The first step with any cosmetic surgical procedure is to get an assessment. A quality assessment indicates your candidacy for surgery. Individuals who are excellent candidates have the potential for having excellent outcomes. Someone who is an excellent candidate for surgical intervention has the potential of having quality outcomes or less quality outcomes, depending on how well the procedure is performed. Individuals who are not excellent candidate for surgery don’t have the potential for quality outcomes regardless, who does the procedure. In other words, there are two variables involved in quality outcomes. The first is understanding your candidacy for the procedure, and the second is the find the right provider.Without including pictures, or understanding what you want we can’t begin to make an assessment. The following are suggestions of how to find the right provider. To find the best provider, I suggest patient schedule multiple in person, consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own or whatever procedure you are interested in. an experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures. Being shown a handful of preselected images, representing the best results, other providers career for patients who don’t look like you is insufficient to get a clear understanding of what average results look like or what your results are likely to be in the hands of each provider. There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body to use this reference when reviewing before and after pictures. The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery. Mats Hagstrom, MD