It is true that we all have dreams and we all, in some way, want to believe in magic.  But when it comes to cosmetic work and people's appearance, it's best to be realistic. I know we all have patients with unrealistic expectations. These patients are the ones we should be more careful with and we should spend more time educating them.  Patients with high expectations are usually well informed and they know about all the new technologies but they also, many times, are expecting unrealistic results. I have developed a good eye for these patients and what I have learned is that it is best to create low expectations, show them before and after photos that don't show fabulous results and always offer the possibility to go and get a second opinion. If they decide to stay and pursue their treatments, they know what to expect.  Taking before and after photos with these patients is very important or if you have a computerized image system (Visia), it is also helpful. At the end, the patient will be satisfied and feel that they got good results but realistic ones and you will save yourself from a potential headache.