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Vision, execution and healing - Dr. Bahman Guyuron - Cleveland, OH

ORIGINAL POST

Dr. Guyuron is equal parts mathematician and...

RG1991
WORTH IT$7,500
Dr. Guyuron is equal parts mathematician and artist. To be an exceptional plastic surgeon, I believe you need to be both. His work reminds me of the old world master painters and sculptors during the renaissance period. He understands beauty, balance and harmony.



I consider myself to be a very picky plastic surgery patient--as picky as they come. Since I was a child, I’ve been awestruck by beauty, and as a teen, I wondered if plastic surgery could mimic nature. I'm not sure if it’s luck or 10 years of research that led me to the office of Dr. Guyuron. I spent 10 years looking for someone I felt comfortable with to revise my nose and other issues. Prior, I spent a decade flying around the country meeting every "rhinoplasty expert", "top plastic surgeon", etc. - anyone who was "the best", I consulted with.

A number of things go into to a successful procedure: vision, execution and healing.

Healing can be unpredictable, and even with the best, not everything can be predicted, especially with the nose. When the nose heals, it can have a 'mind of its own'. I think he's more critical of his work than the patients, BUT he is always willing to work with the result and does not rest until he's given it the best result possible. His integrity shows in many ways. Not many surgeons, if any, take as much pride in their work. He is meticulous in his assessments. Over the years, I also discovered Dr. Guyuron was the surgeon to other top surgeons and physicians seeking help for their cosmetic surgery woes.

If you are looking for a smooth-talking surgeon, coddling, OR someone to treat your psychiatric problems, this is most definitely NOT the surgeon for you. I also think certain patients with warped body perception may find his style frustrating, because he won't be talked (or bullied) into performing procedures he's not comfortable with. Thankfully, he did not operate on all my PERCEIVED flaws that I found on my face over the years. Less is more has been his approach with me but with an equal attention to detail. I never saw such an elaborate photography studio in my life. This studio is dedicated exclusively to his work as a surgeon. There are no lighting tricks to make before/after photos look dramatic, but rather they are crystal clear photo documentation meant to capture his work.

It could be very easy to discredit him by posting very premature post-op photos, with weird camera angles and an attached, long, exaggerated, incongruent saga. I've met many of these patients over the years, commiserating about less than stellar results until I made my way to his office. I'm sorry unhappy patients suffer. But in a few instances, I truly believe they are pinning their suffering on the wrong person, and I believe this can be unfair to an ethical doctor who has dedicated his long career to excellence.

From reading the few rogue reviews here, I have a feeling he does not suffer arrogance, entitlement, or psychiatric problems gladly. Somehow these types can be drawn to plastic surgery and are looking for that one surgeon or surgery to fix everything, and as they know, they continue to search in vain.



Finally, taste is specific. Some people like things tacky and flashy. What's exaggerated to one person might be subtle to another. Some people like refinement, subtlety, beauty and harmony. So, if the latter sounds like you, you might want to make your way to Cleveland. This surgeon's hand is the closest thing you'll find to having plastic surgery mimic nature.

RG1991's provider

Bahman Guyuron, MD

Bahman Guyuron, MD

Board Certified Plastic Surgeon

4.2 | 67 Reviews
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Replies (16)

August 12, 2014
What did you have done? A rhinoplasty revision? Thanks
August 12, 2014
yes, complex revision rhinoplasty. plus other facial work that's equally on par with his rhinoplasty skills.
August 26, 2014
I'm looking for a surgeon who does a lot of brow lifts and is very good. Did you have a brow lift? If so, was it an endoscopic brow lift?
August 30, 2014
Cindy, I've had migraine surgery, part of which is the same procedure as an endoscopic brow lift. While I was happy with my brow position before, the result was very natural, symmetrical and aesthetically pleasing with no visible scars once healed. It's one of the procedures Dr. Guyuron specializes in and performes most commonly.
September 5, 2014
Hi, brow lift is one of the few procedures i have not needed. however, he is a master of the face. the nose is incredibly intricate. each part of nose affects the other. imo, a skilled revision rhinoplasty is like putting together a jigsaw puzzle standing upright--you need to know where the pieces go and balance them at the same time. my point is when you master something so difficult on the small scale, you can work on the larger scale with with relative ease.
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August 24, 2014
Hi there,

