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rhinoplasty

rhinoplasty review: Bad surgery 3

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1:32 pm EDT
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I approached Dr Kotler's clinic for a nose job about two years ago. I had a wide tip and a bit of a sunken nose and wanted the nose shaped and narrowed. I had no breathing problems. Dr Kotler is a very nice person and I have nothing against him personally, but he created an expensive problem for me and quite a bit of emotional misery and left me to carry the costs and hassles.

When I approached the clinic I was very persistent that Dr Kotler was particularly skilled with nose jobs. They assured me he was basically "the best" under the sun. Come consultation day, and we go through the improvements I need and how he would do the procedure. We even looked at morphed b/a pictures to get a clear visual understanding of the expected outcome. I was pleased with the pictures and Dr Kotler's assurance, so I agreed to the surgery and made a downpayment (they are very pushy about the payment and will keep pestering you for the entire sum in advance long before surgery). I asked several times if the pictures were a close resemblance of the outcome. Dr Kotler assured me the pictures showed a 90% accuracy what he could achieve. He added that he had done several thousand rhinoplasties, and correctional procedures on others surgeons mistakes.

On surgery day, a friend who picked me up told me the surgery had not taken longer than about one hour to complete. We couldn't believe how much money I paid for an hours work. It would have been fine, except my surgery did not turn out well. When the covering came off it did not even have a 10% resemblance to the pictures. I ended with a prominent disfiguration that I never had before surgery which the doctor wanted to correct with injections (I only found out one year later that they were silicon injections). The silicon injections left my skin discolored. I went for silicon injections twice and it did nothing to improve the disfiguration. The discoloration became even more prominent over the months.

I was very unhappy with the bad results but the doctor asked me to be patient and allow the nose to heal properly, which would take over a year. I agreed to be patient. After a year the results were getting even worse when the doctors mistakes became more prominent when the swelling went down. I contacted Dr Kotler. He responded right away and was very polite but his solution was more silicon injections and a possible revision. I was not keen to have corrections by the same man who created the problems in the first place. I went for a second opinion with a chief surgeon and a specialist on rhinoplasties. He told me to immediately stop the silicon injections since the red discoloration was a bad sign. I was told silicon injections can give permanent skin damage and make a revision very complex. Many surgeons will not touch a patient with silicon injections due to potential tissue damage, I was told. I wanted the ugly disfigurations corrected and asked Dr Kotler to pay for the cost of a revision elsewhere to correct his mistake, by a surgeon of my choice. He found this suggestion over the top and refused.

A revision will cost me three times the original surgery. For this reason I was not able to have a revision. The disfigurations from Dr Kotlers surgery remains and it has been a very sad and miserable experience for me.

The red discoloration is now permanent although it shows more during summer season. The entire nose, and the tip in particular, is in fact much bigger and wider today than before surgery. Today it is very shapeless and ugly. Results never resembled anything close to the pictures we had looked at.

We need a serious change in regulations. I think it is very wrong that a surgeon is not responsible to stand for the cost of a revision, should a patient have bad results from his surgery and want to go elsewhere.
I also think plastic surgery patients should be given 3-years to report a complaint to the medical board. The doctor clearly told me it takes over a year to fully recover, while complaints to the medical board must be done within a year.
There is simply not justified patient support and protection from failed procedures. We are left to carry both scares and costs.

Update by medboard
Oct 27, 2011 1:58 pm EDT

Did I pay for medical treatment to be stuck with disfigurements? No. If a doctor commits an unwanted mistake he should be responsible to do everything he can to correct it, and not just leave it.

If you purchase manufactured products that are defective, the law allows you the right to have it replaced. In your theory, they should sell you whatever they want and its your own fault for buying it. We have less consumer rights with medical procedures than material products.

Update by medboard
Oct 27, 2011 2:23 pm EDT

Oh, ok. Let me know next time you need medical care and the doctor injects you with unapproved substances, does medical blunders, and does not correct his mistakes. I will be more than happy to come around and tell you how it's your own fault and not the doctors.

