What Actually Happens During a Consultation (And Why It Feels Different Than You Expect)

When the first step feels uncertain

Scheduling a consultation is often the moment when something you have been thinking about starts to feel more real.

Up until that point, it may have stayed in the background. A thought you return to occasionally. Something you notice in certain moments, but not necessarily something you have acted on yet.

Deciding to come in changes that.

It introduces a sense of direction, even if you are not entirely sure what you are looking for. And with that, it is natural to wonder what the experience will actually feel like.

You may find yourself asking quiet questions.

Will I need to have a clear plan?
Will I be expected to make a decision?
Will I know what to say?

Those questions are part of the process.

You don’t need to arrive with answers

One of the most common assumptions about a consultation is that you need to come in prepared.

That you should already know what you want, or at least have a clear idea of it.

In reality, that is not how most conversations begin.

You may come in with something as simple as, “I’ve been noticing this…” without being able to fully explain what feels different. That starting point is enough.

The purpose of the consultation is not to test how prepared you are.

It is to help you begin to understand what you are seeing, and to put that into context in a way that feels more clear and manageable.

How the conversation usually begins

The first part of the visit is often quieter than expected.

It starts with a conversation, not a decision.

You talk through what you have been noticing, when it started to stand out, and how it has been affecting the way you see yourself. There is time to describe things in your own words, even if they feel incomplete.

From there, the discussion begins to take shape.

Your features are evaluated in a careful and thoughtful way, with attention to proportion, structure, and how different elements relate to one another. This is not done quickly or in a mechanical way. It is part of understanding the full picture.

As that picture becomes clearer, options can be introduced in a way that feels connected to what you are actually seeing.

Moving from observation to understanding

At some point during the consultation, the focus often shifts.

What may have started as a general impression begins to feel more defined. You start to understand what is contributing to the change you have been noticing, and how those elements interact.

This does not mean that everything becomes certain right away.

But it does create a different level of clarity.

Instead of trying to interpret what you see on your own, you are able to understand it in a more structured way. That understanding tends to make the next steps feel more approachable, even if you are still considering your options.

There is no pressure to decide

One of the most important parts of the consultation is what does not happen.

You are not expected to make a decision during that visit.

You are not asked to commit to anything before you feel ready. The conversation is there to provide information, perspective, and a clearer understanding of what may be possible.

Taking time after the consultation is part of the process.

It allows you to reflect on what you have learned, consider how it feels, and decide whether you want to move forward, and when.

This space is intentional.

Questions are part of the process

As the conversation continues, questions tend to come up naturally.

Some may be practical. Others may be more personal. You may find yourself asking about timing, recovery, or how certain changes may look in everyday situations.

You may also have questions that become clearer as you talk through the process.

All of these are part of the experience.

The consultation is not structured as a one-directional explanation. It is a dialogue, where your questions help guide the discussion and shape how information is shared.

Understanding what feels right for you

Not every option that is discussed will feel like the right fit.

And that is an important part of the process as well.

Being able to explore different approaches helps you understand not only what is possible, but what feels aligned with your preferences, your lifestyle, and your expectations.

This is where the conversation becomes more personal.

It moves beyond general information and begins to reflect what works specifically for you.

What you take with you after the visit

When the consultation ends, you are not expected to leave with a final decision.

What you take with you is something different.

A clearer understanding of what you have been noticing. A more defined sense of your options. And a better idea of what direction, if any, feels appropriate for you.

That clarity often continues to develop after the visit.

You may revisit the conversation in your mind, notice new details, or find that certain aspects become more meaningful with time.

A different way to think about the consultation

It can be helpful to think of the consultation not as a step you need to complete, but as the beginning of a process.

It is where information starts to take shape. Where questions become more specific. Where uncertainty begins to feel more manageable.

You are not expected to have everything figured out.

You are simply starting a conversation.

A final perspective

Taking that first step often feels like the hardest part.

But once the conversation begins, it tends to feel more natural than expected.

There is time to talk, to ask questions, and to understand what you are seeing in a way that feels clear. There is no pressure to move faster than you are comfortable with, and no expectation to decide before you are ready.

And often, that is what makes the experience feel different.Not because the process is complicated, but because it allows you to move forward with a sense of clarity, at a pace that feels right for you.

