Smooth surgery

Boosted self confidence, went...

Boosted self confidence, went smoothly!

I've wanted rhinoplasty since 11 years old. My big Jewish nose haunted me and distracted from my other flattering features. Seeing so much bad plastic surgery, I made it a mission to find the best surgeon FOR ME. Price and distance meant nothing to me, because you want this done right, the first time. If you want honest and extremely helpful advice in getting a rhinoplasty (or any plastic surgery), read this whole post.

First off, you need the right surgeon for YOU. Every surgeon has strengths. Just because they did a great job on your friend doesn't mean they'll do a great job on you. Some doctors are amazing at making thick noses look thinner. Some are good at reducing bumps, or shortening columellas. Look at YOUR nose and see what needs to be done with it. Find a doctor that has A LOT of UNTOUCHED and RECENT pictures of their work. Look through and find which "types" of noses have CONSISTENT results. Make sure their strengths are in the areas that YOU need. If you are Asian and need a bigger nose, a doctor that specializes in reducing African American noses might not be the best for you. Get it? I felt Dr. Grigoryants had a special strength in reducing humps in noses. This is what I needed, so he caught my interest.

Get a few opinions. One doctor might feel you need this, another doctor might feel you need that. See a few doctors that interest you and get opinions on what you need done, what will look best, how to going about getting good results and if your expectations are realistic. Get a few opinions and use your own judgement.

DO YOUR RESEARCH. Our faces are not made out of clay. Oh, I want this bigger, that smaller, this lifted, that to the left…. how will they do that, with freaking magic?? Watch rhinoplasty videos, read articles, look at diagrams. I am far from a doctor or a science person, but you really have to know WTF is going to be going on while your asleep. There are several ways to do procedures, and every doctor has their opinion on what is best. But how will you know whats going to happen unless yo research it, then ask? For example, ever doctor told me I needed an open rhinoplasty. I didn't care about a little scar, so I figured thats what I needed. Dr. Grigoryants actually did my surgery CLOSED with his own innovative techniques, which I didn't think was possible. I have no scarring, and I had little swelling bruising and downtime. But do you know how they do that, a closed rhinoplasty? He cut open my upper lip! take your tongue and run it across your upper teeth. Feel your gums and that strip of skin in the middle. Yup, that was completely cut open to get to my nose. I'm not saying that was bad, I'm saying make sure you ask what the hell they are exactly doing because a doctor won't go out of his way to tell you EVERY little detail.

Price and distance don't matter in the long run. If you get a bad surgery, you will dish out any amount of money to fix it. SO don't be a cheap ass, travel and speak with the best doctors you can find. I did my research for years, and traveled the whole freaking country. I live in PA; I met with Dr. Epstein (Miami, FL) Dr (Rizk) Dr Lefkovitz (NY) Dr Tarranow (NY) Dr. Vitolo (NJ) Dr Parfitt (WI) Dr Mayer (LA, CA) Dr Toriumi (Chicago, IL), OMG there are more but I can't even remember all the names. I traveled a lot. Some consultations were free, some were $250. I got quotes from $6,000-$21,000!!! Some of the doctors were rude and worthless and others seemed wonderful, but Dr. Grigoryants was the best. This was an expensive process but totally worth it, I found a kick ass Dr in California. Thats priceless.

Don't be afraid to be a pain in the ass. I asked SO many questions, sent SO many pictures and e-mails to Drs and their consultants all the time. I know that Drs are busy and their time is often not for free. However if they can't follow up with you and are too busy to personally answer your important questions and address your concerns, how will they act if there is a problem after the surgery? Will they really give a F if you have problems once they take your money?? Remember you sign your life away in contracts and cant sue whether they screw you up or kill you. Get someone that cares!!! Dr. G answered all my questions promptly through email.

