Frequently Asked Questions

A majority of our patients do not make an appointment with Dr. Simo to listen to an educational overview of facial plastic surgery, but instead approach our office with a list of questions. We have included a list of the most frequently asked questions that our patients ask Dr. Simo when considering facial plastic surgery. However, if you do not find your question listed below or discussed in detail, please feel free to e-mail Dr. Simo.


Q: What is Facial Plastic and Reconstructive Surgery?

A: I relate the meaning of Facial Plastic and Reconstructive Surgery to the greek word “Plastikos.” It means to change or to enhance. This is the basic principle of facial plastic and reconstructive surgery.


Q: How do I know Surgery is right for me?

A: Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery is performed. You must have a realistic expectation of surgery and the outcome. It is not going to change your personality or save your marriage. It can make you feel better about yourself and improve your self-image.


Q: What should I consider when making my decision?

A: Again, realistic expectations are important. You should also develop a sense of confidence in your surgeon to whom you plan to entrust your face.


Q: How does a Facial Plastic and Reconstructive Surgeon differ from a Plastic and Reconstructive Surgeon?

A: A Facial Plastic and Reconstructive Surgeon specializes in the face and neck area only. A Plastic and Reconstructive Surgeon may perform surgery on all areas of the body. Some do specialize in specific a area.

Facial Plastic and Reconstructive Surgeon
– 1 or 2 Years General Surgery
– 4 Years Otolaryngology, Head and Neck Surgery
– 1 Year Facial Plastic Surgery or More
– American Board Otolaryngology
– American Board of Facial Plastic and Reconstructive Surgery Certified

General Plastic and Reconstructive Surgeon
– 3 Years General Surgery
– 2 Years Plastic Surgery Residency
– American Board of Plastic Surgery Certified


Q: What types of surgeries does a Facial Plastic and Reconstructive Surgeon provide?

A: See a full list of procedures offered and skin care services.


Q: How should I prepare for my first visit?

A: It is advisable for you to write your questions down before the consultation. All patients are interested in how long their recovery period will last and when they can return to work, school or other activities, if their surgery will be painful and what type of anesthesia will be used, what the risks are, if there will be a scar and how much surgery and other fees will cost. These and many other questions should be answered in your initial consultation with your surgeon.

– Am I a good candidate for this procedure?
– How long will the operation take?
– What is the recovery time?
– What are the risks involved?
– Is post-operative medication necessary?
– What is the charge for the procedure?


Q: What is involved with scheduling my surgery?

A: Once you have made the decision to have surgery, you speak with Pam, Patient Coordinator, to arrange a convenient time to have the surgery, taking into consideration your schedule, and Dr. Simo's schedule. Pam will also provide you with pre-surgery instructions, which is very important information for you to read prior to your surgery.


Q: What is involved with a consultation?

A: Your consultation is between you and your surgeon. One of the most important factors for successful facial plastic surgery is the relationship between the patient and surgeon. An initial consultation provides you and your surgeon with an opportunity to discuss all that is involved in the desired procedure.

Ask your surgeon to see photos from previous patients. This way you can see the results they typically achieve.

Please read carefully any informational brochures that are available. This will ensure that you have a basic understanding of your concerns and of the procedure that best suits your needs. Your time will be used to discuss your concerns, the reasons you desire surgery, and the outcome you desire. With this information, your surgeon will then be able to make a recommendation on how to best proceed with taking care of your specific problem. He will discuss the improvement expected from each procedure and any alternatives to treatment, as well as limitations and risks in your individual situation.

The consultation provides the patient a chance to experience the personality style of the the surgeon to see if it is compatible with the yours. You should be prepared to be candid with him about your medical history, any medications, allergies, habits, and background, which could affect the outcome of the surgery. The surgeon should also explain to you his experience in the area of facial plastic surgery that you are considering. He can also discuss any questions about anesthesia you may have and advise on supportive surgery to enhance the outcome of the specific surgery. It is crucial for you, the patient, to find out about all aspects of the proposed surgery. Do not be afraid to ask questions!


Q: Will photographs be taken prior to surgery?

A: At the conclusion of your consultation, a set of photographs will be taken in order to document your condition or problem area. These photographs are helpful in that Dr. Simo can further study your case prior to surgery. They are also taken to accurately assess the results after surgery.


Q: What happens the day of my surgery?

A: You will be given a specific time to arrive at the designated surgery center location to begin preparations for your surgery. It is important that you follow all instructions. If you have questions, please contact Pam or any office personnel and all your questions will be answered. At the time of your consultation, Dr. Simo will advise you how long your surgery will last. He also will tell you about the type of anesthesia to be used during your surgery. It is very important that you follow all pre-operative instructions and be on time for your surgery. If you are to receive sedative medication for your surgery, a family member, friend or a nurse must be available to take you home, remain with you overnight, and return you to the office the next morning. If you live out of town, you want to make the necessary accommodations in the St. Louis area. Our office staff can assist you with making reservations or nursing arrangements.


Q: What happens after my surgery and what should I expect after surgery?

A: An appointment is scheduled prior to your surgery for a post-operative visit. The morning after your surgery, you will return to the office to remove any dressings and to check for proper healing. At that time, we will review with you the procedures that you need to follow the remainder of the week at home. A return appointment to the office will be made for one week following surgery, and sometimes more frequently, to review your progress, monitor the healing or remove any sutures if necessary.


Q: What about Insurance?

A: Insurance does not apply in most cosmetic surgeries. However, if it is reconstructive and deemed necessary, your surgeon will discuss this with you.


Q: How many post-op visits do I need to make?

A: Generally speaking, after healing is complete, approximately every three months for one year.