Statistics of successful primary rhinoplasty?

You should find a surgeon certified by the American Board of Plastic Surgery. I would recommend one who also has completed an aesthetic fellowship accredited by the Aesthetic Society. I would also recommend looking at online reviews, before/after photos, and talk to other people who maybe have seen the surgeon. Selecting the proper surgeon is key. You need to ensure they have proper plastic surgery training and actually produce adequate results.

Hello and thank you for your question. I think it's so great you're doing your homework to find the best surgeon! Unfortunately, not all surgeons are created equal- even surgeons within each of the categories you're describing are going to have drastically different results, all dependent on their individual training and experience- a lot of which is hard to quantify. Because of this, any statistics are basically useless. What's most important is that the surgeon you go to has extensive training and experience performing rhinoplasty and revision rhinoplasty surgeries of all types.

Rhinoplasty truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Hi, thanks for your question. Research suggests that the overall patient satisfaction rate for rhinoplasty procedures is generally high. For example, a 2018 study published in the journal Facial Plastic Surgery reported an overall patient satisfaction rate of 83.6% for primary rhinoplasty.
As for the type of surgeon with the highest success rate, it's hard to generalize. There is no specific research or statistics that precisely compare these three types of surgeons. The best choice of surgeon can depend on the individual patient's needs, the complexity of their case, and the specific skills and experience of the surgeon. I recommend choosing the surgeon based on their results and based on how comfortable you felt with them during the consultation. Best of luck!

Many of our patients who consult us for rhinoplasty surgery will bring in photos of our examples on our before and after Gallery. Generally, a reputable rhinoplasty specialist should be performing at least 75 to 100 rhinoplasties per year. With that volume, a favorable before and after Gallery should be achievable along with favorable reviews. I hope this helps! Sincerely, Dr Joseph

It’s hard to generalize who would give you the best chance of a nice outcome. I think the best thing is to go on a few consults and get the feel for the surgeon you think is most likely to deliver what you want

The failure rate for primary rhinoplasty is 15%. Rhinoplasty can be performed by a plastic surgeon or an ENT surgeon.

Best Wishes,

Gary Horndeski, M.D.

Hello! Thank you for your question.
As far as I can understand from your question, the most important thing to be careful about choosing your surgeon is that it is an ent doctor and it will be a much better decision for you to be a facial plastic surgeon at the same time, and yes, the success rates in revision operations are also very important.
It would be better face to face consultation.
Best Regards!

Who is the best qualified to perform rhinoplasty? nasal surgery has evolved into its own specialty. the highest success rates by percentage with the lowest personal revision rates are those surgeons who have dedicated themselves to performing exclusively nasal surgery, and have done so for many years, and have performed thousands of surgeries. This may be either an ENT surgeon, or a plastic surgeon, or a facial plastic surgeon.

Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so it is imperative to choose your surgeon based on experience. Revision rhinoplasty is even more difficult and less predictable due to the three-dimensional contraction forces of healing. It's also extremely important to have realistic expectations, since there is no perfect nose, just improvement. It's important to seek out a double board-certified ENT/facial plastic surgeon with extensive experience, which means over 1000 rhinoplasty procedures and 10 years of experience

