I went to 4 of the top facial plastics rhinoplasty docs in southern california. All were great but Dr. Swartout was the best. I had my primary (open) rhinoplasty 3 years ago and was very unhappy with the results. Dr. Swartout spent an hour with me and we both agreed upon a digital image of what I wanted my nose to look like. He told me it's important that we're on the same page and that's why the digital image is so important...it's his goal to achieve that result while doing the surgery. It's been 2 months and my nose looks fabulous. I went to a family party 8 days after surgery and no one noticed I had surgery. All they said was "wow you look great", etc. I met with another, well-known, doc in town who is known for closed primary rhino and he referred me to Dr. Swartout. He told me he has sent patients to various facial plastics docs and Dr. Swartout's patients have consistently been the happiest. That's all I needed to hear. I few of my close friends and relatives are MDs and they told me to make sure to have a board-certified, ENT-trained, facial plastics doc do my surgery and not have a general plastics doc do it. ENT docs focus ONLY on the face/neck during their entire training. General plastics focus on the entire body (breast, lipo, etc). I was dreading have a revision, especially because I had such a bad experience with my first surgery. Dr. Swartout gained my trust and delivered realistic, beautiful results. When having plastic surgery, it's wise to get several consultations/opinions. It would be unwise not to have one of those be with Dr. Swartout.