Voted by peers to New York Magazine's 2013 Top Doctors -
Facial Plastic Surgery; Rhinoplasty Revision; and Nasal Surgery.
Our medical director takes his time with each surgery and books extra time for each surgery. Facial plastic surgery to our doctor is as much an art as it is a science. This is why he asks his patients to be patient if they cannot get an appointment right away or if there is a wait list scheduling surgery. He does not squeeze patients in - this is NOT a conveyer belt. This is your face so he advises patients NOT to RUSH into surgery.
Widely respected for his advanced minimally invasive application of ground breaking surgical techniques, Our medical director's approach is based on philosophy that each individual procedure is tailored and customized to the individual needs of each patient. He uses minimally invasive endoscopic techniques to reduce downtime. He is focused not only on a natural result but also on the speed of a patient's recovery. To optimize this intent, our doctor uses preoperative as well as intraoperative and postoperative minimally invasive techniques and medications to achieve this rapid healing.
"The perception and creation of beauty in a nose is an artistic innate quality which can be observed by looking at a surgeon's results, unrelated to training or experience. That being said, training and experience provide the necessary tools to achieve this goal, but are insufficient in and of themselves. When I perform a rhinoplasty, it is not a standard stamped procedure. I have no signature rhinoplasty. Each rhinoplasty I perform is a customized unique nose in harmony with a patient's face which compliments and beautifies the person."
Our Medical Director has been chosen as a Top Facial Plastic Surgeon and Rhinoplasty Specialist by Castle Connolly, the #1 Organization which selects Top Physicians in every field based on recommendations by their peers. Our doctor has also published his original techniques in many plastic surgery journals, which requires peer review by other plastic surgeons to deem it original and worthy of publication. He is often selected by doctors, nurses, and other medical professionals to do their plastic surgery.
How To Find The Best Revision Rhinoplasty Surgeon?
An Artist View "A Surgeon's Vision"
Our doctor does have a vision for a patient's nose, that vision varies from patient to patient and depends on full facial structure. He does take into consideration what bother's patients most about their nose but if he feels something is not feasible or realistic or will look unnatural he will let the patient know his opinion preoperatively. An Artist also has a vision and each artistic vision varies and is personal that is what makes one surgeon results different from another.
When choosing between the many rhinoplasty surgeons in New York, great care should be given to researching and finding the best possible doctor. It is imperative to opt for a doctor who is a veteran in performing facial plastic surgery and is well known for attaining to the patients’ needs. In cases where the patient’s situation is complex (for example in the case of secondary or revision rhinoplasty) a very experienced doctor can assist in assessing and correcting the situation better than other NYC plastic surgeons, especially if they don’t perform rhinoplasty surgeries very often.
An experienced New York based rhinoplasty surgeon will have high level of expertise as a result of the number of rhinoplasty procedures he performs each week. In addition, the surgeon should possess artistic talent and to use the best surgical techniques available such as 3D high definition equipment which allows for more precise result with minimal downtime. Undergoing this type of procedure may cost more but price should not be a large factor when choosing a NYC rhinoplasty surgeon. Any kind of facial procedure should only be done by a New York surgeon that you feel very comfortable with. Even small differences in the shape of a nose can change the overall look of a person’s face, and that is why you have to go with the best rhinoplasty surgeon.
Your main task as a patient is researching for a rhinoplasty surgeon that is right for you. Many of New York’s plastic surgeons have nice offices and elaborate marketing techniques, but only a few are experts in nose surgery. A surgeon’s quality of work can be determined by looking at previous cases (before and after photos and patients’ videos). If those are not available online, ask for them when you come in for a consultation with the NYC rhinoplasty surgeon. If you want to hire an artist to paint your portrait, you would not pay thousands of dollars before seeing some of that painter’s recent works. In the same manner, you should look at actual results the doctor has accomplished in the past in order to judge their ability to deal with your unique condition.
