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POSTED UNDER Rhinoplasty REVIEWS

Not looking back!

ORIGINAL POST

I have been lurking on this site since about May...

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rabbitsrabbitsrabbits
$10,000
I have been lurking on this site since about May of this year. I was so delighted to stumble upon it! It has kept me up long hours in the night countless times, I will admit. It has opened up a world to me that would have been pretty inaccessible otherwise. I don't know very many people who have had cosmetic surgery other than my mother who got breast implants in the early 90s. I wasn't really ready to put myself out there quite yet--but with surgery in less than two weeks I needed to share/document what is going on in a less isolated manner because other than my mother, not many people in my life support me in this decision.

Like mostly everyone on here, I became aware of my larger nose around puberty. I distinctly remember sitting in class in middle school and high school turning my head away from people I had a crush on (among others) in fear they would see my profile and think I am ugly. I wish I could comfort that little girl now, how silly it was (I am MUCH more accepting of myself now). But at that age feeling accepted and pretty was very important at that time.

I never really obsessed over my nose. I actually avoided looking at it and just tried to focus on other features (it wasn't difficult as my profile is what I don't like most and who even sees that (other than photos, which I just avoided)). I use to wear a lot more make up to play up my eyes and lips to distract attention from my nose. But as I get older (I am 26 now), I enjoy wearing less make up and know I would feel a lot more confident with my naked face if my nose was a bit more in proportion to other features. Not to mention I still experience minor break outs and other skin imperfections (scars, unevenness, etc.) and in the process of using somewhat harsh prescription creams (which I will be using for probably many months to a year or more), I want my skin to be as natural and not irritated as possible (by not wearing make-up). Of course this is not my main reason for a rhinoplasty.

My reasoning…I just never liked my nose and can't change it through dieting and exercise. I have tolerated it, we've coexisted. I even got the thing pierced when I was 19. But throughout the years, I always swayed and landed in the "someday I HAVE to change this" pile. It's my dad's nose and I am not close with him/have little family pride in that regard. My nose also has the predisposition to become more and more droopy and larger with age (just looking at my parents I can see my aged nose).

A lot of the reason I chose to do it now is because I want to prevent my nose from further drooping and getting even more out of proportion with my aging face. The sooner the better because I can enjoy more of my life with a nose I am happier with. And I saved for a long time and do not have kids and am not married yet so spending the money more selfishly is okay by me. I just don't have the financial responsibilities I will with a family.

One thing I have struggled with most during this whole process is justifying it. I have always took care of myself (exercised, put fourth some effort to look my best), but never would consider myself excessively vain or superficial. To spend such an absurd amount for what many consider a minor enhancement, has made me question my values and morals. When I do have children, what do I tell them? "Do as I say, not what I do?" NO! How can I teach them to accept themselves the way they are when I can't do that myself? I have juggled anxiety and and depression for more than a decade and I fear that "giving in" to the "easy way out" (changing myself from the outside in, not the other way around) may make me feel disappointed in myself and contribute to my depression.

My boyfriend certainly does not help. He has said getting this procedure will impact our relationship in a very negative way. He will lose respect for me. He is a really nice, loving person, just very stern with his standards when it comes to vanity and being "fake." He always tells me he prefers me without make up. Weird, I know! Haha. He just values genuine and does not believe this surgery will make me feel better about myself. He said me wanting this is like me wanting to get my legs cut off, it feels as though I am taking something very fundamental away from my appearance.

I probably should have started writing sooner, as I haven't even gotten to my actual experience with consultations and what brought me up to this point with surgery in less than two weeks. I'll save it for another day!

But for now, I'd just like to know how others have coped with lack of support and maybe how they felt after surgery regarding depression and if their self esteem really improved. How mothers dealt with telling their children, especially if they were around puberty or in their teens. How their self-respect changed (if they were similar to me as in not investing a drastic amount of time and effort into their appearance).

