Boca Raton Septoplasty doctors

	Rian Maercks, MD Miami Plastic Surgeon 757 Arthur Godfrey Road, Miami Beach		4 answers
	Ryan Greene, MD, PhD Fort Lauderdale Facial Plastic Surgeon 4900 W. Oakland Park Blvd. Suite 300, Ft. Lauderdale		3 answers
	Steven Schuster, MD Boca Raton Plastic Surgeon 1905 Clint Moore Rd. Suite 101 , Boca Raton		1 answer
	Jonathan Berman, MD Palm Beach Plastic Surgeon 670 Glades Road Suite 240, Boca Raton
	Jeffrey S. Epstein, MD Miami Facial Plastic Surgeon 6280 Sunset Drive Suite 504, Miami

Recent Answers

Cincinnati Ohio ENT Recommendations I have a deviated septum, bone spur and my left nostril is almost closed. I am 30 yr old but have had severe breathing problems since I can remember. I am looking for ENT specialist recommendations in Cincinnati Ohio. Also wondering what portion would be potentially paid by my insurance? Thank You

A: Cincinatti rhinoplasty

I would recommend seeing aplastic surgeon. Dr. Curtis Martin does a nice job with rhinoplasty in cincinnati

All the best,

Rian A. MAercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon

Crooked Nose One Year After Septo-rhinoplasty, If This Possible to Fix? I am ONE year post primary septo-rhinoplasty. Pre-surgery, I had an almost perfect profile and straight nose & even nostrils. What I asked for was correction of breathing problem and narrower nose. My nose is much bigger than before, crooked and noticeably shifted to the left, tip is hard and bulbous and nostrils uneven. I also have chronic pain in the bridge and tip areas. I consulted 3 different surgeons, all say different things. My own surgeon says he can't help further. Any Suggestions?

A: Avoiding problems in revisional rhinoplasty or septoplasty

There are many possible causes for your dissatisfaction. Without pictures it is very difficult to comment. The good news is there is nearly always a reasonable solution. I would seek out a plastic and reconstructive surgeon with craniofacial training as this is where I developed my technique and skills in treating secondary and tertiary rhinoplasty. Unfortunately most patients slide down a slippery slope after one unsatisfactory rhinoplasty. they often visit another surgeon with limited rhinoplasty expertise that does not identify the root problems and actually worsens the situation by removing more and more cartilage. This is when patients get to the point of 'tertiary rhinoplasty' where rib cartilage is actually needed to recreate aesthetic structure. Avoid this path by seeking an appropriately trained practitioner with this expertise!

All the best,

Rian A. Maercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon

Septoplasty Vs Rhinoplasty for Crooked Nose? I have a crooked nose. Will Septoplasty fix it or will I need Rhinoplasty as well? Are there any closed options available? Looking at my picture, if I get Septoplasty, should I get Rhinoplasty anyway to make my nose smaller?

A: Septoplasty and rhinoplasty in the treatment of the crooked nose

The terms septoplasty and rhinoplasty can be very confusing for patients. Truly treating a crooked nose involved separating the five major aesthetic structural units from eachother, the paired upper lateral cartilages, the paired lower lateral cartilages and the septum. Once this is completed, a submucuos resection of the central septum is completed. It is only after these steps that the forces and form of each structure can be evaluated and treated. The components are reattached using suture techniques to balance forces and grafts from the resected septum. A rhinoplasty for crooked nose therefore technically always includes a septoplasty and a septoplasty alone will simply not treat a crooked nose efficaciously. I hope this helps!

All the best,

Rian A. Maercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon