# Rhinoplasty Essentials — GCMD Library living collection

Updated: n/a · 4 episodes · 100 cited statements

## Episodes
### Surgical Approaches and Techniques
- [Open vs Close Rhinoplasty](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257) — video · 0:36 · [machine version](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257.md)

### Complications and Management
- [Rhinoplasty Complications](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256) — video · 1:26 · [machine version](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256.md)

### Practice Development
- [Building a Rhinoplasty Practice: Lessons from Academic to Private Transition](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918) — podcast · 49:35 · [machine version](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918.md)
- [Dr. Diana Ponsky discusses facial plastic surgery practice and rhinoplasty expertise](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919) — podcast · 14:41 · [machine version](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=0) Three Major Complications of Rhinoplasty (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257?t=0) Open versus Closed Rhinoplasty Techniques (Ep 1)
- [0:02](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2) Introduction and Career Path into Facial Plastic Surgery (Ep 3)
- [3:27](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=207) Transition from Academic to Private Practice (Ep 3)
- [9:10](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=550) Practice Setup and Location Strategy (Ep 3)
- [16:44](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1004) Marketing Strategy and Social Media Presence (Ep 3)
- [23:34](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1414) Staff Management and HR Challenges (Ep 3)
- [27:28](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1648) Biggest Business Mistake: Family Partnership (Ep 3)
- [31:07](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1867) Managing Difficult Rhinoplasty Patients (Ep 3)
- [40:42](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2442) Future Plans and Personal Life (Ep 3)
- [0:00](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=0) Introduction to Ponsky Facial Plastic Surgery practice (Ep 4)
- [1:28](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=88) Rhinoplasty expertise and dual training approach (Ep 4)
- [3:24](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=204) Patient consultation process and surgical planning (Ep 4)
- [5:09](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=309) Rhinoplasty costs and insurance coverage (Ep 4)
- [6:04](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=364) Injectable treatments and facial volume restoration (Ep 4)
- [8:32](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=512) Practice location, credentials, and academic affiliations (Ep 4)
- [10:49](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=649) Volunteer work and personal background (Ep 4)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- Rhinoplasty is a surgery of millimeters. (clinical) [Ep 2 · 0:06](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=6)
- There are healing forces in rhinoplasty that the surgeon cannot control. (clinical) [Ep 2 · 0:17](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=17)
- Skin differences and the milieu of healing vary among individuals, with some people healing fast and others slow. (clinical) [Ep 2 · 0:20](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=20)
- The three major complications of rhinoplasty are: bleeding and infection, aesthetic dissatisfaction, and minor imperfections. (clinical) [Ep 2 · 0:26](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=26)
- Aesthetic dissatisfaction can be prevented through frank discussion where the patient feels comfortable asking questions and the surgeon provides a morph (two-dimensional depiction of expected nasal appearance). (clinical) [Ep 2 · 0:42](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=42)
- A morph is a two-dimensional depiction that helps guide patient and surgeon regarding expected rhinoplasty results, though it cannot capture three-dimensional structure, shadows, and other aspects. (clinical) [Ep 2 · 0:53](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=53)
- Minor imperfections such as palpable bumps that are not visible are much more common than not as part of rhinoplasty healing. (clinical) [Ep 2 · 1:10](https://library.globalcastmd.com/watch/rhinoplasty-complications-13256?t=70)
- In closed rhinoplasty, there are no external incisions and all work is done from the inside. (clinical) [Ep 1 · 0:03](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257?t=3)
- In closed rhinoplasty, tip cartilages are pulled out and manipulated based on feel. (clinical) [Ep 1 · 0:03](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257?t=3)
- Open rhinoplasty uses an external incision on the columella. (clinical) [Ep 1 · 0:14](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257?t=14)
- Open rhinoplasty includes hidden incisions that allow direct visualization of cartilages and bone being remodeled. (clinical) [Ep 1 · 0:18](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257?t=18)
- Open rhinoplasty is much more precise than closed technique. (opinion) [Ep 1 · 0:29](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257?t=29)
- The current trend in rhinoplasty is towards open technique. (clinical) [Ep 1 · 0:29](https://library.globalcastmd.com/watch/open-vs-close-rhinoplasty-13257?t=29)
