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Consultation review: not a Positive Experience

ORIGINAL POST

NOT a Positive Experience

In my opinion the consult was a MixMosh of casual Body Shaming comments w nice verbiage thrown in. Great at Marketing n ridiculing others’ work when his hasnt many times the best result after. Uses preselected go-toAfters of patients to explain his position - specifically to justify his not taking on a case OR upselling a patient for a bigger procedure yielding more drastic aka “better” aka “optimal” aka “Best” results and uses pix pre-selected for whichever way patient responds to justify doing or NOT doing a procedure. It’s literally a script based on a set of hypotheticals like an org chart used on the targeted potential patient. I also swore he used my own photo to make an argument as well!! I wound be surprised.

There is validity to some comments but clouded by his need to passive aggressively Insult potential patient then try to be their surgery savior. All times I saw this Dr to asses HIM and potential surgery pitch & all times had the Same exact experience-the SAME bad feeling. Uses excuses to not perform a surgery that doesn’t fit into his drastic before/after portfolio and to do More than what you came for- common but whatever and basically doesn’t want to do anything that isn’t worth his time /is isn’t going to give enough of a final result for His practice. It is true that many times a Dr does know best but this Dr. needs to recognize and learn to hear the patient more and tryto give the patient a go between of meeting needs and doing what is medically sound and realistic looking without falling into the trap of always having the work look so “Done.” This may NOT be what the patient wants . IF the Dr. Doesn’t believe in this that is FINE but his tactics at stating so and stating his case are what need Major revision. His bedside manner needs help. I’m sure he gets away with it OFTEN and perhaps can be intimidating to some and others simply don’t have the time to correct him and put him in his place - they may still be confused. I was literally about to but decided to voice it here so that others perhaps leaving his office feeling confused or gaslit or some other type of way do not feel alone in this and dont feel they are imagining what just happened. Yep… that DID just happen and yep, your instincts are correct! Skip HIM.

Even assuming he had the most exceptional hand at any and ALL surgeries he professes to do so well, I’d personally avoid having HIMor ANYone using these tactics and making people FEEL this way or attempting to make people feel this way, the privilege of operating on me. I’m certain these tactics don’t end at the consult level. I love when people can show me who they are and allow ME the right to choose. I will take his advice some of it well informed and use it but also maintain good common sense and see a pro that is more simpatico with his/her patients while also yielding great results for ME and my unique set of goals and that goes a heck of a longer way. Thank you for your transparency!

Energetic806383's provider

Armando Soto, MD, FACS

Armando Soto, MD, FACS

Board Certified Plastic Surgeon

4.7 | 225 Reviews
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Replies (1)

I’m very sorry that this was your interpretation of our visit… especially as I do not have a recollection of any interaction like this- ever - in my 22 years of practice. We do (thankfully rarely) have someone visit who becomes frustrated that I won’t do an operation they think they want. So while it isn’t possible from your story to confirm you are a real patient, I will address your concerns generally:
In the modern practice of plastic surgery, it has become very common for prospective patients to arrive in my office with sometimes very strong and well-formed opinions about the procedure they want done- opinions formed after watching lots of online and social media that show attractive outcomes, but do not take into consideration where the individual patient is starting from in terms of their own anatomy. In these situations, I do believe strongly that an ethical and moral practitioner of plastic surgery has a responsibility to explain to the patient why what they are asking for is not in their best interests, and why other options may be batter for them. We always do so in a respectful manner, and in the spirit of being teachers and advocates first. Unfortunately, we occasionally have someone who feels so strongly about what they want that they pressure (indeed any reputable plastic surgeon would say they experience this) me to do things I don’t think are best for my patient and that I know won’t look good. Some may feel that in these situations, it’s okay to just give the patient what they are demanding. I believe my responsibility is to “first do no harm”, and to practice with the integrity necessary to say no to these poorly conceived procedures- even if it means that I experience the occasional review such as this one. In short, if putting my patient’s best interests first (even if they don’t realize it) and practicing with integrity means that occasionally someone leaves my office frustrated that I wouldn’t just bend to their wishes and do the operation they want, I can live with that. Sometimes being a good doctor means saying no.