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Home > OH Providers > Plastic Surgeons

Dr. Raffi Gurunian, PhD, MD

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Specializes in: Plastic Surgery

Professional interests include: Botox injection, breast augmentation, facial trauma, and more.

33300 Cleveland Clinic Boulevard
Avon, OH 44011

(216) 444-6900

Dr. Raffi Gurunian, PhD, MD is a plastic surgeon in Avon, OH specializing in plastic surgery. Dr. Raffi Gurunian, PhD, MD is affiliated with Cleveland Clinic, Avon Hospital and Abu Dhabi.

Office Locations

Address:

33300 Cleveland Clinic Boulevard
Avon, OH 44011

Address:

9500 Euclid Avenue
Cleveland, OH 44195

Some issues Dr. Raffi Gurunian, PhD, MD can help you with:

Cosmetic Breast Surgery

When a woman is dissatisfied with the appearance of her breasts, she may consider cosmetic breast surgery. Lack of tissue, sagging due to breastfeeding, and deformities present at birth are some of the most common reasons why women may choose to surgically enhance their breasts. Breast augmentation and breast lift are the most frequently performed cosmetic procedures on the breast.

In breast augmentation, enlargement of the breast is accomplished using either implants or the patient's own fat. Implants are clear shells that may be filled with saltwater solution or silicone. They come in varying sizes and shapes. There are different approaches to placing the implant as well. Incision locations can be:

Peri-areolar, or around the outline of the areola.
Inframammary, or along the crease of the breast.
Transaxillary, or through the armpit.
Transumbilical, or through the belly button.

The patient and surgeon will discuss the patient's needs, preferences, and limitations to determine the type of implant and incision to use.

Using one's own fat for breast enlargement starts with a procedure called liposuction, which is the removal of excess fat from other parts of the body. After the fat is collected, it is rid of impurities and then injected into the breast. This option suits those who do not wish to have foreign materials placed inside their bodies.

Deformities such as tubular breasts may also be corrected using breast augmentation. Tubular breasts are characterized by small, droopy breasts and a narrow base. Aside from placement of an implant, the surgeon cuts the breast tissue to release the tightness and make the base wider.

Breast implants are not lifelong devices. They may rupture or may develop capsular contracture, which is the hardening of scar tissue around the implant. If these complications occur, another surgery may be required to replace or remove the implants.

While a breast augmentation enlarges the breast, a breast lift, also called mastopexy, raises the breast by repositioning the nipple and removing excess skin. Breast lifts can be done using three techniques. If there is only a small amount of sagging, removal of excess skin around the outline of the areola may accomplish the desired result. This technique is called a doughnut lift. If the nipples are just at or slightly below the level of the breast fold, a surgeon may recommend a lollipop lift. This type of lift involves a doughnut lift and a vertical incision from the bottom edge of the areola to the crease. If there is a lot of excess skin, a surgeon may recommend an anchor lift. This technique is similar to the lollipop lift, but it also involves a crescent-shaped incision along the breast fold to be able to remove more excess skin. Sometimes loss of breast volume accompanies sagging. If this is the case, an augmentation can be performed in combination with the lift procedure.

Because nerves around the nipple are cut during surgery and need time to heal, temporary loss of sensation in this area is common after having a breast lift. Sensation is usually regained after several weeks to a few months. Although uncommon, loss of sensation may also be permanent, especially if a significant amount of tissue around the nipple was removed.

Both breast augmentation and breast lift are typically done in an outpatient facility and do not require a hospital stay. Following surgery, patients should apply a cold compress over their breasts for the first 24 hours and keep their upper body elevated -- even during sleep -- for the first few days. Patients are also given a special type of bra to wear while recovering. Using cold compresses, staying elevated, and wearing the special bra help to minimize swelling and pain. Strenuous activities like running and working out should be avoided for four to six weeks, but light exercise may be started about one week after a breast augmentation procedure.

Rhinoplasty

Rhinoplasty is any surgery done to change the shape and structure of the nose. It is commonly done for cosmetic purposes, but it may also be done to reduce breathing difficulties. Surgery may include any part of bone or cartilage of the nose. In some cases, cartilage is transplanted from the ear or rib to augment the nose.

Rhinoplasty may be done for reasons that are primarily about appearance, such as:

Changing the shape or size of the nose to better fit the proportions of the face
Lifting a downward tilt at the tip of the nose
Adjusting an asymmetrical nose
Closing unusually large nostrils
Reconstructing a nose that has been damaged after trauma.

Rhinoplasty may also be done to correct a deviated septum or other breathing impairment. In that case, the nasal structure is adjusted so that airflow is increased to a comfortable level.

Typically, rhinoplasty is only performed on adults because kids' and teens' faces are still growing and changing. After a rhinoplasty, healing will take 1-2 weeks, but subtle shifts in the face and occasional swelling can last up to a year.

doctor visit	8

**Gender**
Male	24
Female	16

**Ethnicity**
Non-Hispanic White	22
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	29

Hypertension	45
High Cholesterol	30
Stroke	0
Ischemic Heart Disease	0
Depression	40
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	28
Dementia	0
Cancer	0

doctor visit	39

**Gender**
Male	32
Female	27

**Ethnicity**
Non-Hispanic White	40
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	15
From 75 to 84	0
85 and over	0
Less than 65	25

Hypertension	75
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	36
Depression	32
Chronic Kidney Disease	41
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	19
Chronic Obstructive Pulmonary Disease	0
Diabetes	39
Dementia	0
Cancer	0

doctor visit	93

**Gender**
Male	92
Female	114

**Ethnicity**
Non-Hispanic White	170
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	78
From 75 to 84	36
85 and over	24
Less than 65	68

