If you're thinking about rhinoplasty with him, don't bother. I did my primary rhinoplasty with Dr. Gikas and the experience was far from ideal.
Surgery took over 5 hours, which is outrageous for a rhinoplasty, and he used nonsensical techniques. (My revision surgery was only an hour and a half). I had an overprojected nose and not only did he not deproject my nose, he placed a large septal extension graft, which I later learned is what was making my nose stick out so far and continue to feel so hard 5 years after surgery. I'm grateful I was able to restore a natural feeling in my tip and columella after my revision with a different doctor. The septal extension graft was very bulky, which was weighing down my columella and causing it to droop. I had an overprojected tip, bulky tip, and droopy columella before surgery and none of those were corrected... only worsened. On top of that, my airflow through the left side was worsened! My breathing was perfectly fine before surgery! My original nose was very wide, and while he did make my nose more narrow, my turbinates were left enlarged which is what made my breathing worse. I had two consultations with other facial plastic surgeons before getting my revision done, and both doctors were shocked looking inside my nostrils, both asking me how I was able to breathe. Both sides were basically collapsed with the right side being "almost closed", I was told by my revision doctor. Word of advice from experience, if you have a big nose that will be made smaller, it is worth at least asking the doctor if your turbinates should be reduced. In my case, they should have been. It doesn't make sense anyway to narrow the nose and leave the turbinates disproportionately large. Another huge issue after surgery was my nostril asymmetry, with a noticeable notch on the left alar rim from the front view. The entire thing from the inside/out was completely unattractive.
I got a revision rhinoplasty with a different doctor after 5 years of dealing with these issues, and $22k+ later I finally have the nose of my dreams. Writing this brutally honest review so you don't have to waste your time or money. You're welcome. read more