Step 01
Initial Assessment
The first consultation defines everything. Complete history, realistic expectations and contraindications.
Directed History
1 Chief complaint and expectations
2 History of prior facial surgeries
3 Comorbidities (diabetes, HTN, coagulopathies)
4 Current medications (anticoagulants, NSAIDs)
5 Known allergies
6 Smoking (stop 2-4 weeks before)
Expectation Assessment
"What do you expect from surgery?"
Objective: Understand real motivation
"Do you have reference photos?"
Objective: Assess realism
"What results would be unacceptable?"
Objective: Identify red flags
"Did someone suggest the surgery?"
Objective: Detect external pressure
⚠️ Red Flags
warning Celebrity photos as reference
warning Multiple prior surgeries with dissatisfaction
warning Third-party pressure (spouse, family)
warning Expectations of life-changing results
warning Evident emotional instability