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15 Basic Questions To Ask Your Rhinoplasty Surgeon

  • 2 years ago

So you've scheduled a rhinoplasty consultation (woo-hoo!) and you're wondering what questions to ask your potential surgeon. Look no further. Here's a list of 15 standard questions each doctor should be able to easily answer.

1. Are you board certified and if so, by what board? (ASPS and ASAPS are both great answers).

2. How experienced are you in performing rhinoplasties? (ie, how many have you done and for how many years have you done them?).

3. What percentage of your practice is devoted to rhinoplasty?

4. When did you perform your last rhinoplasty?

5. What is your percentage of happy patients?

6. What is your policy on revisions?

7. What is your revision rate on your own patients?

8. How long do you spend performing a rhinoplasty like mine?

9. What are potential complications and risks in a nose like mine?

10. What type of rhinoplasty technique will you use for me?

11. What type of anesthesia do you use and why?

12. What sort of facility do you operate in and, if not in a hospital OR, what is your protocol in the case of unexpected surgical complications?

13. What percentage of your practice is open versus closed rhinoplasty? Can you use both techniques?

14. Can I see before and after cases of noses similar to mine?

15. Do you feel that you can create the type of nose that I have talked with you about?

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Heres my input! Only go to BOARD CERTIFIED plastic surgeons! ENT docs are not facial surgeons!
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What do you mean by BOARD ? How do I find a doc in my area ( Ontario ) that is board certified?
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Board certified generally means that plastic surgeons have to meet rigorous standards to be on certain boards. ASPS and ASAPS are both good boards that your plastic surgeon should be admitted to.
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Thank you very much. Does that apply to Canada? is there a website that shows who is signed to those boards
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Per the American Academy of Facial Plastic and Reconstructive Surgery (aafprs.org) "A large percentage of all facial plastic and reconstructive surgery is performed by board-certified otolaryngologists (specialist in ear, nose, and throat conditions or ENT), whose rigorous training in the complicated head and neck area includes extensive experience with facial plastic surgery techniques." For me, it was worth taking a look in to because I wanted as many qualified options as possible.
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Thank you these are great questions
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I'm scheduled with dr ghavami in Beverly Hills. He draws out exactly what he's going to over your photo. 3d imaging can be inaccurate and look weird.
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Another important question is: can you show me a computer simulation of what will happen to my nose? Although these cannot be 100% accurate, at least they will tell you that the doctor understood what you want.
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Even I am a visual person , but visual person or not ! I think everyone gets a better picture of what they want and what the doctor thinks the patient wants when using computer imaging for nose job surgeries .. it leaves less doubts in the mind of the surgeon and also, we get to review our decision .. like, sometimes , post surgery many want to get some other facial feature fixed to match their nose! Maybe there ar'nt guarantees but atleast it'll help both the doc and the patient land on the same goal ..and atleast they can 'start' with a common goal and its less regretful! I myself approached my PS ,Dr Philip Solomon in Toronto , with closed rhinoplasty in mind but he threw me suggestions as to what open rhinoplasty can offer as well .. even though I ve heard hes done majority in closed rhinoplasty, comparatively ; he suggests the open technique to those who he feels can benefit more from it .. So its beneficial that the patient always get a pic of post-op impact for review no matter how sure they are abot their needs.. else it'll result in going for a revision rhinoplasty
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If there is one tip I'd give anyone looking into rhinoplasty before they see a surgeon...do you're own research on what you want to take care of and the language to use/swelling expectations. That's worth two or three consults. One has limited control over the success of the rhinoplasty itself, but patients should know they won't be seeing their "new" nose (and might see something a little shocking, till it looks like a nose) for a while. Additional items: 16. What do you do for aftercare when it comes to pain, post-rhinoplasty swelling, and follow-up? 17. Can you give me a rough estimate of how long I'll be swollen and what it'll be like? (This might be difficult for a doctor to answer...swelling in open rhino is so much more up and down/extended than for closed rhino.) 18. What implants do you intend to use, if any? 19. Are there any conditions I need to take into account based on my skin type and nose shape? (Also might be hard to answer, but I think I'd ask to see pictures of patients with my skin type.)
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Great additions, irsi! Thank you.

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If they don't have time to listen to your silly list, leave and forget about surgery.

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A surgery will attain success only through selecting a good surgeon. As enquiry is the only way to pick the skilled one, the questions you have posted is highly useful. I am planing to do a rhinoplasty surgery to cure the crookedness of my nose. Thanks a lot for your help.
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I think that these questions are very important, but more than that, I think that your board-certified plastic surgeon should also answer your questions satisfactorily because if he leaves more doubt than security, I think that you should look for more doctors. And, regarding 3D imaging, I think that its very helpful especially for people who are very visual but this should not be the major factor in your decision making; both should agree about realistic results and how the doctor will do it.
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I am printing this list to take with me to my consults. Thank you so much!
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I kinda disagree with those surgeons which I have heard before. What image someone has in there head could be different to what the surgeon is explaining. A picture shows the goal of surgeon and patient. my surgeon also showed me a computer image of what it could look like if in the small chance of not getting it as perfect as wanted which I didn't really like but at least I know and he is honest. a lot of surgeons don't let you have photos because if your nose doesn't turn out like the photo you have more leverage against them in a disagreement etc. Giving an image shows how confident the surgeon is. before my consultation I thought I knew what I wanted to make it look better ( and i had been studying my nose and photos like crazy) and then it was quite differrent what he recommended to what I thought in my mind. when I saw it on the screen n made sense and saw how it balanced my face etc I don't think I could go an get rhinoplasty not having imaging done beforehand especially. I understand it could come out different and it is only an indication and agree that is key also. This is your face I would really try to find someone with computer imaging, lots of experience, happy patients and use your gut instinct and common sense does he/she 'sell' or advertise there work or can you see real people with real results etc I read a book called 'men are stupid and like big boobs' by joan rivers its actually really good and I remember her talking about the computer imaging topic might be worth a read :) Hope you can find a good doctor with imaging too, maybe you could travel a bit? :)
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Agree completely . Sometimes you think you know exactly what you want but what your doctor suggests is much better looking and when you see it on the computer you will realize you really like his suggestions. Or, the total opposite can happen and you figure out that you have completely different aesthetic tastes.
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I have been told by 3 PS offices that they feel computer imaging can lead to false expectations. They also all went even further to say that a Dr that uses that imaging is doing so more for luring and less on actual results. I happen to agree with seeing what could be. I am also a visual person. I have yet to find a Dr that I want to consult with who actually has that available! Detroit Metro Area
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While it is true that it can lead to disappointment if you don't look like the picture, it really helps to show the doctor what kind of looks you do and don't like for yourself
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Agreed, it is much more clear to see what he/she is talking about. I am also a visual person so seeing things helps me understand better
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An excellent and practical list. However, I believe that another important question should be included: " Will I have computer imaging at my consultation?"

Having witnessed patient satisfaction with the opportunity to see a realistic and achieveable depiction of their proposed cosmetic procedure on a computer screen, since 1989, I believe a consultation without such imaging is deficient.

After all, shouldn't doctor and patient have a "meeting of the minds" as to what is to be accomplished? With the " before" and predicted " after" in front of everyone's eyes, communication is more clear and meaningful.The imaging session affords the patient to visualize various options that should be considered. After all, would you buy a piece of artwork from an artist without seeing it?


Robert Kotler, MD, FACS
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON and THE ESSENTIAL COSMETIC SURGERY COMPANION.

www.robertkotlermd.com
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