Treatment Provider

Andrew Jacono, MD
Board Certified Facial Plastic Surgeon
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I was right.

I was right any everything. I went to my second follow up today, three weeks post op. I saw a different doctor. He confirmed the my graft was misplaced, it is POKING OUT, and it is weighing down my nostril. Yes, it is visible and palpable from the outside. I'm getting it removed next Tuesday. I can't BELIEVE they told me two weeks ago that it was just swelling. This is so upsetting. I'm getting the graft removed in Tuesday and on Friday I have to drive twelve hours to South Carolina for military training. WTF.

Worse.

I noticed a bump on my left nostril, the bad one. Today, I felt pressure there and mild pain. I think he just inartfully balled up the cartilage in there and didn't take care to ensure, when he stitched it up, that was definitely all in there and not falling out the bottom of the nostril and through to the inside. It is most certainly not opening up and I can't believe I will most likely have to spend a year feeling like one nostril is full of mucous before being faced with the decision to either go with another nobody military doctor or spend upwards of $20,000 or more on another surgeon. This is a nightmare.

I'm So Sad

I begged the VA all summer for this surgery, they canceled on me twice, and when I finally get it I'm even worse than before. Very soon I have to leave the state for military training for three months and I'm just dreading being around all those people and having to breathe through my mouth the entire time.

Last night was my first night back in bed. I had to sleep with my mouth open. I even tried putting my breathing aids in the right side, where the airway is a little more open, but it didn't help much.

So piecemeal. I had to have three separate surgeries just to fix the bridge of my nose, and now it will be three separate surgeries just to allow me to breathe again. I need another procedure just to fix the left side alone since the right side is actually so open I can breathe with my mouth shut (under the right conditions, and not while sleeping for now at least).

I've never had this feeling after a surgery before. I just feel sad. I contacted two nearby doctors that will probably cost a fortune but I'm loath to let the government touch my nose again.

Is it a swollen mucosa? External nasal valve collapse? And what the [RS bleep] is that visible white ridge sticking out?

Provider Review

Board Certified Facial Plastic Surgeon
630 Park Ave., New York, New York
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Dr Jacono is very busy; the only times I saw him were for the initial consultation and right before the surgery. But his patient care coordinator responded to my emails for awhile and the nurses who removed my stitches and cast were friendly. He is expensive, and at least my issue is not enough work done, as opposed to too much. I edited this review to give him two stars as opposed to five because even though I needed a revision his surgery wasn't as bad as it could have been.