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Testimonials

"Hi Deborah,
I have to tell you that I'm quite pleased that I went ahead with the surgery and also with Dr. Beck and this office! You and the other ladies are so comforting and pleasant, and I absolutely adore Dr. Beck and am amazed at the results. Take care and I'll be in the office again in a few months. (I feel as if I'm going to miss being there!)"

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"One year ago, I placed my hopes and my dreams of changing what I hoped could be changed, in order to look at myself in the mirror without crying, in your hands. I was so afraid. Afraid of surgery, as I'd never had anything like this done before. Afraid for my results, as I wasn't sure how things would turn out. Afraid of the consequences of my choice. The phone calls leading to my decision to work with you, and most especially the pre-surgery consultation the day before, the genuine caring nature of our conversations, and the complete confidence that you, Dr Beck, truly understood what I wanted and could deliver gave me the strength to walk into that operating room."

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"I was put in touch with your practice when I was starting to plan my transition and I am so grateful that I was.

I remember being so nervous driving up to my initial appointment, but everyone at the surgery center was wonderful and courteous and professional, which instantly put me at ease.

I particularly liked the way that Dr Beck uses a computer simulation. You really do get to make adjustments and give your own input and see what you're aiming for before you have any surgery.

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"Hi Deborah,
I am so happy with my implants . I have been transitioning from male to female since 2004. There was a few times when I was younger that I was crossdressing but now its much more of a transitional stage because I am living 24/7 as a female.

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"Cosmetic Surgery is a huge decision for anyone, but for the Transsexual, FFS is additionally fraught with tremendous emotional pressure to fit into society.

This is further complicated with a generally more extensive set of surgical procedures and limited budget, making it imperative that the subject do their research and carefully consider their options.

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"Deborah,
It was really great getting to see you when I came in for my 3 month checkup. Since you were busy, I didn't think I was going to get to, and I was a bit bummed. Then you sprung up when you saw me! That really made me feel good :-) Thank you. Anyway, we didn't get much time to chat, and the girls said you all love email, so I thought I would send you one with an update.

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"Dear wonderful people at Bay Area Feminization Surgery,
It has been some eight months since my surgery, so I'm well overdue to write to express my thanks for everything you have done for me. I'm such a satisfied customer that perhaps you will indulge me as I elaborate and drop the odd anecdote to explain why I'm so pleased about every aspect of dealing with all of you at BAAS.

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"Approximately two years ago, I visited Doctor Beck's Office to discuss surgery to enhance my sagging face and to have my look more in line with my transgendered feminine lifestyle. When I was greeted by Dr. Beck's very proficient, friendly and understanding staff, I felt very comfortable and relaxed in discussing what they had to offer.

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"Approximately two years ago, I visited Doctor Beck's Office to discuss surgery to enhance my sagging face and to have my look more in line with my transgendered feminine lifestyle. When I was greeted by Dr. Beck's very proficient, friendly and understanding staff, I felt very comfortable and relaxed in discussing what they had to offer.

That initial contact was one of the reasons that I choose to have a fairly extensive set of procedures performed: sagging upper and lower eyelids corrected, cheekbones added (I had none), tightening the sagging of my neck and facial features, and my forehead smoothed.

The entire process was explained to me clearly and concisely, and although there are payment plans available, I chose to pay the entire cost all at once which, of course, put a big crimp in my savings account! But, it was worth it.

Part of the procedure is that the patient must remain overnight in a facility that has nurses to overlook you while you recover. This is for one night, and should you be like myself and have no one to assist you to get home, there is a service that you can hire to get you home.

My entire operation lasted approximately nine hours according to Dr. Beck. Although most would expect that the recovery would entail pain, I had none at all and never used the pain relieving medicine prescribed.

I was asked to return in about a month after the operation, to have any stitches removed that were not self-dissolving, and to examine the results of the operation. As I do not have much hair, the incision across my scalp could have been visible, but in my case it was not. Other possibly visible scars are either totally unseen or so slight that they are quite unnoticeable.

I am extremely happy with the entire procedure, the staff and Dr. Beck, and would recommend him to anyone who asks. My feminine look was much enhanced and I feel very, very confident when I am in public portraying the person I have come to love and be comfortable being.

Throughout the entire time that I have been associated with Dr. Beck's and his staff, I have been pleasantly and professionally treated, and I feel I have friends there.

