Patient asks how many cases you have done: how to respond

· 6 min read

Editorial illustration about the patient who asks how many cases you have done

Quick facts

Situation
The patient asks how many cases you have done before deciding
What they want to know
Whether they can trust you, not the number itself
Pitfall
Inflating the number or showing cases of other patients
Principle
A truthful, useful answer that exposes no one

The question "how many cases have you done?" tends to arrive in the middle of the consultation, sometimes with a tone of testing. It is rarely about the number. The patient is trying to gauge whether they can trust their own face to you, and uses what they have at hand: a count. Answering well requires understanding what lies behind it and giving a truthful answer that meets that doubt.

What does the patient really want to know?

Behind the count are more useful questions, and you can answer them without inventing anything.

  • Do you know what you are doing? Training, courses, time in practice.
  • What happens if something goes wrong? Preparation for complications and access to you afterward.
  • Will you treat me like just another patient? How you assess and personalize.
  • Have you treated someone like me? Experience with this type of concern.

What should you never do?

Inflating is the most common temptation and the most dangerous. If the patient commits to the plan believing in experience you do not have, the basis of their decision is false. If something goes wrong, that detail comes back against you, before the council and in court.

Attitude Why to avoid it
Giving an inflated number Decision based on false information
Saying "I lost count" when it is few Sounds like a lie and is easy to unravel
Showing photos of other patients without authorization Exposes third parties and violates Brazil's LGPD (data protection law)
Comparing yourself with colleagues Unethical and breeds distrust
Changing the subject Looks like you are hiding something

How to answer with honesty and firmness?

The structure is simple: fact, context and what it means for the patient. You can give an approximate number if it is true, or talk about time in practice, as long as it does not distort.

Notice what the sentence does: it does not inflate, it does not dodge, and it gives the patient what they need to decide.

What if I am early in my career?

Telling the truth with confidence is better than faking experience. Talk about your training, who supervised your first cases, how you carefully choose what you agree to treat and when you prefer to refer. Patients tend to respect someone who knows their own limits.

What if I have a lot of experience?

There is no need to exaggerate. A concrete account is worth more than a number: the type of case you see most, how you track progress and how you handle adjustments. Experience is shown by the clarity of your conduct, not by a scoreboard.

What about showing previous cases?

If the patient asks to see other patients, remember that a patient's image is sensitive personal data and can only be used with specific authorization. Without it, do not show it, not even "just a little." Read saying no to a request to see other patients' photos and image authorization for promotion.

How does Harmy fit into this conversation?

Instead of proving experience with numbers, you can show method. Creating the projection on the spot, marking the areas, setting the ml for each and showing the illustrative before and after demonstrates that there is a plan and a reasoning behind your conduct.

How to handle it if the tone seems distrustful?

Some patients ask with apprehension, others with aggression. In both cases, keep the same calm tone. Thank them for the question, answer what is true and show what the patient can check on their own: professional registration, place of care and informed consent. The attitude of someone who is not offended by the question already conveys confidence. If they still need time to decide, respect that: see undecided patient.

What to record?

Normally nothing specific, but if the conversation influenced the patient's decision, it is worth noting in the patient record that they were informed about your training and follow-up approach. This ties in with informed consent, which should reflect what the patient actually understood before deciding.

What signs of experience can the patient verify?

Instead of numbers, offer things they can check on their own. This shifts the conversation from impression to fact and shows transparency.

  • Council registration. The registration number and the qualification for the procedure, according to your council's rules.
  • Place of care. A licensed office, with materials stored and disposed of properly.
  • Informed consent. A clear document, given beforehand and explained calmly.
  • Follow-up plan. A scheduled return visit and a channel for questions.
  • Preparation for complications. Being able to say what you do if something goes off course, including having hyaluronidase available when hyaluronic acid is used.

If the question comes loaded with irony or insecurity, do not hit back. A calm answer is, in itself, a demonstration of experience.

Frequently asked questions

Do I have to say how many cases I have done?

There is no obligation to give an exact number, but the answer cannot be false or too evasive. Talk about your training, your time in practice and how you handle cases.

Can I round the number up to seem more experienced?

No. Inflating experience is dishonest and can become an ethical and legal problem if the patient decides based on it. Prefer a truthful answer, even if the number is small.

What if I am just starting out and have few cases?

Tell the truth with confidence: what you studied, who you trained with, how you prepare and what you do when something goes off course. Honesty well presented usually builds more trust than a high number.

Can I show other patients' cases to prove experience?

Only with an image authorization specific to that purpose and according to your council's rules. Without it, do not show them. See also the page on requests to see other patients' photos.

Harmy images are illustrative simulations generated by AI from the patient's photo to support the conversation between practitioner and patient. They are not a promise of results. Indication, technique, product and volume are solely the decision of the licensed practitioner. This content is for information only and does not replace a clinical assessment.

Terms mentioned