Any Hints on How to Decide Which Rhinoplasty Plan is the Best to Go With?

I have a complicated rhinoplasty history and have had several in-person consults with double board certified facial plastic surgeons/ENTs and have described the few things I still dislike about my nose and brought my 3 surgical reports for review.Each surgeon has come up with a very different surgical plan for my nose. This is very frustrating and confusing to me. How to know which plan to go with or if I should just let it be?

Doctor Answers 10

Challenges of revision surgery and choosing the surgeon

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Revision surgery remains one of the more challenging procedures to get a predicatable outcome. When you are faced with several opinions of surgical approach and you already had several failed operations, choose the surgeon first than the aproach that is simpler with less risk of further complications or scars. Less is more and the enemy of "good" result isa striving for a "perfect" one. The late Michal Jackson had access to the very best doctors yet his rhinoplasty quest for "more" of a narrowing  ended up in highly visible undesirable surgical result.

In complicated issues with rhinoplasty "Less is More" and "good" is better than "perfect".

Greeley Facial Plastic Surgeon

Rhinoplasty Opinion

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Much like anything in life, everyone is going to have their own sense of style and taste.  The same thing is true for aesthetic nasal surgery.  Some surgeons may have a certain taste for a particular style, while others may not.  Also you must consider the ability of the surgeon to achieve such a result.  This may differ from surgeon to surgeon.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

Revisional Rhinoplasty Requires Individual Treatment Planning

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Revisional rhinoplasty is difficult and there is no standard method when it comes to improving the secondary nasal deformity. It is impossible for any of us here to comment on your nose and any plan that a surgeon has proposed without a lot more information which this venue does not provide. Just because two surgeons have differnet plans does not mean both may not  provide some improvement and I doubt if one is the right plan and the other one is a wrong one. If these two plans have confused you then I would go and get a third one. Another additional opinion may provide more information that may help one particular approach become more appealing to you.  

Choosing a Revision Rhinoplasty Surgeon

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Choosing your surgeon will be the most difficult part of your revision rhinoplasty operation. You are smart to spend the time consulting with multiple physicians and getting different opinions. You want an experienced revision rhinoplasty surgeon who listens to you, explains all your options, answers all your questions, and shows multiple examples of patients with problems like yours whose results you like.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

The Craftsman, Not the Tool

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It is understandable, and not unusual to hear different recommendations from equally qualified experts, especially with "a complicated rhinoplasty history."

Choose the surgeon who is properly qualified and in whom you feel the greatest confidence.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.7 out of 5 stars 46 reviews

3different plans for Rhinoplasty

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Yes, this is the art of medicine and aesthetic medicine in general. Each plastic and cosmetic surgeon will have a different way to accomplish the surgical goals. I have written an article on How To Choose Your Plastic and Cosmetic Surgeon that you may find helpful. Basically, IMHO, it's the experience and aesthetic judgement that should guide your decision on your Revision Rhinoplasty surgeon. In over 20 years performing Rhinoplasty I have's best to be focused and less invasive when performing Revision Rhinoplasty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Which rhinoplasty plan is best for you

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The best rhinoplasty plan is the one that clearly addresses the problems which bother you. After three prior procedures, you have very specific ideas of what you want. The surgeon who conveys the best understanding of the ideal 'you' is the one to go with. Perhaps you will be convinced by prior results, or even better computer simulation of what the goal and end result might be.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Don't go with the plan but with the surgeon

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You are in the position of anyone going to see a specialist with an expertise that he or she doesn't have.  I would have the same problem if I needed legal or financial advice--or someone to fix my car.  There is no way for you to check out the plan--on the Internet or anywhere else.

Find a surgeon who can show you results in patients with similar nasal problems that you like.  Find a surgeon whom you trust and who you believe has your best interest at heart--not his or hers.  Hire the person, not the plan.

Mark B. Constantian, MD, FACS
Nashua Plastic Surgeon

Revision rhinoplasty

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Rhinoplasty is the most difficult cosmetic operation of all. Revision rhinoplasty is the most difficult rhinoplasty. Look at pictures, interview old patients and above all are you and intended doctor on the same page

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Rhinoplasty revision

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There is no way for you to know. And if you go to 10 different doctors you will hear 10 different plans. Try to see plenty of photos of the doctors work and try to find a case similar to yours and see how it came out.

David E. Kim, MD
Beverly Hills Plastic Surgeon
4.6 out of 5 stars 106 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.