One thing what always troubles me is expectation of patient to have plan written down by surgeon of prior to surgery. Why always they expect I not know what I am doing? I have undergone years of training and given people wonderful pleasure of aesthetic nose for years; what reason to doubt capabilities of Dam? Then complain of "botch" to Dam because of notions in head that is necessity to plan surgery.
Only surgeons who give unaesthetic mediocre result will have necessity to use plans for surgery. Because they lack experience of specialist such as myself. These are same surgeons who prefer "natural" look because they not know how to give sculpted aesthetic appearance. Never put yourself in hands of these surgeons! Only look for the best what can give you most beautiful aesthetic appearance that which you desire!
I never plan for surgery because always know what I am doing... even when in operating theatre can open up nose and carve away without second though as knowing what to do from much years of experience. Can also be rewarding experience for surgeon, getting to create technique for surgery as one goes along; can try different experiments to achieve a desired more pleasing aesthetic result. Very satisfying to create wonderful aesthetic nose without any plan of what to do in surgery! This is not always good technique for mediocre surgeon that still like "natural" look due to undertraining of experience, but when have become expert can easily hack away at nose from knowing that what one will do to nose will always look good!
Remember never to go to surgery with surgeon that need to plan for operation!
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