How to tell if your rhinoplasty consultation was
If a surgeon doesn't show you before and after photographs,
scratch him off of your list. Period. No exceptions. Deal-breaker.
You pick a surgeon primarily from his before and after photos. Diplomas,
board certifications, hospital affiliations, academic appointment, and
even reputation tell you nothing: a surgeon is never tested for his
skill, his artistic eye, the quality of his outcomes, or even whether he
cares that his patients are happy.
You must see photos of other patients who had some features similar to
your nose. For example, if your nose has a wide and drooping tip, don't
accept profile-only photos of patients who had a hump carved down. You
can't see the width of the tip on a profile photo.
Revision nose operations are much more difficult than first-time
operations, so if you are consulting a surgeon about a revision
operation, you must see photos of his revision patients.
If you see the surgeon's photos, but you don't love them, scratch him
off your list. You want to use a surgeon whose work you like. Don't
assume that he'll do great on you when he didn't do great on the other
If the doctor treats you disrespectfully, scratch him off
your list. If he won't patiently listen to what you want for your nose,
same thing. How will he know how to make you happy if he won't hear what
you want for your nose?
If he conducts the consultation from behind his desk and doesn't examine
your nose, deal-breaker. If it's the nurse and not the surgeon who
conducts the consultation, run away fastest. All due respect to the
nurse, she doesn't know what's possible and what isn't. If the plan is
to see the surgeon for the first time on the morning of surgery,
deal-breaker. For sure.
If the surgeon doesn't do computer morphing of your
nose, scratch him off your list. The morphing is crucial, so the surgeon
can prove to you that he understands exactly what your goals are. If you
don't like the morph he makes, that gives you the opportunity to clarify
your goals. Also, if the surgeon recommends some changes that you hadn't
thought of, you need to see the morphs, so you can see whether you like
If your gut tells you "no," don't use the surgeon. Don't
ever use a surgeon only because you know him, or your kids know him, or
he lives on your street, or your primary care doctor referred you to
him, or he did your breasts, or your tonsils, or your wisdom teeth, or
you saw his advertisement, or his awards.
I hear these stories all the time from my revision rhinoplasty patients.
You must do your own evaluation of any surgeon you visit. And by
"evaluation," again, we're talking mostly about seeing his photos and
seeing how well he communicates with you. Don't bother checking the
surgeon's licensure and board certification and hospital affiliations
and all that; it'll just distract you from what's important.
The fact is, the great majority of plastic surgeons who
perform rhinoplasty shouldn't be doing the operation. It's an incredibly
difficult procedure, technically demanding, requiring experience, skill,
judgment, an artistic eye, an exceptional level of communication and
thoughtfulness, and a rare level of empathy and caring for the patient.
No hospital board protects you by judging the quality of a surgeon's
rhinoplasties and prohibiting him from operating if he's terrible. It's
the wild, wild west out there, and you have to protect yourself by being
If you would like to consider coming to Omaha to have Dr. Denenberg do your
surgery, go here.