If I could give zero stars I would!!! I went to him for a brachioplasty last March. I asked him if he was going to liposuction before removing skin, and he said it wasn't necessary. When I got home from my procedure I was in tears. It didn't even look like I had surgery besides the drains sticking out of my arms. It just got worse from there. I had extremely hypertrophic scarring and every time I looked at my arms I cried. I saw him again and told him of my concerns. In measuring my arms, only 1 inch was taken off one arm and 0.75 inch off the other (mind you, I lost 130 pounds, so I had at least 4 inches on each side that needed to come off). He told me he would do a "revision" to address the concerns I had but that only a small amount of skin could be taken because he had to do it in an elliptical shape. I reiterated what I was expecting, and he saw me in the office under local anesthetic. He had his intern do the left arm and he did the right arm. I asked about the hypertrophic scars and if they would happen again, and he said they were caused by a reaction to the sutures he used. Well low and behold, they are worse now than they were from the first surgery and for the second surgery, I got 0.25 inches removed on one arm and 0.50 inches removed from the other. I now have hideous scars with no results. I have since been to another surgeon to continue my transformation, and she is AMAZING!!!! I am having her FIX Dunn's mess in December and am looking forward to finally being proud of my arms. I am not concerned with scarring if there is a reason. With skinny arms, I won't care about the scarring. Right now I have hideous scarring and can't even really explain why. NEVER go to this guy for cosmetic reasons. He is a renowned hand surgeon, but he is TERRIBLE at cosmetic procedure. I walked out of that office feeling terrible about myself and the money I spent.