Hi everyone, After more than 10 years of...

Hi everyone,

After more than 10 years of searching for a surgeon I finally found him and have decided to have a revision rhinoplasty! It has been a very slow and hard process to find a surgeon that I truly trust for my revision procedure. Over the past years, I had many consultations with doctors but I didn’t feel comfortable enough to go with surgery. At one point, I almost gave up to have a revision because after my first experience I was scared that my nose might look worse. I knew I needed time to research as I learned that revision is more difficult than the primary operation and requires a skilled surgeon to get satisfactory results.

Thank God, last year I joined this site and since then I have been learning from all your experiences. I have found this community to be very informative and supportive. I have even made some friends through this site; we exchange information and support each other. In general, I am a very private person and usually don’t feel comfortable to share personal issues. However since I have benefitted immensely from this site, I feel it’s my duty to write a review in the hope that others might benefit from my experience.

Why revision?
I have been trying to avoid surgery again but it seems that I just can't stand my nose any more as it’s getting worse every day. I have been unhappy with the results of my primary surgery since cast removal day. Originally I had a big nose and like many of you I really disliked it since I was a teenager. I avoided taking especially profile. After extensive research I decided to have a rhinoplasty surgery in 2001.The hump was removed and the nose length was shortened. I was happy with the profile for a few years. But I was very dissatisfied with the width of my nose and the bulbous asymmetric tip that lacks definition. My nose became twice its width prior to surgery and it gets wider when I smile. I was told by my surgeon that this was due to excessive swelling and that things would get better when swelling goes down. Unfortunately that didn’t happen. In addition, my nostrils were somewhat uneven befor the primary uneven and that didn’t really bother me at all but after surgery they have become larger and more asymmetric. There is also a dent (probably difficult to see in photos) on the bridge. I have noticed recently that my nose has become worse. When I went to consultations I thought it would be a good idea to show the surgeons my before and after photos (the after were taken just a couple of months after rhino). I even asked one of the doctors that I consulted if he agreed with me and he said that my nose after surgery had more symmetry than the way it is today.

What I would like to achieve from this revision: I feel my nose is way too big for my face. The only thing I see in my photos is my huge crooked tip that doesn’t have any definition. I am looking for a feminine nose with natural results that will fit my face. Specifically I want the base of my nose to be narrowed, make the nostrils smaller, and make the tip less bulbous and more defined. Also, I would like the bridge to be straightened. I feel like my left profile is different than the right profile (what do you guys think?).

My consultation with Dr. Kofi Boahene took place on December 11, 2013 and lasted about 45 minutes. The assistant took some pictures. Then I was taken to another room to meet the doctor. Dr. Boahene spent some time reading my operative report. He then asked me what I liked and what I didn’t like about my nose. The question about what I like about my nose took me by surprise because I don’t like anything about my nose. After carefully examining my nose he explained in details what he would do to achieve the goals. Dr. Boahene made some simulations to show how my new nose might look like after the surgery. He said he would first use a close approach as it’s less invasive but if it’s necessary then he might use the open approach. I really hope that I don’t require the open approach. It appears that there is enough cartilage in my septum if needed; if not then he will use ear cartilage. He pointed out that I have medium skin thickness. He recommended no change to the length of my nose. One surgeon that I consulted thought my nose was a bit long.

Surgery booked – I felt at ease with Dr. Boahene after the consultation and knew in my guts that I would choose him for my revision. In fact immediately after the consult I asked his assistant about available surgery dates. In the coming weeks after the consult I exchanged with him a couple of emails asking more questions and he promptly responded with detailed answers. So far, I have found Dr. Boahene to be very knowledgeable, personable and down to earth. He also does a lot of ethnic rhinoplasty and this is another reason I chose him as I am of Middle Eastern descent.
It took me almost 7 weeks to think things over and I finally scheduled my surgery for March 25! I just can’t believe it.

Second consult – I scheduled another consult with Dr. B for March 5 to discuss everything once again and to make sure we are both on the same page. I will also ask him to show me the simulations for reassurance. If there is time I plan to show him some pictures of noses that I like.I will update you on this consult.

Thank you all for reading my post and for your support! I look forward to your comments. I will upload more photos soon!

Photos

Here are some photos. I will add more soon.

