i typically have a least two visits before scheduling the procedure and one preoperatively. During the first visit I try to get a sense of what change the patient is seeking, examine the nose and ask about general health. I then have the patient review before and after photos of previous similar patients to get a further sense of what they would consider a good outcome. I then explain the details of the procedure, recovery time and risks. My coordinator reviews ths costs a nd schedule openings. Photos are taken. When they return for their second visit they view computer altered images of what their result might be . We then refine these to be certain that we are on the same page about the desired results. Any additionla medical or business questions are answered.
At the preoperative visit I again review the medical history, the surgical plan and answer any questions. Instructions for post surgery care and prescriptions and supplies are given.
When patients come from long distances I try to compress some of these or have them send advance photos by e mail to help with the logistics. Sometimes we'll have them come in the morning for the first visit and then return in the afternoon to review photo changes. They then return for preop visits the day before the procedure.