Besides, I think you're being paid to write these responses. They sound staged.

Update by medboard
Nov 07, 2011 10:09 pm EST

Olisbos: why don't you go and troll somewhere else. You're just a paid internet troll and have no business in this matter.
Let a doctor disfigure you, any of your family members, or kids and lets if you will be trolling on this board in defense of a poor quality physician!

Update by medboard
Nov 07, 2011 10:13 pm EST

Surgeons should do a proper job and medical 'risks' is not the same as negligence. This was pure surgical negligence at my cost. And I never signed papers to be injected with non-FDA approved substances. The Med Board said this indeed involves malpractice. When I contacted the Med Board they told me a complaint would not help me get a refund. I would have to hire lawyers and spend even more money to demand a refund or the costs for a correctional procedure. So what's the point? Med Board complaints only lead to action against the doctors license. Dr Robert Kotler had the option to resolve the issue and have the procedure corrected, but opted to be a subject of bad reviews. It was his choice.

Update by medboard
Jun 09, 2012 10:04 am EDT

There is probably nothing more sad, and more revealing to a patient, than a doctor who bullies in response to patient feedback. Who would want medical services from a doctor like that? I don't appear to be the only unhappy patient of Dr Robert Kotler in Beverly Hills, but according to Dr Kotler, patients are not allowed to submit any feedback that is not promotional. Else they face accusations of "libel, defamation and extortion" from the doctor. The website too is apparently involved in "extortion", according to Dr Robert Kotler of Beverly Hills.

Pimp!

I can assure that my review and complaint about my surgery at Dr Robert Kotler's clinic in Beverly Hills, California, is accurate and is not exaggerated or faulty. I can only suggest that patients bring a video camera to their appointments with Dr Kotler in the future to avoid frivolous threats. Dr Kotler implies that my review is "libel" and "malicious". There is no libel at all in my review. I am a patient who had failed surgery. How malicious is that? The doctor shows no sense of responsibility at all for his failure, or my losses due to it. There have been no personal attacks or defamation, only my experience as a patient at Dr Kotler's practice. It is not illegal to provide feedback on business services.

REBUTTAL against Dr Kotler's libel:
1. Dr Kotler disputes my statement that his practice portrayed him to be "the best" surgeon under the sun [see pt 8]. The statement is descriptive, of course, but there are no inaccuracies to this at all. I actually have these exaggerated promises in writing from Dr Robert Kotler's own clinic. They would hold up in any court procedure and demonstrate that I was over-promised skills that were simply not there.

2. If Dr Kotler is well established and highly respected in the medical field, why would he be bothered about one small review? I hardly think this review is responsible for any loss of reputation or business to Dr Kotler if he truly has "thousands" of happy patients. Where are the reviews from all these thousands of patients? The only ones I find are paid, fake reviews posted by a marketing company.
If patients are only permitted to post untrue rosy reviews about a doctor without telling other patients the truth, how reliable is the surgeon? If the doctor has a loss of business (which I doubt is truthful) competition and the recession is more likely the cause. I've had considerable personal losses due to Dr Kotler's mistakes.
Huffington Post: "Plastic Surgery In Decline In U.S. Due To Recession Spending Worries"
http://www.huffingtonpost.com/2010/03/21/plastic-surgery-in-decline_n_507387.html

