For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting...
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting features.
About a third of Dr. Sedgh’s patients come to him for revision rhinoplasty. His experience reconstructing broken noses led to a deep understanding of the delicate internal structures of the nose, scar formation, and skin contraction.
A California native, Dr. Sedgh completed his head and neck surgery residency at University of Pittsburgh Medical Center, followed by his facial plastics residency at Penn State. After five long years away, he returned to Los Angeles and swears he’ll never leave again.
To learn more about Dr. Jacob Sedgh
Follow Dr. Sedgh on Instagram @drsedgh
See before & after photos of rhinoplasty
See before & after photos of cancer reconstruction
ABOUT MEET THE DOCTOR
The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you’re making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be.
When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you’re interested in. There’s no substitute for an in-person appointment, but we hope this comes close.
Meet The Doctor is a production of The Axis.
Made with love in Austin, Texas.
Are you a doctor or do you know a doctor who’d like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting...
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting features.
About a third of Dr. Sedgh’s patients come to him for revision rhinoplasty. His experience reconstructing broken noses led to a deep understanding of the delicate internal structures of the nose, scar formation, and skin contraction.
A California native, Dr. Sedgh completed his head and neck surgery residency at University of Pittsburgh Medical Center, followed by his facial plastics residency at Penn State. After five long years away, he returned to Los Angeles and swears he’ll never leave again.
To learn more about Dr. Jacob Sedgh
Follow Dr. Sedgh on Instagram @drsedgh
See before & after photos of rhinoplasty
See before & after photos of cancer reconstruction
ABOUT MEET THE DOCTOR
The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you’re making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be.
When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you’re interested in. There’s no substitute for an in-person appointment, but we hope this comes close.
Meet The Doctor is a production of The Axis.
Made with love in Austin, Texas.
Are you a doctor or do you know a doctor who’d like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting...
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting features.
About a third of Dr. Sedgh’s patients come to him for revision rhinoplasty. His experience reconstructing broken noses led to a deep understanding of the delicate internal structures of the nose, scar formation, and skin contraction.
A California native, Dr. Sedgh completed his head and neck surgery residency at University of Pittsburgh Medical Center, followed by his facial plastics residency at Penn State. After five long years away, he returned to Los Angeles and swears he’ll never leave again.
To learn more about Dr. Jacob Sedgh
https://www.sedghplasticsurgery.com/
Follow Dr. Sedgh on Instagram
https://www.instagram.com/drsedgh/
See before & after photos of rhinoplasty
https://www.sedghplasticsurgery.com/gallery/nose/rhinoplasty/
See before & after photos of cancer reconstruction
https://www.sedghplasticsurgery.com/gallery/reconstructive/mohs/
ABOUT MEET THE DOCTOR
The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you’re making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be.
When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you’re interested in. There’s no substitute for an in-person appointment, but we hope this comes close.
Meet The Doctor is a production of The Axis.
Made with love in Austin, Texas.
Are you a doctor or do you know a doctor who’d like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting...
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting features.
About a third of Dr. Sedgh’s patients come to him for revision rhinoplasty. His experience reconstructing broken noses led to a deep understanding of the delicate internal structures of the nose, scar formation, and skin contraction.
A California native, Dr. Sedgh completed his head and neck surgery residency at University of Pittsburgh Medical Center, followed by his facial plastics residency at Penn State. After five long years away, he returned to Los Angeles and swears he’ll never leave again.
To learn more about Dr. Jacob Sedgh
https://www.sedghplasticsurgery.com/
Follow Dr. Sedgh on Instagram
https://www.instagram.com/drsedgh/
See before & after photos of rhinoplasty
https://www.sedghplasticsurgery.com/gallery/nose/rhinoplasty/
See before & after photos of cancer reconstruction
https://www.sedghplasticsurgery.com/gallery/reconstructive/mohs/
ABOUT MEET THE DOCTOR
The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you’re making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be.
When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you’re interested in. There’s no substitute for an in-person appointment, but we hope this comes close.
Meet The Doctor is a production of The Axis.
Made with love in Austin, Texas.
Are you a doctor or do you know a doctor who’d like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting...
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting features.
About a third of Dr. Sedgh’s patients come to him for revision rhinoplasty. His experience reconstructing broken noses led to a deep understanding of the delicate internal structures of the nose, scar formation, and skin contraction.
