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I Am Featured in the New York Times Today

August 12, 2010 by · 3 Comments 

I was featured in the New York Times today with my patient Phu Pham for Botox Jaw Reduction.  I thought I would share with you the link to the story.

Dr. Lam's Patient Phu Pham After Botox

Dr. Lam's Patient Phu Pham After Botox

Story of the Week!

December 26, 2008 by · Leave a Comment 

I don’t think I’ll have a new patient story for you every week, but this one really touched me a lot. I had a patient who was looking for lip enhancement and had called around town. After Marcy worked her phone magic that she does so well, she really believed that I was the best suited to help her out (which I not so humbly believe to be true). She enjoyed most of the day at my spa then came over to my office for some fillers. I explained to her that fillers could also be used in the face, and I discussed with her the merits of Botox for long-term wrinkle reduction. She decided to do the fillers for facial rejuvenation, lip enhancement, and Botox.

I always see my patients back a week later to make sure that they are doing okay and to show them their before and after photographs. When I was taking her photos in the photo room, she said, “Dr. Lam, I know you don’t know this about me, but my daughter suffered anaphylactic shock when she was 15 years old and died in front of me. I got very close to my second daughter, my only other child, but who was then killed with my sister in a car accident 2 years later.” She then said, “Dr. Lam, you have given me my face back as it was before all this happened to me. You have erased 15 years of grief from my face.”

I can tell you it was hard to hold back my tears when I heard that. I told that story to all my staff. Even something “small” like Restylane can have a profound impact on people’s lives. I always say to my staff we are not in the business of plastic surgery but in the business of “taking care of people and transforming lives”. I can think of no better incidence than this one. I am so proud of performing such a small thing that had such wonderfully unintended benefits. I always remember that every person that I treat is special no matter what the motivations they have or the treatments that I perform. You never know when a small thing can mean a lot to the other person you were so blessed to encounter. Wishing all of you a special holiday season, and I hope this story touched you as much as it did me and my staff!

Predictably Irrational Part 5 of 5: How to Order off a Menu

December 19, 2008 by · Leave a Comment 

Here is another study with beer. In Predictably Irrational, Ariely asked a group of individuals sitting down at a table in a bar to order from a limited list of beers: Summer Wheat Ale, Franklin Street Lager, India Pale Ale, and an Irish Stout. The first individual would call out his or her beer and then the ordering would progress around the table. At the conclusion of imbibing, the individuals would be asked to write down their rating of their beer. Interestingly, the person who asked for the beer first consistently rated his/her beer satisfaction to be the highest. The ratings would then go down proportionately to when the beer was ordered. The same experiment was tried by having individuals hand in their beer order silently without declaring their wishes aloud. Interestingly, almost every individual rated the satisfaction of their choice very highly. Also interestingly, when beers were ordered out loud, almost every person ordered a different type of beer; whereas when beers were ordered silently there was much more similarity in what was ordered. The same experiment was carried out in Hong Kong. However, in this case, when people ordered out loud, the second, third, etc. person would order most likely the same thing that the first person had ordered. As would be expected, their enjoyment was greatly less than what the first person ordered. What we learn from this experiment is that in the United States we value our maverick individualism even in spite of our best interest, and in Asia conformity is prized to a similar detriment. In summary, if you are going to order, order it first before everyone else so that you can enjoy your meal!

Sometimes in our society, we want to be different just for the sake of being different. Sometimes different is bad. Sometimes there is a reason why no one else is doing what you are doing. Sometimes different is good because the majority out there are doing things that are not good. We should fight against any of our cultural legacy (whether from the Occident or the Orient) that is our natural tendency to be “predictably irrational” so that we can make choices that are the right ones. In my field, I truly believe that too much lifting is being done for all the wrong reasons with absolutely dreadful results. As you know, I believe that the majority of docs out there who believe that lifting brows and cheeks is right are in a word wrong. However, I believe that Botox, almost despite its popularity, is so very right thing to do for long-term gains and to avoid what would otherwise be ineluctable aging. (If you don’t know what I am talking about, watch my 3 video logs: 1, 2, 3). I believe that Restylane and Perlane, which are the most popular fillers on the market in Europe and the U.S., are the most popular for a reason (which is corroborated by my clinical experience). Believe in the right thing whether it is popular or not, but don’t believe in something either because it is popular or because it is not.

