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revision question

Dr. Paul Nassif specializes in all nose surgery procedures

revision question

Postby runninggirl » Sun Sep 13, 2009 9:47 am

Hi Dr Nassif:
I have a question about how to go about getting a revision rhino done. I had a revision done in March 2008, and the doctor did not accomplish what I asked, and gave me an uneven tip with a dorsal hump. The doctor reacted very poorly and unprofessionally when I let him know I was not satisfied. Long story short, I don't want a revision from him, or to get entangled in any more business with his office.
My question is this--if I decide to get another revision done in the future (I am undecided on that) how do I actually get that done? Would the other doctor not ask and then contact the doctor who did the revision? I am concerned with what the first doctor would say. I do not trust him to be helpful to the newer surgeon-I won't make this longer than necessary, but his lack of professionalism was shocking. Don't revision doctors have to get in touch with the old doctor to see what exactly was done? I really don't want to have to deal with this doctor again. This was a revision of a 10 year old primary, and I wish I'd just left it alone now.
Thank you for reading, your opinion really helps!
runninggirl
 
Posts: 136
Joined: Tue Aug 12, 2008 12:44 pm



Postby LMT07 » Tue Sep 15, 2009 12:16 am

I too am considering a revision on a primary...and feel the same as you about going to my Dr. who didn't give 100% He actually went as far as to say "I told you you would need two procedures"..I was so0o upset with his reaction, I cried....I called the office to request a copy of my operative notes after all they are YOUR records...and she told me she could mail them to me....I brought them (my records) to 3 surgeons who clearly could see his care-less work, one of which were teaching residency Dr.s at the biggest University in LA. They all suggested I see a Dr. who specializes in revisions. I hope this helps you, and best wishes.
LMT07
 
Posts: 2
Joined: Thu Jul 19, 2007 7:37 pm



Postby runninggirl » Tue Sep 15, 2009 7:42 pm

My situation is different, thanks anyways though.

This doctor is a bully and has done some things that are not legal (HIPAA, insurance, etc). I do not trust him to help/be objective/give my records to another surgeon.
He wouldn't answer the PHONE for months after the surgery--you can look at my past posts to see all my problems with this doctor. When I expressed my frustration with the office, he called me names, literally.
I don't think I am going to get anything out of this man, and I don't think anybody else will. I need to know if a revisionist would need his records of my surgery. If so, I don't know what to do.
runninggirl
 
Posts: 136
Joined: Tue Aug 12, 2008 12:44 pm



Postby DrNassif » Wed Sep 16, 2009 10:35 pm

Hello,

I am very sorry to hear about your experience. If you were to have a revision done, it is not completely necessary to speak with the doctor who performed your initial surgery. Operative reports from the prior procedure do help a great deal, but it is possible to do without them. Once an examination is performed, an assessment can be done based on what you are currently experiencing and what your needs are. If you wish, you can send any photos to lisa, my patient care coordinator at lisa@spaldingplasticsurgery.com and I would be happy to take a look at them for you. You can also call the office anytime at 310 275 2467 if you wish to come in for a consultation. And this reply applies to LMT07 as well, I would be happy to look at both your photos. Thank you very much for your messages, and best of luck to you both.

Dr. Nassif
Paul S. Nassif, MD, FACS
Facial Plastic & Reconstructive Surgery
Spalding Drive Cosmetic Surgery & Dermatology
120 S. Spalding Dr., Ste 315
Beverly Hills, CA 90212
310.275.2467
www.spaldingplasticsurgery.com
www.rhinoplastyspecialist.com
User avatar
DrNassif
 
Posts: 544
Joined: Wed Aug 01, 2007 11:58 am
Location: Beverly Hills, California



Re: revision question

Postby LMT07 » Tue Dec 15, 2009 2:42 pm

Thanks Dr. Nassif for your reply



I have decided to see my Dr. who did my first ryno ...he has had a change of attitude and has made me feel as though he has my best interest at heart.. He injected some cortizon into the tip to depress some of the elevation..this last Nov. and has shown significant improvement. We are also scheduled to revise my columella ..and will be done in his office at no cost, sometime next year. My only concern is the draining I experience in my left semi-colapsed nostril..Hopefully he uses a technique to correct this..Because aside from poor aesthetics, I have the frustrations of clear sinus fluid collecting in the corner of my left nostil. Do you suggest I have a MRI done or any other scan that would show why this is happening? Any information would be greatly apperciated.
LMT07
 
Posts: 2
Joined: Thu Jul 19, 2007 7:37 pm



Re: revision question

Postby DrNassif » Thu Dec 17, 2009 5:41 pm

Hello,


The lacrimal duct may not be draining properly, It would be best for you to see an ophthamologist, as they will be able to give you the best advice. Thank you for the inquiry, and best of luck to you.

Dr. Nassif
Paul S. Nassif, MD, FACS
Facial Plastic & Reconstructive Surgery
Spalding Drive Cosmetic Surgery & Dermatology
120 S. Spalding Dr., Ste 315
Beverly Hills, CA 90212
310.275.2467
www.spaldingplasticsurgery.com
www.rhinoplastyspecialist.com
User avatar
DrNassif
 
Posts: 544
Joined: Wed Aug 01, 2007 11:58 am
Location: Beverly Hills, California




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