Oklahoma City Rhinoplasty doctors

	Ivan Wayne, MD Oklahoma City Facial Plastic Surgeon 13908 Quailbrook Drive, Oklahoma City		26 answers
	Anureet K. Bajaj, MD Oklahoma City Plastic Surgeon 6205 N. Santa Fe Suite 105, Oklahoma City
	Mehdi Adham, MD Oklahoma City Plastic Surgeon 8100 S. Walker Ste A, Oklahoma City
	Paramjit S. Bajaj, M.D. Oklahoma City Plastic Surgeon Suite 105 6205 N Santa Fe, Oklahoma City
	Norman S. Levine, MD Oklahoma City Plastic Surgeon 1211 N. Shartel, Suite 905, Oklahoma City

Recent Answers

Septorhinoplasty and Still Crooked I had a septorhinoplasty performed 10 months ago and received subsequent Kenalog injections every couple of months due to scar tissue formation in the supratip area as well as the left side of the nose. My main concern has to do with the fact that my nose is still crooked and the tip is now twisted downwards to the left. What can be done at the one year mark to correct this without the same deviated result occurring again?

A: Some deviation is common after rhinoplasty I feel your frustration. After you go through a surgery you want everything to turn out perfectly. To address your case would require more photos showing your full face and additional angles. Looking at your prep photos as well would be helpful. Potential causes of nasal deviation after surgery are many and include: uneven osteotomies, collapse of one of the nasal bones, unequal healing of the nasal bones, uneven removal of bone or cartilage, uneven cartilage grafting (onlay or spreader), uneven scar capsule formation, persistent septal deviation, warping or twisting of septum following the surgery and pre-existing facial/nasal asymmetry. As you can see there are many factors that can cause a crooked nose after surgery. Some of these factors are controlled by the surgeon, some can occur after the surgery. If a skilled and experienced rhinoplasty surgeon performs your surgery I think the most common cause of nasal deviation is preexisting facial/nasal asymmetry. Patients are often unaware of their facial unevenness as they have been looking at their face their whole life. I think the consultation where we go over the patients's photos and explore the subtle facial asymmetries that most people have is very important. At that time we can go over how much improvement is possible using imaging software. So, first I would talk with your surgeon, go over the before and after photos and discuss what can be done. Realize that getting crooked nose straight can be very challenging. I hope this helps.

Ivan Wayne, MD

Oklahoma City Facial Plastic Surgeon

Rhinoplasty--Seems Like a Lot of People Regret Having This Procedure do you think thats because more dissatisfied patients review to "warn' others? It makes me wonder how often people are truly happy with the outcome, before reading these boards, I thought more people would be happy they had it done. Any thoughts on the % of patients who have to have revision?

A: Unhappy patients talk more about their experiences than happy patients..

You raise an excellent issue. Unhappy patients after rhinoplasty. Reading all of the horror stories about Rhinoplasties that turned out badly would make one think that it is a bad procedure. That is understandable as people are more vocal about bad experiences than good ones. I think it is very possible to have a great experience with a rhinoplasty surgery. To get that good experience you will need to do your research. Find a good doctor (or really several doctors). Look up what other patients have said about them (realize that some doctors use services to write good reviews about them so you have to carefully read between the lines). Don't be fooled by a fancy website-anyone can spend money to build a great website, I think the best rhinoplasty surgeons are too busy to spend much time creating a beautiful website. Ask people that work with your doctor in the operating room, (nurses and anesthesiologists) they will know what kind of surgeon your doctor is. During your consultation make sure you are being heard and understood. Look at before and after photos of other patients. You will ultimately have to go with your gut and decide based on all the information and feedback who you want to perform your surgery.

The formula we use is:

a. Listen to the patient.

b. Do a careful exam and show the patient on the computer what we can offer them.

c. If we both agree on the plan we do the surgery.

d. Do the surgery that was planned with great care and focus.

This usually results in a good outcome and a happy patient.

Good luck and I hope you find your doctor.

Ivan Wayne, MD

Oklahoma City Facial Plastic Surgeon

Does the Nose Become Smaller As Scar Tissue Matures? I had an open Septorhinoplasty 19 weeks ago to straighten and narrow my nose, and to define my tip. So far, I'm not too satisfied with my result. I was hoping for more defintion and contour in my nose (sidewall/tip region), and for the tip to be smaller. I've read it takes up to a year to see the final result. My doctor doesn't believe in steroid injections, so will my nose eventually shrink, soften, and define with time? I'm confused about scar tissue and the healing process.

A: Usually there is some shrinkage over time...

There are so many variables to the healing time of a nose following rhinoplasty: the thickness of the skin, the amount of size reduction, the skill of the surgeon, the health and age of the patient. At 19 weeks in my practice my patients may have 1-2 mm of soft tissue swelling, especially just above the tip. Refinement over time is usually the rule. There is a scar contracture factor that can set in at about a year and progress for many years after. Without seeing your photos it is hard to say but I would be that you will see some improvement over time.

Ivan Wayne, MD

Oklahoma City Facial Plastic Surgeon

Oklahoma City Rhinoplasty reviews

$6,200 average price for Rhinoplasty in Oklahoma City
100% of Oklahoma City reviewers said Rhinoplasty was worth it

	“Rhinoplasty - Oklahoma City, OK” Dr. W did my rhinoplasty about 3 months ago. My nose looks fantastic. I would recommend him to anyone that was interested in this procedure. He and his staff are both caring and professional. My swelling is almost gone; my nose is straight; and the pain was not unbearable. It was uncomfortable at most. more
	“Great Experience with Rhinoplasty -...” The surgery was definitely worth it to me. I have been extremely self-conscious of my nose since I was around 12 - I am 23 now - and it is hard to believe that with such minimal pain I was able to wipe away all those negative thoughts and really feel great about my nose & the way I look. more
	“A Pleasant Experience - Oklahoma...” I was in a motor vehicle accident which left my nose sliced open and causing breathing and sinus complications. I was horrified by the scar prior to my surgery and really didn't expect for it to get much better if not worse after he fixed the interior but to my suprise he did wonderful. I think I can still see the scar in a more mental capacity as opposed to a physical nature because I... more
	“New Nose! New Me!!” The tip of my nose had sort of a ball shape and I did not like my profile. My nose did not turn out the way I had pictured but it looks much better than before.Although the actual procedure did not hurt because I was put asleep - the days afterward until were very uncomfortable. This was due to the packing of nasal tampons put in each nostril. And when the doctor ripped those things out of my... more
	“Right Doctor Makes All the Difference” The more things I do, the more I realize that having the right people makes all the difference. Even something simple could turn into a nightmare with someone incompetent. To me, this is my FACE, I did a lot of research, and even last minute cancelled a procedure because that doctor didn't feel right. I found a good, even local doctor (I was in Oklahoma and considered either... more