Make sure your goals are realistic. Plastic surgery is for improvement, not perfection. You will never be perfect, get over it. After consulting with so many doctors, I knew that I would most likely need a "touch up" on my nose to straighten it, which I do. Straightening the nose in the hardest thing to do in a rhinoplasty. But wouldn't you rather have a doctor perfect your nose in two series, rather then try to do too much at once and mess it up? A good doctor will underdo, not overdo. It is better to do too little, because once you do too much you'll look like Michael Jackson. Though my nose is not perfectly straight, its 90% better. I hope my touch up in a few months will fix this.

Now for my personal experience, I was scared poopless of this surgery. Dr. Grigoryants is a very busy man. Honestly, it seemed like his patients were just on an assembly line, he was doing 3 surgeries a day half the week! This is OK, because remember whether a doctor sees your face everyday or only one time, they are going to do the surgery the same. No Dr goes home and studies pictures of your face every night for a week. They will open you up and see whats going on inside and decide from there. So they are not necessarily interested in explaining every little detail of what they are doing and what to expect. That way, as I stated above, it is very important to do your own research and ask your own questions.

I had an amazing feeling about Dr. Grigoryants. I sent him pictures, and after a few brief e-mails I scheduled an appointment to meet him. I live in PA and he is in CA, so I scheduled (a cancel-able) surgery for the next day, if I decided I liked him and I wanted to go through with it. I flew out and asked all the right questions. I previously had an unsuccessful septoplasty, and he needs to make sure there was enough septum left to do the rhinoplasty, and another septoplasty. I also had a non surgical nose job a year earlier by Dr. Rivkin in Beverly Hills the year before (I had great results and I recommend to people that need small changes) and I need to make sure there was no injectable left in me. I was good to go!!

Dr. Grigoryants really knew what he was talking about and what he was doing. His staff was not so friendly, and honestly if I hadn't done so much research I don't think I would have picked him. He is a great surgeon, but he's not going to hold your hand through the surgery.

Against his wishes, I had some lip done with my nose. the results of that were less than stellar. I am uneven, sensitive and lumpy. I will see if he can fix that during my touch up.

Somehow, my nose job was absolutely painless. It was uncomfortable, having to sleep sitting up and only being able to breathe through my mouth. But it wasn't painful! I couldn't believe it. The lip in my lower back was extremely painful and if it wasn't for that, I would have been moving around fine. I needed minimal help the first few days, I threw up the second day, I think because of all the Vicoden tearing up my stomach. But every day I took walks outside and trips in the car and I was eating drinking and talking fine. The fifth day he took my cast off and WOW what a difference!!! I had almost NO bruising and minimal swelling. That day I went out and walked around Hollywood square. I felt fine!!!

I saw the results instantly, and let me give you an example. I had my surgery December 10th. EXACTLY two weeks later, it was Christmas. I went to Christmas dinner at my grandmothers house with half my extended family. NO ONE could tell I had a nose job. Every one was like WOW you look sooo pretty, but no one could put heir finger on it. Looking at pictures side by side you could see I had a nose job. But the result were so wonderful and natural no one knew! and this was only TWO WEEKS after surgery!!! Three weeks after was New Years. I went out and drank and had fun… My nose got bumped, an though extremely painful, thank god no damage. Be careful not to put your head down or get it bumped. My nose was extremely sensitive for 3 months.

I got an infection about a month after surgery. There was an irritation from a suture (he uses disintegrating stitches and one got stuck). The infection was SO freaking painful and looked horrible. I don't think this was the doctors fault nor preventable. I think I was just unlucky. If I was local he would have seen me right away. But I live across the country. He called me from his personal cell phone and had me send pictures of the infection. He called the closest pharmacy to me and prescribed me two different antibiotics and followed up with me. The infection was very painful and lasted two weeks. It was so noticeable I couldn't go out, but the doctor handled it very well. 