Hugs,

Vida"

"Dear wonderful people at Bay Area Feminization Surgery,

It has been some eight months since my surgery, so I'm well overdue to write to express my thanks for everything you have done for me. I'm such a satisfied customer that perhaps you will indulge me as I elaborate and drop the odd anecdote to explain why I'm so pleased about every aspect of dealing with all of you at BAAS.

I'm sure that you get plenty of testimonials gushing about the specifics of feminization surgery performed (in my case: breast augmentation, tracheal shave, frontal bossing, eye reshaping, brow lift and rhinoplasty – about 7.5 hours of surgery, as I recall). So, maybe I'll just concentrate on why it is that I'm so shameless about singing your praises to all who will give me a chance. It all boils down to quality, value, ethics and thoughtfulness.

* I don't have any experience in rating the quality of aesthetic surgery, so my opinion is unlikely to carry much weight, however delighted I may be – and you can be sure I am delighted. However, a number of people I know who do know about such things are very impressed. By way of a simple example, my electrologist tells me that my breasts are quite the best feeling and most natural looking of any that she's seen, and she sees them all day. She's also impressed enough by the work done on my face (and like everything else, she sees them under magnification) that she's now recommending BAAS to her clientele.

* I'm not terribly price-sensitive, since I have a moderately well paying job, but I was struck by how reasonable the price was for such a large amount of surgery. Although it would be inappropriate for me to quote any dollar amounts, I have an interesting comparison price point. A colleague of mine recently had a nasal polyp removed and had his nasal passages opened up at the same time. He was in the OR for under an hour. My whole bill, including an overnight stay in a recovery facility was only about 25% more than his. He's relieved that he had insurance. I'm delighted that I got such a good deal, and I wasn't nickel-and-dimed to death. The price I was quoted was what I paid. Try getting a car like that!

* Because I'm moderately wealthy, I could doubtless have afforded almost any surgery that I would have wanted. What was striking to me in dealing with everyone from the surgeons themselves to all of the other wonderful staff at your office was that nobody did a cashectomy on me as I walked in the door. I gave ample opportunity for people to pile on procedures (and price), but it was clear that nobody was either trying to squeeze every last cent out of me, or pushing an agenda of remolding me into some stereotypical image of a Barbie doll. Transgendered individuals are, I suspect, particularly vulnerable to being pushed into approaches of great cost and marginal benefit. I was so glad to work with people who clearly had my best interests in mind and who worked with me to find the best way to address my issues, and who were quite prepared to say "you don't need to do that" if I mentioned a possible procedure that could have made them a pile of money.

* We are all used to the heartless way that the medical system works in the US. When calling around to look for surgeons, I was met with a surprising degree of off-handed cluelessness and thoughtlessness by surgeons of high repute. A number of them simply said "we won't work on men" (isn't a nose a nose?). Others jerked me around. From the second I walked into BAAS, I was treated like a princess. Nobody questioned my sanity, or patronized me in any way. Of course, the offices are nice and clean, and everyone has a sunny disposition, but it was in the little details that I was allowed to feel genuinely cared for. When I was waiting for my slot in the OR, one of the nurses even went out of her way to get me a copy of Vogue to read – a minor issue, but a sign of being considerate. This was by far hands down my best experience of any sort with the medical profession.

Your business is one that lives and dies by referrals and satisfied customers. I'm a profoundly satisfied customer, and delighted to drop your name to anyone. If I ever decide to have any more work done, I certainly won't even think about shopping around.

My only regret is that I didn't do it all thirty years ago. Thank you so very much for all that you've done."

"Deborah,
It was really great getting to see you when I came in for my 3 month checkup. Since you were busy, I didn't think I was going to get to, and I was a bit bummed. Then you sprung up when you saw me! That really made me feel good :-) Thank you. Anyway, we didn't get much time to chat, and the girls said you all love email, so I thought I would send you one with an update.

As I mentioned in my last email to you, this surgery has really changed my life. I've been full-time now for almost 4 months now, and every day I feel more and more like myself, and less and less like a tranny. I haven't felt at all male since the day of the surgery, so thank you!!! I pass completely in public, and am constantly getting oggled, hit on, etc. My height gets me some looks, but who cares - they're just jealous haha. I am SO happy, it's really amazing.