Post primary photos

It's so awesome to see your story up here! I honestly think that some noses need two phases (I think mine did). I hope this time you get exactly what you hope for. You're a beautiful lady!
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Thanks, Angiemcc for checking out my review. Amen. You are so sweet to say so!
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How exciting Zooster! I'm happy for you...I can't wait to read your updates.
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Another post primary photo

2010 post primary photos

Wide nose with bulbous tip.
I'm so happy for you. Good luck. You deserve the best especially with the extensive research you put into finding the right doctor.
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Thanks Debbie63, I really appreciate the nice words! Any news regarding your daughter's search for a surgeon? Please keep me posted.
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Good luck Z. You are such a nice and kind person to everyone. May God bless you. DrJ
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Current nose

Here are some photos that I took yesterday. There are many issues with my nose. Beside the crooked and bulbous tip, the nostrils are large and the left nostril is not at the same level as the right nostril. The bridge is not straight. I think the left profile is different than the right profile but this doesn't bother me and is not the main reason for the revision.

More photos

Good luck sweety, i do mine first, then it's your turn...
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Thanks dear. I hope we get our best noses.
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Noses I love

I know my results won't look like these noses but we are allowed to day dream. Right! Just for fun :-)
Hello Sweetie !! Good luck in all these process . Thanks for the support you are giving me .
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Thanks Nina26 for your support as well.
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Z, thanks for the answer to the Dr Joseph question. The doctor you will use for this revision certainly has an interesting background. I live in Nashville but have close relatives in the Bel Air area so he was one of the doctors I considered. I look forward to following your surgery and progress. Nasal surgery isn't that painful but it certainly takes a long while for swelling issues. Of all the facial surgeries it is one that takes a real expert so I hope you're result will be spectacular....grace
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I feel relieved

in the last couple of weeks I have been trying to tell my fiancé that I scheduled the surgery but I just couldn’t do it in person. So this morning I thought maybe I should tell him by sending him a text message. Well I did and now I fee relieved. He knew about my consultations but I never told him this is a revision. He doesn't think I need a nose job anyway but he is supportive of my decision.
Wishing you all the best of luck. I hope you finally get the nose you want.
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Thanks Nessa88. Amen. Appreciate your support.
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Are revision rhinoplasties that much different from a primary? I really did not know that so I'm glad I visited and read everything. Best of luck can't wait to see after pictures.
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Second Consult

Hello everyone,

I hope you are doing well. I had the second consult with my surgeon on March 5. During the consult photos were taken again and then I met with Dr. Boahene for about 30 minutes. Basically, we went over things that I don’t like about my nose. I mentioned to him I have noticed that my nose has changed so much in the last couple of years. I showed him some photos that were taken during different times after my primary that show my profile was straighter and my tip and nostrils were more symmetric. He said my nose seems to have collapsed and this happens when cartilage is removed and the nose is not supported. I am happy that he will do the closed approach instead of the open one. I still have a scar under the columella from the primary. Dr. B said he will fix it. I hope and pray that I don’t need any ear or rib cartilage.

Dr. Baohene explained to me once again what he would do to make my nose more feminine. He will make the bridge straight, reduce the tip and the width of the nose, and make the nostrils a bit smaller and more symmetric. We agreed that the length of my nose is fine. He seemed to understand very well what would look nice on my face. I showed him some photos of noses (the first nose on my nose wish) that I like and he agreed that this kind of nose would suit my face. As a reminder he asked me to bring those photos on the day of surgery. He showed me a computer simulation of my nose; hopefully my results will be better especially the front.

I still couldn’t believe it that I will be having the procedure in less than 3 weeks! But after I made the payment, I realized it is official and real!!

I’m scheduled to see my primary care physician next week for the pre-op physical exam.

I plan to get my post-surgery supplies this weekend.

List of post-surgery supplies:

- U-shaped travel pillow
- Arnica montana, Bromelain
- Arnica gel
- Vitamin C
- Hydrogen peroxide
- Antibiotic ointment
- Facial wipes
- Lip balm
- Gauz pads
- Q tips
- Saline nasal spray
- Humidifier (already have one)
- Ice pack
- Note book and pen to write when I took my med

Question: when should I start to take the arnica tablets?

