ROBERT A. GUIDA M.D., P.C.     RHINOLOGY:Cosmetic and Functional Nose Surgery          www.drguida.com
“  My mission is to   truly understand  what my patients’  goals are and then educate them aboutrealistic and optimal     ...
ABOUT DR. GUIDADr. Robert A. Guida has repeatedly been listed in the Castle ConnollyGuide of Best Doctors recognizing him ...
INTERESTING FACT:  More than 37 million Americans suffer from at least  one episode of acute sinusitis each year.  DEVIATE...
TREATMENT OF SINUSITISChronic sinusitis is a functional problem of the nose, which affectsa large portion of the populatio...
DEVIATED                                                               NASAL SEPTUM                                       ...
TREATMENT OF NASAL OBSTRUCTION  Fixing a deviated nasal septum involves one small incision inside the nose.  Fixing this p...
REVISION RHINOPLASTYRevision rhinoplasty is a complex operation that must always be performed withmuch thought and care. D...
BEFORE                            COSMETIC NOSE SURGERY                          Rhinoplasty, commonly referred to as a “n...
ETHNIC RHINOPLASTYOver the past several decades ethnic rhinoplasty, performed on Hispanic, Asian, African Amer-ican, and M...
OTHER NASAL SURGERYSKIN CANCER OR TRAUMAOver a million new cases of skin cancer are diagnosed and treated eachyear in the ...
For all further inquires please contact our office to schedule a  consultation with Dr. Guida.CONTACT INFORMATION  Robert ...
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Dr Robert A. Guida Rhinology Overview

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Dr. Robert A. Guida has repeatedly been listed in the Castle Connolly Guide of Best Doctors recognizing him as one of “the best doctors in New York,” New York Magazine’s feature on top “Beauty Doctors”in New York City, and in New York Magazine’s Best Doctor Issue. He has been practicing rhinology (the study of the nose) and facial plastic and reconstructive surgery in New York since 1990.

Dr. Guida has unique and extensive training in both functional and cosmetic nose surgery. He is double board certified in Facial Plastic and Reconstructive Surgery as well as Otolaryngology-Head and Neck Surgery. Because of his unique training, Dr. Guida is highly skilled in surgical treatment of all aspects of nasal sinus disease, functional nasal problems, surgery for nasal obstruction, cosmetic rhinoplasty, repairing broken noses, and complex revision rhinoplasty.

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Dr Robert A. Guida Rhinology Overview