3. Dr Kotler disputes my claim that non-FDA approved silicon was used in the procedure. This use of silicon was brought to my attention by another unhappy patient of Dr Kotler's. The doctor insist I am lying and writes, "The product is FDA-approved for use inside the eyeball to help correct a detached retina." Should a patient have the need to give anatomical lessons to a surgeon?! When has the nose become an eyeball? I contacted FDA and was told that any medication used outside the specific licensed approval, is termed OFF LABEL use. FDA has approved the silicon injections to correct a detached retina of the eyeball, NOT for rhinoplasty corrections. Last time I checked my retina was not in my nasal tip.
My legal right is not to be used as a guinea pig but to be properly informed about medicines or substances used on me (especially non-FDA ones), and any risks they may pose in the procedure. I was not informed that silicon was used at all. I came for rhinoplasty, not medical experiments. Silicon was not even mentioned when I was injected with it. I was only informed of this later.
Dr Kotler is a former Regional Consultant and Commissioner for the Medical Board of California. How scary is that?! A surgeon who bullies and threatens his patients is the actual FORMER COMMISSIONER AND REGIONAL CONSULTANT for the MEDICAL BOARD OF CALIFORNIA, that is suppose to protect patients and monitor doctors!
Rest assure that in a lawsuit I will have actual clinical references disputing your use of silicon in rhinoplasty. But those would be references from real plastic surgeons, not from a COSMETIC surgeon that is not a Board Certified Plastic Surgeon (wish I would have known the difference before I scheduled my surgery. But I didn't know and thought it was the same thing. Another one of your unhappy patients pointed it out to me).

COSMETIC vs PLASTIC surgeon (Dr Kotler is a COSMETIC surgeon, NOT a Board Certified PLASTIC surgeon):
One surgeon states, "Believe it or not, there are medical practitioners including GP's, dermatologists and general surgeons who are calling themselves cosmetic surgeons, and some, even Plastic surgeons. Not only is this dishonest, it's potentially life threatening to the patient.
A Board Certified Plastic Surgeon has had rigorous training for between 6 and 8 years or longer after medical school on all aspects of surgery and plastic surgery. As such, they represent the gold standard for plastic surgeons. All plastic surgeons are cosmetic surgeons but not all cosmetic surgeons are plastic surgeons."

4. Dr Kotler indeed promised that results would be very similar to the morphed photograph we discussed. I insisted that I would cancel the surgery appointment if it was not achievable. He assured it was fully plausible and he knew what he was doing. Apparently he didn't know. When I pressured for a more clarity, he said exact results may not be possible but estimated 90% similarity. Fact is: there is no similarity with my results and the projections during consultation. Not at all. And photos will prove that in any court case. I did not pay for deformities.

5. Dr Kotler told me in consultation that nearly half of his patients come to him for revision after bad surgery elsewhere. He had no bars to critique other surgeons, but cannot take any form of criticism of his own work performance. I am not the only patient complaining, but it appears the doctor - a FORMER COMMISSIONER AND REGIONAL CONSULTANT for the MEDICAL BOARD OF CALIFORNIA - threatens and bullies his patients if they give honest reviews.

6. My friend estimated that the surgery took "about an hour" and was surprised how quick it was. I paid massive fees for the quick surgery. Dr Kotler argues that this is lies. It is not. Here is Dr Kotler's own calculation of the time: Preparations, 15-20 minutes. Surgery, 45-60 minutes. Awakening, 5-10 minutes. Safety checks and last stitches, 15-20 minutes.
That makes it 1.20 hrs ("about an hour", exactly as my friend said) or up to 1.50 hrs. I was still coming out of sedation when my friend met me.

7. Dr Kotler posts libel against my review by falsely claiming that patients like myself are, "hoping to extort money or whatever from professionals who do take pride in their work and reputation in the community." How callous of a doctor who failed to own up to his mistakes! How is a statement that Dr Kotler needs to take responsibility for any poor work he performs extortion, libel or false? Responsibility doesn't come with the medical profession? Should a patient accept Dr Kotler's occasional failures at their own cost and nuisance?

