**I have not had surgery with Dr. Bartlett yet.**
This review is intended to help other people who are researching "top" surgeons, but have not heard much about Bartlett, or found much info about him on sites commonly used by people looking into ftm operations. The following is a detailed review of what may be useful in deciding whether to book a consultation with Bartlett or not.
I have been researching the work of doctors and doing consultations for 3 years. I'm more comfortable taking my time in finding someone I personally trust, rather than using someone who is simply cheaper, or well known by other people. I have consulted with Garramone (FL), Bartlett, and Johnson (MA), and I've seriously investigated many others (this is a handy site: http://www.topsurgery.net/). So far, Bartlett is my top pick and here is why:
(This review stems from 2 separate consultations with him, and countless emails with staff.)
POSITIVES:
1. Attitude and Demeanor
(a.) Neither he nor his staff give a shit about the patient's gendered past, gender identity, or choices that have impacted the patient's decision to come in for this operation.
(b.) Neither he nor his staff pathologize trans*, or appeal to some unfounded set of surgical permission parameters, like mandating "therapy", etc. I would assume that he takes into account age and individuality of the patient, however, so this is not a guarantee that you would not need "the letter," but in my experience, he seemed to prioritize my unique identity and needs, rather than grouping me into a categorized "other."
(c.) He and his staff respect the place of the patient, and their places as a medical team: The patient is a patient, that is all. The patient has a particular aesthetic request that happens to be in the chest region. The doctor and the staff are professionals who work in the arena of aesthetics, not mental health, and they therefore do not imply that the patient's request be treated as anything other than an issue of aesthetics.
2. Consultation Method and Surgical Planning
(a.) He is detail-oriented in the consultations. He's focused on the patient's body specifics, and very much focused on how to achieve the patient's unique surgical goals, but in a way that suits proper healing timeframes.
(b.) He thinks outside the box. Instead of giving a generic, one of two options for a one-size-fits-all surgery suitable for "this kind of people." He listens to individual wishes, then tries to brainstorm how to make the wishes work based on what he, as the professional, knows can be safely accomplished.
(c.) He considers past cases when brainstorming how to meet goals. He'll say whether he has tried something the patient is requesting, then he'll explain what made it work or what made it difficult, what didn't turn out as the patient hoped, and how he thinks it would've worked better.
(d.) He takes the time to draw with pen and paper what his plan of action would be.
(e.) He is not afraid to adjust nipple-aerolar complex size AND placement even for keyhole surgeries. **This is exceedingly rare**
(f.) He is not willing to compromise his precision or his technique based on the requests of the patient, or the patient's comparisons to other surgeons. If Bartlett truly believes, based on knowledge and experience, that the patient's goals will not be suitably met by using the requested surgical method, then Bartlett will absolutely not do it.
3. Support Staff
(a.) Office staff respond by email or by phone regularly and quickly.
(b.) Office staff are personable and sincerely invested in the patient's well-being, and also assisting the patient in answering all questions.
(c.) Office staff are respectful with names, pronouns, and do not initiate questions or comments about sensitive topics, such as gender, timeframe of "transition," or past "life" or past names, etc.
NEGATIVES:
1. Pricing and Payment Options
(a.) His prices are $700-$3000 HIGHER than other quality surgeons.
(b.) He does not accept carecredit or other medical credit agencies that could help bridge that gap between what we plan top surgery will cost, and what he charges.
(c.) He does not itemize his costs very thoroughly, and it leads the potential patient to wonder why the quoted price is so much higher than other surgeons.
NEUTRAL:
He is not a "chipper" or particularly gregarious doctor. He won't pretend to be, either. Personally, I don't care whether he smiles much or is great with small talk--thats not why I plan to fork over thousands of dollars to him. I want precision; I want professionalism; I do not want a temporary "buddy" for the cost of 10k. I have heard many complaints that Dr. Bartlett is not warm or is not overly welcoming-- I do not have this problem with him because I do not care. For $125, I wanted a consultation with professional, surgical, focused, artist, and that is what I got. For $9-10k (his prices vary), I want to be able to trust his work, that is all. read more