can help move things forward more quickly.
What happens during a consultation surgery visit
Knowing what to expect can ease any nervousness you might feel walking in. Here's how a typical consultation unfolds, step by step.
Arrival and check-in
When you arrive, our team will greet you and guide you through any remaining paperwork. We aim to create a calm, welcoming atmosphere from the moment you step through the door. If you completed your forms online, this part goes quickly.
Discussing your goals and concerns
This is the heart of the consultation. You'll share what you're hoping to achieve, what's motivating you, and any concerns on your mind. We listen carefully—not just to what you say, but to what matters most to you.
This conversation shapes everything that follows. The more openly you share, the better we can tailor our recommendations to your specific situation. There's no right or wrong way to describe what you want. Just tell us in your own words.
Physical examination and assessment
In a private, respectful setting, the surgeon will examine the area of concern. This assessment looks at your unique anatomy, skin quality, and tissue characteristics to determine which approaches might work best for you.
Pre-operative photos are typically taken during this portion of the visit. We use them for surgical planning and to compare results afterward. The examination is straightforward and focused—we'll explain what we're looking at and why as we go.
Exploring your treatment options
Based on your goals and the examination findings, the surgeon will walk you through suitable procedures. This conversation covers what each option involves, how results typically look, and any trade-offs to consider.
Procedure recommendations: Tailored specifically to your anatomy and desired outcome
Surgical vs. non-surgical options: When alternatives exist that might achieve similar goals
Combination approaches: For patients seeking comprehensive results in fewer stages
We often use 3D imaging to help you visualize potential outcomes. Seeing a simulation can make the decision-making process feel more concrete, though it's important to remember that imaging shows possibilities rather than guarantees.
Pricing and financial information
For gender-affirming procedures, we prioritize working with your insurance to maximize coverage and minimize out-of-pocket costs. Our team will help you understand what your plan covers and guide you through the authorization process. Many patients are surprised to learn how much insurance can cover when procedures are documented as medically necessary.
For procedures not covered by insurance, you'll receive a detailed fee quote that breaks down all costs: surgeon fees, facility costs, anesthesia, and follow-up care. We also discuss payment options to help make your care accessible. There are no hidden fees—what we quote is what you can expect to pay.
Questions to ask your plastic surgeon
A thoughtful surgeon welcomes your questions. Asking them shows you're engaged and taking your decision seriously. Here are some areas worth exploring during your consultation.
About the procedure and expected results
Start with the basics of what the surgery involves and what you can realistically expect afterward.
What surgical technique do you recommend for my situation, and why?
What type of anesthesia will be used?
What results can I realistically expect given my anatomy?
How long do results typically last?
Can I see before-and-after photos of patients with similar goals?
About recovery and potential risks
Understanding recovery helps you plan ahead and set realistic expectations for your return to normal activities.
What does the recovery timeline look like week by week?
Are there activity restrictions I'll need to follow?
What is your approach to pain management?
What are the potential risks or complications, and how common are they?
When will I see my final results?
Tip: If something isn't clear, ask follow-up questions. A good consultation feels like a conversation, not a lecture. You're not expected to understand everything the first time you hear it.
How to know if the surgeon is right for you
Credentials matter, but so does how you feel in the room. You're trusting this person with something deeply personal, so the relationship matters as much as the resume.
Communication style: Do they listen carefully and explain things in a way you understand?
Comfort level: Do you feel respected and at ease, or rushed and dismissed?
Aesthetic alignment: Does their previous work reflect results you'd want for yourself?
Staff and environment: Is the practice welcoming? Does the team treat you with kindness?
At IvesMD, we emphasize empathy, education, and treating each patient as a unique individual. We want you to feel confident in your choice—not pressured. If something doesn't feel right, it's okay to keep looking.
What happens after your plastic surgery consultation
After your visit, you'll receive a comprehensive email from your care coordinator summarizing your treatment plan. This includes the procedures discussed, next steps, and any additional information you requested.
