your Consultation

When we get together, you are our focus. Your participation helps us deliver results that satisfy all your aesthetic goals.
Here's how our consultation works.

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Step 1

Getting to know you and your goals

The purpose of a rhinoplasty consultation is to identify what your aesthetic goals are, to discuss what motivates you to have surgery, and to decide what steps are necessary to achieve your aesthetic goals. But the consultation is also about getting to know each other, and hopefully building a positive, honest, and trustworthy relationship.

Rhinoplasty patients should be on the same page as their surgeon. When you consult with Dr. Waterman, you will have the opportunity to discuss more than just your aesthetic goals. Getting to know our patients helps us deliver results that meet and exceed expectations. Establishing trust and open communication is a crucial aspect of every surgical consultation.

My answers to RealSelf's Top 20 Questions to ask at your Rhinoplasty Consultation can be found here.

VISUALIZING YOUR AESTHETIC GOALS

We take a series of facial photographs from multiple angles during your consultation. These images help us determine the best course of treatment, and serve as a record of your progress before, during, and after rhinoplasty. They also are a great tool for discussing the specific corrections and changes you are hoping to achieve.

Then, Dr. Waterman will spend time with you personally to examine your nose and offer you the opportunity to ask any questions you may have. During your conversation, you will identify your aesthetic goals, and determine which changes are most important to you.

For many cases, Dr. Waterman prepares illustrations that reflect the aesthetic goals of your procedure. These side-by-side illustrations are a fun imaginative device and a conversational tool for refining desired outcomes and expectations with Dr. Waterman.

Building a Plan Together

After your exam, Dr. Waterman will give you a price quote for your surgery and tell you what he plans to perform, e.g. standard reduction rhinoplasty, revision rhinoplasty, revision with augmentation, along with other details that may be relevant to your procedure.

When you decide you are ready to schedule your rhinoplasty, a deposit of $1,000.00 will allow us to secure a date for your procedure. This deposit is applied to your balance, the remainder of which will be due at the preoperative appointment, typically one week before your surgery date.

Before Surgery

One week before surgery, you will come to our office for a pre-operative evaluation of your health. We will provide instructions for the time preceding the operation and what to expect after. We also give you prescriptions for any medications necessary to be filled before surgery, along with guidelines for medications and supplements you will need to stop taking before the surgery.

After we go over all of these details, we take as much time as is needed to comprehensively address your questions and final concerns.

The Road Ahead

After your procedure, you will have multiple post operative appointments, beginning one week after your surgery. We like to see all our patients at 1-week, 1-month, 3-months, 6-months and 12-months if possible. Each of these appointments are important to the rhinoplasty process, as they inform what steps you should take to optimize the appearance of your final result. We will take new sets of photos to compare with your consultation photos. Your progress in recovery will be evaluated with every visit, and instructions delivered that suit your individual needs.

There are many precautions patients should explore after surgery that are beneficial for aesthetic surgical results. These are the hits, in no particular order:

Do not adjust or remove tape, casts, or splints from your nose. Dr. Waterman will do this for you during your first follow-up visit. Adjusting the tape improperly can permanently alter the appearance of your result. If you become extremely uncomfortable and need to have your tape adjusted before your initial follow-up visit, we will find time to help you.
You should avoid sun-exposure during the first month of recovery, and limit your exposure thereafter for 6 months or more. When going outside, always use sunscreen to avoid risks of complications during your recovery and the development of scar tissue.
Drink plenty of water. Hydrating improves healing on a cellular level, and is central to any surgical recovery plan. Staying hydrated will also help with nasal/sinus crusting or dryness that is common early in rhinoplasty recovery.
Get plenty of rest during your first month of recovery. Plenty means more than you normally need. Many patients honestly find it difficult to allow themselves the resting time they need to make the best recovery. It's OK to slow down for a week or two. Give yourself a break from work and the routine of your daily life, kick back with some blankets and enjoy some movies. Allow time to do the work for you while you relax and recover.
Eat a well-balanced diet. The adage, "You are what you eat" has been shown to be more and more true as evidence emerges that suggests nutrition plays a larger role in surgical recovery than previously thought. Be sure to eat a healthy and balanced diet, rich in leafy greens and sources of protein. There are virtually no dietary restrictions for rhinoplasty patients after the initial days of recovery when patients may experience some nausea.

Recovery is a hard task, but it's worth the extra effort. When you see your results start to shine, you'll know it was all worthwhile. You've done it! You're on to your next adventure!

WORD ON THE STREET

ERIKA, Google Maps

He is kind and gentle and did an amazing job and I felt better almost immediately after the procedure.

RealSelf User

I am so glad I went with him. I am extremely happy with my nose. He did a wonderful job. Thank you Dr. Waterman!

EVA, Yelp

Everything about the procedure surpassed my expectations. Top rated all of the way. A++