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POSTED UNDER Rhinoplasty REVIEWS

Looking for the BEST Primary Rhino Doctor (Gruber, Grigoryants Etc)

ORIGINAL POST

I am tall, pretty and slender and have a nice nose...

CoutureGirl1
$10,000
I am tall, pretty and slender and have a nice nose aside from a small bump and a slightly lowered tip. I am wanting the best doctor that money can buy and prefer beautiful and elegant noses to the "cutesyish" noses. I have thin skin and a straight nose, so I am just looking for someone with an amazing aesthetic.

I love Grigoryants noses, but feel that sometimes he takes away too much columnella and one gets a "flat appearance" as opposed to a more elegant look.

My concerns with Gruber are that is older and sometimes his noses look "done" to me.

Please don't recommend any unknown Doctors etc. I am looking to go to the very best. I see a lot of noses posted on this site that I would be VERY unhappy with as a finished result.

Replies (18)

February 27, 2014
Please do keep me posted, thanks for sucha great question
February 27, 2014
Please think twice about your listed choices. Surgeons have a right to retouch any before and after pictures they take of their patients. Most of the pictures you're seeing are not how results turn out. You may end up being disappointed.
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February 27, 2014
I agree with penguinz11, my primary surgeon has amazing b/a photos and that was the main reason I chose him. Guess what, I am very disappointed with how my nose turned out! I believe most of these after photos we see on surgeons websites are nothing but photoshop!
March 1, 2014
Who do you recommend?
March 1, 2014
Whom do you recommend?
March 1, 2014
To all those saying that doctors aren't allowed to retouch after pictures, get your facts straight. When you sign the paperwork to go ahead with surgery, there is a point in there that clearly states that they in fact can retouch pictures as they deem necessary. Please read everything you sign and best of luck to you
March 1, 2014
Again, do you have a recommendation since you seem to not like the surgeons that I posted?
March 1, 2014
I read every single word of every paper I signed. Most intelligent people do. My surgeon was Grigoryants and he does not alter his photos. If for a second I even suspected he retouched his photos, I would've walked out of his office.
March 1, 2014
I have no experience with Gruber so I cannot comment. But I did like Grigoryant's before and after pictures very much because they all seem to look natural and fit the individual faces perfectly. However, my nose did not turn out anything like we had discussed and I'm disappointed with the results given his before and afters. My nose does not look anything like Grigoryants said it would and my expectations were very realistic. I've learned since then that others have been disappointed too since he didn't do what they had asked. Your case may be different, who knows. I just meant to say that you may end up disappointed. If I had to do it all over again, I would not have chosen Grigoryants. Aside from the aesthetics, I'm still disappointed with the results. Following the surgery, I now have a bone sticking up right under my tear duct. There are others who had a similar experience with him and they had problems with breathing and crookedness. I'm not trying to damage his reputation, but I think it's important to know that these things do happen. I just wanted to comment because I had the same mindset going in, (I wouldn't spare any amount of money to get the best surgeon possible). Good luck to you, I wish you all the best since I know what it feels like to be disappointed in your appearance, breathing and overall results. It's very difficult to deal with bad results because you just don't recognize yourself anymore and your other features don't look like they did before.
March 1, 2014
Penguinz, I understand where you are coming from. Pls private message me as I don't want to discuss over a public forum the issues that I have with my nose.
March 1, 2014
You know this has been my experience, I don't have to justify or prove it to anyone. I just wanted to share my experience, because there are people out there who have terrible experiences with any doctor/any procedure and they don't let others know. If someone has a bad result, chances are it's because prior patients of that doctor didn't speak up. Maybe you should be discussing things over a public forum. Had someone shared their honest opinion and experience like I am, I and many other patients would not be going through this disappointment.
March 1, 2014
No need to be defensive. I'm just approaching a year and have been giving it time in hopes of it getting better. Now that I'm approaching 1 year I have come to terms that this is my final result which is why I am speaking out now, not that I have to explain myself to you or anyone else. For some people, it's upsetting to talk/discuss a disappointing result as it makes it more real. I did my research before I chose my surgeon and I came across all sorts of reviews. I weighed my options and ultimately went with him as the good reviews outnumbered the bad reviews. I'm sure you are aware that every dr has bad reviews especially a dr like dr g who predominately does rhinoplasties - he's bound to have disappointed patients. I'm not defending him as I too am unhappy but he's working with me and has been responsive and supportive throughout the process. Couturegirl- for what's it's worth I do this he's a good surgeon but you need to be absolutely specific about what you want. He's busy and tends to forget things so remind him of your needs and I think he can deliver.
February 28, 2014
I contacted Dr Gruber's and Dr Grigoryants offices about before and after photos. Both offices told me that their photos not retouched and they can show you original photos and more photos in the office. Gruber's office told me surgeons are not allowed to retouch them.
February 28, 2014
By Law, surgeons are not allowed to retouch photos as it is considered false advertising. Also, known doctors aren't necessarily the best doctors. All it could mean is they have good marketing reps. How much you pay and the zip code your Doctor is located in has very little do with the actual skill of a surgeon. Some of the better doctors are in fact "unknown" doctors.
February 20, 2017
Marmar84 I understand your revision was beautiful. Congrats! Gives me hope.
March 1, 2014
Any recommendations? How are Naderi and Ghavami?
UPDATED FROM CoutureGirl1