Take whatever time you need to reflect. You can schedule a follow-up call to ask more questions, or simply reach out by email if something comes to mind later. When you feel ready, you can move forward with booking your procedure.
There's no rush. This is your decision, and we want you to feel certain about it before moving forward.
Book a personalized consultation with Dr. Graham Ives
Dr. Graham Ives is a fully trained Plastic and Reconstructive Surgeon who completed specialized training in a Facial Plastic Surgery Fellowship. At IvesMD, we combine technical precision with genuine empathy, helping you feel confident and authentic in your own skin.
Schedule your consultation today
Frequently asked questions about plastic surgery consultations
How long does a plastic surgery consultation typically last?
Most consultations last about an hour. We want this to be a valuable opportunity to address all your questions without feeling rushed. Some visits run shorter, others longer—it depends on the complexity of what you're considering and how many questions you have.
Can I bring a family member or friend to my plastic surgery consultation?
Yes, and many patients find it helpful. Having someone you trust in the room can provide emotional support and help you remember details from the conversation afterward. They can also ask questions you might not think of in the moment.
Do I need to commit to surgery during my initial consultation?
No. A consultation is an opportunity to gather information and see if the surgeon is the right fit for you. We encourage you to take whatever time you need to make a thoughtful decision. Reputable surgeons never pressure you to book on the spot.
What is the difference between a virtual consultation and an in-person consultation?
Virtual consultations allow for an initial conversation about your goals and general candidacy, which is especially helpful for patients outside the LA area. While we encourage in-person visits when possible for a more complete examination, many patients schedule their procedures based on a virtual visit alone. Either way, you'll always have a pre-op visit in person before any procedure to review your plan and answer final questions.
How many plastic surgery consultations should I schedule before choosing a surgeon?
Meeting with two or three surgeons can help you compare approaches, communication styles, and overall comfort level. Each consultation gives you more information to work with, and the differences between surgeons often become clearer when you have points of comparison.
What if my plastic surgeon recommends a different procedure than I originally wanted?
A skilled surgeon may suggest alternatives based on your anatomy and goals. This reflects their commitment to achieving the best possible outcome for you rather than simply agreeing to your initial request. A good surgeon explains why they're recommending something different and helps you understand the trade-offs so you can make an informed choice together.
What to Expect During Your Plastic Surgery Consultation
Scheduling a plastic surgery consultation can feel like a big step—especially when you're not sure what the appointment actually involves. It's natural to wonder what you'll be asked, what the surgeon will evaluate, and whether you'll feel comfortable in the room.
The consultation is really a two-way conversation: a chance for you to share what you're hoping to achieve and for your surgeon to explain what's possible given your unique anatomy and goals. In this guide, we'll walk through how to prepare, what happens during the visit, questions worth asking, and how to know when you've found the right fit.
Why your plastic surgery consultation matters
A plastic surgery consultation is a conversation—one where you share what you're hoping to achieve, and your surgeon listens carefully before offering their perspective. During this visit, you'll go over your medical history, have a physical examination, and talk through procedure options, potential risks, costs, and what recovery looks like. The goal is simple: you leave feeling informed and confident about whether to move forward.
This appointment is also your chance to evaluate the surgeon and the practice. Do they understand what you're looking for? Do they explain things clearly? Do you feel comfortable in the room? At IvesMD, we treat the consultation as the beginning of a collaborative relationship, not a sales pitch. We want to understand your goals deeply so we can help you achieve results that feel authentic to who you are.
How to prepare for your cosmetic surgery consultation
A little preparation helps you get the most out of your time together. When you arrive with your history organized and your questions ready, we can focus on the conversation that matters most.
Gather your medical history and medication list
Before your appointment, put together a complete picture of your health. This information helps us plan safely and avoid surprises down the road.
Past surgeries: Include any previous procedures, even ones unrelated to what you're considering now
Current medications and supplements: Prescription drugs, over-the-counter medications, vitamins, herbal supplements, and anything you take regularly
Allergies: Drug allergies, latex sensitivities, or any past reactions to anesthesia
Relevant health conditions: Diabetes, bleeding disorders, autoimmune conditions, or anything that might affect healing
Completing your intake forms online before you arrive gives us time to review everything ahead of your visit. That way, we spend less time on paperwork and more time talking.
