Making the decision to undergo plastic surgery is significant—and choosing your surgeon is arguably the most important step you’ll take. The surgeon you select directly impacts your safety, your results, and your overall experience.
A recent survey found that patients consider experience with the desired procedure and board certification as the two most critical factors when selecting a surgeon. With that in mind, here are five essential questions to ask during your search—and why they matter.
If you’re considering a procedure in the Virginia area, Dr. Robert DeConti, MD, FACS at DeConti Plastic Surgery is a name you’ll want to know. But don’t just take our word for it—here are five essential questions to ask during your search, and how Dr. DeConti measures up.
1. “Are you board-certified in plastic surgery?”
This is your starting point. Board certification from the American Board of Plastic Surgery (ABPS) means your surgeon has completed years of rigorous training—including at least three years in general surgery and two to three years specifically in plastic surgery—and has passed comprehensive written and oral exams.
Why it matters: Any licensed medical doctor can legally perform cosmetic surgery, but only those trained in plastic surgery, facial plastic surgery, or oculoplastic surgery have the specialized expertise for these procedures. Be cautious of the term “cosmetic surgeon”—it is not a recognized surgical specialty and may indicate less formal training.
You can verify certification through the American Board of Medical Specialties website or the American Society of Plastic Surgeons.
Dr. DeConti’s credentials: Dr. DeConti is board-certified by the American Board of Plastic Surgery and continually scores in the top 99th percentile in his recertification exams. He is also a Fellow of the American College of Surgeons (FACS), a distinction that recognizes his commitment to the highest standards of surgical care.
2. “How many times have you performed this specific procedure?”
Experience matters—and not just general experience. You want a surgeon who regularly performs the exact procedure you’re considering.
Why it matters: A surgeon who performs hundreds of breast augmentations or tummy tucks each year will have deeper expertise and better complication management skills than one who only does them occasionally. Ask about their volume and track record with cases similar to yours.
Dr. DeConti’s experience: With over 35 years in practice, Dr. DeConti has performed thousands of procedures including breast augmentation, liposuction, tummy tucks, facelifts, and eyelid surgery. Patients regularly travel to his Richmond practice from nearby cities including Fredericksburg and Williamsburg.
3. “Can I see before-and-after photos of your work?”
A skilled, confident surgeon will be proud to share examples of their results. Reviewing before-and-after galleries gives you insight into their skill, aesthetic style, and consistency.
Why it matters: Look for natural-looking outcomes with consistent lighting and angles between before and after photos—significant differences can make results appear better than they truly are. Ask to see:
Results from patients with similar anatomy to yours
Good results, excellent results, and challenging cases
Real patient photos, not stock images
Dr. DeConti’s results: Dr. DeConti is known for his meticulous attention to detail and beautiful, consistent, natural-looking results. Patients consistently praise his aesthetic judgment. As one patient put it, “Dr. DeConti is an Artist… The results are so much better than I ever dreamed possible”.
4. “What is your approach to safety and where will my procedure be performed?”
Safety should never be an afterthought. Ask about anesthesia protocols, the surgical team, and the facility where your procedure will take place.
Why it matters: Surgeons who are members of the American Society of Plastic Surgeons pledge to operate only in fully accredited facilities—meaning your operating room experience meets the same high standards as a hospital setting. Look for accreditation from organizations like the AAAASF, AAAHC, or The Joint Commission.
Also confirm that your surgeon has hospital privileges to perform the procedure you’re considering—this means their qualifications have been reviewed and approved by their peers.
Dr. DeConti’s approach: All surgical procedures are performed in a modern, fully accredited outpatient surgery center designed for your safety and convenience. Dr. DeConti has an excellent record for producing beautiful results with complication rates significantly lower than national averages reported by The American Society of Plastic Surgeons. He is affiliated with multiple hospitals including Bon Secours Saint Mary’s Hospital and Henrico Doctors’ Hospitals
5. “Do I feel heard and understood?”
This one isn’t a question you ask the surgeon—it’s one you ask yourself. During your consultation, pay attention to whether the surgeon takes time to explain your options, answer your questions, and genuinely understand your goals.
Why it matters: A shared vision between you and your surgeon is one of the strongest predictors of long-term satisfaction. A reputable surgeon will:
Educate you on your options without pressuring you
Set realistic expectations—not promise perfection
Be transparent about risks, benefits, and recovery
Let you make your decision on your own timeline
If you feel rushed, pressured, or uncomfortable, consider it a red flag.
The DeConti experience: Dr. DeConti takes time to carefully listen to patients’ concerns and goals, working closely with you to develop a personalized treatment plan tailored to your unique needs. He answers all questions thoroughly and ensures patients feel fully informed and confident about their treatment. The practice offers virtual consultations for added convenience.
Real patient feedback:
“Dr. Deconti took the time to answer all my questions and to carefully explain the procedure. All my fears were quickly alleviated, and I truly leave every appointment feeling special and beautiful.” — RealSelf review
“He has answered any questions I’ve had and never made me feel like any of them were dumb.” — RealSelf review
“Dr. DeConti and his team always took the time to listen to my concerns and patiently address them.” — Google review
Dr. DeConti at a Glance
| Credential | Detail |
|---|---|
| Board Certification | American Board of Plastic Surgery (top 99th percentile) |
| Experience | 35+ years in practice |
| Education | University of Virginia School of Medicine (1987) |
| Training | Plastic Surgery Residency at University of Virginia; Surgery Residency at Ochsner Clinic Foundation |
| Honors | Phi Beta Kappa, Magna Cum Laude (USC); Multiple Best Plastic Surgeon Awards |
| Specialties | Breast augmentation, liposuction, tummy tucks, facelifts, eyelid surgery, body contouring, Botox, dermal fillers, surgical dermatology |
| Hospital Affiliations | Bon Secours Saint Marys Hospital, Henrico Doctors’ Hospitals, Chippenham and Johnston-Willis Hospitals |
| Patient Reviews | 4.8+/5 stars across multiple platforms; 200+ reviews |
Final Thoughts: Take Your Time
Choosing the right plastic surgeon isn’t a decision to rush. Start with a web-based search, ask for recommendations from friends or trusted healthcare providers, and consult multiple surgeons before making your choice.
Remember: The right surgeon has the credentials, experience, and personal connection to make you feel confident every step of the way. Your safety and satisfaction depend on it.
Ready to take the next step? Schedule a consultation with Dr. DeConti at 804-673-8000. Patty and Bethany will be happy to help you schedule your visit.