It is natural to anticipate discussing the procedure you are considering and you can relax knowing Mr McDiarmid will take the time to properly discuss your options.
You should always see the surgeon who will perform the operation, preferably at least two weeks prior to the date of surgery.
It is a good idea to take another person along with you as you are unlikely to remember all the detailed points discussed. Small children can be distracting and it is often best if they are not present during the consultation. A GP referral is preferable but not mandatory prior to your first consultation – if a major procedure is planned it is always advisable to inform your GP. The region to be operated on will be examined and possibly photographed and then the desired result will be discussed in detail. This is by far the most crucial part of the consultation and bringing photos of the result you would like to achieve is a good way of communicating what you want from the surgery. This allows us to see whether what you are asking for is achievable and whether your expectations are realistic. An experienced cosmetic surgeon knows that it is better to turn patients away if they are asking the impossible and will also recognise patients in whom surgery should be straightforward and those in whom it may be more complicated.
Patients who require more complex surgical input should be counselled about this and any additional cost or expected prolongation of healing time should be disclosed. The surgeon should then show you some representative ‘before and after’ photographs of other recent patients (preferably with similar anatomy) who have undergone the procedure and have consented to have their photographs shown to other patients. You should be shown the full extent of expected scarring at various stages of the healing process. Ask whether the surgeon has had any recent complications from this procedure and how often they have to do secondary procedures to obtain the desired result.