Transparency in patient communication
I only do what a patient asks, but I will not do whatever a patient asks. I will only do what I think is safe and aesthetically desirable; if a patient and I do not agree then we will respectfully part ways before surgery. When patients ask for something that will look overdone or that would not be beautiful, I will explain my opinion.
Aesthetics contains subjectivity, and even top plastic surgeons have differing views on what is best for a patient. I want patients to be sure that they are comfortable with me and understand what I believe would be their best achievable result. I will never surprise them with an outcome—if we do not see eye to eye before the surgery then I make it very comfortable for a patient to respectfully get help elsewhere.
Unlike emergency room medicine, plastic surgeons and their patients have the luxury of planning ahead, discussing, and answering many questions. Patients say that I am easy to talk to and that I can explain the most complicated medical issues in an easy to understand manner. I want to be sure that my patients understand how the result, risks, and recovery differ between all their viable options.
I believe in under-promising and over-delivering because patients should not be talked into plastic surgery. Rather, their enthusiasm should, if anything, be blunted by a frank discussion of their potential outcomes. This sober approach is designed solely to help my patients and myself reach a practical, rational, and beneficial long-term surgical decision that provides exceptional results.