Feedback on any of these or other nose surgeons are welcomed. NOTE: This list does get updated!
Dr.Toriumi, E.N.T.-Facial Plastic Surgeon , board certified 1988
Dr.Constantian, Plastic Surgeon , board certified 1979
Dr. Paul Nassif, ENT -Facial Plastic Surgeon. board certified. 4/10/1998
Dr.Gunter, Plastic Surgeon cert, 1981; E.N.T. board certified 1969
Dr.Calvert, Plastic Surgeon , board certified 2002
Dr.Guyuron, Plastic Surgeon board certified 1981
Dr. Becker, E.N.T- Facial Plastic Surgeon. board certified 3/26/1996
Surgeons with an interest in Revision Rhinoplasty: (Most of these surgeons use autologous grafts in the nose, some have used allografts -from cadavers).
Dr. Richard Davis- Board Certified Facial Plastic Surgeon/ent 1993
Dr. Russell Kridel, ENT-Facial Plastic Surgeon board certified. 2/13/1981
Dr. Rohrich Plastic Surgeon board certified 1987
Dr.Babak Azizzadeh- Facial cosmetic surgeon/ent cert.5/19/2003
Dr. Andrew Frankel, Board Certified Facial Cosmetic Surgeon/ent -1995
Dr.John Hilinski-Facial Cosmetic Surgeon/ent, board certified May 2002
Dr. Thomas Le- Facial Cosmetic Surgeon/ent, board certified May 2004
Dr. Anil Shah E.N.T.-Facial Cosmetic Surgeon, board certified 2006
Dr.Frederick Newman Plastic Surgeon board certified 1985
Dr. Andres Bustillo E.N.T. Facial Plastic Surgery board certified 6/01/2005
Dr. Ira Papel E.N.T. Facial Plastic Surgeon board certified 10/18/1986
Dr.Stephen Perkins- E.N.T.-Facial Plastic Surgeon board certified 10/18/1982
Dr. David W. Kim- E.N.T-Facial Plastic Surgeon board certified 2003 (FPS 2005)
Dr. Shervin Naderi E.N.T-Facial Plastic Surgeon board cert.06/01/2005
Dr. William Binder, E.N.T./Facial Plastic, board certified 1978
Dr. George C. Peck Jr. Plastic Surgeon board cert. 1994
Dr. C. Spencer Cochran E.N.T. board cert. 05/04/2007
European Revision Rhinoplasty specialists
AUTOLOGOUS CARTILAGE AND BONE-( FROM THE RIB,EAR,SEPTAL,..) IS MUCH PREFERRED THEN USING SYNTHETIC MATERIAL! ALLOGRAFTS (FROM CADAVERS) IS ANOTHER OPTION ALTHOUGH STILL CONSIDERED INFERIOR TO AUTOLOGOUS GRAFTS.
He places alloderm in nose to deflect air on inspiration as the turbinate does. This turbinate replacement surgery is a new procedure developed by Dr. Houser. So beware of doctors who want to remove any amount of turbinates from your nose, there can be very "serious" and "permanent" side effects. Make sure the surgeon doesn't remove the bone part of the turbinate (outfracturing may be an option) and keeps as much mucosa as possible. Even removing 1-2cm of anterior portion can be too much and can have serious side effects, i know from experience. If you have turbinate surgery the safest ways to reduce enlarged turbinates is by somnoplasty, or using a microdebrider. Do not believe that removing the 'anterior portion' of the turbinates is totally safe (especially if you had previous partial removal of the same turbinate), that's not true, it can cause problems. Your surgeon may argue you have superior and middle turbinates that can still do the job, do not accept that rational. Your better off finding another surgeon. I say this from experience and to protect you from not becoming another victim. Your turbinates exist for a reason, and the 3 sets have different role functions which can't be overstated. Due to nose surgery and other reasons they can over expand and remain too enlarged for proper breathing, if this is your situation then consider the 2 safest procedures i mentioned, microdebrider surgery or somnoplasty. Get your surgeon to examine if you have nasal valve collapse or deviated septum which can also affect your turbinates. However, many e.n.t.'s don't understand how to properly assess nasal valve collapsing or how to repair it, you may have to travel outside your city , state/province or even Country to get an expert opinion. If you can't find an e.n.t who is a facial plastic surgeon in your city who can do that for you , you could try seeing a "Plastic Surgeon" who is board certified in your city, who specializes in nose revision surgery.
