๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Introduction
CHAPTER 55 The Cosmetic
Consultation
Kathryn J. Tan Heidi A. Waldorf
SUMMARY
The demand for cosmetic procedures, both invasive and noninvasive, is
increasing dramatically.
A thorough consultation is invaluable for patient education and comfort.
Patients vary widely in their desires and expectations, and the consultation is the
ideal time to tease out a patientโs individual preferences.
Beginner Pearls
The interaction with the front desk sets the stage for everything that follows.
Etiquette for a physicianโs office staff must be similar to that seen in high-level hotels
or retail stores.
Expert Pearls
A cosmetic interest questionnaire that lists problems and procedures the patient wants
to discuss helps to streamline the consultation.
Use a variant of responsive listeningโrepeating back to the patient what he or she
expressed to the nurse or assistant in the preliminary interview.
Donโt Forget!
The appearance of the reception area is particularly important when treating cosmetic
patients.
The public generally does not understand that surgery may be less expensive than the
combination of nonsurgical procedures necessary to produce desirable results.
Pitfalls and Cautions
Patient expectations must be set by the physician with both clinical and financial
boundaries: the patient who expects to pay for one syringe of a filler but requires at least six syringes to attain the desired result will not be satisfied.
Body dysmorphic disorder is the most common psychiatric condition seen in patients
seeking cosmetic procedures.
Patient Education Points
Be clear that nonsurgical procedures can provide excellent, but still not surgical,
results.
A physician must say โnoโ to any treatment they believe is medically or aesthetically
inadvisable.
Billing Pearls
Do not automatically write off procedure fees or offer reimbursement without checking
with your malpractice carrier; returning money to a patient prior to discussion with your carrier could negate your insurance coverage if the incident is litigated.
CHAPTER 55 The Cosmetic