POSTED UNDER Rhinoplasty REVIEWS
Trying to Decide for Indian (ethnic) rhino - Pearlman, Pastorek, Any Other? - New York
ORIGINAL POST
I had consultation with dr. tobias, pastorek,...
sarasen1September 16, 2015
$13,000
I had consultation with dr. tobias, pastorek, pearlman, and miller in nyc. I ruled tobias out after reading the negative reviews. Dr. miller had a great personality, but i did not like the imaging he did, and the pics on his website show that he shaved down bridge quite a bit - not really ski slope, but more that i would want. I am indian (ethnic rhino), so I want the bridge to be higher that most. I have mixed feelings on him and his style.
pastorek doesn't do before afters, but my concern with him is that the 2 reviews i found on this website with pics - both complained that their nose was overprojected, and still big/long. they both went on to seek revision. It's not that he botched the nose, but he did not do enough. My nose is longish, and although i don't want a short nose, but i don't want the end result to be another long nose.
dr. pearlman - i really liked the pics on his site. his imaging for me was exactly what i wanted, before i even told him. it was a high bridge, the tip rotation perfect. I have a droppy tip, with no support, so he (like the other docs) will also put a columella strut. I asked him how close the result will be to the pics, and this is where it gets hairy. I didn't like his personality, or attitude. he talks condescendingly to patients, he started asking me what do i do for a living, and if at work do i deliever exactly what was prmised. etc. etc. he said it will be very close, but it will never be exact. I also didn't feel like he was a good listner. he talked over me during the 2 consults i had. even though his imaging was exactly what i envisioned, i'm afraid of his attitude. what if something doens't come out right. will be be a jerk about it ? will i be able to address my concerns to him after the surgery. I kinda don't feel comfortable talking to him now. I'm a sensitive person, and don't like confrontations, so it makes me avoid telling him what i want. I also have to say, i want something very specific done to my nose - tip rotated/lifted just the right amount - the bridge straightened, but not shaved down too much, but be the perfect height - and deprojected just the right amount, without making my nose too small. Because it's an ethnic rhino (i'm indian) , i want results to be conservative enough that I recognize myself.
pastorek doesn't do before afters, but my concern with him is that the 2 reviews i found on this website with pics - both complained that their nose was overprojected, and still big/long. they both went on to seek revision. It's not that he botched the nose, but he did not do enough. My nose is longish, and although i don't want a short nose, but i don't want the end result to be another long nose.
dr. pearlman - i really liked the pics on his site. his imaging for me was exactly what i wanted, before i even told him. it was a high bridge, the tip rotation perfect. I have a droppy tip, with no support, so he (like the other docs) will also put a columella strut. I asked him how close the result will be to the pics, and this is where it gets hairy. I didn't like his personality, or attitude. he talks condescendingly to patients, he started asking me what do i do for a living, and if at work do i deliever exactly what was prmised. etc. etc. he said it will be very close, but it will never be exact. I also didn't feel like he was a good listner. he talked over me during the 2 consults i had. even though his imaging was exactly what i envisioned, i'm afraid of his attitude. what if something doens't come out right. will be be a jerk about it ? will i be able to address my concerns to him after the surgery. I kinda don't feel comfortable talking to him now. I'm a sensitive person, and don't like confrontations, so it makes me avoid telling him what i want. I also have to say, i want something very specific done to my nose - tip rotated/lifted just the right amount - the bridge straightened, but not shaved down too much, but be the perfect height - and deprojected just the right amount, without making my nose too small. Because it's an ethnic rhino (i'm indian) , i want results to be conservative enough that I recognize myself.
UPDATED FROM sarasen1
pics from pearlman for imaging. what does everyone think?
sarasen1September 16, 2015
Replies (5)

September 16, 2015
you have to rotate your pictures. And have you tried New Jersey and Dr. Ciarduillo in White Plains?
September 16, 2015
who in nj? i know the photo got put up incorrectly, and now i can't change it.

September 16, 2015
Hi there,
When you hover over your photo an option to "rotate" should come up. :) If that doesn't work, PM me and I will help.
September 16, 2015
I took the pics off,i didnt feel like they are needed to address my post concerns
September 16, 2015
I took the pics off,i didnt feel like they are needed to address my post concerns
UPDATED FROM sarasen1
Pastorek - ruling him out5
sarasen1September 18, 2015
i just had Pastorek offfice get me in touch with a patient who had the surgery about a year ago, and she sent me her before and afters. I did not like the style at all - as ai suspected. it was kinda longish still, a little projected, and just not what i'm looking for. this is the 3rd nose i'm seeing i did not like. (it's funny the pics in his office were fantastic).
SO NOW the questin about PEARLMAN? What do people know or think of him?
Would they recommend anyone else? I saw Kassir Ramtin's webpage, and did not like the styles at all.
I'm unsure about Rizk. I honestly dont want to spend $$$ on his consult - which i hear is pretty hefty.
what do people think of PEARLMAN, GUIDA, or LOEB? Loeb is weird though - he does the whole body, do i wnat to entrust my nose to him?
SO NOW the questin about PEARLMAN? What do people know or think of him?
Would they recommend anyone else? I saw Kassir Ramtin's webpage, and did not like the styles at all.
