Pasha

Najdat Pasha, M.D., appeals from a judgment denying a writ of mandate to compel respondent, Board of Medical Quality Assurance, to vacate a disciplinary order. We affirm.

Facts

This case concerns the plastic surgery performed by appellant on two patients, Monique Brisson and Hilda Gicante. At all relevant times, appel *442 lant was rendering services as a plastic surgeon for the Frankel Medical Clinic (Clinic) in its Los Angeles and San Diego offices.

In March 1980, Monique Brisson visited the Clinic’s Los Angeles office to inquire about cosmetic eyelid surgery. 2 According to Brisson, appellant and the Clinic’s beauty consultant suggested that she have cosmetic nose surgery (rhinoplasty). At the time of this initial consultation, Brisson’s nose had a low wide bridge with a slight deviation, asymmetrical slightly flaring nostrils, and a notch on the right outer nostril. 3 Appellant told Brisson that he would build up the bridge of her nose with ear cartilage. Brisson thereafter consented to the surgery.

On March 18, 1980, appellant performed the following surgical procedures on Brisson: Implanting a medium-sized silastic (plastic-like) implant over the bridge of the…