During recovery I plan to have food such as:

- Unsalted crackers
- Ginger ale
- Jell-O
- Pudding
- Pineapple juice
- Home-made mashed potatoes
- Home-made soups
- Home-made smoothies

I found this recipe for a pineapple-banana smoothie that I like because it’s easy to make
You need
• 4 ice cubes
• I small banana cut into chunks
• 1/4 fresh pineapple - peeled, cored and cubed
• I cup pineapple juice

Directions: Place ice cubes, pineapple, banana, and pineapple juice into the bowl of a blender. Puree on high until smooth. The banana may be substituted with other fruits like strawberries or mangoes.
March 25th right around the corner -- all will be well - so start getting excited
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Yes, it's! Thank you so much for your support.
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Hello! I read your post today, and your story and nose issues are similar to mine. Today I was searching on mediterranean/middle eastern nose jobs, and the problems you have are typical for people from these areas. I read something by Dean Toriumi, MD, who is a well known nose surgeon in Chicago. He said that they are finding that ear cartilage is not lasting in many instances, and they are instead preferring bone from the ribs (not more painful than using ear cartilage). Please google his website soon before your surgery, in case that will have to be done for you. I am very anxious to hear how your surgery turns out because we are so similar, and am wishing you much satisfaction because I know how you've felt about this, believe me. Try not to expect the fashion model nose, because I also read that multiple revisions are much harder to achieve perfection because of scar tissue from the first time. I'm wishing you the best nose for your face!
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Surgery preparation

Last weekend I got all my pre and post surgery supplies. I’m glad I did that. So it’s out of my way and this weekend I can do other things on my list to do. I’m also done with my pre-op exams and was clear for surgery, that’s a relief. I started to take vitamin C as recommended. I was told to take Arnica Montana 2 days before surgery. My work leave has been approved, yay! I’m taking 9 days off work and with the weekends, it should be 13 days. I took these days from my personal vacation days because I don’t want anyone at work to know about my elective surgery. I hope 2 weeks should be enough for recovery. My surgery is scheduled at 1:45 pm on March 25. I wish it was in the mid morning because I will be fasting almost all day! I plan to take some food items with me like unsalted crackers, water, ginger ale etc. so I have something to eat after surgery. The surgery center is almost one hour and half drive from my house. I anticipate being home after surgery between 7-8 pm depending on the rush hour traffic. It will be a long day for me! I asked my surgeon if it’s better for me to stay in a nearby hotel the night after surgery but he said I should be fine to go home.

I hope everyone has a great weekend!

More before photos

Oooh it is coming closer .... Can't wait for your result !!! I hope your not to nervous xoxo
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Hi Cici1976. I just can't believe it's after tomorrow! I get nervous a little bit but then I calm down. Did you get nervous? Xoxo
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Yes ,omg I was soooo nervous , but before you know it you have a new beautiful nose! Everything will be fine , good luck sweety xxxxx
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My Day is here!!

Hi friends and supporters. Wow! Time does fly; I just can’t believe tomorrow I’m having my surgery.
I spent part of the weekend cleaning and organizing things around the house. I placed all my post surgery supplies in a basket so I have an easy access when I need them. I packed some food items and drinks that I will take with me so I can have something to eat and drink after surgery and take my medication. It’s going to be cold here tomorrow so I plan to wear warm and comfortable cloths.

I’m a bit nervous and that’s normal I guess, after all it’s a surgery. I remember before I had my primary I was too nervous the night before surgery that I didn’t even eat dinner!

My fiancé is taking me to the surgery and will be driving me back home after surgery. The surgery is at 1:45 p.m. and I have to be there at 12:30 p.m. I will be seeing Dr. Boahene before surgery to go over things that I like to be done to my nose. We are planning to leave early since there is snow in the forecast and traffic can get slow on the Beltway. Thank you all for those prayers and kind words. Your support means a lot to me and it truly has helped me to go through this surgery. PLEASE keep praying for me. I will update you as soon as I can. Take care!
How r u? I hope everything went well and u r resting. Let us know how u r doin when u can!
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Hi jcathope. Doing better. I just felt washed out after surgery. Updated today. I hope the swelling has gone down. Xoxo
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good luck today :) hope u get a lovely nose
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DONE!!

