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9 Things I Wish I'd Known Before Rhinoplasty

By Angiemcc on 02 Dec 2010

9 Things I Wish I'd Known Before Rhinoplasty

By Angiemcc

Several years ago I had rhinoplasty (and a few years after that, revision rhinoplasty). Here's a list of things I wish I had known about before my surgery. I hope it helps anyone considering a rhinoplasty themselves.

1. There is no such thing as the perfect nose – it’s likely that you’ll still find flaws (a tiny bump here, an uneven nostril there) even after a nose job. Try to keep in mind that you’re going for improvement, not perfection

2. You’ll look mummyish for the first few days post-op – Expect a splint over the bridge of your nose, possible packing in your nostrils and a pad taped under your nose to catch drainage.

3. You’re not supposed to wear glasses/sunglasses for the first month after rhinoplasty – This is so the nasal bridge can heal correctly.

4. It’s possible you’ll feel almost no pain after your rhinoplasty, especially if you stay on top of your meds – You will, however, be tired and possibly queasy.

5.  A nose job might make breathing more difficult than it used to be – Even though I had a deviated septum fixed at the same time I had rhinoplasty, my breathing was significantly worse after the procedure. Since I hated the look of my nose so much, the surgery was still worth it to me.

6. Many people won’t notice you’ve had anything done – This can seem bizarre, considering that your nose has just been reshaped and you’ve spent a week recovering, but it’s true. Most folks are too busy thinking about their own noses. Or eyelids. Or double chins.

7. There’s a good chance you’ll have an irritatingly nasal twang to your voice for weeks or even months after the procedure.

8. Right after your new nose is revealed, you may feel a sense of disappointment or even horror. Once my bulbous tip was corrected, I felt like a pug. My nose was actually much improved, but when you’re used to a certain look, a tiny bit of dysmorphia can occur when you see your results. You don’t look exactly like yourself and that can feel strange.

9. Plastic Surgeons can sculpt your nose and make it look better, but within limits. It’s fine to provide your plastic surgeon with photos of noses you like, but keep in mind that all surgeons have to work within the framework of your face, not Paris Hilton’s.

If you have any questions or concerns about your rhinoplasty, please feel free to send me a personal message.

Comments (31)

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revisionrhinoplasty03 5 Feb 2013
I agree with you. The patient may not be happy with their nose after surgery for a variety of reasons. The nose may not have been reduced enough or reduced too much, the results were not as expected, or the patient wants additional changes. Revision rhinoplasty in New York is performed to reshape the nose after a previous nose job. Sometimes, revision surgery is necessary because the first nose job caused a structural problem with the nose or the nose did not heal as expected.
haticez 4 Jan 2013
what is BBB website ???
Disneymom 6 Nov 2012
I think that this checklist is perfect. I agree with every point. I had my deviated septum and rhinoplasty done one month ago. Most shockingly to me was how no one noticed my new nose! It was so obvious of a change to me! I would only add that a person considering rhinoplasty should google what some rare side effects can be so they are prepared. I have very dark circles under my eyes now......Something I am not happy about........but I do love my new nose!
nose43 24 Sep 2012

The "filtered" reviews on Yelp. Some surgeons have high marks w/ 5 stars, until you look at their filtered reviews. One doctor had 11 filtered negative reviews and all the unfiltered reviews were postive. What is up with that? Can a doctor pay to have bad reviews filtered? Looks suspicious to me.

Philadelphia4440 24 Sep 2012
LOL I can certainly agree with that pug look. Even knowing that i have to wait for final results, I still spazzed. You know that it may take months but can't help thinking, what if mine is botched!? You obviously don't have that pug now!
ilovecandy 23 Aug 2012
Nose43, What do you mean when you say "filtered reviews"? Where do I see those?
Thanks!
nose43 17 Aug 2012
Hi NaturalMe,