Any suggestions would be very helpful.

CoutureGirl1
Please post who you're surgeon was and if you're happy or dissatisfied.

Replies (17)

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March 5, 2014
It is very scary to know that no matter who you will go with the result might be disappointing. I am sure doctors don't show off less than perfect photos of their patients when you are asking to see samples of nose jobs. The doctor i decided to go with waves his fees if his patient is not satisfied with a result and wants something to be redone. I don't want to have multiple surgeries, but it gave me some confidence. That doctor has 2% of "unhappy" patients (or so they say - who knows). :)
March 6, 2014
So true. The doctor that I have chosen does the same in terms of waiving the revision costs should a change be appropriate. I have to say that I consulted with several members of the Rhinoplasty society-- an exclusive group of rhino doctors and two of them told me that any doctor that tells you that he does less than 15% revisions on his own work is full of [RS bleep] :).
March 6, 2014
These are the EXACT doctors I'm considering. I met with both of them. Grigoryants is warmer and will spend time with you going over his plan and explaining things. I did a ridiculous amount of research and am informed about the mechanics of the nose and he seemed to appreciate this and wanted to engage in a more sophisticated conversation about the architecture of the nose. Gruber was more curt, and you sort of have to trust that he knows what he's doing. He talked about specifics, but was less inclined to get really into details. Have you consulted with either? Gruber's age concerns me too
March 6, 2014
I will add the following: I am totally with you about preferring an elegant nose over a cutesy nose. I think Grigoryants veers into too cutesy/upturned. That doesn't suit my personality and I have read (from this thread included) that he sometimes doesn't take into account the patient's aesthetic preference due to his busyness. Plus, I think cutesy is just his defacto 'look'--you can't go to a surgeon who has a different aesthetic than you and expect him to conform to your wishes. This is why I think I have crossed him off his list. The upturned, dainty look really works for some people, I just don't think it would work for my face. Gruber's aesthetic, on the other hand, I really really like. From what I've seen anyway. It's just his age that's tripping me up.
March 7, 2014
Maybe age can be a positive. He's bound to have more experience if he's older
March 7, 2014
but he's 74. i agree, experience is a tremendous plus, but 74 is pushing it. you lose hand-eye coordination and details. my father is in his late 60s and says he would not trust someone his age with a precision surgery like rhino that requires such a steady hand and meticulous detail.
March 7, 2014
I would normally agree with you, but I have a lot of friends who are doctors and they suggested that at 72, he would still be fine as far as steadiness of hands etc. My main issue with Gruber is that I really didn't want to do an open rhino (his preference). I also felt that his noses tended to be a little too sloped for my preference. I actually found him very sweet and gentle, but businesslike at the same time. I found Grigoryants to be very friendly, thorough and patient in answering all of my questions. After having seen both he and Grigoryants, I chose Grigoryants. I felt that he understood what I want, what my expectations are and felt that we were on the same page. I decided a month ago that I wanted to book surgeries with both doctors and see how I felt. I ended up deciding that Grigoryants was the better option for me. I think Gruber would have done an amazing job as well, but I think there is something to be said for someone that does 3 surgeries per day-- more rhinos than most doctors do in a week. I felt that the office staff was "warmer" at Gruber, but as I am there for the best surgeon and results, I am less concerned with that. My surgery is scheduled for 8am tomorrow morning and to be honest, I am more scared of getting the IV than anything else :(. I very clearly explained to him that I do not want an upturned, cutesy nose, that instead I prefer an elegant nose. I had my pre-op this evening and also dressed in a way that would convey to him my aesthetics.
