Cast off tomorrow ! Glendale, CA

My rhino/ septoplasty with Dr. Grigoryants is a...

My rhino/ septoplasty with Dr. Grigoryants is a little over two months away and it's time to do some prep work. I will be coming from out of town, does anybody have any hotel recommendations? Have you hired a nurse for after surgery care? I have met with Dr. Grigoryants twice, and both times I walked away excited- he seemed genuine, confident and the right person for the job. Yet, to be honest, it makes me pretty nervous that I won't be able to explain my likes and dislikes without computer imaging. I mean, he says he "will thin out and define my bulbous tip, raise the tip a bit, it will look nice, you will like it." I have read so many great things from him and felt confident when i met him, but I also feel like I am taking a big leap of faith. Specially on the "you will like it" part. Trusting from what I see on his website, i probably will. What do you think? Did you feel that way too?


Hi there! I'm having surgery with Dr G. on July 8th! I felt he was a little vague as well but not so much where I didn't trust him, so I'm looking forward to my pre-op with him on June 15th. He told me everything he wanted to fix on my nose, which were all the things I was going to tell him I didn't like. I'm going to be bringing in a few photos of noses that I like to see if we are on the same page. I also saw him drawing my nose when I went for my consultation, so I'm going to ask to see the "after" drawing that he came up with. Judging from reviews on here, photos, and on his's safe to say I feel super confident with this doctor. I think the most important thing is to communicate with him exactly what you expect, and ask him a lot of questions! Good luck!!
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Hi, thank you for your response. I agree, although he was a quite vague, I still felt he was genuinely capable and trustworthy. He has been great about getting back to me whenever I email him questions. I've also collected a lot of pictures, which I plan to use as a tool idescribing what I like/ don't want at my pre-op appt. I don't know if it is just me or what- it's hard to communicate exactly what I want, when I can't envision looking any different. I don't hate my nose, but i would like it to be straighter, a little less bulbous, more flattering and very natural. Do you think that is too vague? What changes are you going for? I hope that you have a very productive preop appt, and look forward to hearing more about your process. All the best!
That's great about the email responses. I didn't think to email him! I totally get what you mean about it being hard to communicate what you want, because you don't really know what you want, you just know what you dont like. I think what you described sounds good but I would definitely be clear on what you want the tip of your nose to look like, because I think that it's the most important part. The good thing is that Dr G is great with the tips, I think! I want my columella to be lifted (it's actually going to be pushed back and slightly lifted). That's all I really want but when he does that, the tip cartilage will spread and he will sew it back together for a more refined look. He also said he's going to bring my nostrils down a bit. What I need from him on the 15th is to be clear on how the front will look. I'm confident with the side profile, but I still cant envision the frontal. I think showing him photos will be helpful! I posted 4 photos on my profile to show him. What is your opinion on showing him those in comparison to my nose? By the way, I love your username! Haha :)

The suspense is making me doubtful....

I am pretty nervous and want to get it over with as soon as possible (surgery is mid august). The thought of breathing better excites me, but the fact that I can't envision my face looking any different is very scary. I wonder if some of you have felt that way too. How are you or did you deal with it?

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Good luck to you. I look forward to see your result.
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Hi, Please post picts when you are up to it after surgery? I have a very similar nose and I am very anxious to see your results. Dr. G did not have any examples of similar noses to mine on his site. I know he is very talented but it would be a great comfort to see similar face/noses since he does no computer imaging. Thanks!!!
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Out of towners....