Hello my friends. The surgery went well. I got home around 8:30 p.m. I'm concentrating on the recovery procedures. Thank you very much for your kind words. I will post the details soon. May God bless you!
I can't wait to see the results, I hope it all worked out well for you.
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Thanks friend. Amen. I appreciate your support!
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Good luck! I hope you love your result
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Surgery Day & Post Op Recovery

Hello everyone. I want to thank all of you for checking in and leaving kind words, I’m blessed to have your support. I’m sorry I have not been updating; I’ve felt tired and washed out during recovery which keeps me off the computer.

On the morning of surgery I got a call from the surgery center saying that the surgeon is ahead of time and if I could arrive at 12 pm that would be better. Anyway we were planning to leave home early. The snow was not bad and we arrived at the surgery center before 11 a.m. I signed some papers and then just waited. Surprisingly I was not that nervous as I was waiting. I just had some headache and I guess that was from lack of food and drinks. At around 12 pm a sweet nurse called me and escorted me to the prep room and I changed into a gown. At this point I started to get nervous. They called my fiancé and he came and I felt more comfortable. Another sweet nurse came into the room and asked me lots of questions about my medical background. They started the IV fluids and my blood pressure and pulse were taken. During this time I felt cold. The nurse was so kind and brought warm blankets and a warmer. After that it felt so good and warm. Then the anesthesiologist came. She was super nice and soft spoken lady. She explained things to both of us really well. Afterwards Dr. Boahene came into the room. I discussed with him what I want done to my nose. He talked about the possibility of the rib cartilage then he left the room. I felt the urge to go to the bathroom and the nurse said I can do that before surgery.

At 2 pm I was taken to the surgery room. On the operating table I was made comfortable with warm blankets. The anesthesiologist was talking to me and she kept saying how adorable my fiancé is ? and asked me how we met. I just remembered telling her how we met and after that there was a BLACKOUT!! I woke up and found myself in the recovery room with one of the nurses and my fiancé. I was told that Dr. Boahene came to talk to me in the recovery room but I vaguely remembered seeing him. My fiancé told me that Dr. B came and told him everything went well. I felt relieved that the operation was over and I’m ALIVE and going home! All the nurses were very professional and nice and did everything to make me comfortable.

My procedure took 3 hours and 8 minutes and the doctor decided on the open technique. Immediately after I woke up from surgery I was groggy and had a sore throat as a result of the intubation. I was in the recovery room for about an hour and a half after the procedure. I was given cranberry juice to sip on. The nurse offered me some crackers but I didn’t feel like eating right away.

On the way home I was a bit hungry and had a soft cereal bar and drank the rest of the cranberry juice. The ride home was fine. My fiancé thinks if we had to do this again then we should have stayed in a hotel and driven home in the morning. The reason is because the anesthesiologist cautioned that I might get nauseated afterwards. The nurse told my fiancé they would give me medication to prevent nausea. That worked very well and I didn’t get nauseated at all. We arrived home safely around 8:30 p.m. and I took my medication and went to bed.

On the second and third day my throat was hurting so much. I took some throat drops and it helped a bit. Yesterday and today my throat feels much better. The hardest part of the recovery is the inability to breathe through the nose which makes your mouth very dry. My nose feels very stuffy. Also sleeping upright is hard and makes my back stiff. I have been taking it really easy especially the first two days. I stayed in my bedroom all the time. Yesterday and today I started to walk around my bedroom and outside the room a little.

The day after surgery the nurse called to check on me. Yesterday Dr. Boahene also phoned to check on me. There were some surprises during the operation: first of all I had enough cartilage in my septum so I didn’t need ear/rib cartilage. Secondly, he said my septum was very crooked and he straightened it up and this should help me breathe better through my nose. He placed a splint to keep my new nose in its place.

Recovery food: I have been eating very soft food like oat meal, mashed potatoes, pudding, jello, smoothies, etc. I really recommend homemade chicken soup and papaya. My fiancé is around and taking care of me. What a blessing!!!

I iced for the first 48 hours and luckily I don’t have any bruises. I do have some swelling on my face and that is normal.

I got very constipated because I didn’t take stool softener until yesterday. So I would recommend that you take it on the second day after surgery.

My follow up appointment is on Wednesday April 2 at 1:30 p.m.

