How to Find a Great Revision Rhinoplasty Surgeon
Selecting a skilled surgeon to perform your procedure can be an immensely stressful endeavor. There are so many surgeons out there all proclaiming their expertise. However, in the case of revision surgery, the rules are substantially different. Be very careful who you choose to perform this surgery. The more surgeries you have the more difficult it is to have a positive outcome, physically.
You are entitled to high quality patient care, privacy and respect. The fact that a surgeon is certified by the American Board of Plastic Surgery or the American Board of Otolaryngology with a subspecialty in Facial Plastic & Reconstructive Surgery does not guarantee a positive result. This is your life. Do not let a piece of paper give you a false sense of security.
Although there are numerous prominent surgeons who are certified by the ABPS or ABO/ABFPRS, they became exemplary in the O.R. because of their talent and artistic eye, not their certification.
The word otorhinolaryngology, or the shorter term otolaryngology, is derived from the root words otos (ear), rhino (nose), laryngo (windpipe) and logos (science). All this together constitutes a surgeon who can perform surgery on the head and neck. In most cases, these surgeons will hold the subspecialty in Facial & Plastic Surgery of the Head and Neck.
In some cases, surgeons may proclaim that they are board certified but fail to state by which certification board they are certified. We hear this quite frequently, but do we really know what this means? You may wonder what a doctor must do or "be" to receive such a certification. And just who issues these "certificates"?
To Be Certified By the American Board of Plastic Surgery (ABPS)
A doctor must have:
Although even if a surgeon has received a certification by the ABPS - this does not guarantee the surgeon has remained up to date regarding the practice of plastic surgeon nor does it mean he has participated in Continuing Medical Education (CME).
Board Certified By The American Board of Facial Plastic &
To be eligible for certification, a surgeon must:
The American Board of Medical Specialties recognizes the American Board of Otolaryngology as a Medical Specially. The ABOto offers sub-specialty certificates in "Plastic Surgery within the Head and Neck".
As I said before, even if a surgeon has received a certification by the ABOto or ABFPRS - this does not guarantee the surgeon has remained up to date regarding the practice of plastic surgery nor does it mean he has participated in Continuing Medical Education (CME).
So who is responsible for determining if a surgeon is eligible for the ABPS or ABOto and just who gives these organizations the authority to do so?
"The American Board of Medical Specialties (ABMS) is an organization of 24 approved medical specialty boards. The ABMS serves to coordinate the activities of its Member Boards and to provide information to the public, the government, the profession and its members concerning issues involving specialization and certification of medical specialists." Please visit http://www.abms.org for more information.
HOWEVER! This does not guarantee a positive outcome of your procedure. Blatant disregard for human life and surgical incompetence is not as rare as it should be. Just remember, ask around, don't be afraid people will think you are nosy. It could be a matter of a great result versus a mediocre or bad one. Certificates do not give you an artistic ability or an eye for symmetry and beauty. There are surgeons out there that have an excellent surgical eye that are not ABPS certified. And there are surgeons out there that are ABPS certified who are and who are not capable of delivering superior patient care and aesthetic results. Although ABPS is not necessary for facial plastic surgery, I urge for at least a baseline certification by the ABOto (ENT) with a certification by the American Board of Facial Plastic & Reconstructive Surgery (ABFPRS).
So how do you know who to choose, you ask? Patient-to-patient referral is by far the best way to find an excellent surgeon. Although beware as some may work for the surgeons and pretend to be a patient. If you tend to hear the same name repeatedly you may think that perhaps they are the best to go to - and that may very well be so. But you cannot count on this factor as the the media has a powerful edge. You should pay attention to the public message boards on the internet as well as speak with real patients every chance you get. The voice of both the satisfied and the unsatisfied patient is loud. Just be cautious of people who may be either "bashing" or "talking up" a surgeon for reasons other than honesty. Ask for proof, a journal, photos, a name, or whatever - and cross check. You'd be amazed at how many deceptive people crawl the Internet.
Also, please realize that you cannot expect to bring in a photo of another's nose and say, "make me look like this". There are definitely results that can be obtained but as a general rule don't expect someone else's nose to look good on YOUR face. However, you should bring photos of what you like and don't like to help convey what your desires are. You shouldn't expect miracles or to look like a movie star but you should expect improvement. And you should definitely expect proper care, treatment and empathy. Remember that you are the paying "client" - you essentially interview the surgeons for a "job" although this is more important as this is your health and well-being. Don't bargain shop for surgery. That includes auctions and lowest bidder websites.
Communication is a very
important aspect of surgery. Please don't be afraid to speak up,
surgeons do need your input. Go into a surgeon's office with an idea
of what it is you want. Explain these desires to the surgeon
then listen what he has to say about what he thinks he can achieve
realistically. Just be prepared if you ask a surgeon's opinion, you
just may get more than you bargained for.
Your Surgeon's Certification
Alternatively you can verify a surgeon's certification over the phone by calling 1-866-ASK-ABMS (or 1-866-275-2267). Both of these options are provided to you at no charge so feel free to utilize this service.
Where To Get Surgeon Referrals
Revision Rhinoplasty Surgeon Referral Database
The reason we have this sites is so you can receive information like this at NO CHARGE, so you can educate yourself and make an well-informed decision regarding what you may think you need. Although this website has sponsors - YOU make the choices, YOU research the surgeon, YOU make the ultimate decisions. Hence, YOU are in charge.
This is the era of the internet and although no amount of research can replace the invaluable consultation with a qualified surgeon, it sure helps to be knowledgeable on the very procedure you may be undergoing. Besides, communication with your own surgeon is very important so how can you convey your desires to him if you are going through a third party? Food for thought. Educate yourself and then proceed.
Within the Medical Field
Also ask your general practitioner, if you have one. They have ears and know where you should and should not go if Cosmetic Plastic Surgery is your choice. Ask your Dermatologist - they are really good at knowing who is the hottest scalpel in town.
These books are:
RevisionRhinoplasty.net is an educational website dedicated to providing in-depth information for people looking to receive a revision rhinoplasty procedure. We provide an extensive database of highly skilled, board certified plastic surgeons in major cities, including plastic surgery La Jolla specialists, who have qualifications that make them uniquely qualified for revision rhinoplasty procedures. In addition to revision rhinoplasty, many of these surgeons also perform breast augmentation revision procedures for patients in large markets, including breast augmentation San Diego, Los Angeles, New York and Miami patients.
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(Updated on 10/19/10)
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