The conversation good surgeons have and bad ones avoid
Photographs of other people's results are the worst possible planning tool, your anatomy sets the ceiling.
Why the celebrity photo fails
Bone structure, skin thickness, healing tendency and existing asymmetry all determine what is achievable. A nose that suits one face on a different skull will not translate, and thick skin simply cannot show a refined tip.
Asymmetry is the rule
Every face and body is asymmetric. Surgery improves symmetry; it does not create perfect symmetry, and pointing out pre-existing differences before surgery is a sign of a careful surgeon, not a pessimistic one.
What 'a small change' really means
Most satisfying results are changes nobody can name. Friends say you look well, not that you look different. Patients seeking a change everyone will notice are usually the ones who return unhappy.
The question worth asking yourself
If the result were 80% of what you imagine, would you still be glad you did it? If the answer is no, the expectation gap is too wide, and a good surgeon will say so.
The Ones People Actually Ask.
Do you ever refuse to operate?
Yes, for unrealistic goals, unstable body image concerns, or when the risk-benefit does not favour surgery. That refusal is part of the service.
More On Aesthetic.
Yes, and be stable for three months. Operating on a moving target is how good results are undone within a year.
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What Stands Behind The Plan.