The hormones have taken really really well. I have hips now, and I'm getting a bum. Both have caused me to start having to really watch my diet, which is fine. My skin has softened quite a bit, and my body hair has thinned, softened, become blonde and like fuzz. My pores have closed up, my acne cleared quite a bit, and my hair has softened. Also, some of my receding areas are starting to grow back. And my breasts... yeah, those are working haha. I still wear my forms, but I'm about an A cup already.

As the swelling has slowly gone down from the surgery, I've struggled with concerns and feelings that the boy was coming back a bit. I mean, my face was thinning out from the loss of swelling, and since no work was done on the lower half of my face, I could totally see my old self there, and I hated it! Everyone else has been telling me how much more feminine I look, every time they see me. And to some extent I believe them... but there's been that nagging doubt, that question of whether they are inflating things, you know? And then there are the snapshots my friends take - maybe 1 out of 25 I like, and none do I love. Part of the problem I have is my hair, and having to hide those receding areas. I can make it look decent, and I get a lot of compliments, but I just don't like it.

So, I booked myself an appt with Glamour Shots for last Sunday. Are you familiar with them? They did my makeup (pretty much the same way I do it) and curled my hair just with a curling iron (I'm trying to teach myself that now!), and voila! I loved the hair!!! OMG!!!! The photo shoot was SO fun. They actually thought I had done it a lot - they said I was a natural. But it was my first time!! And I don't believe they had any idea at all about my past. It was so validating!!! While they downloaded the pictures for viewing, I walked the huge mall, full of people. Again, no looks at all!!

And the pictures!!! Amazing!! I almost cried when I saw them. I had so much trouble picking out the ones I had to not buy, and I ended up spending far too much. Part of my package included a DVD of all the pictures from the shoot. I've pulled the pics out, and attached them for you to view and show the rest of the staff, if you'd like to. They are not touched up - straight off the camera - and they are not great quality, in order to prevent stealing of them haha, but they still look awesome to me. This was exactly the confidence boost I needed. Now I can finally see what others have been seeing.

I can't thank you all enough for everything. Please give Dr. Beck another big hug for me. I have been referring people to you left and right. I've actually lost count of how many people have come to you in my name haha. Lori and I just worked to gather to convince a Lisa from the UK to come over - I believe she already has an appt with you! I will continue to spread the joy you've brought into my life.

Thanks you thank you thank you"

"Cosmetic Surgery is a huge decision for anyone, but for the Transsexual, FFS is additionally fraught with tremendous emotional pressure to fit into society.

This is further complicated with a generally more extensive set of surgical procedures and limited budget, making it imperative that the subject do their research and carefully consider their options.

In my experience, I of course asked for referrals and was led to some of the surgeons who have been performing FFS for a long time. I saw a Dr in San Francisco, a Dr out of Scottsdale and a noted surgeon in Beverly Hills. I remember how excited I was to be getting underway with my gender change and how I initially took in everything I heard with great delight and gullibility. The concern I had, once I let all of the advice sink in, was that I didn't agree with it. The recommendations included bony surgery to reconstruct my jaw and my sinus cavity. These are highly invasive procedures with lengthy recovery periods. My discomfort was in my own observations that the overall shape of my face and jawline were similar to what I saw in other woman and if true a surgical necessary. I had been studying my facial structure and started going to a local mall to observe woman faces. I searched the internet and found pictures of movie stars who I felt I resembled and came up with Ingrid Bergman. I purchased one of her movies, Casablanca so I could observe her from every angle.

This research led me to produce a matrix as follows:

Importance FFS Surgical Order Procedures Notes Discussion
Age Defying 1 Face Lift Reduce sag and lines (face and neck)
Improve upper eyelid exposure
Hair Line reduction
Sty on right eye - remove
Discoloration at right eye - remove
Feminizing 1 Upper Lip Reduction Shorten Nose to Lip proportion
Enlarge/define upper lip
 
Feminizing 1 Brow Lift Create a more feminine arch to brow and raise  
Feminizing 1 Brow Line Shave Create softening to the forehead
Eyes appear to be not so deep set
 
Age Defying 1 Lower Eyelid Remove sag and smooth  
Beauty 1 Cheek Implant Accent Cheek Bones  
Beauty 1 Chin Implant Add symmetry to profile
Remove Indentation at mid jawline
Remove crease at chin
Any neck definition would be a plus
 

I broke desired surgical procedures into those relating to Feminization, Age, and Beauty Since I am 58 years old, age is a wildcard factor which needs to be considered. I have lost collagen in my lower face due to effects of sun over the years. This has eroded my elasticity and I am currently trying to replenish my skin with mega doses of vitamin B and C. I will ultimately have to do an alternate CO2 laser to achieve the desired smoothness and sun damage correction.