March 7, 2014
I added paragraphs, however, they don't seem to be appearing? Apologies.
March 8, 2014
That is awesome, congrats on making a decision! I love grigoryants' personality and he seems not only incredibly diligent but extremely determined to make his patients happy. Out of all the docs I've researched, he has the largest constituents of happy patients so I think you made a great choice. I hope you'll keep us updated! I am still considering him and too want an elegant nose so I would love to hear your experience!
March 8, 2014
Thank you! Surgery went smoothly-- my surgery was at 10am. I arrived at 8am, did the paperwork at the hospital and started the intake process. The nurses were LOVELY, absolutely so sweet and helpful. Since I hate needles the nurse wanted to the anesthesiologist to start the line-- I got wheeled to the pre-or and the anethstisologist came over and did an AMAZINGLY painless insertion (Dr. G was lovey as well and stood there with my husband whilst I was whining like a baby). He was pinching my other hand while I was holding onto my husband's hand with a death grip! I will say that whatever the anesthesiologist used in her "mix" was perfect. I woke up fairly quickly with some mild nausea and was very hot. She put something in my IV line (anti-nausea) and I felt better very quickly. I had also asked that they use as little painkiller in my IV post op as possible so that I wouldn't feel so nauseated and gross after. After a short time there, I was wheeled into the previous waiting area where my husband was able to sit with me, they gave me crackers and a soda and checked vitals etc. I was still feeling a bit queasy so I tried to throw up (sorry TMI) and threw up some blood and felt SO GOOD after. Also, I have a great recommendation for everyone flying in for surgery with Grigoryants. Last night we stayed at the Langham in Pasadena and then today moved over to a lovely little home about 5 minutes from the office. I am very much a "Four Seasons/St. Regis" kinda girl and am finding this place very comfortable (plus the owner allows small dogs-- a must). So far today I have only taken 1/2 of a Norco and my antibiotics, have hardly had to sleep at all (dozed in and out for an hour when we got back to the house) and have eaten pineapple and some blueberries and had a lot of water. I am very pleasantly surprised at how well today has gone and am hoping for the same tomorrow! I will definitely keep you updated.
March 8, 2014
OMG the paragraph issue again-- what do I do instead of spaces between in order for them to show up?
March 8, 2014
Sounds like a successful surgery with caring staff! I too get very nauseous with medication so it's good to hear they have remedies for that. Excited for your progress and wishing you a happy recovery!
March 13, 2014
So I got my cast off today-- it was 100% painless as this whole process has been. I hardly had any bruising as I consumed copious amounts of papaya, pineapple, arnica, watermelon, broccoli, hard boiled egg whites, a gallon of water per day and no sodium. The cast removal was a breeze, Gohar is so sweet and made the whole thing so easy. Aside from the obvious swelling, I am very pleased with the outcome. Dr. Grigoryants is a lovely person and very skilled surgeon and someone whom I recommend without any reservations.
March 19, 2014
Could you PM me your before and afters please? I'm going wit Dr. G hopefully this July
March 20, 2014
Yes, happily-- I will take some photos tomorrow morning :)
March 20, 2014
Sounds like you had a great experience! Good to hear. I would love to see your before/afters as well if you're sharing :)
August 18, 2014
Please may I see your before and afters? How is it doing a few months down the line? I am worried about the noses holding out in the long run because his noses always look so small? Many thanks for sharing! :)