26 Years Old, Closed Rhinoplasty July 18th - Englewood, CO

I am having a closed rhinoplasty performed on the...

I am having a closed rhinoplasty performed on the 18th. This is something I have wanted since I was very, very young. So young I don't remember not wanting to change my nose! I am relatively happy with everything else about myself, but I am just tired of feeling insecure about this wherever I go and whatever I do. So, I am finally doing it! I'm SUPER nervous (I've never had surgery before) but also extremely excited.

Adding picture (pre)

Here is a profile picture. Bumpy McBumperson. Thanks, German ancestors. (;

Getting more excited/nervous every day

The closer I get to the date of the surgery, the more nervous/excited/distractable I am... and the more time I want to spend reading other people's experiences, both good and bad. I have most of my supplies - lots of vitamins, medicine, arnica, a humidifier, weirdly shaped pillows, books, etc. My biggest worries surround my boyfriend's reaction, and of course, what the heck am I going to look like?

My boyfriend is super supportive of, well, everything. He had the perfect reaction of, "you're beautiful the way you are, but if it makes you happy, I'll support you." But when I look like a horse kicked me in the face in a week and a couple days, I wonder if he'll have the same response. This is by and away the most selfish thing I've ever done. And the most money I have ever spent at one time.

That said, I am oddly looking forward to relaxing for a week and, of course, having this burden lifted off of me. It's something I never thought I would actually be able to afford or go through with. It will be such an adjustment to (hopefully) not look at pictures and just see that dang nose and be embarrassed.

Can we please just rewind to next Friday already? (;


By "rewind" I mean "fast forward." My brain might be more nervous than I am?

1 week away

1 week from now I'll be... well, probably a nervous wreck about to head into surgery. Seems surreal. Right now I'm just trying to figure out what to do with myself when, 3 days after surgery, my boyfriend's sister and her boyfriend randomly decided to come pick up their car from our house and stay with us. I am thinking I will just go to a hotel and tell them I'm out of town, but I would SOOOO much rather be at home resting.

Today also marks the day when I have to start pretending I like protein shakes and kale. And to start praying fervently that Dr. Shah knows what he's doing. Eeeekkkk

My unrealistic dream?

I'm getting very concerned about the outcome of all of this and if it will be what I want it to be. I am going to be super annoying and send pictures of what I want to the doctor to see if it is at all realistic. Do you guys think this would be too aggressive or unrealistic? The surgery is Friday(!!) and I just want to make sure all of this will be worth it...

Harassing my doctor

I swear I'm not trying to be that crazy person, but I e-mailed my doc asking questions about what specifically they're going to do. They were great about responding quickly but now they're saying they're not going to break my nose and do a full rhinoplasty? I'm concerned that the doctor said that before and now his assistant is saying otherwise and saying that he's not doing a full rhinoplasty. I only want to do this once and I really need to be on the same page as my surgeon. As if my nerves weren't already haywire...

Doc and I are on the same page

Ok, my doc and I are on the same page. So the plan is to make my nose narrower, get rid of the hump, narrow and decrease the size of the tip (and bring it up a little). Unfortunately he said by making my nose narrower it might make the bags under my eyes larger. Hopefully that won't be the case. Has anyone experienced that? I already have dark circles (though nobody seems to notice but me...) but hopefully that won't be the case. The doc said he would treat the circles with filler if that happens but he would have to wait two months and there are risks with fillers. And I don't want to do anything else - I want this to be it!

Anyways, I can't believe in two days I will be waking up with less of a nose. I need to start focusing on being excited rather than nervous!! Send me good thoughts! xx

Surgery tomorrow!

I mentioned this to someone in the comments also, but I am actually feeling good about surgery tomorrow. I think I've accepted it is going to completely suck for a bit, but then get gradually better and better. My biggest concern right now (looks-wise) is that I'll have dark circles under my eyes after surgery. I have all my supplies and my boyfriend is so amazing and supportive that he wants to take time off work just to take care of me. I am feeling incredibly lucky and grateful right now.

I'll try to write tomorrow post-surgery! Thanks for your support guys, it means a ton.

I'm alive!

