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Surgery Coming Up May 18th!!!! - Michigan

I'm 26 years old. I have been self conscious...

I'm 26 years old. I have been self conscious about my nose since high school. It's to the point where it affects everything I do. I am constantly thinking about where to position myself in a room or at a table so that the least amount of people see my profile (I have a prominent dorsal hump). I have been seriously considering plastic surgery for a few years now. I've had a few consults but was unsure of spending the money and wasn't overly impressed with the surgeons I met with. Recently I decided to "take the plunge" and schedule surgery. I met with Dr. Golden on May 8th and scheduled surgery for May 18 - so I have less than 2 weeks to prep myself!

Surgery is in 3 days! I go back and forth between...

Surgery is in 3 days! I go back and forth between being excited for the change and being scared of surgery and not knowing what the outcome will be. Dr. Golden does not do morphs, so I have to put 100% faith in him to make me look better. I think the part I'm most scared about is having the surgery done under conscious sedation... has anyone had a rhinoplasty done with this type of sedation?

Today is day 3 after surgery. I haven't updated...

Today is day 3 after surgery. I haven't updated this so I"ll go through it day by day.

The night before surgery my boyfriend and I drove to my grandmas house an hour and a half away so we would be closed to Dr. Golden's office in the morning. She was up north so we had the house to ourselves. The morning of surgery Nick, my boyfriend, was throwing up and feeling awful! It was not a good way to start the day. I set him up in the passenger seat of my car and drove us to the doctors, where he immediately drove back to my grandmas to rest. I was pretty upset that my support system had fallen through and no one would be there for me before and right after surgery. I was lucky that I was the only patient scheduled the whole day, so Dr. Golden reassured me that he would be taking his time to make everything perfect. They tested my urine for pregnancy and had me put on the hospital gown. I wore a sports bra, tank top and left my sweat pants and shoes on. Lucy, the RN warmed a fleece blanket up in the dryer and gave it to me to help keep me warm. I was pretty nervous about the IV since I've never had one before so they gave me a valium pill to help take the edge off. When Dr. Golden put the IV in it didn't hurt AT ALL. In fact I felt it more when they drew blood last week than when the IV went in. Lucy then started putting all types of medicine in the IV. I was really nervous about hearing and remembering parts of the surgery. It didn't take long before I felt a wave of relaxation come over me. The next thing I knew the whole procedure was over! I didn't feel anything, hear anything, or remember anything. I was the most nervous about the conscious sedation, but after all is said and done it was a breeze! My surgery lasted 3 hours.

I didn't feel any pain but I was woozy. I remember having hallucinations of people that I would be talking to, but no one would be there so it just looked like I was mumbling nonsense to the nurse. Since Nick wasn't feeling well he was not allowed to come into the office so they wheeled me down to the car. I faintly remember the car ride home. When I got to my grandmas I slept on and off for a few hours. My eyes were instantly swollen and a deep red color. Surprisingly I didn't sleep too bad, but got up in the middle of the night to change my drip pad and take some meds.


Day 2: I expected there to be bruising around my eyes but I did not expect them to be so swollen that I could barely see! I couldn't look down with one eye and felt a constant pressure. My nose didn't hurt at all. I took vicodin a few times throughout the day, but only one half at a time. I had a decent appetite but stuck to eating watermelon, berries, soup, and macaroni and cheese. My nose was so stuffy that I could only breath out of my mouth. I was worried about the whole mouth breathing thing so the week before surgery I bought a Winix air purifier. My grandma has a cat so it was nice to know I was breathing fresh air and I wouldn't sneeze from the allergens in the air. I want to make sure I don't do ANYTHING to mess up the results! I slept better than the first night... waking up only 1x.

Day 3: Today is day 3. I talked to Dr. Golden to make sure everything I'm experiencing is normal before I make the hour and a half drive home. I'm still using a drip pad. I change it every 4-5 hours and I take it off when I eat. It's not bleeding anymore, but the discharge is blood tinged. I feel pressure on my nose whenever I swallow - it almost feels like swallowing is pushing out of my nose. It's uncomfortable but I can deal with it. I haven't had a headache at all which is nice. I've been joking with those who have called to check on me that this scrape I have on my calf hurts more than my face. I go in to get my cast off on Tuesday, which I'm super nervous about. I like having the protection of the cast and will feel vulnerable once it is off. I've been sticking to food that you don't have to chew much.


Overall I was happy with the time my surgeon spent with me on the big day and I have been having a decent recovery. If anyone is thinking about going with Dr. Golden send me a message and I will send you a before and after picture!

Tuesday, May 22 was my appt to get the cast off. ...