In addition, I hope I can help others during this journey. Although I have a very minor hump, I am more concerned about the tip of my nose and I do not see a lot of people with a similar nose to mine on here. Maybe they are here and buried or don't post pictures because the alteration isn't as extreme as going from hump to no hump. Maybe people with noses like mine don't get nose jobs. Am I being petty? AM I CRAZY? I only told four people about it and my two closest friends don't understand why I want it done. It surprised me that they didn't notice. Can anyone say I WOULD benefit from a rhinoplasty? Even though saying it's not necessary is NICE, I need to know that it won't be a waste…because I do want it and want to hear, "I guess I could see how it could be improved…" Either way, I hope I can help others in need of support or knowing how the results will be with my particular nose.

rabbitsrabbitsrabbits's provider

Sam Naficy, MD, FACS

Sam Naficy, MD, FACS

Board Certified Facial Plastic Surgeon

4.7 | 281 Reviews
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Replies (29)

August 20, 2013
Hi I just wanted to wish you all the best and throw in my two cents. I had nostril reduction surgery (also had the tip lifted a bit). Please be very comfortable with the simulation images you've posted here before going through with the surgery. I had the same concern with the base of my nose possibly being too 'wide' after surgery and it's something I came to accept as part of the trade off because moving the outside of the nostrils can be a very risky idea. The scars that could possibly result from narrowing the nostrils is something you should seriously consider. Some people don't scar well. If he doesn't narrow the nostrils the only scar you will have in under the middle section, which is basically imperceptible. I would not sign up for scars around the outside of your nostrils. Just something to think about. It's going to look great! Best of luck!
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August 20, 2013
Thank you for your advice. I could tell my surgeon was very reluctant to make incisions along the alars to narrow the base of my nose. He said he will look at the proportions of my nose after he does everything he plans to do and decide during surgery. This makes me a little uncomfortable (making the call when I am out), although I do trust him (obviously) but I trusted a lot of tattoo artists I shouldn't have trusted as well, haha! No but really I do trust his judgement...and was probably good that he was reluctant to agree to narrow the nostrils as breathing is very important to him as it certainly is to me! I have never had trouble with minor scars but because it is a much deeper cut I would worry, you're right. I tell myself that the crease will hide it but who knows, really. I do appreciate your input, thank you!
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August 20, 2013
Also, you inspired me to contact my doctor and just "go over" everything and discuss the simulations again. I want it to be clear I am not satisfied with the front view. He said making an accurate front view is nearly impossible given it is 3D. I am familiar with Photoshop and it's capabilities (not sure what fancy program he is using to edit), and know it would be much easier morphing the profile...but thanks again!
August 20, 2013
That is so funny about the tattoo artists! ha. If you want I can send you a photoshop morph of the front. I'm really good at photoshop. But it may not be possible to get that 'perfect' frontal view without some significant risk. My feeling is if the doctor doesn't feel comfy doing a certain procedure, don't force him to. send me a PM.
August 20, 2013
I had alarplasty with my surgery and the main thing that bothers me is not the scars but a collapsed nostril which can happen with alarplasty. If you decide to go that route make sure that your ps can do a good one. Best of luck!
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August 20, 2013
I can tell my ps is NOT fully on board with messing with the alars. He said he'll see how it looks after everything is else done during surgery. How obvious are your scars? Can you still see them even if they are minor/hairline? Thanks for the well wishes!
August 20, 2013
My scars are not too bad. The one one the right is more visible, but I don't really think anyone would notice it unless I pointed it out. The PS that I went to see shortly after my rhinoplasty said that he wouldn't have messed with my alars as he only does it in extreme cases. He said that narrowing the tip would have been enough in my case. I honestly think that it was a mistake getting an alarplasty because I feel like my nostrils are too far in. They don't line up with the inner edges of my eyes and they should in order to give a face symmetry and balance.
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August 21, 2013
I can see that. Yeah, I would assume that procedure might be more appropriate for extreme cases. I appreciate you sharing your experience and thoughts in retrospect. I think I read somewhere the width is supposed to be the distance between the eyes and I think someplace else said the width of the eyeball. The latter sounds far too narrow, maybe because my eyes are not super large so going by that guideline my nose would have to be super thin. Anyway, you still have to be careful with generalizations because other features of the face has to be put into consideration. I am happy to hear your scars aren't that visible, though :) Did you consider getting a revision (you said you went to a (different?) ps after your rhinoplasty)?