Im alive but bruised and this site isn't great on a tablet. Will update more later, xo

Can finally write

Can finally write about yesterday and the operation. Things seemed to go smoothly. Signed in some paperwork/gave them my ID and insurance card in case anything went wrong, said goodbye to my boyfriend and told him if they mess up my nose I get a free boob job (he didn't think it was funny). Then I took a pregnancy test, talked over the meds with my doctor since he prescribed me NorCo which has the same active ingredient as Vicoden, to which I am allergic. He prescribed me something else but I wasn't too fond that he wrote me a script for something I'm to which I'm allergic after I told him about it. I only have one allergy. One! Anyways,figured that out, talked to the anesthesiologist, and went over with my doc for the last time what he would be doing. Getting rid of the hump, bringing the tip in and up a bit, narrowing my nose, and narrowing the nostrils.

As promised by my anesthesiologist in cowboy boots, I don't remember anything of the surgery. Just waking up and wondering where I was and why someone interrupted my dream. Post-surgery sucked. I was nauseous, burning up, in pain, dripping weird stuff out of my nose like crazy, tired of the IV (they freak me out), and the nurse brought in the anesthesiologist because she thought was he my boyfriend for some reason. After finding my actual boyfriend, he helped me force myself to have some crackers and water, and I took some Percocet and anti-nausea medicine which I desperately needed. The nurse put an nice pack on my eyes which were already turning black and blue. I'm very happy it was a decent experience overall, and I reallllyyy want it to be a week from now so I can see it. But I am disappointed at my huge black and blue eyes- Dr. Shah assured me that with his "rapid recovery protocol" which essentially includes 30 g of protein a day, Vitamin C and Bromelain, and lots of food high in vitamin K (as well as no smoking/drinking/all the regular warnings), he hardly ever sees black eyes. I did everything right, am 26 years old and super healthy, non-smoker and very light social drinker, but still have some horrible shiners. I am worried about going back to work in 9-10 days and still having them. I don't want people to think my boyfriend beat me or anything! Ugh so I'm annoyed at that and doing the arnica/icing deal. I read online that the bruises usually last 7-10 days but I've seen people on here with bruises for way longer.

Sleeping and breathing SUCKS day 1! I am still super tired and might try to take a nap. Fortunately a lot of the gross dripping subsided today- it was really driving me crazy. My favorite thing for my eyes so far as been Swiss Therapy Eye Mask Compresses... they feel sooo amazing and relaxing. Of course, you can't watch tv or anything with them on so I just sat for a few hours yesterday listening to comedy podcasts and chilling out with those on my eyes.

Here's some pics of the final before/waiting to go into surgery and my shiners after the surgery. I'm glad to be alive and can't wait to see my new nose! Will share more when hopefully my face looks less terrifying to children.

Well hello post-op blues...

Well hello post-op blues... not nice to meet you. I mean "blues" in two ways. One, I really look like I got in a fight. And I lost. I mean, I barely survived. I iced religiously for the first 48 hours (so until about an hour ago) and have been taking arnica/bromelain pills as well as putting on the gel. I bought makeup designed to cover up bruises online yesterday too. Two, looking like this and being useless all day is SUPER depressing. I would really like these shiners just to start to heal, but they are looking worse all the time. I have an appointment with Dr. Shah tomorrow and would really like to hear from him if I am going to look at all better by the time I have to go back to work in a week. Soooo... I'm bummed. Talk to you guys later. Warning - pics are gross too.

First post-op appt and more recovery

Had my 3 day post-op appointment with Dr. Shah yesterday and it was the first time out of the house in three days. It was fun to be able to go do something but I still have huge bruises under my eyes so I tried to mask them with makeup. It didn't really work. I almost started crying when talking to Dr. Shah because I feel so gross and I have been super congested the last couple of days. He assured me that the bruises would be gone by Friday when I get my cast off and that I just had large blood vessels in my face which made me bruise easily. It makes some sense because I would always get bloody noses as a kid (having a larger nose and having bloody noses a lot is a self-esteem nightmare). Anyways, the bruises are SLOWLY getting better and I'm looking less terrifying. My nose feels super swollen under the cast too, but other than that I don't have much to complain about. Dr. Shah said my nose turned out really nicely. I can't wait to see! Also, I washed my hair, cut my nails and shaved my legs today which makes me feel like 9 million bucks!! It's amazing how being clean can improve the way you feel. Back to more healing/icing/laziness - I'll write more soon for whomever might be interested!