I am now 10 months post op. My result are amazing, I feel like a new person, more beautiful, so much more confidence. From the front, my nose is still not 100% straight. I am hoping that the doctor can fix this in my touch up. But it looks so much better and I am very happy, and pretty! FOR THE FIRST TIME IN MY LIFE I CAN WEAR MY HAIR UP!!! :-)

**I forgot to mention** RESEARCH DOES NOT MEAN...

**I forgot to mention** RESEARCH DOES NOT MEAN BELIEVE EVERYTHING YOU HEAR. Unfortunately money buys you pretty much whatever publicity you want these days. When you search "best plastic surgeon" online, the doctors PAY search engines like google to be listed first. When they are rated or featured in magazines or TV shows, they often PAY to do this!! Its like an actor doing a lot of talk shows before their movie comes out. The movie could suck, the actor could suck! But they NEED publicity!! I was stuck on this doctor for over a year because all I could find were amazing things and rewards and articles and TV shows about him. But then I realized my opinion was skewed because he didn't have many examples of his recent work and 90% before and after didn't scream OMG. Look for a doctors like Dr. Grigoryants, that has written a lot of official medical articles and made medical advances. Thats the kind of stuff you can't fake.

I'm not saying if a doctor has a lot of publicity he's bad, it just doesn't mean he's good. It means he has money to pay for advertising, like any other business. But forums like this and taking REAL photos with HONEST reviews and photos is the BEST way to help each other and weed out all the crap doctors from the good ones. We need to stick together :-)

** OK.. I want to apologize for a bit of...

** OK.. I want to apologize for a bit of mis-information. Apparently Dr. G has been getting e-mails from people that have read my post. I was mistaken, he did NOT go through my upper lip, he went through my nose. My upper lip was so swollen I wrongly assumed thats what he did. But wow, I never saw or felt any incisions in my nose.

***ALSO, Be aware the a crooked nose is the most difficult thing to fix. It is best to use strips of your own Septum to fortify the bridge of you nose so it doesn't collapae, but septum has "memory", meaning that it can curve back over time. But again, it is also better do underdo than overdo. My before picture isn't very clear so I'll add another. my nose was VERY crooked from the front before. In pictures now it seems 'twisted' but in person its not so bad.

There have been several posts claiming that this review isn't legit. Ok its VERY honest and legit! I'd be more than happy to answer any questions personally because this site helped me SOOOOO much in making decisions for my surgery, I'm just trying to do the same!!

I just had my touch up revision for Nose and lipo....

I just had my touch up revision for Nose and lipo. Though I am still swollen the procedure was not as invasive as the first and things look wonderful! My nose looks super straight and I am very thin with curves in the right places!

Six months after my touch up, I am very pleased...

Six months after my touch up, I am very pleased with the results. My nose is not 100% perfect or straight, but it never will be and I truly believe that Dr. G did the best job possible. My lipo touch up turned out awesome as well. I have had random people that I don't even know compliment my nose. They tell me I have a perfect little Barbie nose!

Photos

Everybody keeps asking me for photos. I will not post because previously my surgery photos ended up reposted on other websites- some people have no respect for privacy. I stand by Dr. Grigoryants as the BEST rhinoplasty surgeon. I've consulted with a few Drs afterwards that were very impressed by my nose job and how it was done closed. Maybe in the future I will add a snap chat account just for this so all of you can see pictures. Put your trust in this guy, he's very straightforward about what is and is not possible.
Los Angeles Plastic Surgeon

I highly recommend Dr Vladimir Grigoryants for rhinoplastly, especially if you have a curved down nose or a hump!

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
5 out of 5 stars Wait tmes
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Comments (35)

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I am really considering this doctor, it would be amazing if you can share the cost of your rhinoplasty, if you aren't comfortable please email it to me !!! j*****@*******.com
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I'd love to see your photos!! ;) can you send them to me?
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I'd like to see pics of this cute little Barbie nose you speak of.
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I am consulting with this surgeon and would love to see a before and after photo?
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Can you pls email me before and after pic. I am really interested in this surgeon and booked surgery in two months. This would help me alot in my decision making. Thx. C****@gmail.com

