Category Archives: Dr. Rawnsley

Dr. Rawnsley on Rhinoplasty, Pt. 3

In shopping for plastic surgery, buyer beware. The internet is a great place to look at everyone’s wares. Before and after pages are always the most looked at pages for Plastic surgeons. You should like what you see and there should be plenty of examples. Get a feel for the overall site. Is it haphazardly organized or too slick? Is it generic with only models photographs and no real patients? Is there any focus on the nose? Be a good shopper. It is really up to you to evaluate the doctor like you would anyone you might hire. Don’t be distracted by the office decor or a nice suit. You want to connect to the doctor and feel that they are hearing your concerns and ideas. I think that asking for digital image morphing during your consultation allows an excellent opportunity for you to interact with your physician. You can see if you are able to communicate with them about what you want and expect. The surgeon then gets to perform a little virtual surgery that allows you to see if you like his or her aesthetic judgment, an essential component for a successful primary rhinoplasty. Look for results. Ask to see lots of pictures of before and after photos. These should be the “home run” results that the surgeon wants to showcase. If you are unimpressed, you should move on. Ask to talk to former patients. While these patients are hand selected to happy patients, you may get some subtle clues about their unfiltered opinion. Choosing to have rhinoplasty can be a very rewarding experience. Finding the right surgeon requires a clear head and using all your faculties and consumer skills.

Dr. Rawnsley on Rhinoplasty, Pt. 2

As an educator, teaching young surgeons at UCLA, I have a great interest in helping make the situation better for rhinoplasty patients by teaching surgeons the basics, as well as the nuances, of this surgery so that the overall quality of care is improved in the community. Our fellowship in Facial Plastic and Reconstructive Surgery at UCLA has produced some of the finest academic Facial Plastic surgeons I’ve ever seen, who will continue to train a new generation of higher quality surgeons. In the meanwhile, there are some basic tips for patients to help them get their rhinoplasty right the first time.

Above all, find the right doctor. Believe it or not, not all doctors are created equal. Board certification in Facial Plastic Surgery or General Plastic Surgery is a starting point, but does not guarantee that the surgeon has adequate experience, training or talent. Look for a doctor who has a special interest in rhinoplasty. Ask around. Referrals in plastic surgery have traditionally come from word of mouth. Physicians generally get a reputation over time for good (and bad) work. Don’t believe all the hype or negative rumors. The best referral comes from someone you know and trust and preferably has had surgery with the surgeon in question. Ask other doctors as well, as they often know the reputation of their peers. Shop around.

Dr. Rawnsley on Rhinoplasty, Pt. 1

Having performed rhinoplasty surgery for over ten years, I understand what a difficult surgery it is to perform. Most plastic surgeons would agree, nose reshaping is the most intellectually, technically, and aesthetically challenging surgery in all of plastic surgery. The difficulty is attested to by the high reported revision surgery rates among surgeons which quote a 15-20% of surgeries need to have revision rhinoplasty to correct a multitude of problems.

The problems include tip and bridge asymmetries, profile irregularities, poor aesthetic outcomes and breathing problems. Unfortunately, I see many of these patients who have suffered the problems associated with poorly planned and/or executed rhinoplasty by other surgeons. My revision rhinoplasty practice represents about half of my facial plastic surgery practice. And yet I would be happy if more patients were getting excellent nose reshaping procedures the first time and didn’t have to endure the emotional suffering and cost associated with revision rhinoplasty.

A little lift for jobseekers


During this economic downturn a new class of cosmetic surgery client is born: the unemployed.

While appointments for larger, invasive procedures such as facelifts are on the decline plastic surgeons report that their bookings for Botox, fillers, and other minimally invasive procedures are on the rise.

According to an online study conducted by the American Society for Dermatologic Surgery (ASDS) of 562 members, nearly 32 percent reported that their new patient appointments were up by 30 percent.

And who make up this front of new clients? According to the ASDS surgeons: jobseekers, wanting a leg-up for their next interview.