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Anna Gelder, RMA

Anna Gelder, RMA

Registered Medical Assistant

With more than 15 years of experience in the medical field, Anna brings a diverse and well-rounded clinical background to her role. She began her career as a dental assistant before advancing into medical assisting, where she was selected to participate in the first-ever Medical Assistant Apprenticeship Program through Grand Rapids Community College. This experience helped shape her strong foundation in clinical excellence and patient-centered care.

For the past eight years, Anna has specialized in plastic surgery, where she is dedicated to guiding patients through every stage of their journey with professionalism, compassion, and meticulous attention to detail. She takes pride in creating a supportive, reassuring environment and contributing to a positive patient experience from consultation through recovery.

Ashley Marcinowski, RMA

Ashley Marcinowski, RMA

Registered Medical Assistant

Ashley is deeply passionate about her work and committed to delivering an exceptional level of care to every patient she serves. She believes that truly outstanding patient experiences are built on trust, communication, and genuine connection. By taking the time to listen, understand each patient’s goals, and provide thoughtful, personalized guidance, Ashley strives to create a supportive and elevated experience from start to finish. Her priority is ensuring that every patient feels comfortable, confident, and genuinely cared for throughout their journey.

She takes great pride not only in the quality of care she provides, but also in the meaningful relationships she builds along the way. Ashley is dedicated to fostering a welcoming and positive environment where patients feel valued, understood, and at ease. Helping patients feel empowered and confident in themselves is one of the most rewarding aspects of her work.

Katy Otte

Katy Otte

CRNA Anesthesia Director

Kathryn Otte, CRNA is a Certified Registered Nurse Anesthesiologist at Partners in Plastic Surgery of West Michigan, where she specializes in anesthesia care for cosmetic surgical procedures. She earned her Bachelor of Science in Nursing from University of Detroit Mercy and her Master of Science in Nursing, with a focus in anesthesia, from Oakland University.

With over a decade of experience, Katy brings a thoughtful, patient-centered approach to every case. She is deeply committed to safety, precision, and creating a calm, reassuring environment where patients feel fully supported throughout their surgical experience. Known for her attention to detail and intuitive care, she prioritizes both clinical excellence and patient comfort.

Katy serves as our Anesthesia Director, where she is dedicated to upholding the highest standards of care.

Katelyn Richards, BSN, RN

Katelyn Richards, BSN, RN

Aesthetic Nurse Injector

Katelyn is an experienced Aesthetic Nurse Injector with 14 years of nursing experience, the majority of which has been spent in the pediatric emergency department. Her extensive clinical background has shaped her meticulous attention to detail, patient safety, and ability to deliver calm, compassionate care in high-pressure environments.

For the past three years, Katelyn has specialized in aesthetic medicine and is certified in both neurotoxins and dermal fillers. She is known for her refined technique and artistic eye, focusing on subtle, natural-looking results that enhance each patient’s unique features. Katelyn is passionate about helping patients feel confident and empowered in their own skin, combining clinical precision with a personalized approach to care.

She is currently pursuing her Nurse Practitioner degree at Wayne State University, further expanding her knowledge and commitment to excellence in patient care.

Tonya Snyder

Tonya Snyder

Practice Manager

Tonya Snyder (formerly Tonya Neve) serves as Practice Manager at Partners in Plastic Surgery of West Michigan in Grand Rapids, where she leads the operational, financial, and strategic direction of a multi-provider plastic surgery and aesthetic practice. With more than 25 years of healthcare experience, she oversees budgeting and financial performance, revenue cycle management, human resources, compliance, vendor negotiations, marketing initiatives, and technology integration.

Tonya works closely with physicians and staff to refine workflows, strengthen internal policies, and implement systems that support both efficiency and long-term sustainability.

Her leadership style is hands-on, data-driven, and solutions-focused, with a focus on strengthening systems, communication, and team effectiveness. She is deeply engaged in process improvement and operational strategy, ensuring that the practice delivers a seamless and elevated patient experience.

Earlier in her career, Tonya spent over two decades at Lacks Cancer Center supporting breast oncology care—an experience that continues to shape her patient-centered perspective and commitment to compassionate service.

