Treatment Provider

C. Spencer Cochran, MD
Board Certified Otolaryngologist
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Three and a half years after

Hello, I haven't been here for over a year but honestly, much hasn't changed with my nose.
I am still undecided about the surgery. Can you believe it? I am weighing the pros vs cons. Better profile, better angle, wider front, bulkier tip, bridge side bump, lower upper lip.
Yes, after rhinoplasty your upper lip will sink lower, showing less of your upper teeth when smiling or talking.
I am posting a few cropped pics of myself that other people took as these seem to look different from selfies. I think they are more truthful.
It seems like my nose has many faces based on the swelling and its severity as well as angle and me wearing makeup. It always looks better when I wear heavier brow or eye makeup.
I will appreciate your comments.

19 to 21 months post op

Not very much has changed - I must be one of those rare cases who still get swelling on a regular basis at almost 2 years post op. My nose can swell up within minutes and unswell the same way. In the morning I wake up with a lot swelling, and by the evening the nose gets slimmer, however, not the slimmest I have seen it. From observing, when I am totally relaxed for example when painting, my nose gets nicely defined and relatively slim. When I get cold standing outside in cool weather, and them inside, a lot of the swelling goes down within that short period of time. Living in Central Texas, this is not going to be the case most of the time though :)
When does my nose swell up within minutes? When I get stressed out, during cardio activities, gardening, cleaning up, and during my periods.
I have attached a few pictures below to show my nose how much the swelling fluctuates. One day the nose is ok, and the next it looks like a potato. Then next evening, it's totally slim.....
I am not sure how to handle it other than wait it out. I went to see an ENT that was recommended to me by my plastic surgeon, Dr Cochran. The ENT scheduled me for a ct scan that revealed normal results - no swelling of my sinus walls or any unusual water retention. I do not need to take my steroid nasal sprays anymore. This basically explains that my swelling is related to healing and not to allergic reaction or problems with sinuses.
I am scheduling myself for a 2 year post op in May and will consult a revision with my surgeon. I will ask for the hump to be filed down and also supratip reduced. I will keep you posted how the consultation goes.

17 months post op

I am considering a revision.
I do not like the front view of my nose very much. There is a heaviness around my eyes caused by the wide bridge with a bump on the right side. My supratip is bulky and my tip lacks definition it used to have before the surgery. My profile looks better after post op, but I miss my front view. Not sure if it helps to mention - my husband likes my nose and says there is no difference at all (??), but my parents and sister miss my slimmer nose from the front.

Provider Review

Board Certified Otolaryngologist
8144 Walnut Hill Ln., Dallas, Texas
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