A California native, Dr. Sedgh completed his head and neck surgery residency at University of Pittsburgh Medical Center, followed by his facial plastics residency at Penn State. After five long years away, he returned to Los Angeles and swears he’ll never leave again.
To learn more about Dr. Jacob Sedgh
https://www.sedghplasticsurgery.com/
Follow Dr. Sedgh on Instagram
https://www.instagram.com/drsedgh/
See before & after photos of rhinoplasty
https://www.sedghplasticsurgery.com/gallery/nose/rhinoplasty/
See before & after photos of cancer reconstruction
https://www.sedghplasticsurgery.com/gallery/reconstructive/mohs/
ABOUT MEET THE DOCTOR
The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you’re making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be.
When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you’re interested in. There’s no substitute for an in-person appointment, but we hope this comes close.
Meet The Doctor is a production of The Axis.
Made with love in Austin, Texas.
Are you a doctor or do you know a doctor who’d like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting...
For every patient who steps into his office, facial plastic surgeon Dr. Jacob Sedgh focuses on authenticity and personalized care. His mission with each and every patient is to bring natural balance to the face and remove focus from any distracting features.
About a third of Dr. Sedgh’s patients come to him for revision rhinoplasty. His experience reconstructing broken noses led to a deep understanding of the delicate internal structures of the nose, scar formation, and skin contraction.
A California native, Dr. Sedgh completed his head and neck surgery residency at University of Pittsburgh Medical Center, followed by his facial plastics residency at Penn State. After five long years away, he returned to Los Angeles and swears he’ll never leave again.
To learn more about Dr. Jacob Sedgh
https://www.sedghplasticsurgery.com/
Follow Dr. Sedgh on Instagram
https://www.instagram.com/drsedgh/
See before & after photos of rhinoplasty
https://www.sedghplasticsurgery.com/gallery/nose/rhinoplasty/
See before & after photos of cancer reconstruction
https://www.sedghplasticsurgery.com/gallery/reconstructive/mohs/
ABOUT MEET THE DOCTOR
The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you’re making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be.
When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you’re interested in. There’s no substitute for an in-person appointment, but we hope this comes close.
Meet The Doctor is a production of The Axis.
Made with love in Austin, Texas.
Are you a doctor or do you know a doctor who’d like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
Eva Sheie (00:03):
The purpose of this podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life-changing decision, and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. There's no substitute for an in-person appointment, but we hope this comes close. I'm your host, Eva Sheie, and you're listening to Meet the Doctor. Welcome back to Meet the Doctor Today my guest is Dr. Jacob Sedgh and he's a plastic surgeon in West Hollywood, Beverly Hills, Los Angeles, California. And I'm so pleased to introduce you. Welcome Dr. Sedgh. Will you tell us about yourself?
Dr. Sedgh (00:48):
Oh, well thank you. Yes, I am a facial plastic surgeon. In all those areas that you mentioned, in LA
Eva Sheie (00:58):
For those of us that are not in LA, they're, it's all LA, right? But I
Dr. Sedgh (01:02):
I know exactly. No, it's funny because we are right at the border of West Hollywood and Beverly Hills.
Eva Sheie (01:08):
When you describe it to people in Los Angeles, what do you tell them?
Dr. Sedgh (01:13):
Randomly sometimes,exactly as you said. Sometimes Los Angeles, sometimes West Hollywood, sometimes Beverly Hills.
Eva Sheie (01:19):
Is there a big landmark near you? Like, "We're right by the, "
Dr. Sedgh (01:23):
There are a lot of, uh, landmarks here that people know, but we are on Sunset Plaza, so that's already a tourist attraction. And there are a couple of restaurants in, right across the street is Boas Steakhouse that's kind of popular. And underneath our building is Lavo Restaurant, which is fairly new in LA and that's popular. So those are two of the landmarks.
Eva Sheie (01:49):
Do they have a valet? So you can just use the valet and pretend you're going to eat when you're really just going to work?
Dr. Sedgh (01:54):
When, I'm running late. Yeah.
Eva Sheie (01:55):
<laugh>
Dr. Sedgh (01:56):
<laugh>. You can try.
