The Aesthetic Medicine Patient-Centered Consult

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Frequently the "bean counters" are telling us how we are falling short. They are available up with some scheme to obtain us to see more patients than we are able to reasonably see or how you can "create" more procedures than are called for. This is bottom-line or practice-centered medicine and in my estimation is unethical and immoral. It is also outside of what we should are called to complete and is unnecessary and counter to some healthy practice. Things i believe builds a healthy practice and it is simply at the heart to do what is right for patients, is the patient-centered consult. This kind of consult is made to arrive at the cause of a person's issues and do all one can do to help them achieve their health and aesthetic goals.

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Within this age of population-based medicine we have all been told to complete the minimum, but that doesn't change the proven fact that our patients are worried about optimal health and results. Olympic athletes don't win their contests by training to the minimum nor will our patients be served by supplying the minimum.

It comes down to gaining an in depth understanding of exactly what the patient's concerns are, not what treatments they're interested in. Most aesthetic patients are available in thinking they know what they need. For example many think they need an upper lid blepharoplasty but what they really need is a brow lift. Other are available in asking about fillers however , need Botox or the other way around. The understanding of what they are concerned about is found not by asking what they're thinking about but instead, what their concerns are. We start in a conversational manner. Usually a patient will begin by saying something similar to "I think I need Botox right here." My answer is generally something like, "Well, that is definitely something we are able to do, what one thing makes you want Botox?" The next several questions are directed at helping the patient concentrate on the real issues behind the concerns for example texture, tone, tightness, wrinkles, poor size, volume etc.

I personally use a consult tool I call the $10,000 mirror. There exists a simple reflect which has no magnification on one side and three to 5 times magnification alternatively. I hand it to the patient using the magnified side facing them. The interesting thing is that most people when because of the mirror will begin looking very intently at themselves as well as start picking and brushing at things on their own face. Then i possess a checklist of things I ask them about. We feel the checklist item by item and discuss its impact on the overall appearance of the face. Once this really is completed, I formulate an agenda of all that can be done on their behalf, that will include a few things i can do but additionally things others might be able to do. As an example, I do not do face lifts, however, if the result they are after is best served by a face-lift, I put that of the routine. It's rare that people avoid the majority of what they will benefit from.

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