Choosing Rhinoplasty Surgeon with Aesthetic Sensibility?

I want to travel to the USA for Rhinoplasty Surgery and am choosing a Surgeon. Experience and Qualifications play certainly an important roll in my decision, but it is also important to me that the Surgeon has a profound and cultivated sense of aesthetics.

I don´t like the typical too small, too upturned and too thin American nose job nose. I'm not only looking for a surgeon, but also an artist. I have seen many pictures but somehow, they say not very much about it.

How can I know, if at all possible, if the surgeon isn't an artist? How can I know, if a surgeon and I share the same sense of aesthetics? Or should one just take the risk?  Thanks for your advice and help.

PS: I know there a good surgeons in Austria and Germany but I want to travel to the USA because I work here in the public eye

Doctor Answers 15

You should have the same aesthetic goals as your rhinoplasty surgeon

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Choosing a rhinoplasty surgeon in the United States is a very difficult decision. Search for a rhinoplasty surgeon who is board certified in facial plastic surgery and has performed thousands of rhinoplasty surgeries. Look for a surgeon who is board certified in ear, nose and throat surgery (otolaryngology) so they understand the breathing dynamics through the nose as well as the cosmetic and aesthetic component. Most serious rhinoplasty surgeons do have an excellent aesthetic eye and are artists in their own right. You should have the same aesthetic goals as your surgeon and are able to communicate this. Be sure to look at as many before and after photos to see if you like a surgeon’s prior results.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Choosing the right rhinoplastic surgeon

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Choosing the right surgeon for rhinoplasty is no easy task. Looking for an artist in the literal sense is also a difficult task, and having both of these skill sets in the same individual is really a terrific combination. First, I think that you would find that most reputable rhinoplastic surgeons share your distaste for the tiny and upturned nose that you have referred to. It is infrequently requested by patients as most of us consider the appearance the telltale sign of rhinoplastic surgery.
Although there is a great deal of creativity that goes into creating the right nose for each individual, most well trained rhinoplastic surgeons use some measurable standards of an ideal nose to help us create the proper nose for our patients. Most of the great Italian Renaissance artists used mathematics in to create their wonderful works, and rhino plastic surgery is actually quite similar.
Choosing the right surgeon requires finding someone who is well trained, has created good and diverse noses to demonstrate to you, and most importantly, listens to your desires and provides you with realistic expectations.

Philip S. Schoenfeld, MD, FACS
Chevy Chase Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

You should choose your Rhinoplasty Surgeon wisely.

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You should find a certified, experienced Rhinoplasty Surgeon with many favorable photos. I'm not sure why you don't find photos of others with simillar noses helpful.

My Rhinoplasty teacher described the art of Rhinoplasty Surgery as more of a carpenter's job than an artist's job, and I completely agree. Getting your nose done by a carpenter doesn't sound glamorous, but well-done Rhinoplasty Surgery involves reconstructing the underlying bone and cartilage of your nose to achieve a desired result. You end up with a modified version of what God gave you, not something completely different and artistically contrived.

I find computer imaging a wonderful tool to help you learn realistic goals of Rhinoplasty Surgery.

I strongly suggest you find a local Rhinoplasty Surgeon. Your surgeon will want to see you 4 or 5 times during the first 6 months after your procedure.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

The nose is not simply an artistic endeavor.

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Rhinoplasty is a complex operation. As one of my professors use to say, "if you were made of clay, I could guarantee you a perfect result." Unfortunately, you are not. The nose is a complicated anatomic structure with functional aspects that limit the scope or surgical interventions that can be performed. Successful aesthetic outcomes and possibilities are limited by functional and anatomic considerations.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Artistic Rhinoplasty

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I fully understand your concerns BUT I THINK you are making a major mistake in trying to pick an artist first and a surgeon second AND by assuming that the USA has the monopoly on the Best rhinoplasty surgeons in the world.

What you need MOST of all is a close mental and emotional understanding and trust in your surgeon. You CANNOT get that from a website or in a fast trans-Atlantic flight. I am sure Vienna has AT LEAST several, if not more, gifted rhinoplasty surgeons. (After all this is the former capital of world surgery Billroth etc, of music, of art etc). While I am proud of my American colleagues, I would not presume to say that we are better than all of our European colleagues. I think you should look locally until you find someone who you like and who understands you.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Personal consultation for Rhinoplasty is the best way

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The art of plastic surgery is not something that you can present it to the patient in few words. The use of the before and after picture is a good start as you would do with any artist.

