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THE DIFFICULT PATIENT

THE DIFFICULT PATIENT

Most successful aesthetic physicians gain personal and job satisfaction from knowing they have many appreciative, long-time patients who refer family and friends, thereby increasing the circle of happiness. However, patients, like doctors, are as diverse as the world population. Especially in the field of aesthetics, personality, appearance, communication skills, and appearance can attract or repel a prospective patient regardless of clinical skills. Thus, no physician is going to be the perfect fit for everyone. Conversely, there are times when the patient is not the perfect fit for the physician. A physician must say โ€œnoโ€ to any treatment they believe is medically or aesthetically inadvisable. The physician will be held responsible for any complication, and a bad aesthetic resultโ€”even if it is what the patient wantsโ€”is the worst advertisement for your practice.

During the consultation, the physician and staff can screen patients by noting the patientโ€™s verbal and nonverbal cues. These may suggest the patient wonโ€™t be satisfied with the physician, office, or procedure. There are also patients who must be approached carefully because of mental illness. One study found that up to 47.7% of patients seeking cosmetic surgery in a Japanese plastic surgery center met the criteria for a mental disorder between 1980 and 1997.17 Not all mental disease is a contraindication for cosmetic procedures, and there are many patients without diagnosable mental illness who should be treated only with extreme caution. What follows are four common categories of โ€œdifficultโ€ patients seen in aesthetic practice, and guidelines for how to manage them.