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August 20, 2013
The morph profile looks great and natural but I don't think the front morph looks good on your face. This is because the nose looks flat with a wide tip and the nostrils are not visible. If you don't feel comfortable with it you should discuss that with your ps. Good luck.
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August 20, 2013
I agree! Thanks. One of my friends said the front looked fine in the morphs and I was like, WHAT? It makes me feel really picky and crazy but it just does not look like an ideal nose AFTER a rhinoplasty. Thanks for agreeing...I will be sure to discuss this with my ps.
August 20, 2013
are you going to NAficy???? PLEASE PLEASE PLEASE keep us updated he's number one on my list
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August 20, 2013
I absolutely love your....enthusiasm to know who my surgeon is. And you got it! Great investigative work! I am going to him! Isn't it so disappointing to not find very many recent reviews on here with him? I was super annoyed with it. All the reviews in my area (Portland) are old and there aren't really many photos. I think maybe because his patients go to him for natural work because they don't want to look like they've had one (so they like privacy) or they don't have internet to access Realself (probably the first theory). But he was number one on my list...but after only going to two consults. I trusted my instincts with him and his experience/capability. He seems to know what can be done and is realistic and seems to be articulate. I will be updating tonight...but no pics until next Wednesday! If you want to ask me anything, feel free! I'll be active on here.
August 21, 2013
Hi rabbit yes I was excited when I guessed right. He does tend to lean more towards the natural look which is great news. Were you able to see any photos in his office?
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August 21, 2013
Yeah I was. They have this iPad that I am sure if you asked, you could go through them. Dr. Naficy said that his site does not show all the before and afters and he has hundreds, HUNDREDS on the iPad I could go through in the office if I wanted. I had asked because I wanted to see patients who had similar noses and on his site there was only one girl who ha some similarities. He offered me to look through more but I guess I had my mind already made up so I didn't. But just so you know, there are more to be seen! :)
August 21, 2013
hundreds??? I think I've died and gone to heaven. That's also good news because he obviously has so much experience and has probably seen every case, and what works and doesnt.
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August 21, 2013
Well I think to some degree every nose has it's requirement for creative problem solving. Because everyones nose varies, not necessarily aesthetically, but anatomically (all the different layers and structures of cartilage), underneath our wonderful skin (definitely wouldn't want to see what's going on underneath it! Haha). But you're right, he has had a LOT of experience since rhinos are the majority of his practice. He told me hundreds so whether he was embellishing or not...I wouldn't know because I didn't take him up on his offer. But I wouldn't be surprised if he had a very large portfolio you could feast your eyes on and drool uncontrollably.
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August 22, 2013
I went to Naficy and yes, I removed my pictures from Realself because of the whole privacy thing! He was great for me and my nose.
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August 24, 2013
That's good to hear! I hear such great things about him. I don't feel like I have explained what I wanted thoroughly enough but I am paranoid like that. You trusted his vision and style, I am assuming? Did you feel the same way? I thought about the whole photos thing and lack of privacy. Even with blacked out eyes, my physical identity is still in these photos. I don't know if I'll leave them all up for the rest of time. I feel too exposed. But I needed the support now so I took the risk.
August 20, 2013
oh and ignore your boyfriend, he's clearly insecure about the whole thing. Do what makes you happy girl, we only live once
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August 20, 2013
Thanks! Yeah he is insecure because he already thinks I am the better looking one out of us so I guess this might just increase the gap. Haha. Regardless, he has a super cute nose and nothing on him requires the intervention of science and art. He only struggles with weight but that is more in his control than my nose. Anyway!!!!!
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August 21, 2013
Girl he is insecure my bf notices men looking at me a lot. I work out so yes my body is pretty toned. He doesn't lol he feels bad taking his shirt off. I assure him I love him the way he is and women fall in love mentally not physically.
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August 24, 2013
Probably a little insecure. But I don't think girls only get checked out for their body. A lot of it has to do in a way a woman carries herself. People can appear much more attractive just the way the hold themselves. I am not sure if women exclusively fall in love mentally, not physically. But they certainly value personality maybe more than some (superficial) men. Being healthy and having good hygiene is crucial for the attraction of both sexes! :)
6 days pre

