DR. SPENCER COCHRAN: Rhinoplasty consultations in our practice take approximately one hour. The consultations begin with the patients undergoing photographs. The patients will then meet with the doctors and then we’ll sit down together and analyze those photographs. The photographs allow us also to develop a surgical plan and to define the goals and propose changes to surgery.
After meeting with the doctors then the patients will meet with the nurses and the nurses will review postoperative instructions and walk them through each stage of the recovery process. The patients will then meet with a patient coordinator who will talk with the patients about scheduling and the cost of surgery.
DR. JACK P. GUNTER: Many of our patients come from outside the Dallas, Fort Worth area and to better serve these patients we developed an internet consultation. What the patient has to do is to fill out a medical history and say what they think is wrong with their nose and if they have any breathing problems and get six standardized photographs and send these in by email. And from this we can pretty well tell whether a patient is going to be a good candidate or not.
And if we think the patient is a good candidate, what we do is to send the patient back an email telling the candidate the goal for the surgeries and giving them the approximate cost of the surgery and the anesthesia and the hospital. If the patient wants to proceed they must make a trip to Dallas for a personal consultation so that we can make certain that our diagnosis is correct. If the patient is not a good candidate, well then we write them back and tell them that and it saves them a trip to Dallas. If you’re interested in an internet consultation you can look up the Internet Consultation page on our website and see what we’re talking about.
FEMALE VOICE: Dr. Spencer Cochran is a highly respected rhinoplasty surgeon who was hand selected by Dr. Gunter for his knowledge and skill in all aspects of nasal surgery. Like Dr. Gunter, rhinoplasty is his passion and area of expertise. Board certified by the American Board of Otolaryngology and a member of the American Academy of Facial Plastic and Reconstructive Surgery, Dr. Cochran embraces the most innovative, cutting edge techniques available in primary and secondary rhinoplasty. His focused background and surgical experience have allowed him to become a highly skilled rhinoplasty specialist.
DR. SPENCER COCHRAN: Ever since the beginning of my medical training I knew that I wanted to be a rhinoplasty surgeon. Rhinoplasty is one of the most difficult procedures in plastic surgery and in order to get consistent results you really have to dedicate yourself to that alone, and that’s what I’ve decided to do. But it, more than that it’s also the sense of satisfaction that I get from helping patients, being able to improve their breathing at the same time improving the appearance is very important. The two really go hand in hand, a nose that functions well should also look good and vice versa, and being able to correct those things together is very important.
FEMALE VOICE: Dr. Gunter is widely regarded as a leader in the field of rhinoplasty surgery. Since starting his cosmetic surgery practice in 1980, Dr. Gunter has gained an international reputation as an expert in rhinoplasty. The rhinoplasty techniques over the years have allowed him to become one of the foremost experts in primary and secondary rhinoplasty in the world.
DR. JACK P. GUNTER: Well after I finished medical school at the University of Oklahoma I did an Otolaryngology Residency. Otolaryngology is a big word for Ear, Nose, and Throat Residency at Tulane University. And at Tulane University I met Dr. Jack Anderson, who has had a big influence on my career. Dr. Anderson, at that time, was one of the premier rhinoplasty surgeons in the nation, and he was by far the premier teacher of rhinoplasty surgery. So I followed him around all I could to, and watch him operate, and assist him, and I became very interested in rhinoplasty there.
After I finished my Otolaryngology Residency I joined the staff at the University of Texas Medical School in Dallas and I became Chairman of the Division four years later. However, my heart was still in plastic surgery and rhinoplasty were the things that I really wanted to do. So I went back to the University of Michigan to do a Plastic Surgery Residency, and when I finished my Plastic Surgery Residency there I came back to Dallas and went into private practice.
I was board certified in both otolaryngology and plastic surgery. I started being asked to give talks at the medical school about rhinoplasty and because I had a, so-called, special expertise in that. And then I began being invited to major medical meetings and writing, I started writing articles. And that’s the way that, one of the things that helped me develop my reputation. Of course, treating patients is the main way that your reputation is established.
