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Old 04-09-2014, 02:02 PM   #1
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Nora is on a distinguished road

Arrow Dr. Pearlman, Dr. Guida, or someone else?

I'm considering Dr. Pearlman and Dr. Guida for my primary rhinoplasty (unless someone can convince me otherwise!) I have a few others on my long list, but I'm not sure I want to make my decision more difficult by consulting with too many. I had consultations with both of them, and while both were positive experiences, they were also vastly different.

Dr. Guida was first. He was friendly, a gentleman, but too passive for my liking. He looked at my nose and identified areas that needed to be improved. He took the digital images and played around with them on the computer (although, I must say, his skill in altering them was not impressive). He really looked to me to tell him the changes I wanted, but this being my first consult, I did not know how far I should go, and wished he guided me more towards what was realistic. I wanted my nose to be drastically improved, but at the same time - not look disproportionately small on me. I did not ask too many detailed questions. He did, however, tell me he had about a 5% revision rate for his own primary rhinoplasties and that he would use the open approach on me for greater visibility
The Good : Very helpful staff. No sales pitch at all. With all that, booked into June already, with 3-4 cases 2x week. Mostly good reviews online.
Red flags : Did not exude confidence that told me: "we can get you the nose you want." (or maybe it was a humble confidence). One very alarming review on yelp.

Dr. Pearlman - He was active, charismatic, and very involved. He talked about himself quite a bit, sometimes going off on a tangent, but also answered all of my questions in great detail. His computer imaging software was superb and he gave me a realistic expectation of what could actually be done. He went over all of my concerns of potential complications, and exactly what he will do during surgery. He also said he would use an open approach on me and that he would use grafts taken from my own septum (I'm also doing a septoplasty) to stabilize the nose and prevent future collapse. This was a great concern of mine, and he said about 5-7% of his patients have this complication, and literature suggests 15% of all rhinoplasty patients have it.
Good: Exudes confidence, allowed me to meet with a former patient who was in the office at the same time as me.
Red flags: Availability is nearly wide open. Staff is very sales oriented and pushed me to book the date asap. Staff spoke badly about another plastic surgeon I was planning on seeing. Quite a few bad reviews online.

Is anyone familiar with these two or have seen any of their former work? I would like to decide on this as soon as possible!

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Old 04-22-2014, 09:26 PM   #2
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Location: ny
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Im in the same situation. I visited dr. guida because he has good reviews online, but i want a second opinion. I am planning to visit Pastorek and Dr. Miller..

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guida , nyc , pearlman , primary rhinoplasty

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