If you'll come back and add more information about your procedure and recovery (and maybe some before and after photos if you feel comfortable) I can add your review into the revision rhinoplasty community. :)
August 26, 2014
Congratulations on your successful surgery, but your assertions about patient psychology are a little off key. Firstly, surgery can go wrong - even in the best of hands. Secondly, weren't you also looking for that one surgeon to fix your nose and various other aspects of your face? Thirdly, unless you've seen every other physician in the world in your quest for the ideal surgeon, you can't say that no-one else takes as much pride in their work. In reality there's no such thing as a good or bad surgeon - there's only ever a good match. Sometimes patients are left dissatisfied because they went to the wrong surgeon for THEM, which doesn't automatically mean that their surgeon was bad, nor does it mean that the patient is psychologically unbalanced for being unhappy. And if a patient strongly feels that they need something different to what is suggested, why should they pay and go ahead with a plan they don't like? Believe me, I'm happy you're happy. I'm not sure if you're referring to the other review on here but remember, plastic surgery has a LOT to do with perception and subjective ideals of beauty! Mathematical and scientific principles are helpful but the majority of it is very difficult to define.
August 26, 2014
hi, i wasn't able to read through your entire post because it was long and the message wasn't concise. but YES, Dr. Guyuron he is a fabulous surgeon!! if you have someone in mind that worked for you, i encourage you to post about it, blog about it, and share your experience. this is a community and everyone should have their little corner to share.
October 5, 2014
My post was a lot shorter than your review, and I had no trouble reading through that. My points were in response to the assertions you made regarding patient psychology, which I did not agree with. But yes, if and when I fix my nose, I will write about it and post pics.
August 31, 2014
hi. thank you for sharing. do you mind sharing details about your revision rhino..pictures ( in private if you prefer)..thank you
September 20, 2014
Your review sounds more like you are Dr. Guyurons personal ad agency, just doesn't seem real, no details no pictures.
September 20, 2014
Hi, I would like to post pictures and did before on another site, but my pictures started floating around and I wanted to maintain some sense of privacy. I may do so in the future. FYI, he has plenty of B/A images so don't take my word for it. If things don't seem "real" to you, that's your problem, not mine. I can't fix that. Don't let your mind wander too much. If you want details just ask. I'm happy to answer.
September 20, 2014
I am sorry if it sounded rude. After searching for days about info on the doctor Guyuron. The truth of the matter is that those posting negative comments seemed real, detailed. So I ask if you would, give details, all of us who are looking for a revisionalist, can't take any chances, as we are running out of money and building up scar tissue. did he do open or closed, use grafts? I don't know where to begin to ask questions, because I haven't heard the basics of what he did to your nose. thanks in advance
September 20, 2014
for me, it was 10 years of being unhappy on the revision rhinoplasty cycle. it was a lot of wasted time and energy. the earlier surgeons had the best of intentions but did not execute and they were skilled and esteemed surgeons. but as in any field, some people are in league of their own. my nose had very thick skin, tons of scar tissue, alar retraction WITH hanging columella (a terrible combo) and misplaced bulky grafts. so at this level of a mess, my nose took much skill to mold and sculpt. thick skinned noses are out of most surgeon's league because the healing process is so unpredictable--they don't have the skill or knowledge needed to deal with, or anticipate the problems with think skinned noses and the healing process. after my initial rhinoplasty revision with him, my nose looked normal and was 80% better. some follow-up tweaks to nose have been the icing on the cake and given it a very nice, tasteful appearance. he also softened or made natural looking some other angles on my face that had been operated on by other surgeons. making unnatural plastic surgery look natural is very difficult. i understand the plight and suffering of THE revision rhinoplasty patient. i can't tell you how many times the cast or bandages came off and i was left with same misshapen, bulky mess. my tip and columella were just a wad of scar tissue. in pictures, it looked horrible. for some reason that really bothered me more than what i saw in the mirror. my original nose (which i hated) started to seem desirable to me after all the surgeries. i preferred something larger as opposed to operated- looking chunks of scar tissue with retracted alars. like i said in my original post, not sure whether it's luck or research that led to Dr. Guyuron but i'm very grateful. good luck.
September 23, 2014
I can't tell you how thankful I am to you for this detail. You are an Angel, for taking the time. I'm so happy that you have gotten your nose looking good now! Dr. Guyuron cost for revision rhinoplasty is more than double. I'm still paying on the last one. So thank you for letting me and others know how good he is. I'll come up with the money one way or the other. ,
UPDATED FROM RG1991
8 years post

After/Before Dr. Guyuron

RG1991
Dr. Guyuron revision rhinoplasty after numerous failed surgeries. Had very thick stubborn skin. Working with thick-skinned tips takes tremendous skill and experience.

Replies (4)

June 19, 2016
Your result is beautiful. It looks like you also had a brow lift and fat to upper lids?
June 19, 2016
Hi, no I didn't have a brow lift or fat to my upper lids. I think my upper lids are heavier as a result of age. I did have some fat to the lower lids. The area was getting hollow as result of age and an extended tear trough implant. the implants tend to thin tissue around the area over the course of years. My eyes were rounding-out semi rapidly over a period of a few years so we did fat to the lower lids.
June 20, 2016
Thanks for the clarification. Whatever it is, your eyes look much better in the after in addition to your nose, which looks impeccably repaired.
November 21, 2016
Do you mind sharing the names of the doctors that you considered having surgery with prior to dr. Guyuron? Pm me if you would rather... I wish I could go to dr. G but I can't. Your nose looks really good by the way