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Results ended up wonderful. He is def the best plastic surgeon.
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Its great to hear that you are happy after your touch up. I am about to go through that myself next month. I am very very nervous but at the same time I cannot wait to get it done so that I can finally look in the mirror and be happy with my nose. The weight time is very frustrating but I strive on the fact that a)my surgeon recognizing it and b) willing to fix it or do what it takes to get it right. You have an excellent doctor but like you said fixing crooked and broken nose is hard to do. I had a broken nose, which is why I ended up going through the surgery. Happy to hear others have great outcome with touch up.
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Hello, I am scheduled to have a revision rhinoplasty with Dr. Grigoryants in four weeks. Just wondering, now that time has passed, would you still recommend him?
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I have my surgery scheduled a month from now, just wondering how your results were?
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Amazing he's the best
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Im in california too. hope your healing process is going well.
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HI I AM JEWISH ALSO AND VEGAN. IT'S RARE TO FIND BOTH!! I HAD ONE NOSE JOB A FEW YEARS AGO, I HAD A NEGROID NOSE, THAT MEANS ROUND AND THICK TIP!!! THE WORST NIGHTMARE FOR A SURGEON!! I WENT TO SEE MANY DOCTORS, SOME WERE FROM PUBLIC HOSPITALS ( THE CHEAP AND THE WORST) AND SOME WERE PRIVATE (AND EXPENSIVE). I HAD 2 PREVIOUS NOSE JOBS AND THE RESULTS WERE BAD/ THE FIRST GAVE ME A SLIGHT IMPROVEMENT OF THE BRIDGE BUT THE TIP WAS STILL THE SAME!!/THE SECOND WAS WORST (PERFORMED BY ANOTHER SURGEON FROM PUBLIC HOSPITAL BUT HE HAS A PRIVATE CLINIC IN PARIS), HE HAD CREATED ME A BUMP LIKE A BOXER NOSE, HE EVEN DENIED HE HAD OPERATED ME BUT THERE WAS A CHANGE!!HE RECOMMENDED ME ONE OF THE BEST PLASTIC SURGEON IN PARIS SO I WAS GOING FOR A THIRD NOSE JOB!! THE RESULT WAS BETTER ( HE WAS PRIVATE AND EXPENSIVE SURGEON), HE PROJECTED MY TIP BUT STILL TODAY I AM DECEIVED BY THE TIP THAT LOOKS BIG IN FULL FACE PICTURES. I WOULD LIKE A MORE DEFINED AND STRUCTURED AND PINCHED TIP, SO I WENT TO SEE MORE DOCTORS (ONE OF THEM DRIVES FERRARIS).ONE OF THEM ( EXPENSIVE ONE) REFUSED ME TO PAY, SOME OTHERS WOULD ASK FOR MONEY !! ALL OF THEM TOLD ME THE RESULT WAS NOT GOING TO MATCH MY EXPECTATIONS, MY TIP WOULD ALWAYS LOOK BULBOUS AND NOT DEFINED BECAUSE OF MY THICK SKIN!! SO I FEEL VERY BAD ABOUT IT. MY SISTER USED TO SAY THAT MY NOSE SHAPE LOOKS LIKE MICHAEL JACKSON IN THE 85-86 ERA, MOSTLY IN PROFILE!! ACTUALLY I JUST WANT SOME WORK TO BE DONE ON MY TIP TO MAKE IT LOOK MORE PINCHED AND NARROWED!! BUT IT FEELS LIKE THE BEST SURGEONS ARE AFRAID TO DO IT!!I READ A BOOK ON ETHNIC RHINOPLASTY BY S.HOEFFLIN AND I THOUGHT THE RESULTS WERE NOT AMAZING,I WAS DISAPPOINTED BY THE 'NATURAL RESULTS', THE NOSE OF HIS PATIENTS LOOKED SLIGHTLY IMPROVED,BUT STILL BIG TIP!! A FEW MONTH AGO , I MET SOME TRANSGENDERS FROM SOUTH AMERICA THAT WERE ENOUGH NICE TO SHOW ME BEFORE AND AFTER PICTURES , ONE OF THEM HAD A REALLY BIG NOSE AND WIDE AND AFTER THE SURGERY (500$ IN HIS COUNTRY), HE HAD A SMALL PROJECTED AND PINCHED NOSE ' A LA PARISIENNE'WITH AN UPTURNED TIP, SO IT'S LIKE I AM WONDERING MAY BE I SHOULD GO IN BRAZIL OR ARGENTINA TO PERFORM MY SURGERY, BECAUSE I FEEL LIKE AMERICANS AND FRENCH PLASTIC