Collect reference photos and inspiration
Reference photos are one of the best tools for communicating what you're hoping to achieve. Words like "natural" or "subtle" mean different things to different people, but a photo gives us something concrete to discuss together.
You don't need to find perfect examples. Even images that capture part of what you're looking for—a certain shape, proportion, or overall aesthetic—can be helpful starting points. For telehealth appointments, you can upload photos through the patient portal or our Crisalix 3D imaging software before your visit so we can review them together in real time.
Write down your goals and questions
What do you hope will be different after surgery? How do you want to feel? Taking a few minutes to write down your goals, even in simple terms, helps ensure nothing gets lost in the moment.
The same goes for questions. Jot down anything you're curious about, whether it's about the procedure itself, recovery, or what to expect long-term. No question is too small. Having a list in front of you can also ease any nervousness—you won't have to worry about forgetting something important.
What to wear and bring to your appointment
Comfortable, easy-to-change clothing makes the physical examination portion smoother. Beyond that, plan to bring:
A valid ID
Your insurance card, if applicable
Any letters from mental health or hormone providers supporting your care (for gender-affirming procedures)
If you've already gathered documentation for insurance authorization, bringing it along can help move things forward more quickly.
What happens during a consultation surgery visit
Knowing what to expect can ease any nervousness you might feel walking in. Here's how a typical consultation unfolds, step by step.
Arrival and check-in
When you arrive, our team will greet you and guide you through any remaining paperwork. We aim to create a calm, welcoming atmosphere from the moment you step through the door. If you completed your forms online, this part goes quickly.
Discussing your goals and concerns
This is the heart of the consultation. You'll share what you're hoping to achieve, what's motivating you, and any concerns on your mind. We listen carefully—not just to what you say, but to what matters most to you.
This conversation shapes everything that follows. The more openly you share, the better we can tailor our recommendations to your specific situation. There's no right or wrong way to describe what you want. Just tell us in your own words.
Physical examination and assessment
In a private, respectful setting, the surgeon will examine the area of concern. This assessment looks at your unique anatomy, skin quality, and tissue characteristics to determine which approaches might work best for you.
Pre-operative photos are typically taken during this portion of the visit. We use them for surgical planning and to compare results afterward. The examination is straightforward and focused—we'll explain what we're looking at and why as we go.
Exploring your treatment options
Based on your goals and the examination findings, the surgeon will walk you through suitable procedures. This conversation covers what each option involves, how results typically look, and any trade-offs to consider.
Procedure recommendations: Tailored specifically to your anatomy and desired outcome
Surgical vs. non-surgical options: When alternatives exist that might achieve similar goals
Combination approaches: For patients seeking comprehensive results in fewer stages
We often use 3D imaging to help you visualize potential outcomes. Seeing a simulation can make the decision-making process feel more concrete, though it's important to remember that imaging shows possibilities rather than guarantees.
Pricing and financial information
For gender-affirming procedures, we prioritize working with your insurance to maximize coverage and minimize out-of-pocket costs. Our team will help you understand what your plan covers and guide you through the authorization process. Many patients are surprised to learn how much insurance can cover when procedures are documented as medically necessary.
For procedures not covered by insurance, you'll receive a detailed fee quote that breaks down all costs: surgeon fees, facility costs, anesthesia, and follow-up care. We also discuss payment options to help make your care accessible. There are no hidden fees—what we quote is what you can expect to pay.
Questions to ask your plastic surgeon
A thoughtful surgeon welcomes your questions. Asking them shows you're engaged and taking your decision seriously. Here are some areas worth exploring during your consultation.
About the procedure and expected results
Start with the basics of what the surgery involves and what you can realistically expect afterward.
What surgical technique do you recommend for my situation, and why?
What type of anesthesia will be used?
