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Should Plastic Surgeons Turn Patients Away?

Thu, 09/04/2008 - 2:00pm by bellasugar
695 Views - 24 comments

An article in yesterday's New York Times brought up the issue of patient selection for cosmetic surgeons. Apparently, "problem patients" come up a lot. Surgeons turn away candidates because they have had too many procedures or think they are seeking surgery for the wrong reasons (like to find a husband or keep a job). According to the article,

Facial plastic surgeons estimate that roughly 10 to 15 percent of the potential patients in consultations harbor outright hostility toward past surgeons or have unrealistic expectations about how radically surgery can transform the chin they hate.

But what about the fact that beauty ideals vary over time and individual opinion, as New York Magazine's article on "The New Face" detailed last month? Should it be up to the person paying for surgery to decide what they want and whether it's for a good reason?

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24 Comments Add a Comment

  • bastylefilegirl's picture
    bastylefilegirl
    1

    Of course they should turn patients away. A doctors first duty is to protect the patient, and it the surgery that is being done could cause more damage than good it's the doctors duty to say no. I'm surprised some people " cat lady" etc have been able to get so much work done when in many cases it's clear that people have some other medical issues other than their appearance

    17 weeks 5 days ago Report Comment
  • Francoisehardly's picture
    Francoisehardly
    2

    Like it's already been said, surgery shouldn't be done when it isn't going to do the person any good. What about the lady who's trying to get even bigger implants when she already has very large ones. I don't think what she wants would be safe at all and imagine how much her skin is being stretched out. And there are people who obsess over every little thing and constantly find more they think needs to be fixed. For some it just goes and on. It's not that they get a couple of surgeries and that's it.

    17 weeks 5 days ago Report Comment
  • myystque's picture
    myystque
    3

    I'm for personal freedom--if a person hates their face and wants it changed, who's the doctor to say they know better? Doctors aren't omniscient. But, it is a doctor's right to turn someone away because they don't want that person to be "hostile" toward them in the future.

    17 weeks 5 days ago Report Comment
  • Francoisehardly's picture
    Francoisehardly
    4

    The plastic surgeon does know better and has the responsibility to not give a patient a potentially unsafe and completely unnecessary surgery. It's not about hostility. Some patients don't see the point when the plastic surgery needs to stop. I would mention examples, but I don't need to since I'm sure people could think of some.

    17 weeks 5 days ago Report Comment
  • bonchicbongenre's picture
    bonchicbongenre
    5

    Absolutely. One of the main principles of the physician's oath is "do not harm." If a doctor believes a cosmetic procedure would do more harm than good, than they should absolutely turn someone away.

    17 weeks 5 days ago Report Comment
  • leeluvfashion's picture
    leeluvfashion
    6

    Of course they should turn people away. Especially if they can tell this person isn't taking it as seriously as they should or doing it for the wrong reasons. Also in cases with people who are addicted to surgery; there should be a limit and doctors should not perform work on them.

    17 weeks 5 days ago Report Comment
  • Ellenora's picture
    Ellenora
    7

    I think they should turn them away, especially those addicted to plastic surgery. Plastic surgery isn't going to fix a low self-esteem either. So yes, I do believe that a surgeon has the right to say "no" to a patient.

    17 weeks 5 days ago Report Comment
  • GlowingMoon's picture
    GlowingMoon
    8

    Of course, the doctor has the right to turn a patient away. As mentioned, the procedure may cause more harm than good.

    Also, if the patient is "hostile" towards the doctor, the doctor has the right to refuse working with that patient (and vice-versa). Hostility is unnnecesary, counter-productive, and inappropriate in a doctor-patient relationship. JMHO.

    17 weeks 5 days ago Report Comment
  • chippyshero2066's picture
    chippyshero2066
    9

    Yes they should have the right to turn patients away, especially if the patient has severe health problems that might effect the surgical process.

    17 weeks 5 days ago Report Comment
  • g1amourpuss's picture
    g1amourpuss
    10

    I would want someone to turn me away if they thought I was doing something wacky to my body (rather than just trying to milk me for money).

    17 weeks 5 days ago Report Comment
  • itsme3683's picture
    itsme3683
    11

    I think a surgeon should definitely be able to turn away a patient! Clearly, he's not going to turn away people just 'cause, because they need to make money too. So if the surgeon is turning someone away, it's probably in that person's best interest.

