APPOINTMENTS: The office is open from 9 a.m. to 5 p.m., Monday
through Friday, US Eastern Standard Time. We are also open for
consultations on Saturday and Sunday in the United Kingdom. Office
hours, however, vary from day to day in accordance with the surgery
scheduled, meetings, and teaching responsibilities. Of necessity,
patients are seen by appointment only; please call in advance so that
we may reserve the proper time for you. If you cannot keep an appointment,
please give the office at least 24 hours’ notice. This courtesy on your part
makes it possible to accommodate another patient. All appointments for
new patients will be confirmed by telephone 24 to 48 hours before the
scheduled visit, allowing us to keep up-to-date on cancellations and
time changes.

TELEPHONE CALLS: The office staff have been trained to answer most
of your questions: confirming with the doctor and relaying his answers
to you. Whenever necessary, the doctor will return your call. If you have
a reason to believe medication is required, please have the name and
telephone number of your pharmacy available. Telephone calls regarding
billing and insurance questions should be made directly to the office staff.

EMERGENCIES: Medical coverage is available at all times for our
patients. Normally, Prof. Kirwan is on-call for his practice. Occasionally,
however, he may sign out to another qualified plastic surgeon.

FINANCIAL CONSIDERATIONS: We recognize the need for a definite
understanding between the patient and doctor regarding financial
arrangements. At all times, we provide an estimate of our charges.
These fees are fixed for cosmetic procedures. A deposit is required
at the time a commitment is made to proceed with surgery.

COSMETIC SURGERY: You, the patient will be given as much information
as possible. This will include consent forms detailing the potential risks
and complications, reference materials, and brochures as necessary.
The initial consultation is an in-depth evaluation and explanation of the
proposed surgical procedure, and may be supplemented with computer
half an hour in length, allowing time to answer questions. Appropriate
photographs of before and after results of surgery may be shown to
illustrate relevant points.

The consultation is usually restricted to one procedure because of
the limitations of time. If you wish to discuss more than one procedure
such as a facelift and rhinoplasty, or a breast lift and an abdominoplasty,
you are strongly recommended to make an appointment for one hour.
Similarly, if you are traveling a long distance to see Prof. Kirwan and
are concerned that there you will be unable to discuss all of your
questions or concerns, you should schedule a one hour appointment.

SCHEDULING SURGERY: If you desire to schedule your surgery,
the office will coordinate the request with the surgery schedule and the
availability of office or hospital operating room time. We do our best to
accommodate your wishes within these limitations. You will receive
comprehensive written restrictions to prepare you for surgery and to
outline your care afterwards.

OFFICE SURGERY: The in-office ‘Ambulatory Plastic Surgery Facility’
in Norwalk, Connecticut is a state-of-the-art same day surgery center
designed and engineered specifically for plastic surgery. It is certified at
the highest level by the American Association for Accreditation of
Ambulatory Surgical Facilities, the largest certifying organization of
independent operating facilities in the United States. Accreditation can
be verified by calling, within the United States, 1-888-545-5222 or via the
organization’s website at www.aaasf.org.

POSTOPERATIVE CARE: Rather than spending a night or even a day in
the hospital, many patients can be treated in a matter of hours in the
comfort and safety of our modern, fully-equipped operating and recovery
suites. In addition, specially trained registered nurses facilitate your stay.
Both local and general anesthesia is available. We are pleased to offer
such a complete facility. Prof. Kirwan is also affiliated with Greenwich and
Norwalk Hospitals as well as New York Eye and Ear Infirmary and the
London Independent Hospital and provides in-patient care at these facilities.

SPECIAL SERVICES: Our office staff is available to make hotel reservations
for out-of-town patients. It is often desirable to have a private duty nurse
accompany you to your home or hotel for the first day after surgery. Our
office can arrange this.

Preoperative photographs will be taken in our office, either at the time of
your original consultation or before surgery.

SUMMARY: Prof. Kirwan considers a doctor-patient relationship a privilege.
For this reason, we do not give out information about the patient to others,
even close relatives, unless instructed to do so in writing. We practice
discretion in handling all patient matters and we encourage you to speak
directly to the doctor if anything displeases you.
Our objective is to help you with any questions as they relate to the
art of plastic surgery. Prof. Kirwan specializes in providing surgical
excellence as well as individualized attention and personalized care.