SURGEONS DON'T WANT TO ALTER AND CHANGE YOUR APPEARANCE DRASTICALLY, THEY ALWAYS WANT YOU TO REMAIN THE SAME,STAY 'NATURAL'. YOU ARE PAYING IN OUR COUNTRIES A PROCEDURE AROUND 15000$ FOR A SMALL CHANGE WHILE IN THOSE POOR COUNTRIES YOU CAN HAVE A GREAT PLASTIC SURGERY AND A BIG IMPROVEMENT FOR AROUND 500$!!! WHEN I TOLD MY FRIEND TRANSGENDER ABOUT MY NOSE STORY, HE LAUGHED AT ME, MAKING FUN OF THE SURGERIES PERFORMED BY OUR DOCTORS, INSINUATING OUR DOCTORS CAN'T OPERATE PROPERLY A NOSE TIP!! THAT IT WAS EXPENSIVE FOR A POOR RESULT. WHEN YOU GOOGLE BEFORE AND AFTER PICTURES OF ETHNIC NOSE JOB, THE RESULTS AREN'T SO AMAZED TO ME, IT'S LIKE YOUR DOCTOR TAKES YOUR MONEY AND PERFORM A KIND OF PLACEBO EFFECT ON YOU. I AM DISAPPOINTED BY OUR DOCTORS, IT'S LIKE THEY ONLY WANT YOUR MONEY, AS YOU MENTIONNED IT IN YOUR COMMENT, SOME ARE RUDE AND DISTANT, AND TO JUSTIFY THEIR POOR RESULTS, THEY USE THE 'THICK SKIN' PROBLEM OF THE PATIENT, THEY PROTECT THEMSELVES FROM THEIR OWN MISTAKES WITH YOU SIGNING UP CONTRACTS, I FEEL THEY HAD BECAME MORE COMMERCIAL THAN COMMITTED PLASTIC SURGEONS!!
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I would choose Dr. G again. He is great. My first rhino, with another doc was a disaster. That doc had taken out too much. So, Dr. Guyuron had an uphill battle to start with.
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Ella I'm really glad that you posted in this thread. All I ever hear is what a god guyuron is, and I just want someone else's opinion. when you say it's just okay what do you mean by that? Do you think he produces natural results? If you could go back and choose a rhino doc would it be guyuron or someone else?
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The results are OK. He kept having to graft cartilage in, and it would shift over the first year. It seems good now.
I realized after I posted my comment that this thread was about another Dr. G and not Dr. Guyuron.
My bad!
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ella you have had a FEW rhinos with Guyuron??? how do you like your results?
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I have had a few rhinos with Dr. Guyuron. I would love to see your pictures as well.
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Your nose looks beautiful, would you please post a more frontal picture of your nose so we can see how it looks straight !!
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Let's keep it supportive please! The best attitude to go into rhinoplasty with is expecting improvement but not perfection. And sexivegan did get vast improvement. I think her nose looks fabulous!

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the nose looks much smaller and cuter though. I like it.
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she sees that her nose looks 80% better. Maybe her pictures were taken in a bad light to see improvement
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many of your pictures were removed??? Your other pictures showed lots of crookedness.
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i had closed rhinoplasty too and i have no idea how he did it. i asked but he wouldnt tell
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I'm curious why you decided to remove your other pictures? The pictures that are now posted show a much more favorable before/after result. Can you elaborate?
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I am posting a new review with new pictures after my touch up revision
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