Well, makeup kind of works...

Same old! Put on some makeup which kind of covers the bruises. Getting stir crazy but feel comfortable and puppy snuggles help... Hope everyone is doing well!


Cast is off and I couldn't be happier with the results!! I don't even care if swelling goes down, I'm happy with it the way it is now! I have tape on it that the doctor put but you can see the shape and everything. My nose was absolutely disgusting under the cast - I'm so happy to have it off.

Since I bled and bruised so much during surgery, my doc thinks I should be tested for a bleeding disorder. Kind of worried about that. But look at my NOSE!!! Dr. Shah is the man!

Long Update!

Hi all,
Apologies for dropping off the face of the earth. Had some drama with the boyfriend. As an update, I like the way my nose looks with tape rather than without!! Be prepared for breakout central on your nose and for swelling to unfortunately increase after the cast is taken off. I'm hoping what I saw right after it was taken off is what the final product will look like (remotely).

My bruises are *almost* gone and can be covered with makeup, which is awesome, because I can finally go out in public without worrying people will pass me domestic violence flyers. I went back to work today and I'm probably too highly distracted to be back. Hence this long update...

Some things I learned through nose surgery:

1. So far, it's totally worth it. Just having my nose be smaller makes me feel so much more confident and like a burden has been lifted. It's like I photoshopped my face in real life! It's never going to be a tiny Scarlett Johnansen (sp?) nose but that would look weird on me anyways.

2. I know everyone says this on here, and for a good reason: You HAVE to be able to trust your surgeon. I am so glad that I went in the week of the surgery to go over what he was going to do again so I felt comfortable with him operating on my face. It is a big deal and you should make sure you are both exactly on the same page. Trust me, you won't want to do this again.

3. Get a massage the night before. Seriously. This was the best thing I've done for myself. I was so nervous and stressed that my muscles were spazzing out. And/or take a bath, or do something that's relaxing and just about you and what makes you feel at ease.

4. Nobody notices. Or at least nobody has said anything to me yet. It's VERY weird to think that since I can see such a huge difference but it's true. Unless you are doing something super super major, nobody is going to notice, or care. You see your "flaws" or things you don't like about yourself a thousand times magnified, while everyone else just sees you for you.

5. Significant others might not understand. Especially guys. That's okay. Just make sure they don't rain on your parade and that they take care of you when you're recovering.

6. Here's the exhaustive list of things I actually used when I was recovering:
-Invest in an awesome travel pillow thing. It's impossible to sleep sitting up without one unless you're some kind of freak of nature. I got a wedge pillow too which helped me get comfortable from sitting/laying down all dang day.
-Swiss therapy Eye Masks feel soooooo nice after surgery. Kind of pricey but worth it for me.
-Have lots of small-ish sized bags of frozen veggies. I used mine a ton and never had chipmunk cheeks or swelling on my face aside from my eyes.
-Straws. It's hard to drink out of anything, especially the first day when your mouth is all numb, without spilling ALL OVER yourself.
-Jugs of water next to the bed. Your mouth gets unbelievably dry from breathing through it. Water helps wash out all the crap when you're healing, too.
-Jug of vaseline for the same purpose. I am an obsessive chap stick user and having my lips dry was torture, so I just had this by my bed.
-I think I lived off of pasta and veggie/fruit shakes. It was pretty great. Crunchy stuff did not appeal to me at all.
-I got hydrogen peroxide and Neosporin to clean my nose. Just don't get hydrogen peroxide on any open wounds unless you're a tough guy.
-Humidifier. I live in Colorado which is super dry, so this was even more essential for me.
-I washed my hair every other day in the bathtub and very carefully. Every other day I used dry shampoo instead. Be prepared to feel kind of gross. I also cleaned up and made the bed every day which helped feel less gross. But still... there's nothing really pretty about you post-facial surgery. It will pass.
-Have lots of q-tips to clean your face and apply Arnica gel.
-Have makeup for bruises in case you bruise. Wish I had gotten mine before since they messed up my order and I'm not getting it until today, but Dermablend is supposed to work very well for covering up bruising.
-Invest in a pill box!! Don't rely on someone else to keep track of your pills since they might forget also. This especially helped with the antibiotics I had to take 4 times a day. You kind of lose your mind a little doing nothing all day and it's hard to keep track of. I set out all my pills beforehand and was super glad that I did.
-If you want to get supplies you'll need post-cast, I picked up saline nasal spray and Sudafed afterwards. I also picked up oil blotting sheets because your nose is super shiny which makes your inevitable blemishes stand out way more.