Tuesday, May 22 was my appt to get the cast off. The appointment only lasted ~10 minutes. It was extremely uncomfortable - the Doctor was sticking medicine drenched cotton allllll the way up my nose and taking the stitches on the inside and outside out. After he took the cast off he applied some tape to help keep the swelling down and for a little support. I was worried I would feel vulnerable without the cast, but the tape was a nice substitute. All in all it went well.

by Friday, May 25th I was finally able to breathe out of my nose! It took the course of 3-4 days to get to the point of being able to breathe with my mouth closed. Every day would be a little better - starting with short stents of being able to breathe then going to hours, then days. For awhile there I was worried I wouldn't be able to breathe through my nose for weeks.

Today is Monday, May 28th - the swelling on my face has completely cleared up and my bruising is 95% gone. So far I'm very happy with my results. I'm excited for the bruising to be completely gone and to start living with my new and improved nose. My second post op is tomorrow... I'm hoping it's not another torture session like the last one. ha. Overall the recovery has been very quick... it's amazing how fast the body heals itself.

Almost 13 weeks post op: So far so good. I know...

Almost 13 weeks post op: So far so good. I know I still have swelling around the bridge of my nose and I can tell in pictures, but family and friends I've seen haven't even noticed I had surgery! There is a shadow under my left eye... and I think it still looks bruised a bit. I'm hoping this clears up soon so I don't look so tired all the time. My breathing is pretty good.. but the side surgery was on is not as clear as the other side. I assume this also will get better with more time. If I press down and slide my finger down the bridge of my nose it feels bumpy under the skin, but after researching online that is normal. You can't see it, so that is good. Just waiting it out for another few months to see what the end result will be. I'm hoping my nose thins out a bit... so we'll see!

Some people have messaged me asking about Dr. Golden and how they are unsure of him because of his reviews... and I would like to comment on that.

Dr. Golden does have good and bad reviews - but if you take a closer look most bad reviews are regarding his bedside manner and personality. The good reviews regard his work and outcomes. So ask yourself this: Is it better to go with a doctor that gives you a warm, fuzzy feeling and has mediocre results? Or would you rather go with the doctor who has a reputation as being "arrogant, etc" but is known for his great work and natural looking noses? At the end of the day it only matters what you will look like.
Troy Facial Plastic Surgeon

5 out of 5 stars Overall rating
3 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
3 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait tmes
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Comments (7)

Wow! Your profile is sooo different, but it looks gorgeous and really natural. Can't wait to see it when the tape comes off. So glad your surgery was a success!!
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I am SO glad you chose Dr. Golden! Isn;t he just SO cool?! There is just NO words to describe him, he just tells you how it is, whether you like it or not. Idk..some people may think he comes off as a little cocky and ignorant but to me, he didn't try to sell me by using 3D images or those stupid plastic surgery billboard ads. He just such a sweetheart! I wish I would have chose him the first time with my last surgery. I chose a regular PS (mostly because it was cheaper) and I didn;t get ANYTHING out of it. I went to dr. Golden for my revision in April so I am almost 2 months post op. I see him for my 4-5 post op appt. this Friday. I am still really swollen, and the front looks about the same..but I am still hoping it is swelling. I have a VERY long review about my journey, but it is worth reading! Glad you are healing OK! :))
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good luck i got mine done yesterday and i am pain free ...i went really really fact ...just waiting to get my cast off .....wed ...good luck
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I wish I'd known about Dr. Golden when I got my rhinoplasty in E. Lansing (a million years ago!)

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Michelle,

I met with Dr. Colony in East Lansing. It was my first consult and was just exploring options at the time. I had a consult scheduled with Dr. Poletes in Lansing but cancelled it after reading some terrible reviews. More recently I have spent a great deal of time doing online research on plastic surgeons and decided to go with Dr. Golden. I like that Dr. Golden only offers 5 different procedures, specializing in rhinoplasty, performing over 5,000 of them. After some research I found he is known as the guy to go to for revision surgeries... so I figured why not start with him the first time! I like that he does revisions (which he refers to as touch ups) if necessary for free for all his patients. When I first met with him one of the first thing he said was he is a engineer - and his focus is on the mechanics of the nose (breathing, etc). He had good before and after photos and had me talk with some actual patients in the office. If you are thinking about setting up a consult with him send me a private message and I can tell you more of what to expect from Dr. Golden; after meeting with him I feel like I should have been prepped. As far as I can tell he is the best in Michigan (and he attracts many patients out of state... which is a good sign too).
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Hello,
I live in your area, What other doctors have you met with and what made you choose Dr. Golden over them
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Welcome to RealSelf and thank you for starting your story with us. This is a big step! I got my rhinoplasty when I was about your age. No regrets!

I was all the way under for mine and don't know much about rhinoplasty under conscious sedation. You might want to read this about twilight sedation (which I think is the same as conscious sedation).

If you're uncomfortable with this, you might want to ask if you can be put under general.

I can understand why this is a concern. It would be for me, too.

Please keep us posted!

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