FEMALE VOICE: Choosing the right surgeon is the most important decision you can make when considering rhinoplasty. Dr. Gunter and Dr. Cochran are recognized as leaders in the field of rhinoplasty surgery. Since starting his cosmetic surgery practice in 1980, Dr. Gunter has gained an international reputation as an expert in rhinoplasty. The rhinoplasty techniques he has pioneered over the years have allowed him to become one of the foremost experts in the world in primary and secondary rhinoplasty.
Dr. Gunter is pleased to have chosen Dr. Cochran to join his practice. Dr. Gunter and Dr. Cochran’s surgical goal is to produce a nose that looks natural, functions properly, and is in balance and harmony with the patients other facial features.
DR. JACK P. GUNTER: Most plastic surgeons agree that rhinoplasty is the most difficult operation in cosmetic surgery. To be extraordinary in this operation we feel that the surgeon must be committed to rhinoplasty as at least a subspecialty. In our clinic we view it as our only specialty. That’s all we do. Our dedication and commitment to obtain the best results possible brings us patients from all over the world. We are certainly dedicated to teaching and sharing our experience with other surgeons.
Our operating room has always been open to visiting surgeons who wanted to observe our techniques. Over the past 15 years we’ve had surgeons visit us from 19 countries and 5 continents. For instance, we’ve had surgeons from Russia, China, South Korea, Israel, Pakistan, Switzerland, Australia, and most of the European Countries.
DR. JACK P. GUNTER: Hello, I’m Jack Gunter, Founder and Director of the Gunter Center in Dallas, Texas. I want to welcome you to our rhinoplasty website. I know you have plenty of options in choosing a rhinoplasty surgeon and I appreciate the opportunity to visit with you.
I would like to tell you some of the things that set us apart from other centers. The main thing is that we focus exclusively on rhinoplasty, both primary and secondary, because rhinoplasty has become such a difficult operation fewer surgeons are performing primary rhinoplasty. Even fewer have the experience and training to master secondary rhinoplasty. We hope that after viewing our website you will feel as we do, the Gunter Center is the best option for you.
DR. SPENCER COCHRAN: I’m Dr. Spencer Cochran, at the Gunter Center our goal is to provide each rhinoplasty patient with a natural appearing nose that also functions well and is in harmony and balance with the rest of their facial features. We hope that you find this website informative and helpful, and if you have any other questions please contact our office. Thank you.
MS. ANGELIQUE FRAME: If you’re thinking about rhinoplasty the first thing you should do is choose a qualified, board certified surgeon who specializes in rhinoplasty. Make sure you set up an initial consultation with your doctor of choice and ask a lot of questions. This is the perfect opportunity to ask about everything, from the plastic surgeon’s qualifications to financing and scheduling options.
DR. JACK P. GUNTER: I would want to know how many rhinoplasties that doctor does a year, how long he’s been doing them, and how much experience that he has.
MS. ANGELIQUE FRAME: Dr. Jack Gunter and Dr. Spencer Cochran of the world renowned Gunter Center for Aesthetics and Cosmetic Surgery in Dallas Fort Worth, Texas are widely regarded as two of the premier rhinoplasty specialists in the industry. They say those looking to improve the appearance of such a prominent part of their face should make sure their place surgeon is experienced in the field of rhinoplasty, not just general plastic surgery.
DR. JACK P. GUNTER: There’s a lot of good doctors that do good plastic surgery but don’t especially do good rhinoplasty.
MS. ANGELIQUE FRAME: Another way to check out a doctor’s qualifications is to ask some of their other patients how their experience went. While you’re at it, it’s a good idea to see if the doctor can provide sketches or computer images that will show you what your new nose may look like. After all, this is surgery on what is often the focal point of your face.
DR. JACK P. GUNTER: The nose being the most prominent part of the face is very important, of course, in facial aesthetics.