8. Dr Kotler, who clearly is arrogant beyond words, indicates in his rebuttal that not even a single patient has complained about their results:
("since 1989 the practice has provided computer imaging to nearly every patient and no patient has ever returned to the office and complained that their computer imaged, pre-op photo surgical result was not a reasonable depiction of the actual outcome"). I have read comments from other patients that speak otherwise. So it is then assumed that Dr Kotler does indeed believe that he is one of "the best" surgeons in Beverly Hills and touts this, although he denies it in his rebuttal. In our consultation I was told that almost HALF of his surgeries were correctional procedures of mistakes by OTHER surgeons that only "he" could resolve. Dr Kotler, who portrayed himself as all-knowing and the best there don't have even ONE complaint from his outcome. He is wrong. He ignores to acknowledge MY complaint and rejects it.

9. Last but not least, Dr Kotler refutes my claims that his clinic aggressively pursued me for payment immediately after consultation. Again I stated the truth. In fact, Dr Kotler's clinic was so aggressive in their pursuit for advance payment (long before their required "down payment"), that I began to wonder if he was cash short! I found it rude. My friends even made jokes about it. His receptionist kept calling and pestering me for payment several times, laving multiple messages on my voice mail. I had barely left the clinic after my first consultation when the demand for money began! It gave a poor impression. Dr Kotler's clinic state; "We don’t operate like a commission-driven used car lot." No? They sure behaved like it.
Again, in a legal dispute, my statement can be proven with copies of my payment, extracts from records of messages and phone calls from Dr Kotler's clinic.

I will not tolerate more bullying, threats and lies from Dr Kotler's surgical practice, nor trolling on the internet where you and your staff try to defame my review (Some now removed. I guess your lawyer warned you about your libel). Your rebuttal demonstrates poor medical ethics. And rather than putting you in a good light, it truly shows what kind of doctor you are.

With this rebuttal I can inform you, Dr Robert Kotler of Beverly Hills, that I have lost all respect for you as a doctor, and a business owner and you have shown to be unethical and untruthful.

[Note: Complaints Board has never contacted me to ask me to remove anything. Nor do they allow editing of a post should I want to change or delete anything]

Update by medboard
Jul 18, 2012 3:57 pm EDT

Dear Konsumer, than you for your honest feedback. I appreciate your statement and shared observation of Dr Kotler's (poor) character that you have seen previous evidence of.

Dr Robert Kotler of Beverly Hills have come across as a dishonest and deceitful medical practitioner who sadly happens to be a FORMER COMMISSIONER AND REGIONAL CONSULTANT for the MEDICAL BOARD OF CALIFORNIA.
How sad is that? The people who are elected and hired to protect patients, are themselves bullying patients by trolling online, posting fake shining reviews about themselves, and taking legal action to threaten any patient who tells the truth about their experience at their medical clinic.

Shame, shame, shame!

As if this is not bad enough, Dr Robert Kotler is not even an actual plastic surgeon! Dr Robert Kotler is a COSMETIC surgeon and not a Board Certified PLASTIC surgeon. There is a huge difference. In other words, Dr Kotler is not adequately educated to provide gold standard plastic surgery. What more evidence do one need to confirm that Dr Kotler oversold his qualifications and skills? This may be the real explanation why my surgery at Dr Kotler's failed.

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Robert Kotler, MD, FACS
Beverly Hills, US
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Dec 11, 2011 6:25 am EST

AN UNFAIR, INACCURATE, MALICIOUS AND VICIOUS ATTACK UPON THE PROFESSIONALISM OF
ROBERT KOTLER, MD, FACS.

TO “SET THE RECORD STRAIGHT”, EACH OF THE INACCURACIES AND UNTRUTHS ARE ADDRESSED AS “REBUTTALS”.

I approached Dr Kotler's clinic for a nose job about two years ago. I had a wide tip and a bit of a sunken nose and wanted the nose shaped and narrowed. I had no breathing problems. Dr Kotler is a very nice person and I have nothing against him personally, but he created an expensive problem for me and quite a bit of emotional misery and left me to carry the costs and hassles.

When I approached the clinic I was very persistent that Dr Kotler was particularly skilled with nose jobs. They assured me he was basically "the best" under the sun.

