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Old 03-18-2010, 07:53 AM   #11
 
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Some docs charge for consultations due to overhead, financial climate, lack of business, or the desire to seem in demand. Other docs will tell you that if you choose them to do your surgery they will deduct the consult fee. This factor should be the least of your worries, although I can understand why anyone would want a free consult.

Do not JUST listen. This is YOUR surgery!!!

Ask how many rhinoplasties the doc does every year.
Ask if you can speak with former patients.
Is he or she board certified? Just board certified or certified with the facial plastic surgon board as well?
Ask what percentage of the practice is dedicated to rhinoplasty.
Definitely check out some before and afters and be critical.
Try to see before and afters of people with similar issues as yours.
Ask what recourse you will have if a revision is necessary.
Ask if he or she uses a closed or open approach.

Also, it is important to gauge how comfortable do you feel with this person. If he or she is pushing you to do things you do not want or giving vague answers take these factors into consideration. Listen to what the surgeon says, but do not take it as the end all be all. There should be a compromise between your wishes and his recommendations and expertise.

Good luck and keep us posted!!!


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Old 03-18-2010, 09:42 AM   #12
 
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Do not JUST listen. This is YOUR surgery!!!
Great sample questions, robyne, and I couldn't agree more with the above quote.

Anna, you may have had the consultation by the time you read this. But for this and future consultations, remember: this is a job interview, and you are the person doing the hiring. Don't go easy on them. Challenge what they tell you. Try to dislodge them from their routine sales patter and see how well they answer questions and respond to concerns. You said you wanted someone who can listen to your worries -- so gauge how well they can do that.

A doctor who doesn't listen well, who gets easily impatient, who brushes off your concerns or keeps trying to steer you toward their own agenda: these are red flags for me. Don't settle for what sounds "good enough." As your posts above identify, you've got an ocean of doctors out there to choose from. You should shop accordingly, and with patience. It helps to compare.

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Old 03-18-2010, 11:08 PM   #13
 
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Default great questions

Wow having those questions for the consultation was very helpful - thank you!
I totally can see how the doctors are on automatic sales pitch until you dislodge them with questions..its sort of funny! I saw two different surgeons today and both thought very highly of themselves. If never met anyone before that actually complimented themselves over and over in front of another person...its really odd. To me, that just makes them seem really insecure but perhaps with others that bologna seduces them. After I finish all my consultations I will give a low down on my experience with each one.

On another note, I called Dr. Frank Ryans office to make a consultation, they said it cost $500!!! thats seems totally crazy, is he really amazing?...I assume if all the stars go to him, he must be quite good, but there is no one that ever posts before and after pics by him, so how do you know if he is actually that good?!?!?!?

Norm: I see your from NYC...do you have any feedback on Dr Pastorek....I've heard he is really great...but again no posts of before and after pics

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Old 03-19-2010, 07:33 AM   #14
 
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Anna, I'm just getting (back) into this myself, so I have no intel on Pastorek. Other than the many reviews reachable via Google, which are consistently positive but with just enough rotten reviews to make you wonder if all the good-reviewing people were just randomly lucky. Apparently he'll show you photos if you actually consult with him. But doctors that have website photos certainly make the process easier.

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Old 03-21-2010, 11:56 PM   #15
 
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I do have to say the $500 for the consult is really bugging me too. But Pastorek charges $350 and it doesn't even go to the surgery!
But to play devils advocate......it is definitely a fact that many many well known actors and models go to him for their surgery. So one must assume that he is a very good surgeon because these people have access to the best and their face is their money. If it gets screwed up, their career is over.
But then again, if many vip get their surgery by him then why would he give a rats end about my outcome?
I dont know, I am hoping by the time I am done with all these consultations that I just know clearly who will perform the best surgery on me...I just so want this to go well

Anyone have feedback on Kanodia? before I started researching he was on my list bu tthen I read so many awful reviews I crossed him off. But now I am wondering if most bad reviews are really competing offices trying to damage rep...

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Old 03-24-2010, 04:17 PM   #16
 
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But what I was saying before, was that I cant help but think a surgeon is very good, when they have a very high profile clientele ie celebrities and models...since their faces/bodies are their income makers.
Yes, many celebs do get good quality surgeries, but do not just go to a surgeon because he/or she has celebrity clients. There is more bad surgery than good surgery amongst celebs.

I am glad to hear you are visiting many surgeons. That is the way to go.

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I will give a low down of all my consultations when I am finished with them. But so far the only surgeon I have liked is Dr. Rollin Daniel...which frankly came as a surprise. But then I get back on these forums and I read bad reviews on him and I get totally bummed out.
You revealed in your post above that you are not well versed in the realm of PS. Tell us why you liked Dr. Daniel. Did you feel comfortable with him? How did he differ from the other surgeons? How did YOU feel about his before and after pics? What were his suggestions? How did he feel about your suggestions for the procedure? What were his recommendations? What compromise did the two of you arrive at regarding your procedure(s)?

Some doctors do feel that they have no responsibility post op, especially when they make you sign away all your post op rights. Not all are like this. Many surgeons want your cash, perform the procedure(s), and want nothing to do with you. It's a bad way to conduct business.

The demeanor of the office staff is a direct reflection of the surgeon, and the docs are aware of this. Unacceptable behavior on the part of the receptionist(s) and/or staff is just that ... unacceptable. If the surgeon does not care about how his or her staff treats patients or prospective patients that is a very negative sign to me. The surgeon might treat you the same way ... before or after you submit your payment.