I'm unsure about Rizk. I honestly dont want to spend $$$ on his consult - which i hear is pretty hefty.
what do people think of PEARLMAN, GUIDA, or LOEB? Loeb is weird though - he does the whole body, do i wnat to entrust my nose to him?
Replies (8)
October 14, 2015
I am a pastorek nose and probably one u saw that you didn't like. LOL No big deal...We all have our aesthetic:) If you are willing to travel to LA you may want to check out Azizzadeh. He is amazing with ethnic noses and very very natural.
October 14, 2015
Lol but its so hard to tell what he will do to me. I have hink thats he hard part. There r no pictures that u can inspect in ur own time, just the couple of minutes un his office and the noses are not like mine.
Are u happy with it? Did people notice? I think thats another thing im worrid about. I want to look like me ehen i look in mirror
Are u happy with it? Did people notice? I think thats another thing im worrid about. I want to look like me ehen i look in mirror
October 15, 2015
Hi. It's funny I have been commenting on this a lot. No. Nobody noticed. Which kind off bothered me in a way. Though the change was substantial when compared to my before and after it was subtle. I agree that it is a gamble with him in terms of what you will get - and by that I mean - he is not cookie cutter. I believe he makes people look like themselves just better. If someone is looking for a big/change then I usually will direct them elsewhere.
October 15, 2015
you certainly look like you. and I think you look great. but what worried me is that a couple of people said that they feel like their nose was long and overprojected (even though the onlooker didn't think so).
it's a gamble for sure. even with imaging, it's a gamble. you don't know if you'll get what you so.
did you consult with any other docs before you chose him? which ones? do you know if pastorek used spreader grafts on your nose? have you heard of rizk? his cost is very close to pastorek's - so curious...
it's a gamble for sure. even with imaging, it's a gamble. you don't know if you'll get what you so.
did you consult with any other docs before you chose him? which ones? do you know if pastorek used spreader grafts on your nose? have you heard of rizk? his cost is very close to pastorek's - so curious...
October 16, 2015
The two things you suggest as possible outcomes with pastorek ( long and over projected) are what naw at me, I bat around the idea of a revision with pastorek and talked with him about a tip lift which he had agreed I would benefit from. The overall of my rhino- I am very pleased and don't know that I care enough to go back in.. I also feel like pastorek will give a person the least problems since is so experienced and really a true master. I do, in my perfectionist way- toy with revision.
When choosing I didn't care about cost and I was willing to travel-I did consider rizk but never met with him. He was one that scared me a little because of the PR thing-- I couldn't tell what was real and what was fake. I do think his results are amazing!!! I also considered Babek Azzizedeh in Los Angeles based on feedback from friends there. Natural, beautiful results - real results from someone I trust and had seen his noses in person. I thought about the usuals pearlman, Tobias in NY but everyone scared me. I did meet with Phillip Miller who I thought was amazing but this was after my primary rhino - I went to get a second opinion on my healing...To whichMiller said " pastorek is world class- he did an amazing job"
So, I dunno. It's hard to choose. I just felt like pastorek was the hands down best for me because I gelled with him, love his passion for his work and the fact that he writes the textbooks that the others learn from. I kept landing on him and still do, even when thinking of revision.
To answer your question--He ( pastoral) was the only surgeon I ended up interviewing, I just knew when I met him.
Pastorek did not use spreader grafts on my nose- I don't think. I have to admit. I didn't ask a lot of questions about the actualities of the procedure.
Sorry to ramble!
When choosing I didn't care about cost and I was willing to travel-I did consider rizk but never met with him. He was one that scared me a little because of the PR thing-- I couldn't tell what was real and what was fake. I do think his results are amazing!!! I also considered Babek Azzizedeh in Los Angeles based on feedback from friends there. Natural, beautiful results - real results from someone I trust and had seen his noses in person. I thought about the usuals pearlman, Tobias in NY but everyone scared me. I did meet with Phillip Miller who I thought was amazing but this was after my primary rhino - I went to get a second opinion on my healing...To whichMiller said " pastorek is world class- he did an amazing job"
So, I dunno. It's hard to choose. I just felt like pastorek was the hands down best for me because I gelled with him, love his passion for his work and the fact that he writes the textbooks that the others learn from. I kept landing on him and still do, even when thinking of revision.
To answer your question--He ( pastoral) was the only surgeon I ended up interviewing, I just knew when I met him.
Pastorek did not use spreader grafts on my nose- I don't think. I have to admit. I didn't ask a lot of questions about the actualities of the procedure.
Sorry to ramble!
October 17, 2015
I loved his personality. I really felt like i felled with him too. I go back and forth too about whether i should go with him. On one hand i do want a longish nose, my husband says that my nose will stay longish, but i worry about the over projection. My nose dips down right now, and if lifted it will become projected. He did tell me he will de project but i dont know by how much. Do u think if i take my own imaging, he will be willing to discuss whether its achievable or not? I already had two appointments with him, i dont think a third one will be covered in the initial consult fee.
October 19, 2015
why did you think that the other doc's morphs were not acievable? did he also suggest a ridge graft (?) that is near the forehead meets the nose? Curious about Pastorek's vs other's aesthetics....
thanks for your advice and support!
thanks for your advice and support!
October 17, 2015
I also wanted to ask , what his view was on the over projection as u said what naws at u? Will the tip lift help that?
Replies (11)
Yes pearlman is dismissive. But i loved the imaging he did. With pastorek i cant envision what he will give me?!