Fortunately, the vast majority of my patients are not requesting impossible dimensions or hard-to-maintain youthful appearances. Most of us in the cosmetic industry occasionally see a patient with BDD (body dysmorphic disorder) or those with unrealistic expectations, and hopefully we have the common sense to refuse treatment.
Thankfully, most patients (at least here in Seattle) are well educated, realistic with their expectations, and want to maintain a natural look.



