Rhinoplasty: Stories

Write a Review

No Longer Disappointed when I Look in the Mirror - Long Island, NY

  • posted 1 year ago
  • updated 14 days ago

Ever since I was very young (around 7) I can...

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...

Today marks exactly one month since my rhinoplasty. The profile looks awesome from both sides and I can tell some swelling is subsiding.
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...

Nearly six months post-op, and my nose is still very swollen and hard at the tip. When I press it right on the tip it's pretty much solid, it doesn't give way like a normal nose. All the pain is completely gone. Unfortunately, the left side is still my good side. The right side is still curved too much down. It appears as though the doctor removed the same amount from both sides of my nose, when really he should have removed more from the right side than from the left. I'm going home in December, so I'll see him then and see what he recommends. STILL, it is a vast improvement from the old nose! I may just leave it like this too. Who knows.

My nose has changed a lot. I'm not sure what to...

My nose has changed a lot. I'm not sure what to think anymore. A lot more swelling went down, so the curve to the right is even more pronounced. He didn't take enough from the left side of the bridge is what happened (not from the right as I had initially stated). Also there's a strange indent on the left side of the bridge at the very top, almost where my nose reaches my forehead. I've been looking at photos of people who went to other doctors in my area that cost half as much and have perfect noses and I'm wondering if I made the right choice. The tip has dropped but it's not too bad--it just looks like a completely different nose than one month after surgery. And I'm pretty sure it's still swollen in the tip too because it still looks pretty bulbous.

I'm getting a little worried now. Sixteen months...

I'm getting a little worried now. Sixteen months later and the swelling has gone down significantly in the bridge to the point where, front on, it looks almost identical to my before shot, minus the dorsal hump and downturned tip. When I visited my doctor in December he said the left side was very swollen and gave me cortisone shots. I just found out that excessive swelling can turn into scar tissue! I really hope this was just a case of a too-conservative nose job (like he didn't remove enough from the left side), rather a good one that I messed up by not addressing swelling sooner.
Great review?

My Doctor: Andrew Jacono, MD

My 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 was awesome and so were the nurses who removed my stitches and cast. He is expensive, but I would rather pay more for an initial, excellent rhinoplasty than pay less for a rhinoplasty that requires a more expensive revision later.

Comments (19)

Sort by
Tara Anne 19 May 2013
Hi! First I want to say you are very cute and thank you for serving our country. :) I too would strongly suggest you go for a second opinion. I am sorry that your nose is noticeably crooked. But I'm worried if you let him operate again, you will be even more unhappy. I am speaking with nine women who are utterly devastated by Jacono's aftermath. Many of them suffer from chronic sinus infections because their nose has collapsed. Breathing is a terrible issue. And he never did fix their crooked nose that he created. Some of these women gave him a second chance and it has proven to be quite upsetting, to say the very least. I am smart and would not give him a second chance to fix everything he did wrong. I went to another surgeon and I was able to be corrected. I had to spend a lot more money, but there should be no error when it comes to your face. You spent a lot of money too. Please proceed cautiously. I know you trust this doctor, but in time you will see...he cannot be trusted. Of course I wish you all the best.
anonymous10000 19 May 2013
Misspiggie, I suggest you go to another doctor for a second opinion. My experience with jacono has been horrible. I posted pictures under multiple bad rhinoplasty surgeries. My nose was curved left and now after another surgery it is curving right. Go to another doctor.
akainterested 1 Nov 2012
Did the army have any issues with you having the rhinoplasty?
misspiggie 5 Nov 2012
They did not. My first six months in the Army (last June-December) I was in training and saving up money, and once I graduated from job training in December I went home on leave and had the surgery then. It was kind of a hassle getting my blood tests at the troop clinic as a lowly trainee but I pulled some strings, talked to the right (higher ranking) officers, and got it done!
akainterested 5 Nov 2012
Thanks for the reply. I'm Navy and intend to do the same...
Cuter nose 1 Nov 2012
I'm sorry to hear about your news... I feel like as time has gone by for me, more things have come or become more noticeable, too. I hope you noted your concerns to your PS and hopefully he is taking the appropriate steps to make this situation right/better.
Asianma 12 Jun 2012
What great result after 6 months, the bridge n the tip look so cute on your face. I had mine done 2 months ago and the tip still so bulbous..:(, I hope it will get lots smaller after six months just like yours. Thanks for the posting the photos I have lots hopes now :)
star72 26 Mar 2012
Wonderful! Your new nose suits you :) How is it going now? Does it still seem crooked to you? I couldn't see it in your pictures...
lauraa k 2 Mar 2012
Hey, with your new nose you look a bit like Natalie Portman! Congrats on the results.
fort worth 1965 18 Jan 2012
you should try to come to Texas , and get your nose done it cost me 6900 and i had an awesome cosmetic surgeon , in the DFW area , he was great my nose was hard to do , because it was so round and my nostrils were wide , he made it perfect i love it
misspiggie 18 Jan 2012
That's what the patient care coordinator said when I emailed her. But my nose follows the same curvy line the old one did. Compare it to the full-frontal before picture. (Keep in mind, the pic I recently uploaded is reversed since it was taken in Photobooth.) The only difference is the bump is gone and the tip is re-rotated up.
HappyNose 16 Jan 2012
Looks like ur still swollen ;)
Give it time
U will see it will b worth the wait!
U look beautiful
amandaindc 16 Jan 2012
It looks like uneven swelling rather than a crooked nose at this point- but I am not a doctor! My nose went in on one side before the other.
sushisushi 11 Jan 2012
Yay! You look so great :)!! Your haircut looks super cute with your new nose.
tiffypoo62 9 Jan 2012
wow! you look great! what a cute little nose
Blueflames 7 Jan 2012
happy 4 u
thethinblonde 6 Jan 2012
You look great! Doesn't it feel amazing to look in the mirror and feel a sense of happiness and a huge feeling of relief that the big bump isn't there?!
Sometimes I wake up in the middle of the night and touch my nose just to make sure it's still small! lol
fort worth 1965 6 Jan 2012
i had my done 9 months ago , it has totally changed my life , cant believe i didnt do it sooner after 9 mnths i can see it getting thinner has time goes by , best investment i have ever made ,
Angiemcc (Community Manager) 5 Jan 2012

Good for you for doing this! I had the same issues as you with the original nose, and then with feeling it's too upturned right after surgery. I'm glad you're so happy with your nose, now! Isn't it liberating???

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok