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earl25
Posted: Monday, May 03, 2010 6:25:16 PM
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When I consulted with him there were no residents present and he didn't mention it. With all these docs letting fellows do the surgery are you just better off going to a teaching hospital and having a fellow do your surgery. Its a heck of a lot cheaper.
blahnose
Posted: Monday, May 03, 2010 6:46:43 PM
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earl25 wrote:
When I consulted with him there were no residents present and he didn't mention it. With all these docs letting fellows do the surgery are you just better off going to a teaching hospital and having a fellow do your surgery. Its a heck of a lot cheaper.


lol

prodigiousflames
cybergirl
Posted: Monday, May 03, 2010 7:47:59 PM
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Thanks MkeD for the explanation. I would not have known to specify that I would want to be a private patient. Good info. on this thread!
Persephone
Posted: Tuesday, May 04, 2010 6:11:21 PM
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Thanks to all for your feedback, especially M130 - I am so sorry to hear about your experience, but unfortunately, I suspect you are part of a large populus of uninformed patients. Perhaps I sound paranoid (or watched too many episodes of Nip Tuck) but I wish there was a way to have a watchdog during surgery.
Zoey
Posted: Tuesday, May 04, 2010 7:38:28 PM
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That would be the best. That way you would really know who was stitching you up. I've read that there are some doctors who allow their nurses to do the final stitching, which is also unacceptable. If I were ever to have any surgery, I would ask about that too.

Persephone wrote:
Thanks to all for your feedback, especially M130 - I am so sorry to hear about your experience, but unfortunately, I suspect you are part of a large populus of uninformed patients. Perhaps I sound paranoid (or watched too many episodes of Nip Tuck) but I wish there was a way to have a watchdog during surgery.
m130
Posted: Thursday, May 13, 2010 12:32:49 AM
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Thanks, I think the "switcheroo" happens much more than we know, e.g.,

http://www.kpho.com/news/23509145/detail.html

ckaren918
Posted: Thursday, May 20, 2010 2:01:50 PM
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Persephone,
I have consulted with both Haworth (this week actually!) and Guyuron (but have had neither of them oporate on me yet). From the before and afters in Dr. G's office and my friend who is one of his rhino patients, it seems Dr. G creates stronger noses the Dr. H. Dr. H's seem more feminine. People on this board please correct me if my impression is wrong as I haven't seen nearly as many female before and afters of Dr. G as I have Dr. H.
Chris K was right on about Dr. Haworth using implants as well. He suggested gortex for my nose.
As far as my consultation with Dr. Haworth, I was completely blown away by him. His suggestions for my nose and face were EXACTLY what Miss J had suggested for me without me showing him her morphs or plan. His aesthetic eye is unbelievable. He seems too good to be true which is why I haven't scheduled surgery yet. Has anyone on this board had a bad experience with Dr. H?

Terit, I'm SO glad you mentioned Dr. Haworth's surgical assistant. I got the same impression. She was kind but seemed a little ruthless. Like, she'd say anything to get me to schedule surgery with Dr. H. Also, I LOVED her nose. She said Dr. Haworth had done hers along with a chin implant. Her nose is exactly what I want (very feminine and petite). If indeed he did her nose, I'm beyond sold and would schedule tomorrow. However, I couldn't help wonder if she would have told me that Dr. H did her nose regardless or whether he did or not. She could have been born with that gorgeous nose for all I know. Perhaps I am being completely paranoid, but after seeing so many surgeons, I think you tend to get overly cautious. I have only seen photos of Dr. H's work (which are excellent. WAY better than many of the ones on his website) but have not met anyone in person who has had their's done. I asked her if there was any of his satisfied rhino patients I could speak to and she didn't know any (except herself.)

Dewey,
You look lovely! Both your lip lift and rhino look great! Are you happy with your result? Your profile view is gorgeous. Are you satisfied with the frontal as well?
ckaren918
Posted: Thursday, May 20, 2010 2:07:28 PM
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m130,
Because I was in CA and had made an appointment with Dr. Daniel before I had heard your story, I went to the consultation anyway. He seemed REALLY concerned about making my nose "natural". I kept thinking, does natural have to mean an undefined blob as a tip? lol
You were right on though. His style must have changed. He wanted to raise my tip angle a bit and my bridge (which I think would look good) but did not want to break my nose and thin it at all. Thank you for the info and good luck to you!!! :)
fixit
Posted: Thursday, May 20, 2010 3:43:47 PM
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ckaren918 glad to hear the consults went will. Again I personally have not seen alot of surgeons with a nicer collection of noses on a website than Haworth

It really is a shame for Daniel. He used to produce some nice tips but alot of stories lately point to hit or miss. Oh and BTW, yes natural means a blob

Did you consult at any time with Frankel?
Chris K
Posted: Thursday, May 20, 2010 7:00:57 PM
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Dr Guyuron does not like scoops. he is also very conservative with tip elevation.

Haworth does like himself a little scoop and tip elevation.


this "Monica" character at Haworth's office is a crafty little broad. don't get me wrong, i love a crafty person.
MissJ
Posted: Thursday, May 20, 2010 7:29:00 PM
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That's nice to hear.
Yup. I do think YOU would look good with a more 'femmy' nose and I've made my case for that in your personalized private analysis. That 'style' of nose is kind of 'waning' these days as a lot of nose guys want to make 'em 'strong' and stuff 'em with grafts and all and the 'new natural' nose tends toward the more unsculpted one.

Now Haworth's assistant, I believe, posted here with name; "Valery". Yes, he did her nose and her chin implant. But when she posted here, she did not admit she actually worked for him.


ckaren918 wrote:
Persephone,
I have consulted with both Haworth (this week actually!) and Guyuron (but have had neither of them oporate on me yet). From the before and afters in Dr. G's office and my friend who is one of his rhino patients, it seems Dr. G creates stronger noses the Dr. H. Dr. H's seem more feminine. People on this board please correct me if my impression is wrong as I haven't seen nearly as many female before and afters of Dr. G as I have Dr. H.
Chris K was right on about Dr. Haworth using implants as well. He suggested gortex for my nose.
As far as my consultation with Dr. Haworth, I was completely blown away by him. His suggestions for my nose and face were EXACTLY what Miss J had suggested for me without me showing him her morphs or plan. His aesthetic eye is unbelievable. He seems too good to be true which is why I haven't scheduled surgery yet. Has anyone on this board had a bad experience with Dr. H?

Terit, I'm SO glad you mentioned Dr. Haworth's surgical assistant. I got the same impression. She was kind but seemed a little ruthless. Like, she'd say anything to get me to schedule surgery with Dr. H. Also, I LOVED her nose. She said Dr. Haworth had done hers along with a chin implant. Her nose is exactly what I want (very feminine and petite). If indeed he did her nose, I'm beyond sold and would schedule tomorrow. However, I couldn't help wonder if she would have told me that Dr. H did her nose regardless or whether he did or not. She could have been born with that gorgeous nose for all I know. Perhaps I am being completely paranoid, but after seeing so many surgeons, I think you tend to get overly cautious. I have only seen photos of Dr. H's work (which are excellent. WAY better than many of the ones on his website) but have not met anyone in person who has had their's done. I asked her if there was any of his satisfied rhino patients I could speak to and she didn't know any (except herself.)

Dewey,
You look lovely! Both your lip lift and rhino look great! Are you happy with your result? Your profile view is gorgeous. Are you satisfied with the frontal as well?


Concord MA celebrating freedom from British rule .


MissJ
Posted: Thursday, May 20, 2010 7:34:44 PM
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Daniel is still one of the docs who will give the type of nose you like (which I like too on some people)--the smaller sculpted one. It's not as if he is 'refusing' to do those types of noses but one needs to make CLEAR they want that. The new nose trend these days is for the stronger 'natural' nose and he's probably getting pressure from associates to go with that trend or new style. But he is still one of the few docs who can give the smaller nose.


fixit wrote:
ckaren918 glad to hear the consults went will. Again I personally have not seen alot of surgeons with a nicer collection of noses on a website than Haworth

It really is a shame for Daniel. He used to produce some nice tips but alot of stories lately point to hit or miss. Oh and BTW, yes natural means a blob

Did you consult at any time with Frankel?


Concord MA celebrating freedom from British rule .


m130
Posted: Thursday, May 20, 2010 10:31:17 PM
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Actually he did refuse in my case. I had drawn it and mailed it up ahead of time. I wonder if he looks at things patients send. It's a long story, but there were undiscussed things after the preop and before the surgery, which is of course a MAJOR mistake.

