RHINOPL

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ROCESS

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RI G

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THE PROCESS PT. 1

When the appointment is made, the patient is asked to bring a copy of their medical records and operative reports from their rhinoplasty surgery or surgeries, in addition to photographs of their native nose.

THE PROCESS PT. 2

eview the notes and photos while the prospective patient is discussing surgery with your patient care coordinator. This will give you a head start on identifying the problems assuming that a problem exists. Next, a detailed history is performed while listening very carefully to the patients wishes. Does he have realistic expectations? This is by far the most important detail that the astute surgeon needs to attain from the history.

THE PROCESS PT. 3

What is the patient unhappy with a pinched tip or polly beak deformity? Additionally, listen to the patient and see if negative comments are made or if the patient is seeking litigation against the prior surgeon. If this is the scenario, you may want to think twice prior to performing a revision rhinoplasty on this patient. If the male patient is not happy with the results of his surgery by you, there is a good chance that he will be saying unkind words about you in the subsequent surgeons office.

PROCESS PT. 4

Does he fit the SIMON profile (Single, Immature, Male, Obsessive, and Narcissistic)? If so, watch out since these patients are very difficult to please and are litigious. During the initial five minutes of your history, the astute surgeon should know if the patient is a good candidate for revision surgery. Poor patient selection can lead to an unhappy patient and surgeon.