I'm starting to realize how complicated a question this really is, and as very few surgeons take as much care in documenting their skills, I'm left with a kind of depressing feeling that if I decide to continue with my project I'm literally rolling the dice. I no longer feel confidernt that the surgeons I've consulted have been completely honest, nor have demonstrated their sculptural capabilities.
Many surgeons have no clue how to build web pages and images they put up cost them per image. For that reason I decided a long time ago not to depend on others to build my website or decide how complete to document problems or solutions.
Not putting up images in some cases is basically dishonest when a surgeon refuses to take a picture in a certain fashion such as with gynecomastia flexing the chest wall muscles. I have had several patients over the years complain about their surgeons refusing to take after surgery pictures of the patient flexing their pectoral muscles or lifting the arms up overhead. When a surgeon is asked by a patient to demonstrate a view like that the shows a problem but refuses, then, in my opinion that surgeon should be reported to their Plastic Surgery Societies as hiding bad results and not putting up typical examples .
Yes, that does add uncertainty to the deciding process. It is up to the public to ask about how a result will look. I think it is a valid question to ask to see how the surgery looks with muscle movement as I put up on my standard pictures. It is not realistic to ask for videos, that technology is quite complicated, but images are fair game.
If a surgeon does not put them on the internet, then they should have examples in their office to demonstrate such issues. The hassle for patient not viewing the content on the internet must pay for a consultation, take time to visit the surgeon, and then use valuable office time to sit looking at results. That is why having the content on the internet is of such value.
Hope this helps,
Michael Bermant, MDLearn More About Liposuction Body Contouring