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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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