Amy at Daniel's office had assured me he would discuss things with me surgery morning. That morning, he glanced at the copy I brought said, "No! No, it's the 6-2 rule."

(everyone looked blank)

"I can't be 6 2 so you can't have this nose!"

He said I was "at the limit of what your natural cartilage can support," but come on, when he feels like it, he can do anything. I haven't talked in the open about why I couldn't cancel at the last minute because it's still a very painful memory and tl/dr.

The upshot is my tip is broader and less defined than what I started with, it's like a semicircle from the side. I think that's from all the fascia he put in there.

I really wish I could have gone to him years ago, or gotten him in a good / wanting to do a showcase nose kind of mood.

(edited a bit later)
m130
Posted: Friday, May 21, 2010 5:54:28 AM
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ckaren918 wrote:
m130,
Because I was in CA and had made an appointment with Dr. Daniel before I had heard your story, I went to the consultation anyway. He seemed REALLY concerned about making my nose "natural". I kept thinking, does natural have to mean an undefined blob as a tip? lol
You were right on though. His style must have changed. He wanted to raise my tip angle a bit and my bridge (which I think would look good) but did not want to break my nose and thin it at all. Thank you for the info and good luck to you!!! :)


Thanks for the update, I was wondering how it went. "Undefined blob", yep, well said.

It is unfortunate he wasn't interested in getting a really refined result for you. Did he want to do a crushed cartilage-fascia burrito on your bridge? He seems to like doing that.

Here's a total rebuild he did in 2008 -she posted about it on her other blog:
http://ermadoesnotlivehere.com/2010/02/13/happy-valentines-day/
- there is a better view in the post after this one.


OK I have hijacked Peresephone's thread way too much, but wanted to repeat her,
Quote:
but I wish there was a way to have a watchdog during surgery.


- me too, P, me too.
Persephone
Posted: Friday, May 21, 2010 5:49:10 PM
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This is very useful! I really want a "stronger" nose but one that fits into my face (which is why Dr. Haworth's artistic reputation is appealing). I've consulted with Frankel, Haworth and Guyuron,(plus several others) all of whom are exceptional but for some reason my "gut" tells me Dr. G is the "one" (notwithstanding my concerns that he is under the auspices of a hospital and hence exposure to residents), then again my "gut" spins in circles when contemplating surgery...I have a couple of follow up consults within the next month before making a decision.
One thing that concerns me with Dr. H is the "attitude" I get when I call. Perhaps I am being too sensitive, but I often feel as though I am a "burden" asking so many questions! Surgeons should act in the spirit of full disclosure and encourage the educational process (IMO).
ckaren918
Posted: Saturday, May 22, 2010 11:24:05 AM
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Well put Chris K.
M130, Dr. Daniel said he wanted to use septal cartilage to make a strut to raise my tip and he did indeed want crushed cartilage to raise the bridge. He said his ideal result for me would be both "cute" and "elegant". M130, did he ask you how tall you are? He was in the middle of examining my septum to see if I have enough cartilage left when he stopped and asked how tall I was. I just wondered how that related to my nose? lol
Dr. Daniel did NOT want to break my nose again. As you pointed out Miss J, my nose isn't even straight (it kind of curves out on one side). Therefore, I think it is necessary to break the bones again. When I expressed concern, he said he didn't want to make the nose TOO small.
Thanks Miss J! It is good to know that Dr. Haworth really did do her nose. It's a shame that his employees are not forthright. His work speaks for itself. There is no need to "scheme" in order to get new patients.
Persephone, good luck to you! I think you can't go wrong with either Dr. Guyuron or Dr. Haworth. I hope you plan on consulting with Dr. H in person though. I think then you will see more before and afters and will know more if his type of nose suits you.
I have not consulted with Dr. Frankel. The before and afters on his website are terrific. He probably would have been one of my next prospects but I really think Dr. Haworth is "the one" for me and a consult with Frankel would require all the expenses that go along with another California trip. If anything "comes up" to detour me from Dr. Haworth though, Dr. Frankel will probably be my next consult.
Improved
Posted: Saturday, May 22, 2010 11:53:36 AM
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Ckaren, I've seen your photos here and you are beautiful. Please PM me for email, and I'll share with you about my nose. (I love it.) A secondary is huge and you are putting so much effort into the decision, very wise. I think Guyuron is better than the rest for rhinoplasty. I hesitated to say it so boldy, but that is my opinion. I'm out the door now, but will check back later.
m130
Posted: Saturday, May 22, 2010 6:12:40 PM
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ckaren918 wrote:
did he ask you how tall you are?