Eva Sheie (01:58):
Well, I didn't intend to go in that direction so quickly. <laugh>
Dr. Sedgh (02:00):
But it's pretty much the same price as the valet here in the building. <laugh>
Eva Sheie (02:04):
<laugh>. Those are the perks of the building.
Dr. Sedgh (02:07):
I know. Even when my mom wants to come here, she is like, yeah, she's like, "Yeah, your valet is so expensive". And then I find they just come for botox. So I'm like, yeah, yeah, this building. Yeah, they, they're first couple. Yeah. Even for two hours, they almost charge you full day.
Eva Sheie (02:24):
Oh, wow. Well you should work out a deal with them, don't you think?
Dr. Sedgh (02:28):
I don't know. One of my managers tried, but I stay out of that <laugh>.
Eva Sheie (02:34):
So we went on a tangent already. So let's get back to the topic, which is you. You're a facial plastic surgeon and I apologize for saying just plastic surgeon because there's a big difference. Tell us what is facial plastic surgery and how you ended up in that specialty.
Dr. Sedgh (02:53):
Sure. So, yeah, that's a good question. Interesting. My last consult today, she asked me the same question, the difference between plastic surgery and facial plastic surgery. So there are two ways you can become a plastic surgeon operating on face. One is going through the route of general surgery on a preliminary, uh, note and then focusing on plastic surgery. That is more becoming like a general plastic surgeon. But a lot of times people don't, don't like to use the term general plastic surgeon, like it's just plastic surgeon. So, but those are the people who do the whole body. And we live in an age and era that a lot of things are more and more subspecialized. So naturally a lot of those surgeons, they will focus on particular areas. It's rare, at least in Los Angeles, to find someone who does every part of the body, like face noses, eyelids, and breast and body.
Dr. Sedgh (03:56):
It's very rare. So that's the one routes than there are two other routes to operate on the face. One is becoming a facial plastic surgeon, which is going through a head and neck surgery residency. So since the beginning of the residency, we focused only operating on the face and neck. And then at the end of residency, we've gotta decide what kind of niche we want to go into. And facial plastics and reconstructive surgery is one of those. And that's what I chose. So that way I operate on only face and neck when it comes to plastics and reconstructive types of surgery. Before I was doing more reconstructive cases over the last couple of years, it's become more and more cosmetic. And then there's a last route to do oculoplastics, and that is people who go into ophthalmology residency and then they wanna subspecialize on the eyelid surgery, but they only do eyelids.
Eva Sheie (04:55):
How does reconstructive surgery on the face influence how you would approach an aesthetic surgery?
Dr. Sedgh (05:01):
It does, yeah. It, it gives you experience with reconstructive surgery. It gives you an edge, in my opinion, as far as understanding scar formation, contraction. What are the things that you gotta be careful or worried about more than just someone without that background in reconstructive surgery. So to me, yeah, my rhinoplasty experience has benefited from learning from those type of surgeries.
Eva Sheie (05:35):
So did you do things in the past like, um, help people whose noses were broken in accidents or mm-hmm.
Dr. Sedgh (05:41):
mm-hmm <affirmative>
Eva Sheie (05:41):
or trauma?
Dr. Sedgh (05:41):
All types. The photos, the photo of one case on my website, this lady had a basal cell cancer on her nose that in a basal cell is a very slow growing type of cancer. It never, almost never kills you cuz it's the most slow growing cancer in the head and neck area, but it can be locally destructive. So she kind of ignored it. She thought it was an ulcer. It wasn't diagnosed early. By the time she was referred to me, she had lost her nasal tip, most of her nostrils and uh, about a third of her nasal septum. So it was almost like having a chunk of her tip and surrounding portions of the nose cut off. So yeah, I had to do three surgeries, two stage surgery with a touch up surgery to reconstruct her nose.
Eva Sheie (06:33):
And does it just look like her old nose now?
Dr. Sedgh (06:36):
It will never look exactly like the old nose, but it was, you know, it was a decent looking nose. It's, it's, the picture is actually my website and the reconstructive part of it. It's one of my favorite cases because I know one of the surgeons who saw it, who was like, I think you should just tell her to go for prosthetics. And I was like, "No, I think it can be done. It's gonna be a lot of work". So we, yeah,
Eva Sheie (07:02):
I will find that case and I will link it in the show notes, so if anyone is listening that wants to look at it, we'll make that easy to find.
