Q-Tips on.. navigating the fine line

This month, our columnist, cosmetic doctor, and founder of Luxe Skin Dr Usman Qureshi (aka Dr Q) peeks into the complex world of complications and malpractice

As cosmetic doctors, we often fuse science and artistry, a delicate balance that demands precision, care, and an acute understanding of both human anatomy and aesthetics. However, even in the hands of the most skilled and experienced practitioners, complications can arise. It’s important to understand when these complications cross the line into the territory of malpractice. This article aims to shed light on this often misunderstood aspect of our profession.

WHEN DO COMPLICATIONS BECOME MALPRACTICE?

We must first understand that complications are an inherent part of any medical procedure, cosmetic or otherwise. They can occur due to a plethora of factors, including adverse reactions, product issues, or failure of a patient’s adherence to aftercare instructions. Not every complication is indicative of malpractice.

Malpractice, on the other hand, implies negligence or wrongdoing on the part of the doctor. Thus, a complication transitions into malpractice when it is directly consequent to a breach in the standard of care, a failure to obtain informed consent, or an act of overt negligence.

DIFFERENTIATING KNOWN COMPLICATIONS FROM WRONGDOING

In the world of cosmetic procedures, understanding the probability of complications is crucial. Certain procedures carry higher risks, and these are known quantities that we, as doctors, communicate to our patients.

However, it’s important to differentiate these known complications from instances of malpractice. If a procedure goes awry due to a predictable complication that has been discussed with the patient beforehand, it’s a known risk. However, if the adverse outcome is a result of the doctor’s negligence, such as performing a procedure they aren’t trained for or making a preventable error, it may qualify as malpractice.

THE BLAME GAME: WHY DOCTORS GET THE BRUNT

When complications occur, doctors often find themselves in the crosshairs, despite the multitude of factors that could have contributed to the outcome. This blame game can often overshadow the complex realities of cosmetic procedures, where the interaction of the product, the patient’s unique physiology, and their aftercare can all play a significant role.

SAFEGUARDING AGAINST MALPRACTICE SUITS

To protect oneself from malpractice suits, a few key principles can come in handy:

• Thorough documentation: Maintain a comprehensive record of every procedure, patient interaction, and the informed consent process.

• Patient education: Clearly explain the potential risks and complications to your patient. They must understand and accept these before proceeding.

• Adherence to standards: Never compromise on the standard of care.

• Regular training: Peer review and continuous learning are crucial. You should only carry out procedures within your scope of practice that you have trained for and you must have evidence of training to supply to your insurer.

• Professional liability insurance: Ensure you have robust insurance coverage. This can be a lifesaver in the event of a lawsuit.

• Medical photography: Accurate and clear photographs can clarify the details of a case or claim, saving time and reducing costs.

In conclusion, understanding the fine line between complications and malpractice is critical for any cosmetic doctor. It not only preserves the integrity of our profession but also promotes patient trust and safety, thereby fostering a positive environment for both doctors and patients alike.

DR USMAN QURESHI

Dr Usman Qureshi (aka Dr Q) is a cosmetic doctor and founder of Luxe Skin by Doctor Q in Glasgow. He focuses on nonsurgical and minimally invasive cosmetic procedures for the face and body.