Choosing a rhinoplasty surgeon is difficult because the things that are easy to check — follower counts, before-and-after galleries, how fast someone replies — are only loosely related to the things that determine your result.
What follows is the list of questions worth asking. Send them in writing. The specificity of the reply tells you almost as much as its content.

1. How many noses like mine did you operate on last year?
Ethnic rhinoplasty is not a style; it describes anatomy that varies widely between individuals but often includes thicker, more sebaceous skin, softer tip cartilage (lower lateral cartilage), a wider base of the nostrils (alar base) and a lower, broader nasal bridge (dorsum). A surgeon who works with that anatomy routinely gives you a different answer from one who does not.
A good answer includes a number and a qualification: how many, and which patterns within that group. A weak answer is “all the time.”
2. How do you document results at one year, not six weeks?
Results at six weeks can look better or worse than the final outcome. Swelling is still masking irregularities, and in thick skin the tip has not begun to show its final definition. One year is a more reliable point of comparison.
Ask how results are documented — at what point after surgery, in what lighting and from which angles, and whether that includes cases with skin like yours.
3. What will you not be able to achieve with my anatomy?
This is the most revealing question on the list. Every nose has limits set by skin thickness, cartilage strength and the shape of the bony framework. A surgeon who names those limits is telling you they have examined your case. If you are told everything is possible, ask what that is based on.
Three answers worth treating as warning signs: a guaranteed result; a quoted price before any examination or photograph; and an inability to say whose hands will be doing the operation.
4. Will you perform the whole operation yourself?
Ask it plainly and expect a plain answer. If the practice operates with rotating surgeons or assigns cases after you arrive, you need to know that before you book flights, not after. Ask, too, who else is part of your care — the anesthesia team and hospital staff — and what their roles are.
5. Which hospital, and who provides the anesthesia?
You should be given the hospital's name before booking. Confirm it is a licensed facility with inpatient capability, and ask how the anesthesia is assessed and provided.
- Hospital named before you pay a deposit
- Blood tests and an anesthesia consultation before surgery
- A plan for unplanned care
6. How do you handle breathing, not just appearance?
A nose that looks better and breathes worse is a failed operation. Deviated septum, enlarged turbinates and weak internal or external valves are common and often present alongside the aesthetic concern.
Ask whether your assessment includes examining the inside of the nose and how the plan preserves or improves the airway. Over-reduction of structural support is a common cause of breathing problems that appear a year later.
7. How are follow-up check-ups done once I have flown home?
Ask how many check-ups happen before you fly, who carries them out, and how follow-up works once you are home — in person locally, by video call, or not at all. You want the surgeon who operated to remain involved.

8. What exactly is included, and how long do I need to stay?
Ask how many nights you need in the city, which days are fixed, and what is arranged for you — hotel, airport transfers, the overnight stay in hospital. Two offers that look different can turn out to be the same once you compare what is inside them, and the reverse is also true.
9. Who answers my messages — the surgeon's team or a booking agency?
Many inquiries are handled by intermediaries who are paid per booking. That is not automatically disqualifying, but you should know who you are talking to, and you should be able to reach clinical staff with clinical questions.
Test it: ask a technical question about your own anatomy and see whether the answer engages with it.
Putting the nine answers together
If a practice answers all nine clearly and in writing, you have the information you need to decide. If several answers remain unclear after you have asked again, take that into account in your decision, whatever the price or the city.
Questions patients ask before booking
Should I choose an ENT surgeon or a plastic surgeon?
Both specialties produce excellent rhinoplasty surgeons. What matters is how concentrated the individual's practice is on the nose and on anatomy like yours.
An ENT background brings routine familiarity with the airway, which is relevant because the functional and aesthetic parts of the operation cannot be separated.
How much should I read into before-and-after galleries?
Read the angles, the lighting and the timing. Photographs taken at different distances or in different light are not comparable, and six-week results are not final results.
Look specifically for patients whose skin thickness and base width resemble yours; a beautiful result on thin skin tells you little about what your skin will reveal.
Is a video consultation enough before booking?
A video consultation plus good photographs is enough to say whether your goal is realistic and what the operation would broadly involve.
It is not a substitute for examining the inside of the nose, which happens in person before surgery and can change the plan.
What photographs should I send for a first opinion?
Five photos: front, both profiles, a three-quarter view and the base (looking slightly up), in natural light, without filters. Keep your hair off your face.
A short note about breathing — which side blocks, whether it is worse at night, any history of injury — makes the first opinion considerably more useful.
Is a very fast reply a good sign?
Not necessarily. A useful reply is written after someone has actually looked at your photographs.
An instant reply with a price attached has usually been written before anyone has assessed them.
How this practice works
- International health tourism authorization certificate
- Surgery at Medicana Bahçelievler Hospital, with one night in hospital
- The same operating surgeon from consultation to final review
- Hotel and airport transfers arranged for you
- Follow-up by online video call after you fly home

Op. Dr. Ahmet Halit Aydın
ENT Specialist · Rhinology and Facial Plastic Surgery · Istanbul
Ear, nose and throat specialist working on functional and aesthetic nasal surgery, with a practice focused on ethnic rhinoplasty — noses with thicker skin, weaker cartilage support and a wider base, where the goal is a nose that fits the face rather than one copied from another face.
Graduate of Istanbul University, Istanbul Faculty of Medicine; ENT specialty training at Eskişehir Osmangazi University. About 13 years of ENT surgery. Operating at Medicana Bahçelievler Hospital, Istanbul.
Start with five clear photos
Take one front view, one left profile, one right profile, one three-quarter view and one view from below. Use natural light, turn off filters and keep your hair away from your face.
Open WhatsApp, attach the five photos, and briefly describe what you would like to change, any breathing problems and any previous nasal surgery.
Photos allow an initial discussion of possible options and limits. They cannot confirm whether surgery is suitable or replace an in-person examination.
How your photos and health information are handled · Not ready to share photos? Ask a question first.