Note: Do not confuse cosmetic or facial plastic surgeon with general plastic and reconstructive surgeon! Many e.n.t's (Otolaryngologist) and even general family physicians or general surgeons call themselves cosmetic surgeons based on their experience doing certain surgeries. Some E.N.T's who specialize in facial plastic surgery, become certified by the American Board of facial plastic and reconstructive surgery. The abfprs has certain eligible requirements see link http://www.abfprs.org/applying/index.cfm however as they state on there website......
"The Board is neither an educational institution nor a licensing body, and the certificates it issues are neither degrees nor legal licenses to practice medicine or the specialty of facial plastic and reconstructive surgery". See link http://www.abfprs.org/about/about.cfm.
I mention this because it can be confusing and misleading when you're told by some offices that the surgeon is double board certified in Facial Plastic Surgery and as E.N.T (Otolaryngologist). In very rare cases are there surgeons who are double board certified in two educational and licensing specialties, as a general plastic/reconstructive surgeon and E.N.T (Otolaryngology). General Plastic/Reconstructive Surgeon's have specialized in medical school training in that particular field for about 5 years. This doesn't mean a e.n.t./facial plastic surgeon can't do as good a job or better with a nose cosmetic/revision procedure, as a plastic surgeon. It all depends on his/her level of personal ability, expertise, training and experience. However a Facial Plastic Surgeon certified by the ABFPRS tells you that the surgeon is a E.N.T. who's focus and main specialty is directed at facial cosmetic and reconstructive procedures and has gained the qualifications necessary to be certified by the ABFPRS. Also general plastic and reconstructive surgeons usually end up sub-specializing in doing certain specific surgery's. Some (I would say small percentage) are interested in revision rhinoplasty but not all. If you suffer with enlarged turbinates, sinus problems, polyps a E.N.T. is trained to assess those issue's specifically then a general plastic surgeon.
I myself suffer with nerve damage in the lower portion of the nose (tip and base regions) which is very painful and has to be treated with medication specific for neuropathy, such as Lyrica. This result occurred after a revision nose surgeon in Toronto operated on me. He cut a lot of tip cartilage and scar tissue from my nose in order to lower the high tip angle, and negligently cut off what was remaining of my inferior turbinates which wasn't causing me a problem in my left nostril. He had made the rhinoplasty conditional upon me having both sides of my turbinates reduced, even though he was well aware I had two prior turbinectomies plus a cauterization on them many years ago. He promised to use ear cartilage grafts in my nose (the main reason i went ahead and traveled to have surgery with him) and during surgery decided not to do so. (which was written in the agreement).
......Doctor in Ontario.............College of Physicians and Surgeons of Ontario Ph: 1-416-967-2603
RULES FOR CHOOSING A SURGEON
DO NOT CHOOSE A DOCTOR BASED ON AN AMAZING WEBSITE AND GREAT WEBSITE NAME. A DOCTOR WHO JUST GRADUATED FROM MEDICAL SCHOOL CAN DO THAT.
DO NOT CHOOSE A DOCTOR THAT YOU HAVE DOUBTS ABOUT (RED FLAGS)ESPECIALLY IF YOUR QUESTIONING HIS/HER KNOWLEDGE,ABILITIES, EXPERIENCE, FEEL YOUR NOT ON THE SAME PAGE, SIMPLY DON'T FEEL COMFORTABLE WITH OR TRUST. YOU HAVE TO LISTEN TO YOUR GUT FEELING.
DON'T BELIEVE THAT ANY NOSE SURGEON CAN SIMPLY FOLLOW A SURGICAL PLAN THAT WAS DEVELOPED FOR YOU BY ANOTHER NOSE EXPERT SURGEON YOU HAD SEEN PREVIOUSLY, AND WILL BE ABLE TO DELIVER THE SAME POSITIVE SURGICAL RESULTS.
DO NOT JUST GET ONE OR TWO OPINIONS
DO NOT GO WITH SOMEONE WHO WON'T ANSWER YOUR QUESTIONS ESPECIALLY IN REGARDS TO HOW MANY SURGERY'S THEY DO ROUGHLY IN A YEAR OR IN THEIR LIFETIME LIKE THE SURGERY YOU NEED
DO NOT GO WITH SOMEONE WHO WON'T SHOW YOU BEFORE AND AFTER PICTURES.