Hypertension	71
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	35
Depression	32
Chronic Kidney Disease	45
Asthma	22
Osteoperosis	0
Atrial Fibrilation	19
Heart Failure	27
Chronic Obstructive Pulmonary Disease	18
Diabetes	43
Dementia	13
Cancer	12

doctor visit	106

**Gender**
Male	57
Female	79

**Ethnicity**
Non-Hispanic White	105
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	0
85 and over	0
Less than 65	48

Hypertension	72
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	26
Depression	35
Chronic Kidney Disease	33
Asthma	23
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	18
Chronic Obstructive Pulmonary Disease	16
Diabetes	37
Dementia	13
Cancer	15

doctor visit	74
plastic surgery procedures	13
reconstructive surgery	13
tissue transfer	13
wound repair (e.g. stitches)	13

**Gender**
Male	48
Female	60

**Ethnicity**
Non-Hispanic White	93
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	48
From 75 to 84	27
85 and over	0
Less than 65	0

Hypertension	64
High Cholesterol	47
Stroke	0
Ischemic Heart Disease	35
Depression	29
Chronic Kidney Disease	33
Asthma	12
Osteoperosis	10
Atrial Fibrilation	21
Heart Failure	26
Chronic Obstructive Pulmonary Disease	16
Diabetes	31
Dementia	13
Cancer	20

doctor visit	80

**Gender**
Male	45
Female	70

**Ethnicity**
Non-Hispanic White	95
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	30
85 and over	0
Less than 65	0

Hypertension	71
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	33
Depression	41
Chronic Kidney Disease	43
Asthma	10
Osteoperosis	15
Atrial Fibrilation	12
Heart Failure	27
Chronic Obstructive Pulmonary Disease	16
Diabetes	41
Dementia	12
Cancer	13

doctor visit	125
plastic surgery procedures	11
reconstructive surgery	11
tissue transfer	11
wound repair (e.g. stitches)	11

**Gender**
Male	56
Female	87

**Ethnicity**
Non-Hispanic White	109
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	65
From 75 to 84	0
85 and over	0
Less than 65	36

Hypertension	68
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	38
Depression	38
Chronic Kidney Disease	46
Asthma	9
Osteoperosis	10
Atrial Fibrilation	20
Heart Failure	26
Chronic Obstructive Pulmonary Disease	24
Diabetes	33
Dementia	17
Cancer	23

doctor visit	79

**Gender**
Male	37
Female	52

**Ethnicity**
Non-Hispanic White	72
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	45
From 75 to 84	23
85 and over	0
Less than 65	0

Hypertension	61
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	31
Depression	36
Chronic Kidney Disease	37
Asthma	15
Osteoperosis	0
Atrial Fibrilation	16
Heart Failure	25
Chronic Obstructive Pulmonary Disease	18
Diabetes	31
Dementia	12
Cancer	33

doctor visit	12

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Raffi Gurunian, PhD, MD for Medicare patients.

The highest averages for the top procedures that Dr. Raffi Gurunian, PhD, MD treated as a plastic surgeon in Avon, OH were reconstructive surgery, plastic surgery procedures, wound repair (e.g. stitches) and tissue transfer.

doctor visit	70
plastic surgery procedures	12
reconstructive surgery	12
tissue transfer	12
wound repair (e.g. stitches)	12

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Raffi Gurunian, PhD, MD.

**Gender**
Male	39
Female	50

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	70
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	2
75 to 84	11
Less than 65	20
65 to 74	35

Average of Total of Conditions of Medicare patients treated by Dr. Raffi Gurunian, PhD, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Raffi Gurunian, PhD, MD treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	52
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	23
Depression	28
Chronic Kidney Disease	27
Asthma	9
Osteoporosis	3
Heart Failure	16
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Atrial Fibrillation	10
Dementia	8
Cancer	11

Education & Training

He completed residency at Marmara University Affiliated Hospitals. He is certified by the Plastic Surgery and has a state license in Colorado.

Residency: Marmara University Affiliated Hospitals (1997)

Board Certification: Plastic Surgery

Licensed In: Colorado

Affiliations & Hospitals

Dr. Raffi Gurunian, PhD, MD is associated with these hospitals and organizations:

Cleveland Clinic

Avon Hospital

Abu Dhabi

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General Payments

These charts describe general payments received by Dr. Raffi Gurunian, PhD, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
LIFECELL CORPORATION	$370 AlloDerm $370
KCI USA, Inc	$360 VAC THERAPY $250	VAC VERAFLO $111
AXOGEN	$237 AxoGuard Nerve Protector $237
ACell, Inc.	$123 $123
Horizon Therapeutics plc	$114 KRYSTEXXA $114
Other	$559 BOTOX $100	INTEGRA FLOWABLE WOUND MATRIX $94	VSP Reconstruction $93	OFIRMEV $76	BIO-A Tissue Reinforcement $46	Other $149

**Types of Payments**
Food and Beverage	$1,763

Biography

Dr. Raffi Gurunian specializes in plastic surgery and practices in Cleveland, OH and Avon, OH. His clinical interests include facial problems, transplant procedures, and facial trauma. He trained at a hospital affiliated with Marmara University for residency. Awards and/or distinctions Dr. Gurunian has received include Surp Pirgic Armenian Hospital Foundation Scholar; Calouste Gulbenkian Foundation Scholar; and The 2001 Aesthetic Surgery Education and Research Foundation. Dr. Gurunian (or staff) speaks the following languages: Armenian and Turkish. He is professionally affiliated with Avon Hospital.