I am so thankful for this forum and for all of you who have shared your rhinoplasty experiences. It is so helpful to know what others have been through. Without your stories and pictures I would of underestimated the recovery process. At this point I may not know how my recovery will be, but at least I can anticipate that it will most likely be quite challenging. Also since I am coming from out of town, and alone, I am beginning to question if that is a good idea. I want to set myself up for success. What has been your recovery experience like as an out of town patient? Did you hire a nurse to take care of you? If so, for how long? Any and all suggestions are welcome. Thank you.


when is your surgery date?
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On the 27th. I know yours is right around the corner. Try to stay positive. No sense thinking the worse. I'm sure that if you are happy about ir others will get on board easier. If not, at least the process will go better. I'll be thinking of you. I never realized how much courage it takes to get rhinoplasty, but now i see that it does! Keep us updated. Best of luck!
Thanks for the update! Yes I think you are normal. I know I want work done I am just uncertain if I have properly conveyed my desired outcome to my surgeon. I hope so. I don't have much time before my surgery.
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Ready to go for sept 27 ;)

Everything is in place for next week. Feeling good about my decision to go forward and trusting in my doctors vision to do what is best for me. I have also compiled a specific list of pictures and goals to review with my dr so that we are on the same page and I can recalibrate my expectations if need be.
I do feel a cold coming on. Do you know what happens if you get a cold or a sinus infection before surgery? Can it go on, or does it have to be postponed? I am concerned because I will be flying in and staying in a hotel and would not want to have to change everything :/ Has any of you encountered this?


Your date is just around the corner! I think you're in great hands!
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Thank you sweetie! I am a little terrified about it right now, to be honest, but all the positivity definetely helps. I am hoping I will feel re-assured after pre-op. I hate having my picture taken because of how my nose looks now. Yet, it dawned on me that even if surgery is a success, I may still be camera shy. I can't be too attached to that. When I look in the mirror I am pretty much ok with my nose, I hope I am able to say that after the fact! As long as it looks natural, even, and i can breath better I should be fine. Fingers crossed!
Hello and all the best for your surgery next week. I had very little gap between my lip & nose and a very twisted septum, so that's why I had open surgery. You don't have that so I am sure closed is a great option for you. Hope to watch your progress.
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everyone says make sure your doctor knows what you want- i get that...

everyone says make sure your doctor knows what you want- i get that... but i have learned throughout my life how tricky good communication can be. i mean, if i tell my surgeon, i would like to refine the tip a little bit, but still have it look natural.... is that like telling a stylist i want my hair darker brown? there are so many shades of brown! more than one interpretation of what "a subtle refinement" may be. dr grigs said something that scared me a little at a consult i had with him- he said he would thin it out a bit, make it more westernized. that word may have been harmless, but it frightened me to think that i would be trading off uniqueness to fit into a mold, because despite being a little vain, i am not ok with that! how is a surgeon to know what your comfort level is when it comes to altering your face? i am of mixed ethnicities and can care less about a barbie face on me. again, the term may have been harmless but it set up a red flag as to whether the doctor really understood what my motivations were for this. on his website, his results are pretty ideal for the most part. Could i be that lucky?
are the results that predictable or is it a total crap shoot, even with a great, but beyond busy doctor?
i am having hesitations about this surgery, but it would be out of character for me not to. when i was 21 a surgeon tried to talk me into a nose job, he said my nose was very crooked, and although i went in for an otoplasty consult, he said his morals would not allow him to touch my ears, without doing my nose! he was so pushy, and there was no way in hell i was going to let him touch me after that. I literally felt like i was seeing dollar signs in his eyes, and ran for the door. I knew my nose was not the prettiest, but i did not have the slightest inclination to change it. Now I am 34, and my nose has not been aging too gracefully so my thoughts about tweaking it have changed. I wonder if these pre-surgery jitters are healthy, since although i am scared, i don't feel like "running for the door just yet", or if i should be listening to the subtle inner voice. If nothing else I should take an f***ing break, and think about something else!


i have the same problem,, bulbus tip wizout a hump,, i c photos in dr g site that refining the tip wiz removing the hump give great reuslts ,, anyway i think u will get great results wiz act of god... i was chatting wiz a former patient that have the same problem and her nose became much better after the surgery ... wish u all the best
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thank you so much for the positivity!
I think it's a good idea to really clarify things before the surgery, even though he's a busy man. Send him an email where you describe all your concerns. I am sure that what he is planning on doing is in fact exactly what you want, but just to make sure. So you can also feel a bit calmer. Maybe you are still a bit traumatized from the other doctor trying to push you into having a surgery you didn't want nor need. Dr. G will def not put a barbie nose on you. I felt he genuinely understands facial aesthetics and he will make the nose so it fits nicely with your other features. Hope you feel better about you decision. If you really don't feel good about it at all, then you shouldn't do it, but there is a risk you might regret it. Cannot wait to see your result (if you choose to share it) and I hope and think everything will go super well for you! xx
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I will not let my nerves get the best of me, not today!

