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POSTED UNDER Rhinoplasty Reviews

Septorhinoplasty/Turbinoplasty 5.11.2014

UPDATED FROM louise2014
8 months post

Quick Adjustment Surgery

WORTH IT$14,000
Yesterday I had a quick 1 hour surgery to open my nose back up to shave down the cartilage poking out. Have got a cast on and will be getting this off on Friday, no pain just a little tender where the incision is. Recovery is going smoothly and the whole process with Dr Imani has been good.

louise2014's provider

Pedram Imani, FRACS, MS, MBBS (Hons)

Pedram Imani, FRACS, MS, MBBS (Hons)

Facial Plastic Surgeon, Specialist in Otolaryngology – Head and Neck Surgery

Replies (13)

Was this the cartilage in the tip? Was this a strut graft he adjusted?
Cartilage in the tip that was placed there to give my nose shape, that could be seen because my skin is so thin.
Hope things are well. Rest even if it was just a quick surgery ;)
I wish you great results!
Thanks for the update. Were you under general anesthesia (asleep) or local ? Wishing you a speedy mini recovery!
I was under general anaesthesia and have a cast on my nose again :) recovery is so much easier this time as no bones broken etc and I think because I know what he has done and in which areas, as opposed to the first time I didn't know where stitches would be etc.
Thanks for your reply! Please keep us updated. I am curious to see what type of swelling you would have after a minor revision and what recovery will look like. Wishing you the best xxxxxxx
Is it much smoother than your primary rhinoplasty? Is this still considered a revision? I'm very curious in case I decide to go through with minor adjustments. Best of luck xo
Much smoother as only a minor change, not scary at all as been through it before and trust my surgeon :)
UPDATED FROM louise2014
3 months post

3 months post

Replies (13)

OMG!! thank u for posting!!! This is exactly what is happening with my nose. Its like the cartilage graft he put in my tip has twisted and caused one nostril to be higher and also the graft is causing a white pressure mark at the end of my nose. Im a year and a half post surgery and i am really considering doing something about my nose cos its so lobsided. Just a question... do u feel tightness around ur nose tip when you yawn or smile. I feel like its moving and scraping the inside of my nose tip... In my honest opinion i think my surgeon made this graft too long and didnt do anything to shield the pointed edge. Ive brought it up with him and he just ignores my concerns and makes some excuse that i didnt heal well. I think ill be going to america to get this fixed as ive lost faith in australian plastic surgeons.
No tightness really but I am only three months post op and things are still slightly numb. Sounds like your surgeon isn't very nice :( I would definitely look in to another surgeon and see what they say about it? Do you have any photos?
I had a bossa like that after my primary as well..... took me 6 years to dive into a revision. I would suggest getting a second opinion because every surgeon has a slightly different skill set and preferred methods. Aside from the poking cartilage, your nose looks beautiful!!
Thanks Elisa can I ask how your surgeon fixed it?
He did a complete reconstruction of the tip. If I had gotten a revision sooner, I probably wouldn't have agreed to completely redo it, but after being annoyed with it for 6 years, I decided it was worth it....
And how does it look now? I am worried doing so much work on my tip it will collapse or something (I guess from reading and hearing from people's experience).
I have pics in my profile. It's still swollen due to all the work, but every day it gets more refined. No more bossa! :)
I hope your surgeon is able to fix the cartilage poking out. The profile view of your nose is perfect though! You're beautiful :)
Thank you ! :) I had surgery yesterday to fix the cartilage so hopefully it will all be fine!
Your nose looks so good..so cute..I see what you mean with the cartilage..I love your review and consistent before and after pictures.
Thanks Vida :)
Hi louise2014. Your nose looks beautiful and ive loved reading your posts! I am considering surgery with Dr Imani. How are you feeling now about your nose and the cartilage? Do you have any updated photos you can post? Thanks :)
Hi pinkfloss, sorry have only just seen this now. I actually had a quick surgery with Dr Imani yesterday to shave down the cartilage so can post some photos once the cast is off :) did you end up booking to have surgery with him?
UPDATED FROM louise2014
3 months post

3 months post op

So it has been a little over three months and I am beginning to get used to my nose and it doesn't feel as foreign anymore.