Lisa Perdue

Lisa Perdue

Medical Esthetician

With over 25 years of experience in the skincare industry, Lisa is a highly experienced Medical Aesthetician known for her clinical precision and advanced treatment expertise. She is certified by InMode in Morpheus8 radio frequency micro-needling, Fusion Light Hair Removal and Lumecca IPL, and has completed extensive continuing education with leading chemists, researchers, and pioneers in medical aesthetics nationwide.

Recognized for her depth of knowledge in device-based and corrective treatments, Lisa develops comprehensive, evidence-based treatment plans tailored to each patient’s skin physiology and long-term goals. She excels at translating complex scientific concepts into clear, actionable guidance, empowering patients to make informed decisions about their care.

Committed to innovation and clinical excellence, Lisa remains at the forefront of aesthetic technology and procedural advancements. Her focus on safety, outcomes, and individualized treatment ensures consistently natural, confidence-enhancing results built on trust and long-term relationships.

Marie Smith

Marie Smith

Administrative Assistant

With 28 years of dedicated service, Marie Smith has been an exceptional administrative leader and trusted right hand to Dr. Dennis Hammond. Throughout her tenure, she has played an integral role in supporting both the clinical and academic success of the practice.

Marie oversees the credentialing of fellows, coordinates implant research studies, manages travel logistics, and serves as Dr. Hammond’s scheduler for academic engagements and professional activities. Her precision, organization, and deep understanding of the practice’s operations make her an invaluable part of the team.

Beyond her impressive expertise, Marie is known for her kindness and welcoming spirit. She brings warmth to every interaction and is always recognized for her genuine, bright smile. Her dedication, positivity, and heart for service make her truly one of a kind.

Melody Watkins

Melody Watkins

Patient Service Representative

Melody is a valued member of our front office team, serving as a Patient Service Representative (PSR). With more than 19 years of experience in the medical field, she brings a wealth of knowledge and a well-rounded background, having worked in Cardiac and Vascular care, Dermatology, and now Plastic Surgery. Her diverse experience allows her to provide patients with attentive, knowledgeable support from the moment they walk through our doors.

Melody is passionate about creating a warm, welcoming environment and takes pride in helping patients feel comfortable, confident, and cared for throughout their experience with our practice. She truly enjoys building connections with people and ensuring each patient feels at ease.

Rebekah Ross, RN

Rebekah Ross, RN

Registered Nurse - Surgical Center

Rebekah Ross has been a Registered Nurse for 15 years. Her first 3 years of nursing were spent at Mercy Health Saint Mary’s taking care of elderly, cardiovascular, and kidney transplant patients. In 2014, she made the move to work in outpatient surgery at the same hospital. The main focus of that outpatient surgery center was breast cancer and reconstructive surgery.

Rebekah worked with these patients in all areas of surgery including pre-op, operating room, and post-op. She took a break for a couple years for her family, and then started working at Partners in Plastic Surgery. You can find her in the operating room following her patients through the entire surgery process from start to finish.

She truly loves this because she can really focus on her patient and give them her full attention. Having the same nurse throughout their surgery day makes them feel more comfortable and at ease.

Tracie Marcus

Tracie Marcus

Surgery Scheduler

Tracie has worked as a Surgery Scheduler at Partners in Plastic Surgery for over 15 years coordinating surgical procedures with accuracy, efficiency, and care. She works closely with physicians, clinical staff, and patients to ensure every step of the scheduling process is smooth, organized, and clearly communicated.

From coordinating operating room availability and managing provider calendars to confirming pre-operative requirements, she carefully oversees every detail to help procedures stay on track.

Understanding that preparing for surgery can feel overwhelming, Tracie strives to make the experience as straightforward and reassuring as possible. Known for her calm professionalism, attention to detail, and commitment to patient-centered service, her thoughtful approach helps ensure that patients feel confident and well supported throughout the surgery scheduling process.

Eva Mathieu

Eva Mathieu

Ciao Cosmetic Tattoo | Permanent Makeup Artist | Areola Tattoo Artist

Eva Mathieu is a 7x Certified Cosmetic and Paramedical Tattoo Artist and Licensed Esthetician with over five years of dedicated experience in advanced skincare and pigmentation. Based in West Michigan, Eva brings a sophisticated, detail-oriented approach to her roles at Partners in Plastic Surgery and her private storefront in Portage, Michigan.

