Surgery, planned like it matters.
Face, breast, and body procedures performed by one board-certified plastic surgeon, from the first consultation to the last follow-up. Fee ranges are published. Plans are drawn on your own photographs. The answer is sometimes no.
- One surgeonConsultation, operation, every follow-up
- Fees publishedRanges on every procedure page
- Accredited facilityBoard-certified anesthesia, overnight nursing
- About 1 in 5Consultations end with advice not to operate
Three disciplines. Twelve operations. Nothing we would not do ourselves.
Every procedure page lists the fee range, operating time, anesthesia, recovery milestones, and the reasons Dr. Marsh might advise against it.
All procedures-
01
Face
Facelift, neck, eyelids, brow, and nose. Changes measured in millimetres, planned over hours.
4 procedures -
02
Breast
Augmentation, lift, reduction, and revision, with the long view on implants and ageing.
4 procedures -
03
Body
Abdominoplasty, liposuction, combined procedures, and lifts after weight loss.
4 procedures
Where most consultations begin.
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Face
Facelift and neck lift
A deep-plane facelift that repositions the deeper tissues rather than pulling the skin, with the neck addressed in the same operation.
- Time
- 4 to 6 hours
- Desk work
- 2 weeks
$24,000 to $38,000Surgeon's fee range -
Face
Rhinoplasty
Open or closed rhinoplasty for shape and breathing, including revision of previous surgery.
- Time
- 2.5 to 4 hours
- Desk work
- 7 to 10 days, splint off at 1 week
$14,000 to $22,000Surgeon's fee range -
Face
Eyelid surgery
Upper and lower blepharoplasty for heavy lids, under-eye bags, and a tired look, with the eye shape preserved.
- Time
- 1 to 2.5 hours
- Desk work
- 7 to 10 days
$6,500 to $14,000Surgeon's fee range -
Breast
Breast augmentation
Silicone or saline implants, or fat transfer, sized to your frame with a three-dimensional simulation before you decide.
- Time
- 1 to 1.5 hours
- Desk work
- 5 to 7 days
$9,500 to $14,500Surgeon's fee range
The person you meet at the consultation is the person holding the instruments.
Dr. Marsh runs a deliberately small practice. One operating day a week is kept open for revisions and follow-ups so that nobody is rushed, and every new plan is reviewed again the week before surgery.
- Board-certified in plastic surgery (fictional profile; a real site would link to the certifying board's verification page)
- Fellow of the American College of Surgeons, FACS (fictional profile)
- Fellowship-trained in aesthetic surgery of the face and breast
Four commitments, kept on every case.
-
01
One surgeon, every step
Dr. Marsh performs every consultation, every operation, and every follow-up personally. There is no associate you meet on the day.
-
02
Planning over promising
Decisions are made on measurements, photographs, and simulations, not on adjectives. You see the plan before you agree to it.
-
03
Fees in writing, in advance
The surgeon's fee range is published. Your written quote includes the facility, anesthesia, garments, and every follow-up for a year.
-
04
The right answer is sometimes no
About one consultation in five ends with a recommendation not to operate, or to do less. That advice is part of the fee.
Ninety minutes. Measurements, photographs, a written plan.
History and goals
Your health, medications, previous surgery, and what you actually want, in your words, before anyone suggests anything.
Examination and photographs
Standardised photographs and measurements. For rhinoplasty and breast surgery, a simulation on your own images.
The plan, in writing
Procedure, technique, risks specific to you, recovery timeline, and the complete fee including facility and anesthesia. Or a recommendation not to operate.
Asked at nearly every first meeting.
What does the fee range actually include?
The published range is the surgeon's fee. Your written quote adds the facility, anesthesia, implants or garments where relevant, and every follow-up for a year, so the number you see before you decide is the number you pay.
Will Dr. Marsh do the operation herself?
Yes. Every incision, every suture. An assistant surgeon helps with longer combined cases, as is standard, but Dr. Marsh performs the operation and is present throughout.
Can I have a virtual consultation?
Yes, for a first conversation and plan. An in-person examination is required before any surgery date is confirmed, usually two days before the operation for out-of-town patients.
How often do you decline to operate?
About one consultation in five ends with advice not to operate, to do less, or to wait. The consultation fee covers that advice. It is the most valuable thing we offer.