Jul 14, 2021
Plastic Surgeon's Diary - Episode 2. The video is all
about our weekly experience during consultations & surgeries...
CLIENT 1: RHINOPLASTY / DEVIATED NOSE
CORRECTION.
SCENARIO: The client traveled to consult
us for over 1000+ Kms regarding crooked nose correction, along with
his parents. Mostly, such clients prefer to meet multiple doctors
during a long visit before they decide upon their surgeon. I
insisted that they go for all the consultations that they had
scheduled for further opinions and then decide. He consulted
everyone and finally came back to me as the chosen one.
TREATMENT: Spreader graft, complete septum correction and
Osteotomy.
OUTCOME: Extremely happy client. Good review on google was a
feather to the cap.
MESSAGE: Encourage second opinions. Let the client choose
you based on their intuition, confidence in your skillsets and
eventual comfort levels.
CLIENT 2: BREAST IMPLANT REMOVAL / BREAST FAT FILL /
EAR LOBE FAT FILL / PLATYSMOPLASTY / FACE FAT FILL
SCENARIO: The client had flown from Europe on a spiritual
journey. She had had a breast implant 15 yrs ago but was somehow
uncomfortable that it was unnatural. When she reconsulted
the same doctor for implant removal, the doctor turned it down
stating it is his masterpiece and that he wouldn't remove it. It
infact was a masterpiece.
TREATMENT: She approached us for a breast implant removal
and a breast fat fill. Considering her marriage plans, she wanted
to look younger and opted for a Plastysmoplasty of the neck
and fat fill of face. In addition, she opted for ear lobe fat
transfer & corrections as well. We started at 8 in the morning and
completed at 1.30.
OUTCOME: She hardly had any bruises and recovered very fast
(in less than 5 to 6 days).
MESSAGE: Clients should be given the liberty to undo a
Cosmetic procedure that they have undergone if they are not
comfortable around it. Many breast implant illness patients are
symptom free but they do want to get rid of it.
CLIENT 3: RHINOPLASTY
SCENARIO: This client was a nurse by profession. When I
examined her nose, it was pretty normal. When I probed further, I
found that she was bullied a lot at school regarding her
nose.
TREATMENT: Referred to a psychiatrist for further evaluation
and guidance.
OUTCOME: We are very sure that the client will benefit a lot
from the psychiatrist visit.
MESSAGE: Bullying affects a person's self-esteem. They
end up with what is known as Body Dysmorphic Syndrome. Say no to
bullying.
CLIENT 4: GYNECOMASTIA
SCENARIO: The client had come with his mother, who had a
history of being addressed as Lord Ganesha in his younger years in
view of his chubby appearance and female like chest.
TREATMENT: Gynecomastia treatment.
OUTCOME: Male like chest appearance restored and the client is
expected to get over his psychological concerns with his new found
body.
MESSAGE: Some comments from closed family members /
bullying cause a deep psychological impact. Please handle with
care.
CLIENT 5 : COMPLETE FACE CHANGE.
SCENARIO: Despite language issues, a man was profusely
trying to reach me regarding some corrections for his wife. He
eventually landed up in person insisting that I change his wifes
face completely.
TREATMENT: DEFINITE NO NO. Infact the husband needs to be
counselled.
OUTCOME: NA
MESSAGE: Some people need psychological help. Sometime it
is not the client. Know the difference.
CLIENT 6 : MOMMY MAKEOVER.
SCENARIO: Husband and wife came together for a consultation.
The husband confessed that he does not find his wife attractive
anymore since she has a saggy breast and flabby
tummy.
TREATMENT : I refused to do the procedure until I was
convinced that the inclination was coming from the wife to undergo
the procedure. She expressed that she too would like to undergo the
procedure to look good for herself and wear good
clothes.
OUTCOME: For now, we have just scheduled her Tummy Tuck
procedure to enable her fit into good clothes.
MESSAGE: The intent with which a client comes for a
procedure matters. Physical makeover doesnt just set right
relationships. The emotional factor between the 2 parties is
more important.
CLIENT 7: FILLER
SCENARIO: This mid - 40 client came to me 2 years ago. I
suggested her a little conservative option like filler.
TREATMENT: I adviced her that she opt for only 2
fillers and botox in that particular sitting since I did not want
her to waste her money and that she should go for it if she needed
more of it. She had paid up for only 2 fillers by then. But she
insisted that I do a 3rd filler as well on the table and that money
is not a concern. She was supposed to come the next day and pay up.
