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All right, everybody wants to look good. (laugh) Okay, and you know, we
live in a generation it's very tough not to be young because we think any
ad you see on television it's young people, right, and everything shows
vitality and vibrancy and movement and, you know, the way you go to a
movie, every movie's full of action, you know, and dynamism. So you don't
want to be old and decrypted. You want to be young and vibrant. So that's
number one.

I think the other thing is patients now days are not tolerant of having a
great deal of down time. We all live in a very fast past environment. We
all work hard. Americans are famous for not taking vacation and really,
you know, being at it 24/7. So doing procedures that allow a patient to
look better in a reasonable amount of time for a reasonable amount of
money, and little to no down time is extremely important and I sort of
focus, you know, I try to tell patients this is the spectrum of things I
can do. If you want to go to this end of the spectrum there's three, four
days, five days of down time and lost work, but we can do this much and you
can walk in at lunch time and walk out of here and go back to work and they
all over the back to work thing because, you know, these procedures also
are not inexpensive.

That's another thing I've learned too, is that people have relative values
of disposable income. You know, if I tell a patient I'm going to do this
much Botox and this much filler and this will do that for you, I can see
the calculator running. Let's see, that's a pair of Manolo Blahnik shoes,
a Louis Vuitton bag, you know etc. etc., and they have to measure how much
that's worth to them versus what that's worth to them, and you know if
they're happy with the end result, if they do it and they're satisfied and
it delivers what they hope it will deliver, they're going to come back as a
patient and you know good dermatologic surgeons can expect a high rate of
return because patients are very happy.

What Trends are You Seeing in Your Practice?

Doctor Stephen Mandy covers why procedures with minimal downtime are becoming more and more popular in his practice.

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