Throughout her career, Eva has trained and practiced across the United States, refining a technique that blends clinical precision with artistic intuition. She specializes in creating bespoke tattoos for individuals with high standards who prioritize quality and long-term results. Whether performing restorative paramedical work or enhancing natural features through cosmetic tattooing, her mission is to help clients show up for themselves with confidence in an effortless way. Her reputation for excellence has made her a destination artist, with clients—including Miss USA—traveling from across the country to seek her expertise.

By bridging the gap between medical aesthetics and permanent artistry, Eva provides a seamless, high-end experience helping clients feel at home in their own skin without compromising on excellence

Erin Rutter

Erin Rutter

Surgery Scheduler

Erin has been an integral part of the team at Partners in Plastic Surgery since 2011, beginning at the front desk and now functioning as one of our surgery schedulers.

She is dedicated to providing a welcoming experience for every patient and strives to support both our surgeons and our patients with efficiency, professionalism and a positive attitude.

Dawn R Borreson, RN, MSN

Dawn R Borreson, RN, MSN

Aesthetic Nurse Injector

Dawn Borreson is a Registered Nurse with over four decades of experience, with 12 of those years being in aesthetics. She completed, with honors, her Bachelors and Masters Degrees in nursing through University of Detroit Mercy and has achieved numerous nursing certifications and awards.

Dawn’s professionalism and attention to detail contribute to her patients' goals of looking their best. Dawn has extensive training in dermal fillers, neurotoxins (Botox/Dysport), lasers and advanced training in biostimulators.

Dawn excels at listening to her patients concerns to customize
a treatment plan that achieves realistic and natural looking results, all accomplished in a conversational, ‘no pressure’ environment.

Dawn is a life long learner, attending conferences and advanced trainings to stay current in the ever-changing aesthetic field. Dawn enjoys being with her husband Dan, exercising, gardening, playing pickle ball and especially being with her family and grandchildren.

Ashley Wagner

Ashley Wagner

Patient Coordinator

Ashley is a Patient Coordinator with over 10 years of experience in the plastic surgery field and more than 14 years as a Registered Medical Assistant (RMA).

She is passionate about guiding patients through the consultation process and helping them feel informed, comfortable, and confident in their decisions. Ashley enjoys building relationships with patients and supporting them throughout their aesthetic journey.

Amy Rabideau

Amy Rabideau

Medical Aesthetician

Amy is a highly experienced skincare professional with over 20 years at Partners in Plastic Surgery, where she has helped clients achieve clear, healthy, and radiant skin through personalized, results-driven care. Working within a plastic surgery setting, she has developed extensive expertise in advanced treatments including dermaplaning, microneedling, customized facials, chemical peels, acne-focused therapies, and laser services targeting aging, sun damage, and hair removal.

Amy is passionate about creating tailored treatment plans that align with each patient’s unique skin concerns and goals. She also provides expert guidance on medical-grade skincare products to help patients maintain and enhance their results at home.

Known for her thoughtful and attentive approach, Amy takes the time to truly understand her patients, ensuring every treatment plan feels comfortable, effective, and sustainable. Her top priority is helping each patient feel cared for, confident, and genuinely happy with their results.

Abbie Thill

Abbie Thill

Skincare & Marketing Manager

With more than twenty-five years of experience in business management and client relations, Abbie serves as the Skincare and Marketing Manager at Partners in Plastic Surgery. She brings a results-driven yet compassionate approach to her work, blending strategic expertise with a genuine commitment to patient care and experience.

Her background in retail management, team development, marketing initiatives, and revenue growth allows her to support both the operational and patient-centered sides of the practice. In addition to overseeing skincare services and marketing strategy, she manages customer service and coordinates special events, ensuring every interaction reflects the practice’s high standards of professionalism and warmth.

Known for her exceptional communication skills, attention to detail, and collaborative leadership style, she thrives in fast-paced environments while consistently exceeding expectations. She is passionate about creating meaningful relationships and helping patients feel confident, supported, and valued throughout their journey.