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Totally Worth It! - Dr Ali Al-Attar - Fairfax, VA

3 Months Post-Op I should have written this...

3 Months Post-Op

I should have written this review awhile ago because a lot of the details are already fleeting -- but maybe that will be a source of positivity for you! It's only been 3 months since my surgery and I sometimes forget I've even had it done (until I look at my nose, of course, and am reminded how glad I am I did this!)

First off, there are a ton of reviews out there on what to expect, but ultimately, its so important to remember that EVERYONE'S BODY IS DIFFERENT - your body heals differently, reacts differently and has different weaknesses and strengths than everyone else. The TWO best things to do before a procedure like this is to (1) read and obey ALL the directions your doctor provides -- they will make a TREMENDOUS difference in your recovery (take/apply the arnica, don't drink or smoke 2 weeks before and after, build up your immune system with good foods, drink a LOT of water, etc), whether big or small (most likely big), and (2) Prepare your mind. Be in tune with the reasons as to why you're doing this, and be in tune with your emotional state to keep yourself lifted and positive at all times. Having a good attitude about the whole process was so vital to my recovery experience, as stress and anxiety directly affect your body. If you do these two things, you will really thank yourself after everything is said and done.

A side note: I had my tonsils removed as an adult in 2009 and it was TERRIBLE, so I was expecting the worse with my rhinoplasty -- which kind of goes back to my "preparing your mind" advice. In a weird way, expecting the worse made my recovery "easier" because I was prepared to be in pain, I was prepared to be miserable... and I fully registered that it would pass eventually and be an experience behind me (but with a new nose!). Preparing my mind this way became a positive advantage for me. I was fully ready this time -- building up my body and mental strength, while I was out drinking practically every night the week before my tonsillectomy in 2009, thinking it would be a piece of cake (ROOKIE MISTAKE). Again, I know you really can't compare the two surgeries a whole lot since they're so different -- and like I said earlier, it's important to remember that everyone recovers differently -- but my point is that EVERYONE can benefit some way or another with their recovery time/pain/swelling and overall attitude by preparing your body and mind at LEAST two weeks beforehand. Don't overlook this!

With that being said, the surgery itself went very well. I woke up from my anesthesia without problems (just harmless disorientation and loopiness) and pretty much had zero pain (thank you drugs!) My first night was just uncomfortable, not really painful, as I had to sleep sitting up... which was annoying. My gauze had to be changed fairly often, like three or four times a day, from all the blood leaking from my nose. Pretty gross. Day 2 wasn't so fun, but still not horrible. The medication started to make me feel sick and nauseous (which was a similar reaction I had with my tonsillectomy recovery), so I tried to tough it out and take Tylenol instead. Even without the "hard stuff", it wasn't too painful. A read a lot of reviews of people saying this surgery isn't really painful, just uncomfortable, and I have to say this was the same for me. It may have been my optimistic attitude, or the fact that I was "prepared" to feel this way by reading everyone else saying that, but whatever it was, whether mental or physical, I was very happy about feeling that way.

By Day 3 and 4, I was not the nicest person to be around. My husband was a rockstar at taking care of me, but even he wasn't safe from my frustrations being vented upon him. My biggest frustration was my sleeping situation. I was mad that I couldn't lay down and rest horizontally and that my neck and back were starting to hurt and I kept waking up every 2 hours for discomfort. Not only is it not recommended that you lay down flat, but you just can't do it. It doesn't work... at least not for me. My nose immediately felt weird and uncomfortable when I tried to, and the blood flow was immediately off and there was no way I'd be able to fall asleep that way, despite my body liking being flat again. I just had to get over it. What helped me sleep better was my humidifier. GET ONE IF YOU CAN! I read so many reviews of people complaining about dry mouth and waking up from it, but I plopped that thing right by my face and dry mouth was never an issue. By the end of Day 4, my swelling started to move into my cheeks and I looked like a chipmunk... which my doctor said was totally normal. "Swelling tends to move down and out", apparently, and it literally did just that. It started in my eyes and nose Day 1-2, moved to my cheeks Day 3-4, then down to my jaw Day 5-8.. and then gone!

When I got over the hump (or shall I say, "dorsal hump" - badum ching!) of Days 3 and 4, and I'll throw in Day 5 for good measure, everything was improving. I couldn't believe how quickly I was recovering. By Day 6, I was totally self sufficient -- I could cook my own meals, bathe, go outside and walk the dog (while scaring the neighbor's kids, I'm sure), etc. After not being able to do these types of things on your own, being able to do them REALLY helps your attitude. Extra bonus. By Day 13, I went to a concert with my Dad and husband. My bruising was gone (but I looked...tired...) and my nose was still swollen, but presentable enough. Otherwise, I was dancing and singing and having a great time.

