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My life history is the foundation for my aesthetic sense. My mother is a retired professional musician, a New Yorker, and an avid lover of the arts. As a child, I was educated and exposed to the Arts – music, opera and theater, modern and traditional art, and so forth. I developed an appreciation for artistic beauty. As I began my career in medicine and plastic surgery, I was introduced to the concepts of the Aesthetic Ideal that are described in my website (www.TheRhinoplastyCenter.com – see “The Ideal Nose.”). My training in rhinoplasty was both classical and modern – I am privileged to say that I received my training from some of the great rhinoplasty surgeons in history, and I developed a respect for the history of the operation. Also, I was exposed from the beginning both to the classic techniques and the most modern and cutting edge approaches, giving me a tremendous armamentarium to draw on when performing rhinoplasty.

We suggest approximately 1 week. This can vary depending on the patient, and the kind of work they do. The recovery is usually uneventful. We will discuss this with you in detail in the office.

Yes! Please see my website, www.TheRhinoplastyCenter.com – there is a lecture on “The Severely Twisted Nose” that you will want to read. Also, please see the Photo Album section entitled “The Twisted Nose.” I look forward to seeing you!

There is of course no way to guarantee that you will be satisfied. That is the quick answer. Let me say a little more.

After I have met with you, discussed your concerns, and examined you (and your nose), we undertake computer imaging. Computer imaging is a very helpful way to communicate surgical goals. The patient understands that computer imaging is a video game - it is not a guarantee, but it is a way to find our shared goal. It is important for me to know what the patient wants to accomplish, and the patient must know what the surgeon envisions as a goal for the surgical result. Computer imaging is extremely useful to communicate this information, and we therefore perform computer imaging on virtually all patients prior to surgery.

With computer imaging, I work with the patient to generate an imaging result that is the goal for surgery, and I want to be sure that the patient agrees to the goal. The patient understands that this is not a guarantee, but that this is our shared goal.

If, after surgery, a patient is not satisfied with something about their rhinoplasty, then I am happy to address this. In a small number of patients, additional surgery is necessary, and in these cases I do not charge an additional surgeon’s fee. (there are additional relatively modest, anesthesia and operating room fees, however). All surgeries have risks, and you will have to discuss with a specialist the specific risks and benefits in your case to make a decision about what to do. Once you have chosen a surgeon, have a candid discussion with the surgeon regarding your goals and expectations of surgery. A discussion of the potential complications is critical, so that you understand the risks of a complication. Although most complications are relatively minor and correctable, more serious, debilitating, and uncorrectable complications do occur.

Not all Rhinoplasties are the same – some have smaller risks, and some have greater risks. One of the risks of any cosmetic surgery is the risk of an unacceptable cosmetic result. We try to minimize this risk but it cannot be eliminated. Fortunately, we encounter this problem in a very small percentage of patients only.

Like any health issues, we would want to review your allergies and see if they can be circumnavigated. In my practice, I have never had a patient who could not have surgery due to this problem.

Each rhinoplasty is customized to the patient. When you come to the office, my staff will take your photos and download them into our computer. I will meet with you and we will discuss what you would like changed about your nose. After I have examined your nose, we will discuss the options. Computer imaging is a very helpful tool that allows us to agree on the goal of surgery.

In a too-wide nose, narrowing can be undertaken in a way that gives the face a more balanced look. Osteotomies of the nasal bones with infracture will commonly be used in this situation to narrow the nose. Also, if the nasal tip is wide, narrowing of the nostrils also can help significantly. Again, this is all determined on an individualized basis.

Each rhinoplasty is customized to the patient. When you come to the office, my staff will take your photos and download them into our computer. I will meet with you and we will discuss what you would like changed about your nose. After I have examined your nose, we will discuss the options. Computer imaging is a very helpful tool that allows us to agree on the goal of surgery. Once we have agreed on what we want your nose to look like, then I can get into specific detail about surgery for you. Often in rhinoplasty on a patient of Middle Eastern descent, this involves some takedown of the nasal hump, and some lifting of a droopy nose. At times, there is a twist in the nose, a bulbous tip, and wide nostrils. We will discuss these as they relate to your nose, and develop a specific plan of action to address the things you don’t like about your nose. Please see my website, www.TheRhinoplastyCenter.com for more information.

After I have met with you, discussed your concerns, and examined you (and your nose), we undertake computer imaging. Computer imaging is a very helpful way to communicate surgical goals. The patient understands that computer imaging is a video game - it is not a guarantee, but it is a way to find our shared goal. It is important for me to know what the patient wants to accomplish, and the patient must know what the surgeon envisions as a goal for the surgical result. Computer imaging is extremely useful to communicate this information, and we therefore perform computer imaging on virtually all patients prior to surgery.

With computer imaging, I work with the patient to generate an imaging result that is the goal for surgery, and I want to be sure that the patient agrees to the goal. The patient understands that this is not a guarantee, but that this is our shared goal.

This is something that can be addressed. This is something that must be discussed on an individual, case-by-case basis with your surgeon.

Most rhinoplasty surgeons prefer to wait until an individual has completed his or her growth spurt. This means age 15 or 16 for girls, and a little later for boys. Of course, this is a generalization: it is very important to consider the individual's emotional and social maturity level and to make sure that he/she really wants a rhinoplasty.