What questions should be asked in a rhinoplasty consultation
Rhinoplasty Questions You Must Ask a Doctor in a Consultation
Doctor Answers 49
5 questions to ask your doctor about rhinoplasty
Ask about :
4. the facility
5. the Dr’s philosophy
What to ask your doctor about rhinoplasty
This is a great question. The difficulty is the health care industry is opaque and lacks transparency. It is particularly important when the services of a surgeon are needed. Quality of surgery is variable and obviously very important to find out ahead of time. In other areas of life there are rating services to help the consumer, like standard and poor, consumer reports, credit rating services or the better business bureau. Furthermore the patient isn't in a position or has the knowledge to accurately make that evaluation. A rating methodology could be developed and its accuracy could be improved over time, but there's no appetite currently by surgeons for this.
So patients are left with going with their feelings, without any objective data to guide them. Certainly you can ask questions to assess a surgeon's experience, like how many and how often. But the quality of the product (rhinoplasty) remains a guess. There is no independent and objective means to verify the surgeon's assertion he/she is good at the surgery the patient wants. Credentials are a starting point only. Necessary but, not always sufficient. And feeling good about the surgeon can mean only that he/she is socially skilled, not necessarily surgically so. Looking at before and afters will only show his/her successes. A media quoted surgeon often is thought to be an indication of quality, but may only mean he/she is media savvy and/or has a good publicist. Clearly a shabby office and rude office staff is a red flag, however a posh tony office although suggests confidence, may in fact mean only he/she spends more on overhead.
So in the end, my advice is direct word of mouth from a former patient as your best indicator.
Questions to ask your Rhinoplasty surgeon
First and foremost, you want to get a sense of the experience level and your surgeon's "eye" on beauty. While some surgeons are experienced in rhinoplasty, many may not be "on the same page" as you with what you are looking for in your nose. Your surgeon should be able to deliver results that match your expectations.
Of course your expectations should also be real. Therefore, you need to be well informed by your surgeon what he/she is thinking in the operative plan. Look at the before after pictures available to you and then choose based on your "gut feelings" after all this has taken place. You should also ask yourself, "can this surgeon do what's right and natural and if revision is necessary, will he care or be interested to make my nose as good as it can possibly be."
Here are some more general questions:
Are you board certified, if so by what board?
What is the extent of your experience in the highly specialized field of rhinoplasty?
Do you give lectures, write about, or teach rhinoplasty techniques to others?
What is your revision policy?
Do you feel that you can create the type of nose that I have talked with you about?
What type of anesthesia do you use and why?
Hope this helps!
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Questions to ask your doctor about rhinoplasty
There are alot of questions to ask and should know prior to the procedure and this serves as a good place to start:
Questions about your surgeon:
--Are you board certified?
--What percentage of your practice is devoted to rhinoplasty?
--Who did you learn rhinoplasty from (mentors)?
--What percentage of your practice is open versus closed rhinoplasty? Can you use both techniques?
--What is your revision rate on your own patients?
--Can you perform a septoplasty or do you have another physician perform this task?
--How many rhinoplasties have you performed?
--When was your last procedure performed?
--On average, how many rhinoplasty procedures do you perform in a year?
--How long do you spend on a rhinoplasty?
--Can I see before and after photographs of similar cases?
Questions about your procedure:
--What do I avoid prior to the procedure, including medications/herbal medications?
--What is recovery time like?
--What are potential complications and risks in a nose like mine?
--What do I need to do preop and postop to maximize my outcome?
--What type of anesthesia and why?
Rhinoplasty Questions You Must Ask a Doctor in a Consultation
Also ask about the facility used, is it an accredited facility, and does the surgeon use a board certified anesthesiologist or a nurse for anesthesia.
There are several important questions to ask during your rhinoplasty consultation:
1) Ask how many rhinoplasty surgeries the surgeon performs per week/month/year. Rhinoplasty is commonly considered the most challenging of plastic surgery procedures and is difficult to master if the surgeon only performs a few nose surgeries per year.
2) Ask to see before/after photos.
3) Ask the surgeon if they perform computer imaging of the nose. I find this to be a critical component of the consultation, as it allows the patients to see an anticipated "sneak preview" of their rhinoplasty results. It is a wonderful opportunity for the patient and surgeon to communicate their aesthetic sense to one another and ensure that you are on the same page going into surgery.
4) Ask about the type of anesthesia used? General/Deep Sedation, Conscious sedation, Local Anesthesia
5) Ask about the surgeon's training (residency, fellowship) and board certification.
6) Ask specific questions about the surgical plan: open (external) vs. closed (endonasal) approach, types of grafts used and make sure you understand the purpose of each maneuver
7) If you have any difficulty breathing through your nose, ask about insurance coverage for septoplasty (deviated septum surgery) and how this may affect your financial responsibilities.
8) Ask about the risks of surgery, the expected recovery time, the followup process, and the pre- and post-operative instructions.
The consultation is the single most important step in the whole surgical process. It may be worth your time to consult with more than one surgeon and make sure you are completely comfortable and well-informed moving forward. Feel free to ask questions or return for a second consultation after your first visit if you have any additional concerns.
Best of luck to you!
