Paul E. Goco, MD

To Whom It May Concern:
I am writing to recommend Dr. Goco for revision rhinoplasty to address cosmetic issues caused by troublesome scar tissue.
Several years after my initial nose surgery, thick internal scar tissue developed that caused visible deformities in the shape and contours of my nose. This significantly impacted my self-esteem and satisfaction with my nasal appearance over time. After extensive research on revision specialists, I selected Dr. Goco to address the aesthetic issues caused by my nasal scarring.
Over the course of treatment, I underwent two in-office scar tissue reduction sessions spaced about 4-6 weeks apart. Dr. Goco used expert injection techniques to precisely target and break up the bands of rigid scar tissue. After just two sessions, the shape, symmetry and proportions of my nose dramatically improved. By my third follow-up visit, Dr. Goco determined no further injections were needed at that time. My nose now looks smooth, natural and aesthetically pleasing, without any visible signs of scarring or deformity. There has been a slight regeneration of tissue that he will be more than happy to address and resolve as quickly as past appointments coming up at my 6 month follow up appointment. Dr. Goco and Miss Cheryl are some of the finest professionals I’ve worked with, and are willing to continue helping my scar tissue reduction. They have been answers to prayers!
I am very happy with the cosmetic improvements to my nose after dealing with distress over my appearance for years. Dr. Goco combined medical skill, precision technique and compassionate care throughout this emotionally difficult process. His judgment proved correct in resolving my scarring issues efficiently over just two initial treatments. I highly recommend him to anyone seeking cosmetic revisions from troublesome rhinoplasty scar tissue. Please contact me if you need any other details on my very positive experience.
Sincerely,

I wanted to improve overall texture of my skin without the trial and error of expensive creams, along with my lack of patience. I decided on the micro needling and PRP treatment aka "Vampire Facelift". So after investigating and researching providers in my area I scheduled with Goco Aesthetics. This procedure did so much more for my skin than I ever anticipated. After one week all my old acne scars were gone. My skin felt tighter, full, and plump. My pores were much smaller. Any blackheads and excessive oiliness seemed to diminish. Best part of this procedure is that I reaped the benefits for over 6 months. I've recently had my second treatment done. I'm so much more comfortable and confident in my skin and going bare face. This is truly a game changer. Dr. Goco and his staff are truly the best at what they do.

In September 2018, I had a rhinoplasty, turbinate reduction, and septoplasty performed by the amazing Dr. Goco in Murfreesboro. It has been nearly 6 months since my surgery and I am in LOVE with my results! I feel so much more confident about my nose and I can breathe SO much better than I used to. Thank you, Dr. Goco!

Updated on 12 Mar 2020:
Note: (I accidentally posted another review instead of putting the update here, oops! Hopefully the mods will catch it).
Here are some update photos of my rhinoplasty/septoplasty/turbinate reduction surgery 1 year and 7 months post-op. I am still in love with results and I’m breathing great.

Updated on 18 Mar 2020:
Before, my nose was really droopy and it was a bit crooked too, especially when I smiled (deviated septum). My breathing was pretty obstructed by my deviated septum.

Updated on 18 Mar 2020:

After much research I decided to go to Dr. Goco for filler in my Cupid’s bow and nasolabial folds. This was my first time getting filler so I didn’t really know what to expect and was nervous about looking overfilled. Dr. Goco was so personable and took the time to really listen to what I wanted. He did an amazing job, it was better than what I was hoping for! The procedure was virtually painless, all I felt was a few small pricks that felt like mosquito bites, seriously it didn’t hurt. I followed his instructions to keep the area iced for a few hours after the procedure and I had no bruises, just slight swelling for the first few hours that was hardly noticeable. I will definitely be trusting him for any future procedures, so happy I found him!!

Had Botox and Radiesse done by Dr. Goco. I have a very low tolerance for pain, Dr. Goco was very patient with me and went out of his way to make sure I was comfortable. It's rare to find a doctor who will spend as much time with you as you need, to make sure all your concerns have been addressed. I've been twice to see Goco and I love my results. Botox in forehead and around eyes and Radiesse in marionette lines, upper lip and upper cheek area. Not sure how his prices compare with other places...the service I received both times is excellent and I wouldn't go anywhere else, even if I could get the products for less. Highly recommend!

I visit Dr. Goco and his staff frequently for facials, dermaplanes, and peels. He is located in Murfreesboro! His office staff is amazing and so welcoming! His estheticians are patient, thorough and it overly pushy with treatments and products. I have been so pleased with my treatments and services at Dr. Goco's office!

I have always noticed and disliked the dorsal hump on my nose along with the way my nose slightly curved down, especially when smiling. I consistently noticed it in photos and by simply looking in the mirror. I pretty much hated when the profile of my face was ever caught in a photo because of these two details.

Consult with Dr. Goco went very well . He took his time to explain what to expect from the filler.. Im 1 month since being injected and I'm very pleased.. Dr.Goco staff are all very professional and assisted with any questions I may have had. I will definitely be a regular ongoing patient.. Dr.Goco was nothing short of being the best that has ever injected me...

Updated on 31 May 2015:
Right after my review on belotero the product begin to pool under my eyes.. ive had a dramtic weightloss and im 50 so ive lost my skins elasticity .. Dr.Goco reassured me that i would get the results i was wanting .. After several weeks he dissolved product and he injected me with Juvederm Voulma and i couldnt be happier.. Dr Goco and staff have been so caring and concerned making sure that i was 100% happy!!! Dr.Goco in my opinion is the best!!

I had a neck lift with a chin implant done approximately 2 1/2 months ago.
I am very pleased with the way my neck turned out. I am not so pleased with the chin implant. I feel it is too big and bulky, my face doesn't look as feminine as it did before the procedure. I plan on having the chin implant removed in a few weeks.
Even though I am not happy with my chin, I still feel my Dr. Is awesome.... He's very kind and understanding!!

Updated on 19 Oct 2014:
Size medium chin implant

Updated on 19 Nov 2014:
Having my chin implant removed was a lot worse than I expected!!!
I had this idea that I would go and get a couple numbing shots then the Dr. would make a small incision and he would pull it out.
It didn't happen that way!!!!
I had "many" numbing shots (so many - I lost count) inside and outside of my mouth.
There was a lot of pulling and cutting (trying to cut away the tissue that had attached itself to the implant)
I'm glad I took it out when I did -
It really would've taken a lot of effort to get it out had I left it in longer than three months.

Updated on 28 Nov 2014:

Having just recently had Dr. Goco perform a revision septoplasty and reduction of turbinates, I can say that so far it is a much better experience than my previous surgery two years ago. Not only did my initial surgery not improve my breathing in any acceptable amount, it left me aesthetically deformed. My self-esteem has been on a major decline and I was not entirely comfortable with the thought of going through the process again. Dr. Goco was referred to me by a family member and right away from the consultation I felt an enormous amount of trust. My swelling is still present, so the final outcome has yet to be seen. However, I feel confident that everything is right back where it should be. I will not trust any other physician with my face or breathing ever again!