What results can I realistically expect given my anatomy?
How long do results typically last?
Can I see before-and-after photos of patients with similar goals?
About recovery and potential risks
Understanding recovery helps you plan ahead and set realistic expectations for your return to normal activities.
What does the recovery timeline look like week by week?
Are there activity restrictions I'll need to follow?
What is your approach to pain management?
What are the potential risks or complications, and how common are they?
When will I see my final results?
Tip: If something isn't clear, ask follow-up questions. A good consultation feels like a conversation, not a lecture. You're not expected to understand everything the first time you hear it.
How to know if the surgeon is right for you
Credentials matter, but so does how you feel in the room. You're trusting this person with something deeply personal, so the relationship matters as much as the resume.
Communication style: Do they listen carefully and explain things in a way you understand?
Comfort level: Do you feel respected and at ease, or rushed and dismissed?
Aesthetic alignment: Does their previous work reflect results you'd want for yourself?
Staff and environment: Is the practice welcoming? Does the team treat you with kindness?
At IvesMD, we emphasize empathy, education, and treating each patient as a unique individual. We want you to feel confident in your choice—not pressured. If something doesn't feel right, it's okay to keep looking.
What happens after your plastic surgery consultation
After your visit, you'll receive a comprehensive email from your care coordinator summarizing your treatment plan. This includes the procedures discussed, next steps, and any additional information you requested.
Take whatever time you need to reflect. You can schedule a follow-up call to ask more questions, or simply reach out by email if something comes to mind later. When you feel ready, you can move forward with booking your procedure.
There's no rush. This is your decision, and we want you to feel certain about it before moving forward.
Book a personalized consultation with Dr. Graham Ives
Dr. Graham Ives is a fully trained Plastic and Reconstructive Surgeon who completed specialized training in a Facial Plastic Surgery Fellowship. At IvesMD, we combine technical precision with genuine empathy, helping you feel confident and authentic in your own skin.
Schedule your consultation today
Frequently asked questions about plastic surgery consultations
How long does a plastic surgery consultation typically last?
Most consultations last about an hour. We want this to be a valuable opportunity to address all your questions without feeling rushed. Some visits run shorter, others longer—it depends on the complexity of what you're considering and how many questions you have.
Can I bring a family member or friend to my plastic surgery consultation?
Yes, and many patients find it helpful. Having someone you trust in the room can provide emotional support and help you remember details from the conversation afterward. They can also ask questions you might not think of in the moment.
Do I need to commit to surgery during my initial consultation?
No. A consultation is an opportunity to gather information and see if the surgeon is the right fit for you. We encourage you to take whatever time you need to make a thoughtful decision. Reputable surgeons never pressure you to book on the spot.
What is the difference between a virtual consultation and an in-person consultation?
Virtual consultations allow for an initial conversation about your goals and general candidacy, which is especially helpful for patients outside the LA area. While we encourage in-person visits when possible for a more complete examination, many patients schedule their procedures based on a virtual visit alone. Either way, you'll always have a pre-op visit in person before any procedure to review your plan and answer final questions.
How many plastic surgery consultations should I schedule before choosing a surgeon?
Meeting with two or three surgeons can help you compare approaches, communication styles, and overall comfort level. Each consultation gives you more information to work with, and the differences between surgeons often become clearer when you have points of comparison.
What if my plastic surgeon recommends a different procedure than I originally wanted?
A skilled surgeon may suggest alternatives based on your anatomy and goals. This reflects their commitment to achieving the best possible outcome for you rather than simply agreeing to your initial request. A good surgeon explains why they're recommending something different and helps you understand the trade-offs so you can make an informed choice together.
We believe in celebrating and supporting every person’s unique journey, including those of transgender and gender diverse individuals. Schedule your consultation today and experience our dedication to inclusivity and excellence in surgical care.
We believe in celebrating and supporting every person’s unique journey, including those of transgender and gender diverse individuals. Schedule your consultation today and experience our dedication to inclusivity and excellence in surgical care.