ABSTRACT
While I may not have all the answers, I have some thought provoking concepts regarding this most stressful and perplexing problem in our emotionally charged specialty involving surgery of appearance. My thoughts are based on 35 years of observations and experience in the private practice of facial plastic and cosmetic surgery. I have had the opportunity to closely scrutinize, assess and evaluate unhappy and dissatisfied patients as well as the majority of patients who are happy with their results. Powers of observation and the awareness of patient emotional nuances have contributed to my development of valuable management techniques. The purpose of this discussion is to share my experience and views with my colleagues who, hopefully, will benefit from my successes as well as my misadventures.