Tomorrow is pre-op day and I am flying in from out of town to embark on this journey. I am excited about the functional part of the surgery. May the universe conspire to make this a success! I have had ambivalence about risking a change to my appearance as i feel like my nose is not the best, or not the worst. i have never been teased or felt insecure about it, except not wanting to take a pictures. I see this septo/ turb reduction as the opportunity I secretly wanted to tweak the outside a little bit. With the grace of god and the hands of Dr. Grigoryants, may the change be a favorable one and may I never have to look back!

In my bag I now have packed...
biotene spray, facial wipes, aromatherapy diffuser, list of pics and do's and don'ts for dr. G, pj's that button up, any suggestions...

Please share your comments if you have any. Take care ya'll.


Good luck today, I'm sure everything will go great!
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Thank you for the happy thoughts :)

Done & done....

Yay! Starting with preop yesterday, everything went great. I was a ball of nerves going into my preop appt, but the girls there were super. I got great feedback from nurse and Dr, and all the confidence I needed to push away the nerves and replace them with positive anticipation. I decided to go to target and get one of those wedge type pillows with arm rests to sleep on while at the hotel. Back at the room i saw some happy thought messages from some of you, for which I am grateful. :)
I waited for my sweet sis to fly in. She got in late and we tried to rest. Today I went to the hospital at 8 as scheduled. The rest of my support team ( my inlaws, hubby and son are back home) showed up to drive us there. Based on some of your reviews, i guess i had underestimated the hospital experience a little. Thinking we would have to wait for hours and that I would be getting poked a whole bunch before they found my vein, but not at all. It was all well orchestrated today, and all the staff was sweet and on point. The thought of gen anesthesia was a little scary. I just prayed to the universe that I would wake up from it and hug my little son. Now I am back at the hotel, dripping into a gauze/ throat and letting the loopyness wear off. Feeling pretty good, though I don't want too look in the mirror to much so that I don't start to obsess over how the nose looks. Ok, u just peaked, it looks slim and crooked. I have to fight my urge to judge it or thinking about for a few weeks. Stress is not conducive to healing I can breathe better than before surgery this morning. It may change over the next few days, but feeling promising in the long run. Happy Friday everyone!


Hope you're feeling okay today. Glad everything went smoothly and I look forward to hearing how your healing process is going :)
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You did it! Happy healing.
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Thank you for your good wishes!

Day one post op

Feeling alright today. Not too much pain, but I feel like like I am drowning in my nose gunk. Is this normal for day 1 post op? My throat hurts a little, but it's not unbearable. I just want to blow my nose! Did any of you clean the inner rim of your nostrils this early on?

13 Comments are over the biggest hurdle! Sleep well...take the drugs and smile...even if your upper lip can't move. I had a closed rhino so i really didn't have too many gooey snot boogers built up. Of course I was in those little caves every few hours with a q-tip and Vaseline so they were pretty clean. Still doing it at almost 3wks. A stitch even came out today on the q-tip...which is normal. Do you have pictures? Ya gotta given us some pictures!
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Thank you for the kind words. How are you doing?

Day 3 post op

Healing is moving along. Feeling fine physically, but moodwise a little blah. Please, please let this have a positive outcome. I am certainly out of my comfort zone here. From what I can see under the tape my nose tip looks a lot smaller, pointy and off to the side. I'm sure that the tape and cast is distorting the look of it, but I'm feeling a little nervous. Dr. G is very talented, but tip work is tricky. I pray to god this comes out looking better than before and natural. I am feeling shocked that I took such a gamble! Still, there is no where to go but forward... I take solace in knowing so many of you are happy and that I picked a great doctor. May I be pleasantly surprised.
On a different note my sister left today. I moved out of the hotel and into grandmas where i will be holed up until cast offf. I will reunite with my hubby and son on Saturday . I miss my boys immensely. You could say I am homesick. Please, please let this be an improvement!


