Treatment Provider

Shahram Shahidi, BSc, MBBS, FRACS
Specialist in Otolaryngology – Head and Neck Surgery
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2.5 years post-op

After 18 months post op and countless filler injections to correct the dent and unevenness on the tip of my nose, i stopped treatment as I fell pregnant. I taped my nose every single night during the 9 months of pregnancy taking me to a total of 2 years of daily taping. I stopped taping the day I gave birth to my son, a few weeks before my 2 years Nose-anniversary. The top of my nose finally feel soft again but I the unevenness as not corrected.

Overall I'm not very pleased with the work done by Dr shahidi, i find my nose too curvy (ski slip), would have preferred a straight nose like in the original computer generated photo DR Shahidi had done for me, before the surgery. Instead he gave a bit of a piggy nose, with an uneven tip.

6 month post-op: issues with healing

Sorry for the late update. Attached is a photo taken a few days ago (no make up on) that clearly shows the issue with the skin not shrinking properly to the new bone structure on one side.

Has anyone had a similar issue? I'm 6+ month post op.

6 month post-op (3rd cortisone injection, 4th filler injection)

Hi All
Today I’m 6 month post-op. Sorry for the lack of update, life got busy.
- I saw my surgeon on July 2nd (4 month post-op) – he gave me a 2nd cortisone injection (to reduce the swelling) and a 3rd filler injection (for the dent in my tip).
- I saw my surgeon on August 27th (6 month post-op) – he gave me a 3rd cortisone injection and a 4th filler injection for the dent.
The swelling was still very uneven with the right side of the nose much more swollen. During my last visit, Dr Shahidi said he was happy with the left side but injected cortisone to get the tip and right side down. It seems to have worked as my nose is much smaller now but excess skin on my nose is now becoming obvious on the right side. To the touch it’s feel like loose skin (as supposed to tight and attached to the nose).
Also I thought I would write a quick summary of why I’m getting filler injections:
- On one particular spot of the tip, the skin has shrunk too fast within 2 weeks post-surgery. I thought it was part of the normal healing process as Dr Shahidi said healing would be a slow process, and not to worry about anything, that the swelling would be uneven etc. etc. etc.
- The result from the skin shrinking too quickly on a particular area created a large dent in my tip.
- Only when I saw the Dr again (2 month post-op – which I think was way too late for a first follow up appointment), the Dr freaked out about what had happen but it was too late, or was it?.
Since then I have had filler every time I saw the Dr (4 times) to fill the dent. Another related issue is a ‘blister’ like patch on my tip right near where the dent is. Basically it’s excess skin (I had my nose shorten significantly) not healing properly. I have had it for 4 months or so, it is quite obvious as the area is discoloured and looks like filled with air.
When I saw him last week I asked if he thought I would need revision surgery to overcome this problem, he said 10 to 20% chance. His argument is he is in control of the bone and cartilage during surgery but then how the skin heals is out of his hands.
To be honest, I was never warned about this type of complication, he never said I had thick skin or whatever. I guess it must be rare, I just got unlucky. I mean don't get me wrong I still love my results, my nose is way better than it used to be and I love my new profile.
My concern is because the filler is not permanent, will I have to pay for filler injections every couple of months for the rest of my life?
Anyway, I try not to think too much about it, I have another 6 months ahead for it to heal naturally.
FYI – Dr Shahidi doesn’t charge for cortisone injections or filler injection for the first year post surgery. After the first year, I was told I will have to pay for follow-up consultation, injections etc.
My next appointment is November 27t (I'll be 8.5 month).
Has any of you had a similar experience or heard of any?

Provider Review

Specialist in Otolaryngology – Head and Neck Surgery
1 Magney St., Woollahra, New South Wales
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Didn't end up with the straight nose I was promised on the computer generated photos from the first consultation. I find my new nose a little piggy. Bigger issue is that I had to tape my nose every single night for 2 years due to ongoing swelling, i received multiple cortisone injections and filler injections (free) to correct the very uneven tip I was left with but it didn't correct completely the problem. Better than my old nose but very disappointed. Seems that Dr Shahidi is perhaps better with middle eastern type nose than European ones.