DO NOT CHOOSE A DOCTOR BASED ON PRICE ALONE. THE CHEAPEST OR THE MOST EXPENSIVE, MAY NOT BE THE BEST AND MAY CAUSE YOU TO HAVE MORE SURGERY. HERE AGAIN, ONE HAS TO CONSIDER EXPERIENCE IN THE TYPE OF SURGERY YOU NEED. IT'S HARD AT FIRST TO KNOW WHAT YOU MAY NEED THAT'S WHY YOU NEED TO DO A LOT OF RESEARCH AND SEE FEW OF THE TOP SURGEON'S IN THE FIELD.
DO NOT GO WITH THE QUICK FIX DOCTOR
DO NOT GO WITH A DOCTOR WHO EXAGGERATES NO. OF NOSE SURGERY'S DONE IN A YEAR. IT'S POSSIBLE TO DO OVER 200 NOSE SURGERY'S IN A YEAR WHICH IS ABOUT 4 PER WEEK BUT IF THEY SAY OVER 300 THAT IS A PRETTY HIGH NUMBER. AND EVEN IF THEY DID MORE THEN 200 IN A YEAR, IT DOESN'T MEAN THEIR BETTER THEN SOMEONE WHO DOES 125 IN A YEAR. WHAT'S IMPORTANT IS HOW MUCH OF HIS PRACTICE HE COMMITS TO NOSE SURGERY AND REVISION SURGERY AND YEARS IN PRACTICE. SOME NOSE SPECIALISTS DO LONGER PROCEDURES ON THE NOSE AND ARE NOT CONCERNED WITH THE QUANTITY THEY DO BUT THE QUALITY OF THEIR WORK. MOST IMPORTANTLY IS HOW MANY SURGERY'S OF THE TYPE OF SURGERY YOU SPECIFICALLY NEED, HAS THE SURGEON PERFORMED.
SEARCH OUT THE BEST DOCTORS , GET AT LEAST THREE OPINIONS
YOU SHOULD FEEL COMFORTABLE WITH YOUR DOCTOR AFTER MEETING WITH HIM/HER AND FEEL CONFIDENT THEY KNOW WHAT THERE SAYING BY THE WAY THEY ANSWER YOUR QUESTIONS AND THE EXAMINATION AND SURGERY PLAN
LET THE SURGEON WHEN MEETING WITH HIM/HER FOR THE FIRST TIME, TELL YOU WHAT THEY THINK THE PROBLEM AND SURGICAL PLAN IS, BEFORE TELLING THEM WHAT ANOTHER TOP SURGEON YOU HAD SEEN RECOMMENDED. DON'T INFLUENCE THERE DIAGNOSIS AND THOUGHTS. YOU WANT A UNBIASED OPINION.
ASK IF THERE'S A PAYMENT PLAN
TAKE A INFO SHEET WITH YOU FOR THE LIST OF QUESTIONS YOU WANT TO ASK THE DOCTOR DURING FIRST VISIT
HAVE YOUR OPERATION REPORTS FROM PREVIOUS SURGERY'S WITH YOU WHICH YOU CAN SHOW TO THE SURGEON
FOR OUT OF TOWN PEOPLE USE EMAIL OR PHONE OFFICE TO CONTACT SURGEON EXPLAIN YOUR SITUATION, BUT DON'T EXPECT A DIAGNOSES UNTIL YOU VISIT IN PERSON. ASK THE OFFICE IF YOU CAN HAVE A SKYPE INTERVIEW.
MAKE SURE, [IF YOU CAN] TO WAIT AT LEAST 2 YEARS FROM THE PREVIOUS SURGERY SO ALL SWELLING IN NOSE IS GONE BEFORE GOING AHEAD WITH ANOTHER SURGERY. FIRST OF ALL THIS GIVES YOU TIME TO RESEARCH AND FIND THE RIGHT DOCTOR. SECONDLY, IT GIVES YOU A CHANCE TO GET USE TO YOUR 'NEW' NOSE. CHANGES OCCUR OVER TIME, NOT JUST AESTHETICALLY BUT WITH FUNCTION AS WELL. YOU MAY OVER A FEW YEARS REALIZE YOU CAN LIVE WITH YOUR 'NEW' NOSE BY USING NON INVASIVE TREATMENTS. SEE MY POST ON NON INVASIVE NOSE TREATMENTS.
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