Look at the picture in web sites and check other procedures too.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 152 reviews

Choosing Rhinoplasty surgeon with aesthetic sensibility

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Hi Anna Paula,

You can see some of my works in the Louvre...if my patients are visiting Paris.

You ask a great question, and the most important one that should be answered for a prospective rhinoplasty patient. Your nose is in the center of your face for the rest of your life. A beautiful nose should fit the face, and not distract from the eyes and other facial features.

It is most important to choose your surgeon carefully.

I would advise you to email your photos (frontal, both profiles, both 3/4 views, and a view from below) to prospective rhinoplasty surgeons. You may then have a telephone consultation and discuss your concerns, and hear what the surgeon has to say about your nose. With Skype, you can even have a video chat.

Certainly before and after photos are important, but everyone's nose is different, and there have been cases of retouched photos in before and afters. Once you have communicated with prospective surgeons, you may ask to speak with some of their past patients.

Rhinoplasty is the most difficult of all facial plastic surgical procedures because it is a combination of an aesthetic eye for beauty, the skill and experience to carry out the necessary steps surgically, and the care to make sure that the patient and surgeon are clear about expectations.

Please see the below web reference for choosing a cosmetic surgeon, and the subtle rhinoplasty.

Good luck and be well. Given your question, I am pretty sure that you will find the right rhinoplasty surgeon for you.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Rhinoplasty and the surgeon/artiste?

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The first step is to find a surgeon(s) whose before and after photos reflect at least some of the aspects you like in a nose.

Second, when you then meet with that surgeon for a consultation, see what he/she is able to simulate for you with computer imaging. The imaging will give you a sense of both the surgeon's aesthetics as well as a sense of whether you and the surgeon share the same vision for your nose. (If the surgeon doesn't offer any sort of pre-op imaging, you may want to look elsewhere). We use out own custom imaging solution, for example.

Lastly, try to get a sense of whether what you want to achieve aesthetically is even a good idea to begin with. While art can have very wide latitude in what's beautiful, faces ad noses are limited by rather more narrowly defined parameters (although a lot of customization is possible and even a good thing). After all, even if you like surrealism of Dalí or the cubism of Picasso, these are probably not the aesthetics to look for in your surgeon! ;-)

All the best,


David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Prepare for your rhinoplasty consultation

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There is tremendous variation in nasal shape and across cultures beauty can be in the eye of the beholder. Each individual surgeon may have a particular view of nasal aesthetics, balance and form, though his plan may not exactly fit your own. The first step in deciding about rhinoplasty you have made as you have committed interest in changing your nasal shape. You are looking at what you don't like. The second step is an exploration into what you do feel is graceful and attractive, and how it will fit and blend with your features. The Internet has made information about individual surgeons accessible as never before, and websites may be the key to finding a practice that seems to fit your ideas.

Search the photos to get a feel as to what a particular surgeon likes, as the web puts a 'face' on the practice to the community at large. Bring to any consultation your ideas and photos of what you like, and your surgeon should spend equal effort in describing to you what to expect, and what compromise if any must be made. I find computer simulation very helpful. I do think you should be able to find a well qualified surgeon in your area, or Europe, and again the Internet may help you sort through practices in your home city.

Best of luck.

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

Choosing Rhinoplasty Surgeon with Aesthetic Sensibility?

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All skilled and truly talented Rhinoplasty surgeons have an artistic eye.  As this is the single most difficult aesthetic operation to perform, and one where your results are impossible to hide, if they did not have a good eye for the optimal result, that surgeon would not last long in a busy and demanding market.  With that being said, I agree that you also need to find one that has inherent and indepth knowledge and experience in both the form and the function of the nose.  One cannot be disregarded at the behest of the other.  If you find someone that is comfortable operating and reconstructing the entire nose you will acheive the greatest results and more importantly natural pleasing results that would not draw the eye of the casual viewer.   During your research I would consider a few things:  1.  there are a lot of surgeons out there  2.  if rhinoplasty is the 10 listed procedure on a surgeon's website...they do very few of these a year  3. if revision rhinoplasty is a specialty of their's and you have never undergone the operation before (thus a primary surgery) you are in even better hands as that surgeon is correcting the mistakes of others.

Ultimately though, your consult will leave you with either a sense of piece of mind that you've met the right surgeon or you will have a twinge of doubt about their abilities.  This will guide you to the right individual, with the right plan, that will get you all you seek.

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
4.6 out of 5 stars 23 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.