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Richard M. Winters MD FACS, Aesthetic & Reconstructive Surgeons
Practicing since 1999
"Dr. Winters is very honest & let's you know what to expect before, during & after your procedure. He shows that he cares by calling to check up on you & to answer any questions that you might have."
"MY PERSONAL EXPERIENCE WITH THIS OFFICE HAS ONLY BEEN POSTIVIE AND AT TIMES AMAZING! THE STAFF IS PROFESSIONAL AND CARING AT THE SAME TIME... THEY ALL HELPED ME FEEL SAFE DURING MY CANCER JOURNEY.
"Dr. Winters, his staff, and the office atmosphere made and makes me feel so comfortable. It is a small, cozy office with friendly staff who remember who I am every time I call. Dr. Winters also makes me feel so good! He did a wonderful job at making me feel compatable prior/post op and would refer anyone I knew who needed plastic surgery to him!!! I could not have been happier with my outcome overall!!! :)"
i recently recieved a consulation with a double board certified plastic surgeon with over 28yrs of experience. for the last 6 yrs, he has been using local anesthisa for open rhinoplasty which is what i am going to get. he said i would take valium, ambiean ect and not feel a thing. what are the risks? the dr seemed very comfortable in my outcome and made me feel relaxed. i always hear iv sedation and general are the best way to go?
I agree with what many of the other rhinoplasty surgeons have said in that the type of anesthesia used is a matter of surgeon and patient preference. In my busy rhinoplasty practice, I ONLY offer general anesthesia except for minor skin/tip revisions. Unfortunately, there is a prevailing misconception that general anesthesia is somehow unsafe. I can't think of anything further from the truth in properly selected patients with a known qualified anesthesiologist. Presumably, anyone healthy enough to consider elective rhinoplasty should be at exceptionally low risk for general anesthesia. My prerogative is that the surgery is meticulous and precise. Thus, in my hands, rhinoplasty is much better executed when the patient is unconscious, completely comfortable and not anxious. In addition, I prefer to have the throat packed so as not to allow any blood form the nasal cavity to be swallowed or aspirated. When rhinoplasty is done under local anesthesia or local with sedation, the surgeon must be careful to closely monitor the amounts of anesthetic injected as excessive amounts can cause cardiopulmonary and neurologic issues. As with most things surgical, experience trumps most all else.