This is a very old doctor. I had a rhinoplasty about 25 years ago with him in Las Vegas as a young man. His old technique as a surgeon in order to correct a deviated septum and slightly crooked nose left me with a ski lope nose with an over rotated tip that I lived with for 20 years. I was scared to get a revision, but I finally did get it fixed as an adult in my 40s. However, having him perform rhinoplasty was one of the biggest mistakes of my life and a source of insecurity for a long time. If this doctor still practices cosmetic surgery, I would really do my research before obtaining his services for fear of over aggressive surgery.