REBUTTAL: Our office is considered highly professional. While our staff has confidence in Dr. Kotler’s abilities and talent, we would never use the words “the best under the sun”. It is hard to define the best among a pool of very competent professionals. Dr. Kotler often reminds patients that there are many highly qualified nasal surgeons in Southern California. Today, no doctor or other professional can legitimately claim to be “the best”. There are many “best”.

Come consultation day, and we go through the improvements I need and how he would do the procedure. We even looked at morphed b/a pictures to get a clear visual understanding of the expected outcome. I was pleased with the pictures and Dr Kotler's assurance, so I agreed to the surgery and made a downpayment (they are very pushy about the payment and will keep pestering you for the entire sum in advance long before surgery).

REBUTTAL: Our practice is never “pushy” about payment. We do not “ pester”. If a patient wants our services, fine, if not, that is fine too. We don’t operate like a commission-driven used car lot.
As is the standard for cosmetic surgery, when a patient wishes to schedule surgery, a modest deposit is required to reserve the operating room space and the anesthesiologist. The remaining payment is due two weeks prior to surgery, and only after the patient has cleared a complete history and physical by his/her personal MD to be sure that their health is satisfactory for an elective surgery. Is that “in advance long before surgery?” Does that sound improper?

I asked several times if the pictures were a close resemblance of the outcome. Dr Kotler assured me the pictures showed a 90% accuracy what he could achieve.

REBUTTAL: This statement is emblematic of the fictional nature of this post. Dr. Kotler never predicts a percentage accuracy. That would be folly. What he does tell the patients that since 1989 the practice has provided computer imaging to nearly every patient and no patient has ever returned to the office and complained that their computer imaged, pre-op photo surgical result was not a reasonable depiction of the actual outcome. As Dr. Kotler has stated to patients and to his colleague when teaching: If a surgeon does not have the skill to deliver the result of the computer imaging, he will stop continuing to offer it because of a high rate of patient dissatisfaction. Our office and our website has many examples of so called “ triptychs”, the “ Before”, the computer generated, predicted “ After” and the actual “ After”. Such examples will fortify the validity of the concept of computer imaging. However, no ethical doctor will claim a “ 90%” or “ 85”” or any other such percentage number assignment of accuracy because that is impossible to quantitate.

He added that he had done several thousand rhinoplasties, and correctional procedures on others surgeons mistakes.

On surgery day, a friend who picked me up told me the surgery had not taken longer than about one hour to complete. We couldn't believe how much money I paid for an hours work.

REBUTTAL: Further evidence that this post is just malicious, libelous fiction. The time of an operation is not limited to the “ cutting and sewing”. By the standards of the all the world of surgery, operation time is the time spent in the operating room. This includes preparation before surgery, e.g. attaching heart, lung, blood pressure and pulse monitors. Starting an intravenous line. Sometimes applying leg anti-blood clotting pressure devices. Then there is time for the anesthesiologist to actually put the patient to sleep. Following that, the skin of the face and neck is prepared with antiseptic and the surgeon must inject local anesthesia mixed with a drug to reduce bleeding. For nasal surgery, nostrils must be specially prepared including trimming long nasal hairs and special disinfecting. The surgeon then packs the nose with medications to further anesthetize the interior and ### bleeding. Then the sterile drapes must be applies and the various instruments and devices set in place on the sterile field. Finally, the surgeon must remove the tampons placed within the nasal interior as part of the anesthesia deliverance. There must be a final check of all equipment, including suction lines. Further confirmation with the anesthesiologist that all is well in his or her department. Only then does the actual operation begin.

The above takes from 15-20 minutes. Only then does the operation begin. If the actual operating time for Dr. Kotler to complete a rhinoplasty is 45-60 minutes, which is reasonable, the operating room experience is still not over. First, Dr. Kotler must place his-designed nasal airway to provide the patient satisfactory breathing immediately after surgery and throughout the immediate post-operative period. That device must be checked by Dr. Kotler. Then, the nasal packing is inserted. Following that, the external protective dressing in placed.

