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clmmbn

Rhinoplasty Dr Tobias Pincock or Dr Paul Gerarchi

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Hi Guys,

I am new to the whole cosmetic and plastic surgery community. I have been considering rhinoplasty for a while now and have finally plucked up the courage to go and have consultations. I'm a bit worried though if I have chosen the rich surgeons to speak to - although I think they are both ENT specialist, which I've been told is good.

I am living in Brisbane and haven't seen any good reviews about plastic surgeons up he so I am flying interstate to see Dr Pincockas I have read some great reviews about him. His consultation will cost $300, which I think is reasonable? So I hope his procedure fees will be reasonably priced (I saw a post saying they got quoted $15'000) which is more than I was expecting. I am hoping for between $8'000 and $10'500.

I thought as I am flying down to Sydney I should check out another surgeons opinion, so I have also been looking into Dr Paul Gerarchi, but haven't found many reviews about him and do not know how much he charges for consultations and his approximate procedure cost.

It would be great if anyone has had experiences with any of these surgeons or could recommend me anyone + let me know how it was.

Thanks heaps guys :)

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hey i had a consult with dr mooney... i was going to go ahead with him as he seemed to be amazing but i read some pretty bad reviews :/ so now i'm looking too...

i've just looked up dr pincock... but theres no before& after photos?

let me now how your consult goes...

GOOD LUCK!

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Hey.

Dr Gerarchi was amazing, he made me feel really comfortable and listened to everything I wanted - explaining if it could be done etc. He also showed me pictures and they looked really natural. I was then taken to see the aftercare nurse and she was great as well - I was able to ask her anything I needed to know. However, due to the logistics of living in another state I decided to go with Dr Pincock as the schedule fitted well with my plans. He's sharp and to the point, but he said everything that Dr Gerarchi was saying about my nose and showed me pictures, with results that I really liked. He showed me some results of his previous work and they look really natural, which is what i was looking for (if you ask he will show you these during the consult).

I would recommend both of them, both were great. If i could i would use both - i decided to go with Dr Pincock because he was a little cheaper and the logistics of everything.

Let me know if u wanted to know anything else :)

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Hi clmmbn,

Would you mind sharing how much Dr Pincock is charging for your surgery? I am also considering him, and like you I live interstate, so it will be useful to know approximately how much I need to budget for. You can pm me if you prefer. Thanks

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Guest Cosmetic

I also had a consultation with Dr.Pincock & Dr Paul Gerachi I elected both Doctors one for the nose and the other for the chin.

Cosmetic

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Hi, I've been considering rhinoplasty with Dr Pincock too. He charges $9,500-$18,500 for his surgery fee not including hospital & anaesthetic fee. He has so many great reviews. Also, on his website you wont be able to see any before & after pics due to privacy reasons.

I originally was going to choose Dr gerarchi but after my attempts to find as many reviews I could, I found that he had performed two botched surgeries and refused to admit to his obvious mistakes.

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1 hour ago, cosmetic said:

If I can go back in time amongst the two doctors I consulted for my primary rhinoplasry   being paul gerarchi & tobias pincock  I would have elected Paul Gerarchi. 

Previous post: " In saying that my attitude has changed I will no longer recommend who the best are rather suggest and provide links into why I suggest them and currently in the process of meeting some of them for my upcoming revision rhinoplasty  :)  and will write up a Journey/review 

Yeah Paul is good too, If you guys research their qualifications and experience both doctors are very good. But yeh to each is own. Like i said i first Tobias Pincock based on my experience with him and outcome of what i wanted to achieve. 

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1 hour ago, cosmetic said:

Dr .Paul Gerarchi is more skilled full in rhinoplasty aparently.  He has more years experience in rib graft surgery than tobias pincock. It's  just recently tobias pincock has learned  how todo tib graft surgery something patients  should consider.

 

Regarding experience in Rib grafting, You got to have evidence to back this up and even so you got to realize too, Dr Pincock may have done more patients then Paul in terms of rib grafting or vice versa which would affect ones experience with "rib grafting" you just wont know how many patients or what procedures in total these surgeons have under taken. , if we talking experience well Dr Pincock is of the younger generation, which to be honest i preferred, as it is hard to find a balance with someone who is young and to have the experience that Dr pincock has.

