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Consults with Dr. Lamperti and Dr. Salemy
So I consulted with Dr. Lamperti yesterday and Dr. Salemy today.
Dr. Lamperti couldn't have been more different from Dr. Lee. I didn't expect him to be sooooo... peppy. He must be a heavy coffee drinker. Or a morning person? He's clearly really excitable about noses anyway. My mom found him a little too intense and preferred the mannerisms of the first guy, but I think that's a silly way to choose a surgeon.
He took pictures and told me he'd do an open procedure, shave the hump, break the bones, and add spreader grafts. He would also fix the septum and deflate the turbinates. Exactly the same as Dr. Lee. The pictures make me cringe but I guess I walk around like that already so no reason not to put it online... haha.
Dr. Salemy was a little bit of a surprise. My mom was completely against going to a non-ent until she met him. She was texting me things like "look at all the high maintenance women!!" the entire time we were in the waiting room, then warmed up to him immediately, haha. He didn't take any pictures or do any imaging, he just felt my nose and described to me what he would do. He said he'd shave the hump, trim the cartilage in the tip (which neither of the other doctors mentioned), and break the bones. He told me I have thick skin so it won't change too much of my tip, but if we leave it as is it'll look too full when the hump is gone. He wouldn't use spreader grafts or touch the septum or turbinates, and he's the only one who would use a closed procedure. He's also the only one who said he uses packing.
My mom really liked him. He was very calm but not I'm-about-to-fall-asleep calm like Dr. Lee. He also mentioned I might like a chin implant, but I turned him down for that. He didn't pressure me at all about it, which I appreciated. I agree that I need it but the more real it gets the more reluctant I am to change too much. His price quote was the lowest, at $7000. Dr. Lamperti's is between $8-10k depending on insurance and we'll see what Dr. Lee's will be on Friday.
I'm honestly conflicted at this point. I thought I would like Dr. Lamperti the best, but I don't think I do, which is a little disappointing. He wasn't CLEARLY better than the other guys I saw, based on the evidence I recorded. And... I didn't like the imaging that much. A little odd considering it's what I want. But I still see the same old ugly girl in the morphs. It's made me feel a little down about the whole thing, actually. Maybe it's a bad idea. Maybe it's silly to think changing something on the outside can change how you feel about yourself. I dunno.
I really did like Dr. Salemy, but my breathing wouldn't change at all and I'm a little skeptical about him not using spreader grafts, as I thought those helped prevent collapse. He also doesn't do as many rhinoplasties as the other two - one fewer rhinoplasty per week than the others. AND he didn't do any imaging. I wonder if he would if I called and asked?
I still have to see what Dr. Lee says on Friday. He promised to go over the imaging he did for me and some before and afters. So I guess I'll listen to what he says and then I have to do some soul searching...
Dr. Lamperti couldn't have been more different from Dr. Lee. I didn't expect him to be sooooo... peppy. He must be a heavy coffee drinker. Or a morning person? He's clearly really excitable about noses anyway. My mom found him a little too intense and preferred the mannerisms of the first guy, but I think that's a silly way to choose a surgeon.
He took pictures and told me he'd do an open procedure, shave the hump, break the bones, and add spreader grafts. He would also fix the septum and deflate the turbinates. Exactly the same as Dr. Lee. The pictures make me cringe but I guess I walk around like that already so no reason not to put it online... haha.
Dr. Salemy was a little bit of a surprise. My mom was completely against going to a non-ent until she met him. She was texting me things like "look at all the high maintenance women!!" the entire time we were in the waiting room, then warmed up to him immediately, haha. He didn't take any pictures or do any imaging, he just felt my nose and described to me what he would do. He said he'd shave the hump, trim the cartilage in the tip (which neither of the other doctors mentioned), and break the bones. He told me I have thick skin so it won't change too much of my tip, but if we leave it as is it'll look too full when the hump is gone. He wouldn't use spreader grafts or touch the septum or turbinates, and he's the only one who would use a closed procedure. He's also the only one who said he uses packing.
My mom really liked him. He was very calm but not I'm-about-to-fall-asleep calm like Dr. Lee. He also mentioned I might like a chin implant, but I turned him down for that. He didn't pressure me at all about it, which I appreciated. I agree that I need it but the more real it gets the more reluctant I am to change too much. His price quote was the lowest, at $7000. Dr. Lamperti's is between $8-10k depending on insurance and we'll see what Dr. Lee's will be on Friday.
