In my opinion, the purpose of showing photographs to prospective patients is to increase their knowledge of what to expect from their procedure. Before-and-after photos of average results can help establish realistic expectations. Unfortunately, in most instances, only carefully selected photos of the best results achieved are placed on the website. This practice gives the patient unrealistic expectations and often results in disappointment following the operation.

The use of computer imaging is just as controversial. If used as a marketing rather than an informational tool, computer imaging can also lead to unrealistic expectations and subsequent disappointment. This is often the reason why patients must sign a disclaimer that the result of the procedure may be different from what has been shown on the imaging system.

A commitment to honesty is the basis of my decision not to place before-and-after photographs on my website and to not use computer imaging. I try not to impress my patients with promises of unrealistic results. Should they desire to see before-and-after photographs during their consultation at my Bay Area cosmetic surgery center, I will show them the more average and realistic ones and be completely upfront in informing them of the facts.