Predictably Irrational Part 2 of 5: Comparative Perspective

December 16, 2008 by · Leave a Comment 

I wrote a blog a few months ago on perspective that was actually stimulated by a patient’s comment regarding the book, Predictably Irrational, as source material. I would like to use this blog that borrows heavily from PI, for more inspiration. The opening psychological study presented in PI was quite brilliant. Using a real-world subscription plan by the famed British magazine, The Economist, Ariely the author subjected students at MIT, where he is a professor, to a small test in human psychology. The Economist offers 3 subscription plans: Internet only for $59, Print only for $125, and Internet plus Print for the same $125. With these 3 plans, the students overwhelmingly chose the combined Internet plus Print option. Removing the “print only” decoy, he offered the Internet only for $59 and the Internet plus Print for $125. The students overwhelmingly chose the Internet only at the bargain price of $59.

We as humans tend to require a comparison for us to make good decisions (or not so good decisions). As mentioned in a previous blog, the patients who are truly loyal to me are the ones who have had Botox, fillers, surgery somewhere first before coming to me. Without a comparison, people enjoy the experience and results that I offer but their mind may think for a moment I could get it cheaper down the street. That thought almost never crosses the mind of a patient of mine who has been down the street. By offering a uniquely better product, service, and experience, I think I have garnered more loyalty from my patients who have chosen me after they have been elsewhere.

Well, we have covered that ground before in a previous post so I wanted to explore this idea in greater detail. I am about full disclosure and not trying to trick a prospective patient into choosing me. Instead, I would like to think of how could I help a prospective patient truly understand the service difference that I offer. What I have done in the past and would like to continue is to try to frame the differences of a procedure that I do to contrast that with another practice down the street or, to be honest, anywhere else. I have done that in many ways without ever mentioning a competitor by name, just the philosophical, technical, and artistic differences that LFP is all about. For example, I explain how my Botox is intended for long-term goals not short term which I reinforce with baseline photographic documentation and photographic progress reports with how their skin is doing over time through sequential photographs. That alone is almost a comparison within itself, that is a comparison of one’s current state and one’s former state.

I really enjoyed this book, Predictably Irrational, and would like to help my patients not to think irrationally but to think things as rationally as possible. Knowing our own irrational behavior can help us free ourselves from it. Comparisons are important, in my opinion. Without them, we fail to judge the quality of something because we only see that attribute in isolation. The language I use is oftentimes trying to articulate what I offer so that if the comparison is not immediately obvious, it will become so by your speaking with your friends about their experience elsewhere or simply put you would already know this fact if you had tried services elsewhere in the past.

In fact, besides trying to have a service down the street, I ask my patients a small favor if they have never tried any services besides my own is to ask their friend some explicit questions: 1) How painful was your Botox? 2) Did you get a wow effect from just filling your smile lines with Restylane? (no) 3) Were you educated about your options or just brought back and injected? 4) Did you get baseline photographs and shown the before and afters of the work? 5) Were you offered free touch ups and asked to come back to make certain the result was good enough? 6) Were you given long-term goals so that you could determine what would be in your budget and goals for now versus where the physician desired you to be in a year? 7) Were you educated about options that would clearly be harmful or a waste of time and money for you and actually talked out of a service that was not right for you? REALLY? “My doctor, Dr. Lam, did all those things for me.” I hope that you can say those things about your experience at LFP.

Wait Times Best in Texas!

November 14, 2008 by · Leave a Comment 

Jan May, our Botox business development rep, just gave us the good news: we have the best wait times in Texas based on a uniform customer satisfaction survey provided nationally. Remember these are only the top practices across the U.S. that even get these services so these are the busiest practices that at least reach platinum status with Allergan (300+ bottles of Botox a year, which we are way over). Obviously, for a slow practice with 10 patients a day, you would expect the wait times to be great. However, we are the best of the busiest and that says a lot.

I am obsessed with quality customer service and so is my staff so I am extremely proud that despite our very busy practice that we can garner this distinction. In addition, I always make it a point to make sure that my patient knows that I am running behind if I am, and I do so personally myself rather than delegate that responsibility to my staff. Further, my staff tries to ensure that every waiting patient is attended to with appropriate amenities to make their time more enjoyable and perceptually less prolonged. In short, I am really happy with our results, and I am glad that my patients overall are satisfied with our expeditious service!

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