I feel that all of this lead up educated and prepared me for to make a better surgical decision. I realized that what I needed in a surgeon was someone who was more than technically competent to perform the surgery, but one with equal amounts of artistic talent and compassion. A combination that is truly rare.

I started talking with other surgeons and probably interviewed 4 or 5 before I found Dr Beck. I arrived for my appointment with a folder of information, my movie star pictures and my matrix and my research on hair line reduction using the Mayer Flap. Dr Beck didn't make me feel like I was another uninformed, wild-eyed patient. He didn't make me feel rushed or foolish. After an initial exam, we actually had a conversation where most of my questions were answered. He set realistic expectations which I appreciated so I could make the right decision given a half-dozen or so procedures. We communicated after this meeting via email, addressing the hair line reduction techniques he used.

Dr Beck's demeanor as well as his entire office and surgical team, was that of delivering technical information in the most compassionate and respectful way. Going into the surgery, I was quite relaxed giving to the confidence I had in Dr. Beck and his team. I was told by a recovery room nurse that after 13 hours of surgery, Dr Beck hand washed my hair, saying "we're not letting her leave like this". To me, this says it all.

For me this initial facial feminization surgery marked the beginning of my full-time life requirement. I had reserved two weeks for recovery before I returned to work in my preferred gender role. I spent two days at the recovery center before I returned home. I required no pain medication post surgery and was back to normal within a week.

Dr. Beck, you are responsible for giving me a jumpstart on my new life in ways which I words fall short. I am now accepted and validated, mind, body and spirit.

Thank you with all my heart

MDD - Surgery 3/07"

"Hi Deborah,
I am so happy with my implants . I have been transitioning from male to female since 2004. There was a few times when I was younger that I was crossdressing but now its much more of a transitional stage because I am living 24/7 as a female.

I have had some female friends who talked to me before about having breast implants but I wasn't ready then. But for the last year I have been really thinking a lot about my breasts and it felt kind of strange and unsatisfying to stuff my bra with foam or anything that would appear to make it look like I had breasts. I was going to get it done in the USA or if necessary have the surgery done outside of the US. Well I thought and thought for the longest time and then I called my friend Carla , from Carla's Salon in San Jose, California, and asked her if she could recommend a doctor to me who would perform the surgery on a transgender t-girl. Carla recommended that I call Dr. Beck if I am interested in getting breast implants. Well, I called Dr. Becks office that very afternoon and spoke with Deborah. I explained to Deborah that I am a musician and that my work takes me away from home for long periods of time but I would be coming home for christmas and I would like to have the procedure done in December which was about 4 months away. Deborah made me feel very much at ease and said that Dr. Beck would perform the surgery and she proceeded to explain to me everything that was needed to be done before the surgery could be performed. I felt so wonderful after my conversation with Deborah. All of my friends asked me why I was in such a good mood? I then explained to them about my plans to have the surgery in December and everyone was very happy for me. Every night before I went to bed I would look down at my chest and wonder what it would look like after the surgery. I started wearing a bra 24/7 even before the surgery to get used to having it on all the time.

As the time grew closer to my surgery I kept in close communication with Deborah and worked out all the financial arrangements and picked up my pre-op packet with instructions on what to do before the surgery. I would roller coaster a little bit as to whether or not I was doing the right thing. Sometimes I felt like I would drive myself crazy thinking about it. Well I am glad that I didn't change my mind and had the surgery because I feel so much better about myself and the transition from male to female and it helps my self esteem tremendously. My breasts are the first thing I see when I wake up and the last thing I see when I go to bed and also a couple of times a day I will massage them to help with their positioning.