Dr. Sedgh (07:09):
Sure. And actually at the end she says her breathing was improved compared to prior to surgery <laugh>. So that was good.
Eva Sheie (07:15):
So you've done trauma, you've done reconstruction, you do cosmetic noses. What about secondary or beyond? Do you fix other rhinoplasties that have not gone well in other places?
Dr. Sedgh (07:26):
Oh yeah, that's revision rhinoplasty, which is about a third of my cases. Yeah, revision rhinoplasty is my favorite type of surgery.
Eva Sheie (07:35):
How are they finding you for that?
Dr. Sedgh (07:38):
They're different routes. Some is word of mouth, some is, there's more and more online these days. A lot of them, they find us through our reviews on different platforms. Some find us through RealSelf. Some find us through social media.
Eva Sheie (07:53):
Are there a lot of noses to look at on your social media?
Dr. Sedgh (07:56):
Yeah. Mm-hmm. <affirmative>? Yeah, we do post quite a bit.
Eva Sheie (08:00):
I think there's some of the most fun cases to look at because the impact is always so people's whole face changes from a tiny change to their nose.
Dr. Sedgh (08:11):
Well the no one nose is the second most important aesthetic feature of the face. Do you know which one's first?
Eva Sheie (08:20):
Eyes probably.
Dr. Sedgh (08:21):
Exactly it's eyes, but there's a, there's a caveat. So eyes are the most important, but eyes for the most part because of it, their positive aesthetic value to the face are significant. Nose has a more, more of a negative aesthetic significance. So noses mostly distractor of the beauty. It's not the notion of beauty. So beauty, icons of the world, let's say Mar de Monroe, when you, when I bring her name up and then you start thinking and visualizing her, you can, you remember exactly what her eyes look like, but you probably don't remember exactly what her nose looks like because nose is mostly a distractor of the beauty. So my job as a rhinoplasty surgeon is to bring balance with the rest of the face and focus on the distracted features of the nose and take them away. So I tell people, yeah, usually a good rhinoplasty is when you look at someone you don't pay that much attention to their nose. So that's why it's very important for the results to look natural. Cuz natural is seamless. You just look at the natural thing and you are not remembering it. You're not particularly paying attention to it. Then your focus has on the, is on the prominent positive features of beauty such as bony anatomy, eyes, lips.
Eva Sheie (09:47):
Now if I reverse it and I, I'm trying to think of a celebrity with a signature nose that everyone would remember and I, I'm just struggling to come up with one. Can you think of somebody?
Dr. Sedgh (09:58):
Signature nose meaning like a very good looking from an aesthetic standpoint?
Eva Sheie (10:03):
Well, memorable.
Dr. Sedgh (10:04):
Memorable.
Eva Sheie (10:05):
Maybe not necessarily good looking.
Dr. Sedgh (10:07):
Well if it's a, again, if it's a good looking nose, it's probably not memorable.
Eva Sheie (10:11):
Here's one. Am I the only one who remembers Lady Gaga's original nose?
Dr. Sedgh (10:16):
<laugh>. Okay.
Eva Sheie (10:18):
She definitely had it changed at some point. So there's one and she, I remembered it because it was noticeable and now it's not. And if she had not been famous before she changed it, no one would've ever thought of that.
Dr. Sedgh (10:32):
No one probably. Mm-hmm <affirmative>. That's true.
Eva Sheie (10:35):
Yeah. So, but sometimes I think celebrities in particular, you, they change their nose and then they don't look like the same person anymore.
Dr. Sedgh (10:47):
Well it's, again, it's because it's, it's the second most important aesthetic feature of the nose. So it's a big deal when nose changes.
Eva Sheie (10:55):
Yeah.
Dr. Sedgh (10:55):
That's why it's, it's never a decision to be taken lightly cuz it is a big, it's the center of the face. So yeah, once you're in the public eyes then because you can't really change your eyes that much. There are certain modifications you can do. You cannot do a major change. You know, you can do color lenses and that type of a thing, but a lot of, you know, not a drastic change but nose you can have a significant modification on it and that will really change character on the face.
Eva Sheie (11:30):
So your nose is right on the front of your face and if you do not like your nose, there's a very emotional aspect to making this decision to go get rhinoplasty and have it changed. Does that emotional aspect kind of carry forward through and persist after someone has rhinoplasty? And how do you help them go through that?