At the end of the day i respect your personal choice and it is a personal preference and both are very good and have had extensive training beyond their training in ear, nose and throat surgery. And i think its great people can find information freely like this to make decisions.

Rib grafting been going on for years. For those wanting to know what rib grafting is, i have an extract i found from a doctor who posted this:

"There are three types of cartilage used in revision rhinoplasty. The first choice is always cartilage from the septum, as it is straight, firm cartilage which does not require harvesting from outside of the nose. In cases where septal cartilage has already been used during previous surgery, the next choices are ear and rib.

Ear cartilage can be excellent for certain smaller grafts but tends to be weaker than septal cartilage and may not be strong enough for reconstructing noses which require major support.

Rib cartilage can also safely and effectively be used in revision rhinoplasty. The cartilage can be autologous, which means that it comes from the patient, or irradiated, which is donated by an individual who is deceased. The harvest of rib cartilage is done through an inconspicuous 2-3 cm incision, which can be tucked under the right breast in women. The first risk related to harvesting this cartilage is injury to the underlying lung or tissue layer around the lung, called the pleura. This can result in air being introduced around the lung, what is known as a pneumothorax. This extremely uncommon complication can be managed by temporary placement of a chest tube for a few days following the procedure. Other risks related to rib cartilage include the grafts becoming visible under the skin, shifting of the grafts, and resorption, or dissolving of the grafts. This risk of resorption is thought to be greater when the cartilage is irradiated (cadaveric cartilage). In general, use of rib cartilage is extremely safe and for surgeons who specialize in revision rhinoplasty, the benefits of utilizing rib cartilage greatly outweigh these risks."

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On 5/20/2016 at 10:24 PM, cosmetic said:

When it comes to post-op care I believe  Dr.Paul Gerarchi may be better in managing & supporting you, If yourself and Dr.Gerarchi identify an aesthetic  or functional concern/issues and both agree it needs working on and if it's  achievable  I'm  sure Dr.Paul Gerrarchi will take you back to the operating room and operate on you and not charge you anything additional. 

Your allowed give your opinion, but to just come out implying Doctor Pincock charges patients if he needed to reoperate is pretty vague thing to say, it would depend on a number of things and if your implying revision when comparing to Dr Gerrarchi, when you say” I’m sure Dr Paul Gerrarchi will take you back to the operating room and operate on you and not charge you anything additional. “then I can tell you the same rules apply with most and not all doctors and Dr Paul Gerrarchi mentions on his website and I quote, “The before and after photographs shown are of Dr Gerarchi’s patients and the surgery has been performed by Dr Gerarchi. They are for illustrative purposes only. They show the results achieved by individual patients and are no guarantee of the outcome to be expected by any particular individual considering surgery. Surgeons of good reputation do not guarantee outcomes. Unexpected events and individual healing characteristics can affect the outcome of any surgery”.

 

With additional charges, I asked the office of Dr Paul Garrachi they mentioned that if they needed to operate again because you either wanted some other modifications then you would incur the extra charges they also mentioned that there may be additional fees if say the hospital needs to charge any extra work or for overtime performed with the doctors or anything of that nature, this may be relayed back to the patient. This would be the same with most doctors I think and Dr Pincock as well. And rest assured this never happened to me.

 

In terms of revision charges, I never asked them what would happened if the results weren’t what you expected just didn’t feel right to say ask something like that I guess at the time because it seemed black and white to me when I read it on their website just like most doctor’s state, I don’t think many surgeons out there I reckon will do free revision just because the patients weren’t 100 percent as there’s no guarantee, this is the risk we all took is how I see it, that 10 percent chance. But I still think even then surgeons and patient can come to some sort of agreement. Each case is different.

 

I mean I knew from the get go that it was a standard in rhinoplasty that there would be a 10 percent chance of revision even if the surgeon was my “best surgeon” in my opinion, I still I had these risks to consider. In regards to Dr Paul Garrachi I still think a good doctor just like others I know of and met up with for consultations.

