Post Bicycle Crash Rhinoseptoplasty - Detroit, MI

So about two years ago, I was 20 years old, I was...

So about two years ago, I was 20 years old, I was riding my bike home late at night, I was in a hurry, going down hill pretty quick, and a delivering car came flying through an intersection. I would tell you more details but all I remember next is flying over my handlebars and smashing against the pavement (no helmet, and no I was not under the influence of anything). I broke my nose, suffered a level 3 concussion, and blah blah blah. And against medical advisory, I still competed in my triathlon the next week (which was not beneficially for the healing process buttttt nobody was going to tell me otherwise). Immediately I could tell I looked like a different, I wasn't happy about it, but I was so busy with school, triathlon, working, I took a few months to travel Europe, and general life that I just hadn't given the time to look into fixing it. So this summer, Im 22, and finally sick of looking like a rugby player enough to just go through with it and get the long needed patch work done. My septum had deviated, affecting my breathing, my nose looked bigger than it use to, and kind of hooked down, which of course as a college student affecting my confidence.

My doctor was great, the best around, I won't name names but feel free to get ahold of me if you're in the area and looking for a good doc. Septoplasty, being for functionally purposes was covered by my family's insurance. But unfortunately Rhinoplasty is purely cosmetic, which will NEVER be covered by insurance. of the about $8000, $3860 was not covered by insurance. Im a college student, I'm poor, I have no money, I have the opposite of money. So of course the only option is a loan. I went through United Medical Credit, based out of California and I loved them! I worked with the nicest woman named Gina, I talked to her all the time through the whole process, she was so friendly and I was so comfortable working with her, if I call her now I can just say "hey its me!" and she will just know I am calling her. Seriously I would recommend them to anyone. Im paying a minimum of $206 a month on a 36 month, $4000 loan, APR doesn't kick in until after 12 months, totally manageable.

Day 1:
Surgery Experience: I was nervous, I mean it was my first surgery ever, of course I was nervous. But it turned out to be the easiest part of all this. They took me back to the operating room, switched me over to the operating bed, and thats the last thing I remember (anaesthesia is a gift from God). The next thing I knew I was waking up in post-op. Anaesthesia made me nauseous, it sucked, when you get you're nose fixed up getting sick just isn't an option, so just suck it up. My nose bled for hours so I had to keep gauss taped under it. Which only sucks because the tape pulls at your skin, and every time you change the gauss it only makes your skin hurt more, but it will all be worth it once its all over.

Day 2:
Sleeping sitting up is super annoying, I can't breath from my nose, like at all. Probably a combination of just being clogged from bleeding (blowing your nose is also not an option), normal allergies, and being swollen. Ohhhh man am I swollen, mostly the bridge of my nose, the cast keeps pressure on the majority of my nose but it doesn't keep my bridge or my cheeks surrounding from being swollen. Eating can be a bit difficult, but Im doing my best. As much as this sucks, I can see my nose is improving compared to pre-op, once I get through the hard part then this will all so be worth it.

Day 3: TBA!

Day 3:

I assume people come on this site to hear and see what it is really like, so I'm not gonna sugar coat this at all. Recovery sucks, my day consist of naps, watching Game of Thrones (great show, not complaining about that part at all), eating slowly, and taking pain killers. My nose hurts, I'm swollen, and i can't breath at all. Im on Narco and some kind of Acetaminophen every 6 hours. They make my head super fuzzy , like I dropped my iPhone in a bowl of soup today my head was so fuzzy.
Showering is a bit of a pain too. My doc gave me a water proof cast, so i don't have to worry about it falling off, but I'm still not suppose to soak it. So I've just been showering to clean the rest of my body, I turn away from the shower head and wash my hair with my head back, then I use a wash cloth at the sink to wash my face separately. Rather be slow and safe than sorry.
My nose still bleeds slightly, nothing like the first day, but enough to where I need to keep a tissue handy.
I still say this is all worth it, yeah this isn't a walk in the park, but it won't be a pain in the butt forever.
I plan on uploading more pictures around day 7, hopefully by then some of the swelling will have subsided.

Day 5:

So I saw my doctor today, just because I felt like it really. My sister had an appointment with him about having a mole removed (I guess Ive started a trend with my family for getting some work done), and I just decided to crash her appointment with her. He gave me a look over and told me everything is looking good! I mean Im still miserable and I am hating every minute of the recovery phase but hopefully things keep going well. Im finally seeing some bruising, I have a yellowish tint under both my eyes, which I can't complain too much about since most people look black and blue for a while after their surgery. My doctor said that my cast should fall off around day 10 since the swelling will have reduced enough by then. So send some good vibes my way and hopefully in the next 5 days things will get a little less miserable. Ive got too many exams this week to be all pain killered up!