7. And here's the list of things I took to help heal (thanks to Dr. Shah). I had extensive bruising but that is not common, especially if you take these things: Vitamin C, Zinc, Protein shakes of 30 mg a day, lots of vitamin K rich foods (I am so tired of kale) and vitamin K tablets, Arnica Montana gel and pill, Bromelain and/or pineapple juice, stool softeners (no joke), pain medicine, Ambien/miraclesleepinducer, and antibiotics.

8. All in all, your experience will be different than anyone else's and you're going to be just fine. It's a deeply personal experience about more than just your nose. Make sure your mental and physical health are up for it.

Ookkkaaayyy, so if you have any questions on that feel free to shoot them my way. Here is my swollen nose 10(ish?) days post-op. I'm hoping the swelling will decrease, especially in the tip, but this whole thing is going to have to teach me PATIENCE!

Hope everyone is doing well. xo

Doctor's simulations vs. actuals

This is 11 days post obviously so I am swelled and my skin sucks right now. I am especially swelled in the tip which you can see.

Patience & Recovery

Patience is a virtue... at least that's what I keep repeating to myself. Another note of advice to anyone who has an upcoming surgery - when they take off the cast, at least in my experience and a few others on here, your nose is a lot smaller than 2nd, 3rd, 4th days after cast removal. I was SO excited the first day and liked it so much!! Then the swelling came. I notice it especially in the tip (sensation-wise and looks-wise) and on the bridge where he got rid of the hump. It's frustrating because you've paid all this money and went through the recovery process to still have a nose that's larger than you would like. Don't get me wrong - it is smaller (I'm not sure it could have gotten larger), and I feel confident from the sides, but I am still just waiting for the final results. My advice, and what I've been trying to convince my mind of, is to think of your nose job as taking place much later - 2 months or so later - and your nose just looking a little better in the meantime. Now, let me know if that works... haha.

Here is a good angle I took earlier. It's weird to not want to immediately photoshop the hump off or change the lighting so I don't look like I'm setting the Guinness World Record for Biggest Nose. It's going to take some time to actually be okay with pictures. By the way, this record does exist and I looked it up and now you guys have nothing to complain about (; Just kidding.

One more thing, and this is gross, but wouldn't be the first gross thing I posted: I think when everything is healing it kind of smells bad. I keep wondering what is stinky then it hit me that it's likely me. And it's likely just inside my nose and nobody else can tell. I asked my boyfriend if I smelled bad (he would tell me! And he would make fun of me!) and he said no. But just as a forewarning... recovery is gross. In many ways. Thank goodness it's temporary.

Hope everyone that had surgery is healing quickly and those that are about to are feeling safe and comfortable!


PS - I got blood work and I don't have a bleeding disorder or anything. I guess I just bruise really easily. Who knew?

Some before/afters

Not as small as I would have liked, but SO glad it's better than it was before... I can almost not stand to look at before pictures! Also a picture of me being happy because I don't have a monster nose anymore.

I am still taping my nose at night, and did so especially after hanging out with kids. I don't know how you ladies have done it with kids around! They just love to hit your nose accidentally! I probably should be eating better and the swelling would go down more. It's just nice to not obsess over this anymore. Well, I still obsess a little... (: My mom comes into town next month and I'm curious if she'll notice a difference. She probably will. Oh well - it's not like I can take it back!! I wouldn't want to anyways.

Almost three weeks!!! Crazy!