MS. ANGELIQUE FRAME: Dr. Gunter and Dr. Spencer Cochran are two of only a handful of surgeons worldwide that focus exclusively on rhinoplasty and procedures, such as chin implants that can enhance the result of rhinoplasty. Dr. Cochran says there are certain criteria that patients have to meet before the procedure is done.
DR. SPENCER COCHRAN: When patients come to our office for consultation we carefully assess each patient to make sure that they’re emotionally and physically prepared to undergo this surgical procedure. Equally important is also the patient’s expectations in terms of what surgery can and cannot accomplish to improve that.
MS. ANGELIQUE FRAME: When considering rhinoplasty it’s important to know that there are many different types of procedures that qualified plastic surgeons can perform. Dr. Gunter explains.
DR. JACK P. GUNTER: There’s no one rhinoplasty that fits all noses. If you look at noses there’s no one nose that is identical to another nose. They are all different. And we feel that each rhinoplasty must be individualized, taken into race, gender, even the patient’s physical characteristics of their face.
DR. SPENCER COCHRAN: Primary rhinoplasty refers to first time nasal surgery, whether it be for cosmetic or functional reasons. This is accomplished by removing excess bone and cartilage from beneath the skin. After the newly shaped framework is completed the skin is re-draped to give the nose its new appearance.
MS. ANGELIQUE FRAME: Secondary rhinoplasty is a procedure that is performed after a patient has had one or more previous rhinoplasties, but may not have worked out as well as they had hoped. If you fall into that category take Dr. Gunter’s suggestion seriously.
DR. JACK P. GUNTER: Because of its difficulty it’s very important that the patient select a highly qualified surgeon to perform any type of secondary rhinoplasty.
MS. ANGELIQUE FRAME: So what’s the immediate impact of a rhinoplasty that is done correctly?
DR. JACK P. GUNTER: Rhinoplasty has actually two benefits, improving facial aesthetics and also improving nasal function. The nose has a very strong psychological effect on one’s self-image and can decrease one’s self-confidence, especially in the younger patients.
MS. ANGELIQUE FRAME: Thousands of people have benefited from rhinoplasties performed world wide. Elly Khoyi is among them. For as long as she can remember she had a complex about her looks, that was to her, at least, as clear as the nose on her face.
MS. Elly Khoyi: I wasn’t really teased about it or anything, but I just thought that it would just complete me. It was something I was self-conscious about and I wanted to get done. I came in knowing that I had to be realistic about my results and that Dr. Gunter was going to give me the best that he could for my face. People I haven’t seen in like five years I’ve seen they say it looks so natural and you just, there’s something about you that just looks radiant. They couldn’t put their finger on it, but it looks great.
DR. SPENCER COCHRAN: Our rhinoplasties are usually performed under general anesthesia, which means patients are asleep. Typically the surgery lasts approximately three hours. The surgery may last up to five hours for patients who undergo a secondary rhinoplasty. For patients who have a rib graft we often keep them in the hospital overnight, but generally rhinoplasty is considered an outpatient procedure.
ANGELIQUE FRAME: Once you’re out of surgery you can expect to have some swelling and mild bruising. A cast will be placed on the outside of the nose that is removed a week later. Even with the swelling and bruising the improvement is typically visible even at one week. Watch Elly’s tears as she is thrilled with the positive changes in her nose at her cast removal.
MS. Elly Khoyi: I had little to no pain. It was really shocking.
MS. ANGELIQUE FRAME: Patients should expect that a life changing surgery like rhinoplasty may take some time before the final results are truly felt. There are times when it could take up to a year for all of the swelling to go down and the nose to be completely healed. But for most the results are usually worth the wait.
DR. JACK P. GUNTER: It’s very satisfying for us to see a patient come in to the office with a big smile on their face and very outgoing, who, before their rhinoplasty was very shy and retiring and you know, didn’t have much to say, but has become a much happier person. And this makes us very, it is very satisfying to us.
MS. Elly Khoyi: I am so glad that I went ahead and chose to go ahead with the rhinoplasty procedure. I feel like it’s brought out my other features that I have and you can see more of me. And I’m just thrilled.