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Nose is off centre, 5 years after Secondary Rhinoplasty by Dr. Eric Yapjuangco

I will let the pictures do the talking. All I can say is that the concern I had four months after my secondary rhinoplasty, when I thought my nose was uneven, was legit. I managed to live with it for almost 5 years, but the issue just got more and more pronounced as time passed and this year, I'm finally getting it corrected once and for all. Most likely by another surgeon.

My first surgeon, Doctor Eric Yapjuangco of The Icon Clinic in the Philippines has been responsive to my questions and is willing to do the revisions but I'm doing more research on this because I'm really hoping this will be my last.

If any of you have recommendations for excellent plastic surgeons in the Philippines who specialise in revision Rhinoplasty, please feel free to comment or send me a message. I would really appreciate the help! Thanks in advance!

10 months after revision

I didn't intend to come back to this site to update my review but I've been receiving a few emails from folks asking how my nose is and requesting for before and after pics.

It's been 10 months since my revision. Everything is good with my nose. It still looks as good as the day I got home from the surgery, perhaps even better because the scar from the redness caused by the infection is gone. I'm very happy with what my doctor has done for me. He really has enhanced my facial features just by giving me the nose that I've always wanted.

I'm sorry I cannot grant requests for photos. I've long deleted them from my files. Good luck to everyone with their upcoming surgeries.

Revision done!

Finally got my revision done last Saturday, 7/12/14. The experience was loads better than the primary rhino mainly because I insisted on having general anesthesia instead of local. Doc asked me to come in at 9am, got there at 845. Had my labs done at 930, talked to the anesthesiologist at around 11. I was asked not to eat anything from 4am onwards but my last meal was at 12mn so by 11am I was famished and really thirsty. Surgery started at 1pm. Doc Eric talked to me and took pictures of my nose 15 minutes before. I changed into OR clothes then after that, all I could remember was the OR nurse asking me to wash my face and hands with a Betadine looking liquid then being lead to the OR afterwards. The anesthesiologist then came to insert the IV and the next thing I knew I was being awakened by the OR nurse and she was telling me the surgery was done. Another OR nurse showed me a mirror so I could look at my nose but I was too nauseated to really focus. They called a cab for me and I got home safe and sound at around 6pm. During the talk, the anesthesiologist told me I was going to feel three things after the surgery: 1. nauseated/groggy 2. cold 3. exhausted. He was right, I felt all three but it was still better than my primary rhino. I came home really, really hungry. I ate half a salad, drank my meds and went to sleep after texting my folks at home. When I woke up at 11pm, I felt okay, still a little nauseated but not in any pain. Right away, I could see that my nose is slimmer and the bridge is higher. It looks great even with the cast. The ear where Doc took the cartilage for my tip is okay too, it feels a little 'heavy' but not painful. I cleaned the dried blood from the wounds using distilled water and some cotton swab then applied an antibacterial ointment on them and went back to sleep. I stayed at home the whole Sunday, of course. I drank fruit and vegetable juices and ate salads which I had delivered. I took the antibiotics every 12 hours, as well as the morning and evening recovery pills from Vitamedica. Also took Bromelain and Arnica three times a day and applied antibacterial ointment on the stitches every after cleaning, as directed by Doc. I needed the pain reliever three times after the surgery, after that I was okay. I wasn't in any pain but the wounds were feeling 'heavy' so I just took the pain relievers before I felt anything more. And I didn't. Through all these, I used my phone to set the alarm off so I wouldn't forget to take the meds. I was taking a lot: antibiotics (co-amoxiclav) twice a day, 3 morning recovery pills, 3 evening recovery pills, 3 arnica pills 3x a day, 2 bromelain capsules 3x a day so i needed help remembering when to take them. Today I went to see Doc Eric. He looked at the stitches, cleaned them up a bit but didn't remove them yet. He said I was doing well and he told me to see him again on Thursday, 5 days after the surgery, to remove all the stitches. I'm feeling okay. Sleeping is a bit of a challenge since I have to do it with 4 pillows behind me so that my head is elevated and I can't turn to my sides. Sometimes the stitches itch so I just get a cotton swab and touch it very lightly on the area. I don't see a lot of swelling on my face, there aren't any bruises either and I think this is because of Vitamedica's Clinical Support program which I bought from their website for $98. Two days after my primary rhino I looked like I was stung by a bee. I could barely open my eyes and there were huge, yellow bruises on the sides of my jaw and under my eyes. This time, I look quite normal except for the stitches and the cast on my nose. No ugly bruises and swelling is very minimal, almost unnoticeable. I'm pretty excited to see my nose after the cast is removed. I can see that it's already very slim and the bridge is as high as I've always wanted it to be. I'm very happy at the moment. I'll update this review after Thursday when the stitch and cast is removed. P.S. I'm sorry I can't post pictures. I did post some before but I got so uncomfortable seeing my face online I decided to take them down. Procedures Done: Tip Plasty (ear cartilage used to refine tip) Goretex implant used to heighten the bridge Alarplasty

Provider Review

Dr. Eric Yapjuangco
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

It's been almost 5 years after my Secondary Rhinoplasty with Doc Eric. Having my nose done has made a lot of positive difference in my life however, I have to be honest. A few months after the revision, I noticed that my nostrils were uneven and that the bridge was off centre. I posted a follow up question about them here. I was advised by the other surgeons to wait at least a year to allow swelling to subside. I did, but the problem persisted and if anything, it just became even more pronounced over the years. Last year, I finally decided to contact Doc Eric about it and his first response was to ask if I had an accident. I said I didn't and he offered to fix the problem. I would only have to pay the Operating Room fee, about 20,000 to 40,000 PHP. The revision was supposed to happen in May 2019 but an unexpected family emergency came up and I had to reschedule. Now my target date is December 2020. I'm putting it off until the end of this year because I need time to do my research and save up for another procedure, Breast Augmentation. I'm not sure if I'm having these two done by the same surgeon, it will depend on the result of my research and how Doc Eric handles my questions in the coming days. I appreciate that Doc Eric is being very responsive to my inquiries but I'm no longer sure if going back to him for my problem with my nose is my best option. I'm really afraid of how it will look like if the 3rd revision doesn't go well as expected. At this time, I'll have to leave this review at 2 stars. I don't like doing this but I've asked around and was able to speak to patients who have the same issues with their Rhinoplasty from Doc Eric. As much as he and his staff are really nice and accommodating, there seems to be a problem with his technique and until I'm 100% confident he can fix my problem, I'm not going under the knife anytime soon.