- Dr. Ponsky's path into medicine was influenced by working as a front office receptionist for a dermatologist who had a heart condition, which she helped with over 8 years. — Diana Ponsky (opinion) [Ep 3 · 2:29](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=149)
- Dr. Ponsky fell in love with ENT for the intricacies of head and neck cancer surgery during medical school rotations. — Diana Ponsky (opinion) [Ep 3 · 2:54](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=174)
- Working at the VA for 2 years while her husband did his fellowship led Dr. Ponsky to fall in love with rhinoplasty. — Diana Ponsky (opinion) [Ep 3 · 3:06](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=186)
- Dr. Ponsky left the university completely in August 2020 to focus on private practice after years of hybrid practice. — Diana Ponsky (clinical) [Ep 3 · 3:42](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=222)
- The university became difficult because they would have staff work with 10 different surgeons, creating scheduling conflicts. — Diana Ponsky (opinion) [Ep 3 · 4:43](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=283)
- Patients would get angry at Dr. Ponsky because the hospital billing system couldn't properly handle functional nasal surgery combined with cosmetic nasal surgery. — Diana Ponsky (opinion) [Ep 3 · 5:20](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=320)
- In Dr. Ponsky's current practice, about 80% of cases are cosmetic and 20% involve functional insurance issues. — Diana Ponsky (clinical) [Ep 3 · 9:14](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=554)
- The Department of Otolaryngology/facial plastics advertised Dr. Ponsky purely in the nasal arena at the university because plastic surgery took over everything else. — Diana Ponsky (opinion) [Ep 3 · 10:21](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=621)
- Dr. Ponsky trained in all facial plastic procedures with Bahman Guyuron during her fellowship. — Diana Ponsky (clinical) [Ep 3 · 10:44](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=644)
- About 75% of Dr. Ponsky's surgeries are rhinoplasties, with 15-20% facelifts and the rest blepharoplasties and brow lifts. — Diana Ponsky (clinical) [Ep 3 · 11:07](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=667)
- Dr. Ponsky splits her time evenly between non-surgical and surgical days. — Diana Ponsky (clinical) [Ep 3 · 11:24](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=684)
- The younger generation is more likely to try non-surgical treatments early on as an educational process for prevention. — Diana Ponsky (opinion) [Ep 3 · 12:01](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=721)
- More established plastic surgeons in the community will not do Botox or fillers and send patients to dermatology, focusing only on surgical cases. — Diana Ponsky (opinion) [Ep 3 · 12:28](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=748)
- Dr. Ponsky's chairman allowed her to rent space in the plastic surgery building for 2 days a week for 2 years as a transition step. — Diana Ponsky (clinical) [Ep 3 · 14:33](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=873)
- Dr. Ponsky's office is in a mixed-use business building on the same floor as gastroenterologists with a surgical suite and dental/oral surgery offices. — Diana Ponsky (clinical) [Ep 3 · 15:11](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=911)
- Dr. Ponsky had a 5-year lease which she just renewed on her boutique office space. — Diana Ponsky (clinical) [Ep 3 · 15:42](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=942)
- Dr. Ponsky stayed in the same geographic area where she worked previously, which provided referrals from internists, pediatric offices for broken noses, and dermatology practices. — Diana Ponsky (opinion) [Ep 3 · 17:00](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1020)
- Dr. Ponsky employs a social media manager who runs her own company, meeting weekly to discuss ideas and maintain consistent messaging. — Diana Ponsky (clinical) [Ep 3 · 17:51](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1071)
- Dr. Ponsky uses Elegant Brands (BSM) who connected her with a digital marketing expert who joins weekly social media meetings. — Diana Ponsky (clinical) [Ep 3 · 18:16](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1096)
- Dr. Ponsky's husband is a pediatric surgeon who does educational webinars on multiple platforms and has helped with marketing tips. — Diana Ponsky (clinical) [Ep 3 · 18:26](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1106)
- Dr. Ponsky's most valuable marketing resource is an employee with no formal marketing education who worked at the Museum of Art and serves as creative director. — Diana Ponsky (opinion) [Ep 3 · 18:49](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1129)
- HR is the toughest part of running Dr. Ponsky's practice, and she found managing people to be her biggest challenge. — Diana Ponsky (opinion) [Ep 3 · 21:35](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1295)
- Dr. Ponsky initially picked staff for experience but now picks for personality fit after learning that not every personality meshes well together. — Diana Ponsky (opinion) [Ep 3 · 21:26](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1286)
- Dr. Ponsky's current team includes someone who has been with her for 5 years, an RN training to be an NP for over 1 year, a creative director, and a front desk person. — Diana Ponsky (clinical) [Ep 3 · 21:47](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1307)
