Thomas M. DeWire Sr., MD (retired)


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4.3 out of 5 stars 4.3 stars from 35 reviews See details Hide details
4.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
4.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Mommy Makeover

(3 mo update) Been wanting this for 11 years... BA with lift and TT - Richmond, VA

I've only had the consultation so far, but I was impressed. Dr. Dewire and his staff were all very professional and personable. I felt welcomed and at ease when I was there. I researched PS for a while before choosing him. After meeting him, I was sold. He showed me what he thought he could realistically make my belly look like. As far as the breasts, he discussed in detail how the procedure is done. As far as size, his approach is to make the breasts as big as he can without compromising a beautiful shape. I told him I'd like to be a DD, but I have full confidence that he'll make them look great for my body. **After surgery: I have been very happy with Dr. Dewire and his staff. The procedure went very smoothly, and I am very happy so far with my results. He is funny, and has a great bedside manner. I will say that he has the "rip the band-aide off quickly" approach. He pulled the steri strips off quickly, and when he pulled both drains out quickly at the same time, I thought I was going to come off the table. But, all that being said, I like that approach. I'd rather be in pain for a couple of seconds, and get it over with. I see now why women have given him such great reviews. I am satisfied, and would definitely see him again in the future if I wanted further procedures.

5 out of 5 stars Breast Augmentation

BA Authority for Central Va., an "Artist" in His Field - Glen Allen, VA

I've wanted larger breasts for over 10 years. Now 32 and 2 pregnancies later, I decided to research BA's along with the support of my husband. DeWire was recommended by my Charlottesville-based OBGYN, and it was clear to me upon my consultation ($50) that DeWire would be my PS. Speaks in stats at times, but is absolutely an authority on BA's and very candid and direct with pros, cons, and what...

5 out of 5 stars Breast Augmentation

Best Breast Augmentation Doctor EVER in Richmond VA

Dr. DeWire is an incredible surgeon. He took pictures of me, manipulated the photos on the computer to show me approximately what he could do--telling me it was approximate---which was true because I look even more awesome than the pictures! He explained the procedure in detail. I knew what to expect before the surgery and after the surgery. He came to see me in the recovery room and showed...

5 out of 5 stars Breast Augmentation

37 Years Old, 2 Active Little Boys, Bringing Sexy Back After Nursing! - Richmond, VA

Very professional, very knowledgeable, couldn't have chosen a better PS to help me with my procedure. He did his best to give me what I wanted, but with the knowledge of what would look best and natural on my frame. I will recommend him to anyone who asks!!

5 out of 5 stars Breast Lift with Implants

37 Nursed Two Baby's - Glen Allen, VA

Dr. Dewire explained everything in detail, answered all of my questions and gave me a realistic description of what I could expect. He is confident and you can tell he is enthusiastic about helping others achieve their desired look. I have continued to use him for Botox and am very pleased with his prompt and professional service.

5 out of 5 stars Breast Augmentation

Boobs on Board and LOVING IT - Virginia

Dr. DeWire is VERY honest about what to expect. He explains all the pros and cons and what I love the most about him is his approach...he will go as large as your tissue will alllow him while still looking natural. He will not push your tissue to the point of looking too tight and fake. Check out his web site for some before and afters...he is AMAZING!

5 out of 5 stars Breast Augmentation

Very Professional and Courteous - Glen Allen, VA

Dr DeWire made my breasts look and feel very natural. They do not have that obvious implant look like a ball buried under your skin. I would highly recommend him for this procedure. I had the procedure done in 2004 ande have had no problems.

5 out of 5 stars Breast Augmentation

I LOVE Dr. DeWire and my New Boobies!!!!!! - Richmond, VA

Dr. DeWire is a boobie God!!! He is very honest and has such amazing skill and talent!!!!! I definitely recommend him to anyone that wants to be even more beautiful then they already are : )

5 out of 5 stars Mommy Makeover

I've never had a flat belly - Three Months Post-Op. - Richmond, VA

So far, my experience with Dr. DeWire and his staff has been great! He's very realistic about what results I can expect. I trust him. He also has a great sense of humor, which I love! My hubby was impressed with him as well. His office staff is very good about answering the questions I have so far. On the day of surgery, he took the time to answer my questions and put me at ease. He's a good surgeon and a good man.

