From
Dr. Diana Ponsky
Dr. Diana Ponsky discusses facial plastic surgery practice and rhinoplasty expertise
With Dr. Diana Ponsky
Chapter 1 of 7
Practice overview
Introduction to Ponsky Facial Plastic Surgery practice
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
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.
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.
Rhinoplasty is Dr. Ponsky's ultimate specialty and favorite surgery to perform.
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.
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.
Rhinoplasty is a blend of form and function.
Dr. Ponsky also performs face lifts, eye lifts, liposuction on the chin, and neck lifts, all from the neck up.
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.
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.
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.
In rhinoplasty, surgery is performed in millimeters; one millimeter in the wrong direction makes the nose look crooked.
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.
Rhinoplasty is performed at an outpatient surgery center under general anesthesia because it is much more comfortable for the patient.
Insurance does not cover the cosmetic portion of rhinoplasty, but will help cover cases involving breathing issues, trauma, car accidents, or sports injuries.
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.
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.
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.
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.
Botox is now used as a preventative to ward off wrinkles at an earlier age.
Fillers provide volume replacement; people are leaner and exercise more, leading to lower ideal body weight and corresponding facial volume loss that injectables address.
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.
Botox treatments are repeated every 3 months.
Filler treatments are usually repeated every 6 months.
Botox costs vary from $500 to $1,000 depending on the number of treatment areas.
Filler costs vary from $600–$700 to multiples of that amount.
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.
Dr. Ponsky holds an assistant professorship at the University Hospitals medical school and continues to teach residents there.
Dr. Ponsky is board certified in both facial plastics and otolaryngology, a dual designation held by fewer than a handful of women in Ohio.
Dr. Ponsky has been honored by peers as a best doctor by Castle Connolly and Cleveland magazine.
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.
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.
MedWish is a Cleveland organization that provides free medical care to underinsured or uninsured Ohio residents.
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.
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.