I will update again soon on how my recovery is progressing. If you have any question please fell free to ask me. Thank you again for those sweet words. You really have helped me go through this. I love you all.

P.S. when I came back home after surgery my cat was staring at my nose! She is staying with me in the room and wouldn’t go anywhere else. I Love you sweeeet cat!

post op photos

Good luck Habibi can't wait to see ur full result ! Keep Posting pictures
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Thanks honey! Will do.
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Hi! Thanks for updating us with your recovery. I'm glad to hear that everything is going well for you. Your experience is really helping me out and calming my nerves - i'm preparing for my revision (2 weeks away!) I can't wait to see what your nose looks like under the cast! I have a feeling it's going to turn out great! :)
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5-7 days Post Recovery

Hi guys. So tomorrow the cast and splint will come off. Can’t wait for that to happen and be able to breathe through my nose. Right now I’m not thinking about how my nose will look aesthetically after cast removal, but my excitement is all about being able to breathe through my nose and not feeling this itchiness that drives me nuts.

In the last few days I have been up and around, sometimes feeling exhausted and washed out. My nose hurts, sometimes getting prickling pains and other times stabbing pains. It’s very stuffy. I remember Dr. B me told me just before surgery that if he uses the cartilage from my septum then I would feel vet stuffy. I have been cleaning my nostrils twice a day with hydrogen peroxide diluted in water using Q-tips and then I put antibiotic ointment and moisturizer. I moisturize the incisions whenever they get dry. I have found that Arnica gel has a soothing effect when applied on the incisions. The left nostril is constantly dripping mucus and this irritates the skin around the nostril. I use a small Kleenex tissue to dab the mucus.

Sleeping at night has been hard due to the stuffiness and dry mouth which makes me wake up every 1-2 hours. I keep a bottle of water on the night stand and sip some water whenever I need to. Also, usually I sleep on my side and I find sleeping on my back all night is very tough. Last night was the hardest. I experienced post-nasal drip a couple of times and that kept me awake for a few hours. My lips were painful. I rub some antibiotics on them and that helped. My poor cat would wake up and look at me as if she was saying “are you okay dear?”

My back is another story. It has been aching like crazy; I did some stretches today and that seems to help a lot.

Overall recovery is harder this time than after I had my primary.

I continue to eat the low sodium diet. I have been eating lots of strawberries, kiwis, mangoes, pineapple, and my favorite fruit papayas.

My cat is the sweetest thing. She stays with me and follows me wherever I go. She’s always curious about new stuff, like she wants to sniff the post recovery supplies. She likes to stay in the sink watching while I clean my nose.

My fiancé has been – as usual- an angel. He is making me fresh home meals and always reminding me to stay positive throughout.

I am ready for tomorrow, which right now feels far away. I have prepared myself for the reveal and honestly I don’t think my nose will look great immediately after cast removal because I feel it is super swollen especially the tip. I will update you soon. Thanks for reading.

Some photos

Here are photos taken today.
Good luck tomorrow! I will pray for you.Ewerything bee good :)
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Thank you very much for the prayers.
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Good luck tomorrow. Hope all goes well for you.
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photos

Did you get your cast off yet?
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I surely did!! and what a relief!! I felt so great when it came off.
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Hope that you are up and running and enjoying your new nose :)
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Cast removal and.........

Hello friends,

I hope you're enjoying the weekend. First I would like to thank you for your kind messages and I apologize for not updating sooner. After cast removal I have been taking things easy, relaxing and enjoying the rest of my vacation.

So last Wednesday I went for my follow up and cast removal. The nurse called me and then I was seated comfortably on a chair. She then started the process by peeling the cast. To make things easy she put some sort of a solution. As she was pulling the cast I felt like my whole nose is being pulled off. It was not painful but uncomfortable. When the first half of the cast was peeled off the second half peeled a lot easier. I felt some relief immediately. Then she started removing the sutures but first she cleaned them with hydrogen peroxide. Some of the incisions hurt as they come off. Here comes the worst part, which is removing the splints. She was reminding me that I do have splints so the process is not over yet. Then in a split second she started removing the splint in the right nostril. Ouch it hurts so much and I screamed. But she continued and pulled it out. Then she said you got another one in the left nostril and she pulled it. The second one didn’t hurt as much as the first one. At this point I felt much better. She continued the process and cleaned my nose.

