Treatment Provider

Gary M. Horndeski, MD
Board Certified Plastic Surgeon
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Nose shape is vital!

Thanks to all the well informed people posting comments. I thought I was informed, well at least as informed as I felt necessary before deciding on this "minor" surgery. There is just so much to know and your judgement can easily be clouded by impatience with your appearance. It seems the angle of your nose, the visibility of your nostrils, whether you have nasal sills or not, will determine the outcome of this procedure. Ideally if your nose angles down it will hide the scar quite well. If you have an upturned or straight forward angle, and nasal sills like mine, it becomes much riskier. Im glad to have gone ahead with this review because it will undoubtedly help someone. Love the feedback and I feel like I am getting realanswers.

Ok, I am typing this spur of the moment on my...

Ok, I am typing this spur of the moment on my phone as I lay in bed. I was planning an in depth review once the results were final but looking in the mirror just now changed that, hopefully this will suffice for now. I am a 31 year old male who elected to have this procedure because I don't like my smile and I don't like the way I look when I shave. I chose Dr. Horndeski because I liked the results people were getting from him. The entire process is just how you've read it before I wont go over it again. Staff were extremely nice I will add. I am 6 weeks after the procedure and I am worried about how I look. I am actually decent looking to many people when i dont shave, when I do though I look monkey-ish, which I hate! Now I look piggish whether I shave or not because one of my nostrils no longer has the rim along the base. Imagine two circles before where now one circle is shaped like a V along the bottom. This creates a cavernous effect that grossly enlarges my nostril. That nostril was already slightly larger before, now its huge. I read online about this effect which Dr. Rodriguez says in a reply to a patient query-

"it looks like the surgeon did not anchor the lip skin to deeper and stable structures such as periosteum or cartilage. For that reason the normal pull of the lips puts traction on the nostrils and creates the flaring (which widens the nostril) and pull down (that causes the “big cave” effect) that you are seeing"

I feel my nostrils were pulled down slightly as he describes. I shared this concern with Elisa, his nurse, a week or so ago and she thinks i need to wait for swelling to go down. I shared my before and after pics with her to show Dr. Horndeski and he mentioned I had asymmetry of the nostrils before. I know I did but the base is different. Elisa told me to wait for it to heal, I agreed although I wish the Doctor would take a closer look instead of dismissing it because I dont see how this will improve with time and may actually take corrective surgery to fix. My nose seems more bulbous as well. I crave feedback from anyone who has been in a similar situation. I hate to sound negative before final results especially after reading so many reviewers change their opinions with time, but this is where I'm at now. Any and all questions are wanted. Also the healing process and scar has been unusually harsh compared to most reviewers here. Just noticed while uploading pictures my nostril looks worse...

Provider Review

Board Certified Plastic Surgeon
14887 SW. Fwy., Sugar Land, Texas
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