Thomas Romo III, MD, FACS has many international and high-profile patients who have requested not to have their photos published. Dr. Romo III also has clients, such as you and others like you, who may hesitate to have your pre- and post-operative photos published on the internet. The before-and-after photographs shown on Dr. Romo’s website are of actual patients who have given permission to have their photos published. These photos are for illustrative purposes only, and have not been manipulated in any way.