Instead, she constantly started complaining that he is unhappy with
the results. We had reserved a part of the content of the syringe
for her future use, if she happens to come back for a further
touchup. She came after a few days to avail the balance filler
in the name of a review. We showed her her before/after pics and
were able to demonstrate the improvements so vividly, which
she prompty agreed but kept going back to her
earlier opinion. She walked down to the reception and within
seconds, she disappeared without paying the money for the
additional filler.
OUTCOME: Monetary loss for the well wishing
surgeons.
MESSAGE: 1 to 100 patients will behave so. No point in going
behind such clients and wasting our valuable time. Legal
initiatives are just a waste of our energy. We will rather spend
that time helping someone else.
CLIENT 8: BODY CONTOURING PROCEDURE
SCENARIO: This client is an actress. She has always been
adviced to resort to diet and exercise everytime she comes to
me for a body contouring procedure. She always loses weight and
thanks me for guiding her right later.
TREATMENT : Motivated her to work on lifestyle
changes.
OUTCOME : She has been my very loyal client and has referred n
number of clients for all sorts of procedures.
MESSAGE : Cosmetic Surgery is a lifetime practice and
these clients trust us and keep coming back to us. Winning the
trust and confidence of the client is more important than just
trying to convert them for procedures.
CLIENT 9 : GLAND EXCISION UNDER LOCAL
ANESTHESIA
SCENARIO: This client wanted to undergo Nipple Reduction
and was shared a very reasonable quote for the same. Hence, we
decided to do this procedure under local anesthesia. He was
briefed clearly of the pre and post-operative instruction well
ahead of the surgery including the restrictions on smoking.
TREATMENT : As we examined him on the day of the surgery,
we felt that he needs a gland excision too but were considerate
enough to not charge him anything extra as a goodwill. As his
procedure was under progress, he started bleeding on the table. We
spent a lot of time arresting the bleed. Intense interrogations
followed with the client.
OUTCOME : The client opened up that he had smoked on the day
of the surgery. Fortunately for us, the client saw how we doctors
suffered to arrest the bleeding and realized the seriousness of his
mistake. He quit smoking from there on.
MESSAGE : Compliance and abiding by every single instruction
of your doctor matters. It could be a matter of life and
death.
CLIENT 10: GYNECOMASTIA CORRECTION
SCENARIO: The client had undergone Gynecomastia correction
with us. His BP was consistently high during the course of the
surgery - 190/135. But our anesthetist managed it well as
always.
OUTCOME: The issue with such cases is that
they commonly tend to start bleeding post-surgery despite
appropriate hypertension medications. He developed hematoma -
swollen up and blue back during the post-op period and it was
immediately explored and the bleeding was arrested within 10 mins
under local anesthesia. When probed further, the client had ignored
earlier warnings of high BP during his regular health checks
blaming it on stress etc. The information that he was a
known hypertensive was hidden
from the doctors prior to surgery.
MESSAGE: Clients need to be
very honest about their past history to enable plan the right
course of treatment and take necessary precautions. Likewise,
doctors should not panic and also communicate transparently with
clients.
CLIENT 11: BODY CONTOURING POST MASSIVE WEIGHT
LOSS
SCENARIO: This client was obese but deferred the popularly
advised bariatric procedure and attempted weight loss by diet and
exercise and lost around 120 Kgs. He is a doctor and aspires to
become a lifestyle consultant.
TREATMENT: a. Removed excess
skin from the chest and did a free nipple graft 6 months back. b.
Extended arm lift 3 months back.
OUTCOME: His upper body is
transformed. We look forward to addressing the skin sags in the
lower half of the body.
CLIENT
12: RESPECTING YOUR CLIENT
SCENARIO : I
rushed back from an unexpectedly long surgery this morning to see
the out-patients. An elderly gentleman was the first to walk in
into my consulting chamber. “I am extremely sorry to have kept you
waiting” I remember telling him.
OUTCOME: Towards the end of the consultation, he reached out
to his pocket and pulled out two currency notes, and profusely
insisted that I have it as a Shagun. He said “I have been in the
Pharma industry for over 40 Yrs. I have met doctors of all age
groups. But this is the first time that a doctor ever cared to
apologize for having kept me waiting. Your team has been
meticulously updating me of your probable delay in surgery every
few minutes. You have an amazing team.”
Shagun (CASH GIFTS) as a form of blessing is observed in a lot of
traditions outside India as well. It is a silent wish for the
receiver to continue receiving more in his life. Thank you sir for
your unconditional blessings!