San Antonio Plastic Surgery Frequently Asked Questions

Accent Plastic Surgery, P.A. is dedicated to patient safety and education. San Antonio area residents considering plastic surgery can review the following frequently asked questions or contact our office to schedule a personalized consultation. Dr. Sheryl Pilcher will be happy to discuss any concerns you may have and help develop a treatment plan suited to your unique needs and goals.

Am I a good candidate for plastic surgery?

The best candidates for plastic surgery are individuals in good general health who have reasonable expectations about their appearance. During your initial consultation, it is extremely important to be honest while discussing your goals and concerns so the surgeon can make an informed, realistic assessment about your candidacy for plastic surgery.

What is the right age for plastic surgery?

There are a number of guidelines in place to help surgeons determine appropriate age limitations for plastic surgery procedures. However, many factors may influence the surgeon's ultimate decision regarding your treatment, so it is best to speak personally with a qualified doctor about your goals.

How do I select a plastic surgeon?

A highly qualified and experienced plastic surgeon that makes you feel comfortable and confident is necessary for optimal plastic surgery results. Before selecting a surgeon, ask questions about his or her training and the number of procedures like your own that they have performed. Ask to see before and after photos. Also, check to see that the doctor, like Dr. Pilcher, is certified by the American Board of Plastic Surgery. This certification indicates that the surgeon has advanced training in aesthetic plastic surgery.

Is plastic surgery safe?

All surgical procedures involve risk. Selecting a qualified surgeon is the best way to reduce your chance of experiencing a complication. It is also important to follow all of your doctor's pre- and post- operative instructions carefully to be sure that you are prepared for surgery and that your body is appropriately cared for after your procedure.

In addition to providing the highest quality medical care, Dr. Pilcher offers CosmetAssure®, a program for patients of surgeons who are certified by the American Board of Plastic Surgery. CosmetAssure provides coverage for plastic surgery complications, which are typically not covered by health insurance, for increased peace of mind throughout your procedure.

How much does plastic surgery cost? Will my insurance cover the procedure?

Plastic surgery is a permanent investment in how you look and feel. Although the cost varies, most patients find that plastic surgery can be an affordable option. Accent Plastic Surgery, P.A. accepts a number of payment methods and also provides financing through CareCredit®. Because plastic surgery is considered elective surgery, it is typically not covered by insurance; however, some reconstructive procedures may be partially or fully covered.

How much pain, recovery time, and scarring should I expect?

Every individual is different, and individual responses to plastic surgery may vary. Your doctor can advise you of how much pain to expect and provide you with medication to minimize discomfort. Your doctor can also inform you about reasonable expectations for recovery time and scarring concerns for your procedure type during your consultation.

What about non-surgical options?

There are a number of non-surgical options that can help enhance your natural beauty or diminish the signs of aging. BOTOX® Cosmetic injections, soft tissue fillers, chemical peels, therapeutic facials, and other services may be used to help you achieve the youthful, attractive appearance you desire.

Are there any products or behaviors I should limit to prepare for surgery?

There are a number of steps you can take to maximize your surgical results, including:

  • Discontinue smoking at least six weeks prior to surgery to avoid skin healing problems and serious medical complications following surgery.
  • Discontinue using aspirin or products with anticoagulation properties at least 10 days prior to surgery to minimize the risk of unnecessary bleeding.
  • You want to be in the best health at the time of surgery. For this reason, if you develop a cold or fever, pimples, rashes, or open wounds, contact the office immediately to reschedule your procedure and minimize the risk of surgical complications.

How should I prepare on the night before and the day of my procedure?

To prepare for your procedure, please observe the following guidelines on both the day before and day of your surgery:

  • It is important that you do not eat or drink anything after midnight on the day prior to surgery.
  • You should shower with an antibacterial soap (e.g. Dial, Phisoderm), the day before surgery as well as the day of surgery, but avoid scrubbing areas that have been marked for your procedure.
  • Do not shave the surgical area or apply moisturizing lotion.
  • Wear minimal makeup to the hospital.
  • Wear loose fitting, button-front clothing. Leave jewelry and other valuables at home.
  • Arrive at the hospital one hour prior to your scheduled surgery time.

What should I expect immediately after surgery?

After your surgery is complete, you will remain in the recovery room for approximately one hour before being transferred to the post surgical care area. If you are an outpatient, you will be discharged by the nurses when your condition is stable, usually about two to four hours after your procedure is completed. You must be accompanied by someone who can drive you home and you will also need assistance at home for the first 24 to 48 hours after surgery. Limit you activities for the first 24 hours and begin taking the pain medications and antibiotics prescribed during your pre-operative appointment. Be sure to contact the doctor if you have any unusual symptoms or other concerns.

When can I resume my normal activities?


It is not unusual to not feel very hungry after surgery, but it is best to take your medications with something in your stomach. Small amounts of clear, noncarbonated liquids and bland foods may be tolerated better after anesthesia. You may continue to adjust your diet after surgery as you feel comfortable.


You should avoid driving for at least one week following your procedure and you should never drive while taking pain medication or if pain limits your ability to move quickly. You will need someone to drive you on the day of surgery as well as the day of your first follow-up appointment.


If you have been instructed to leave your bandages in place you may only sponge bathe until your doctor removes the dressings. Do not take a bath if you have drains in place, and use only luke warm water for your first few showers after surgery. Make sure someone else is nearby to assist you if you feel lightheaded, and face away from the shower and allow the water to run over your shoulders. Your doctor can inform you when it is appropriate to resume showering normally.

Exercising/ Lifting

After surgery, you will be unable to exercise or perform heavy lifting for four to six weeks. You should restrict your activity to avoid prolonged swelling that can stretch the skin and avoid lifting objects over your head. Also, changes in blood pressure associated with exercise or strenuous activity can cause bleeding problems.

What warning signs should I watch for in the days and weeks following surgery?

The following symptoms may indicate possible complications. Alert your doctor immediately if you develop any of the following:

  • Sudden increased pain in the area of surgery
  • Sudden persistent swelling at the surgical site
  • Numbness in any extremity
  • Fever greater than 101.5 degrees
  • Redness of incision or surgical area
  • Wound separation
  • Drainage or bleeding from the incision
  • Swelling or pain in the calf
  • Persistent nausea or vomiting
  • Inability to urinate after surgery
  • Any other unusual symptoms that concern you

Contact Accent Plastic Surgery, P.A. in San Antonio for more information on plastic surgery options or to schedule a consultation.

MessageOur Staff

If you need breast augmentation or any cosmetic surgery, I would highly recommend Dr. Pilcher....This has been the best decision I have made. Quintessa M.

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San Antonio Office

255 E Sonterra Blvd
Ste 201
San Antonio, TX 78258

More Info Directions (210) 654-9900

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San Antonio Office

255 E Sonterra Blvd
Ste 201
San Antonio, TX 78258

More Info Directions (210) 654-9900