WHEN IT came on the scene about a decade ago, computer imaging was viewed by many plastic surgeons as gimmicky and potentially misleading. Its advantages were gradually appreciated and it has now become an essential part of many new-patient consultations.

Used properly, computer imaging can be a very accurate predictor of surgical outcomes. It allows patients to see the expected results of surgery before having the operation. A picture is worth a thousand words and computer imaging is an efficient way to help patients decide whether the likely result is worth the cost and discomfort of surgery. Most patients are impressed with the potential of surgery to help them, but some decline surgery after seeing the likely results on the computer. As a reality checker computer imaging is hard to beat and has been influential in decreasing the number of surprised or disappointed patients after surgery.

Computers also allow patients to have some input into the surgical process, especially with rhinoplasty and facial implant surgery. There is usually more than one reasonable aesthetic goal to be considered with most operations. Alternatives proposals can be imaged and evaluated by the surgeon and the patient together giving the patient significant input into the final outcome. Gone are the days of the doctor just saying, 'Trust me I know what looks good.'

A lot like planning a trip, getting a satisfactory surgical result depends upon you having a clear idea of where you want to go and being able to communicate it to your 'chauffeur'. If your surgeon understands what you want, he/she can advise you on whether it is a good idea or even possible. You can then both decided whether to take the trip together.

Surgery is also like traveling in that unexpected things can still happen that no amount of planning can prevent. Tires go flat, engines quit, detours happen and drivers make wrong turns. That being said, however, you are still likely to get to your destination if your driver knows where you want to go and is capable of taking you there.

So how do you get some idea of your surgeon's capabilities? Computers have made this easier too. Surgeons with imaging computers will have databases of past patients that can be used to create educational files of representative cases. An experienced surgeon with a large database will be able to demonstrate a variety of results with almost any anatomical situation. This is far better than looking at photographs or slides of previous patients because imaging software can be used to maintain patient confidentiality as well as easy access to a wide range of results.
Imaging software and computers have become an integral part of the modern plastic surgical office. If youíre thinking of having plastic surgery, we invite you for a consultation.

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