Overall, the ugliness and all the gauze and blood and "pain" and discomfort is something that goes away fairly quickly: 1-1.5 weeks. The OTHER phase of recovery is the sloooooow and tedious process of your nose becoming 100% what it is meant to become after your surgery --- the part of the recovery I really didn't know WHAT to expect. I had a closed rhinoplasty so as far I can remember what my doctor told me, a lot of the action went through one part of my nose (in between my nostrils), which makes sense to me since that's the area that's taking the longest to heal. I have scar tissue in that area that feels (and looks, to my husband) tough and it's almost always red like I have a cold and have been blowing my nose. Concealer helps a bunch. My doctor also had to do a lot of reconstruction to the right side of my nose per whatever the heck was going on in there (apparently a lot), so that side has always been more swollen than the left, and still is somewhat at my 3 month mark. I certainly don't look hideous.. and you can definitely go out and be social by the 4th week, but be patient and know that this is NOT the way your nose is going to look 1 year down the road. The major swelling and bruising should definitely have gone down by the time you're at 3 months, but you will still have some swelling, redness, and tenderness in general until at least 6 months to a 1 year. There is no "big reveal", as it's more of a "stay tuned!" for next time you see your friends or family, because every week, something minor changes.

Photos - Before Surgery vs 3 months POST-op

Dr. Ali Al-Attar

I've wanted to do this procedure ever since I could remember, so when the better than-ever time finally presented itself, I went straight to work. I booked what felt like ten zillion consultations, interviewing doctors like it was my second job. I had a budget which I knew wasn't going to allow me to go with the "top" surgeons in my area, but I still wanted to know what all my options were. The first few consultations were all the same: the doctor was professional, polite, a perfectly nice person -- but they looked at the whole consultation as a sales pitch (I also didn't even bother to book consultations that cost $100-$250; I knew they weren't the surgeon for me already). One doctor even had her assistant present the price, asked me what I thought about it, and then said "but if you commit by July, we'll knock of $1,000 for the surgeon's fee!!!!" This isn't a game. This is my face. Playing with numbers like that felt so impersonal. The doctor may have been great on paper, or the prices may not have even been all that high, but they just never felt "right". So, when I was about to meet with Dr. Al-Attar, I was starting to feel like maybe this whole procedure was not for me. Maybe I wasn't going to feel comfortable enough with ANY surgeon because I felt like no one really was listening to ME. All of that changed after my consultation with Dr. Al-Attar. He was actually running a lot little late to our initial consultation, and when he finally got to the office and called me in, he was SO apologetic -- I was really surprised. I almost always wait at any doctor's office, and they usually never apologize for making me wait.. so I was really impressed by his genuine politeness and concern for MY time. During our consultation, Dr. Al-Attar asked me a lot of questions, gave me some answers, and then made some really good points I hadn't heard ANY other surgeons say to me before. It was almost as if he wanted ME to convince HIM that I was there for the right reasons, that I really wanted to do this, and that I understood no nose can ever be perfect and he can only do what my nose will allow him to do. He was also the first and only surgeon to say he would recommend a closed rhinoplasty on me vs. an open rhinoplasty (while EVERY other surgeon immediately said open rhinoplasty, no question) and provided very valid points as to why. The feeling that he gave me and the feeling that he has towards cosmetic surgery, his practice, and his patients in general really resonated with me: honest, genuine cosmetic consulting with the overall goal of providing really great results. Not a sales pitch at all. Because I walked out of that consultation feeling so confident in him, I was sure his price would be way out of my budget. I was then surprised, once again, to receive a two-page typed letter covering everything we had talked about in our consultation in detail. He recapped what I said, what he said, the overall goal if I were to go ahead with the surgery, and a quote that was perfectly placed within my budget. I was really taken back by the way he made this experience intimate and personal and how he fully listened to me. I had finally found my surgeon! Once I decided to go with him, we had a few more meetings beforehand, all of which are covered in the price. I paid half of my surgeon's fee when I booked my surgery date and the other half either 2 or 3 weeks before the surgery. The hospital then called me a few days before the surgery to pay for the remaining overall balance which are the hospital fees. Dr. Al-Attar also worked with me on an issue we had with the hospital fees that were incorrect that I know were circumstantial so no point in getting into, but either way, he showed me, once again, how much he cares about his patients by helping me out with this issue. After my surgery, I have called or emailed him along the way with random questions, and he always gives me a call or a reply same day. He is extremely responsive and always willing to bring me in to give a look at something that I may have a question about (which is always nothing, and I know he knows that, but still sees me anyway). Dr. Ali Al-Attar is just a fantastic surgeon, doctor, person, everything. He has the skill without the pompous, medical "holier than thou" attitude I tend to see in most doctors across the board. He really listens, he genuinely cares, and he's not out to make as much money off of you as he can -- he just wants to create great results, and he certainly did for me.

5 out of 5 stars Overall rating
5 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
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
4 out of 5 stars Wait times
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Comments (8)

RE: "receive[d] a two-page typed letter covering everything we had talked about in our consultation in detail. He recapped what I said, what he said, the overall goal if I were to go ahead with the surgery". What a great way to give thorough informed consent. Other docs can learn from Dr. Al-Attar's methods. I feel like my surgeon didn't care what my goals for the surgery were or that I understood the process but rather was made to feel like I should be grateful that I was even taken on as a patient. When I had questions as to what exactly was done during the surgery after the fact all I got was medical jargon I didn't understand.
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. . . and attitude!
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Awesome results! I also had my bridge straightened and am so impressed at the difference!
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thanks for that it is a long slow wait
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Great review! Thank you so much for sharing it. And I love your tips about preparing your mind and body ahead of time. Fabulous!

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Thanks for sharing your experience. Would be helpful for others if you post some b/a photos. You can blur your eyes.
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... just posted some! :-)
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Thanks. Your surgeon did a great job! Did you see b/a in his office?
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