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 .