Afterwards I just can’t describe how relieved I felt. I felt like a human again!! The nurse asked me to wait and Dr. Boahene would see me shortly. There was a mirror next to me but I didn’t want to look at my nose because I wanted the doctor to be present when I look. In about 10 minutes or so Dr. Boahene came into the room and greeted me warmly. He was thinking to remove the splints but I told him that the nurse did that already! He then examined my nose and cleaned it some more. He also massaged it a little. While he was doing that I asked him to tell me the details about the operation. He said my septum was very crooked and he fixed that and it should help me breath better now. He further explained that when the hump was removed and my nose was shortened during the primary rhino, the tip was left without enough cartilage so it didn’t have any support and eventually collapsed. I also had a lot of scar tissues. Of course Dr. B explained this process much better. This explains why my tip looked so huge and the base got really wide after the first op!! I had no cartilage in the tip!

Then Dr. B actually asked me to breathe through my nose after he was done cleaning it. I took a deep breath and felt all the air going through my nose. It was a very good feeling for the first time in a long time. Wow I haven’t been breathing well though my nose in years! I thought it was all due to allergies because that’s what my allergy doctor told me. I told Dr. Boahene that I could breathe better and he was very happy.

Well, now comes the moment that all of you have been waiting for patiently. Viewing the NEW NOSE. I told Dr. Boahene that I haven’t seen my new nose yet. He grabbed the mirror and handed it to me. I was expecting to see a huge swollen nose because that’s how I felt about the swelling and its effects. I looked at the mirror and it’s not what I was thinking. My nose was smaller and with smaller nostrils and an improved symmetric tip. At this moment I couldn’t hold myself but cry out of joy and told Dr. B my nose is beautiful and smaller. I hugged Dr. Boahene maybe 3 times as I was looking at my nose in the mirror!! Hahah. I could tell from his eyes that he was very happy with the results. He said it will even look nicer when all the swelling subsides.

When I got home on the day of surgery, before the swelling started full force, and then again in the morning of the second day before much swelling, my nose looked narrower and I realized he made it nicely narrow. I think this is how it will look after all the swelling is gone.

Another fact to mention is that my nose looks so natural after the revision. This is not true after I had my primary. In fact my nose after the primary looked so huge and had that operated look for months. My fiancé is impressed with the outcome. He said my nose looks proportional and in much harmony with my other facial features.

By the way the doctor also taped my nose and gave me some tape to take with me. I taped it last night. So, I don’t know for how long I should be taping it. Anyone has any idea?

My follow up will be in 6 weeks and my doctor said he would inject steroid to decrease swelling.
In the last few days after cast removal I have been breathing much better through my nose. I have been getting good night sleeps. It’s really a blessing to be able to breathe through my nose after all these years. I can say that the procedure has delivered dual benefits function and aesthetics. I am very grateful to God, the Almighty and then to Dr. Kofi Boahene!!

Thank you again for your great support throughout this process. I look forward to your comments and inputs. Enjoy your Sunday!!

Here comes my new nose

All but the first photo were taken yesterday. Keep in mind there's tons of swelling especially on the tip.
Thank you for the detailed update Zooster! I'm so glad that you're pleased with the results so far! I can't believe you were able to refrain from looking in the mirror until the Dr. came in...lol. I can't wait to see photos when you're ready to share. I'm sure it will continue to get better and better! Best wishes...
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Hi Faith2010. I didn't care to look in the mirror because I was so relieved and felt great after the cast was off and wanted to enjoy it..hahaha. I just added photos!
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You look great and its only get better! Yay!
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more photos

Sorry the first photo was taken on cast removal day
Wow your nose look very nice sweety!!!!! And it Will only get beter ! I tape my nose every night, the swelling reduce a lot with taping. I'm very happy for you ,WE DID IT!!!!!! Yoehoooo ! Xoxo
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Thanks a lot dear. Okay great I will tape at night. Yes we did it!!!
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more photos

Happy for you! I just had my primary Rhinoplasty 5 days ago and found your review very helpful. Thank you for sharing! You look great!
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Welcome to nose land -:) I am glad my review is helpful. I hope you have a smooth and speedy recovery. I look forward to your updates. Thanks for checking in.
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You look GREAT! Glad it went well.
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Quick Update

Hi everyone. Sorry for the delay in posting an update. I have been under the weather as I had a strep throat. I went to the doctor and he prescribed antibiotics so I'm feeling better today.

