
Dr. Robert A. Guida, M.D., F.A.C.S. is renowned
for his command of innovative surgery techniques
and the natural looking results he achieves
for his patients. Dr. Guida believes that any
cosmetic surgery procedure should reflect the
patient's individuality -- that's why there
is no signature Dr. Guida "face" or
"nose." His is not a "cookie
cutter" practice, as, according to Dr.
Guida, "I see myself as both a physician
and a craftsman, which means that patients have
the benefit not just of my technical expertise,
but also of my artistic sense."
Dr. Guida also feels that aesthetic surgeons
must develop a sixth sense that helps them understand
each patient goals and desires. "I actually
spend a lot of time trying to listen to what
my patients want. And, computerized digital
imaging allows me to demonstrate what I am envisioning
so that I can work with my patients to fine
tune our approach. This is especially helpful
in rhinoplasty surgery."
What further distinguishes Dr. Guida from other
plastic surgeons is his unique extensive training
in both functional and cosmetic nose surgery.
He is highly skilled in the surgical treatment
of all aspects of nasal sinus disease, functional
nasal problems, and any cosmetic concerns of
the nose, including revision rhinoplasty.
Rhinoplasty, or a "nose job", cosmetically
improves the appearance of the nose. Cosmetic
problems of the nose can be either genetic or
perhaps as a result of a broken nose. These
concerns range from bumps on the nasal bridge,
wide bulbous tips, to long crooked noses, and
are very individualized.
Often, patients with cosmetic concerns of the
nose also have functional problems, such as
chronic sinusitis and/or nasal obstruction from
a deviated nasal septum or nasal polyps. Dr.
Guida strongly feels that these problems should
be fixed simultaneously. A good-looking nose
should also function very well.
The operation is done under twilight anesthesia,
can be performed in the office surgical suite,
takes 60 and 90 minutes, has very little pain
associated with the recovery, and patients frequently
return to work or school within a week. Generally,
the entire operation is done through incisions
inside the nose and there is no external scarring.
There is no packing placed in the nose after
the surgery, which allows for a much quicker
and less painful recovery. A nasal splint is
placed on top of the nose and is removed 5 to
6 days later. Any bruising that mat occur typically
lasts 7 to 10 days and is easily covered with
makeup. Patients feel comfortable returning
to normal social activities at 1 week following
the operation.
Rhinoplasty surgery has made great strides
over the few last decades. The cosmetic results
are natural looking, yet yield a very significant
improvement without an over-done "nose-job"
look. A properly performed rhinoplasty can markedly
improve a person's appearance, often achieving
a significant positive influence on a one's
self esteem and confidence level and at the
same time improving the over all function of
the nose with very little down time.