Next, the anesthesiologist returns to the operative field to preside over removal of the anesthesia apparatus from the throat and to provide the usual chores in anticipation of awakening the patient. The actual awakening can take 5-10 minutes. The patient’s vital signs must be again re-assessed and a clear airway, without bleeding or mucus collection, must be assured. Then, the patient is transferred to a cart and leaves the operating room. All these activities and safety checks after Dr. Kotler places the last stitches, take anywhere from 15-20 minutes.

Add up the above time and you hardly get “no longer than an hour”. Absurb in its inaccuracy.

It would have been fine, except my surgery did not turn out well. When the covering came off it did not even have a 10% resemblance to the pictures.

REBUTTAL: This writer of fiction, claims that 90% of her nose was incorrectly operated upon? Come on! No such thing; impossible.

I ended with a prominent disfiguration that I never had before surgery which the doctor wanted to correct with injections (I only found out one year later that they were silicon injections). The silicon injections left my skin discolored. I went for silicon injections twice and it did nothing to improve the disfiguration. The discoloration became even more prominent over the months.

REBUTTAL: While any surgery can result in a minor imperfection, we have had no patient in our practice who could be responsibly described as having a “ prominent disfiguration”. Were there such a thing, which is nearly impossible with today’s established surgical techniques, there would have been no role for the office medical grade silicone injections. Such micro-drop fillers are appropriate only for minor dips and depressions. This “discoloration” alluded to is heretofore unknown in our practice. In 34 years of using the superb silicone product, I have witnessed any change in skin color. The writer cannot be relating reality.

I was very unhappy with the bad results but the doctor asked me to be patient and allow the nose to heal properly, which would take over a year. I agreed to be patient. After a year the results were getting even worse when the doctors mistakes became more prominent when the swelling went down. I contacted Dr Kotler. He responded right away and was very polite but his solution was more silicon injections and a possible revision. I was not keen to have corrections by the same man who created the problems in the first place. I went for a second opinion with a chief surgeon and a specialist on rhinoplasties. He told me to immediately stop the silicon injections since the red discoloration was a bad sign. I was told silicon injections can give permanent skin damage

REBUTTAL: I cannot comment on alleged statements from other professionals. I will say, however, that in that long, 34-year experience with micro-droplet injections of medical grade silicone, I have never seen such giving “ permanent skin damage”. I can refer the reader of this to several medical journal articles confirming the successes and safety of such injections. If they commonly caused “skin damage”, why would any of us use it? And, recall that this writer, at the beginning of this malignant and fictional rant, stated that she had a “ sunken nose”. Well, we tell patients –before surgery – that some of these depressions, dips and divots may not be corrected by surgery alone and that, as needed, after surgery, and with their agreement and consent, we can fill and thus correct such deformities. Fillers, of all kinds, are universally used in cosmetic offices worldwide.

and make a revision very complex. Many surgeons will not touch a patient with silicon injections due to potential tissue damage, I was told. I wanted the ugly disfigurations corrected and asked Dr Kotler to pay for the cost of a revision elsewhere to correct his mistake, by a surgeon of my choice. He found this suggestion over the top and refused.
A revision will cost me three times the original surgery. For this reason I was not able to have a revision.

REBUTTAL: More lies. No patient has asked me to pay for the cost of a revision surgery done by another surgeon. Since this “patient” claims her nasal surgery was within the past two years, were such a request made, within that recent time frame, I would recall it. As far as a revision surgery costing “ three times the original surgery”, I think the writer is not truthful. I know the costs of surgeries by nasal surgeons throughout the US. No one would charge three times an original surgical fee. It is not done.

The disfigurations from Dr Kotlers surgery remains and it has been a very sad and miserable experience for me.
The red discoloration is now permanent although it shows more during summer season. The entire nose, and the tip in particular, is in fact much bigger and wider today than before surgery. Today it is very shapeless and ugly. Results never resembled anything close to the pictures we had looked at.