Dr. Sedgh (11:53):
That's a very good question. The emotional aspect of it is very important. And as a surgeon for you to be able to relate and then try to understand what that feeling is and what are the goals and what are the expectations, it's very important. The noses will never be perfect. I always tell patients what the patient is bothered by the nose is important for me to understand if it's a realistic and anatomically understandable issue that should be improved and how we can improve it. So there's a lot going on, a lot of personal things. Sometimes we have a patient, for example, somebody comes with a large dorsal hump and they, they want to removed but at the same time they still want to keep part of it cuz that's something that the patient says, "You know, I kind of, you know, it's, that's exactly like my dad's hump. I relate to that. I want to keep it, it's a part of my family traits, part of my ethnicity". Or somebody comes in and they have almost the same size hump. They're like, "You know, I absolutely hate this hump. Every time I look in the mirror, that's the first thing I see. I want it gone". So again, same nose, you gotta see what is that personal experience. So you're not gonna treat those two noses the same way. And both of them are candidates for rhinoplasty.
Eva Sheie (13:19):
Do you have a way of identifying, uh, whether somebody is coming to you with realistic expectations for what can be done?
Dr. Sedgh (13:28):
To some degree that's what we, we spend, you know, my rhinoplasty consultation sometimes can't get into one hour. Cuz yeah, I always, I always have the patient, I mean once we get the general and basic medical history done, we want to focus on the nose. I always, I always start by saying, "What are the features of the nose that you like and you do want to maintain? And what are the features that you don't like? That's why you are here". And then that's how we get started to see. And a lot of times people get in, they have a mirror and then they kind of like, you know, show me the areas, their concerns. Majority of rhinoplasty patients, they do have a decent idea of what's actually bothering them. There are usually two or three items on the list that they're like, "This is the main thing that I want to change and this is this part I actually really like, I really like my tip.
Dr. Sedgh (14:16):
I don't want it to be changed". So most of the times then you can get a good understanding of where they're coming from and majority of times, I would say majority of the patients they, and you know what they conveys anatomically understand they will. And a lot of times it's something that's not in the ideal based on ideal aesthetics of the nose, whether it's male or female, that it can be improved. But occasionally there is someone who actually is within the pretty much standard range of aesthetic ideals and they might still wanna change it and when, that's when it becomes tricky.
Eva Sheie (14:54):
What other kinds of procedures do you combine with rhinoplasty?
Dr. Sedgh (15:00):
Probably the most common one is chin augmentation. On the side profile, there's a very close relationship with the chin projection and nose as far as complimenting each other or magnifying the effect of one being less or more projected. So the two should always be analyzed in the case of rhinoplasty if there is particular issues with projection. And a lot of times I bring, uh, if there is an issue and I think there could be an improvement, I just bring it up. But again, it's not my role to tell people that they need a surgery, but since they are, let's say somebody's particularly having issues with rejection, then I bring up the idea and I do the 3D simulation for them. So when we do the 3D, I kind of like show 'em, okay, this is what I mean. So that's something to be considered because if that is really what's bothering you and if that's the goal, a lot of times you can see the difference when you see the simulation with both chin modification and nose at the same time versus just doing the nose and then they can decide.
Eva Sheie (16:08):
I'm curious about the simulation. Will you tell me more about how that works and what that process looks like?
Dr. Sedgh (16:15):
Sure. So it's an integral part of a rhinoplasty consultation to do the 3D simulation and basically it's um, it is a specialized camera that we do three different views of the nose and then it will create a 3D reconstruct of the whole face, particularly focused on the nose on high resolution. It's pretty accurate. It has a couple of small inaccuracies that I explain to patients when we do their rendering. And then based on what already patient has voiced as for as what their goals are, then we start again doing it together basically. I'll uh, do the changes while we're talking and it's very interactive.
Eva Sheie (16:58):
Is it just like a machine that you put a picture in and it spits a picture out? Or can you actually adjust?