I’m 3 weeks and a day post op. Overall, I’m happy about the outcome so far. I just hope my nose gets more definition on the tip and becomes narrower. I know it’s too early in the process so I have to be patient. My nose is hard to the touch and I can feel there is still a lot of swelling especially on the tip and on the sides of the bridge. The nostrils are a bit uneven, with the left nostril is a tiny bit bigger. I'm assuming this might be due to swelling. I also get those pins and needles feelings from time to time but it’s not bad. I continue to tape my nose every night but I don’t know if it makes a difference. I think my nose is still big and hope it will shrink more especially on the tip and sides of the bridge.

I went to work last week and no one noticed anything about my nose! I guess the change is subtle and natural, which is great. It was a bit difficult to be back at the office as I would easily get exhausted. In my opinion it’s better to take off 3 weeks off if you can. It really helps you heal well when you're home relaxing, eating healthy food and taking naps.

My follow up is in a month. My Dr. intends to give my nose steroid injections to reduce the swelling. I read that steroid injections help to break up swelling and scar tissues. Any one got steroid shots? What do you think? Does it help to reduce swelling? Thanks for reading. I look forward to your comments.

Photos

more photos

Looking good! :)
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Thanks.
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I'm so happy for you! Your nose was definitely improved! I hope you're happy How are you feeling?
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Photos

I thought it would help me compare the results by putting b/a pictures next to each other. I am also uploading photos taken today while looking at the mirror. As I said before my nose looks better in the mirror and in person than in photos taken by smart phone!! Has anyone else noticed this about their nose?
You look great! I agree with the smartphone thing ha
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Thanks for your kindness.
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How have you been? My surgery day is around the corner. I'm so so nervous.
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Two months post

Hi guys. I hope you’re enjoying the nice spring weather! Many of you are asking how it’s going for me so I thought I would update you. I’m almost 2 months post. My nose is still swollen and the tip is hard. Sometimes I still feel it’s big but that’s apparently because of the swelling. So, I won’t really know if I’m completely happy till all the swelling is gone. But overall I think my nose looks way better than before the revision. Last week I had my follow up. The doctor said I still have about 50% of the swelling. so that means my nose is still shrinking. He decided not to inject steroid on my nose for now. But he said he might inject in 3 months because scar tissues could develop on the tip. He is happy about the results.

Photos

Here are some photos that I took last Saturday. I have to say again that the smart phone photos don’t do justice to my nose. It’s looking much better in person. But for now I thought you might be interested in seeing updated photos!

photos

How are you doing? Can't wait to see how your nose is progressing!
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Doing great and my nose is healing very well. Thanks for asking.
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Thanks for the updated pics Zooster. You look great!
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3 months post

My nose is healing and there's still swelling on the tip as expected. Here are some photos.
Your revision looks great & fits you very well. Beautiful :)
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Thank you for checking in and for your support!
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beautiful
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Almost 4 months post

Hi folks. I hope you're doing well. In a few days I will turn 4 months post. Overall there has been a great progress in terms of swelling. But the tip is still bulbous and hard and I know this is due to swelling. So I’m hopeful the tip will get more refined as the swelling subsides. I also have uneven swelling with more swelling on the right side of the nose. The right nostril is a bit larger than the left one and it might be due to swelling. My follow up is next month and my surgeon intends to inject steroids. I hope this will help to de swell the tip.

Here are some photos that I took a few days ago. As I said before my nose looks better in person.

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The left photos are 25 days post revision. The right photos are almost 4 months post revision (July 5)

4 months post

Here are more photos from different angles taken on July 5.

more photos

Wow! So happy for you! Quite an odyssey. I'm struggling with my own decision just to do the primary one and have so much fear about the possibility of having to go through a revision. I admire your courage, hope that at my ripe old age of 59, I'm still a viable candidate, ask all the right questions and find it in me to trust the doctor. I know that we all heal differently, there are never any guarantees but I don't want to be in limbo for the rest of my life. Thank you for sharing so much and posting photos. You look beautiful and completely natural!
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Thank you so much for your kind words. I appreciate your support. From my humble knowledge there is no age restriction with rhino. I have seen 60+ years old persons who had undergone the surgery and they did very well. It's a pleasure to share my story with all of you.
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Zooster, you look so pretty! Dr. Boahene gave you a wonderful result. Happy healing!
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My next follow up

Hey guys. So far my nose is looking good and the swelling is going down except the tip which is still hard. The right nostril is a bit larger than the left one. It also has a different curve. I noticed this since the early days after surgery. It's not bad and it doesn't bother me a lot. All in all I am happy with the results. My nose is much better than pre revision.