REBUTTAL: Nearly every rhinoplasty or nasal cosmetic surgery is a “reduction” procedure. The net result is a smaller nose, not a larger nose. So, how does this writer claim her nose is “ bigger and wider”. Cannot be. I know my practice, I know my patients. After all, we don’t operate on thousands of patients a year, hundreds. We know every patient quite well, having spent time before and after surgery. Our practice just does not have anyone whose story matches what this malicious blog-poster is relating.

.

We need a serious change in regulations. I think it is very wrong that a surgeon is not responsible to stand for the cost of a revision, should a patient have bad results from his surgery and want to go elsewhere.
I also think plastic surgery patients should be given 3-years to report a complaint to the medical board. The doctor clearly told me it takes over a year to fully recover, while complaints to the medical board must be done within a year.
There is simply not justified patient support and protection from failed procedures. We are left to carry both scares and costs.

REBUTTAL: This is a rant, for reasons unknown to me or my staff. The writer has written falsehoods and fictions that are not verifiable. Even the above political commentary is inaccurate. The statement that it takes over a year to fully recover is one of the few correct statements this mischievous person has made. Yes, the nose ripens and matures over a period of time and at one year is often more refined than at 3-4 months which is the basic time frame for healing of any surgery anywhere in the body.

Excerpts from the Comments section relevant to this post

Surgeons should do a proper job and medical 'risks' is not the same as negligence. This was pure surgical negligence at my cost. And I never signed papers to be injected with non-FDA approved substances. The Med Board said this indeed involves malpractice. When I contacted the Med Board they told me a complaint would not help me get a refund. I would have to hire lawyers and spend even more money to demand a refund or the costs for a correctional procedure. So what's the point? Med Board complaints only lead to action against the doctors license. Dr Robert Kotler had the option to resolve the issue and have the procedure corrected, but opted to be a subject of bad reviews. It was his choice.

REBUTTAL: The writer declares, what I assume to be the medical grade silicone, “ non-FDA approved”. That is not true. The product is FDA-approved for use inside the eyeball to help correct a detached retina. Every licensed MD can use an FDA-approved device for other medical uses, as appropriate. The use of medical-grade liquid silicone, injected as micro-droplets, under the skin to correct small depressions is hardly dangerous. The product has been used for such purposes for nearly 50 years and as noted above, has proven itself invaluable to correct minor nasal imperfections otherwise requiring surgery.

As you read further, now you see the nature of the extortion attempt here. This writer, if she or she is a patient or not, seeking to harm our practice, suggests contacting government agencies to help with the extortion on his/her behalf. Since the Medical Board is not a willing partner in such extortion attempts, the writer now suggests visitors to this website abuse the mission of the site and use a negative post to expedite the extortion process. Note that it appears that our office was somehow given an office to either “ pay up” or be pilloried by a negative web review. The latter is the subject of my rebuttal.

Is this proper, is it fair? Is this what that the owners of this website intended it to be, a forum for tutorials on how to extort money from MDs? I doubt that.

FINAL COMMENT BY DR. KOTLER:

The vicious, cowardly author of this smear, hiding behind the anonymity of a web review site should be scorned. Were he or she to have signed his or her name, she would have already been served a major lawsuit for defamation and libel. But cowards don’t do that. They conduct a guerilla war, hoping to extort money or whatever from professionals who do take pride in their work and reputation in the community.

His or her day will come because we are expanding every effort to hunt down this miscreant and bring her to justice, whatever the price.

She speaks of “ regulations”. More? We have plenty. This country is drowning in regulation and laws. Do such prevent Governors from extorting money from the politically ambitious nor Wall Street people trading on insider information? More important then any
“ regulation” is the character and professionalism of the doctor. Most of us don’t need Sacramento, of all places, to tell us how to behave.