 

I’m sorry you had a bad experience. But Just because in your experience it happened to you, I wouldn’t say it’s fair to imply that blatantly that Dr Pincock as a standard charges additional fees to re-operate just like that especially when there is more to it than that

 

So for anyone wanting to know some other interesting facts regarding my surgery with Dr Pincock and how I was looked after as well and where in my eyes Dr Pincock exceeded my expectations. Firstly, I have to say I have not been charged a cent for the post opp appointments which I think is normal for most doctors. Never charged me for the allergy specialist.

 

Not a major big deal here but it impressed me when in my second consultation before surgery I was curious about Botox and told him how I never had it done and wondered about it, and he did it for me for no charge just to try it out. I thought that was nice of him.

 

I went back every week for 4 weeks with the post opps (no charge of course) as that level of care impressed me. If we comparing here with Dr Paul, then it appears he sees them 1 week later than 6 weeks as quoted from his website “The number of follow-up appointments will depend on the patient. In most cases, follow-up appointments take place one week, six weeks, three months, six months, one year and then annually after surgery. “and again nothing wrong with this but there were small things that leaned me towards one person then the other and not talking specifically with Dr Gerrarchi just with general surgeons.

 

Each week for 4 weeks after surgery they also tape up your nose and give the cortisone if needed (well they did for me) to help reduce the swelling and give that extra bit of support, which I have to say not all doctors adopt this method and it’s not a big deal for me and it may not even be necessary, I know my cousins’ surgeon didn’t have her nose taped down and reckons if she did maybe the swelling would have gone down sooner. I think looking into Paul he does it differently; you can check it out on his site.

 

I even over paid them with the surgery by 1000 when I transferred the funds to them, don’t ask how the hell I did that, and they let me know that I had overpaid it which was I much appreciated of.

 

 So me personally Anyone doing Rhinoplasty it’s important that they read the documents ask all the questions you can think of to the surgeons to make your decision more solid.

 

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I can see your frustration, good luck with the consultation with Paul, regardless your in good hands. Its a shame things didnt work out like you wanted it to. I wonder if i was to bring it up to Tobias, and if it rang a bell to him. I know he fixes a lot of other surgeons stuff ups, as most surgeons would too. Wonder why he didn't do the revision for you in particular. 

7 hours ago, cosmetic said:

I should have been more clear and left the financial part our...

Following the guideline of this forum " I am shareing my honest experience" 

Going back in 2014

I asked both surgeons pre-op if both parties me being the patient and them being the surgeon identified something post-op from an aesthetic/ functional that needed work/attention which means us going back to OT and me getting revision both the surgeons response where similar not the same.. It's only Paul Gerarchi who hinted to me  did not mention names and said some surgeons who perform primary rhinoplasty refuse to take the patient back to O.T if further work is needed  So I don't know back than what surgeon's he was referring to ...

Moving forward to 2016 here I am researching for a surgeon to-do my revision costing me additional thousands of dollars. where as if  Dr.Pincock who  is  highly skilled in rhinoplasty should have kept his promise taken me back to O.T and performed my reivison rhinoplasty. 

Any ways Paul Gerarchi is on my list of surgeons to consult with   for my upcoming revision rhinoplasty and I will raise some points raised in this thread.

So I hope members on this forum can understand my frustration. 

I can  see your frustration, good luck with the consultation with Paul, regardless your in good hands. Its a shame things didnt work out like you wanted it to. I wonder if i was to bring it up to Tobias, and if it rang a bell to him. I know he fixes a lot of other surgeons stuff ups, as most surgeons would too. Wonder why he didn't do the revision for you in particular. 

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1 hour ago, cosmetic said:

Thank you! ...   I will be even more happier if he compensated me for my upcoming revision rhinopalsty ...   That will mean a lot!  

 

No worries. I suppose it would depend though on why you needed revision wouldn't it,  Still i am curious as to why he didn't do your revision, surely you would of discussed this with him as well. 

Either way good luck again.

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