My next follow up is next week and Dr. B will inject steroids. I heard from other reviewers here that the injection helps a lot with swelling. I am excited and look forward to my appointment. I am posting some photos. I still don't get good front pictures of my nose. The sides of my nose have more definition than what we see in these photos. I just hope one day I can get professional photos so that you may see the improvement in my nose.

Recent photos

Hey, Zooster! Just wondering…Did Dr. B tell you to tape your nose at night? I have not been taping, but I noticed you have tape on your nose in some of your pictures taken after the cast removal. I have a lot of swelling in my tip, and I'm wondering if taping will help. Also, did you ever get your steroid shot? If so, do you think it's helping with the swelling?
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I know you asked Zooster, but I've been taping at night along with using nostril retainers.
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What are nostril retainers?
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Steroid injection - Ouch!

I hope all of you are enjoying the summer! So I had my 5 month follow up last Wed and my doctor injected steroid. I got 2 injections on the tip and it hurts. The tip of my nose turned red and it was tender for a couple of days. But now the redness is gone and it feels fine. The steroid is supposed to work gradually over the course of 6 weeks. I have already noticed a bit of reduction in the swelling and can’t wait to see how it will look like in another 5 weeks. The tip is still hard to the touch. My next follow up is in November and the doctor will inject me again in small amounts. I’m still having trouble with selfies because they tend to make my nose bigger and with no definition. I will try to post some photos soon.
i got a steroid shot at my 2 month check up in the bridge , it really made a difference, i was just thinking i may need to get one in my tip!
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Good to hear that! My doc injected on the tip on both sides. I think you should. My nose is getting mote refined after the shots.
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more!!
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Post steroid shots

I hope you're enjoying the weekend. As promised here are some photos that I took today. It has been 17 days since I got the shots and I have been seeing great improvement in terms of refinement and decrease of swelling. I'm happy with the outcome so far. My nose looks much better in person especially the tip. I can't wait til all the swelling is gone.
Your results look good!Thanks for sharing your journey with us!
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Thanks for checking in.
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Thank you for all of your updates Zooster! I have been reading your posts for months but have finally got the nerve to actually start posting. I don't ever see anybody with a nose like mine, so I am terrified of what realistic outcome I can expect. You have been so open and so transparent so thanks to you and some other members of the board, I am finally getting the courage to follow through and meet with Dr. Boahene finally.
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6 months post!

I can’t believe I’m a little over 6 months post and almost 7 weeks post steroid injections. After 3 weeks or so post injections I haven’t noticed any further reduction in tip swelling. The swelling still fluctuates, last week I noticed the bridge and the tip were swollen and my nose looked exactly like before I got the injections. But the swelling has subsided and things look better now. My next injection appointment is in mid November. Recently I sent a picture to a friend that I haven’t seen in 6 years, I expected that she wouldn’t notice my new nose but she just commented “wow you look much better than before.” Few weeks ago as I was leaving Wall Mart and was at the parking lot a little girl looked at me and said “you look like Anna in the movie Frozen”; lol.
Here are some photos taken few days ago!!

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Beautiful!!!!! Happy to past by your profile and seeing your amazing progress. Of course must thank you for being such a breath of fresh air when I was going through my rhino journey
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Nice sweety xxx
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Thanks. XoXO
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7 months post

Hello folks. I hope you're doing well and enjoying the fall weather.

I haven't noticed any reduction in tip swelling. It's still hard to the touch. Next follow up in 3 weeks. I am still happy with my overall outcome. Here are some photos.
You look so good zooster!
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Thanks. I really appreciate your support.
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You look great :) Are you happy with your results?
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Baltimore Facial Plastic Surgeon

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