Very unhappy with revision results

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!

Here are some photos. I will add more soon.