FFS normally involves a number of procedures performed in one operation, usually under general anesthetic. The extent and mix of procedures carried out will depend on the needs and wishes of the patient, and Dr Suporn's advice and recommendations. We conduct a comprehensive assessment process by post or (more usually) by email based on photographic evidence supplied by the patient. We have found we can provide a more comprehensive and detailed analysis through this type of dialogue than can be achieved in a brief personal consultation. Moreover, the process is significantly more cost-effective for the patient than if they were to need to schedule time and travel, and we are able to continue the assessment dialog for as long as the patient needs in order to be satisfied that the surgical requirements agreed.
** Dr Suporn considers it very important that the patient should exercise caution when considering the likely outcome of a surgery. While a desire to improve one's appearance is the obvious reason for undertaking the surgery in the first place, patients must realize that there is no guarantee that a desired level of beauty can be realistically achieved. They are strongly cautioned against creating expectations.
During the dialog generated in the assessment process it is important that the patient communicates what it is that they are hoping to achieve, and - in turn - Dr Suporn will give fair guidance as to whether the surgical results can realistically be achieved or not **
Final adjustments to patient's needs and wishes are made in direct personal consultation in Thailand prior to surgery. In our experience, significant changes to the already agreed schedule are rarely necessary.
Full details of the extent of the assessment process, together with specific detailed guidance concerning photographic requirements are supplied on application to the clinic at firstname.lastname@example.org However, for prior guidance regarding photographic evidence required, we require the following:
For our assessment process we ask that you send a number of clear close up photographs taken under the following conditions:
- All photographs to be taken against a plain background in good soft lighting such that no shadows are reflected against the patient's outline.
- Remove ALL make up.
- Remove spectacles, if worn.
- Tie hair back to reveal as much as possible the scalp and hair line.
- Remove all facial jewelry (ear rings, etc)
- Ensure camera is at nose level for all photographs except (3) below
- Position camera about, but no closer than, one meter (3 feet) from the face to ensure there is no camera lens distortion.
- Patient to have neutral facial expression (no smiling, or pursing lips)
- Try to avoid using flash if possible. Flash lighting is usually very harsh, and throws strong shadows. It is better to use a controlled light source angled to one side behind the camera.
One photograph each:
- Frontal (exact level 'head-on')
- Frontal (exact level 'head-on' with mouth slightly opened to show lips and relax jaw muscles)
- Forward (exact frontal from below showing brow bossing and nose)
- Left (exact profile)
- Right (exact profile)
- Left oblique (angled 1/2 view)
- Right oblique (angled 1/2 view)
Each photograph should only show the head from the bottom of the neck to the top of the head and should show clearly the scalp hairline, forehead, chin, jaw line, and throat.
We do not specifically require radiographs (X-Rays) or CT (CAT) scans for the assessment process. However, if you have radiographs or CT scans available we would be pleased if you were to submit them as additional evidence as follows:
- Left or right (exact)
These should be held-up against a 'light-box' and photographed, scanned, and sent as standard image attachments. Alternatively, if you do not need their return, they can be air-mailed to us in Thailand.
Note: Please ensure that all images are transmitted in .jpg, .jpeg, or .gif format. Do NOT send .bmp format photographs. Also, please ensure each photograph sent is no greater than 250 KB in size. Alternatively - if preferred - patients can send images in hard copy by air mail.
We endeavour to be as flexible as possible in helping patients with their FFS assessments. However, accurate assessments can only be done successfully with good photographs, following the prescribed guidelines above. They must be as clearly focused as possible, and such that we can "zoom" in to see detail. To help us with that process please ENSURE that you:
- Do NOT embed photographs into the text of Microsoft WORD documents, or similar. Please send the images as attached files only. It is almost impossible for us (and certainly very time-consuming) to attempt to extract images from text documents, and they are invariably too small to be of good use.
- Do NOT send links to photograph storage areas on the internet (such as yahoo photo galleries). We cannot review photographs situated on other computers. We often need to be able to alter photographs settings (brightness, contrast, hue etc) to highlight specific areas of detail. We cannot do this without the source document under our control.
Please remember - the FFS assessment process is the initial step in an extremely important surgery which often takes up to 10 hours to complete. A few extra minutes invested in ensuring best-possible photographs for the assessment process is a few minutes very well invested.