We MDs took an oath to do the right thing the day we graduated from medical school. We take the work serious. You know, the writer makes it sound like I am some kind of scoundrel. Well, a scoundrel doesn’t spent half a lifetime in education and training. I took as much training, including extra Fellowship training, as I could get. I did not open my own private practice until I was 36 years old! How many people make that kind of investment in their talents. What that should tell you is that I worked hard to be the best I could.

Now, if you really want to learn about me and our practice, read what other patients have said about us. Visit our website: www. robertkotlermd.com. When you digest all the other reviews on the various sites and see the dozens of appreciative letters on our website, you will get a clear picture of who we are and how we take care of patients.

Review my Professional Bio on our website. See our work. Read about a 34-year old practice that was built on satisfying patients.

It is very bothersome to have spent half a lifetime preparing myself to be a safe, competent and proficient physician and surgeon, and then spend the rest of that lifetime providing conscientious, attentive and successful care to patients and have someone try to public destroy a good and solid reputation earned for many years.

I would challenge any visitor to this site, who based on this one negative post, might have any qualms about my talent or abilities, to merely inquire of any cosmetic plastic surgeons office in Southern California and ask about my reputation among my peers and the general medical community.

That’s a lot more valuable than reading this venom, from some unknown source, rich in inaccuracies and innuendoes designed to damage me and my practice.

- Robert Kotler, MD, FACS
- Beverly Hills, CA
- www.robertkotlermd.com

R
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Robert Kotler, MD, FACS
Beverly Hills, US
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Dec 11, 2011 6:54 am EST

MAYBE THIS EXPLAINTS HOW COMPLAINTS BOARD WORKS
BELOW IS FROM A SITE THAT DISCUSSES THE BUSINESS PRACTICES OF COMPLAINTS BOARD.

Scammers Are On Complaintsboard.com
Originally Posted by "Green Bay Packer Fan -consumermotion.com'

April 28, 2011
COMPLAINTSBOARD.COM IS LEGALIZED EXTORTION!
ComplaintsBoard.com is a place where people can post a completely false story about a business with a great reputation and damage the company's reputation literally over night. A person can file a false claim and all of a sudden when anyone in the world googles that company name, complaintsboard shows up right under (or above) the company's home page and the damage is done immediately since most people don't even take the time to read the story, they just see the negative headline and may never even patronize a great business because of it. There is ABSOLUTELY NO mechanism to validate claims.

The people at complaintsboard.com will have you believe you can arbitrate to have the complaint removed, but that flat out does not work. They can't get in touch with the original complainant because they used a bogus email address that they don't ever check. ComplaintsBoard.com will help you out if you pay them to go through this process but they don't guarantee anything except that they will take your money. It is my opinion that COMPLAINTSBOARD.COM IS LEGALIZED EXTORTION

K
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Konsumer
Los Angeles, US
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Jun 26, 2012 9:16 am EDT

First of all, Dr. Kotler is very aware of his image. He writes books, appears on TV shows, and uses publicists to get his name out there. He is a tireless self-promoter, so even one negative review would sting. Secondly, it is not true that a nose reduction surgery cannot produce a larger nose. How the nose heals depends on the texture of the skin. If the skin is thick, the nose often ends up wider and more bulbous. I know, because it happened to me.

Victims of bad plastic surgery have really no recourse. Because the insurance co.'s have passed a law limiting compensation to $250, 000, it is impossible to even get a lawyer unless you're a male supporting a family who is either unable to perform his profession or is dead. There is simply not enough money in it for any lawyer to accept a case like this. The damages are not worth his time and, furthermore, juries are not sympathetic to elective procedures.

No surgeon gets it right 100$ of the time. I know Dr. Kotler, however, and despite his despite his warm and good-natured personality and charitable involvements, I do not doubt that he is trying to discredit this patient. My last dealing with him clearly showed that he will compromise himself ethically and sell out.