analysis usually takes some time. It is wise to
think over all the ideas discussed and then meet
again for further clarification of all of the
alternatives. During this process by
showing different drawings that are different
suggestions of changes that might be considered, we
may be able to help choose from the various
goal will be the patient's choosing and will be the
improvement in appearance they would like to
consider. It will involve the choice from drawings
or sketches on photocopies of the subject's
photographs or digital images in different views.
With these in front of us, we can have a detailed
discussion and description of what it would involve
if we chose to seek and achieve each of the
Buying even the
right pair of shoes takes time. A suit of clothes,
even more time. And this is not only more important
than all the clothes a person owns, but also how the
person will appear to everyone who sees them the
rest of their lives. We can change the clothes
As one comedienne
and author says on television and in her book,
forget the new clothes and the new car. It is how
that is important.
And a person has
no objective idea how they can look until some
study, which we begin as an analysis, is done.
If we want to know
if the appearance can be improved or how much it can
be improved, we will want to get all the information
we can, such as all the pros and cons, how
much benefit there can be, and what it would be like
to go through it.
To find out more
about many of the ethical rules that are suggested,
see Principles and Ethics in the index. One that
applies here to persons who are unsure is " If on
the fence (undecided) stay on the fence." And
another, "When in doubt (about some change or some
surgery), leave it out."
The purpose of the
analysis is to develop a concept or a plan based on
the possibilities. And then the purpose of drawings
is to communicate all of the concepts and
possibilities, so that whatever benefit could be
possible can be visually seen and studied. Then, if
there is great benefit, the basis for decision
having something done is to
look as good as we can.
The first question, therefore, is “How good can
we be made to look?” The answer is derived from an analysis of
the face. As with architecture, the planning is as
important if not more important than the “doing”.
The first and most
important information that you can get about what
you are considering is an accurate assessment of
what can be done
for the benefit of your appearance. In other
words, how will you look after you've had whatever
it is you are considering? What are the
This analysis and
study of the face with drawings can reveal small
details that may or may not be improved on that
might otherwise not have been seen. Many drawings of
different views can be made. Sometimes more than a
hundred are done. In the stages of fine-tuning the
drawings we can do new drawings showing different
appearances and possibilities faster than one per
All drawings are
given to the patient to take home. It is a good
idea, if possible, to show the drawings to trusted
friends or relatives….and bring the most skeptical
of the bunch with you to see us. As in the emperor's
clothes, the truth may come from a child. And as
many persons as possible should be consulted.
with the aid of drawings made on copies of the
subjects’ photographs. We have done drawings of
every face surgery for more than thirty years. This
method allows each person to choose the appearance
that best suits them.
We can choose how we want to look everyday for the rest of our lives.
Only when the
drawings of the face are so attractive that they
cannot be improved upon by ourselves or any other
persons or artist do we want to consider making
those changes. When the drawings are chosen by the
patient, we call that choice the goal. The goal may change
We have more than
200,000 photographs, negatives, and slides. And
while you cannot see them all we have more than 8000
in books of different types of surgery. All of these
before and after photographs are of persons who had
And anyone may
ask to see the drawings of any of them so that a
reasonable determination can be made of how close to
the chosen goal drawings the results of surgery
We also have a
Results Questionnaire that is given to every patient
months after their surgery. The majority say that we
equal or exceed the drawings that they chose as
their goal. Almost all say they have no visible
scars. The summary of hundreds of these
questionnaire answers are on another page. And all
of this can be useful information.
If it is a part of
your face, the number one thing we want to know is
what benefit to the appearance there will be if something
is done. From all of the possibilities a goal should
be chosen. For each alternative goal that can be
chosen, we will explain to the patient all of the
pros and cons and what it would be like to
accomplish that goal.
It is necessary to
have some idea what the goal is before all the pros
and cons can be estimated.
The First Visit
On the first
visit, some drawings may be completed,
then photographs are taken. The patient is given
copies of all drawings. We will discuss all of
the possible alternatives and answer as many
questions as possible. To see many before and after
photographs, to see the drawings being done,
to have questions answered and to discuss and
understand all the pros and cons of the experience
of the process of having surgery and having a happy
result may take a two or more hours.
If what is heard is of interest
and we wish to proceed with a more complete study of
how good the face can be made to look, then
another visit, or several more visits may be needed.
For persons who live far away, pictures can be
transmitted and discussions had by by email or mail.
Plans will be made
to meet again in a few days or weeks for a more
thorough analysis and review of the face,
photographs, and drawings. It can be helpful if
pictures of faces with desired features are brought
in for consideration. These may be of when a person
was in school and very young, or of other faces that
are considered attractive. It is also good to bring
a close friend or relative who is supportive of your
wishes and who can help by discussing with you what
The way we find
the answer to what
benefit cosmetic surgery can be for a specific person is from a thorough
study and analysis of the physical features and
photographs of the person. Then, we could determine
what would be the best and most attractive
After a brief health
history and a few questions regarding the person’s
wishes, we would do this study routinely in
five different ways:
2. Digital drawing
and /or pen and pencil sketching.
analysis and sketching on copies.
4. Comparisons with
other faces, including before and after photos.
examination, often with a microscope.
6. Study of the face
and pictures searching for all the details.
And then, there is
explanation and discussion of all of these
Each person is given
copies of all of the drawings and sketches for
independent study at home.
Among all of the
possibilities and alternatives explored is the
1. The best
appearance that can be accomplished.
2. The most
improvement in appearance with the least change.
We want to find for
each person the most benefit with the least amount
of surgery, and the maximum improvement in
appearance. Then, in addition to those two things,
we want to find all the alternatives and
analysis and sketching is the real planning phase.
It is approximately equivalent to an architect’s
plan for a building. It is very important because
the result may look almost exactly like the chosen
plan. It is more important than any building.
And yet many more
hours are spent planning some buildings. An
architect friend who worked with Frank Gehry who
designed the Guggenheim in Spain and many other
buildings explained to me that the model for the new
Guggenheim yet to be built cost millions of dollars.
Our plans don't cost that much.
hundreds of before and after photographs of people
who have had work done often will reveal
someone who had similar features to the patient and
show what changes were made. These are important
because they are factual representations, and
opinions and decisions are on a more solid
foundation when based on as many concrete, true
facts as possible.
Our goal on each
visit is to provide as much clear and
factual information as possible and to find all the alternatives,
including the maximum
benefit that may be obtained from an
improvement in appearance.
For any face
surgery the analysis of the face is for the purpose of determining
how good the person
can look. We acquaint everyone with this technique on the
first visit. Then, we continue this process on
analysis of the face,
we can give the answer to the number one most
What is the benefit from having something
take about an hour. The further analysis and subsequent review requires another hour or two.
Contact Us at
William Roy Morgan M.D., F.A.C.S.
1419 Superior Avenue, Suite 2
Newport Beach CA 92663