Why do the majority of Primary Surgeons refuse to take responsibility for giving a patient a bad result?
Thank you for your question, Revision rates of 10% are not uncommon. It hurts the surgeon to not see things turn out as planned, but most will want to try to change it. Even in very experienced hands, there is a 5-15% touch-up rate which is within normal limits.
It is a normal human response for people to defend their actions. A good rhinoplasty surgeon will constantly evaluate your nose over 18 months post op and try to come up with a plan for revision. Revision rates of 10% are not uncommon. It hurts the surgeon to not see things turn out as planned, but most will want to try to change it.
Primary and secondary rhinoplasty surgery
Rhinoplasty is a very difficult endeavor, and one of the hardest procedures to perform correctly in the entire field of cosmetic surgery. Even in very experienced hands, there is a 5-15% touch-up rate which is within normal limits. There is no perfect nose. It's extremely important to have realistic expectations with a primary or secondary rhinoplasty surgery, so communication as of the most important plan the patient and the surgeon.
Often, the primary surgeon is not that experienced, and bit off more than he could chew.
Also, sometimes a patient's aesthetic deformities are not realistically correctable. These patients should be dissuaded from surgery.
Rhinoplasty has limitations. An expert should know, generally, what the outcome could be,
There are a lot of nuances that go into making the correct diagnosis and, surgical steps need to carry out the plan. Surgery is individually tailored, since each nose is different.
Also, results may be suboptimal, because of some healing issues, as well as incorrect assumptions made about the way the tissues will respond to surgery. This does not mean that the surgeon is absolved from bad results.
Finding the right surgeon
Hello and thank you for your question. This is difficult to answer. I always advise patients that it is very
important that you thoroughly research your surgeon before committing to
surgery. It is a good idea to research your surgeon's educational background,
online reviews, before & after pictures, and speak with anyone who you may
know who has had surgery with that surgeon. During your consultation, make sure
that you don't feel rushed and make sure that you have adequate time with your
surgeon and not just their patient coordinator or nurses. If the majority of
your consultation is spent with someone other than the surgeon, this is usually
not a good sign. The most important aspect is to find a surgeon you are
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon