Personal Philosophy

My personal philosophy of rhinoplasty focuses on one essential goal - to achieve a result that makes the patient happy. With this essential goal in mind, I take a conservative approach to rhinoplasty and seek a natural, unoperated look.  I avoid over-aggressive resection maneuvers. I focus on maintaining structural support, and seek a natural "unoperated" appearance. I have provided before and after surgical photos in my websites that I hope reflect my approach. Ultimately, success in  rhinoplasty is based on well-developed judgment, wisdom, and accumulated knowledge and experience. Like most surgeries, rhinoplasty is both a science and an art. Skill comes from experience and wisdom, combined with a measure of talent. The surgeon must have a detailed understanding of the multiple anatomic variants encountered. The surgeon must also have accumulated the appropriate surgical techniques and experience.

In an effort to minimize risks and complications, I have studied them intensively throughout my career. I have also had the opportunity, due to my surgical practice in revision rhinoplasty, to see the kinds of complications that occur all over the world. I have also developed a significant surgical experience in correcting many of the problems that occur. I have also written extensively about complications of rhinoplasty and their correction. In My focus on this subject has culminated in a recent textbook. With these introductory thoughts in mind, and with the permission of my publishers (Thieme Publishers, New York City, New York), I have reproduced in its entirety a chapter from this medical textbook, in which I discuss my personal philosophy and approach to revision rhinoplasty.  Instead of a theoretical discussion, this chapter provides a "brass tacks" description of my approach to patients and my practical thoughts on the subject of the practice of revision rhinoplasty. It is my hope that this information will be useful to the reader.

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