Dr. Hazem Khout’s approach to care is rooted in personalized medicine and shared decision-making. The consultation process is designed to be comprehensive, ensuring the patient is fully informed, comfortable, and confident in the proposed treatment plan, whether for cancer management, reconstruction, or aesthetic enhancement.
Phase 1: The Initial Consultation – Discovery and Diagnosis
The primary goal of the first meeting is thorough information gathering and establishing a collaborative relationship.
1. Medical History and Risk Assessment
A detailed review of the patient's comprehensive medical history is conducted, focusing specifically on:
- Family History: Assessing genetic risk factors (e.g., BRCA mutations) and incidence of breast cancer or other conditions.
- Lifestyle and Hormonal Factors: Reviewing prior surgeries, hormonal replacement therapy (HRT), and other contributing health factors.
- Physical Examination: A careful and gentle physical examination of the breasts, chest wall, and surrounding lymph nodes is performed to assess current anatomy, skin quality, tissue elasticity, and any palpable masses or abnormalities.
2. Review of Imaging and Diagnostics
Dr. Khout meticulously reviews all prior diagnostic materials, including mammograms, ultrasounds, MRI scans, and pathology reports (such as biopsies). This step ensures the surgical plan is grounded in the latest and most accurate diagnostic information.
Phase 2: Advanced Planning and Visualization
This phase utilizes cutting-edge technology to translate diagnostic information into a precise surgical strategy and to visualize potential outcomes.
3. 3D Imaging and Virtual Simulation
For both cosmetic and reconstructive cases, 3D photography and visualization technology are employed.
- Process: The patient's torso is scanned, creating a precise 3D model.
- Application: Dr. Khout uses this model to virtually simulate different implant sizes, reconstruction volumes, or reduction outcomes. This allows the patient to actively participate in the design of their new contour, ensuring the surgical goal aligns perfectly with their aesthetic expectations.
- Benefits: This eliminates guesswork, enhances communication, and significantly improves the psychological preparation for surgery.
Phase 3: Shared Decision-Making and Informed Consent
The surgical plan is only finalized after a thorough discussion of all options, risks, and benefits.
4. Collaborative Treatment Strategy
Dr. Khout provides a clear, detailed explanation of the proposed procedure, including:
- Surgical Rationale: Why a particular technique (e.g., DIEP flap vs. implant reconstruction, or specific augmentation size) is recommended based on the patient's anatomy and goals.
- Alternatives: Discussion of all viable surgical and non-surgical alternatives.
- Expected Recovery Pathway: Realistic timelines for surgery, immediate post-operative phase, return to activity, and long-term follow-up.
5. Detailed Risk and Consent Review
The discussion includes transparent disclosure of potential risks, including infection, scarring, changes in sensation, and the possibility of secondary procedures. Informed consent is a continuous process, ensuring all questions are answered and the patient fully understands the commitment required for successful surgery and recovery.
Phase 4: Pre-Operative Preparation
Once the decision is made, the final phase ensures the patient is physically and mentally ready for the procedure.
6. Pre-Operative Instructions
Patients receive clear instructions regarding:
- Medication Adjustments: Guidance on stopping supplements or medications (like aspirin) that could increase bleeding risk.
- Smoking Cessation: Strict requirements for ceasing smoking well in advance of the surgery to ensure optimal blood flow and wound healing, particularly crucial for flap-based reconstructions.
- Hospital Logistics: Confirmation of admission times, facility details, and fasting protocols. This meticulous planning approach maximizes safety and optimizes the conditions for a successful surgical outcome.