- Dr. Ponsky's biggest business mistake was going into business with a family member (her husband's cousin) who was at a different career level (resident when she was attending). — Diana Ponsky (opinion) [Ep 3 · 24:56](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1496)
- The partnership with the family member didn't work out, but both parties are better off now with latitude to do what they want. — Diana Ponsky (opinion) [Ep 3 · 25:41](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1541)
- Dr. Ponsky is considering hiring one or two more nurse practitioners while trying to keep the practice boutique. — Diana Ponsky (opinion) [Ep 3 · 27:31](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1651)
- Dr. Ponsky went into private practice because she loves helping people and operating, and feels she has a knack for recognizing what is natural and delivering it with integrity. — Diana Ponsky (opinion) [Ep 3 · 27:55](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1675)
- Dr. Ponsky wants to be around for her kids until they leave for college, which is part of why she went into private practice. — Diana Ponsky (opinion) [Ep 3 · 28:22](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1702)
- In Ohio, a nurse injector can inject with the physician in proximity, but it's harder to regulate if the physician leaves town, whereas an NP has more latitude to work independently. — Diana Ponsky (clinical) [Ep 3 · 29:11](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1751)
- Dr. Ponsky has trained her current nurse practitioner for over a year, including taking her into the OR to show anatomy, rather than sending her to courses taught by instructors who may never have seen deeper anatomy. — Diana Ponsky (opinion) [Ep 3 · 30:03](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=1803)
- Dr. Ponsky relies on multiple discussions with rhinoplasty patients to get a sense of their motivation and personality, typically requiring two or three meetings. — Diana Ponsky (clinical) [Ep 3 · 34:37](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2077)
- Dr. Ponsky structures rhinoplasty consultations as: initial consultation, a discussion meeting, and a pre-op discussion with her nurse before she comes in for final questions. — Diana Ponsky (clinical) [Ep 3 · 34:53](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2093)
- Dr. Ponsky has turned away two rhinoplasty patients because they showed suspect signs between the 2nd and 3rd visit indicating she couldn't achieve all their goals. — Diana Ponsky (clinical) [Ep 3 · 35:07](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2107)
- The human nose is not an inanimate object like a car door that can be pounded out to perfection or given the right color. — Diana Ponsky (opinion) [Ep 3 · 35:22](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2122)
- Morphing software is the biggest leveling field for managing rhinoplasty expectations, a tool that earlier mentors didn't have when they would draw overlays. — Diana Ponsky (opinion) [Ep 3 · 35:39](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2139)
- Dr. Ponsky shows rhinoplasty patients examples of cases where she had to take someone back for insufficient reduction or cases with soft tissue polybeak requiring injection and follow-up. — Diana Ponsky (clinical) [Ep 3 · 36:01](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2161)
- Dr. Ponsky follows rhinoplasty patients for up to 1 year, seeing them at least 5 times during that journey, and offers more visits if patients need to ask questions. — Diana Ponsky (clinical) [Ep 3 · 36:14](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2174)
- One rhinoplasty patient didn't disclose she had a chin implant and wanted to enlarge it eventually, which would affect the rhinoplasty morph discussion. — Diana Ponsky (clinical) [Ep 3 · 36:41](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2201)
- Dr. Ponsky gets input from her staff about rhinoplasty patients because everybody has different interactions, which is very helpful. — Diana Ponsky (opinion) [Ep 3 · 37:43](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2263)
- One red flag patient made 8 morphs of what her nose would look like with very specific slope preferences. — Diana Ponsky (clinical) [Ep 3 · 37:50](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2270)
- Dr. Ponsky doesn't get celebrity photos from rhinoplasty patients as much anymore because she tells them she'll create a version of them based on their features, not someone else's. — Diana Ponsky (opinion) [Ep 3 · 38:12](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2292)
- Kim Kardashian's nose won't look good on someone with a round face. — Diana Ponsky (opinion) [Ep 3 · 38:19](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2299)
- Dr. Ponsky tells rhinoplasty patients they don't want to be like Michael Jackson pursuing surgery after surgery because they didn't narrow down the essence of what they're looking for. — Diana Ponsky (opinion) [Ep 3 · 38:40](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2320)
- Rhinoplasty patients are the happiest, most emotional patients who are always crying on Instagram because it's such a transformation. — Catherine Maley (opinion) [Ep 3 · 39:20](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2360)