I'm honestly conflicted at this point. I thought I would like Dr. Lamperti the best, but I don't think I do, which is a little disappointing. He wasn't CLEARLY better than the other guys I saw, based on the evidence I recorded. And... I didn't like the imaging that much. A little odd considering it's what I want. But I still see the same old ugly girl in the morphs. It's made me feel a little down about the whole thing, actually. Maybe it's a bad idea. Maybe it's silly to think changing something on the outside can change how you feel about yourself. I dunno.
I really did like Dr. Salemy, but my breathing wouldn't change at all and I'm a little skeptical about him not using spreader grafts, as I thought those helped prevent collapse. He also doesn't do as many rhinoplasties as the other two - one fewer rhinoplasty per week than the others. AND he didn't do any imaging. I wonder if he would if I called and asked?
I still have to see what Dr. Lee says on Friday. He promised to go over the imaging he did for me and some before and afters. So I guess I'll listen to what he says and then I have to do some soul searching...
Consult with Dr. Samson Lee
So I had my very first consult today! It was interesting. Not exactly what I expected. This guy was recommended to me by the ent we saw. He was very young and very laid back. Like suuuuper laid back. It's hard to express how chill he was.
He looked inside my nose and told me my septum deviated both ways and my breathing was probably poor 50% due to the septum and 50% due to the enlarged turbinates. Then he gave a big long speech about the whole process and I kinda nodded and smiled. He was good about answering all my questions at the end, even though I'm sure they were annoying. No red flags that I noticed. He's very much on the medical side of plastic surgery I think, if that makes sense. I feel like there's kinda a glamorous Hollywood variety and a very conservative medical side and he's solidly on that end of it. Not sure what his aesthetic taste is. He took pictures of my nose and we're coming back Friday to take a look at the imaging. He'll also give me references at that time. He kinda laughed when I asked for some. He said a patient has never asked him for something like that before.
The office was SO fancy. I've never been in such a nice doctors office in my life. The staff were all very sweet as well. My mom is already sold on him. She doesn't even want to see other doctors. I hadn't actually considered the possibility we might not agree on who should do the surgery, but I'm thinking about it now. I would be very comfortable with Dr. Lee performing my surgery based on the initial consultation, of course. He seems capable. But I wanna explore my options too!
She gave me a big speech about insurance in the car ride back. She still thinks it'll be 30k+. I've given up arguing about that. I still think it'll be 8-10k but until an actual quote is in front of her she'll never believe me. I was disappointed they didn't give us a quote today, but they have to put things through insurance to know how much it'll be for us so oh well. Oh, and we didn't discuss a chin implant at all. I'm OK with it not happening now, actually. Maybe when my nose is changed I won't feel the need to change my chin. And if I still do, it'll still be there when I'm old and have my own money.
Tomorrow we're seeing Dr. Lamperti!! Trying not to get my expectations for him too high.
I'll put down some facts here for reference later:
10 years in practice
2-3 rhinoplasties per week
20% of practice
2.5 hour open procedure
3% revision rate
Medical revisions billed to insurance, cosmetic revisions no surgeon fee, just anaesthesia and OR fee
General anaesthesia under MD anaesthesiologist
He looked inside my nose and told me my septum deviated both ways and my breathing was probably poor 50% due to the septum and 50% due to the enlarged turbinates. Then he gave a big long speech about the whole process and I kinda nodded and smiled. He was good about answering all my questions at the end, even though I'm sure they were annoying. No red flags that I noticed. He's very much on the medical side of plastic surgery I think, if that makes sense. I feel like there's kinda a glamorous Hollywood variety and a very conservative medical side and he's solidly on that end of it. Not sure what his aesthetic taste is. He took pictures of my nose and we're coming back Friday to take a look at the imaging. He'll also give me references at that time. He kinda laughed when I asked for some. He said a patient has never asked him for something like that before.
The office was SO fancy. I've never been in such a nice doctors office in my life. The staff were all very sweet as well. My mom is already sold on him. She doesn't even want to see other doctors. I hadn't actually considered the possibility we might not agree on who should do the surgery, but I'm thinking about it now. I would be very comfortable with Dr. Lee performing my surgery based on the initial consultation, of course. He seems capable. But I wanna explore my options too!
She gave me a big speech about insurance in the car ride back. She still thinks it'll be 30k+. I've given up arguing about that. I still think it'll be 8-10k but until an actual quote is in front of her she'll never believe me. I was disappointed they didn't give us a quote today, but they have to put things through insurance to know how much it'll be for us so oh well. Oh, and we didn't discuss a chin implant at all. I'm OK with it not happening now, actually. Maybe when my nose is changed I won't feel the need to change my chin. And if I still do, it'll still be there when I'm old and have my own money.
