Why Choose Dr Roth
Choosing a surgeon is one of the most important decisions you will make when considering any procedure. The information on this page is intended to help you understand Dr Roth’s training background, clinical experience, and the scope of his practice — so you can make a well-informed decision about whether he is the right surgeon for your needs.
Dr Roth encourages all prospective patients to research their surgeon thoroughly, to ask detailed questions at consultation, and to seek a second opinion if they wish. No reputable surgeon will discourage you from doing so.
Training & Qualifications
Dr Roth’s surgical training spans Australia, the United States, and Europe — covering both the breadth of specialist ENT surgery and the depth of subspecialty facial plastic surgery and rhinology.
| Specialist Training | Six years of specialist surgical training in Otolaryngology, Head and Neck Surgery through the Royal Australasian College of Surgeons. More than 15 years in private practice in Sydney. |
| Fellowship — USA | American Rhinologic Society-accredited fellowship in Advanced Rhinology and Facial Plastic Surgery, Rush University Medical Center, Chicago — one of the leading rhinology and facial plastic surgery training programmes in the United States. |
| Fellowship — Europe | Facial Plastic Surgery Fellowship, Academic Medical Center, Amsterdam, Netherlands — European Academy of Facial Plastic Surgery. Training across a broad range of rhinoplasty and facial reconstructive techniques. |
| FRACS (ORL-HNS) | Fellow of the Royal Australasian College of Surgeons — Otolaryngology Head & Neck Surgery. |
| IBCFPRS | International Board Certification in Facial Plastic and Reconstructive Surgery — requiring a surgical logbook, peer-reviewed audit, and formal international examination. |
Deep Plane Facelift & Neck Lift
Dr Roth performs the deep plane facelift as his primary facelift technique and is among a small group of Australian surgeons who have adopted this approach as their standard practice. He performs more than 50 face and neck lift procedures per year, providing experience across a wide range of presentations including primary, complex, and revision cases.
His facelift training includes a dedicated observership with Dr Neil Gordon in Connecticut, USA — a surgeon with extensive experience in the deep plane technique — which directly informs his approach to facelift and neck lift surgery.
Comprehensive Neck Assessment
Dr Roth conducts a thorough assessment of the neck at every facelift and neck lift consultation. The neck is composed of multiple distinct anatomical layers, and achieving a satisfactory result requires addressing each contributing factor individually. His approach includes assessment and management of:
- Subplatysmal and submental fat — at multiple levels
- Platysmal banding and platysma laxity
- Descended submandibular glands — including suspension and, where indicated, partial removal
- Digastric muscle hypertrophy — partial reduction where this contributes to submental fullness
- Skin laxity and excess
This depth of assessment is not routine in all facelift practices. Dr Roth also has experience performing revision neck lift procedures in patients who have had previous surgery elsewhere.
Learn more about deep plane facelift → | Neck lift surgery →
Brow Lift Surgery
Dr Roth performs a high volume of brow lift procedures annually, with experience across the full range of techniques. Rather than offering a single standardised approach, he selects the technique most appropriate for each patient’s anatomy and goals.
Techniques offered include:
- Endoscopic brow lift — minimally invasive, small incisions within the hairline, shorter recovery. Preferred approach for most patients.
- Trichophytic (hairline) brow lift — allows forehead shortening without raising the hairline, with well-concealed scars. Suited to patients with a higher hairline.
- Lateral temporal and direct brow lift — for specific anatomical circumstances or revision cases.
The choice of technique is discussed in detail at consultation based on a thorough examination of brow position, forehead height, skin quality, and the patient’s specific concerns.
Learn more about brow lift surgery →
Rhinoplasty
Rhinoplasty has been a central focus of Dr Roth’s training and practice throughout his career. He performs more than 150 rhinoplasty procedures per year — including both primary and revision cases — and more than 300 nasal surgery procedures in total annually. This volume of experience, across a wide range of nasal anatomy and surgical complexity, is an important factor in developing and maintaining surgical skill in what is widely regarded as one of the most technically demanding operations in facial surgery.
Full Range of Rhinoplasty Techniques
Dr Roth has training and experience in all major rhinoplasty approaches and selects the technique most suited to each patient’s anatomy and goals:
- Preservation rhinoplasty — reshapes the nose while preserving as much of the original anatomy as possible. Dr Roth attended the inaugural preservation rhinoplasty course in Nice (2019) and the Structure and Preservation Rhinoplasty Conference in Istanbul (2024). Where anatomy permits, this is now his preferred approach.
- Open structure rhinoplasty — provides maximum surgical access for complex tip work, significant structural reconstruction, and revision cases.
- Functional rhinoplasty — addressing breathing problems, nasal valve collapse, deviated septum, and other functional concerns, with or without cosmetic changes.
- Revision rhinoplasty — Dr Roth sees a significant number of patients seeking revision after rhinoplasty performed elsewhere. He performs over 100 revision rhinoplasty procedures per year. Revision rhinoplasty is among the most technically demanding procedures in facial surgery and requires specialised expertise in cartilage grafting and soft tissue management.
Learn more about rhinoplasty → | Revision rhinoplasty →
What to Expect as a Patient
| Thorough consultation | Consultations are typically 45–90 minutes. Dr Roth will listen carefully to your concerns, examine you thoroughly, explain what is and isn’t achievable, and give you an honest assessment of whether surgery is appropriate in your case. |
| Two consultations minimum | For all cosmetic surgical procedures, a minimum of two consultations is required before any surgery proceeds. There is no pressure to commit at either appointment. |
| Personal involvement | Dr Roth is personally involved in every patient’s care from first consultation through post-operative follow-up. He performs all surgery himself and is directly accessible to his patients throughout the process. |
| Honest information | Dr Roth provides clear information about risks, recovery, and realistic outcomes — including what surgery cannot achieve. Cosmetic surgery is a serious decision and he supports patients in taking the time they need to make it. |
| Continuing education | Dr Roth attends international conferences and courses annually to remain current with evolving techniques — including annual AAFPS Masters Symposia and the Structure and Preservation Rhinoplasty Conference in Istanbul (2024). |
To arrange a consultation with Dr Roth, please contact the practice. Further information about Dr Roth’s training and background is available on the About Me page.
Specialist Otolaryngologist & Head and Neck Surgeon
Specialist registration — Otorhinolaryngology, Head & Neck Surgery
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