- Dr. Ponsky tells rhinoplasty patients that when the nose is balanced in the face, no one notices it anymore because it's no longer the leading feature. — Diana Ponsky (opinion) [Ep 3 · 39:43](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2383)
- Rhinoplasty patients always come back and say Dr. Ponsky was right that they spent so much time fixated on their nose, and now no one says anything about it. — Diana Ponsky (opinion) [Ep 3 · 40:06](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2406)
- Dr. Ponsky enjoyed learning about business and marketing more than expected, despite having no formal training. — Diana Ponsky (opinion) [Ep 3 · 40:51](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2451)
- Private practice is going to swing back as more physicians go out on their own due to restrictions and hospitals showing more acute care patients. — Diana Ponsky (opinion) [Ep 3 · 41:29](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2489)
- The AMA is starting a subsector of education on returning to private practice. — Diana Ponsky (clinical) [Ep 3 · 41:46](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2506)
- Multi-specialty groups are not as popular now because they are almost an institution. — Diana Ponsky (opinion) [Ep 3 · 42:00](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2520)
- The best surgeon on the planet will get trumped by the best marketer on the planet, at least in the short run. — Catherine Maley (opinion) [Ep 3 · 43:01](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2581)
- Dr. Ponsky has three daughters: a 16-year-old who is 1 inch taller than her, a 12-year-old, and a 10-year-old. — Diana Ponsky (clinical) [Ep 3 · 44:24](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=2664)
- Dr. Diana Ponsky's practice has 4 employees plus herself and is based on providing care in facial plastic surgery ranging from reconstruction after trauma or cancer to cosmetic enhancements. — Diana Ponsky (clinical) [Ep 4 · 0:38](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=38)
- The majority of patients are aesthetically minded, seeking cosmetic improvements to boost confidence through skincare products, surgeries, and non-invasive injections like Botox and fillers. — Diana Ponsky (clinical) [Ep 4 · 1:03](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=63)
- Rhinoplasty is Dr. Ponsky's ultimate specialty and favorite surgery to perform. — Diana Ponsky (opinion) [Ep 4 · 1:39](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=99)
- Rhinoplasty involves changing the outside part of the nose, and Dr. Ponsky's dual training in otolaryngology and facial plastic surgery allows focus on both outside appearance and inside breathing function. — Diana Ponsky (clinical) [Ep 4 · 1:47](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=107)
- Changing the outside of the nose often impacts inside breathing, requiring a surgeon equipped to decipher both aspects and build the nose to maintain optimal breathing when reducing size. — Diana Ponsky (clinical) [Ep 4 · 2:02](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=122)
- Rhinoplasty is a blend of form and function. — Diana Ponsky (clinical) [Ep 4 · 2:23](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=143)
- Dr. Ponsky also performs face lifts, eye lifts, liposuction on the chin, and neck lifts, all from the neck up. — Diana Ponsky (clinical) [Ep 4 · 2:26](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=146)
- Patients with large noses feel it defines them, and the surgeon's job is to make the nose fit naturally in the face so it becomes inconspicuous. — Diana Ponsky (clinical) [Ep 4 · 2:55](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=175)
- A large nose is all people see, but when fitted naturally it becomes not noticeable anymore; balancing the face brings harmony and makes individual features less noticed. — Diana Ponsky (clinical) [Ep 4 · 3:07](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=187)
- Dr. Ponsky uses Adobe-based software to create morph views showing post-operative appearance, analyzing pictures scientifically to determine what is out of proportion and by how much. — Diana Ponsky (clinical) [Ep 4 · 3:32](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=212)
- In rhinoplasty, surgery is performed in millimeters; one millimeter in the wrong direction makes the nose look crooked. — Diana Ponsky (clinical) [Ep 4 · 3:50](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=230)
- Patients review morphed pictures and provide input, sometimes requiring multiple sessions to adjust the plan (tilting up more, making slightly smaller), making the consultation meeting important for aligning surgeon and patient aesthetic ideals. — Diana Ponsky (clinical) [Ep 4 · 3:57](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=237)
- Rhinoplasty is performed at an outpatient surgery center under general anesthesia because it is much more comfortable for the patient. — Diana Ponsky (clinical) [Ep 4 · 4:35](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=275)
- Insurance does not cover the cosmetic portion of rhinoplasty, but will help cover cases involving breathing issues, trauma, car accidents, or sports injuries. — Diana Ponsky (clinical) [Ep 4 · 4:55](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=295)
- Rhinoplasty costs vary from $8,000 for tip-only cartilage work without bony work to $12,000–$15,000 for reconstruction using rib or ear cartilage grafts, including surgeon and surgery center fees. — Diana Ponsky (clinical) [Ep 4 · 5:16](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=316)