Dr. Sedgh (17:05):
No, it's adjustable. So it's interactive and I tell people it's, this is a communication tool. This is not really always joking about it. I'm like, I'm not buying this nose off of eBay or Amazon, and bringing it to the operating room.<laugh> This is just a men, you know, it's a mental map. It's, it helps me to plan my surgery in more details and at the same time it helps us to communicate better to see what the goal is. Sometimes somebody thinks they want a more accentuated tip break and then when we're doing it they're like, you know, that's too much of a break. I want actually less of a break and we do less of a break and they're like, I even want maybe minimal to no break or vice versa. They think they don't want that aggressive break and sometimes they're like, you know so and so and then they bring some photos and we're like, you know, these are actually more accentuate the tip breaks that you like and then we do that modification and they're like, "Yeah, actually that's what I, I'm thinking or I was thinking".
Dr. Sedgh (18:04):
So it really helps to visualize to see what the patient identifies with. The other aspect is again, the concept of projection and rotation. Projection is the distance of the tip from the face rotation is the angle as far as being up or down with relationship to horizontal plane. And there is new set number for that that anybody should follow. We have some ranges for male and female noses, but again, based on, across ethnicities, across a lot of variations it just, it's different. So that is something that is really helpful when we do some changes on the software, people are like, okay, this is the ideal nose that I would identify with.
Eva Sheie (18:48):
And then do they get to take the animation with them or
Dr. Sedgh (18:52):
We email them. So we do from one side, we just pick one side and then we send them the photos and again we tell 'em this is the searcher is never gonna be exactly like this. This is again, if we get 70, 80% close to that, as long as the results look natural and as long as we are getting a solid improvement in those areas of concerns. And that's the point that I convey, that's the point of doing the 3D simulation. And in fact if somebody gets very obsessive with the 3D simulation, I tell 'em that might be a sign that you're not a good candidate for rhinoplasty and have had patients who actually have talked to them and we've decided to hold off. Maybe it's not the right time. Cuz the rhinoplasty is not about particular results. Rhinoplasty is a long journey for a solid improvement.
Eva Sheie (19:45):
Speaking of long journeys, I understand, and I don't think that I ever recognized this earlier in, you know, I've been writing content about procedures for almost 20 years, that uh, it takes about a year for a nose to recover from a rhinoplasty.
Dr. Sedgh (20:02):
Right, to settle, to totally settle to get the final results. So I, when it comes to the recovery, I divide it for patients to make it more simple. I divide into two phases. I tell the first phase is the inflammation. That's easier to understand because everybody knows what the inflammation is. So I tell 'em like when you have trauma or you have any other type of surgery or laceration repair, then there's inflammation And inflammation for about one week gets pretty bad. Everything just swollen and bruised and big. And after one week, particularly rhino plastic is gonna remove the cast and tapes. If we have put internal discipl splints, we're gonna remove them. You're gonna feel a lot better. And in the second week you're gonna have a lot less pain and bruising, but you are still not socially as presentable as you would wish to be.
Dr. Sedgh (20:55):
So you still see some puffiness, you still see some discoloration under dials. So it takes second week for that inflammation to be pretty much gone. So it takes two weeks. And I usually tell people for you to be comfortable to go to dinner, that's the inflammatory phase. So by being socially presentable or being okay to go to dinner, that doesn't mean your nose has fully recovered. You're just at the point that people aren't staring at you, you are not eye-catching because you just have a little bit of a puffier nose right now. So that's the phase that's pretty easy to understand for everyone. The second one is something that's more particular to rhinoplasty and that's scar remodeling and contraction. And that's a slow process because it's not inflammation anymore, it's contraction. So I explain to people, inflammation goes down fast, it goes on down in a few weeks.
Dr. Sedgh (21:49):
Contraction is a different process doesn't go down quickly. Sometimes we need to use the scar modulators to help with the contraction process. So that is a process of over months and different skin texture and thicknesses, they might contract at different rates. But a good rule of thumb is one year in the first six months you get most of the contraction done. And in the second part of the year, particularly around the tip area, there are still changes towards more finesse. Sometimes I use the analogy of wine getting more refined with time, that kinda like sets it a little bit better because then you know you cannot rush it. It's just a refinement process.
Eva Sheie (22:38):
Has it ever bothered you that it takes a year for you to see your final results?
Dr. Sedgh (22:44):
Sometimes yeah. You are more excited. You are like, I wanna see that contraction better because yeah, same way because I'm excited about the result. The same as patient is, it's their nose and it's my surgery. So we are both in it and we both wanna see the result. Obviously they're the ones who are going through the process, but yeah.
Eva Sheie (23:02):
So do you bring them back after a year?