The Beginning

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rabbitsrabbitsrabbits
When I started looking at surgeons in May, I lived in Michigan. The only doctor that appealed to me was Dr. Theodore Golden in Troy, MI. I set up a consultation but ended up moving to the pacific northwest and so I had to cancel. Looking back, he does very cute, "perfect" noses but every patient had the same nose. On his website, he had a picture of a mother and daughter with splints on their noses. That image didn't appeal to me. I guess in context it looks more natural that the mother and daughter had the same nose! After noticing all the noses he did were the same, thought this was good in the beginning stages of my research. At least he is predictable! He only did closed rhinos and I thought that was better because it was less invasive. And I thought, he must be good because he can do it basically without seeing what he is doing. But it turns out, it obviously really limited him from doing a variety of noses and making the noses really compliment other features on the face. So it's probably best that didn't work out. Reviews online sounded good and I do wish I could have at least met him but it wasn't meant to be I guess.

Replies (4)

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August 21, 2013
I've never PMed before! I'm on it.
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August 24, 2013
^^^meant to be someplace else, obviously!
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August 23, 2013
Rabbitsrabbitsrabbits-I really enjoyed reading your story. Just remember that YOU are in control of YOUR body. Yes you should value his opinion but by saying things like he'll lose respect for you and it will impact your relationship negatively...well that's pessimistic and almost setting you up for failure. I got my nose done a year ago and don't regret it for a second. I actually laugh at how scared I was during the whole process. I would do it all over again. I struggled with the justification too, but a year later it's a very freeing feeling.
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August 24, 2013
I appreciate that you enjoyed reading my story. It's so comforting to know that I am far from alone in this and people have had similar struggles, especially with the justification. A small part of me fears that I will regret it (even just a little?)...that it might be such a slight change and I'll wonder if the cost of both money and my boyfriend's "respect" was worth it. I try to imagine myself being happy with it, I feel foolish to say I know I will. But especially after time with it being less swollen and all...I can't wait to see how I'll feel in a year's time. Thanks again for your encouragement!
4 days pre

After I Relocated...

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rabbitsrabbitsrabbits
My first actual consult was three hours away from where I moved to the west coast. Dr. Naficy in Bellevue. I didn't actually meet him, but a patient care coordinator (I think that was the title), because it was free. Since that was my first consult, I didn't want to say goodbye to any money quite yet. Plus it was all new territory (literally and otherwise) and quite honestly, very weird and nerve-racking for me. The staff was really great – especially the patient coordinator Julie, who I met with. She was really approachable and kind. It was a successful first consult. I had like, three pages of questions I thought up and got some from online and she answered almost all of them (some only the surgeon could answer). Because I had drove all that way, she went ahead and took pictures for the doctor to make simulations from. Because I hadn’t went to any other offices, I wasn’t really able to put this first appointment in perspective. But then…
My second (free) consult was later that day with Dr. Ridgway at The Larrabee Center. As with the first office did, I felt generally uncomfortable walking in, feeling judged by anyone who happened to be in the same building, the flies on the wall, the plants. I felt just so out of place amongst the people in the waiting room. I feel like I spent a lot of time at his office, he was very talkative and added a lot of unnecessary information when answering the questions I was asking. But he had an air of arrogance to him I was not fond of. It wasn't mere confidence, but just....he tried too hard to make me believe in him which made me wonder, what is he trying to compensate for? There was that and then when I asked him to show me past patients before and afters, he got kind of weird about it and said yeah...but then when he went to go fetch it, he came back and said he didn't have one or something. Honestly, I don't remember it very clearly but he did/ said something weird and he left the room to get it and then told me I couldn't look at it due to his duty to "protect the privacy" of patients. So I kindly thanked him for his time and went on my way.
My boyfriend was with me for both consults. He was pretty quiet the first one, and the second one he asked questions. I liked this, like he was getting involved in it. But afterwards, he said going to the consults made him even more against it. We fought a lot on the drive home and I broke down crying. And he thought that was the end of that! Ha! Little did he know...
A week or so later I got the simulations from Dr Naficy's office and it was so bizarre seeing a different nose on my face. I have never manipulated my own photos or anything...so it was the first time seeing any possibility of noses. It looked nice but I wasn't sure it was quite right--especially the front view. It seemed unnatural looking and just...forced? I e-mailed the patient coordinator my questions, she forwarded it to the doctor and he replied a short response and concluded for further discussion, I'd have to schedule a consultation with him. Shucks! I really wanted to put-off paying anything! But after thinking about it every day, losing sleep, really not letting go, I decided I'd drop the $75 for a consultation with him (which could go towards surgery).
A month or two later, I made a consultation with Dr. Naficy. When it finally approached, I was having a hard time finding the time to drive to his office (6+ hours total driving there and back), so I changed it to a phone consultation. I felt like there was so much hype about him, talking to people in his office, e-mails the wonderful but intoxicating internet...to finally hear his voice was so relieving. He was nice, answered my questions but it got kind of awkward toward the end. I didn't blame him, as I am generally a pretty awkward person. So he didn't lose my faith despite a little mutual uncertainty how to smoothly close a phone conversation. So...err...uhhh...bye now! Haha.
I told the patient coordinator I was talking to that I'd like to talk to past patients. She quickly put me in touch with a girl (I found out was) my age, had my values, my lifestlye and we spoke on the phone and texted. After this conversation, I was so ready to make my pre-op appointment and surgery date! I just needed a dash of support since it was lacking it in the boyfriend area! At this point I hadn’t told my mom that I was going to do it for sure.
I would say I am kinda a very thorough person. Just wanted to admit that.
So last week was my pre-op and it was very formal. Talked paperwork, how to prepare, expectations, etc. And I finally met the surgeon in person! It went well...we talked about my expectations, his. But it was a lot to take in. In a relatively short time (three months) I had my first consultation ever and am scheduled for surgery. I, inevitably, am a bit shocked. Waiting isn't ideal because I hadn't found (okay, looked for) a job in my new area yet and have had a long enough time to be idle and make myself crazy! Once I am back on my feet, resumes will be flying. I just knew I wanted this and didn't want to start a new job and ask for a week off for voluntary surgery.
Okay, now that we have excuses out of the way, back to the first time meeting my doctor. He asked me what my priorities were as far as things I'd like changed. After my first complaint (tip projection), it's not easy to really articulate things in accurate order...anyway, I didn't feel satisfied we were on the same page. I realized later I want to hear it from him what I want. He is a good listener but I want to know what he envisions for my nose, which is only capable of so much.
Today I talked to a staff member and she read the notes he wrote during our meeting. They were spot on, but I still would like to have better visuals…..I guess I am still worried about my front view. I am sure it will look normal/adequate but I just don’t want to feel this cloudy sensation.
Last weekend with my nose! I can’t believe this is happening. Any time my boyfriend brings it up there is major tension. We basically just avoid talking about it. I just worry once it’s over and I have a splint on my face and super uncomfortable, he may treat me poorly and unaccommodating telling me, “You did this to yourself, IT WAS A CHOICE!” I can hear him now… ugh. I’ll probably write updates frequently and pretend you all are my wonderful boyfriend listening to my complaint and feelings. Thanks in advance!

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