Unfortunately, people are not often motivated to write reviews when the outcome is good. They just happily move on. I never wrote a review until two surgeons in West Hollywood destroyed my nose. It doesn't makes sence what the docs told you about unhappy patients. They are the ones that created the images that the patients expect them to achieve. Don't forget to check "filtered reviews" in your research. I didn't know about them until I was out $10,000 and the doctors that guaranteed their work denied anything was wrong. Good Luck!
NaturalMe 22 Jan 2012
Thank you Sono for your reply. I asked these two docs about their unhappy patients and both told me only 1% of their previous surgery came out unsatisfactory from the patient point of you; but they also explained to me that they found out the patients wanted unrealistic results. I wonder why a surgeon would still perform surgery if he knows the result the patient expect can't be achieved (just my personal opinion). Anyway i asked about the policy on revision and in case i would need one he would only charge me for the surgery room fee and the anesthesia, the doc won't ask for additional money. BTW Thank you very much for the BBB website. I researched those two doctors : one is subscribed and has no complaints, the other one is not subscribed but has one complaint. I'm doing my best to make sure i'll pick the best doctor even though i know there is no ''best and perfection'' and there is no 100% satisfaction at the end. Even the morph that they show you during the consultation can't be the exact result after surgery. I realized my expectations have to be realistic and in fact i only want a slight change in my profile. I also realized that this website is very helpful because lot of people share their stories and useful informations but that i can't believe everything i read. Too many good and bad reviews from people that apparently subscribed just to write only that specific review (not trustable). I would like to see more reviews with pictures.
Sono 20 Jan 2012
Yes, he is American Board Facial Plastic and ENT certified so you really need to look for a lot more than that. After, I had the surgery and looked on BBB and other sites I found a few complaints and read about unhappy patients so make sure you do that before the surgery. When you sign the consent you release your surgeon from any kind of mistakes he could possibly make so ask about the policy on revision and if he had any patients before who were not happy and what he did for them. My surgeon doesn't have any policy on revisions and to me that just shows he is not too concerned about patient satisfaction more than the money. If your surgeon has a policy on revision that just shows they would do anything to make you happy. Best of luck! Please keep us posted. Sorry for the long post but I just don't want you to do what I did.
NaturalMe 20 Jan 2012
Hi Sono,thank you for your reply
i am really sorry for the fact you are not happy with the surgery result but i guess in this case you guys had a miscommunication problem and clearly the doctor had something in mind totally different from what you were looking for. How did you find your doctor? Is he American Board Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology-Head and Neck Surgery
facial and board certified? I had 2 consultations so far and i am not going further since those 2 surgeons are the best. And speaking of the before and after pictures, that is just photoshop not the garanteed result. So i guess i need to ask if i can speak with previous patients to have a more realistic idea of the final result. I imagine your frustration right now but keep your head up, find a good surgeon in revision rhinoplasty and everything will be alright. Good luck
Sadone 1 Jan 2013
Hi signing the consent form does not mean i allow you to disfigure me. wtf i paid to disfigure myself. this is not right.
NaturalMe 19 Jan 2012
Hello everybody, i am new to this website. I finally decided to get a rhinoplasty and after all the research i found 2 great doctors. I am just a little worried, i keep telling myself, what if i'll take the cast off and i won't like the nose? What if in 6 months the tip start to trop. I know, i sound a little bit insecure but i am just paranoid, i've been reading this website over and over again and there are lots of positive reviews but also people that are totally disappointed with the results. I keep wondering what if...And also i wanted to know: do rhinoplasty need revision after years? Or if the surgeon does a great job it might be that i won't have to get a revision ever? Sorry about my english but i am not an english native speaker. Thank you very much for your help
Sono 20 Jan 2012
Hi NaturalMe,
I just had rhinoplasty and I am not happy with the results but the reason is clearly because I didn't choose my surgeon carefully. He did show me before and after pictures and I didn't like the after results for some and at that point I should have went somewhere else. Make sure your surgeon tells you exactly what he is going to do which my surgeon didn't do. Everytime I asked him for clarification he said you have to trust me. I have done thousands of these. You have to trust your surgeon but it's your face and you want your nose to be like what you want it to be rather than what your surgeon thinks it should be. At first, I didn't want to spend so much on consultation fees so I avoided going to too many surgeons but I am paying for that now by going to surgeons to see if it can be fixed. Please don't do it until you are confident your surgeon will do exactly what you want.
Sadone 1 Jan 2013
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rhino564 2 Jan 2013
Hello, who have you chosen as your rhinoplasty doctor?
Sadone 2 Jan 2013
you talking to me? i did mine in asia. i don't know can i mention names here
Angiemcc (Community Manager) 16 Jan 2012

Hi Sono,

I definitely saw results right away. Though the swelling went down over a period of months. I would say 4 to 5. Hope this helps!

Sono 9 Jan 2012
I meant to ask specifically at the tip area?
Sono 9 Jan 2012
Angiemcc, I had a rhinoplasty on Dec 30th. I had a bulbulos wide tip and it is much worst now. How long did it take you to see results after you had the surgery?
Disneymom 1 Jan 2013
i had a very bulbous tip........it took a good 6 to 8 weeks for it to look better. Trust me. The tip is the last part of the nose to have the swelling go down. Who is your dr???
amandaindc 8 Dec 2011
I think another thing to add is to not look in the mirror too much. Staring at your nose will make it seem like there are imperfection and make every flaw bigger. If you have conerns talk to your surgeon- he/she is your friend!
Makenzie 28 Nov 2011

Angie has some great tips -- wanted to share this from our blog as well:

Renowned rhinoplasty surgeon Dr. Jack Gunter shares tips on how to look at before and after photos 

Jason McBroom 19 Nov 2011
I love this because so many of these are true. I was self conscious about my nose for years and I'm completely happy with the way I look although subtle. I expected a bigger change. I was almost shocked when I looked in the mirror and didn't see a different person looking back. I think many people go into cosmetic surgery expecting to look completely different and that isn't always the case. Wasn't the case for me.
London4689 29 May 2011
Hi Angiemcc

I was wondering if the nose starts to change shape even after 1 year? Or even break/twist?

How many years ago did you get your nose job? Did you feel people discriminated against you or even thought it to be weird?

I discussed this with a male friend and he was pretty much disgusted with me suggesting that I would like it done. Never been a fan of my nose and I think its a little large than suits my face too. Always wanted to be prettier and I dont know how to research a good surgeon-can you give some pointers?
Don't really know the pros and cons (although your list has been a great help)
I already have a nasally voice lol wouldnt want it to get worse.
Did the surgeon tell you that your breathing could be comprimised? How do you feel about putting looks over comfort? Sorry hope these questions do not seem too personal I'm just very curious and this procedure pops up in my head whenever I don't feel confident about my looks. Come from a family where all my sisters are totally stunning and they always got the male attention apart from me lol xx
Angiemcc (Community Manager) 30 May 2011

Hi London,

I had my initial nose job 15 years ago and my revision 9 years ago. I can't believe it's been that long! It took a few years after my first rhinoplasty (don't think my surgeon was that great), but my nostrils did start to collapse. Which was why I had the revision. I don't remember being informed about the possibility of my nostrils collapsing, but I wanted it so badly, I would've gone ahead with it anyway.

Make SURE you find a surgeon who specializes in rhinoplasty. VERY important. Rhinoplasty is the most intricate cosmetic procedure and you want someone who's done hundreds.

I'm ok with putting looks over comfort in this case. :) Honestly, I disliked my nose so much, that minor discomfort is worth it to me to have a nose I can live with.

Hope this helps! I have a video over here in my review if you want to watch it for more details.

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