Almost at week three and haven't really noticed a difference in swelling. I'm starting to think maybe I didn't have much and it just looked smaller with the cast pressing down on it for a week. My nose is still kind of big, as you can see in the pictures, but definitely smaller than it was. I still feel kind of a bump on the ridge so I'm going to ask my doc about that.

I also have noticed more bags under my eyes and wrinkles. I don't know if that's because my eyes swelled/bruised so much or because of where he broke my nose. He did warn me about that. He said he can put fillers to make it less visible but jeesh I've spent enough money!! And having bruises from anything again and doing even more does not appeal to me. Neither does looking tired all the time. Either way, I'm still happy I did it. I am no longer scared of pictures or side angles which is a super strange feeling and a huge relief.

One month!

Jeez, time is super relative. Pre-surgery, it dragged on and on and now it's flying by. I have my one month appt with Dr. Shah on Monday. I can finally focus on other things in my life besides my nose (though I am still super excited by people's stories on here). Here are some updated pictures. I know, my nose looks like a lot of people's "before" pictures. I'm already wondering if I'm going to want a revision in a year. I just wish he had done a little more. Patience...

Also, I don't really care about the way my nostrils look (should I? oh well.) but I have a significant scar on my left side still. Putting scar cream on it. I didn't expect perfection, anyhow.

A little less than two months!

I missed my one month post op appointment but went in on Wednesday instead. I was concerned that there were bumps on the side of my nose and that the results weren't as dramatic as I'd like. I don't look like the simulations yet!! I know it's still early though. My doctor said there's still a lot of swelling, especially in the tip, and that should be the slowest to resolve. I didn't get a steroid shot, which is fine by me since needle are kind of terrifying. He wants me to keep taping at night and pushing on the bone at the top of my nose.

My boyfriend took pictures of me with our friend's dog and our dog and wow- my profile is fantastic!! It's so weird to get used to being okay with pictures. Overall I'm very happy with my results and am glad I did it. Dr. Shah is very skilled and I'm glad I went to him. Pictures to follow!! Xo


Dr. Manish Shah

So far, I am impressed with Dr. Shah's bedside manner - he is very good at making you feel comfortable and at ease with his skills. He seems more excited about this than I am (at least outwardly) and says that he loves to do rhinoplasties. I guess I don't care if he loves it, as long as he does it well! (: Him and his assistant were very good about talking to me during my pre-op and answering the multitude of questions that I had. --Update post-surgery: Dr. Shah did a great job with my nose. I was so happy I could barely keep myself from smiling after they removed the cast. For some reason, it was really hard to get a hold of anyone at the office to PAY them for the deposit and to confirm appointment times which was kind of annoying. Sometimes he is super friendly and sometimes he seemed a little busy or preoccupied. I'm still not sure why he prescribed a medication that I'm allergic to, but we figured that out as well. He is a great surgeon and he worked wonders on my previously ginormous nose, and was realistic and available when I needed to get on the same page with him before surgery. He called me personally a couple days after the surgery to make sure I was okay. I am eternally grateful I went to him for my surgery. Additionally, I paid less for a great result than I've seen on here for other rhinoplasties. Icing on the good-lookin' cake: they gave me free TNS recovery cream and scar healing cream after the cast was removed, which was a nice surprise.

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

Comments (146)

