Episode 4 hosts Dr Shahram Shahidi (ENT Surgeon from Sydney, Australia)

Shahram's primary interest and area of expertise is rhinoplasty surgery and he is one of Australia's most respected nose surgeons.

In this episode we discuss the reasons people seek nose surgery, what happens during the consultation, the surgery, the recovery process and what happens when patient expectations aren't realistic.

0:00 Introduction 1:03 Meet Dr Shahram Shahidi 3:19 Journey Into Medicine and Personal Motivation 5:16 Choosing Surgery as a Career 9:44 Surgical Training Pathway Explained 11:56 Transition From General Surgery to ENT 14:01 Reasons for Subspecialization 16:30 Differences Between General and Specialist Surgeons 18:16 Training Experience in the UK 23:53 Public vs Private Practice Experience 27:02 Choosing ENT Over Plastic Surgery 30:22 Scope of ENT and Head and Neck Surgery 33:44 Subspecialties Within ENT 37:39 Fellowship in Facial Plastic Surgery 41:39 Developing a Focus on Rhinoplasty 45:36 Overview of Facial Plastic Surgery Procedures 48:05 Otoplasty and Treating Protruding Ears 51:43 Consent and Decision Making in Children 57:32 Role of Psychologists in Cosmetic Surgery 1:01:04 Identifying Mismatch Between Expectations and Outcomes 1:03:30 Ethics and Treating Patients Like Family 1:07:48 Transitioning Into Business Ownership 1:12:19 Importance of Experience in Patient Selection 1:16:00 Common ENT and Rhinoplasty Presentations 1:19:56 Functional vs Cosmetic Rhinoplasty 1:22:22 Causes of Nasal Obstruction 1:25:07 Measuring Nasal Function 1:27:43 Facial Proportions and Aesthetic Balance 1:30:37 Role of Non Surgical Treatments 1:33:59 Referral From Non Surgical to Surgical Options 1:36:53 Computer Simulation in Treatment Planning 1:39:25 Risks of Non Surgical Rhinoplasty 1:42:10 Vascular Occlusion and Serious Complications 1:44:30 Surgical Risks and Informed Consent 1:48:40 Psychology of Elective Surgery Decisions 1:53:30 Consultation and Assessment Process 1:55:45 Preoperative Instructions and Medication Considerations 2:00:30 Day of Surgery Overview 2:03:05 Rhinoplasty Procedure Steps 2:05:40 Recovery Timeline and First Week Expectations 2:10:55 Psychological Challenges During Recovery 2:13:30 Long Term Healing and Final Results Timeline 2:18:00 Revision Rhinoplasty and Surgical Complexity 2:20:15 Risks of Overseas Surgery 2:23:40 Patient Compliance and Postoperative Care 2:26:10 Open vs Closed Rhinoplasty Techniques 2:28:45 Modern Trends in Rhinoplasty 2:31:10 Structural Support and Long Term Results 2:33:40 Limitations of Surgical Perfection 2:36:05 Choosing the Right Surgeon 2:38:30 Cost of Rhinoplasty 2:40:55 Social Media Influence on Cosmetic Surgery 2:43:20 Selfie Culture and Patient Expectations 2:45:45 Final Advice for Prospective Patients

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