Medical Spa MD is a community of physicians practicing nonsurgical cosmetic medicine. Join Us


2nd MD - Boarded US physicians work from anywhere.
Medical Justice
Relentlessly protecting physicians from frivolous lawsuits.

More control of your income, career, and lifestyle as a physician.
Newest Comments

Medical Spa MD is a world-wide physician community for clinicians in skin clinics, laser centers and medspas with thousands of physician members around the world. By using this site you agree to our terms of service and fine print.

« SIMON Says: “Run Forrest Run!” | Main | Botox & The "Spock" Look »

Patients with High Expectations (Dreams versus Reality)

It is true that we all have dreams and we all, in some way, want to believe in magic.  But when it comes to cosmetic work and people's appearance, it's best to be realistic. I know we all have patients with unrealistic expectations. These patients are the ones we should be more careful with and we should spend more time educating them.  Patients with high expectations are usually well informed and they know about all the new technologies but they also, many times, are expecting unrealistic results. I have developed a good eye for these patients and what I have learned is that it is best to create low expectations, show them before and after photos that don't show fabulous results and always offer the possibility to go and get a second opinion. If they decide to stay and pursue their treatments, they know what to expect.  Taking before and after photos with these patients is very important or if you have a computerized image system (Visia), it is also helpful. At the end, the patient will be satisfied and feel that they got good results but realistic ones and you will save yourself from a potential headache.   

Reader Comments (3)

I would agree with Dr. Porras but I think it's a little more nuanced when you're running a business. I don't mean to sound crass but I have to balance the level of treatment that we're providing with the time it takes to consult and perform. I also have salaries, rent and the rest. Patient satisfaction is paramount in building any business that is derived from your 'reputation', but I suspect that almost no one (on the non-surgical side) is sending patients out for second opinions. The headaches you might save from only treating patients that are directly in the sweet spot can be off-set by the headaches you incur by missing that revenue.

we also have the visia skin analysis in our practice. it is a great investment. it analyzes your clients skin like sun damage. i also use this for before and after pictures. highly recommended!

I've been looking a the Visa for a while but haven't pulled the trigger. I'll be giving it a second look if I can get a decent deal on one..

PostPost a New Comment

Enter your information below to add a new comment.
Author Email (optional):
Author URL (optional):
Some HTML allowed: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <code> <em> <i> <strike> <strong>

Join Medical Spa MD

Medical Spa MD

A community of dermatologists, plastic surgeons, laser clinics, & skin clinics world wide.

Medical Spa MD is a world-wide community of physicians and clinicians practicing cosmetic medicine. Please read our Terms of Service, Advertising Terms and Privacy Policy.

Copyright © 2011. All rights reserved.