An Interview with Dr. Zahi Abou Chacra, Renowned Rhinoplasty Surgeon
When thinking about career paths, particularly in challenging fields like medicine or surgery, it’s important to talk to those already in the profession to gauge if the career, and all the hard work to get there, is right for you. Today, we’re speaking with Canadian rhinoplasty surgeon Dr. Zahi Abou Chacra in hopes of providing you with some valuable insight into his profession.
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Q: Thanks for joining us today. To begin with, can you explain what rhinoplasty entails?
DR. ZAHI ABOU CHACRA: As a surgeon, I view rhinoplasty, or “nose job,” as much more than just a cosmetic procedure. It is an intricate and intellectually demanding surgery that combines art, science, skill, creativity, and depth of anatomical knowledge. The nose is not only a central feature of one’s facial appearance but also a vital organ involved in breathing and smell.
My goal during rhinoplasty is to create a result that is both aesthetically pleasing and functionally sound. Achieving this requires a nuanced understanding of each patient’s unique nasal structure and facial harmony. This is why rhinoplasty is considered one of the most complex forms of facial plastic surgery.
Given these complexities, otolaryngology, or ENT, is the specialty of choice for those pursuing a career in rhinoplasty. ENT specialists possess the comprehensive anatomical and physiological expertise necessary to address the dual cosmetic and functional objectives of the surgery.
Q: Are rhinoplasties purely cosmetic?
DR. ZAHI ABOU CHACRA: Not at all! While it’s common to associate rhinoplasty with aesthetic improvements, it’s important to recognize that this procedure is also frequently performed for functional reasons. In fact, a significant portion of the population—around 70 to 80 percent—has a deviated septum, where the wall between the nostrils is off-center. In severe cases, this misalignment can lead to substantial breathing difficulties.
A septoplasty, which is a procedure focused specifically on correcting the septum, can alleviate these symptoms. It’s quite common for patients to undergo both rhinoplasty and septoplasty simultaneously. This allows them to address both the cosmetic appearance and functional aspects of their nose in one procedure.
Ultimately, the decision depends on the individual’s needs and goals, as every nose is unique. As a rhinoplasty specialist, I aim to provide a customized approach, ensuring that both aesthetic and functional outcomes are achieved to the patient’s satisfaction.
Q: What is something really interesting that you get to do in your field?
DR. ZAHI ABOU CHACRA: As a rhinoplasty surgeon, one of the most fascinating aspects of my work is the opportunity to connect with people from all walks of life. Each consultation is a chance to co-design a personalized approach with my patients, tailoring the procedure to meet their unique anatomical and aesthetic needs. This collaborative process is both challenging and invigorating, as it demands constant refinement of my skills, knowledge, and creativity.
No two days are the same in this field, especially when it comes to revision rhinoplasty cases. These are often the most unpredictable and demanding, involving patients who have undergone multiple previous surgeries. Each case is an opportunity to solve complex problems and make significant improvements in a patient’s quality of life.
Beyond rhinoplasty, my practice extends to facial plastic and reconstructive surgery, which presents its own set of challenges and rewards. These cases allow me to restore both form and function, offering profound and lasting impacts on my patients’ lives.
However, the most interesting aspect of my work is the human connection. It’s incredibly fulfilling to know that the changes I help facilitate will be a permanent part of someone’s identity. The nose is a focal feature, central to one’s sense of self, and having the ability to positively impact how someone feels about themselves is the most rewarding part of my profession. The trust and bond developed with my patients throughout this transformative journey is what truly makes this work so fascinating and meaningful.
Q: What drives you as a surgeon?
DR. ZAHI ABOU CHACRA: As a rhinoplasty surgeon, my journey into medicine was driven by an innate love for science, a passion for finding answers through research, and a fascination with the myriad ways we can innovate within the field. The world of rhinoplasty is particularly compelling because it offers countless combinations and techniques to learn, adapt, and test. This intellectual gratification fuels my desire to constantly challenge myself, encouraging innovation and thoughtfulness in every procedure.
What truly drives me in this career is the unique blend of surgical expertise with a deep-seated passion for patient care. Providing high-end results, exceptional quality care, and an outstanding bedside manner isn’t just about technical skill—it also reflects the character and commitment of the surgeon. My aim is to deliver outcomes that not only meet but exceed patient expectations.
The path of a rhinoplasty surgeon is one of lifelong learning. I thrive on the opportunity to present at conferences, engage with colleagues, challenge existing ideas, and incorporate cutting-edge technology and methodologies into my practice. This constant evolution makes rhinoplasty a never-ending adventure—one that is as much about personal development as it is about advancing medicine, science, and the field of rhinoplasty itself. Each day offers the chance to contribute to both my own growth and the broader medical community, ensuring that my work remains at the forefront of excellence and innovation.
Q: What are some tips for young surgeons?
DR. ZAHI ABOU CHACRA: One of the most important tips I can give to young surgeons or anyone considering a career in medicine is to choose a specialty that truly resonates with you—something you are passionate about and will never find mundane. This field requires dedication and perseverance, so it’s crucial to find an area of medicine that continually inspires you to learn, grow, and excel.
Medicine is not just a profession—it’s an honorable vocation where you’re entrusted with people’s lives and well-being. Remember that your medical ethics, morals, and values directly translate into the quality of care you provide. This trust is sacred, and it’s vital to approach your work with the seriousness and respect it deserves.
Much like high-level athletes, surgeons must continuously hone their skills, practice diligently, and strive to perform with precision and excellence. Just as athletes train to achieve peak physical performance, surgeons must cultivate their craft to provide the best outcomes for their patients. Each procedure is a marathon, demanding focus, expertise, and dedication.
Medicine allows you the incredible privilege of touching lives profoundly—you go home each day knowing you’ve made a meaningful difference. This responsibility should not be taken lightly. Strive to be a good person first and an exceptional doctor second. Approach your career with humility, empathy, and a relentless commitment to excellence. By doing so, you will not only fulfill the expectations of the profession but also find deep personal fulfillment in the impact you have on your patients’ lives.