Deborah explained to me that I would need someone to care for me after the surgery. I didn't have anyone in mind because I am currently living at home with my 87 year old father. I didn't want to impose on my father, because I felt that he was dealing with enough just knowing about my surgery. Deborah recommended Gwen who is a caregiver in the San Francisco area and she is very experienced and very capable of taking care of the post op patients. I spoke with Gwen on the phone and made arrangements with her to stay with her for 24 hours of post op care. Gwen was there when my surgery was completed and got me dressed and took me to her home in San Francisco, which is absolutely gorgeous with a beautiful view of the city and she pampered me and took care of my every need. The next day she drove me back to Dr. Becks for my post op visit. I was very pleased with the results of the surgery and so was Dr. Beck. The amount of pain was very minimal. The hardest part was getting in and out of bed. Gwen showed me the best way to get into bed and out again with the least amount of pain. She also gave me a set of instructions on what to do for the next 7 days to take care of myself. Everyone in the surgical center and at Dr. Beck's office has been wonderful to me and Gwen also. I feel like they are my second family. They are all professionals and treat everyone wonderfully and the whole experience has just been more than I could ever have hoped for. I have been back to see Dr. Beck several times so that he could check on my progress and everything is great I am very pleased with the results and words cannot describe the amount of pleasure and happiness that I have gotten from this surgery performed by Dr. Beck. He is so wonderful and kind and gentle and understanding and has a great bedside manner. I strongly recommend Dr. Becks office.

JLC, sex reassignment surgery patient"

"I was put in touch with your practice when I was starting to plan my transition and I am so grateful that I was.

I remember being so nervous driving up to my initial appointment, but everyone at the surgery center was wonderful and courteous and professional, which instantly put me at ease.

I particularly liked the way that Dr Beck uses a computer simulation. You really do get to make adjustments and give your own input and see what you're aiming for before you have any surgery.

And I would also say that even though I look different from my surgery than I did before, I think its more a "female" version of me as opposed to a completely different face.

I also really liked the way that the surgery staff worked within *my* schedules for transition, rather than me having to plan things around my surgery. And the cost of my surgery was within my budget as well.

The surgery itself went great, and I am absolutely delighted with the outcome.

I have to say that my FFS surgery with Dr Beck was truly life-changing for me. As a transgender patient, FFS can play a crucial part in ones transition, and how you are perceived and accepted in society.

My FFS with Dr Beck played an enormous role in making my transition a successful one.

I would certainly recommend anyone in transition to have a consultation with Dr Beck."

"One year ago, I placed my hopes and my dreams of changing what I hoped could be changed, in order to look at myself in the mirror without crying, in your hands. I was so afraid. Afraid of surgery, as I'd never had anything like this done before. Afraid for my results, as I wasn't sure how things would turn out. Afraid of the consequences of my choice. The phone calls leading to my decision to work with you, and most especially the pre-surgery consultation the day before, the genuine caring nature of our conversations, and the complete confidence that you, Dr Beck, truly understood what I wanted and could deliver gave me the strength to walk into that operating room.

One year ago, I woke up in the recovery room and have never regretted my decision. The results I see in the mirror every day remind me of the RIGHTNESS of that decision. The automatic responses of the people around me, in how they address me without hesitation confirms the RESULTS of that decision. The genuine gratitude I hold in my heart for you, your staff and all those who cared for me confirms the DEPTH of IMPACT that decision has had on me.

My journey continues and you have made it somewhat easier through your amazing skills and compassion - you listened to me, you never pushed, you delivered more than I expected. Each of you has touched me more than you likely ever realized.

Thank you. God Bless."

"Without a shadow of a doubt, my selection of Dr. Joel Beck, as my surgeon, for my facial surgery, was the best decision that I could have made. The time and analysis that I put into my selection process was very important to me, as this was my face and I wanted the best results for me. My process involved researching the websites of the various surgeons, meeting up in person with individuals who went to the various surgeons, reviewing before and after photographs, and having in person consultations with the surgeons – and I had ten of them! Once this was completed, I narrowed down the ten to my top three and arranged to have a second consult with each of them, before I was going to make my decision. In that second round of consults, I asked additional questions of the proposed procedures and about their surgical infection rates and post-surgical complications and rates. At the end of this process, I knew I made the right choice in Dr. Joel Beck and I soon after paid my surgical deposit at the end of September 2013 for an end of February 26, 2014 surgical date. This date was not set back due to scheduling in Dr. Beck’s office but it focused around my personal schedule.

