No Longer Disappointed when I Look in the Mirror - Long Island, NY
- updated 5 months ago
Ever since I was very young (around 7) I can...
- 5 Jan 2012
Ever since I was very young (around 7) I can remember disliking the appearance of my nose from the side; specifically, the large hump that grows even larger when I smile. I grew increasingly more ambivalent towards a nose job as I got older. Sometimes I would absolutely decide to get one. Other times I would tell myself no, my future children won't look like me, I won't know who I am anymore, etc.
My dad had mirrors in his bathroom that could be adjusted in such a way so I could see myself the way other people saw me (instead of merely a mirror image). This was the summer of 2010 and I was horrified! My nose stuck out from my fase, curving to the right and ending in a downturn. That asymmetry is another aspect I've always detested--I believe I look completely different if my face is turned to the right or the left. I decided that the left side was the good side, so in every single picture my face was always turned to show this.
I finally decided to get the surgery in May '11 after watching the episode of Glee in which Rachel almost gets a nose job. Something Quinn said resonated with me: she got her surgery because she loved herself! That day I made an appointment for a consultation with the same doctor my friend's sister went to for her nose job. I left in June for Army Basic Combat Training. Someone said I looked like a bird--no one had ever made fun of my nose before. He was right, of course. When I found out the dates of my leave in December, I scheduled the surgery and paid the deposit.
In six months of training I managed to save half the cost of the surgery with my mom covering the other half. I wasn't nervous at all the day of--I completed trusted my doctor. It felt right; I had a good gut feeling. I was ready to say goodbye to my beak.
The first couple of days were the worst. I had a drip pad under my nose and I just sat on the couch and watched TV/movies. I slept on the couch too, sitting up, which was difficult. I don't think I left the couch for three days! My nose was completely blocked off so my mouth and lips got so dry during the night. I woke up every hour with a tongue that felt like sandpaper in my mouth. It didn't really hurt that much but the cast applied so much pressure that I had to take vicodin so I wouldn't feel it.
At first I thought my nose was too far upturned, but now I know I was just getting used to the difference. The doctor rotated my tip and shaved down the bump. My surgery was on a Monday, and on Friday I got my stitches out. I still had the cast on but I started going out in public on Friday anyway. The following Tuesday I got my cast off. By Thursday I was on a plane back to work!
My nose is still tender eighteen days post-op but I absolutely love it. At this point I can't believe I used to walk around all the time with my old nose on my face. Even though I kind of liked the left side, I really only had one good angle--this way is much better and I don't feel self-conscious if someone is standing on my side.
Today marks exactly one month since my rhinoplasty...
- 16 Jan 2012
But now it's like revenge of the crooked nose. A week ago I started looking in the mirror and thinking it was still slightly crooked. I dismissed these fears but I cannot any longer. My nose STILL veers slightly to the right like it did before! Granted, the tip looks a whole lot better, and this crookedness is not as pronounced as it was originally. But it remains.
The photograph I've uploaded to illustrate this was taken using Photobooth, so the image is reversed. But you can follow the line of light along the bridge of my nose and see how it curves to the right. You can also see more shading on the right alar base. I really hope this is just uneven swelling. When I press the sides of the bridge I definitely feel some give. I will update as time goes on.
Nearly six months post-op, and my nose is still...
- 8 Jun 2012
My nose has changed a lot. I'm not sure what to...
- 1 Nov 2012
I'm getting a little worried now. Sixteen months...
- 6 May 2013
Revision at eighteen months!
- 20 Jul 2013
That specialist did something Dr Jacono never did: he looked inside my nose and discovered a band of scar tissue in one of the nostrils that was trapping mucous. He said we could do a surgery--and he would also revise the appearance! I was elated. He said shaving down the bump on the left side would be no problem, and he would also take a look at the left tip and try to make it even with the right. He wasn't sure it would even work because it might be all scar tissue but I wanted to go for it. Additionally he said he would straighten the septum, making this surgery a septorhinoplasty.
I got my cast off yesterday and I am very pleased thus far. It's swollen and huge but it looks straight. Immediately after my first surgery, I still noticed that the right side curved more and I preferred the view from the left. That is no longer! As of now I would feel comfortable being photographed from either angle.
I was right in my earlier assessment that Dr Jacono was too conservative with my first surgery. I don't know WHY, but he neglected to shave the bump on the left side, and he didn't remove enough cartilage from the tip. Yep, my new surgeon said that once he opened up the tip he saw that it was just cartilage on the left and no scar tissue and it wasn't a problem to remove some of the cartilage. I can't believe I almost considered not even having him go in there! He also used dissolvable stitches--amazing! The incision looks great and it's been just over a week.
I almost wish I had waited a little bit longer and gotten the first surgery done in the military. They would have done it because of my septum. But things happened the way they happened and I'm not going to waste time dwelling on what should have been.
Some additional notes. Dr Jacono and I sat in his office and he used a computer to digitally edit my nose into a desired result. He gave me a printout of the before and after, and I was able to see other work he had done, and look him up online. Not so for the military doctor. He took photos and we looked at them and discussed the issues but I got no morph of what to expect and they weren't allowed to show me pictures of other patients due to HIPAA. (They said no one else had ever asked, which I found odd.) When I looked up the military doc online I found a linkedin profile and that was about it.
I realize that I'm going to have to wait an additional eighteen months or even longer to see the final result and I am prepared for that. Now I know, firsthand, how much a nose can really change!
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.