Yes, multiple times in the consults. I eventually figured that it was a) probably to get me to shut up, and b) because he likes to "tailor" the nose to the height. He talks about doing that in his books, anyway.

I overheard him say to his minions that one lady in there was 5'2", so he could do a petite nose on her. The girl who sued him had in the court papers that he told her he would do a "cute" nose on her, so this is standard talk from him from what I can tell (he didn't say anything like that to me, though).

He again asked me my height the morning of my primary, when I was trying to talk to him. He was pretty grumpy and irritated that day, and running late.

My ride said "you talk to much" to me, so maybe that's another reason I had so many problems... like I annoyed the Hell out of him, who knows? It IS a good question for getting people to shut up, because normally the only reason other people ask that is if they like us.

I agree with Improved, you really are pretty. I totally understand why you want to recapture the cute look you had earlier in life from your photos, though.

One other thing he said on the horrific revision day was, looking at the drawing I did, "we could have done this, if I'd done you open the first time"... ugh... he COULD have done what I wanted, but no. It was possible, but no. He is just SO mental, when he doesn't need to be.

Persephone wrote:
One thing that concerns me with Dr. H is the "attitude" I get when I call. Perhaps I am being too sensitive, but I often feel as though I am a "burden" asking so many questions! Surgeons should act in the spirit of full disclosure and encourage the educational process (IMO).


I felt that way with Daniel's staff, as well, and they acted as gatekeepers. I called quite a bit anyway. Scarily, I think there was someone here who had their surgery cancelled by Guyuron's office because the staff there said the person called too much. OK, I just ran a search, it was cosmo, there's a 7-page thread in this section from december 2008.

I would rather have been cancelled than go through what I did! I wouldn't wish this on anyone. I agree about the educational process.. but maybe some of us want to know more than the regular patient. I mentioned the Cottle sign when I was talking to D and he said, "don't know too much." This is not ALL surgeons, though. I think the younger ones are more OK with it, as long as you are not getting things incorrect.
Talullah
Posted: Saturday, May 22, 2010 9:46:11 PM
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How ridiculous that these surgeons are scared by patients who are proactive going into their surgery and are trying to get the best outcome. I know many of them feel that way though. Only other option is to trust that they have the same vision for our noses that we do...too much of a crap shoot to play it that way!

Personally I don't buy the fact that only short people should get a "cute" nose. What about 5"9" women like Heidi Klum or Christy Turlington? Should they have had some surgeon give them a big huge nose because they are big huge people height-wise?

Also, why should anyone go to Guyuron when his before/after pics are about as rare as the Mona Lisa? I know a lot of you here have had your nose done by him with good results, but I honestly can't remember what any of them look like. Why doesn't he have a website like other surgeons? At least then people would get a sense of his aesthetic. On the other hand, his cockiness wouldn't bother me...I rather like an overly confident doctor. I don't see that aspect as a problem at all.
Chris K
Posted: Saturday, May 22, 2010 11:20:50 PM
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Talullah wrote:
How ridiculous that these surgeons are scared by patients who are proactive going into their surgery and are trying to get the best outcome. I know many of them feel that way though. Only other option is to trust that they have the same vision for our noses that we do...too much of a crap shoot to play it that way!

Personally I don't buy the fact that only short people should get a "cute" nose. What about 5"9" women like Heidi Klum or Christy Turlington? Should they have had some surgeon give them a big huge nose because they are big huge people height-wise?

Also, why should anyone go to Guyuron when his before/after pics are about as rare as the Mona Lisa? I know a lot of you here have had your nose done by him with good results, but I honestly can't remember what any of them look like. Why doesn't he have a website like other surgeons? At least then people would get a sense of his aesthetic. On the other hand, his cockiness wouldn't bother me...I rather like an overly confident doctor. I don't see that aspect as a problem at all.








I agree with you. he's not a pics guy. all his pictures are in medical books. the thing about Guyuron is when you consult with him, you get this immediate feeling of trust and competency. you don't feel the need to ask tons of questions. you just know that HE knows better than you do, about your face. and if he likes you, he will try his best to perfect you.
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