  1. 1. ROBERT A. GUIDA M.D., P.C. RHINOLOGY:Cosmetic and Functional Nose Surgery www.drguida.com
  2. 2. “ My mission is to truly understand what my patients’ goals are and then educate them aboutrealistic and optimal ” treatment options.
  3. 3. ABOUT DR. GUIDADr. Robert A. Guida has repeatedly been listed in the Castle ConnollyGuide of Best Doctors recognizing him as one of “the best doctors inNew York,” New York Magazine’s feature on top “Beauty Doctors”inNew York City, and in New York Magazine’s Best Doctor Issue. Hehas been practicing rhinology (the study of the nose) and facial plasticand reconstructive surgery in New York since 1990.Dr. Guida has unique and extensive training in both functionaland cosmetic nose surgery. He is double board certified in FacialPlastic and Reconstructive Surgery as well as Otolaryngology-Headand Neck Surgery. Because of his unique training, Dr. Guida ishighly skilled in surgical treatment of all aspects of nasal sinusdisease, functional nasal problems, surgery for nasal obstruction,cosmetic rhinoplasty, repairing broken noses, and complex revisionrhinoplasty.
  4. 4. INTERESTING FACT: More than 37 million Americans suffer from at least one episode of acute sinusitis each year. DEVIATED SEPTUMAbove is a photograph of real time image guided surgery, using a patient’s CT scansynchronized with live video.
  5. 5. TREATMENT OF SINUSITISChronic sinusitis is a functional problem of the nose, which affectsa large portion of the population. Often times it is also relatedto allergic rhinitis. Typically, people with chronic sinusitis haverecurrent sinus infections and head colds several times a yearover a few years. Antibiotic treatment will typically improve thesituation initially. However, shortly after stopping the antibiotictherapy the infection will recur. Symptoms include headaches,facial pain, nasal congestion, nasal drainage, postnasal drip, andoccasional visual changes. Prior to the use of antibiotics, sinusitiswas life threatening potentially causing meningitis and even death.Endoscopic sinus surgery, computerized image guided surgery, andhigh-resolution CT scans have revolutionized the surgical treatmentof sinus disease. Using a small rigid endoscope connected to a largevideo monitor, this surgery can be done under direct, magnifiedvision yielding specific and positive results. New image-guidedtechnology allows a CT scan to be used as a real time “road map”during the procedure, allowing for precise accuracy during the oper-ation. The operation can be done under twilight or general anesthe-sia and there generally is no nasal packing postoperatively. Patientstypically require several days off of work after this procedure forrecovery.
  6. 6. DEVIATED NASAL SEPTUM INFERIOR TURBINATE HYPERTROPHY“I cannot breathe through my nose. Can that be fixed at the same time that I am having surgery to make my nose look better? ” Frequently, cosmetic nasal surgery is done simultaneously with functional nasal surgery and sinus surgery. The most common functional complaints patients have regarding their nose is that they cannot breathe through it or that they suffer from frequent sinus infections. Surgical problems causing nasal obstruction that are easily corrected related to the nose include a deviated and/or fractured nasal septum, nasal polyps, a broken nose, chronic sinus infections, or enlarged turbinates. Dr. Guida can determine the cause of the nasal obstruction by both a physical exam as well as a CT scan of the nose and paranasal sinuses. This will give Dr. Guida detailed information and allow him to provide you with a clear assessment of your options and chances for improving your nasal obstruction.
  7. 7. TREATMENT OF NASAL OBSTRUCTION Fixing a deviated nasal septum involves one small incision inside the nose. Fixing this problem by itself generally does not cause any external bruising and there is no need for a nasal splint following the operation. Dr. Guida rarely packs the nose following the operation, as he uses dissolvable sutures to hold the structures in place afterwards. Typically, the patient can breathe well initially in the recovery room, but within several hours after the operation, the nasal lining swells and it could take approximately 1-3 weeks for the swelling to go away. Frequently, a deviated nasal septum can affect the external shape. Therefore, it is often straightened during cosmetic rhinoplastly.BEFORE AFTER BEFORE AFTER
  8. 8. REVISION RHINOPLASTYRevision rhinoplasty is a complex operation that must always be performed withmuch thought and care. Dr. Guida has successfully performed revision rhinoplastysurgery on a large number of patients from around the world. Often, patientsseeking revision rhinoplasty have a combination of cosmetic and functionalconcerns, requiring a surgeon highly skilled in both types of surgery. Dr. Guida’sunique double board certification in both Facial Plastic Surgery as well as Otolar-yngology – Head and Neck Surgery, as well as over twenty years of experience,makes him extremely qualified and proficient at performing revision rhinoplastysurgery. Cosmetically, there often is an unnatural appearance to the nose, rangingfrom tip asymmetry to a “scooped-out” nasal bridge. There may be nasal obstruc-tion from a deviated nasal septum, open roof deformity, chronic sinusitis, or aseptal perforation. Dr. Guida can assess these issues and determine the mostappropriate treatment plan for a successful outcome. BEFORE AFTER BEFORE AFTER
  9. 9. BEFORE COSMETIC NOSE SURGERY Rhinoplasty, commonly referred to as a “nose job”, is an operation that cosmetically improves the appearance of the nose. Cosmetic problems of the nose can be either genetic or acquired, perhaps due to an accident, resulting in a fractured nose. The most common cosmetic problems encountered are noses that are too large relative to the rest of the facial features, noses with prominent bumps on the bridge, noses with wide nasal bridge, noses that are very crooked due to a fractured nasal bones, or a congenital deviated nasal septum. AFTER Can I get an idea of what my new nose will look like before actually having surgery? Because of the individualized concerns each patient has with rhino- plasty surgery, Dr. Guida prefers using digital computer imaging to analyze the patients facial and nasal proportions prior to surgery. Altering the shape of the nost on the computer allows for a more interactive discussion between Dr. Guida and the poatient in terms of final outcome of surgery.This patient had adeviated septum, ahanging columella anda broken nose repaired.Dr. Guida’s workprovided a more
  10. 10. ETHNIC RHINOPLASTYOver the past several decades ethnic rhinoplasty, performed on Hispanic, Asian, African Amer-ican, and Middle Eastern patients, has become increasingly commonplace. This type of surgeryfocuses on maintaining balance between cosmetic alterations and ethnic characteristics toachieve a natural and cosmetically attractive appearance. Commonly, patients seek more refine-ment of a bulbous nasal tip and narrow a wide nasal base, nostrils, and nasal bridge. Dr. Guidahas succes fully operated on hundreds of patients from around the world for these conditionsand is highly skilled at this type of surgery. With preoperative computer imaging and carefullylistening to patients concerns, he can help the patient reach their cosmetic and functional goals. BEFORE AFTER BEFORE AFTERNON-SURGICAL RHINOPLASTYThere are non-surgical approaches to cosmetically improving one’s nose that are proven to behighly successful. In appropriately selected cases, Dr. Guida can use injectable fillers to createboth permanent (Silikon-1000) and temporary (Radiesse. Juvaderm, and Restylane) corrections.Temporary corrections may last as long as several months to a year with no need for surgery.These procedures can resolve imperfections in the nasal bridge, tip, and nostrils in as little asone office visit, requiring no anesthesia and having no down time. Injectables can camouflagea small bump, straighten a crooked appearance, bring balance to asymmetry, widen a pinchedtip, and lower excessively high nostrils. An experienced nasal surgeon is essential in obtainingoptimal results. Dr. Guida has a proven success rate for this type of procedure.�
  11. 11. OTHER NASAL SURGERYSKIN CANCER OR TRAUMAOver a million new cases of skin cancer are diagnosed and treated eachyear in the United States. 80% of these cancers are on the face or headand neck region. Skin cancer removal of nasal tissue requires carefulcosmetic reconstruction to achieve minimal deformity and a naturalaesthetic result. Dr. Guida has extensive experience in facial and nasalreconstruction following excision of skin cancers or as a result of facialtrauma. He has published numerous articles and lectured extensivelyon the various types of facial reconstructive techniques. Often after thecancer excision, the result is a significant soft tissue and structuraldefects. Dr. Guida will choose the most appropriate technique, fromskin grafting to simple or complex facial flaps, to most appropriatelyreconstruct these defects.
  12. 12. For all further inquires please contact our office to schedule a consultation with Dr. Guida.CONTACT INFORMATION Robert A. Guida, M.D., P.C. 1175 Park Avenue, Suite 1-B New York, NY 10128 Appointments: 212-871-0900 Office Fax: 212-871-0909 Web: www.drguida.com Email: info@drguida.com

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