I met with Dr. Kotler yesterday for a consultation on a Non-Surgical Rhinoplasty using permanent silicone injections. I have some previous trauma around my nose that has left grooves and bumps. I like my nose or rather what it used to look like so my goal is to see whether injections to create semblance of symmetry would work for me. I have been doing somewhat of a passive research on my options for the past 5-6 years. Passive - because I was not willing to do a full-on rhinoplasty since 1) it's painful 2) you have to take considerable time-off from work and 3) the results are not 100% predictable. The idea of injections appealed to me on many levels - easy, cheaper and most importantly pain-free.
It's important to note that Dr. Kotler uses permanent injections that do not disappear if you change your mind or are unhappy. He uses Silikon 1000, an FDA cleared and medical-grade liquid silicone. This is an “off-label” use for this silicone but it's deemed very safe because the FDA approval is for use inside the human eye to correct a detached retina. That said, only a handful of professionals are skilled in using this technique and you have to ask your surgeon about their prior experience. I would highly discourage anyone seeking this technique just from any plastic surgeon - it could be a recipe for disaster. I also consulted my ENT doctor, who I trust 100%. He strongly discouraged me from going down this route. His concern was that silicone, once injected, could move around and end up in unplanned places. Per Dr. Kotler, he has never had this happen to any of his patients. He injects micro-droplets of silicone that the body walls off and automatically plumps up the depression (fibroplasia). At the end of the day, this is my decision and I decided to go for it.
I booked my consultation through RealSelf.com due to the 25% off for the first session offer (I will break it down further). Although RealSelf indicated that someone was going to get back to me ASAP, I did not get a call from Dr. Kotler’s office for several days. I ended up calling them myself. Here’s the breakdown of how the process works:
1) First you have a consultation, which costs $200 and goes towards your procedure fee.
2) You can opt to have a saline demo – basically Dr. Kotler doing completely safe saline injections into your nose for you to pre-experience what it will look like. This optional procedure is not part of the $200 consultation. The saline demo costs $500.
3) After the consultation, Dr. Kotler determines how many treatment sessions you will need. In my case, he mentioned about 3. Each treatment session costs $1,000. In my case because I booked through Real Self, the first treatment is $750.
This is how my payment process went down: I paid $500 for my first visit. It included $200 consultation fee that went towards the saline demo (as opposed to your consult fee going towards your first treatment fee – it doesn’t matter what it goes towards, you end up paying the same amount in the end. In my case I just ended up “delaying” $200 into the next session). So, eventually, I will end up paying $500 + $750 (first treatment with 25% off RealSelf discount) + $1,000 (second treatment) + $1,000 (third treatment) = $3,250 total. Now, it is not exactly rock bottom prices but still a third of what rhinoplasty costs. Also, Dr. Kotler is the best out there, so you’re paying a premium for the best possible outcome.
Now to my experience with Dr. Kotler – he is smart, confident and has great bedside manner. He doesn't rush you in and out of the appointment, he takes his time, listens to your story and makes sure all your questions are answered. I liked that about him very much. In my research, I found that for me it’s extremely important to have a 100% positive gut feeling. I am allergic to surgeons who are salespeople as opposed to devoted craftspeople. (Now his staff can do all the sales they want, I could handle it from them just not from the doc himself.) The saline demo was a very worthy investment. I encourage everyone to try it. When Dr. Kotler and I first discussed the present shape of my nose, he was a bit tentative about what results he could deliver, almost underpromising (which I also appreciate). Once he started plumping up my nose with the saline (which is basically salty water that absorbs back into the body within two hours) I got a feeling he was pleasantly surprised to see how good the results were. I need to mention that my nose is rather small so giving it a bit more volume for the purpose of disguising grooves and bumps actually worked perfectly for me. Imagine how I felt – I was so emotional, I looked in the mirror and felt like someone had just waved a magic wand. My mental picture of what I was hoping for, materialized in front of my eyes. I also want to mention that I have very realistic expectations – I wasn’t going in there to get Natalie Portman’s nose. I was hoping for some corrections while maintaining the general feel of my face’s geometry. I was elated, happy and probably beaming the entire time. I am going to post the pictures of my saline demo once Dr. Kotler’s office sends them to me. I am ready to schedule my first treatment. Each of my potential three treatments using the permanent silicone filler will be spaced out with 6 weeks in between. This is so that the silicone has time to settle in and form that fibroplasia I was talking about earlier. To be continued.