Tomorrow we're seeing Dr. Lamperti!! Trying not to get my expectations for him too high.
I'll put down some facts here for reference later:
10 years in practice
2-3 rhinoplasties per week
20% of practice
2.5 hour open procedure
3% revision rate
Medical revisions billed to insurance, cosmetic revisions no surgeon fee, just anaesthesia and OR fee
General anaesthesia under MD anaesthesiologist
Consultation questions
My first consultation is on Monday!! I'm actually very nervous to be honest. I'm worried my mom will get cold feet once it becomes real to her. Or maybe I will! Who knows.
I've made a worksheet to fill out during the consult. Do people do this? I'm nervous he'll blow past my questions or think they're silly or something. At the very least it'll probably be a little dorky but oh well. I also made a list of questions to ask the references he gives me. I'll post them both below. Let me know if I've missed anything! I want to be thorough.
Consult worksheet
Surgeon’s name:_____________________________________
Date:______________________________________________
The Basics (I'll fill this out before the consult and just confirm it's accurate)
Board Certifications:____________________________________________________________
Undergrad:____________________________________________________________________
Medical School:________________________________________________________________
Residency:_____________________________________________________________________
Fellowship:____________________________________________________________________
Hospital Affiliations:____________________________________________________________
Surgeon’s Practice
How long have you been in private practice?__________________________________________
How many years of that was in WA state?______________________________________
In which other states have you practiced?______________________________________
Do you carry malpractice insurance?________________________________________________
What is your percentage of happy patients?___________________________________________
What is your policy on revisions?___________________________________________________
What is your revision rate on your own patients?_______________________________________
What type of anesthesia do you use and why?_________________________________________
Who administers the anesthesia?_____________________________________________
What sort of facility do you operate in?______________________________________________
What is your protocol in the case of unexpected complications?_____________________
______________________________________________________________________________
By whom is it accredited?___________________________________________________
May I see the surgical facilities?
Do you yourself do the whole procedure?____________________________________________
Rhinoplasty/Chin Implant
How many rhinoplasties per week do you perform?____________________________________
Chin implants?___________________________________________________________
When did you perform your last rhinoplasty?_________________________________________
Chin implant?____________________________________________________________
What percentage of your practice is devoted to rhinoplasty?______________________________
Chin implants?___________________________________________________________
Do you have a particular interest in rhinoplasty?_______________________________________
Fellowship, publications, presentations, volunteer work, regular conference attendance? ______________________________________________________________________________
______________________________________________________________________________
What percentage of your practice is open vs closed rhinoplasty?__________________________
Can you use both techniques?________________________________________________
My Procedures
Can you describe the procedures to me?______________________________________________
____________________________________________________________________________________________________________________________________________________________
How long would you spend performing my procedures?_________________________________
Tell me about potential risks and complications._______________________________________
______________________________________________________________________________
What is the rate of such complications?________________________________________
______________________________________________________________________________
How might my breathing be affected?_______________________________________________
When should I expect to see the final result?__________________________________________
How will my nose/chin look as I age?____________________________________________
Can I see before and afters of cases similar to mine?
How confident are you that you can achieve the results we talked about?____________________
Are my expectations realistic?_______________________________________________
What is your usual postop follow-up schedule?________________________________________
______________________________________________________________________________
How much will it cost?___________________________________________________________
What does that include?____________________________________________________
______________________________________________________________________________
Are there additional fees for follow-up visits?___________________________________
When is payment due?_____________________________________________________
What is your policy on cancellations and refunds?_______________________________
______________________________________________________________________________
May I speak with any of your former rhinoplasty patients?
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
Reference worksheet
Surgeon’s name:_____________________________________
Patient’s name:_______________________________________
Date:______________________________________________
Surgeon
Why are you recommending this surgeon?____________________________________________
______________________________________________________________________________
How well do you know him?______________________________________________________
______________________________________________________________________________
Why did you choose him?_________________________________________________________
______________________________________________________________________________
Did he openly respect your opinions and decisions?____________________________________
Did you ever feel like he was talking down to you?_____________________________________
Staff
How well did the office staff treat you?______________________________________________
______________________________________________________________________________
How accessible were the surgeon and staff on short notice and after hours?__________________
______________________________________________________________________________
Procedure
Was there anything about the process you weren’t prepared for?__________________________
______________________________________________________________________________
Is there anything you wish you did differently?________________________________________
______________________________________________________________________________
Did you have complications?______________________________________________________
How did the surgeon handle them?____________________________________________
______________________________________________________________________________
Were there any additional costs that hadn’t been discussed?______________________________
______________________________________________________________________________
Results
Were your results close to what you were shown in the imaging?__________________________
Are you happy with your results?___________________________________________________
______________________________________________________________________________
Would you recommend this surgeon to your own family?________________________________
______________________________________________________________________________
I've made a worksheet to fill out during the consult. Do people do this? I'm nervous he'll blow past my questions or think they're silly or something. At the very least it'll probably be a little dorky but oh well. I also made a list of questions to ask the references he gives me. I'll post them both below. Let me know if I've missed anything! I want to be thorough.
