
Because aesthetic surgery is voluntary, and arguably even frivolous, a unique burden is placed upon the doctor - and the patient - to be safe, prudent, and conservative. Though no plastic surgeon would openly disagree with that statement.
There is an increasingly cavalier attitude toward cosmetic surgery by patients and physicians alike, with some doctors' offices having only a little more serious of an atmosphere than a beauty salon.
Many plastic surgeons that offer complimentary consultations actually have them done by a "cosmetic consultant" or "patient coordinator," or they may spend only a few moments with the patients.
Patients sometimes will ask what they "need." People do not need it in the same way that a bone may need to be fixed or a suspicious growth removed. In other words, it is not possible to simply look at a photograph of a patient and determine without talking to them what operation is right for them.
Frequently, there is an array of surgical options available to a patient, involving different costs, risks, recoveries, scars, and results. The surgeon should explore these issues as thoroughly as possible with a patient at their consultation, so that they can make a truly informed choice about what they want done. Whether they have the plastic surgery in Los Angeles, or plastic surgery in Santa Monica, or not at all, they should leave the consultation with a dramatically enhanced understanding of their situation.
Far too often patients complain they did not get the result they wanted or were expecting. Sometimes they wanted to be less pulled, or not to have had such a big implant. While there are aspects of surgery that are unpredictable, the surgeon needs to make sure that a patient knows what to expect as much as possible. Patients should know ahead of time what to expect.
That being said, there are certain subtle intangibles that result from a surgeon's own personal aesthetic sense. Surgeons need to be up front and it is important for patients selecting an aesthetic surgeon be sensitive to these details.
Safety and predictability is of paramount importance. New techniques come and go, and surgeons shouldnt rush to adopt them unless a clear advantage is shown. Meticulously executed proven techniques serve most patients better in most situations than the "technique du jour"
Sometimes a patient will come in for a consultation and express that they feel nervous. They needn't feel nervous- that this is voluntary surgery. That they should keep seeing doctors until finally everything clicks- that they like the doctor, they like the office, they like the staff - and that they start to get enthusiastic about surgery. It is natural for an intelligent person to always have some apprehension, but eventually the nervousness will be gradually replaced by enthusiasm, and when - and only when that happens - should they proceed with surgery.
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