Getting a nose job done can be quite intricate and hazardous if you choose a New York rhinoplasty surgeon who is not capable enough. In order to get the best surgeon, following these guidelines is crucial:
- Do some research online and find potential rhinoplasty surgeon in New York City with which you would like to meet. Read their bio, look at their credentials, peer reviews (such as in Castle Connolly’s Top Doctors book), pre & post surgery photos, videos of available, including patient experiences.
- Set up consultations with the rhinoplasty surgeons you consider. Use the time you spend in their office to evaluate their staff, service level, equipment and facilities, and most importantly the surgeon’s expertise, personality, and overall attitude. Make sure you ask to look at additional before & after photos that are not available online. Talk to your rhinoplasty surgeons about any concerns that you have, how would he/she performs the procedure, what to expect, and any other issue you would like to hear the surgeon’s opinion about.
- Investigating and learning about the surgeon you are about to choose is essential. Peeking into their medical background and reading reviews on other websites are recommended actions to take before scheduling a surgery date.
What Does Rhinoplasty Mean?
Rhinoplasty is derived from two Greek roots- "rhino" means nose and "plasticos" means to change. The combination means to change the nose.
How Do I Choose A Surgeon?
A facial plastic surgeon, who is double board certified in facial plastic surgery and otolaryngology-head and neck surgery has the most training both for functional (i.e. breathing issues, deviated nasal septum) and cosmetic concerns. Very often, these issues can be related (i.e. a deviated nasal septum can result in a crooked nose and structural problems). Additionally, these surgeons' practices are limited to the nose, face, and neck and usually do not perform body plastic surgery. Our doctor is a well renowned facial plastic surgeon who specializes in rhinoplasty surgery in New York.
What Is The Modern Rhinoplasty? Rhinoplasty In The 21st Century?
The largest trend in rhinoplasty is conservatism. That means removing less cartilage and bone so that the nose looks Natural and so the breathing and functional apparatus is preserved. The older rhinoplasties done in the 80's and earlier where more cartilage and bone was removed look too scooped and pinched and many require revision surgeries. The future of rhinoplasty also lies in more precise surgery and rapid recovery which are the key reasons to use the 3-dimentional high definition approach, pioneered by rhinoplasty surgeon, our doctor. The structures inside the nose are visualized with a high definition 3D-camera and telescope system as they are sculpted and changed. This has revolutionized rhinoplasty surgery.
What Are The Different Types Of Rhinoplasty Surgery?
The open or external approach involves making a small incision on the columella (the small center portion of the nose). The structures of the nose are then visualized by lifting under the skin towards the top part of the nose. The endonasal approach uses incisions inside the nose to lift the skin and see the internal nasal structures. Both approaches can be used depending on the size of the nose but adding the 3dimentional high definition system, as described by our doctor, to either approach significantly reduce the recovery but just as important, result in a more precise operation.
What Is The Percentage Of Patients That Require A Revision
The national revision rate is about 10-20% in experienced hands but this percentage varies with the individual rhinoplasty surgeon you choose. This also varies by the complexity of cases in one's practice. Results are less predictable with patients who have had many revision surgeries. A minor revision may require just smoothing a bump under local anesthesia and a major revision may require adding cartilage and may be more involved depending on the deformity involved.
When Should I Expect To Look Normal?
A rhinoplasty patient can expect to look socially presentable in 1 week, especially with the use of the 3-Dimentional system, pioneered by our doctor, as well as use of herbal supplements to expedite recovery. After a week some minor bruising may persist and swelling slowly dissipates over months but this swelling may not be obvious to the patient.
When Can I Resume Physical Activity?
A patient needs to ice for 2 days. After 2 days, walking is recommended but no strenuous activity for 2 weeks. Contact sports cannot be done for 6 weeks.
Can A Breathing Problem Or Deviated Nasal Septum Or A Sinus
Condition Be Corrected At The Same Time As Rhinoplasty?
Yes, a breathing problem from a deviated or crooked nasal septum (parting wall between right and left nasal cavities) or a sinus blockage can be corrected at the same time as a rhinoplasty. A CT scan of the nose and sinuses is typically required to evaluate the septum and nasal sinuses in addition to a internal nasal examination by your surgeon.