5 out of 5 stars Botox

50 Feels Like the New 30 with Botox! - Richmond, VA

I have know Dr Dewire for 10 years. He also did my breasts implants. I have seen other friends implants and botox results and they don't come close to Dr Dewire's. He is truly the best. At some point I will get more work done and Dr Dewire will definitely be doing the work. I trust him implicitly.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Fellow, American College of Surgeons (FACS)

Consultation Fee

$50. Consultation is comprehensive, generally lasting 45-60 minutes, and includes photos and detailed analysis and planning with discussion of benefits, risks, and possible alternative approachs.

Hospital Privileges

Dr. DeWire has hospital affiliations at Henrico Doctor's Hospital, St. Mary's Hospital, .


  • Undergraduate & Medical School

    Medical: MD, Jefferson Medical College, 1979
  • Post-Medical School Training

    Internship: Medical College of VA, 1980
    Residency: General Surgery Medical College of VA, 1984
    Fellowship: Plastic Surgery Medical College of VA, 1986

Treatments offered at Advanced Art of Cosmetic Surgery: Thomas M. DeWire, MD, FACS

Most popular answers from Thomas M. DeWire Sr., MD (retired)

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Unhappy with my implants/lift. Are they laterally displaced, malpositioned? I want a revision. How do I fix my problem? (Photo)

Ebert,Your starting point predicts the result that you have, which is a very good one. A few things need to be understood regarding augmentation and... READ MORE

Can I get a good result with breast augmentation alone (no lift)? (Photo)

Blueskye1010,Given your limited photo views I do not suspect you need a lift, but I like to assess a photo with breasts gently supported above the... READ MORE

I had a breast augmentation 2 weeks ago. Is there something wrong? (Photo)

Dylanmichael1,This degree of asymmetry at this juncture is not normal and needs to be evaluated by your surgeon. You should discuss your concerns with... READ MORE

I am 3 months post revision from 335 cc saline overs to 500 cc HP silicone unders. Have they bottomed out? (photos)

SSB,In lateral view, your implants do appear to be low relative to nipple position, but that is accentuated by having your arms raised, and thus needs... READ MORE

Will skin stretch easier/more after first augmentation?

Silentangel,Generally it is easy to place larger implants after waiting 3-6 months, or longer, as the skin and muscle gradually will stretch and... READ MORE

7 hours post op, will I drop and fluff? Will I get bigger?? (photos)

Faffs,7 hours post-op is a little soon to try to assess where this is headed. At this point, you have likely not even finished swelling yet. As the... READ MORE

I feel like my left breast is deflating and starting to sag. Is there an issue? (Photo)

Limabean17,From your photos it appears that you had augmentation and a unilateral crescent lift on the left side. I no longer offer crescent lifts, as... READ MORE

Are my wish pictures realistic? Are my PS' suggestions accurate? (Photo)

Atfup7,You have a favorable starting point shape and similar geometry, thus you are a good candidate for augmentation. Given your existing breast size... READ MORE

My 330 silicones got smaller. Any suggestions? (photos)

Caki1991,Without comparison photos, there is not much I can say that is specific. In general terms, the commonest cause for complaints of volume loss... READ MORE

What is the worse case scenario of a failed permanent suture? How wide could my scars and areola get?

44wendall,A failed purse string Benelli suture allows areola stretch in all directions until the radial tension is relieved. It will not ruin your... READ MORE

Before and After Photos by Dr. DeWire

Thomas M. DeWire Sr., MD (retired) has shared 31 before and after pictures with 143 helpful votes from the RealSelf community.

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Treatment results may vary

Videos by Thomas M. DeWire Sr., MD (retired)

Thomas M. DeWire Sr., MD (retired) has shared 1 video.

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Before and After: See the Results of Transaxillary Breast Augmentations

Interested in getting a breast augmentation? See Dr. Thomas M. DeWire's work in these before and after photos. WATCH VIDEO