Tan v Benkovic

Case [2000] NSWCA 295


CITATION: TAN v BENKOVIC [2000] NSWCA 295
FILE NUMBER(S): CA 40109/99
HEARING DATE(S): 25 August 2000
JUDGMENT DATE:
26 October 2000

PARTIES :


Dr Eng-Peng TAN v Seka BENKOVIC
JUDGMENT OF: Mason P at 1; Stein JA at 51; Heydon JA at 52
LOWER COURT JURISDICTION : District Court
LOWER COURT
FILE NUMBER(S) :
DC 2644/97
LOWER COURT
JUDICIAL OFFICER :
Mahoney DCJ
COUNSEL: Appellant: P R Garling SC
Respondent: D H K Donovan QC
SOLICITORS: Appellant: Phillips Fox
Respondent: Gerard Malouf & Partners
CATCHWORDS: Negligence - specialist plastic surgery - unfulfilled promises and blandishments of surgeon induce patient to have facelift - patient left angry and depressed by surgery results - surgeon found negligent in not informing patient of full range of risks - Rogers v Whitaker not offering a basis for recovering damages for disappointments - surgeon not acting improperly to encourage patient to proceed with facelift - not proper to treat patient as lacking autonomy - aggravated damages - discussion of expression "contumelious disregard for the doctor-patient relationship obligations" - aggravated damages set aside - exemplary damages - gross negligence attending a medical procedure - surgeon not showing a conscious and contumelious disregard for the plaintiff’s rights - exemplary damages set aside - invocation of Robinson v Riley to consider whether sufficient compensatory damages awarded before setting aside aggravated and exemplary damages - (D).
DECISION: Appeal allowed with costs.



THE SUPREME COURT
OF NEW SOUTH WALES
COURT OF APPEAL
                            CA 40109/99
                            DC 2644/97
                                MASON P
                                STEIN JA
                                HEYDON JA

                        Thursday 26 October 2000

    ENG-PENG TAN v SEKA BENKOVIC


The respondent sued the appellant in the District Court claiming damages for negligence as a specialist plastic surgeon. On 19 April 1995 the respondent’s general practitioner gave a referral to the appellant “for cosmetic surgery”. She saw the appellant on 9 May 1995 and decided to have a facelift in light of the discussion. The appellant told the respondent on 9 May that he would make her look 20 years younger; she would feel like a different person; and the operation would not leave her looking like a mummy. The appellant also told the respondent that it was his mission on earth to make people beautiful and that facelifting was his specialty (“the blandishments”).

On a visit on 29 August 1995 the appellant discussed a number of post-operatives that would or might occur. The surgery occurred at a later date. From the outset the respondent complained about the outcome. She was unhappy about tightness, asymmetry and lines on her lips. Initially the appellant told the respondent that the facial surgery could not be reversed, and he refused to carry out any further surgical procedures. The respondent persisted in her complaints, there were attempts to telephone the appellant which were taken by his nurse/receptionist but not transferred through to him. The appellant later carried out revision surgery on the respondent’s lips, and performed minor excision surgery and scar revision. The appellant finally refused to perform any more surgery…

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AGLC
Tan v Benkovic [2000] NSWCA 295
Case
[2000] NSWCA 295
Decision Date

CaseChat Overview and Summary

In *Tan v Benkovic*, the New South Wales Court of Appeal considered a claim by a patient against a specialist plastic surgeon. The patient alleged negligence arising from a facelift procedure, claiming the surgeon's unfulfilled promises and blandishments induced her to undergo the surgery, leaving her angry and depressed by the results.

The primary legal issues before the Court of Appeal were whether the surgeon was negligent in failing to adequately inform the patient of the full range of risks associated with the facelift, and whether the patient was entitled to aggravated and exemplary damages. The Court also had to consider the application of *Rogers v Whitaker* in relation to damages for disappointment and the principles governing aggravated and exemplary damages in the context of medical negligence.

The Court found that the surgeon was negligent in not informing the patient of the full range of risks, but held that *Rogers v Whitaker* did not provide a basis for recovering damages for disappointment. The Court also determined that the surgeon had not acted improperly to encourage the patient to proceed with the facelift, nor was it appropriate to treat the patient as lacking autonomy. Regarding aggravated damages, the Court found that the surgeon had not demonstrated a "contumelious disregard for the doctor-patient relationship obligations," and therefore set aside the award of aggravated damages. Similarly, the Court found no evidence of a "conscious and contumelious disregard for the plaintiff’s rights" to justify exemplary damages, and this award was also set aside. The Court invoked the principles from *Robinson v Riley* to consider whether sufficient compensatory damages had been awarded before setting aside the aggravated and exemplary damages.

The Court of Appeal allowed the appeal with costs.

Orders

Orders of the court

Appeal allowed with costs.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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