Sort by

Looking great! I know, it's so weird being okay with pictures from all angles! Good luck with the swelling!
  • Reply
You really look amazing- I love your results! I just booked my surgery for Oct 13th with Dr. Raval in Denver. I am getting excited/nervous! Glad you are still happy with your new nose! It fits your face so much better and makes you look adorable!
  • Reply
You're looking super duper cutie!!
  • Reply
That's a high compliment from you!! Thanks very much (: hope you're doing well. I know how much you've helped people on this site (including me) and it's very appreciated. God bless.
  • Reply
Looks great but do you believe it will stay discolored like that? I feel mines is darker as well
  • Reply
Haha I didn't think it was discolored. Maybe a little red because I used a cleaning strip thing beforehand. I'm sure your (and my) skin will be back to normal soon. Just hang in there
  • Reply
Hey. Thanks for writing this, was really enjoyable to read, and you must be really happy that your nose is looking so fab! I just wanted to ask what concealer you use as you managed to cover your bruises really well. No matter how much of my concealer or foundation I apply the purple of mine is still showing through. Thanks!
  • Reply
Sorry for the SUPER long delay!! I didn't see this until now. It is probably too late but I use NARS Radiant Creamy Concealer from Sephora. It is awesome. Hope you're feeling better. The bruising really bummed me out - it is really annoying but hopefully yours is gone now.
  • Reply
No problem, thanks for the reply. I actually had that one recommended to me but didn't know how good it was for the price tag. Bruising is still here but faint enough to cover with my concealer now luckily! Good luck with your remaining healing
  • Reply
My nose is wide from front view, was yours like that when you got cast removal? I'm in a bit of shock, definitely love side profile though!
  • Reply
Not really, but I taped and iced a ton. I honestly haven't noticed swelling or de-swelling at all. My nose was smaller than it is now when my cast was taken off, but I think that was because I had a cast on for a week. I think you look amazing already - it's only going to get better!
  • Reply
You are beautiful!!! Love the natural results and I can definitely see the difference :)
  • Reply
You're sweet! Thank you.
  • Reply
Thank you for sharing your journey. It was an insightful read with a touch of humor. You're rhino looks natural and pretty!
  • Reply
Thank you! I hope you found it helpful - so many people here helped me through this (:
  • Reply
Wow your result looks great! I'm sure you are thrilled!! I just had my first consultation today in Denver! Thinking about setting up another one with Dr. Shah after seeing your results.
  • Reply
Thanks so much - it is great to hear that. Dr. Shah is a good doctor. I'm hoping for even better results as time passes. He is good at making very natural and subtle changes. It's worth a free consultation (:
  • Reply
Your nose looks so cute!!!!!!!!!!!
  • Reply
Can't say anyone has ever said that before my surgery! Thanks sweetie.
  • Reply
Hi. First of all I loved your post ... Thank you for sharing... Big help for a lot of people out there! I'm one of them. I'm having my surgery August 28. I'm a little nervous.. Just pray I wake up out of it. :) anyway I think you look adorable !!! Great results !!!!! Your list of tips ect... Was great! I'm not happy with my profile.. A little bump and my tip is "up" a little bit. I'm not telling my family about it.. Although I told my sisters about the consult.. Anyway, from what I've read on this site I'm expecting the 3rd day to be the worst??? If you think of anything else it would be great !!
  • Reply
Oh you're going to be fine! Seriously, the waiting is the hardest part by far. If you didn't feel nervous there would be something wrong. And I'm so glad you found my updates helpful. It really helps both a.) give you something to do while you're obsessing in the weeks beforehand, and b.) learn from other people that have been through it! Honestly ,he third day was okay for me. I think it's just the feeling of "ugh I look and feel terrible and lazy" that really sets in by the third day. Ice immediately (have whoever is picking you up bring ice) because it's crucial in the first 48 hours to keep down swelling. I was never in a lot of pain- just the pressure from the cast was obnoxious. It sounds like you're not making major changes so you're not going to have all the swelling/bruising that a lot of people have hopefully. Everyone is different though!
  • Reply
Hi it's Darl again. Not making major changes on outside BUT... Found out I do have a deviated septum and have to have bilateral turbinate fixed. I may not have the literature right but I'm sure you get it..haha so that makes me more nervous. Thanks again for your time.
  • Reply
I guess I should know what that means... mine was all cosmetic. Just make sure you go to a doctor that makes you feel comfortable and has credentials. Maybe an ear, nose, and throat doctor since yours is a medical change? You are going to be fine - just focus on the positive outcome!
  • Reply
omg your 3 week pics are great! you look like an improved/better version of you, which is pretty much the ideal result in my opinion! and i'm sure with time your nose will become more and more refined, as 3 weeks is pretty darn early still. i wish i could hit the fast forward button :)
  • Reply
That is so nice to hear! I hope it gets better and better. I'm pretty happy with the results. Not over the moon like I was on cast removal day, but happy enough. Trust me, time will fly by and you'll be there in no time! I'll have to check out your pictures. It's so nice to be able to share this experience with people.
  • Reply