Day 7:

One week down! Finally getting some breathing back through my nose, finally. Recovery is getting easier, slowly, but its happening. My breathing isn't completely back, I took a flash light and looked up my nose (yeah thats totally goofy but I did it) I can see quite a bit of swelling on the inside of my nostrils. But hey Ill take a little bit over nothing. Im taking less pain killers, partly so I can study, and partly because Im just feeling well enough to go without. Sorry if my profile is a bit hard to see against the back ground, if you turn up the brightness on your computer and/or zoom in a bit you can clearly see the improvements.

My prof asked me what happen to me today when I showed up for my final exam, I told him I got in a brawl over the weekend, his eyes got real wide hahaha.

Day 10: Finally my cast off!

Finally. Finally. Finally. Its Day 10 and my doctor told me after 10 days I can remove the cast. From what I hear, typical you go into the office and the doc takes it off, but mine told me to let mine come off around day 10, so I took a shower to soften it up, and it just lifted right off really easily. He said after about 10 days the swelling should have reduced enough that it should be loose, and since it was already feeling loose just like he said, i felt like it was time. First Impression: I though my nose looked a bit skinny, but I mean it was being squeezed for 10 days straight so I guess it makes sense, but after some time passed it levelled out a bit. I can tell there is still swelling (which is normal at this point) but the results thus far are looking good. My tip is higher which improves my profile, its straighter and not quite as big, and I'm expecting as the swelling subsides some more over the next few days to see some more changes, so only time will tell I suppose! I plan on posting more pictures in about 5 days or so.

Day 21:

I never took those day 15 pictures, sorry people. Ive got an appointment with the doc tomorrow just to check on how things are going. Overall Im much happier with my nose now compared to pre-op, and I also think my nose looks way more natural than when the cast first came off. Being 3 weeks post-op more of the pain is gone but sometimes I still get head-aches. Ive started my fall semester and anybody I tell that Ive had surgery is surprised because I look pretty dang good for having surgery just 3 weeks ago. But we will see what the doc says tomorrow.

Day 22:

