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When you go to a plastic surgery clinic,
you always end up seeing only successful cases.
But in fact, doctors are people too,
and not every surgery can be 100% perfect.
So this post may be a little heavy,
but
for one year,
I want to honestly share the "surgical error log"
of the cases where I had to perform surgery again after surgery.
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The mentors who taught me
said this to me.
"For a surgeon,
the greatest teacher
is the patient."
This means that we keep improving by listening to patient feedback
and looking at the results.
Rather than boasting only about successful cases,
talking about failures and mistakes is
ultimately a responsible attitude
toward becoming a better doctor.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/57637cea3de08f1ca622b5c6c003c9d72c651ba4cc7dd0bbb475ce0ffd802811.jpg)
<My Error Log #1>
Over the past year,
among the cases where I had to perform surgery again,
the most common were
cases where "non-incision double eyelids had loosened."
Non-incision surgery
creates natural-looking double eyelids without an incision,
but it is generally known that they can loosen over time.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/557d117ae5dd0ab74721493158601129b86878d58b0a326c0027b7555e6526dc.jpg)
Of course, because I performed this surgery many times,
the numbers were also the highest,
but I did not stop there and kept thinking.
"Isn't there a way to secure it
a little more firmly than before?"
So I keep changing methods
while writing my own error log.
I have tried changing the number of fixation points
that secure the double eyelids,
and also changing the position where the knots are placed,
and I am studying whether doing it this way
will reduce loosening.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/bc337868b798115befa98555d0259ada4670411c63943abbbbe97bf740b066fc.jpg)
<My Error Log #2>
The next error log concerns
eye surgery,
especially the amount of skin resection.
In eye surgery for older patients in particular,
there were cases where I thought,
I needed to remove more skin than I expected.
There were also cases where,
a few months later,
I had to remove a little more of the remaining skin.
The reason for these discrepancies is
that it is difficult to accurately predict how much the patient has been using their eyebrows in everyday life,
and how much the eyebrows will drop after surgery.
The eyebrows moved more than expected
in some cases.
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So these days,
I try to look more closely at how far the eyebrow position can drop
while the patient is fully relaxed.
With the thought that
if too much is removed,
it cannot be reversed,
I take a conservative approach,
but
I keep improving so I can perform surgery with as accurate an amount as possible.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 7](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/f1f391c49ef6325c52cd3cbfc07e75a2ec9387dfc7f2e04b0ef48ef419de84f0.jpg)
<My Error Log #3>
The cases where I had to perform repeat surgery in nose surgery were
not so much due to an error in the surgery itself,
but because I had not accurately understood the patient's needs.
For example,
there were patients who said,
"I like everything, but I wish the bridge of my nose were a little higher."
In such cases,
rather than being an error that occurred during surgery,
it was the result of not having 충분히 discussed things with the patient in advance
or not having accurately understood their needs.
In fact, the burden of performing surgery again may be small for me,
but patients must bear not only the physical burden
but also the time burden of having to consider the recovery period,
so I felt truly sorry and regretful about this.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 8](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/279fc5729391731ddbd3757501524d29f40cab440531f6e70465e629ada31dc9.jpg)
That is why I always ask to see the reference photos
that the patient wants.
Of course, this is not because I am certain
that I can make the nose exactly the same,
but rather because
through those photos,
I can understand the overall mood and feeling
that the patient likes,
and try my best to bring out what they want
before surgery.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 9](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/f206a742b44b8341092d77545759c3b65b5230711fc636d5f9c9cbdd38009202.jpg)
<My Error Log #4>
Nose angle adjustment surgery
was also one of my error logs.
Making a short nose longer
(short nose correction)
or making a long nose shorter
(aquiline nose correction)
is the right direction.
But
how far it should be adjusted
is the hardest problem.
If every nose were simply and unconditionally adjusted to a "middle 5,"
it might actually be easier.
But the answer in surgery
is not to make everything fit the middle.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 10](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/e81285c44dbc657bcbc48620ac1e86f65ee3dfa5ec5a4a65c33066f7100576b2.jpg)
What I felt is
that completely changing the patient's character
is dangerous.
For example,
if I try to shorten an aquiline nose,
and it ends up looking too short,
the patient has a hard time adjusting to it,
and
conversely, if I try to lower a short nose
and it looks even slightly longer,
it ends up causing much greater dissatisfaction
than being undercorrected.
So I learned the lesson that
"you should not go too far,"
and I try not to produce results that feel like they have gone even slightly in the opposite direction.
![[Aeton TV] Honestly Recording a Surgical Failure Error Log image 11](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/a700de6db057a07ddda7da011ad739377e3065f4e00893efa3bb5d1cedf92880.jpg)
The reason I am sharing something that may be somewhat embarrassing
is that
I am not a perfect person, but
I always try to maintain a responsible attitude
to achieve better results for my patients.
Through this error log,
I also identify what kinds of cases
lead to repeat surgery
and set a direction for how I should improve in the future.
I wanted to show you that I am making these efforts.
I will continue to be a doctor who keeps learning and striving
so that I can provide even greater satisfaction in the future.
Thank you.
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