Discussing the risks of further cosmetic surgery
Mr Yannis is a cosmetic surgeon working in the independent sector. Mrs Melville has come to see him to discuss a second face lift.
Mr Yannis is concerned that further surgery may not have the desired cosmetic outcome and that the risk of surgery could outweigh the benefit.
In addition Mrs Melville's GP, who made the initial referral to Mr Yannis, has said she is not in favour of further surgery and Mrs Melville has said that she doesn't want her GP to be informed.