Why do the majority of Primary Surgeons refuse to take responsibility for giving a patient a bad result?

It seems the majority of doctors who mess up a primary rhinoplasty, will deny a bad result no matter what. Even if the patient has a nose that looks like a block or a pig. Or even if it ended up twisted into their face. Poor patients are made to think they are crazy or seeing things even when it is far from the truth. I see a lot of patients disregarded by their primary surgeons only to have their concerns validated by every other secondary surgeon they consult with. Why is this issue so common?

Doctor Answers 5

Why do the majority of Primary Surgeons refuse to take responsibility for giving a patient a bad result?

Greetings

Thank you for your question,  Revision rates of 10% are not uncommon.  It hurts the surgeon to not see things turn out as planned, but most will want to try to change it. Even in very experienced hands, there is a 5-15% touch-up rate which is within normal limits.


Turkey Plastic Surgeon
4.9 out of 5 stars 79 reviews

Defensive

It is a normal human response for people to defend their actions.  A good rhinoplasty surgeon will constantly evaluate your nose over 18 months post op and try to come up with a plan for revision.  Revision rates of 10% are not uncommon.  It hurts the surgeon to not see things turn out as planned, but most will want to try to change it. 

Stuart H. Bentkover, MD
Boston Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Primary and secondary rhinoplasty surgery

 Rhinoplasty is a very difficult endeavor, and one of the hardest procedures to perform correctly in the entire field of cosmetic surgery. Even in very experienced hands, there is a 5-15% touch-up rate which is within normal limits. There is no perfect nose. It's extremely important to have realistic expectations with a primary or secondary rhinoplasty surgery, so communication as of the most important plan the patient and the surgeon.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Bad results

Often, the primary surgeon is not that experienced, and bit off more than he could chew.
Also, sometimes a patient's aesthetic deformities are not realistically correctable. These patients should be dissuaded from surgery.
Rhinoplasty has limitations. An expert should know, generally, what the outcome could be,
There are a lot of nuances that go into making the correct diagnosis and, surgical steps need to carry out the plan. Surgery is individually tailored, since each nose is different.
Also, results may be suboptimal, because of some healing issues, as well as incorrect assumptions made about the way the tissues will respond to surgery. This does not mean that the surgeon is absolved from bad results.
 

Dennis Barek, MD
Great Neck Plastic Surgeon
5.0 out of 5 stars 6 reviews

Finding the right surgeon

Hello and thank you for your question.  This is difficult to answer.  I always advise patients that it is very important that you thoroughly research your surgeon before committing to surgery. It is a good idea to research your surgeon's educational background, online reviews, before & after pictures, and speak with anyone who you may know who has had surgery with that surgeon. During your consultation, make sure that you don't feel rushed and make sure that you have adequate time with your surgeon and not just their patient coordinator or nurses. If the majority of your consultation is spent with someone other than the surgeon, this is usually not a good sign. The most important aspect is to find a surgeon you are comfortable with.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 78 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.