I spoke with my surgeon today, he says everything is looking great! He also says that I still have swelling so my nose should get a little bit smaller as that goes away. Im not seeing him for another 3 months, and even then is just another check up to make sure things are still on course. He also said I could resume physical activity which I'm ecstatic about. Running and motions that shake me up are out of the question for awhile still, I ran like 10 feet the other day and I could definitely feel that it was something I shouldn't be doing, but just getting back to weights and yoga will be plenty for now. Ill post pictures every once and a while to log my progress, but Im not expecting too many changes past this point really. maybe like day 40 pictures?
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You look great! Fantastic surgeon! It is so natural looking. Btw, you have a great chin! It is nice to see success stories. Take care of your new face handsome!
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Looks great.Congrats :)
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Your nose looks great! :)
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Thanks that means a lot!
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You look so great and would have never guessed you had a nose surgery!
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Thanks so much!!
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Congrats! I don't see a lot of people write about getting headaches. How bad are they and are they different than normal headaches? I finally emailed the doctor I found and I am waiting to hear back from them. No butterflies here (sarcasm).
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The headaches are minor, Ive started taking ibuprofen for them instead and that does the trick. I was taking Norco but I think a huge part of my headaches could be hydrocodone withdraw, I was popping those things like tic-tacs for awhile and I think its catching up with me. Good luck with your doctor! I know you're nervous but its so worth it!
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Your profile is looking great!
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Looking good!!! Profile looks great cant wait to see cast off!
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Hi! can you tell us who your Dr. is?
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I'll send you a message!
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Hi! I can already tell that your nose is smaller and straighter (even with that bulky cast)! Everything you're feeling is completely normal. By the way, major props for doing this while having school/exams. I definitely wouldn't have made it through. I have never heard of a dr letting the cast fall off, but that does make sense that someone won't be pulling on a freshly broken nose to get the cast off. Are you allowed to get it wet around day 10 so it comes off easier? My dr had me fully wet my cast on day 6 and then go to his office and it literally popped off as soon as he gave it a little squeeze. Do you have nasal splints or packing? I know sometimes it feels like you're never going to go back to the comfort you had pre-surgery but the day after I got my cast taken off I was breathing and sleeping normally :) Hang in there!!
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I don't have splints or packing, just the cast, and it's water proof so I can technically get it wet whenever but I just can't let the shower head pound on it of course. Apparently it'll just fall off once the swelling reduces to a certain point, which he says is usually around day 10. So I'm really hoping that 10 days is sufficient and it'll just be as done with me as I am of it!
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Bro it's crazy. Deff a rollercoaster. I had a big nose like you but now I miss it lol. Now I feel my ears look bigger lol. It all went together
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Are you saying it's an emotional roller coaster or are you calling my nose a roller coaster? Are you saying that we both have a big nose, or that I now have a big nose, or that we both now have good noses? I'm sorry your comment just makes no sense to me haha. And I happen to like my ears but best of luck to you and yours!
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haha my bad i was on the reefer earlier but yeah like an emotional roller coaster. First off itll look really fat once you get it off so youll feel like you took a step back. I guess it all takes patience though. Im saying your before nose was nice and big like mine was. Youll see what i mean though. Im still getting use to it being smaller lol
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You look awesome, congrats on your new nose. When that congested feeling goes away, it doesn't seem nearly as bad. Have you gone through the regret phase yet? You seem so positive already, that's incredible. Keep us updated, and we look forward to your cast reveal :)
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Yeah defiantly looks better already! Hang in there, recovery is no fun but it will be all worth it :)_
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I hate not being able to breathe through my nose, no fun. Looks like you didn't get much bruising? I'm jealous haha
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Yeah, recovery is a major bummer but in the long run it will all be worth it. The profile is already looking good. Good stuff man.
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I can see the changes already, too. Looking good! Thank you immensely for sharing your experience here. 
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This is awesome, great work! I am 35 and I also have a deviated septum. I plan on getting a consultation this month with a board certified plastic surgeon. No matter how much research I've done I'm still nervous. I have insurance so I feel okay in thinking that at least 3/4 almost of whatever the procedure costs will be covered. I mean 4K is easier to budget to pay off then 9-10K right? Sigh that is still a lot of money to me and when you add in being nervous I still have cold feet even though I have wanted this done since I was in 5th grade, I am 35 now. My nose just grew in deviated just bad genes when it comes to that *sighs*.
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Man, I feel you. I was nervous too but the surgery itself was the easiest part. Recovering isn't delightful but I'll get through it. And since you have insurance, your septoplasty should be covered, and if you pay for the rhinoplasty yourself, then it will be cheaper than had you just done a rhinoplasty alone because the insurance will be paying for anethisia and all that. You have my support!
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Sweet, thanks. I haven't decided if I want to post before photos and after photos when I get this done. I'm on the fence about that for some reason and I don't know why. When you had your consultation, did the plastic surgeon do any procedures to scope/image your face? Did you have to pay for the consultation? The place I am looking into has a free consultation and I have seen other places charging a few hundred dollars. I don't want to go anywhere there is a gimmick or buy one get one half off deal, if you know what I mean. I want quality in this procedure, not second rate skills and gimmicks. I'd rather pay for this procedure by money in the long run then pay from experience by going to someone who isn't so good and then the surgery being goofed up and having to go somewhere else and being worse off. And second, once you had your consultation, how long was it until you had your surgery? I'm certain I have a pinched bridge that greatly blocks the breathing at the top right part of my nose----the bony cartilage area---and down at the base of my nose the inside cartilage (can only see within not visible externally) the way it grew in closes off the left nostril somewhat and has a drag effect when I breath out. The only part I think I would consider rhinoplasty (cosmetic) would be the surgeon having to align the lower bridge of my nose as I don't know if that would be included so I am expecting maybe to have to pay for about a 1/3 of my procedure (worst case money scenario I hope). I've done research into surgeons and I've found the Dr. I am looking at is a board certified plastic surgeon (I've read that some are even double certified which I can't even fathom how one could be double certified) plus he was in charge of a large program at a hospital for wound healing so I feel confident in his skills in the medical field as far as I know. I don't want to mention names yet as I don't want to give anyone bad or good publicity by accident. I like how you mentioned you kept the Dr. private but would share privately. I've been under anesthesia before for medical procedures (endoscope and colonoscopy) and when I've woken up I've never had nausea, but those procedures only lasted about a half hour. I've read that some nose surgeries can go as long as 5 hours! I'm slightly nervous about being under that long. Was your surgery an open or closed surgery? Anything you feel about sharing your experience would be greatly appreciated no matter how trivial you think it may be. There are not a lot of guys on here to learn from their experiences. My biggest fears are making sure I found the doctor with the right skills I need. (I've not come across a doctor who spells out on the website that they specialize in nose surgeries, most seem to do breast work and tummy tucks.) Do you believe the surgeon should have to do a minimum amount of nose surgeries a week---I've read some people said you should only go to a doctor who does a minimum of 5-6 a week but I can't imagine a doctor having much control over how many people come in for a nose surgery. My second biggest fear is how much insurance will cover. Granted I have good credit but I'm far from financially stable myself so paying thousands of dollars scares me a lot. I'm planning on calling for the consultation in the next 7-10 days. I am dragging my feet on purpose because this is a huge life decision.
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