    Some people just aren't ready for it, and most surgeons have worked with enough patients to tell who is and who isn't.

    17 weeks 5 days ago Report Comment
  • vivaciousv1114's picture
    vivaciousv1114
    12

    If a doctor is truly responsible, they should definitely turn patients away if they believe the procedure would do more harm than good. I've also heard that doctors can refer patients to psychologists to see the underlying reason for the surgeries before doing any work on them. Which I think is a really good idea, especially for people who keep going back to get something done and are never satisfied.

    17 weeks 5 days ago Report Comment
  • jadeangel25's picture
    jadeangel25
    13

    Doctors have the right to deny treatment to patients they aren't comfotable treating. There should never be anything mandatory imposed on the doctor. I understand the doctors' perspectives here.

    17 weeks 5 days ago Report Comment
  • shopgirl123's picture
    shopgirl123
    14

    I'm shocked at the outcome of this poll! personally i think in the end, its your body, and your the one whos stuck with it till the end of time, and you should be able to decide for yourself how you want to treat that body! The surgens job is to take your money and give you the results! its none of their business what its for... its not like it can harm anyone!

    17 weeks 5 days ago Report Comment
  • g1amourpuss's picture
    g1amourpuss
    15

    Some people almost die from plastic surgery though. Some crappy doctors don't know what they're doing (probably not the case here..) and some doctors know better than to fk up.

    (Don't get me wrong.. I'm totally going to get breast augmentation when the time is right.. I'd love a tummy tuck.. some laser work on two veins behind my right knee.. all about my buying my mother an eye and face lift.. and me when the time eventually comes for that. it's our money.. but most consultations I've seen where I'm at free [and then surgery within a specific monthly time frame] and I'm more than willing to get one to three options.)

    17 weeks 5 days ago Report Comment
  • Jabbadoo's picture
    Jabbadoo
    17

    Hey sometimes the surgeon needs to turn him/herself away! I've seen some plastic surgeons & dermatologists on TV and I've thought.. "Oooh step away from the botox and cheek implants.. you are not what I want to see when I go to a Dr for a consultation!"

    17 weeks 4 days ago Report Comment
  • lindac's picture
    lindac
    18

    I think the doctor has an OBLIGATION to the patient to do what's best for them physically and psychologically. There are cases of body dysmorphia where no amount of plastic surgery will ever be enough to satisfy a patient. Some people (like the woman mentioned above with the breast issue - hell they already weigh 20 lbs) need psychological help and any surgeon who would continue to operate on her is unethical.

    17 weeks 4 days ago Report Comment
  • Jude C's picture
    Jude C
    19

    Of course they should be able to turn patients away. It's their practice, and it's not as if they're doing lifesaving surgery where being turned away might mean illness or death.

    17 weeks 4 days ago Report Comment
  • Manoukia's picture
    Manoukia
    20

    If only more surgeons would turn patients away.

    Can Joan Rivers get any worse? I could believe my eyes when I saw she had something done again. Or Priscilla Presley, or Melanie Griffith?

    17 weeks 4 days ago Report Comment
  • bellaressa's picture
    bellaressa
    21

    Yes, no doctor should ever work on the "cat" lady (Jocelyn Wildenstein) again. I have no idea what the h*ll she did to herself. She was beautiful to begin with and she snapped. Big time.

    17 weeks 4 days ago Report Comment
  • kastarte2's picture
    kastarte2
    22

    Of course doctors should be able to turn people away. If the patient asks for something suspect, the surgeon's name is on it. Even if the patient is happy with the results, the doctor still has his reputation to consider.

    17 weeks 4 days ago Report Comment
  • lizlee89's picture
    lizlee89
    23

    this is so stupid - plastic surgeons aren't in the business of trying to protect people - they're banking on people's insecurities and our society's stupid warped sense of beauty...

    17 weeks 3 days ago Report Comment
  • JaimeLeah526's picture
    JaimeLeah526
    24

    I definitely think that they should have a right to refuse to do surgery on a patient. They can always find a doctor who will do it but the doctor doesn't have to do it themselves.

    15 weeks 4 days ago Report Comment

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