The decision to undergo cosmetic or plastic surgery is significant. It involves selecting a qualified and trustworthy medical professional who prioritizes patient safety and delivers optimal results. This guide provides essential information about plastic surgery and dermatology services, focusing on what prospective patients should know when seeking a plastic surgeon.

Choosing a Plastic Surgeon: Key Considerations and Red Flags
When considering cosmetic or plastic surgery, thorough research and careful selection of a surgeon are paramount. Several factors can indicate a surgeon's suitability and commitment to patient well-being. Conversely, certain signs, often referred to as "red flags," should prompt caution.
Board Certification and Credentials
A crucial first step is to verify a surgeon's credentials. Ensuring that your doctor is a board-certified plastic surgeon is non-negotiable. Board certification signifies that a surgeon has met rigorous standards of training, experience, and ethical practice. You can verify a surgeon's credentials through organizations like Certificationmatters.org or the American Board of Plastic Surgery.
Dr. Francis X. Fleming, for instance, is board-certified by The American Board of Plastic Surgery and possesses over 25 years of experience in performing a wide range of plastic surgery procedures, including both cosmetic and reconstructive surgery. His commitment to patient safety and transforming lives through surgical skill is a cornerstone of his practice.
Facility Accreditation
The safety and sterility of the surgical facility are equally important. Procedures, especially those performed on an outpatient basis, should take place in a fully accredited facility. Kadlec Regional Medical Center, where Dr. Fleming performs his surgeries, is a reputable hospital, ensuring a safe environment for patients.
Surgeon's Experience and Track Record
Inquire about the surgeon's experience with the specific procedure you are considering. Understanding how long they have been performing a particular surgery and reviewing their track record can provide valuable insight. Dr. Fleming has over 25 years of experience in performing plastic surgery procedures, demonstrating a long-standing commitment and expertise.

Financial Considerations and Discounts
Be wary of surgeons who offer deep discount deals. While cost is a factor, excessively low prices can sometimes indicate corner-cutting in terms of materials, staffing, or even the surgeon's experience. Ask yourself why such deep discounts are being offered. A focus on value and quality of care should be prioritized over the cheapest option.
Transparency in Before and After Photos
A reputable surgeon will have a gallery of before and after photos to showcase their work. While some surgeons may have a limited gallery on their webpage for patient privacy, an extensive collection should be available for review during an in-office consultation. This allows prospective patients to see realistic outcomes for various procedures.
Dr. Fleming provides an extensive number of before and after photos in his office, allowing prospective patients to review them during their consultation.
Understanding Plastic Surgery Procedures at Kadlec Clinic
Kadlec Clinic Plastic Surgery and Dermatology offers a variety of procedures aimed at enhancing appearance and improving self-esteem. These procedures can be broadly categorized into cosmetic and reconstructive surgery.
Cosmetic Surgery
Cosmetic surgery is performed to reshape normal body structures with the primary goal of improving appearance and boosting self-esteem. Common cosmetic procedures include:
- Eyelift Surgery (Blepharoplasty): Addresses drooping upper eyelids and puffy bags under the eyes, making individuals look less tired and younger. The procedure involves removing excess skin, fat, and muscle from the upper and lower eyelids, with incisions hidden along natural eyelid creases.
- Tummy Tuck (Abdominoplasty): This procedure contours the abdomen by tightening the skin and muscles, addressing stubborn areas that diet and exercise cannot resolve. It is not a weight-loss procedure but refines the physique.
- Liposuction: Reshapes body areas by removing excess fat deposits. It is most effective for patients at or near their ideal weight who have localized stubborn fat pockets. The Tumescent method, considered the "Gold Standard," is widely used for its effectiveness and safety.
- Mommy Makeover: A combination of procedures, typically a breast lift and a tummy tuck, designed to restore the body to its pre-pregnancy shape. It addresses loose skin on the abdomen and restores breast contour.
- Breast Augmentation: Performed for various reasons, including restoring lost volume due to pregnancy or weight loss, balancing breast size, augmenting underdeveloped breasts, or reconstructing breasts after mastectomy. It often leads to significant improvements in self-esteem.
- Botox: A prescription drug that temporarily blocks muscle activity to reduce the appearance of facial wrinkles. Administered via small injections, it's a quick procedure with gradual results.
Liposuction (3D Animation) | The Scopic Vision
Reconstructive Surgery
Reconstructive surgery addresses abnormal body structures resulting from congenital defects, developmental abnormalities, trauma, infection, tumors, or disease. While often performed to improve function, it can also restore a more normal appearance.
The Patient Consultation and Surgical Process
A consultation with Dr. Fleming is the first step in determining if cosmetic surgery is the right choice for you. During this meeting, you will:
- Discuss your goals and expectations for the procedure.
- Review your medical history, including past surgeries, medications, and existing medical conditions. Honesty about your health is imperative for your safety.
- Understand the available surgical options and the associated risks.
- Ask any questions you may have.
If a procedure is decided upon, the appointment staff will assist in scheduling your surgery. You will receive comprehensive information regarding preparation, including eating/drinking restrictions, what to bring, and the expected length of your hospital stay. Dr. Fleming emphasizes that all surgical procedures carry inherent risks, and being wary of any surgeon who claims otherwise is advisable.

Safety and Post-Operative Care
Patient safety is the highest priority at Kadlec Clinic. Dr. Fleming performs surgeries at the certified surgery center at Kadlec Regional Medical Center, ensuring a clean, sterile, and well-equipped environment with a trained and knowledgeable support staff. All surgical procedures carry risks, though complications are rare.
Post-operative care instructions are crucial for healing. This may include keeping your head elevated, using cold compresses to manage swelling and bruising, and protecting incision sites from the sun. Healing is a gradual process, and scars may take time to fade. While recovery times vary depending on the procedure and individual, most patients can resume public activities within a week to ten days.
Why Choose Winter for Cosmetic Surgery?
Winter is often considered an ideal time for cosmetic surgery for several reasons:
- Discretion: Cooler weather allows patients to easily cover up any swelling, bruising, bandages, or compression garments with winter clothing.
- Reduced Sun Exposure: Keeping incision sites out of the sun is important for optimal healing and scar management, making winter a more conducive season.
- Recovery Time: The period following surgery often requires rest and limited physical activity, which can be more manageable during the colder months when outdoor social activities are less frequent.

Financing Options
As cosmetic plastic surgery is typically considered elective, it is not covered by most insurance plans. Kadlec Clinic works with Care Credit to offer financing options, making procedures more accessible for patients.
Kadlec Clinic Location and Contact Information
Dr. Flemingâs office is located in the Kadlec Clinic Plastic Surgery Center at 104 Columbia Point Drive, Richland, WA. This location is conveniently situated within a twenty-minute drive of Kennewick and Pasco, forming the Tri-Cities area.