I had a consult with Dr. Joseph a long time ago, but I ultimately chose a different doctor (in Washington, DC) to perform my rhinoplasty last year. I looked him up today out of curiosity and read your post. So, I honestly have no bias here.
Reading your various reviews and comments, it seems like you have very high expectations regarding possible treatments, and that you've been very unhappy with not being able to fix certain parts of your appearance. I don't think your doctors are manipulative, dishonest, or rude -- honestly, I think maybe they were trying to "dodge" you because they could sense that you were not going to be happy with their treatments.
I work as a healthcare consultant, and one thing I hear over and over is that doctors are advised to avoid or reject patients who they don't think will be satisfied. Thus, I suspect that maybe they were trying to avoid that outcome (of you being even more unhappy with them). Honestly, I think it's human nature + pure business savvy -- of course they're going to be happier with patients who are already pretty happy with themselves (and thus easier to please). No doctor wants an unhappy patient + possible lawsuit, after all. Just my $.02. I do hope you are able to find adequate treatment in the future.
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Posted to Long over Due Review with Silikon 1000 - West Orange, NJ on 5 Apr 2013