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Patient Complaint Regarding Treatment Plan and Communication at Wansiri I am documenting my concerns regarding the communication, treatment planning, and services I received at Wansiri. Before my appointment, I specifically requested the following treatments: * Ablative CO2 laser treatment for the full face and décolletage * Ultherapy for the full face The estimated total cost discussed was approximately USD 2,000. The doctor agreed to this proposed treatment plan, and I confirmed that I wished to proceed based on that agreement. However, on the day of the scheduled treatment, the doctor informed me that she did not want to perform any CO2 laser treatment on my face. This was a significant change from the treatment plan that had previously been discussed and agreed upon. Instead, the doctor and coordinator recommended a different package consisting of: * Thermage treatment around the eyes * Ultherapy for the full face * Microneedling The revised package cost approximately USD 5,000, which was more than double the original estimate. My primary concerns were not adequately addressed. In particular: * No CO2 laser treatment was performed on my face. * No treatment was provided for my décolletage. * The crepey skin around my eyes, which was one of my main concerns, was not adequately addressed. * The treatment plan was substantially changed on the day of the procedure, after I had already traveled to and committed to receiving treatment at the clinic. * The reasons for changing the original treatment plan were not clearly explained before the appointment. * I was presented with considerably more expensive alternatives without adequate time to consider the change or seek another medical opinion. I relied on the doctor’s prior agreement when deciding to proceed with treatment at Wansiri. Had I been informed in advance that the doctor would not perform CO2 laser treatment on my face or décolletage, I could have reconsidered the appointment, consulted another provider, or made a more informed decision. As a result, I felt pressured into accepting a treatment package that was significantly more expensive than the original estimate and that did not adequately address the skin concerns for which I sought treatment. I left feeling that the communication had been misleading and that I had not received the treatment plan I had originally agreed to. I believe communication between the doctor, coordinator, and patient should be improved. Any changes to an agreed treatment plan, particularly changes involving substantially different procedures and costs, should be clearly communicated before the patient arrives for treatment. I am requesting a written explanation of: 1. Why the originally agreed CO2 laser treatment was declined on the day of treatment. 2. Why I was not informed of this change before the appointment. 3. Why no treatment was provided for my décolletage. 4. How the recommended treatments were intended to address the crepey skin around my eyes. 5. Why the final cost increased from approximately USD 2,000 to approximately USD 5,000. 6. What resolution or compensation the clinic proposes regarding the difference between the agreed treatment plan and the services ultimately provided.

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