Consultation Summary Report

Revision Rhinoplasty Assessment

Initial remote consultation and pathway for revision rhinoplasty following previous trauma and surgery.

Patient
Adam Walid Mansour
Lead Surgeon
Dr. Palapong Chayangsu, MD
Clinic Location
Bangkok, Thailand

Patient Summary

Mr. Adam Walid Mansour is seeking a consultation regarding a potential revision rhinoplasty. He previously sustained a severe nasal injury during an altercation and subsequently underwent a primary rhinoplasty procedure at Bumrungrad Hospital approximately 1.5 years ago. While the internal function of his nose has been successfully restored, he remains dissatisfied with the external aesthetic outcome.

His primary concerns involve noticeable asymmetry and a lack of straightness in his current nasal structure. He also desires a reduction in the overall width of his nose, seeking a thinner and sharper profile that aligns with his personal aesthetic goals, which he has visualized through an AI rendering.

1
Why Choose Dr. Palapong
A surgeon committed to honest assessment and patient safety
15+
Years of Surgical Experience
1000+
Successful Procedures
ENT
Specialized Background
Honest Communication: Provides transparent, medically sound advice prioritizing your long-term well-being over immediate surgical intervention.
Safety First Approach: Thoroughly evaluates past surgical history and trauma to ensure the structural integrity of your nose can support further modification safely.
Realistic Expectations: Clearly outlines achievable outcomes, ensuring you understand the limitations of revision surgery.
2
Doctor's Assessment & Recommendation
Clinical findings and the rationale behind your treatment plan
Significant Asymmetry Observed: The external structure of the nose shows noticeable asymmetry and width retention resulting from the previous procedure and initial physical trauma.
Structural Integrity Concerns: Because the original injury was from a severe impact, the underlying support system of the nose may have been compromised. This limits the degree of further reshaping that can be safely achieved.
Medical Records Required: A comprehensive review of the surgical notes from the previous operation is mandatory to understand the current structural state and what modifications are safely possible.
Consultation Deferred: Dr. Palapong strongly recommends consulting with the original surgeon first. This critical step is to understand the limitations encountered during the primary surgery and to determine if the original surgeon can address the remaining concerns.
Future Pathway: If the original surgeon cannot perform the required adjustments, you are welcome to return to Dr. Palapong with the surgical notes for a detailed evaluation of your revision possibilities.
3
Procedure Plan
Your personalized surgical roadmap
Procedure 01
Revision Rhinoplasty (Pending Review)
TechniqueTo be confirmed after reviewing previous surgical records
PurposeAddress asymmetry, reduce nasal width, and refine the nasal tip
Areas TreatedNasal bridge, alar base, and nasal tip
SettingSubject to clinical evaluation
RecoverySubject to clinical evaluation
Surgical BenefitPotential improvement in nasal symmetry and closer alignment with aesthetic goals
4
Expected Results
What you can realistically anticipate from your procedure
Improved
Symmetry (100% perfection cannot be guaranteed due to prior trauma)
Refined
Nasal width and sharper profile
Safe
Modifications based on verified structural stability
5
Services & Pricing
Transparent pricing for your treatment plan
Option A: Revision Rhinoplasty (Pending Assessment)
Revision Rhinoplasty ProcedureTBC
Total Package (USD) To Be Confirmed
Pricing will be established following the review of previous surgical records.
Item Option A (Not Applicable)
Revision Rhinoplasty ProcedureTBCN/A
Please note that all pricing is subject to confirmation following an in-person assessment and a thorough review of your previous surgical notes.

Payment Terms

  • Prices will be finalized upon structural assessment.
  • A deposit is typically required to secure your surgical date once the procedure is confirmed.
  • Remaining balance is due prior to the procedure.

Refund Policy

  • Refund policies will be detailed alongside your finalized quotation.
  • Consultation fees (if applicable) are non-refundable.
Quotation Validity: Any future finalized quotation will remain valid for 30 days from the date of issuance.
  • This proposal is for assessment purposes only; no surgical intervention is guaranteed at this stage.
  • Final procedure viability is pending the original surgeon's input and review of medical records.
6
What's Included in Your Package
Standard inclusions once a surgical plan is finalized
Surgical & Medical Team
  • Lead Surgeon: Dr. Palapong Chayangsu
  • Dedicated anesthesiologist (if applicable)
  • Specialized nursing staff
Facility & Care
  • Operating theater fees
  • Standard medical supplies
  • Immediate post-operative care
Follow-Up Support
  • In-clinic follow-up appointments
  • Stitch removal
  • Post-operative monitoring
Comfort & Logistics
  • Dedicated patient coordinator
  • Direct WhatsApp communication channel
Medical Clearance: Prior to any revision surgery, you must undergo standard pre-operative blood work and ECG. BKFL Clinic covers these routine tests.

Not Included (Available on Request)

Item Details
Travel & AccommodationFlights, hotels, and airport transfers are not included.
Travel InsurancePatients must arrange their own medical travel insurance.
7
Recovery & Timeline
What to expect, day by day (Estimates)
Current Phase
Consultation with the original surgeon and retrieval of medical records.
Future Phase
Secondary consultation with Dr. Palapong once records are obtained.
Post-Op (If Approved)
Recovery timeline will be confirmed based on the finalized procedure scope.

Recommended Length of Stay in Bangkok

To be determined. If a revision surgery is eventually scheduled, we generally recommend a stay of 10-14 days in Bangkok for proper follow-up and stitch removal.

8
Next Steps
Your path forward
Step 1: Contact Original Surgeon: Reach out to your previous surgeon to discuss your current results and limitations.
Step 2: Obtain Medical Records: Retrieve the official surgical notes from your previous procedure at Bumrungrad Hospital.
Step 3: Follow-Up Consultation: Schedule a follow-up with Dr. Palapong to review the records and determine if a safe revision is possible.
9
Contact & Booking
Get in touch
Website
www.bkflclinic.com | www.bangkokfacelift.com
Email
admin@bkflclinic.com
WhatsApp / Direct Line
+66 61 555 6552
Location
26/1, Chani Residence Building, 2nd Floor, Soi Thonglor 13, Khlong Tan Nuea, Watthana, Bangkok 10110
Operating Hours
Mon–Sat 10:00–19:00 ICT (UTC+7) — international support 24/7 once booked
BKFL Clinic
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Thank you for considering BKFL. We appreciate your trust in seeking an honest assessment with us in Bangkok.

Prepared for Adam Walid Mansour — May 14, 2026

Prepared for: Adam Walid Mansour
Clinic: BKFL Clinic — Bangkok Facial Rejuvenation Specialist
Note: This document is confidential and intended solely for the named recipient.

Medical Disclaimer & Terms of Quotation

This document, issued by BKFL Clinic on May 14, 2026, constitutes a confidential instrument prepared exclusively for Adam Walid Mansour.

The clinical outlines and financial estimates contained herein are derived from an initial remote consultation and are contingent upon a comprehensive, in-person clinical evaluation. BKFL Clinic reserves the right to modify treatment protocols, procedural requirements, and final pricing based on the findings of said physical assessment. All professional fees are quoted in USD and shall remain fixed for a period of 30 days from the date of issuance.