Dr. Sedgh (23:05):
Absolutely. We bring patients all the way to one year. I really emphasize on thier follow ups, I always tell them all the follow ups are included, with all the expenses, you know, with the price for rhinoplasty and everything. So there is no consultation visit at that point. And sometimes again, if, if I need to do a laser touch up or any scar modulator everything is included. I really encourage people to come back and sometimes it makes a difference because again, sometimes patients with thicker skin or sometimes unfavorable patterns of scarring, I can intervene if I see them on time.
Eva Sheie (23:38):
You mentioned scar modulators earlier. What is the scar modulator?
Dr. Sedgh (23:42):
These are some chemicals that we use in the plastic surgery world to change patterns of scarring, sometimes thickness of the scars and sometimes we use also lasers to improve collagen density of the scar or certain characteristics such as color and contour of the scar.
Eva Sheie (24:02):
Okay. So you do a lot of noses. Is that really your subspecialty is facial plastic surgery, but mostly noses.
Dr. Sedgh (24:11):
That's my niche. That's what I do the most. But again, I like other facial surgeries too. That's my favorite. I do a lot of otoplasties, I do eyelid surgery for the brow lift, face and neck lift, chin augmentation.
Eva Sheie (24:25):
And there's about, I think someone told me, it's about 25,000 people live in Beverly Hills proper and there are hundreds of plastic surgeons. So clearly you are not all operating on the people who live in Beverly Hills, and that means your patients are coming from California but probably all over the world. Is that true?
Dr. Sedgh (24:44):
Absolutely. My case tomorrow is from out of town. He got here for his preoperative visit today, he's gonna be here in LA for about two weeks. We want him to stay at least eight to 10 days.
Eva Sheie (24:58):
And so does your team do anything to help those people who are traveling, have a comfortable stay while they're there?
Dr. Sedgh (25:04):
Yeah, absolutely. My patient coordinator, yeah, she's been doing this thing for a long time. She, yeah, we do have both nursing facilities and we can help them actually if they wanna stay in hotels and all other types of accommodations.
Eva Sheie (25:20):
They should expect to stay for about two weeks. It's not the kind of thing that you want them to come and go quickly for.
Dr. Sedgh (25:26):
Exactly. Because at least again, for eight days is the minimum that I wanted because they're gonna come here at least a day prior to the surgery and then we remove the splints and casts for after seven days usually. And then we want to still, you know, have them around for another one or two days.
Eva Sheie (25:42):
If the weather stays like this, nobody's gonna stay for eight days, they're just gonna be like, forget it. It's so bad.
Dr. Sedgh (25:50):
Right. It's been a particular winter, you know? Yeah. It's usually <laugh>.
Eva Sheie (25:54):
People come to California thinking it's gonna be sunny and warm and no.
Dr. Sedgh (25:58):
Right. <laugh>
Eva Sheie (25:59):
At least, if you were recovering from surgery, you wouldn't feel so bad about staying.
Dr. Sedgh (26:03):
Exactly. You're like, if I cannot have fun, let it rain <laugh>.
Eva Sheie (26:06):
Yeah, exactly. So we've talked about where you are now. I, I wanna get into how you got here. So will you kind of take us through your educational path and where you did all of your training and you know, from the patient perspective, I think it's important for us to understand why that training was important and not necessarily just a, a list of schools, although I always find that interesting anyway.
Dr. Sedgh (26:30):
Sure. So yeah, my family's based in LA and I did my undergrad in UCLA. Then when I applied for medical school, I actually wanted to go to San Diego as my, my top choice because it was a great school and I wanted to explore somewhere that was far enough, close enough. And San Diego was perfect. So I did my medical school in San Diego. Then for my residency, I did my internship in San Francisco and I did my residency in Pittsburgh, University of Pittsburgh Medical Center.
Eva Sheie (27:04):
I was worried that you were never gonna leave California there for a second.
Dr. Sedgh (27:07):
I know. No, I <laugh> <laugh>. I was due for training on the other side of the country. It was great. Pittsburgh was, Pittsburgh is a very heavy and surgical subspecialty top of training. And so I did my head and neck surgery there. And then once I finished head and neck surgery, when I decided that I want to do facial plastics, I went to Penn State for my facial plastics. And then by the time that I was five years away from California, I was like, okay, now I know that I wanna move back to California.