- Patients who have been in car accidents or misused medications inside the nose can develop nasal collapse requiring reconstruction with harvested rib or ear cartilage. — Diana Ponsky (clinical) [Ep 4 · 5:46](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=346)
- More people are using injectables and fillers, possibly because society is healthier with increasing lifespans, so people in their late 40s feel better than their frown lines show. — Diana Ponsky (epidemiological) [Ep 4 · 6:16](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=376)
- In the past two years, home video calls and Zoom conferences have made people more aware of their appearance because they spend all day looking at videos of themselves. — Diana Ponsky (epidemiological) [Ep 4 · 6:43](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=403)
- Botox is now used as a preventative to ward off wrinkles at an earlier age. — Diana Ponsky (clinical) [Ep 4 · 7:00](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=420)
- Fillers provide volume replacement; people are leaner and exercise more, leading to lower ideal body weight and corresponding facial volume loss that injectables address. — Diana Ponsky (clinical) [Ep 4 · 7:08](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=428)
- Skincare is important and often neglected; May is skin cancer prevention month, and daily sunblock use—even in cloudy Cleveland—helps preserve skin for longer periods. — Diana Ponsky (clinical) [Ep 4 · 7:30](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=450)
- Botox treatments are repeated every 3 months. — Diana Ponsky (clinical) [Ep 4 · 8:03](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=483)
- Filler treatments are usually repeated every 6 months. — Diana Ponsky (clinical) [Ep 4 · 8:06](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=486)
- Botox costs vary from $500 to $1,000 depending on the number of treatment areas. — Diana Ponsky (clinical) [Ep 4 · 8:13](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=493)
- Filler costs vary from $600–$700 to multiples of that amount. — Diana Ponsky (clinical) [Ep 4 · 8:24](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=504)
- Dr. Ponsky is board certified in both facial plastics and otolaryngology, a dual designation held by fewer than a handful of women in Ohio. — Diana Ponsky (clinical) [Ep 4 · 10:57](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=657)
- Dr. Ponsky has been honored by peers as a best doctor by Castle Connolly and Cleveland magazine. — Diana Ponsky (clinical) [Ep 4 · 11:15](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=675)
- Dr. Ponsky went on a mission trip with Operation Smile to Siberia before medical school, working on cleft lip and palate cases, which sparked her interest in facial surgery. — Diana Ponsky (clinical) [Ep 4 · 11:32](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=692)
- Dr. Ponsky went on a mission trip to Honduras after medical school through MedWish (founded by her husband's brother) to help patients with dental issues and nutrition. — Diana Ponsky (clinical) [Ep 4 · 11:54](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=714)
- MedWish is a Cleveland organization that provides free medical care to underinsured or uninsured Ohio residents. — Diana Ponsky (clinical) [Ep 4 · 12:14](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=734)
- Dr. Ponsky volunteers at MedWish at least once or twice a year, providing services ranging from dental and vision care to skin cancer screening; they once diagnosed a carotid tumor and arranged follow-up care through the university. — Diana Ponsky (clinical) [Ep 4 · 12:22](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=742)
- The American Academy of Facial Plastic Surgery has a group called Face to Face that helps victims of domestic abuse; Dr. Ponsky helped a gentleman in Mansfield with nasal issues through this program. — Diana Ponsky (clinical) [Ep 4 · 12:39](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=759)
- Dr. Ponsky trained with Dr. Bahman Gyan, a world-renowned rhinoplasty surgeon, for one year before being hired by University Hospitals, where she worked for about 12 years until leaving in August 2020. — Diana Ponsky (clinical) [Ep 4 · 10:14](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=614)
- Dr. Ponsky holds an assistant professorship at the University Hospitals medical school and continues to teach residents there. — Diana Ponsky (clinical) [Ep 4 · 10:38](https://library.globalcastmd.com/watch/dr-diana-ponsky-discusses-facial-plastic-surgery-practice-and-rhinoplasty-expert-15919?t=638)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Dr. Diana Ponsky is board-certified in facial and reconstructive surgery with a private practice in Beechwood, Ohio for 6 years and has performed more than 1,500 rhinoplasties. — Catherine Maley summarizes what Dr. Diana Ponsky said [Ep 3 · 0:33](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=33)
- Dr. Ponsky is an assistant professor for the Department of Otolaryngology at University Hospitals. — Catherine Maley summarizes what Dr. Diana Ponsky said [Ep 3 · 0:45](https://library.globalcastmd.com/watch/building-a-rhinoplasty-practice-lessons-from-academic-to-private-transition-15918?t=45)

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Educational content from recorded physician discussions — not medical advice. Cite the canonical URL or the ?t= deep link. Policy: https://library.globalcastmd.com/ai