Umang Mehta, MD
Questions to Ask Your Plastic Surgeon Before Rhinoplasty Surgery
Questions to Ask Your Plastic Surgeon Before Rhinoplasty Surgery
Credentials and Experience
Are you board certified? If so, by what board and for how long?
Have you ever been disciplined by the board or by the state?
How many rhinoplasties have you performed?
How many revisions of your own work, on average, do you have to perform?
How many rhinoplasties do you perform on average, annually?
Can I look at a portfolio of before-and-after photos, and not just your perfect ones?
May I speak with any of patients who have had rhinoplasty by you?
Preparation and Recovery
Would there be any reason that I would not be a good candidate for a rhinoplasty?
What are the complications for rhinoplasty?
How far in advance is it necessary to schedule a surgery date?
How long do you recommend I take off from work, school, etc. to heal properly?
What medications will I be given; which pain medications do you normally prescribe?
What tips do you have for me to ease some discomfort and pain?
After surgery, will my nose be packed? With what type of packing? For how long?
When should I expect to look "normal" again?
Will I have scarring? If so, how bad will it be?
Must I follow any special diet, both preoperatively and postoperatively?
I wear eyeglasses. Will I be able to wear them the day after surgery on top of the cast? When can I wear my glasses normally?
I take (birth control, diet pills, antidepressants, etc.). Will I have any adverse reactions from the prescribed medications or anesthesia?
What are your routines and appointments for postoperative care?
If I will need sutures, when will they be taken out?
If I need anything after-hours after the surgery, how can I get in touch with you or your staff?
If I have an emergency the night after surgery, what should I do?
If such an emergency arises, will you be the attending physician?
How long after the surgery will I be able to exercise, run, or participate in contact sports?
Technique and Anesthesia
What kind of anesthesia do you use for rhinoplasty? Why?
Do you offer any other anesthesia options?
Who will administer anesthesia and what are that person's credentials?
What structural changes to my nose will you need to do?
Will I need a graft? If so, what kind?
Do you prefer to perform your procedures open or closed? Why?
Where will the surgery be performed?
If the surgery will not be done in a hospital, is the surgery center or suite accredited?
Do you have hospital privileges and, if so, at what hospitals?
If you don't have hospital privileges, why not?
Do you believe my expectations can be met?
What if I have a complication?
If my results are not what I wanted, what is your policy on a revision?
What if I change my mind and back out, will my money be refunded?
Are there any other costs for lab work, postoperative check-ups, prescriptions/medications?
Do you offer financing?
When is payment due?
Questions to Ask at Rhinoplasty Consultation
Questions you should ask
- How many rhinoplasties have you performed, how often do you have to revise them, and can I talk to some of your previous patients?
- Are you Board Certified by either The American Board of Plastic Surgery or Board Certified in Facial Plastic Surgery?
- Can I see your Before and After Photos? You should like what you see.
- Where is the Surgery performed, who provides the anesthesia? You should be in a Certified OR and with an anesthesiologist.
- What are the costs involved, and what are the costs if a revision is necessary?
- Do you have imaging available of my photos so we can envision what is planned? These imaging photos are not meant to be exact, but a road map for discussion and to show what you like. Also bring in photos from magazines of noses that you like.
Choosing The right Rhinoplasty Surgeon is Very Important...Your Results will Depend on It...
One of your main goals when considering rhinoplasty should be to determine your surgeon's level of experience, skill and comfort with the rhinoplasty procedure.
First, you want to feel that your surgeon is passionate about rhinoplasty. Second, you want to get a good gut feeling about his sense of aesthetics and beauty. Third, make sure that he has had extensive training, exposure, and commitment to excellence in performing this procedure. Fourth, ideally they should belong to ASAPS, Rhinoplasty Society and ASPS. Fifth, your surgeon should spend adequate time evaluating your nose, be attentive and a good listener and give you feedback on your expectations form the rhinoplasty procedure. Last but not least after reviewing his before and after pictures with your surgeon, ask for some previous patients’ contact information so you can talk with them.
Additional Questions to Ask your Rhinoplasty Surgeon:
• What is your most favorite plastic surgery procedure you like to perform?
• How many rhinoplasty procedures you typically do?
• How much experience you have performing rhinoplasty?
• Do you think I will have a good result based on my goals, and expectations?
• Do you teach, write about, and give lectures about rhinoplasty?
• Why do you like doing rhinoplasty procedure?
• What is your revision policy?
In summary, you want to feel that your surgeon cares about you and cares about creating the best and most natural result you can possibly have.
You should tailor your questions about rhinoplasty based on your desires for the type of changes you are interested in
You should tailor your questions about rhinoplasty based on your desires for the type of changes you are interested in. If you were to ask questions about all aspects of rhinoplasty, you could be in for a long day / night so to speak. Your questions should be really centered around your interests. This will take also some research on how this procedure is performed, recovery, preparation etc. You should go into the consult informed of the procedure as much as possible to facilitate the discussion about your particular concerns based on your anatomy. Some common questions for your doctor though should be if he is board certified in this procedure, is he fellowship trained, how many rhinoplasties they have done, you should look at the before and afters of his procedure, you may consider asking for references from former patients as well. You really should look over all of his credentials. Where they studied can have a huge impact on their skills.