Consult worksheet
Surgeon’s name:_____________________________________
Date:______________________________________________
The Basics (I'll fill this out before the consult and just confirm it's accurate)
Board Certifications:____________________________________________________________
Undergrad:____________________________________________________________________
Medical School:________________________________________________________________
Residency:_____________________________________________________________________
Fellowship:____________________________________________________________________
Hospital Affiliations:____________________________________________________________
Surgeon’s Practice
How long have you been in private practice?__________________________________________
How many years of that was in WA state?______________________________________
In which other states have you practiced?______________________________________
Do you carry malpractice insurance?________________________________________________
What is your percentage of happy patients?___________________________________________
What is your policy on revisions?___________________________________________________
What is your revision rate on your own patients?_______________________________________
What type of anesthesia do you use and why?_________________________________________
Who administers the anesthesia?_____________________________________________
What sort of facility do you operate in?______________________________________________
What is your protocol in the case of unexpected complications?_____________________
______________________________________________________________________________
By whom is it accredited?___________________________________________________
May I see the surgical facilities?
Do you yourself do the whole procedure?____________________________________________
Rhinoplasty/Chin Implant
How many rhinoplasties per week do you perform?____________________________________
Chin implants?___________________________________________________________
When did you perform your last rhinoplasty?_________________________________________
Chin implant?____________________________________________________________
What percentage of your practice is devoted to rhinoplasty?______________________________
Chin implants?___________________________________________________________
Do you have a particular interest in rhinoplasty?_______________________________________
Fellowship, publications, presentations, volunteer work, regular conference attendance? ______________________________________________________________________________
______________________________________________________________________________
What percentage of your practice is open vs closed rhinoplasty?__________________________
Can you use both techniques?________________________________________________
My Procedures
Can you describe the procedures to me?______________________________________________
____________________________________________________________________________________________________________________________________________________________
How long would you spend performing my procedures?_________________________________
Tell me about potential risks and complications._______________________________________
______________________________________________________________________________
What is the rate of such complications?________________________________________
______________________________________________________________________________
How might my breathing be affected?_______________________________________________
When should I expect to see the final result?__________________________________________
How will my nose/chin look as I age?____________________________________________
Can I see before and afters of cases similar to mine?
How confident are you that you can achieve the results we talked about?____________________
Are my expectations realistic?_______________________________________________
What is your usual postop follow-up schedule?________________________________________
______________________________________________________________________________
How much will it cost?___________________________________________________________
What does that include?____________________________________________________
______________________________________________________________________________
Are there additional fees for follow-up visits?___________________________________
When is payment due?_____________________________________________________
What is your policy on cancellations and refunds?_______________________________
______________________________________________________________________________
May I speak with any of your former rhinoplasty patients?
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
Reference worksheet
Surgeon’s name:_____________________________________
Patient’s name:_______________________________________
Date:______________________________________________
Surgeon
Why are you recommending this surgeon?____________________________________________
______________________________________________________________________________
How well do you know him?______________________________________________________
______________________________________________________________________________
Why did you choose him?_________________________________________________________
______________________________________________________________________________
Did he openly respect your opinions and decisions?____________________________________
Did you ever feel like he was talking down to you?_____________________________________
Staff
How well did the office staff treat you?______________________________________________
______________________________________________________________________________
How accessible were the surgeon and staff on short notice and after hours?__________________
______________________________________________________________________________
Procedure
Was there anything about the process you weren’t prepared for?__________________________
______________________________________________________________________________
Is there anything you wish you did differently?________________________________________
______________________________________________________________________________
Did you have complications?______________________________________________________
How did the surgeon handle them?____________________________________________
______________________________________________________________________________
Were there any additional costs that hadn’t been discussed?______________________________
______________________________________________________________________________
Results
Were your results close to what you were shown in the imaging?__________________________
Are you happy with your results?___________________________________________________
______________________________________________________________________________
Would you recommend this surgeon to your own family?________________________________
______________________________________________________________________________