My biggest concern was my droopy tip. Not only did he not fix my tip, he ruined the rest of my nose. I am still in a lot of pain on the bridge of my nose, I have breathing issues I didn't have before, there is scar tissue, it is crooked, droopy, and pointy. I have been to a few consultations for a revision and I am told that I will need multiple graphs to fix the damage Dr. Guida has done. To add to this, he billed insurance $50 grand for procedures I didn't even actually have done. This man acts like a down-to-earth, caring doctor, but in reality he is a scam artist and a negligent surgeon. A revision will cost me over $20 grand. Advice: Avoid at all costs. If anyone knows of a surgeon that would be able/willing to take on my case, please let me know..