Choosing a surgical procedure and the right doctor is a personal decision not to be taken lightly. You as the patient and I as the doctor must weigh not only the physical considerations but emotional and psychological ones as well. By improving your appearance, cosmetic surgery can enhance your emotional health and improve your self-esteem. But this can be attained only if your expectations are realistic. By understanding the limitations of plastic surgery, together we will establish reasonable goals that can be predictably achieved.