Consult Note: Facial Cosmetic

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Clinic Name
Clinic Address
Clinic Phone Number
Clinic Email

Facial Cosmetic Surgery Consultation

CC: eyelid skin

HPI:

PMHx:

PHSHx:

Allergies:

Current Medications:

ROS:

Constitutional: negative

Head and Neck: negative

Respiratory:negative

Cardiovascular:negative

Gastrointestinal:negative

Endocrine:negative

Psychiatric: negative

Dermatologic:negative

Musculoskeletal: negative

Hematologic: negative

PE:

Skin:Glogau 3, Fitzpatrick 2, static, dynamic, and fine with some sparce etched rhytids.

Brow:  ptosis

Upper Lids:Upper lid dermatochalasis vs pseudodermatochalasis

Lower lids: steatoblepharon, dermatochalasis, and poor snap test - 3 sec.

Periorbital facial volume loss.

Nose: Nasal dorsal hump, overprojected tip with hanging columella

Neck: Dedo II

Assessment:

Plan: