My Long Awaited Rhinoplasty Revision -Dallas, TX

This is the third time that I've had my nose...

This is the third time that I've had my nose operated on. The first time was when I was just 15 to remove a bump. Then again when I was in my early twenties to repair some broken cartilage in the tip. This time I hoped to get my nose straight and symmetrical and remove a dent/bump on one side.
I am 1 day post op and I'm in a fair amount of pain. The pressure and feeling of congestion is overwhelming. In hoping and praying that tomorrow will be better.

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3rd Day Post Op

Today is the 3rd day (surgery day was day 1) and the nose splints are driving me crazy. Still having drainage, but not as much blood as yesterday. The swelling and splints are really bugging me. I will be getting the splints removed on the 23rd. So I have 3 more days until they come out.
I am having to sequester myself in my room while my husband takes care of our toddler son. It's hard being "away" from him, but I've at least been able to nurse him for his nap and at night time.
I cannot wait to get these splints out!

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Hey! We are at the exact same point post op. I also get my splints out on the 23rd:) You're right, they really are awful though, I can't wait for them to be out. They put so much pressure on the nose and you can't breathe with them in. Good luck with your recovery!:)
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Hey there! Sounds like the 23rd will be a big early Christmas present for the both of us! I hope your recovery goes well...as well, haha.
yes, send postop pic! you are adorable!
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A dark, but post op picture

I'm feeling slightly better today.
Inserts still a giant pain. I slept from about 9 to 2am. Then not until 7am and finally woke up at 11am.
I've spent the whole day in bed except for using the bathroom once.
My eyes were really dry last night. I think it is probably a side effect of the pain pills.
I wasn't taking my prescription pain pills the first couple of days, instead I was taking a lot of extra strength Tylenol. My doctor's nurse told me to switch to the prescription pills and I did.
My swelling isn't too bad today. This picture is from yesterday. It looks like I have bruising, but actually it's just the swelling and shadows.

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Wish you a speedy recovery. I look forward to seeing your new nose. Happy holidays!
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One more day till inserts come out!

Ok, here I am on the home stretch, people!
I slept pretty well last night. I'm still on pain pills, but have more of an appetite today. Still taking it easy and laying propped up in bed most of the day watching TV and playing on my phone. It's getting boring. I'd rather be hanging out with my family, but it really takes a lot out of me so I'm trying to not overexert myself.
Thank you everyone for your kind words.
God will bring me through this!

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Are you from Dallas originally?
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Hello dear;)Im looking for me revision nose job specialist i wanna ask you how you shooise this doctor?my first surgery very bad so now very hard trust with somebody:(i shoold find doc with good exspierence ho really can help because im from europe and if i come in dallas i spend one hotels,food,ticked and revision all my money so for sexondary nose job i really dont find more money so really wanna know if i shoise this specialist his fixs my nose.Iwanna ask are u for revision nose job pay 8000 its for everything?
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And thanks you :)I wish its be yuor last nose job :)I wish now u be werry happy!

Evaluating my Doctor

I finally decided on the ratings and I wanted to explain my reasons for choosing the amount of stars I did.
First of all, I think Dr. Cochran did a great job on my revision. He's a nice man and very good at what he does.
His nurse, Jane, is great too.
I did have some problems with one of the people on my surgery team, not because of her performance during the operation, but afterwards.
To give some history I have very mild anxiety. After the surgery however I was so anxious (maybe because of the anesthesia?) that I had a panic attack on the way home and we had to call paramedics to come out. They didn't (couldn't?) do anything to help me so we went back to the surgery center.
I kept saying that I needed something to relax. Over and over again and finally they gave me a very low dose of Xanax. But before they did that, and while I was lying down on the table in the midst of my panic attack, the anesthesiologist literally burst into the room and started waving papers at me angrily yelling and accusing me of not informing her that I was still nursing.
This was not true, but in my extremely weakened and vulnerable state all I could do was stare back like a deer in head lights.
See, I had spoken to her AT LENGTH about my concern about what exactly was going into my body during surgery because I was nursing my son. This was about a year before my surgery. She told me that she would put this info down in my file.
So back to her angry tirade. She said something like "Well, your son is 17 months old, so I assumed he wasn't breastfeeding anymore. Guess whose fault it is for assuming that?! Not mine! The World Health Organization recommends nursing to AT LEAST two years of age.
Her performance was completely and grossly unprofessional and unethical.
So... There's my reason for the low rating of his staff. I'm not sure if she is technically counted as a "staff personnel", but I thought this needed to be addressed in my review.

3 Comments

Thank you for sharing your experience on RealSelf! How are you feeling today?
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If you don't mind me asking who was your original surgeon? I'm from Dallas and I'm looking at either Dr. cochran or Dr. Rohrich to do my revision. I'm just hope I make the right choice this time :/... I just really want my confidence back :(
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Yes I am.

Bandages Be Gone!

I made it, you guys! Praise God! Seriously, that was an unpleasant several days.

I went to my doctor's office and he removed the tape, stitches, and the dreaded inserts! I feel so thankful and relieved to have them out of my nose.

My nose is still really swollen, but it looks symmetrical and cute! It's also a little bruised at the top and kind of pink on the end, but that will go away.

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Well, I am glad to see that even though you are swollen as expected that your nose is symmetrical. My tip cartilage is asymmetrical. I am going in for a revision of my tip to fix a graft and to have temporalis fascia added as my skin is thin.I am getting so nervous. Thank you for updating. :)
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I meant to ask if you traveled for surgery? I decided to stay local this time for my revision.
Ooooh, it already looks great and will be just perfwct when the swelling goes down, I'm sure. Sorry for the ordeal you went through with staff... and all through an anxienty attack and fresh out of surgery/ anesthesia! I am so glad the thirs time was a charm for you. Can't wait to see more pictures. Was grafting done? If so, what was the source for the grafts? Enjoy your nose, beautiful!
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1 week after surgery

Merry Christmas everybody!
I have a few new pictures.
I had a bad headache today, but I took some Tylenol and I'm feeling much better. Still very swollen inside and our so I'm still breathing through my mouth quite a bit. Hope you all had a blessed day.

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Loving the front! Very symmetrical. I hope you're happy with it:)
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Thank you ^_^ I'm just glad it's symmetrical, but this is my second revision (3rd over all) and it's going to take months for the swelling to go down. So for now I'm just trying to be patient. :)
Omg its ideal nose! U looke fantastic!
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Pink nose/ feeling down

So the tip of my nose to the right side is still pink. When I got my tape off a few days ago, my doctor said this was normal, but I didn't have this after my other two surgeries. This is the side that had the bump and dent so it's probably related to that somehow. Still, I am a little worried about it.

Also, I'm feeling a little down today. I know it's probably normal, but still unpleasant.

The inside of my nose was really swollen today and I couldn't breathe well, but it felt a bit better in the afternoon.

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Ore in Dallas can rent apartament neae ckinic ?how much about its cost for mounts?
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I think maybe if i come maybe i can rent apartament near clinic
Hello i wanna ask you are u long waiting yuor consultaition with dr?and after consultaition long shold waiting surgery?Im wryte in clinic admin say they dont do skype consultaition if i wanna consultaition I shold come konsultaition in Dallas:(
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Little Bump :(

The swelling is uneven the past few days. It looks like I still have a little bump on the right side. I'm so unhappy that it's there. I'm hoping that once the swelling evens out and goes down that it'll look better.
The skin on the tip of my nose has been peeling. The pink discoloration is still there, but I think it's getting better.

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How is the healing coming along? My tip is so big from the temporalis fascia, but my doctor said it would be pretty swollen at cast off and to not be alarmed. I am 1 week out now from my revision and Trying to be patient but it is hard. Are you seeing any improvement with your tip swelling yet? xox
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Hello! You look lovely! you should talk to your surgeon about the little bump, but I am thinking that maybe it will smooth over as you heal? Anyway, you no longer have the hanging collumnela and the shape of the nose suits you perfectly from the side too. I wish you the best recovery. I wanted to ask you, what made you choose Cochran over Gunter? The doctors here on realself seem to praise Gunter a lot .. Also, with your first rhinoplasty did it take longer for the swelling in the tip to go away than it did with the bridge?? My tip looks bulbous and weird..
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Hi there :D thank you :) The notorious bump is looking okay today. I think it's mostly because I still have pink discoloration on one side that is emphasizing that area. I have an appointment with him for later on in the month. I'm hoping it will be looking better by that time, however. I chose Cochran over Gunter because I read that he had a better bedside manner and he was younger, but not so young that he wasn't very experienced. I keep reading that the tip is the last place for the swelling to go down so I think that's probably just normal. :)

Bump or swelling?

I wanted to put up a picture of the bump I was talking about.

As you can probably see, one side of the tip has a shadow where the bump is. My nose looks pretty symmetrical when I tilt my head up and look at it from the bottom. This leads me to question whether I am possibly just more swollen on the one side causing it to look less defined on the non bump side.

I'm not sure :/. I guess I'll have to wait and see what my doctor says.

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Good Luck! I bet it is swelling as you are so early in the healing process. I see a little decrease in swelling but dang is my tip big. :)
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My skin is peeling as well----gross. I have a little pinkness still too moreso bottom of tip and columella now and I think mine is gradually getting better.
I emailed the nurse some pictures and she said she thought it was swelling. I certainly hope so!

2 1/2 months post surgery

The redness on the tip continues to improve gradually. The left side is still a little more swollen than the right, but that should all even out with time.

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you look amazing, i think he did a very nice job on your nose.how are things now?
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Thank you very much :) I'm going to update my review today. Basically it looks much better than before the surgery so I'm happy.
You literally got a perfect result! I'm going to see him in October. Hopefully my results are as good as yours!
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So far so good

My swelling still continues to diminish and the right side looks like it's still going down faster. The asymmetry isn't very noticeable though, to others I would guess.
It seems like rather than a "bump" as I had initially thought, there's more of a small depression or concavity that makes it look like the cartilage sticks out on that side. It's less noticeable now that it was before I think. All changes have been subtle over the past few months. Looking good though!

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Yes, I agree with botoxBeau! Posting some updated pics would be so helpful for those of us considering Dr. cochran for our revisions!! Thank you so much!
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Hi! Just wondering if you could update with pics!
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You look amazing!! Your before pics look just like me. I am looking to get my third revison and considering flying out from Los Angeles to have it done with dr Cochran. I met a girl in Los Angeles who went to him and her nose was beautiful like yours. Do u know other people who have sent to him with amazing results?
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Almost a year post up

Hi guys. I wanted to post some current photos of my nose.

I am still happy with my results. I think my Doc did a fantastic job.

The only remaining issues I have are: the cartilage seems more prominent on one side, but it's not very obvious and may resolve once swelling completely clears up. The other is that I still have some reddish discoloration. It has gotten better though and I believe that it'll eventually go away.

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Your nose looks amazing!
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I love your cute nose!! Enjoyyyyy!
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You are simply adorable! Thank you so much for posting pics! I feel so much better about my decision now:D
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Dallas Facial Plastic Surgeon

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
3 out of 5 stars After care follow-up
4 out of 5 stars Time spent with me
4 out of 5 stars Phone or email responsiveness
2 out of 5 stars Staff professionalism & courtesy
4 out of 5 stars Payment process
5 out of 5 stars Wait times
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