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Old 03-24-2010, 11:41 PM   #17
 
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You revealed in your post above that you are not well versed in the realm of PS. Tell us why you liked Dr. Daniel. Did you feel comfortable with him? How did he differ from the other surgeons? How did YOU feel about his before and after pics? What were his suggestions? How did he feel about your suggestions for the procedure? What were his recommendations? What compromise did the two of you arrive at regarding your procedure(s)?
.
Well for starters, I liked Dr. Daniel's demeanor...he was easy going and sweet, no air of pretension. Second, he took his time looking at my nose....a long time. Then he spent a very long time talking about the structure of my nose and explaining it to me, he used a mirror to clearly talk about all the different areas of my nose, the imbalances, the strengths. He also had a medical book on noses that had very descriptive pictures of any procedure he was recommending which we referenced any time I was unclear. I walked away from our consultation with the most information that I had heard from any of the docs I had met with thus far. He spent a lot of time discussing what I wanted, why I wanted it, he showed me before and after pics that were similar to my nose. He had many books of before and afters and he knew about each patient at length, their situation, even their height! He spoke a lot about having the right nose for my height, which I found very interesting. He said taller girls are better suited with stronger nose structures as oppose to tiny dainty cute noses...this is right down my alley because I definitely don't want a tiny nose that looks awkward on my face. I also liked that he only works on noses and chin implants...and I like that he is a well respected revision rhinoplasty surgeon as well.

As far as compromises, I have an aesthetic idea of what I want but I most importantly do not want a nose that looks "done". So at this point, I really am listening to what the surgeons suggest after hearing my desires. Most ( and I've seen 5 in total as of today) agree with my aesthetic wishes and say subtle refinement is the goal. But aside from that each have suggested a different approach...for example...4 of the 5 have suggested a chin implant (2 wont charge for the implant they are willing to throw it in since they feel that aesthetically it will give the best results.) 4 of 5 say I will need open rhinoplasty, 2 said I need an alar base reduction, 1 said a reduction of the nostril size by taking a wedge from a mid section of the nostril but not changing the anchor points of my nostril, 2 said no reductions of nostrils at all, and everyone had completely different techniques when it came to sculpting the tip and the use of grafts, and the list goes on and on.

So, I am taking it all in, asking a lot of questions about risks and challenging everyone on their approach to see how they handle opposition.
I am still waiting to meet the doc that I love everything I hear and see but so far each doc has had a few qualities that I have disliked.

The funniest experience I had was walking into an appointment with a beverly hills doc and I said to my boyfriend, "I have a really good feeling about this doctor" and then had the worse 90 minute experience at a doctor office I have ever had...it was so bad I almost stormed out 4 times and I am a pretty reasonable person. By the way 70 minutes of the time spent in this nightmare of an office was in the waiting room!!! But I will go into detail about that disaster in my full account at the end of all my consultations.

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Old 03-25-2010, 03:59 PM   #18
 
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Hey Anna,

Have you had your surgery yet?

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Old 03-25-2010, 06:30 PM   #19
 
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It's pretty obvious from her posts that Anna has not had her surgery yet.

Anna, it is great that you are going to visit multiple surgeons. It would be very helpful if you could document your experiences on the forum, as you would be providing a truly nonbiased opinion. As many of us know it is hard to get those these days with all of the advertising that goes on, surgeon's personal agendas, etc.

Also, when you feel uncomfortable with a surgeon, remember there is a reason for it. Go with your instincts. Trust yourself and your feelings.

I look forward to reading your reviews!!!

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Old 04-28-2010, 12:04 AM   #20
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Default Rhino Consults

Hi Everyone,

I have also been searching for the best primary rhinoplasty surgeon in Los Angeles.

I have not gone to any of the surgeons Anna mentioned, with the exception of Dr. Grigoryants. Dr. Grigoryants is nice and approachable and makes you feel really comfortable. My only concern with his work is that after going through his extensive before/after gallery, I noticed that most of the 'after' noses have similar characteristics and look 'done'. I do know of people who have gone to him, who are happy, but my observation is still that they look quite 'done'.

Some other Doctors that I have visited so far are:

Dr. Raja Srour - It was almost too easy getting an appointment with him. Anytime I'd call they would be like "Can you come now?". I did go, but something about the place didn't seem very professional. All the before/after shots look like they are from the 80s... Though they look pretty good (most). He doesnt do any type of imaging to show you what his vision is for your nose. He simply ensures that he's the best and plays/pushes off the fact that he's an artist and has an artist's eye.

Dr. Armen Vartany - He's really nice. He has a solid professional office. Uses a digital imaging program to show you the results he can aim for. I will be going one more time, to ask more questions and get a better idea of his approach. His before/after shots online look pretty good. I know of people who have had rhino with him and they are very happy with their results.

Dr. Babak Azizzadeh - I think the consult with him was one of the better ones I've had. He tooks his time to explain what he can do. Gave suggestions and used 3D imaging to show what he can do. Very professional, thorough staff. He has a good solid res (Harvard/UCLA). My only concern with him was the lack of before/after rhino photos. There are minimal photos available on line and the same ones were in albums at the office. The impression I got is that he specializies in facial deformities, but may not have as much experience in cosmetic rhino... I may be wrong.


Last edited by Amy; 04-28-2010 at 12:25 AM.
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