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Facial Rejuvenation: Pick Your Battles

Aspen, Colo. – When evaluating patients, said Mary P. Lupo, M.D., at the summer Cosmetic Bootcamp (CBC), “Prioritize and pick your battles. What is going to give them the best bang for the buck?” Especially with fearful or inexperienced patients, she said, “If you prioritize and treat an area, and they’re happy with that, they’ll come back and do another.”

Patient consultation is an art, said Dr. Lupo, who often uses homespun analogies. “Many women will come in, and I’ll say, ‘You’re like the 150-year-old mansion in the garden district, and no one’s been taking care of it. Like a contractor, I’m going to give you a punch list of what I think we should do.'”

If she and the patient can’t agree, “That’s fine.” However, due to her history and reputation, patients rarely argue. “People know if they come to me, they’re going to get honesty. They know I’m not going to work outside my wheelhouse. I refer to oculoplastics all the time. And I try to make expectations reasonable. If you try to put a size 8 foot into a size 6 shoe, someone’s going to be crying at the end of the night.” Dr. Lupo is a New Orleans-based dermatologist.

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