Every clinician knows the patient they should have turned away.

In this episode, a consultant plastic surgeon explains exactly how she says no: the question she asks herself before any treatment, what the "spidey sense" is really detecting, and why the patients asking for the wrong thing are often asking for a different kind of help.

Miss Nathalie Cain, also known as Dr Nat, is a consultant plastic surgeon specialising in upper limb and facial aesthetic surgery, an international fellow in cosmetic surgery, and a faculty trainer for Merz Aesthetics. She's building her new clinic, ENIA, in Nottingham.

WHAT WE COVER

— Why upper limb surgery and facial aesthetics belong together (it's the anatomy)

— Training the next generation to be better than she is.

— Failing her exit exam, and how it reshaped surgical training across the East Midlands

— The flood of new injectables: what's genuinely new versus newly marketed

— The critical conversation in aesthetics the public never hears

— "That's a facelift": setting honest expectations with the patient's own hand

— How to say no to a patient, and the question she asks herself first

— Building ENIA: staff, money, and the two things nobody teaches surgeons

— Why 75% of new patients still come from word of mouth, even with a marketing budget

ABOUT MISS NATHALIE CAIN

Miss Nathalie Cain (Dr Nat) is a consultant plastic surgeon with a specialist interest in upper limb and facial aesthetic surgery, an international fellowship in cosmetic surgery, and a faculty trainer role with Merz Aesthetics. Her new clinic, ENIA, is based at Balance in Nottingham. Find her at eniaclinics.co.uk and on Instagram - @drnathaliecain.

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INTRO: BYPR CHECKLIST

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