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-   -   First Consultation: Surgeon Suggesting More Than I Had in Mind... Pics attached (http://www.plasticsurgeryspot.com/nose-surgery-primary-revision-rhinoplasty/1205-first-consultation-surgeon-suggesting-more-than-i-had-mind-pics-attached.html)

odemadrid 03-10-2010 10:35 AM

First Consultation: Surgeon Suggesting More Than I Had in Mind... Pics attached
 
1 Attachment(s)
I had my first visit ever with a plastic surgeon in Austin, TX, and I would love to get your feedback.

First off, the surgeries I had in mind were:
1. Rhinoplasty to remove the hump in my nose.
2. Otoplasty to give fix the big ears I have; I've always been aware of the size of my ears, and would love to fix them.

The doctor I visited specializes in facial work only (member of AAFPRS), which is nice. I would not let a doctor who does boobs, liposuction and rhinoplasty touch my face. I do not buy you can specialize in everything.

He was very informative; the appointment was about one hour long. I had a long list of questions, and he answered all of them.

After looking at the my pictures, he said the two procedures I want to do are very predictable. He really liked the shape and size of my nose in frontal pictures, and he only recommends shaving down the hump to make the nose more straight.

With the ears, he pointed out my ear lobes point forward and if he only pulled the ears back, the ear lobes would not look natural. Thus, he would like to work on the ear lobes first to bring them in line with the rest of the ear and then pull everything back.

HOWEVER, he also pointed a couple of other things when looking at my profile picture. He pointed out my chin. I am a skinny guy (5 8", 145 lbs) with little body fat, and he said:

"It's unfortunate you have so much fat on your neck because you are such a skinny guy, and I don't think you could lose that"

He is correct. I dont have a great profile picture and my jaw is not defined at all; I've always been aware of that and in the past, I contemplated a chin implant. However, he suggested a lipectomy to cut and shape my neck line. He showed me a few guys that he's worked on and the results are very impressive. He also said I could use a chin implant to bring my chin closer to my lips and provide more symmetry.

I am not sure how I feel about a plastic surgeon giving me suggestions like that. I know it's a business and he's trying to sell his services. He didn't point out things I wasn't aware of, and I see how the surgery would be 'nice' to have. Anyways, he gave me 3 different quotes:

1. nose and ears
2 nose, ears and neck
3. nose, ears, neck and chin

What do you guys think?

BTW. He said my procedures are very predictable; he showed me guys that have sought similar procedures recently with similar facial features and I was very impressed by his work.

odemadrid 03-10-2010 10:41 AM

Oh yeah. The doctor will try to get me in contact with some of his previous patients so I can talk to them and get a feel about how they feel.

He also mentioned his contract has detailed information about revisions. If the customer is not happy with the results and these are not close to the plans, revisions would be on him.

He wants his work to be as close to perfect as possible, but he also said perfect isn't possible and anyone who promises that is full of BS!

robyne00 03-10-2010 01:18 PM

If you deal with the neck issues, you probably will not need a chin implant. I would not go for the otoplasty, as it is a very tricky surgery, especially for adults. I can understand your concerns about your nose.

I would be careful if you do not meet the former patients in person. Many time docs have friends, colleagues, family members, etc. make these promotional calls.

Also, read all paperwork very carefully, as the language can be worded in a particular fashion that is to the surgeon's advantage.

Visit many surgeons!!! :)

odemadrid 03-10-2010 05:12 PM

Quote:

Originally Posted by robyne00 (Post 5306)
If you deal with the neck issues, you probably will not need a chin implant. I would not go for the otoplasty, as it is a very tricky surgery, especially for adults. I can understand your concerns about your nose.

I would be careful if you do not meet the former patients in person. Many time docs have friends, colleagues, family members, etc. make these promotional calls.

Also, read all paperwork very carefully, as the language can be worded in a particular fashion that is to the surgeon's advantage.

Visit many surgeons!!! :)

thanks for your response! I actually would really like to address my ears. It's something that has bothered me for many years and is a high priority for me. He showed me some of his work on adults, and the results looked promising.
I will probably go ahead and do a lipectomy, but cannot decide on the chin.
I have another appointment in a month with a different doctor; this second doctor also specializes on the face, but he is a lot more busy than the first doctor I saw. I just called his office to see if I can move my appointment to an earlier date, but the assistant said spaces are now full until the end of April.

I am only looking into doctors who are members of the AAFPRS. Do you feel this is the right decision??

robyne00 03-10-2010 05:44 PM

I agree with your decision to go with docs affiliated with the AAFPRS.

If the ears really bother you go for it, but make sure you read his paperwork carefully regarding revisions.

la_angel 03-10-2010 06:31 PM

Well I'm glad to hear you already know the importance of specializing (and how no plastic surgeon can specialize in everything). That is a frequent issue we have to explain on this rhinoplasty forum, so it's nice to see that you already know this :)

From looking at your profile pic, I agree that you could benefit from a lipectomy. A chin implant may help too, but I wouldn't put that at the top of your list. Would it be possible to post other pictures from different views so we can get a better idea of how your face looks?

p.s. Make sure we can see your ears... because as already mentioned, otoplasty rarely comes out good!

odemadrid 03-11-2010 10:28 AM

2 Attachment(s)
Quote:

Originally Posted by la_angel (Post 5323)
Well I'm glad to hear you already know the importance of specializing (and how no plastic surgeon can specialize in everything). That is a frequent issue we have to explain on this rhinoplasty forum, so it's nice to see that you already know this :)

From looking at your profile pic, I agree that you could benefit from a lipectomy. A chin implant may help too, but I wouldn't put that at the top of your list. Would it be possible to post other pictures from different views so we can get a better idea of how your face looks?

p.s. Make sure we can see your ears... because as already mentioned, otoplasty rarely comes out good!

Here a frontal picture. As you can see, my ears are not symmetrical, which is common in humans. However, my ears appear a bit rotated as my earlobes point forward and the ears are sticking out. I would appreciate feedback!!1

robyne00 03-12-2010 09:42 AM

I understand your concerns. If you did get an otoplasty, it would not change the fact that the earlobes are jutting forward. It might make the protrusion of the upper ear less noticeable, but your ears will still be flawed.

I know many adults who have gotten otoplasty, and 9 times out of 10 the results are not good. This surgery must be done when people are very young for optimal results.

odemadrid 03-12-2010 01:03 PM

Quote:

Originally Posted by robyne00 (Post 5372)
I understand your concerns. If you did get an otoplasty, it would not change the fact that the earlobes are jutting forward. It might make the protrusion of the upper ear less noticeable, but your ears will still be flawed.

I know many adults who have gotten otoplasty, and 9 times out of 10 the results are not good. This surgery must be done when people are very young for optimal results.


Actually, the doctor's first comments were related to the earlobes and their position. He clearly stated that simply pulling the ears back would not be sufficient to fix the shape of my ears. He would like to fix the earlobs and bringing to a more normal position, and then, work on the protrusion of the upper ears.

robyne00 03-12-2010 01:13 PM

I would be very careful getting the aforementioned surgery. Are you planning on visiting additional surgeons? You really should. This doc seems a little overambitious to "help" you. ;)


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