Eva Sheie (27:39):
That's perfect. And you're never gonna leave again.
Dr. Sedgh (27:43):
Well, we'll see. You never, you never say never. But yeah, I love California.
Eva Sheie (27:47):
Highly unlikely.
Dr. Sedgh (27:49):
Highly unlikely. Now I'm, I'm established here. All my family is here. So
Eva Sheie (27:54):
What do you like to do when you're not at work?
Dr. Sedgh (27:57):
I'm into sports, so, you know, I suppose general routine fitness stuff. I love skiing, the winters. I do a lot of ski trips if I can manage and I follow soccer, international soccer. So I, whether I'm going for games or watching it, that's one passion of mine. I also like fine dining and traveling. So those are two other things that kind of like dictates what my free time.
Eva Sheie (28:29):
What was the last trip that you went on?
Dr. Sedgh (28:32):
The last trip was Mammoth. We went to Mammoth for ski, two weeks ago.
Eva Sheie (28:40):
How was the skiing?
Dr. Sedgh (28:41):
Oh great. This year has been, I think it's gonna be a record snow.
Eva Sheie (28:46):
Yeah,
Dr. Sedgh (28:47):
Yeah. This year. Like everywhere you go it's like these walls of snow around you in Mammoth, you drive through them. Yeah.
Eva Sheie (28:56):
Amazing. Okay, so let's wrap it up with probably the most important question for anybody who's listening is, what would you like patients to know about you in terms of what can they expect when they come to see you face-to-face?
Dr. Sedgh (29:13):
I'm very invested and passionate about what I do and I love what I do. So, um, for people to come here, we all become surgeons out of passion, which is gonna go through that intense residency if they're not passionate about it. Um, our practice, the focus is on authenticity. We, it's a boutique practice. Uh, we like our patients to feel from the get-go that, you know, know it's something that, it's a fact that they get to know us and we get to know them. They, and it's a very, again, it's a personalized and individualized approach to this surgery. You look at our online reviews, so, you know, see a lot of the reviews are about not just me, it's about my staff. So they get a collective feeling of, okay, this is home, this is, they are cared for. They don't, I always tell 'em like, there is no question before surgery. I always tell 'em, there's no question it's a bad or stupid question. If it's really in your head, you should ask. The more informed you are about the surgery, the happier both of us will be after the surgery.
Eva Sheie (30:18):
Well said. Thank you. Where can we find more information about you if, if we're interested in coming to see you?
Dr. Sedgh (30:26):
Our website, we try to make sure that our website is always updated and then there are different platforms such as RealSelf, Yelp, Google, those are standard ones. Uh, participate in academic meetings. There's one that's always in San Diego that I go to a California Society official plastics meetings. I go to an, I do presentations there. So there are, you know, a couple of other academic websites that they can find us. Information of us and obviously social media that we just talked about or Instagram. And then our TikTok is pretty new. We started that within the last year.
Eva Sheie (31:08):
What's your website address and will you spell your last name so we don't miss it if we're driving in a car?
Dr. Sedgh (31:14):
Exactly. So it's Sedgh Plastic Surgery and Sedgh is S as Sam, E as Edward. D as David. G as George, H as Henry. You know I have to spell that up all the time. That's why I'm good at it. <laugh>.
Eva Sheie (31:28):
<laugh>. Yeah. You had those ready to go, didn't you? Exactly. I would be like, uh, E is for, <laugh>.
Dr. Sedgh (31:35):
Yeah, it's a tough one. <laugh>.
Eva Sheie (31:37):
And your Instagram is Dr.
Dr. Sedgh (31:38):
Instagram is Dr. Sedgh. Yeah.
Eva Sheie (31:40):
D R S E D G H. Yes.
Dr. Sedgh (31:43):
Yes.
Eva Sheie (31:43):
Those are some beautiful noses. Thank you for sharing yourself with us today.
Dr. Sedgh (31:49):
Oh, absolutely. Thanks for your time, Eva.
Eva Sheie (31:54):
If you are considering making an appointment or are on your way to meet this doctor, be sure to let them know you heard them on the Meet the Doctor podcast. Check the show notes for links including the doctor's website and Instagram to learn more. Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book your free recording session at Meet the Doctor podcast.com. Meet the Doctor is Made with Love in Austin, Texas and is a production of The Axis, the axis.io.