Seriously, don't go off of what the cast looks like in terms of trying to imagine what your nose is going to look like. I did the same thing and convinced myself that my nose was super up-turned based on the cast, but it wasn't. I hope you are feeling ok, I know this waiting period is a tough time. :)
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That's exactly what I want to hear! Thank you Lizm123! How is healing?
Thank you for your comments!
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Cast off tomorrow!

Finally, after 5 days in a nose cast I am curious about what's underneath. Before now, I was solely focused on feeling better, and utterly intimidated to look in the mirror. Now I am looking with anticipation. Even with the cast on, I am ok with the tip rotation. I hope it doesn't drop too much. Dr G kept saying that most patients that insist on having the tip raised minimally, come back wanting it raised more down the road. He warned me, lol. By the grace of the universe, may the rotation be just right. I hope I didn't tie his hands and that he was able to do the right adjustments for my face and taste.


Hope u r having a safe journey home, and a happy reunion with ur family.
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so excited for your cast removal! Good luck!
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Best of luck with cast removal today!
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Patience, patience come here!!!

It was not love at first sight after cast removal. I felt in shock and unable to instantly embrace the change in my face. I felt sick to my stomach. After talking to Dr. G, my fears we're a little subdued as I realized that my nose looked distorted in part because of the cast and the swelling. He was positive and caring. He insisted that I need to give it time for the swelling to come down and the actual results to show. When the swelling increased within an hour after cast removal I began to like it a little better. Each passing day it grows on me a little bit more and my anxiety diminishes little by little. There is a good chance that I will be really happy With it in a few months. My smile is off, but it will be back I know. I guess right now what I don't like when I look in the mirror, is that it looks fake, distorted, and my smile is weird. My answer to this is:1) it looks fake because I am not used to it. Besides, even the best of nose jobs look a little crappy/ and done 8 days post op. 2) it looks distorted because of the swelling 3) smile will normalize when swelling improves. I reason that it Wasnt love at first sight because there was no hump removal/ or shortening of the overly prominent nose. I those are improvements that are easy to appreciate. The tip, not so much. It looks worse than before. My biggest concern as that breathing is improved and that the nose looks more proportionate and natural. Dr G is sticking to his story that so it will be. So the light at the end of the tunnel is that there is a good chance it will look good once swelling drops and my mind adjusts. In the meantime, I will heed the advice of my beloved 93 year old nana
( who says it looked good before, and it looks good now and will only get better):
"you just pretend that it is the prettiest thing in the world and everyone else will have to get with that!"
Happy healing everyone!


I'm sure you look lovely! Do you have any pics for us? Good luck on your healing :)
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Congrats on getting it done! I know it can be hard to be patient but it gets better!! 1-3 weeks is always the most swollen. I'm sure the end results will be beautiful! Hang in there :)
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Hi Is this your post -op photo? Looks great!
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I am glad I did chose Dr Grigoryants!

Just two weeks into it and i am feeling pretty good about my decision. My nose is still swollen obviously, but I've gotten to the point where I can see the minor improvements. Those improvements are harder to appreciate in pictures but I wanted to post some anyway. Dr G is a fantastic Dr. and I definitely recommend him. He told me that it will take a couple years to see my final result, so I am not holding my breath, yet I am liking where this is going. I did not want a small, scooped, upturned nose. Although he strongly suggested that it would look really nice if it the tip was rotated up a little bit, I was scared and told him to do it ever so slightly, almost nothing. He went off of what I told him and I trust he did the best he could with what he had to work with. Now, I wish that I had let him rotate the tip a little more. The good news is that I found a Dr. who I can trust and if after a year I think I would benefit from a revision to rotate the tip up or narrow the bridge, I would choose him again. Now all I have to do is heal and enjoy the ride! I wish you all the best.


Hi there! How are you doing? Healing well? Wishing you nothing but happiness!
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What does your nose look like now?
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nice! its so natural!
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