As I reside in Canada, I did not have the opportunity to visit Dr. Beck’s office, in Foster City, until two days before my surgical date. The facilities were very spacious, considered new (as he relocated into them the previous fall). I was welcomed by his wonderful staff and I completed the remaining documentation. After a very brief discussion with Melissa, I met with Jasmine and was informed that Dr. Beck was still in surgery, but she would complete the majority of the pre-surgical requirements. While we were doing this, Dr. Beck arrived and finished off what Jasmine still had to do. He took a few measurements, as I was getting a couple of implants with my procedures, and then said he would order the size of implant that would best suit me. I was then asked to return the next day as he would have the implants and would position them externally on my face to ensure that we would have the best fit for my face. The next day, I returned and he finished his analysis with the implants and I was cleared for surgery the next morning.

Following his directions, I had nothing to eat or drink from 11 p.m. on the evening before my surgical date. I arrived at the Sutter Health – Mills-Peninsula Health Services facility in San Matteo the next morning and was quickly admitted. After a brief wait, I was called into the pre-surgical area and was changed into lovely and fashionable hospital attire (gown, booties and hair cap) and as then taken into one of the pre-surgical rooms. After some quick vitals were taken, I meet with the anesthesiologist and then with Dr. Beck as he arrived to mark my face with a marker. After he was done, we just went over all the procedures again and I was then escorted to the Operating Room. Upon arrival, I positioned myself on the table, a couple of IV’s were started and after few brief introductions with everyone in the room, I was put to sleep.

When I awoke, I had pain and my vision was blurry as my eyes were mostly swollen shut. That was my greatest fear going into the surgery – that I would end up with some permanent vision issues. The post-surgical care in at the Sutter Health – Mills-Peninsula Health Services facility was second to none! The nursing staff was exceptional and demonstrated excellent patient care. They made sure that I was resting comfortably and that if I needed anything it was addressed very promptly.

The next day Dr. Beck came to check on me and said that everything looked great. It was difficult for me to comment as my vision was still restricted but was slowly coming back. I was then subsequently discharged and told to come and see him at his office in a few days to get my nose splint off and to remove some of the packing. I then saw him again after ten days and he removed the staples that I had in my skull. During that visit, it was determined that the incisions around my nose were battling an infection. Initially, Dr. Beck suggested that this can be addressed via some antibiotics and my cleaning around the incisions and letting it heal naturally. He then changed his mind as said we are going to address it now and he asked me to come with him to his treatment room. He proceeded to clean the incisions and once he was satisfied, he performed his magic with his expert suturing skills around my nose and wrote a script for a strong antibiotic. When I returned home, I had to see my family physician to remove the fine sutures and his comment was that “Whoever did this suturing was an expert and had to be a plastic surgeon as no family physician would be able to suture that well.” It should also be noted that I also received a card from the hospital upon my return home which wished me a speedy recovery and was signed by everyone who I came in contact with during my time at the Sutter Health – Mills-Peninsula Health Services facility.

The healing continued and I saw Dr. Beck, in person, four weeks post-op and we were both very pleased with the results. Then the unexpected happened the following week. I somehow managed to touch something and when I rubbed my eye, it started to make the area around my eye swell, until it basically swelled one side of my face. I was very concerned as it was affecting the area around one of my implants so I contacted Dr. Beck’s office. The assistance was second to none! He was just as gravely concerned as I was and he worked with me to get a suggested treatment to address it, with a physician where I currently was. He also provided me with a cell number that I could reach him at any time. In addition, he followed up with me on a regular basis. The antibiotic helped and the swelling went away in due course.

I know that it will take six months to a year before the final results are totally realized, but I am very happy with the results to date; and it will only get better! Dr. Joel Beck is a very kind, caring and compassionate surgeon, whose surgical knowledge, expertise and excellent surgical precision are second to none. He has been there for me to answer my questions and concerns, from our very first encounter, to the separate consults, to the actual surgery and subsequent post-op care. He never once tried to tell me that I needed more work than I had already decided to have. He suggested various options but always left the final decision to me. Dr. Joel Beck has made a huge difference in my life. Although, I know I looked ok before the surgery and many people told me that I didn’t need it; I decided to do it for myself and no one else. He achieved what I thought was impossible – to align my appearance to that of which I always had in my mind. You have had a very positive impact on my life and for that I wish to say “Thank You Dr. Joel Beck!”"

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