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WFH Patient StickerFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY AESTHETIC NEW PATIENT HISTORY FORM BRIAN DOWNS, M.D., JORDAN WALLIS, M.D. JAMIE PAGE, LICENSED Esthetician Name: LastFirstMIDate of birth:
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To fill out facial plastic and reconstructive, follow these steps: 1. Consult with a qualified facial plastic and reconstructive surgeon to discuss your goals and expectations. 2. Provide your medical history and any relevant information to the surgeon. 3. The surgeon will examine your facial features and discuss the available options for enhancement or reconstruction. 4. If deemed necessary, the surgeon may recommend certain pre-operative preparations such as stopping certain medications or undergoing specific tests. 5. On the day of the procedure, follow the surgeon's instructions regarding fasting, medication, and arrival time. 6. Local or general anesthesia will be administered, depending on the procedure. 7. The surgeon will perform the necessary techniques to achieve the desired outcome. 8. Post-operative care instructions will be provided, which may include medication, dressings, and follow-up appointments. 9. Follow the recovery guidelines provided by the surgeon to optimize healing and results. 10. Attend regular follow-up appointments to monitor progress and address any concerns.

Who needs facial plastic and reconstructive?

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Facial plastic and reconstructive procedures are suitable for individuals who: 1. Have congenital facial abnormalities or deformities 2. Have experienced trauma or injury to the face 3. Desire aesthetic enhancements or correction of facial features 4. Wish to address signs of aging, such as wrinkles, sagging skin, or volume loss 5. Seek to improve facial symmetry or proportion 6. Have functional issues affecting breathing, speech, or vision due to facial structure 7. Require reconstruction after facial cancer surgery or other medical procedures 8. Have specific concerns related to the nose, ears, eyelids, lips, chin, or other facial areas. It is important to consult with a qualified facial plastic and reconstructive surgeon to determine the suitability of these procedures for individual needs and goals.
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Facial plastic and reconstructive surgery specializes in enhancing facial aesthetics and correcting facial deformities.
Licensed facial plastic and reconstructive surgeons are required to file.
The form must be completed with accurate patient information and details of the procedures performed.
The purpose is to document and track facial surgeries and treatments for medical and legal purposes.
Details of the surgeon, patient, procedure performed, date, and any complications must be reported.
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