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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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A Rhinoplasty Story Three Years in the Making.

rhinoplasty surgeryA week ago  I did a rhinoplasty on a very lovely and determined young lady. I first met her in 2010 at the age of 22, when she was a student and waitress. She came to see me from New England because I did a rhinoplasty on a relative of hers and “loved” the result. She was very eager and determined to have a rhinoplasty, but couldn’t afford the surgery and was going to do this on her own.  Over the past 3 years she sent us checks starting at $200 every month.

More recently she graduated and is working in her chosen profession. Since then the checks were more in the $400 range. Finally she called 2 months ago and booked her actual surgery. The balance was paid and she came down with her mother for surgery, who also remembers me from the previous rhinoplasty.

Even though I have done thousands of rhinoplasties, I felt more pressure than usual for this young lady since her surgery was three years in the making. The rhinoplasty went very well and her nose looked great on the table. We can usually tell how a nose will turn out when the surgery goes exactly according to the pre-op surgical plan and how it looks right before we put the cast on and swelling begins. She is also getting married late next spring, so she should look great by her wedding pictures.

Rhinoplasty and Revision Rhinoplasty Publications

How patients used to find their doctors

Back when I started my training in the ‘80s patients sought out the doctors who taught other doctors. This group included those who published articles in peer reviewed journals, legitimate medical journals that require stringent review of all submissions for content and contributions to medical education. This also included the doctors who routinely gave lectures at medical meetings. These physicians were the leaders in their field as recognized by their peers and subsequently the general public. I was fortunate to have four articles published last year in such journals on rhinoplasty, revision rhinoplasty and Botox treatments, as listed below:

Radix grafts in cosmetic rhinoplasty; lessons learned from an 8 year review. By Justin Cohen MD and Steven Pearlman, MD. Published in Archives of Facial Plastic Surgery, Volume 14 (6), November/December 2012

An Anatomic Basis for Revision Rhinoplasty. By Steven Pearlman, MD and Ben Talei, MD. Published in Facial Plastic Surgery Volume 28(4), August 2012.

Avoiding Complications of the Middle Vault in Rhinoplasty. By Steven Pearlman MD and Roxanna Baratelli, MD. Published in Facial Plastic Surgery Volume 28(3), June 2012.

Physician Confidence in Fillers and Neurotoxins: A National Survey. By Steven Pearlman, MD, Ben Talei, MD, Heidi Waldorf, MD, Michael Kane, MD and Roger Dailey, MD. Published in Archives of Facial Plastic Surgery, Volume 14(1) January-February 2012.


Facial Plastic Surgery Journal, Dr. Pearlman Guest editor

Facial Plastic Surgery Journal, Dr. Pearlman Guest editor

This might not look like much, but getting one article published per year is considered an accomplishment. Additionally, I was guest editor for the journal, Facial Plastic Surgery for June 2012. In that Journal, I invited 12 highly respected Facial Plastic Surgeons, Cosmetic Dermatologists and Oculoplastic Surgeons to discuss the most common complications found in various aspects of facial surgery, how and why they occurred and suggestions on how to avoid them in the first place. Dating back to my residency, the monthly Quality Assurance meetings were just that, a review of all complications to be used as a teaching tool on how to improve quality and reduce future complications.

Now we spend time when we are not engaged in patient care writing blogs, posts and website copy to get the “word” out. But, as physicians, we cannot lose sight of the extreme importance of contributing to the medical literature.

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