This response was dictated using Word recognition.
I apologize in advance for any grammatical errors or potential rambling nature.
Plastic surgery outcomes are generally based on two variables.
The first variable is the patient’s candidacy for the procedure. The second is the skill of the provider.
Some people are very good candidates for certain plastic surgical interventions and these patients have the potential of having quality outcomes. That should be fairly consistent.
That’s what it means to be a good candidate.
a good candidate has the potential of having an excellent outcome in the hands of the ex surgeon.
Somebody was not a good candidate does not have the potential of having a high-quality outcome regardless of who does the procedure.
Some situations are difficult to treat no matter who is the doctor.
Understanding your own candidacy is a big part of overall patient satisfaction and having an overall positive experience.
If you have, and knows that is complicated and difficult to treat then you need to understand this because you’re expectations. Need to be dialed in accordingly.
The second variable is obviously the skill of the provider.
Rhinoplasty surgery is complex and different aspects of rhinoplasty surgery Have different levels of overall success.
Getting a high-quality outcome on a woman with a strong poly beak type nose is a difficult challenging case and in that situation the chance of having consistent high-quality outcomes is going to be lower. Same with revision surgery which tends to be more difficult.
In regards to finding the best providers, skill and experience are what you’re looking for.
Nobody masters rhinoplasty surgery within their first few years after finishing residency.
Most providers who are approaching mastery of this type of work have generally been doing rhinoplasty surgery for at least one to two decades.
Preferably providers who focus exclusively on rhinoplasty surgery or rhinoplasty represents a major part of the work they do.
Doing one rhinoplasty every six months for 10 years is still only 20 rhinoplasty surgeries.
Some providers are inherently, talented and were from the beginning and continue to just get better.
Some providers are simply never going to be great plastic surgeons.
I have met and worked with both types.
I’ve met really really nice plastic surgeons who patients love but they are terrible in the operating room.
I’ve met surgeons who are socially awkward and don’t speak to patients very much, but they are technically better than the rest.
Good bedside manner is important, but in the end what you’re looking for is consistent quality outcome.
In my opinion the best way to find the right provider is to make a list of plastic surgeons in your community who seem to do a lot of rhinoplasty surgery.
This will be demonstrated by having a high percentage of rhinoplasty outcomes on their website in comparison to other procedures, like tummy tucks breast augmentation liposuction, etc.
If somebody mentions on their website that they have expertise or a particular strong interest in rhinoplasty surgery, then this is generally favorable,
I would like to point out that if somebody claims to specialize in a procedure, they can’t do other procedures as well.
In other words, if you’re a general plastic surgeon, you can’t also claim to be a specialist.
For example, during the first 10 years of my practice, I did general plastic surgery.
I did basically all the different procedures I was taught and anything that came my way.
For the second 15 years of practice I’ve done only Liposuction and fat transfer.
I no longer do any other plastic surgery operation so I now am a Liposuction fat transfer specialist.
Next set up in person consultations with each of the providers.
Bring quality pictures of your face the same way plastic surgeons take before and after pictures and have those printed and bring them with you to use as reference during consultations and whenever reviewing before and after pictures.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who have similar facial and nasal characteristics to your own.Take careful notes, especially regarding the quality and quantity of before and after pictures.
You should count exactly how many patients before and after pictures you were shown during each consultation.
Was that provider able to pull up pictures of previous patients who had the same nasal characteristics as your own?
Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results looks like in the hands of that provider, what your results are likely to look like or how many of these procedures they’ve actually done.
Having done rhinoplasty surgery for 20 years doesn’t really mean anything if you don’t do them on a regular basis.
Likewise, having done 3000 rhinoplasty surgeries, if none of them were done very well doesn’t mean very much either. In general those who do procedures more frequently tend to do them better.
It’s a self fulfilling prophecy. As the surgeon gets better they also get a better reputation and this leads to more people sealing them out.
Patients need to take an active roll in the consultation process.
Plastic surgeons will generally inevitably always pull out their best before and after pictures and it is the patient’s responsibility to insist on seeing a good collection of outcomes. You can even ask to see bad outcomes or cases that needed revisions.
You should feel very comfortable, asking the provider to open up their own personal portfolio of pictures and start showing you more.
In the end, your goal is to see as many average results from that provider as possible and the best way to do that is to get them to open up their portfolio and show you all of their pictures.
I do this every time when I have consultations with patients. I have access to thousands of before, and after pictures for Liposuction results of various body parts and can usually find representative pictures of almost body type.
I usually explain to each patient, their level of candidacy and show realistic pictures of what the results are likely to look like.
I have no interest in meeting with disappointed patients and trying to explain why the results are different than what they anticipated in hindsight.
I wouldn’t much rather disappoint. Somebody who is not a good candidate by telling them upfront that the results may not be as great as they had hoped for if I know, it’s going to be a difficult case.
In my opinion, an experienced provider shouldn’t have no difficulty showing you the before and after pictures of at least 50 previous patients for commonly performed procedures.
While rhinoplasty surgery is not the most common plastic surgery operation it is certainly not an uncommon one.
In reality, highly experienced surgeons or those who specialize in rhinoplasty surgery should in reality, have access to hundreds or preferably thousands of before, and after pictures to choose from.
If a provider keeps showing you the same five cases and can’t come up with any more pictures, then simply cross that name off your list and continue having more consultations.
Without including pictures, we can’t begin to assess your candidacy for this procedure.
I respect people wanting to maintain their anonymity.
It would be helpful to some degree to know if you have a nose that would be easy or difficult to treat.
Generally speaking look for plastic surgeons, who preferably have two decades of rhinoplasty experience, and show that this is a procedure they do primarily, or at least represents a major part of the work they do, and this should by having a representative collection before and after pictures that they’re willing to display for you.
There’s no correct number of consultations needed to find the right provider.
A lot has to do with your ability to pre-select.
Unfortunately, patients seem to not be very good at doing that.
Some of the very best providers that I know have very little Internet presence.
Some of the most talented plastic surgeons I know have very few reviews and are generally not involved in social media in anyway. Having a large number of reviews generally means somebody is good at self promotion rather than patient advocacy. Most people need to be asked to write reviews to get a large number. Most people do not on their own write reviews regarding private matters.
Rhinoplasty surgery is inherently complex and not easy and straightforward.
The outcome is permanent and more or less irreversible, though some adjustments may be possible with revision.
You’ll be reminded of the outcome every day for the rest of your life.
Considering this and how often patients are dissatisfied with rhinoplasty outcome, and request revisions Most patients should in my opinion take provider selection far more serious than they do.
As a general statement, I think having five or six consultations, seems a reasonable, considering the consequence of the outcome of this operation and the amount of discrepancy there is in plastic surgeons, skill, and ability.
Being board-certified in plastic surgery with years of experience, and a lot of reviews does not mean somebody has mastered any single procedure Including rhinoplasty.
The single, most reliable variable is seeing pictures of previous patients, who look like you who had really high-quality outcomes in a collection that seems endless.When, in doubt, slow down and schedule more consultations.
The time to be critical of plastic surgeons is during the vetting process while you’re interviewing and consulting with providers.
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures.
You should yourself begin to recognize what quality results look like and learn to differentiate individuals who had similar nasal and facial characteristics to your own.
This is one reason why it’s important to have a standard set of pictures of your own face.
Do not go by memory.
People think of their own face very differently than what it actually looks like.
No one has to have cosmetic surgery.
When in doubt slow down and continue scheduling consultations.
Finally, I recommend patients avoid virtual consultations whenever possible.
I do not believe you can properly vet a provider or get quality assessment without meeting in person.
Good luck,
Matt Hagstrom, MD