I had my 3 month follow up appointment with Dr Imani this week and he has said that because my skin is so thin all of my swelling is now gone. We spoke about the bump in the tip of my nose again and he confirmed that it is cartilage and asked me if it bothered me. I told him it did and he said that he would be willing to open the nose back up again and do one of two things.

First of all he would crush the piece of cartilage that was poking out (which he said is only visible as my skin is so thin). This piece of cartilage basically needs to be there as my nose was drooping to one side so the cartilage helps to hold it up and make my nose appear more symmetrical. He said that once he crushed this piece of cartilage it could result in it obviously looking less symmetrical than it does now (drooping to one side again) and there would be risk of a divot forming. He said that if he opens up the nose and thinks that it will not look nice after crushing the cartilage he would have to take some cartilage from my ear and wrap it over the tip to form a 'blanket' over the entire tip to cover any imperfections. He said the problem with this is that it will make my tip thicker and somewhat boxier which is fine but that I originally asked for a defined, dainty type nose so it will look different to what he has created on me now.

To be honest I am so confused, is it worth while going through with the surgery and possibly coming out looking worse? On the other hand the cartilage piece really bothers me as it sticks out and looks like something is poking through my skin! I assume it will only get worse once I heal more as well.

He said that the surgery can be done mid year if it really bothered me and that recovery wouldn't be as intense as the first time round as he would just be working on the tip quickly so it will just be swollen and tender and that sort of thing.

Has anyone been through this before, would love to hear from you!

I will post some pictures now of how my nose looks and try to capture a picture of the bump for you to see.

Replies (11)

Your side profile looks great. I see the pokey cartilage....oh goodness I'm sorry. Revision is on my mind as well BUT your situation is completely different. My nose tip looks fine. Its just a little long still. If I had cartilage poking out I would 100% have my surgeon go back in. Do you want to take the chance again? Do you trust your surgeon? Are you ok with a boxy nose tip? Should you get a second opinion? Write the pros and cons. Communicate with your surgeon. Understand all the risk of having another surgery. Reading your post it looks like you have covered all basis. I wish you all the luck for a successful surgery.
I trust him 100% the ear thing just scares me haha but if it will give me more symmetry I think it's worth it!
I would get the second opinion and would most likely move forward with a revision. Im not100% on the ear cartilage but at least removing/crushing whats in there now.
I'm so sorry to read this louise :( it's a hard decision for you to make. I see what you mean in your picture, you must have really thin, delicate skin. It it was me in your situation i would write a pro's and cons list & make sure i have all the facts (like cost, recovery time, possible results after surgery etc.) before making the decision. Getting a second opinion is a great idea. I do love the results of your nose now, he did a wonderful job so could probably do a wonderful revision too xx good luck with deciding
I totally agree with this lovely comment!
Thanks guys, and in terms of a second opinion I believe DR Imani is the best in Perth and I completely trust his judgement. I wouldn't trust seeing anyone else to be honest! He is the only one who knows where he has put things in my nose so I am happy with what he is saying. I think I will kick myself if I don't go through the revision because for the rest of my life it will bother me and I will wonder 'what if'.
Plus I forgot to say I'm pretty sure he specialises in revision surgery and deals a lot with people who have had bad surgery in Thailand etc, he does great work!
Yes!!!
I understand the ear thing sounds scary, but it is something that will guarantee you good, lasting results. Your ear may be a little sore after, but then it will heal you you'll forget about it. Look what you have survived and gone through healing-wise so far...you can totally do it, you rule!
You're the best rocket :D
Your nose looks really good from front and from the side. I wish I had your thin skin as my skin is thicker so its harder to get the result I am looking for. If it bothers you about the cartilage poking out then I would consider a revision. Its not bad though by any means and I only noticed because you mentioned it and circled it in your pic. Is it worth going through a revision though? Whatever you decide you are gorgeous!